Viera MD Fall 2014

MAKING STRIDES AGAINST BREAST CANCER

ATLANTIC EYE MD State-of-the-Art Surgery Center

8040 N. Wickham Rd., Melbourne, FL 32940

Board Certified in Ophthalmology Voted One of the Top Doctors and Top Ophthalmologists In America

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26 Years of Excellence in Ophthalmology

18 11

23 fall

CONTENTS

9 10 12 14 15 17 18 20 21 23 24 25 27

Community calendar Movember is here!

Restoring male virtility ‘Healthy babies’ the most important cause The 2014 Daffodil Gala Brevard’s star Dawn Faust Breast cancer can go take a hike Think before you pink Genetic BRCA testing Angel Andujar lives up to his name A race to preserve sight for patients Suntree’s Preeclampsia Foundation ‘Here’s the Dish’ holiday recipes

4 | VIERA MD MAGAZINE

10

2014

21

Helping Viera families see and look better every day.

L. Neal Freeman, MD

Payman Haft, MD

David Weiser, MD

Fred Lundquist, OD

Board-Certified Ophthalmologist Subspecialty: Ophthalmic Plastic and Reconstructive Surgery, General Ophthalmology

Board-Certified Ophthalmologist Subspecialty: Cornea Refractive, General Ophthalmology (Cataract Surgery, LASIK)

Board-Certified Ophthalmologist Specialty: General Ophthalmology (Cataract Surgery, LASIK, Glaucoma)

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|5

letter from the editor

Season of giving reflects medical professionals’ passion all year long — your health

vieramd.com Fall 2014 • Volume 1, Number 4

T

he holidays are upon us and the universal focus that gathers all people is giving — except perhaps in children, where getting is the name of the game.

This is certainly not the case with Angel Andujar, an 8-year-old baseball loving boy you’ll read about on page 23.

BLUEWATER CREATIVE GROUP

Angel has a heart for children who face grave medical tragedies and rather than gifts, he asked his parents for money last year so he could help those in the most dire straights. This year is no different, just a different foe. Rather than childhood cancer, he is raising money to heal a baby from an autoimmune disease. Like his mother says, Angel certainly is living up to his name.

EDITORS

This brings me to year-end reflection as we put out this fourth issue of Viera MD quarterly magazine. I have noticed that each of the medical professionals featured on these pages has a heart for giving, just like Angel. They want to save adults as well as children who face grave health threats, or perhaps they just want to help people live their greatest, healthiest life.

It’s my pleasure to introduce some of these great people to you in Viera MD. They will discuss the latest advancements in health and wellness, just as they do during our Ask the Doc seminars. Their favorite topic is one of life’s greatest gifts — your health. You might recognize some of their faces at the Backstage Pass Boomer Bash & Senior Expo on Nov. 14 from 9 a.m. - 3 p.m. at the King Center in Melbourne.

Jill Gaines, Founder and CEO Bluewater Creative Group

7630 N. Wickham Rd. Suite 105 Viera, Fl 32940 321.242.1235 Jill Gaines Rae Botsford

DESIGN Mike Oliver • zephyrstudio.com

WRITERS Rae Botsford • Mary Brotherton Mike Gaffey • Carl Kotala Maria Sonnenberg • George White Linda Wiggins © 2014 All rights reserved.

Bluewater Creative Group Inc. bluewatercreativegroup.com

A sister publication to Viera Voice.

All material contained in Viera MD print or electronic versions is strictly copyrighted and all rights are reserved. Duplication or reproduction of this magazine in whole or in part is prohibited without permission of Bluewater Creative Group, Inc. We cannot accept liability for omissions or typographical errors. Listings, feature articles or advertisements do not constitute an endorsement.

Opinions expressed are not necessarily those of the publisher. Viera MD is a free publication and is available at many Viera physician and other business offices.

Our Catering -Healthy & Delicious We Cater to all of Brevard County:

5450 Stadium Parkway • Corporate Events • Private Parties Viera, FL 32940

321-636-7696

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6 | VIERA MD MAGAZINE

• School Functions • Luncheons No event too big or too small

5470 Murrell Road Viera, FL 32955

321-632-0100

www.eastsideohmy.com

Having an annual mammogram can help make sure you’ll be there for life’s most important moments. A mammogram can help detect breast cancer in its earliest stages. The American Cancer Society recommends one every year for women 40 and older, or for younger women considered to be at risk. At Wuesthoff Health System, we bring you digital mammography, for clearer images and quicker results. Call 321-637-3030 to schedule your mammogram today.*

YOU CAN DO

SOMETHING SPECIAL FOR YOURSELF AND YOUR FAMILY.

*Appointments are on a first-come, first-served basis. An order from a physician or qualified healthcare provider is required.

All mammogram reports will be sent to the physician/provider and follow-ups are the responsibility of the patient.

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BREVARD COUNTY RESIDENT

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8095 Spyglass Hill Road Suite 101, Viera, FL 32940 (Inside Dr. Todd Jaffe’s office)

For an appointment

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SERVING BREVARD COUNTY SINCE 2004 Join Us!

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Community Calendar October 25

Making Strides Cancer Walk – see page 18

October 31

Halloween

November 1

Movember begins. Shave today!

November 12

Viera MD Seminar – Cataracts & Glaucoma with guest speaker Dr. Frederick Ho. 10:30-11:30 a.m. at the Heritage Isle meeting room. Free umbrella to the first 10 at the seminar. Coffee provided by Edible Arts Catering and the EAC Cafe will be open for lunch after the seminar.

November 14

Boomer Bash at the King Center

November 27

Thanksgiving

December 16

Hanukkah begins at sundown

December 25

Christmas Day

October 25

Making Strides Cancer Walk (5K Run/Walk), 8:00 a.m., Space Coast Stadium, information at makingstrideswalk.org/brevardcountyfl

November 8

No Limits 5K, 7:30 a.m., Calvary Chapel Melbourne/Viera Campus, information at secure.runningzone.com/nolimits5k

November 16

Space Coast Lightfest 5K, 6:00 p.m., Wickham Park, information at secure.runningzone.com/lightfest

November 22

Run for Love 5K, 8:30 a.m., Church at Viera, information at brevardfp.org/event/9th-annual-walk-and-run-for-love-5k

November 27

Suntree Turkeytrot 5 & 10K Fun Run, 8:30 a.m., Suntree Country Club, information at suntreeturkeytrot.org

December 6

Run 4 the Future 5K, 4:00 p.m., EFSC Melbourne Campus, information at tsicrun4thefuture.com

December 31

New Year’s Eve 5K, 11:45 p.m., Melbourne Beach, information at mattmahoney.net/scr/newyear.html VIERA MD MAGAZINE

|9

WHAT WHAT IS IS THE THE

MOVEMBER MOVEMBER

FOUNDATION? FOUNDATION?

WHAT WHAT

The Movember The Movember Foundation Foundation is the leading is the global leading global organization organization committedcommitted to changing to the changing face ofthe face of men's health. men's health.

We achieve We this achieve by challenging this by challenging men to grow menmoustaches to grow moustaches during Movember during Movember (the month (the formerly monthknown formerly as known as November) November) to spark conversation to spark conversation and raise funds and raise and funds and awarenessawareness for men's health for men's issues, health specifically issues, specifically prostate prostate cancer, testicular cancer, cancer testicular and cancer mental and health mental problems. health problems.

The Movember The Movember community community has raisedhas overraised $550over million $550 million to date and tofunded date and over funded 800 programs over 800 programs in 21 countries. in 21 countries.

This work This is saving workand is saving improving and improving the lives ofthe men lives of men affected by affected prostate bycancer, prostate testicular cancer, cancer testicular and cancer mental and mental health problems. health problems.

MeaningfulMeaningful strides have strides beenhave taken been toward taken achieving toward achieving our goals, our but goals, there is but more there work is more to bework done. toWe're be done. We're committedcommitted to raising vital to raising fundsvital and funds awareness and awareness to to mprove the improve lives ofthe men lives and oftheir men families. and their families.

HOW HOW

È Men andÈ women Men and sign women up at sign Movember.com up at Movember.com È Men start È Men November start November 1 clean-shaven 1 clean-shaven and grow and a grow a moustache, moustache, and only aand moustache only a moustache È Raise funds È Raise and funds awareness and awareness for men's health for men's health È WomenÈparticipate Women participate the same way the same as men, way except as men, they except they don't havedon't to grow havea to moustache grow a moustache

SUPPORT SUPPORT THE CAUSES THE CAUSES AND PROGRAMS AND PROGRAMS THAT MOVEMBER THAT MOVEMBER SUPPORTS: SUPPORTS: Prostate Cancer: Prostate Cancer: For men diagnosed For men diagnosed and living with and living prostate withcancer, prostate wecancer, seek towe improve seek to their improve their physical and physical mentaland health, mental andhealth, reduceand mortality. reduce mortality.

In the US, the In the Movember US, the Movember Foundation Foundation funds world-class funds world-class research and research patient and patient navigationnavigation programs through: programs through: È True NTHÈ True NTH È Global Action È Global Plan Action (GAP)Plan (GAP) È ProstateÈCancer Prostate Foundation Cancer Foundation È LIVESTRONG È LIVESTRONG Foundation's Foundation's Cancer Navigation Cancer Navigation Services Services Testicular Cancer: Testicular Cancer: For men diagnosed For men diagnosed with testicular withcancer, testicular wecancer, seek towe improve seek to their improve physical their and physical and mental health, mental andhealth, reduceand mortality. reduce mortality.

In the US, the In the Movember US, the Movember Foundation Foundation funds havefunds supported: have supported: È Global Action È Global Plan Action (GAP)Plan (GAP) È LIVESTRONG È LIVESTRONG Foundation's Foundation's Cancer Navigation Cancer Navigation Services Services Mental Health: Mental Health: We are working We are closely working with closely an expert with health an expert andhealth well-being and well-being organization organization that that has provided hasstrategic providedadvice strategic on the advice US on mental the US health mental landscape. health landscape.

This will layThis thewill lay the groundwork groundwork for the mental for the health mental initiative healthMovember initiative Movember will be funding will be this funding year. this year.

Through research Throughand research external and audits, external mental audits, health mental washealth identified was as identified an area as of an area of great needgreat and little needfunding. and little We funding. are excited We are to excited announce to announce the specific the organizations specific organizations we'll be working we'll be with working in thiswith areainand thisthe area programs and the we'll programs be funding we'll be in funding 2015. in 2015.

Details about Details the more aboutthan the more 800 programs than 800 in programs 21 countries in 21that countries Movember that Movember has has funded canfunded be found canhere. be found here.

WHY WHY È È È È È

1 in 2 men È will 1 in 2 bemen diagnosed will be diagnosed with cancer with in their cancer lifetime in their lifetime 1 in 7 men È will 1 in 7 bemen diagnosed will be diagnosed with prostate withcancer prostate cancer Testicular È cancer Testicular is the cancer mostiscommon the mostcancer common in males cancer between in malesthe between ages ofthe 15 and ages35 of 15 and 35 More than È More four times than four as many times men as many as women men as diewomen by suicide die by in the suicide U.S. in the U.S. The average È The lifeaverage expectancy life expectancy for American for men American is almost menfive is almost years less five than years less than women (presently women (presently 76 compared 76 compared to 81) to 81)

MOVEMBER.COM MOVEMBER.CO

10 | VIERA MD MAGAZINE

Gentlemen, start your moustaches!

By Mike Gaffey

SHAVE THE DATE N

ovember is now Movember, a month for men to grow mustaches to raise awareness – and money – for men affected by prostate cancer, testicular cancer and mental health problems.

The Movember Foundation has inspired 4 million men worldwide to grow mustaches and has raised more than $559 million.

The organization started in Melbourne, Australia, in 2003, and has gone global, funding more than 800 year-round programs in 21 countries.

By going online to movember.com, men can sign up as a “Mo Bro,” recruit others and form a Movember team, or make a donation. And even though they can’t grow mustaches, women can sign up, start a team and fundraise, too. These “Mo Sistas” rally the men in their lives to join the movement.

Jamison wound up making a television commercial about his recovery for the center, and his face now adorns a cancer center billboard near the facility. “If you ever get cancer or anything like that, there’s no better place to go than Space Coast Cancer Center,” he said. Jamison, who moved to Brevard County in 1959 and has lived with his wife, Jane, in the same house that he built in 1962, looks at life differently after his ordeal.

“I’ve always been a believer in God and my faith has just gotten stronger,” Jamison said.

Another men’s health issue that is becoming increasingly common is that of low testosterone. Dr. Jeffrey Stalnaker, a boardcertified physician who recently was named the new Health First Medical Group CEO, says men should be wary of supplements that claim to restore vigor and sex drive. n

Tom Jamison, a cancer survivor, has lived in Brevard County since 1959.

The rules are simple. Once signed up, a man must start Nov. 1 with a shaven face and grow and groom a mustache for the entire month. No beards, goatees or fake mustaches are allowed. Participants then spend the month talking to others about men’s health issues and raising funds to combat prostate cancer, testicular cancer and mental illness.

Participants can host kickoff parties on Nov. 1, commit to getting more physically active by walking to work, taking the stairs instead of the elevator or even running a 10K. And at the end of the month, Mo community members around the globe celebrate their efforts at official costume parties.

Tom Jamison knows all about prostate cancer.

Jamison, 78, received his frightening diagnosis in 2012.

“I had the worst type of prostate cancer,” he said.

Jamison immediately contacted Space Coast Cancer Center on U.S. 1 north of Titusville, which also has offices in Viera. After a discussion with his physicians, Dr. Richard Levine and Dr. Cynthia Bryant, about available procedures, he decided on radiation treatment.

After three months and 45 radiation treatments, blood tests and doctor visits, Jamison’s markers for cancer had dropped to nearly negligible levels. “As long as the levels stay down, it’s my understanding that I’m OK. But there’s always that chance,” he said. “My physicians are real happy. Dr. Levine always preaches that you’re here for a cure.”

VIERA MD MAGAZINE

| 11

FOR RESTORING MALE VIRILITY, THERE’S NOTHING LIKE THE REAL THING

By Linda Wiggins

T

he ads are everywhere, bombarding older men with a message that low testosterone levels are to blame for their lack of energy and declining sex drive, and that naturopathic supplements can help restore their youthful vigor.

But don’t believe the hype, says Dr. Jeffrey Stalnaker, CEO of Health First Medical Group in Melbourne.

“There are many supplements that tout increased testosterone and male sexual function,” said Stalnaker, a board-certified physician who practiced internal medicine and served as an emergency department physician during a 33-year career.

“Most of these are considered ‘medical foods’ and are not regulated as medications by the FDA,” he added, stating that enhancers are no replacement for the actual hormone.

Testosterone is a hormone that boosts sex drive, sperm production, bone density and muscle mass in men. Testosterone levels start to decline in most men after age 30. By age 55, men lose at least 20 percent of their testosterone production.

As many as 13.8 million men older than 45 in the United States have low levels of testosterone, according to a 2006 study in the International Journal of Clinical Practice.

“Due to greater awareness through coverage in the media, patients are asking about testosterone deficiency more frequently,” Stalnaker said.

Symptoms of testosterone deficiency include decreased bone density and muscle mass, anemia, central obesity, low mood and diminished sexual function, Stalnaker said.

“Similar symptoms occur as a result of aging,” Stalnaker noted.

“Controversy exists as to whether these are caused as a result of naturally falling testosterone levels with age, or whether they are unrelated.”

Doctors first seek to eliminate other possible reasons for symptoms, such as thyroid problems, diabetes, depression, high blood pressure or coronary artery disease before targeting low testosterone as the cause. A specific blood test can determine a man’s testosterone level. The upper limits of a normal testosterone level are up to 1,200 nanograms per deciliter. The bottom of the normal range is about 300 nanograms per deciliter.

A variety of preparations are available for patients, including injection every one to two weeks, as well as skin gels, a skin patch, and nasal gel, Stalnaker said.

“Each preparation has advantages and disadvantages that should be individualized for each patient,” he said.

Testosterone is not effective when taken orally in pill form because it doesn’t metabolize well through the liver before reaching other body tissues, Stalnaker said.

As for enhancement supplements, “there are no quality medical studies that show benefit other than testosterone replacement in males that are deficient in the hormone,” he said.

12 | VIERA MD MAGAZINE

Dr. Jeffrey Stalnaker CEO of Health First Medical Group in Melbourne

Hormone replacement therapy in men has become so popular that men with naturally decreased testosterone due to advanced age are also interested in the treatment. Stalnaker urges them to weigh the pros and cons, the potential benefits versus the down sides.

Testosterone replacement carries some risk, Stalnaker noted.

Treatment can result in the promotion of testosterone-dependent prostatic cancers, sleep apnea, and cardiovascular disease.

“It is controversial whether elderly patients with a natural reduction in testosterone levels will benefit from hormone replacement,” Stalnaker said, “but patients who are truly deficient in testosterone have notable improvement in their symptoms with hormone replacement.” n

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| 13

‘Healthy babies’ the most important cause

By Linda Wiggins

K

atie and Curt Jacobus of Suntree looked forward to the birth of their baby girl, but the discovery that she would be arriving six weeks too soon was not welcome news.

Premature birth can be deadly to a newborn, and can leave a surviving baby with a lifetime of health setbacks.

While in the Neonatal Intensive Care Unit at Health First Holmes Regional Medical Center for 11 days, Charley received life-saving surfactant therapy to help her breathe, a treatment developed by the March of Dimes. Heading up the unit was Dr. Julio D. Vallette Jr. “Dr. Vallette saved our Charley, and the reason she survived is the surfactant funded by the March of Dimes,” said Katie Jacobus, an attorney in juvenile matters with the State Attorney’s Office in Viera. The couple also has a son, Jackson, 4. Charley is now 2.

They told their story at the Oct. 7 March of Dimes Signature Chefs Auction, which they chaired, bringing together Brevard’s top executive chefs and offering guests the opportunity to sample their “signature” dish.

Katie and Curt Jacobus chaired the March of Dimes Signature Chefs Auction Oct. 7 so that babies born premature like their Charley also can survive and thrive.

The $77,000 raised surpassed the goal of $52,000 set for the Brevard chapter, and was $5,000 more than the goal they set for themselves. The total is expected to rise once amounts pledged that night are submitted.

“We basically asked everyone we knew to donate things for the auction and to come and bid on items,” said Curt Jacobus, an attorney with GrayRobinson, P.A. in Melbourne.

The total was no doubt maximized by auctioneer Sheriff Wayne Ivey, tapped for the post by friend Katie Jacobus.

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“You probably noticed that I have three sheriff’s deputies in the lobby, and you’ve no doubt had a lot to drink tonight,” he joked with the capacity crowd. “You can either pay your money in here and take home something nice, or you can pay it out there after you leave the parking lot.”

Daniela Venizelos

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The Jacobuses were handed the reins to the charity’s largest fundraiser of the year from Dr. Vallette, last year’s chair, and they humbly and happily accepted, Katie Jacobus said.

“I can’t think of a more important cause than healthy babies.” n

BANKRUPTCY • DIVORCE ADOPTIONS • IMMIGRATION SMALL CLAIMS & MANY MORE 14 | VIERA MD MAGAZINE

To view a collection of photos from the evening, go to trishaharrisphotography.com/mod2014. For more information or to donate, call Brevard Division director Gregory C. Stephens at 321.426.6230 or go to marchofdimes.com/florida.

The 2014 Space Coast Cancer Foundation’s Daffodil Gala The Space Coast Cancer Foundation’s Daffodil Gala 2014 raised more than $135,000 to help cancer patients and their caregivers.

The Sept. 27 fundraiser at Heritage Isle Clubhouse in Viera featured French-inspired cuisine, Cirque-style entertainment and dancing, a silent auction, a fine wine auction and raffles. Established in 2006, the foundation provides financial assistance and other aid to individuals battling cancer, supports oncology research and education and also promotes community awareness of healthcare issues.

Nancy Williams and Karen Foley of Palm Bay, Sonya Warnick of Titusville and Vijay Katukuri of Viera.

Kim Rodriguez of Rockledge, a Cirquestyle dancer and Susan Moore of Cocoa, with Beach Organics Skin Care, enjoy the Space Coast Cancer Foundation’s Daffodil Gala 2014 in Viera Photos by Darrel Woehler / Viera MD

Volunteer Pegeen Bibby helps out with the gala’s silent auction.

Greg and Terri Burdine of Titusville

Credit Card debt Loans • ForecLosure deFiciency judgment deFense

For more information, go to spacecoastcancerfoundation.org or call 855.894.HOPE (4673).

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| 15

Arthritis

& Joint Center

of Florida Specialists in Knee, Hip and Shoulder Replacement

Phone: 321.956.1501

Welcome to the Orthopaedic practice of Daniel L. King, M.D. Our practice specializes in the operative and non-operative care of the painful knee, hip and shoulder. Advances in surgical techniques and materials have led to state-of-the-art surgical solutions provided to you at our center. Dr. King is MAKOplasty® certified to perform partial knee replacements and hip replacements using the RIO® Robotic Arm Interactive Orthopedic System.

Most hip replacements can now be done utilizing a less invasive anterior technique. Most knee replacements are now done without cutting the quadriceps tendon. Both techniques may result in less pain, and quicker recovery.

Dr. King and his Physician Assistants David A. Harris, PA-C and Brian R. Hackett, PA-C provide experienced care and judgment for patients utilizing optimal materials and techniques.

We are now conveniently located in Viera

2328 Medico Lane, Melbourne, FL 32940 in the new Viera Medical Park. We are located at the northeast corner of the intersection of Stadium Parkway and Wickham Road

www.newjoint.com

BREVARDSKIN.COM

321-636-7780

Serving Brevard for over 50 years Brevard Skin and Cancer Center is a team of board-certified dermatologists and experienced medical professionals dedicated to the diagnosis, education, prevention and treatment of hair, skin and nail conditions.

Welcome Andrew Miner, M.D. Dr. Miner is board-certified and joined the center in July 2014, coming from the Cleveland Clinic, where he worked as a dermatologist and completed his training in Dermatopathology.

Dr. Miner specializes in general and cosmetic dermatology in addition to MOHS surgery.

Viera 8059 Spyglass Hill Rd. #103 | Rockledge 1286 Florida Avenue S. Titusville 4500 Hopkins Avenue S.

The Aesthetic Center of Brevard is a division of Brevard Skin & Cancer Center with a fully qualified staff to meet all your aesthetic needs.

We specialize in skin rejuvenation, lasers, Botox©, cosmetic fillers, facials and chemical peels.

Call 321-636-1002 to schedule a consultation.

16 | VIERA MD MAGAZINE

Shines Light on Cancer Recovery

By Linda Wiggins

D

awn Faust’s job helping

cancer victims is even more valuable today than it was when she received her own diagnosis five years ago.

“Funding is even harder to come by now than it was then,” said Faust, who is approaching a two-year anniversary at her “new dream” job. As marketing and communications director at Space Coast Cancer Center/Space Coast Cancer Foundation, she helps raise awareness and funds to help those who walked a mile in her shoes.

“The work I am able to do now is even more important than ever.”

Like many survivors of breast cancer and other forms of the deadly disease, the experience can often cause us to reevaluate our lives and come up with a new dream. For Faust, it is being able to reach others who face the most vulnerable experience of their lives.

“I will never forget that hopeless, helpless feeling I had. It’s ‘pay it forward’ time for the rest of my life.”

This issue of Viera MD will include a preview of the Making Strides Against Breast Cancer Walk at 8 a.m. Saturday, Oct. 25 at Space Coast Stadium. It’s something we can all take part in to honor a loved one, or simply because we are part of the family of (wo)man.

You can read about a movement to make us more conscious of our Breast Cancer Month donations.

Think Before You Pink calls for more transparency and accountability by companies that take part in breast cancer fundraising, and encourages consumers to ask critical questions about pink ribbon promotions.

Lastly, Angelina Jolie’s name is synonymous with beauty and controversy, and now, women’s reproductive health.

She learned of her biological propensity for breast and ovarian cancer through a BRAC Analysis and took radical measures to eliminate the risk. Read about this important test in this issue.

Brevard’s own local outspoken beauty, Dawn Faust also is an activist in women’s causes where choices are concerned. She feels her own life decisions increased her risk for cancer and that as a survivor at risk of its return, nothing but a complete overhaul will do.

She picked the wrong man for a relationship, and just as it became crystal clear that leaving him would be in her best interest, she married him instead. The destruction to her self esteem only worsened after her breast cancer diagnosis, as his support was nowhere to be found.

Leaving her homeless at death’s door was the best gift he could give her, because the cold slap pushed her into self preservation. She pushed aside contemplation of suicide and got busy living.

“A cancer diagnosis is a culmination of some precipitating factors. Part of it is environmental. People can be in toxic relationships or in stressful situations in their job,” Faust said.

“Almost as important as the medicine we take to combat the cancer is to try to figure out a healthier lifestyle postcancer so it lessens the chance of reoccurrence. Once you are in treatment you feel like you are doing something actively to combat the cancer, but when you are done, your life now depends on getting the right answers to the question, ‘What now?’” n To learn Faust’s full story, go to cancercuredmylife.wordpress.com.

VIERA MD MAGAZINE

| 17

Breast cancer can go take a hike

by Rae Botsford

O

n Saturday, October 25, thousands of people from across Brevard County will gather at Space Coast Stadium to help stop breast cancer, the most common cancer in women worldwide. It is estimated that just over 12 percent of women will be diagnosed with the disease in their lifetimes – and that’s a one in eight chance.

That’s why the annual Making Strides Against Breast Cancer walk, hosted by the American Cancer Society (ACS) in more than 300 communities across the nation, is designed to raise awareness, celebrate survivors and raise funds to combat the disease.

“The American Cancer Society spends more money from the funds that they raise of the gracious donations of volunteers for research, and that’s where they’re finding the cures,” said Lana Saal, Ph.D. director of the Brevard County Schools Employee Wellness Program.

Saal became chair of the new Space Coast Volunteer Leadership Council (VLC) earlier this year, an organization that was formed to replace the board of the American Cancer Society’s Brevard County Unit in order to increase their service and involvement in the community. Through the change, their leadership remained largely the same. Saal was on the board for about six years before this, and a couple of years ago she served as event chair for Making Strides Against Breast Cancer.

She now sits on the state board for the event and considers it her area of passion. Her work on the event in Brevard helped increase participation from about 1,000 people to about 11,000.

“We get to celebrate our survivors, and just raise awareness for the women in the area to get their annual mammograms,” she said.

18 | VIERA MD MAGAZINE

MAKING STRIDES AGAINST BREAST CANCER

{DATE }

Saturday, October 25, 2014

{TIMES }

Registration starts at 7:00 a.m., opening ceremonies start at 8:00 a.m., and walk starts 9:00 a.m.

{WHERE }

Space Coast Stadium in Viera

And it’s not just women who make the survivor walk. “We also have boys up here, because a small percentage, about two percent of the cases diagnosed of breast cancer, are in men,” she said.

When the walk came to Brevard 10 years ago, ACS held it at Brevard Community College (now Eastern Florida State College) and just a few hundred participants showed up. As they continued to promote the event it outgrew the college, moved to the Avenue, and eventually wound up at the stadium, where the three-mile walk begins and ends this year.

Participants can walk alone or join a team, and are encouraged to sign up and set a fundraising goal ahead of time. The money raised will fund breast cancer research, education, advocacy and patient services.

“A lot of fundraising goes on for breast cancer research, but American Cancer Society’sresearch makes the difference.

Women being diagnosed, having treatment, having successful treatment and surviving,” she said.

“If you or someone you know is a survivor of cancer, chances are it’s a result of the work American Cancer Society has done in research, education, and advocacy,” Saal said. n To sign up for the walk or get more information, visit makingstrideswalk.org/brevardcountyfl

People come out with their pink on, and the last few years Florida tried this theme.

It was called ‘Put on Your Pink Bra,’ just to kind of make the American Cancer Society stand out and to show – girls’ bras are generally pretty personal, as is their battle with breast cancer, so that was the tie-in. So we did that a couple years ago and guess what? We had a lot of men who came out. People got creative. We had a guy who’d fashioned pinwheels on his pink bra.

They were rolling in the wind,” Saal said.

Caption

In 2011, there were more women living with breast cancer in the United States than there were people in the entire state of Kansas.

Based on the 2010 U.S. census and data from the National Cancer Institute’s SEER program

VIERA MD MAGAZINE

| 19

HOW TO “THINK BEFORE YOU PINK”

By Rae Botsford

1

2

3

Will the profit really help support Breast Cancer programs?

How will the money be used to fight Breast Cancer?

Is the product made of harmful chemicals?

T

he nationwide push to raise awareness of breast cancer has had plenty of success, as evidenced most visibly by the myriad pink products available for purchase. Everything from M&Ms to umbrellas, it seems, can be found in a pink ribbon variation. The question for consumers is, how much do those purchases really help fight the disease? The national organization Breast Cancer Action (BCA) uses the slogan “Think Before You Pink” to encourage us to find out.

The first thing BCA suggests doing before making a “pink ribbon” purchase, if you really want to make a positive impact, is find out if any of the profit will go to support breast cancer programs. Some companies give a set sum regardless of the amount of pink merchandise they sell, some give only when certain pink items sell, and some don’t give anything at all. It’s also good to know if the company has a “cap” on what they’re willing to donate, and if so, whether they’ve already met that maximum donation.

If all is well and you’re satisfied with the expected donation from your purchase, find out about the organization who will receive the funds. How will they use the money to fight breast cancer?

Finally, what is the item made of? When a company sells pink-ribbon-emblazoned products that contain chemicals linked to breast cancer, like parabens, triclosan, BPA or phthalates, it’s called “pinkwashing.” There’s a long list of chemicals found in everyday items like cosmetics, cleaning products and plastics, so even if you’re aware of the risk, it’s difficult to avoid them

20 | VIERA MD MAGAZINE

completely. It is possible, however, to avoid buying products that claim to help stop breast cancer yet raise your personal risk.

Choosing to go through these steps takes time, but if you want to donate to research and discourage hypocritical marketing, you might pause before purchasing pink. n For more information, visit thinkbeforeyoupink.org.

For information about environmental links to breast cancer, visit breastcancerfund.org.

Tough decisions hinge on BRCA test

By George White

P

rior to the development of genetic BReast CAncer (BRCA) testing, many women lived in fear of cancer due to their family history. Now, with BRCA tests, they have important science-based information that gives them knowledge and power.

“Understanding that this information gives them knowledge and power to change not only their outcome but also generations that follow is life changing and quite empowering,” said Ginger Burton, ARNP-C, women’s health nurse practitioner for Health First Medical Group.

“Every individual, male and female, has a set of BRCA1 as well as BRCA2 genes. These genes produce tumor suppressor proteins which repair damaged DNA and, therefore, play a role in ensuring the stability of the cell’s genetic material. When either gene is mutated, or altered, these proteins do not function correctly resulting in DNA damage not being repaired properly. As a result, cells are more likely to develop additional genetic alterations that can lead to cancer of the breast or ovaries,” she said.

I do believe overall there is a greater knowledge in general regarding the power of this information in prevention” If a BRCA1 or 2 mutation is detected there is an increased risk for having breast and/or ovarian cancers. For breast cancer detection or reduction, patients may elect to increase the frequency of mammography as well as undergoing a breast MRI. Other options would include chemoprevention such as the use of tamoxifen, although many patients — most notably actress Angelina Jolie — choose bilateral risk-reducing mastectomy. For ovarian cancer, patients are advised to take oral contraception, which offers ovarian cancer reduction.

“These decisions should be made following informed decision making with a trusted healthcare team,” Burton said.

Now that there is science behind the potentially life-saving data, it’s up to society and medical professionals to increase its use, Burton said.

Ginger Burton, ARNP-C

“I do believe overall there is a greater knowledge in general regarding the power of this information in prevention; however, until we as medical providers treat this information as a necessity to manage our patients appropriately for cancer risk we can continue to put processes into place within our practices to make sure we are meeting the standards of care for hereditary cancer risk assessment,” she said. n VIERA MD MAGAZINE

| 21

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Combating childhood illness makes Angel of young giver

By Linda Wiggins

A

ngel Andujar has had a life-changing year since he decided to ask his parents to give him money for Christmas so he could donate it to help youngsters facing a grave illness.

“Did you know that every three minutes a child is diagnosed with cancer?” asked Angel, age 8. The homeschooled Suntree-area student uses this as an opener when he asks relatives, family friends and groups for even more money to help those less fortunate.

He gave his $300 in Christmas money to fellow Viera/Suntree Little Leaguer Caden Sichler to help surpass his goal of raising $5,000 for a charity that helps children with cancer. Team Caden, including three other students at Ralph Williams Jr. Elementary School, shaved their heads for St. Baldrick’s Foundation on March 15.

The event led to a whirlwind of acknowledgment and continued fundraising for Angel.

Did you know that every three minutes a child is diagnosed with cancer?”

He was chosen to throw out the first pitch at a March 22 Washington Nationals game. He shook hands with his cleat-wearing heroes and posed for photos with bald-headed Caden.

So it was only natural that when Angel heard the plight of Jorge Lopez, Manatee’s player No. 18, he’d want to raise money for Lopez’s year-old son Mikael, who is battling an autoimmune disease.

Angel asked his parents, Karen and Jose Andujar, for $100 to add to the Go Fund Me account for the pitcher’s son, but he wanted to do more.

The Nationals had nearly every player sign a bat for Angel and now he is selling tickets to draw a winner for the memento.

Angel Andujar, right, used his Christmas money to help fellow Little Leaguer Caden Sichler reach his fundraising goals as a St. Baldrick’s head shavee, earning Angel the honor of throwing out the first pitch at a March 22 Washington Nationals Spring Training baseball game.

“Angel has a sensitive heart and it’s easily touched. When he hears of a child who is sick, he doesn’t rest until he is doing something about it,” said Karen Andujar. “We are a baseball-loving family, so that touched his heart twice.”

Angel’s mother said she is sure of one thing: “We picked a good name for him.” n To help Angel’s cause by donating to Jorge and Mikael Lopez, or to learn more about it, visit gofundme/com/JorgeLopez18.

VIERA MD MAGAZINE

| 23

Doctor puts Viera on the map with chance to test promising new treatments on patients suffering from vision loss

By Mike Gaffey

W

hile away from the office, Dr. Vrinda Hershberger is supposed to be enjoying downtime to decompress from her busy workweek, but her patients often pop up on her mental viewscreen. The glinting waters off the Indian River Lagoon.

A new green shoot that has pressed its way through the garden soil toward that same glinting sun. Or something as simple as light reflecting from the pages that allow her to see and read the words on the page.

Hershberger is in a race to preserve these sights for her patients.

A board-certified ophthalmologist with Florida Eye Associates, Hershberger’s expertise at clinical studies is a key reason why the Florida Eye Associates office at 5510 Murrell Road in Viera was one of only 120 sites in the United States chosen to conduct free two-year-long tests on patients with dry macular degeneration and wet macular degeneration. The chronic eye diseases cause severe loss of central vision.

“This is extensive testing, extensive treatment and the patients will not have a single dollar out of pocket,” she said.

Dr. Hershberger finds it difficult to describe the excitement she feels about promising new treatments for patients who suffer from vision-robbing age-related macular degeneration.

“Every patient I’ve spoken to who’s on my list of candidates keeps calling and asking, ‘Are you ready to go yet?’ ” said Hershberger, who specializes in treatment of retinal diseases and cataract surgery.

“I mean, it’s really amazing.”

The Viera/Suntree area, with its large population of seniors who are at greatest risk of contracting macular degeneration, is perfect for the study, Hershberger said.

Test subjects with dry macular degeneration will receive injections of a drug called lampalizumab, which was developed by Genentech/Roche and has been shown during Phase 2 trials to decrease the disease’s progression, Hershberger said. Currently, there is no treatment on the market for dry macular degeneration other than vitamin supplements to slow the disease’s progression, she said.

Those with wet macular degeneration – a condition in which abnormal blood vessels leak fluid into the macula in the center of the retina of about 20 percent of people with dry macular degeneration, often causing a quick and drastic drop in vision – will be treated with a drug called Fovista, developed by pharmaceutical company Opthotech. They will also receive either Bevacizumab or Eylea, which are currently the standard drugs for wet macular degeneration.

Florida Eye Associates has been recruiting potential candidates for the wet macular degeneration clinical trials since August, Hershberger said, and could be ready to enroll patients in the dry macular degeneration studies any day now. Hershberger already has a log of patients who might qualify, and Florida Eye Associates is reaching out to other eye care professionals in Brevard who have patients with the disease.

24 | VIERA MD MAGAZINE

“In the case of dry macular degeneration, we can offer patients something that doesn’t even exist for maybe the next five years until it hits the market,” she said. “In terms of wet macular degeneration, we can offer patients almost a level of magnitude higher efficacy than the current best drug on the market.”

Treatment is free for candidates who qualify for the studies, Hershberger said, adding she believes the companies who developed the drugs will pay for patients’ transportation costs as well.

Dr. Vrinda Hershberger

Potential test subjects with serious diseases such as cancer are still eligible to participate in the two-year-long studies unless they lack the physical ability to undergo the tests or are in hospice case, Hershberger said.

The process is nothing new to Hershberger, a Satellite Beach resident who helped conduct 11 Phase 3 clinical trials at her previous location in Orlando before coming to the Viera office two and a half years ago. Some of the trials she participated in were for drugs currently available to people with wet macular degeneration.

“I’m very familiar with having done this before,” she said. “And Florida Eye Associates has done a fantastic job getting all of our site personnel up to speed and trained to do all the testing and everything needed to recruit all these patients. Once we get the patients in through the door we should be ready to go pretty fast.”

Balancing the high-stakes profession is important to Hershberger, who finds Brevard the perfect place to enjoy the activities she preserves for her patients, pastimes that benefit from good eyesight. She and her family love being out on the water, an activity easily pursued on the Space Coast, she said.

“We joined a local boat club and thoroughly enjoy boating,” she said. “My husband’s trying to take up fishing. We enjoy travel and reading. I have a 14 ½-year-old, so in between her school and her sports and both our jobs we are pretty busy. We also enjoy gardening, but not in the summer.”

And while she preserves the eyesight of her patients, Hershberger will do the same for patients all over the world as she puts Viera on the map with regard to eye research.

Hershberger was drawn to research before she went into medicine.

After receiving her Ph.D. in pharmaceutical research, she worked for Proctor & Gamble for five years before earning her medical degree at the University of Cincinnati. Hershberger, her husband and daughter moved to Florida in 2004, then to Brevard in 2011.

“Pretty much as soon as I started my practice, because of my background in research and my interest in being able to offer my patients a lot more than is available on the market, I started to put out some feelers to companies who I knew were interested in doing research and finding better drugs,” she said. “It’s been a great partnership.” n For more information, go to floridaeyeassociates.com or call 321.727.2020.

Suntree’s Preeclampsia Foundation receives $ 30,000 to save babies, moms

By Mike Gaffey

A

$30,000 medical research grant awarded to the Suntreebased Preeclampsia Foundation will fund studies of the pregnancy disorder that can be deadly to both mom and baby, and its relationship to future cardiovascular disease in affected mothers.

The Community Foundation for Brevard presented the grant from the Kenneth R. Finken and Dorothy Hallam Finken Endowment Fund at a Nov. 30 reception at Suntree Office Tower, the Preeclampsia’s Foundation’s new headquarters since July.

“The Community Foundation for Brevard is very proud to support this Brevard-based organization in the cause of medical research benefiting mothers and babies worldwide,” foundation president/ CEO Sandi Scannelli said.

Photo Credit: Mike Gaffey Preeclampsia Foundation executive director Eleni Tsigas, left, accepts a $30,000 grant award from Community Foundation for Brevard board members Ron Bray and Mick Welch, CFB Grants and Program manager Lisa Davidson, CFB board member Bob Sukolsky and CFB president/CEO Sandi Scannelli.

“I got the news when I was in South Carolina and I think they heard me screaming all the way to North Carolina,” Tsigas said.

The research grant will help fund expansion of the Preeclampsia Registry, a first-of-its-kind database of self-reported and clinical information as well as family and pregnancy history, to include a biobank of DNA samples. The samples will enable researchers to analyze tens of thousands of DNA markers and subject some of them to exome/genome sequencing in an effort to find a cure and analyze the known relationship between preeclampsia and later heart disease.

Tsigas and her husband, Fr. Demetri Tsigas of Suntree’s St. Katherine’s Greek Orthodox Church, lost their only daughter to the condition, and one of two sons also suffered the condition during pregnancy but survived. Eleni Tsigas was instrumental in relocating the world headquarters of the foundation to Brevard rather than Washington, D.C. after she took the helm.

The foundation was established in 2000 and was headquartered in Seattle and Minneapolis before relocating to Brevard County in 2010. Plans called for relocating the effort to the nation’s capital for ease in raising funds and awareness, but Tsigas convinced her board that Brevard would be as fruitful, and made it a condition of her staying aboard.

Preeclampsia is a pregnancy complication characterized by high blood pressure during and after pregnancy, protein in the urine and signs of damage to organs, often the kidneys. The disorder may develop after 20 weeks of pregnancy. Left untreated, preeclampsia can lead to serious or even fatal complications for both mother and baby.

Providing patient support and education, raising public awareness, spurring research efforts and pushing for improving health care practices are the ultimate goals of the nine-staff-member foundation.

Eleni Tsigas, executive director of the Preeclampsia Foundation, said the nonprofit is “beyond thrilled” by the grant.

The once-unheard-of condition entered the lexicon when fan-favorite character Lady Sybil died of it after childbirth on the “Downton Abby” historic British soap opera wildly popular in the United States.

The disorder is one of the most common complications of pregnancy, affecting one in every 12 pregnancies in the United States, Tsigas said. Globally, preeclampsia and other hypertensive disorders of pregnancy kill 76,000 mothers and 500,000 infants a year.

“In addition, preeclampsia is a significant risk factor for long-term heart disease and stroke,” Tsigas said of the demographic to which she belongs. “Two out of three women with a history of preeclampsia will die from cardiovascular disease, an estimated 4.6 million American women alive today.”

Those efforts are paying off, Tsigas said, noting a recent market survey that shows the number of women now aware of preeclampsia and its dangers has risen to 83 percent.

“That is tremendous if you consider where we were even just a few years ago,” she said. n For more information, call 321.421.6957 or go to preeclampsia.org.

SIGNS OF PREECLAMPSIA > High blood pressure > Protein in the urine > Stomach pain > Nausea, vomiting > Headaches > Changes in vision > Swelling in hands and face > Gaining more than 5 pounds in a week

VIERA MD MAGAZINE

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V I E R A

M D

P H Y S I C I A N

Mauricio J. Castellon, M.D.,FACS

S P O T L I G H T

Board Certified Reconstructive and Plastic Surgeon

Dr. Castellon’s training includes general, plastic and reconstructive surgery at Albany Medical Center in New York. His undergraduate study was at the University of Florida and he received his Doctor of Medicine degree from the Ponce School of Medicine. Dr. Castellon is an active member of the American Society of Plastic Surgeons and the American Medical Association.

1499 South Harbor City Blvd. Suite 301, Melbourne, FL 32901 321.729.9909 • DrCastellon.com

Chris Edwards, DDS & Julia Bunker, DDS

Board Certified in Integrative Biologic Dental Medicine

Dr. Chris Edwards earned a B.S. with honors at Temple University and did a general practice Residency at the Queen’s Medical Center in Honolulu.

Dr. Julia Bunker obtained her Medical/Dental degree in Stomatology in Bashkiria, Russia, and practiced there before moving to the United States, where she obtained her American DDS with honors at NYU. 8247 Devereux Drive, Viera, FL 32940 321.751.7775 • SDICFL.com

Lindy Tolleson, D.C.

Doctor of Chiropractic • Acupuncture Certified

Dr. Lindy Tolleson received her Doctor of Chiropractic, as well as a BS in Human Biology, at the Logan College of Chiropractic in Chesterfield, Missouri. She has been practicing for six years, has a focus on alternative therapies and is certified in acupuncture. Previously she graduated from the Austin School of Massage Therapy and was a practicing massage therapist in Texas.

3682 N. Wickham Rd., Melbourne, FL 32935 321.253.3273 • mymelbournechiropractor.com

Rohit Parihar, M.D.

Board Certified Ophthalmologist

Dr. Parihar earned his medical degree at Saint Louis University School of Medicine where he went on to complete an ophthalmology residency after an internship at Saint John’s Mercy Medical Center in Saint Louis, Missouri. His focus is General Ophthalmology and Cataract Surgery. Dr. Parihar is accepting patients in Florida Eye Associates’ Melbourne and Palm Bay locations.

502 E New Haven Ave., Melbourne, FL 32901 161 Malabar Road, Palm Bay, FL 32907 321.727.2020 • FloridaEyeAssociates.com

Marc Gray, D.C.

Doctor of Chiropractic

Dr. Gray has over 35 years of clinical experience. He was staff chiropractor at a convalescent home and worked in a hospital setting in the physical medicine and rehab dept., while also operating his own private practice.

He is known for his advanced techniques like the treatment for sacroiliac joint dysfunction syndrome, head and neck pain, shoulder impingements and low back pain. Patients range from newborns to age 90+.

130 Interlachen Road, Suite D, Melbourne, FL 32940 321.622.6778 • suntreechiropractic.com

26 | VIERA MD MAGAZINE

HERE’S THE DISH Skinny Green Bean Casserole INGREDIENTS •

• • •

1 14-oz bag of frozen whole green beans (or about 4 cups fresh) 1 8-oz pkg mushrooms, thinly sliced (about 1 cup) 1 medium onion, finely chopped 1 tsp garlic, chopped

Cranberry Crumble Bars INGREDIENTS For the Base and Topping • • •

•

1 cup quick cooking oats 1/2 cup whole wheat pastry flour (or all purpose flour) 1/3 cup packed brown sugar (or sugar free version use Ideal™ brown sugar)¹ 1/4 cup butter, softened

For Sauce • • • • •

1 cup plain low-fat Greek yogurt (or low fat sour cream) 1 tsp corn starch 1 tsp salt 1/2 tsp pepper 1 pkt stevia (or 1/2 tsp sweetener of choice)

For Filling • • • •

For Topping • • •

1 pkg (12 oz) fresh cranberries 1 15-oz can Mandarin oranges 1/2 tbs sugar-free orange jello mix (dry mix) 1/4 cup baking stevia OR 1/2 cup sweetener of choice that measures like sugar² 1

Ideal is a brand of sweetener that is new and is made with 99% allnatural sugar alternatives for less calories than normal sugar, and 0 grams of sugar

1 tbs minced dried onion 1/2 cup grated Parmesan cheese 1/2 cup panko bread crumbs*

2

I used NuNaturals More Fiber Stevia Baking Blend. If using packets of stevia, I recommend using about 6-8, or adjust according to taste

*Or gluten free bread crumbs if gluten intolerant

METHOD

METHOD

The estimated total time to make this recipe is 40-45 minutes.

The estimated total time to make this recipe is 45-50 minutes.

1

1

2

2

3 4

3

Preheat oven to 350 degrees. Spray a large baking dish with cooking spray, and set aside. Meanwhile, spray a large skillet with cooking spray. Saute the onions, garlic, and mushrooms in 1/2 cup water, stirring occasionally until the water is completely evaporated. Remove onions and mushrooms from pan and place in a medium bowl.

If using frozen green beans, thaw the green beans in the microwave for 5-10 min, or until thawed. (If using fresh, steam green beans, snip off the ends, and place beans in a large pot of boiling water for about 5 minutes, or until tender, and drain). Add green beans to the bowl with the mushrooms and onions. Let cool to room temp before adding sauce mixture.

In a small bowl, mix ingredients together to make the sauce.

Add sauce to the green beans, and toss until everything is well coated in the sauce. Add everything to prepared baking dish.

Mix topping in a small bowl, and sprinkle evenly over the top. Bake (uncovered) 35-40 min or until topping is golden brown. Serve warm.

Preheat oven to 350 degrees. Spray a 9×9 inch baking dish with non-stick cooking spray. In a small bowl, combine the flour, oats, and brown sugar. Stir in butter until butter and flour/ oats are combined. Set aside 2/3 cup of the mixture for the topping. To form the bottom crust, press the remainder of the mixture into prepared baking dish.

Meanwhile, to make the filling, combine the cranberries, mandarin oranges, jello mix, and sweetener in a medium saucepan. Cook and stir over medium high heat for 20-25 minutes, or until berries have popped, and mixture is beginning to thicken.

Pour filling over crust, and sprinkle remainder of the oat mixture over the top of the cranberry filling. Bake for 35 minutes, turn oven off, and allow bars to sit in the oven for an additional 15 minutes, (this allows cranberry filling to set).

4

Remove bars from the oven and allow to cool the rest of the way. Cut bars into 9 even squares. Enjoy!

MEET THE CHEF, KATIE FARRELL OF DASHING DISH Katie Farrell is a registered nurse from the state of Michigan. She is the founder of Dashing Dish, a website dedicated to recipes that are healthy alternatives to the food you crave! Over the years, Katie has combined her love for cooking with her science-based health knowledge to formulate a balance of healthy eating with delicious comfort foods. She has a passion for teaching people how to make nutritious food choices and prepare healthy meals without giving up any of their favorite foods!

CanCer’s Answer FOR BREAST CANCER