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FALL IN LOVE with your legs! Complimentary Seminar
Meet Dr. Magnant & his team of providers for an intimate Q&A session. Limited seating. Call 239-694-8346 & mention code VS11
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ACCREDITED VEIN CENTER
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Joseph G. Magnant MD, FACS, RPVI
WeKnowVeins.com 239.694.VEIN (8346) Fort Myers
1500 Royal Palm Square Blvd., Suite 105
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3359 Woods Edge Cir., 102 2018 mylivinglocal. com Suite | OCTOBER
From the
Publisher E
very month I learn something new from reading the feature stories in livinglocal®. I’m continually amazed by the number of health conditions that stem from venous insufficiency and how Dr. Magnant is able to connect the dots for people who have been suffering for years. Sometimes even decades. This month’s feature is no exception. Read inside of a young woman’s struggle with chronic pelvic pain and how she found relief within one week of her treatment at Vein Specialists. Are you going “pink” this month? October is National Breast Cancer Awareness Month and the perfect time for us to shine our For a Greater Cause spotlight on Partners for Breast Cancer Care (PFBCC). This local non-profit organization provides mammograms, an important tool in the early detection of breast cancers, to women who are uninsured or those who do not have the financial means. In addition, PFBCC funds all follow-up diagnostic tests as well as treatment if a diagnosis is made. They are making a lasting impact on lives and we are honored to feature PFBCC and donate to their cause this month. Thank you, Vein Specialists for doubling our donation! October is also National Dental Hygiene Month, a reminder to make sure your dental health is in check. If you are wanting information on the ART DIRECTOR
Teddy Tedford Teddy brings a wealth of branding, marketing and creative experience to livinglocal®. Throughout his design career he has worked with local SW Florida businesses and luxury brands across the state.
mylivinglocal.com | OCTOBER 2018
— Audrey & her son Timothy
newest dental procedures, cosmetic options, or just general tips to keep up your healthy smile, we have it from the experts in SW Florida! The Florida Everblades season is just around the corner and we couldn’t be more excited to continue our partnership with them. If you haven’t already, like and follow us on social media – we will be giving away tons of tickets. And while you’re at the game, check out the visitor’s penalty box. A special thank you goes out to our readers and followers that participated and voted on our new sign! Before you get reading, don’t forget to visit us online at mylivinglocal.com. It’s all that makes livinglocal great and so much more. There you may view our current magazine, search past articles and find great incentives…and share it with your friends and family too! Thank you SW Florida friends for “living local” with us!
Audrey
LOCAL CONTRIBUTOR
Gina Birch Gina is a freelance writer for USA Today 10Best and a well-known TV & radio personality in SW Florida. Google her blog, “The Birch Beat” and follow her on Facebook & Twitter @GinaBirch.
sidethis ed tion Inside i
Steve Burgio
Dr. Joseph Magnant
Best Home Services
Vein Specialists
Robin Powers
Dr. Michael Collins
Dr. Long
Richard Romeis
MedSpa Del Mar
Collins Vision
Park Family & Cosmetic Dentistry
Gardner Orthopedics
Janet Noack, CPA
Mari Guzman
Dr. Carmella Fernandez
Theresa Clements
Noack & Company
Amazing Lash
Fernandez Upper Extremity Institute
Fast & Frugal Interiors
Recipe of the Month
The Saucy Meatball 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. In honor of Breast Cancer Awareness Month, we are featuring Partners for Breast Cancer Care. This organization’s mission is to save lives and reduce suffering from breast cancer through improved early detection, education, and access to healthcare. They are dedicated to serving our community’s women and men who desperately need help by funding breast screening, diagnostic testing and treatment at no cost to them.
Serving Fort Myers, Estero, Bonita & Naples C O NNE CT W ITH U S
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Audrey Brooks audrey@livinglocalfl.com ©2018 Brooks Infinity, Inc. - All content is property of the publisher and may not be usedcom or reproduced without mylivinglocal. | OCTOBER 2018 expressed written consent from Brooks Infinity, Inc.
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Pelvic Pain C
hronic pelvic pain is a common problem in women, but because of its private nature, many patients suffering from it don’t talk about it openly. Women with this kind of pain typically seek help from their OB/GYN specialists, as well as a range of other specialists, only to be told nothing is wrong or there is nothing that can be done to help them. B u t t hat ’s simp l y not t he c ase according to Dr. Joseph Magnant, fo u n d e r of Ve i n S p e c ia l i s t s . H e says women, as well as men, with unexplainable pelvic pain could be suf fering from a venous condition called Pelvic Congestion Syndrome (PCS).
PCS is a condition characterized by the following signs or symptoms: large varicose veins from the groin, vulva, or gluteal fold; leg swelling, ulcers or stasis dermatitis; pain in the pelvis and abdomen with squatting or crouching; painful intercourse; painful menstruation; pain in but tocks, posterior thigh, or knee with prolonged sitting or standing. mylivinglocal.com | OCTOBER 2018
PCS may be secondary to iliac vein compression where the iliac veins narrow or become blocked by the overlying artery, essentially being pinched between the artery and the lumbar spine. This causes blood to back up in the legs and other collateral pathways must develop to drain the lower extremities and the pelvis. These pelvic varicose veins may wrap around the ovaries, uterus, vagina, bladder, and even the bowel. Other signs or symptoms may include buttock pain, varicose veins in the vulva or buttock fold area, and achiness in the posterior thigh down to the knee, typically worse around menstruation. That was the case with Lindsay. Her problems began during her second pregnancy; she was only 28-years old. The young mom says, “I started noticing a lot of leg pain and swelling; my feet were huge.” In addition, “The back of my thigh was throbbing, aching with pain. I developed a varicose vein in the back of my leg and could pinpoint that spot as the source for a lot of my pain.”
“I felt relief within a week of treatment.” — Lindsay She had trouble staying on her feet during the day and suffered from restless leg syndrome at night. Her doctors attributed the pain to her pregnancy and advised wearing compression stockings. That’s not an easy task for a pregnant woman in Southwest Florida who needs compression up high, around the groin. After she delivered her baby, the pain didn’t go away. “It became unbearable after my fourth pregnancy,” says Lindsay, “I was 32 and too young to be feeling like I was. I couldn’t be on my feet all day, yet I had toddlers to run after. The pain was drastically impacting my life.” That’s when she turned to Vein Specialists and Dr. Magnant for help with her varicose vein. “The vein had gotten so big. It was bulging from my inner thigh and groin, around the bottom of my butt, and then down my leg to the knee.” After ultrasounds of both legs and pelvis, she was diagnosed with severe venous insufficiency, as well as left iliac vein compression or May Thurner syndrome, an often-overlooked cause of Pelvic Congestion Syndrome.
Joseph G. Magnant
MD, FACS, RPVI Vascular Surgeon & Vein Expert
Although her pain was on the right side of the body, the problem was on the left; an 80% narrowing of the left common iliac vein. Through a high-tech intravascular ultrasound (IVUS), the vein was opened back up with a balloon and stent. Technology has made this disease much easier to diagnose than in the past according to Dr. Magnant. In addition, he says, “There has to be some imagination by doctors. If people complain about pain and a specialist can’t find anything, one needs to consider there may be a vascular problem.” Pelvic Congestion Syndrome is not something that just affects young or pregnant women. Men and women of all ages may be affected by it as well. Painful intercourse (dyspareunia)is another symptom of PCS. “Some women with pelvic congestion syndrome haven’t had sex in years because the pain is so bad. Their husbands say they are making excuses and the OB/GYN may prescribe antidepressants labeling the pain as psychogenic,” says Dr. Magnant. mylivinglocal. com | OCTOBER 2018 Continued on next page
ILIAC VEIN COMPRESSION SYNDROME Signs & Symptoms “I had a 69 year old woman who had been suffering for 15 years from pelvic pain. She had a high grade narrowing of left iliac vein which we were able to diagnose with IVUS and treat with a stent. Within a week after her procedure, she had complete resolution of pain,” says Dr. Magnant. She and her husband we able to experience intimacy without pelvic pain once again, within a week of her procedure.
“I was 32 and too young to be feeling like I was. I couldn’t be on my feet all day, yet I had toddlers to run after. The pain was drastically impacting my life.” — Lindsay
Lindsay felt relief from her venous pain within a week after her treatment. She says, “I recently went to Walt Disney World with my family and walked all day for four days straight. I didn’t even think about sitting, putting my legs up, or how to get comfortable in a hotel room with pillows under my feet.” She adds, “I always knew when my period was coming because I would be in so much pain in my legs, but now I can’t tell at all.” She doesn’t have to wear clothing to hide compression stockings either. “I feel young again, not like a 30 year old in an 80 year old body.”
Joseph G. Magnant mylivinglocal.com | OCTOBER 2018
MD, FACS, RPVI Vascular Surgeon & Vein Expert
Large varicose veins from the groin, vulva, or gluteal fold Leg swelling (one or both legs), one leg may be larger than the other Discolored leg skin and non-healing leg ulcers Pain in the pelvis or abdomen with squatting or crouching Pain in the buttocks, posterior thigh or knee with prolonged sitting or standing Painful intercourse (during or after) & increased pain with menstruation “Women rarely talk openly about their pelvic congestion symptoms,” says Dr. Magnant. “It’s very personal. Most will go to their gynecologist for assistance and perhaps undergo laparoscopy for their PCS, 20-40% of which are negative for pathology. So what do they have?”
“I feel young again, not like a 30 year old in an 80 year old body.” — Lindsay He continues, “There are more patient s with a treatable cause of the their pelvic pain than we realize and many of t hem may have iliac vein compressi o n s y n d ro m e o r M a y T hu r n e r syndrome as the underlying pathology.” I f you have any of t he ab ove symptoms and have been unable to find answers for their cause, call Dr. Magnant at Vein Specialists today.
www.WeKnowVeins.com
About Dr. Magnant Dr. Magnant grew up in Northern Virginia, the son of a pediatrician. Of the eight Magnant children, six attended and graduated from the Medical College of Virginia. Dr. Magnant went on to complete his general surgery residency at the Medical College of Virginia and performed a vascular surgery fellowship at Dartmouth-Hitchcock Medical center in Hanover New Hampshire. After 14 years of arterial vascular surgery in private practice, the accomplished surgeon, his wife Patty and their two children left Rome, Georgia to open Vein Specialists in Southwest Florida. Since then Vein Specialists has become the premier vein center in Southwest Florida. Dr. Magnant not only has a strong commitment to family but also community by supporting local charitable organizations, including Make a Wish Foundation, Ronald McDonald House Charities, Special Equestrians and others!
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(239) 694-VEIN (8346)
3359 Woods Edge Cir., Suite 102 Bonita Springs, FL 34134 1500 Royal Palm Square Blvd., Suite 105 Fort Myers, FL 33919
mylivinglocal.com | OCTOBER 2018
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TA K E C A R E
Assets
OF YOUR
You’re skin is one of the first things people notice when they look at you, and it can give your age away in an instant. Skin and beauty are two things Robin Powers has dedicated her career to at MedSpa del Mar on Fifth Avenue South in Naples. As an aesthetician, she performs luxurious and rejuvenating facials as well as more powerful laser treatments to repair aging, sun-damaged skin, and improve the appearance of fine lines and wrinkles. She went to school for graphic design and worked in the Boston area for 15 years, saying, “I always liked the art field and that led me to makeup, which then led me to medical spas and working with skin.” As an aesthetician, Robin is certified to perform many different types of medical aesthetic treatments. Her extensive training and knowledge of skin gives her the ability to create customized treatments resulting in younger, healthy and more vibrant skin. Not only does Powers administer facials and chemical peels at MedSpa del Mar, she is also an expert in many areas, from eye lash extensions to the most advanced and powerful laser treatments available. With her certification, Robin is the “go to girl” in SWFL for Icon laser treatments that repair aging, sun-damaged skin. One of her favorite treatments to perform is micro-needling that she says, “creates micro channels in your skin; the healing process producing new collagen and elastin.”
Denise Morris, owner of MedSpa del Mar, says, “Robin is one of our very talented and experienced aestheticians. She is caring, conservative and great at what she does. She is that person who will always do the right thing by her clients.”
Sun damage is one of the most common skin issues she deals with, explaining, “People say ‘I don’t spend time in the sun’ but when they walk their dog or drive a car, they are in the sun. Sunscreen is so important, which is why we only offer ZO Skin Health by Dr. Obagi, Neocutis and SkinCeuticals sunscreen and skin care at MedSpa del Mar.”
“I love seeing positive changes in someone’s skin,” says Powers. “It’s like being a detective, uncovering what’s going on and then fixing it. It’s very rewarding.”
“Protection is the best defense against aging and skin cancer,” the aesthetician advises.
898 5th Avenue S. #204, Naples 239-315-4492
Dr. Manuel Peña, M.D. Medical Director
medspadelmar.com mylivinglocal.com | OCTOBER 2018
Dr. Collins performing LASIK surgery on Lily
SEEING MORE CLE RLY WITH LASIK
V
L
ASIK surgery is the most popular refractive surgery in the United States and it has a remarkable success rate when it comes to helping patients see better. It’s one of the many surgeries you’ll find performed by Dr. Michael J. Collins, Founder and Medical Director of Collins Vision. In this delicate surgery, a thin flap is made in the cornea. The flap is gently folded back, so the surgeon can reshape the cornea to correct nearsightedness, farsightedness, and even astigmatism. More than 96% of patients who have LASIK surgery are happy with the results. Lily Nunez is one of those happy patients. “I started having problems with my vision in the 4th grade,” she says, “I couldn’t see the black
board and it was affecting my grades.” After a routine eye exam she was given her first pair of glasses. At the age of eleven, she ditched the glasses for contacts and successfully wore them into her late 20’s. Soon after that, she could no longer find comfortable contacts. “I changed brands, I tried different types, and nothing was working,” she recalls. Lily was familiar with LASIK, had done her homework, and called Collins Vision for a consultation to see if she was a candidate. She was indeed. When it comes to choosing an eye surgeon, Dr. Collins says, “The most important precaution you can take is to find a surgeon trained and qualified to confirm that the procedure is truly right for you.”
FORT MYERS OFFICE
6900 International Center Blvd. mylivinglocal. com | OCTOBER 2018
by Gina Birch
NAPLES OFFICE 860 111th Avenue North
He says, “I see a fair amount of patients that should never have had a particular procedure, and I can tell you from experience that it is much easier to do the procedure the right way, than to try and fix it.” Furthermore, the idea that a discounted LASIK procedure is just as good as an expensive one is a myth according to Dr. Collins. “Differences in practice prices are due to the competence and size of the staff, the access to the surgeon, whether or not a blade is used, the quality of the lasers, and the level of pre-operative diagnostic imaging and testing involved in determining candidacy.” Collins Vision does not cut costs when it comes to taking care of their patient’s vision. They offer the best and most comprehensive treatment available. These are some of the many reasons why Lily went to Collins Vision. The day of surgery she was a little anxious. “It was really just fear of the unknown. The staff was amazing. They made me feel comfortable and walked me through everything.” Once in the surgery room, she says, “Dr. Collins did an amazing job of explaining everything in great detail to me. He literally told me everything he was doing and it helped so much.” As her anticipation began to build and the procedure was about to start, she remembers, “I grabbed the table. Then I felt someone touch my hand. They held it the entire time. It was a moment I wont forget; how caring Dr. Collins and everyone was.” As it turns out she experienced little discomfort, the procedure was fast, and when she sat up, Lily could see across the room. She says, “It was a little foggy, not blurry, but I could actually see the clock on the wall. That was major.” The day after her LASIK surgery Lily says, “I woke up and could see the green trees, I could see the leaves and thought this is how life is suppose to be. Today I feel like nothing had ever happened, as if all those years of glasses and contacts were erased from my memory. I could not be more happy.”
CollinsVision.com
What to Expect at Your LASIK Consultation Appointment
CHECK-IN
We’re so excited you are here! Be sure to grab a cookie (or 2) and some coffee while you finish filling out your new patient paperwork!
TESTING
We don’t cut corners. Prepare for your technician to perform the most comprehensive eye exam you’ve ever had! At our practice, every detail matters to ensure your best surgical results!
EXAM
Dr. Collins will review the test results, personally examine your eyes and discuss your expectations and personal goals in regards to your vision.
COUNSELING
A surgical counselor will recap your visit, including Dr. Collins’ recommended treatment plan to make sure you feel educated, prepared, and excited about your upcoming surgery!
239.936.4706 mylivinglocal. | com
OCTOBER 2018
Southwest Florida Businesses & Physicians! We’ve Got You Covered Dr. Michael J. Collins EYE CARE COMMITTED TO QUALITY
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mylivinglocal.com | OCTOBER 2018
Transforming Your Smile With Veneers
“I will be a patient for life.” — Chelsea Pereira
A
s a young girl in Southwest Florida, Chelsea Pereira was swimming underwater with her eyes closed. When she came up for air she not only knocked the side of the pool, she broke her upper two front teeth and chipped a third. Decades later she finally has the smile she has always dreamed of, thanks to the skillful hands of Dr. Long Huynh, co-owner of Park Family and Cosmetic Dentistry. The road to finding Dr. Long is littered with bad experiences and unsuccessful fixes to her lifelong dental problems. Her teeth had been fixed through a process called bonding. “I can’t count how many times I had then re-bonded. They never
looked right. I was self-conscious and didn’t like to smile,” says Chelsea. Even worse, she lived in fear of the next time one her teeth would crack or break off. When Chelsea found Dr. Long, one of her teeth had indeed started to crack again. She remembers, “It was so embarrassing. You could literally see the crack.” It was also beginning to discolor and she was exhausted by the whole ordeal. Dr. Long says, “Chelsea expected to significantly improve her smile but did not want to compromise her own healthy tooth structure. At the same time she wanted to keep her budget in check.” That’s when the two discussed the possibility of veneers. Veneers are custom made shells that cover the surface of the tooth, changing its shape, length, and color. “Growing up I thought could never afford veneers,” says Chelsea. “I always assumed they were for movie stars, or a cosmetic procedure that would cost me thousands and thousands of dollars, but that’s not the case.” There are two kinds of veneers, according to Dr. Long. Composites are about half the price of porcelain. However, he says, “When successfully employed, composite laminate ven e er s ca n b e a co nser v a t i ve restorative modality that consistently brings extraordinar y esthetic and functional results.” Porcelain laminate veneers are generally and indirectly fabricated by a lab technician and require more than one visit to the dentist. Composite laminate veneers are usually sculpted by the dentist himself/herself and commonly completed in one appointment.
690 Goodlette-Frank Rd | Naples | (239) 300-9741 mylivinglocal.com | OCTOBER 2018
before Chelsea ended up having composite veneers put on four of her front teeth. A little anxious about the procedure at first, she marvels, “I was amazed. I went in thinking it would hurt, but Dr. Long has the hands of an angel.” She laughs, “I had braces for years so I know about pain in the mouth.” The process was also much quicker than Chelsea imagined. “I thought veneers would be like a crown and take so long, but it was all done right there in one visit. Dr. Long molds the veneer to fit your mouth, making it as he is putting it in. He is an artist.” She even went out for lunch later that same day. Dr. Long explains, “In order to achieve excellent results for both function and esthetics with composite laminate bonded veneer, a dentist has to learn and master the art and science of composite materials and procedures. He or she must be a knowledgeable scientist, a skillful lab technician, and an instrumental clinician, all in the same package.” That’s exactly what Chelsea got at Park Family with Dr. Long, not to mention a compassionate doctor. She says, “He really spent quality time with me, explaining his recommendations, and listening to my concerns.” But the best part according to Chelsea, “Dr. Long made my front teeth look and feel like I only ever dreamed they could. He really went above and beyond for me and I am so appreciative. I can’t stop smiling! I LOVE my new smile!” With good oral hygiene and care, composite veneers function for at least 8 years, while many last more than 10 years. Chelsea says, “I will be a patient for life.”
after
About Dr. Long Originally from Vietnam, Dr. Long studied Chemistry at Georgia State University and graduated from the Medical University of South Carolina School of Dentistry. He then completed a 1 year residency in General Dentistry at University of Florida. An outstanding student, Dr. Long didn’t stop where most dentists do. He went on to achieve a prestigious Accredited Member status in the American Academy of Cosmetic Dentistry, an honor no other dentist in Naples has. In fact, Dr. Long is one of only 421 doctors worldwide to pass the rigorous AACD testing and he did it in 3 ½ years. Most dentists allow five years to complete the process once they begin it. Dr. Long met his wife and co-owner of Park Family, Dr. Huynh-Le while in college. They have three children and a deep commitment to charity and giving back to the community.
PARK Family & Cosmetic
DENTISTRY Established 2009
www.MyParkDental . com mylivinglocal.com | OCTOBER 2018
BEST HOME SERVICES
o i g r u B Steve IS PROUD TO RECOGNIZE
AIR CONDITIONING • ELECTRICAL • PLUMBING • DRAINS mylivinglocal.com | OCTOBER 2018
BEST
Home Services, Southwest Florida’s leading home service company providing exceptional air conditioning, electrical, and plumbing services to residents from Naples to Bradenton for the last 38 years, is pleased to recognize plumbing technician Steve Burgio and his 1 year of service with the company. Steve became a part of the Best Home Services family in September of 2017. Steve has seen and been a part of the rapid growth and development of Best Home Services in the Southwest Florida area. He feels that the word “awesome” is the best way to describe the company. “Keegan and Chadd know how to run a company,” Burgio said. “The management is accommodating to employees, they make sure that everyone has what they need.” We asked Steve, as a plumbing technician, what advice does he have for his customers in Southwest Florida. He says that if you have a leaky toilet, faucet, or hot water heater turn off the main valve, and wait for the Best Home Services to get to your home. Steve believes that the best thing to do when helping customers is to give them good and honest advice. “Don’t push customers to buy things that they don’t need,” Burgio said. “Only try and recommend what they need.” Steve has learned in his position as a plumbing technician that sometimes customers like to focus on their wants, and not their needs. “Make sure that the customer is getting what they need,” Burgio said. “I always talk about the most important issues that the customer is having with their plumbing, before talking about what they want.”
Steve, who is originally from Rochester, NY, moved to Southwest Florida because he was tired of the cold weather in New York. “When I first moved to Florida, I lived in Clearwater,” Burgio said. After living in the Tampa Bay Area for four years, Steve realized that he didn’t like the traffic in Tampa. “I didn’t like the busyness in Tampa, and I wanted to live somewhere slower.” Last year, Steve decided that he was going to move to Southwest Florida. “Living in Southwest, FL is the slower life that I wanted, and I’m happy at Best Home Services.” Steve is in a committed relationship with his lifelong-partner Dawn Smith. Steve has two kids that live in New York. When Steve isn’t working, he’s out finding the best fishing spots in Southwest, FL. “I fish all over the place.” I fished in some of the ponds in Tampa, Captiva, Sanibel, and the Skyway Bridge.”
PLUMBING of the monthTIP If you have a leak, turn off the main valve!
Best Home Services is a local, family owned and operated company that is focused on caring for their customers and the community. Their team relentlessly works to continuously improve their service in order to make Southwest Florida homes safer, more comfortable, and more efficient-one job at a time! To learn more about Best Home Services’ story and their Best Home Services Guarantee, please visit their website at w w w.get b est .com or c all 239-217-1698.
BEST HOME SERVICES
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mylivinglocal.com | OCTOBER 2018
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1472 Golden Gate Pkwy • Naples mylivinglocal.com | OCTOBER 2018
FREE
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with purchase of oil change
Valid on most cars. Not valid on platinum or platinum plus car washes. Must present coupon. EXP 10/31/18 LL
Safe and Sexy Lash Extensions Lash extensions are one of today’s hottest beauty trends. What was once reserved for Hollywood celebrities and models is now accessible and affordable to anyone who wants beautiful lush lashes. Mari Guzman is a studio lash stylist and trainer at Amazing Lash Studio. Although some women flock to her, she also says, “Many shy away because of the misconception that extensions will damage your natural lashes.” She says emphatically, “That is simply not the case when applied properly. In addition, they will NOT cause your lashes to fall out.” Here’s the thing about lashes, they have a life cycle like all the other hair on your body. Guzman says, “People shed 2-5 lashes per eye, per day but they don’t notice it. Eyelash Extensions make it more noticeable.” Extensions do not speed up the shedding process. They grow and fall with your natural lash. While it is recommended clients not wash their lashes for 48 hours after the initial application, keeping your extensions clean is vital to their
longevity. Guzman says, “I would say 98% of people fear that washing the extensions will make lashes fall out.” But without proper hygiene, oil builds up on the lash line, breaking down the adhesive, causing extensions to fail. Oil based make up and waterproof mascara can also cause an extension to fall prematurely. Important to note; Amazing Lash only hires licensed estheticians who are highly trained experts at lash applications that look fabulous and last.
Mari Guzman
10 OFF
$
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AmazingLashStudio.com | fgi MODEL WEARING AMAZING VOLUME LASH EXTENSIONS (UPGRADED SERVICE) Franchises Available Worldwide ©2017 Amazing Lash Studio Franchise, LLC
BOOK YOUR APPOINTMENT TODAY! North Naples 2349 Vanderbilt Beach Rd (239) 325-5274 Hours M-F 9-7 / Sat 9-6 / Sun 10-6
mylivinglocal.com | OCTOBER 2018
OSTEOARTHRITIS& PHYSICAL THERAPY New Treatment Options By Gina Birch
“I want to help people walk out of here with less difficulty and less pain. I want to see them smile.” Richard Romeis
D IRE C TO R OF P H YSI CA L T H E RA PY
I
f you’ve ever suffered a serious injury to a bone or joint, or have undergone surgery to fix them, you probably already know the important role that physical therapy (PT) plays in healing. PT is also extremely beneficial for people suffering from osteoarthritis. On the cutting edge to help these patients is Gardner Orthopedics, with new technology and equipment that is producing great results. “Blood flow restriction is one of the latest and greatest treatment techniques,” says Richard Romeis, director of physical therapy at Gardner. However, not all blood flow restriction devices are created equal. Gardner Orthopedics is the only clinic in Southwest Florida with Delfi, one of the
mylivinglocal.com | OCTOBER 2018
most advanced and effective systems for blood flow restriction therapy. In this type of therapy, cuffs are placed on a patient’s arms and/or legs during PT exercises. The cuffs create a partial occlusion of blood flow, which allows a muscle to hit the point of fatigue at lower intensity exercises rather than higher. For example, Romeis says, “If I want to make my bicep bigger I need to curl 50 pounds. With blood flow restriction, I only need to use 10 pounds to get same results.” When a muscle is fatigued, lactic acid builds up. When lactic acid builds up, it sets off a chain of events that result in strength building and improvements in
muscle size. Many people who are recovering from surgery or injuries, who are in pain, or who have osteoarthritis, are physically unable to hit the point of fatigue necessary for gaining strength. Because the cuffs partially restrict blood flow, fatigue can be achieved at a level of intensity that almost anyone can manage, regardless of how weak they might be or how much pain they are experiencing. In addition, this type of training has an analgesic effect, according to the therapist, which helps to decrease pain. “It is recommended to do this two to three times a week for 6 weeks to achieve the full potential.” However, Romeis says, “Results can be seen in as little as two weeks.” Blood flow restriction is most often used to improve function for patients with issues in the joints of the arms or legs, but has a wide range of application possibilities. The Delfi cuff system used at Gardner Orthopedics is unlike any other. Its pressure adapts during movement to fit the needs of each individual rather than a standard setting. The cuffs are wider, safer, and easier to apply higher up on limbs. In addition, “The system is able to maintain that individualize pressure during a patient’s dynamic movement for consistent, partial occlusion of blood flow,” says Romeis. It’s a treatment that Romeis is excited about. “Overall improvement of a patient’s function and movement is home base for a physical therapist in an outpatient setting, and this method is a great help.” Romeis first started working for Dr. Ronald Gardner at the age of 18, at the front desk. Today he has a Doctorate in Physical Therapy from Florida Gulf Coast University and is a board certified specialist in Orthopedic Physical Therapy. Romeis has received extensive training and while passionate about helping people with osteoarthritis and those recovering from injury, he chuckles, “I’m a therapist not a magician. While I cannot promise to reverse arthritis, I can help with range of motion, strength, pain control, flexibility, and balance.”
Blood flow restriction can be tricky, so Romeis advises due diligence for anyone looking to begin this therapy, especially in places such as gyms. “It’s important for a therapist using this method of treatment to have the training that I have and to know how to apply this treatment in a clinical setting.” Romeis says, “If I can use blood flow restriction as part of the therapy process to improve lives, it’s like a dream come true. I want to help people walk out of here with less difficulty and less pain. I want to see them smile.” To explore blood flow restriction physical therapy, call Gardner Orthopedics.
3033 Winkler Avenue • Ft Myers
Dr. Ronald Gardner
(239)277-7070
www.GardnerOrthopedics.com @moreoptionslessrisk
@gardnerortho239
mylivinglocal.com | OCTOBER 2018
A unique waterfront dining experience O P E N
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mylivinglocal.com | OCTOBER 2018
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Elsa Street Collision From minor dents and scratches to major damage, we can repair all makes and models! Collision Repair Services: • Work with all major insurance carriers
• FREE estimates • Lifetime warranty on ALL repairs
Jason Gourlay OW N E R / O P E R ATO R 2 0 Y E A R S E XP E R IE N C E
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Be Seen
in 2018
OCT 4 – NOV 17 “I have definitely received my return on investment (ROI) from livinglocal®!!! The response is overwhelming and doesn’t compare to any advertising I have done in the past. livinglocal has increased my visibility in the community and I couldn’t be more excited about my continued partnership with them!”
42nd Street sparkles with some of the greatest songs in musical theatre history including We’re In The Money, Lullaby Baby, Shuffle Off To Buffalo, Dames, I Only Have Eyes For You and the title song 42nd Street.
IN THE OFF BROADWAY PALM
Theresa Clements
Call
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SEP 27 – NOV 10
to speak with one of our Branding Strategists today!
1380 Colonial Boulevard, Ft. Myers
239.278.4422 • BroadwayPalm.com mylivinglocal.com | OCTOBER 2018
RECIPE of the month Angry Orchard Sangria Rose 10 oz Angry Orchard Rose 2 oz Limoncello Splash of Grenadine Splash of soda water Fresh squeezed orange & lime
Alex Basile OWNER
12401 COMMERCE LAKE DRIVE, FT MYERS 239.800.7172 • WWW.SAUCYMEATBALL.COM LUNCH 11:00AM-4:00PM • DINNER 4:00PM-9:30PM mylivinglocal.com | OCTOBER 2018
Protecting Your Landscaping, One Drop At A Time
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Sprinkler System Inspection With $49.00 Tune-Up
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Present ad for cupon offer Restrictions May Apply Expires 10/31/18
Sprinkler Systems • Landscape Lighting • Water Treatment Residential & Commercial • Scheduled Maintenance • Monthly, Quarterly, Anually
239.275.8569 | 239.498.1900 LEE LEE COUNTY COUNTY
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2500 Edwards Drive, Fort Myers, FL 33901
www.CampoSeniorLiving.com mylivinglocal.com | OCTOBER 2018
PARK Family & Cosmetic
DENTISTRY Established 2009
Dr. Long is the FIRST & ONLY Certified Cosmetic Dentist in Naples! Long Huynh,
DMD
Ana Scopu,
DMD, MSc
Bill Campbell,
DMD
Elena Kan,
DDS, MS
Tamer Eshra,
DDS
NEW PATIENT EMERGENCY Call prior to noon and be seen the same day. ALSO OPEN FRIDAY & SATUR DAY Extended hours to 7pm (most days) SAME DAY CROWN In-House Lab SEDATION DENTISTRY
59 FV II RSSI TT
$
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CALL US TODAY! 239-300-9741
690 Goodlette Frank Rd. • Naples
www.MyParkDental.com The patient and any other person responsible for payment has the right to refuse to pay, cancel payment or be reimbursed for payment from any other service, examination or treatment which is performed as a result of and within 72 hours of responding to the advertisement for the free, discounted fee or reduced fee service, examination DN16365, DN7240, mylivinglocal. comor treatment OCTOBER 2018 DN18882, DN21020, DN21445, DN23030. Cosmetic dentistry is not a recognized specialty by the ADA.
|
expires 10/31/18
Create Function & Storage with Style! Call for a Professional Design Consultation!
Kristi tuffo
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239.303.5829
ANY CUSTOM CLOSET $2,000 OR MORE Can not be combined with any other discount. Must be presented at time of sale. Expires 10/31/2018.
custom closet | wall units | laundry areas | garages | home offices and more!
WWW.ALLABOUTCLOSETS.COM mylivinglocal.com | OCTOBER 2018
mylivinglocal.com | OCTOBER 2018
OOF? R Y T IR D ? S W O D IN W Y T DIR ING • PRESSURE WASHING TINT WINDOW CLEANING • WINDOW F SOFT WASH CLEANING GUTTER CLEANING •ROO CLEANING WINDOW
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TEE
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�
DISTINCTIVE STYLES
INNOVATIVE ENTREES FUSING ASIAN. EUROPEAN AND DOMESTIC FLAVORS
2 Entrees and a Select Bottle of Wine for $34.95 Executive Chef Jess S Housman c reates a wide array of innovative entrees fusing Asian, European and Domestic flavors. A great wine list and casual elegance add to an exceptional dining experience.
(Call for Times and Availability Not Available on Holidays)
Hours of Operation Sun-Thur 5-10 I Fri & Sat 5-Close
239.261.5821 I 821 Fifth Avenue South I www.bistro821.com Private Dining Room Available
CHARLES A. MURR AY, ATTORNEY OVER 40 YEARS OF EXPERIENCE
PRACTICING LAW • Probate • Estate Planning & Trust • Wills, Power of Attorney • Healthcare Surrogate • Criminal-Post Convictions, Appeals & Habeas Corpus
239-649-7773
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$500 FLAT FEE
Preparation of Durable Power of Attorney, Living Will, Will, Health Care Surrogate Regular Fee $650! Must present coupon. Not valid with other offers. Expires 10/31/18
27911 Crown Lake Blvd • Suite 226 • Bonita Springs mylivinglocal.com | OCTOBER 2018
mylivinglocal.com | OCTOBER 2018
www.NaplesPrincessCruises.com 550 Port-O-Call Way Naples, FL 34102
5 OFF
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on any sightseeing cruise
Valid on regularly scheduled cruises. Not valid on Holidays or Specialty Cruises. Not valid with other offers. Must present coupon. Exp 10/31/18 - LL
Daily Cruises Sightseeing Hors d’oeuvres CALL TO MAKE RESERVATIONS
Lunch Dinner
& FISHING CHARTERS AVAILABLE
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239-649-2275
Private Charters & Weddings
20 OFF
$
BOAT RENTALS
on any dinner cruise
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casuaL oPen-air environment • nightLy haPPy hour • FuLL sandwich menu LAKE HOUSE BAR & GRILL
BUY ONE GET ONE
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LAKE HOUSE BAR & GRILL
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Buy One Entrée & Get One Entrée Half Off! FRIDAY & SATURDAY
WITH PURCHASE OF BEVERAGE PER PERSON
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Located at the trianon Bonita Bay hoteL near Promenade 3401 Bay commons dr. • Bonita sPrings *Sorry, Daily Specials are not valid with other coupons or offers.
mylivinglocal.com | OCTOBER 2018
Carpal Tunnel Syndrome
D
Facts & Treatment
o you ever find yourself waking up in the middle of the night, shaking your hands to wake them up? Have you ever dropped your favorite coffee cup because you didn’t have feeling in your hands? If you said “yes” to either of the aforementioned questions, you may be affected by carpal tunnel syndrome. What is carpal tunnel syndrome? Carpal tunnel syndrome is the most common compressive neuropathy of the upper extremity. It is essentially a pinched nerve in the wrist which can produce numbness and tingling in the hand as well as weakness. Initially symptoms are often intermittent, occurring in the evening and periodically throughout the day, however can become constant with long standing compression. Where is the carpal tunnel and what are the components of the tunnel? The carpal tunnel is a space in the wrist, near the palm of the hand, that
resembles a tunnel. The walls of the tunnel are formed by the small bones in the wrist, called carpals, and the roof of the tunnel is formed by a firm, thick ligament. The ligament is called the Transverse Carpal Ligament. The contents of the tunnel include a total of 9 tendons whose purpose is to move the fingers as well as one nerve, called the median nerve. Who gets carpal tunnel? Carpal tunnel is approximately five times more common in women than men, and affects patients of all age groups, however is most common between the ages of 30-60. Individuals with medical comorbidities such as diabetes or thyroid disease have a predisposition to developing carpal tunnel syndrome, however advancing age, genetics, and obesity also predispose individuals to developing carpal tunnel. During pregnancy, women experience fluctuations in hormones associated with fluid shifts which can result in swelling within the carpal tunnel producing symptoms. In addition, traumatic injuries to the wrist can cause swelling, producing carpal tunnel. How is carpal tunnel diagnosed? Carpal tunnel is primarily a clinical diagnosis, however there are also electrodiagnostic tests, such as nerve conduction and electromyography, which can be useful when evaluated in conjunction with a thorough clinical exam.
1012 Goodlette Frank Rd Ste 101 | Naples, Florida | 239-777-9321
mylivinglocal.com | OCTOBER 2018
What are treatment options for carpal tunnel syndrome? There are a number of nonsurgical and surgical treatment options for carpal tunnel syndrome. Nonsurgical options range from night splints to corticosteroid injections within the carpal tunnel. Surgical options involve release of the transverse carpal ligament and this can be performed via an open incision within the palm of the hand or through a small incision in the wrist utilizing a camera. The decision to proceed with nonsurgical versus surgical treatment is primarily based on the severity of the symptoms at presentation while taking into account the patient’s overall health. What is the best approach to carpal tunnel syndrome? Dr. Fernandez’ treatment plan is primarily based upon her findings during the clinical exam. Unfortunately, compression of any nerve can potentially lead to permanent nerve injury if it is not treated, so she urges patients with symptoms to come in for an evaluation. If surgery is chosen, Dr. Fernandez is pleased to offer her patients’ an endoscopic release for their carpal tunnel. Studies have cited numerous advantages to the endoscopic approach over the open approach to carpal tunnel decompression such as the following: less postoperative pain, faster return to functional activities, and an improved early grip and pinch strength. Fernandez’ clinical results parallel these outcomes, allowing her patients to return to hobbies they love such as golf, tennis, and pickleball. If you or someone you know is suffering from carpal tunnel syndrome, please contact Fernandez Upper Extremity Institute at 239-777-9321.
Dr. Carmella Fernandez
BOARD CERTIFIED ORTHOPEDIC SURGEON
Dr. Carmella Fernandez is a dual fellowship trained Orthopedic surgeon, specializing in non-operative and operative treatments for the hand, wrist and elbow. She has an established private practice, The Fernandez Upper Extremity Institute, in Naples, FL.
mylivinglocal.com | OCTOBER 2018
Fast&Frugal INTERIORS DESIGN With An EDGE
H
TIP OF THE MONTH Cabinets are one of largest features in your kitchen
ome improvement shows are some so when it comes to replacing them it can be very of the most addicting programs on expensive. If they are in good condition structurally, repainting them. Even if you hire a television. They can inspire you to take consider professional painter and add new hardware you on a new decorating project or redo your will have exactly what you were looking for…a fresh entire home décor. But looking at all of the new look to your kitchen at a fraction of the cost! various patterns, textures and styles can If you need more direct assistance, be a tad bit overwhelming if you have no Clements says, “Get on your running shoes, idea where to start. we’re gonna work.” She will become your – to furniture, That’s when you call Theresa Clements, personal shopper, taking –you owner of Fast and Frugal Interiors. For over consignment and home improvement stores 25 years, she’s been bringing her client’s to find the perfect accent pieces, paint colors visions to life through interior design. She’s and more, all within your budget. even been featured on HGTV thanks to her About her job, Clements says, “It’s exciting unconventional technique. for me to open new doors to clients and give
In the beginning of her career as part owner of Galloways, Clements and Associates in Royal Palm Square, she had what she calls ‘a dream team’ of architects, designers, builders and contractors, at her disposal. Fast and Frugal is a spinoff of sorts, targeting the everyday homeowner who wants to transform their living space but needs expertise. She says, “I’m trying to reach people who wouldn’t think of calling a designer.” Although the name speaks to her efficiency, Clements makes sure to spend adequate time with each client in order to capture their vision in the most accurate way.
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.
1637 HENDRY STREET • FORT MYERS • 239-936-1231 mylivinglocal.com | OCTOBER 2018
@fastandfrugal
Shirley Street Auto
Best Prices IN TOWN! TUNE-UPS • TRANSMISSION REBUILDING • BRAKES DIAGNOSTICS • AIR CONDITIONING
A/C CHECK
FREE Must present coupon. Not valid with other offers. Does not include freon. Exp. 10/31/18
FREE TIRE ROTATION WITH
OIL CHANGE
19.95
$
STARTING AT
*
Must present coupon. Not valid with other offers. *Does not include waste disposal fee. Exp. 10/31/18
Shirley Street Auto Repairs
WHEEL ALIGNMENTS
49.95
$
STARTING AT
Must present coupon. Not valid with other offers. Exp. 10/31/18
1990 Elsa Street • Naples 239-592-5714 ShirleyStreetAutoRepair.com
mylivinglocal.com | OCTOBER 2018
WED: $2 Beer Wine & Dogs
SAT • 10/27 NIGHT &
FRI: Kids Eat Free @ BREAKAWAYS
SAT: Tailgate Party
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Specialty Jersey Auction
FREE from 5-7
OCTO BER G A MES :
FRIDAY, 10/19 AT 7:30 SATURDAY, 10/20 AT 7:00 SATURDAY, 10/27 AT 7:00
mylivinglocal.com | OCTOBER 2018
BUY ANY 18/19 TICKET PACK & GET A $20 FORD’S
Valid on any NEW voucher, select or full package purchase.
2018 Tax Planning
Don’t Wait until the End of the Year! By Janet Noack,
The passage of the new tax reform act is the most sweeping tax reform in more than 30 years. It requires a well laid-out plan to maximize your benefits. If you have asked yourself these questions, you need to schedule a meeting with your tax advisor. How are the new tax laws going to affect me? Am I going to save on taxes? Will I owe more tax? Are there opportunities to grab or pitfalls to avoid? Income taxes play a major role in the business and personal decisions we make everyday. If you are using 2017 as the savings guide for your 2018 taxes, in all likelihood you will miss out on a substantial amount of savings. That being said, there is a good chance you are saving too much that could be reinvested for business or personal use. With the new tax reform, business owners have an opportunity to avoid tax on 20% of their 2018 business profit. Therefore, a tax strategy plan must be in place and accomplished prior to year-end. There are many qualifications that MUST be met prior to the new year and it is specific to each taxpayer’s situation.
Do you know
CPA
Your year-to-date profit for 2018? Your projected profit from today until the end of the year? Your 2018 projected tax liability? If you are paying the correct amount of wages for maximum benefit? Your specific tax situation and the options to lower your 2018 tax liability? If you were unable to answer “yes” to all of these questions, please reach out to your tax advisor. Our firm has already had many tax strategy meetings with our clients and we continue to schedule more. Clients have been surprised to learn that there is specific action required to receive the BEST advantage of the new legislation and that this varies based on the individual’s situation. The new tax code remains lengthy and complex, but with careful analysis and expertise, this new legislation presents opportunities that may benefit you. We encourage you to plan now and receive all of your potential benefits for 2018.
www.cpaofflorida.com Ft Myers (239) 936-6144 Naples (239) 591-3461 Sanibel (239) 395-1132
mylivinglocal.com | OCTOBER 2018
Know the 5 and Survive FREE Gynecologic Cancer Workshops
Cervical Cancer
Uterine/ Endometrial Cancer
Ovarian Cancer
Vulvar Cancer
Vaginal Cancers
Learn the risk factors, symptoms, early detection and prevention .... It may save your life. The Betty Allen Gynecologic Cancer Foundation will be offering our FREE educational workshops to residential communities, colleges, businesses, religious organizations and women’s groups. Call (239) 935-8325 or email us at info@gyncancer.org to request an onsite workshop.
Every 5 Minutes ... a woman in the United States is diagnosed with a Gynecologic Cancer. The earlier gynecologic cancer is detected and treated, the higher rate of survival. Betty Allen Gynecologic Cancer Foundation
Mailing Address: 13300-56 S. Cleveland Ave. • Ft. Myers, FL 33907 Phone: (239) 935-8325 • Email: info@gyncancerfl.org
mylivinglocal.com | OCTOBER 2018
www.gyncancerfl.org
Unparalleled, Customized
laser Cataract surgery
see the world in a whole new way. Match your vision to your lifestyle with Premium Lens Implants
Michael J. Collins, Md, FaCs Board Certified Ophthalmologist and Fellowship Trained Eye Surgeon
Schedule your cataract consultation
(239) 936-4706
www.CollinsVision.com 6900 International Center Blvd. Fort Myers 860 111th Avenue North Naples mylivinglocal.com | OCTOBER 2018
Free M A M MOG R A MS for Southwest Florida’s Uninsured and Underserved
O
ctober is Breast Cancer Awareness Month and a perfect time to shine a spotlight on a local organization that helps low income and uninsured women and men pay for mammograms, diagnostic testing, and breast cancer treatments. “Partners for Breast Cancer Care (PfBCC) is the best kept secret in Lee County,” says executive director Janet Darnell. But she wants the secret out of the bag, especially since the non-profit is expanding its footprint to Hendry, Glades, Collier, and Charlotte Counties where volunteers and healthcare professionals are needed to join the life-saving organization. The initiative began in 1991 with a grant to study who in Lee was not getting mammogram screenings and why not. Volunteers literally went door-to-door in low-income, at risk neighborhoods, and found lack of finances was a top culprit. The grant also provided money for some of these women to get mammograms, but if a problem was found, there was no funding for more testing or treatment; they were left hanging.
mylivinglocal.com | OCTOBER 2018
By Gina Birch
That planted a seed for what is today, Partners for Breast Cancer Care. Founders got hospitals, surgeons, doctors, and others to provide their services for underserved men and women at negotiated rates and at no cost to the patient. Janet says, “Those fees have remained the same for 28 years. We have more than 100 partners in health.”
“I don’t know what I would’ve done without PfBCC.” —Canady Benjamin
Money to pay those negotiated fees comes from grants, donations, and fund raising. More is needed. Janet is not only the executive director of PfBCC, she is also a former client. A single mom with no insurance, working long hours to keep her cleaning business going, Janet was led to get a mammogram after seeing a television program on breast cancer. She scraped together just enough money to get the screening only to find out she needed more testing and she couldn’t afford it. PfBCC paid for her needle biopsy. She had cancer. PfBCC stepped in again to fund her lumpectomy and radiation, essentially saving her life. Janet said, “I knew I had to give back, so I started volunteering.” That was nearly 20 years ago. She has been executive director for the last 12. “It breaks my heart that there are people who don’t know about us and don’t get treatment because they don’t’ know where to turn,” she says.
“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.
According to Breastcancer.org, every three minutes a woman is diagnosed wit h breas t cancer and close to 200,000 new cases are diagnosed each year. Canady Benjamin was one of those women. She found a lump in her breast, but had just started a new job and didn’t have insurance. She says, “I kept praying that God would take it away. I didn’t want to deal with it.” After seeing a flier in her break room about Partners for Breast Cancer Care, Canady picked one up and called for help. She was sent to a doctor, got a mammogram, and then a biopsy at no cost to her. Then she got the call. “The doctor said, ‘I really don’t want to do this over the phone, but you have cancer. It’s progressive and I don’t want to waste time.’” Her cancer was stage two but she also had the nefarious BRCA gene. By the time she made it to surgery, the cancer had spread to her lymph nodes. Now cancer free, Canady says, “I don’t know what I would’ve done without PfBCC. I would’ve kept praying, but by the time I got insurance, who knows how big it would’ve been.”
Breast cancer doesn’t just affect women. Men get it too and PfBCC has seen a few come through their doors. It also does not discriminate between young and old. Having been there herself, helping those without the means to pay for breast cancer screenings and treatments is Janet’s passion. “I’ve made a promise to keep these doors open. We are helping people. We are saving lives.” PfBCC has a number of fund raising events this month. For more information on them, becoming a volunteer, and the criteria for receiving help from PfBCC, check out the website www.pfbcc.org.
Janet Darnell Executive Director
Partners for Breast Cancer Care, Inc.
9470 Healthpark Circle www.pfbcc.org
Fort Myers, FL 33908 239-454-8583
mylivinglocal.com | OCTOBER 2018
www.mylivinglocal.com Brooks Infinity, Inc., Publisher • 239.245.7365 FORT MYERS • ESTERO • BONITA • NAPLES
POSTMASTER: TIME SENSITIVE MATERIAL - PLEASE DELIVER SEPT 27-29
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