inspired Tampa Bay the health and wellness magazine of Florida Hospital
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Breast CanCer
Myths Busted! Heartburn or Heart attack? know the difference
the secret to
controlling Hunger
+
join the
pink army
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“When you have the choice BetWeen Being right and Being kind, just choose kind.”
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In ThIs Issue fall 2015 4-5 8-9 6
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LocaL update Find out about all the new developments at your local Florida Hospital.
heart attack or heartBurn? It can be hard to tell the difference, so get it checked!
6 Breast cancer Myths Busted Myths about the disease abound. Here’s the real deal.
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pack heaLthy! Follow these 5 tips to make lunch a nutritious success for your family.
ignore 10 don’t your core Learn 3 key facts for maintaining fitness.
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protein, expLained A Florida Hospital expert fields key questions.
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fLorida hospitaL (844) 504-9378 | Fall 2015
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Cherese Timmons weighed almost 300 pounds before her surgery. Now she has lost 140 pounds and no longer has any weight-related health problems.
Weight-loss
success Surgery helpS a new grandma drop 140 poundS— and feel better too.
For Cherese Timmons, inspiraTion Came
from the birth of her frst granddaughter. Timmons, 38, of Tampa, already knew her weight was an issue. nearly 300 pounds, she had weight-related health problems such as sleep apnea, high blood pressure, acid refux and pre-diabetes. “i was scared about that, and i wanted to be around for my granddaughter,” she says. it was time for Alfredo Fernandez, M.D. weight-loss surgery. Timmons, who works at Florida hospital Carrollwood ensuring clinical equipment is properly sterilized, attended a seminar on bariatric surgery given by alfredo Fernandez, m.D., medical Director of the metabolic and Bariatric surgery program at the hospital. “i work here, so i knew i was in safe hands,” she says. “i had no fears about it.” Timmons had roux-en-Y gastric bypass surgery, in which a small pouch was constructed at the top of her stomach, and that was connected to her lower intestine to bypass much of her digestive tract which helps her to eat less and absorb fewer calories. The surgery was done laparoscopically in about one hour, and she was able to go home the next day. “she’s done not just well, but spectacularly,” Dr. Fernandez says. she has lost 140 pounds since her surgery in may 2013, and her body mass index has dropped from 53—morbidly
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obese—to 29. she no longer has any of the health problems that worried her before the surgery. surgery is only one part of her journey, however. proper nutrition and regular exercise are also required for successful weight loss. “i eat according to the plan i created with my nutritionist,” Timmons says. “i found that things i thought i couldn’t live without, like soda and sweets, i live without just fne now. and foods i didn’t like before, i now explore. i like spinach; it’s my new go-to vegetable.” she also walks and takes Zumba classes. and she credits her husband rudolph and three children with providing emotional support. But most of the credit goes to her granddaughter, Camryn, now 2 years old. “i have more energy to play with her,” she says. “i am so happy.”
Want to learn more? Visit mymetaTeam.com or call (813) 816-2209 (English) or (813) 816-2213 (sPanish). Join us for one of our weight-loss surgery seminars at Florida hospital Carrollwood on nov. 17, Dec. 15 or Jan. 26, 2016 at 6:15 p.m. Call (813) 558-9288 or go to mymetaTeam.com to r.s.V.p.
fall 2015 | inSpiredtampabay.com
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A better view for
spine surgeons New techNology produces clearer images with less radiatioN There is no more delicaTe
To learn more about the spine surgery Program at Florida hospital, please call (813) 816-2216 or visit TampaSpineexperts.com.
operation than spine surgery. neurosurgeons who operate on the tiny, delicate nerves and tissues that make up the spinal column need to execute these procedures with pinpoint accuracy, and they depend on the most advanced technology available to help them do their job safely and successfully. That’s why Florida hospital carrollwood recently invested in a new imaging system called the o-arm for its spine surgery Program. The name describes its look—it’s a large o-shaped ring that encircles the patient and takes real-time images of the patient’s anatomy during the operation. it can produce images in both two and three dimensions and is integrated with its partner technology, the stealthstation surgical navigation system, to give surgeons better visualization of the surgical site during the operation. This allows the surgeon to make smaller incisions, place spinal
hardware such as pins, screws and rods more precisely, perform the operation more quickly and confrm the accuracy of advanced surgical procedures before the patient leaves the operating room. For the patient, that often means a shorter operation, a faster recovery, less pain and a reduced hospital stay. The o-arm also improves care in other ways. it produces high-quality images with very low X-ray doses, nearly eliminating the dangers of radiation for both the patient and surgical staff during procedures. James Billys, m.d., one of Florida hospital carrollwood's well-known spine surgeons, was a leading proponent of implementing the technology. o-arm technology is an exciting addition to the hospital’s spine surgery program, and another technological advancement that Florida hospital carrollwood is bringing to care for the community it serves.
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breast cancer myths, busted Misconceptions abound—Here’s tHe real deal the se days it seems you almost
need a medical degree to separate fact from fction when it comes to protecting yourself against breast cancer. From controversies over mammograms to questions about reducing one’s risk of the disease, it’s easy to be perplexed. but the truth isn’t really so elusive. here are six misleading statements you may have heard about breast cancer—corrected.
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“No one in my family had breast cancer, so I won't get it.”
“that’s a common mistake,” says charles cox, m.d., a Florida hospital surgical oncologist, one of the national pioneers of a breast cancer diagnostic technique called sentinel node biopsy. dr. cox also performs genetic research on the disease and trains physicians in china.
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“There is so much press about the genetic risks of breast cancer that women fgure it is always genetically inherited.” Not so. More than 85 percent of women diagnosed with breast cancer have no family history of the disease, according to the American Cancer Society. But it’s having a frst-degree relative (mother, sister or daughter) with breast cancer that doubles your risk and having two frst-degree relatives increases your risk threefold.
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“A mammogram can actually cause breast cancer.”
False! When a mammogram is taken, the amount of radiation a woman receives is much too small to cause a malignancy. In fact, it’s less than the amount you’re exposed to on a cross-country fight. “The benefts signifcantly outweigh the risks,” Dr. Cox says. He suggests a baseline mammogram for most women between ages 35 and 40, then annual screenings from age 40 on. “I recommend that women with dense breasts or a history of benign cysts get 3-D mammography, which is available at Florida Hospital,” he adds. “Compared with conventional mammography, it provides almost a 45 percent improvement in cancer detection and a nearly 35 percent reduction in call-backs for more X-rays.”
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“A cancerous lump feels different from a benign lump.”
“That’s baloney,” Dr. Cox says. “It’s also a myth that if a lump is painful, it isn’t cancer.” It’s true that about 90 percent of cancerous masses are not painful, but some can cause pain, especially if they
grow beyond two centimeters. “There is no way for you to know if it is cancer until there is a biopsy,” he says. “Any lump needs to be evaluated carefully.”
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“Mammograms are the same wherever you go.”
Not so. “Some women go to different locations for their screenings, doctor visits and treatments, but they can’t be sure of quality and consistency,” says Vijay Ferris, M.D., a general surgeon with Florida Hospital. “Women should go to ACR-accredited breast centers like ours for higher-quality images and a more accurate diagnosis. We screen, perform biopsies, offer counseling—it’s a one-stop shop. Going to a dedicated breast center will give you better results.”
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“Breast cancer is preventable.”
There is no proven way for healthy women to prevent cancer, but you can reduce your risk. “The best thing to do is exercise,” Dr. Cox says. “A large study shows that walking just 30 minutes a day reduces the risk of breast cancer by 30 percent, and if you already had the disease your risk of recurrence is reduced by 70 percent.” He suggests sticking to a low-fat, high-fber diet to lower the risk of all types of cancer.
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“If I get breast cancer I will probably die from it.”
On the contrary, says Dr. Cox, “with early screening and detection, 90 percent of breast cancer patients survive.” So be sure to stay up-to-date with your mammograms and do your self exams, he advises.
Where to get your mAmmogrAm Call (855) 808-PINK (7465), to schedule a mammogram at one of these breast centers: Florida Hospital Carrollwood Imaging Center 7171 North Dale Mabry Hwy. Tampa, FL 33614 Florida Hospital North Pinellas Breast Center 1395 S. Pinellas Ave. Tarpon Springs, FL 34689 Florida Hospital Tampa Breast Care Center 3000 Medical Park Dr., Suite 100 Tampa, FL 33613 Florida Hospital Wesley Chapel Center for Women’s Health 2700 Healing Way, Suite 102 Wesley Chapel, FL 33544 Florida Hospital Zephyrhills The Simpson Breast Health Center 7050 Gall Blvd. Zephyrhills, FL 33541
Join the Pink Army
The Florida Hospital Pink Army was created to increase awareness about early detection of breast cancer. The second most common form of cancer found in women, breast cancer is a formidable enemy, but it can be beaten. Join women across Tampa Bay as they get screened and learn more about the lifesaving benefts of annual mammograms and early detection—all while having a great time! Find fun and informative breast cancer awareness events hosted in conjunction with Florida Hospital, and schedule your mammogram online when you visit JoinThePinkArmy.com or call (855) 808-PINK (7465). The most important part of the Pink Army is spreading a lifesaving message to those you love. florida hospital (844) 504-9378 | Fall 2015
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GrowinG to meet
your needs
New aNd reNovated space will give Florida Hospital carrollwood room to provide eNHaNced care already 50-something, Florida hospital
Carrollwood was showing some signs of age. so the hospital’s leaders committed $71 million to renovate current facilities and expand into new space, in order to better meet the needs of the growing community. “We have been serving the community for 54 years, but we recognized that we needed to upgrade and expand some of our facilities,” says Joe Johnson, president and Ceo. groundbreaking took place February 2015, and more than 60 percent of the facility is currently undergoing some form of construction or renovation. in total, the expansion will touch 116,866 square feet of space—comprising 55,245 square feet of new construction and 61,621 square feet of renovated space—and is expected to be completed by november 2017. the hospital will remain open and fully operational during construction. the impact on patients and staff will be minimal, Johnson says. “probably the biggest change people may notice is with parking,” he says. the backside of
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the hospital has been blocked off for construction crews and supplies, so the parking that was there has been moved to the front of the building. “We do have complimentary valet parking to make it as easy as possible,” he says. these small and temporary inconveniences will be well worth it. the project is focused on the surgical services area and it will feature: l 12 state-of-the art operating rooms. l a new surgical waiting room. l a pre-admission testing area. l new technology, including o-arm technology for spine surgery. “our dedication and commitment to growing our spine and orthopedic surgical program is really the genesis of the whole surgical renovation,” Johnson says. physicians and their staff are thrilled to have these new capabilities. “as a physician who has practiced in this community for many years, i am excited to see Florida hospital Carrollwood’s
continued growth and dedication to expanding our health care resources here in tampa Bay,” says ravi patel, m.d., Chief of surgery at Florida hospital Carrollwood. “our medical staff is proud to partner and practice with an organization that invests so signifcantly in our community.” along with surgery, the project will create two interventional radiology/ catheterization labs and two endoscopy rooms. it will also enhance the hospital’s infrastructure by expanding support services. this will allow the hospital’s new materials management department and Central sterile processing department to handle supplies more effciently, and it will update the hospital’s emergency power and energy sources. other enhancements include expanding the emergency department by adding more patient beds. “With more patients using the er, we want to give them an easy and convenient experience,” Johnson says. “We get people through really fast, and they like that. We want to keep that up while
fall 2015 | iNspiredtampabay.com
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adding more capacity.” The ER will have access to another new piece of equipment, a computed tomography (CT) scanner that Johnson says is “one of the fastest in the community. We are really excited about that.” The scanner will also be used by cardiac caregivers. “We have a really good group of cardiologists, and we are adding services to allow them to perform more complex procedures,” he says. For inpatient care, the expansion is adding 25 new private rooms. Family members and visitors will notice a prettier environment and a new, expanded coffee shop to make their time spent here more comfortable. “These are exciting times,” Johnson says. “We want to be a consistent provider of high-quality care in a safe environment for our patients and community.” To learn more about our renovation, visit FHCarrollwood.org.
Above: These renderings show what the expansion project at Florida Hospital Carrollwood will look like upon completion in 2017. Visitors will also be able to access the hospital from a new back entrance once construction is completed.
florida hospital (844) 504-9378 | Fall 2015
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Don’t ignore
your core
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top workouts
3 key facts for maintaining fitness YOUR BODY’S CORE PLAYS a crucial role in your health, strength and agility. But if you’re like most people, there are things you may not know:
1 The core is where all your movement comes from. Daily activities such as raking the yard, picking up a child, lifting groceries—any movements of the extremities—start there. “People think the core is just the abs and back muscles,” says Jonathan Phillips, M.D., Florida Hospital sports medicine physician. “They should think of it as the entire pelvic girdle: hamstrings, hip fexors, glutes, abdomen and back.”
2 A weak core could be causing your lower-back problems. If the muscles of your lower back, glutes and even hips are weak, you
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probably have poor posture. This puts stress on your spine and related muscles, tendons and ligaments. “Often back problems are from poor pelvic stabilization,” Dr. Phillips says. “The spine sits on the pelvis, and support comes from both the muscles and the skeleton.” Weak core muscles fail to support the spinal column properly, which puts stress on the nerves and leads to back pain.
3 Your regular workout is probably not working your core—unless it involves Pilates or a similar exercise. Running doesn’t adequately work the core; nor does lifting weights, cardio-based workouts, most sports activities or even crunches alone. “Many people just focus on their abs, and don’t have a whole picture of what the core is,” says the doctor.
“If you don’t have a balanced approach to strengthening those muscles, you will have defcits that can cause injury.” Fortunately, it’s easy to include core work in your ftness routine. Push-ups, standing squats, planks and balancing on one leg can work the core, as can: Holding a position, as is done in Pilates and in planks, in which the trunk is maintained in a straight, tight position for 10 to 30 seconds or more. Stretching, which increases fexibility and actually strengthens muscles, helping them work in balance. “The hamstrings are especially important— keep them fexible to maintain proper pelvic function,” Dr. Phillips says. Back extension exercises are also useful, but work with a personal trainer or ftness consultant to be sure you do them correctly.
The Harvard Medical School weighed in with its top exercise picks: Walking strengthens bones, heart and lungs; burns calories; helps lower blood pressure and cholesterol; and improves mood and outlook.
Weight training boosts muscle and bone strength and allows you to do more with less strain and pain. SWimming offers a great cardiovascular workout; strengthens arm, leg and core muscles; and doesn’t overstress joints. tai chi is a Chinese martial art that can help build better balance, a stronger heart and a calmer mind. Research indicates that it may also enhance the immune response.
fall 2015 | inspiredtampabay.com
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Protein,
A FLoridA HospitAL expert FieLds Key questions
explained
What do dietary proteins do for the body? almost everything! they build muscles, bones and skin; they help make hemoglobin, the part of red blood cells that carries oxygen throughout the body too. But beware: too much protein is too much of a good thing. Inspired Tampa Bay interviewed adriana Guzman Quiles, Florida hospital clinical dietitian, about this basic food building block: How much protein should we eat? “a healthy diet should have between 30 and 35 percent of its calories from protein. at least 30 percent of that protein should come from legumes (peas, beans and bean products such as tofu).” Can a diet high in protein aid weight loss? “it can, but some studies have shown that weight loss from such diets isn’t sustained in the long run. protein can help make you feel
full so you’ll do less snacking, but emphasizing protein-rich foods to the exclusion of other foods is not recommended. an excess of protein can cause dehydration and kidney problems. For healthy weight loss, you need a reasonable balance of protein, healthy fats and carbohydrates.” What are some protein-rich foods? “Beans, seeds (including quinoa and pumpkin seeds) and nuts are rich in protein. eggs and dairy products such as cheese, milk and yogurt are also great. Meat is another protein source, but the protein in meat comes with saturated fat, and the american heart association recommends getting no more than 5 to 6 percent of your daily calories
from saturated fat. if you decide to have beef occasionally, make sure it’s labeled ‘extra lean.’ sirloin tips, top round roast and top sirloin steak fall in this category, according to the Usda. and watch serving sizes.” I’m glad you mentioned serving sizes. What is a good guide? “one serving of lean meat is two to three ounces, or about the size of a computer mouse.” Is it a good idea to eat protein after a workout? “defnitely. But you can also combine it with a carbohydrate— enjoying a peanut butter smoothie, for example.” What are some other healthy, protein-rich snacks? “i recommend that my patients try cottage cheese with fruit, peanut butter on whole wheat toast, yogurt with nuts such as almonds, or fruit and cheese.”
FLoridA HospitAL (844) 504-9378 | Fall 2015
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Heart attack— or heartburn? It can be hard to tell the dIfference so get It checked
“a heart attack can present Itself In many dIfferent ways. you need to treat any chest paIn serIously.” —alexander rosemurgy, m.d. What We call heartburn has nothing to do With
your heart. it’s really acid refux, a common condition that develops when digestive acids fow out of the stomach, which is designed to handle acid, into the esophagus, which is not. the acid burns, and because the esophagus and heart are close neighbors, the resulting pain in the chest is often mistaken for heart pain. sometimes people think they are having a heart attack and rush to the emergency room. the opposite mistake is also made: People experiencing angina—heart pain—think it’s just acid indigestion and fail
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to rush to the emergency room. and that can be a big problem. doctors at Florida hospital see both kinds of situations in tampa bay, and it’s important for you to know what to do in the event of chest pain. in fact, it can make a life-ordeath difference. so if you’re having chest pain of any kind, don’t let embarrassment or uncertainty stop you. go to an emergency room and get checked out. in 2014, Florida hospital handled more than 200,000 emergency room visits in the tampa bay area. the er physicians in these hospitals are all board-certifed in
fall 2015 | InspIredtampabay.com
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Emergency Medicine, but even they have to do formal tests to make a formal diagnosis. The reason has to do with basic anatomy. The nerves in your chest are distributed in such a way that it is diffcult to determine where the pain is coming from, says Wenzel Tirheimer, M.D., Florida Hospital Medical Director at one of the largest Emergency Departments in Tampa Bay. Pain from many points of origin—including the appendix, the gallbladder and the rest of the gastrointestinal tract—may appear in different locations in different people and therefore can be hard to pin down without further testing. “The symptoms of multiple medical problems are often related and overlap,” Dr. Tirheimer explains.
MANY KINDS OF CHEST PAIN There is a distinct diagnosis called noncardiac angina, or chest pain not due to heart problems. “This is a real identifable issue,” says Alexander Rosemurgy, M.D., a nationally recognized gastrointestinal surgeon specializing in minimally invasive and robotic surgery at Florida Hospital. It has other possible causes besides acid refux, such as esophageal spasm, pneumonia or some types of ulcers. But they can all feel like cardiac discomfort. “Even people who have had a heart attack often can’t distinguish the difference,” says Dr. Rosemurgy. These two physicians in different felds
agree about the importance of getting chest pain checked out right away. “A heart attack can present itself in many different ways,” Dr. Rosemurgy says. “You need to treat any chest pain seriously.”
DON’T JUST WAIT That means calling 911 or having someone else drive you to an ER. “Go and be seen by a doctor rather than sitting home waiting and hoping,” Dr. Tirheimer says. “If it is a heart attack, the faster you’re treated, the better your odds of a full recovery.” Conversely, learning that your pain is not heart-related will be a huge relief. “If I can tell a patient, ‘It seems more like your stomach or gallbladder, and not anything life-threatening,’ that’s a big reduction in their anxiety level,” Dr. Tirheimer says. Once a heart problem is ruled out, doctors can fnd out what is causing the pain. Tests depend on the symptoms, health history, age and other factors. Some patients are admitted to the hospital for observation and further testing, while others are sent home with follow-up instructions. But stay attuned to your symptoms. “If your frst doctor doesn’t see anything and you go home but feel worse, come back,” Dr. Tirheimer says. “Sometimes it isn’t until later that a disease declares itself.” Your frst move with chest pain should be to seek immediate medical attention. Says Dr. Rosemurgy: “It’s always better to be safe than sorry.”
Heart attack can be different in women As with men, the most common heart attack symptom in women is chest pain or discomfort. But, according to the American Heart Association, women are more likely than men to experience other symptoms, including: l shortness of breath l pressure or pain in the lower chest or upper abdomen l dizziness, lightheadedness or fainting l upper back pressure l nausea, cold sweat or vomiting l extreme fatigue. Unfortunately, women often delay getting attention for themselves. In fact, the AHA also reports that 81 percent of women said they would call 911 for someone else showing heart-attack signs, while only 65 percent would call for themselves.
How to AvOID rEFlux If your chest discomfort turns out to be heartburn rather than a cardiac problem, that’s a relief, because heartburn is much less dangerous. But it’s still troublesome, as reflux (GERD) can lead to esophageal cancer. Try these simple steps to reduce the occurrence of acid reflux: l Avoid alcohol, cigarettes, aspirin/anti-inflammatories and citrus. l Raise the head of your bed about six inches; this lets gravity help keep your stomach acids down. l Don’t eat close to bedtime or late at night. l Try some over-the-counter antacids. If symptoms persist, see your doctor. Source: American Heart Association florida hospital (844) 504-9378 | FAll 2015
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Pack healthy! 5 tips to make lunch a nutritious success for your family
For many parents, the hostess twinkie’s return
to the marketplace sparked a smile of nostalgia—and a frown of concern. we may recall that spongy treat from our own childhoods, but it’s not on our nutrition plan for our children—or ourselves, for that matter. But don’t despair: when it’s time to pack a lunch, for yourself or your family, a creative approach can put healthy eating on the midday agenda:
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MAKE IT FUN FOR KIDS. if children see a healthy lunch as something enjoyable, says megen erwine, a Florida hospital registered dietitian/nutritionist, they will be more apt to eat it. “kids get bored easily,” says erwine. “try approaching the same meal in different shapes or in different containers.” During the school year, perhaps your picky eater will enjoy selecting a special lunch box featuring a favorite superhero. trade in aluminum foil for small tupperware containers. as for the lunch itself, erwine suggests preparing food in fun shapes. “kids love bite-size items, so use cookie cutters to cut sandwiches,” she says. and make the lunch colorful, with bright fruits and veggies such as cherry tomatoes, grapes and carrot strips.
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BE A GOOD ROLE MODEL. the “do as i say, not as i do” model of parenthood is as obsolete as the 8-track. “Lunch is the most overlooked meal by most people i talk with—our busy lives make it problematic,” erwine says. “as adults we need to spend more time to create healthy lunches for ourselves.” and that doesn’t just mean eating more spinach. she suggests aiming to include foods from four food groups at each lunch: whole grains, veggies-and-fruits, dairy and protein. “try to include about 10 grams of fber and 15 grams of protein in adult lunches,” she says. “that should provide plenty of energy to sustain you all afternoon.”
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USE A GRADUAL APPROACH. Let’s face it: if kids reject a food at home, they’re sure as heck not going to eat it from a brown bag when they’re beyond your gaze at school. erwine recommends introducing an unfamiliar food at home several times, in small amounts,
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before adding it to a packed lunch. Don’t give up if a child discards a new food at frst. “research shows that kids need to be exposed to a new food up to 20 times before they even try it, let alone like it,” she says. “so consistency is important.”
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SEEK BALANCE. aim to include the four food groups as you pack a lunch, and emphasize fruits and veggies over meats and cheeses—the latter are nutritionally important, but tend to be overrepresented on our plates. “we forget that we need vegetables more often than just at dinner,” erwine says. make veggies more fun with healthy dips, like hummus or ranch dip made with Greek yogurt, to dip your carrots and celery.
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PROMOTE SMART SNACK FOODS. new government standards took effect in the 2014–15 school year for snack foods sold in school vending machines and a-lacarte cafeteria lines. Doughnuts, candy bars, high-fat chips and sugar-flled sodas are gone, while granola bars, light popcorn, low-fat chips and fruit cups are now favored. add foods from two specifc food groups, erwine suggests, such as celery with peanut butter or veggies with guacamole.
FALL 2015 | inspiredtampabay.com
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When you believe in a greater purpose to health care, you see things differently. Because health care isn’t only about illness and injury, or even medicine. It’s about the human spirit. Which is why for over a century, Florida Hospital has gone beyond symptoms and treatments, helping people live healthier, happier lives. This is more than quality, expertise and compassion.
Discover the Florida Hospital difference at InspiredTampaBay.com
Florida Hospital
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Centra Care Urgent Care
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Locations Throughout Tampa Bay Florida Hospital Physician Group
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FLORIDA HOSPITAL CARROLLWOOD 7171 NORTH DALE MABRY HIGHWAY TAMPA, FLORIDA 33614
Discover the Florida Hospital difference at InspiredTampaBay.com Connerton Zephyrhills
FLORIDA HOSPITAL WEST FLORIDA REGION Florida Hospital proudly serves the Tampa Bay Region through a network of 6 hospitals, 4 Centra Care Urgent Care Centers and more than 45 Florida Hospital Physician Group practices.
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Wesley Chapel
North Pinellas
Tampa 275
Carrollwood
Florida Hospital Carrollwood
2 Florida Hospital Connerton, Long Term Acute Care 3 Florida Hospital North Pinellas 4 Florida Hospital Tampa
Tampa Bay
5 Florida Hospital Wesley Chapel 275
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6 Florida Hospital Zephyrhills
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