livinglocal | Estero/Bonita | July-August 2019 by livinglocal

JULY / AUGUST 2019

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mylivinglocal.com | JULY/AUGUST 2019

From the Audrey Ameglio | PUBLISHER / OWNER

Dear Valued Reader, It sure is hot out there. How many times have those words come rolling off of your tongue this summer? It’s even worse if the AC goes out in your home or car. I’ve been there and unfortunately many of you have too. That’s why I thought this to be a good time to get some expert advice on how to keep your home air conditioning in excellent shape while it’s performance is pushed a little harder than normal. In our cover story, find out how Best Home Services goes the extra mile when it comes to service and taking care of your cooling needs. Not only do we introduce you to two brothers who work in the family owned business, but also get their tips on maintaining your system and reducing long-term costs. Speaking of costs, the cost of healthcare has been a hot topic for years. There are so many people who don’t have access to even the basics, not to mention surgical procedures. In this issue’s

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 SWFL businesses and luxury brands across the state.

mylivinglocal.com | JULY/AUGUST 2019

Publisher For a Greater Cause, we feature a remarkable story involving We Care. The local agency relies on the generosity of local doctors to help the less fortunate get the medical help they need so they can stay in the workforce and support their families. Supporting the young ladies at PACE Center for Girls in Lee and Collier Counties is the goal behind Love That Dress. The main event is coming up in August and I’m proud to be a media sponsor again this year. There will be some great deals and at the same time you will be a part of helping provide a better future for young women. Details are inside...I hope to see you there! Finally, I ask that you join me over the next couple of months in getting out and supporting local restaurants and businesses that typically experience a seasonal slow down. Waits are shorter, there are deals to be had, and Living Local is good for everyone.

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.

side Inside this edition i

Best Home Services

Dr. Peter Ameglio

Dr. Joseph Magnant

Dr. CarmellaFernandez

Dr. Bill Campbell

Tom & Alyssa Snyder

Dr. Jay S. Rosen & Dr. Nicole E. Alessi

Ameglio Orthopedics

Vein Specialists

Fernandez Upper Extremity Institute

Acute Wound Care

Park Family & Cosmetic Dentistry

Collins Vision

Scott A. Kuhn

Nick Smith

Kuhn Law Firm

The Groutsmith

We Care

Theresa Clements

Fast & Frugal Interiors

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 issue we feature We Care, a non-profit program administered by the Salvation Army Fort Myers Command. They work in collaboration with United Way, Lee Health/Lee Community Clinics, Lee Count Medical Society, and the Department of Health providing medical services to low income men and women. 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 Ameglio audrey@mylivinglocal.com

ÂŠ2019 Brooks Infinity, Inc. - All content is property of the publisher and may not be used or reproduced without expressed written consent from Brooks Infinity, Inc. mylivinglocal.com | JULY/AUGUST 2019

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t s o M e h t g n i t t Ge

ir Conditioners may run year round in Southwest Florida, but most systems go into over drive in the hot, humid summer months. It’s time to give your cooling system a little TLC, and the team at Best Home Services is ready to assist. Brothers Dave McClanahan and Adam McClanahan are a new part of that team. They got their start in the air conditioning field while living in Virginia. Dave says, “My first job was in the heating and cooling business right out of high school.”

Adam followed in his big brother’s career footsteps saying, “I started helping in new construction, then took classes. I love seeing the smiles on customers’ faces when they are nice and cool.” The brothers have a few tips on how to stay cool while managing your energy use this summer. The most important thing, hands down, is regular maintenance. Adam says, “It’s like going to the dentist or changing the oil in your car. It’s something you want to do on a regular basis, every 6 months.”

AIR CONDITIONING • ELECTRICAL • PLUMBING • DRAINS mylivinglocal.com | JULY/AUGUST 2019

r e m m u This S It’s time to give your cooling system a little TLC and the team at Best Home Services is ready to assist.

When Best Home Services technicians show up for maintenance calls, customer service is top priority. Dave says, “We give five star service. After we knock on the door, we step back so the homeowner doesn’t feel invaded or pressured. We treat all customers like friends, and we become friends at the end of the day.” They literally roll out a red carpet and put on shoe booties while working. Communicat ion is impor tant , so homeowners are fully briefed on the service in both the beginning and end.

In between scheduled maintenance, the McClanahan’s say it’s important that homeowners do a little ‘homework’ such as regularly changing air filters. The brothers recommend at least every three months, monthly if you have pets or allergies. When facing down the variety of filters in the retail aisle, Dave says, “Everyone has their own opinion on which ones are best, but I say you don’t have to buy an expensive filter, cheap ones are fine and the pleated ones put more strain on your unit. Spend 1 to 3 dollars on a Continued on next page

FAMILY OWNED & OPERATED BEST HOME SERVICES mylivinglocal. SINCE 1980! | com

JULY/AUGUST 2019

“We give five star service. We treat all customers like friends, and we become friends at the end of the day.” filter now and save thousands in repairs down the road.” Adam also recommends the installation of UV lights to kill bacteria that can grow in your system. He says, “It’s wet and dark and stuff likes to grow in there, it’s a common thing. However, bacteria can cause health issues and allergies.” And about that service agreement, he adds, “In Florida air conditioning systems sometimes only last 8-10 years, so those maintenance agreements are pretty important.” When it comes to setting your thermostat, extremes are not good according to the brothers. For instance, if you turn your thermostat up high when you leave for the day then turn it way down when

V 239-217-1698 mylivinglocal.com | JULY/AUGUST 2019

you get home, your system has to run longer to get to the proper temperature. They recommend not exceeding a high of 78 degrees. A family business like Best Home Services is a perfect fit for the McClanahans. Adam says, “My brother is a pleasure to work with. We don’t see each other every day, but we talk every day about the jobs and to see how things are going.” Dave says about Best Home, “I like the way they treat customers, but even more so the employees. It doesn’t feel like work, they make it fun and allow you to create your own destiny. I came from out of town, but plan on retiring here.”

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hen Best Home Ser vices technician, Dave McClanahan, went on a call to the home of an elderly woman known as Ms. Marie, he says, “It was over 90 degrees in her home.” She was struggling on several levels and could not pay for a new AC. He says, “We come across a lot of people who need help, but there was something about her; I had to help.”

Dave called the technician who had seen Ms. Marie a few weeks earlier and they hatched a plan, personally calling Goodman Air Conditioning for a donation. Then they approached the managers and employees of Best Home. Within minutes of sending out a text thread, Dave says, “It blew up and everyone in the company got involved.” They donated time, money, anything they could.

fty

Zach Mersch, Brand Building Manager says, “One of the biggest core values that we instill in our employees is family. In everything we do, we treat others like a member of our family, and they took it to heart.” The volunteer project was not simple. They had to reposition the air handler and used the extra funds to pay for new ducts, hoses for her leaking water heater, and more. They even called in help from electric and plumbing friends so Ms. Marie would be safe and not have to worry about mounting home repairs. Zach marvels, “These guys gave up their whole weekend and more to help her.” She has since become like an adopted Grandmother. The project has done more than help a customer in need. Zach says, “It lit a spark in us, opened our eyes to start a new program to help our neighbors.” Best Home is currently working with vendors to partner in an ongoing program to help residents like Marie. Dave says, “This is the best company I’ve ever worked for. They are helping the community. It’s a good feeling, helping another human being.”

mylivinglocal.com | JULY/AUGUST 2019

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mylivinglocal.com | JULY/AUGUST 2019

When was the last time you’ve seen

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? S M U G G RECEEDTIICNCONCERNS? COSM ET

Park Family Has the Solutions!

re you looking a little long in the tooth as time goes on? It could be due to gum disease. Gum disease is one of the leading causes of tooth loss, but the good news is that it can be managed if caught early with regular dental checkups. Treating gum disease is one of the many specialties of Dr. Bill Campbell at Park Family and Cosmetic Dentistry. Gum recession is a gradual process associated with many factors often in combination with one another. This includes aggressive brushing, consumption of acidic foods and drinks, as well as dental malocclusion issues (poor bites). It can slowly develop without any symptoms even in people

who believe they practice good oral hygiene. Early detection and correction can increase the predictabilit y of treatment and save money. While Dr. Campbell per forms a full range of dental procedures, he is especially adept at gum grafting and has advanced training in a revolutionary treatment known as Chao Pinhole Gum Rejuvenation. Patented by Dr. John Chao, this technique is a minimally invasive way to treat receding gums. Dr. Campbell explains, “You make a small pinhole in the gum tissue to loosen the tissue from underneath and then stabilize the tissue in its new position with collagen fibers correcting the recession.”

690 Goodlette-Frank Rd • Naples • (239) 300-9741 mylivinglocal.com | JULY/AUGUST 2019

ABOUT DR. CAMPBELL Growing up in Fort Lauderdale, Dr. Campbell was a baseball player at St. Thomas Aquinas H.S and graduated with a 4.2GPA. Having a love for science and biology, as well the desire to work with his hands, contributed to his desire to pursue dentistry. With a doctorate in Dental Medicine from Nova Southeastern University and a master’s in biomedical sciences from Barry University, his advanced trainings and certifications are many. He has two sons who he describes as “high energy.” They keep him and his wife, Alissa. busy with sports, scouting, and school activities.

This technique is often favored over implant surgical programs in Florida, more traditional means of gum grafting California, and the Dominican Republic. that involves the use of a blade and He jokes, “I do a lot of continuing sutures. Realizing there is not just one education. My wife just looks at me approach to correcting gum recession, and says, ‘another one?’” Dr. Campbell completed “The Soft So what’s next for him regarding Tissue Mastership Program” and continuing education? He answers, mentorship with renowned Beverly “Sleep Apnea training this summer Hills Periodontist, Dr. Ziv Simon. “A a n d b e c o m i n g a n a c c r e d i t e d well-rounded understanding of gum member of the American Academy t re a t m e n t s c a n o f f e r Cosmetic Dentistry.” CHAO PINEHOLE of Dr. patients more choices as Campbell worked GUM REJUVENATION in several to what may be best for different types their unique situation,” of dental practices since says Dr. Campbell. gradating from dental Continuing Education is school and says about a big deal to the dentist. joining Park Family and BEFORE AFTER He is constantly learning C o s m e t i c D e n t i s t r y, and growing, adding to his skill set “They are truly unique. Dr. Long and in order to better serve his patients. Dr. Huynh-Le invest in their practice Since completion of dental school, and their team. They give back to the he has completed over 600 hours of community and they definitely put continuing education including: The patients first. If there is something that Dawson Academy for Occlusion, several better serves their patients…they do courses with Spear Education, a leading it, no matter the cost. They are a rare dental educator for a comprehensive breed and I’m glad to be associated care approach to correcting occlusion, with them.” and he has even completed several

www.MyParkDental .com

mylivinglocal.com | JULY/AUGUST 2019

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NOW – AUG 10 The Disney classic about Belle, a young woman in a small town, and a Beast who is really a young prince under a spell. See all your favorite characters including Mrs. Potts, Cogsworth, Lumiere and more! The beloved songs include Be Our Guest, Tale As Old As Time and Beauty and the Beast.

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Don’t Let Them Bug You This Summer It’s of f icially summer time here in Southwest Florida, bringing an abundance of sun, shorts, and for many bothersome spider veins. Our practice treats all types of venous disease, the most common being varicose veins and spider veins. Spider veins can present in a number of different ways, and although they are usually not painful, the noticeable appearance of them can be bot her some. Many t imes spider veins are even considered “cosmetic”, however, in some cases, spider veins can be a manifestation of a deeper problem called venous insufficiency. Venou s in su f f icienc y ( V I ) i s a common disorder that occurs when the valves within our veins begin leaking blood, causing a backward flow of blood to the lower extremities and an increase of venous pressure in our legs. Commonly experienced signs and symptoms of VI include bulging varicose veins, swelling, leg cramps, restless legs, tingling and numbness in the feet, heaviness and achiness of

mylivinglocal.com | JULY/AUGUST 2019

the legs, changes in skin texture, skin discoloration, and even ulcerations. If lef t untreated, these signs and symptoms of VI have the potential to worsen over time. Spider veins, on the other hand, can present in a number of different ways. They often appear as red or purple branches on the superficial parts of the skin, either lying flat on the skin or with a raised appearance. In some cases, groups of spider veins can take on a “bruise” like appearance, as they cluster into groups called telangiectasias. Spider veins in the thighs or even the calves are a cosmetic issue that can be safely managed in the office setting with injection sclerotherapy. This is an effective treatment using an injected chemical irritant with a very small needle into the spider veins to cause them to sclerose or scar down over several weeks to months and slowly disappear. It may take several treatments and periodic maintenance therapy to achieve or maintain optimal results.

www.WeKnowVeins.com (239) 694-VEIN (8346)

“I was so embarrassed to wear shorts or even go to the beach for many years because I had spider veins. It was frustrating to me that I had to deal with spider veins at the age of 30. I thought they would eventually go away on their own, so I waited 5 years to seek treatment. After just one session of Sclerotherapy I immediately saw a difference. My legs look so much better and clearer, and I finally feel confident again to show them off. I can’t believe I waited so long. The treatment was so easy and painless. Thank you Vein Specialists!”

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Patient | Bonita Springs

While most cases are cosmetic, for some patients spider veins present as signs of venous insufficiency which may need to be corrected prior to injection sclerotherapy. These patients may experience a larger amount of spider veins lower down the legs towards the ankles and feet which can progress to the point of spider veins making the feet look purple, especially when sitting or standing. These patterns of spider veins are often related to high venous pressure in the legs resulting from underlying venous insufficiency. A complete treatment of VI can be accomplished with an endovenous c l o s u re u s i n g e i t h e r a l a s e r o r radiofrequency catheter that allows the heating and permanent sealing of the underlying leaky veins. This will decrease the venous pressure in the legs and significantly improve vein related signs and symptoms which may, in turn, assist in the disappearance of spider veins in the lower legs. The procedure is minimally invasive and is performed under local anesthesia. Patients are able to resume their normal activities in just a short period of time after treatment. Several weeks after the underlying venous pressure has been corrected, injection sclerotherapy can

be performed to clear up any residual spider veins. If you or a loved one has spider veins or any of the other signs or symptoms of venous insufficiency, please visit our website at WeKnowVeins.com for more information or contact our office at 239-694-8346 to schedule a consultation with one of our highly trained providers.

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or years, Larry Shanaberger His Vein Specialis t exhaus ted has been getting treatment for his conservative treatment options with him, venous insufficiency, a condition in so he was referred to Acute Wound Care which his veins are unable to efficiently for in-home compression therapy. circulate blood from his extremities back Compression pumps are not only used to his heart. to treat venous insufficiency and ongoing Circulation problems such as this open wounds, but are also helpful for often result in dermatological problems patients who have chronic edema, poor and lymphedema, a condition in which circulation, and lymphedema. excess lymph fluid collects in tissues The devices have shown great success of the legs and/or arms, in boosting circulation VENOUS INSUFFICIENCY causing swelling. The and reducing swelling in swelling can be severe, both the upper and lower uncomfortable, making it extremities. Alyssa Parker, hard for patients to bend Clinical Administrator at their limbs and complete Acute Wound Care says, regular tasks. “Compression pumps In Shanaberger’s case have been around for he was not only suffering decades. Although many from venous disease doctors know about their Before and after 45 days of treatment in his leg but had also use in hospitals to help developed lymphedema and a recurring with blood clots, many are still unaware ulcer on his ankle. that the treatment is available for in-home He says, “The wound would seep use as well.” to the point that I was changing The pumps consist of long sleeves that bandages several times a day.” fit from the foot to the groin or the hand Shanaberger works in a garden center to the shoulder. They contain multiple and is on his feet for hours at a time. chambers that fill with air in a sequential A seeping wound on his ankle was not only motion, replicating the circulatory inconvenient but also challenging to heal. system and assisting blood flow from

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the extremities back to the heart. The excess fluid in the limbs is worked back through the circulatory system where it can naturally be eliminated by the body. Removing excess fluid might make sense for the reduction of swelling, but how does wound care fit into the picture? It is hard for wounds to heal when the body has poor circulation. Parker says, “It’s also important to use proper dressings. Individuals trying home remedies to heal a wound without proper dressings are at a higher risk of infection, which may lead to hospitalization.” Shanaberger says, “They gave me these bandages that helped to absorb moisture from my wound while the pump was working. It was kind of a one-two approach to my healing. The bandages took care of the outside and the pump took care of the inside.” The process helped to dry out his wound in just a couple of weeks. Parker adds, “I’ve seen cases where patients have been unsuccessfully treating a wound for as long as a year. With the right treatment and specialty dressings, our goal is to get the wound healed within 45 days.” Shanaberger uses the compression pump one to two times a day and says, “It makes my leg feel good. It’s kind of like a gentle blood pressure cuff where the pressure builds up then moves from the foot to the thigh, pushing all of that fluid up and out.” He still uses a topical cream on the wound area and still bandages his foot before going to work to keep it dry but says, “The pump has made a world of difference in the size of my leg and my quality of life.” The compression pumps are portable so patients can travel with them. A prescription is needed in order to obtain one. Parker says, “Many insurance carriers cover the treatment. The specialists at

Acute Wound Care handle the entire process.” “It was a very easy procedure from the time my doctor made the referral,” says Shanaberger. “Acute Wound Care did all of the insurance work, and they came to my home when it was convenient for me to help me use it.” He adds, “I see a lot of people walking around with edema on their limbs and I wonder if they know about these pumps. I really want to go up to them and tell them about it. It makes such a difference.”

Acute Wound Care is family owned and operated by Tom & Alyssa Snyder. Tom is a native to Southwest Florida and Alyssa moved to the area in 1992. Together they have over 16 years of combined experience in Lymphedema, Venous Disease, and Wound Care. The couple along with their expert staff make it a priority to understand each patient’s unique needs and give them the attention and care that everyone deserves. Their highly educated team has extensive product knowledge. The average heal rate for their patients is just 30-45 days! Acute Wound Care is an Accredited Medicare provider and accepts most commercial insurance. Their staff guides you through your treatment options and covered benefits. In home delivery with with personalized instruction is also provided. The Acute Wound Care team looks forward to assisting you and helping expedite the healing process!

AcuteWoundCare.com info@acutewoundcare.com

mylivinglocal.com | JULY/AUGUST 2019

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ElsaStreetCollision.com 239-592-4574 mylivinglocal.com | JULY/AUGUST 2019

Summer Visi n Setting Your Sights on

The seasonal crowds are gone and the summer sun is searing. Now is the perfect time to take a moment and focus on your vision. Whether you need a routine exam, help with changing vision, or guidance with a specific eye problem; Collins Vision has all bases covered with their team of specialists. Physicians at Collins Vision perform ever y thing from routine exams to advanced surgical procedures. In addition to vision fundamentals, each doctor has expertise in specific conditions so if a problem arises, all your needs can be taken care of under one roof. Take for instance, Dr. Nicole E. Alessi whose forte is treating dry eye and Dr. Jay S. Rosen who is a master when it comes to contact lenses. For some people with vision problems, putting in and taking out contact lenses is as second nature as brushing teeth. But for others it seems

an impossible task that doesn’t always deliver the desired results. Dr. Rosen has made a name for himself in Southwest Florida over the last twenty-plus years in finding contacts that work for patients with any number of challenging conditions, including cornea issues such as keratoconus. Keratoconus is a progressive thinning of the cornea that causes it to bulge. Dr. Rosen explains, “The surface becomes irregular. Neither glasses nor soft lenses will work because they translate a bad image and blur vision. Hard lenses help to create a new surface but most doctors have trouble fitting them.” “Contacts are like a sponge pulling moisture out of cornea,” says Dr. Rosen. That is why it is so important to treat dry eye, if that is something you suffer from and want to wear contacts. He also advises the use of artificial tears (not natural tears) throughout the day for contact wearers.

FORT MYERS OFFICE

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About Dr. Alessi

Dr. Alessi received her Doctorate of Optometry at Nova Southeastern University where she completed her residency in Low Vision and Geriatrics. Her residency in Ocular Disease was completed at Nova Southeastern University and Bascom Palmer Eye Institute. Since then, she has completed extensive training and study in treating dry eye and was instrumental in establishing the Collins Vision Dry Eye Clinic.

About Dr. Rosen

Originally from Long Island, he is a graduate of Cornell University and received his Doctorate of Optometry at State University of New York in Manhattan. Following his residency he was hired full time, eventually overseeing the university’s contact lens and cornea department. Follow Us | f y T n Dry eye is a chronic disease that Dr. Alessi suffered from while in optometry school, and now specializes in treating. It occurs when there is a problem with the tear film, a multi- layer structure that protects your eyes. “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.” Symptoms of dry eye can include itching, burning, redness, tearing, and fluctuating vision. It can be caused by any number of things including a patient’s lifestyle, allergies, and even a result of Lasik surgery. Dr. Alessi is like a detective, searching for the cause so she can find a solution and offer the best course of treatment. One of the things that patients enjoy most about doctors Alessi and Rosen, besides their unparalleled expertise, is their bedside manner, how personable

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they are. Dr. Rosen says, “I enjoy people. I talk to my patients about their lives not just their eyes.” He also enjoys talking about food, finding new restaurants and sharing the info with his patients. A self proclaimed foodie he also calls himself a part time vegetarian saying, “I love veggies and exploring different meat substitutes to see what they taste like.” Dr. Alessi calls herself a “shoe girl” and she loves to dress up her doctor’s coat with them. On the weekend she trades in her high heals for flats to enjoy water sports and outdoor activities including archery. Both doctors share a love of dogs, but most importantly, they share a love of helping improve the lives of their patients by improving their vision. Give your eyes some TLC this summer. Call Collins Vision to schedule an appointment.

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Superior Care

r. Peter Ameglio is creating a buzz in Southwest Florida amongst his patients, their families, friends and physical therapists, for the remarkable recovery of his patients. The surgeon uses minimally invasive techniques for hip replacements and treating sacroiliac (SI) joint dysfunction. In fact, he is the only orthopedic surgeon in SWFL to perform both the SuperPATH® approach for total hip replacements, that he brought to our community nearly 2 years ago, as well as iFuse SI joint surgery to resolve pain below the belt. SuperPATH is a revolutionary approach that was developed at New England Baptist Hospital in 2003 by Dr. Stephen Murphy. Dr. Ameglio was invited to observe Dr. Murphy during one of his studies where he witnessed first-hand that the SuperPATH technique resulted in less injury to the patient than hip replacements requiring hip dislocation and larger incisions. 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 surgery with traditional approaches, the patient is instructed in hip precautions or certain positions that may cause joint dislocation.

The SuperPATH approach does not carry any of these restrictions because the joint is never dislocated in the first place. In addition, the capsule and muscles are not injured during surgery allowing for a faster recovery. This technique is not easier to perform for the surgeon, but is significantly easier on the patient. A leading cause of hip pain is arthritis. However, hip pain can also be a sign of sacroiliac joint dysfunction. Both can present with similar symptoms such as groin pain and decreased hip range of motion. An example of this is a patient who has had a hip replacement, yet they continue to have pain. Dr. Ameglio became interested in SI joint dysfunction as he found patients with hip pain were often resolved with SI joint injections. The symptoms of sacroiliac joint dysfunction or sacroiliitis can mimic those of an arthritic hip, even though the hip is okay. Sacroiliitis can present with posterior hip pain, groin pain, thigh pain, and pain radiating down the leg. Sacroiliitis is a diagnosis that can fall between the cracks leaving patients in chronic pain and on an exhaustive search for answers and relief. This includes patients who have had back surgery. Dr. Ameglio says, “Of the patients who have had a back fusion, 45% may

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have sacroiliitis. That’s a significant number that still have pain. I can help them now too.” When treating patients with pain below the belt, Dr. Ameglio first looks at an array of non-invasive solutions such as orthotics, physical therapy, and even chiropractic. If those don’t offer relief, injections are next. Surgery is always the last resort, but when it is needed, he is the only orthopedic surgeon in Southwest Florida performing iFuse SI joint surgery and SuperPath total hip replacements. In some cases, both are required to relieve chronic pain. A typical SI joint fusion surgery involves a complicated mix of removing articular cartilage, bone grafting, screws and more. The SI-Bone technique that Dr. Ameglio uses, involves a mere 2-inch incision and three titanium implants. This procedure results in less pain, less downtime, and quicker healing for the patient. A physician dedicated to treating the whole person, not only does Dr. Ameglio use the most advanced surgical techniques, but he goes the extra mile when it comes to taking care of his patients and finding a solution to their pain. The surgeon considers it a privilege to care for others and welcomes the opportunity to help improve the quality of your life.

PeterAmeglio.com @PeterAmeglioMD

Cynthia Curtis

Fort Myers, FL SuperPATH Total Hip Replacement “I a m so gratef ul to have found Dr. Peter Ameglio and his SuperPATH method of hip replacement. Compared to my other traditional hip replacement surger y 5 1/2 years ago, there was less pain and I only took narcotics for the first day after surgery with SuperPATH. The progression of recover y wa s a ma zi ng each day. Dr. Ameglio is a wonde r f ul s u r geon a nd I highly recommend him and the SuperPATH approach. I am ecstatic with the outcome!”

Darlene K .

St. James City, FL iFuse SI Joint Surgery “My back problems started in 1992. Since that time I have had 4 surgeries; one including fusions from L-3 to S-1, steroid injections, ablations, as well as both hips replaced. I was still left with some degree of pain and searching for answers. I was referred to Dr. Ameglio and his testing proved that I had SI joint dysfunction. He gave me several options and I decided to have him fix it permanently with iFuse surgery. On 4/15/19 I had surgery on the right side. It made such difference in relieving my pain that I had the surgery on left side the following month. The post-surgical discomfort for 1-2 weeks was nothing. My pain is gone and my posture is improving too. Dr. Ameglio is ‘MY HERO’.”

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Don’t Replace It Restore It

I t’s always a great time to clean and

a good place to start is refreshing discolored tile and grout on your floors or in your shower. Instead of paying the exorbitant cost for new, you can make the old look like new. Also, if you’re building or purchasing a new home, now is the time to seal the grout lines to keep it looking new. Enter Nicholas Smith, owner of The Groutsmith servicing SW Florida. The Florida native grew up next to the founders of The Groutsmith franchise in Sarasota saying, “they were like family, basically second parents to me”. Smith had an established career in the restaurant industry but desired a new venture of his own. He called his family friends one day and viola, he found that new venture with The Groutsmith franchise. Smith says, “In the restaurant business you wait for everyone to come to you. Now I can get out into the community, build relationships with homeowners, and provide a top-notch service. The way our product works is simply amazing. At times I’m still blown away by the results, but I receive the most satisfaction from

my happy customers.” The process involves no heavy-duty carpet cleaners or high-pressure steam that can flood the grout joints and actually damage your tile and grout over time. The Groutsmith only offers products made by their own manufacturing company in Sarasota. This allows them to extend a 10-year warranty on their restoration sealer. No big hoses are piped into your home from outside, and the full process follows a more natural, no acid, hand cleaning method. After The Groutsmith has made your floors look brand new again they provide the proper guidelines for maintenance, including the right and wrong products to use. Smith is now in his third year of business in SW Florida. Although The Groutsmith franchise has been in business for over 25 years, operating in 15 states and adding new locations every month, Nick’s focus is to create a “local feel” to his franchise by providing personalized service to each and every customer. America’s tile and grout cleaning, and restoration expert! Don’t Replace It, Restore It!

Family Owned and Operated for Over 25 Years www.GroutsmithSWFL.com (239) 322-2320 FREE QUOTE & IN-HOME DEMO

mylivinglocal.com | JULY/AUGUST 2019

Trigger Finger

By Dr. Carmella Fernandez

o you have pain in your fingers associated with a catch or “click”? Are your symptoms worse in the morning and improve as the day progresses? If so, you may have a condition called stenosing tenosynovitis, better known as trigger finger.

What are the symptoms associated with trigger finger?

Often individuals will notice that they have a painless catching or clicking in their finger when they bend and straighten it. This can progress to pain in the finger and palm associated with the clicking, or triggering. Symptoms are typically worse in the morning and improve as the day progresses with increased use of the hand. As symptoms become more severe, they can lead to a locked digit and inability to flex and extend the finger.

Swollen Tendon • Stiffness • Locking of fingers • Pain during movement

mylivinglocal.com | JULY/AUGUST 2019

What are the main causes of trigger finger?

M os t of t he t ime t he c ause is unknown. However, trigger finger can be associated with diabetes, rheumatoid arthritis, gout, or amyloidosis. It commonly occurs during the 5th to 6th decade of life and it is more common in women than men. The underlying pathology consists of a thickening of the flexor tendon, which bends the finger, and the tunnel system in which the tendon travels. As the space within the tunnel narrows, it

makes it more difficult for the tendon to enter and exit the tunnel system. This causes the mechanical symptoms known as “triggering”.

What are the treatment options for trigger finger?

There are both non-operative and operative treatment options for trigger finger. If someone presents early in the disease process, the symptoms can sometimes be abated by taking oral anti-inflammatory medications. However, the mainstay of conservative treatment typically consists of a corticosteroid injection around the start of the tunnel system in the palm of the hand. Occasionally, more than one injection is necessary to obtain resolution of the symptoms. Unfortunately, the injections are not as efficacious in diabetic patients. If a trigger finger is not responsive to conservative treatment with injections, then surgical intervention can definitively resolve the triggering.

What does surgery for a trigger finger entail?

The surgery for a trigger finger can be per formed in a surger y center under minimal anesthesia. Through a one centimeter incision in the palm of the hand, the beginning of the tunnel system is enlarged to allow the tendon to successfully pass through it. The triggering resolves immediately following the surgery, and is a very successful and reproducible procedure. If you or someone you know may be affected by trigger finger or trigger thumb, please do not hesitate to call for an evaluation.

Dr. Carmella Fernandez BOARD CERTIFIED ORTHOPEDIC SURGEON Dr. Carmella Fernandez is a dual fellowship trained Orthopedic surgeon, specializing in nonoperative and operative treatments for the hand, wrist and elbow. She has an established private practice, The Fernandez Upper Extremity Institute, in Naples, FL.

730 Goodlette Frank Road N. • Suite #204 • Naples

| 239-777-9321

mylivinglocal.com | JULY/AUGUST 2019

Have You Thought About

PASSWORDS as Part of Your Estate Planning?

hen most people think about creating an estate plan, they consider tasks like drafting a will or signing a power of attorney. But here’s one critical step you probably would never associate with estate planning–keeping track of your passwords. And even more importantly, making sure your future personal representative or agent can access those passwords when the need arises. Lost Password Keeping $190 Million Away from Cryptocurrency Exchange Users

A recent stor y from Canada highlights the potential “worst case scenario” for passwords lost due to an owner’s death. This case involves the estate of Gerald Cotten, a Canadian citizen who reportedly died while in India this past December. Cotten ran a “cryptocurrency exchange” based in the Canadian province of British Columbia.

Even if you have never dealt with cryptocurrencies yourself, you likely have read about them in the news. A cryptocurrency is basically a complex computer program that creates virtual units that can be bought, sold, and used in a manner similar to traditional money. But cryptocurrencies rely on a decentralized ledger, rather than banks, to record all transactions. Cryptocurrency users typically store their account information in a “wallet,” which can be either a software program running on a computer or a piece of hardware. These wallets do not store the actual cryptocurrency–that is the function of the ledger–but rather contain the decryption keys necessary for the user to receive or send currency units. If the password to the wallet is lost, it is virtually impossible for anyone to access the cryptocurrency associated with it. And that is what apparently what happened in the Cotten case.

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about

Scott A. Kuhn

A person’s experience is vital to understanding the needs of others. And Attorney Scott Kuhn has a lot of experience, in a variety of different worlds. “The service I received from Kuhn Law Firm was excellent. During a time of deep loss it was comforting to be supported by reliable, dependable, and competent professionals who cared. The counsel I received from them was both timely and accurate. They also provided the coordination with the funeral director and real estate firm. This was vitally important as it saved me several trips to Florida. Thank you, Kuhn Law Firm!” — Ed Fialkosky, Fort Myers According to an affidavit filed by Cot ten’s widow in a Nova Scotia court, Cotten was the sole director and officer of QuadrigaCX, which holds approximately $190 million worth of cryptocurrencies on behalf of its customers. The widow said her husband kept most of the exchange’s keys in offline hardware wallets–and she does not know their passwords. This means the exchange’s customers cannot withdraw funds from their accounts. The exchange has subsequently filed for creditor protection, according to the Canadian Broadcasting Corporation. Keeping Your Passwords Safe– But Accessible to Your Estate

Setting aside the question of whether it is wise to invest your money with cryptocurrencies in the first place, t he Cot ten s tor y raises a more general concern regarding the use of passwords. Most of us carry around laptops and smartphones that rely on

6720 Winkler Road Ft Myers, FL 33919

encryption to keep our data secure. The problem is that if someone needs to access that data after we die, they may be unable to do so unless we leave some record of the passwords behind. One way to mitigate this problem is to use a password manager. This is a program that allows users to store all of their passwords in a database. Many password managers are “cloud” based, so the database is actually stored on a third-party server. The user then only needs to remember a single “master” password to access the database and retrieve the individual passwords stored as needed. For estate planning purposes, you should consider keeping a written copy of your master password in a safe place that your personal representative or family can access after your death. If you need advice on this, or any other estate planning subject, contact the Kuhn Law Firm, P.A., in Fort Myers today at 239-333-4529.

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www.KuhnLegal.com

mylivinglocal.com | JULY/AUGUST 2019

Fast&Frugal INTERIORS DESIGN With An EDGE

Theresa’s Tip of the Month

ome improvement shows are some of the most addicting programs on Try to add a sense of humor to a room by television. They can inspire you to take throwing in something bright, unexpected or oddly shaped as a finishing touch. on a new decorating project or redo your It’s that personal flavor that adds to the entire home décor. But looking at all of the enjoyment of your spaces. various patterns, textures and styles can be a tad bit overwhelming if you have no If you need more direct assistance, idea where to start. Clements says, “Get on your running shoes, – will become That’s when you call Theresa Clements, we are going to get to work.”–She owner of Fast and Frugal Interiors. For over your personal shopper, taking you to furniture, 25 years, she’s been bringing her client’s consignment and home improvement stores visions to life through interior design. She’s to find the perfect accent pieces, paint colors even been featured on HGTV thanks to her and more, all within your budget. unconventional technique.

In the beginning of her career as part owner of Galloways, Clements and Associates in Royal Palm Square, she had what she calls ‘a dream team’ of architects, builders and contractors, at her disposal. Fast and Frugal is a spinof f of sor t s, 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.

About her job, Clements says, “It’s exciting for me to open new doors to clients and give them a way to solve what they thought was a huge problem.” She continues, “Once you see their vision, the fun thing is giving them the best version of that vision.”

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.

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solicit contributions. Registration No. SC-00432. A COPY OF THE OFFICIAL ANDInc. FINANCIAL INFORMATION MAY BE OBTAINED FROM THEregistered DIVISION OF BY CALLING TOLL-FREE PACEREGISTRATION Center for Girls, is a Florida based 501(c)(3) nonprofit corporation withCONSUMER the FloridaSERVICES Department of Agriculture and Consume WITHIN THE STATE, 1-800-435-7352. REGISTRATION DOES NOTOFFICIAL IMPLY EN-DORSEMENT, APPROVAL, OR RECOMMENDATION BY THEMAY STATE. cit contributions. Registration No. SC-00432. A COPY OF THE REGISTRATION AND FINANCIAL INFORMATION BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING HIN THE STATE, 1-800-435-7352. REGISTRATION DOES NOT IMPLY EN-DORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

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Serving the

Medical Needs of the Impoverished W

hen Abelino Garcia fractured his wrist, the Urgent care physician told him he would need surgery. That surgery was estimated to cost $15,000. His source of income is from contract work as a carpet installer. $15,000 is a bill Garcia could not even think of paying with their income level and on top of that, he was now out of work. The Bonita Springs resident sought help from Café of Life, which connected him with We Care. We Care is a program administered by the Salvation Army Fort Myers Command in collaboration with United Way, Lee Health/Lee Community Clinics, Lee Count Medical Society, and the Department of Health that helps low income men and women with medical services. Patient Coordinator Jacqueline Galindez says, “To qualify for help mylivinglocal.com | JULY/AUGUST 2019

from We Care, a person must be a Lee County resident with a life-altering condition. Their income must fall below 200% of the federal poverty level, be uninsured and not eligible for any other government programs, and be between the ages of 19 and 64.” Once a person is accepted, Galindez reaches out to one of the approximately 200 medical specialists in the program to see if any are willing to help, without compensation for their time or skills. In Garcia’s case, Galindez contacted o r t h o p e d i s t , D r. Pete r A m e g l io. Although he is known for SuperPATH® total hip replacement and treating SI joint dysfunction, orthopedic surgeons are trained in the care of all bones and joints. Dr. Ameglio not only enjoys maintaining those skills but also likes treating the whole person.

“For A Greater Cause” is a monthly initiative of livinglocal, spotlighting a local nonprofit that is making a difference in our community. livinglocal also makes a monetary donation to the nonprofit on behalf of its advertising partners.

“Mr. Garcia had a fracture of the distal radius eight or nine months prior to seeing me. The ends of the bones were not even in the same zip code so it left me very few options,” explains Dr. Ameglio. Basically, he could not use his hand because it was no longer properly connected to his arm. Dr. Ameglio fused Garcia’s wrist and he is now back to work and living without pain. The surgeon took Garcia’s case for a number of reasons, “He is Spanish speaking and he could not get or afford care. I c o m e f ro m P a n a m a; I understand that level of poverty, as I’ve seen it first hand. He came here for a better life and I felt for him.” Garcia has been out of work since last September. He has a si x- year- old daughter and his wife has taken on grueling jobs such as picking tomatoes to suppor t t he family. Not able to provide for his wife and daughter and holding back tears, Garcia says, “I was depressed and felt like I was less of a man. Dr. Ameglio gave me hope that my hand will be OK and that I can get back to work. It will change us financially and mentally, being able to provide for my family as I always have.” Dr. Ameglio says, “I think everyone should have access to healthcare. The fact that he is 47 years old and one fracture takes him out of commission for life is tragic. The technology is available to fix these things, it’s just access to care.” Although We Care connects those in need with physicians who can help solve an issue on the front end, patients still need assistance on the

back end. For instance, Galindez says, “Our specialist can remove a ca ncerou s tu m o r, b u t w e d o n’ t h a v e the means to pay for chemo if that is needed, or any other medication that a patient may need.” The operating expenses for We Care come through grants and donations. Galindez gets 100 calls a day asking for help and her cases are backed up for months with people like Garcia waiting for help. More funding would allow We Care to hire another patient coordinator to help. Her vision is to see other Salvation Army organizations, across the state and nation, adopt We Care to serve the medical needs of low-income residents so that they can get back into the work force. We Care also helps with dental. Galindez says, “All of the credit goes to the specialists. Without them we wouldn’t have a program. They take their time to see patients for doctor visits and surgeries so they can go back to work, provide for family and contribute to our society. We are so grateful to them.” If you would like to make a tax deductible donation to We Care or are interested in being a participating physician, please contact Jackie Kelley at 239-877-5695 or Jacquelyn.kelley@uss.salvationarmy.org

we care mylivinglocal.com | JULY/AUGUST 2019

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Unresolved Pain in your lower back, buttock, hip, leg or groin?

FREE SEMINAR

Join Dr. Peter Ameglio for a to learn about the overlapping symptoms and treatment options for sacroiliac joint dysfunction and hip arthritis. Also meet a few of his patients during the Q&A time.

Dates: Tuesday, July 9th, 23rd, or Aug 6th Time: 6 – 7pm Location: Gulf Coast Medical Center Auditorium 13681 Doctor’s Way, Fort Myers (use main entrance of hospital)

RSVP 239-900-1765

Light refreshments will be served. Space is limited, please RSVP asap!

DR. AMEGLIO’S SOLO PRACTICE IS NOW OPEN & ACCEPTING NEW PATIENTS. 6160 Winkler Road, Fort Myers (Between College Pkwy. & Cypress Lake Dr.)

239-494-3147 PeterAmeglio.com

@PeterAmeglioMD