HEALTHY Connections - March 2019

Edition 1, Volume 1

M i l l e n n i u m P h y s i c i a n G r o u p ’s

HEALTHYConnections ConnectingYou to a Healthier Life

March 2019 • Colorectal Cancer Awareness Month

In this edition: Colorectal Cancer Awareness Month Raising Awareness About Colorectal Cancer

Diet and Colorectal Cancer Breathe Easy! Learn About our Respiratory Center of Excellence Time Change and Sleep

Your Connection to a Healthier Life

For more information about Millennium Physician Group, visit www.MillenniumPhysician.com or call 1-844-CALL-MPG.

Avoid the Wait! Visit Our Walk-in Medical Centers Expanding Imaging Services in Collier County

Welcome to Millennium’s Healthy Connections! We are happy to connect you to all things healthcare in our first newsletter!

400

providers

+

With over 400 providers and 100 locations, we are

100

locations

the choice for healthcare in Florida!

Our experts share tips on maintaining a healthy lifestyle, keys to preventive care, and so much more. We can’t wait to share more with you in this edition.

Walk-in. Feel Better.

This time of the year you can expect busy Emergency Rooms packed with germs and long waits! However our Walk-in Medical Centers are open evenings and weekends to help you get back to feeling better without taking up time on your busy schedule.

1. Venice Walk-in Medical Center 1287 US 41 Bypass Venice, FL 34285 Phone: 941-244-5716 Open Seven Days A Week 7:00 AM - 7:00 PM

2. North Port Walk-in Our Walk-in Medical Centers have made it easier than ever to get care for your minor health emergencies. Walk-in today!

Visit our website at

www.MillenniumPhysician.com and click ‘Skip the Wait’ at the top to view wait times and pre-register for a time slot at one of our centers.

Medical Center 13823 Tamiami Trail North Port, FL 34287 Phone: 941-888-0770 Open Seven Days A Week 7:00 AM - 7:00 PM

3. Englewood Walk-in Medical Center 2400 S McCall Rd, Ste C Englewood, FL 34224 Phone: 941-548-1716 Mon - Sat: 7:00 AM - 7:00 PM Sun: 9:00 AM - 3:00 PM

4. Port Charlotte Walk-in Medical Center 2450 Tamiami Trail Port Charlotte, FL 33952 Phone: 941-624-2704 Open Seven Days A Week 7:00 AM - 7:00 PM

5. Cape Coral Walk-in Medical Center 3571 Del Prado Blvd N, Ste 2 Cape Coral, FL 33909 Phone: 239-656-6300 Mon - Fri: NOON - 7:00 PM Sat & Sun: 8:00 AM - NOON

6. Fort Myers Walk-in Medical Center 13813 Metro Pkwy Fort Myers, FL 33912 Phone: 239-308-0005 Mon - Fri: 7:00 AM - 7:00 PM Sat & Sun: 8:00 AM - NOON

7. Bonita Walk-in Medical Center 9500 Bonita Beach Rd SE, Ste 101 Bonita Springs, FL 34135 Phone: 239-498-9294 Mon - Fri: 8:00 AM - 6:00 PM Sat & Sun: 9:00 AM - 3:00 PM

8. Naples Walk-in Medical Center 400 8th St N Naples, FL 34102 Phone: 239-649-3333 Mon - Fri: 8:30 AM - 7:00 PM Saturday: 8:30 a.m. – 5:00 p.m.

COLORECTAL CANCER Raising Awareness About Colorectal Cancer Which Colorectal Cancer Screening Test is Right for You? Colorectal cancer is the fifth most common cancer, with nearly 150,000 new cases diagnosed annually in the United States. Twothirds of the diagnoses affect the colon, while a third affect the rectum. And sadly, more than a third of those diagnosed pass away. Colorectal cancer remains the third most common cause of cancer death for women and the second leading cause of cancer death for men.

The good news is, by spreading awareness, more people are surviving!

Diagnosis typically occurs in one of three ways: • Suspicious signs or symptoms • Routine screening • Emergency admission with gastrointestinal complications Unfortunately, there are no symptoms in most patients with early stage colorectal cancer.

Instead these patients are diagnosed as a result of screening tests, which is why it’s important to follow up on those recommended screenings with your primary care physician.

“Colorectal cancer screening is an integral part of every patient's healthcare screening and prevention strategy,” says Millennium Gastroenterologist Dr. Keith Hussey.

Understanding the difference between cancer prevention and cancer detection tests.

According to the American College of Gastroenterology, colonoscopy is the recommended preventive test. The Fecal Occult Blood Test (FOBT), which checks for blood in the stool, and the DNA Mutation test, which is a genetic test are the recommended detection tests. All patients should be offered a cancer prevention test (colonoscopy) first; however, if this test isn’t the right course of care, then cancer detection tests should be used.

Colonoscopy is recommended every 10 years beginning at age 50 for patients with average risk, and screenings should begin at age 45 for African Americans. If you have a family history of colorectal cancer, talk with your doctor about further detection options.

Patients often ask at what age can they stop screenings. Although there are no

Written By: Keith Hussey, M.D., FACG

strict rules, the authors of some studies believe once patients reach the age of 80, screening is no longer necessary. However, diagnostic colonoscopy for symptoms or other medical investigation purposes should be individualized to each patient at any age.

Cologuard, another screening test, is actually two tests in one. It tests not only for blood in the stool but also for DNA mutation. But this combination test can be problematic because the results do not distinguish which test is positive, and patients with positive results may have occult blood for other reasons and not necessarily colorectal cancer or precancerous cells. * Complete Guidelines can be found online at www.gi.org Bottomline: Ask you primary care provider at your next appointment what screening options are right for you. The best defense against colorectal cancer is preventive testing. Don’t wait for your testing, ask your provider today!

SCHEDULE AN APPOINTMENT WITH ONE OF OUR GASTROENTEROLOGISTS! James Amontree, M.D., FACP 2400 Harbor Blvd, Suite 9 Port Charlotte, FL 33952 Phone: (941) 764-6664

Jan Barrios, M.D. 11181 Health Park Blvd., Ste 3010 Naples, FL 34110 Phone: (239) 302-3290

David M. Gutstein, M.D. 15740 New Hampshire Ct, Ste B Fort Myers, FL 33908 Phone: (239) 466-8838

Manuel Bustamante, M.D. Office: 3369 Pine Ridge Rd., Suite 203 Naples, FL 34109 Phone: (239) 631-2662

Keith Hussey, M.D. William Provance, M.D. Susan Nolan, PA-C 681 Goodlette-Frank Rd., Ste 130 Naples, FL 34102 Phone: (239) 643-9767

Could My Diet Be Increasing My Risk of Colorectal Cancer?

3.

Written by: Barbara Kropacek, Millennium Physician Group Registered Dietitian & Diabetic Educator

Colorectal cancer is largely preventable with regular screening and lifestyle changes.

According to the American Cancer Society, there’s no sure way to prevent colorectal cancer. But there are things you can do that might help lower your risk, such as changing the risk factors that you can control.

To date, one of the most cited risk factors is diet — referring specifically to poor dietary habits that often lead to obesity. “In fact, research shows that 45 percent of colorectal cancers in the United States are preventable each year through diet, staying at a healthy weight, and being physically active,” says AICR Registered Dietitian Alice Bender. “That’s about 64,000 cases every year.”

4.

5.

So, what does a good diet for preventing colorectal cancer and for aiding cancer treatment look like?

1. Eat a diet rich in fruits, whole grains and vegetables including broccoli, cabbage, cauliflower, kale and other members of the cruciferous family. These foods tend to be high in folate, a B vitamin which has been shown in numerous studies to lower the risk of colorectal cancer.

2. Limit red meat, especially processed meat.

Eating too much red meat — like beef, lamb, and pork — increases the risk of colorectal cancer. And processed meats — like bacon, sausage, luncheon meats and hot dogs that are smoked, cured, then treated with nitrates and preservatives — raise risk even more. Try to eat no more

6.

7.

than three servings each week. Less is even better.

Get enough calcium and vitamin D. There is good evidence that getting enough calcium and vitamin D can help protect against colorectal cancer. Shoot for 1000 to 1200 mg per day of calcium and about 1000 IU per day of vitamin D3. Some groups recommend testing for vitamin D deficiency, especially in those at increased risk of low levels — such as those living in northern parts of the country as well as the elderly, very overweight, and people with darker skin.

Drink alcohol in moderation – one serving per day for women, two per day for men.

There is a strong link between higher alcohol intake and colorectal cancer. Heavy drinkers should try to cut down or quit.

A serving of alcohol is equal to 12 oz of regular beer, 5 ounces of wine or 1.5 oz of distilled spirits.

Chose magnesium-rich foods especially if you are overweight, obese or over the age of 55. Getting adequate magnesium in these groups may reduce the risk of colorectal cancer by 12 percent according to the American Journal of Clinical Nutrition (2012). Adding as little as 4 ounces of fish, a cup of dried beans, 2 ounces of peanuts or half a cup of cooked spinach is sufficient enough to supply those needs.

Get regular exercise. Even in moderate amounts, exercise and weight loss is beneficial. Physical activity does not have to be expensive or difficult. The key is to do some form of physical activity that makes your heart beat faster and your lungs breathe more deeply.

Lose weight if you are overweight. Being overweight or obese increases the risk of colorectal cancer in both men and women, but the link seems to be stronger in men.

So, get to and stay at a healthy weight and avoid weight gain around the midsection to lower your risk.

c ip e e R e Mo n t h h

of

t

Roasted Broccoli & Tomatoes ❑ 1.5 cups of fresh or frozen broccoli florets ❑ Sea salt ❑ 2 tablespoons extra-virgin olive oil ❑ 1 tablespoon finely chopped garlic or garlic powder ❑ pinch of red pepper flakes ❑ 1/2 cup diced red bell pepper or cherry tomatoes ❑ 1 tablespoon freshly squeezed lemon juice ❑ 2 teaspoons lemon zest ❑ 1/4 cup fresh basil, finely chopped Directions: • Pre-heat oven to 425 degrees.

• Toss broccoli, red pepper, garlic, tomatoes in a bowl with the olive oil.

• Spread ingredients in an even layer on a foiled baking sheet.

• Bake for 20–25 minutes until broccoli is golden and roasted on the edges.

• Top with lemon zest, lemon juice, and fresh basil.

• Enjoy!

References American Cancer Society. What is Colorectal Cancer? https:// www.cancer.org/cancer/colon-rectal-cancer/about/what-is-colorectal-cancer.html last updated 4-6-17. Accessed 2-10-18 American Cancer Society. Key Statistics for Colorectal Cancer. https://www.cancer.org/cancer/colon-rectal-cancer/about/ key-statistics.html last updated 1-4-18. Accessed 2-10-18 Colorectal cancer: The importance of diet Friday 9 March 2018

By Maria Cohut. https://stanfordhealthcare.org/medical-clinics/ cancer-nutrition-services/reducing-cancer-risk/colorectal-cancer-prevention-diet.html

Breathing Easier in Port Charlotte

Did You Know that Millennium is More than Just Primary Care?

Millennium Physician Group is proud to announce the opening of its Respiratory Center of Excellence in Port Charlotte.

In addition to Primary Care, we are pleased to offer access to Millennium Specialists.

From Cardiologists to Gastroenterologists, our board-certified specialists are here to take care of all of your specialty care needs.

As a Millennium Physician Group patient, our Specialists have access to your electronic medical record (EMR) which means less paperwork for you and better coordination of care.

Patients now have access to highly sensitive Pulmonary Function Testing (PFT), using a specialized test chamber to accurately diagnose respiratory conditions.

The center’s director, Dr. Usha Chandrahasa, developed the center to not only provide this standardized testing but also to prevent complications for patients with respiratory conditions, which could potentially lead to hospitalization.

Dr. Chandrahasa is an allergist and is specially trained to diagnose, treat and manage allergies, including drug, food, skin, environmental and pet allergies; asthma, COPD and immunologic disorders.

If you suspect any issues, make an appointment to see the center’s director or respiratory therapist Damon Hobday today!

Contact: Respiratory Center for Excellence Dr. Usha Chandrahasa (941) 743-2277 3400 N. Tamiami Trail, Ste 201 Port Charlotte, FL 33952

CALL US FIRST Feeling ill and not sure what kind of care you need? Millennium Physician Group is here to care for you when you need it the most!

Services Offered Pulmonary Function Testing Skin testing

www.MillenniumPhysician.com or call 1-844-CALL-MPG.

Allergen immunotherapy

Online Lab Appointments

Patch testing Immunotherapy and other biologic medication management Management of Primary Immune Deficiency with replacement Gamma globulin

CALL US FIRST 24/7

That’s right! Even at 11:00 p.m. at night – if you need care, call your provider’s phone number to get in touch with your care team to coordinate the best care for your healthcare needs.

CALL US TODAY! 1-844-CALL-MPG

To find a specialist visit

Why wait when you can book a lab appointment online? Visit www.MillenniumPhysician.com to book your next lab appointment!

SAME DAY APPOINTMENTS Our care teams will do everything they can to get you in for a same day appointment at your provider’s office or a nearby location. We can see you today!

WALK-IN MEDICAL CENTERS Did you know that Millennium has eight convenient Walk-in Medical Centers with after-hour and weekend access? We can get you directions to the closest Walk-in location near you.

Why So Tired? Time Change and its Effects on Sleep Cycles As the clocks change for daylight savings time, it is important to remember that almost all animals and plants have an internal body clock that regulates multiple biological processes that take place over the course of about a day.

Our internal clock is housed deep in the brain in the hypothalamus. It is very sensitive to the effects of light and darkness. Studies have shown that some people have great difficulty adjusting to the switch to daylight savings time. Springing ahead by an hour is most difficult for those who tend to go to sleep late and wake up later in the morning. The time change in the fall is more difficult for those who tend to go to sleep early and wake up early.

Although evidence is mixed, there are some experts who believe that even these minor alterations in the normal sleep-wake cycle can lead to an increased risk for motor vehicle accidents and accidents at work. There is even evidence that there is an increased risk for heart attacks the Monday after we spring forward for daylight savings time. In general, it takes most individuals about a day to respond to a time change of one hour.

Conditions related to alterations in the internal biologic clock are called circadian rhythm disturbances. Common disorders in this category include jet lag disorder when traveling and crossing time zones, work shift disorder in those who work the night shift, delayed sleep phase syndrome seen most commonly in adolescents who stay awake until the early morning and sleep late in bed, and advanced sleep phase syndrome often seen in elderly patients who go to sleep early in the evening and wake up well before they would like to because they have already had a full seven hours of sleep.

Millennium Physician Group Sleep Lab Director

•

•

"There is even evidence that there is an increased risk for heart attacks the Monday after we spring forward."

•

A sleep specialist takes a detailed sleep history to diagnose these conditions and they are usually treated with timed light exposure and occasionally with small doses of melatonin given at specific intervals designed to reset the internal biologic clock.

•

Tips on ensuring you are feeling refreshed after sleep:

Sleep LAB LOCATIONS

CAPE CORAL SLEEP LAB 1528 Del Prado S Cape Coral, FL 33990

(239) 458-3338

By: Mitchell Petusevsky, M.D.,

FORT MYERS SLEEP LAB

13813 Metro Pkwy Fort Myers, FL 33912

(239) 936-1343

•

All of us require about seven hours of restorative sleep in order to wake up feeling refreshed and maintain good health.

It is best to maintain a regular bedtime and set your bedtime seven hours before you expect to wake up. Make certain the room is dark, quiet and comfortable.

Turn off all personal electronics for one hour before going to bed and read or watch television in a dimly lit room but not the bedroom for one hour before going to sleep.

If unable to get to sleep or return to sleep within 10 or 15 minutes, leave the bedroom and read or watch television elsewhere until tired before returning to bed.

Remember, a good night of sleep is vital for good health.

Millennium Physician Group is fortunate to have full service Sleep Disorders Center with board-certified Sleep Specialists capable of providing care for all types of sleep disorders.

Visit our website for more information about our sleep labs currently located in Lee & Collier county.

NAPLES SLEEP LAB 400 8th Street, North Naples, FL 34102 (239) 963-1055

Our Community Partner the Neighborhood Health Clinic Celebrates Ribbon Cutting

On Thursday, February 28, the non-profit Neighborhood Health Clinic in Naples cut the ribbon on an 8,400-foot expansion that will bring advanced imaging capabilities to not only its clients but also Millennium’s patients!

The expansion houses comprehensive imaging services, including a brand-new MRI, 64-slice CT scan and X-Ray. Millennium’s Naples’ Women’s Center mammography services will also move into the facility within the year.

Millennium, in partnership with the clinic, will help run the imaging component of the expansion. Millennium patients now have access to state-of-the-art equipment, and Millennium radiologists will donate their diagnostic expertise to the clinic’s clients who need it.

Download the Millennium Physician Group App! It’s now easier than ever to access all things Millennium!

Now you can download the Millennium Physician Group app to view wait times at our Walk-in Medical Center, make a lab appointment, and log-in to your patient portal.

Now available in the Apple App Store or Google Play Store.

Scan the QR code to download the app now!

Thank you for reading! To learn more about Millennium

Physician Group visit www.MillenniumPhysician.com or call 1-844-CALL-MPG to schedule an appointment today!

Your Connection to a Healthier Life

“I am excited about benefits this technology brings to patients in Collier County, and it is a wonderful opportunity to help support the community. Millennium is about creating strong connections with both our patients and our community partners,” says Millennium CEO Kevin Kearns.

The new imaging center is set to open sometime this spring. This growth also allows the Neighborhood Health Clinic to add other essential services for its clients, such as a fully-equipped dental office. The clinic was founded 20 years ago by Nancy Lascheid and her late husband Dr. William Laschaid to bring healthcare to the uninsured working residents of the area.

✓ Message Your Provider ✓ View Test Results ✓ Pay Your Bill Log-in To Your Patient Portal Today!