Sarasota Health Magazine by Gulfshore Media

MAGAZINE’S

HEALTH YOUR

GUIDE TO GREAT MEDICAL CARE “YOU CAN’T DO IT ALONE.” Coping with caregiving

305

BEST DOCTORS & DENTISTS in Sarasota/Manatee

HAPPY BIRTH DAY: New options for expectant parents

PLUS! Understanding A-Fib, Family First Aid Kit, New Tech Breakthroughs & More

BEATING DIABETES: Yes, you can.

We provide high quality medical service for the Entire Family. At HeAltHCAre AmeriCA mediCAl Group we meet your health needs with a variety of primary care physicians and specialists, ultrasound, nuclear medicine, stress testing and a clinical laboratory. We offer a variety of services to meet all of your family’s health needs:

GYNECOLOGICAL and PRIMARY CARE SERVICES AND TEATMENTS: • Primary Care for Men and Women • Annual Physicals

• Well Woman and Adolescent Exams

• Sexual Dysfunction

• Menopause Management- Mind Body Skills

• Abnormal Pap smears and Periods.

• Breast Disorders

• Infertility Services

• Cancer Screening

• Urinary Incontinence

• Hypertension and Diabetes Management

• Medical and Surgical Management

Your

health is our primarY concern.

• Endometrial Ablation • Pelvic pain

• Prolapse • Minimally Invasive Procedures • Laparoscopy, Hysteroscopy and Hysterectomy • Robotic Assisted Laparoscopy

• Ovarian Cysts • Contraception

The key step in meeting your health needs is to find the right physician.

Visit http://hcamg.com to find a physician or to access a wealth of medical information.

Dr. Arunachalam Jothivijayarani

Visit one of our four convenient locations: HealthCare America - Main Office: 3501 Cortez Road, Bradenton, FL 34210 941.752.2700 | Mon-Fri 8am-5pm

HealthCare America North East: 1720 Manatee Ave. East, Bradenton, FL 34208 941.747.4661 | Mon-Fri 8am-5pm

HealthCare America Ellenton:

Dr. Arunachalam Jothivijayarani, known fondly by her patients as ‘Dr. Jothi,’ is board certified in both obstetrics and gynecology, and family medicine from the University of Iowa. She has been practicing in the BradentonSarasota area for the last nine years and currently practices at HealthCare America, a multispecialty group in Bradenton, affiliated with Blake Medical Center. With her background in both family medicine and obstetrics and gynecology, Dr. Jothi is able to offer comprehensive care for women of all ages. In addition to all aspects of routine care, Dr. Jothi provides in-office hysteroscopy endometrial ablation for management of abnormal uterine bleeding, colposcopy for abnormal paps, and urodynamics for urinary incontinence. Dr. Jothi also specializes in minimally invasive robotic surgery, and has performed over 200 robotic gynecological surgeries since 2009. She performs surgery at both Blake Medical Center in Bradenton and Doctors Hospital of Sarasota. Despite her technical skill, Dr. Jothi is best known for her caring and patientcentered care philosophy. She is passionate about helping women of all ages attain and maintain the best possible health and believes that taking time to educate her patients and provide personalized care can make all the difference. In short, she empowers her patients to become participants in their own health management.

4015 U.S. Hwy 301, Ellenton, FL 34222 941.722.7222 | Mon-Fri 8am-5pm

HealthCare America East Walk-In: 6110 S.R. 70 East, Bradenton, FL 34203 941.755.4242 | Mon-Fri 8am-7pm, Sat 9am-2pm, Sun 9am-1pm

Dr. Jothi has been named to Castle Connolly’s Top Doctors for 2012, 2013 and 2014 and has also been honored as one of Blake Medical Center’s 2013 Top 10 Doctors of the year.

A S P E CTAC U L A R V I E W

of Living

Once you see Plymouth Harbor and meet the people who call it home, you will change the way you think about your future. You’ll meet active, independent-minded people from around the world — who share a love of boating, a passion for helping others, and a natural spirit of friendship. Our view on whole person wellness emphasizes a multi-dimensional approach maintaining broad interests and a healthy lifestyle for an active mind and body. Residents treasure the time they spend in their lovely, spacious apartment homes

– yet appreciate all of the thoughtful services and amenities that are part of the Plymouth Harbor lifestyle. And they love the beautiful setting that looks like a first-class resort, but feels just like home. If you love gracious living and the finer points of a sunrise and a sunset over Sarasota Bay and the Gulf of Mexico, then Plymouth Harbor is the place for you. Come see for yourself – and get a new perspective on retirement living. Call us today for a tour of our award-winning campus, luxury accommodations and amenities.

A S P E C TA C U L A R V I E W O F R E T I R E M E N T 700 John Ringling Blvd. Sarasota, FL 34236 • (941) 365-2600 • www.PlymouthHarbor.org A Not-For-Profit Continuing Care Retirement Community (CCRC). OIR #88039

SARASOTA HEALTH Volume 3, Number 1

66 Departments

13 Pulse Chatting with Dr. Ruth, new medical breakthroughs, the latest on genetic testing—and more.

FEATURES

95 Well-being

47 Top Dentists

The healing power of paying attention.

Our list of the most-recommended dentists in Sarasota and Manatee, compiled by topDentists.

96 Tech Talk

50 “Every Day is a New Normal”

New tools to keep you healthy .

Caregivers’ stories of love and challenge. By Ilene Denton

98 Resources A family guide to first aid and emergencies.

54 The Skinny on Fat Grafting Fat can be a good thing—when it comes to aging faces and bodies. By Su Byron

58 Understanding A-Fib Unraveling the mysteries of the region’s most widespread heart rhythm disease.

62 Labors of Love Local residents have a wealth of choices when it comes to birthing babies. By Abby Weingarten

SARASOTA HEALTH 2014

100 DIRECTORY 66 Diabetes: The Quiet Epidemic

A directory of the region’s hospitals.

How to fight a rising problem for boomers and beyond. By Su Byron

71 Top Doctors Our exclusive list highlights the area’s best physicians, as nominated by their peers and evaluated by Castle Connolly Medical.

Special Advertising Sections 29 Ask the Expert 81 Who’s Who in Health

ENVISION

Tomorrow’s Healthcare Today

GIVE TOday fOr TOMOrrOw.

SARASOTA

HEALTH President & CEO Dan Denton executive vice President & Group Publisher Kelley Lavin Vice President & Editorial Director Pam Daniel consulting publisher Randy Noles vice president & general manager Pamela Flanagan

EDITORIAL Executive Editor Kay Kipling Senior Editor Susan Burns Senior Editor Ilene Denton Associate Editor Hannah Wallace EDITORIAL AND WEB ASSISTANT Chelsey Lucas web editor Megan McDonald

ART Creative Director Gigi Ortwein Art Director Lauren Pritchard DESIGNER Amy Hoffarth

PRODUCTION Publications Director Norma Machado Advertising Services Manager Katherine Orenic

ADVERTISING Senior Account Executive Kim Davis Account Executive Dan Starostecki Account executive Sandy Moore Account executive Debra Clark Maradiaga Account executive Keith Magnuson Account executive Christie Busch Sales Support Manager/Assistant to the Group Publisher Regina Walters

BUSINESS Circulation MANAGER Diana Clenney credit manager Sara Clements dISTRIBUTION MANAGER Matt McDevitt CIRCULATION COORDINATOR Joy Quici

MARKETING Director of Marketing & events Cindy Christo Brown Sales & Marketing Assistant Deborah Feinsod

Sarasota Health is published by Sarasota Magazine®, a member of the Florida Magazine Association, International Regional Magazine Association, the Greater Sarasota Chamber of Commerce and The St. Armands Circle Association. Copyright © 2014 by Gulfshore Media, LLC. All rights reserved. No part of this publication may be reproduced without written permission from the publisher.

Sa r a s ota M ag a z ine , 330 S. Pineapple Ave., Suite 205, Sarasota, FL 34236. E - mail : info@sarasotamagazine.com

SARASOTA HEALTH 2014

I’m 1 #

at Doctors Hospital

“As soon as you arrive, they make you feel comfortable, and you won’t feel like you’re in a huge institution. And I have to say, I was quite impressed with the quality of the food! Read more about my experience at DoctorsOfSarasota.com/patients.”

—J.P. Knaggs Owner, Bijou Café, Sarasota, FL Total Hip Replacement

ortHopaeDics & spine 5731 Bee Ridge Road at Cattlemen Road, Sarasota DoctorsOfSarasota.com | 1.888.685.1596 SARASOTA HEALTH 2014

The Center for Building Hope offers free information, programs and services to cancer patients, caregivers and family members, while connecting them with others who are undergoing a similar experience.

Supporting Patients | Caregivers | Families FREE PROGRAMS INCLUDE:  Support Groups for Cancer Patients,

Families of Patients and Caregivers  Networking Groups  Individual Counseling  Workshops  Exercise Programs  Couples and Cancer Discussion Groups

5481 Communications Parkway | Sarasota, FL 34240 | 941.921.5539 | www.centerforbuildinghope.org

PULSE BY HANNAH WALLACE

Will I Get Cancer? For some of us, genetic testing can hold the answer.

In May 2013, Angelina Jolie took a genetic test that identified an abnormality in her BRCA1 gene, which put her at great risk for developing breast cancer. Soon thereafter, the famed Hollywood beauty had a preventive double mastectomy, and genetic testing emerged into the national spotlight. But a single celebrity experience doesn’t tell the whole story, and it’s important to do your research in order to maximize the power of genetic testing. “A lot of people rushed to get BRC testing after Angelina Jolie,” says Cathy McCann, who coordinates Sarasota Memorial Hospital’s genetic education program. “So a lot of people then thought they were out of the woods, but those weren’t necessarily the genes [they needed to test].” Unless you’re related to Angelina Jolie, you need further medical consultation to determine what tests, if any, would reveal your risks for cancer. SARASOTA HEALTH 2014

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Not everyone who gets cancer has inherited it genetically, of course. But a genetic predisposition can mean that you’re likely to get certain types of cancer at a much younger age than that cancer normally appears in the rest of the population. “Breast cancer in a 70-year-old, that’s [not unusual]. But a 40-year-old, there’s something wrong with that,” says McCann. “A 35-year-old man with colon cancer, that’s not typical.” The National Cancer Institute estimates that 12 percent of women will develop breast cancer at some point in their lives. But those with abnormalities in their BRCA gene may face a risk as high as 87 percent. The first thing a genetics expert will do is take a detailed family history, identifying “all the cancers in the family, and their ages of onset, to see if there’s some kind of pattern,” says McCann. Multiple first-degree relatives with certain types of cancers might indicate a predisposition. “Stomach, uterine and colon cancers can all be related to each other through the same gene system,” she explains. The appearance of other cancers through multiple generations, like male breast cancer, can also point to the need for testing. Still, when it comes to cancer, genetic testing, while powerful, is only one tool in our arsenal—and it might not be the one you need. “People should know that only 5 to 10 percent of cancers are hereditary. Everybody doesn’t need to run out and get genetic testing,” says McCann. “Still, sometimes people overestimate what their risk is, and [tests will show] they really are at no greater risk than someone else in the population. If they do have a higher risk, we can talk to them about preventive strategies.”

SARASOTA HEALTH 2014

“Stomach, uterine and colon cancers can all be related to each other through the same gene system.”

TYPES OF Genetic TESTS Diagnostic testing When a person has symptoms that suggest a genetic disease, such as Down syndrome or muscular dystrophy, specific tests can confirm those diseases. Predictive testing can show which people have a higher chance of getting a disease before symptoms appear. Someone with an inherited genetic risk factor may have an increased chance of getting a disease, although this does not mean that the person will certainly get the disease. Presymptomatic is a type of predictive testing that can indicate which family members are at risk for a certain genetic condition already known to be present in their family but who do not yet show symptoms of that disease. Preconception/Carrier testing can tell individuals if they carry a gene alteration for a type of inherited disorder (autosomal recessive disorder). These carriers will not get the disease, but might pass the genetic alteration to their children. If both parents are carriers, their children might inherit an alteration from each parent and get the disease. Prenatal testing is available to pregnant women for common inherited disorders and other genetic conditions for which their child may be at risk. SOURCE: genome.gov

Huntington’s disease Caused by a mutation of a dominant gene; each child of a parent with HD has a 50 percent chance of inheriting that mutation.

Diseases and DNA Genes hold the instructions for making the body’s proteins, which perform myriad tasks at a cellular level throughout the body. A mutation changes how the gene makes a certain protein; when that protein doesn’t function properly, genetic disorders arise. Scientists are rapidly increasing their ability to pinpoint genes that are associated with certain diseases. More than 2,000 different genetic tests have already been developed; they analyze an individual’s DNA to see if certain mutations are present, either to diagnose a condition or better predict the likelihood of developing it. Our illustration shows some diseases with identifiable genetic markers that DNA testing can now reveal.

Thyroid cancer RET proto-oncogene mutations increase risk.

Cystic fibrosis Children who inherit one faulty CFTR gene from each parent will have cystic fibrosis.

Breast cancer Abnormal BRCA1, BRCA2, and PALB2 genes may account for up to 10 percent of all breast cancers.

spina bifida While scientists are still working to pinpoint the genes responsible, prenatal screening tests look for a certain protein indicating a high risk.

2,000+

genetic tests are available to detect gene variants associated with particular conditions.

Sickle cell anemia The most common inherited blood disorder in the U.S. is caused by the hemoglobin-Beta gene on chromosome 11.

Colon cancer 3 percent of cases are inherited due to Lynch syndrome, which is linked to a faulty gene.

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“If anybody doesn’t give money to this wonderful organization, I can still put five bullets into the red circle.” Dr. Ruth Westheimer, 86, former sniper with the Israeli Haganah, at this year’s Women’s Resource Center Renaissance luncheon

MASTER OF SEX

A candid conversation with Dr. Ruth. Speaking to the 400-plus people at this year’s Women’s Resource Center Renaissance Luncheon, renowned psychosexual therapist Dr. Ruth Westheimer discussed the nation’s wealth of medical research and knowledge, and the need for it to continue. “It is very important to state that things have changed,” she said of sexual literacy in society. “We are better off. But we still need more research.” While Westheimer still discusses matters like pregnancy prevention and sexually transmitted diseases, for Sarasota’s traditionally older population, she empha-

SARASOTA HEALTH 2014

sized the importance of staying active and social, whether it’s starting a new relationship or simply volunteering for your favorite cause. “For some people, the importance is to take the risk,” she said. “Who knows, you might meet someone.” It’s an approach the 86-year-old Westheimer practices firsthand as she continues her teaching career at Columbia University. It’s her interactions with her students, she says, that fuel her passion. Her latest book is Dr. Ruth’s Myths of Love, although she’s also written a guide for Alzheimer’s caregivers. In fact, her expertise extends beyond sex into many

elements of human behavior, although she’s happy that people can ask her questions—which, she says, is how she continues to learn. It’s hard to argue with the famously diminutive spitfire, who deserves a good deal of credit for people’s continued improvement in speaking frankly about sexual matters. “I have an obligation to give back to society. One and a half million Jewish children were killed [in the Holocaust], and I’m alive,” she said, then added with a laugh: “That the obligation would be to talk about erections, I did not know.” n

Less Joint Pain and Better Balance are just a few steps away! Now 4 Sarasota Area Trial Locations

Simply standing on the JUVENT ® Health Platform has been shown to help improve balance and help decrease joint pain among many who use it. It is a patented and proven source for healthy micro-impact exercise recommended by the U.S. Surgeon General and is now available for home use. The JUVENT ®Health Micro-Impact Platform has uniquely helped my patients improve their musculoskeletal health and their lives.”

W. Andrew Hodge, M.D. Renowned Orthopedic Surgeon and Researcher Harvard and MIT Trained Founder of The Institute for Mobility and Longevity

Corporate Advisory Roundtable Member

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For Information and 10 FREE Juvent Session Vouchers (a $99 VALUE) Call 1-561-768-7770 Or Visit JuventHealth.com/Sarasota Use your FREE vouchers and experience Juvent at:

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JUVENT® is a supporter and sponsor of Aging in Paradise Resource Center The Juvent® Health Micro-Impact PlatformTM is an FDA Registered Class I medical device for exercise and rehabilitation. In the US it is considered investigational for the treatment of osteoporosis or improvement/maintenance of bone mineral density. Juvent products are covered by the following issued patents, pending patents and their foreign equivalents: 6,843,776 6,884,227 7,094211 7,207,954 7,207,955 7,985,191 8,114,036 11/ 369,611 11/486,538. JR300202-3

SARASOTA HEALTH 2014

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Physical exercise. People who practice regular exercise “of sufficient challenge” have a lower associated risk of Alzheimer’s disease and other dementias, says Mullan. How does he define sufficient challenge? Something that raises the heart rate to a moderate level for 30 minutes or so a day. “You don’t have to become an Olympic athlete,” he says, “but the more you do, the more benefit you get.” Why? Exercise increases both the vascularity of the brain and the growth of the connection between neurons in the brain. Diet. For reasons that are still unknown, a Mediterranean-type diet—lots of vegetables, fruit, olive oil and small amounts of red wine— can reduce your risk for Alzheimer’s disease and even reduce the risk of going from mild cognitive impairment to Alzheimer’s disease over a five- or 10-year period. “I don’t believe the Mediterranean diet is necessarily the best one out there, but it’s certainly the one that’s been best researched,” says Mullan. “And the results are clear.”

Alzheimer’s Alert

A Sarasota Expert on how you can reduce your risk of Alzheimer’s disease. By Ilene Denton

No drug currently on the market can significantly reduce your risk of getting Alzheimer’s disease. But if you follow four sensible lifestyle changes, says Dr. Michael Mullan, CEO of the Sarasota-based nonprofit Roskamp Institute and director of its Memory Disorder Clinic, you can reduce your risk by half. Mullan, who has devoted his medical career to research on understanding the causes and future treatments for Alzheimer’s disease, estimates that around 5 million U.S. residents, both diagnosed and undiagnosed, currently suffer from it. And that number is expected to climb as the baby boomer generation ages. But Alzheimer’s disease is not inevitable, he says. “We can personally take control for our risk for this disease.” Here’s how.

SARASOTA HEALTH 2014

Mental exercise. The more we use our brains, and the more challenging our work, the better connections we’ll develop between neurons. “Data suggests that people with active social lives, who play bridge, go to the theater or to lectures, are associated with a reduced risk of Alzheimer’s disease,” he says. “Different parts of the brain actually become physically larger the more we use them.” And challenge yourself with lots of different things, so there’s more cognitive reserve if something happens to one part of your brain. Medical conditions. Uncontrolled diabetes, hypertension, arrhythmias and other medical conditions can profoundly affect our risk of getting Alzheimer’s disease, “multiplying it by as much as four times,” says Mullan. “And if you have several of those things, the risk goes even higher.” The good news is that all those conditions are eminently treatable these days. “No one should be walking around with uncontrolled blood sugars. Get a check-up once a year and look for these common conditions,” says Mullan. n

The Glenridge on Palmer Ranch®:

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hether you’re looking for your next adventure … or planning ahead for the “what-ifs” in life, look no further than The Glenridge on Palmer Ranch®. From a vibrant, independent lifestyle to the assurance of continuing care, our Life Fulfilling Community® offers it all: • • • •

A stunning campus and spectacular residences Built-in financial protections A commitment to fitness and health A passion for the arts • Lifelong learning • A country-club lifestyle • Fine dining and cocktail lounge • Community-wide, 24/7 security • Pets welcome!

THE HIGHEST QUALITY OF CARE As part of our complete continuum of care, The Glenridge provides on-site assisted living, memory support and skilled nursing in allprivate accommodations. Plus, our expanded and refurbished Carroll Center (ranked five stars overall)) delivers the highest quality of rehabilitation and skilled nursing services. Limited openings to the public. When you can have all that – and more – isn’t it time you discovered the “best of the best”? Call us today: 941-552-5369 or toll-free: 1-888-999-GLEN (4536).

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Vital Signs

Local health, by the numbers.

Sarasota-Manatee population (2013):

723,422 Ages 18-64:

OVER 65:

Births in 2013

% 28 53%

4,805

Top three causes of death Heart diseases

Heart diseases

FLORIDA

Cancer

U.S.

Cancer

chronic lower respiratory disease

STROKE

Percentage of adults in Sarasota who Are in good to excellent health

88%

57%

GET NO LEISURE-TIME PHYSICAL ACTIVITY

21%

83%

90%

65%

69%

26%

32%

In Florida

In U.S.

In Florida

In U.S.

In Florida

In U.S.

Have High Cholesterol

41%

Are overweight or obese

Have DIABETES

Are SMOKERS

19%

39%

33%

10%

17%

18%

In Florida

In U.S.

In Florida

In U.S.

In Florida

In U.S.

SARASOTA HEALTH 2014

ADVER TI SEMENT

Reduce your pain Restore your lifestyle. The Orthopaedic Spine and Joint Center at Lakewood Ranch Medical Center If you suffer from orthopedic problems such as pain in the knee, hip, shoulder, spine or neck – pain that can limit your quality of life and make everyday activities difficult – you’ve probably turned to conservative measures in hopes of avoiding surgery. But when things like exercise, medication and physical therapy no longer provide relief from pain, it may be time to consider spine/neck surgery or joint replacement. The Orthopaedic Spine and Joint Center at Lakewood Ranch offers a range of surgical and nonsurgical treatment options, including total joint replacement. What’s more, the Center is more than a surgery and rehabilitation program – it’s a culture of care that empowers patients with motivation and education. Our hospital’s comprehensive approach to treatment brings together a team of surgeons who specialize in orthopedic injuries and sports medicine, along with orthopedic-trained nurses, therapists and technicians.

“One of the strongest components of our highly individualized program at The Orthopaedic Spine and Joint Center is the caliber of orthopedic surgeons who work in our Center. Some of the best orthopedic physicians from surrounding counties select our comprehensive program for optimal patient outcomes.” CAROLINE MCGRATH, ARNP Care Coordinator, The Orthopaedic Spine and Joint Center at LWRMC

After surgery, emphasis shifts to early mobility and maximizing patients’ recovery. Beginning group therapy early can help reduce complications, pain and swelling, and help you gain confidence in using your new joint. Your family is encouraged to be part of the process, with one member serving as your personal “coach.” Lakewood Ranch Medical Center’s dynamic solutions to total joint replacement extend throughout the continuum of care. Specialized orthopedic teams partner with both patient and family to create outcomes that meet their individual needs. Our goal is getting patients back to the activities they love as quickly as possible. ■

For more information, call 941.782.BONE (2663) or visit www.lakewoodranchmedicalcenter.com

8330 Lakewood Ranch Blvd. Bradenton, FL 34202 Physicians are on the medical staff of Lakewood Ranch Medical Center, but, with limited exceptions, are independent practitioners who are not employees or agents of Lakewood Ranch Medical Center. The hospital shall not be liable for actions or treatments provided by physicians.

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New approaches to old problems Mapping Patients’ health Problem: Medical records software doesn’t reveal progress/regression in hospital patients under the care of multiple doctors, nurses and hospitalists. Solution: The Florence A. Rothman Index How it works: Developed by Sarasota resident and former MIT think tank consultant Steve Rothman in honor of his late mother, the Rothman Index integrates with medical records software to access more than 50 indicators of a patient’s health, then uses that information to generate a basic line graph, which allows new health care providers to see quickly if the patient’s health has been improving or deteriorating over a period of time. The software is already being used at a number of nationally prominent hospitals and is now being marketed to assisted-living and senior-living communities.

Skin protection through probiotics Problem: Caustic skincare products disrupt the body’s natural microbiome, causing irritation, inflammation, dryness and other issues. Solution: BioEsse Probiotic Essence for the Skin How it works: Similar to probiotics for healthy digestive tracts, BioEsse has been developed to maintain the skin’s health-promoting bacteria (part of the body’s microbiome) while eliminating harmful bacteria and other irritants that can cause redness, dryness and other visible signs of unhealthy skin. Developed by Sarasotabased Quorum Innovations, BioEsse is newly available to the public this fall through mybioesse.com.

diagnostic device Problem: Incorrect and late diagnoses from inconsistent, incomplete or nonexistent medical exams. Solution: BioscanR How it works: A finalist in the $10 million Qualcomm Tricorder XPRIZE competition to revolutionize diagnostic technologies, the wearable BioscanR by Sarasota-based Intention Technology allows for easy monitoring of vital signs throughout the day, all from home. The device, which is still in development, uses predictive algorithms to diagnose any of 15 different diseases, including pneumonia and coronary artery disease. The BioscanR can then provide a snapshot of the patient’s current health status to his or her doctor.

SARASOTA HEALTH 2014

Put Your Gastrointestinal Problems

in tHe PaSt.

Florida Digestive Health Specialists

Compassionate & Convenient Care for Digestive Disorders Digestive tract disorders can be problematic, painful and persistent. It’s time to put all the pain and problems behind you, and enjoy a life of comfort ahead. Advanced diagnostic testing and treatment services for: • Abdominal Pain • Constipation • Diarrhea • Hemorrhoids • Gastritis • Celiac Disease • GERD/Heartburn • Diverticulosis • Crohn’s Disease • Rectal Bleeding • Irritable Bowel Syndrome • Colitis & Ulcerative Colitis • Lactose Intolerance

16 Convenient Locations Hillsborough County 129 S. Pebble Beach Blvd., Ste. 100 • (813) 634-9272

5857 21st Avenue W. • (941) 761-2666 11505 Palmbrush Trl., Ste. 200 • (941) 361-1100

Pinellas County 8250 Bryan Dairy Rd., Ste. 200 • (727) 544-1600

Sarasota County 2401 University Pkwy., Ste. 202 • (941) 360-2579 2750 Bahia Vista, Ste. 250 • (941) 366-7282 1219 East Ave S., Ste. 308 • (941) 366-4015 2089 Hawthorne St., Ste. 200 • (941) 365-6556

Manatee County 250 2nd St. E, Ste. 3E • (941) 748-2417 1886 59th St. W. • (941) 794-1980

Visit us at FDHS.com for more information, to schedule an appointment, or find the specialist nearest to you.

1950 Arlington St., Ste. 101 • (941) 366-1400 1801 Arlington St., Ste. 101 • (941) 894-3490 3325 S Tamiami Trail, Ste. 200 • (941) 952-9223 825 Venetian Pkwy. • (941) 483-5730 2061 Englewood Rd., Ste. 4 • (941) 473-8881 Charlotte County 2343 Aaron St. • (941) 473-8881

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Hair to Stay

A Sarasota doctor pioneers promising treatments for hair loss. By Hannah Wallace

A 52-year-old woman, brushing her long hair, sees handfuls of individual strands loose in the brush. For all her life, she’s washed, brushed and styled her hair daily. It’s been the source of compliments and a primary focus in her sense of personal beauty. And suddenly, it’s falling out in clumps. Soon there are visible bald spots, noticeable to friends and family—and strangers on the street, who stare. Her confidence about her looks has turned into fear and embarrassment. Hair loss represents a legitimate psychological crisis for many people— especially women, whose hair is tied closely to how they and others assess their looks. (Male-pattern baldness,

SARASOTA HEALTH 2014

while upsetting for many men, is common enough to have gained some measure of acceptance.) Fortunately, physicians have for decades fought to understand, delay and reverse hair loss. And now, a local physician is leading the fight. In a sunlit, seventh-floor office overlooking downtown Sarasota, internationally significant hair-restoration breakthroughs are taking place. Sarasota’s Greco Hair Restoration headquarters is equal parts treatment clinic, research center and state-ofthe-art product development lab. Dr. Joseph Greco, the clinic’s cofounder and a well-known lecturer and researcher, is a middle member of

three generations of hair-loss specialists. (He and two brothers followed in their physician father’s footsteps, and his son is now a dermatologic surgeon at UCLA.) In addition to using a menu of FDA-approved treatment options ranging from transplant surgery to Rogaine foam, Greco has pioneered a type of hair-restoration treatment that combines PRP (platelet-rich plasma) with CRP (cytokine-rich plasma), both derived from the patient’s own blood, using the body’s own cells to stimulate growth. Greco’s biotech company developed the process for harvesting CRP, which is even richer in growth factors than PRP. Greco has referred to it as “liquid gold”—for both its purity and

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‘Life’ iT’s how you Take The ride

PULSE

HAIR TO STAY

its yellowish color. Greco, who’s also Biopsies and blood tests might be on the staff of the University of Paris needed to confirm or rule out some and whose work has been featured causes. Some conditions are permain Vogue, regularly draws patients to nent, but others are temporary or may Sarasota from around the world. be reversible with changes in nutrition It’s normal to lose up to about 100 or simple, noninvasive medical interhairs a day, says Greco. But on a vention. It all depends on you. healthy scalp, the body negates that But PRP/CRP treatments can be loss by growing new hair. Follicles on used in a variety of situations, and your scalp are actively growing hair their benefit is threefold: They can be for anywhere from highly effective on two to six or seven their own; they can years. At any given be paired with other time, around 80 pertreatments, like Some conditions are cent of the hairs on transplant surgery, permanent, but others your head are—or to aid in healing and should be—in this are temporary or may be effectiveness; and growing phase. they use your body’s reversible with changes own cells, so there Then they go into a “resting” phase. are no rejection or in nutrition or simple, What we call “hair medical complicanoninvasive medical loss”—the noticeable tions. The treatabsence of hair— ments are adminisintervention. may be caused by tered through tiny something interferinjections on the ing with that active stage of growth. scalp; depending on the condition, the The hair may not be growing back effectiveness may peak around six quickly, or at all, or the follicle may be months, at which point another treatproducing thinner, more delicate hair ment can continue the effects. that looks sparse. Or if the growth In fact, you may recognize PRP from phase is cut short, the hair will only other applications: It’s already used to grow a certain length and will eventustimulate healing in multiple areas of ally fall out sooner. The cause of that medicine, perhaps most noticeably for regrowth interference dictates what athletes with orthopedic injuries. treatments will be effective—and “Regenerative medicine is the safwhich ones will be expensive, ineffecest, most versatile treatment,” says tive mistakes. Greco. “We’ve done 4,000 treatments In other words, hair restoration is in 30 countries and seen no adverse not one-size-fits-all medicine. “If you side effects.” come in [to a hair restoration clinic] The advantage of combining PRP and everyone is pointed in one direcwith CRP is how the two formulas tion [for treatment], you should run,” work together: PRP has a “timesays Greco. release” effect, but CRP triggers immeThe first step of any treatment plan diate growth. The result is something should be a thorough patient profile. you can both see quickly and count Genetics, diet, disease, trauma, lifeon to continue for a long and healthy style, these can all cause hair loss. growing cycle.

SARASOTA HEALTH 2014

In hair restoration, these proteinrich formulas work in a number of ways—by increasing blood flow, encouraging healing, reducing inflammation and, perhaps most important of all, by triggering the growing phase of the follicle. Take, for instance, traditional transplant surgery: At first, PRP was used after surgery to aid in healing. Then they began to culture the grafts in the patient’s own cells, prior to implanting them. Now, PRP is injected prior to surgery to get the growing phase started even before the grafts are there. Greco also stresses that the effectiveness of PRP can vary widely because the process of deriving the formula from the blood varies, depending on who’s doing the procedure. How rich the platelet-rich plasma really is depends on the centrifuge and the scientists who are using it. As technology improves, the formulas get richer and richer. Greco’s biotech company has now patented a process for freeze-drying your body’s platelets, creating an exponentially richer formula in the form of a sort of powder. Research has also shown that, in certain kinds of hair loss, these treatments actually “turn on” stem cells in the scalp; the PRP/CRP growth factors are reviving otherwise dormant follicle stem cells. These increasingly effective treatments are allowing both men and women to feel there is hope for their disappearing hair. “We get a lot of referrals from hair stylists,” says Greco. But he reiterates that all prospective hair restoration patients should go to someone who specializes in hair in general, rather than someone who specializes in a single type of treatment. “If you don’t treat the root of the problem, nothing works,” he says. n

M E E T T H E FAC E S OF M E E T T H E FAC E S OF

E EX XC CE EL LL LE EN NC CE E

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...provides the highest level of compassionate ...provides the highest level ofcare compassionate and professional orthopedic while treating and professional orthopedic care whileprivacy treating our patients with the utmost respect, our utmost respect, privacy and patients concern.with Ourthe commitment is to get our and concern. commitment towork... get our patients back Our on their feet... backisto patients back on their feet... back to work... back in the game...back to life! back in the game...back to life!

Tidewell Hospice... it’s more than you think. When someone you love is living with advanced illness, it can be necessary to take on the role of full-time caregiver. That’s a special gift, but you can lose a part of what makes the relationship with your loved one so meaningful. Tidewell helps give you back quality time by providing: • Symptom management • Personal care at home • Emotional support • Pain control • 24-hour on-call • And much more

SARASOTA HEALTH 2014

Trust Your Eye Care

to TOP

DOCTORS

Our Practice is Proud to Feature Board-Certified Ophthalmolgists: • Murray Friedberg, M.D. • Pooja Khator, M.D. • Robert Edelman, M.D. • Allison Menezes, M.D. • Scott Silverman, M.D. • Jeffrey Davis, M.D. • Eric Berman, M.D. • Anita Shane, M.D. • Robert Sambursky, M.D. Cataract Lens Replacement Glaucoma Care LASIK Vision Correction

Macular Degeneration Neuro-Ophthalmology Pediatric Eye Care

Murray Friedberg, M.D. Cataract Surgeon & Cornea Specialist

C A S T LE

CONNOLLY

Robert Edelman, M.D. Cataract Surgeon & Glaucoma Specialist

Scott Silverman, M.D. Pediatric Ophthalmologist & Eye Muscle Surgeon

Each Named a “Top Doctor” by Castle Connolly

TOP DOCTO R S

}

1427 S. Tamiami Trail, Sarasota 2020 Cattlemen Rd., Ste. 500, Sarasota 6310 Health Park Way, Ste. 340, Lakewood Ranch

YourEyeDoctors.com • (941) 366-4777

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ASK THE EXPERT In-depth information about the latest medical technology and treatment and how to find the right doctor, hospital or medical centerâ&#x20AC;&#x201D;from the areaâ&#x20AC;&#x2122;s leading medical and dental professionals.

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ASK THE EXPERT

HOW DO YOU GET THE MOST OUT OF HIP REPLACEMENT SURGERY? - By Dr. Alan Valadie

Can you tell us about some of the pos-

bilitation. There is also less time spent in

sible treatments that you might try

the hospital and less restriction on bend-

with a patient prior to recommending

ing and moving after surgery.

surgery?

BLAKE MEDICAL CENTER

Surgery should be the last resort. For

What can a patient do to prepare for

problems that are around the hip, such

surgery and recovery to ensure the best

as bursitis or tendinitis, we can try

possible outcomes?

treatments such as anti-inflammatories,

I really recommend doing research and

stretching programs and physical therapy.

getting as much information as possible.

Even for problems that may eventually

Don’t be afraid to ask a lot of questions.

need surgery, we often start with anti-

Also, it is important to prepare physically

ABOUT

inflammatories, exercise, and diet before

by strengthening the muscles around the

· Blake Medical Center Joint Care Center · Joint Commission certification: joint replacement – hip · Joint Commission certification: joint replacement – knee · Blue Distinction Center+: knee and hip replacement

we talk about surgery.

“The direct anterior approach means much less pain for the patient and a quicker rehabilitation.”

CONTACT

What are the different approaches to

(888) 359-3552 LOCATION

2020 59th St. W. Bradenton, FL 34209 blakemedicalcenter.com

prior to surgery.

hip replacement? An approach is how we access the hip. The lateral and posterior approaches access the hip joint through the side and back of the hip. The direct anterior approach is newer, and I am really impressed by the results I have seen with my patients. I am able to access the hip joint from the front of the hip, allowing me to separate the muscles instead of cutting them. This often means much less pain for the patient and a quicker reha-

SARASOTA HEALTH 2014

hip, eating a good diet, and meeting with your primary care physician and specialists

Orthopedic surgeon Alan Valadie, M.D. is the medical director of Blake Medical Center’s Joint Care Center. He practices with Coastal Orthopedics and Sports Medicine and is a specialist in joint replacement. Blake Medical Center’s Joint Care Center has been recognized for clinical excellence with designations from the Joint Commission for Knee and Hip Replacement.

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ASK THE EXPERT

HOW CAN YOU SAVE ON PRESCRIPTION MEDICATIONS? - By Dulcy Kushmore

Do free prescription medications exist?

BJ’s and Costco do not require member-

Yes. Publix offers a variety of prescription

ship to use their pharmacy for purchasing

medications for free. Part of the mission

prescription medications?

of The Good Samaritan Pharmacy and Health Service is to help the uninsured and

How can Canada Med Services /

underinsured Sarasota County residents in

Discount Prescription Services help?

obtaining their prescription medications.

CANADA MED SERVICES / DISCOUNT PRESCRIPTION SERVICES. ABOUT

Canada Med Services / Discount Prescription Services has been locally owned since 2003. Throughout that time it has saved customers up to 75 percent on prescription medications. For many this has meant the ability to afford their medication versus going without.

Providing a comprehensive combination of tips, assistance and access to discount pharmacies, Canada Med Services /

“Plan ahead—if you know what medications you will be taking over the course of the year, use these tips and resources to set your budget.”

Discount Prescription Services is able to help you reduce the cost of prescription medications by up to 75 percent compared to the local pharmacy prices. This service is best used when you are faced with high co-pays, no prescription coverage, medications not on plan or fall into the Medicare D “donut hole.” Our mail-order services

What other ways can I save on

will help you save time and money.

medications? Plan ahead. If you know what medications you will be taking over the course of the

CONTACT

(941) 927-3600 (877) 917-3600 LOCATION

4119 Bee Ridge Road Sarasota, FL 34233 shobbs@ discountprescriptionservices.com

year, use these tips and resources to set your budget. Pill splitting can save you up to 50 percent on your medication. Be sure to discuss this option with your doctor and pharmacist to make sure that pill-splitting can work for you and the medication you are taking. Wal-Mart offers a 90-day supply for several generic drugs for $10 and will ship for free. Price shop—if you are not using insurance or if you are in the “donut hole,” ask for the cash price from the

Dulcy Kushmore, president, is the proud recipient of the 2013 Sarasota Chamber Frank G. Berlin, Sr. Small Business of the Year - Women Entrepreneur, runner-up 2013 Manatee Chamber Small Business Award and 2012 BIZ 941 Best Boss Award. Samantha Hobbs, vice president, is the proud creator of their “Charity Of Your Choice Program” supporting 32 area nonprofits.

pharmacy so that you can compare prices. Did you know that warehouse stores like

SARASOTA HEALTH 2014

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ASK THE EXPERT

WHY CONCIERGE MEDICINE? - By Dr. Stephen C. Culp and Dr. Kenneth D. Henson

CULP-HENSON PRIVATE CARDIOLOGY AND INTERNAL MEDICINE

Why should I consider enrolling in your

of cardiovascular disease management

concierge medical practice?

expertise with internal medicine experi-

Concierge medical patients enjoy a level of

ence. Our physicians trained at top-tier

access, convenience and communication,

institutions and are board certified in

which are increasingly unavailable in stan-

both internal medicine and cardiovascular

dard practices. Busy working professionals,

diseases. We enjoy providing outpatient

patients with multiple medical problems,

care for acute and chronic medical condi-

international patients, as well as patients

tions and minor injuries, but are equally

seeking to streamline medical communi-

as comfortable in the hospital or intensive

cation and decision making, benefit from

care setting when the need arises.

our enhanced services. Studies indicate that patients treated in a concierge

What services do you provide in your

practice may have lower rates of hospital

office?

admission and readmission than patients

We provide comprehensive care for

in conventional practices. Our practice

everything from a sore throat to complex

does not bill insurance, but collects an

cardiovascular disease. Preventive care,

ABOUT

annual fee. Therefore, we work for our

physical examinations and office visits

Culp-Henson integrates all of your medical care in a single practice with trusted physicians.

patients, not for their insurance company.

are coupled with in-office echocardiog-

We limit the number of enrolled patients,

raphy, vascular ultrasound, stress testing,

assuring personalized care. Our quality of

pacemaker and ICD analysis and rhythm

service makes our practice an affordable

monitoring. We facilitate communication

option for many patients.

with all of your care providers and coordinate your referrals locally as well as out of

CONTACT

(941) 924-4729 LOCATION

3830 Bee Ridge Road Sarasota, FL 34233 culphenson.com

state and abroad.

â&#x20AC;&#x153;Studies indicate that patients treated in a concierge practice may have lower rates of hospital admission.â&#x20AC;?

Culp-Henson Private Cardiology and Internal Medicine combines leading-edge technology with clinical experience and personal service in a caring and

What makes your practice different from other concierge medical practices? We are unique in combining a wealth

SARASOTA HEALTH 2014

compassionate setting.

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HOW CAN YOUR OWN STEM CELLS REVERSE DEGENERATIVE DISEASES? - By Dr. Guy DaSilva

DASILVA INSTITUTE OF ANTI-AGING, REGENERATIVE & FUNCTIONAL MEDICINE ABOUT

· Stem cell certified, BioHeart, Inc. and Ageless Regenerative Institute · Board certified, American Board of Anti-Aging & Regenerative Medicine · Advanced fellow of antiaging, regenerative & functional medicine

What is autologous adult stem cell

Are all stem cell therapies created equal?

therapy?

No. Because autologous stem cells come

Autologous adult stem cell therapy is an

from the patient’s own body, they are

affordable, painless in-office procedure

far more predictable and successful than

that uses your body’s own stem cells to

embryonic or allogenic (donor) stem

naturally regenerate damaged tissue due

cells. Unlike those controversial methods,

to injury or disease.

autologous adult stem cell therapy has no risk of rejection, no side effects, no downtime and no ethical implications.

“Patients can experience permanent improvement or complete disease reversal, with results showing after about 30 days.”

(941) 388-0940 LOCATION

1250 S. Tamiami Trail Suite 203 Sarasota, FL 34239 dasilvainstitute.com

DaSilva

I N S T I T U T E

No, and this is where you need to be careful. Many ill-trained doctors attempt this therapy using “stem cell kits,” unaware of the true viability of the transplanted cells. For guaranteed results, seek a certified

What conditions does it treat? We use this therapy to treat a variety of degenerative conditions, including type 2 diabetes, ALS, erectile dysfunction, Parkinson’s, Alzheimer’s, dementia, atherosclerosis, heart disease, arthritis, inflammatory conditions, sports injuries, critical limb ischemia and COPD.

CONTACT

Can any doctor perform this procedure?

physician. What type of results can I expect? Results are quick and dramatic. If performed correctly, patients can experience permanent improvement or complete disease reversal, with results showing after about 30 days.

How does it work? This simple procedure mimics the body’s natural healing process at a concentrated, accelerated rate. First, a “mini liposuction” removes a small amount of fat under local anesthesia. Approximately 8 million stem cells are isolated from the fat and injected back into the body at the site of injury or disease, where they begin immediately repairing and replacing damaged tissue.

Dr. Guy DaSilva, founder and medical director of the DaSilva Institute, performs autologous adult stem cell therapy for a variety of degenerative conditions. Trained and certified under one of the world’s top stem cell scientists, Dr. DaSilva implements patented methods that guarantee measurable, highly concentrated and highly viable stem cells.

SARASOTA HEALTH 2014

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WHAT IS PATIENT-CENTERED CARE? - By Robert Meade, CEO

What is patient-centered care?

DOCTORS HOSPITAL OF SARASOTA ABOUT

A 155-bed acute and general care facility, including 24/7 emergency room, medical and specialty services as well as outpatient services and diagnostic and rehabilitation services. CONTACT

(941) 342-1100 LOCATION

Doctors Hospital of Sarasota 5731 Bee Ridge Road Sarasota, FL 34233 (941) 342-1100

would benefit our patients. That’s why

At Doctors Hospital of Sarasota, patient-

we ensured that we obtained the most

centered care is the basis of our culture.

advanced robotic system available, includ-

It’s the belief that we are not just treating

ing the training system that allows our sur-

a disease; we are caring for an individual

geons to increase their comfort level with

and family. From the nurses to the lead-

the technology and practice their skills.

ership team, every decision and every

We also continue to invest in the tools that

interaction is guided by what is best for

allow our patients to have a wider range of

the care and comfort of our patients.

options when facing surgery.

“The patient is at the heart of everything we do.”

day-to-day operations?

How does patient-centered care impact It’s at the core of every patient interaction. From all-private rooms to the special touches provided by our concierges and Why is patient-centered care so

patient ambassadors and the personal-

important?

ized care provided by our physicians and

With so many changes in health care

nurses, we put our patients and their loved

today, it’s easy to get caught up in

ones first.

talking about the latest technology or the ever-changing legislative landscape. While Doctors Hospital is committed to advancing our health options via technol-

Robert Meade is the Chief Executive

ogy and new services, it is important to

Officer at Doctors Hospital of Sarasota.

remember that the patient is at the heart

He has served in this role since coming to

of everything we do.

Sarasota from Englewood Community Hospital in 2005. Meade has been with

DoctorsOfSarasota.com

How does patient-centered care impact

HCA, the hospital’s parent company, for

your decision-making process?

30 years. He is dedicated to improving the

It significantly impacts the decisions we

health care of the greater Sarasota area.

make at the hospital. For example, when we decided to offer da Vinci Si Surgical Robot, it was only after we fully understood how having this technology as an option

SARASOTA HEALTH 2014

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WHAT IS BLADELESS LASER CATARACT SURGERY? - By Drs. Foster, McCabe, Silverman and Friedman

What is Bladeless Laser Cataract

gery laser applications. It has the longest

Surgery and how is it different from

track record, compared to other lasers

traditional surgery?

on the market, as it has been used for the

Bladeless laser cataract surgery uses a

most laser cataract procedures in the U.S.

computer-guided laser for many critical

and worldwide.

steps of cataract surgery, whereby tradi-

THE EYE ASSOCIATES ABOUT

· Board certified by the American Academy of Ophthalmology · Bladeless laser cataract surgeons · High-tech lens implant specialists CONTACT

(941) 923-2020 LOCATION

2111 Bee Ridge Road Sarasota, FL 34239 6002 Pointe West Blvd. Bradenton, FL 34209 7915 U.S. Highway 301 N. Ellenton, FL 34222 TheEyeAssociates.com

tional cataract surgery is done manually

Why should patients choose bladeless la-

with a blade. Our Alcon LenSx Bladeless

ser cataract surgery at the Eye Associates?

Laser increases precision by automating

For more than 30 years, the Eye Associates

the most challenging steps. Also, the laser

has set the standard in cataract surgery.

has high-definition imaging that provides

That tradition of excellence continues with

real-time, three-dimensional images that

the FDA-approved LenSx Cataract Laser.

enable our skilled surgeons, Dr. Harris

Our bladeless laser has increased the

Silverman, Dr. Robert Friedman, Dr. Cath-

precision and accuracy of the most critical

leen McCabe and Dr. Brian Foster, to offer

steps in cataract surgery, and is more

patients the most accurate and predict-

gentle than manual surgery. Combining

able outcomes. And the laser can even

that with our seasoned surgical team, Dr.

treat astigmatism.

Harris Silverman, Dr. Robert Friedman, Dr. Cathleen McCabe and Dr. Brian Foster, our patients can relax knowing that they have

“Our patients can relax knowing that they have the most technologically advanced option for cataract surgery.”

the most technologically advanced option for cataract surgery.

The Eye Associates, with locations in Sarasota, Bradenton, Ellenton and Sun City Center, specializes in restoring and

Why did The Eye Associates decide on

improving sight. The doctors and staff

the Alcon LenSx bladeless laser?

take great pride in their expertise,

We always offer our patients the more

knowledge, educational standards and

sophisticated, cutting-edge treatments,

quality patient care. The Eye Associates

and those with a proven track record.

also provides cosmetic, dermatology and

The Alcon LenSx Laser was the first FDA-

hearing services for all ages.

approved laser for all current cataract sur-

SARASOTA HEALTH 2014

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ASK THE EXPERT

WHAT SHOULD YOU KNOW ABOUT ACUPUNCTURE? - By Christina Captain, D.O.M., A.P., S.L.P.

HOW DOES ACUPUNCTURE WORK?

successful practitioner is being effective

While there are many complex theories

in teaching your patients how to care for

about the mechanism of acupuncture, the

themselves through nutrition, exercise,

most common is the theory of qi (energy)

meditation and other types of self-care.

and meridians. Qi being the vital life force that keeps the body’s many systems and

THE FAMILY HEALING CENTER ABOUT

Christina Captain is a nationally board-certified doctor of Oriental medicine and acupuncture physician, and is certified in Jaffe-Mellor Technique, acupuncture injection therapy, facial rejuvenation and Feng Shui.

WHO IS QUALIFIED TO PRACTICE

functions in order, and meridians being

ORIENTAL MEDICINE?

the pathways for the qi to flow, you might

A primary care practitioner who is licensed

say in similar fashion to the circulatory

and board certified in acupuncture and

system. Acupuncture opens the merid-

Oriental medicine has completed a mini-

ians for the energy to flow freely, and this

mum of 2,800 hours of training in addition

flow resolves disharmonies allowing for

to other prerequisite education. Due

homeostasis to occur. This balance assists

to acupuncture’s effectiveness, various

in healing of all kinds from post-surgical

other health care practitioners attempt to

pain to infertility. Current research demonstrates changes

practice acupuncture with little training. Always verify that your acupuncturist

in brain function and chemistry during

is certified by the National Certification

acupuncture, so we understand that the

Commission on Acupuncture and Oriental

needles are not solely working on the spe-

Medicine and is licensed to practice in

cific area being treated but on the body

Florida. Visit ccaom.org and myflorida.gov

as a whole.

for licensure and qualification verification.

“The key in being a successful practitioner is being effective in teaching your patients how to care for themselves.”

West College of Natural Medicine in Sara-

CONTACT

(941) 951-1119 LOCATION

1219 East Ave. S., Suite 104 Sarasota, FL 34239

gree in nutrition science at the University of degree focusing on integrative medicine

WHAT IS ORIENTAL MEDICINE?

from AOMA-Graduate School of Integrative

Oriental medicine is a complete model of

Medicine, Austin, Texas (2016).

medicine that includes acupuncture, herbal medicine, food therapy, qi gong and other healing practices focused across the mind, body and spirit continuum to achieve health and wellness. The key in being a

SARASOTA HEALTH 2014

sota. She is a candidate for a master’s deBridgeport, Conn. (2014) and for a doctoral

familyhealingcenter.com

Dr. Captain earned her degree from East

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WHY ARE FALL PREVENTION AND BALANCE TRAINING IMPORTANT? - By Chip Fisher, P.T.

FYZICAL THERAPY & BALANCE CENTERS ABOUT

Fyzical Therapy & Balance Centers offers a multitude of physical therapy services including: aquatic therapy and underwater treadmill, orthopedic rehabilitation, balance programs, neurological rehabilitation, sports rehabilitation, auto and work injuries, hand specialist, massage therapy and personal training. CONTACT

(941) 378-8977 LOCATION

5922 Cattlemen Lane Sarasota, FL 34232 1599 Main St. Sarasota, FL 34236

FYZICAL.com

How big is the problem?

How can FYZICAL Therapy and Balance

Falls are the leading cause of both fatal

Centers help?

and nonfatal injuries among older adults.

Our therapists realize how important bal-

One out of three adults 65 and older will

ance is for independent living, work activi-

fall each year, but less than half will talk to

ties, exercise, sports and enjoying life. We

their health care provider about it. Annu-

take a whole-body approach to consider

ally, over $40 billion is spent taking care of

whether issues with the vestibular system,

fall related-injuries. The solution to these

spine, hip, knee or feet contribute to im-

balance problems is fall prevention.

balances. Our balance programs focus on strength, endurance, motion, gait training and coordination for safe walking and

“Our patients are coming to us with their own unique set of circumstances which require individualized care to enhance the healing process.”

preventing falls. At FYZICAL, we understand that our patients are coming to us with their own unique set of circumstances which require individualized care to enhance the healing process. This is fundamental in creating a therapy environment that enables people

How can falls be prevented?

to return to a safe level of function. When

Exercise regularly! Staying active not

someone has a fall, it can affect their lives

only makes you feel better, it can also

in so many ways.

prevent most of the issues with balance. Ask your doctor or pharmacist to review your medications regularly. Have your vision examined annually. Make your

FYZICAL Therapy & Balance Centers is a

home safer by removing tripping hazards,

medical- and scientific-based therapy and

securing loose rugs, adding grab bars in

fitness organization with a broad range of

your bathroom and adding nightlights.

expertise. Yet it’s much more than your

When you are out, be aware of loose or

typical physical therapy clinic. The goal at

uneven pavement and take extra time

FYZICAL is to help you discover the

stepping up and down curbs. Consider

pinnacle of healthy living, expand your

FYZICAL therapy to prevent a fall.

boundaries, feel younger and revitalize your health.

SARASOTA HEALTH 2014

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ASK THE EXPERT

WHAT IS BARRETT’S ESOPHAGUS? - By Scott Corbett, M.D.

Can acid reflux become deadly?

firm the presence of Barrett’s tissue and

Yes. When acid reflux causes severe in-

help assess the risk for the individual.

flammation in the esophagus, the healing process can replace the esophageal cells

GASTROENTEROLOGY ASSOCIATES OF SARASOTA

Barrett’s esophagus?

ant of acid. This transformation is called

Most precancerous abnormalities in

Barrett’s esophagus. Although initially

humans are addressed by removing

protective, in some patients continued

the precancerous tissue and preventing

genetic changes in these cells predispose

cancer from occurring. In 2001 the FDA

this tissue to develop into intestinal-like

approved the use of radio-frequency to

cancer in the esophagus. This cancer

treat Barrett’s esophagus. By using this

has the worst prognosis of any human

simple endoscopic method we are able to

malignancy. ABOUT

Diplomate, American Board of Internal Medicine and Subspecialty Board of Gastroenterology Gastroenterology fellowship, University of Miami M.D., New York University School of Medicine

What can be done if I am found to have

with intestinal cells which are more toler-

remove the Barrett’s precancerous tissue and minimize the risk of cancer. During the last decade over 100 peer-reviewed

“Although initially protective, in some patients these cells develop into intestinal-like cancer in the esophagus.”

studies have been published demonstrating the safety, efficacy, cost effectiveness and durability of radio-frequency ablation for treating Barrett’s esophagus. If you or someone you know has this condition, it is likely we can help.

How do I know if I have Barrett’s CONTACT

(941) 365-6556 LOCATION

2089 Hawthorne St., Suite 200 Sarasota, FL 34239 FDHS.com

esophagus? Frequent, prolonged or nocturnal heartburn are a few predisposing factors, but even some patients without symptoms are at risk. If chronic heartburn resolves without therapy this still needs investigation. Currently the best method to detect Barrett’s esophagus is a simple test called “upper endoscopy,” where a gastroenterologist passes a small video camera into the esophagus and stomach while you are sedated. This allows for visualization and sampling of the esophageal tissue to con-

Named a Top Doctor by Castle Connolly Medical for eight consecutive years, gastroenterologist Dr. Scott Corbett has been performing radiofrequency ablation for Barrett’s esophagus since 2005. Dr. Corbett has served on several expert panels and was selected for the authoring committee of the National Barrett’s Registry.

DAVID A. NAPOLIELLO, M.D Minimally Invasive

Advanced Laparoscopic and General Su 38

SARASOTA HEALTH 2014

Fellow American College of Surgeons • Society of L American Hernia Society • Society of American Gastro Board Certiﬁed American Board of Surgery • MA

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HOW DO YOU TREAT HERNIAS? - By David Napoliello, M.D., F.A.C.S.

What is a hernia?

Does hernia surgery require a hospital

Hernias are holes in the abdominal wall

admission?

layer called the “fascia,” allowing the ab-

Most hernia repairs are outpatient. Larger

dominal lining and intestines to protrude.

ventral hernias and hiatal hernias require an admission.

Are there different types of hernias?

DR. DAVID A. NAPOLIELLO

Yes. Types include inguinal hernia, which is located in the groin and generally affects men more than women. There are also umbilical hernias, or “belly button”

ABOUT

hernias, incisional hernias, which can

· Mayo Clinic, minimally invasive surgery fellowship · Penn-State Geisinger, surgery residency · Georgetown University School of Medicine · Bucknell University, B.A. · Board certified, American Board of Surgery · Fellow American College of Surgeons · SAGES

occur in any location that has undergone

CONTACT

(941) 388-9525 LOCATIONS

Venice, Lakewood Ranch and Sarasota davidnapoliellomd.com

D., F.A.C.S.

Founding Member

Surgery

Dr. Napoliello provides management for complex hernias.

surgery, and femoral hernias, usually

Do hernias need to be repaired?

found in slim women.

Hernias will not get better. Some are

A hiatal hernia is an enlargement of the natural hole in the diaphragm that allows

painful, enlarge and protrude further. Emergencies arise if bowel becomes stuck

the esophagus to pass to the stomach.

within a hernia (incarcerated), or bowel

Symptoms include difficulty swallowing,

death (strangulation). Classically, small,

breathing and gastro-esophageal reflux

asymptomatic hernias can be followed if a

disease. Spigelian hernias, in the lower, lateral

patient wishes to avoid surgery, although studies show a number of these patients

quadrants of the abdomen, and lumbar

will eventually need emergency surgery.

hernias, toward the lower lateral back and

Cases should be talked over with the pa-

flanks, are more rare.

tient’s primary doctor and surgeon.

What types of surgery exist? There are two main approaches to hernia repair: “open repairs” and “laparoscopic

Dr. David A. Napoliello has had a special

repairs.” Laparoscopy is considered

interest in hernias for nearly 20 years. As

minimally invasive; however, some open

an original consultant for the Origin Corp.,

techniques are minimally invasive, too.

a pioneer in laparoscopic hernia repair, he

Most hernia repairs use mesh patches,

helped train other surgeons in these new

which lowers recurrence rates. Classic “non-mesh” repairs are reserved for inguinal and small umbilical hernias. I perform

techniques. He’s been named to Castle Connolly’s Top Doctors list for six consecutive years.

both open and laparoscopic approaches.

urgical Procedures

Laparoendoscopic Surgeons ointestinal Endoscopic Surgeons AYO Alumni Association

SARASOTA HEALTH 2014

ADVER TI SEMENT

ASK THE EXPERT

FAT OR FICTION? - By Braun Graham, M.D., F.A.C.S.

How have fat injections to the face im-

How long do fat injections last?

proved the results of facelift surgeries?

Scientific studies demonstrate that ap-

Facial aging is a combination of stretch-

proximately 70 percent of the fat cells that

ing and sagging of the facial tissues as

are injected survive. The 30 percent of cells

well as loss of the youthful fat volume

that don’t survive gradually disappear over

in the face. Surgically moving lax facial

the first three months. The remaining fat

skin uphill without addressing the facial

cells survive for the lifetime of the patient.

volume loss may create surgical results

SARASOTA PLASTIC SURGERY CENTER ABOUT

Sarasota Plastic Surgery was founded in 1991 with the aim of continually pursuing excellence in plastic surgery. CONTACT (941) 366-8897 bgraham@sarasotaplasticsurgery.com

that appear pulled and unnatural. Adding

Do facial fat injections have any other

fat to volume-depleted areas of the face

benefits?

during surgery restores the volume loss

Clinical observations have shown that the

and results in a more refreshed, natural

facial skin overlying the fat injection sites

appearance.

can slowly improve in appearance, texture and sometimes pore size. This secondary benefit is thought to be due to the pres-

“Approximately 70 percent of the fat cells that are injected survive.”

How is fat added to the face? LOCATION

Most middle-aged patients undergoing

2255 S. Tamiami Trail Sarasota, FL 34239

facelift surgery have some extra deposits of

sarasotaplasticsurgery.com

fat in the lower abdomen or hip areas that are useful sites to obtain fat for re-injection. The fat is harvested by gentle liposuction using a small instrument introduced through a puncture in the skin. The fat is processed and immediately re-injected into the face in micro-droplets that will survive without moving out of position.

SARASOTA HEALTH 2014

ence of adult stem cells that reside with the fat that is injected. More lab studies are ongoing to prove this theory.

Dr. Graham is board certified by the American Board of Plastic Surgery. He has practiced in Sarasota for the past 29 years. He is the Immediate Past President of the Florida Society of Plastic Surgeons and the upcoming President of the Southeastern Society of Plastic and Reconstructive Surgeons.

ADVER TI SEMENT

ASK THE EXPERT

WHAT IS MACULAR DEGENERATION? - By Melvin C. Chen, M.D.

Who gets age-related macular

SARASOTA RETINA INSTITUTE (SRI) ABOUT

All of SRI’s physicians are board certified by the American Academy of Ophthalmology and fellowship trained.

degeneration?

mal blood vessels underneath the retina.

This condition, most commonly, affects

These vessels leak or bleed, resulting in a

people above the age of 60 years and who

rapid loss of vision due to changes in the

often have a positive family history. Other

normal anatomy of the macula as well as

contributing factors can include exposure

retinal tissue damage/loss. Advanced dry

to ultraviolet light, obesity, poor diet and

AMD causes slower loss of vision due to

smoking. Women have a greater risk than

retinal tissue degeneration.

men. What is the treatment for AMD? There is no treatment for early-stage

“In advanced-stage AMD there’s significant loss of central vision.”

(941) 921-5335

degeneration? Early-stage AMD is asymptomatic and generally diagnosed during an eye ex-

LOCATION

amination by an ophthalmologist. As the

Main Office 3400 Bee Ridge Road Suite 200 Sarasota, FL 34239

condition progresses, there is difficulty

sarasotaretinainstitute.com ADDITIONAL LOCATIONS:

Bradenton, Venice and Port Charlotte

AMD. Intermediate-stage AMD is treated with nutritional supplements in the form of the AREDS2, as recommended by the National Eye Institute. Advanced wet AMD is currently treated with injections of

How do I know if I have macular CONTACT

associated with the in-growth of abnor-

in adjusting one’s sight from a brightly

drugs, anti-VEGFs, that inhibit the growth of blood vessels. Occasionally, laser therapy may be necessary. In the case of stable advanced AMD, vision may be enhanced with the use of a special lens called an implantable miniature telescope (IMT).

lighted environment to one dimly/darkly lighted. In intermediate-stage AMD, one may also note a mild decrease in vision and/or distortion. In advanced-stage AMD there’s significant loss of central vision, and in rare situations, a loss of

Dr. Melvin C. Chen is certified by the American Board of Ophthalmology, a Fellow of the American Academy of

peripheral vision.

Ophthalmology and American College of

What is the difference between wet

of the American Society of Retina

and dry advanced AMD? Both conditions cause a significant loss

Surgeons (F.A.C.S.). He is also a member Specialists, Florida and Sarasota County Medical Societies.

of central vision. However, wet AMD is

SARASOTA HEALTH 2014

ADVER TI SEMENT

ASK THE EXPERT

WHAT IS SPORTS MEDICINE? - By Gary Shapiro, M.D.

How did you get into sports medicine?

Do I have to be an athlete to be seen by

An injury that sidelined me as a high

Dr. Shapiro?

school senior sparked my initial interest. I

I treat all kinds of patients, not just athletes.

studied mechanical and biomedical engi-

My patients—whether professional or rec-

neering at The Ohio State University and

reational athletes as well as non-athletes—

completed my medical degree at Wright

receive the same level of care and service,

State University School of Medicine

and I treat each patient based on his or her

followed by my orthopedic residency at

individual condition and goals.

SHAPIRO SPORTS MEDICINE

Hospital.

ABOUT

sity in a sports medicine fellowship where

help return them to their sports or activities

the Wright State University, Miami Valley Next I spent a year at Stanford Univer-

Shapiro Sports Medicine is a specialty practice located within Kennedy-White Orthopaedic Center, providing comprehensive orthopedic care by board-certified physicians in Sarasota for more than 30 years.

When someone who enjoys being physically active becomes injured, typically they look for comprehensive treatment that will

I assisted in the care of college and profes-

as quickly as possible. I have built years of

sional athletes. I also performed the first

experience in sports-related injuries and

meniscal transplant at Stanford University.

conditions related to physical activity. I combine that expertise to develop treatment and rehabilitation plans tailored to

“I have built years of experience in sports-related injuries.”

each patient and designed to achieve the most positive outcome.

CONTACT

(941) 365-0655 LOCATION

6050 Cattleridge Blvd. Sarasota, FL 34232 shapirosportsmedicine.com kwoc.net

What is your philosophy of care? During my medical education and throughout my professional career, I have strived to master the skills and talents required to help athletes maintain optimum health and peak performance. I understand how it feels to love what you do and desire to deliver your personal best every day — whether on the court, playing field or operating room.

SARASOTA HEALTH 2014

Dr. Gary Shapiro is among an elite cadre of physicians who received their sports medicine fellowship training at Stanford University. Since starting his practice in 1993, he has helped numerous athletes return from potentially career-ending injuries. Athletes and anyone who enjoys being physically active, regardless of age, turn to Dr. Shapiro for his expertise in orthopedic and sports medicine.

ADVER TI SEMENT

ASK THE EXPERT

HOW CAN SKIN CANCER BE DETECTED EARLIER? - By David S. Sax, M.D.

UNIVERSITY PARK DERMATOLOGY ABOUT

Dr. Sax started University Park Dermatology practice in Sarasota in 2001 and its adjoining medical spa Sanctuary at the Park in 2006.

Who gets skin cancer?

What technologies are available to help

Anyone can get skin cancer, but common

detect melanoma?

risk factors include ultraviolet light exposure,

Beyond visual inspection with regular

genetics and family history, history of sun-

screenings, there are several tools that can

burns, or people with fair skin, blue eyes and

be helpful for the dermatologist. In our

blonde hair. Skin cancer is very common,

office we use digital photography as well

and millions of people a year are affected.

as useful tool called a dermatoscope. Our digital dermatoscope device magnifies the mole or lesion, which can aid in early diag-

“Our digital dermatoscope device magnifies the mole or lesion, which can aid in early diagnosis of skin cancer.”

nosis of skin cancer. We also are the first office in Sarasota to use Melafind, which is a unique computerized device that scans moles with different wavelengths of light to detect melanoma in its earliest, most curable stage.

What does skin cancer look like? There are several types of skin cancer,

CONTACT

each of which can have a different appear-

(941) 360-2477

ance. Melanoma is the deadliest form of skin cancer, but it is 99 percent curable

LOCATION

8451 Shade Ave. Suite 205 Sarasota, FL 34243 13145 King Lakes Drive Suite 104 Gibsonton, FL 33534 upderm.com

when detected and treated early. Knowing the early warning signs or, ABCDEs, of melanoma, can be helpful in early detection: (A) asymmetric lesions, (B) irregular or jagged borders, (C) varied color or pigmentation, (D) diameter larger than a pencil eraser, and (E) evolving or changing skin lesion. Squamous cell carcinoma can appear as a red bump or scaly patch that doesn’t heal. Basal cell carcinoma is the most common

As the recipient of a full science scholarship to Penn State University, Dr. Sax graduated Phi Beta Kappa with honors for his two bachelor’s degrees. He completed medical training at Thomas Jefferson University, his internship at Penn State Medical Center, and dermatology residency at the University of Michigan. He then spent an additional year in Columbus, Ohio, training in skin cancer surgery, including Mohs Micrographic Surgery.

form of skin cancer and can appear as a pimple-like lesion or pearly bump.

SARASOTA HEALTH 2014

ADVER TI SEMENT

ASK THE EXPERT

WHAT IS THE ADVANTAGE OF ZIRCONIA IMPLANTS? - By Dr. Burr Bakke

WORLD CLASS DENTISTRY

What makes zirconia implants different?

Do they corrode?

Zirconia dental implants are made from

Zirconia is a biocompatible material that is

zirconium, a porcelain glass material. After

resistant to chemical corrosion, nor will it

processing and sintering the material, it

conduct electricity or heat. As a bio-inert

is metal-free and incredibly strong. In

material, it will never trigger chemical

fact the porcelain crowns we use today

reactions, migrate to other areas in the

are zirconia. Metal implants are made of

body or interfere with the maintenance of

titanium alloy.

optimal oral health. How long have they been in use? Zirconia implants have been used in

ABOUT

Places and restores implants for optimal health, function, longevity and seamless startto-finish consistency. CONTACT

(941) 914-9342

â&#x20AC;&#x153;Zirconia implants make for beautiful color-matching capabilities to the new crowns.â&#x20AC;?

Any allergies or sensitivity to them? At present there are no known allergic

LOCATION

responses to zirconia implants, where

3951 Swift Road Sarasota, FL 34231

population is allergic to titanium now.

between 5 percent and 12 percent of the

Europe for 15 years. They were approved by the FDA in the United States four years ago. Many European experts who have done testing and studies have begun using zirconia implants exclusively. What else is new in implant technology? The All On Four technology allows for implants and fixed teeth to be placed the same day as the surgery.

Zirconia implants are very tissue-friendly, sarasotadentist.com

and we find the tissue grows around the implant beautifully. How do they look? Zirconia implants are white in color, very tissue-adaptable and make for beautiful color-matching capabilities to the new crowns. Conversely, any metal that gets exposed in a titanium implant looks gray and can show through from under the tissue. Not so with the zirconia implant.

SARASOTA HEALTH 2014

Dr. Burr Bakke is a fellow in the American Academy of Implant Dentistry and the International Congress of Oral Implantology, and a member of the American Academy of Implant Dentistry. He has been practicing dentistry for 29 years.

ADVER TI SEMENT

ASK THE EXPERT

WHAT’S NEW AT WORLD CLASS DENTISTRY? - By Dr. Jill Morris

WORLD CLASS DENTISTRY

Is there anything new you’ve learned

What’s new in the field of cosmetic

over the past year?

dentistry?

Dr. Bakke and I both graduated from the

Many Americans have narrow dental

American College of Integrative Medicine

arches stemming from eating processed

and Dentistry in July. We learned about

foods as children. Or without breastfeed-

the relationship of dentistry to the whole

ing, their dental arches did not develop

body and how we can help our patients

normally. Or they had teeth pulled for

more holistically with our metal-free den-

their braces, which could create narrow

tistry and implants.

arches. As adults they may develop TMJ, sleep apnea or a variety of problems. We now have removable appliances that can

ABOUT

broaden adult arches and open the airway.

Accredited by the American Academy of Cosmetic Dentistry; American Academy of Dental Facial Esthetics fellow; member of American Academy of Dental Sleep Medicine; practicing dentistry for 25 years.

“We can help our patients more holistically with our metal-free dentistry and implants.”

CONTACT

Yes, those silver fillings are around 50

(941) 914-9342

percent mercury. Mercury vapor, a known

What’s new in veneers? I now have a 27-year track record with veneers. They are holding up amazingly well. Our porcelains are much harder than they were even five years ago, and the

Are there changes in how you replace silver fillings?

colors are better. Veneers give people a dazzling smile and come in many designs customized to satisfy the patient.

neurotoxin, escapes from the filling no LOCATION

matter how long it’s been in the mouth.

3951 Swift Road Sarasota, FL 34231

When I remove the mercury, I protect the

sarasotadentist.com

patient, myself and my dental assistant. If a tooth breaks, are there any alternatives to crowns? Yes, due to advances in our dental adhesives, we can create porcelain pieces that replace the missing part of the tooth without grinding down the whole tooth. It fits

In private practice in the Sarasota area for more than 25 years, Dr. Jill Morris is one of only 350 dentists accredited by the American Academy of Cosmetic Dentistry. She has served as a post-doctoral instructor, journal editor and test product consultant. Her Sarasota practice was featured in the book How to Create an Exceptional Aesthetic Practice.

into the tooth like a puzzle piece. The less we drill, the fewer traumas to the nerve.

SARASOTA HEALTH 2014

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Our exclusive listing of the most recommended dental specialists in Sarasota and Manatee. We’ve partnered with topDentists™ to publish this list of the best dentists in our region. They were selected for inclusion in the prestigious topDentists™ database by their peers, who were asked to take into consideration years of experience, continuing education, manner with patients, use of new techniques and technologies and, of course, physical results.

“If you had a patient in need of a dentist, which dentist would you refer them to?” This is the question we’ve asked thousands of dentists to help us determine who the topDentists should be.

listed online with their local dental societies, thus allowing virtually every dentist the opportunity to participate. Dentists are also given the opportunity to nominate other dentists who we have missed that they feel should be included in our list. Of course, there are many fine dentists who are not included in this representative list. A dentist’s inclusion is based on the subjective

The nomination pool of dentists consists

judgments of his or her fellow dentists.

of dentists listed online with the American

Listings cannot be purchased, and no

Dental Association, as well as all dentists

payment is required to be listed.

This list is excerpted from the 2014 topDentists™ list, a database that includes listings for more than 90 dentists and specialists in the Sarasota area. The Sarasota list was based on hundreds of detailed evaluations of dentists and professionals by their peers. The complete database is available at www.usatopdentists.com. For more information call (706) 364-0853; write P.O. Box 970, Augusta, GA 30903; email info@usatopdentists.com or visit www.usatopdentists.com. topDentists has used its best efforts in assembling material for this list but does not warrant that the information contained herein is complete or accurate, and does not assume, and hereby disclaims, any liability to any person for any loss or damage caused by errors or omissions herein whether such errors or omissions result from negligence, accident, or any other cause. Copyright 2011-2014 by topDentists, LLC, Augusta, GA. All rights reserved. This list, or parts thereof, must not be reproduced in any form without permission. No commercial use of the information in this list may be made without permission of topDentists. No fees may be charged, directly or indirectly, for the use of the information in this list without permission. SARASOTA HEALTH 2014

Endodontics William H. Aippersbach 321 Nokomis Ave. S., Suite S1 Venice, FL 34285-2452 (941) 484-8740

Joseph L. DeJongh Manatee Endodontics 2111 59th St. W. Bradenton, FL 34209-7015 (941) 792-4166 manateeendodontics.com

L. Carl DeJongh Manatee Endodontics 2111 59th St. W. Bradenton, FL 34209-7015 (941) 792-4166 manateeendodontics.com

David D. Fabre Manatee Endodontics 2111 59th St. W. Bradenton, FL 34209-7015 (941) 792-4166 manateeendodontics.com

Sheldon R. Mann 1515 S. Osprey Ave., Suite A2 Sarasota, FL 34239-2918 (941) 366-0474 endomann.com

Marineyda Oyola Sarasota Endodontics 3900 Clark Road, Building Q Sarasota, FL 34233 (941) 922-4948 sarasotaendodontics.com

Hans R. Salheiser 3400 S. Tamiami Trail, Suite 203 Sarasota, FL 34239-6093 (941) 952-5151 sarasotaendodontist.com

Michael P. Sardzinski 1172 Jacaranda Blvd. Venice, FL 34292-4501 (941) 492-3570

Dennis S. Siddiqi 3440 Tamiami Trail, Suite 3 Port Charlotte, FL 33952-8134 (941) 627-8022

Adam P. Strimer Manatee Endodontics 2111 59th St. W. Bradenton, FL 34209-7015 (941) 792-4166 manateeendodontics.com

John M. Wheeler

George W. Castro Paradise Dental 1711 Lakewood Ranch Blvd. Bradenton, FL 34211-4906 (941) 744-1226 paradisedental.org

Jeffrey A. Chirillo Dentistry by Design 130 S. Indiana Ave., Suite B Englewood, FL 34223-3301 (941) 475-2442 drchirillo.com

Thomas T. Doan Exceptional Dentistry of Sarasota 1999 Lincoln Drive, Suite 102 Sarasota, FL 34236-9120 (941) 365-4418 exceptionaldentists.com

Michael R. Dorociak 3900 Clark Road, Suite J5 Sarasota, FL 34233 (941) 924-1100 sarasotafamilydental.com

Dearl C. Duncan 5306 Cortez Road W., Suite 1 Bradenton, FL 34210-2821 (941) 792-1440 dearlduncandds.com

Mark T. Elfervig 1906 59th St. W., Suite A Bradenton, FL 34209-4639 (941) 795-0144 drmarkelfervig.com

Douglas R. Fabiani The Sarasota Dental Group 3333 Clark Road, Suite 140 Sarasota, FL 34231-8433 (941) 926-0000 sarasotadentalgroup.com

Craig P. Georgiades 3900 Clark Road, Suite E4 Sarasota, FL 34233-2373 (941) 924-2880

Richard B. Gilleland 2496 Caring Way Port Charlotte, FL 33952-5336 (941) 627-9900 caringwaydentistry.com

Shaun D. Graser Advanced Dentistry 321 Nokomis Ave. S. Venice, FL 34285-2452 (941) 485-1191 drgraser.com

Gregg G. Hassler, Jr.

2217 Stickney Point Road Sarasota, FL 34231 (941) 921-3003

232 Milan Ave. W. Venice, FL 34285 (941) 486-8883 hasslerdental.com

General Dentistry

Timothy G. Herring

Joel Terry Alford Advanced Dental Cosmetic Center 6220 Manatee Ave. W., Suite 401 Bradenton, FL 34209-2363 (941) 792-3033 adcc.us

SARASOTA HEALTH 2014

1445 S. Osprey Ave. Sarasota, FL 34239-2915 (941) 366-3894 sarasotafloridadentist.com

Michael F. Hughes

Allison L. Oâ&#x20AC;&#x2122;Brien

1205 Jacaranda Blvd. Venice, FL 34292-4519 (941) 497-4702 drmichaelhughes.com

Comprehensive Dental Care of Lakewood Ranch 6975 Professional Parkway E. Sarasota, FL 34240-8472 (941) 373-3904 lwrdentalcare.com

Walter C. Janson Jr. 4044 Sawyer Road Sarasota, FL 34233-1272 (941) 929-9580

Jennifer L. Jaworski 2420 Tamiami Trail N. Nokomis, FL 34275-3421 (941) 966-7226 jenniferjaworskidmd.com

Douglas C. Jungman Zamikoff, Klement, Jungman Varga 2103 59th St. W. Bradenton, FL 34209-7015 (941) 792-2766 zkjdental.com

Lance A. Karp The Sarasota Dental Group 3333 Clark Road, Suite 140 Sarasota, FL 34231-8433 (941) 926-0000 sarasotadentalgroup.com

Lisa Klein

Roy A. Parker 4016 Ninth Ave. Bradenton, FL 34205 (941) 748-7403

Mary Porter Meadows Dental Associates 4987 Ringwood Meadows Sarasota, FL 34235-2033 (941) 377-3659 meadowsdentalassociates.com

Michelle M. Scala-Frenchman 1805 Bayshore Gardens Parkway Bradenton, FL 34207-4706 (941) 755-6477 drfrenchman.com

Monica Scheurer 1215 Beneva Road Sarasota, FL 34232-3152 (941) 366-4553 sarasotacosmeticdentists.com

Venice Dental Associates 1740 E. Venice Ave., Unit Six Venice, FL 34292-3193 (941) 484-6400 venicedentalassociates.com

Deborah L. Simpkins

Robert J. Klement

Mitchell M. Strumpf

Zamikoff, Klement, Jungman & Varga 2103 59th St. W. Bradenton, FL 34209-7015 (941) 792-2766 zkjdental.com

Smile Sarasota 2389 Ringling Blvd., Suite C Sarasota, FL 34237-6142 (941) 957-3311 smilesarasota.com

Christine Koval

R. Scott Thompson

Koval and Koval Dental Associates 2477 Stickney Point Road, Suite 216A Sarasota, FL 34231-4068 (941) 315-8900 askdrkoval.com

Tarpon Shores Dental 1314 E. Venice Ave., Suite F Venice, FL 34285-7160 (941) 488-7910 tarponshoresdental.com

Nicole Lehninger

Dorothy A. Tiberii

Goldola Park 200 Capri Isles Blvd., Suite 1 Venice, FL 34292-2335 (941) 484-3885 arthuracker.com

7162 Beneva Road Sarasota, FL 34238 (941) 927-8287 yoursmiledoc.com

Anthony Leonards 3850 S. Osprey Ave. Sarasota, FL 34239-6831 (941) 313-3844 familydentistree.com

Aesthetic & Reconstructive Dentistry 836 Sunset Lake Blvd., Suite 202 Venice, FL 34292-7556 (941) 492-2967 drwilliamurschel.com

Francisco Marcano-Soltero

Andrew I. Varga

Sarasota Center for General Dentistry 7315 Merchant Court, Suite B Sarasota, FL 34240-8463 (941) 907-7792 smilesofsarasota.com

Zamikoff, Klement, Jungman & Varga 2103 59th St. W. Bradenton, FL 34209-7015 (941) 792-2766 zkjdental.com

William H. McElveen III

Shanaka L. Weerasooriya

1980 Lincoln Drive Sarasota, FL 34236-9114 (941) 951-6188 bestsarasotasmiles.com

Tarpon Shores Dental 1861 Placida Road, Suite 105 Englewood, FL 34223 (941) 474-9548 tarponshoresdental.com

3212 Gulf Gate Drive Sarasota, FL 34231 (941) 921-2122 DeborahSimpkinsDMD.com

William K. Urschel

Oral and Maxillofacial Surgery Mark Burne North Port Oral Surgery 2787 Sycamore St., Building F, Suite 106 North Port, FL 34289 (941) 423-1750 site.northportoralsurgery.com

David Christian Bradenton Oral Surgery Center 2902 59th St. W., Suite H Bradenton, FL 34209 (941) 794-1788 bradentonosc.com

Scott A. Middleton Middleton Oral Surgery 2902 Bee Ridge Road Sarasota, FL 34231 (941) 926-9100 srqimplant.com

Craig M. Misch Misch Implant Dentistry 120 S. Tuttle Ave., Suite 220 Sarasota, FL 34237 (941) 957-6444 bonegraft.com

James Brian Murphy Implants Oral & Facial Surgery Center 3940 Swift Road Sarasota, FL 34231-6541 (941) 923-0033 sarasotaoralsurgery.com

Cara D. Overbeck 1040 E. Venice Ave. Venice, FL 34285-7162 (941) 488-8788 caraoverbeck.com

Todd J. Reuter 3300 S. Tamiami Trail, Suite 7 Sarasota, FL 34239 (941) 365-3388 sarasotaoms.com

Patricia Scott 3443 Tamiami Trail, Suite A Port Charlotte, FL 33952-8159 (941) 625-8500

Jeffrey R. Smith Troxler and Smith Oral Surgery Associates 3914 Ninth Ave. W. Bradenton, FL 34205-1704 (941) 747-5597 troxlerandsmithoral surgeryassociates.com

Thomas C. Troxler Troxler and Smith Oral Surgery Associates 3914 Ninth Ave. W. Bradenton, FL 34205-1704 (941) 747-5597 troxlerandsmithoral surgeryassociates.com

Orthodontics Michael C. Alpern Michael C. Alpern Pediatric and Adult Orthodontics 3100 Port Charlotte Blvd. Port Charlotte, FL 33952-5157 (941) 629-2221 winningsmiles.com

Aaron W. Carroll Carroll & Sutton Orthodontics 3045 Bobcat Village Center Road North Port, FL 34288 (941) 257-2000 csorthodontics.com

Lynn Dettenmayer Dettenmayer Orthodontics 2477 Stickney Point Road, Suite 214A Sarasota, FL 34231-4068 (941) 923-3181 dettenmayerorthodontics.com

Jesse Ehrlich Ehrlich and Sallapudi Orthodontics 140 Indian Ave. Venice, FL 34285-2629 (941) 485-7006 crossbite.com

David H. Freeman Freeman Orthodontics 3300 S. Tamiami Trail, Suite 8 Sarasota, FL 34239-5100 (941) 953-7500 freemanorthodontics.com

James A. Morrish Jr. Morrish Orthodontics 708 43rd St. W. Bradenton, FL 34209-3921 (941) 746-2463 morrishortho.com

Francis Pazulski 3982 Bee Ridge Road, Suite B Sarasota, FL 34233-1210 (941) 955-7361

Michael Radell Radell Orthodontics 3900 Clark Road, Bldg. A, Suite 2 Sarasota, FL 34233 (941) 923-1885 radellorthodontics.com

Nitin Sallapudi Ehrlich and Sallapudi Orthodontics 140 Indian Ave. Venice, FL 34285-2629 (941) 485-7006 crossbite.com

Michael A. Sutton Carroll & Sutton Orthodontics 3045 Bobcat Village Center Road North Port, FL 34288 (941) 257-2000 csorthodontics.com

Jeffrey S. Thompson Orthodontic Specialists 4008 Ninth Ave. W. Bradenton, FL 34205-1706 (941) 746-7226 drjeffreysthompson.com

Steven H. Tinsworth

Javier E. Gonzalez-Toledo

Tinsworth Orthodontics 1500 59th St. W. Bradenton, FL 34209-4634 (941) 792-1533, tinsworth.com

Sarasota Periodontal Associates 1830 S. Tuttle Ave. Sarasota, FL 34239-3112 (941) 366-6161 sarasotaperiodontal.com

Pediatric Dentistry Ronald S. Acquaro Childrenâ&#x20AC;&#x2122;s Dentistry of Manatee 5714 21st Ave. W. Bradenton, FL 34209-5606 (941) 792-6272 manateekidsdentist.com

Jerry R. Hynton 2225 59th St. W., Suite A Bradenton, FL 34209-7006 (941) 792-6641

Jeffrey Janoff Janoff & Khatri Pediatric Dentistry 333 Miami Ave. W., Suite 3 Venice, FL 34285 (941) 484-2629, JanoffandKhatri.com

Nilofer A. Khatri Janoff & Khatri Pediatric Dentistry 333 Miami Ave. W., Suite 3 Venice, FL 34285 (941) 484-2629 JanoffandKhatri.com

Silas McAninch 2711 S. Tamiami Trail Sarasota, FL 34239-4507 (941) 953-3535, drmcaninch.com

Maribel Santos-Cordero Dentistry for Children and Adolescents 7315 Merchant Court, Suite A Sarasota, FL 34240-8463 (941) 907-7762 sarasotachildrendentistry.com

Leslie A. Thompson 1882 59th St. W. Bradenton, FL 34209-4630 (941) 792-9392

Periodontics Jack H. Corn 80 S. Tuttle Ave., Suite 100 Sarasota, FL 34237-6344 (941) 373-1616 drjackcorndmd.com

Lindsay Eastman Eastman Periodontal Specialist and Dental Implants 6310 Health Park Way Suite 240 Bradenton, FL 34202 (941) 351-3000 eastmanonline.com

Michael P. Evans 2904 Bee Ridge Road, Sarasota, FL 34239 (941) 379-5981

Lewis E. Hanan Sarasota Periodontal Associates 1830 S. Tuttle Ave. Sarasota, FL 34239-3112 (941) 366-6161 sarasotaperiodontal.com

Susan D. LaMar 1531 Tamiami Trail S., Suite 701 Venice, FL 34285-5575 (941) 497-5591

Michael A. Pawlus 1901 Floyd St., Suite 303 Sarasota, FL 34239-2932 (941) 923-2288 drmichaelpawlus.com

Thomas G. Rubino Periodontal Specialist and Dental Implants 1906 59th St. W., Suite G Bradenton, FL 34209-4639 (941) 792-0029 bradentonperio.com

John Russo Russo Periodontics 1704 Bay Road Sarasota, FL 34239-6810 (941) 955-3100 russoperio.com

Prosthodontics Ginger R. Chasolen 1215 East Ave., S. Suite 202 Sarasota, FL 34239-2353 (941) 955-8887

Howard M. Chasolen Chasolen Education & Research Center 2033 Wood St., Suite 125 Sarasota, FL 34237-7933 (941) 957-0063 howardchasolen.com

Katherine E. Misch Misch Implant Dentistry 120 S. Tuttle Ave., Suite 220 Sarasota, FL 34237 (941) 957-6444 bonegraft.com

Gregory Rutherford 3300 S. Tamiami Trail #1 Sarasota, FL 34239 (941) 365-5235

Irving I. Zamikoff Zamikoff, Klement, Jungman & Varga 2103 59th St. W. Bradenton, FL 34209-7015 (941) 792-2766 zkjdental.com

N. Joseph Farris Sarasota Periodontal Associates 1830 S. Tuttle Ave. Sarasota, FL 34239-3112 (941) 366-6161 sarasotaperiodontal.com SARASOTA HEALTH 2014

“Every Day is a New Normal” Three caretakers share stories and advice. By Ilene Denton | Photography by CHRIS LAKE

he statistic is shocking: 63 percent of elderly people caring for a spouse with a debilitating disease pass away before their loved one, according to the Journal of the American Medical Association. Caregivers are so immersed in their daily responsibilities that they tend not to exercise, eat right,

socialize or keep their own doctor appointments, says Pam Baron, M.S.W., director of senior services at Jewish Family and Children’s Services of the Suncoast (JFCS). “There’s more stress, lack of sleep, poor nutrition, depression. That’s the danger with burnout,” she says. With nearly one in three residents age 65 or older, Sarasota County is the oldest large county in the nation. Several local social service agencies offer support groups for people caring for loved ones with Alzheimer’s disease, Parkinson’s, neuropathy, vascular issues, macular degeneration and general frailty. “Sarasota has some incredible resources, but they’re not as well utilized as they could be,” says Baron. At JFCS, besides sharing stories and coping skills, caregiver group participants learn meditation and yoga. “The key is to keep the caregiver healthy and as emotionally strong as possible,” Baron says. “By helping you cope, it’s going to be better for your care partner.”

“Sometimes I Just Need to Cry” Carrie Santostasi cares for her mother, Nina, 83, who was diagnosed with Alzheimer’s five years ago. She and her father, Nick, 85, recently moved Nina to the memory care unit of a local assisted living facility. “Dad’s been caring for Mom, and I’ve been helping spell him. When she stopped sleeping through the night and he ended up in the hospital, he realized that he had to place her. Last week he said that he’s ready to sell the house. He’s going to a retirement center, which makes me feel better.”

SARASOTA HEALTH 2014

“There’s a lot of help out there—classes and support groups. I had to push Dad to attend a Senior Friendship Center support group with me while Mom spent time in The Living Room [the center’s adult day care program]. He’s a stubborn Italian, but fortunately we get along well. He goes to visit Mom every morning or afternoon and I go in the evening after work.” “Everything in this process is difficult, but there’s always a blessing. My mom hardly talks, but we hold hands, we kiss, we go for a walk. It’s so sweet.” “My sister-in-law was very close to her parents like I am, and she’s good support for me. Sometimes I just need to cry, and she is wonderful. I have good friends, a

wonderful church, a lot of prayer and a lot of support.” “The best advice I got was from someone who said read everything so you know how bad it could get, but don’t let your mind go there. Start planning; go to the attorney and get all the paperwork done.” “I make sure Dad and I get our nutrition and sleep. Getting enough sleep is No. 1; without rest you can’t really cope with anything else.” “My brothers live out of town, and I make them aware of any large decision. They come down; the grandchildren have been here. I send pictures. I encourage them to visit while she still knows who they are.”

“Everything in this process is difficult, but there’s always a blessing,” says Carrie Santostasi, shown here with her mother, Nina.

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“Gather a support system; people who you can depend on,” says Maureen Flanagan, second from left, with her mother, Maureen Feeney, daughter Meghan, and late father Thomas Feeney.

“I Do This Because My Parents Paid It Forward”

44 million Americans age 18 and older provide unpaid assistance and support to older people and adults with disabilities.

For eight years, from her home in Warwick, R.I., Maureen Flanagan has been overseeing the care for her parents, Tom, who passed away in July at the age of 86, and Marge, 83. It started when they began to exhibit signs of dementia; in December they were placed in a health care facility. “We honored their wish to stay in Florida,” she says. “My parents moved to Sarasota in 1992 and they had a lovely, lovely life. My father walked the beach every day and was very proud of his 5,000-plus hours of volunteering at Sarasota Memorial.” “For eight years, I’ve coordinated their doctors’ appointments and medicines, arranged for in-home caregivers, paid their bills, talked to the SCAT Plus bus dispatchers almost daily to arrange for the bus to pick them up for their appointments and for church. SCAT Plus extended my parents’ lives.” “Become very involved in your parents’ finances so you can have a clear picture of what they’re paying for. I put all my

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mother’s banking online so I can pay all of her bills, and all their mail is forwarded to me. It’s so important to have a handle on what your parents’ wishes are.” “I made a commitment two years ago to come in every 60 days; now I visit every 30 days.” “Gather a support system; people who you can depend on. My father fell out of bed two days after I returned home in July; he cut his head and had to go to Doctors Hospital. I called his former caregiver who lives in St. Petersburg; she got out of bed and drove to the hospital and stayed with him until he was discharged, and sent me a picture of his head. “ “I work full-time as a first-grade teacher. I have a very supportive husband and family. I enjoy cooking, and I try to exercise, but that’s sometimes the first thing to go when time is short.” “I do this because my parents paid it forward; I wouldn’t have it any other way. I say good night to my mother every night. I run this household and I’ve run theirs for eight years. People ask me how I do it, and I tell them it’s a well-oiled machine.”

“I Will Love Her Forever” Arthur Lamia is the caregiver for his wife of 54 years, Lois, who was diagnosed with Alzheimer’s disease four years ago. He joined a JFCS caregiver support group three years ago at the advice of a friend at the gym.

“I happen to be lucky. She’s a very loving person. It breaks my heart to tears to see her fade away. She wants to know constantly that I’ll be here for the rest of her life.”

One of 18

“The group becomes a family. We share personal experiences and solutions not available in any caregiving materials. It’s amazing what we learn from each other. Nothing is held back, everything is very personal and open.”

people in Sarasota County is affected by Alzheimer’s disease.

“I’ve had many breakthroughs through the group: how to accept and handle changes; every day is a new normal. That’s a big statement, and it’s true.”

“My best advice: Keep the love alive. I keep our romance alive every day: we hug and kiss; I write poetry to her. I leave her messages, one in particular. I write, ‘I walyl.’ It stands for ‘I will always love you, Lois.’” “I left the Christmas tree up

this year. Every night she tells me how beautiful it is. That’s something I’ve done to make her feel good.”

The Sarasota County Aging Network’s 14th annual Caregiver Forum is Saturday morning, Nov. 8, at Sarasota Memorial Hospital. It’s free, but preregistration is required by

“Most people will rise to the occasion. You do what you have to do when you have to do it.” n

Nov. 3; call Paula Falk at (941) 556-3268.

“I do everything now: shopping, cooking. In the beginning I’d bathe her, do her nails. Now, all of a sudden she’s shy, she doesn’t want me to bathe her anymore.” “A nurse comes Monday and Thursday and takes care of her hygiene needs, and I take her to [an assisted living facility for respite care] twice a week. She has lunch and spends the afternoon. That’s when I shop, go to the gym, run errands, get my car serviced and go to my own doctor appointments.”

“My best advice: Keep the love alive,” says Arthur Lamia, shown here with his wife of 54 years, Lois.

SARASOTA HEALTH 2014

The Skinny o n Fat G r a f t i n g Want to regain that baby face? Fat might be your new best friend. By Su Byron

he face is the key battleground in the war against

continues, the loss does, too. The lines of age are the result.

aging. We all know the obvious signs. Crow’s feet.

And there are casualties on other battlefields, too. Loss of

Laugh lines. Frown lines. Wrinkles around the

fat and collagen can also lead to wrinkles and sagging of the

mouth. Drooping brows and cheeks. Thinning lips.

hands, breasts and buttocks.

Jowly jaws. Sagging necks. Sagging everything.

Can you reverse the process—essentially put fat back?

The face can also suffer collateral damage in the

Yes, actually.

war against weight. Spend enough time in the

It’s called fat grafting. Although the procedure has been

gym and, yes, you will be thin. And the skinnier

around for decades, it’s had a sudden burst in popularity and

you are, unfortunately, the older your face will look. There’s no quick fix. Skin problems are more than skin

is even supplanting some surgical facelifts. To help explain why, we spoke with three prominent regional plastic sur-

deep. Sometimes, it’s what’s below the surface that counts.

geons: Dr. Scott J. Engel, a board-certified plastic surgeon

Or, more accurately, what’s not there. In this case, fat.

at Sarasota Plastic Surgery Center; Dr. Marguerite Barnett,

Picture a pinchable baby face. What’s holding the skin

a board-certified plastic surgeon and founder of Sarasota

up? Subcutaneous facial fat and collagen. By the time this

Institute of Plastic Surgery; and Dr. Christopher Adamson, a

“baby” is in her 20s, these natural support structures begin

board-certified plastic surgeon specializing in cosmetic sur-

to diminish. It’s called a loss of volume. As the aging process

gery and the founder of Adamson Plastic Surgery.

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mends it for patients undergoing breast reconstruction and for those who wish to smooth over telltale signs of breast implants. Barnett says that she’s seeing an increased use of fat grafting over other more traditional cosmetic surgeries, such as surgical facelifts. “While traditionally cosmetic surgeons have tightened the skin to correct sagging, this can sometimes lead to an unnatural appearance,” she says. “Fat grafting can lessen the need for more invasive, tightening procedures and result in a more natural and youthful appearance.” As Adamson sees it, it’s all about the illusion of youth. “Full, round temples, cheeks and lips create the appearance of youth, health and vitality,” he says. “Similarly, volume augmentation of the breasts, buttocks and backs of hands restores or creates desirable contours.”

Younger faces are fuller faces— but cosmetic procedures can now restore lost volume.

A Crash Course in Fat Grafting

Q | What is fat grafting? A | In the words of Dr. Engel, “Fat grafting is a surgical procedure in which fat is removed from one area of the body and then transferred, or grafted, into another area.” In other words, it’s a fat transplant. And the patient is both the donor and the recipient. “Since this is the patient’s own tissue, rejection doesn’t occur,” explains Engel. It’s surgery, of course, though very minor. The incisions are small. The canula that harvests the fat and needle that reinjects it are also both tiny. But results

can be major. Performed successfully, fat grafting fills in depressed areas, minimizes nasolabial folds, smoothes hollows under the eyes and enhances cheekbones and jaw lines. According to Dr. Adamson, it’s a safe technique with long-lasting results. “Fat grafting can be used on almost any part of the body, including face, breasts, hands, buttocks,” he says. “I use it most commonly for restoration of facial volume. It’s very useful for restoring the volume lost from the aging process in the temples, cheeks and lips.” Q | Who should consider it? A | In Dr. Barnett’s opinion, anyone who’s fed up with the drooping and sagging regions of their face. She also highly recom-

Success Story

If you want to know more about the illusion of youth, just ask Pam Auen. Last November, Adamson performed a fat grafting procedure on her. Auen was 63 at the time. “I’m a Florida girl and I grew up with the sun,” she says. “As a result, my skin was wrinkled, sagging and showed signs of extreme skin damage.” Auen had originally visited Adamson for skin cancer issues. Once these had been resolved, she decided to do more. “Honestly, I got tired of what I saw in the mirror,” she says. “Instead of ignoring it, I decided to do something about it.” After consultations with two plastic SARASOTA HEALTH 2014

surgeons who advised full facelifts, she came to Dr. Adamson. He felt that Auen was the perfect candidate for fat grating and a phenol peel. (This chemical skinpeel procedure penetrates deep into the skin to treat severe wrinkles, sun damage and lines and wrinkles around the lips and chin.) Auen had both procedures performed at the same session. Today, she admits that her recovery wasn’t a cakewalk. “I

had the procedures right after Halloween,” she says. “Dr. Adamson told me that was unfortunate timing because I was going to look like a monster for a few days.” Auen stayed in her guest cottage during her recovery, “to spare my husband the creature feature.” During that selfimposed exile, she refused to look in the mirror. Within three days, though, Auen felt much better. A few days later she was “back to normal.”

Most Popular Derma Fillers Injectable cosmetic wrinkle fillers are soft tissue fillers approved as medical devices by the Food and Drug Administration (FDA). Juvederm Facial Filler Made of a hyaluronic acid gel, Juvederm is a naturally occurring substance in the skin that contributes to volume and hydration. Juvederm is designed to temporarily correct moderate to severe facial wrinkles and folds. Juvederm is made by Allergan, the makers of Botox. Restylane Facial Filler A non-animal, biodegradable gel composed of hyaluronic acid, Restylane is a soft-tissue dermal filler that adds volume to the skin through tiny injections, smoothing facial folds and wrinkles in areas around the mouth and eyes. Sculptra An injectable made of synthetic polylactic acid contained in microspheres, Sculptra is the first FDA-approved injectable for the restoration of lost facial volume (correction of lipoatrophy) in people with HIV infection. Captique Utilized for filling moderate to severe facial wrinkles and folds around the nose and mouth, it’s a soft tissue filler that

adds volume to certain areas of the face; and it’s derived from non-animal-based hyaluronic acid. Collagen (Zyplast/ Zyderm) A soft-tissue dermal filler made from purified cow skin used to fill wrinkles, lines, and scars on the face. Collagen is a naturally occurring protein that supports various parts of the body, including skin, tendons, and ligaments; it will eventually be absorbed by the body. Hylaform Fills moderate to severe wrinkles around the nose and mouth. Hylaform is a dermal filler that has been chemically modified from hyaluronic acid; it’s designed to temporarily smooth the surface of the skin. Radiesse A synthetic dermal filler made of calcium hydroxyapatite and is used for the correction of moderate to severe wrinkles and folds. This injectable is a longerlasting filler because the body forms collagen around the microspheres, adding bulk to the injected areas.

Resources American Society of Plastic Surgeons: plasticsurgery.org; American Academy of Facial Esthetics: facialesthetics.org; Food and Drug Administration: fda.gov/ForConsumers/ ConsumerUpdates/ucm049349.htm

SARASOTA HEALTH 2014

As to her looks? “People tell me I look 20 years younger, and I agree,” she says. “If you compare my pre- and post-surgery photos, you wouldn’t believe I’m the same person. My entire face has tightened—and it’s a natural appearance, not that tight, postfacelift look you often see. It’s just that all the sagging in my face has vanished. I could erase more lines in my forehead with Botox, but I’m so happy with my new

face, I don’t want to do anything else.” Even better? Auen says the procedure was “far more affordable than a traditional full facelift.”

Science—and Surgical Skill

While the results may look like magic, the procedure is all about science and skill. According to Barnett, the sensitive approach is what sets the best plastic surgeons apart. “Fat is living tissue with its own blood supply,” she says. “Whenever fat is harvested and transplanted, some portion will be lost. My current thinking, based on the latest research, is to harvest fat where the patient most wishes to lose it and treat it as gently as possible. Even so, as many as one out of three patients will lose the transplanted fat volume over time.” Adamson points out that the survival of transplanted fat cells depends on one thing: whether they find and grow a new blood supply. “The fat cells that do find a blood supply will live in the new area forever,” he says. “The fat cells that don’t will be absorbed by the body.” He adds that fat cell survival depends both on the surgeon’s ability and the area where the cells are injected. Certain regions of the body with the least mobility and best blood supply offer the highest rates of fat graft survival, especially the cheeks and temples. “Fat grafts, on average, have a 60 percent survival rate,” he says. “Your surgeon can compensate by injecting extra volume at the time of grafting to account for the expected losses.”

Saving Face

While the face is the main candidate for fat grafting, it isn’t alone. Fat grafting on the buttocks (aka a “Brazilian buttock lift”) is increasingly popular, and causing worldwide derriere inflation. The procedure can also rejuvenate wrinkled hands, by creating a smooth, subcutaneous surface over tendons and blood vessels. Breasts can also benefit. Here, Barnett advises a cautious approach.

“Fat injected into the breast area may be reabsorbed by the body over time, causing the breast to lose volume,” she says. “Also, a fat graft that fails to find a blood supply becomes dead fat. In the breast, this can cause a hard lump or scar that mimics breast cancer.” The best safeguard against this? Wearing a cumbersome vacuum bra device for 10 weeks prior to surgery. “Beware if your surgeon is offering grafting without this technique,” Barnett cautions. “Without it, the procedure is unlikely to work and may cause big problems.”

Fat Grafting Caveats

The three physicians we spoke with were uniformly enthusiastic about fat grafting. They praised its results and noninvasive nature. That said, they didn’t sugarcoat its downsides. Fat grafting comes with the complications, risks and recovery time of any surgical procedure. Where artificial fillers are dissolvable, your own fat isn’t, which means you can’t reverse the procedure without additional surgery. Weight gain can bloat a plumped face; weight loss can lead to reabsorption of the surgically added fat. Bottom line? According to Engel, fat grafting isn’t for everyone. “Some patients have too much loose skin,” he says. “Simply trying to fill up a patient’s face, breast, or buttocks with fat alone may result in a large, unnatural appearance. In such cases, traditional skin excisions may be necessary.” He adds that patients should seek consultation from a surgeon certified by the American Board of Plastic Surgery before any work is done. “Always do your homework,” he says. “If you’re considering plastic surgery, research your doctor first.” The good news? The risks are there, but the risks are minor. Do your homework, as Engel advises. Make sure you’re in the hands of a qualified plastic surgeon. If you are, fat

grafting is a safe, routine procedure with a very short recovery time.

No-Fat Fillers

Although fat grafting does wonders to treat facial volume loss with results that easily last two or more years, conventional derma fillers, including Juvederm, Restylane, Radiesse and Sculptra, can also work wonders. But most of these have a short shelf life and must be repeated two or more times a year. (Radiesse, used mostly in the cheeks, chin and jaw line, lasts longer—typically a year to 14 months.) Most surgeons will advise you to stay flexible. They’ll often combine fat grafts with synthetic injectable dermal fillers. The approach depends on a patient’s specific needs. When it comes to dermal fillers, Barnett advises against trying the hottest trends until they’re proven to be reliable. “My philosophy is to be conservative,” she says. “Don’t be the first to jump on a trend. I get over two dozen emails daily advertising the hottest thing to revolutionize the field of cosmetic aesthetics. I generally wait a year or two after a new product launch and then listen to the grapevine for problems before I start using it.” The newest filler she’s using is Juvederm Volumna, a long-lasting product designed to compete with cheek implants and Sculptra.

“People tell me I look 20 years younger, and I agree.”

Face the Facts

What’s right for you depends on you. What are you looking for? If your goal is smoothing out minor facial wrinkles and brow creases, dermal fillers will do just fine. If the loss of volume throughout your face is causing excessive sagging, fat grafting may be the best way to rejuvenate your appearance. Find a board-certified plastic surgeon and discuss your options. Ultimately, fat just might be your new best friend. n SARASOTA HEALTH 2014

AFIB UNDERSTANDING

Although itâ&#x20AC;&#x2122;s the most common heart rhythm problem in Sarasota-Manatee, much about atrial fibrillation remains a mystery.

SARASOTA HEALTH 2014

By Abby Weingarten In early June, 71-year-old Navy veteran Robert Sommer of Sarasota addressed a medical condition that had been plaguing him for years. “I had been experiencing heart pounding, like my heart was going to come out of my chest, and lightheadedness for a very long time,” Sommer says. “I’d try not to let it control my life, but if I bent down and picked something up off the floor, I’d have to stand up very slowly. It was impairing my ability to be active.” Sommer was experiencing symptoms of atrial fibrillation, also known as AFib, which is an electrical disruption in the pumping rhythm of the heart’s upper chambers. It is the most common heart

we tried anti-eurythmic drugs, and then Tikosyn, which was successful for about a year. Then, every 14 days, I’d still go into 18 to 33 hours of AFib.” He could not bear the episodes any longer. Dr. Robert Eckart, a cardiologist and cardiac electrophysiologist with Heart Specialists of Sarasota, suggested Sommer consider having ablation (a surgery that works by scarring or destroying the tissue in the heart that triggers the abnormal rhythm). The procedure was a huge success. “I’m doing great now. I’m swimming and walking and doing all the things that gave me trouble before,” Sommer says. “I would highly recommend it. It changed my life.”

probably see one or two new patients with AFib per week, and I see it equally in men and women.” AFib causes the atria to flutter at a high and random rate rather than in tune with the lower ventricles, which weakens the blood flow. AFib-related strokes are more catastrophic than strokes caused by any other issues, as they wear down the heart muscle and make patients more susceptible to heart failure. “In people between the ages of 50 and 59, about 1 percent have AFib,” says Dr. Kenneth Henson, an internist and cardiologist with a concierge practice at Henson Cardiology in Sarasota. “For people over the age of 85, AFib is at over 18

“I probably see one or two new patients with AFib per week, and I see it equally in men and women.” rhythm problem that cardiologists in Sarasota-Manatee diagnose, and it affects nearly one-fifth of all patients ages 85 and older. AFib can cause fatigue, palpitations, shortness of breath, confusion, chest pains and even strokes. The latter happened to Sommer four years ago when he suffered a mini stroke called a transient ischemic attack. After 24 hours of in-hospital monitoring, his doctors informed him that he had AFib and needed to take vigilant action. “They started me out on a drug that controlled the rate of my heartbeat for a year or so, but it didn’t seem to have any significant effect,” Sommer says. “Then

A Confusing Condition The cause of AFib is not yet fully understood, even by the world’s top scientists and doctors. It is difficult to predict and prevent, and no one is immune. Even the most rigorous lifestyle—with an optimum diet and exercise plan—cannot always keep AFib at bay, and otherwise healthy middle-aged or elderly patients can develop it for reasons unknown. “It is the most common rhythm disturbance in all age groups, and our average patient is 75 to 80 years old,” says Dr. George Abernathy, a cardiologist with a private practice in Venice. “I

percent. I’m seeing people on a daily basis who have it.” Doris Stoner, a patient of Abernathy’s, is one of them. Like Sommer, the 77-year-old Venice resident also underwent ablation this year, after nearly three decades of AFib-related problems. “It started when I was about 50. I play a lot of golf and I could be standing on a tee and my heart would go into AFib and it felt like I was running a race,” says Stoner, whose recent surgery transformed her heart health. “I’m a person with a lot of energy. I like to sew, golf and quilt, and I couldn’t do it because I was so tired. My heart would race at 140 beats per minute SARASOTA HEALTH 2014

for four hours, sometimes seven hours, sometimes 24 hours. After you do that for a couple of days, you feel like you’ve been beaten with a rubber hose.”

Acknowledging AFib There are two main types of AFib: paroxysmal, the off-and-on arrhythmia; and chronic, the kind that does not go away (another kind, lone, mysteriously affects younger patients). According to the American Heart Association (AHA), AFib affects more than 2 million people in the United States, and catheter ablation has been used for two decades to treat it. “AFib is mostly a wearing out of the heart. It’s hard to know what stage the AFib is in because some people haven’t been to a doctor in five years or more to have it checked,” Abernathy says. “But when people have obvious symptoms, we catch it pretty early. Most people who feel irregular palpitations, it’s not comfortable for them so they seek help.” Doctors can diagnose AFib with a standard electrocardiogram (EKG), and if that test proves inconclusive, patients may be advised to wear portable heart monitors.

“Probably 20 to 30 percent of the patients with AFib don’t even feel it, so they’re picked up by their primary care doctor on a routine exam because they have an irregular pulse and it’s found on an EKG,” Abernathy says. Sometimes, AFib may be associated with an overactive thyroid, a disease of the mitral valve and high blood pressure, Henson says.

High-Tech Treatment Options Cardiac electrophysiologists are now performing ablations with the ThermoCool SmartTouch catheter (approved this year by the Food and Drug Administration), which more accurately directs a doctor’s hand when applying radio frequency against the heart wall. The SmartTouch is the first catheter ablation therapy in the United States with direct contact force technology, and AFib patients who have opted for the process have experienced a 35 to 40 percent improvement (better quality of life, decreased need for medication and reduction of stroke risk). “Electrophysiologists can insert a catheter in the [pulmonary] vein by the

groin, which advances it up to the heart. Ablation with a catheter is now a first-line treatment option,” Abernathy says. Henson says this type of pulmonary vein isolation (or AFib ablation) requires an electrophysiologist because it is such an in-depth procedure. Prior to the SmartTouch catheter, doctors had to estimate the amount of force to be used against the heart, which increased the risk for damaging the heart tissue. Today’s technology allows the right amount of pressure for maximum effectiveness with greatly reduced risk. “They have to make a hole in the interatrial septum to get to the left atrium; that’s the part of the procedure where experience becomes very important,” Henson says. “When they make that hole, you can actually make a hole in the wall of the heart, which becomes a dire emergency that usually requires immediate surgery. Once they’ve gotten from the right to the left side of the heart, they use a radiofrequency catheter at the origin of those pulmonary veins and they burn the tissue at the entrance of the pulmonary vein.” Henson says that with today’s technology, in most cases, the procedure

By the Numbers 2.7 12 million million

Americans had AFib in 2010 and most of these patients were age 50 or older.

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Americans are projected to have AFib by the year 2050.

66.8

is the median age for men with AFib.

$26 billion is spent on AFibrelated medical costs every year in America.

74.6

is the median age for women with AFib.

will get rid of AFib (he estimates an 85 percent successful result). “Maybe one in six people will have to go back for a second procedure. The

medications to slow the heart rate to 60 to 100 beats per minute, and using beta blockers), Abernathy says. The latest medications are Amiodarone and Multaq,

between two heartbeats is totally random.” Henson also uses a cutting-edge device called AliveCor, which comes with

“It’s a fast solution that leads to a quick diagnosis, which is really wonderful.” procedure was first done six or seven years ago, and it has been done locally for one to two years,” Henson says. Ablation is recommended for AFib patients who do not respond to at least one antiarrhythmic agent or other drug. Stoner and Sommer were both candidates because neither of them had any luck with alternatives, so the surgery was the last resort. The old standby treatment for AFib is either rate or rhythm control (using

which slow down the heart rate and convert the rhythm from fibrillating. “In the left atrium, there is a little pocket called the left atrial appendage, and that’s where the clots form that cause strokes. A device called the Watchman is put in in a cath lab; the procedure is very similar to pulmonary vein isolation,” Henson says. “Typically, every six months, it’s reasonable to have an EKG, but the key to AFib is that the rhythm is just irregular and the interval

a plastic phone case with two metal bars on the back. Patients can install an app on their phone, hold the case and watch it record an actual EKG (the results can even be saved as a .pdf file). “For my patients with intermittent palpitations, it empowers them, and they can even text the results to the doctor,” Henson says. “It’s a fast solution that leads to a quick diagnosis, which is really wonderful.” n

SARASOTA HEALTH 2014

Labors of Love Our region offers a growing variety of ways to bring your baby into the world.

love

labors of

Our region offers a growing variety of ways to bring your baby into the world. By Abby Weingarten

SARASOTA HEALTH 201

hon Ewens has seen local birth from nearly every perspective, but the most profound one was as a mother at Sarasota Memorial Hospital (SMH). It was there, in January 2011 and November 2013, that she delivered babies Jackson and Harper, surrounded by a medical staff that felt like an extended family.

“I had such a great birth experience with both of my kids,” Ewens says. “My nurse was with me the whole

time and stayed through the delivery. The doctors and the nursing staff were so attentive. They listened, they helped, they encouraged.” As the current executive director of the Healthy Start Coalition of Sarasota County (a nonprofit organization dedicated to helping mothers and babies), Ewens knows how important it is for women to experience respectful care during labor. Though birth is never a uniform experience, laboring families in Sarasota-Manatee have a variety of alternatives, from choosing a midwife-assisted water birth to opting for an obstetrician in a hospital setting to an entirely customized combination. For its size, the bicounty area’s pre- and postnatal resources are diverse and numerous. “I used to live in Birmingham, Ala., which is a huge city compared to Sarasota, and I never heard about the options of homebirth or birthing centers there. I think we have great options here,” Ewens says. “Whatever your lifestyle is, you can do whatever works for your family.”

Navigating the Options

For Julia Mollohan, the second time was the charm. A full-time stay-at-home mother in Sarasota, Mollohan had her daughter, Sarah, in September 2009 at SMH. Finding that the hospital setting was not ideal for her, Mollohan chose midwife Harmony Miller of Rosemary Birthing Home to deliver her second daughter, Lily, at home in July 2011. “Having my baby at home was a completely different experience than in the hospital. I got to sit on my own couch and eat my own food and I could invite whoever I wanted to be there,” Mollohan says. “We laughed and talked and it was very comfortable. Right after Lily was

born, I got to sleep in my own bed that night. That worked for me.” Mollohan is currently pregnant with another girl, whose name will be Emily and who is due in the fall of 2014. Miller will attend that planned homebirth as well. Mollohan’s is a story of a mother tailoring her birth plan to suit her own specific needs, which can be done in Sarasota-Manatee when families are properly educated about their choices. “Regardless of how their babies are born, I believe women should feel empowered by the decision-making process and honored with the reverence the moment deserves,” says Laura Gilkey, a co-producer of the Maternally Yours program at WSLR 96.5, a board member

at the Healthy Start Coalition, and the coordinator for the Safe Motherhood Quilt Project, which raises awareness of the maternal death rate in the United States. Local women wishing to have their babies in a hospital can pick from SMH, Manatee Memorial Hospital (MMH) and Lakewood Ranch Medical Center (LRMC). Out-of-hospital alternatives include Birthways Family Birth Center, Rosemary Birthing Home, Cathy Matthews Homebirth and LifeSong Midwifery, where certified professional midwives are present. Like Gilkey, Katie Powers, a longtime registered nurse and the director of MOMMs Place at MMH, wants all women to experience a loving birthing SARASOTA HEALTH 2014

atmosphere, and her educational initiatives exist for this purpose. MOMMs Place provides prenatal, childbirth preparation and breastfeeding classes. MMH supports the “wait for eight” policy of not washing the baby for eight hours after delivery, and leaving the baby on the mother’s chest after both vaginal and surgical deliveries. “This helps the baby maintain temperature, and it’s widely held that it’s traumatic to wash the baby first,” Powers says, adding that MMH sees 2,000 babies delivered each year. “We support motherbaby nursing; it’s really the odd thing not to nowadays. We’re always striving to improve upon what we’re doing.” So is the staff at SMH. Debbie Harman, the clinical manager of the NICU and maternal-neonatal transport at SMH (which delivers 3,000 babies annually) has watched families benefit from the new unit that opened on the Courtyard Tower’s fifth floor last year. What was formerly a pair of open rooms with little

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privacy has been transformed into a 33room area with personalized care. “It’s much more of a home setting. There’s a place to shower, a family lounge, two computers and kitchen amenities like a toaster oven and a coffee pot,” Harman says. “I’ve noticed that parents feel more comfortable having this kind of privacy. We have an experienced staff that provides the latest technology and an environment for families to have the best possible outcome.” The unit is the only Level III intensive care nursery in the area, and rapid transport to All Children’s Hospital in St. Petersburg is available for babies requiring heart, lung or gastrointestinal surgery.

A Paradigm Shift

A growing number of maternal advocates are pushing for more noninvasive procedures during labor—less medical intervention unless it is absolutely

necessary and a closer-to-nature overall birthing experience. They point out that women who undergo C-sections are more likely to have longer post-labor recovery times, as well as complications such as infections and blood clots. Also, C-sections cost much more than nonsurgical births. The current C-section rates at area hospitals, according to data through September 2013, are 40 percent at SMH, 32 percent at MMH and 33 percent at LWRMC. The United States C-section rate for 2013 was 33 percent, and Florida currently has the fourth most C-section births in the country at 38 percent. To reduce C-sections, many birth experts recommend midwifery care and the support of a doula (a nonmedical person who assists a women before, during and after labor). “There is definitely a paradigm shift happening. Women are learning they can choose out-of-hospital births and homebirths,” Gilkey says. “Part of it

is the word of mouth that happens when women feel empowered or disempowered.” Miller believes the midwifery model of care empowers women. “Having a homebirth or birth center birth will not be the first choice for everyone, but those who choose it can be supported toward it,” Miller says. “The sweet postpartum and fantastic prenatal care designed to guide the newly budding parents into the birth of their new family is what sets midwifery care apart.” Sarasota has many practicing midwives and a much higher rate of out-of-hospital births than the rest of the country—5 percent in Sarasota, versus a national average of 1-2 percent. “In our area, we have care providers and legally recognized options for every kind of birth imaginable, from the planned to the premature, from the highestrisk surgery in the hospital to the most normal, natural home birth,” Gilkey says. “We have smart consumers here who understand that pregnant women have rights and deserve to be treated with compassion and respect.” Powers says being able to nurture families at MMH during such a vulnerable time is a tremendously rewarding experience, and that nurturing is something everyone deserves. “There is nothing like witnessing a woman and a man transform from being Sally and Joe to being somebody’s mother and father,” Powers says. “I love being put in the position where I can be kind and comforting and teach people from every walk of life, no matter who they are or what language they speak.” n

By the Numbers

3.95 million births were registered in the United States in 2012

The general fertility rate declined to 63 per 1,000 women ages 15 to 44. The teen birth rate fell 6 percent to 29.4 per 1,000 women. The preterm birth rate declined for the sixth straight year to 11.55 percent. The low birth weight rate declined slightly to 7.99 percent. The birth rate declined for women ages 25 to 29 but increased for women ages 30 to 44. The mean age of first-time mothers rose again to 25.8 years in 2012, up from 25.6 years in 2011. The Caesarean rate rose nearly 60 percent from 1996 to 2009, declined slightly from 2009 to 2010, and has been stable since. Resources Laura Gilkey, co-producer of Maternally Yours at WSLR 96.5 LPFM community radio station, laura@birthwrite.com. Shon Ewens, executive director, Healthy Start Coalition of Sarasota County, 1750 17th St., #A, Sarasota, (941) 373-7070; healthystartsarasota.org.

SARASOTA HEALTH 2014

Too much blood sugar isnâ&#x20AC;&#x2122;t that sweet. But you can fight back. By Su Byron

Diabetes

The Quiet Epidemic 66

SARASOTA HEALTH 2014

A quiet epidemic is stalking our nation. It’s called diabetes. Today, 26 million Americans suffer from it. That’s more people than live in Australia. To Dr. Jesus B. Perez, a board-certified

endocrinologist at Sarasota’s Intercoastal Medical Group and assistant clinical professor at Florida State University’s College of Medicine, this is more than an unpleasant statistic. According to Perez, 26 million people are only the beginning. “By 2020, the Center for Disease control estimates that 50 million people will have it. That’s more than the population of Germany.” Now that we’ve scared you with statistics, let’s define our terms.

Know Your Enemy What is diabetes? Essentially, it’s a metabolic disease in which the body either can’t produce insulin—or can’t produce enough. Basically, it’s a pancreas problem. A healthy pancreas functions like a homeostatic computer that monitors and regulates blood sugar. When there’s too much, it secretes insulin; when there’s too little, it squirts out glucagon. Normally, it works like a charm. When it doesn’t, the result is an excessively high level of blood sugar, also known as glucose, which can lead to damage of the

blood vessels, nerves, heart, kidneys and eyes. It’s a chronic disease—meaning it lasts a lifetime. According to Perez, diabetes generally comes in two forms. In Type 1 diabetes, the immune system destroys the insulinproducing beta cells in the pancreas. Considered an autoimmune disease, Type 1 diabetes usually emerges in children and teenagers, although adults aren’t immune. The cause is probably genetic, although scientists haven’t ruled out viruses and other environmental factors. There’s no cure—yet. People with Type 1 diabetes must be treated with artificial insulin injections. Type 2 diabetes usually emerges in adulthood. Here, the pancreas still produces insulin, but not reliably and not enough. This form of diabetes doesn’t always require insulin injections, but it does demand lifestyle intervention, close observation and treatment. Type 2 diabetes is most often linked to unhealthy lifestyle and obesity. In fact, most patients with Type 2 diabetes are overweight or obese. To return to the computer analogy, if you flood your

system with carbohydrates and sugars, there’s a good chance you’ll overload the pancreas and fry its hard drive. Fifty years ago, Type 2 diabetes mostly affected adults. Today, it’s becoming alarmingly prevalent in children and adolescents, especially among such among ethnic minorities as African Americans, Hispanic Americans and Native Americans. Although the percentage of the population with Type 1 diabetes has remained constant, the rate for Type 2 diabetes is skyrocketing. What’s going on here? According to Perez, the fault is not in our cells but in ourselves. He points out that, although genetic risk factors for diabetes remain relatively constant, the risk factors reflecting human behavior don’t. These factors include a sedentary lifestyle and a diet that’s high in sugars and fats and low in fiber—a bad diet, and too often known as the American diet. When millions of Americans don’t exercise and eat poorly, a national epidemic is born. The good news is, you don’t have to be part of it. SARASOTA HEALTH 2014

GoCARB

An app for smartphones automatically calculates the carbohydrate content of a meal. The program, called “GoCARB,” enables diabetics to better plan their meals and to control their blood glucose more easily.

Fighting Back An endocrinologist at Intercoastal Medical Group, Dr. Wende Kozlow says more than 65 million Americans have pre-diabetes. As the name implies, this is the stage before the full onslaught of Type 2 diabetes develops. If you’re in this category, your blood glucose count is above normal, but below the level for a diabetes diagnosis. But you’re still at risk for heart disease, stroke and the onset of Type 2 diabetes. OK, that’s not a happy thought. But here’s the good news: Kozlow notes that people with a prediabetic condition have a chance to turn it around with three simple steps. “It’s the famous trinity of healthy behavior we often hear and seldom heed,” she says. “Eat healthy foods and cut down on sugars and carbohydrates. Get regular exercise. And bring your weight to a healthy level.” Most pre-diabetics who stay faithful to this plan can get their glucose levels out of the danger zone, says Kozlow. And people with Type 2 diabetes can often manage their disease with the same lifestyle changes. “People often feel defeated after a diagnosis of diabetes. You shouldn’t.

SARASOTA HEALTH 2014

You’ve got a host of options to improve your condition,” she says. The most important option? Get educated. “Nutrition is key,” she says. “The more informed you are, the better you can manage your condition.” A healthy diet includes an abundance of whole grains, vegetables, fruit, lean meats, fish, chicken and beans. Choose foods rich in vitamins, fiber and minerals over processed foods. Keep the fats and sweets at a minimum. “These are only broad outlines,” Kozlow adds. “Healthy diets are never one-size-fits-all. It always depends on the individual. But whatever the diet, common sense is the main ingredient—and

Exercise is another important weapon. It reduces blood pressure, boosts mood, burns sugar, keeps blood circulating to the extremities and, as an added bonus, jumpstarts insulin sensitivity at a cellular level. “The best exercise is the one you enjoy doing,” says Kozlow. “Pick a workout plan you enjoy and do it.” Ultimately, a healthy lifestyle is a good insurance plan. But regular testing for diabetes is the best insurance of all. Diabetes isn’t always obvious. “The symptoms of diabetes include fatigue, excess urination, unexplained weight loss, increased thirst and blurred vision,” says Perez. “But even if you don’t have those symptoms, that doesn’t mean you’re in the clear. Diabetes can be asymptomatic— which means you could have it and not know it. If you have Type 2 diabetes, you definitely need to start a course of treatment. You need to be screened and find out. You and your doctor need to know where you stand.”

1 in 3

American adults will have diabetes in 2050 if present trends continue.

maintaining healthy blood sugar levels is always the goal.” Kozlow also advises scheduling regular meal times to keep blood sugar levels on an even keel and using online tools and apps that analyze and help manage glycemic indexes and carbohydrate counts.

Who should be tested for diabetes? The American Diabetes Association’s list includes anyone with a body mass index higher than 25, regardless of age. It also includes people with such additional risk factors as high blood pressure, a sedentary lifestyle, a history of heart disease, high cholesterol levels, women who have delivered a baby weighing more than nine pounds, and anyone with a close relative with diabetes. On top of that, anyone older than 45 should also have a fasting blood glucose level and/or a non-fasting hemoglobin A1c (glycated hemoglobin) test. Diabetes is a progressive disease. Left untreated, it always gets worse. Prediabetes, if untreated, turns into Type 2 diabetes. People with Type 2 diabetes, if left untreated, might eventually become insulin dependent. But it’s not just about controlling blood sugar. “It’s also about controlling the secondary complications that diabetes can create,” says Kozlow. Those complications are a smorgasbord of diseases, including heart and blood vessel disease, nerve, kidney and eye damage, osteoporosis—even Alzheimer’s disease.

Perez notes that, thanks to a better understanding of the cause of diabetes, we are not only able to control the secondary risk factors but to treat this disease better than ever. “We have a full arsenal of medications to safely bring blood sugar levels closer to healthy levels,” he says. Some medications stimulate the pancreas to produce more insulin; some decrease glucose absorption at the intestines and at the kidneys, which in turn lowers glucose levels in the blood; and other medications improve the sensitivity of fat cells and muscles to insulin. In addition, insulin can be administered to replace the lack of insulin production by the pancreas. Perez adds that a combination of medications is often needed to effectively control blood sugar. The course of treatment for diabetes can get complicated. But ignoring the condition can get deadly. Don’t.

First, find out what your numbers are. If you’re pre-diabetic, make the lifestyle changes you need to turn it around. If you’re in the Type 2 category, make the same lifestyle changes and work with your doctor to get on a course of treatment. Get regular testing and glucose monitoring. “The weapons are there,” says Kozlow. “Work with your doctor and fight back. Get in the fight—and stay

1.9 million

Americans are diagnosed with diabetes every year.

in the fight. Don’t blame yourself or feel like you’ve failed if you need medication or insulin to control the disease process. If you want to win, it’s up to you.” Resources Gulf Coast Diabetes Association: 2100 Constitution Blvd., (941) 957-5099 gulfcoastdiabetesfoundation.org Sarasota Memorial Hospital Diabetes Treatment Service: 700 S. Tamiami Trail, (941) 917-7468 or (941) 917-7777

Risk Busters Move it! Regular exercise lowers your risk of diabetes. Lose it! If you’re overweight, lose weight. As a rule of thumb, a healthy body mass index ranges from 18.5 to 24.9. Think of that as a target weight. Even a 5 percent weight loss cuts your diabetes risk by 50 percent. Get Tested: A blood screening lets you know where you stand. Don’t put it off, especially if you have any risk factors.

Eat Healthy: Think low-fat, lowcarb. Whole grains and fruits and veggies are your friends. Processed foods aren’t. Kill your TV: The plug-in-drug puts you at risk. The more you sit and watch, the more at risk you are. Keep it down to two hours a day. Or install an exercise bike in your TV room. Speak Up: Talk to your doctor. Listen: Take your doctor’s advice.

Take a quick test to see what your risk is. diabetes.org/are-you-at-risk/diabetes-risk-test

SARASOTA HEALTH 2014

ONE PLACE. EIGHTEEN AGENCIES.

ONE PURPOSE. OUR MISSION:

TO ENHANCE THE SOCIAL SERVICES DELIVERY SYSTEM FOR UNDERSERVED INDIVIDUALS AND FAMILIES SO THAT THEY MAY ACCESS THE SERVICES THEY NEED TO BECOME PARTICIPATING MEMBERS OF THE COMMUNITY. OUR HISTORY: The Glasser/Schoenbaum Human Services Center (GSHSC) has, for 24 years, been instrumental in identifying our community’s needs and bridging the organizations that serve those in need. Each dollar received serves a wide array of human service agencies who in turn help improve the lives of approximately 132,000 underserved community members per year. GSHSC is a one-stop destination. Many clients who come to GSHSC for services become a client of multiple agencies, accessing as many services as possible in one place. WHAT WE DO: The Glasser/Schoenbaum Human Services Center (GSHSC) is an innovator and a unique asset in the Sarasota community. GSHSC is home to 18 non-profit health and human service agencies. The agencies at the center pay virtually no rent—only a small stipend towards maintenance costs. GSHSC takes care of the facilities so the agencies can focus their energies on what’s most important: helping their clients. “Bridging the organizations that serve those in need.”

HOW YOU CAN HELP: Now more than ever, the agencies at GSHSC need your support so they can continue to serve the increasing population of children and families in need. GSHSC has recently completed a new Children’s Health facility that doubles the capacity of the old facility. Your donation will help raise money for the new facility and will also help support the 18 agencies at the center. AGENCIES AT THE CENTER: Center for the Deaf and Hard of Hearing, Children’s Health Clinic, Coastal Behavorial Healthcare, Healthy Start, Gulfcoast Legal, BAYS, Insight Counseling, First Step, Volunteer Community Connections, JFCS, Unidosnow, FACT, Suncoast Partnership to End Homelessness, Literacy Council, AARP, Early Learning Coalition, More Too Life, Pierian Spring Academy For more information, contact us at (941) 365-4545 or visit our website at www.gs-humanservices.org

1750 17TH STREET, BUILDING J-1 SARASOTA FL 34234 941.365.4545 • www.gs-humanservices.org

Please call or visit our website to learn more about how you can help make a difference.

Top Doctors Medical researcher Castle Connolly identifies

213 outstanding physicians in Sarasota-Manatee. ALLERGY AND IMMUNOLOGY Eva A. Berkes Sarasota Memorial Hospital Hawthorne Clinic and Research Center 2068 Hawthorne St. Sarasota, FL 34239 (941) 953-5050 Allergic rhinitis, hereditary angioedema, food and drug allergy John P. Cella Manatee Memorial Hospital Allergy Affiliates 5701 21st Ave. W. Bradenton, FL 34209 (941) 792-4151 Internal medicine, allergy and asthma, insect allergies, sinus disorders Roger N. Danziger Manatee Memorial Hospital 5404 Cortez Road W. Bradenton, FL 34210 (941) 761-1911 Asthma, food and drug allergy, hives

Donna M. Jamieson Sarasota Memorial Hospital 2650 Bahia Vista St., Suite 304 Sarasota, FL 34239 (941) 366-9711 Allergy and asthma Rajivi P. Rucker Manatee Memorial Hospital Lakewood Ranch Medical Center Whole Child Pediatrics 8936 77th Terrace E., Suite 103 Lakewood Ranch, FL 34202 (941) 366-2273 Pediatric allergy and immunology Hugh H. Windom Sarasota Memorial Hospital 3570 S. Tuttle Ave. Sarasota, FL 34239 (941) 927-4888 Immune deficiency, asthma, sinus disorders, food and drug allergy

CARDIAC ELECTROPHYSIOLOGY Walter R. Hepp Sarasota Memorial Hospital Heart Specialists of Sarasota 1950 Arlington St., Suite 400 Sarasota, FL 34239 (941) 917-4250 Arrhythmias, pacemakers

Edmund A. Bermudez Sarasota Memorial Hospital Florida Cardiac Consultants 1540 S. Tamiami Trail, Suite 401 Sarasota, FL 34239 (941) 917-0060 Interventional cardiology, heart failure, coronary artery disease

Jeffrey M. Rothfeld Manatee Memorial Hospital Blake Medical Center Bradenton Cardiology Center 316 Manatee Ave. W. Bradenton, FL 34205 (941) 748-2277 Defibrillators, arrhythmias, pacemakers

James J. Fox Sarasota Memorial Hospital Florida Cardiac Consultants 1540 S. Tamiami Trail, Suite 401 Sarasota, FL 34239 (941) 917-0060 Interventional cardiology, cardiac catheterization

CARDIOVASCULAR DISEASE George T. Abernathy Venice Regional Bayfront Health 395 Commercial Court, Suite B Venice, FL 34292 (941) 488-7333 Echocardiography, nuclear stress testing, cardiovascular imaging

Chippy C. Nalluri Sarasota Memorial Hospital Heart Specialists of Sarasota 1950 Arlington St., Suite 400 Sarasota, FL 34239 (941) 917-4250 Noninvasive cardiology, heart disease in women, nuclear cardiology, cardiac CT-angiography

Castle Connolly Medical Ltd. is a healthcare research and information company founded in 1991 by a former medical college board chairman and president to help guide consumers to America’s top doctors and top hospitals. Castle Connolly’s established survey and research process, under the direction of an M.D., involves many tens of thousands of physicians as well as academic medical centers, specialty hospitals and regional and community hospitals all across the nation, and the medical leadership of leading hospitals. Castle Connolly’s physician-led team of researchers follows a rigorous screening process to select top doctors on both the national and regional levels. Its online nominations process—located at castleconnolly.com/nominations—is open to all licensed physicians in America, who are able to nominate physicians in any medical specialty and in any part of the country, as well as indicate whether the nominated physician is, in their opinion, among the best in their region in their medical specialty or among the best in the nation in their medical specialty. Careful screening of doctors’ educational and professional experience is essential before final selection is made among those physicians most highly regarded by their peers. The result—we identify the top doctors in America and provide you, the consumer, with detailed information about their education, training and special expertise in our paperback guides, national and regional magazine “Top Doctors” features and online directories. Doctors do not and cannot pay to be selected and profiled as Castle Connolly Top Doctors. Physicians selected for inclusion in this magazine’s “Top Doctors” feature may also appear as Regional Top Doctors online at www.castleconnolly.com, or in one of Castle Connolly’s Top Doctors™ guides, such as America’s Top Doctors® or America’s Top Doctors® for Cancer. SARASOTA HEALTH 2014

TOP DOCTORS

Eugene M. Parent Blake Medical Center Manatee Memorial Hospital Bradenton Cardiology Center 316 Manatee Ave. W. Bradenton, FL 34205 (941) 748-2277 Echocardiography

Elizabeth F. Callahan Sarasota Memorial Hospital Skin Smart Dermatology 5911 N. Honore Ave., Suite 210 Sarasota, FL 34243 (941) 308-7546 Mohs’ surgery, skin laser surgery, Botox therapy

Kenneth W. Pfahler Englewood Community Hospital Cardiology Center of Englewood 601 Medical Drive Englewood, FL 34223 (941) 475-5621

Alfred D. Hernandez Sarasota Memorial Hospital 1849 S. Osprey Ave. Sarasota, FL 34239 (941) 957-4767 Dermatologic surgery, Mohs’ surgery, skin cancer

Eulogio J. Sanchez Blake Medical Center Cardiovascular and Vein Center of Florida 2020 59th St. W. Bradenton, FL 34209 (941) 792-1717 Vascular disease, nuclear cardiology David M. Yamada Sarasota Memorial Hospital Heart Specialists of Sarasota 1950 Arlington St., Suite 400 Sarasota, FL 34239 (941) 917-4250 Angiography-coronary, noninvasive cardiology Frederick R. Yturralde Sarasota Memorial Hospital Gulf Coast Cardiovascular Consultants 1921 Waldemere St., Suite 301 Sarasota, FL 34239 (941) 357-1673 Interventional cardiology CHILD AND ADOLESCENT PSYCHIATRY Stephanie Lirio Venice Regional Bayfront Health Gulf Coast Psychiatry 400 S. Tamiami Trail Venice, FL 34285 (941) 244-9122 Anxiety, depression, bipolar/mood disorders, obsessive-compulsive disorder COLON AND RECTAL SURGERY Richard W. Golub Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Surgical Group 3333 Cattlemen Road, Suite 206 Sarasota, FL 34232 (941) 341-0042 Colon and rectal cancer, laparoscopic surgery, hemorrhoids DERMATOLOGY Beatrice J. Berkes Bay Area Skin Cancer Surgery and Dermatology 701 Manatee Ave. W., Suite 105 Bradenton, FL 34205 (941) 748-4747 Mohs’ surgery, skin cancer

SARASOTA HEALTH 2014

Cathy P. Milam 7400 S. Tamiami Trail Sarasota, FL 34231 (941) 364-8220 Skin cancer, Mohs’ surgery, acne, eczema Joshua Mark Newman Center For Sight 1360 E. Venice Ave. Venice, FL 34285 (941) 488-2020 Cosmetic dermatology, skin cancer David S. Sax Manatee Memorial Hospital University Park Dermatology 8451 N. Shade Ave., Suite 205 Sarasota, FL 34243 (941) 360-2477 Psoriasis, acne, eczema, Mohs’ surgery Susan H. Weinkle Blake Medical Center 5601 21st Ave. W., Suite B Bradenton, FL 34209 (941) 794-5432 Skin cancer, Mohs’ surgery, cosmetic dermatology Joseph J. Yohn Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical Group Dermatology 3333 Cattlemen Road, Suite 106 Sarasota, FL 34232 (941) 379-1799 Skin cancer, acne, psoriasis, hair and nail disorders DIAGNOSTIC RADIOLOGY Charles J. Davenport Venice Regional Bayfront Health Radiology Associates of Venice and Englewood 512-516 Nokomis Ave. S. Venice, FL 34285 (941) 488-7781 Elizabeth A. Dienes Venice Regional Bayfront Health Radiology Associates of Venice and Englewood 512-516 Nokomis Ave. S. Venice, FL 34285 (941) 488-7781

Eugenio Erquiaga Venice Regional Bayfront Health Radiology Associates of Venice and Englewood 512-516 Nokomis Ave. S. Venice, FL 34285 (941) 488-7781 Richard M. Goldberg Partners Imaging Center 1250 S. Tamiami Trail, Suite 103 Sarasota, FL 34239 (941) 951-2100 Thoracic radiology, gastrointestinal imaging, cancer imaging Kevin S. Schroeder Blake Medical Center 2020 59th St W. Bradenton, FL 34209 (941) 792-6611 PET imaging, neurological imaging, cancer imaging Nancy M. Wilson Partners Breast Diagnostic Center 2415 University Parkway, Building 3, Suite 219 Sarasota, FL 34243 (941) 757-1044 Mammography, MRI-breast, ultrasound ENDOCRINOLOGY, DIABETES AND METABOLISM Motaz Agabani Doctors Hospital of Sarasota Endocrine Medical Center 2650 Bahia Vista St., Suite 104 Sarasota, FL 34239 (941) 330-8355 Diabetes, osteoporosis, thyroid disorders Jose R. Antunes Sarasota Memorial Hospital 2400 Fruitville Road Sarasota, FL 34237 (941) 365-0333 Diabetes, cholesterol/lipid disorders, thyroid disorders Wende M. Kozlow Lakewood Ranch Medical Center Intercoastal Endocrinology 3333 Cattlemen Road, Suite 104 Sarasota, FL 34232 (941) 379-1777 Diabetes, thyroid disorders, metabolic disorders Mark A. Lupo Doctors Hospital of Sarasota Sarasota Memorial Hospital The Thyroid and Endocrine Center of Florida 3050 Bee Ridge Road Sarasota, FL 34239 (941) 342-9750 Parathyroid disorders, thyroid disorders Jesus B. Perez Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Endocrinology 3333 Cattlemen Road, Suite 104

Sarasota, FL 34232 (941) 379-1777 Thyroid disorders, osteoporosis, diabetes, obesity FAMILY MEDICINE Joseph S. Chirillo Jr. Fawcett Memorial Hospital Millennium Physician Group 190 W. Dearborn St. Englewood, FL 34223 (941) 474-3359 Laura L. Hershorin Sarasota Memorial Hospital Sarasota Center for Family Health and Wellness 6120 53rd Ave. E. Bradenton, FL 34203 (941) 364-4411 Harold L. Johnson Sarasota Memorial Hospital Intercoastal Medical Group Palmer Ranch 8592 Potter Park Drive Sarasota, FL 34238 (941) 921-6618 Joseph J. Larkin Jr. Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical Group Palmer Ranch 8592 Potter Park Drive, Suite 100 Sarasota, FL 34238 (941) 921-6618 Preventive medicine Kevin J. Miller Venice Regional Bayfront Health Paradise Family Healthcare 1101 S. Tamiami Trail, Suite 108 Venice, FL 34285 (941) 488-2332 Barry I. Stein Sarasota Memorial Hospital First Physicians Group 6128 S. Tamiami Trail Sarasota, FL 34231 (941) 923-5882 Krista A. Toomre Doctors Hospital of Sarasota Intercoastal Medical Group Family Practice 943 S. Beneva Road, Suite 204 Sarasota, FL 34232 (941) 953-5213 GASTROENTEROLOGY Norman M. Aprill Sarasota Memorial Hospital 2750 Bahia Vista St, Suite 250 Sarasota, FL 34239 (941) 366-7282 Inflammatory bowel disease F. Scott Corbett Sarasota Memorial Hospital Gastroenterology Associates of Sarasota 2089 Hawthorne St., Suite 200 Sarasota, FL 34239

(941) 365-6556 Endoscopy, pancreatic/biliary endoscopy (ERCP), Barrett’s esophagus Robert H. Felman Venice Regional Bayfront Health Creekside Gastroenterology 1041 Ridgewood Ave. Venice, FL 34285 (941) 484-3557

GYNECOLOGIC ONCOLOGY James V. Fiorica Sarasota Memorial Hospital First Physicians Group Gynecoloy/ Oncology 1888 Hillview St. Sarasota, FL 34239 (941) 917-8383 Breast cancer, uterine cancer

Isaac Kalvaria Sarasota Memorial Hospital Sarasota Digestive Health Specialists 1801 Arlington St., Suite 101 Sarasota, FL 34239 (941) 894-3490 Endoscopy, inflammatory bowel disease

Stacey South Manatee Memorial Hospital Women’s Choice Oncology 5315 Fourth Ave. Circle E. Bradenton, FL 34208 (941) 746-7507 Gynecologic cancer, minimally invasive surgery

Douglas A. Kuperman Sarasota Memorial Hospital Gastroenterology Associates of Sarasota 2089 Hawthorne St., Suite 200 Sarasota, FL 34239 (941) 365-6556 Liver disease, inflammatory bowel disease, endoscopy

HAND SURGERY John D. Hand Sarasota Memorial Hospital 1950 Arlington St., Suite 111 Sarasota, FL 34239 (941) 921-2600 Sports injuries, hand and wrist surgery, elbow surgery

Elliot M. Livstone Sarasota Memorial Hospital Doctors Hospital of Sarasota 1515 S. Osprey Ave., Suite C-11 Sarasota, FL 34239 (941) 955-0000 Esophageal disorders, endoscopy, gastrointestinal cancer, Barrett’s esophagus Manuel E. Rodriguez Blake Medical Center Florida Digestive Health Specialists 1886 59th St. W. Bradenton, FL 34209 (941) 462-2367 Gastroesophageal reflux disease (GERD), colonoscopy, endoscopy John C. Southerland Sarasota Memorial Hospital Sarasota Digestive Health Specialists 1801 Arlington St., Suite 101 Sarasota, FL 34239 (941) 894-3490 Inflammatory bowel disease, ulcerative colitis Bruce W. Trotman Manatee Memorial Hospital Blake Medical Center 5715 21st Ave. W. Bradenton, FL 34209 (941) 761-1800 Biliary disease, hepatitis B and C, colon and rectal cancer GERIATRIC MEDICINE Deven M. Dave Venice Regional Bayfront Health 1720 Venice Ave. E. Venice, FL 34292 (941) 483-9700

David M. Klein Sarasota Memorial Hospital Doctors Hospital of Sarasota Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd., Suite 301 Sarasota, FL 34232 (941) 365-0655 Rotator cuff surgery, hand and upper extremity surgery, wrist/hand injuries INFECTIOUS DISEASE James D. DeMaio Blake Medical Center Bach and Godofsky Infectious Diseases 6010 Pointe West Blvd. Bradenton, FL 34209 (941) 746-2711 Eliot W. Godofsky Blake Medical Center Bach and Godofsky Infectious Diseases 6010 Pointe West Blvd. Bradenton, FL 34209 (941) 746-2711 Hepatitis C, viral hepatitis, HIV James E. Knapp Venice Regional Bayfront Health Englewood Community Hospital 406 N. Indiana Ave., Suite 9 Englewood, FL 34223 (941) 475-3980 Pneumonia Tanya S. Schreibman Sarasota Memorial Hospital 1231 N. Tuttle Ave. Sarasota, FL 34237 (941) 366-0134 HIV INTERNAL MEDICINE Carlos F. Caballero Sarasota Memorial Hospital

Private Physician Services 1801 Arlington St., Suite 2 Sarasota, FL 34239 (941) 917-8365 Concierge medicine Stephen P. Coppa Blake Medical Center Healthcare America Medical Group 6110 53rd Ave E. Bradenton, FL 34203 (941) 755-4242 David C. Daiello Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical Group-Hyde Park 2881 Hyde Park St. Sarasota, FL 34239 (941) 366-2460 Geriatric medicine Scott B. Elsbree Doctors Hospital of Sarasota Sarasota Memorial Hospital MAXhealth 5831 Bee Ridge Road, Suite 210 Sarasota, FL 34233 (941) 379-8481

Arrhythmias, cardiac catheterization, coronary angioplasty/stents and echocardiography Hugh P. Liebert Blake Medical Center 1400 59th St. W. Bradenton, FL 34209 (941) 462-2367 Cardiac catheterization, carotid artery stent placement Alberto E. Montalvo Manatee Memorial Hospital Blake Medical Center Bradenton Cardiology Center 316 Manatee Ave. W. Bradenton, FL 34205 (941) 748-2277 Cardiac catheterization Daniel S. Pacifico Sarasota Memorial Hospital Venice Regional Bayfront Health Florida Cardiac Consultants 1540 S. Tamiami Trail, Suite 401 Sarasota, FL 34239 (941) 917-0060

Catherine A. Fedako Venice Regional Bayfront Health Gulf Coast Medical Group 1720 E. Venice Ave. Venice, FL 34292 (941) 483-9730

David Schreibman Sarasota Memorial Hospital Heart Specialists of Sarasota 1950 Arlington St., Suite 400 Sarasota, FL 34239 (941) 917-4250 Echocardiography

Charles R. Hollen Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical GroupCattleridge 3333 Cattlemen Road, Suite 208 Sarasota, FL 34232 (941) 379-5121

Niranjan Seshadri Lakewood Ranch Medical Center Heart Care Consultants 6310 Health Parkway, Suite 120 Bradenton, FL 34202 (941) 315-6418 Pacemakers, coronary angioplasty/ stents, echocardiography

Constance B. Purser Lakewood Ranch Medical Center 8936 77th Terrace E., Suite 102 Lakewood Ranch, FL 34202 (941) 361-1177 Concierge medicine Robert S. Schulman Sarasota Memorial Hospital Doctors Hospital of Sarasota MAXhealth 5831 Bee Ridge Road, Suite 210 Sarasota, FL 34233 (941) 379-8481 INTERVENTIONAL CARDIOLOGY Stephen C. Culp Sarasota Memorial Hospital 3830 Bee Ridge Road, Suite 201 Sarasota, FL 34233 (941) 929-7272 Concierge medicine Christopher J. Davis Blake Medical Center Manatee Memorial Hospital Bradenton Heart Center 2010 59th St. W., Suite 4200 Bradenton, FL 34209 (941) 462-2367

MEDICAL ONCOLOGY Brian T. Berry Blake Medical Center Florida Cancer Specialists and Research Institute 2401 60th St. Court W. Bradenton, FL 34209 (941) 792-1881 Skin cancer, gynecologic cancer Richard H. Brown Sarasota Memorial Hospital Doctors Hospital of Sarasota Florida Cancer Specialists and Research Institute 1970 Golf St. Sarasota, FL 34236 (941) 957-1000 Robin Lifton Venice Regional Bayfront Health Florida Cancer Specialists and Research Institute 901 S. Tamiami Trail Venice, FL 34285 (941) 484-3531 Scott D. Lunin Bayfront Health Port Charlotte Bayfront Health Punta Gorda SARASOTA HEALTH 2014

TOP DOCTORS

Florida Cancer Specialists and Research Institute 1970 Golf St. Sarasota, FL 34236 (941) 957-1000 Steven W. Mamus Sarasota Memorial Hospital Cancer Center of Sarasota-Manatee 3830 Bee Ridge Road, Suite 301 Sarasota, FL 34233 (941) 923-1872 James R. Rubinsak Venice Regional Bayfront Health Florida Cancer Specialists and Research Institute 836 Sunset Lake Blvd., Suite 101 Venice, FL 34292 (941) 408-0500 Caryn L. Silver Sarasota Memorial Hospital Doctors Hospital of Sarasota Florida Cancer Specialists and Research Institute 1970 Golf St. Sarasota, FL 34236 (941) 957-1000 Breast cancer Robert C. Whorf Blake Medical Center Florida Cancer Specialists and Research Institute 2401 60th St. Court W. Bradenton, FL 34209 (941) 792-1881 NEPHROLOGY Steven W. Fineman Sarasota Memorial Hospital Doctors Hospital of Sarasota Sarasota Personal Medicine 1250 S. Tamiami Trail, Suite 202 Sarasota, FL 34239 (941) 954-9990 Concierge medicine Ranjan P. Ghose Doctors Hospital of Sarasota Sarasota Memorial Hospital Nephrology Associates of Sarasota 1921 Waldemere St., Suite 413 Sarasota, FL 34239 (941) 917-6585 Hypertension, kidney disease Andrew L. Lazin Sarasota Memorial Hospital Gulf Coast Kidney Associates 1921 Waldemere St., Suite 306 Sarasota, FL 34239 (941) 917-8722 Lazo Pipovski Sarasota Memorial Hospital Gulf Coast Kidney Associates 1921 Waldemere St., Suite 306 Sarasota, FL 34239 (941) 917-8722

SARASOTA HEALTH 2014

NEUROLOGICAL SURGERY John R. Cassidy Venice Regional Bayfront Health Sarasota Memorial Hospital Neurosurgical Associates 842 Sunset Lake Blvd., Suite 302 Venice, FL 34292 (941) 484-3404 Brain surgery, spinal surgery Christopher Guerin Sarasota Memorial Hospital Venice Regional Bayfront Health Neurosurgical Associates 842 Sunset Lake Blvd., Suite 302 Venice, FL 34292 (941) 484-3404 Brain tumors, spinal surgery

Donald Negroski Sarasota Memorial Hospital Doctors Hospital of Sarasota 1921 Waldemere St., Suite 701 Sarasota, FL 34239 (941) 487-2160 Multiple sclerosis, Parkinson’s disease, Alzheimer’s disease, migraine Daniel P. Stein Sarasota Memorial Hospital Doctors Hospital of Sarasota 5602 Marquesas Circle, Suite 108 Sarasota, FL 34233 (941) 400-1211 Multiple sclerosis, neuromuscular disorders, sports neurology, concussion

James M. Schumacher Sarasota Memorial Hospital 1921 Waldemere St., Suite 809 Sarasota, FL 34239 (941) 955-1960 Minimally invasive surgery, movement disorders

NEURORADIOLOGY Philip Blaustein Blake Medical Center 804 40th St. W. Bradenton, FL 34205 (941) 749-5464 PET imaging, Alzheimer’s disease

NEUROLOGY Julio C. Cantero Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical GroupNeurology 2881 Hyde Park St. Sarasota, FL 34239 (941) 906-7155 Epilepsy, sleep medicine

OBSTETRICS AND GYNECOLOGY Gina Arabitg Venice Regional Bayfront Health Gynecology of Venice 241 Nokomis Ave. S., Suite A Venice, FL 34285 (941) 485-9941 Gynecology only, robotic surgery

Juliette E. Coleman Venice Regional Bayfront Health Gulf Coast Neurology Associates 600 Nokomis Ave., Suite 204 Venice, FL 34285 (941) 486-6600 Vascular neurology Mauricio Concha Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical GroupNeurology 1881 Hyde Park St. Sarasota, FL 34239 (941) 906-7155 Stroke/cerebrovascular disease Gennady Gekht Lakewood Ranch Medical Center Coastal Orthopedics and Pain Management 6015 Pointe West Blvd. Bradenton, FL 34209 (941) 792-1404 Pain management, neuromuscular disorders, spinal disorders Bridget J. Keller 2401 University Parkway, Suite 204 Sarasota, FL 34243 (941) 379-8830 Allen M. Lifton Venice Regional Bayfront Health 200 Capri Isles Blvd., Suite 7D Venice, FL 34292 (941) 485-2220

Gary W. Easterling Sarasota Memorial Hospital Gulf Coast OB/GYN of Sarasota 1950 Arlington St., Suite 203 Sarasota, FL 32439 (941) 379-6331 Minimally invasive surgery, robotic surgery Michael S. Finazzo Sarasota Memorial Hospital First Physicians Group 1921 Waldemere St., Suite 307 Sarasota, FL 34239 (941) 917-8565 Arunachulam Jothivijayarani Blake Medical Center 3501 Cortez Road W. Bradenton, FL 34210 (941) 752-2828 Gynecology only Michele L. LeMay Manatee Memorial Hospital West Coast OB/GYN 513 Manatee Ave. E Bradenton, FL 34208 (941) 745-1616 Adolescent gynecology, sexual dysfunction Karen F. Liebert Blake Medical Center Manatee Gynecology 1850 59th St. W., Suite B Bradenton, FL 34209 (941) 792-4993 Gynecology only

Neil Pollack Sarasota Memorial Hospital First Physicians Group 1921 Waldemere St., Suite 802 Sarasota, FL 34239 (941) 917-7888 Gynecology only G. Michael Swor Sarasota Memorial Hospital 1617 S. Tuttle Ave., Suite 1A Sarasota, FL 34239 (941) 330-8885 Gynecology only, robotic surgery, laparoscopic surgery, uro-gynecology Greg A. Towsley Sarasota Memorial Hospital First Physicians Group 1921 Waldemere St., Suite 802 Sarasota, FL 34239 (941) 917-7888 Jon Yenari Sarasota Memorial Hospital Intercoastal Gynecology 3333 Cattlemen Road, Suite 200 Sarasota, FL 34232 (941) 379-1700 Pelvic floor reconstruction, incontinence-female OPHTHALMOLOGY Jonathan A. Adler Manatee Memorial Hospital 1509 53rd Ave. W. Bradenton, FL 34207 (941) 753-0220 Cataract surgery, LASIK-refractive surgery Liaquat Allarakhia Manatee Memorial Hospital Blake Medical Center Bradenton Eye Clinic 4812 26th St. W. Bradenton, FL 34207 (941) 727-3937 Cataract surgery-lens implants, glaucoma, macular degeneration, dry eye syndrome Melvin C. Chen Sarasota Memorial Hospital Sarasota Retina Institute 3400 Bee Ridge Road Sarasota, FL 34239 (941) 921-5335 Retinal disorders, retinal/vitreous surgery, macular disease/degeneration, strabismus Robert Edelman Manatee-Sarasota Eye Clinic 2010 59th St. W. Bradenton, FL 34209 (941) 748-1818 Cataract surgery, glaucoma, laser surgery, lens implants John P. Fezza Sarasota Memorial Hospital Doctors Hospital of Sarasota Center For Sight 2601 S. Tamiami Trail Sarasota, FL 34239

TOP DOCTORS

(941) 925-2020 Oculoplastic surgery, orbital reconstruction Murray Friedberg Manatee-Sarasota Eye Clinic 217 Manatee Ave. E. Bradenton, FL 34208 (941) 748-1818 Corneal disease and surgery, cataract surgery, lens implants, LASIK-refractive surgery Harry Grabow Sarasota Memorial Hospital Envision Eye Specialists 3920 Bee Ridge Road, Building F, Suite A Sarasota, FL 34233 (941) 921-7744 Cataract surgery Joshua W. Kim Sarasota Memorial Hospital Center for Sight 2601 S. Tamiami Trail Sarasota, FL 34239 (941) 925-2020 Glaucoma, cataract surgery, lens implants

Harris Silverman Blake Medical Center Manatee Memorial Hospital Eye Associates 6002 Pointe West Blvd. Bradenton, FL 34209 (941) 792-2020 Cataract surgery/lens implant Keye L. Wong Sarasota Memorial Hospital Retina Associates of Sarasota 3920 Bee Ridge Road, Building D Sarasota, FL 34233 (941) 924-0303 Retinal disorders, retina/vitreous surgery, diabetic eye disease/retinopathy, macular degeneration ORTHOPAEDIC SURGERY William F. Bennett Doctors Hospital of Sarasota Sarasota Memorial Hospital 1250 S. Tamiami Trail, Suite 303 Sarasota, FL 34239 (941) 953-5509 Shoulder and knee surgery, stem cells in orthopedics

William J. Lahners Doctors Hospital of Sarasota Center For Sight 2601 S. Tamiami Trail Sarasota, FL 34239 (941) 925-2020 Cataract surgery, cornea transplant

Adam S. Bright Sarasota Memorial Hospital Doctors Hospital of Sarasota 1950 Arlington St., Suite 111 Sarasota, FL 34239 (941) 921-2600 Hip and knee replacement, rotator cuff surgery, sports medicine, arthroscopic surgery

John H. Niffenegger Venice Regional Bayfront Health Retina Associates of Sarasota 3920 Bee Ridge Road, Building D Sarasota, FL 34233 (941) 924-0303 Macular degeneration, diabetic eye disease/retinopathy, retinal detachment, clinical trials

William L. Mehserle Venice Regional Bayfront Health Center for Orthopaedics and Sports Medicine 1525 Tamiami Trail, Suite 602 Venice, FL 34285 (941) 497-2663 Hip replacement, knee replacement, sports medicine

Daniel B. Pope Eye Depot 426 Manatee Ave. W. Bradenton, FL 34205 (941) 708-9000

Joseph Noah Englewood Community Hospital Venice Regional Bayfront Health Suncoast Orthopaedic Surgery 836 Sunset Lake Blvd., Suite 205 Venice, FL 34292 (941) 485-1505 Sports medicine, joint replacement, knee replacement, knee injuries/ACL

Thomas L. Schwartz Sarasota Memorial Hospital 1219 East Ave. S., Suite 105 Sarasota, FL 34239 (941) 957-4216 Cataract surgery, corneal and external eye disease David William Shoemaker Center For Sight 2601 S. Tamiami Trail Sarasota, FL 34239 (941) 925-2020 Cataract surgery-lens implant Scott Silverman Manatee-Sarasota Eye Clinic 217 Manatee Ave. E Bradenton, FL 34208 (941) 748-1818 Pediatric ophthalmology, strabismus, eye muscle surgery, tear duct problems

SARASOTA HEALTH 2014

Ashvin I. Patel Sarasota Memorial Hospital Doctors Hospital of Sarasota Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd., Suite 301 Sarasota, FL 34232 (941) 365-0655 Spinal surgery Christopher R. Sforzo Sarasota Memorial Hospital Doctors Hospital of Sarasota Florida Orthopedic Specialists and Sports Medicine 5831 Bee Ridge Road, Suite 200 Sarasota, FL 34233 (941) 378-5100 Hand and wrist surgery, carpal tunnel

syndrome, upper extremity surgery, sports medicine Gary S. Shapiro Sarasota Memorial Hospital Doctors Hospital of Sarasota Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd., Suite 301 Sarasota, FL 34232 (941) 365-0655 Knee cartilage/meniscus transplants, minimally invasive surgery, knee replacement, sports medicine Arthur L. Valadie Blake Medical Center Manatee Memorial Hospital Coastal Orthopedics and Sports Medicine 6015 Pointe West Blvd. Bradenton, FL 34209 (941) 792-1404 Sports medicine, arthroscopic surgery, knee reconstruction Andrew M. Wolff Sarasota Memorial Hospital Doctors Hospital of Sarasota 1921 Waldemere St., Suite 610 Sarasota, FL 34239 (941) 917-6700 Arthritis, joint replacement, hip and knee surgery, shoulder surgery OTOLARYNGOLOGY Sumeet Bhanot Sarasota Memorial Hospital Silverstein Institute 1901 Floyd St. Sarasota, FL 34239 (941) 366-9222 Cosmetic and reconstructive surgery-face Matthew D. Byers Sarasota Memorial Hospital Lakewood Ranch Medical Center Intercoastal Medical Group-Otolaryngology 3333 Cattleman Road, Suite 204 Sarasota, FL 34232 (941) 379-1800 Trauma, nasal and sinus disorders, nasal surgery, sleep disorders/apnea Daniel A. Deems Sarasota Memorial Hospital University ENT Associates 8451 Shade Ave. Building 2, Suite 107 Sarasota, FL 34243 (941) 355-2767 Balance disorders, ear infections, Meniere’s disease, thyroid surgery Michael J. Gurucharri Manatee Memorial Hospital 701 Manatee Ave. W., Suite 202 Bradenton, FL 34205 (941) 748-2455 Head and neck cancer, pediatric otolaryngology, laser surgery, allergy Robert P. Hillstrom Lakewood Ranch Medical Center Blake Medical Center Hillstrom Facial Plastic Surgery 5911 N. Honore Ave., Suite 120

Sarasota, FL 34243 (941) 355-3223 Cosmetic surgery-face, reconstructive plastic surgery, nasal surgery Michael L. Patete Venice Regional Bayfront Health 213 Palermo Place Venice, FL 34285 (941) 485-7783 Head and neck cancer and surgery, sinus disorders Seth I. Rosenberg Sarasota Memorial Hospital Silverstein Institute 1901 Floyd St. Sarasota, FL 34239 (941) 366-9222 Balance disorders, sinus disorders/ surgery, ear disorders/surgery, neuro-otology Herbert Silverstein Sarasota Memorial Hospital Silverstein Institute 1901 Floyd St. Sarasota, FL 34239 (941) 366-9222 Ear disorders/surgery, Meniere’s disease Jack J. Wazen Sarasota Memorial Hospital Silverstein Institute 1901 Floyd St. Sarasota, FL 34239 (941) 366-9222 Skull base surgery, Meniere’s disease, acoustic neuroma, hearing and balance disorders PAIN MEDICINE Myrdalis Diaz-Ramirez Comprehensive Pain Center of Sarasota 1921 Waldemere St., Suite 607 Sarasota, FL 34239 (941) 363-9400 Pain-cancer, pain-neuropathic, spinal cord stimulation Kenneth A. Giraldo Doctors Hospital of Sarasota Sarasota Memorial Hospital 5831 Bee Ridge Road, Suite 100 Sarasota, FL 34233 (941) 343-1040 Spinal disorders, herpetic neuralgia (shingles) PEDIATRICS Patricia J. Blanco Sarasota Memorial Hospital 8460 Cooper Creek Blvd., Suite 101 University Park, FL 34201 (941) 360-1266 Special health care needs (CHSCN), neonatal addiction Constance M. Charles-Logan Manatee Memorial Hospital West Coast Pediatrics 2211 60th St. W Bradenton, FL 34209 (941) 761-0663

Robert A. Weiss Sarasota Memorial Hospital 2201 Cantu Court, Suite 117 Sarasota, FL 34232 (941) 552-8341

Helene R. Hubbard Manatee Memorial Hospital 408 Manatee Ave. E., Suite 1 Bradenton, FL 34208 (941) 922-5366 Developmental and behavioral disorders, developmental delay, learning disorders, autism

Joseph S. Yeh Sarasota Memorial Hospital First Physicians Group 929 S. Tamiami Trail Osprey, FL 34229 (941) 917-4700

Jacqueline F. Kelly Sarasota Memorial Hospital 1428 S. Osprey Ave. Sarasota, FL 34239 (941) 365-9222 Eric G. Patrusky Sarasota Memorial Hospital 5664 Bee Ridge Road, Suite 103 Sarasota, FL 34233 (941) 377-8687 Enas Sallam Sarasota Memorial Hospital First Physicians Group 5350 University Parkway, Suite 101 Sarasota, FL 34243 (941) 917-4675 John W. Wassenaar Sarasota Memorial Hospital 929 S. Tamiami Trial Osprey, FL 34229 (941) 917-4700

PHYSICAL MEDICINE AND REHABILITATION Susan E. Aull Sarasota Memorial Hospital Doctors Hospital of Sarasota 5535 Marquesas Circle Sarasota, FL 34233 (941) 487-7244 Sports medicine, pain management, musculoskeletal disorders, neurologic rehabilitation Erik S. Herman Doctors Hospital of Sarasota Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd., Suite 301 Sarasota, FL 34232 (941) 365-0655 Pain-back and neck, electromyography

Marc Kallins Blake Medical Center 4110 Manatee Ave. W. Bradenton, FL 34205 (941) 462-2367 Pain-back, spinal rehabilitation Paul Lento Sarasota Memorial Hospital Sarasota Orthopedic Associates 2750 Bahia Vista St., Suite 100 Sarasota, FL 34239 (941) 951-2663 Musculoskeletal injuries, sports medicine PLASTIC SURGERY Christopher D. Adamson Doctors Hospital of Sarasota Sarasota Memorial Hospital 5741 Bee Ridge Road, Suite 510 Sarasota, FL 34233 (941) 343-9900 Breast reconstruction and augmentation, liposuction and body contouring, cosmetic surgery-face Marguerite P. Barnett Venice Regional Bayfront Health Mandala Med-Spa 1715 Stickney Point Road Sarasota, FL 34231 (941) 927-2447

Cosmetic surgery-face, liposuction and body contouring, cosmetic surgerybreast, breast reconstruction David L. Mobley Sarasota Memorial Hospital 2255 S. Tamiami Trail Sarasota, FL 34239 (941) 366-8897 Cosmetic surgery-face, cosmetic surgery-breast, liposuction and body contouring, laser surgery Raja Nalluri Sarasota Memorial Hospital Blake Medical Center Nalluri Plastic Surgery and Laser Center 6118 S. Tamiami Trail Sarasota, FL 34231 (941) 752-7842 Cosmetic surgery, facial rejuvenation Charles L. Rodriguez Venice Regional Bayfront Health 329 Nokomis Ave. S. Venice, FL 34285 (941) 488-7727 Breast augmentation, cosmetic surgerybreast, liposuction and body contouring, cosmetic surgery-face James H. Schmidt Sarasota Memorial Hospital 2255 S. Tamiami Trail Sarasota, FL 34239

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(941) 366-8897 Facial rejuvenation, cosmetic surgerybreast, liposuction and body contouring John L. Strausser Sarasota Memorial Hospital Doctors Hospital of Sarasota 1900 S. Tamiami Trail Sarasota, FL 34239 (941) 955-9096 Cosmetic surgery, reconstructive surgery, cancer surgery PSYCHIATRY Matthew J. Edlund Sarasota Memorial Hospital Center for Circadian Medicine 1241 S. Tamiami Trail Sarasota, FL 34239 (941) 365-4308 Sleep disorders PULMONARY DISEASE Glenn D. Adams Sarasota Memorial Hospital Doctors Hospital of Sarasota 1625 S. Osprey Ave. Sarasota, FL 34239 (941) 917-8772 Sleep disorders/apnea, restless legs syndrome, narcolepsy

Donald Arents Venice Regional Bayfront Health Pulmonary Medicine of Venice 219 Palermo Place Venice, FL 34285 (941) 484-5864 Sleep medicine, emphysema and asthma David K. Denholm Venice Regional Bayfront Health Gulf Coast Pulmonology Associates 209 Palermo Place Venice, FL 34285 (941) 488-1906 Sleep medicine, lung cancer, critical care Ziad W. Ghamra Sarasota Memorial Hospital Lung Associates of Sarasota 1921 Waldemere St., Suite 705 Sarasota, FL 34239 (941) 366-5864 Lung disease Kenneth M. Hurwitz Sarasota Memorial Hospital Lung Associates of Sarasota 1921 Waldemere St., Suite 705 Sarasota, FL 34239 (941) 366-5864 Critical care David Law Sleep Manatee 5517 21st Ave. W., Suite F Bradenton, FL 34209

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Janine M. Mylett Blake Medical Center Manatee Memorial Hospital The Lung Center 2210 61st St. W. Bradenton, FL 34209 (941) 792-0611

Stephen J. Patrice Sarasota Memorial Hospital 21st Century Oncology 3210 Fruitville Road Sarasota, FL 34237 (941) 364-8887 Lung cancer, brain tumors, stereotactic radiosurgery

Michael Seeman Manatee Memorial Hospital The Lung Center 2210 61st St. W. Bradenton, FL 34209 (941) 792-0611 Lung disease Floyd W. Wells Manatee Memorial Hospital The Lung Center 2210 61st St. W. Bradenton, FL 34209 (941) 792-0611 Asthma, lung cancer, emphysema RADIATION ONCOLOGY Mary Koshy Manatee Memorial Hospital Blake Medical Center Manatee Cancer Center 401 Manatee Ave. E., Suite A Bradenton, FL 34209

Larry N. Silverman Lakewood Ranch Medical Center Sarasota Memorial Hospital 21st Century Oncology 3210 Fruitville Road Sarasota, FL 34237 (941) 364-8887 Gray B. Swor Sarasota Memorial Hospital 21st Century Oncology 3210 Fruitville Road Sarasota, FL 34237 (941) 364-8887 Breast cancer John E. Sylvester Sarasota Memorial Hospital Manatee Memorial Hospital Lakewood Ranch Oncology Center 8946 77th Terrace E. Bradenton, FL 34202 (941) 907-9053 Prostate cancer, brachytherapy

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REPRODUCTIVE ENDOCRINOLOGY Julio E. Pabon Doctors Hospital of Sarasota Sarasota Memorial Hospital Fertility Center and Applied Genetics of Florida 6050 Cattleridge Blvd., Suite 103 Sarasota, FL 34232 (941) 342-1568 Infertility-IVF, preimplantation genetic diagnosis RHEUMATOLOGY Shehla Atiq Venice Regional Bayfront Health Gulf Coast Medical Group 1720 E. Venice Ave. Venice, FL 34292 (941) 483-9730 Yoel Drucker Sarasota Memorial Hospital Sarasota Arthritis Center 3500 S. Tamiami Trail Sarasota, FL 34239 (941) 365-0770 David I. Greenfield Venice Regional Bayfront Health Gulf Coast Medical Group Rheumatology 1525 S. Tamiami Trail, Suite 601 Venice, FL 34285 (941) 497-4069

Jeffrey L. Kaine Sarasota Memorial Hospital Sarasota Arthritis Center 1945 Versailles St., Suite 101 Sarasota, FL 34239 (941) 365-0770 Daniel A. Small Sarasota Memorial Hospital Sarasota Arthritis Center 3500 S. Tamiami Trail Sarasota, FL 34239 (941) 365-0770 Arthritis SPORTS MEDICINE Steven J. Schafer Blake Medical Center Coastal Orthopedics and Sports Medicine 6015 Pointe West Blvd. Bradenton, FL 34209 (941) 462-2367 Arthroscopic surgery, knee injuries/ ACL/meniscus tears SURGERY Steven L. Halbreich Doctors Hospital of Sarasota Sarasota Memorial Hospital Vascular and Surgery Associates 1921 Waldemere St., Suite 504 Sarasota, FL 34239 (941) 957-1700

Brian J. Kimbrell Blake Medical Center Bradenton Trauma Surgical Group 2020 59th St. W. Bradenton, FL 34209 (941) 794-5621 Trauma

W. Peter Graper Sarasota Memorial Hospital 1540 S. Tamiami Trail, Suite 303 Sarasota, FL 34239 (941) 371-9710 Mitral valve surgery, lung surgery, pacemakers, defibrillators

David A. Napoliello Venice Regional Bayfront Health Lakewood Ranch Medical Center 8340 Lakewood Ranch Blvd., Suite 101 Bradenton, FL 34202 (941) 388-9525 Laparoscopic surgery

Richard J. Peterson Blake Medical Center Manatee Memorial Hospital Riverview Cardiac Surgery 623 39th St. W., Suite 2 Bradenton, FL 34205 (941) 315-6418 Heart valve surgery, cardiothoracic surgery, atrial fibrillation, carotid artery surgery

Scott B. Stevens Sarasota Memorial Hospital Intercoastal Surgical Group 3333 Cattlemen Road, Suite 206 Sarasota, FL 34232 (941) 341-0042 Laparoscopic and obesity/bariatric surgery THORACIC AND CARDIAC SURGERY Jonathan C. Fong Venice Regional Bayfront Health Venice Ocala Heart Institute 706 The Rialto Venice, FL 34285 (941) 484-8004 Carotid artery surgery, lung surgery

Atiq Rehman Sarasota Memorial Hospital 1540 S. Tamiami Trail, Suite 303 Sarasota, FL 34239 (941) 917-8791 Robotic surgery, minimally invasive heart valve surgery, coronary artery surgery UROLOGY A. Joseph Bilik Sarasota Memorial Hospital Florida Urology Specialists 1 S. School Ave., Suite 200 Sarasota, FL 34237 (941) 309-7000 Robotic surgery

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SARASOTA HEALTH 2014

TOP DOCTORS

Kenneth J. Bregg Sarasota Memorial Hospital Urology Treatment Center 1921 Waldemere St., Suite 310 Sarasota, FL 34239 (941) 917-8488 Voiding dysfunction, incontinence, urologic cancer Robert I. Carey Sarasota Memorial Hospital Urology Treatment Center 1921 Waldemere St., Suite 310 Sarasota, FL 34239 (941) 917-8488 Robotic surgery, minimally invasive surgery, prostate cancer, kidney cancer Edward Herrman Manatee Memorial Hospital Blake Medical Center Urology Partners 200 Third Ave. W., Suite 210 Bradenton, FL 34205 (941) 792-0340 Kidney stones, incontinence, erectile dysfunction, minimally invasive surgery G. Austin Hill Manatee Memorial Hospital Blake Medical Center Urology Partners

SARASOTA HEALTH 2014

200 Third Ave. W., Suite 210 Bradenton, FL 34205 (941) 792-0340 Incontinence-female, urologic cancer, voiding dysfunction, prostate disease Gregory M. Lomas Venice Regional Bayfront Health RTR Urology 842 Sunset Lake Blvd., Suite 403 Venice, FL 34292 (941) 485-3351 Prostate disease, kidney stones Alan K. Miller Manatee Memorial Hospital Blake Medical Center Urology Partners 200 Third Ave. W., Suite 210 Bradenton, FL 34205 (941) 752-1553 Minimally invasive surgery, urologic cancer, incontinence, prostate disease Matthew J. Perry Sarasota Memorial Hospital Florida Urology Specialists 1 S. School Ave., Suite 200 Sarasota, FL 34237 (941) 309-7000

G. Bino Rucker 6124 53rd Ave. E. Bradenton, FL 34203 (941) 448-1199 Vasectomy and vasectomy reversal, urologic cancer, voiding dysfunction, kidney stones Alan R. Treiman Sarasota Memorial Hospital Urology Treatment Center 1921 Waldemere St., Suite 310 Sarasota, FL 34239 (941) 917-8488 Prostate cancer, erectile dysfunction, bladder cancer, kidney stones VASCULAR AND INTERVENTIONAL RADIOLOGY Osarugue A. Aideyan Blake Medical Center 804 40th St. W. Bradenton, FL 34205 (941) 749-5464 Stephanie K. Hiskes Blake Medical Center 804 40th St. W. Bradenton, FL 34205 (941) 749-5464

Sergio L. Selva Venice Regional Bayfront Health Radiology Associates of Venice and Englewood 512-516 Nokomis Ave. S. Venice, FL 34285 (941) 488-7781 VASCULAR SURGERY Michael R. Lepore Doctors Hospital of Sarasota Sarasota Memorial Hospital Sarasota Vascular Specialists 600 N. Cattlemen Road, Suite 220 Sarasota, FL 34232 (941) 371-6565 Endovascular surgery, aneurysm-aortic, minimally invasive vascular surgery, angioplasty and stent placement Russell H. Samson Sarasota Memorial Hospital Doctors Hospital of Sarasota Sarasota Vascular Specialists 600 N. Cattlemen Road, Suite 220 Sarasota, FL 34232 (941) 371-6565 Peripheral vascular disease, vein disorders n

WHO’S WHO I N H EALTH

Our area’s leading health and wellness professionals. All Children’s Hospital Johns Hopkins Medicine Guy DaSilva, M.D., DaSilva Institute of Anti-Aging, Regenerative & Functional Medicine Paul K. Brannan, M.D., Dermatology & Oculoplastic Consultants (DOCS) Kitt Crown-Boltz, ElderCare Services Unlimited Dr. Scott Corbett, Dr. Steven Kucera and Dr. Douglas Kuperman, Gastroenterology Associates of Sarasota Timothy G. Herring, D.M.D., F.A.G.D. Christine Koval, D.M.D., Koval & Koval Dental Associates Massage Envy Spa Marineyda Oyola, D.D.S., Sarasota Endodontics Laura Hershorin, M.D., Sarasota Center for Family Health & Wellness Dr. Melvin Chen, Sarasota Retina Institute David S. Sax, M.D., University Park Dermatology William K. Urschel, D.M.D., P.A.

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SARASOTA CENTER FOR FAMILY HEALTH AND WELLNESS A concierge practice where wellness is not a cliché.

Dr. Laura Hershorin gets to know each of her patients personally to support them in living their healthiest life possible.

THIS IS NO ORDINARY DOCTOR’S OFFICE.

The Sarasota Center for Family Health and Wellness welcomes patients who want to make a genuine connection with their provider and participate in their own well-being. As a concierge practice, the Sarasota Center sees fewer patients than a traditional office, and each doctor and staff member gets a chance to develop a real relationship with each person, taking the time and care you deserve. Same-day appointments. Virtually no waiting room time. Getting your doctor on the phone. Coordinating care, specialists, and insurance payments. The Sarasota Center’s approach to your health is proactive, not merely reactive, addressing lifestyle and health issues in a holistic, wholeperson approach.

SARASOTA HEALTH 2014

Board-certified, Boston-educated Dr. Laura Hershorin has practiced family medicine for nearly 20 years, 10 in the Sarasota-Bradenton community, and has been named a Castle Connolly Top Doctor several years running. She guides a dedicated team of health professionals including certified Physician Assistant Ashley Metzgar, nutritionist Susan Schussler R.D., C.D.E. and acupuncturist Dr. Shaun Dumas. Their collaborative approach includes nontraditional approaches to health and healing, and their concierge patients receive

“The Sarasota Center’s approach to your health is proactive, not merely reactive.”

services, education and support that takes advantage of multiple modalities. As new medical and scientific research uncovers innovative treatments and approaches, Dr. Hershorin is your patient advocate for understanding options and coordinating care with specialists. While evidence-based science and practices are the foundation for all patient care, Sarasota Center always keeps open the door to Eastern medicine and alternate care paths. If you want a doctor who will write a prescription to cure all that ails you, this might not be the right practice for you. Sarasota Center physicians work with each patient to find smart, actionable lifestyle choices, to be proactive in creating wellness rather than just going right to the pharmacy. This isn’t easy!

DR. LAURA HERSHORIN EDUCATION Board Certified, Family Medicine Tufts University School of Medicine Brandeis University

PRACTICE SPECIALTIES Family Medicine Concierge Practice Whole-person orientation Prevention and lifestyle approaches Personal attention

Voted Top Doctor 2012, 2013, 2014 Accepting new patients. Complimentary “Meet The Doc” appointments available.

And they are here to support and guide you every step of the way. As a concierge practice, the Sarasota Center providers have the time to work with each patient in a meaningful and mutually respectful way. They can’t tell you to lose weight without giving you the tools and support to accomplish it. The in-house nutritionist, Susan Schussler, helps patients make realistic but effective changes. They help with stress management and ensure that you are getting the right amount and kind of sleep. They help find exercise that will work for you and can address many underlying issues. The patient community joins the team for regular health seminars and education events. They get to know each patient

personally with longer appointments and a chance for you to ask every question on your list. Dr. Hershorin is delighted to meet any prospective patients in a no-pressure, complimentary “Meet The Doc” appointment in the modern, state-of-the-art medical building conveniently located in Bradenton. The Sarasota Center is currently accepting new patients and would love to start the conversation with you. Let them be your partner in health.

“They get to know each patient personally with longer appointments and a chance for you to ask every question on your list.”

6120 53RD AVE. E./S.R. 70 BRADENTON, FL 34203 (941) 364-4411 SARASOTACENTER.COM

SARASOTA HEALTH 2014

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HEALTH CARE

ALL CHILDREN’S HOSPITAL JOHNS HOPKINS MEDICINE

World-class pediatric care, right here in Southwest Florida.

Explore more at allkids.org/360.

ALL CHILDREN’S HOSPITAL, a member

of Johns Hopkins Medicine located in St. Petersburg, is the most advanced children’s hospital on Florida’s west coast and is recognized by U.S. News & World Report as a Best Children’s Hospital. In April 2011, All Children’s became the only U.S. hospital outside the Baltimore/Washington, D.C. region to join Johns Hopkins Medicine. Together, these organizations are dedicated to treatment, education, research and advocacy to improve children’s health. With 259 beds, 50 specialties, 10 outpatient care centers and affiliate programs at nine community hospitals, All Children’s provides hope and healing for children from across Florida. In Sarasota, All Children’s Specialty Physicians provide care for newborns in the neonatal intensive care unit at Sarasota Memorial Hospital and manage the care of children admitted to the pediatric inpatient unit. All Children’s Outpatient Care, Sarasota is the family-friendly center at Clark Road, offering visits with physicians in pediatric

SARASOTA HEALTH 2014

cardiology, endocrinology, pediatric surgery, pulmonology, sports medicine and other specialties. The Sarasota center also provides diagnostic services, lab draws, pediatric audiology services and pediatric speechlanguage, occupational and physical therapy. All Children’s Outpatient Care, Lakewood Ranch provides pediatric speech-language, “Patients have occupational and access to the physical therapy in a latest research, convenient location. The many services technology provided in Sarasota and clinical and Lakewood Ranch trials.” bring specialized care for children closer to home. Families benefit from the expertise of All Children’s Specialty Physicians in Sarasota paired with the resources of All Children’s Hospital in St. Petersburg and Johns Hopkins Medicine. Patients have access to the latest research and technology, and can participate in Johns Hopkins Medicine clinical trials based in St. Petersburg or Maryland.

ALL CHILDREN’S HOSPITAL 501 SIXTH AVE. S. ST. PETERSBURG FL 33701 (727) 898-7451 ALLKIDS.ORG ALL CHILDREN’S OUTPATIENT CARE, SARASOTA 5881 RAND BLVD. SARASOTA, FL 34238 (941) 927-8805 ALLKIDS.ORG/SARASOTA ALL CHILDREN’S OUTPATIENT CARE, LAKEWOOD RANCH 8340 LAKEWOOD RANCH BLVD. SUITE 160 BRADENTON, FL 34202 (941) 907-2019 ALLKIDS.ORG/LAKEWOODRANCH

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HEALTH CARE

GUY DASILVA, M.D.

DaSilva Institute of Anti-Aging, Regenerative & Functional Medicine

Dr. Guy DaSilva uses natural approaches to treat and reverse disease and chronic conditions.

GUY DASILVA, M.D., medical director and

brain and mood disorders, autoimmune founder of the DaSilva Institute, is often the diseases, gastrointestinal disorders and doctor people visit when all other specialists hormone imbalances by uncovering and and medications have failed. Dr. DaSilva’s treating the underlying cause. Dr. DaSilva focus is finding the root cause of disease has helped hundreds reverse diseases and chronic conditions, then reversing them such as ALS, rheumatoid arthritis, cancer, through whole-body, natural approaches. fibromyalgia, Dr. DaSilva’s understanding of disease at ulcerative colitis and “Dr. DaSilva’s the cellular level stems from an extensive schizophrenia. goal is to help background in pathology, hematology, The DaSilva others get off hematopathology and internal medicine, Institute offers many prescription which he used early in his career to develop innovative procedures, drugs, avoid biomarkers for cancer detection, and to open including autologous surgery and the HemePath Institute, an internationally stem cell therapy, restore health recognized lab for diagnosing complex which uses the naturally.” cancers. patient’s own stem When life-threatening disease hit home cells to quickly reverse and only worsened with traditional medicine, injury and disease, as well as aesthetic Dr. DaSilva went back to school, becoming treatments like liposculpture, a natural a fellow in anti-aging, functional and liposuction alternative. regenerative medicine. After reversing his A globally recognized expert in family’s health with this new approach, he intravenous nutrition, Dr. DaSilva gives opened the DaSilva Institute in 2006 with the lectures around the country and recently goal of helping others get off prescription opened the area’s premier IV wellness spa, drugs, avoid surgery and restore health the Sarasota IV Lounge, offering vitamin naturally, instead of just masking symptoms. drips that maximize health, prevent illness The DaSilva Institute specializes in treating and reverse disease.

CREDENTIALS Board certified, American Board of Anti-Aging & Regenerative Medicine Stem cell certified, BioHeart, Inc. and Ageless Regenerative Institute

SPECIALTIES Anti-aging, functional and regenerative medicine Autologous adult stem cell therapy Bio-identical hormone replacement Celiac disease and gluten sensitivity Intravenous nutrition

DaSilva

I N S T I T U T E

1250 S. TAMIAMI TRAIL, SUITE 203 SARASOTA, FL 34239 (941) 388-0940 DASILVAINSTITUTE.COM SARASOTAIVLOUNGE.COM SARASOTA HEALTH 2014

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TOP DENTIST

HEALTH CARE

ELDERCARE SERVICES UNLIMITED One-on-one in-home care. FOR MORE THAN 13 YEARS, ElderCare Services Unlimited has provided exemplary, comprehensive, licensed and certified care and companionship individually tailored for each client. Founder Kathryn (Kitt) M. Crown-Boltz has more than 36 years of combined experience in medical and business operations management. ElderCare offers agency-licensed in-home care. Unlike assisted-living facilities, which typically offer a private suite with minimal kitchen functions complemented by staff-organized meals and activities, in-home care caters specifically to the needs and wants of each client. You may need 24/7 care, or you may prefer a one-hour shift to assist with household needs and to have a friendly face visit on a regular schedule. “One-on-one care Crown-Boltz and her staff of more than 25 enables clients caregivers, companions and home-makers to interact with follow a threefold mission: to encourage clients to maintain interest in personal, social, familiar faces and professional and family activities; to enhance to come and go as clients’ lifestyles by providing non-medical, needed.” exclusive personal assistance and individual companionship; and to create peace-of-mind and safekeeping for clients and their families. “It’s as much of a vocation as it is an occupation for all of us,” Crown-Boltz says, “and my staff is doing more than I could ever ask. It’s heartwarming to see our clients active, stimulated and involved in their daily living.” Before any services are performed by ElderCare, Crown-Boltz spends time gathering information about a client so she can be sure to match them up with the most suitable caregiver. “We provide an unprecedented level of service,” she says, “and treat each client as family.” There is a complete menu of services provided by ElderCare either in your home or current place of residence. Personal assistance, light housekeeping, transportation, monitoring medication, meal preparation and planning and one-on-one companionship are but a few available options.

ElderCare Ser vices Unlimited

(941) 377-4465 ELDERCARESARASOTA.COM SARASOTA, VENICE, THE KEYS AND THE ISLANDS LICENSE # FL30211372

SARASOTA HEALTH 2014

ElderCare founder Kitt Crown-Boltz combines skills and experience in both health care and business operations management.

STAFF HIGHLIGHTS: Registered nurses Licensed practical nurses Nursing assistants Home health aides Home care aides Personal care assistants

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TOP DENTIST

TIMOTHY G. HERRING, D.M.D., F.A.G.D. Fellow of the Academy of General Dentistry. SOUTHERN MANNERS, A SMILING FACE, and that Alabama drawl, along with 29 years of experience in Sarasota, give Timothy G. Herring, D.M.D. a unique perspective. Dr. Herring graduated from the University of Alabama School of Dentistry, immediately joining his mentor and friend, the late Dr. Kenneth Cooper, at the corner of Floyd Street and Osprey Avenue, where he continues to see many of the patients who started out with Dr. Cooper. “I was fortunate to train at both the Pankey Institute and the Dawson Academy very early in my career, and have practiced dentistry long enough to know what works and what doesn’t,” he explains. “With a conservative approach to restoring mouths, we can actually help our patients fulfill their dental expectations and restore function in a naturally “We want to give aesthetic way.” the best care Commitment to continuing education is a must in the ever-changing world of dentistry. Dr. Herpossible in as ring has been awarded fellowship in the Academy pleasant an of General Dentistry in recognition of those conenvironment as tinuing education goals and is honored to again be recognized by his peers as a Top Dentist for 2014. possible.” “We have a wonderful family of patients that have entrusted us with their dental care, and we want to give them the best care possible in as pleasant an environment as possible,” he says. “Whether we see you at Pioneer Picnic, Southside Deli, or just passing by down Osprey Avenue, we invite you to come in and get to know us a little better. It won’t take you long to understand why every visit at our office ends with, ‘very good, very good.’”

Dr. Timothy G. Herring combines a conservative approach with state-of-theart breakthroughs in dentistry.

CREDENTIALS: Fellow of the Academy of General Dentistry The L. D. Pankey Institute, Continuum Level 4+ The Dawson Center for Advanced Dental Education Dental Practice Based Research Network American Dental Association Florida Dental Association

(941) 366-3894 1445 S. OSPREY AVE. SARASOTA, FL 34239

West Coast District Dental Association Sarasota County Dental Association, past president

SARASOTA HEALTH 2014

TOP DENTIST

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TOP DENTIST

CHRISTINE L. KOVAL, D.M.D. Koval & Koval Dental Associates DR. KOVAL’S PRACTICE has garnered recognition for the thorough, gentle and focused attention she delivers daily. A graduate of Georgetown School of Dentistry, Dr. Koval has been in practice for over 25 years and earned a host of awards and honors throughout that time. The Florida Academy of Cosmetic Dentistry has awarded her over 19 Gold Medals for best cosmetic improvements and natural-looking smiles. She also has received fellowship to the International Academy of Dental Facial Aesthetics, and was voted a Top Dentist by her peers for Best Restorative and Cosmetic Dentist. It is no wonder that Dr. Koval has been honored as one of “America’s Top Dentists” annually since 2005. “My patients want Koval & Koval Dental Associates specializes in state-of-the-art cosmetic dentistry procedures, incomprehensive cluding oral prosthetics, full-mouth reconstruction, dental care, implants, restorative dentistry, neuromuscular knowing if the dentistry, teeth whitening, full smile makeovers, as well as general dentistry. “My patients want need arises they comprehensive dental care, knowing if the need can get the best arises they can get the best cosmetic dentistry as cosmetic dentistry well,” said Dr. Koval. In Dr. Koval’s office, comprehensive care beas well.” gins with pairing technology, science and art to achieve stunning results. As such, she stresses the value of ongoing training and the importance of using the most current and advanced technologies—including digital intra-oral photography and the latest in drill-free laser equipment. With the aid of four distinctly different lasers, Dr. Koval treats her patients to a less invasive, more comfortable and more efficient experience when creating longer lasting and natural-looking smiles. “New technologies are changing what it means to be a dentist,” she says. “I believe in staying on the leading edge of proven technology for the ultimate benefit of my patients.”

Dr. Koval has been voted as a top cosmetic dentist in Sarasota by her peers.

CREDENTIALS: Fellow, International Academy for Dental Facial Esthetics Awarded “America’s Top Dentist” annually since 2005 D.M.D., Georgetown University School of Dentistry Graduate of Las Vegas Institute for Advanced Dental Studies Advanced training in dental sleep disorders Recipient of 19 Gold Medal Smile Awards from Florida Academy of Cosmetic Dentistry Certified in advanced dental laser technologies American Academy of Cosmetic Dentistry Florida Academy of

2477 STICKNEY POINT ROAD, SUITE 216A SARASOTA, FL 34231 (941) 923-5406 ASKDRKOVAL.COM

Cosmetic Dentistry American Dental Association Sarasota County Dental Association

SARASOTA HEALTH 2014

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HEALTH CARE

MASSAGE ENVY SPA Destination: relaxation.

Enjoy their introductory massage rate of just $49.99.

KNOWING HOW TO RELAX is important

for your health and well-being. Luckily, at Massage Envy Spa in Sarasota, the trained professionals know just how to make relaxation happen. In fact, clinical studies prove that massage therapy helps with more than just relaxation; the medical benefits of massage can have a positive, lasting impact on your health. And, with three locations, Massage Envy Sarasota makes getting professional massages affordable and convenient. Clients can customize their massage for no additional charge; deep tissue, sports, reflexology and prenatal are a few of the modalities offered. Four different Murad Healthy Skin Facials are available to address skin disorders and concerns. There are memberships available where, for $59.99 each month, you receive a customized one-hour massage or facial session (for an additional $10), additional unlimited $39.99 hour-massage sessions, priority booking and more.

Massage Envy Sarasota is locally owned by Eric Seace and Pete Kapinos and employs more than 100 licensed massage therapists and estheticians, many from the Sarasota area, as well as 35 front desk staff. “It’s nice to know that someone can come in after a stressful day and leave completely relaxed,” says Seace. “We get to be the best part of someone’s day.” “Someone can Massage Envy is come in after open seven days a a stressful week, from 8 a.m. day and leave to 10 p.m. Monday completely through Friday and relaxed.” 9 a.m. to 8 p.m. Saturday and Sunday. “I love being able to schedule a massage at a time that doesn’t interfere with my family,” says long-time member Kim Walker. “If my kids are asleep by 8:30 p.m., there’s still time for a 90-minute massage.”

SERVICES Trigger Point, Swedish, Sports, Specialty and Geriatric Massages Murad® Healthy Skin Facials

2855 UNIVERSITY PARKWAY SARASOTA, FL 34243 (941) 556-6400 4037 CLARK ROAD SARASOTA, FL 34233 (941) 927-6200 1279 S. TAMIAMI TRAIL SARASOTA, FL 34239 (941) 308-7600 MASSAGEENVY.COM

SARASOTA HEALTH 2014

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TOP DOCTOR

SARASOTA RETINA INSTITUTE Melvin C. Chen, M.D.

Left: Lissa Rivero, O.D., Melvin C. Chen, M.D., Marc H. Levy, M.D., Waldemar Torres, M.D., Jody Abrams, M.D., Jeannene Dieter, O.D. and Thomas C. Spoor, M.D. Above: Dr. Chen

DOCTORS Marc Levy, Waldemar Torres, Jody

Abrams, Thomas Spoor, Jeannene Dieter and Lissa Rivero would like to recognize Dr. Melvin C. Chen, chosen Top Doctor of the Year for the fourth year in a row. Dr. Chen as well as the other physicians at Sarasota Retina Institute are board certified and fellowship trained to research, diagnose and treat diseases of the retina, optic nerve and orbit. Since 1981, Sarasota Retina Institute (SRI) physicians have been internationally recognized for treating patients with complex eye problems such as macular and retinal degeneration, diabetic and thyroid-related eye diseases, retinal detachment, strabismus, optic nerve diseases, ocular trauma and infections, as well as oculoplastic problems. The practice also participates in a number of national clinical studies to improve patient care and their eyesight. One of those studies includes the Implantable Miniature Telescope (IMT). This device was approved by the FDA in 2011 for patients with dry, age-related macular degeneration. In fact, SRI has been chosen as one of the national study sites for the

SARASOTA HEALTH 2014

IMT, making it the first location in Florida approved to perform this procedure. SRI is now recruiting patients and performing this surgery in Sarasota. The physicians at SRI work with the University of South Florida, assisting ophthalmology residents and fellows. In addition to teaching “SRI has been and presenting original chosen as research at the annual one of the American Academy national of Ophthalmology meetings, the Institute study sites annually sponsors for the a retina and neuroimplantable ophthalmology miniature subspecialty telescope.” conference with nationally renowned speakers. Through these experiences, the Institute strives for continued excellence in eye care. Sarasota Retina Institute has additional offices in Bradenton, Venice and Port Charlotte to better serve its patients. For more information on any of the conditions listed above or on any of SRI’s physicians, call or visit the website.

SPECIALTIES Vitreo-Retinal Disease Macular Degeneration Diabetic Retinopathy Adult Strabismus Retinal Detachments Thyroid Eye Disease Optic Nerve and Motility Disorders Orbital and Ocular Tumors Eyelid and Orbital Surgery Tearing and Dry Eye Neuro-Ophthalmology

3400 BEE RIDGE ROAD, SUITE 200 SARASOTA, FL 34239 (941) 921-5335 SARASOTARETINAINSTITUTE.COM

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TOP DOCTOR

UNIVERSITY PARK DERMATOLOGY The art and science of skin care. AT UNIVERSITY PARK DERMATOLOGY, Dr. David S. Sax offers his patients an un-

beatable combination: unquestionable expertise, widespread professional accolades, and a dedication to quality, safe and confidential care. Dr. Sax founded his practice 14 years ago and continues to cater to the sun-soaked population of Sarasota and Manatee counties. He is a specialist in Mohs micrographic surgery, a meticulous stepwise technique for removing several types of common skin cancers, including basal cell carcinoma and squamous cell carcinoma. In addition to his dermatology residency training, Dr. Sax received advanced training in Mohs surgery and is able to perform the outpatient procedure in a matter of hours by utilizing an in-house laboratory. Dr. Sax also uses the BLU-U photodynamic therapy to MelaFind is a treat precancerous lesions in-office. Adjacent to the current office, Dr. Sax added first-of-its-kind a comprehensive medical spa, Sanctuary at The technology in skin Park, offering concierge-level service and the latexamination. est cosmetic techniques, such as Botox, cosmetic fillers, intense-pulsed light treatments, Thermage CPT, ActiveFX CO2 laser and laser hair removal. A full-time aesthetician on staff provides additional cosmetic services. The convenient location means clients can easily take advantage of medical and aesthetic services in one visit. Dr. Sax is very excited to incorporate the new, groundbreaking MelaFind device into his practice. MelaFind is a first-of-its-kind technology that is used during a skin examination to help capture, display and analyze irregular moles under the skin’s surface where the naked eye can’t see. This FDA-approved device has a high sensitivity in detecting melanoma at its most curable stages. The combined cosmetic and medical services are summed up in the practice’s goal of providing “the art of beauty and science of skin care.”

Dr. David Sax has earned professional recognition and the trust of his patients.

CREDENTIALS: M.D., Thomas Jefferson University Residency, University of Michigan Certified, American Board of Dermatology Fellow, American Academy of Dermatology Fellow, American Society for Mohs Surgery

PRACTICE SPECIALTIES: Skin care Mohs surgery Laser services

8451 SHADE AVE. BUILDING 2, SUITE 205 SARASOTA, FL 34243 (941) 360-2477

AWARDS: Ralph Coskey Research Award American Academy Award

13145 KING LAKES DRIVE SUITE 104 GIBSONTON, FL 33534 UPDERM.COM SARASOTA HEALTH 2014

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HEALTH CARE

PAUL K. BRANNAN, M.D. Aesthetic medicine. AT DERMATOLOGY & OCULOPLASTIC CONSULTANTS (DOCS), Dr. Paul Brannan is a highly specialized Oculofacial Plastic and Reconstruction Surgeon who has comprehensive knowledge of facial anatomy and aesthetics. In working with his patients, he carefully evaluates their eyes, eyelids, orbits, eyebrows, facial structures, skin quality and medical conditions/age that can affect the cosmetic and functional outcome of his corrective or rejuvenation treatments. Dr. Brannan’s extensive surgical experience combined with his keen, aesthetic eye creates quality outcomes. His medical education includes Davidson College (undergraduate), Wake Forest University School of Medicine, University of Cincinnati (residency), board certified ophthalmology, oculofacial plastic surgery, ASOPRS fellow and certification. Contact Dr. Brannan and find out how he can give you a rejuvenated and youthful appearance and reduce eyelid and forehead muscle fatigue.

5310 CLARK ROAD, SUITE 201 SARASOTA, FL 34233 (941) 925-3627 SKINEYEDOCS.COM

The DOCs healthcare team works to create responsive, reliable and respectful relationships. ADVER TI SEMENT

HEALTH CARE

GASTROENTEROLOGY ASSOCIATES OF SARASOTA Known for quality care. GASTROENTEROLOGY ASSOCIATES OF SARASOTA has served

Sarasota in the practice of gastroenterology, hepatology and advanced therapeutic endoscopy since 1984. Repeatedly selected as Top Doctors, Drs. Corbett and Kuperman have been known for delivering quality care, whether it involved performing colonoscopy, endoscopy, therapeutic biliary endoscopy or just helping their patients with common concerns. Although the practice has a hometown, family-based feel, the doctors’ recent publications have been recognized internationally. Dr. Stephen T. Kucera specializes in gastroenterology and hepatology and is passionate about advancing patient care and outcomes through the application of modern endoscopic techniques and technologies. “Dr. Kucera is a perfect addition for us,” says Dr. Corbett. “He trained at USF/Moffitt and has served as assistant professor at the University of Cincinnati.”

Drs. Kuperman, Kucera and Corbett. All three doctors are board certified.

SARASOTA HEALTH 2014

2089 HAWTHORNE ST., SUITE 200 SARASOTA, FL 34239 (941) 365-6556 FDHS.COM

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TOP DENTIST

SARASOTA ENDODONTICS Where expertise meets serenity. IN ADDITION TO her impressive academic credentials, Dr. Marineyda Oyola possesses more than 20 years of combined experience as a general dentist and endodontist. Dr. Oyola’s expertise and specialty training are supported by her newly appointed facility, which offers the latest advancements in technology. Dr. Oyola performs root canal treatments under a dental operating microscope, which allows complete visualization of the root canal system. 3-D CT imaging is also available for the diagnosis and treatment of complex endodontic cases. Dr. Oyola takes pride in revolutionizing the root canal experience as well. Her calm and caring manner is complemented by spa treatments, warm blankets and video glasses to help you forget about your dental woes. “To provide this higher standard of care, one has to stay on the vanguard of our profession. It’s our commitment to the patients and to the referring dentists of this community,” she says.

Dr. Oyola completed her endodontic specialty training at University of Florida. She is honored to again be recognized by her peers as a Top Dentist for 2014.

3900 CLARK ROAD, BUILDING Q SARASOTA, FL 34233 (941) 922-4948 SARASOTAENDODONTICS.COM

A D VER TIS EM ENT

TOP DENTIST

WILLIAM K. URSCHEL, D.M.D., P.A. Aesthetic and reconstructive dentistry. DR. WILLIAM URSCHEL has proudly been serving the Venice community for the past 15 years. After earning his degree at Tufts University School of Dental Medicine in Boston, Mass., and completing a residency at St. Mary’s Hospital in Waterbury, Conn., through Yale University, he entered private practice in Florida. Dr. Urschel and his staff take great satisfaction in helping patients achieve and maintain optimal oral health. His practice is devoted to aesthetic and reconstructive dentistry for the entire family. Dr. Urschel provides minimally invasive dental procedures by utilizing advanced dental technologies such as 3-D CT scans, microscopes, computerized bite analysis and lasers. Patients are always given treatment alternatives and encouraged to choose the one that best suits their individual needs. Dr. Urschel works with the finest medical and dental specialists to augment his services. His highly trained clinical staff and patient coordinators ensure that patients receive the finest care in an atmosphere that is gentle, supportive and understanding.

WILLIAM K. URSCHEL, D.M.D., P.A. 836 SUNSET LAKE BLVD., SUITE 202, BUILDING A VENICE, FL 34292 (941) 492-2967

Utilizing state-of-the-art technology, Dr. Urschel encourages his patients to choose treatments that best suit their needs.

DRWILLIAMURSCHEL.COM SARASOTA HEALTH 2014

Culp-Henson Private Cardiology and Internal Medicine. Culp-Henson integrates all of your medical care in a single practice with trusted physicians.

3830 Bee Ridge Road Sarasota, FL 34233 (941) 924-4729 culphenson.com

Culp-Henson Private Cardiology and Internal Medicine is a concierge medical practice founded by Dr. Stephen C. Culp and Dr. Kenneth D. Henson. We combine cardiology and internal medicine expertise in a single practice with around-the-clock direct physician access. Board certifications in Cardiology and Internal Medicine allow Drs. Culp and Henson to provide comprehensive care for a broad range of medical issues. Culp-Henson integrates all of your medical care in one practice with trusted physicians. The number of patients is limited to ensure availability, direct communication and individual attention. Our combination of training, experience, compassion and personal service affords our patients exceptional care.

Choosing your physician is highly personal and one of the most important decisions you will ever make. Drs. Culp and Henson welcome the opportunity to meet with you to discuss your health care needs.

WELL-BEING

Mind Your Mind

Mindfulness, like meditation, can heal the psyche, body and soul. What it is: “Paying attention in a particular way: on purpose, in the present moment, nonjudgmentally,” according to John Kabat-Zinn, an MIT molecular biology grad who developed the modern-day mindfulness movement in 1979. While meditation is often associated with various spiritual practices, “You can practice mindfulness without changing religions,” says Nancy Saum, who emphasizes secular mindfulness practices at downtown’s Sarasota Mindfulness Institute (sarasotamindfulness.org). “It’s present-moment awareness.” How you do it: A typical introduction to mindfulness is the raisin exercise: An instructor guides you through the

examination of a single raisin with all your senses; after looking at it, feeling and smelling it, you eat the raisin very deliberately to recognize texture and flavor and any other factors that might be present. Focusing on breathing is also a common mindfulness technique; other exercises might involve acknowledging the process of movement like walking—the feel of the ground against various parts of your foot, the moment-by-moment changes, weight transfer, for example. Those exercises often involve slowing down, especially in the beginning. “You do everything slowly so you can take in the complexity,” says Saum, who also offers mindful movement

classes like qigong and yoga in addition to guided meditation. The “nonjudgmental” part of KabatZinn’s definition of mindfulness is especially important—and often the hardest to grasp, says Saum. When people’s minds wander, they tend to think, “I’m no good at this.” The key, she says, is to acknowledge those thoughts as perfectly natural, and then to return your focus to the present moment. What it does for you: Kabat-Zinn famously used mindfulness to treat chronic pain, among other medical ailments. Nowadays, it’s used for everything from dietary therapy to sports performance visualization to education and professional settings. (There’s even a group in Congress that meets for mindfulness sessions.) When discussing mindful eating, Saum says students sometimes remark, “If I ate everything this way, I wouldn’t eat as much.” Practitioners often use mindfulness to go to sleep, focusing on breathing and other methods to “check in with our bodies,” says Saum. But first and foremost, mindfulness practice can have an immediate effect on your overall health simply by reducing stress and anxiety. The brain has a tendency to divert focus toward the past or the future; mindfulness guides it away from those stressors. “Our body thinks whatever we’re worrying about is actually happening,” says Saum. “Whenever we’re completely in the present moment, time kind of expands. That’s a place where stress doesn’t exist.”—Hannah Wallace