largest Asian restaurant company, is now open in Jacksonville. This is the 36th store in the US, as well as the first in the state and Southeast US. It opened to the public on March 18, 2017. Jacksonville is the most populous city in the Sunshine State, as well as home to the largest FilipinoAmerican community in Florida. The longawaited arrival of Jollibee in the city has
get to try Jollibee's signature menu items such as the world famous Chickenjoy. This dish is delicately breaded to be crispylicious on the outside and juicylicious inside. The well-loved Jolly Spaghetti is a favorite of both kids and kids-at-heart because of its signature sweetstyle sauce, loaded with chunky slices of savory ham, ground meat, and hotdog. Other classic menu favorites include the juicy and cheesy Jolly Hotdog, and the Peach Mango Pie, which is made with real Philippine sweet mangoes and a flaky golden brown crust.
tude of excited Jollibee patrons waiting to get their hands on their Jollibee favorites, but also first-timers waiting to have their own Jollibee experience," said Jose Miñana, Jollibee Foods Corporation's Group President for North America. "There's no greater joy for us than serving the needs and tastes of Jollibee fans in the community. At Jollibee, we aim to bring families together for happy moments over great tasting food with superior value, served with warm and friendly service – our own brand of joy." The brand has become a symbol of nostalgia and warm childhood memories for many overseas Filipinos in the U.S. To many, Jollibee is the go-to restaurant of Filipinos for both special
HOPE OR HYPE?
Tips on How to Approach Reluctant Patients See JOLLIBEE page 15
CentralFloridaHealthNews.com
THE OFFICIAL AND ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION
THE CHANGING NATURE OF GERIATRICS
BayCare Physician Talks About Factors That Affect How We Age NOVEMBER 2021 volume 11 issue 3
Elder Care edi ti on
New Alzheimer’s Drug Signals Progress, but Doubts Remain
TARGETING COVID-19 VACCINE HESITANCY
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As we head into another year with the COVID-19 threat still heavily upon us, healthcare providers still find patients who are hesitant to get the vaccine. So what can healthcare providers do to encourage their patients to get vaccinated? We’ve got some tips for you. The field of geriatric medicine generally focuses on patients older than 65, but the determinants of socioeconomics, education, access and lifestyle can make it somewhat of a moving target. BayCare’s Dr. Robert Atkins talks about how these various factors can affect how we age. Read more on Page 8
. 10
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. . . . . . . . . . . . . . 14 What’s Goin g On
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STEAKHOUS E page 11
Jacksonville, FL - After much ipation and anticexcitement, Jollibe largest Asian restaurant compae, the now open in ny, is Jacksonville. This is the 36th store in the US, as well as the first in the state and Southeast US. It opened to the public on March 18, 2017. Jacksonville is the m ost populous city in the Sunshine State, as well as home to the largest Filipin American comm ounity in Florida. The longawaite d arriva l of Jollibee in the city has
been the talk of the town since 2016. With the openin "As Jollibee g, Floridi get to try debuts in Florida Jollibee's signatu ans will anticipate seeing , we items such re menu not only a as the world tude of excited multiJollibee patron famous Chickenjoy. ing to get their This dish is s waithands on their delicately bread ed to favorites, but Jollibee be crispy also first-tim liciou s on the outsid ers waiting to have their e and juicylic own Jollibe ious inside. The e experience," said well-loved Jose Miñana, Jollibe Jolly Spaghetti is a Foods Corpo favorite of both e ration's Group kids and kids-at President for North -heart becaus America. "There e of its signatu greater joy 's no for us than re sweetserving the needs and style sauce, loaded tastes with the community. of Jollibee fans in chunky slices of savory At Jollibee, we bring familie aim to ham, ground s together meat, for happy moments over and hotdog. great tasting Other food with superior value, classic menu served with faand friendly warm vorites includ service – our e the own brand of joy." juicy and cheesy The brand has Jolly Hotdo g, become a symbo nostalgia and the Peach Mango and l of warm childh Pie, ood memwhich is made ories for many with overseas Filipin the U.S. To many, Philippine sweet real os in Jollibee is the restaurant of goes and a flaky mango-to Filipinos for golden both special brown crust.
Jollibee's U. S. with first Fl expansion continues orida locatio n opening
On the Cover
PAID
It’s been nearly five months since the Food and Drug Administration approved Aduhelm, the first new Alzheimer’s treatment since 2003. Its potential impact, however, has been mired in controversies about the approval process, who should get the treatment, its efficacy and its cost. Still, many see the new drug as a shift in how to battle the disease. Entrées:
Analysis: Catering industry revenues on the rise
Appetizers:
Rockville, MD American cuisin - When it comes to e, there are few things more iconic than steakh ouses. The slabs of marbl ed grills, the oozing meat, the sizzling butter, and ping bravad o, maybe even the driphat or two for a cowboy ambiance—i t's to make even fictional steako enough Swanson mistyphile Ron eyed. Yet for all the traditional steak ners ordered dindaily, there are restaurants 4 nationwide pushin g the concep all-American “Big Data” — t of the steakhouse to new culinary height Does your s, according to market research firm Packaged Facts restaurant in the brand new report 2017 Foreca need it? st: Culinary Trend Tracki ng Series. "The steakh 7 ouse is back capture our and will attenti the classic restau on in 2017. Not that Rise Bisquits rant style ever peared, but disapa renewal of Donuts to open the model is taking place Chefs and in response consumers to new source in Coral Springs of beef and new both want their meat to s flavorful expres taste delicio and sustain sions of 11 the concept that us and to feel able good about its’ consumptio get seasonal produ sourcing, local and chefs and diners excited n, too. This new breed of ce, and global ," says David steakh and forms, flavors Sprinkle, research directo all done within mission to suppo ouse broadcasts its Del Taco spices r, Packaged house forma the steakrt local ranche Facts. Today's steakh t showcasing tor in sustain ouse menus up expansion in cuts ability and anima rs, facas entrées ingly feature increaswith a choice of meat and create grass-fed cattle, a dining experi l welfare, Moreover, new of sides. the Southeast raised anima showcases culina ence that menu catego ls, heritage varieti locally as ry flatbre flair, not just ads) and service ries (such 13 butchered and dry aged in-houes, meat master's skill at cookin a grill freshen the elements dishes that g steak to the se, and concept. quested donen stem from rethe whole aniess. These mal, not just operations are also design the premium About the Repo ed that's just cuts. And more of a great to be more inclusive, the meat. rt Creative side 2017 Forec dishes in lieu people to dine place for all kinds of ast: Culin of old standa ary Trend Advertisers Tracking Series well, not just rds, global and seasonal minded men traditionDirectory . offers an outloo flavors, and on expense culinary trends— ......2 a wider menu k on the selection also accounts. the As a result, distinguish dients and flavors foods, dishes, ingrethe modern these new school operat Appell Pie. steakhouse is increasingly ions. ................ expects to grow —that Packaged Facts similar to other .......2 restaurants in popularity moder n with a focus in 2017. on distinctive Calendar Even See
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Autumn is upon us and Central Florida’s healthcare providers are gearing up for cooler weather and the holiday season ahead. Our area’s doctors, nurses, and other healthcare providers are hard at work delivering high-quality healthcare to Central Florida residents. Explore all of the awards, recognitions, openings and other goings-on that have been happening at your local hospitals, clinics, and doctor’s offices. PRSRT STD US POSTAGE
2 | CFDoctor FLORIDA’S
6 On the Pulse
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CONTENTS | November 2021 aHealthNews.
THE CHAN GING NATURE OF
PE? New Alzheim er’s Drug Sign als Progress, but Doubts Rem ain
HOPE OR HY
SITANCY Tips on How to Approach Reluctant Pati ents
See JOLLIBEE
com
page 15
CentralFlorid
GERIATRI BayCare Phy CS sician Talks About Factors Tha t Affect How We Age
NOVEMBER 2021 volume 11 issue 3
THE OFFIC IAL AND ENDORSED PUBLI OF THE POLK CATION MEDICAL ASSO COUNTY CIATION
Elder Care ed iti on
TARGETING COVID-19 VACCINE HE
Healthcare Heroes Hard at Wo rk: See Who’s in the News
ON THE PU LSE
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CENTRAL FLORIDA
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NELSON KIRKLAND, Publisher
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Rising Up to Meet the Needs of Baby Boomers
T
here’s been a concerted effort to determine how to best serve the needs of baby boomers as they swell the number of individuals who will soon need senior care. Florida, especially Polk County, is intimately aware of the growing needs of seniors. Data from the 2020 Census revealed that an estimated 20 percent of Polk’s population is 65 or older. Thankfully, the Central Florida healthcare community is packed with private groups and organizations that provide resources and support for seniors. Better Living for Seniors is one such nonprofit. BLFS is a professional coalition of public, private and volunteer agencies and individuals who provide much-needed services to seniors in Polk. Not only does BLFS offer assistance, but it helps them find a sense of purpose. Through the years, the group has grown to include more than 175 local businesses and agencies. The organization offers networking, guest speakers, online resources and databases of services with search capabilities, print directories, seminars, health fairs, education and community service. In addition, the organization speaks to matters of the heart. Its Better Season for Seniors program collects gifts to donate to seniors who have no family and would not otherwise receive any gift. To learn more about Better Living for Seniors and its events or to contact them, head to the website at blfspolk.com. Volunteers in Service to the Elderly is another invaluable program here in Central Florida. The volunteer-driven organization works hard so seniors can remain safely and independently in their own homes. They help to organize transportation, meals and groceries. For more details, check out their website at viste.org. In addition, the Rath Senior ConNEXTion Center also works to serve the needs of our elder population with senior education, seminars, and referrals for everything from transportation and housing to health and welfare. Learn more at TheRathCenter.org. We’re lucky to have so many great groups ready and willing to help. It’s up to the healthcare community to make sure our seniors know what aid is available to them. ✱
4 | CFDoctor
www.CentralFloridaHealthNews.com PUBLISHER
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Copyright © 2021 Central Florida Media Group. ALL RIGHTS RESERVED. This issue of Central Florida Doctor is a trademark of Central Florida Media Group. Reproduction or use in whole or in part of the contents of this magazine without written permission is prohibited. Central Florida Doctor makes every effort to ensure the accuracy of content published. In the event of an error found herein however, neither the publishers or advertisers will be held responsible, nor do the publishers accept any liability for the accuracy of statements made by advertisers in advertising and promotional materials. Furthermore, the opinions and claims expressed in advertisements and promotional materials do not necessarily reflect those of the Polk County Medical Association or Central Florida Media Group and do not imply an endorsement.
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P C MA | p r e si d e nt ’s co l umn
POLK COUNTY
CARING FOR AN AGING POPULATION IF ANYONE KNOWS ABOUT the changing needs of senior patients, it’s those of us in the healthcare industry! We’re always looking for ways to best serve our patients, and that means keeping up on the latest developments, the newest trends and the changing needs of each group of patients. Dr. Robert Atkins, a Winter Haven primary care physician with BayCare who specializes in geriatrics, brings a unique background to his practice. His experience helps him determine the shifting needs of each patient. As he explains in our feature in this edition, geriatrics care is not one-size-fits-all, and there are multiple factors that come into play when determining what each patient needs at any age. Dementia and Alzheimer’s disease are some of the most common concerns for the senior population. Inside, we talk about the breakthrough drug Aduhelm that the FDA approved this summer. It’s the first new treatment for the disease since 2003 and the first of its kind to attack the underlying cause of Alzheimer’s, but so far it’s been a bumpy ride for the drug’s debut. With the holidays coming up, I’m sure we’re all looking forward to gathering once again with family and friends now that COVID-19 vaccinations have rolled out. Those of us in the medical and healthcare professions know the battle is far from over as we work to protect patients who are reluctant to get the vaccine.
In this edition, we have some tips on how to best address vaccine hesitancy. As always, don’t forget to check out the On the Pulse feature, where you can see all the latest awards, recognition and accomplishments of your peers across the county. Thank you for all you do! On behalf of the Polk County Medical Association and Central Florida Doctor, we wish you happy holidays and a safe new year!
Benefits of membership include: ✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company ✱ Ongoing relevant communication ✱ Access to CME Programs ✱ Workers compensation insurance benefits ✱ Complimentary socials/dinners ✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications ✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide ✱ Physician and medicine advocacy at all legislative levels If you’d like more information about becoming a PCMA member, contact our Executive Director, Jackie Courtney, at (863) 644-4051 or email her at director@ polkcountydoctors.com. On behalf of the PCMA, I’d like to thank you! ✱
Sincerely,
James J. Booker, MD James J. Booker, MD Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association www.centralfloridahealthnews.com
MEDICAL ASSOCIATION 4315 Highland Park Blvd, Suite B Lakeland, Florida 33813 863-644-4051 QQQ 2021 OFFICERS JAMES J. BOOKER, MD President GEORGE LYLE, MD Secretary STUART PATTERSON, MD Treasurer QQQ BOARD OF TRUSTEES RALPH NOBO, JR., MD, Chair GEORGE LYLE, MD STUART PATTERSON, MD GARY SCHEMMER, MD SERGIO SEOANE, MD ARVIND SONI, MD QQQ JACKIE COURTNEY Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813 CFDoctor | 5
ON THE PULSE Healthcare Heroes Head Into the Holidays With Achievements, Awards and Honors by ERIKA ALDRICH Autumn is upon us and Central Florida’s healthcare providers are gearing up for cooler weather and the holiday season ahead. Our area’s doctors, nurses, and other healthcare providers are hard at work delivering high-quality healthcare to Central Florida residents. Explore all of the awards, recognitions, openings and other goings-on that have been happening at your local hospitals, clinics, and doctor’s offices.
✱ WATSON CLINIC In news of facility recognition, Watson Clinic is pleased to have earned a three-year reaccreditation from the Accreditation Association of Ambulatory Health Care, Inc. (AAAHC), a leading advocate for nationally recognized standards of patient care. The process included undergoing an extensive on-site review from a team of expert surveyors. “Accreditation from the AAAHC is a highly coveted honor because it distinguishes you as one of the top healthcare facilities in the country,” says Watson Clinic Managing Partner Dr. Steven G. Achinger.
Credentialing Department
Similarly, Watson Clinic’s Credentialing Department also recently earned a three-year reaccreditation from the National Committee for Quality Assurance (NCQA). The Credentialing Department verifies a physician’s qualifications, education record, various licenses, and their ability to
6 | CFDoctor
perform the services for which they are hired. The accreditation was granted following a thorough survey process during which the department’s policies, filing practices and quality improvement measures were evaluated. The accreditation is valid through the year 2024. Additionally, Watson Clinic Women’s Center board-certified Plastic & Reconstructive Surgeon Faeza Kazmier, MD and registered nurse practitioner DJ Alleva Nelson, APRN, as well as Dermatology at Sun City Center board-certified dermatologist Ronald Patrick, MD and registered nurse practitioner Michelle L.
Faeza Kazmier, MD
DJ Alleva Nelson, APRN
Ronald Patrick, MD
Michelle L. Troyer, APRN
Troyer, APRN, were recently awarded “Diamond Level” and Juvederm Tier 5 status by Allergan Aesthetics, the manufacturer of the popular facial injectable fillers BOTOX® and Juvederm®. The recognition acknowledges these Watson Clinic cosmetic specialists as ranking among the nation’s top 1% in regards to their training, experience and expertise. In services news, Watson Clinic is offering flu vaccinations at a series of Flu Clinics across many of their most popular and convenient locations to Watson Clinic patients. Patients can utilize walk-in, through scheduling an appointment at the flu clinic locations by using the Direct Scheduling feature on their MyChart patient portal account, or by getting a flu vaccination during a regularly scheduled appointment with their Watson Clinic primary care physician at most locations. Additionally, Watson Clinic announced that Gynecologic Oncologist Richard J. Cardosi, MD and Gynecologist and Female Pelvic Medicine & Reconstructive Surgeon Tarek G. Garas, MD, are among the first group of specialists in the entire country to be granted a Focused Practice Designation in Minimally Invasive Gynecologic Surgery by the American Board of Obstetrics and Gynecology. The Focused Practice Designation recognizes board-certified
www.centralfloridahealthnews.com
specialists who have achieved the highest standards in minimally invasive surgical techniques and have devoted a significant percentage of their practice to the employment of these techniques. Such techniques include robotic minimally invasive surgery, radical pelvic surgery, colorectal and genitourinary surgery, placement of mediports, chemotherapy administration, pelvic organ prolapse, urinary incontinence, fecal incontinence, painful bladder syndrome and other common pelvic floor disorders, and the management of side effects and potential complications from these treatments. Similarly, Gastroenterology specialist Lijian Wang, MD., D.Sc. is now accepting appointments from his new practice at Watson Clinic Main at 1600 Lakeland Hills Blvd. in Lakeland. In research news, the Watson Clinic Center for Research proudly announced it’s participating in an exciting new clinical study that will evaluate whether a one-time WATCHMAN FLX™ procedure is equally effective as blood thinning medication as a first-line treatment for a wider population of patients with non-valvular atrial fibrillation. The study is being led by Watson Clinic cardiologist Neal G. Kavesh, MD, FACC, FHRS alongside study co-investigators Douglas Ebersole, MD, FACC and Jami Sharik, APRN. In news of new employees, Watson Clinic welcomed David W. Graham, Jr., MD, a radiation oncologist treating patients from the Watson Clinic Cancer & Research Center at 1730 Lakeland Hills Blvd. in Lakeland; Joseph Coffman, MD, a Cardiology specialist treating patients from Watson Clinic
Main at 1600 Lakeland Hills Blvd; Mitchell Kutner, MD, a Family Medicine specialist serving patients from Watson Clinic Main at 1600 Lakeland Hills Blvd. in Lakeland; Julie McNeice, DO, an Internal Medicine specialist treating patients from Watson Clinic Main at 1600 Lakeland Hills Blvd. in Lakeland; and Yelena Kozirovsky, MD, a boardcertified radiologist serving patients from the Watson Clinic Women’s Center at 1400 Lakeland Hills Blvd. in Lakeland; and
Joseph Coffman, MD
Julie McNeice, DO
Mitchell Kutner, MD
Yelena Kozirovsky, MD
Additionally, Watson Clinic also welcomed Registered nurse practitioner Ashley Linton, APRN, working Ashley Linton, alongside APRN internal medicine hospitalist Chadi Alkhalil, MD at Lakeland Regional Health Medical Center; Laura Pellegrini, APRN, a registered nurse practitioner who works alongside Watson Clinic board-certified Gynecologist and Female Pelvic Medicine &
Reconstructive Surgeon Tarek Garas, MD; Michnitza Brutus, APRN, a registered nurse practitioner who works alongside board-certified Pain Management specialist Osman A. Latif, MD; and Registered nurse practitioner Audra Adkinson, APRN, assisting patients of board-certified Hand Surgery specialist Ann L. Licht, MD, FACS.
✱ GESSLER CLINIC In new employee news, Gessler Clinic welcomed Roberteen McCray, D.O. to its dynamic team of providers. Dr. McCray specializes in Family Medicine. Gessler Clinic also welcomed Heather Nelson, PA, who joins the clinic as a Physician Assistant working with Dr. Jeffry Hunter.
✱BAYCARE: BARTOW REGIONAL MEDICAL CENTER, WINTER HAVEN HOSPITAL, AND WINTER HAVEN WOMEN’S HOSPITAL In hospital recognition news, Bartow Regional Medical Center was named a Top 100 Hospital in the United States by IBM Watson Health. The criteria that go into determining rankings are a measure of hospitals’ contributions to community health with a focus on equity, measures of clinical outcomes, operational efficiency, patient experience, and financial health. IBM Watson Health is a data, analytics, and technology partner for the health industry. In new facility news, Baycare had a ground-breaking ceremony for the new South Florida Baptist Hospital in Plant City on October 18. The new hospital is located off Exit 22 of Interstate-4. It will feature 146 private rooms, 26 ICU beds, a 30bed emergency department, four
continued on page 14 www.centralfloridahealthnews.com
CFDoctor | 7
FEATURE EDITION
THE CHANGING STATE OF GERIATRICS BayCare Physician Discusses Factors That Affect Our Aging Population by PAMELA PALONGUE
T
he field of geriatric medicine generally focuses on patients older than 65, but the determinants of socioeconomics, education, access and lifestyle can make it somewhat of a moving target.
“Geriatrics is perhaps a bit of a misnomer,” says Dr. Robert Atkins, a BayCare Medical Group primary care physician and geriatrics specialist. “It’s really a constellation of things that can determine when a person needs to see a specialist in geriatrics.” Some patients may need additional expertise with age-related problems in their 50s if they are experiencing early-onset dementia, advanced heart disease or complications such as diabetes. Other individuals may not need a geriatrician until their 70s. Atkins has had an interesting and diverse career path, which has given him a window to the large variation in the aging population. An eastern Kentucky native with a background in engineering, Atkins was witness to individuals with labor-intensive jobs who sometimes had limited health education, and struggled with food insecurity and poor health habits. With the added stress of job-related environmental
8 | CFDoctor
Dr. Robert Atkins
exposures, their health sometimes deteriorated much more quickly than that of individuals in more affluent life situations. It was this disparity that initially drove Atkins’ desire to practice medicine and, specifically, geriatrics. “I was very interested in underserved populations,” he says. “These individuals were sometimes having to choose between paying www.centralfloridahealthnews.com
for food and refilling their metformin prescription.” There were also challenges in access to care, since many lived in extremely rural areas and transportation could be a problem. On the flip side of this, Atkins also has seen patients who are in higher level executive jobs who also have not fared well in the aging process. Added stresses of the job often can leave these patients with high blood pressure and more advanced cardiac conditions despite their better access to care. One area that may be helping all patients with the issue of access is technology and telehealth services. Atkins has noticed that the vast majority of his patients have eagerly embraced the online availability of services. “We’ve had a good response to the [BayCare Medical Group] patient portal, and even people in their 90s are contacting us!” he says. Health services available through technology may be particularly advantageous for geriatric patients because it eliminates the additional obstacles of transportation and the need to drive to attend an appointment. The convenience of not having to travel to an office or clinic from an extremely remote location, particularly when not feeling well, has made care more accessible. Though there are obvious differences in treating more senior patients, the goals for the outcomes remain the same as for younger patients. “The body acts differently,” Atkins explains, “but we want someone over 65 to have the same blood pressure as someone in their 30s. We want to manage their diabetes for optimal levels, the same way that we would for a younger person. The goals may be the same, but how you get there may be different. We have to take into account that their renal and liver function may not process these medications in the same way. But we want the end result to be the same as for younger patients.” Atkins says he believes a holistic approach is needed for patients with more life experience in order to achieve the best health. “Physical activity is not the only determinant of health. Mental activity is also very important… involvement in the community, civic or religious organizations also play a part. They help take the focus off the individual, which is helpful.”
EYE HEALTH
What Is Cross-linking? THE CORNEA is the clear front surface of the eye. It covers the colored part of the eye and provides a significant amount of our focusing ability. The cornea is made of a material that is very common throughout the body called collagen. The collagen provides structural DAVID LOEWY, M.D. stability to the cornea. The collagen in the cornea is like little fibers running through the substance of the cornea. For us to maintain stable vision, the collagen must remain stable to maintain a constant shape to the cornea. Even if someone needs glasses to see clearly, the prescription is based on a specific corneal shape and corneal stability. If the shape of the cornea is continually changing, it will cause a continual change in the glasses prescription, making it difficult to maintain clear vision. KERATOCONUS is a genetic disease of the collagen in the cornea. It causes the collagen to continually change shape resulting in progressive irregularities in the cornea. This causes progressive changes in vision and glasses. Eventually, the corneal irregularities can become advanced enough that glasses don’t work well. Contact lenses may then be an option. However, if the process continues, contact lenses eventually may no longer work, and a major corneal transplant operation might be the only remaining option for vision improvement. A PROCEDURE has been developed that has a very good success rate at arresting this progressive collagen problem. The procedure is called Corneal Collagen Cross-linking. It works by creating crossbridges between the collagen fibrils to stabilize their shape. During the treatment, specially prepared vitamin A drops are applied to the cornea to saturate it. Then a specific wavelength of ultraviolet light is applied to the eye to activate the vitamin A and create the cross-links.
A holistic approach that helps with emotional, mental and social components, as well as the physiological yields the best outcomes.
THE TREATMENT itself is not painful; however, the eye may ache and burn slightly in the first four days after the procedure. It is an outpatient office procedure and is covered by most insurance. There are specific criteria that must be met to be eligible for the treatment. These can be determined by eye history review and an in-office evaluation.
“Stress increases the enormity of disease and increases cortisol, which while it helps aid in healing also lowers immunity. Stress decreases life.”
THE TREATMENT is a fantastic development and can prevent patients with keratoconus from experiencing a long, frustrating road of failed corrections and possibly avoiding major surgery.
Atkins cites a critical need for more doctors in Polk County who specialize in geriatrics, explaining that roughly 20 percent of the county’s population is 65 and older.
THIS TECHNOLOGY is available at Eye Specialists of MidFlorida. Call 863-294-3504 ext. 1548 to speak with our Cross-Linking Coordinator, Karina, to find out if you are a candidate for this qualityof-life treatment.
Atkins clearly sees the value in all phases of life. “There is so much wisdom in this group. They have been through a lot, and they have a lot of wisdom to offer us on how to handle difficulties.” ✱ www.centralfloridahealthnews.com
BIO: David Loewy, M.D., is a board-certified ophthalmologist who performs Corneal Collagen Cross-linking, LASIK, and Laser Surgeries. He sees patients at the Haines City, Sebring, and Winter Haven locations for Eye Specialists of Mid-Florida.
CFDoctor | 9
FEATURE COVID-19
TARGETING VACCINE HESITANCY Tips on How to Approach Reluctant Patients by TERESA SCHIFFER
A
s we head into another year with the COVID-19 threat still heavily upon us, many healthcare providers are wondering how to better communicate to the public the real risks associated with this disease. After hundreds of thousands of deaths, millions of positive cases and the release of successful vaccines, there are still people who are reluctant to receive a free inoculation. So what can healthcare providers do to encourage their patients to get vaccinated? The first step is to make sure to express an attitude of compassion, empathy, and sensitivity to their concerns. It is important that patients trust their healthcare providers and understand that they have their best interests at heart. It’s also important to remember that arguing or debating can cause people to dig in more firmly on their preconceived ideas. The Centers for Disease Control and Prevention recommends that healthcare providers request patients’ permission to engage in a conversation about the vaccination. It goes on to say that if the
10 | CFDoctor
patient does not want to discuss the topic, providers should respond with patience, letting them know that their health and the well-being of their family are of utmost importance. One way to gauge patients’ degree of hesitancy to vaccinate is to ask them to rank their likelihood to get a vaccine on a scale of one to 10, one being “never” and 10 being “already have an appointment scheduled for vaccination.” This helps the provider know where the patient stands and what needs to be done to edge that number upward. A method of determining what’s going on in a patient’s mind is to ask what they have heard from their community about the vaccine. This allows the patient to express the rumors and misinformation that causes them confusion and concern without leading to embarrassment or defensiveness. “The amount of COVID-19 vaccination information available to the public is so vast, and the whole situation can generate various levels of fear, stress
continued on page 15 www.centralfloridahealthnews.com
6 TH ANNUAL
SUPPORTING SPONSORS AND TEAMS
the
417 Boutique by Cate A&E Auto Body, Inc. Alex & Krista Mahalak Ally Financial Supporting the Winter Haven Women’s Hospital Neonatal Intensive Care Unit (NICU) and Winter Haven Hospital Patients Bill Costello State Farm Agency Carden & Associates Citizens Bank & Trust CPS Investment Advisors Crown Shredding Dr. Peter and Lenore Verrill Engineer Electric Service, LLC Ewing, Blackwelder & Duce Insurance Florida Dermatology and Skin Cancer Centers floridacentral FINANCIAL Gator Pressure Cleaning & Custom Painting Hill Nissan IBS Powered by Napa Jahna Foundation Kevin and Megan McGee LH Travis Lynch Oil Nextran Truck Centers Oakley Transport, Inc. Rita and Jerry Burns Rotary Club of Winter Haven Saddle Creek Logistics Services Sheryll Strang Southeast Protein Purveyors, LLC Southeastern Nurseries Southern Hospitality Real Estate For more information about future events, visit www.for www.foree thelove.org or call 863-297-1781 and Construction Subway Tampa Electric The Lunz Group Trans-Phos, Inc. Tucker Paving, Inc. JM & A GROUP BERGLUND CONSTRUCTION Victor Smith Law Group, P.A. MAX 98.3 CENTRAL FLORIDA MEDIA GROUP VISTAGE TODAY & TONIGHT MAGAZINE HAVEN MAGAZINE Wayne and Jackie Thompson Whitehead Construction Winter Haven Hospital
A Golf and Tennis Event at Country Club of Winter Haven
Thank you Sponsors and Teams
THANK PRESENTING YOU SPONSORS AND TEAMS SPONSOR: The Cassidy Family
Legacy Sponsor:
Fore the Love Sponsors:
The Scheck Family
The Mahalak Family
MVP Sponsors
Special Supporters
BERNIE LITTLE DISTRIBUTORS, INC.
MCDONALD’S OF WINTER HAVEN
COUNTRY CLUB OF WINTER HAVEN
NUVISTA FOOD GROUPS TITO’S HANDMADE VODKA
For more information: whhfoundation@baycare.org (863) 297-1781
November-December 2021 | CALENDAR RECURRING OLINE EVENTS
EVENTS AND FUNDRAISERS
BrainFlex Wellness Club
November 1 – Supporting Motherhood and More Virtual
This “body, mind, and spirit” approach to aging well is geared towards seniors looking to stay sharp and fit as they age. The class incorporates four key concepts: exercise/meditation, social connections, interactive nutrition education, and brain training/life-long learning. The goal is to slow or prevent cognitive decline and improve quality of life. This class takes place on the second and fourth Tuesdays of each month from 10:30 – 11:30 a.m. The Zoom link is https://us02web. zoom.us/j/3876883694. Before the class, please download and print class materials from www.BrainFlexWellness.com. If you have any other questions, please email ORL.MDC@AdventHealth.com.
Caregiver Support Group – Weekly This group meets every Monday at 11 a.m. to discuss caregiver concerns and provide fellowship and support for one another. Meetings are currently taking place online using the Zoom platform. You can join the recurring meeting using this link: https://us02web.zoom.us/j/86739398714, or email ORL.MDC@AdventHealth.com for more information.
Functionally Fit – Virtual Exercise During this online class, participants are guided through a series of functional strength training exercises to improve cardiovascular fitness, mobility, motor control, and balance. Caregivers are encouraged to join in on the exercises. This workshop is delivered through Zoom teleconferencing platform and takes place every 3rd Thursday of the month from 2 – 3 p.m. The link to join is https://us02web.zoom. us/j/3876883694. For more information, please email ORL. MDC@AdventHealth.com.
Monthly Caregiver Support Group (Previously Met at Faith Assembly) This monthly group meets to share advice and experiences, and encourage one another. The group meets at 1 p.m. on the third Thursday of each month using the Zoom online platform. The link to join the meeting is https://us02web. zoom.us/j/89447209844. If you have any questions, please email ORL.MDC@AdventHealth.com.
Music Therapy Join board-certified music therapists on the first Tuesday of every month at 11 a.m. The Maturing Minds Music Therapy group uses neurologic music therapy techniques to boost brain and behavior functions, such as memory, communication, attention, and movement. The meetings are taking place online using Zoom. The link for the recurring meeting is https://us02web.zoom.us/j/3876883694. Please email ORL.MDC@AdventHealth.com if you have any questions.
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First-time moms and seasoned pros with another on the way are invited to participate in this virtual support group to discuss the emotional changes and adjustments they are going through. Access to a camera and microphone is necessary. The free event will take place from 12 – 1 p.m. Sponsored by St. Joseph’s Women’s Hospital. You can find more information at www.baycare.org/events, or call 855-269-4777.
November 2 – Ribbon Cutting for Trinity Medical Group Celebrate the Grand Opening of Trinity Medical Group’s newest location at 3035 Lakeland Hills Blvd in North Lakeland from 4 – 4:30 p.m. Trinity Medical Group is a family primary care practice that serves Polk County with physicians who are committed to continuous, comprehensive, compassionate care throughout every stage of life. Learn more about them at www.trinitymedgroup.com.
November 6 – American Heart Association – Polk Heart Walk Digital Experience 2021 Support the research and outreach made possible by the American Heart Association by taking part in an event that will help make your own heart-healthy and strong! You can walk anywhere you feel inspired. Learn more and register at www2.heart.org.
November 6 – Heroes 5K & Health Fair Central Florida Heroes (Veterans, Fire Fighters, Law Enforcement, and Healthcare Workers) will be honored at this fun, family-friendly event. The run/walk will begin at 7:30 a.m. in the parking lot of the Tom Fellows Community Center located at 207 North Blvd W in Davenport. Part of the proceeds will benefit a local organization that provides free swimming lessons to local children. Orlando Health will be on hand hosting a Health Fair. Sign up at www.runsignup.com/Race/FL/ Davenport/CentralFloridaHeroes5K.
www.centralfloridahealthnews.com
compiled by TERESA SCHIFFER
November 6 – American Cancer Society Polk County Cattle Baron’s Bootlegger’s Ball Enjoy a night out at this unique, upscale event that will feature live entertainment, dinner, dancing, auctions, games, and special tributes to cancer survivors and those lost to the disease. Individual tickets are $100. The festivities will take place from 6 – 10 p.m. at Bunch Ranch, located at 4641 Hancock Ave SE in Lakeland. Find more information at www.acsserlk.ejoinme.org/MyEvents/2021PolkCountyCattleBaronsBall.
November 10 – Restorative Yoga Cancer Program Virtual This virtual event is taught by a registered yoga teacher and exercise specialist. It focuses on stress reduction programs that are specifically designed for patients undergoing cancer treatments to help improve quality of life during and after treatment. Access to a camera and microphone is encouraged but not required. St. Joseph’s Hospital sponsors this free event, held from 7:30 – 8:30 a.m. Register online at www.baycare.org/events, or call 855-269-4777 for more details.
November 17 – AWAKE Sleep Disorders Support Group Virtual Get answers to your questions about sleep disorders in this virtual support group for patients and caregivers. A microphone and camera is needed to attend a BayCare support group. This session will cover how sleep hygiene can improve sleep. It will be held from 6 – 7 p.m. and is sponsored by Mease Countryside Hospital. You can register online by visiting www.baycare.org/events, or call 855-269-4777 for more information.
www.centralfloridahealthnews.com
November 18 - Bariatric Support Group Virtual St. Joseph’s Hospital - South sponsors this virtual support group for presurgical and postsurgical patients and their families. This session will include different recipes for new ideas for protein, and will take place from 6 – 7 p.m. To learn more, please call 855-2694777. You can register for this free event at www.baycare.org/events, search for “Bariatric Support Group.”
December 5 – Walk to Fight Suicide – Polk County Out of the Darkness Walk Now, more than ever, we need to come together to support each other and our mental health to help prevent suicide. Enjoy a 2-mile walk through lovely Lake Parker Park, located at 820 E Robson St in Lakeland, from 1 – 4 p.m. More information is available at www. afsp.org/Lakeland.
December 7 – Breastfeeding Support Group Virtual An online support group for breastfeeding mothers only. Must have access to a camera and microphone in order to participate. This group is sponsored by St. Joseph’s Women’s Hospital and will take place from 10 – 11 a.m. Register online for this event at www.baycare.org/events, or call 1-855-269-4777 for more information.
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ON THE PULSE CONTINUED FROM PAGE 7
interventional/cardiac Cath suites, and an 8-bed surgery center. An 85,000 square-foot medical office building will also be built at the site. Construction is scheduled to be completed in early 2024. In employee recognition news, BayCare’s Bartow Regional Medical Center named Kim Stephens, who is with the Pharmacy department, as the August Team Member of the Month. In news of services, The Winter Haven Hospital Community Blood Center is currently seeking donations of all blood types. Those who want to give can donate at the center, 460 First St. N., Winter Haven, FL, 33881. The center’s Bloodmobile also continues to make various stops in the area. To find the one nearest to you, visit: https:// whhcommunitybloodcenter.org/category/blood-drives.
✱ BOND CLINIC Announced in October, AdventHealth and Bond Clinic are forming an affiliation that will bring greater access to primary care and specialty options to Polk County residents. According to a press release, the two “will coordinate to meet the growing demand for primary care and specialty providers in the Polk market. Together they will develop innovative, value-based care models designed to deliver the highest level of quality care to Polk County residents.” In employee recognition news, Bond Clinic announced Sharon Flecha as the September 2021 Team Member of the Month for her outstanding performance as a Registered Nurse in the Infusion & Nursing Departments.
✱ LAKELAND REGIONAL HOSPITAL In employee recognition news, Tim Boynton, MBA, the Lakeland Regional Health Vice President of Development and Chief Public Relations and Communications Officer, was named one of the Top 25 Emerging Leaders by Modern Healthcare, a leading national source of healthcare business news and research and data.
Tim Boynton
According to a press release, Mr. Boynton was selected “for his significant contributions in the areas of innovation and financial, operational and clinical excellence.” Similarly, Lakeland Regional Health announced that Sheena Butts, MEM, CSSBB, the Associate Vice President of Surgical and Procedural Services at Lakeland Regional Health, was recognized by Modern Healthcare as one of this year’s Top 25 Innovators. In hospital recognition news, Lakeland Regional Health was again honored as one of 2021’s Digital Health Most Wired hospital and health systems, as announced by the College of Healthcare Information Management Executives (CHIME). It’s the 7th year the hospital has earned the Most Wired recognition.
Our In-Person Central Florida Health Expos are Back! Starting in 2022
Retirement Planning College Savings Plans Financial Planning
John Scheck
Portfolio Management Director Senior Vice President Branch Manager 1101 1st St S, Ste 201 Winter Haven, FL 33880 +1 863 291-8306 john.scheck@morganstanley.com © 2016 Morgan Stanley Smith Barney LLC. Member SIPC. CRC1596726
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Registration and more details are coming soon so keep an eye out for it. http://centralfloridamediagroup.com
If you’re interested, email
nelson@centralfloridamediagroup.com.
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CONTINUED FROM PAGE 10 COVID-19
“The amount of COVID-19 vaccination information available to the public is so vast, and the whole situation can generate various levels of fear, stress and anxiety. It is best to listen to the concerns of someone who is hesitant about the vaccine and empathize with them, as they are often trying to make this important decision on how best to protect themselves and those around them.” — Dr. Daniel Haight, Lakeland Regional Health Vice President of Community Health and Medical Director or Infection Prevention
Dr. Daniel Haight
and anxiety,” explains Dr. Daniel Haight, Lakeland Regional Health Vice President of Community Health and Medical Director or Infection Prevention. “It is best to listen to the concerns of someone who is hesitant about the vaccine and empathize with them, as they are often trying to make this important decision on how best to protect themselves and those around them.” While some patients may be apprehensive, the Kaiser Family Foundation has found through its research that roughly 85 percent of adult patients do feel that their primary care physician is the most trustworthy source of information regarding COVID-19 and vaccination, regardless of their sex, gender, ethnicity, or political leanings. This reinforces the fact that healthcare providers can
www.centralfloridahealthnews.com
have a huge impact on vaccination rates through simple and effective communication with patients. The words of a patient’s own doctor carry so much weight, in fact, that according to a 2008 study in the American Journal of Medicine, “Barriers to Adult Immunization,” the second-biggest reason that an adult does not get a particular immunization at any given time is that their doctor has not recommended it. This highlights the importance of taking the time to talk with patients. As healthcare providers resolve to open these dialogues with patients moving forward, they have to be prepared to answer any questions that may arise during the conversations. Do not try to refute misinformation by first repeating it; this has the potential to backfire. Sometimes people only hear the myth, and disregard the explanation of its inaccuracy. Instead, present the facts and respond directly to any questions or concerns. A common concern among patients
will be over the potential side effects of a vaccine. When this comes up, providers should inquire if the patient has received a flu vaccine or any other type of vaccination in recent years. They should then reassure the patients that the side effects of a COVID-19 vaccination are similar to what they may have experienced after a flu shot. Let them know that fatigue and muscle aches are common side effects after the COVID-19 vaccine, and that this does not mean that the shot gave them the disease. Realistically preparing a patient for the most common side effects can help prevent anxiety should those symptoms manifest. “People want to do the safe and effective action, and we as medical professionals need to listen to their specific concerns and provide factual advice,” Haight advises. “I like to let people know that the advice I am giving to them is what I would give my friends, family and neighbors.” ✱
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FEATURE MEDICINE
HOPE OR HYPE? Groundbreaking Alzheimer’s Drug Signals Progress, but Doubts Remain by TIM CRAIG
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I
t’s been nearly five months since the Food and Drug Administration approved the first new Alzheimer’s treatment since 2003, but its potential impact has been mired in controversies about the approval process, who should get the treatment, its efficacy in fighting the disease, and its cost.
granted a historic accelerated approval for Alzheimer’s treatment by the FDA on June 7 of this year. The drug company Biogen, of Cambridge, Massachusetts, makes the drug.
However, despite the troubles, there are some who see the new drug as a shift in how to battle a disease that affects 6.2 million Americans age 65 and older, a number expected to grow to more than 12 million by 2040.
The drug is the first of its kind to attack what many believe is an underlying cause of Alzheimer’s disease. It works by eliminating clumps of a toxic protein thought to destroy neurons in the brain that lead to cognitive decline. The proteins, known as betaamyloid plaques and tau, were first discovered in 1984 and are common in people with dementia.
The new medicine, called Aduhelm (generic name aducanumab), was
Aduhelm is a monoclonal antibody that stimulates the immune system to www.centralfloridahealthnews.com
time. The most common side effect was short-term brain-swelling. Other side effects included confusion and disorientation.
on
The results of the research warranted the “fast track” designation, which, according to the FDA, “seeks to expedite the development and review of drugs that are intended to treat serious conditions where initial evidence showed the potential to address an unmet need.”
of Expectations.”
As part of the accelerated approval provisions, the FDA is requiring Biogen to conduct a new, randomized clinical trial to verify the drug’s clinical benefit. If that trial fails, the FDA may initiate proceedings to withdraw approval. The fact that the FDA approved Aduhelm despite objections from its own independent advisers — many of whom resigned as a result — may have signaled trouble for the new treatment.
target and break down these plaques and is specifically designed for people with the earliest stages of Alzheimer’s disease. People with later stages of Alzheimer’s were not part of the research studies used by the FDA. According to the FDA, researchers evaluated Aduhelm’s efficacy in three separate studies, which showed that patients receiving the treatment had significant dose- and time-dependent reduction of the amyloid plaque, while patients in the control group had no reduction. Patients are given a one-hour Aduhelm infusion intravenously once a month for an indefinite period of www.centralfloridahealthnews.com
The approval process, as well as unclear guidelines as to who, specifically, is eligible for the treatments, has caused some major medical centers to remain undecided on whether to use Aduhelm. Cleveland Clinic and Mass General Brigham in Boston say they’ll pass on it for now, according to reports. In addition, one neurology practice has even banned the company’s sales reps from its offices, citing concerns about the drug and its price, which can climb past $50,000 annually. The high cost of treatment, low numbers of sites administering the treatment, as well as the confusion surrounding the fast-track approval and eligibility guidelines have seemingly cast a cloud over the new drug. Many mainstream news stories related to the drug are now focused
potential
financial
losses
to
Biogen, such as The New York Times’ October 20 article headlined “Sales of Biogen’s Alzheimer’s Drug Fall Short However, focusing on the company’s financial impact misses the point of what Aduhelm signals, according to Kristen Clifford, chief program officer for the Alzheimer’s Association. “Aduhelm
is
the
first
approved
treatment to attempt to change the underlying course of the disease,” writes Clifford in a post on the Alzheimer’s
Association
website.
“Simply put: The availability of a new drug signals a new day in Alzheimer’s treatment.” Clifford says there are several other medications that focus on antiamyloids in the FDA pipeline, and even more to come. In addition, as groups like the Alzheimer’s Association work with experts in the field to develop guiding principles for administration, insurance coverage, and access for people in all communities, there will be more opportunities to better manage and potentially slow the progression of this disease. “With new and improved drugs under development every day, this is just the beginning,” says Clifford. “These antiamyloid drugs are not a cure; they are showing us how to slow, modify or change a disease that continues to devastate families and communities around the world … giving families the possibility of more time to maintain their memories and thinking abilities.” ✱
CFDoctor | 17
editor’s dose
New Assessment for Dementia JESSICA McDONALD,
A
jessica@centralfloridamediagroup.com
s we’ve talked about throughout this edition of Central Florida Doctor, dementia is a foe doctors continue to study. Alzheimer’s disease is the most common cause of dementia in older individuals, though other diseases can cause it as well. The FDA recently cleared a CognICA, a five-minute assessment for the early detection of dementia. The computerized assessment is completed using an iPad, and it offers several advantages over traditional cognitive tests. The test rapidly displays images on the iPad screen and the subjects are asked to identify them as animal or nonanimal. According to Pharmaphorum, the test relies on humans’ “food or fear” response and the ability of a healthy brain to process images of animals in less than 200 milliseconds. Cognetivity Neurosciences Ltd, which developed the
test, says the CognICA test is not only highly sensitive to early-stage impairment but also free of bias. The company explains that because the test is computerized, it is more easily administered remotely and is more compatible with electronic health record systems. “We’re excited about the opportunity to revolutionize the way cognitive impairment is assessed and managed in the US and make a positive impact on the health and wellbeing of millions of Americans,” Sina Habibi, cofounder and CEO of Cognetivity, said in a news release. CognICA is expected to be available nationwide in the coming months. Thomas Sawyer, chief financial officer of Cognetivity Neurosciences, says stand-alone, per-test costs are likely to be in the $20 to $30 range. ✱
CALLING ALL PHYSICIANS Renew your 2021 Membership with Polk County Medical Association now! MEMBER BENEFITS
✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company ✱ Ongoing relevant communication ✱ Access to CME Programs
✱ Workers compensation insurance benefits ✱ Complimentary Socials/dinners
18 | CFDoctor
MEMBER BENEFITS ✱ Strong PCMA physician representation in Central Florida
Health News and Central Florida Doctor publications
Interested in becoming a member? Join the leading professional association in Polk County for physicians.
✱ Listing advantages in the annual Central Florida
Physicians Directory & Medical Providers Guide ✱ Physician and medicine advocacy at all legislative levels
director@ polkcounty doctors. com
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FEATURE COMMUNITY
BayCare Breaks Ground on New South Florida Baptist Hospital photos provided by BAYCARE
T
hird-graders at South McKeel Academy sent a care basket to the team at Watson Clinic Urgent Care South to thank them for their hard work. The students also dropped off snacks, drinks and goodies for healthcare heroes at Lakeland Regional Health.
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O
n October 18, hospital leadership and community members came together to formally celebrate the start of construction for the new South Florida Baptist Hospital in Plant City. The event featured hospital President Karen Kerr, BayCare Executive Vice President and Chief Operating Officer Glenn Waters, St. Joseph’s-Baptist Board Chairman Ralph Garcia, and South Florida Baptist’s Medical Board Chairman Dr. Juli Jeffrey, along with Plant City Mayor Rick Lott and hospital trustee chair Dub McGinnes. The new hospital is expected to be complete in early 2024.
CFDoctor | 19
Keeping You Healthy and Safe Schedule your appointment today. Primary Care
Specialists
Auburndale 2028 U.S. Highway 92 W. Auburndale, FL 33823 (863) 965-9327
Cardiac Electrophysiology 200 Ave. F N.E., Suite 9118 Winter Haven, FL 33881 (863) 292-4004
Bartow 2250 Osprey Blvd., Suite 102 Bartow, FL 33830 (863) 533-1448
Cardiovascular Surgery 200 Ave. F N.E., Suite 9118 Winter Haven, FL 33881 (863) 292-4004
Haines City 36245 U.S. Highway 27 Haines City, FL 33844 (863) 421-9801
General Surgery 2000 Osprey Blvd., Suite 205 Bartow, FL 33830 (863) 733-4390
Lakeland 619 Midflorida Drive, Suite 1 Lakeland, FL 33813 (863) 701-7188
1601 W. Timberlane Drive, Suite 100 Plant City, FL 33566 (813) 708-1312
Plant City 1601 W. Timberlane Drive, Suite 300 Plant City, FL 33566 (813) 754-4611 Winter Haven 400 Ave. K S.E., Suite 11 Winter Haven, FL 33880 (863) 294-4404 7599 Cypress Gardens Blvd. Winter Haven, FL 33884 (863) 324-4725 1201 First St. S., Suite 100A Winter Haven, FL 33880 (863) 280-6080
Hematology-Oncology 1601 W. Timberlane Drive, Suite 100 Plant City, FL 33566 (813) 708-1312 200 Ave. F N.E. Winter Haven, FL 33881 (863) 292-4670 Obstetrics-Gynecology 1601 W. Timberlane Drive, Suite 400 Plant City, FL 33566 (813) 321-6677 Pediatric Hematology and Oncology 1417 Lakeland Hills Blvd. Lakeland, FL 33805 (813) 321-6820
We’ve enhanced our safety measures to protect your health. We’re screening everyone for COVID-19 symptoms before entering our offices. All doctors, team members and patients are required to wear masks and we’re sanitizing our offices throughout the day.
Structural Heart and Valve Program 200 Ave. F N.E., Suite 9118 Winter Haven, FL 33881 (863) 292-4004 Urology 7599 Cypress Gardens Blvd. Winter Haven, FL 33884 (863) 845-2688 21-1829350-1021
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