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THE ART OF COMPOUNDING ME DICATIONS
plus
FORT MYERS WEST
Happy New Year from Your Tax Lady
Paula Brown Connor EA
Tax Cuts and Jobs Act of 2017
When It Comes to Your Tax The big buzz this year is Tax Reform. Preparation, an Enrolled Agent Many key changes have occurred on (EA) is Your Best Asset the personal side regarding exemptions, dependents & tax rates. Itemizing took the biggest hit. Medical, mortgage, taxes and job related employee expenses are minimized or suspended. Businesses will experience the most benefits.
An Enrolled Agent is a federallyauthorized tax practitioner who has technical expertise in the field of taxation. Only enrolled agents, attorneys, and CPA’s have unlimited rights to represent taxpayers before the IRS. We are held to the highest standards. The IRS requires significant Tax Tips for the Season hours of Continuing Education and we When in doubt, save everything. adhere to a stringent Code of Ethics Papers, receipts, bank statements, and Rules of Professional Conduct. etc. Bring it all with you and we will sort it out together. MILEAGE!!! Keep accurate records with a written log or use an app on your smartphone for business. We recommend Mile IQ. LLC's & Corps, remember to file your ANNUAL REPORT on Sunbiz.
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From the
Publisher W
ith a new year brings new beginnings for many of us. This statement couldn’t be more true for livinglocal® in 2019. For nearly 12 years we have been a monthly publication. This month (this issue) marks the start of a brand new era for us. We will now be publishing bi-monthly, every other month. I am excited about this change, especially for our advertising partners. They will receive additional distribution and their annual investment will go down! Our mailed circulation will remain the same, 100,000+, but we will now be available in 900 locations for pick up from Fort Myers to Naples. This will place livinglocal in 165,000+ hands – dramatically increasing our reach in SW Florida. How awesome is that?!?! You may ask, what does this mean for me, the reader?
First, your magazine will now be valid for TWO months versus ONE. But don’t fret! The majority of the restaurants, retail and entertainment establishments that you have come to love visiting every month will be offering TWO incentives; one for January, expiring 1/31/19 and another for February, valid 2/1-2/28/19. They were gracious enough to add a ART DIRECTOR
Teddy Tedford
Teddy brings a wealth of branding, marketing and creative experience to livinglocal®. Throughout his design career he has worked with local SW Florida businesses and luxury brands across the state.
mylivinglocal.com | JAN/FEB 2019
— Audrey & her son Timothy
second offer, so I personally ask that you please honor these dates!! Secondly, know that greater things are in the works with this improvement. We will be working diligently to produce more relevant & engaging content, more incentives – all in the efforts to connect you further to the businesses of SW Florida. I love my community and am completely humbled to partner with local businesses across SW Florida; promoting and helping them grow their businesses. Not only are they clients, but they are my friends. I am truly blessed. Regardless of the resolutions you make this year, I’m asking you to add one more to your list, and it’s one that you can keep. Make a resolution to support local businesses first. Make the resolution to LIVE LOCAL!
Audrey
LOCAL CONTRIBUTOR
Gina Birch
Gina is a freelance writer for USA Today 10Best and a well-known TV & radio personality in SW Florida. Google her blog, “The Birch Beat” and follow her on Facebook & Twitter @GinaBirch.
sidethis edition Inside i
Dr. Joseph Magnant Vein Specialists
Joe &Deanna Catalano Apothicare360
Dr. Robert Martinez
Dr. Nicole Alessi
Dr. Katrine Farag
David Mcclanihan
Gardner Orthopedics
Collins Vision
Advanced Dentistry
Best Home Services
Theresa Clements
Paula Brown Connor
Fast & Frugal Interiors
Your Tax Boutique
Dr. Peter Ameglio
Gardner Orthopedics Our mission at livinglocal includes spotlighting local non-profits that are making a difference in our community. In addition to sharing their story, we also provide a monetary donation on behalf of our advertisers. This month we feature Guadalupe Center in Collier County. Their mission is to break the cycle of poverty through education for the children of Immokalee. They do this by laying an academic foundation at an early age, starting with the high-quality Early Childhood Education Program. An astounding 94 percent of its Pre-K graduates meet or exceed Collier County’s kindergarten readiness standards. www.mylivinglocal.com
Serving Fort Myers, Estero, Bonita & Naples C O NNE CT W ITH U S
mylivinglocal.com
TO ADVE RT IS E
239.245.7365 advertise@mylivinglocal.com
PUBLISHER
Audrey Brooks audrey@mylivinglocal.com Š2018 Brooks Infinity, Inc. - All content is property of the publisher and maymylivinglocal. not be used or reproduced without com | JAN/FEB 2019 expressed written consent from Brooks Infinity, Inc.
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A
THE
OF COMPOUNDING MEDICATIONS
At one point all medications were individualized through the art and science of compounding. This technique is still alive and well with the new owners at ApothiCare360, Joe and Deanna Catalano. Unless you’ve had a need customized medication, you might not be familiar with compounding. Joe says, “Compounding prescriptions are similar to that of a recipe, containing individual ingredients. We are able to take those ingredients and put them together for use by a patient.” J o e a n d Deanna work with physicians and healthcare practitioners supplying traditional prescriptions and customized compounded medications. Perhaps you’ve had an experience where your medications were no longer
being manufactured or for whatever reason were in short supply. Your prescription may be able to be filled at ApothiCare360 through the use of compounding. In addition, if you need alternative dosing compounding allows you another option to receive your medication. Some patients don’t take their much-needed medication because they are unable to swallow pills. Compounding allows the Catalanos to put medicat ion into alternative forms, such as a tincture or liquid form for better ingestion. Joe says, “Compounding provides alternative therapies for many patients. It can include an array of products for dermatological use such as eczema or skin cancer, nasal and sinus issues, dental, wound care, pediatrics, sports medicine, and even pain management.”
PHARMACY • COMPOUNDING • NATURAL MEDICINE CRYOTHERAPY • HOROMONE THERAPY FOR MEN BIO-IDENTICAL HOROMONE REPLACEMENT THERAPY
mylivinglocal.com | JAN/FEB 2019
Compounding can be life changing for individuals with severe allergies. Some tablets and capsules have dyes or contain fillers that can set off a reaction in a patient suffering from allergies. Compounding allows pharmacists to make your prescription in clear capsules and use non-allergenic fillers. Compounding is most commonly used with great s u cce s s i n a re a s s u c h a s hormone replacement therapy (HRT), pain management, and veterinary. HRT replaces hormones that the body no longer makes as it ages. Women in particular have been turning to HRT to reduce the symptoms of menopause. HRT medications are specific and personal. The levels and combinations of hormones vary for each patient. This is where compounding medications may be a potential option when it comes to the success of treatment in patients. Continued on next page
mylivinglocal.com | JAN/FEB 2019
Improving the quality of life for patients in pain is another potential benefit of compounding. Many times people won’t take their pain medications out of fear of their addictive nature and how the pills make them feel. Putting pain medication in topical creams instead of pills may reduce the risks of interaction with other prescriptions, avoid side effects such as drowsiness, strain on the body, and at the same time offer much needed relief. Another large segment of the population ser ved by ApothiCare360 is pets. J o e s a y s , “ W h a t m a ny people don’t realize is that when a pet gets ill or in need of medication, ApothiCare360 is able
Open: Mon-Fri 8:30a-5:30p mylivinglocal.com | JAN/FEB 2019
www.ApothiCare360.com
ABOUT THE CATALANOS
Joe and Deanna graduated from Massachusetts College of Pharmacy and have 44 years of combined pharmaceutical experience. Tired of the brutal winters, they moved to Florida where they enjoy raising their two children. Joe and Deanna love being involved and giving back to their community.
to work with their veterinarian to find the correct dosage and form for your furry family member. This includes liquids, capsules, flavored chews, and transdermal creams.” Compounding is strictly regulated and therefore safety is paramount for the staff and patients at ApothiCare360. The pharmacy is immaculate, with a separate enclosed room designated just for compounding. The technicians and pharmacists only work on one compound at a time to ensure there is no cross contamination. The pharmacy technicians are highly trained and follow the same protocol to ensure the quality and consistency of each prescription. In addition, scales are linked to computers making sure the proper ingredients are mixed and weighed with the utmost accuracy, and recorded for future reference if needed.
ApothiCare360 is a professional, family owned company. Regulars return for the exceptional service, and Deanna chuckles, “One elderly lady comes by every Wednesday regardless if she’s picking up a prescription, to get her weekly hug from Joe. That’s the type of atmosphere we create. We want people to know they are cared about.” Joe adds, “I enjoy being able to take care of people the way they should be treated. I know I’m making a difference in people’s lives. That’s important to me.” If you would like to know more about the benefits of compounding and how it may help you; call or stop by ApothiCare360. Joe says, “Compounding can be a great alternative to managing your healthcare.”
In addition to compounding, ApothiCare360 also sells professional grade vitamins and supplements, CBD products, and holds educational seminars.
6631 Orion Dr. Suite 112, Fort Myers
(corner of Daniels Pkwy & Plantation Rd)
239.690.7700 mylivinglocal.com | JAN/FEB 2019
Southwest Florida Businesses & Physicians
2019 We’ve Got You Covered in
Dr. Ka trin
e Farag
A DV AND ANCING I M P RO D E N V I N G TI S TR S M I LE Y S
livinglocal is now a bi-monthly publication offering our advertising partners:
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T R E eter Ameg WHOAT IN G T Hlio LE PE RSONE
March/April is our next issue. Call today to reserve your space. Visit us online at livinglocalfl.com or call 239-245-7365 for more information.
mylivinglocal.com | JAN/FEB 2019
Green
is nothing new to us...
1 OF5% F Expires 2/28/19
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FREE SMALL cone or cup with any purchase of equal or greater value. Not valid with any other offers/discounts. Must present coupon. Exp 01/31/19 LL
SMALL CONE OR CUP
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16475 San Carlos Blvd Fort Myers 239.466.7707 Open Everyday 11am - 10p
Jerry’s Plaza • 1700 Periwinkle Way 239.312.4356 • Open Everyday 10a - 9:30p
mylivinglocal.com | JAN/FEB 2019
Dr. Martinez is the only surgeon in SW Florida who utilizes patient specific instrumentation (PSI) while performing a reverse total shoulder replacement.
HIGH TECH SHOULDER REPLACEMENT W hen it comes to shoulder surgeries millimeters count, and surgeons have one shot to get it right. That’s why Dr. Robert Martinez spends countless hours on the computer, tweaking measurements and practicing certain procedures before going into the operating room.
mylivinglocal.com | JAN/FEB 2019
Dr. Martinez specializes in treating and repairing shoulders at Gardner Orthopedics. He is the only surgeon in SW Florida who performs the “reverse total shoulder” operation using patient specific instrumentation or PSI. The modern reverse total shoulder originated in France as a way to treat patients with a broken or fractured humeral head, or shoulder. Dr. Martinez began doing the same locally, then gradually expanded the procedure for use in shoulders with torn rotator cuffs where arthritis has also set in. The surgeon explains, “The major reason that regular artificial shoulders don’t work in patients as they get older, is that the rotator cuff wears out allowing the ball to come up and hit the collar bone.” Dr. Martinez is one of only a few orthopedists who have not only embraced, but also regularly performs the reverse
shoulder saying in amazement, “It looks crazy, but it works.” In this surgery, he places a socket where the ball used to be and a ball where the socket used to be. The geometry of this backwards-looking apparatus allows the shoulder to pivot and use the deltoid alone to lift the arm. The surgery is quite unique and requires a lot of time, ef for t, and planning before going into the operating room. The process begins with a CT Scan that is then sent to a company in Europe, which takes anywhere from 4-6 weeks to generate a 3D model of the patient’s shoulder. They also provide a 3D guide that directs Dr. Martinez in the exact placement of the guide pin. Success of the surgery is dependent upon getting this pin in the right spot. If the prosthesis is not aligned properly the shoulder still won’t work properly after surgery. Dr. Martinez says, “I sit at my computer and go into the 3D model electronically to tweak the position of the prosthesis. In the operating room I put in the guide pin and all my instrumentation revolves around it. It gives me so much peace of mind when I do the surgery.” Use of the 3D model also allows Dr. Martinez to see and correct other deformities. He explains, “Arthritis in the shoulder acts like sand paper, with the two bones rubbing together. Because the shoulder blade is smaller and thinner it wears out. If you put a prosthesis where bone is worn out, the shoulder is unstable.” In this instance, the surgeon has to perform a bone graft. He says, “I create real estate, adding bone so I can put the prosthesis where it should be for best function.” The bone used for the graft comes from the ball of the shoulder. It has to be removed for the surgery, so Dr. Martinez says, “Instead of getting bone from the bone bank or throwing this piece of bone away, I have what I need for the graft right in front of me. It’s the patient’s own bone, it’s alive, and the healing rate from this is 94%.”
Rehab is a little slower for patients who have bone grafts, as it takes time for the graft to attach to both the existing bone and the metal prosthesis. However, within 5-6 months after reverse shoulder surgery, patients can resume most of their normal activities. They have relief from their shoulder pain and wonder why they waited so long to get help. If you are suffering from shoulder pain and have limited mobility, it’s time to get some relief. Call Dr. Martinez at Gardner Orthopedics.
About Dr. Martinez
Dr. Martinez was born in Cuba where his father was a professor of orthopedic surgery at the University of Havana. As a teenager, the budding doctor would help his father in surgery as a scrub tech. Dr. Martinez went to medical school at Southwestern Medical School in Dallas and received his orthopedic training at the University of New Mexico. When not taking care of patients, Dr. Martinez’ joy lies in spending time with his family; he has four children and four grandchildren.
Dr. Ronald Gardner
3033 Winkler Avenue • Ft Myers • E D Q
(239) 277-7070
www.GardnerOrthopedics.com mylivinglocal.com | JAN/FEB 2019
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mylivinglocal.com | JAN/FEB 2019
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off $50+
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1/2
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Dine in an AuthenticWaterfront Shrimping Shanty! 2200 Main Street, Fort Myers Beach 239.463.3043 Mon-Fri 3-10p | Sat & Sun 11a-10p @FLshrimpdock
mylivinglocal.com | JAN/FEB 2019
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BEST HOME SERVICES
IS PROUD TO RECOGNIZE
David Mcclanihan
BEST HOME SERVICES, Southwest Florida’s leading home service company providing exceptional air conditioning, electrical, and plumbing services to residents from Naples to Bradenton for the last 38 years, is pleased to recognize AC installer David Mcclanihan for his dedication to customers and the company.
“Make it a priority to schedule your AC maintenance every six months.” David explained why AC maintenance is needed. “When we do our customer’s bi-annual AC maintenance service, we’re able to detect any major or minor problems within their AC.”
Dav id say s t hat he cons tant l y reminds his customers to purchase In June of 2018, David became a Best Home Services AC maintenance part of the Best Home Services family. service. “It’s a good idea to protect Since starting his career at Best Home your investments,” Mcclanihan said. “I Services, David has seen and been a believe that when you purchase an part of the rapid growth and devel- AC, it’s an investment, so it’s good to opment of Best Home Services in the have it checked twice a year.” Southwest Florida area. He feels that the word “Quality” is the best way to Since David has been a par t of describe the company. “When we finish the AC install team, he said that he the job, it looks professional,” Mcclani- has learned how to be a team player. han said. “Ever yone on the AC install team works together.” David says he enjoys We asked David, as an AC installer, working as a team. “Working as a team what advice does he have for his has shown me the importance of being cus tomer s in Sout hwes t Florida. a team player.”
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mylivinglocal.com | JAN/FEB 2019
David, who is originally from Virginia Beach, moved to Southwest Florida 8 months ago. “I sold my motorcycle shop before I moved to Florida.” David loved motorcycles that’s why he opened his motorcycle shop. However, after eight years of working in the motorcycle industry, David said that he was ready to move on. “I sold my motorcycle shop, because it was hard to find good people to work for me.”
AC INSTALL of the monthTIP AC maintenance extends the life of your AC!
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Af ter talking to his friend Larr y Washington, he knew that Best Home Services would be a good place to To learn more about Bes t Home work. “I like living in Florida, and it’s Services’ story and their Best Home great working on the AC install team.” Services Guarantee, please visit their When David isn’t working, he likes to website at www.getbest.com or call play softball, basketball, and fish with 239-217-1698. his kids. Best Home Services is a local, family owned and operated company that is focused on caring for their customers
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2500 Main St. Ft Myers Beach mylivinglocal.com | JAN/FEB 2019
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Could Vein Management BE THE ANSWER TO YOUR
Pain Management?
V
enous disease affects about 20% of the U.S. population, about 40 million adults according to Dr. Joseph Magnant, founder of Vein Specialists. He says, “Venous disease is a medical condition like hypertension and high cholesterol.” But the problem is, the majority of people suffering from venous disease don’t realize they have it. Those who are experiencing symptoms of leg discomfort often seek help from pain management professionals, dermatologists, and orthopedic surgeons rather than consider the possibility of vein disease as the cause. Take for instance John Ganos. He was undergoing orthopedic treatment for a number of problems with his legs, knees, and feet. He was in a lot of pain and thought things couldn’t get much worse. “Then I developed a burning in my right leg that did not seem to go away. It was new and different from all of the other pain,” says Ganos.
“My legs feel so much better. I can get up easier and climb stairs.” — John
Looking for answers, Ganos went to a neurologist who was unable to identify any neurologic problems. Then his orthopedist suggested a visit to Dr. Magnant. “I had not even considered the fact that there might be an issue with my veins.” When Dr. Magnant met Ganos, he remembers, “I wasn’t really sure what our chances were of helping him. His symptoms were not classic for vein problems.”
Joseph G. Magnant mylivinglocal.com | JAN/FEB 2019
MD, FACS, RPVI Vascular Surgeon & Vein Expert
Ganos says, “I really didn’t see my veins protruding much, but apparently there was a problem.” He tried everything to get relief; medications, herbal remedies, but nothing worked. “My legs were heavy, they were dead, they were burning, and I was worried I would lose all use of them before much longer.” An ultrasound per formed by Vein Specialists revealed Ganos had leaky veins. Dr. Magnant later performed an endovenous ablation in which heat is used to seal the veins and stop the leaking. It worked. “The effect was immediate,” says Ganos. “The pain from the burning went away. And after my veins were fixed, there was an improvement in circulation that I think has really helped to relieve many of my other symptoms.” So many of Dr. Magnant’s patients come from orthopedists that he has coined the term “orthovenous disease.” He explains, “Many patients with venous disease are being assessed for knee or hip arthritis. In the process their physician often may notice varicose veins, swelling, or discoloration of the skin. If the x-rays don’t suggest an orthopedic cause of their leg symptoms, or even if they do have arthritis and vein disease, it may be appropriate to evaluate the venous side of the equation.” Taking care of venous issues, before or simultaneously to orthopedic treatments, can enhance healing, improve compliance with physical therapy and reduce perioperative risks such as wound complications or deep vein thrombosis (DVT).
He also recommends therapies such as compression stockings. “If a compression hose trial significantly improves their pain, it is a predictor of a good response to vein ablation therapy.” Venous disease is part of the total health and healing puzzle according to Dr. Magnant. He says, “Have an open mind and consider alternatives to the management of your leg pain. The opioid epidemic is real and if there is something we can do to fix the underlying problem without resorting to prescription pain meds, then it’s a win-win.” Ganos says, “My legs feel so much better. I can get up easier and climb stairs. Dr. Magnant made a huge contribution in my attempt to regain functionality in my legs. Modern treatments are so advanced and it is so easy to fix venous disease. I recommend to anyone having problems they can’t fix, to look into it.”
About Dr. Magnant Dr. Magnant grew up in Northern Virginia, the son of a pediatrician. Of his seven siblings, all but one is a medical professional and all graduated from the same medical school: Medical College of Virginia. Dr. Magnant went on to complete his Vascular Surgery fellowship at Dartmouth-Hitchcock Medical Center. In 2006 the accomplished surgeon, his wife Patty, and their two children left Rome, Georgia to open Vein Specialists in Southwest Florida to be closer to his mother and father who had retired there. Dr. Magnant not only has a strong commitment to family, but also community, giving back whenever possible.
If you’re seeing a pain management or orthopedic physician and you have symptoms or signs (as noted above) of vein disease, Dr. Magnant says, “It’s reasonable to request a thorough vein evaluation as part of your workup.”
www.WeKnowVeins.com
|
(239) 694-VEIN (8346)
3359 Woods Edge Cir., Suite 102 Bonita Springs, FL 34134 1500 Royal Palm Square Blvd., Suite 105 Fort Myers, FL 33919
mylivinglocal.com | JAN/FEB 2019
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V
S Y GOODBYE To Dry Eyes by Gina Birch
D
o your eyes burn, itch, or water excessi vel y? You may be suffering from dry eye. This is a condition that is more than just irritating; it can damage the eye if left untreated according to Dr. Nicole E. Alessi of Collins Vision. “Dry eyes are a really big deal in Southwest Florida,” says the Florida native. She was born in Fort Lauderdale and was initially inspired to help people with their vision after watching her grandmother slowly loose hers. But she’s extremely passionate about helping people with dry eye because it’s a problem Dr. Alessi lived with for years. “I don’t want my patients to suffer like I was suffering.” Her vision changed while she was attending optometry school at Nova Southeastern University. The doctor says gratefully, “I was definitely in the right place when I had a problem. I was
able to work with exceptional people and it stemmed my passion.” Dry eye is a chronic disease process. “Not addressing it will slowly deteriorate the surface of the eye,” explains Dr. Alessi. “The top layer of the cornea will become irregular and distort the quality of vision.” It occurs when there is a problem with the tear film, a multi layer structure that protects your eyes. To help maintain the integrity of your tears, small glands secrete an oily substance. Those glands can become obstructed and in need of expression so they can work properly. But that is just one cause. There is a not a one size fits all treatment for dry eye. Dr. Alessi does a comprehensive analysis that includes looking at a patient’s lifestyle and when the symptoms tend to occur. She says, “The solution could be as easy as redirecting the vents in your car. If you
FORT MYERS OFFICE
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NAPLES OFFICE 860 111th Avenue North
are waking up with irritation it might be due to dust mites, so you would just need a humidifier.” Small mites, or an overgrow th of bacteria, can also live along the lash line. In this case BlephEx is a common treatment, a procedure that could be described as an exfoliation of the eyelids and lashes using a micro-sponge. Patients with this see an improvement in symptoms almost immediately. Allergies are another dry eye culprit. At Collins Vision Dr. Alessi is able to do a surface test on the forearm of a patient, exposing them to environmental allergens that specifically affect the eyes. Anti-inflammatory drops are often used to protect the surface of the eye so the doctor can then turn her attention to healing the tear film. If you have cataracts or an interest in laser vision correction and have dry eye, treating the dry eye should be done prior to surgery. She explains, “We don’t want to do vision correcting procedures on an eye that is fluctuating.” Dry eye can be exacerbated or induced by Lasik surgery, but can also be managed after the fact. Dr. Alessi says, “If you have dry eye, Lasik may not be the best way to go. Here we do Advance Surface Ablation or ASA, and that will reduce the amount of dryness dramatically.” “I had ASA with Dr. Collins,” says Alessi.She wants to encourage and help people who are having discomfort due to dry eye. “If you’ve been suffering for five years, I’m not going to be able to fix in five days, we have to do some work together but my goal is that you’re not uncomfortable, spending time thinking about your eyes all day.” If you or someone you know is looking to find relief from dry eye, call Collins Vision today to schedule an appointment with Dr. Alessi.
239.936.4706
Devils Tower, Wyoming
About Dr. Alessi Dr. Alessi received her Doctorate of Optometry at Nova Southeastern University where she completed her residency in Low Vision and Geriatrics. Since then, she has completed extensive training and study in treating dry eye and was instrumental in establishing the Collins Vision Dry Eye Clinic. When not helping patients see better, she enjoys outdoor water sports and has two dogs that she describes as “my great joy.” She also loves to travel, most recently she visited the Netherlands in Belgium.
CollinsVision.com
mylivinglocal.com | JAN/FEB 2019
What Could Be Lurking s?
Beneath Your Gums? T
by Gina Birch
he American Academy of Periodontology estimates that 50-75% of Americans have some kind of gum or periodontal disease. Dr. Katrine Farag, owner of Advanced Dentistry of Fort Myers, says,” Often times people are unaware they even have gum disease. We diagnose it during an exam.” In the case of Debi Grover, she had already lost a tooth and was told by a periodontist that she would need invasive surgery to save her gums and the rest of her teeth. The Fort Myers native owns the D. Grover Inc. design company, a contracting company, as well as one that fixes and flips properties. Dealing with the public and business owners, she says, “I wanted to have a pretty smile and a healthy mouth.” But it was about more than her mouth. She explains, “Bad teeth and gums are not good for your health, your blood stream, your heart; it’s not good for anything.” Even though she knew she needed to do something, like so many people suffering from gum disease; the idea of a surgery, that involved using a scalpel to lift the gums back in order to access and remove the bacteria, was not the least bit appealing. After seeing an advertisement for Laser Assisted New Attachment Procedure, or LANAP, Grover discovered Dr. Farag and her husband; only a few dentists in the area to offer this procedure. LANAP uses a laser to get into the periodontal pocket and target the diseased tissue without harming the
Beautiful Smiles Begin Here! mylivinglocal.com | JAN/FEB 2019
healthy tissues. The wound is easier to close and heals faster. Dr. Farag says, “We get such great results with it. It sets us apart.” Grover adds, “I was a little tender afterwards, but there was no pain and the recovery was fast.” Immediately following the procedure, she had to stay away from certain foods and rinse her mouth with a special solution rather than using a toothbrush, but those were the only inconveniences. “It was very easy,” marvels Grover. “I did all four quadrants at once, but you can do a little at a time. It depends on each person.” Early detection and treatment of gum disease is extremely important, according to Dr. Farag, who cautions, “Studies now show us it is linked to systemic diseases like diabetes and heart disease.” Gingivitis is a form of gum disease that causes gums to bleed during brushing. “If the disease is detected early before the bone structure has been too badly affected,” says Dr. Farag, “a non-surgical procedure called scaling and root planing can be performed. Patients often refer to it as a deep cleaning.” However, if left untreated, gingivitis can progress to periodontitis. Dr. Farag explains, “In this case, the bacteria in the plaque spreads below the gums where the patient can no longer reach it simply with their toothbrush. The tissue and the bone structure are destroyed, and the teeth then become loose.” This is when surger y becomes necessary. “Debbi had great success with this procedure,” says Dr. Farag. “After one year, her pocket depths had gone to normal levels, she maintained excellent home care, and retuned to our office every 3 months for re-care appointments;
so we were then able to help her take the next step in her journey.” Grover says, “I’m actually seeing bone regrowth where it had previously receded from the disease. Bone regrowth strengthens the tooth. It’s a win-win.” Grover is so happy with the results at Advanced Dentistry that she has undergone teeth whitening and is in the middle of Invisalign treatments to straighten her teeth. Now her mouth is both healthy and beautiful. Another win-win, after being the beneficiary of Farag’s skills, Grover used her skills to redesign the dental office. Besides great patient care, forming relationships is something Advanced Dentistry excels in. If you have red or swollen gums, lose teeth, receding gums, bad breath, a bad taste in your mouth, or suffer from pain when chewing, you may have gum disease. Call Advanced Dentistry for a consultation and get help before it is too late.
Debi Grover, Advanced Dentistry Patient
AdvancedDentistryofFtMyers. c om
16601 San Carlos Blvd • Ft Myers Second location in Port Charlotte
• 239-466-3131 • 941-764-9555 mylivinglocal.com
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mylivinglocal.com | JAN/FEB 2019
Superior Approach TO HIP SURGERY OFFERS FASTER RECOVERY
Dr. James Worden
Anesthesiologist/Pain Management
& Dr. Peter Ameglio Orthopedic Surgeon
mylivinglocal.com | JAN/FEB 2019
W h e n D r. J a m e s Wo rd e n , a n anesthesiologist and pain management doctor, was having trouble managing his own pain, he knew it was time to seek help. The Naples doctor was suffering from arthritis in his left hip. It progressed over the course of a couple of years to the point where he couldn’t stand too long or walk too far without hurting. Like many people with hip pain, Dr. Worden looked for alternative treatments such as injections before pursuing surgery. He also used anti-inflammatory medications saying, “I reached the point where I was taking them every day. They started bothering my stomach and raising my blood pressure and I was still in pain. I was having trouble putting on my shoes and socks, so I knew it was time to get my hip replaced.” Well connected to medical professionals all over Southwest Florida, Dr. Worden began investigating doctors and various hip replacement procedures. After much research he remembers, “I went to Dr. Gardner (owner of Gardner Orthopedics), an old friend, and asked if he would recommend I do the surgery in the posterior or anterior approach. He explained that there was actually a third way of doing hip surgeries and introduced me to Dr. Ameglio.”
Dr. Peter Ameglio per forms the SuperPATH® approach at Gardner Orthopedics. This procedure isn’t new. It was originally introduced in 2003 and Dr. Ameglio is the only surgeon in Southwes t Florida per forming SuperPATH. Its key lies in not dislocating the hip joint during surgery. In traditional hip replacements a dislocation of the hip is required. This results in injury to the joint capsule and small muscle attachments of the hip. Following the surgery done with traditional approaches, the patient is instructed in hip precautions or positions they should not place the hip to prevent joint dislocation. The SuperPATH approach does not carry these restrictions as the joint is never dislocated. The capsule and muscles are not injured during surgery making for a quicker recovery. Dr. Ameglio explains, “In this approach you don’t have to dislocate the hip joint and therefore it’s less traumatic.” The surgery is easier on the patient, the recovery time is shortened. When choosing to go the SuperPATH ro u te , D r. Wo r d e n s a y s , “ I w a s concerned about all of the possible complications with the other methods; dislocations, nerve damage, infection. You don’t have as much cutting or have to dislocate the hip during SuperPATH, so the hip is in there nice and tight.” In addition he says, “There are no restrictions post op. I can bend over and I can cross my legs without any risk of injury. That was important to me, along with getting back to work. I have a full time practice and didn’t want to be out any longer than necessary.” Dr. Worden spent one night in the hospital and in two weeks had a follow up with Dr. Ameglio saying, “I was very pleased with his expertise. He put a two-week bandage on the incision that was waterproof and had silver to combat bacteria. When he took it off, the wound looked clean as a whistle. It was a nice bonus.”
Dr. Worden’s recovery was quick. He needed very little pain medication. The doctor had his golf clubs on the driving range four weeks later; in six weeks he was playing 18 holes. He was back to work in 4 weeks. About the SuperPATH approach, Dr. Ameglio says, “We are excited to offer this procedure at Gardner Orthopedics. It just makes sense as far as injuries to the soft tissue. By moving the incision a little farther up and not dislocating the hip joint, it makes all the difference in recovery, and patients say the hip feels more natural.” Dr. Worden thought having the surgery in Fort Myers, rather than Naples, was easy and well worth the effort. He says, “I could not be happier with Dr. Ameglio. He is a well-trained surgeon, a good technician, and a thoughtful doctor who listens. I would recommend anyone in need of hip surgery to get a second opinion, but I think the SuperPATH is an awfully nice way to do it.”
About Dr. Ameglio
Born in Washington DC, raised in Panama, Dr. Ameglio completed his undergrad at the University of New Hampshire, and studied pre-med in Maryland where he worked at Johns Hopkins. Graduating from medical school at Albert Einstein in New York, he had successful practices in New Hampshire and Maine before relocating to Southwest Florida to be closer to family, including a twin sister in Miami.
Dr. Ronald Gardner
3033 Winkler Avenue • Ft Myers • E D Q
(239) 277-7070
www.GardnerOrthopedics.com mylivinglocal.com | JAN/FEB 2019
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NOELPAINTING.COM (239) 466.7343 LEE LIC#PT15-00054 | COLLIER LIC#LCC20150003305 mylivinglocal.com | JAN/FEB 2019
ACTIVE 55+ RESORT-ST YLE R E N TA L C O M M U N I T Y
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Call (239) 204- 3473 to ask about times! 2500 Edwards Drive, Fort Myers, FL 33901 www.CampoSeniorLiving.com
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1000 ESTERO BLVD. FT MYERS BEACH • 765-7800 Located next to the public pier in the times square area
piersidegrill.com
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OPEN 11 TO 11 • SEVEN DAYS!
Fast&Frugal INTERIORS DESIGN With An EDGE
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TIP OF THE MONTH
ome improvement shows are some A new year brings new beginnings! It’s the perfect time to go through your home and of the most addicting programs on evaluate your most important spaces. You may television. They can inspire you to take decide to introduce some new modern touches on a new decorating project or redo your to keep your home fresh. The harmony of old entire home décor. But looking at all of the and new is very inviting! various patterns, textures and styles can If you need more direct assistance, be a tad bit overwhelming if you have no Clements says, “Get on your running shoes, idea where to start. we’re gonna work.” She will–become your That’s when you call Theresa Clements, personal shopper, taking –you to furniture, owner of Fast and Frugal Interiors. For over consignment and home improvement stores 25 years, she’s been bringing her client’s to find the perfect accent pieces, paint colors visions to life through interior design. She’s and more, all within your budget. even been featured on HGTV thanks to her About her job, Clements says, “It’s exciting unconventional technique. for me to open new doors to clients and give In the beginning of her career as part them a way to solve what they thought was owner of Galloways, Clements and Associ- a huge problem.” She continues, “Once you ates in Royal Palm Square, she had what see their vision, the fun thing is giving them she calls ‘a dream team’ of architects, the best version of that vision.” designers, builders and contractors, at her disposal. Fast and Frugal is a spinoff of sorts, targeting the everyday homeowner who wants to transform their living space but needs expertise. She says, “I’m trying to reach people who wouldn’t think of calling a designer.” Although the name speaks to her efficiency, Clements makes sure to spend adequate time with each client in order to capture their vision in the most accurate way. If a home consultation is all you have the budget for, she will come in and decide on a game plan, giving you a road map of where to go and how to achieve exactly what you want.
1637 HENDRY STREET • FORT MYERS • 239-936-1231
@fastandfrugal
mylivinglocal.com | JAN/FEB 2019
EDUCATION Endless Possibilities OFFERS IMMOKALEE STUDENTS
F
our boys – Lucio, Sergio, Alex and Daniel – watched their father work long hours, oftentimes 12 hours a day, in the tomato fields of Immokalee while their mother worked as a school custodian. José and Maria Martinez earned enough to put a roof over their heads and food on the table, but with limited English skills and no high school diploma, their career options were also limited.
“They always said that their job was to work hard and make money for the family, and our job was to get an education,” Daniel said. “They wouldn’t settle for any thing less than straight A’s.”
Tutor Corps changed the boys’ trajectory in life. Lucio earned bachelor’s and master’s degrees from the University of Florida (UF) and is a civil engineer in Tampa. Sergio also earned a bachelor’s degree from UF and teaches English to s tudent s in Hong Kong. A lex graduated from Bowdoin College and works in Philadelphia for an organization helping people with disabilities establish their independence.
And with a near-perfect 3.75 GPA, Daniel graduated on Dec. 15 summa cum laude from UF with a degree in emergency management. He Daniel Martinez is starting his career by giving That insistence is paying off. back, working as Guadalupe Center’s After-school Tutoring Program From an early age, all four boys coordinator at Pinecrest Elementary and showed academic promise, ambition advisor to the freshmen class of Tutor and a strong work ethic passed down Corps students. from their parents. Each was accepted into Tutor Corps, Guadalupe Center’s Four children. Four college graduates. highly competitive college preparatory program that offers academic guidance, The Martinez family illustrates precisely a par t-time job tutoring younger Guadalupe Center’s mission – breaking children in Guadalupe Center’s After- the cycle of poverty through education school Tutoring Program, mentoring and for the students of Immokalee. scholarship money. “Education is the true equalizer,” said Guadalupe Center President Dawn Montecalvo. “Earning that high school diploma, then a college degree, helps students overcome the cycle of poverty that has repeated itself in Immokalee for generations.”
Daniel Martinez, Alex Martinez, Ignacio Martinez, Lucio Martinez, and Sergio Martinez
mylivinglocal.com | JAN/FEB 2019
According to the U.S. Census, only 39 percent of Immokalee adults have completed high school, and just 3.5
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percent have earned bachelor ’s degrees. Nearly half of the population lives in poverty. All 29 seniors in the Tutor Corps class of 2018 are now in college. In fact, 100 percent of Tutor Corps students have matriculated to college over the past decade, and more than 92 percent have earned a degree. By comparison, the national graduation rate for low-income students is just 16 percent, according to the National Center for Education Statistics. “Tutor Corps sets ex tremely high expectations for our students, but it also provides them with opportunities to meet those expectations – mentoring, employment, college success workshops and help applying for financial aid and scholarship money,” said Jorge Perez, Tutor Corps college coordinator. “If they are willing to work hard and apply their talents, these students can attend college, earn a degree and work in the profession of their choice.”
Daniel Martinez, David Shopay, and Rebecca Shopay
Guadalupe Center begins laying an academic foundation at an early age, starting with the high-quality Early Childhood Education Program. An astounding 94 percent of its Pre-K graduates meet or exceed Collier Count y ’s kindergar ten readiness standards. An After-school Tutoring & S u m m e r En r i c h m e n t P ro g r a m supplements education for children in kindergarten, first and second grades. “The Martinez brothers’ achievements demonstrate superbly how Guadalupe Center creates endless possibilities through education,” Montecalvo said. “We are so grateful for the mentors who offer invaluable guidance and insight as these students progress through high school, as well as the generous individuals whose contributions help provide students with wages for tutoring children, fund college exploration trips and fund scholarships that ultimately make higher education a reality.” For more information about volunteering as a Tutor Corps mentor or contributing t o t h e Tu t o r C o r p s P r o g r a m , please call 239 - 657-7711 or visit GuadalupeCenter.org.
Daniel Martinez, working with students
mylivinglocal.com | JAN/FEB 2019
www.mylivinglocal.com Brooks Infinity, Inc., Publisher • 239.245.7365 FORT MYERS • ESTERO • BONITA • NAPLES
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3388 Woods Edge Cir • Bonita Springs
239.947.FACE
985 North Collier Blvd • Marco Island
239-394-6637