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SEE the DIFFERENCE

From eye exams to unparalleled surgical results, trust your vision to Collins Vision.

Awarded Expertise

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See what sets us apart by scheduling your appointment at 239.603.7714 or CollinsVision.com. 6900 INTERNATIONAL CENTER BOULEVARD • FORT MYERS • 33912 860 111TH AVENUE NORTH • NAPLES • 34108

Look for our story in this issue.

mylivinglocal.com | SEPTEMBER/OCTOBER 2019

From the Audrey Brooks | PUBLISHER / OWNER

Publisher

Dear Valued Reader, It’s that time of the year when we paint the town pink for Breast Cancer Awareness. We are so fortunate in Southwest Florida to have a number of organizations that help pay for preventive screenings and in some cases treatment of breast cancer. We are also blessed to have doctors such as Mary Kay Peterson who have devoted their lives to battling this terrible disease with expertise and compassion. In this issue, Dr. Peterson talks about the newest technology making dramatic impacts on early detection - the key to saving lives. October is also National Women’s Small Business Month. 4 out of 10 businesses in America are female owned. Since I’m one of them, I felt compelled to recognize and honor the female business owners who partner with me at livinglocal. I recently read the #1 reason women open their own business is because of their desire to pursue their own passion. Neida White, founder and owner of Davidson Irrigation, is one that

is passionate about her business. Find out more about her expanding business and how she has taken the lead in a male-dominated industry. Thank you to all our leading women and for your contributions to our community. I love celebrating the success of others and that’s one reason why I’m so excited about Collins Vision as our cover feature. You will find 15 key reasons for their success and why patients trust their vision to Collins Vision. Congratulations to you, Dr. Collins and your team on 15 years….and cheers to the next 15+!! We are honored to be a part of your continued success. Another local, longtime Southwest Florida business is poised for an exciting statewide and national expansion. Best Home Services is a family-owned business by brothers Keegan & Chadd Hodges. We’re excited to share the news from Best Home Services in this issue. Don’t forget to visit our website for business features as well as special incentives to power you through the fall season. As we enter the final quarter of 2019, thank you for livinglocal.

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 | SEPTEMBER/OCTOBER 2019

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.

Dr. Michael Collins Collins Vision

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Neida Carvalho

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Radiology Regional Center

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mylivinglocal.com | SEPTEMBER/OCTOBER 2019

“

We want to make sure that every patient who walks through our doors is just as excited to be here as we are to serve them. – Dr. Michael Collins

When Dr. Michael Collins started Collins Vision back in 2004, he didn’t anticipate the incredible growth his practice would experience in just a few short years. But when you consistently provide personalized, compassionate care, deeply rooted in family and community, you tend to attract loyal patients. The kind who then refer their friends, family and co-workers. Because of this loyalty, Collins Vision is thriving, and this year marks its 15th anniversary in Southwest Florida. “I’m incredibly grateful that I get to do what I do,” said Dr. Collins, board-certified ophthalmologist and founder of Collins Vision. “It’s an honor that we don’t take for granted. Without the patients whose lives we’ve had the privilege of improv ing , Collins V ision wouldn’t be here.”

mylivinglocal.com | SEPTEMBER/OCTOBER 2019

15Years C O L L I N S

V I S I O N

C E L E B R A T E S

H E L P I N G S O U T H W E S T F L O R I D A S E E T H E D I F F E R E N C E

A Patient for Life!

15 Reasons to Love Collins Vision

Lynn Casper is one of those loyal patients. Dr. Collins performed her cataract surgery back in 2006. She was so impressed with the care she received and the results of her surgery, she is now a patient for life! More recently, she has worked with Dr. Nicole Alessi to address some dry eye issues. Today, with the continued support of the Collins Vision team, she is seeing (and feeling!) better than ever. Lynn delights in referring her friends and family members to the eye care practice she has come to love so much. “Everything about Collins Vision is absolutely marvelous,” Lynn said. “Dr. Collins cares for his patients so gently, he truly listens and he cares. That’s rare to find. And it’s not just him. His entire staff is like that. From the person who makes the coffee to his front desk team and clinical staff, everyone is so friendly, professional and helpful. I would never consider going anywhere else.”

Ask Lynn and the many other patients that have trusted their vision to Collins Vision why they chose Dr. Collins and his team, you’ll get a number of answers. Here are our favorite 15 (keeping with the theme!) reasons to choose Collins Vision for all your and your family’s eye care needs: 1 Excellent Surgical Results. When it comes to eye surgery, results matter most. Collins Vision doesn’t cut any corners in making sure that your surgery results are their top priority. 2 Southwest Florida’s Go-To for a Glasses-Free Life. It’s your one set of eyes; trust them to an expert! Collins Vision specializes in premium lenses for cataract surgery and a multitude of laser procedures to get you out of glasses and/or contacts at any age. 3 The Collins Vision “Family.” A great experience starts with great people. Collins Vision is home to a team of exceptional employees that are honored to serve you.

Conitnued on next page

mylivinglocal.com | SEPTEMBER/OCTOBER 2019

Dr. Michael Collins and patient Lynn Casper

4 Conveniently Located. With offices in Fort Myers and Naples that are convenient to get to and centrally located, there’s no reason to go anywhere else for all your eye care needs. 5 N ex t- Leve l C omfor t an d Sincere Hospitality. From a coffee bar to warm, inviting spaces, Collins Vision’s offices are beautifully designed to make you feel right at home. Each time you walk in, you’ll be warmly welcomed and cared for like the VIP you are. 6 Advanced Technology for Improved Outcomes. Collins Vision’s physicians are committed to offering patients the latest and greatest in ophthalmic technology. 7 Fellowship Training. Collins Vision’s surgeon’s experience goes beyond the basics. Dr. Michael J. Collins is a Fellowship-trained Cornea, Cataract and Refractive Specialist, and Dr. Stephen A. Jones is a Fellowship-trained Oculoplastics Surgeon. 8 One-on-One Surgical Consultations. Going against the norm in a good way is exactly what sets Collins Vision

apart. The surgeons at Collins Vision meet one-on-one with every single patient before surger y (which not everyone does!). 9 A Customized Approach. Your eyes are as unique as your fingerprint. Your surgery should be, too. Collins Vision doesn’t believe in a one-size-fits-all approach to restoring and improving your vision. 10 An Emphasis on Education. Collins Vision’s ophthalmologists and medical optometrists are invested in ongoing training and certifications to not just offer services but to become experts in them. 11 Comprehensive Care. From general eye exams to advanced eye surgery, when it comes to your vision, Collins Vision has you covered. 12 Brands You Love. From post-surgery sunglasses to contacts for hard-to-fit eyes, Collins Vision knows that style and comfort of your eyewear matters. That’s why they offer top designer brands and an expert optical team.

FORT MYERS OFFICE

International Center Blvd. mylivinglocal.6900 com | SEPTEMBER/OCTOBER 2019

NAPLES OFFICE 860 111th Avenue North

“

– Dr. Michael Collins

13 A Surger y Center You Can Trust. St. Marks, Collins Vision’s trusted outpatient surgery center, is highly credentialed, stocked with state-ofthe-art equipment and staffed by the industry’s finest. 14 More Vision Correction Options. Dr. Collins is specially trained in a variety of vision correction options, so he can recommend and perform the procedure that’s right for you. 15 Cookies! Nothing says, “We’re glad you’re here” quite like the smell (and taste) of freshly-baked cookies. Choose Collins Vision and grab one for yourself. Those are all impressive reasons to choose Collins Vision. But when asked what he thinks makes Collins Vision truly special, Dr. Collins was quick to tout his team. “It’s our people,” he said. “How much they care, how they treat our patients. We get to change lives every day. That’s so rewarding! And we want to make sure that every patient who walks through our doors is just as excited to be here as we are

CollinsVision.com

“

Dr. Michael Collins and his mom on graduation day

I’m excited to see where the f ield of ophthalmology goes. I’m excited to see what’s next. It’s changed so much over the last 15 years. I can only imagine how incredible it will be in the next 15 years.

to serve them. I genuinely look forward to continuing to grow our practice without ever losing sight of our mission to provide the highest quality of eye care in a genuine, caring and personal manner — one patient at a time.” When asked what Dr. Collins looks forward to in the next 15 years, he replied with a smile, “I’m excited to see where the field of ophthalmology goes. I’m excited to see what’s next. It’s changed so much over the last 15 years. I can only imagine how incredible it will be in the next 15 years.” Join the scores of Southwest Floridians who have chosen to See the Difference and become a part of the Collins Vision family today.

239.603.7714

mylivinglocal.com | SEPTEMBER/OCTOBER 2019

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hen you look in the mirror do you wish your teeth, your smile looked better? Improving your smile may be a lot easier and take a lot less effort than you think according to Dr. Katrine Farag, owner of Advanced Dentistry of Fort Myers. “Dentistry has advanced so much, you should have a smile you love,” says Dr. Farag. Many people don’t explore their cosmetic options out of fear, or because they think it will take years to achieve their goals. However, she says, “In many cases you can spruce up your smile with quick, painless procedures in as few as two appointments.” Both Dr. Farag and her husband Joseph are dentists. The two met when she was a freshman at the University of Louisville and he was in the process of moving to the Port Charlotte area to open a practice. Some 13-years later the couple has an 8-year-old son who is competitive in go-cart racing and a 4-year-old daughter who has taken up figure skating. Dr. Farag opened her Fort Myers practice two years ago, after a patient search for the right place. Over the

years she worked in almost every kind of dental office you could imagine including the public heath arena, large group practices, small private practices, and corporate practices. Those experiences provided a clear vision of the kind of dental practice she wanted. Besides regular cleanings and general dentistry, one of the biggest reasons people come to Dr. Farag is for cosmetic consultations, ways to improve the appearance of their teeth and smile. Often times they are shocked at how quick and easy it can be. For instance, if you like the shape and position of your teeth, the easiest thing to do is whitening. Within 24 hours Dr. Farag can have a custom fitted tray ready for you to take home and bleach teeth on your own schedule. The next most popular way to fix your smile is through teeth straightening. “We used to think orthodontics was for teenagers but the average in our practice is 60 plus for Invisalign.” Dr. Farag’s oldest patient is 84. She explains, “Even if you had braces as a child, your teeth still shift as you get older.”

Beautiful Smiles Begin Here! mylivinglocal.com | SEPTEMBER/OCTOBER 2019

“In many cases you can spruce up your smile with quick, painless procedures in as few as two appointments.”

But today you don’t have to suffer the discomfort and embarrassment of having traditional metal brackets and wires on your teeth. Invisalign uses a series of custom fitted clear trays. You wear each set for about two weeks, 23 hours a day. Another quick, chair-side fix for chipped or fractured teeth is bonding. Dr. Farag says, “We pick a shade that matches the tooth, using the same material that’s used for f illings.” Leaving a chip untreated not only looks unsightly but it could lead to the degradation of your tooth. If chips and fractures are too big, the restoration moves to fabricated crowns and veneers. These procedures can also be used for crooked teeth says Dr. Farag, “If someone doesn’t want to go the orthodontic route, we can shape their teeth in a way to put crowns or veneers on them. They look like they’ve received immediate orthodontics.” The process is very detailed with molds and digital mock ups to make sure everyone knows what the end result will be.

If you are missing a tooth, implants are one way to go. “It’s so minimally invasive compared to what it used to be like,” says the friendly doctor. She compares the digitally guided surgery to a quick and accurate hole punch saying, “There is no guesswork and a patient needing one implant can be out in less than one hour.” Dentures are the other option for replacing missing teeth. Dr. Farag smiles, “Dentures don’t have to be ugly. They don’t have to look like fake teeth anymore. Ours are really amazing.” She went to great lengths to find a lab that produces the best. Changing your smile boosts confidence and self esteem no matter your age or gender. It’s important to find a dental practice that not only delivers but also feels good. When you walk into Advanced Dentistry, it feels good: relaxed, inviting, friendly and non-judgmental. If you have been wanting to restore your smile but have been putting it off out of fear of time, expense, or discomfort, call Dr. Farag for a consultation and find out just how easy it could be.

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BEST HOME SERVICES EMBARKS ON AN AMBITIOUS EXPANSION PROJECT by Gina Birch

est Home Services has come a long way from its humble beginnings in 1980 as a small family owned electrical company. Over the years the company has not only added heating, cooling, and plumbing services to its list of specialties, but now there is also an ambitious expansion plan on the books. H eadquar tered in Naples, t he business already has offices in Fort Myers, Sarasota, and Tampa with more than 200 employees. In June, Best Home Services Co-CEO’s and brothers, Chadd and Keegan Hodges, brokered a deal with Alpine Investors in San Francisco giving them more than $100 million dollars to expand throughout Florida and the United States. Ke e g a n e x p l a i n s , “ F r o m t h a t partnership we formed a company called Apex Service with the plan and vision of buying companies across the U.S. that are like Best Home, large platform companies.” Best Home is the platform company for the state of Florida and its first acquisition is Frank Gay Services in Orlando.

The commercial heating and air conditioning company began in 1981 as a one-man plumbing business and now has 175 employees. Now as part of Best Home Services, the Orlando company will be able to not only expand its commercial side, but also add residential services. The result of the acquisition is the creation of one of the largest air conditioning companies in Florida. Keegan says, “We had a vision that we could be much larger than where we are in Southwest Florida. We know there are other like-minded business owners that see the value of joining a group, so if we partner with the right ones, we would have their expertise and capital to be largest in Florida. Likewise, we partner with others outside to be largest in each of the other states where we are looking to expand.” The value to those businesses includes things such as de-leveraging risk. Keegan explains, “You get to a certain size or you’re a certain age in life, this is a way to reduce risk and it

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We had a vision that we could be much larger in Southwest Florida... We partner with others outside to be largest in each of the other states where we are looking to expand. also provides a pathway to retirement. times the size of their current corporate There is power in numbers.” In addition, office. The new space will also pave “Forming a group, with the size that we the way for 200 new jobs over the next would have and how geographically two years. diverse it is, would also make us nearly As Best Home Services continues recession proof.” to grow and expand, the company still Enter Apex, where negotiations are holds true to its mission of providing underway for the first out of state acqui- outstanding service to the residents and sitions. Keegan says, “There is only one business owners of Southwest Florida. other company in the U.S. that does A family owned company, Best Home what we are doing.” treats their staff like family too and it The Hodges brothers are seeking out trickles down to the customer. of state businesses that operate under The call center is open seven days a a similar culture and with similar values week with a staff that does their “best” as Best Home. Once these businesses to see that customers are taken care of are acquired by Apex, they will continue the same day or the next. Employees go to operate independently but will have out of their way to make sure customers more opportunity to grow. Keegan says, are happy and they are constantly giving “They’ve already become a market back to the community. leader and will remain doing business A s for t he ex pansion, Keegan as they were. Our goal is to get eight believes things will only get better, different platforms around the country.” although he laughs, “This is one of T h e ex p a n s i o n of B e s t H o m e the most challenging things we’ve Services doesn’t just lie in acquiring ever done.” more business, but also in building a new 65,000 square foot headquarters off Alico Road, more than three

“

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Are Your Legs

Looking & Feeling

“Old”? V

ein disease or venous insufficiency is most commonly thought of as being something that shows up as we age. While it is true that it more commonly presents at an older age, this disease can affect people of all ages. Josh Bolton, a local ER Physician Assistant is a healthy 35-year-old that had been suffering from swollen, achy, and discolored legs for 18 years following an ATV accident. The accident resulted in multiple injuries to his legs and a DVT (blood clot). Josh recalls being only 20 years old and looking like he had “old man legs” because of his swelling and discoloration. He eventually developed venous ulcers, the most advanced sign of venous insufficiency. “Because of this accident, my legs were always swollen, achy, heavy, itchy, and painful. On top of these symptoms they were also horribly discolored and would turn purple, blue, and all different colors.” Josh remembers at his first appointment with Dr. Magnant just how “old” his legs looked for being such a “fit” guy. Dr. Magnant states, “Josh had an ulcer so deep on his one ankle, I could almost put the entire tip of my finger inside his wound.” Josh’s venous disease progressed over the years and resulted in ulcers on both of his ankles. Despite being

in the medical field as a PA, he was unsure of what t ype of specialt y physician to consider visiting, so he procrastinated and self-treated his wounds. As his venous disease worsened, he first visited a vascular surgeon, a dermatologist, and later a wound care specialist. He seemed to be on a rotation of seeing these physicians without any conclusive diagnosis. The wound care doctors would debride his ulcers weekly, applying different prescription creams, and wrap his legs with bandages. According to Josh, “all the doctors I saw treated my wounds locally but never got to the root of my problem, so my ulcers never seemed to make much progress.” After his move from North Carolina to S ou t hwes t Flor ida , J osh was referred to Vein Specialists by his new Dermatologist. An ultrasound was immediately ordered to evaluate the blood flow in Josh’s legs, which revealed that his underlying problem was venous insufficiency. After meeting with Dr. Magnant and discussing a variety of treatment options, an endovenous radiofrequenc y (RF ) ablation was recommended for both legs, which essentially is a heat sealing of his problem veins. After the abnormal

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veins are sealed, venous pressure and He saw his open wounds begin to pooling is reduced which results in heal within three days of his closure improvement of the signs and symptoms procedure and were completely closed of venous disease. within a month. This far exceeded his There are many manifestations of expectations. Looking back over his venous insufficiency. Symptoms are nearly 20-year history of swollen and what the patient actually feels and may painful legs with non-healing ulcers, he include: restless leg syndrome (RLS), leg admits that at times his life was just too cramps, heaviness, busy to address his achiness, pelvic pain, disease and shares night time urination, responsibility in the and numbness of the delay of his diagnosis feet (neuropat hy). and treatment. The following signs Josh now has are what can actually an excellent be seen: spider understanding of v e i n s , v a r i c o s e “Stop procrastinating and go see v e n o u s d i s e a s e veins, swelling, skin Dr. Magnant at Vein Specialists a n d t h e v a r i o u s discoloration, and for the relief you’ve been options of treatment v e i n b l e e d i n g o r searching for.” — Josh Bolton Patient including, thermal ulceration. ablation with either Since his procedure was performed LASER of RF or adhesive closure with under local anesthetics (as are all Venaseal. He mar vels at the ease procedures at Vein Specialists), Josh with which Dr. Magnant performed was able to watch the procedure, the procedure and the immediately d r i v e h i m s e l f t o a n d f r o m t h e noticeable increased rate of closure appointment, and return to work the of his venous ulcers. Josh’s f inal following day. As an active man in his re co m m en dat io n i s “ for anyone mid-thirties, he was able to resume suffering with venous leg ulcers to normal activities immediately and stop procrastinating and to go see even went spearfishing the weekend Dr. Magnant at Vein Specialists for after his procedure. the relief they’ve been searching for.”

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ADDING BEAUTY & SECURITY hat happens to your lawn when night falls? Does it go to sleep or does it come alive thanks to lighting? Neida Carvalho, owner of Davidson Irrigation, is a mastermind when it comes to landscape lighting and design. Lighting doesn’t just boost curb appeal; it also adds a layer of security to your property and home. She explains, “Imagine your neighborhood and you’re a bad guy. You drive by a home that’s dark and one next door has lighting around it. Where do you think the bad guy is going to go? The one that is dark and inviting.” She compares landscaping lighting to leaving a porch light on for security. A timer can also be ins talled so homeowners can control the lighting when out of town. Growing up, Neida’s stepfather owned a marine salvage company in Virginia. She began working with him at the age of nine and by the time she was a teenager knew how to fix boat motors and pumps, she even learned how to weld.

After graduating from high school, she joined the United States Coast Guard where, thanks to her experience growing up, she transitioned into the field of diesel mechanics with ease. When she lef t the Coast Guard in 1989, Neida formed a lawn care business, later adding irrigation services. As the business took on a new life, she got a contractor’s license enabling her to take on bigger projects; operating the only woman and veteran owned business of its kind in Southwest Florida. The outdoor lighting part of her company is something she has become more and more passionate about over the last few years and she has become quite the expert at it. Neida is now highly sought after for her vision and design. If you have a pool cage and your back yard is dark and dull when the sun goes down, she can light it so the space becomes a warm and inviting one, no matter what time of the day or night. Boat docks are another important place to consider adding landscape lighting. Neida says, “I use green dock

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mylivinglocal.com | SEPTEMBER/OCTOBER 2019

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to Your Home lights; they attract the fish. It is another unique offering that also offers safety.” If you have ever stepped off a dock in the dark of the Southwest Florida night, you understand. Neida is not only an expert in the layout and design of landscape lighting, but also making sure her creations are safe as far as light placement and voltage, whether they are around walkways and bushes or waterfalls and ponds. While landscape lighting is igniting her passion these days, irrigation is still the foundation of her business. Davidson is a full service irrigation company offering professional inspections and repairs on sprinkler heads, rain sensors, timers, leaks, and more. The businesswoman says, “If your irrigation system is not installed correctly it’s like having a car that’s a lemon, it will irritate you forever.” Many times all that is needed is a small repair rather than a total replacement. Landscape lighting packages typically begin in the $3000 range, however, Neida says, “I’ll do as much or as little LEE COUNTY

as you want. I’ll even do a night time demo so you can have an idea of what it would look like.” She is particularly good at listening to what homeowners’ need, want, and dream of for their yards, and can turn any or all into reality. “I absolutely love what I do,” says Neida. “Every day is something different and unique. I love making people’s yards come alive.”

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he was suffering from hip pain for years and knew she needed to take action, but Helen Haver, like many people in pain, was afraid of surgery. That is until she met Dr. Peter Ameglio. She says, “I was totally afraid, but I had a comfortable feeling that he would take care of me.” And he did. Helen underwent her first hip surgery at the age of 76 in March via the SuperPATH® technique. Dr. Ameglio introduced SuperPATH to Southwest Florida over 2 years ago and since has received the attention of physicians, nurses, and physical therapists in our community due to the fast recovery of his patients. SuperPATH is not easier for the surgeon to perform, but for the patient the benefits are big. Dr. Ameglio explains, “All other hip replacements require a hip dislocation except for SuperPATH. I always use the analogy of how much effort it takes to remove a drumstick from a turkey at Thanksgiving time.” With the SuperPATH approach the hip joint is never dislocated, preserving the joint capsule. Also, no muscles or tendons are cut. Af ter surger y with all other hip replacements patients are instructed in precautions or certain positions that they should not place their leg or hip, as doing so could risk joint dislocation. Dr. Ameglio’s patients have NO hip precautions or restrictions post-op because

the hip is never dislocated. Helen healed quickly from her SuperPATH procedure, but her other hip needed surgery too. Just three months after her first surgery, Helen went in for her second SuperPATH procedure. The surgery was once again successful, however, this time when she returned home to recuperate, she began experiencing discomfort. “I couldn’t sit, I couldn’t sleep, my butt hurt so much, there was tingling, and my lower back and the right thigh was hurting too.” She went back to Dr. Ameglio who has also become well known for his treatment of the sacroiliac (SI) joint. Dr. Ameglio injected Helen’s SI joint with an anesthetic to eliminate the pain and a steroid to reduce inflammation. She says, “Within a couple of days I started feeling much better and in 5-7 days it was almost gone.” Today she is pain free. Dr. Ameglio’s interest in the SI joint came af ter searching for relief for patients still experiencing pain after hip replacement surgery and/or had unresolved pain in the lower back buttocks, thigh, and/or groin. He states, “We are blessed with many talented orthopedic surgeons in SW Florida that perform hip replacements. In fact, hip replacement surgery, in my opinion, has the best outcome of all orthopedic surgeries. Unfortunately, some patients still experience residual

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pain after a successful hip replacement regardless of the approach. When this occurs, the surgeon confirms the hip replacement is not loose in the bone or the pain is not related to an infection among other reasons. Often, no reason for the pain is found and the patient is left reporting they have pain despite results of testing being normal. This discrepancy motivated Dr. Ameglio to find an answer to this unresolved pain. “The SI joint can mimic symptoms of an arthritic hip. I have seen patients who’ve had a hip replacement but still have symptoms of hip arthritis even though the joint has been replaced.” Problems with the SI joint can result in pain in the lower back buttocks, thigh, groin, and can radiate down the leg making it difficult to diagnose. Some symptoms are similar to those found in hip arthritis. The sacroiliac joint functions as a shock absorber for the spine. It dissipates the force to the sacrum, pelvis, and lower extremities; however, as we get older the SI joint may become less able to absorb shocks. The SI joint may become arthritic or dysfunctional from injury such as childbirth, motor vehicle accident, a fall, or twisting. “15-30% of people with low back pain have sacroiliitis and in those patients who have arthritis or a fusion in the

lumbar spine, up to 45% have sacroiliitis,” says the surgeon. “It’s a sizeable number of patients and it is critical to understand because of the overlap in symptoms between the SI joint and hip.”

“Dr. Ameglio has been so kind and caring. He listened to me and took his time,” says Helen. Laughing, she adds, “I felt like I was one of his children and here I could be his mother.” Her friends are amazed that Helen had both hips replaced within a span of three months and in less than 2 months time she is already back to her regular routine which includes volunteering at the Edison & Ford Winter Estates, as well as ushering at the Barbara B. Mann and Florida Repertory Theatre. She says, “I tell people don’t hesitate, you can’t live life if you are so uncomfortable and hurt so much. You can’t live on pills for pain. I’m really blessed, fortunate, and so glad I found Dr. Ameglio.”

239-494-3147 PeterAmeglio.com

mylivinglocal.com | SEPTEMBER/OCTOBER 2019

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The Florida

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lor ida law prov ides special protection from creditor claims for a person’s “homestead,” i.e., their primary residence. These protections even extend beyond death. That is to say, when a Florida resident dies, they can pass their primary residence on to their heirs at law–usually a spouse or child–and the decedent’s creditors cannot touch the property. APPEALS COURT: Homestead Order Did Not “Extinguish” Sons’ Life Estate in Mother’s Property.

It is important to be aware of the homestead rule when making an estate plan. For instance, if you have a spouse or minor child, the homestead rule grants them certain rights to your homestead even if your will or trust says otherwise. And while the homestead rule does not require you to leave your house to any adult children, it can still complicate the administration of your future estate. Here is a recent Florida court case on point. In Mullins v. Mullins, three siblings went to court over what to do about their late mother’s house. The mother died and left a will, which said her two sons–Robert and Kenneth–could continue to live in the house for as long as they wished, provided they paid the property taxes and other expenses. In legal terms, the mother gave her sons a “life estate” in the property.

Around the time of the mother’s death, Kenneth moved out of the house. Kenneth and his sister Carla later sued Rober t, claiming their brother’s actions “forced [Kenneth] to vacate the property.” The lawsuit asked a judge to force a sale of the house, with the proceeds divided equally among the three siblings. Robert opposed this move, arguing their mother’s will gave him a valid life estate in the property. Kenneth and Carla responded by pointing to an order previously issued by a judge confirming the homestead exemption applied to the property. Such homestead orders are typically necessary to clear title to a property so it can be sold or mortgaged. Critically, the homestead order issued in this case did not mention the mother’s will or the life estate. The Florida Fifth District Court of Appeal, reversing a trial judge’s prior ruling, said that did not matter. The mother’s will still controlled. All of the siblings agreed the will created a life estate for Robert and Kenneth. The homestead order did not change this; it only confirmed the property was still protected by the homestead exemption. As the appeals cour t explained, the homestead order “did not create new rights, but rather explained or clarified the rights that already existed by operation of law.”

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Exemption Scott A. Kuhn about

Before becoming an attorney Scott Kuhn worked as a firefighter and for rescue services. He worked his way through college, while supporting his family so he understands those struggling to make ends meet. Scott feels it is his “empathy, advocacy and immediacy” that differentiates himself from other attorneys – not his advanced education. He knows his clients count on him to do the right – and smart – thing every time, on every matter that affects them. He feels privileged to be a part of their lives, oftentimes at moments of their greatest vulnerability. From initial call to the last stage of the appeal process (if it comes to that), Scott is intimately involved. Scott’s commitment to helping people doesn’t stop at the door of his law office. He is the Attorney for the Shriners and has assisted many clients with charitable gifts to the Shriners Hospital for Children, Florida Gulf Coast University and Florida Southwestern.

Speak with a Florida Estate Planning Lawyer Today The homestead exemption is just one of many Florida-specific laws you need to consider as part of the overall estate planning process. A qualified Fort Myers estate planning attorney can provide you with valuable advice and assistance. Contact the Kuhn Law Firm, P.A., at 239-333-4529 today to schedule a free confidential consultation with a member of our estate planning team today.

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Takes the Lead in Early Detection of Breast Cancer

or 20 years, Dr. Mary Kay Peterson has been waging the war against breast cancer at Radiology Regional Center. As the Director of Women’s Imaging, Dr. Peterson not only preaches the ‘early detection’ gospel to women everywhere, she is also passionate about education. During breast cancer awareness month, she says there are three critical things for women of almost any age to do: get an annual mammogram, do a monthly self-exam, and get an annual physician exam. It’s also important to know about advances in technology and impressive new diagnostic testing options, such as 3D Mammography and Abbreviated Breast MRI or AB-MR. “3-D mammography is the newest technology; we have it in all of our offices,” says Dr. Peterson. She explains, “Patients don’t necessarily know the difference, but I can see so much more.” The imaging allows the doctor to see what is in the breast layer by layer. “It’s like scrolling through the pages of a book, instead of just looking at the book from the front through the back cover,” says Dr. Peterson. The 3D imaging views the breast tissue layer by layer, reducing callbacks for more testing.

Initially radiologists thought 3D screening was only good for women with dense breast tissue, however, 3D is now recommended for everyone. Dr. Peterson comments, “We’re finding cancer we probably would never have detected. Why would you not want the best technology if it’s available.” Last year Florida became the 34th state to pass a breast density law. Dr. Peterson says, “Even though we had been reporting a patient’s density all along, now the state mandates the information be included in a patient’s report.” This is important because it opens the door for patients to seek supplemental imaging, such as AB-MR (abbreviated breast MRI), a shortened version of the standard breast MRI. “If you have a lot of glandular tissue, cancer can hide in there. Breast MRI’s offer the most sensitivity, meaning you can pick up disease, and the best specificity which means you can decide whether its good or bad.” This does not mean women with dense breast tissue should skip the mammogram in lieu of an MRI. The two tests are done in conjunction. It’s the mammogram that picks up calcifications in the breast, the most common form of cancer. Mammograms

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ftl “We’re finding finding cancer cancer we we probably probably would would “We’re never have detected. Why would you not never have detected. Why would you not want the the best best technology technology if if it’s it’s available.” available.” want Mary Kay Peterson, MD

detect 4-5 cancers per 1000 women while MRI’s detect an additional 16-23 cancers per 1000 women. Most insurance companies do not cover the AB-MR screening for women who have been diagnosed with dense breasts. However, because it is considered a supplemental screening, patients do not need a doctor’s prescription for the AB-MR. The test must be scheduled between one to ten days after your menstrual cycle. If you are one of many women who believe the amount of radiation received from mammograms is more harmful than helpful, the doctor shakes her head and explains, “If you live on the earth for 7 weeks, you’ve received the same amount of radiation (from environmental sources) as a mammogram.” She says 3D imaging emits only a minimal amount more radiation than 2D imaging. It is recommended that women get their first mammogram at age 40, and annual thereafter. If a first-degree relative, like a mother, has been diagnosed with breast cancer before the age of 40, then a woman should get her baseline mammogram 10 years earlier than the age of the diagnosis. For example, if my mother was diagnosed at age 37, my baseline mammogram would be at age 27.

Dr. Peterson recommends that mammogram be 3D. She says, “The detail and the specificity of 3D is like the difference between driving a car while sitting behind the wheel as opposed to sitting in the back seat and trying to drive. Wouldn’t you rather drive from the front seat?” If you’re uninsured or are worried about the cost of a breast screening, Dr. Peterson says, “Patients need to know that there are many organizations offering accessibility to screenings in our community. We have links on our website to help connect you. Don’t pass up screening because of financing.” While mammography screening is important, Dr. Peterson says with passion “Mammograms aren’t everything. See your physician for annual exam. Don’t by-pass your monthly self-exams, which should be performed the week after your period when hormones are calmest.” She cautions, “Make sure you check all of the way into your armpit and around the nipple.” Look for areas of hardness, ridges, lumps, dimpling, or nipple discharge. Not all lumps are cancerous. If something doesn’t feel right, call your doctor. Early detection saves lives. Book an appointment for your 3D mammogram today.

mylivinglocal.com | SEPTEMBER/OCTOBER 2019

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