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
volume 11 | issue 7 | October 2021
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Home Run for Local Physician
Dr. Michelle Henne of Winter Haven’s Relevè Sports Medicine orthopedic clinic is getting the recognition she deserves! The dedicated doctor has been honored with the 2021 Polk Emerging Leaders Award.
The Breast Cancer Foundation of Central Florida began when just one woman decided to take it upon herself to start something amazing. Last year, the foundation helped more than 50 families of breast cancer patients to find the support and financial aid they needed.
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Jacksonville, FL - After much ipation and anticexcitement, Jollibee largest Asian restaurant compa , 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
volum e 11 |
See JOLLIBEE
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 Miñan Jolly Spaghetti is a a, Jollibee Foods Corpor favorite of both ation'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 include service – our own brand the of joy." juicy and cheesy The brand has Jolly Hotdo g, become a symbo nostalgia and the Peach Mango and l of warm childho Pie, od 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.
STEAKHOUS E page 11
Jollibee's U. S. with first Fl expansion continues orida locatio n opening
Winter Haven breast cancer patient Cyntrena Gregory has learned a lot over the past 11 months. Her diagnosis and journey have provided a crash course on strength and the importance of a positive mindset. Read more about her journey on page 14. photo by MICHAEL WILSON
Entrées:
Rockville, MD American cuisine - When it comes to , there are few more iconic things than slabs of marble steakhouses. The d grills, the oozing meat, the sizzling butter, and ping bravad o, maybe even the dripAnalysis: hat or two for a cowboy ambiance—i t's to make even Catering industry fictional steako enough Swanson mistyphile Ron revenues on eyed. Yet for all the traditional steak the rise 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 Trackin g Series. "The steakh 7 ouse is back capture our and will attenti the classic restaur on in 2017. Not that Rise Bisquits ant 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’ consum get chefs seasonal produ sourcing, local and diners excited ption, too. This and new breed of ce, and global ," says David steakh and forms, flavors Sprink search directo le, reall done within mission to suppo ouse broadcasts its Del Taco spices r, Packaged house format the steakrt local ranche Facts. Today's steakh tor in sustain showcasing ouse up expansion in cuts ability and anima rs, facas entrées menus increas ingly feature with a choice of meat and create grass-fed cattle, a dining experi l welfare, Moreover, new of sides. the Southeast raised anima showcases culinar ence that menu catego ls, heritage varieti locally as flatbreads) ries (such y flair, not just 13 butchered and dry aged in-houes, meat master's skill at cookin and service a grill freshen the elements dishes that g se, steak concep and quested donen to the restem from t. the whole aniess. These mal, not just operations are also design the premiu About the Repo ed m cuts. And that's just 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 modern with a focus in 2017. on distinctive Calendar Even See
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There are few conditions more discussed these days than ADHD, or attentiondeficit/hyperactivity disorder. It is one of the most common neurodevelopmental disorders of childhood, and it can last into adulthood. Get the facts about ADHD by taking our pop quiz.
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ach October, Central Florida Health News marks Breast Cancer Awareness Month with stories from survivors and their support networks. There is certainly no lack of information and advice for those who are going through treatment for breast cancer. You can find stories of determination, strength, education and hope — right in this edition, in fact. What you don’t see as often is advice for those whose loved ones are faced with the diagnosis. How do you strike the right note of encouragement and support balanced with an understanding of their fear? I can tell you from personal experience that it’s difficult. When my mother was diagnosed with breast cancer, and later when my sisters were diagnosed with other forms of cancer, I wasn’t sure what they needed from me and the best way to be supportive. It’s not something we ever rehearse. Here are some tips from CancerCare.org. I’m sharing them so that if and when the time comes, you can be supportive in the right way. • Listen. It’s tempting to cheerlead or try to fix the situation. Unfortunately, you can’t fix their diagnosis or circumstances. Let them vent and talk about their fears. Just be there to listen. 4 | CFHN
• Advice. Offer advice only when you are asked. Your loved one is getting advice from multiple medical professionals, friends and loved ones. Don’t overwhelm them. Just let them know you’ve done research that you can share with them if they wish. • Educate yourself. Learn what your loved one will go through when it comes to treatments and side effects so you can anticipate their needs and help them cope. • Keep things normal. Tackling everyday tasks and continuing leisure activities are ways patients cope with their diagnosis. Don’t make every interaction and conversation about their diagnosis. What should you say?
ACCOUNT EXECUTIVE Juanita Halter
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CONTRIBUTING WRITERS
Erika Aldrich, Mary Joye, LMHC, Teresa Schiffer, Carol Corley, Dr. Joy Jackson, Tim Craig, Pamela Palongue
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• I’m here to help. • We’ll get through this together. • I’m here if you need to talk. Above all, remember that the diagnosis doesn’t change who your loved one is; they are so much more than their illness and treatments. Be there to help them remember that. I hope these tips have been helpful. God bless, and thank you for reading! HN
56 Fourth Street Northwest, Suite 100 Winter Haven, Florida PHONE 863.248.7537 Copyright © 2021 Central Florida Media Group. ALL RIGHTS RESERVED. This issue of Central Florida Health News 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 Health News 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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INTRODUCTION
PCMA LETTER
PCMA LETTER
Some of the benefits of a PCMA membership include the following:
Breast Cancer Awareness, Education and Action
POLK COUNTY MEDICAL ASSOCIATION 4315 Highland Park Blvd, Suite B Lakeland, Florida 33813 863-644-4051
2021 OFFICERS JAMES J. BOOKER, MD President
GEORGE LYLE, MD Secretary
STUART PATTERSON, MD Treasurer
BOARD OF TRUSTEES RALPH NOBO, JR., MD, Chair
GEORGE LYLE, MD STUART PATTERSON, MD GARY SCHEMMER, MD SERGIO SEOANE, MD ARVIND SONI, MD — — — — — —
JACKIE COURTNEY
A
s we head into October, you can expect to see a flurry of pink paraphernalia popping up everywhere as the nation turns its attention to breast cancer awareness, and rightly so! According to breastcancer.org, roughly 1 in 8 U.S. women will develop invasive breast cancer in her lifetime. This year alone, an estimated 281,550 new cases of breast cancer in women are expected to be diagnosed. The Polk County Medical Association knows that the more people we reach with our awareness campaign, the better chance we have of saving lives. That’s the hope of this edition: Saving lives.
✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company
routine mammograms.
✱ Ongoing relevant communication
We talk to Winter Haven’s Cyntrena Gregory about how self-exams at home are pivotal to detection. Currently undergoing treatment for Stage 2 breast cancer, Gregory talks about the mental and emotional strength that has helped her push forward.
✱ 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
Because support of those affected by breast cancer is so important, we introduce you to the Breast Cancer Foundation of Central Florida, a group dedicated to the support and assistance of area patients.
✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide
We hope these stories educate, instill hope and inspire you to help us raise awareness. Now get your pink on! HN
Inside, you can read more about the crucial role education plays in the fight against breast cancer. That education includes an emphasis on early detection and the importance of
✱ Physician and medicine advocacy at all legislative levels.
If you’d like more information about becoming a PCMA member or need to check your membership status for renewal, contact our Executive Director Jackie Courtney at (863) 644-4051 or email director@ polkcountydoctors.com.
Sincerely,
James J. Booker, MD James J. Booker, MD
Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association
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
Interested in becoming a member? Join the leading professional association in Polk County for physicians.
MEMBER BENEFITS
✱ 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
director@ polkcounty doctors. com
Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813 centralfloridahealthnews.com
CFHN | 5
MEDICAL ADVICE
Health Disparities and Breast Cancer by DR. JOY JACKSON
H
ave you or someone you know ever decided not to seek medical care because it was too expensive or too far away? At some point in their lives, many people face these or other obstacles to receiving appropriate health care. Health equity acknowledges the existence of these varying degrees of need and promotes providing different tools to overcome these obstacles. The Florida Department of Health works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts. Health equity is a pillar in accomplishing this mission. Health disparities highlight the lack of equity between groups. They exist in many areas, but October is National Breast Cancer Awareness Month; a period dedicated to encouraging education on breast cancer and promoting early detection screening. The Centers for Disease Control and Prevention (CDC) reports 208,686 women died due to breast cancer between 2014 and 2018, and it is one of the
most common cancers in women across all races and ethnicities in the nation. Breast cancer is one of the illnesses where health disparities can be seen across the country and in Polk County. In Polk, a disparity exists between black and white women in breast cancer incidence and death rates. A black woman is less likely to be diagnosed with breast cancer but more likely to die from it (Table 1). Similar disparities are also seen in Polk County among other cancers such as cervical cancer: Black women are more likely to both be diagnosed and die from cervical cancer (Table 1). A woman’s best defense against breast cancer is early detection screening. Breast cancer screening does not prevent breast cancer but can detect it early on, making it easier to treat. A mammogram is usually the best way to detect breast cancer early. The United States Preventative Services Task Force recommends that women between 50 and
Table 1. Cervical and breast cancer statistics (per 100,000) based on race. BREAST CANCER Black White
CERVICAL CANCER
Incidence Rate (2016-2018)
Death Rate (2017-2019)
Incidence Rate (2016-2018)
Death Rate (2017-2019)
107.8 119.2
13.3 10.5
16.7 11.8
3.4 1.8
Death Rate Source: Florida Department of Health, Bureau of Vital Statistics, via FL Health CHARTS Incidence Rate Source: University of Miami (FL) Medical School, Florida Cancer Data System, via FL Health CHARTS
74 years old get a mammogram screening every two years and women 40 to 49 years old should talk to a doctor about when to start and how often to get a mammogram. According to the CDC, in order to reduce the risk of cervical cancer, women are encouraged to get screened regularly between the ages of 21 to 65, get the HPV vaccine, avoid smoking, and limit the number of sexual partners. The HPV vaccine is recommended for boys and girls who are 11 to 12 years old but can be given as early as age 9 and until age 26. We know there are health disparities in Polk County, but we also know we are working to close these gaps through education and tools that place appropriate health care within reach for all residents. Preventive care can keep disease away or detect problems early, when treatment is more effective. Talk to a health care provider about your risk for breast cancer, cervical cancer, and other diseases to learn more about what screenings and exams are right for you and how often you should have them done. To find out if you qualify for a free or low-cost mammogram and Pap test, call the Florida Department of Health’s Breast and Cervical Cancer Early Detection Program at 850-245-4144. HN
ABOUT THE AUTHOR: Dr. Joy Jackson, an internal medicine physician, serves the community as director of the Florida department of Health in Polk County (DOH-Polk). For more information about DOH-Polk, visit mypolkhealth.org. Follow DOH-Polk on Twitter at twitter.com/FLHealthPolk.
6 | CFHN
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Gala The
SAVE THE DATES:
VIRTUAL AUCTION AND RAFFLE DRAWING
OCTOBER 29 - NOVEMBER 4, 2021 All proceeds will be utilized locally to establish an American Psychological Association accredited training program for Doctoral level clinical Psychologists in Winter Haven. Please join us for an exciting virtual experience at Polk County’s premier fundraising event, the Winter Haven Hospital Foundation Gala.
SPONSORSHIP OPPORTUNITIES Platinum: $10,000
(Customized dining experience for 12 guests, digital ad opportunity, post event recognition)
Gold: $5,000
(Customized dining experience for six (6) guests, digital listing opportunity, post event recognition)
Silver: $2,500
(Customized dining experience for three (3) guests, post event recognition)
Bronze: $1,500
(Customized dining experience for two (2) guests and post event recognition )
For more information call (863) 292-4138 or email whhfoundation@baycare.org.
FEATURE PREVENTION
POP QUIZ!
compiled by ERIKA ALDRICH / Information provided by Understood. org, the Centers for Disease Control and Prevention, the National Institute of Mental Health, and Psychiatry.org
8. E. All of the above. Eating healthy, getting exercise, limiting screen time, and getting enough sleep are all part of a healthy lifestyle. 9. True. There are many other conditions that can be present alongside ADHD. 10. E. All of the above. There are many myths about ADHD, so it is a good idea to find a trusted source, such as the resources used in this quiz, to find more information about ADHD.
8 | CFHN
5. True. TBoys are more likely than girls to be diagnosed with ADHD, and girls who have ADHD are more likely to suffer from inattention than hyperactivity or impulse control. 6. D. All of the above are options. Treatment is tailored to fit the child and can include psychotherapy/behavioral therapy, medication, or both. 7. True. Following a healthy lifestyle can make it easier for a child to deal with ADHD.
T
here are few childhood conditions more discussed these days than ADHD, or attention-deficit/hyperactivity disorder. It is one of the most common neurodevelopmental disorders of childhood, and it can last into adulthood. Get the facts about ADHD by taking our pop quiz.
diagnosed with ADHD, but girls who do have ADHD tend to have less trouble with hyperactivity and impulse control and more issues with inattention. 6. What treatments are available for dealing with ADHD? A. Psychotherapy, like behavior therapy, which aims to teach or strengthen positive behaviors and eliminate unwanted or problem behaviors. B. Medication C. A combination of psychotherapy/behavior therapy and medication D. All of the above are options 7. T rue or false? Being healthy is especially important for children with ADHD as it can make it easier for a child to deal with ADHD symptoms. 8. What healthy behaviors can help make it easier for a child to deal with ADHD symptoms? A. Healthy eating habits D. Adequate sleep B. Adequate physical activity E. All of the above C. Limited daily screen time 9. T rue or false? Conditions like learning disabilities, anxiety disorder, conduct disorder, depression, and substance abuse are common in people with ADHD. 10. Which of the following is a common myth or misconception about ADHD? A. ADHD is a made-up condition. B. People with ADHD are lazy and just need to try harder. C. Kids with ADHD will outgrow it. D. ADHD is the result of bad parenting. E. All of the above
ANSWERS: 1. E. All of the above. There are many different signs and symptoms that make up ADHD. 2. B. 8.4 percent of children and 2.5 percent of adults have ADHD. 3. True. There are many steps to diagnosing ADHD, including a medical exam and discussions with those in a child’s life. 4. D. All of the above. There are three different types of ADHD.
ADHD Is On the Tip of Everyone’s Tongue, but What Is It?
1. What are common signs and symptoms of ADHD in childhood? A. Forgetting or losing things a lot B. Squirming, fidgeting, or talking too much C. Making careless mistakes, taking unnecessary risks, or having a hard time resisting temptation D. Having difficulty getting along with others, such as having trouble taking turns E. All of the above 2. What is the estimated percentage of children and the estimated percentage of adults who have ADHD in the U.S.? A. 6.9 percent of children and 1.8 percent of adults have ADHD B. 8.4 percent of children and 2.5 percent of adults have ADHD C. 10.7 percent of children and 4.3 percent of adults have ADHD D. 12.6 percent of children and 6.2 percent of adults have ADHD E. None of the above 3. True or false? The process for diagnosing ADHD includes conducting a medical exam, plus hearing and vision tests, using a checklist for rating ADHD symptoms, and taking a history of the child from parents, teachers, and even the child themself. 4. Which of the following is a type of ADHD? A. I nattentive type B. Hyperactive/impulsive type C. Combined inattentive/hyperactive type D. All of the above 5. True or false? Boys are more than twice as likely as girls to be
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COMMUNITY HEALTH
Overcoming Fear With Education by TERESA SCHIFFER sponsored by Central Florida Health Care
B
reast cancer is the most common form of cancer in American women, with 13% of the female population developing the disease at some point in their life. While it is the second-leading cause of death by cancer in women, there is good news. “The one thing that every woman should know about breast cancer is that, for the most part, it is treatable,” says Dr. Cara Nelson-James, Chief Medical Officer at Central Florida Health Care, urging women to get annual mammograms. “That’s one of the reasons why we do screens. As you get older, your risk increases.” The American Cancer Society recommends that most women be screened annually once they reach the age of 45. Women at greater risk, such as those with a family history of breast cancer, should consider getting mammograms once they reach 40. While men can also develop breast cancer, their rate of incidence is significantly lower than that of women. They should still have any abnormal growths in that region checked by their doctor. Men can help reduce the impact of breast cancer by encouraging the women in their lives to be proactive about their health care.
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“The number one reason that more women don’t get mammograms is probably fear,” Nelson-James explains. “The only way to overcome fear is education. People are often afraid of what they might find, so they avoid it altogether. The only way to overcome that is through awareness and patient education that the mammogram is a minimally invasive test and that most lesions are treatable, so we want to catch it as early as possible to ensure that we have the best options to treat the patient.” Treatment depends on several factors, including the type of cancer, the location, and whether the lesion has progressed beyond the local area. For most women, simply removing the lesion results in a full recovery. Some will require chemotherapy or radiation afterward. Central Florida Health Care is committed to improving women’s health by providing free mammograms and necessary follow-up care to uninsured patients. This is made possible by proceeds from an annual golf tournament that is open to the public. The 6th Annual Central Florida Health Care Golf Tournament will be held on October 25 at The Country Club of Winter Haven. Medical
OB/GYN
Pediatrics
As a breast cancer survivor herself, Central Florida Health Care CEO Ann Claussen is passionate about the importance of early detection and treatment for breast cancer in women. It was during a regular screening that her mass was first detected. After a tissue diagnosis confirmed that it was cancerous, an excision was performed. No mastectomy was necessary. Her success story is a good example of the power of regular screenings to preserve patient health and well-being. Through the profits generated by the Central Florida Health Care Golf Tournaments, more than 600 mammograms have been performed on patients who would otherwise be unable to afford care. Several of those patients then went on to have potentially lifesaving treatments performed. You can help defeat breast cancer by ensuring that you and the women in your life are receiving appropriate screenings on a regular basis and by taking part in the Central Florida Health Care Golf Tournament to provide free services to uninsured patients. Learn more about the golf tournament at https://bit.ly/3kcdysK.
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866.234.8534 CFHN | 9
FEATURE MEDICAL PROFESSIONAL
Home Run for Local Sports Medicine Physician by TERESA SCHIFFER
Haven’s Dr. Henne Receives Polk Emerging Leaders Award
Dr. Michelle Henne
10 | CFHN
I
n the four years that Dr. Michelle Henne has been practicing sports medicine at the Relevè Sports Medicine clinic in Winter Haven, she has made a noticeably positive impact on the community, and not just within Polk County. Her efforts have recently been recognized by Polk County’s young professional leadership organizations, as she has been awarded one of five 2021 Polk Emerging Leaders Awards. This prestigious accolade is given to five local professionals each year who showcase a spirit of commitment to and positive influence on the Polk County community. Three groups collaborate on the process of accepting nominations and choosing the winners: EMERGE Lakeland, Endeavor Winter Haven, and ENGAGE: Bartow Chamber Young Professionals. This is the 10th year for the presentation of this coveted honor. Education is a priority for Henne, and in 2018 she established a platform to provide continuing education for athletic trainers in the area. While the program was initially created for Polk County instructors, Henne was able to expand her educational program nationwide when the pandemic facilitated the use of virtual platforms “It was really quite nice because then we were able to have both national and international speakers speak with both our local athletic trainers and then also national athletic trainers,” she says of the unexpectedly rapid expansion of her program. The program is called Journal Club, and it is now the largest private practice provider of free Board of Certification-approved live continuing education for athletic trainers in the country. Typically, each session has about 70 to 100 viewers, though they have had as many as 500 people attend one webinar. Henne’s devotion to helping others improve physically, through her practice, while
encouraging the growth and development of those who are similarly committed to community involvement and wellness has not escaped the attention of other local leaders. Katie Worthington Decker, President/CEO of the Greater Winter Haven Chamber of Commerce, says “Where [Henne] went above and beyond is in her level of engagement. Not only has she opened a successful independent sports medicine practice, she has also mentored hundreds of others in her industry, and through COVID nonetheless. She has also mentored other women and businesses in the community through Junior League and Leadership Winter Haven.” Though her educational program has gone nationwide, Henne keeps it local when it comes to community care. She stays involved with numerous organizations in Central Florida dedicated to helping residents receive the health care they need regardless of their financial situation, such as WeCare of Central Florida and Polk Health Care Plan. “One of my big pillars of what I want in my company, in my medical practice, is making sure that we have accessibility for everyone who needs it,” she explains. Since moving her practice from Orlando to Winter Haven and having the opportunity to learn about our community from the inside, Henne has been greatly inspired by the leadership here. When she was first nominated for a Polk Emerging Leaders Award three years ago, she was humbled by the company she found herself in. “I was so impressed and so overwhelmed by how many leaders there were in our community that are doing such amazing things.” HN
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Incredible things happen when you GO PINK.
October 10, 2021
Lace up for the 5K at PinkonParade.com. Join AdventHealth for our Ninth Annual Pink on Parade 5K as we honor the incredible individuals in our community and their families who have been touched by breast cancer. Together, we’ll raise awareness, celebrate our survivors and commemorate those we’ve lost. centralfloridahealthnews.com
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FEATURE EDITION
AN EDUCATION IN FORTITUDE CYNTRENA GREGORY IS CHEERED ON BY MEMBERS OF HER CARE TEAM AT WINTER HAVEN HOSPITAL. FROM LEFT, NURSE HEATHER OSBECK; APRN BETH BURGESS; GREGORY; AND NURSE EMILY FLOWERS. OPPOSITE PAGE: WINTER HAVEN ONCOLOGIST DR. HASSAM M. EBRAHIM JOINS GREGORY TO GET THE WORD OUT ABOUT THE IMPORTANCE OF SELF-EXAMS AND DETECTION.
Breast Cancer Patient Discusses the Lessons Her Journey Has Taught Her story by TIM CRAIG photos by MICHAEL WILSON
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hree truths have become readily apparent to Cyntrena Gregory over the past 11 months. Gregory, from Winter Haven, first felt a slight lump in her breast in late 2020, but didn’t really take serious note of it. “I had an inclination that something was there, but I didn’t feel any dimpling or anything else, so, really, I didn’t take it too seriously,” she says. “And with the pandemic going on, I just didn’t really want to go into a doctor’s office.” This is when the first truth became apparent: If you have any doubts, get it checked out. Her annual physical was coming up, so she decided to go. She told her doctor about the lump and scheduled a mammogram. At the ultrasound appointment, things began to turn. “I went into the appointment thinking it was probably just some fatty tissue or a cyst,” she says. “But on that day, I just knew that it didn’t look good, and it freaked me out. I immediately thought the worst.” Gregory went to her doctor, Dr. Paul Williams in Davenport. After looking at the X-rays and test
results, he immediately ordered a biopsy. When the results came back, Gregory’s fears were confirmed: Stage 2 breast cancer. “I was like, ‘What is all this?’ says the 41-year-old mother of two. “Am I going to die? What about my kids? My family? Williams talked her through the process. He assured her that the cancer was treatable and curable. He also made one other point clear: “He said, ‘You’d better get ready because I’m going to come at you like a Mack truck to treat this thing.” And that’s when the second thing became readily apparent: Mental fortitude. “I’m a fighter and a competitor, so when he told me that, I knew I had to be ready,” Gregory says. “I knew that I couldn’t let him or this disease get the best of me.” To make it easier for her to get treatments, Williams suggested consulting oncologist Dr. Hassam M. Ebrahim in Winter Haven at the beginning of March. For the rest of that month, checkups and chemotherapy preparations, Gregory was getting mentally prepared. centralfloridahealthnews.com
“By the time I started chemotherapy in late March, I was at peace with the whole thing,” she says. “I had the push and the drive, but I also had the support and prayers from my family and friends; so I was ready.” Within that readiness, the third truth became apparent: The importance of a support network. “I took two different medications, the first looked like a red juice, but it definitely was not a red juice,” she says, laughing. “That threw me for a loop.” Gregory had four treatments of that medication, Doxorubicin, which can be difficult for the patient. “It was definitely not for the weak, it drove me to my limits,” she says. “I was trying to continue to work, but all I wanted to do was to sleep.” Her second treatment was Paclitaxel, which she took once a week for 12 weeks, with her final dose on August 3. Compared to the first treatment, this one went much better. “By the grace of God, I had no symptoms; it was a smooth ride,” she says. “And I was fortunate that every week, I had a member of my family with me at the treatment. Beyond that, though, since no one in my family had ever had breast cancer, there were co-workers and other people who were able to come along beside me and answer questions. The support I found was tremendous.” The support didn’t just come from family and friends. Gregory found the nursing staff and her doctors were more than willing to provide support, care and answers. “The treatment nurses in Winter Haven were excellent,” she says. “They were a driving force for me, always welcoming me, always encouraging me and lifting me up if it wasn’t a good day. Dr. Williams,
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as well, was excellent. His bedside manner was so calming that it helps you feel like you’re going to get through.” Gregory’s journey is continuing. In early September, she had a lumpectomy and she is waiting to hear what her next steps should be, including any additional radiation treatments. But even with more treatment looming, she knows she’s ready. “The first thing people need to do is get checked out,” she says. “Then you need to maintain a strong mindset and rely on the community around you. Whether it is family or friends or whoever, there is a community that is rooting for you and willing to give you support. Find that and rely on it.” HN
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FEATURE HEALTHY SKIN
Mohs Micrographic Surgery for Skin Cancer
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here are few things in life as scary as learning that you have cancer. At Lakeside Dermatology, we’ve had to help our fair share of patients through this frightening diagnosis. As ALEX W. KENNON, MD, FAAD dermatologists, we deal with skin cancers. There are many different types of skin cancer, but the three major types of skin cancer are basal cell carcinomas (BCCs), squamous cell carcinomas (SCCs), and melanomas. Mohs micrographic surgery can be an effective treatment for all three types of cancer, though with melanomas it is generally only utilized in the very early stage of the disease.
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What Is Mohs Micrographic Surgery?
In the 1930s, Dr. Frederic E. Mohs developed a technique called “chemosurgery.” This unique approach made use of a zinc chloride solution to remove and preserve tissue from a patient in such a way that it could be analyzed under a microscope and examine 100% of the margin. At its inception the process could take several days. Over the years, the procedure was refined and became what we know today as “Mohs micrographic surgery,” where the doctor is both the surgeon and the pathologist. Most of the time Mohs surgery and reconstruction can be completed in a single day. Only certain skin cancers meet criteria for Mohs micrographic surgery. If your doctor deems it necessary, they will take a look at the tumor to determine what position will give them the best access and situate you accordingly. The tumor is then identified, marked and the site is confirmed with the patient. The Mohs surgeon will then remove cancerous tissue with a thin margin of clinically normal-appearing tissue. The tissue is then taken to the lab for analysis while the patient is bandaged and waiting. The tissue is oriented and processed and then the Mohs surgeon steps into his second role as a pathologist. They will look at the tissue under a microscope and make note if any residual cancer is observed. If there is residual cancer, additional tissue will need to be taken. Since the specimen was oriented, the Mohs surgeon can then very precisely excise further tissue where the cancer cells are while preserving normal tissue. If no cancer is seen, the Mohs surgeon will discuss various reconstructive options to minimize the appearance of scarring. While the process can be a bit time-consuming, it is highly effective. Mohs micrographic surgery can be performed as a simple outpatient procedure with just local anesthesia. It is highly successful, with a cure rate of 99 percent on skin cancer that has never been treated before, and up to 94 percent for skin cancers that have recurred after a previous treatment. This technique leaves minimal scarring. Depending on how much tissue had to be removed, the wound may or may not require stitches or skin grafting. Generally, the reconstructive repair is done immediately after the removal of diseased tissue. This column is sponsored by Lakeside Dermatology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. Dr. Alex W. Kennon, MD, FAAD, is a board-certified dermatologist who is fellowship-trained in Mohs micrographic surgery. He received his undergraduate and medical degrees from Florida State University and completed his dermatology residency at Medical College of Georgia at Augusta University. Lakeside Dermatology has offices in Sebring and Winter Haven.
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Breast Cancer Foundation of Central Florida Provides Resources, Support by PAMELA PALONGUE
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he Breast Cancer Foundation of Central Florida began when just one woman decided to take it upon herself to start something amazing. Leah Grieger was diagnosed with breast cancer. She was just 33 and the mom of two children when she heard those dreaded words. But she is a woman of faith, and the prayers of her family, her church and the community, got her through some pretty scary days and the ordeal of three surgeries. She was declared cancer-free in 2015. Though recovered, she was far from finished with her work of defeating this disease. After spending some time with Mary Beth O’Reilly, a family friend in Missouri, she became interested in what O’Reilly was doing with an organization she had founded. The Breast Cancer Foundation of the Ozarks was helping women and their families who had been impacted by their diagnosis. She asked Grieger if she might be interested in starting a foundation for the women of Central Florida under the umbrella of the Missouri organization. Grieger spoke with her healthcare team and fellow survivors in Florida,
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HEALTHY AGING
Contact Lens Care
C MANDY MIDDLETON AND LEAH GRIEGER
who all agreed that just such an organization was desperately needed in the area. When a cancer diagnosis happens, financial worries and childcare responsibilities don’t just stop, or even slow down. Many women were choosing between treatment or paying the light bill. Grieger felt it was God’s plan for her to begin the Breast Cancer Foundation of Central Florida, which started in 2017 as a grassroots organization of people pitching in and helping, with a staff that was entirely volunteer. As BCFCF grew, Mandy Middleton was brought on as Outreach Director. Middleton explains that the organization serves from the west to east coast of Central Florida. In 2020, more than $120,000 was distributed to more than 50 families across Central Florida. “Each mother receives a stipend of $200 per child that can be used toward school supplies, daycare, orthodontics – whatever is needed. And at Christmas, they also get a $100 gift card for each child,” adds Middleton. A total of $5,000 in compensation can be awarded to women throughout the course of their treatment to help ease the worry of financial burdens at a time when women already may be feeling overwhelmed. Breast cancer survivor Jennifer Hadsock knows firsthand what a blessing the foundation can be. “The BCFCF stepped in to supplement my income when all my paid leave had been exhausted,” Hadsock says. “They helped to pay bills and keep my kids in extracurricular activities
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during this extraordinary time. During the holidays, the foundation went above and beyond the call to send gift cards for each of my children so we didn’t have to decide whether to pay a medical bill or have gifts for the holidays.” Hadsock is now an active volunteer and in 2019 she even started an annual event to benefit BCFCF called “POWer in Pink.” The 5K run took place earlier in September. Middleton explains that money that is raised here stays here to benefit the women of Central Florida. In October, the official Breast Cancer Awareness Month, BCFCF is hosting its Pink Ribbon Gala. This event is made possible by several sponsors, particularly the Watson Clinic Foundation, which also gifted the BCFCF with a generous $100,000 grant in 2019, 2020 and 2021 to help ease financial burdens for area women. Although this year’s Pink Ribbon Gala will be somewhat scaled down to minimize any risk of COVID-19 exposure, patrons will be able to visit event venue Haus820 for 45 minutes in groups of approximately 30 to 50 people. Items will be auctioned off live via Zoom later that evening. BCFCF has grown from just one woman who wanted to do something good for others in her community facing the challenge of breast cancer. Amazing things can happen when everyone comes together to help. If you’d like to help, either through volunteering or contributing, visit the website at www.bcfcf.org HN
ontact lenses may look like simple pieces of plastic, but actually, they are medical devices. As medical devices, they require a prescription, even when not used for vision correction. It is essential to care JULIA KING, O.D. for your contact lenses properly to prevent eye infections and other adverse reactions. It is also important to adhere to the proper wear schedule prescribed by your eye doctor for that particular lens. Lens materials and contact lens solutions can interact, which can affect the disinfection process. Store brand or generic contact lens solutions are often formulated for older lens materials and may not always be compatible with newer lens materials.
The proper cleaning regimen is vital to the health of the eye. The contact lens should be rubbed for about 20 seconds, followed by a thorough rinse for 5-10 seconds—this aids in the removal of deposits and harmful microorganisms. Recent studies demonstrate that rubbing and rinsing the contact lens after use provides the safest wear experience for all contacts currently on the market. One exception is daily disposable contact lenses, which are disposed of at the end of the day. The contact lens case should also be rinsed with the multipurpose solution and left to air dry. Tap water is not recommended for rinsing the case as it may contain contaminants that could damage your lenses or lead to eye infections. Sleeping in contact lenses drastically increases your risk of an eye infection and is no longer considered safe by most eye doctors. These infections may be bacterial or more serious such as fungal or acanthamoeba (an amoeba found in water). According to the CDC, sleeping in your contact lenses makes you six to eight times more likely to get an eye infection. The cornea, the structure where the contact lens rests, requires oxygen and hydration to stay healthy. When you sleep in your contacts, the oxygen is significantly reduced, putting the cornea at higher risk for infection. Serious eye infections can lead to significant scarring, corneal transplant, and potential loss of vision. Swimming in contact lenses can also be harmful to the eye. The lenses can absorb water, trapping harmful bacteria, viruses, and other pathogens against your eye. Even filtered and treated tap water can contain pathogens that can cause eye infections. In addition, chemicals found in swimming pools and hot tubs can create additional irritation. There is also the risk of losing your contact lenses if the water flushes them from the eye. The healthiest contact lenses for your eyes are daily disposable lenses. With daily disposable contact lenses, there is no need for lens disinfection. Simply insert a fresh lens in the morning and throw them away at night. Then start with a new pair the following day. Washing your hands before handling the lenses is still recommended. Our doctors at Eye Specialists of Mid Florida are here to guide you in choosing which contact lenses would be best for your vision and eye health needs. Please call us at 800-282-3937 to schedule an appointment. This column is sponsored by Eye Specialists of Mid-Florida, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Julia King is an optometrist who practices at the Lake Wales location for Eye Specialists of Mid-Florida. Her specialties include primary care optometry and contact lenses. She is accepting new patients.
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HEALTHY COOK
Scare Up Some Pumpkin Goodies This Halloween by CAROL CORLEY
T
here’s a lot more to that huge orange globe we see every Halloween than the scary face. It’s actually good for you.
Pumpkin is very high in fiber, which helps with digestion. More importantly, it contains healthy beta carotene, which becomes vitamin A in the body and is good for the eyes. Many believe it can also help lower the risk of cancer and offers protection against asthma, heart disease and diabetes. It is healthy not only when prepared fresh, but canned pumpkin is equally good. So, what about that awesome pumpkin pie buried under a mound of whipped cream? As good as that might be, there are better ways to get the health benefits of pumpkin that will not be loaded with fat and sugar. My mother made wonderful pumpkin pies. She also cooked pumpkin seeds, which surprisingly are also very nutritious, containing healthy fats, fiber, protein, magnesium, zinc and other minerals and antioxidants. Also known as pepita, they can be purchased at the supermarket without a shell, ready to cook, or sprinkled raw or roasted on a salad, or blended into a smoothie. Or you can use the ones from your pumpkin, properly prepared. And by the way, pumpkin is a fruit, not a vegetable, due to seeds, although we all think of it as a vegetable. We will start our recipes with roasted pumpkin seeds. If you buy them ready to cook at the supermarket, you can skip this step. If you dig them out of your child’s scary Halloween decoration, you need to prepare them by first cleaning them. And after baking, you can flavor them with your choice of salt, onion powder, parsley, garlic powder, dill, dry mustard, celery seed, paprika, black pepper, oregano, basil, and grated parmesan cheese. You are only limited by your taste and your imagination.
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Pumpkin Stew (Adapted from tasteofhome.com) Ingredients: Pumpkin, 1 about 10 lbs or slightly larger Beef, 1-3/4 lbs stewing meat cut into cubes Potatoes, 3 large, white, cut into cubes Carrots, 4 medium sliced Green pepper, 1 large cut into small pieces Onion, 1 large, chopped Tomatoes, 14 oz canned, diced, undrained Beef bouillon granules, 2 tablespoons Garlic cloves, 3-4 minced, to taste Olive oil, 3 tablespoons Water, 1 cup Salt and pepper to taste
Directions: Brown meat in a Dutch oven with 2 tablespoons oil. Then add to pan the vegetables, water, salt and pepper. Simmer covered for 2 hours. Tomatoes and bouillon stirred in now, including tomato water. Wash pumpkin and cut an 8-inch circle around top stem, remove top and set aside, scrape out seeds and fiber from inside pumpkin. Place the cleaned pumpkin in a baking pan, spoon stew into pumpkin, and replace top. Brush outside of pumpkin with oil, and bake in an oven preheated to 325F for 2 hours, or until tender. Serve stew from pumpkin, including a bit of the pumpkin on each plate.
Gluten-free Pumpkin Bars (Adapted from dishingouthealth.com) Ingredients: Pumpkin puree, 1/2 cup Maple syrup, 1/2 cup Nut butter of choice, 1/2 cup natural, creamy Chopped walnuts, 1/8 cup Eggs, 2 large Vanilla extract, 1/2 teaspoon Almond flour, 1/2 cup blanched Pumpkin pie spice, 1 teaspoon, or more if desired Cinnamon, 1/2 teaspoon ground Baking powder, 1/4 teaspoon Salt, 1/4 teaspoon Chocolate chips, 3/4 cup Directions: Combine pumpkin puree, maple syrup, nut butter, nuts, eggs, and vanilla and combine with mixer gently until smooth. In another bowl, mix together almond flour, pumpkin pie spice, cinnamon, baking powder, salt. Mix wet and dry ingredients until just combined, fold in chocolate chips. Place mixture in 8x8 baking dish lined with parchment paper and lightly greased with cooking spray. Place pan in oven preheated to 350F and bake for 30-33 minutes or until a toothpick inserted into the center comes out clean. Allow to cool in pan for 30 minutes or so, remove from pan with parchment paper, and cut into appropriate-sized bars.
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Pumpkin Seeds (Adapted from eatingwell.com and wholefully.com) Ingredients: Pumpkin seeds, 2 cups Egg white, 1 Your choice of herbs and spices as above Directions: In an oven preheated to 300F, spread dry pumpkin seeds in an even layer on a large baking dish, and bake about 40 minutes, stirring once. Meanwhile, in a large bowl combine herbs and spices of choice. Once the seeds are baked, slide them into a bowl, pour 1 frothy beaten egg white over them and stir, then sprinkle the mix of herbs and spices. Put it all back on the baking sheet in an even layer and bake for another 10-15 minutes. Cool completely.
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ccording to new information released by the International Agency for Research on Cancer (IARC), breast cancer has now overtaken lung cancer as the world’s most commonly diagnosed cancer, accounting for 12% of all new annual cancer cases worldwide. It’s also now the most commonly diagnosed cancer among American women. In 2021, it’s estimated that over 280,000 new cases of invasive breast cancer will be diagnosed in U.S. women, along with nearly 50,000 new cases of non-invasive breast cancer.
Why Are Breast Cancer Cases Rising?
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WHO attributes the rise in breast cancer diagnoses in the last year to the COVID-19 pandemic. With many women choosing to postpone annual visits or delay ongoing treatment for existing health concerns, doctors are seeing more late-stage diagnoses as patients return for appointments. While some cancers don’t have screening tests available, breast cancer does — and has a high chance of being curable if diagnosed early and treated effectively.
Better Imaging and Treatments Are Improving Survival Rates Some good news is that even though the number of diagnosed breast cancer cases is rising, women with aggressive breast cancer are living longer due to better imaging techniques, which help detect breast cancer earlier, and improved treatments. The five-year survival rate for women diagnosed with metastatic breast cancer before age 50 has doubled since the 1990s, from 18% to 36%. When we look at the changing statistics and data, it’s important to note that people in the U.S. are living longer. That means that there are more older women overall and therefore more women being diagnosed with breast cancer.
Screening Is Still the Best Way to Reduce Your Risk Breast cancer screening is the best way to find breast cancer early, before it spreads. The goal is to find cancer before you feel a lump or notice other Inventory symptoms. We recommend that most women receive mammograms every two years Needed starting at age 40. Some may need earlier or more frequent screening — for We want to manage $100 Referral fee for contacts leading example, if you have a family history of breast cancer or if you carry a certain your property, HOA, or to a management agreement withhere Home to do the We’re same. genetic mutation. Association. Call today for a Owners associations, Condominium joints allow you to do incredible things, but they’re vulnerable to To learn more or request a screening, visit LeadingBreastCare.com. free no obligation quote. associations, or RentalsYour management.
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damage, inflammation and wear-and-tear. Trust your knees and hips to This column is sponsored by Advent Health, and the opinions expressed herein may not reflect those Dundee Office Managed, Davenport Office Kissimmee Office Locally 24 Hour Availability the specialized orthopedic experts of AdventHealth Heart of Florida and of CFHN or of its advertisers. 28609 Hwy 27 121 Webb Drive 359 Cypress Parkway Dundee, FL 33838 SuiteLake 205 Kissimmee, FL 34759 AdventHealth Wales863-292-0846 — providing individualized care for even the Phone: 863-439-6550 Fax: Davenport, FL 33837 863-439-6550 407-241-4054 www.GarissonPropertyServices.com most complex conditions to get you back in motion, fast. 863-353-2558 GarrisonPropertyServices.com
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CFHN | 19
October 2021 | CALENDAR compiled by TERESA SCHIFFER
October 2 – Cornhole for a Cause Support Central Florida Speech & Hearing Center and its mission of providing hearing assistance to those in need through the Mr. Central Florida contest, presented by the Ruthvens. Designate your registration to your favorite contestant and enjoy some fun, food, and brews at Swan Brewing, 115 W Pine St in Lakeland, 10 a.m. – 4 p.m. The fee is $25 per person for the cornhole tournament. To register, please go to www.secure.qgiv.com/event/2021mcf. For more information, call Channon Eickenberg at (863) 686-3189.
October 9 – Charity Dinner Benefitting the Breast Cancer Research Foundation (BCRF) Enjoy an elegant evening of dining, entertainment, prizes, and raffles, sponsored by local small businesses. Individual tickets are $45, a table of 8 is $360. This lovely event will be held at Lakeland Country Club, 925 Lake Hollingsworth Dr. in Lakeland, from 6 – 9 p.m. To reserve your seat, please visit www.venuesalon. com or call (863) 644-0102 for more information.
October 15 – Swan Derby Lakeland Volunteers in Medicine (LVIM) puts on this thrilling annual tradition to raise funds to support their goal of providing necessary medical care to underserved populations of the greater Lakeland community. The memorable event will be held from 5:30 – 9:30 p.m. at Lake Crago Park in North Lakeland. For more details, please visit www.lvim.net/swan-derby.
October 22 – Breast Cancer Foundation of Central Florida Pink Ribbon Gala The Watson Clinic Foundation, Inc. proudly presents an evening of delightful music, delicious food, and exciting auctions to raise funds to help the families who are battling breast cancer together. Tickets are $100 to this event which will take place from 6 – 10 p.m. at Haus820, located at 820 N Massachusetts Ave in Lakeland. For your tickets, please go to www.bcfcf.org/events, or call (863) 3701927 for more information.
October 24 – 5th Annual CFSHC Golf Scramble Volkswagen is sponsoring this Mr. Central Florida event that benefits Central Florida Speech & Hearing Center. Registration is first come, first serve, and space is limited. The excitement takes place from 1 – 5 p.m. at Cleveland Heights Golf Course, located at 2900 Buckingham Ave in Lakeland. To register, please go to www.secure.qgiv.com/event/2021mcf. For more information, you can call Channon Eickenberg at (863) 686-3189.
October 25 – Central Florida Health Care Golf Tournament Proceeds from this event will supply free mammograms to Central Florida women who would otherwise be unable to afford this important health screening. The shotgun start is at 9 a.m. at The Country Club of Winter Haven, 4200 Country Club Road S in Winter Haven. For more information, please contact (863) 845-2556 or golf@cfhconline.org. For sponsorship opportunities or team registration, go to www.cfhcgolf.eventbrite.com.
October 30 – Polk Walk to End Alzheimer’s This annual event is being presented this year by Reliance Medical Centers. All ages and abilities are invited to join the fight against Alzheimer’s. There is no fee to register at www.act.alz.org/polk, but participants are encouraged to fundraise so as to contribute to the cause and raise awareness. The walk will take place from 8 a.m. – 12 p.m. at Joker Marchant Stadium, 2301 Lakeland Hills Blvd. in Lakeland.
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BODY, MIND & SPIRIT
Revision Surgery After Total Joint Replacement
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ain and loss of mobility in the joints of the leg due to arthritis can be debilitatDR. TIMOTHY EVANS ing. Hip or knee replacement surgery can alleviate this pain and restore function. However, there are replaced knee or hip joints that eventually fail, causing problems. Infection, wear and tear, and injury can result in the need for revision surgery.
What Is Revision Surgery?
A revision hip or knee replacement surgery is when a patient needs to have a new procedure performed on a hip or knee that has already been surgically replaced. Depending on what the specific problem is, the entire prosthesis may need to be replaced, or just portions of it. One reason a replaced joint may need revision surgery is if loosening has occurred. During the original replacement surgery, the prosthesis may have been cemented in place, or it may have been pressed into place to allow the patient’s bone to grow into it over time. Loosening of the implant can be caused by the bone not growing into the implant as expected, due to repeated high-impact activity or excessive body weight. The result can be pain and swelling in the affected area or pain when moving the replaced joint. Infection can also occur immediately after surgery or at any point later in the patient’s life. A bacterial infection can move from one part of the body to the implant, where the bacteria adhere to the metal components and can be difficult to remove. If an infection occurs soon after surgery, a joint washout can be performed, during which the hip or knee is surgically reopened and thoroughly cleaned. If the infection occurs further out from the original surgery, the treatment becomes more complicated. The entire implant may need to be removed, antibiotic treatment initiated to clear the infection, and a temporary implant would be put in place. Once the infection has resolved, another surgery would be performed to insert a new implant. If the original hip or knee replacement surgery was performed on a young, physically active patient, the surgery may need to be revised due to early implant failure. Also, if an injury takes place that results in a broken bone near the joint, revision surgery may be required. This column is sponsored by Central Florida Orthopaedic Surgery Associates, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Timothy Evans obtained his Bachelor of Science degree in Biology at the University of Central Florida and his Master of Science degree in Physiology from Georgetown University. He went on to attend medical school at Creighton University in Nebraska. He completed his orthopaedic surgery residency at Henry Ford Hospital in Detroit.
22 | CFHN
Debunking Mental Health Myths by MARY JOYE, LMHC
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ost of us have heard adages about transitioning through difficult situations or trauma, but are they true? We may accept them as truth because we repeatedly heard them, and this systematically conditions us to believe them. Anyone who has endured tragic circumstances may not feel comforted by cliché condolences. Reframing these statements may change your perspective about what you say to someone going through a traumatic life event. Whatever doesn’t kill you makes you stronger. It may make you wiser, but what doesn’t kill you makes your immune system, heart, and other vital organs weaker. The medical term for broken heart syndrome is stress-induced cardiomyopathy or takotsubo (Japanese for octopus). When you are emotionally upset, your heart can flatten and be less efficient. In long-term crises, stress hormones such as cortisol and adrenaline can cause immune deficiencies, adrenal fatigue, or failure. Everything happens for a reason. This is a luxury statement from those who have not endured tragedy, as it tries to make sense of the senseless to accept the unacceptable. Try telling this to an orphan who is left alone in a poverty-stricken location with no food or water. This would be cruel to say. People feel singled
out when unimaginable tribulations befall them and telling them there is a reason makes them feel worse. You are never given more than you can handle. Sit in any therapist’s office or follow a first responder or emergency healthcare worker and this myth will disintegrate. Suicides occur because life circumstances have accumulated beyond a person’s capacity to handle them. Trauma is not a competition. One person’s trauma may seem trivial to, but to them it feels like the end of their world, and it may be if they don’t get help or support. Saying, “Just get over it,” is harsh and judgmental. Ask the question, “How can I best be of support to you?” Try not to fix it or gloss over someone’s pain with pat answers, suggestions, or stories about what you have gone through. Compassionate listening from someone is sometimes all a person needs to keep moving forward. Time heals all wounds. Time can make things worse if trauma or pain is left unprocessed or treated if needed. Post-Traumatic stress disorder means symptoms develop past the time the trauma occurred. Time makes acute emotional reactivity different, but without proper processing to heal the trauma, a constellation of symptoms can manifest. HN
ABOUT THE AUTHOR: Mary Joye, LMHC, PA, is a licensed mental health counselor with offices in Lakeland and Winter Haven. She holds a Master of Arts in Counseling from Trevecca Nazarene University in Nashville, Tennessee. For more information, visit winterhavencounseling.com.
centralfloridahealthnews.com
HEART NEWS Meet Our Doctor
What Is Peripheral Arterial Disease?
Dr. Aparajita is a fellowship-trained vascular surgeon and has been serving the Polk County community for the past 1 year. She earned her Bachelor of Medicine and Bachelor of Surgery (MBBS) degree at University of Delhi, India. She then completed a research fellowship in vascular surgery at Columbia University Medical Center in New York and a residency in General Surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. Dr. Aparajita is also a Member of the Royal College of Surgeons of AD is a chronic condition affecting 20 million Edinburgh, UK (MRCS Ed) and completed her Basic Surgical Training in RITU APARAJITA, MD, RPVI England soon medical people inafter theherU.S. If school. left untreated, it can result KSC Cardiology Dr. Aparajita is the co-author of more than two dozen journal articles, in unnecessary limb amputations, and this has publications and oral presentations, including topics such as endovascular treatment for thrombosis,in aortic aneurysm repair, stroke, communities. It involves been seen disproportionately people from minority artery disease and other vascular conditions. theperipheral buildup of “plaque” in the arteries — much like how your kitchen sink gets Additional posts and volunteer work include a teaching position at clogged over time — due to a variety of reasons including primarily smoking, Hofstra Northwell School of Medicine and as a Member of the Public and Professional Outreach Committee as well as the International Relations high cholesterol, high blood pressures, obesity, increased age, diabetes. The Committee at the Society for Vascular Surgery (SVS). condition canwas leadrecently to either narrowing complete occlusion of the arteries and Dr. Aparajita nominated for the or American Medical Association (AMA) Inspiration Award thatgetting recognizes physicians hence reduce the amount of blood to your feet. who have contributed to the achievements of women in the medical profession.
September was PAD awareness month.
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Symptoms
It may start as claudication, a pain in your calves after walking a certain RITU APARAJITA, MD, MRCS (Ed), MBBS distance that goesSpecialty: away on stopping comes back Surgery after walking a certain Vascular and & Endovascular distance. Claudication typically follows a more benign course in that only 25% Joining KSC Cardiology November 9, 2020 of patients will progress to limb loss in five years. Compare this with the more aggressive “chronic limb-threatening ischemia CLTI” (formerly called critical limb ischemia), which has a limb loss rate of 50-75% in five years. CLTI consists of pain in the foot or toes even when not walking (at rest), gangrene, wounds or ulcers. CLTI needs treatment to restore “inline” blood flow to the foot urgently.
Roan Cadavona,
Ritu Aparajita,
Kollagunta Chandrasekhar,
Cynthia Wolford,
Nurse Practitioner
Vascular Surgeon
Cardiologist
Family Nurse Practitioner
ARNP, FNP-C
MD, RPVI
MD, FACC
ARNP, FNP-C, CHFN
K.S. Chandrasekhar, MD, FCC
…established his clinic over 20 years ago. He is well known in the community and trusted for his accurate diagnosis and compassionate care. • Board certified in Cardiovascular Disease and Internal Medicine •E xecutive Director the Heart Function Clinic, Low Risk Chest Pain Center and the Cardiac Rehabilitation Program for BayCare Winter Haven Hospital • President of Medical Staff for BayCare Winter Haven Hospital • Chairman of Cardiology for Lake Wales Medical Center • Clinical Associate Professor, FSU College of Medicine
Ritu Aparajita, MD, RPVI
Diagnosis
A Vascular and Endovascular Surgeon who earned her MBBS at University of Delhi, India. She then completed a research fellowship at Columbia University Medical Center and a residency in general surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. She’s co-authored more than two dozen journal articles. She was recently nominated for the American Medical Association Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.
Treatment
…is known for her passion to educate patients about Cardiovascular Disease. With additional heart failure certifications, she promptly identifies areas of concern, prescribing medications or lifestyle modifications to treat parients in all stages of heart failure.
Diagnosis s usually made by a physical examination by your vascular surgeon combined with ankle-brachial indices, a noninvasive vascular lab test consisting mostly of ultrasound or in very select cases, a CT scan with contrast. Treatment consists of risk factor modification and changing your lifestyle along with medications for claudication. Recommended changes to your lifestyle would include stopping smoking, losing weight, maintaining optimum sugar levels (if diabetic), good control of blood pressure, watching what you eat to keep cholesterol under control and getting some exercise in the form of walking for 30 minutes at least three times a week.
Cynthia Wolford, ARNP, FNP-C, CHFN
• Board certified Family Nurse Practitioner • Member of Staff for BayCare Winter Haven Hospital
Roan Cadavona, ARNP, FNP-C
P.A.D.
AWARENESS MONTH
…brings a high level of education and experience in Cardiac Catheterization, Electrophysiology and working in the Cardiovascular Progressive Care unit. He serves a vital role in providing patients with optimal cardiovascular care through counselling and screening, as well as disease prevention and management strategies. • Board certified Family Nurse Practitioner • Member of Staff for BayCare Winter Haven Hospital
This column is sponsored by KSC Cardiology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Aparajita is a fellowship-trained vascular and endovascular surgeon. She is a co-author of 20+ journal articles and publications and was recently nominated for an Inspiration Award by the American Medical Association (AMA).
centralfloridahealthnews.com
CFHN | 23
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