Observer
Health Matters AUGUST 2019
FROM THE GROUND UP
Students in low-income neighborhoods are learning how to grow food and eat healthy through Grow Winter Garden. SEE PAGES 8-9
RAY OF HOPE
PILATES POWER
Shepherd’s Hope’s new location is now open.
Club Pilates is keeping residents in shape.
PAGE 6-7
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PAIN-FREE KNEES Patients can learn about knee surgeries at a free seminar.
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HEALTH MATTERS
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OrangeObserver.com
AUGUST 2019
Dedicated to serving our entire community locally. Apopka • Bithlo • Clermont • Forest City • Groveland • Lake Ellenor • Leesburg • Meadow Woods • Pine Hills • Tavares • Winter Garden
We view our patients as unique individuals that deserve personalized care. Each patient has a very special need, and we strive to develop programs that not only meet these needs but also exceed the expectations of those receiving care. We are currently accepting new patients: • Behavioral Health • Dentistry • Family Medicine • Internal Medicine • Obstetrics & Gynecology • Optometry • Pediatrics • Case Management • Family Planning • Lab • Pharmacy • X-Ray
For appointment information call (407) 905-8827. For more information on our locations, services, or available career opportunities, please visit
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community health centers
Did you know? Community Health Centers, Inc. is one of our region’s largest not-for-profit providers of health and wellness services, caring for nearly 70,000 patients annually and contributing $78 million in economic impact on our region.
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HEALTH MATTERS
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Family owned and operated since 1962, Browning’s Health Care provides high quality home medical equipment, custom wheelchairs, respiratory services, and specialty items our community needs.
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• Car Seats • Custom Manual & Power • Custom Molded Seating • Gait Trainers • Standers
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OrangeObserver.com
AUGUST 2019
Observer President and CEO / Matt Walsh, mwalsh@yourobserver.com Editor and Publisher / Michael Eng, meng@OrangeObserver.com Managing Editor / Tim Freed, tfreed@OrangeObserver.com Design Editor / Jessica Eng, jeng@OrangeObserver.com Community Editor / Amy Quesinberry, amyq@OrangeObserver.com News Editor / Hannah Swayze, hswayze@OrangeObserver.com Sports Editor /Troy Herring, therring@OrangeObserver.com Associate Editor / Danielle Hendrix, dhendrix@OrangeObserver.com Staff Writer / Eric Gutierrez,egutierrez@OrangeObserver.com Multimedia Advertising Executives / Ann Carpenter, acarpenter@OrangeObserver.com Cyndi Gustafson, advertising@OrangeObserver.com Terri Hope, thope@OrangeObserver.com Advertising Operations Manager / Allison Brunelle, abrunelle@OrangeObserver.com Office Coordinator / Accounting Ashley McWilliams, amcwilliams@OrangeObserver.com
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The Observer is published once weekly, on Thursdays. It provides subscription home delivery. The Observer also can be found in commercial locations and at our office, 661 Garden Commerce Parkway, Suite 180, Winter Garden, Florida 34787 If you wish to subscribe to, visit our website, OrangeObserver.com, call (407) 656-2121 or visit our office, 661 Garden Commerce Parkway, Suite 180, Winter Garden.
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OBSERVER The Observer (USPS 687-120) is published weekly for $40 per year ($50 outside of Orange County) by the Observer Media Group, 661 Garden Commerce Parkway, Suite 180, Winter Garden, Florida 34787 Periodical postage paid at Winter Garden, Florida. POSTMASTER send address changes to the Observer, 661 Garden Commerce Parkway, Suite 180, Winter Garden, Florida 34787.
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Editor and CEO / Matt Walsh Vice President / Lisa Walsh Chairman / David Beliles
AdventHealth Orlando earns top spot in U.S. News & World Report AdventHealth Orlando recently was recognized as the No. 1 hospital in Florida and the top in Orlando by U.S. News & World Report, which released its 2019-20 Best Hospitals ratings Aug. 6. The hospital also was recognized as having seven nationally ranked specialty programs: diabetes and endocrinology; gastroenterology and GI surgery; geriatrics; gynecology; nephrology; neurology and neurosurgery; and urology. In addition, AdventHealth was recognized for having four “high-performing” programs: cancer; cardiology and heart surgery; orthopedics; and pulmonary and lung surgery. Last month, AdventHealth for Children also was honored by U.S. News, when its neonatology program was ranked among the nation’s best. And with these most recent rankings, AdventHealth for Women now is recognized as providing the best women’s care in Florida. “We are honored that our clinicians are being recognized nationally for providing exceptional, compassionate, whole-person care,” said Daryl Tol, president and CEO of AdventHealth’s Central Florida Division. For the 2019-20 rankings and ratings, U.S. News evaluated more than 4,500 medical centers nationwide in 25 specialties, procedures and conditions. In the 16 specialty areas, 165 hospitals were ranked in at least one specialty. In rankings
by state and metro area, U.S. News recognized hospitals as high performing across multiple areas of care. The U.S. News Best Hospitals methodologies in most areas of care are based largely on objective measures such as riskadjusted survival and dischargeto-home rates, volume, and quality of nursing, among other care-related indicators.
DOH issues mosquitoborne illness advisory The Florida Department of Health in Orange County last month advised residents there has been an increase in mosquito-borne disease activity in areas of Orange County. Several sentinel chickens in the same flock have tested positive for Eastern equine encephalitis virus infection. The risk of transmission to humans has increased. DOH-Orange and mosquito control agencies will continue surveillance and prevention efforts. DOH-Orange reminds residents and visitors to avoid being bitten by mosquitoes and to take basic precautions to help limit exposure. To protect yourself from mosquitoes, you should remember to drain and cover. Drain any standing water — from garbage cans, house gutters, buckets, pool covers, coolers, toys, flower pots or any other containers — to stop mosquitoes from multiplying. Cover skin with clothing or repellent. Always use repellents according to the label. Repellents with DEET, picaridin, oil of lemon eucalyptus, para-
menthane-diol and IR3535 are effective. Use mosquito netting to protect children younger than 2 months old. The department continues to conduct statewide surveillance for mosquito-borne illnesses, including West Nile virus infections, Eastern equine encephalitis, St. Louis encephalitis, malaria, chikungunya and dengue. Residents of Florida are encouraged to report dead birds via the Florida Fish and Wildlife Conservation Commission’s site: legacy.myfwc.com/bird/ default.asp.
Orlando Health sponsors ‘Resilience’ screening Orlando Health and the West Orange Healthcare District will present a free screening of “Resilience: The Biology of Stress and The Science of Hope” from 4 to 6 p.m. Tuesday, Sept. 10, at the Garden Theatre, 160 W. Plant St., Winter Garden. This is a complimentary screening about Adverse Childhood Experiences Study, a topic identified by the West Orange Chamber of Commerce’s political alliance. ACES is the term used to describe all types of abuse, neglect and other potentially traumatic experiences that occur to people under the age of 18. It has been linked to risky health behaviors, chronic health conditions, low life potential and early death. RSVP by Aug. 30, via email to CommunityBenefit@OrlandoHealth.com.
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HEALTH MATTERS
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AUGUST 2019
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CHANGING SOMEONE’S
SMILE BEFORE
BEFORE
AFTER
AFTER
AFTER
When the West Orange Dental Alliance (WODA) started in 2017, the organization’s immediate initiative was to help uninsured and low-income residents in the West Orange Healthcare District get relief from dental pain while being forced to visit the local ERs for temporary treatment. As an indication of success, WODA was able to decrease the dental visits by 15% to Orlando Health’s, Health Central Hospital’s ED over the past two years. While treating residents for their dental pain, it became apparent to WODA that the patients needed more of an opportunity to get out of poverty and restore their smiles to be more presentable. This would lead to better job opportunities with medical and dental benefits. In 2018, WODA expanded its program by creating the “Jump Start ProgramRestorable to Employable”. By partnering
with CareerSource Central Florida, this program provides West Orange residents the opportunity to restore their smile while increasing their employability through job opportunities and resume preparation. The aim is to empower them to get back into the workforce or advance at their current employer – thus lifting them out of poverty level and giving them an opportunity to medical and dental benefits. The ultimate goal is access to preventative and continued care for both themselves and their family members and no longer needing to go to emergency rooms for dental care. Applicants must submit a resume, testimony, and additional income/ residential documents to apply to the program. Each quarter their applications are submitted to WODA’S Jump Start Committee, comprised of West Orange area professionals that have a heart for
P.O. BOX784233, WINTER GARDEN, FL 34778 | INFO@WODENTALALLIANCE.ORG | 407-906-5064
WODA is now providing the opportunity to “Sponsor a Patient” reaching out to local residents and businesses in the community. “It doesn’t take much to get involved and help change the life and smile of your neighbor” states Tiffany Williams “and we are excited about opening up this opportunity to the public so they can make an impact firsthand”. For more information on the Jump Start Program and how an individual or business can get involved, please visit www.wodentalalliance.org.
WODENTALALLIANCE.ORG 299457-1
BEFORE
the program. Patients are then rated on 10 items that apply to their application thus prioritizing them based on need while considering the available funds allotted for care. Once a patient is granted the opportunity, he/she completes treatment with WODA’s local providers, return for post-operative appointments and submit testimonies (in writing and video) regarding how the program has impacted their lives. “Believe it or not a broken smile can be the difference between a job at a gas station or a receptionist position” states Tiffany Williams, the Executive Director of WODA, “Your smile can be the first thing interviewers notice and can definitely determine the type of job offers you get,” she said. “In the past year we have treated a patient with an under the table cash paying landscaping job and he has become a truck driver with full benefits! We also had the pleasure of helping a young lady working as a sales clerk at a local Walgreens to advance to an assistant manager with the company!! Seeing the impact of fixing someone’s smile has been life changing for all of us involved in the program”.
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AUGUST 2019
A home of its own SHEPHERD’S HOPE — WEST ORANGE CLINIC 455 Ninth St., Winter Garden PHONE: (407) 876-6699 HOURS: 6 to 9 p.m. Mondays through Wednesdays. Patients should arrive two hours before doors open and all patients are seen on a firstcome, first-serve basis. WEBSITE: shepherds hope.org
DANIELLE HENDRIX ASSOCIATE EDITOR
Twenty-three years after its inception, Florida’s largest free and charitable clinic now has its first permanent home in Winter Garden. Shepherd’s Hope staff and supporters on Wednesday, July 24, christened the 10,000-squarefoot facility on Ninth Street. The organization is leasing the two acres on which the clinic sits for 30 years from the city of Winter Garden for $10 per year. It all began with a vision bestowed upon Dr. William “Bill” Barnes, senior pastor of St. Luke’s United Methodist Church, during a walk on the beach in Sanibel Island. Barnes was thinking and meditating on his walk when he felt God calling him to do something for uninsured and underinsured families in need of medical care. That was the summer of 1996. Now, Shepherd’s Hope has grown to include five Central Florida locations and has provided more than 275,000 free medical visits and patient services since opening on Valentine’s Day in 1997. “It was 23 years ago this week that I came back from the beach
and shared an idea with a few people, that we need to do something for the uninsured in the community,” Barnes said during the clinic’s ribbon-cutting ceremony. “This is not my work, it’s all of our work, but it’s God’s vision. I always say to folks, ‘I didn’t do anything, I just cast a net to see who wanted to be caught in a great vision and a miracle,’ and that’s what happened.” The $2.3 million facility was fully funded thanks to the generosity of many local organizations and community donors. These donors and contributors in the community include the West Orange Healthcare District, city of Winter Garden, West Orange Health Alliance, Dr. Phillips Charities and St. Luke’s United Methodist Church. Shepherd’s Hope serves the uninsured or patients at or below 200% of federal poverty level, and until recently, it ran its clinics at a host facility. With a permanent home, Shepherd’s Hope also has more room to spread out. The clinic staff has a conference room, and there are 10 exam rooms for patients. The Winter Garden location also has an X-ray machine to offer imaging services to patients.
Photos by Danielle Hendrix
Dr. William “Bill” Barnes founded Shepherd’s Hope 23 years ago.
Shepherd’s Hope CEO Pam Gould said in the first five days of the West Orange clinic’s opening, volunteers and staff saw 121 patients. The organization also partnered with Nemours Children’s Hospital to offer free backto-school physicals at each of its five locations. “We’re going to help transform a lot of lives just through the work we do here,” said Chirag Kabrawala, Shepherd’s Hope board chair-
man. “We’re really proud of the work that we do here, and I appreciate all of the work that the board has put in.” Dr. Adalberto Torres, a pediatrician with Nemours, has served as a Shepherd’s Hope volunteer for five-and-a-half years and been a board member for the last year-and-a-half. During the West Orange clinic’s grand opening, he said that at Nemours the mission is to care for every child so they can reach their full potential. “By partnering with Shepherd’s Hope we’re more capable of fulfilling that mission, helping as many children as we can,” Torres said. “Six years ago we learned that Shepherd’s Hope was receiving more and more children in their clinics for school physicals. Nemours, Shepherd’s Hope and and volunteers from other health care organizations in our community came together and performed the first of what has now become thousands of school physicals to children who don’t have the opportunity to receive regular medical care.” Not only does Shepherd’s Hope provide medical care to the uninsured and underinsured, but also, the organization is able to connect patients with resources and referrals in the event of needing further medical attention. Brian Walsh — founder, president and CEO of The Collage Companies — also spoke at the clinic’s grand opening of how pleased Collage staff was to have
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The 10,000-square-foot facility on Ninth Street in Winter Garden is Shepherd’s Hope’s first permanent location and serves as both a medical clinic and administrative center.
HEALTH MATTERS
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BY THE NUMBERS
23
Years of Shepherd’s Hope
46
Florida’s rank in percentage of people without health insurance
49
Florida’s rank in percentage of children without health insurance
95
Cents of every dollar donated going to patient services
121
Patients seen in West Orange clinic’s first five days
19,033
Patient visits provided in 2018
10,000 Hundreds showed up to be part of the grand-opening celebration for Shepherd’s Hope’s brand-new West Orange clinic.
been part of the project. “For 37 years the mission of The Collage Companies has been to strengthen the foundation and fabric of our community — this is one of those projects that does that, and that’s why we’re so pleased to be part of it,” Walsh said. “Central Florida is just a wonderful place to live, and certainly the West Orange and Win-
ter Garden area in particular is just such a vibrant community to raise your family, to live, work and play. “(This) is a beautiful project … but it’s because of what Shepherd’s Hope will do in this building — the fact that they’re bringing professionals and volunteers together to touch so many lives, and actually to save so many lives,” he said.
“We’re going to help transform a lot of lives just through the work we do here. We’re really proud of the work that we do here, and I appreciate all of the work that the board has put in.”
Square footage of Winter Garden facility
275,000
Visits provided since 1997 opening
$2.3 million Cost of Winter Garden facility
— Chirag Kabrawala, Shepherd’s Hope board chairman
Join us all month long for Back to School events, challenges, and local community events.
Back to School WOW!
This Sunday, August 18 - 7:30 am
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Kick off the school year and join us for our Back To School WOW (West Orange Walk) at Cinepolis Hamlin in Horizon West! We’ll be running and walking a 5K together with our friends from Orlando Health and Bears Who Care. It’s also the first event in the Beary Healthy Challenge. For more info on what’s happening, check us out on social or HealthyWestOrange.org.
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JOIN THE GROW TEAM Frank Bailey is recruiting a board of directors for Grow Winter Garden. “We’re looking for board members, we need hands in the ground, we need strategic thinkers, we need capacity building funding to be able to start some of these projects,” he said. “I’m a visionary, and I make moves, and now one of the biggest moves I need to make is to build the team to realize this. It’s bigger than me.” Sponsorships are available for anyone wishing to help a student. The cost is $2,500 for one child for a year — $2,000 goes directly to the youth for his or her work, and $500 goes toward administrative costs. Another way to help is to sponsor a bed in the Winter Garden Community Garden. For information, call or text Bailey at (407) 283-1208 or email him at growwintergarden@gmail. com.
OrangeObserver.com
AUGUST 2019
Seeds for success Grow Winter Garden gives students in low-income neighborhoods a chance to learn about gardening and healthy habits while building their futures through opportunities for earning money. AMY QUESINBERRY COMMUNITY EDITOR
Frank Bailey said the idea behind Grow Winter Garden is simple: Hire youth in the east Winter Garden, Tildenville, Ocoee and south Apopka communities; train them how to farm and landscape; and teach them life skills along the way. “Work maturity, financial literacy and mental and physical health are the three principles,” he said of the urban micro-farming program. “We focus on the health of the youth, the growth of the youth through plant-based initiatives.” Bailey is the founder of Grow Orlando and, now, Grow Winter Garden — initiatives that give teens in low-income neighborhoods access to scholarship opportunities and healthy alternatives. They also give communities a way to eat healthy and support the students and their futures. “You can ask any gardening and farming organization; it’s hard to teach health in communities of economic disparity,” Bailey said. “They need to worry about keeping their lights on and eating, let alone something healthy.” Bailey believes the teens who participate stand a better chance for a successful life when they
Teenagers in the Grow Winter Garden program will be able to save money for their future.
have the community behind them. “I want to create trust-fund babies in the middle of the ghetto,” said Bailey, who grew up in Orlando’s Holden Heights neigh-
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Courtesy photos
Students will plant and harvest garden plots in the Winter Garden Community Garden.
for more than 100 garden plots, and the Winter Garden Community Garden was born. In recent years, its popularity has waned. The garden now is being resurrected by Grow Winter Garden, and Bailey expects to bring it back to its original glory, he said. He has received donations of time, funds and services from various local groups and businesses. West Orange High School’s Agriculture Department will hold a work day to get the garden ready for the fall. The first organic crops will include collard greens, kale, basil, cilantro, garlic, onions, sweet potatoes, beets and squash. Residents, and even restaurants, can sign up for a Nutrition Prescription, for which they pay a monthly fee for their own garden plot and can enjoy the harvest, but it’s the students who will tend it. A number of plots will produce fruits and vegetables that can be sold on consignment at the Winter Garden Farmers Market, Bailey said. There are plans to start a farmers market on the east side of the city, and Bailey said city officials have agreed to build a pavilion next to the garden. The garden is located near the recently opened Shepherd’s Hope facility, and Grow Winter Garden will partner with the organization to provide produce for patients with hypertension, diabetes and obesity. Bailey has discussed selling the produce at a corner store on East Bay Street that doesn’t currently sell fruits and vegetables. A local cut-flower company, Farm9, has contacted Bailey seeking students to work on its farm in Oakland. Another plan in the works is to start a landscaping company
through Grow Winter Garden. Bailey admits it’s a huge undertaking, but he is positive it can work. He wants to collaborate with organizations such as Lift Disability Network and have the students engage in projects that include landscaping the yards of physically challenged residents. Universal Orlando has offered to employ local youth in the landscaping division, Bailey said, and the teens already have been working on landscaping at the prayer garden at the Presbyterian Church of the Lakes. He said it has taken a team of community members coming together to get this initiative off the ground: Charlie Mae Wilder and the Winter Garden Community Garden, the city of Winter Garden, East Winter Garden Alliance, Shepherd’s Hope, Team Ten 4 Kids, Presbyterian Church of the Lakes, St. Luke’s United Methodist Church, Bloom & Grow Garden Society, Sons of Thunder and many individual donors and volunteers. “I’m finding all these initiatives and organizations that are doing great things and trying to put them all (together) for exponential impact,” Bailey said. “The overall goal with east Winter Garden is to provide as many opportunities and experiences as possible because there aren’t that many, and it’s causing a lot of death and destruction,” Bailey said. “We’re done with that. The cool thing is that it works where people are hungry and there are youth who want to make a living.”
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AUGUST 2019
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“Work maturity, financial literacy and mental and physical health are the three principles. We focus on the health of the youth, the growth of the youth through plant-based initiatives.” — Frank Bailey
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HEALTH MATTERS
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AUGUST 2019
A MOTHER’S SUPERPOWER
Hamlin is a destination located in the center of Horizon West, just off SR 429 and is home to an active market of highly educated, family-oriented, experience seekers with discretionary income and a desire to connect with their community.
Breastfeeding provides numerous benefits to both the newborn baby and the mother. HANNAH SWAYZE
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SKILLED NURSING & REHABILITATION
“Enjoy the process, enjoy your baby and enjoy your innate ability to use your superpower of making breast milk to help your baby thrive and grow physically and developmentally.” — Annette Leary, international board-certified lactation specialist
CALL TODAY • ASK ABOUT OUR SUMMER SPECIALS! ASSISTED LIVING
August is National Breastfeeding Awareness Month, and Annette Leary, a local international boardcertified lactation specialist, said the best advice she can give new mothers is to trust their bodies. Leary works at Orlando Health and has been a registered nurse for 31 years and an international board-certified lactation consultant for 24. She works regularly with new mothers in babyfriendly hospitals, assisting mothers in the beginning of their baby’s life. Her job involves protecting, supporting and promoting breastfeeding, which she said is so amazing that she equates it to a superpower. She even has a poster of Wonder Woman breastfeeding a baby that she refers to at her workplace while she trains hospital staff. “I say, ‘How cool is it that we get to introduce a new mom to her superpower?’” Leary said. There are many reasons health professionals advocate for mothers to breastfeed their children, including health benefits for the child and the mother, Leary said. Studies show breastfeeding decreases children’s risk of infections, obesity, asthma and Sudden Infant Death Syndrome and improves cognitive development. “This is not just when they’re babies; this is lifelong health benefits,” Leary said. “For the children, we see things like decreased
childhood cancers, diabetes, just gut health. Really, when you look at the number of kids admitted to a hospital in cold and flu season, if you were to take the babies that were admitted, there’s a high percentage they were just formulafed because of all the antibodies (and) immunoglobulins in breast milk.” She said it’s really important for babies cared for in the neonatal intensive care unit to received breast milk because of the antibodies and health benefits — even if it’s purchased and not directly from the mother. Mothers also benefit from breastfeeding. Leary said women who breastfed were statistically less likely to develop pre-menopausal breast cancer and decrease incidences of pre-menopausal ovarian and uterine cancers. Furthermore, according to the Florida Health Department, an estimated $13 billion in health care costs could be saved each year if 90% of infants in the United States were exclusively breastfed for six months. Although Leary advocates for breastfeeding, she acknowledges that sometimes breastfeeding isn’t always possible when a mother can’t produce milk. She said advocating for breastfeeding is not disparaging others’ decisions to use formula and that using formula has its time and place. Leary recommends new mothers find a baby-friendly hospital and not to be afraid to reach out early. She also encourages participation in support groups and for mothers to ask their pediatricians and health care providers any questions they may have. “Enjoy the process, enjoy your baby and enjoy your innate ability to use your superpower of making breast milk to help your baby thrive and grow physically and developmentally,” Leary said.
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HEALTH MATTERS
OrangeObserver.com
Hand in hand AdventHealth, Orlando Hand Surgery Associates have partnered to form Hand to Shoulder Center, which will open this fall in Winter Garden.
A new affiliation between AdventHealth and Orlando Hand Surgery Associates will expand upper-extremity orthopedic care in Central Florida. OHSA and AdventHealth have partnered to establish the Hand to Shoulder Center to focus on providing tailored treatment options for patients seeking hand and/or upper-extremity care. The Hand to Shoulder Center will include additional offices and physicians, hospital facilities, a walk-in clinic and specialized diagnostic facilities, as well as a research department with a biomechanics lab, skills and cadaver lab, a microvascular lab and a new teaching and rehabilitation center. Through this new affiliation, OHSA physicians will be establishing satellite clinics at AdventHealth campuses throughout the area and begin seeing patients at
these locations. The first satellite clinics opened over the summer at AdventHealth Celebration and AdventHealth Apopka. In the fall, a third satellite clinic will open in the new medical office building at the AdventHealth Winter Garden campus. OHSA’s experts in upperextremity care are experienced in treating conditions such as carpal tunnel syndrome, arthritis, shoulder pain and tennis elbow. One of those experts is OHSA President and Hand to Shoulder Center Director Dr. George White. “We deal with difficult problems ... from the shoulder all the way down to the fingertips, and we do all aspects,” White said. “We do injuries, we do arthritistype (injuries), reconstructions, we do congenital and pediatric problems, we do vascular and nerve problems, and we work a lot with the physicians in the nine-county area to deliver care to patients with difficult upper-
“This affiliation allows us to create a robust care network, making it easy for patients to receive upper-extremity orthopedic care close to home.” — Kristin Jimenez, COO of AdventHealth’s institutes
extremity problems.” Although OHSA has existing offices around Central Florida, the new affiliation between AdventHealth extends the reach of OHSA through the satellite clinics. “The idea is to have a centralized facility where (people with) all of these (upper-extremity) problems can come to, and then we have a series of community offices throughout the Central Florida area where patients can do follow-up care and also receive specialized rehabilitation,” White
said. “We are putting in offices (at AdventHealth campuses) in conjunction with AdventHealth, and those offices will include not only office space to see patients but (also) specialized diagnostic facilities. Also, each of the offices will have a specialized rehabilitation unit inside it as well. For those patients, it’s a one-stop shop in their community area where they can come in, get their follow-up and see the hand therapist for any specialized care that they need — on a follow-up basis — in these community offices.”
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OHSA physicians will rotate from satellite offices on a daily basis, and those offices also will include a specialty urgentcare center for upper-extremity issues. Certified hand therapists and certified physical therapists, as well as specialized diagnostic testing in conjunction with AdventHealth, will be available. “(AdventHealth’s) MRI units and bone-scanning and CT units are already in place,” White said. “We’ve (linked) specialty protocols with those units so the patients can come over, and (if) they need testing, they can get it quickly, and most times right on the spot. So, we can get our diagnostics done in an efficient manner for the patients.” This affiliation is just the beginning of new options for hand and upper-extremity care for AdventhHealth and OHSA. AdventhHealth will be expanding its physical therapy and rehab services specific to hand and upper-extremity care. AdventHealth and OHSA will work together to establish a center for upper-extremity care at the flagship AdventHealth campus in Orlando. Additionally, beginning in 2020, the Hand to Shoulder Center will begin a Hand Fellowship training program that will help train hand surgeons of the future. “AdventHealth is excited to launch the Hand to Shoulder Center with OHSA’s physicians,” said Kristin Jimenez, COO of AdventHealth’s institutes. “This affiliation allows us to create a robust care network, making it easy for patients to receive upperextremity orthopedic care close to home.”
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Pilates party At Club Pilates in Dr. Phillips, owner Claudia Caratolli and her staff are bringing Pilates to a diverse audience. TROY HERRING SPORTS EDITOR
The first thing most notice when they walk into Club Pilates in Dr. Phillips is the machine. The Reformer. It’s a strange looking contraption and the physical device that defines the Pilates system. For those who have participated in classes, it’s a beacon of fitness. In the case of others who stroll through the doors for the first time, it’s their first real experience with the machine. “Most people haven’t done Pilates, or if they have they have done mat Pilates, and it’s more comparable to a yoga exercise,” said Claudia Caratolli, owner of Club Pilates in Dr. Phillips. “The (Reformer) … looks kind of like a bed with some pulleys and springs. Those springs are used for resistance and you do exercise lying down, so it’s a comfortable form of exercise.” Located at 7600 Dr. Phillips Blvd., Suite 86, in the Dr. Phillips community, Club Pilates has been helping locals get in shape with its numerous classes — which are done mostly in groups, though private sessions also are offered. From 6 a.m. to 7:30 p.m. Mondays through Thursdays and from 8 a.m. to 7:30 p.m. Fridays through Sundays, Caratolli and her instructors put on a total of nine different classes — all of which focus on one or more of the four levels. The higher the level, the more challenging and complex the workout. “Level 1 is ‘Foundation’ — it’s strengthening, it’s toning, it’s learning to balance the body and learn the correct form, but it’s also very challenging,” Caratolli
said. “Then 1.5 is increasing those challenges. “A Level 2 is a challenge to balance, it’s a challenge to very unique types of exercises … it doesn’t mean that it’s harder, it just takes more technique and it’s a little bit more intense, so you may do fewer exercises in a Level 2, but the exercises are bigger,” she said. “So don’t worry too much about the levels — some people never leave Level 1, and that’s perfectly fine.” As far as classes go, there’s the usual intro class — which is free — that incorporates solely Level 1 aspects. From there, students can progress to more complicated classes, such as the Reformer Flow — which includes techniques and skills that are from all four levels (1, 1.5, 2 and 2.5). The technicalities of Pilates can sound intimidating for people who have never done it, but Caratolli said that shouldn’t stop anyone from trying it. “It’s functional Pilates, meaning it’s for everybody,” Caratolli said. “It’s not just for the dancers and the professional athletes. It’s for everyone — from a 14-year-old dancer (who) does Pilates in my studio to an 83-year-old (who) does Pilates. Functional movement means that you’re exercising in a way that is going to make your life better by reducing pain and increasing mobility.” Such an exercise can be perfect for those dealing with injuries or the wear and tear that comes with getting older. In fact, Caratolli was first introduced to Pilates after an injury sidelined her from the sport she loved. “I was a runner, and I injured myself, so they recommended Pilates,” Caratolli said. “I was doing a lot of mat Pilates, because Reformer Pilates was out of my price range — one-on-one, you’re
Courtesy photos
talking about $100 a session, while at Club Pilates it’s $70.” The organization’s affordable nature — compared to others — was one of the key driving factors to Caratolli joining the franchise and dedicating her life to the fitness platform. For Caratolli, the journey has been fruitful in many ways — especially as it relates to being able to help other people find health and happiness in their lives.
“It is something that you can do for the rest of your life,” Caratolli said. “It’s good for your health, while being careful to keep you safe and free from injury. “People really stick to it when they find it, because they feel good,” she said. “They get stronger and lose weight and all that stuff, but it is really more about being free from pain and being able to move and enjoy life.”
Club Pilates offers up several classes of ranging difficulty levels — from intro classes to Cardio Sculpt.
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HEALTH MATTERS
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Need a new knee? A free seminar on knee pain and different treatment options is coming up in Winter Garden. TIM FREED MANAGING EDITOR
Dr. Obi Adigweme attended the University of Florida for his undergraduate degree before attending Florida State University for medical school. He earned his orthopedic training at Orlando Health, seeing high-level trauma and high-level joint replacements. Adigweme did his fellowship three years ago at the University of Pennsylvania, performing about 800 knee and hip replacements and has been practicing in Orlando for about two years.
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KNEE REPLACEMENT SEMINAR WHEN: 6 to 7 p.m. Thursday, Aug. 22 WHERE: Orlando Orthopaedic Center, 13838 Tilden Road, Winter Garden REGISTRATION: James Rottman at (763) 245-8125 or online at bit.ly/2YOkezi.
replacement that is going to function well for me and is going to last me for the next 20, 30 or even 40 years.” “The whole point of robotics is, ‘Can it make us more accurate and precise?’” he said. “Right now, robotics is relatively new and it’s such an emerging technology that it’s hard to really pin down the data, and so we need longer research. … (But) as of right now, it
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shows that we’re more precise and more accurate.” Adigweme said knee replacements in the United States are increasing rapidly — more than 700,000 are done annually. By 2030, doctors expect that most patients who get knee replacements are going to be younger than 60. The increase is largely because of the ongoing obesity epidemic in the United States. Another contributing factor is how the technology has improved, with implants lasting longer, Adigweme said. The bearing surface — a high-level plastic piece where the cobalt chrome knee implant sits — has become more durable over the years, he said. Patients who might have been hesitant to get the procedure done are now less concerned. “It is the most common joint replacement,” he said. “It’s one of the most successful surgeries out there. The long-term data on knee replacements is already very good, so that’s why it’s such a great option.” Knee replacements should be considered a last resort though, he said. Some non-surgical approaches to relieving knee pain include weight loss and low-impact exercises that build stronger quadriceps and hamstrings. As for medications and pharmacological options, there’s anti-inflammatory drugs, steroid injections and viscosupplementations, which are injectable gels that lubricate the joints. There is also the option of a partial knee replacement if the majority of the knee is in good condition, Adigweme said.
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If you’re experiencing knee pain and looking for treatment or surgery options, an upcoming seminar could get you back on your feet. Dr. Obi Adigweme, an orthopedic physician and hip and knee specialist from the Orlando Orthopaedic Center, is hosting a free educational seminar Thursday, Aug. 22, at the center in Winter Garden. Adigweme will speak about knee pain and relief options. If non-surgical options haven’t worked, one of the latest trending options for a knee replacement involves computer navigation — using technology to accurately pinpoint where to make incisions and the placement of the new knee. “Every patient has similar anatomic landmarks, and so when we do a knee replacement without computer navigation, we find these landmarks on the bone and then we judge these landmarks and then we make our cuts and we make our movements,” he said. “The problem is that every surgeon varies with their interpretation. Some of it is subjective — whether this is five degree or eight degrees. Patients’ anatomy is not always the same, so there’s always variations — that leaves room for error. But when you’re
using computer navigation or robotics, there’s almost no error.” Computer navigation is either image-based or imageless, using either a CT scan or a laser pointer that touches certain parts of the bone, registering information onto a computer so the surgeon can make precise cuts. Research currently is being conducted to measure the effect ive n e s s of computer navigation over seve ra l decades, but early s i g n s show it is far more precise, Adigweme said. “When I think about knee replacements — and I think about the way that most patients should think about it — (it’s) what is going to give me the best functional results for the longest period of time,” he said. “I want a knee
IF YOU GO
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OrangeObserver.com
AUGUST 2019
SUNDAY, AUG. 18
BACK TO SCHOOL WOW (WEST ORANGE WALK) 7:30 a.m. Sunday, Aug. 18, at Cinépolis Luxury Cinemas Hamlin, 14111 Shoreside Way, Winter Garden. Kick off the school year and join Healthy West Orange for its Back To School WOW (West Orange Walk) at Hamlin in Horizon West. The group will be doing a 5K together with friends from Orlando Health and Bears Who Care. Register at runsignup. com/Race/FL/WinterGarden/ BacktoSchoolWOW. This 5K is the first event of the new Beary Healthy 5K Challenge, so make sure you register for the Healthy Selfie 5K Your Way in September (runsignup.com/Race/FL/WinterGarden/HealthySelfie5K) and OktoBEARFest Fun Run & Festival (runsignup.com/Race/FL/WinterGarden/BearsWhoCareOktoBEARfest5KFunRun in October.
MONDAY, AUG. 19
FAMILY YOGA 10:30 a.m. Mondays, Aug. 19 and 26, and Sept. 9, 16 and 30, at the Winter Garden Branch Library, 805 E. Plant St., Winter Garden. Join us for family yoga, geared toward preschoolers, school-age children and their caregivers. Mats will be available. (407) 8357323. TIME OUT FOR TEENS 3:30 p.m. Mondays, Aug. 19 and 26, at the Southwest Branch Library, 7255 Della Drive, Orlando. Get together with other teens to talk about school and other issues while participating in fun activities to help you relax, de-stress, learn new life skills and become a better you. (407) 835-7323.
MONDAY, AUG. 26
AARP DRIVER SAFETY PROGRAM 9 a.m. to noon Monday, Aug. 26, and Tuesday, Aug. 27, at Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. Take a driver’s license and AARP membership card, if you are a member. (888) 227-7669.
TUESDAY, SEPT. 3
BOOT CAMP FOR DADS 6 to 9 p.m. Tuesday, Sept. 3, at Winnie Palmer Hospital OB/GYN Hospitalist Group, 83 W. Miller St., Orlando. This is a “men-only” class for both new and expecting fathers as well as “veteran” fathers. The one-time, three-hour class provides hands-on realistic experience, and participants learn how to calm a crying baby, how to change a diaper and more. The relaxed, “locker room meets nursery” setting allows participants the opportunity to get answers to all of their questions directly from other “veteran” fathers who currently are navigating their way through fatherhood. Along with knowledge confidence, and fun, participants will also receive a copy of “Crashcourse for New Dads,” the only fatherhood book written from the experiences and advice of more than 200,000 dads. Boot Camp For Dads is hosted on the first floor next to the cafeteria; check in at the concierge desk. (407) 325-7352.
WEDNESDAY, SEPT. 4
STRESS BUSTER ART: CUSTOMIZED COFFEE MUGS 10:30 a.m. Wednesday, Sept. 4, at the Southwest Branch Library, 7255 Della Drive, Orlando. Color, create, paint and meditate. Join the library for a de-stressing holiday art adventure creating a yarn
painting. No art experience required. All supplies are provided. For women and men ages 18 and up. Registration required. Limited seating. (407) 835-7323.
THURSDAY, SEPT. 5
ESOL MEDITATION 4:45 p.m. Thursday, Sept. 5, at the Southwest Branch Library, 7255 Della Drive, Orlando. Learn and practice English and meditation at the same time. (407) 835-7323.
FRIDAY, SEPT. 6
CAR SEAT CLASSES 9 a.m. to noon, Sept. 6, Oct. 4, Nov. 1 and Dec. 6 at Health Start Coalition of Orange County’s Ocoee Service Center, 475 W. Story Road, Suite 1, Ocoee. Three out of four car seats are installed incorrectly. In the Safe Ride 4 Babies car seat class, attendees will learn how to properly install a car seat in an instructional class setting. The second portion of the class is spent outside actually installing the car seat into your car. The class costs $30, and you will receive a convertible car seat valued at $90. For more, visit healthystartorange.org.
TUESDAY, SEPT. 10
MONDAY, SEPT. 30
FAMILY YOGA 10:30 a.m. Monday, Sept. 30, at the Winter Garden Branch Library, 805 E. Plant St., Winter Garden. Join us for family yoga, geared towards preschoolers, school-age children, and their caregivers. Mats will be available. (407) 835-7323.
MONDAY, OCT. 7
MINDFULNESS MEDITATION 6 p.m. Tuesday, Sept. 10, at the Southwest Branch Library, 7255 Della Drive, Orlando. Promote well-being through mindfulness meditation. Develop abilities to cope with stress and anxiety, and promote well-being through mindfulness meditation. Meditation coach Lucia Beninati has practiced mediation for several years. For beginners to advanced; ages 13 and up. Registration preferred; walk-ins welcome. Chairs provided. (407) 835-7323.
HAPPINESS is here
‘RESILIENCE: THE BIOLOGY OF STRESS AND THE SCIENCE OF HOPE’ Orlando Health and the West Orange Healthcare District will present a free screening of “Resilience: The Biology of Stress and The Science of Hope” from 4 to 6 p.m. Tuesday, Sept. 10, at the Garden Theatre, 160 W. Plant St., Winter Garden. This is a complimentary screening about Adverse Childhood Experiences Study, a topic identified by the West Orange Chamber of Commerce’s political alliance. RSVP by Aug. 30 via email to CommunityBenefit@ OrlandoHealth.com.
AARP DRIVER SAFETY PROGRAM 5 to 8 p.m. Monday, Oct. 7, and Tuesday, Oct. 8, at Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. Take a driver’s license and AARP membership card, if you are a member. (888) 227-7669.
WEDNESDAY, OCT. 16
AARP DRIVER SAFETY PROGRAM 9 a.m. to 3:30 p.m. Wednesday, Oct. 16, at , 411 N. Dillard St., Winter Garden. Take a driver’s license and AARP membership card, if you are a member. (888) 227-7669.
At The Sheridan we believe in celebrations, smiles and happiness. From happy hours to monthly theme parties to Brain Health University, our award-winning programs are focused on happiness and well-being. Meet our residents and families and see for yourself that Happiness is Here!
Happy Hour THURSDAYS IN AUGUST 4:00PM TO 5:00PM CALL 407-900-2061 TO RSVP OR TO LEARN MORE
Be ready to smile!
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HEALTH MATTERS
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AUGUST 2019
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AUGUST 2019
IS KNEE OR HIP PAIN SLOWING YOU DOWN?
OrangeObserver.com ADVERTORIAL
CONSIDER MAKO® JOINT REPLACEMENT SURGERY patient outcomes for these surgeries. With Mako® robotic-arm technology, surgeons can restore diseased joints with implants designed to accurately replace your lost cartilage. During Mako joint replacement surgery, implants are custom-designed by the surgeon to fit a patient’s unique anatomy and to minimize the wear and loosening that can occur with implants used in manual surgery, explains Matthew Hurbanis, MD, an orthopedic surgeon who performs Mako surgery at Orlando Health – Health Central. HOW MAKO SURGERY WORKS
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Your joints are involved in almost every daily activity. For those with osteoarthritis, the condition over time may wear away at your cartilage and cause pain, as bone rubs against bone. Osteoarthritis affects an estimated 12 percent of the U.S. population and about half of all seniors over the age of 65. Knees and hips are most frequently affected by this condition. When pain medication and other treatments no longer work, you may face the option of joint replacement surgery.
When you hear “robotic-arm assisted technology,” it’s important to understand that the Mako robotic arm doesn’t actually perform the surgery. Surgery is performed by an orthopedic surgeon, who uses the Mako robotic-arm to remove diseased bone and cartilage. The Mako surgery process allows for highly precise implant placement by providing the surgeon a 3-D model of the patient’s unique anatomy based on a CT scan of the knee or hip. Using guided visualization, the surgeon uses a robotic surgical arm to place the knee or hip implant based on the patient’s unique surgery plan.
THE ADVANTAGES OF MAKO ROBOTIC-ARM ASSISTED JOINT SURGERY COMPARED TO TRADITIONAL MANUAL SURGERY INCLUDE: • Smaller Incisions • More Precise Placement of the Implant • Faster Recovery • Reduced Injury to Adjacent Tissues • Increased Longevity of the Implant
“When compared to traditional joint replacement surgery, patients who undergo Mako procedures experience more accurate implant placement,” says Dr. Hurbanis. “This can result in less pain for patients after surgery, a faster recovery period, and fewer problems down the road.” To find out if Mako joint replacement is right for you, consult with your physician, or go to OrlandoHealth.com/Mako to learn more.
BENEFITS OF ROBOTIC-ARM ASSISTED SURGERY
More than 50,000 Mako hip and knee procedures If your joint pain gets to the point where you can have been performed since 2006. Benefits of no longer enjoy the life you did before, it may be time to consider knee or hip replacement surgery. Mako surgery are documented in extensive clinical research that includes 50 peer-reviewed Orlando Health – Health Central Hospital has a Mako Print Ad - Observer Media.pdf 1 4/16/19 12:29 PM clinical publications and 300 scientific abstracts. new8318-130491 tool withHCH a proven track record of improving
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