HEART THE
OFJACKSONVILLE ISSUE 9 | 2021
The Movement Towards Non-Invasive Technology How FCCI is Creating Non-Surgical Option to Dialysis Access Creation
IN THIS ISSUE: Busting Myths Around the COVID-19 Vaccine Good Health News (When Everything Seems Bad) A PUBLICATION OF
Testing 101: What You Need to Know About Cardiovascular Testing
The FCCI Family Welcomes You to Issue 9 of Our Magazine!
ISSUE 9 2021
TABLE OF
CONTENTS FEATURES: 4
Letter From The President
19
Patient Testimonials: What Our Patients Are Saying
28
Social Media Recap: Team Pictures
31
Word Search
Back Cover Screening Packages
24 Spotlight on FCCI Amputation Prevention Center
SERVICE LINES: 5 12 13 16 18 20 24
FCCI Now Offers Non-Surgical Option to AVF The Latest Clinical Research at FCCI Cardiology Fellowship Program Testing 101: What You Need to Know About Cardiovascular Testing Some Good News on Health Schedule Your Free Vein Screening Spotlight on FCCI’s Amputation Prevention Center
HEALTHY LIVING: 6 Busting Myths Around the COVID-19 Vaccine 8 Healthy Avocado Recipes 11 How Food Affects Your Mood 22 Recipes: Eating Healthy on a Budget 26 Recipes: Heart Healthy Choice: Cinnamon
PROVIDERS’ SPOTLIGHT: 7 10 14 21 23 27 30
Fast Facts: What You Didn’t Know About PAD - Dr. Ahmad Younes Behind the White Coat: Dr. Yuhning Linda Hu Advanced Provider Spotlight Behind the White Coat: Dr. Mubbasher Syed Fast Facts: Healthy Habits Go a Long Way - Dr. Firas El-Sabbagh Fast Facts: The Secret of Cotton Socks - Dr. David Swain Doc Favorites: Q&A
SERVICE LINE
PHYSICIAN’S SPOTLIGHT
Letter from the Dr. Yazan Khatib
PRESIDENT
2021 — Service When I think of 2021 thus far, one word comes to mind: service. Our team is always on the lookout for how to serve our patients more compassionately and effectively. This year has brought the opening of new office locations to increase patient convenience. We are proud to be serving Waycross in South Georgia with a new office location there. Our endovascular services, which you can read about on page 24, has brought a unique service line to the area and allowed us to serve many patients in the comforts of their community. These patients previously had to travel over an hour for such services.
FCCI NOW OFFERS non-surgical options for catheter-free hemodialysis access and maintenance Drs. Yazan Khatib, Youssef Al-Saghir and Ahmad Younes created another FCCI first by being the first interventional cardiologists in Florida and second in the nation to perform the percutaneous arteriovenous fistula (AVF) procedure utilizing the WavelinQ EndoAVF device.
We are also proud to have added two new physicians who epitomize the word service: Drs. Yuhning Linda Hu and Mubbasher Syed. You can hear Dr. Syed’s story on page 21, where he talks about how a single night call during residency shaped the trajectory for his entire career. Of course, service is nothing without innovation to back it up. My colleagues, Drs. Youssef Al-Saghir and Ahmad Younes, and I were proud to be the first interventional cardiologists in the state and second in the country to perform the percutaneous arteriovenous fistula (AVF) procedure utilizing the WavelinQ EndoAVF device. This device allows our doctors to create AVF access without complicated open surgery on dialysis patients. This means no wounds, no sutures, minimal scarring if any, and most importantly, no catheters. You can read more about this procedure on page 5. According to data from the US Census Bureau, Jacksonville is one of the top 25 fastest growing cities in the United States. As Northeast Florida continues to grow, we are honored to care for each resident that seeks our help during their time of need. Thank you for your trust in us. Enjoy Issue 9 of “The Heart of Jacksonville!” Sincerely, Dr. Yazan Khatib President of First Coast Cardiovascular Institute Interventional Cardiologist & Endovascular Specialist Former Board President & Current Board Member of American Heart Association, First Coast Chapter
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Dr. Yazan Khatib The WavelinQ is a next generation device that enables our doctors to perform non-surgical AVF access, eliminating the need for complicated, open surgery on dialysis patients. During a fistula operation, two thin, flexible, magnetic catheters are inserted into an artery and vein in the arm through a small puncture. This technique gives the
Dr. Youssef Al-Saghir
Dr. Ahmad Younes
patient a chance to use their natural blood vessels, avoiding surgical scarring and minimizing arm disfigurement associated with open surgery. “It is an honor to bring this innovative technology to the area and provide patients with care they would otherwise not receive,” says Dr. Khatib. No wounds, no sutures, minimal scarring if any, and most importantly, no catheters.
In addition, we would like to thank Orange Park Medical Center’s Ultrasound, Day Surgery, Cath Lab, PACU departments for their amazing collaboration. Thanks to everyone’s efforts, patients who depend on dialysis access now have a non-surgical option to AVF.
Issue 9 2021 | THE HEART OF JACKSONVILLE
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HEALTHY LIVING
Busting Myths Around the
COVID-19 VACCINE The COVID-19 vaccine was created in less than a year. This expedited time frame for this vaccine has caused panic. In order to reduce stress, we have brought research from the top organizations to bust myths around the COVID-19 vaccines.
The COVID-19 vaccines are not safe. False.
COVID-19 vaccines are safe. According to the Centers for Disease Control and Prevention (CDC), there were many safety precautions taken before the authorization of the COVID-19 vaccines. These safety precautions include data review by a safety monitoring board and large clinical trials held around the United States.
There are benefits to an mRNA vaccine. True.
The benefits of an mRNA vaccine is shorter manufacturing times and a potential for targeting multiple diseases. According to the CDC, the development of mRNA vaccines is faster than traditional methods. This is because mRNA vaccines are developed by using a DNA template and materials already available in the laboratory. The CDC also states that in the future, mRNA vaccines may be able to target multiple diseases in one vaccination.
The COVID-19 vaccine changes your DNA. False.
According to the CDC, the mRNA strand never enters the cell’s nucleus (the nucleus is where your DNA is located), rather it enters the lymph nodes of the vaccination center.
mRNA vaccines have been studied for decades. True.
It is true that these are the first licensed mRNA vaccines in the United States, but according to the CDC, researchers have been studying mRNA vaccines for decades.
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FAST FACTS
PHYSICIAN’S SPOTLIGHT
What You Didn’t Know About PAD Peripheral arterial disease (PAD) is caused by the buildup of plaque in the vessels of the legs. Although you may not hear of PAD very often, the mortality rate for PAD is higher than most cancers. You can reduce your risk for PAD by ensuring your blood pressure and cholesterol are controlled and practicing an overall healthy diet.
— Dr. Ahmad Younes
Interventional Cardiologist and
Endovascular Specialist
Issue 9 2021 | THE HEART OF JACKSONVILLE
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RECIPES
Healthy Avocado Recipes Avocados are very nutritious foods packed with heart-healthy benefits. They are naturally rich in fiber, which contributes to weight loss, reduced blood sugar spikes, and metabolic health (Pereira et al., 2004).
Creamy Avocado Banana Smoothie
Tomato and Avocado Sandwiches
• 1 large frozen banana
• 1/2 medium ripe avocado, peeled and mashed
• ½ medium ripe avocado
The main macronutrient present are fats, which constitutes over two thirds of its total calories. Much of the fat in avocado is oleic acid, a monounsaturated fatty acid linked to reduced inflammation and regulation of genes that causes cancer (Menendez & Lupu, 2006).
• 1 large handful of greens (kale, spinach, etc.)
• 4 slices whole wheat bread, toasted
• 1 cup unsweetened almond milk or any non-dairy milk
• 2 tablespoons finely chopped shallot
Avocados are a good source of potassium as well. One medium avocado packs 20% of the recommended daily intake of potassium. A high potassium intake is linked to reduced blood pressure, which is a main risk factor for heart attack, stroke, and kidney failure (Aburto et al., 2013).
• 1 tbsp of seed of choice (flax, sunflower, chia, etc.)
Add frozen banana, avocado, greens, frozen berries, seeds, and almond milk to a high-speed blender.
Healthy Avocado Toast • 1 avocado, peeled and seeded • 2 tablespoons chopped cilantro • Juice of ½ lime
• ½ cup frozen berries
• Salt and pepper • 2 slices whole grain bread • 2 eggs poached
Toast 2 slices of whole grain bread in a toaster until crispy. In a bowl combine and mash avocado, cilantro, lime juice, salt, and pepper.
• 1 medium tomato, sliced • 1/4 cup hummus Spread the avocado over 2 slices of toast. Then, add the tomato and shallot. Spread the hummus over the remaining toast slices; then place on top of the avocado toast. Source: Taste of Home
Blend until creamy and smooth. If the smoothie is too thick, add more non-dairy milk. If it is too thin, add more frozen banana or avocado. Divide servings between glasses and enjoy! Source: Minimalist Baker
Spread half of the mixture on each slice of toasted bread. Top with poached egg. Source: Gimme Delicious
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Issue 9 2021 | THE HEART OF JACKSONVILLE
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HEALTHY LIVING
PHYSICIAN’S SPOTLIGHT
How Food Affects Your Behind the White Coat: Dr. Yuhning “Linda” Hu
Dr. Linda Hu has dedicated her life to the medical field. Prior to becoming an electrophysiologist, she volunteered in emergency departments, various clinics, and as an EMT. Her drive comes from the opportunity to utilize new technology to improve the quality of life of her patients. Dr. Hu’s exposure to electrophysiology began when she shadowed an electrophysiologist in high school. This exposure guided Dr. Hu to choose a career in electrophysiology as she learned that she enjoyed the pathophysiology of arrhythmias. Dr. Hu envisions a promising future for electrophysiology. She hopes for continued advancements in technology that will treat atrial and ventricular arrhythmias. She also envisions growth in the treatment and management of atrial fibrillation. Throughout her career, Dr. Hu has seen the struggles patients face with the healthcare system. Witnessing these struggles has impacted how Dr. Hu chooses to practice medicine. “For me, the most impactful interactions that constantly affect my approach to healthcare have been with patients who are not able to have some of the same access to resources as others in healthcare. The personal, societal aspects that we are not able to control in healthcare are the hardest and most impactful for me,” says Dr. Hu. As a woman in the field of electrophysiology, Dr. Hu empowers women and men to pursue their passions. “My hope is that anyone who is passionate about electrophysiology pursues their passion and gains more exposure to the field just as they would with any other pursuits in life,” she says.
10 THE HEART OF JACKSONVILLE | Issue 9 2021
MOOD How can what we choose to eat or drink put us in a good mood or even bad mood? According to Dartmouth Undergraduate Journal of Science, staying healthy is easy to do when you are happy; a happy life is a healthy life. On the other hand, healthy eating helps a person stay in a good and happy mood. Understanding the relationship between food and our mood and how they affect one another can help steer us towards healthy diet choices.
UNHEALTHY FOOD AND DEPRESSION According to the American Heart Association, research shows that eating food saturated with sugars and fats raises the possibility of stress and frustration. On the other hand, when we feel depressed and frustrated, we resort to eating more sugars and unhealthy foods. People become addicted to eating unhealthy foods because they depend on it for their happiness.
Can Food Help Put You In a Good Mood?
GOOD FOODS FOR GOOD MOODS There has been research done that has shown that these three food groups can positively impact your mood: Dark Chocolate: Besides being a good and delicious treat, dark chocolate plays a great role in improving our mood and reducing depression, according to the American Heart Association. It contains a high level of serotonin and precursors to serotonin that play a big role in improving happiness and well-being. Eating dark chocolate has many advantages, but it also raises the question of how much to eat and what the limit is, before it cancels the positive effects. According to the study in the Journal of the American Heart Association, there’s no recommended dose of dark chocolate, but the study participants ate 43 grams of dark chocolate per day.
Omega-3: Nuts, fatty fish, olive oil, fruits and vegetables are examples of foods rich in omega-3 fatty acids. These foods can reduce marks of inflammation and also can prevent depression and anxiety. According to Harvard Health, foods containing omega-3 fatty acids keep our bodies healthy physically and mentally. Plant-Based Whole Foods: Plant-based whole foods are centered on seeds, whole grains, fresh and frozen fruits and vegetables. According to the Food Revolution Network, plant-based whole foods can provide mood stability and healthy brain function. This is because these foods contain essential vitamins and minerals, that our body needs.
Issue 9 2021 | THE HEART OF JACKSONVILLE
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SERVICE LINE
SERVICE LINE
The Latest Clinical Research at First Coast Cardiovascular Institute (FCCI) One of the most important ways to advance medicine is clinical research. In 2007, FCCI established a clinical research department that has since enrolled nearly 3,000 patients. Housing research allows our patients to be the first to benefit from exciting new technology in the field.
Relieve-HF
FCCI is proud to be taking part in the following research studies:
TORUS-2
Omeza Omeza is a wound care study that treats venous leg ulcers and diabetic foot ulcers. The study uses a lidocaine lavage, collagen matrix, and skin protectant changed weekly to heal wounds. Miracle Miracle is a drug study for patients with heart failure and chronic kidney disease who are at risk for high potassium. The drug hopes to reduce oxidative stress, inflammation, and fibrosis. WAVE This stent graft is a flexible, self-expanding endoprosthesis used to treat hemodialyisis patients’ access points. This stent works by treating the stenosis or the occlusion that sometimes occur within the dialysis access outflow circuit. STAND A self-expanding stent that treats ischemia in the lower leg by increasing the diameter of vessels to improve blood flow to the lower limb. The MicroStent will be the first metallic stent clinically evaluated under an FDA approved investigational device exemption study. 12 THE HEART OF JACKSONVILLE | Issue 9 2021
This studies focuses on an implanted shunt device intended for treating patients with severe symptomatic heart failure. The shunt is designed to regulate left atrial pressure, provide symptom relief, decrease hospitalizations, and improve quality of life. TORUS-2 is a covered stent graft used to help treat blockages in the main artery of the thigh. The stent helps open blocked vessels to help blood to travel down the leg. Life-BTK The ESPRIT BTK stent is used to treat critical limb ischemia. The stent is drug-eluding and helps reduce the vessel from re-narrowing and reabsorbs into tissue over time. Anthem-HFrEF is a study evaluating the VITARIA device in patients with heart failure. The VITARIA device stimulates the vagus nerve which helps improve the symptoms of heart failure. Amplatzer PFO Amplatzer PFO is an FDA approved closure device used to close a patent foramen ovale (PFO), a small opening between the two upper chambers of the heart. The device helps prevent blood from flowing between the two upper chambers. Guide-HF CardioMEMs is a device that takes daily pressure readings that are sent directly to your doctor. Your doctor can then make treatment decisions based on these readings and manage heart failure more precisely.
First Coast Cardiovascular Institute Teams Up with Orange Park Medical Center For
CARDIOLOGY FELLOWSHIP PROGRAM First Coast Cardiovascular Institute (FCCI) is a proud partner of Orange Park Medical Center (OPMC) in creating a cardiology fellowship program that trains the future generation of cardiologists.
comprehensive cardiovascular and advanced cardiovascular services. I have really enjoyed watching them learn and grow over the past few years and I know they will go on to be great cardiologists.”
“Commitment to education The OPMC Cardiology is not new to the Institute. fellowship program was We are We have for over a decade established in 2018, and proudly participated in the training of just graduated its first class training nurses and nurse practitioners, of fully trained cardiology the next and technologists. It is very fellows; Drs. Areen Al-Taie and Waqas Siddiqui. Both of generation of heart-warming to see us make it full circle to now training the these physicians went on to cardiologists future cardiologists as well,” complete further training in that will be says Dr. Youssef Al-Saghir, interventional cardiology at the prestigious institutes of taking care of Co-Director of the fellowship program and cardiology division Thomas Jefferson University our families. chief at OPMC. Dr. Al-Saghir’s Hospital and Massachusetts leadership had paved the way University-Baystate. Drs. Alover the years for many major Taie and Siddiqui spent three advances to cardiovascular care in Clay years at OPMC and FCCI Fleming Island county. Our physicians work side-by-side and Jacksonville campuses learning the last innovations from our team of board-certified with the fellows in the hospital and clinics to spread this knowledge and expertise. cardiologists. Dr. Andrea DeNeen, cardiologist at FCCI and Program Director for the fellowship, talks about her experience with these two graduates, “These two fellows have had the opportunity to undergo training at a highvolume, high-acuity hospital that offers
“We are training the next generation of cardiologists that will be taking care of our families,” says Dr. Ibrahim Fahdi, Director of Cardiac Imaging, “we hope to inspire in the fellows the same passion and drive, that we here at FCCI strive towards every day.” Issue THE HEART HEART OF OF JACKSONVILLE JACKSONVILLE Issue 99 2021 2021 || THE
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ADVANCED PROVIDER SPOTLIGHT
We asked our advanced providers… Kathryn Prifti, APRN Don’t be afraid to take chances when it comes to your future. If you have good work ethic and determination, any career goal is possible. Even if you didn’t reach your exact goal, at least you learned a lot along the way and grew as a person.
Gina Luncan, APRN I would tell my younger self to stay focused, and listen to my father’s advice (he seems to always be right, about everything).
Alexandria Turnage, APRN I would tell my younger self to enjoy the small things in life.
What advice would you give your younger self? Ashley Jarrell, PA-C I would tell my younger self not to worry so much about the little things and to remember to take time for herself!
Liliana Torrealba, PA-C
I would tell my younger self to look for the good, even in bad situations.
Marjorie Matheny, APRN Believe in yourself and don’t let anything stop you from following through with your goals.
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Lucy Walling, APRN
Take a nap! And crocs are not overrated. Comfy feet matter!
Spend more time with my mother.
Cecilia Pitts, APRN Remember that the only person you can’t get away from at the end of the day is yourself. Mold yourself into the person you would be proud to stand next to at the end.
Don’t rush into commitment.
Sherita Bentley, APRN
Meagan LeMaster, PA-C
Donna Geiger, APRN Don’t be afraid to ask questions! If you don’t ask you will never know. I learn something new every day just because I ask!
Merdijana “Jana” Ahmetovic, APRN
Brenda Murphy, APRN
Smile more, worry less. Positivity is infectious, and happiness is a choice.
Don’t let anyone ever tell you your dreams are out of reach. Only you know your full potential.
Erin Voss, PA-C I would tell my younger self to not rush anything in life.
Issue 9 2021 | THE HEART OF JACKSONVILLE
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SERVICE LINE
Testing 101: What You Need to Know About Cardiovascular Testing
Echocardiogram Often known as an echo, this test provides a graphic outline of the heart’s movement to evaluate the pumping action of the heart and blood flow across the heart’s valves. This test is used to detect the overall function of the heart and determine the presence of many types of heart diseases such as valve disease, myocardial disease, pericardial disease and congenital heart disease.
Nuclear Stress Test This test may also be referred to as Myocardial Perfusion Imaging. This imaging tests your heart under two conditions: under rest and under stress. Your body is put under a state of stress through treadmill exercise or a medication that creates this effect. This tracer is detected by areas of the heart muscle receiving normal blood flow. Areas which have blocked blood vessels show a decreased uptake or absence of tracers. From this, your provider is able to identify coronary
16 THE HEART OF JACKSONVILLE | Issue 9 2021
artery disease, determine your risk of future heart attacks, and the severity of past heart attacks.
Treadmill Stress Test Sometimes, abnormalities of the heart can come out during exercise or other “stress” conditions. The treadmill stress test involves hooking the patient up to an EKG machine as they perform exercise on a treadmill. From this, our providers can detect ischemic heart disease and draw up an idea of the physical condition of the patient.
Renal Arterial Duplex This type of test is an ultrasound that detects renal artery disease by measuring blood flow through the arteries. Left untreated, renal artery disease can result in hypertension or kidney failure. This test plays a pivotal role in ensuring this is detected earlier.
1/2
Nearly half of Americans have hypertension, according to the American Heart Association.
Abdominal Aortic Duplex
This ultrasound test is used to evaluate symptoms of thrombosis. Thrombosis is clot formation that occurs in the deep veins in the lower legs. If not detected early, thrombosis can advance and cause a fatal pulmonary embolism.
This ultrasound test exams the aorta, the largest artery in the human body, responsible for distributing oxygenated blood to the body, as well as other arteries that deliver blood to the major organs. An aneurysm occurs when there is an enlarged segment of an artery. If left untreated, this can negatively effect blood flow or cause death.
.
900 000
Deep vein thrombosis (DVT) is a common vascular disorder that may occur in over 900,000 cases in the U.S. each year.
Deep vein thrombosis (DVT) can cause a fatal pulmonary embolism if the bloodclot breaks loose and lodges itself in the lung, according to the Centers for Disease Control & Prevention (CDC).
17000
After your visit with your cardiologist, your doctor may order a test for you. There are many different forms of testing and each are requested for different reasons. Here, we break down the key types of testing and what each one means:
Venous Duplex
Ruptured aortic aneurysm contributes to 17,000 deaths annually, according to the CDC.
Carotid Artery Duplex A carotid artery duplex involves measuring blood pressure in both arms as well as scanning the carotid, vertebral and subclavian arteries. The purpose of this test is to identify carotid artery disease, one of the most common causes of stroke.
40SECS
Every 40 seconds, someone has a stroke in the United States, according to the CDC.
Issue 9 2021 | THE HEART OF JACKSONVILLE
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PATIENT TESTIMONIALS
SERVICE LINE
Here are some recent health trends from Harvard Health to give us some goods news, when everything seems bad:
Death related to Alzheimer’s disease fell 1.6% from the previous years.
Cigarette smoking also faced a decrease. According to the CDC, in 2017, 14% of US adults were smokers, an all-time low since such statistics have been collected. This represents a steady drop from 2006 when nearly 1 in 5 of people were smokers. Rates of smoking-related illness, including several of the top 10 causes of death like chronic lung disease, lung cancer, and cardiovascular disease has been decreasing rapidly.
Cholesterol levels across the US population have been stabilizing. About 18% of Americans had high cholesterol during 1999. As of 2018, only 10.5% of Americans had high (“bad”) cholesterol levels. Meanwhile, about 22% of the population had low (“good”) cholesterol; that number fell to 16% in 2018.
3% increase in heart transplants was seen despite the pandemic. According to the United Network for Organ Sharing (UNOS), which manages the nation’s organ transplant system, 2020 was a record-breaking year due to the increase of more than 12,500 donors in 2020.
The State of Florida ranked among the top 10 states in health care. Six metrics contributed to the rankings: child wellness visits, health insurance enrollment, adult wellness visits, adult dental visits, child dental visits, and health care affordability. According to U.S. News, Florida is one of the states that shines in health care.
ONLINE TESTIMONIALS Patient reviews are the heart of our practice. Nothing is more heart-warming than seeing we made the experience of visiting a doctor’s office just a little bit easier.
I am extremely thankful for the understanding and compassion I received at my recent visit. I have had quite a journey on a new diagnosis and it’s frustrating feeling disregarded or rushed through your visit without a complete understanding. This office and staff really made me feel like I matter and that my health matters.” ~ Healthgrades review Everyone was so kind and considerate. They took their time to listen and the appointment was prompt and efficient. I would certainly recommend.” ~ Google review They took good care of me and all of the staff makes you feel welcomed.” ~ Google review
This group of doctors is amazing and truly works from the heart, for the heart and so much more! I am forever grateful.” ~ Healthgrades review The doctor and staff are fantastic! They always take great care of me!” ~ Google review Best staff and doctors in Jacksonville!” ~ Facebook review
The staff was friendly and the nursing staff was so courteous. The doctor was very knowledgeable and discussed all the tests and reasons for doing other tests.” ~ Healthgrades review This doctor’s group and the whole office is so nice that I have my husband coming here and just referred my sister-in-law. Every time I have been here, everyone is nice.” ~ Google review
Up to their usual high standards. We have always appreciated their concerns about our health but also about life in general.” ~ Healthgrades review
The sweetest staff and the most caring and knowledgeable cardiologist I’ve ever been to! Two thumbs up!” ~ Google review I have a good experience every time I have an appointment here. The staff is very professional! The waiting area and exam rooms are very clean and sanitized. If you have to pay an additional fee, they call you ahead of time to let you know, no surprises! I would recommend First Coast Cardiovascular Institute to my family or anyone!” ~ Google review
These reviews have been edited for spelling and grammar.
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Issue 9 2021 | THE HEART OF JACKSONVILLE
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PHYSICIAN’S SPOTLIGHT
Schedule your FREE vein screening.
Venous screening is a test that takes about 20 minutes to determine your risk level for venous disease. The test involves taking an ultrasound scan of the leg to assess vein function and identify vein blockages that could lead to chronic venous insufficiency (CVI). Call us at 904.493.3333 to schedule your free vein screening.* *THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT 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, OR TREATMENT. 20 THE HEART OF JACKSONVILLE | Issue 9 2021
Behind the White Coat: Dr. Mubbasher Syed Interventional Cardiologist Throughout Dr. Syed’s childhood, his mother instilled the belief that a human’s worth is best measured by their ability to help those around him. In honor of this belief and his love and adoration for his mother, Dr. Syed chose to work in the medical field. As Dr. Syed advanced his education in cardiology, his residency at Fairview Hospital in Cleveland, Ohio inspired his career as an interventional cardiologist. On a night call as a new intern, Dr. Syed witnessed an interventional cardiologist wire and balloon a completely occluded left anterior descending artery. Dr. Syed was mesmerized as he watched the interventionist perform this procedure, “I could not fathom a more potent and elegant way of being helpful to my patients. The immediate and tangible sense of reward was nothing like I had seen in any other subspecialty. I knew in that moment that I had found my calling and have never looked back,” recalls Dr. Syed. Dr. Syed is a huge advocate for prevention. He believes prevention is the best management for any ailment. As a practicing physician at FCCI, he hopes to help our patients with lifestyle changes, counseling, screening, and medication management, to effectively preempt an emergency room visit. Along with preventative healthcare, Dr. Syed is also passionate about innovation in endovascular procedures. He states, “We owe it to the pioneers of this field and to our patients, to continually evolve, innovate, and simplify minimally invasive therapeutic options,” says Dr. Syed. The biggest inspiration in Dr. Syed’s life is his four year-old daughter, Sakeena. Sakeena has inspired her dad to be a better human and role model, “Sakeena lives up to her name, which means peace and tranquility. Like all daughters, she is the purest and most affectionate of blessings a man can have. She inspires me to reimage myself in a manner I never would have thought possible before her,” says Dr. Syed. Issue 9 2021 | THE HEART OF JACKSONVILLE
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RECIPES
Eating Healthy on a Budget It seems like most people are always looking for a way to eat healthier. But it can be difficult to achieve a healthy diet when you’re constantly on the go with work, school, and family obligations. But eating healthier doesn’t have to be a heavy burden on you — or your wallet! We’ve rounded up a few simple meal ideas to help you achieve your nutrition goals.
Breakfast:
Overnight Oats
236 calories, 6g protein, 34.5g carbs
Lunch:
Avocado, Turkey and Hummus Wrap
INGREDIENTS
340 calories, 21g protein, 32g carbs
• 1/4 cup quick oats
INGREDIENTS
• 1/2 cup unsweetened almond milk
• 2 oz deli turkey meat
• 1/4 banana, sliced
• 1/3 avocado, sliced
• 1/2 tbsp chia seeds
• 1 tomato, sliced
• 1/2 cup blueberries
• 2 tbsp hummus
• 1 tsp vanilla extract
• 1 tortilla wrap
• Dash of cinnamon
INSTRUCTIONS
INSTRUCTIONS
• Spread hummus on tortilla wrap.
• Mix all ingredients together in a bowl, cover, and refrigerate overnight.
• Add turkey, tomato, and avocado.
• The next morning, add your favorite toppings (nuts, granola, etc.) and enjoy!
• Roll tortilla wrap and enjoy! Source: A Sweet Pea Chef
FAST FACTS Healthy Habits Go A Long Way
Source: Skinny Taste
A patient with atrial
Dinner:
fibrillation is 5 times more
165 calories, 9g protein
Maintaining a healthy diet,
likely to suffer from a stroke.
Bell Pepper Pizzas INGREDIENTS
INSTRUCTIONS
exercise, and avoiding smoking
• 1 bell pepper, large
• Preheat the oven to 350 degrees F.
• 1/4 cup pizza sauce
• Cut pepper into quarters and lay flat on a baking sheet.
can all help reduce your chances
• 1/4 cup cheese, grated • Dash of basil or parsley • Your favorite pizza toppings!
• Top with sauce, cheese, and your favorite pizza toppings. • Bake for 10 minutes. • Top with basil or parsley and dig in! Source: Peas and Crayons
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PHYSICIAN’S SPOTLIGHT
of complications associated with atrial fibrillation.
— Dr. Firas El-Sabbagh
Advanced Clinical Electrophysiologist
Source: American Heart Association
Issue 9 2021 | THE HEART OF JACKSONVILLE
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SERVICE LINE
SPOTLIGHT ON
First Coast Cardiovascular Institute Amputation Prevention Center We proudly cooperate with the leading wound care centers and doctors in town.
There are many perceptions that amputation is inevitable if a patient has bad kidneys, diabetes, or a non-healing wound. Our amputation prevention center fights these stereotypes everyday by offering hope to patients with these conditions.
Many of our patients come to us, believing that amputation is their only option.
Our amputation prevention center is the first of its kind and patients come from across the country to seek out First Coast Cardiovascular Institute for our endovascular services. Endovascular medicine is a relatively new branch of medicine, treating problems that affect the blood vessels in your body. FCCI is a pioneer in endovascular medicine and has paved the way for amputation prevention.
“Two doctors said I was going to lose my leg. I didn’t have blood going into either leg and I couldn’t walk. My foot was black and purple and my toes were split open. I was in California at the time and I had been going to this doctor for three years. He finally told me, ‘No more.’ He said he was going to cut off my leg next time.
With the endovascular approach our physicians:
• Avoid open surgeries • Prevent amputations in an outpatient setting • Produce only a small incision in the wrist or groin The endovascular approach has many benefits for our patients. First off, this approach allows our patients a faster recovery time. Our patients recover faster because they avoid open surgery and only have a small incision. This approach is also cost-effective for our patients. Most endovascular procedures are done in our outpatient catheterization lab. Without the cost of running a hospital, our fully accredited lab offers the highest quality of patient care at a lower cost.
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Doreen Untinen was one of those patients...
My sister told me to come down from California to Florida to see a foot doctor. The foot doctor told me I was going to lose my leg, and the only person he knew that could save it was Dr. Khatib. After several procedures, Dr. Khatib saved both of my legs. He really stuck with me until he got my legs up and working again. I still cry when I think about how awful my legs and feet were until Dr. Khatib fixed them. Now I feel great, Dr. Khatib and his staff have kept on top of everything and have made my whole life wonderful.” Our amputation prevention center, our providers, and our team, have made stories like this possible. Stories like this inspire our team to seek the most advanced technology, care for patients with the utmost compassion and continue to serve our community with an open heart.
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RECIPES
A Heart-Healthy Choice:
Cinnamon
Cinnamon often has a bad reputation since it is usually accompanied with sugary desserts. However, cinnamon is one of the most potent antioxidant sources on the planet. Cinnamon is incredibly beneficial to your overall health and is especially great for those with high blood sugar. Replacing salt with cinnamon can spice up your meals and provide countless health benefits. Cinnamon will not directly lower your cholesterol levels, but it can help the body metabolize cholesterol. Cinnamon is particularly beneficial for diabetic patients. Cinnamon can stabilize blood sugar in the body and it can also improve the body’s sensitivity to insulin. According to Johns Hopkins Medicine, cinnamon adds a sweet taste to food without adding sugar. Studies have also shown that cinnamon can lower blood sugar levels in people with type 2 diabetes.
• Sprinkle about a teaspoon of cinnamon on your yogurt or cereal. • Use it in your rice. • Sauté your vegetables with a teaspoon of cinnamon. • Add to apple cider for a warm feeling. • Combine some cinnamon with your favorite curry recipe.
The Secret of Cotton Socks
If you are interested in adding cinnamon to your meals, it is best not to overdo it. Here are some easy tips to incorporate cinnamon into your next meal:
Cinnamon Chicken Curry • 250 grams chicken
• Marinate the chicken with 2 tablespoons of yogurt, salt, and ground cinnamon. Keep it in the fridge for at least 30 minutes.
FOR THE MARINADE • 2 tablespoons ground cinnamon • 2 tablespoons plain yogurt • 1 pinch of salt
• Heat oil in pan and tip in the onions. Sprinkle some salt. Sauté the onions till they appear a bit translucent and then add the garlic and stir.
INGREDIENTS:
FOR THE CURRY • 5 tablespoons vegetable oil (or butter) • 1 large onion (chopped in half-moons) • 4 cloves garlic (finely chopped) • 1 teaspoon ginger paste • 1 teaspoon red chili powder • 100 milliliters milk • 2 tablespoons ground almonds • ½ teaspoon cinnamon • 1 tablespoon cream (optional) • 1 pinch of salt and sugar (to taste)
FAST FACTS
• Now add the marinated chicken in the pan. Stir it well and cover. Leave it over a gentle heat for 2 minutes so that the chicken softens. The chicken will release some moisture at this stage. • Now add the ginger paste, cinnamon and stir well for a few minutes. • Next add the Kashmiri red chili powder, ground almond, and milk. • Let it simmer on low heat until the curry gains a creamy consistency. Add salt and a bit of sugar. Finish off with a dash of fresh cream and enjoy! Source: Nigella
Once a diabetic foot ulcer has healed, it is important to take steps to prevent it from recurring and prevent the development of a new ulcer. Paying attention to foot hygiene, washing your feet every day, and wearing clean socks make a big difference. Wear seamless cotton socks which allow good circulation and change your socks daily.
— Dr. David Swain
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PHYSICIAN’S SPOTLIGHT
Wound Care Specialist Issue 9 2021 | THE HEART OF JACKSONVILLE
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SOCIAL MEDIA RECAP
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WORD SEARCH
PHYSICIAN’S DOCTOR FAVORITES SPOTLIGHT
WORD SEARCH I N N O V A T I O N V B F Q Q G L T K N I Q O P E N D O V A S C U L A R K X L T S V F R G J W A V E L I N Q I B M G O B C M E P M T C I N N A M O N K G K M H I I N C Y U T K E G G N Y V K A C C S P N
Doctor Insight
Q
Do you have a hidden talent? Dr. Swain – I can play a lot of different instruments. Dr. Hu – I collect banana stickers! It’s amazing how many different regions bananas may be from. Dr. Khatib – My hidden talent is my great cooking skills. I love to cook new cuisines and try new spices at home! Dr. DeNeen – When I was younger, I was a really great soccer player and I still play now with my kids.
Q
What did you believe as a child that you think is funny now? Dr. Swain – Swallowing watermelon seeds will make a watermelon grow in your stomach. Dr. Hu – I used to get told that if I ate the seeds of fruits, that particular fruit tree would grow inside me. It was traumatizing to hear that as a child! Dr. Khatib – As a child, I believed that if I ate a lot of tomatoes, my skin would turn red.
Y O V Z O Y E C M E N Z A Q N R A Z M T W Q M P J S E H L M O C I J V P V V J E Dr. DeNeen – As a child, I believed that I could jump on clouds.
Q
Which is the best myth to cure hiccups? Dr. Swain – Sucking on a lemon....it does not work! Dr. Hu – Pulling one’s tongue, it is hard to do. Dr. Khatib – Jump scaring the person that has hiccups. This distracts their mind from the hiccups. Dr. DeNeen – A teaspoon of vinegar, it is so sour that your mind focuses on the sour taste of the vinegar rather than your hiccups!
Q
What language do you wish you could speak? Dr. Swain – I wish that my Spanish was better. I have been practicing for many years. Still have a long way to go before I am fluent. Dr. Hu – I would like to learn Spanish so I can communicate effectively with more patients.
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Dr. Khatib – I am grateful that I can speak Arabic, French, and English. But I would also like to learn Italian. It is a very beautiful language, and I could communicate with even more people. Dr. DeNeen – Norwegian culture has always caught my attention. The most important values in Norwegian culture is tolerance and patience. As a doctor, I stick to these values and as a result I wish I could speak their language.
Q
What habit do you have now that you wish you started much earlier? Dr. Swain – Eating less sugar. Eliminating most sugar from my diet makes me feel great. Dr. Hu – Procrastination has always been a bad habit. Dr. Khatib – I wish I taught myself the importance of sleep and relaxation. Dr. DeNeen – I wish I taught myself the importance of traveling and experiencing new cultures.
F T O R J V Z O W W N L F Y B Y O T M R B J M E D L U C C R S P I F A L C O Y V W G X V G F J A Z T U P I R M N A Y V E O C A E U P N R G U R Z S N Q H D A L N D M Z N E S Z D Z Y G N I E W C O H X T O R I T C M S I B G I B N A R L L X X I Q Q A I H Y Y O E T C E M J B V U J S O O G B O G V M G J W A U G Z K R I D Y N L V J N O X A R V M L R U D B L Z C Y A D J N L G U C A W B H U B H I E Q K E L N Z O K C W B M X U V C H K G M Q B N I O V E T T Y D A F K J V A C C I N E Z S G K C H F G K S K J A U L X T V Z Z G T INTERVENTIONALIST
ECHOCARDIOGRAM
ENDOVASCULAR
NON-SURGICAL
CINNAMON
INNOVATION
WAVELINQ
PREVENTION
SERVICE
VACCINE
AVOCADO
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GET SCREENED
Without the Hassle of Insurance This $89.99 Package Includes: Ankle-Brachial Index (ABI) Test This test can detect a blockage in the leg (peripheral arterial disease)
Carotid Artery Screening: An ultrasound test that measures blood flow to detect a carotid blockage (stroke)
Aorta Screening: An ultrasound test to assess your risk for abdominal aortic aneurysm (AAA)
Call us at 904.493.3333 to schedule your screening. THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT 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, OR TREATMENT.
