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HEALTHYnews
NOVEMBER 2005
LEE PHYSICIAN GROUP
DOCTOR WINS CITIZEN
OF THE YEAR AWARD
Kai-Fu Chow, MD, was
awarded “Citizen of the
Year 2005”for the city of
LaBelle, Florida.The
LaBelle Chamber of
Commerce presented
the award on October 17.
Dr. Chow treats approximately 6,000 patients,
including 7 patients over
the age of 99. Dr. Chow
has resided in and provided healthcare to the
residents of LaBelle for
over 24 years.
Congratulations and
thank you to Dr. Chow.
COULD
YOU BE
AT RISK
FOR
PRE-
QUICK TAKES
DIABETES?
THE WEATHER REPORT
AND MORE PRE-DIABETES IS A NEW TERM FOR A SERIOUS CONDITION THAT PEOCall Weatherline 24
hours a day, 7 days a
week to get the current
time, temperature and
weather report, as well
as information about Lee
Memorial Health System.
PLE GET BEFORE THEY ARE DIAGNOSED WITH DIABETES. PEOPLE WHO
DEVELOP TYPE 2 DIABETES DON’T GO FROM NORMAL BLOOD GLUCOSE
(ALSO CALLED BLOOD SUGAR) NUMBERS DIRECTLY TO TYPE 2 DIABETES. ALMOST ALL GO THROUGH A PHASE CALLED IMPAIRED GLUCOSE
TOLERANCE OR IMPAIRED FASTING GLUCOSE. PRE-DIABETES IS A
SILENT DISEASE, MEANING YOU CAN HAVE IT BUT NOT KNOW IT. AND
IT CAN PUT YOU AT RISK FOR HEART DISEASE AND STROKE.
239-936-3333.
AS YOU GET OLDER, ESPECIALLY IF YOU’RE OVERWEIGHT,
YOUR CHANCES OF HAVING PRE-DIABETES GO UP. YOUR DOCCORRECTION TOR SHOULD CHECK YOUR BLOOD SUGAR LEVEL IF YOU ARE:
In the SeptemberOctober 2005 issue of
Healthy News, page 4,
the practice
● Age 45 or older and overweight
● Under age 45 and overweight and have other risk factors for diabetes
If you are 45 or older and your weight is normal, ask your doctor if you
need to be checked for pre-diabetes.
location for Dr. Bradley
Trope was incorrect. His
correct location is:
Associates in Digestive Health
665 Del Prado Boulevard,
Suite 1
Cape Coral,FL 33990
239-772-3636
THE GOOD NEWS
If you have pre-diabetes, you can do something about it. By simply cutting back on calories and fat, being physically active, and losing weight,
you can reverse pre-diabetes. Just by doing these three things, you can
delay or prevent Type 2 diabetes. You may even be able to return your
blood sugar levels to the normal range.
Should you have concerns or questions about pre-diabetes or diabetes,
talk with your doctor.
OUR PROGRAMS FOR DIABETES
TREATMENT AND EXERCISE CAN HELP
■ Lee Diabetes Care offers a complete inpatient and
outpatient treatment program designed to help control
diabetes with the proper nutrition, medication, exercise
and control of stress. Certified Diabetes Educators (CDE)
offer weekly classes. The American Diabetes Association
has recognized our program for quality patient education.
For more information, call Lee Diabetes Care at
239-573-5720.
■ Lee Center for Rehabilitation and Wellness, in
conjunction with Lee Diabetes Care, provides specially
designed exercises for people with diabetes. A physician
referral is required. The eight-week program emphasizes
exercise,education and lifestyle modifications.An exercise
physiologist supervises each class.
For more information, call the Lee Center for
Rehabilitation and Wellness at 239-418-2000.
If you have pre-diabetes,
you can do something about it.
HEALTHY NEWS
2
NOVEMBER 2005
A
LMHS FOUNDATION NEWS & EVENTS
Win your
Dream
Home in
Paradise for
Only $100
Greek Gifts
Silvia Maciel (pictured center), Coordinator of Pediatric/
Pregnancy Bereavement Services for LMHS, accepts a
check for $8,000 from Father Constantine Simeonidis
and Zoe Michael, of The Annunciation Greek Orthodox
Church.
B OA R D O F T RU S T E E S
Have you been dreaming about owning a home in Cape Coral, FL?
It’s time to pinch yourself because this dream could come true! Lee
Memorial Health System Foundation and Century 21 Sunbelt
Reality have partnered to create a chance drawing with a unique
prize—a Cape Coral home and triple lot—all to benefit
CAPE CORAL HOSPITAL.
FOR YOU Imagine cool gulf breezes,sun-drenched afternoons and
tropical living!
FOR YOUR FAMILY With real estate prices on the rise in Southwest
Florida, this opportunity could be a great investment for you, for
your kids, or for your grandkids.
FOR YOUR FRIENDS If you have a home in Southwest Florida,
chances are you have houseguests from up north every winter
enticed by our palm trees, white sand beaches and tropical weather.
Reclaim your home by helping your friends find their own! Here’s
their chance to own property in Cape Coral, Florida.
FOR CAPE CORAL Proceeds will benefit the much-needed expansion of Cape Coral Hospital. Cape Coral Hospital opened in 1977
with 94 patient beds. Today it has 281 beds, all private. As Cape
Coral’s population continues to grow at an unprecedented rate, the
need for expansion at Cape Coral Hospital is becoming increasingly
critical to meet the healthcare needs of this growing community.
TAKE
A CHANCE! Tickets cost $100 for one
chance and all proceeds will benefit the expansion of
Cape Coral Hospital. Tickets are limited! Call the
Foundation office at (239) 985-3550
tickets
online
visit
or
to
purchase
WWW.LEEMEMORIAL.ORG/FOUNDATION today!
I’M DREAMING OF A WHITE
(SAND BEACH) CHRISTMAS
It hardly seems like the holidays with our sunshine and balmy weather,
but the 3rd annual Olde Hickory Golf and Country Club’s Gingerbread
Auction is right around the corner! This cinnamon-scented event is
scheduled for December 4th and will feature gingerbread creations
handcrafted by Fritz Bubeck, General Manager of Olde Hickory and
other talented contenders. Last year’s event raised over $35,000 to support Barbara’s Friends – The Children’s Hospital of Southwest Florida
Cancer Fund.Mark your calendars and bring your family to this special
holiday event! For more information call (239) 985-3550.
OFFICERS
JOHN GLEESON, CHAIRPERSON
ELAINE HAWKINS, VICE-CHAIRPERSON
CHARLES T. WILLIAMSEN, 2ND VICE-CHAIRPERSON
ALEXANDER ROULSTON, TREASURER
JULIE K. SMITH, SECRETARY
TRUSTEES
JOHN BLAIS
STEVE BROWN, MD
JOSEPH R. CATTI
FRAN FENNING
TRUSTEES EX-OFFICIO
ROBERT GALLOWAY
GEORGE KENNEKE
VIRGINIA FLEMING
JIM NATHAN
JEFFREY L. GREEN
TOMMIE SCHOTT
FRANK HASKELL
MARILYN STOUT
WILLIAM N. HOROWITZ
M
E
MBERS EMERITUS
CHARLES K. IDELSON
F
RANK BIRELEY
CHIP LESCH
G
ARRETT REASONER
JEAN MARSHALL, RN
JOSEPH D. ZAKS
JAMES W. ORR, JR., MD
MICHAEL PECERI
DAVID M. PLATT
ROBBIE B. ROEPSTORFF
HATTON ROGERS
MADELEINE TAENI
JOHN VALENTINE
BARBARA WATT-BIGGS
STUART ZAIKOV
Our generous and sincere friends at The Annunciation
Greek Orthodox Church again hosted a successful weekend of celebrating all things Greek! The sounds, scents and
sights of the Mediterranean lingered in the warm spring
air at the annual Greek Festival held on Church grounds. A
portion of proceeds generated from this annual event
once again benefited the Pediatric Bereavement Program
at The Children’s Hospital of Southwest Florida to help
family members and parents cope with the loss of a loved
one. Thank you for your generosity again this year. Mark
your calendars! Greek Fest 2006 will be held March 3-5. Call
(239) 481-2099 for more information.
Appreciated
You are
Donors to the Lee Memorial Health System Foundation help improve
the lives of adults and children in our community.You make a differ-
ence everyday. Your support helps fund everything from special toys
for kids to the expansion of an entire emergency department and
everything in between. You make miracles happen! To show our
appreciation, donors at all levels, are recognized in a variety of spe-
cial ways. Donors at the $1,000 and above level are invited each year
to a special “Evening of Appreciation” ceremony. This year’s event is
scheduled for November 29th. To learn more about how you can
make a difference and for information about our giving levels, please
Thank you!
call (239) 985-3550.
Longhorn Steakhouse PPEC Event
“Rounds Up” to Help Kids
Longhorn Steakhouse proved there’s a new West in town when they
hosted the first annual “Longhorn Steakhouse PPEC Round Up”
event on September 24, 2005.
and enjoying some downhome cooking! Thank you to Longhorn
Steakhouse for helping support families in our community.
A portion of all Longhorn Steakhouse sales that day benefited The
Children’s Hospital’s Prescribed Pediatric Extended Care (PPEC)
Center. PPEC is a
“daycare” for children
who need specialized
nursing and rehabilitative care so their
parents can work outside the home or
enjoy much needed
respite from the rigors of caregiving.
Guests and event sponsors, Snead
Cataract, kicked up their spurs for
some down home fun at the
Longhorn Steakhouse Round Up
event!
Families enjoyed
facepainting, “steer”
roping, a clown complete with balloon
animal skills and
more fun, Texasstyle! It was a great
day of supporting
kids in need while
kicking up our spurs
A purrrrrfect event! Little Edward Wagner and Mickey
Dunkle from sponsor MeritageHomes, were entertained
by Cat Country's larger than life mascot.
WWW.LEEMEMORIAL.ORG
HEALTHY NEWS
3
WE MAKE HOUSE CALLS
RECEIVE PROFESSIONAL HEALTHCARE SPECIAL MEDICAL SERVICES
✦ comprehensive cardiac care
IN THE COMFORT AND FAMILIARITY
✦ infusion therapy
OF YOUR OWN HOME.
✦ ostomy and wound care management
There’s no place like home when you’re recovering from surgery,are frail,
ill or disabled and need extra help, or have an acute health problem.
Today, high technology medical equipment for use in the home
provides treatments and services that once were available only in the
hospital.
In the privacy of your own home, you can receive highly skilled
care from Lee Memorial Home Health’s registered nurses, physical,
speech and occupational therapists, certified home health aides and
medical social workers.
Lee Memorial Home Health is licensed in the state of Florida and
certified to participate in Medicare. We are accredited by The
Community Health Accreditation Program (CHAP), your assurance
that our programs and services have met consumer-focused, stateof-the-art national standards of performance. As part of Lee
Memorial Health System, we are backed by the comprehensive services and staff of your community-owned health system.
WHAT LEE MEMORIAL HOME HEALTH
SERVICES CAN DO FOR YOU
By enabling you to stay in the comfort and security of your own
home, Lee Memorial Home Health can help:
✦improve your quality of life
✦speed recovery
✦maintain your independence and dignity
✦reduce overall healthcare costs
✦educate your family and friends about the caregiving process
We offer a wide range of services to meet the special medical,
physical and emotional needs of our patients. Our team of healthcare
professionals will develop a comprehensive home care plan and
monitor and review your progress.
✦ Registered Nurses supervise your care and treatment.
✦ Physical, Speech and Occupational Therapists provide
rehabilitation services as prescribed by the physician
✦ Home Health Aides provide a full range of personal
care services.
✦ Medical Social Workers provide counseling and social
service support to you and family members.
✦ Homemakers and Companions provide caregiver relief
and assistance with daily activities.
✦ diabetes management
✦ enteral nutrition therapy
✦ pediatric services
✦ perinatal services
✦ pulmonary services
✦ rehabilitation therapy
✦ private duty services
✦ pre-fill medication management
✦ CHOICES – care management
✦ Lifeline emergency response services
YOUR ONLY CONCERN WILL BE RECUPERATING,
NOT PAPERWORK
Our specialists will verify your qualifications for coverage of home
care costs under Medicare (Lee Memorial Home Health is a Certified
Medicare Provider), or under non-Medicare insurance.
We will assist in preparing necessary forms, and you will be
advised of all coverage requirements before your care begins. Our
reimbursement specialists bill your insurance directly.
You may choose to pay for home care on a fee-for-service basis
(non-managed care insurance or self-pay). You—or your family—
decide what services are needed and our staff provides an assessment. A physician’s prescription is not required.
Home Care Is Just a Phone Call Away
Phone your physician to find out if home care is appropriate for you,
or call Lee Memorial Home Health at 239-418-2900 for an evaluation. We are here, where and when you need us, seven days a week.
LEE MEMORIAL HOME HEALTH
2070 CARRELL ROAD, SUITE B
FORT MYERS, FL 33901
LICENSE #HHA20643096
Lifeline
a personal response service that gives you the
and freedom to live in the comfort of your own home.
confidence
Private
Duty Services home health
aides and companion/homemakers for respite care, extra help and
companionship in your home or in a facility throughout Lee County
They provide:
✦ Personal hygiene and grooming services
✦ Meal planning and preparation
✦ Light housekeeping
✦ Shopping, errands and laundry services
✦ Transportation to church, appointments and social events
✦ Assistance with errands,record-keeping and making appointments
✦ Medication reminders
✦ Party/holiday planning (shopping, wrapping, decorating, baking)
✦ Conversation and compassion
✦ Assistance while you are in the hospital or other facility
When you need help, just press a small waterproof help button
and in seconds you’re in touch with a Lifeline monitor. This
trained, caring person talks to you and gets you the help you need.
Lifeline is available 24 hours a day, 7 days a week.
Pre-Fill Medication Service
a registered nurse reviews current medication actions, dosages and
possible complications, and consults with the patient’s physician
regarding new orders and/or order changes.
Pediatric Home Care
home health
services for infants, children and adolescents, both short or long term.
TYPES OF SERVICES AVAILABLE:
✦ Newborn assessment
✦ Phototherapy
✦ Wound care
✦ IV therapy
✦ Diabetic teaching
✦ Parenteral and enteral
nutrition
✦ Oncology/hematology
✦ Lab work
✦ Nebulizer treatments
✦ Asthma teaching
✦ Apnea monitoring
✦ Medication teaching
✦ Physical therapy/rehabilitation therapy
✦ Gastrostomy tubes
✦ Coordination of hospital discharge
✦ Family education
✦ Support services for chronically ill children
Perinatal
Home Care Pregnancy can
place a variety of stresses on the body and your physician may
recommend home monitoring should you develop:
✦ Pregnancy induced hypertension (high blood pressure)
✦ Diabetes
✦ Wound infections
✦ Pre-term labor
✦ Pregnancy induced nausea or vomiting
Services include:
✦ Non-stress testing
✦ Heparin therapy (blood thinning)
✦ Intravenous hydration and antibiotic therapy
✦ Post-partum care
✦ Breast feeding education
✦ Lab work
✦ Gestational diabetes education
Each visit (weekly, bi-weekly or monthly) includes:
✦ A full head-to-toe assessment (blood pressure, temperature,
heart rate and more)
✦ Contact with the patient’s pharmacy for medication refills
✦ Explanation of medication issues, such as usage, side effects
and contraindications
CHOICES Program
offers caring, gentle
assistance for the elderly in their own homes.
Our care managers can arrange for and coordinate a
variety of services, including:
✦ Personal care and companion services
✦ Home Health services ordered by the physician
✦ Medication management
✦ Coordinating visits to the physician
✦ Housekeeping and chores
✦ In-home meals
✦ Transportation
✦ Bill paying
✦ Lifeline emergency response system
✦ Crisis intervention
4
HEALTHY NEWS
NOVEMBER 2005
WAYS TO BEAT
HOLIDAY STRESS
One of our greatest health challenges is to balance the effects of stress in our lives.
Unrelieved over a period of time, stress can have a negative effect on our lives and
our health.The holiday season can be particularly stressful.
The tips below are gifts you can give yourself and your family to maintain a
healthy lifestyle during the hectic holidays.
Some Ways To Cope With Stress
■
■
■
■
■
■
Take time to relax each day; don’t feel guilty about taking time for yourself
Balance work and play
Build and use support systems
Learn to say no; don’t take on more than you can handle
Accept what you cannot change
Develop realistic expectations of yourself and others;
recognize your limitations
■ Get plenty of rest and sleep
■ Eat a healthy diet; avoid excessive use of caffeine, tobacco, drugs and alcohol
■ Most important, be good to yourself and listen to your
body’s warning signals
To Learn More About Our
Programs For…
Let The Holiday
Spirit Move You
IF YOU MAKE YOUR FAMILY TIME ACTIVE,
YOU WILL BECOME HEALTHIER AND HAVE FUN DOING SO.
■ Stick to your regular exercise routine as much as possible.
■ Cut back on your family’s television viewing time. Instead, take a brisk
walk (or bike) around the neighborhood to see the holiday decorations.
■ Play some backyard football or Frisbee with children and adults
before the big holiday dinner or during football half time.
■ Dance or exercise to your favorite holiday music.
■ Make a New Year’s resolution with friends to start a daily walking
Exercising regularly, call the Lee Center for
Rehabilitation and Wellness, 239-418-2000;
or the Wellness Center of Cape Coral, 239-5734800
Managing weight, call the Lee Center for
Weight Management, 239-573-5720
Donating blood, call the Lee Memorial
Blood Centers, 239-334-5333
Volunteering, call Volunteer Services, 239334-5388 or 239-574-0206.
group.
Overcome The Urge To Overeat
■ Standing by the buffet table is temptation to overeat.
Remember holiday parties are a time to celebrate with family
and friends, not just food.
■ Make sure to watch portion sizes and select one or two of your
favorites from the host of tempting foods.
■ Leave those extra calories behind—take the butter and sugar
off the table.
■ If you drink alcohol, do so in moderation.
Donate Blood For Health Benefits
■ Every time you donate blood,you receive vital health checks at no
cost. At our blood centers, you will be checked for the following:
❖ Pulse rate
❖ Blood pressure
❖ Body temperature
❖ Anemia (iron level)
❖ Blood type
On request, we also will check your cholesterol levels.
Volunteering Is Good for You
■ Volunteering, say researchers, is good medicine.
They’ve found that those who freely share their time
experience health benefits:
❖ increased energy
❖ lessened stress
❖ an overall feeling of wellness
❖ longer life expectancy
❖ immune system boost
WWW.LEEMEMORIAL.ORG
HEALTHY NEWS
5
Caregiving:
The Art
MEMORIES
ARE TOO
of Love
BY DANIELLE MUSTEFFE
AS OUR SOCIETY GROWS MORE SOPHISTICATED
ABOUT THE AGING PROCESS AND THE NEEDS OF
THOSE BOTH RECEIVING AND PROVIDING CARE TO
THE ELDERLY, THE DAYS OF THE INVISIBLE CAREGIVER ARE RAPIDLY COMING TO AN END. NO
LONGER DO CAREGIVERS HAVE TO BE ISOLATED
AND ALONE, NEITHER SEEN NOR HEARD.
Today, there are 55 million caregivers in our nation and
that number is growing daily.
The art of caregiving comes from the heart. Yet, caregivers still have to be familiar with the elements that make
up loving care—both for themselves and the ones they
provide care for. There is so much to understand, and so
many things to learn.
To better educate people about their caregiver roles, a
number of community organizations came together in
2001 to provide services for caregivers. Lee Memorial
Health System, Hope of Southwest Florida, The Alvin A.
Dubin Alzheimer’s Resource Center, The Parish Nurse
Program, and the Area Agencies on Aging in Southwest
Florida, felt compelled to become involved. The ability of
these different agencies to collaborate to create a team
approach is what makes the CARE program unique.
The Caregiver Assistance and Regional Education
Program, the “CARE” program, is part of the National
Family Caregiver Support Program.The program is funded
through a grant from the Florida Department of Elder
Affairs, and the Area Agency on Aging for Southwest
Florida, Inc.
The seven counties in Southwest Florida are home to
more than 402,400 persons over the age of 60, about 33
percent of the area’s total population. The CARE program
provides services for caregivers in Lee, Charlotte, Sarasota,
Desoto, Collier, Hendry and Glades counties.
The program offers caregivers and family members a
free comprehensive education taught by qualified
instructors. Topics covered include end-of-life issues,
emergency respite planning, aging changes, doctorpatient communication, personal care of the older adult,
mobility, community resources and communication skills.
DANIELLE MUSTEFFE IS THE CARE PROGRAM
COORDINATOR FOR OLDER ADULT SERVICES AT LMHS.
FOR MORE INFORMATION ABOUT THE CARE PROGRAM,
CALL TOLL-FREE 1-866-231-0921 OR 239-334-5751.
THE FILE OF LIFE
MAY SAVE
YOUR LIFE
PRECIOUS
TO LOSE
Lost car keys. Missed birthdays and anniversaries.
Forgotten names.
Minor forgetfulness is part of being human. Chronic
memory loss, however, is cause for concern. Indications
for this more serious condition include:
● Continuing difficulty recalling information
● Getting lost in familiar surroundings
● Impaired judgment
Memory loss is not always Alzheimer’s disease — it
could result from another type of dementia — nor is it an
inevitable result of aging. Memory loss also can be
caused by various medical, neurological and psychiatric
conditions, such as:
● Thyroid disease
● Clinical depression
● Head injury
● Nutrition deficiencies
● Medications
● Metabolic disorders
● Seizure disorders
● Stroke
● Prolonged alcohol intake
Lee Memory Care can help Lee Memory Care is a statedesignated Memory Disorder Clinic, one of 12 sponsored by the
Florida Department of Elder Affairs. These clinics are the state’s focal
points for research, training and services for residents with symptoms
of Alzheimer’s or related dementias.We serve residents of Charlotte,
Collier, Hendry, Lee and Sarasota counties.
Inviting atmosphere We have created a special environment to
help ease the anxiety and stress persons with dementia often experience in unfamiliar places. In our office and examining rooms, patients
are made comfortable in home-like surroundings. Unlike the typical
clinic setting, Lee Memory Care has a warm, inviting atmosphere.
Evaluation with our team of experts An evaluation usually
involves a series of doctor’s office visits over a two-week period. Lee
Memory Care physicians are specialists in neurology (disorders of the
brain and nervous system). They conduct a range of tests in order to
make a precise diagnosis.
When it comes to medical emergencies, time and information can
increase chances of survival. The File of Life brings all your important medical information to the attention of emergency services personnel in the case of an emergency.
“When it is brought in with the patient,” says SYNTHIA
prevention manager for LMHS, “the
Emergency Department staff have accurate information about that
patient’s medical history and can speed up care.”
BULTMAN, RN, injury
The file is a red plastic magnetic pouch with a clear front that
attaches to your refrigerator door. The file contains vitally important
information about you so that emergency medical professionals have
quick access to your basic medical information.
This information includes:
■ Medications that you take
■ Allergies you have
■ Emergency contact information
■ Your medical conditions
■ Your physical description
■ Your physician’s name
■ Your preferred hospital
The file also has a sticker that you place on your front door or window to alert emergency personnel to look for your information.
LEE COUNTY EMERGENCY MEDICAL SERVICES, LEE COUNTY
SHERIFF’S DEPARTMENT AND CITY POLICE DEPARTMENTS
are trained to look for the window stickers and red pouches.
The neurologist takes a complete medical history and performs a
physical examination to test neurological responses such as reflexes and
motor skills. This exam may also include laboratory tests and neuroimaging tests.
The neuropsychologist does a psychological evaluation, which may
include examinations for long-and-short-term memory-related functions,as well as depression.The clinical nurse specialist interviews family members to determine coping strategies and resources needed.
Then after the tests are completed, the doctors meet with the patient
and a family member for the final diagnosis and to establish a treatment plan, if necessary.
Support and education Our Caregivers Support Program offers
education and emotional support for persons who care for a dependent loved one suffering from Alzheimer’s or related dementias.
Through classes and discussions, Lee Memory Care staff and other
community professionals help caregivers understand what progressive
memory impairment is and the related behavior changes that may
occur.
Case management available We offer case management as an
optional service. The case manager, a healthcare specialist, is your
advocate in coordinating the details of your case, and your primary
contact person when you have questions, want information or need
additional resources.
For more information, or to schedule an appointment, call
Lee Memory Care at 239-334-5634.
THE FILE OF LIFE IS FREE
WHEN YOU JOIN LMHS’
SHARESM CLUB, A FREE
MEMBERSHIP PROGRAM
EXCLUSIVELY FOR PEOPLE AGES
50 AND OLDER WHO WANT TO
STAY HEALTHY, ACTIVE AND
INVOLVED.
CALL THE SHARESM CLUB
TODAY FOR A MEMBERSHIP
APPLICATION: 239-772-6765
OR COMPLETE AND MAIL THE
ONE ON PAGE 8.
6
HEALTHY NEWS
NOVEMBER 2005
TYPES AND CAUSES
OF FEMALE URINARY
INCONTINENCE
BY DIRK E. PETERSON, MD, PHD, FACOG
WOMEN EXPERIENCE INCONTINENCE TWICE AS OFTEN AS
MEN. PREGNANCY AND CHILDBIRTH, MENOPAUSE, AND THE
STRUCTURE OF THE FEMALE URINARY TRACT ACCOUNT
FOR THIS DIFFERENCE.
Older women, more often than younger women, experience
incontinence. But incontinence is not inevitable with age.
Incontinence is treatable and often curable at all ages. If you experience incontinence, you may feel embarrassed. It may help you to
know that loss of bladder control can be treated. You will need to
overcome your embarrassment and see a doctor to learn if you need
treatment for an underlying medical condition.
THE THREE MOST COMMON TYPES OF
URINARY INCONTINENCE ARE:
●STRESS—a small volume of urine is lost when coughing,
laughing or sneezing, caused by a prolapsed (drooping)
bladder and urethra.
●URGE—a large volume of urine is lost all at once, caused
by an overactive bladder
●OVERFLOW—small volumes of urine are lost continuously,
caused by bladder obstruction, diabetes and other diseases.
Many patients have a mixture of stress, urge and overflow incontinence.
In designing an individual treatment plan for the patient, I always
consider conservative measures first, such as Kegel exercises to
strengthen or retrain pelvic floor muscles and sphincter muscles;
medication; and bladder training. Surgery may be an option for
patients who don’t respond to the conservative measures, have pure
stress incontinence or a biomechanical failure (for example, an
abnormality of the sphincter muscle).
DIRK E. PETERSON, MD, PHD, is board certified in
obstetrics and gynecology, in practice with Associates in OB/GYN,
part of Lee Physician Group. Dr. Peterson’s office is located in Cape
Coral. He can be reached at 239-573-5600.
SURGICAL RELIEF
FOR FEMALE STRESS
INCONTINENCE
BY BRIAN SCHWARTZ, MD
URINARY INCONTINENCE IS AN INABILITY TO HOLD YOUR URINE UNTIL
YOU GET TO THE BATHROOM. STRESS INCONTINENCE IS OFTEN AN
EMBARRASSING CONDITION WHERE URINE LEAKS FOLLOWING A COUGH
OR SNEEZE. LAUGHING, RUNNING (EVEN WALKING) OR LIFTING SOMETHING HEAVY CAN ALSO CAUSE THE INVOLUNTARY LEAKING OF URINE. IT
IS THE MOST COMMON FORM OF INCONTINENCE IN WOMEN.
But both women and men can become incontinent from neurologic
injury, birth defects, strokes, multiple sclerosis and physical problems
associated with aging. Women who have the condition, however,
should not consider it a natural consequence of aging, childbirth,
menopause or any other condition.
Treatment options for stress incontinence range from simple exercises to surgery. Surgery can offer women long-lasting relief.A vaginal
sling operation is currently the most effective therapy for significant
stress urinary incontinence. The surgeon performs the surgery
through the vagina. The procedure involves lifting the urethra to a
more normal position. Innovations in the procedure include slings
made of artificial materials. This procedure has a high success rate for
patients of all ages.
BRIAN SCHWARTZ, MD, is a practicing urologic surgeon
with Florida Urology Physicians, PA, which has offices in Fort Myers,
Cape Coral, Lehigh and Bonita Springs. Dr. Schwartz can be reached at
239-689-8800.
PHYSICAL THERAPY: AN ALTERNATIVE
TREATMENT OF URINARY INCONTINENCE
BY JANET SIEGEL, MS PT
CLINICAL SPECIALIST
PHYSICAL THERAPY IS A NON-INVASIVE, SAFE AND LOW-RISK OPTION IN
THE TREATMENT OF URINARY INCONTINENCE. IT SHOULD BE A FIRST LINE
TREATMENT FOR INCONTINENCE. PHYSICAL THERAPY INCLUDES SEVERAL
DIFFERENT BEHAVIORAL TREATMENTS INCLUDING:
■ Exercises to strengthen the pelvic floor muscles (Kegel exercises). Often patients are told to perform Kegel exercises but
are never instructed in the proper technique to assure that
the correct muscles are being used. A trained physical therapist can help in identifying the correct muscles to use.
■ Exercises to strengthen the abdominals, hips and back.These
muscles work in conjunction with the pelvic floor muscles
and can be weak, which may contribute to incontinence.
■ Biofeedback allows a person to hear a tone or watch a graph
as the pelvic floor muscles are tightened.
■ Bladder retraining or behavioral modification allows people
to increase the length of time between trips to the bathroom.
Patients keep a bladder diary to track their normal schedule
of activities and the number of times they use the bathroom
in a 24-hour period. Therapists then use the diary to develop
a retraining program.
Physical therapy, by itself or in conjunction with other
treatments
such as medication, often can help people take
■ Education about how diet and fluid intake affects a person’s
control of their bladder instead of allowing their bladder to
incontinence.
control them.
■ Electrical stimulation to assist in strengthening weak pelvic
floor muscles or to inhibit an overactive bladder.
Physician referral is required for treatment. Your doctor
can call 239-574-0317 for an appointment, or for more
information.
JANET SIEGEL, MS, PT, is a physical therapy clinical specialist with the Lee Center For Sports Medicine and
Rehabilitation at Cape Coral Hospital.
WWW.LEEMEMORIAL.ORG
HEALTHY NEWS
7
HEART AND VASCULAR INSTITUTE
NAMES MEDICAL DIRECTOR
PETER SIDELL, MD, HAS JOINED LMHS AS MEDICAL
DIRECTOR FOR THE HEART AND VASCULAR INSTITUTE
(FORMERLY LEE CARDIAC CARE). DR. SIDELL ACCEPTED THE
APPOINTMENT FOLLOWING HIS RETIREMENT FROM ACTIVE
PRACTICE IN 2004. BOARD CERTIFIED IN CARDIO THORACIC
SURGERY, DR. SIDELL WAS A PRACTICING CARDIAC SURGEON
IN LEE COUNTY FOR MORE THAN 25 YEARS.
As medical director, Dr. Sidell says he will work with specialists to
constantly fine tune and advance heart and vascular services within
LMHS. “I want to continue building excellent relationships between
our hospital staff and our specialists, so that we are the place of choice
for both doctors and patients.”
Evaluating new therapies and diagnostics for cardiac care is
another of Dr. Sidell’s goals. An exciting new noninvasive technology
for cardiologists and patients is the advent of high-speed,multislice CT
scanners for detecting and diagnosing coronary artery
disease. The technology is now able to provide images of the coronary
arteries in great detail and clarity.“The scanner,” says Dr.Sidell,“ is fast
enough to stop motion by synchronizing with the heartbeat just as the
heart is beginning to relax between beats.”
Quality of care, constant improvement and continued cooperation
with the doctors are all-important. “A good place for the doctors to
work,” Dr. Sidell says,“will be a good place for patients to receive care.”
HIGH-SPEED SCANNERS AT LMHS
A 40-slice multidetector CT will be installed at Lee
Memorial Hospital within the next seven months. In
the next 12 months, HealthPark Medical Center will
have a 40- or 64-slice scanner installed. We currently
have a 16-slice scanner at Cape Coral Hospital.
WHOOPING
COUGH OUTBREAK
prevent the disease and reduce related illness and death are available for
children up to age 7, and for adolescents between 10 and 18. The children’s vaccine is part of a routine series of childhood immunizations
called diphtheria-tetanus-acellular pertussis (DTaP). It is administered
in five doses, given at 2, 4, 6, and 15 to 18 months of age, and between 4
and 6 years.All five doses are recommended for maximum protection.
BY THOMAS SCHILLER, MD
The adolescent vaccine,approved in May 2005,has the same components as the DTaP vaccine for infants and young children, but in
reduced quantities.
IT’S COMMONLY THOUGHT OF AS A DISEASE OF THE PAST. TODAY, HOWEVER, COMMUNITIES THROUGHOUT THE UNITED STATES ARE EXPERIENCING THE WORST WHOOPING COUGH OUTBREAKS IN 40 YEARS. KNOWN
ALSO AS PERTUSSIS, WHOOPING COUGH IS HIGHLY CONTAGIOUS AND
CAN KILL INFANTS AND CAN CAUSE A LINGERING BUT HARD-TO-DIAGNOSE COUGH IN TEENS AND ADULTS.
IMMUNIZATION Although most infants in the U.S. are
now immunized against pertussis, this immunity usually fades as a
person enters early adulthood. This means that almost all American
adults and teenagers are potential targets for pertussis infection.
Vaccines currently licensed by the Food and Drug Administration to
The child is a very young infant who has not been fully
immunized and/or has had exposure to someone with a chronic
cough or the disease.
The child’s cough becomes severe and frequent,or his or her lips and
fingertips become dark or blue.
The child becomes exhausted after coughing episodes, eats poorly,
vomits after coughing and/or looks “sick.”
TREATMENT Depending upon the age of the child and the
severity of the illness, treatment may include the following either at
home or in the hospital:
Antibiotics – may be given intravenously.
Close observation – sometimes in an intensive-care setting.
Oxygen and intravenous fluids.
SYMPTOMS Bordetella pertussis bacteria cause the illness,
which often acts like a common cold for a week or two. The bacteria
attack the lining of the breathing passages, producing severe
inflammation and narrowing of the airways. Because the child is
short of breath, she or he inhales deeply and quickly between
coughs. These breaths frequently make a “whooping” sound.
Older children might not have the whoop sound.
Thomas Schiller, MD, is a board certified pediatrician with Lee
Physician Group,Associates in Pediatrics, which has offices in
Fort Myers, Cape Coral and Lehigh. Dr. Schiller is currently
accepting new patients. For more information, or to make an
appointment, call 239-939-1000.
WHEN TO CALL YOUR PEDIATRICIAN
You should consider the possibility of whooping cough if the
following conditions are present:
AREA’S ONLY ACCREDITED CHEST PAIN
CENTER AT HEALTHPARK MEDICAL CENTER
BY JUDY MITCHELL, RN, BSN
The Heart and Vascular Institute has taken its heart program to a
new level of excellence. Health Park Medical Center has achieved
three-year accreditation as a Chest Pain Center. HPMC is the 15th
hospital in Florida (the only one in Southwest Florida), and the
154th hospital in the United States to receive this distinction. The
Society of Chest Pain Centers awards this mark of excellence.
What does this mean to you if you need heart help? Our physicians and staff understand that when it comes to treating heart
attacks time is critical. Time is also muscle — the more time it takes
to get the medication or treatment you need, the more damage is
done to the heart muscle and squeeze power of the heart.
As an accredited Chest Pain Center, we are trained to significantly reduce the time it takes for a patient experiencing possible heart
attack symptoms to receive treatment. You’ll be stabilized, tested,
and treated more quickly during the critical early stages of a heart
attack when treatment is most effective.
The accelerated procedures begin when you call 9-1-1 with chest
pains. Emergency Medical Services will speed you to the Chest Pain
Center, while monitoring you and communicating with our
Emergency Department staff.
On arrival in emergency, you immediately will be stabilized,
assessed and tested. Our expert emergency physicians and staff will
evaluate all the risk factors and then determine the best course of
action:
■ immediate procedure to remove a blockage
■ Cardiac Decision Unit (CDU), if you are low-risk, for
observation and additional testing to ensure that you are
not sent home early or needlessly admitted
■ admission to the hospital for surgical or medical treatment
■ discharge
Our nurses receive ongoing highly specialized, heart-specific
training, so you can be assured of getting the very best care at every
step.We are dedicated to continuous quality improvement and community education and outreach to keep you heart healthy.
Our accreditation as a Chest Pain Center is a sign of excellence to
you and the community we serve, through our commitment to quality care.
JUDY MITCHELL, RN, BSN, is the nursing director of
the Cardiac Decision Unit at HealthPark Medical Center.
HEART ATTACK WARNING SIGNS
If you have any of these symptoms, call 9-1-1 immediately:
■ an uncomfortable pressure, squeezing, fullness or pain in the center of the chest that lasts more than a few minutes, or goes away and
comes back
■ discomfort in other areas of the upper body, which may be felt in one or both arms, the back, neck, jaw, or stomach
■ shortness of breath, which often occurs with or before chest discomfort
■ other symptoms such as breaking out in a cold sweat, nausea, or light-headedness.
Always call 9-1-1 when you experience heart attack symptoms. Do not try to drive yourself or have anyone drive you to the hospital. Emergency
Services personnel are trained to take care of you and the ambulance is equipped with a defibrillator, a device that uses an electrical shock to
reset the electrical state of the heart. This could save your life.
HEALTHY NEWS
8
NOVEMBER 2005
EMERGENCY SERVICES TO EXPAND AT
CAPE CORAL HOSPITAL
LMHS leadership has unveiled plans for expansion of the Emergency Services department at Cape Coral Hospital. A ceremony in October celebrated the dedication of the
Weigner Taeni Center for Emergency Services.
When the expansion is complete, Emergency Services will grow from the current 26
treatment bays to about 39. The cost of the project is approximately $10 million.
The project will take place in three phases with engineering and planning to begin soon.
The large donation from Madeleine Weigner Taeni, for whom the center is named, is just
one of the many community donations that made the expansion a reality.
“This expansion project is a critical need for the hospital due to the rapid and continued expected growth of Cape Coral,” says JIM NATHAN, LMHS PRESIDENT
AND CEO.
The Woman Behind The Donation:
Madeleine Weigner Taeni
Madeleine R. Weigner (Taeni) was born in Vienna, Austria and moved
to New York in 1941. She graduated with a master of arts degree from
Stanford University and later married John Taeni in 1952.
After living a hectic life on New York’s Wall Street, the family could no
longer resist the call of the warm Southwest Florida breezes.A beautiful
house on the river in a cozy Cape Coral neighborhood captured their
hearts, and she has been there ever since.
Over the years, Madeleine has touched the lives of many through her
philanthropic generosity. She is passionate about helping young adults
achieve their potential through education and has supported scholarships through Edison College, the Giving Alliance of Women, and
Uncommon Friends to name a few.
From left to right: Marilyn Stout, Donna Giannuzzi, Jim Nathan, Linda Brown, Madeleine Taeni, Joe
Catti, Lisa Sgarlata, Frank La Rosa, Dr. Timothy Dougherty and Frank Bireley.
HOW TO STAY
HEALTHY, ACTIVE
AND INVOLVED AFTER 50
SM
JOIN SHARE CLUB, A FREE MEMBERSHIP PROGRAM EXCLUSIVELY FOR PEOPLE AGES 50 AND OLDER.
Here are a few of the many benefits
our 42,000 members enjoy:
HEALTH SCREENINGS
COMPUTER CLASSES
EDUCATIONAL PROGRAMS
EXERCISE CLASSES
DISCOUNTS:
PRESCRIPTIONS
VISION,
OUR HOSPITAL CAFETERIAS AND
GIFT SHOPS
LOCAL BUSINESSES
SOCIAL EVENTS
NEWSLETTER
…and MUCH MORE
Just complete and mail this application
and you’ll receive a membership card and
information packet in the mail. In the
meantime, if you have questions, call the
SHARE Club at 239-772-6765, or visit
www.LeeMemorial.org/shareclub.
Applicant Name
Spouse
Local Address
Birth Date
City
Male
State
Female
Female
E-Mail Address
Zip
Physician
Home Phone
Birth Date
Male
Have you ever been a patient at any Lee Memorial Health System
E-Mail Address
facility? Yes
Do you want to receive all information via e-mail? Yes
No
No
Would you be interested in volunteering at any Lee Memorial
Health System facility? Yes
Physician
Are you a full-time Lee County resident?
Yes
No
Have you ever been a patient at any Lee Memorial Health System
facility? Yes
No
SM
Would you be interested in volunteering at any Lee Memorial
Health System facility?
Yes
No
No
MAIL TO:
Lee Memorial Health System
SHARE Club
P. O. Box 2218
Fort Myers, FL 33902-2218
SM
WWW.LEEMEMORIAL.ORG
HEALTHY NEWS
SUPPORT FOR
9
GRIEVING
PARENTS
The loss of a child is one of the most painful experiences a parent can endure. The Children’s
Hospital of Southwest Florida is here to help. The hospital’s Pediatric Bereavement Program,
Pathway to Healing, provides support to the families and friends of children who have died, are
terminally ill, or for those who have experienced pregnancy loss.
Bereavement counselors are available to help parents through the grieving process. An important part of a family’s healing after the loss of a child is the memorial service at the Children’s
Memory Garden located on the grounds of HealthPark Medical Center. The service is held every
six months. For information about our Pediatric Bereavement Program, call 239-432-3672.
SCREENING TESTS FOR MEN
SCREENING TESTS FIND DISEASES EARLY WHEN THEY
ARE EASIER TO TREAT. TALK TO YOUR DOCTOR ABOUT
WHICH OF THE TESTS LISTED BELOW ARE RIGHT FOR
YOU, WHEN YOU SHOULD HAVE THEM AND HOW OFTEN.
■ Cholesterol: Have your cholesterol checked at least every 5
years,starting at age 35. If you smoke, have diabetes, or if
heart disease runs in your family, start having your cholesterol checked at age 20.
■ Blood Pressure: Have your blood pressure checked at least
every 2 years.
■ Colorectal Cancer: Begin regular screening for colorectal
cancer starting at age 50. Your doctor can help you decide
which test is right for you. How often you need to be tested
will depend on which test you have.
■ Diabetes: Have a test to screen for diabetes if you have high
blood pressure or high cholesterol.
■ Depression: If you’ve felt “down,” sad, or hopeless, or felt little interest or pleasure in doing things for 2 weeks straight,
talk to your doctor about whether he or she can screen you
for depression.
■ Sexually Transmitted Diseases: Talk to your doctor to see
whether you should be screened for sexually transmitted
diseases, such as HIV.
■ Prostate Cancer Screening: Talk to your doctor about the
possible benefits and harms of prostate cancer screening if
you are considering having a prostate-specific antigen
(PSA) test or digital rectal examination (DRE).
CHOOSE THE RIGHT KIND OF
MEDICAL CARE
AT THE
RIGHT TIME
A GUIDE TO YOUR OPTIONS …to help you make the
best decision about when and where to seek medical care for yourself
and your family.
✱ Primary Care Doctor
✱ Walk-in Medical Center
✱ Emergency Department
P RIMARY C ARE P HYSICIAN
Lee Physician Group referral 239-481-4111 (see map on page 11 for locations)
WALK -I N M EDICAL C ARE
Lee Convenient Care 239-274-7100 (see map on page 11 for locations)
Level of Care
Example of Conditions
/Symptoms (not a complete list)
Routine Primary Care
Annual physical examinations
Prevention, diagnosis and management of both routine and complex
health problems for every age group.
Regular gynecological exams
Health screening tests
Provider Options
Primary Care Physician
Or
Walk-in Medical Center
Acute and chronic disorders
Sore throat
Non-Urgent Sick Visit
Acute onset of symptoms or injuries
that are not of an emergency or
urgent nature.
Minor Emergency
Unforeseen illness or injury that is not
life-threatening but does require
prompt treatment.
Nasal congestion
Flu
Rashes
Earache
Headache
Stomach ache/
nausea
Infections
Minor cuts, bruises or
injuries
Primary Care Physician
Or
Walk-in Medical Center
Coughs/colds
Abrasions
(scrapes)
Lacerations (cuts)
Fractures
Back problems
Burns
Sprains and
strains
Eye injury
Primary Care Physician
Or
Walk-in Medical Center
H OSPITAL E MERGENCY D EPARTMENTS
Cape Coral—Cape Coral Hospital
636 Del Prado Boulevard
239-574-0354
South Fort Myers—HealthPark Medical Center
9981 S. HealthPark Drive
239-432-3334
Fort Myers—Lee Memorial Hospital
2776 Cleveland Avenue
239-334-5329
Emergency
An acute life-threatening illness or
injury that, without immediate medical attention, could endanger one’s
health or result in serious body harm
or dysfunction.
Chest pain or irregular
heartbeat
Uncontrolled bleeding
Sudden or severe pain
Coughing up or vomiting blood
Difficulty breathing,
shortness of breath
Sudden dizziness, weakness, or change in vision
Weakness or numbness
in an arm or leg
Severe or persistent
vomiting or diarrhea
Change in mental status
(confusion, difficulty
awakening)
Allergic reactions with
difficulty breathing
Hospital Emergency Department
With many ailments, heart attacks included, the symptoms of life-threatening conditions are not always
obvious early on. If you’re not sure, you should go to
an emergency department, where you will receive a
medical screening to determine whether an emergency medical condition exists. If you decide you
need to call 9-1-1, an operator often can tell you what
to do while waiting for an ambulance.
10
HEALTHY NEWS
NOVEMBER 2005
LEE PHYSICIAN GROUP AND LEE CONVENIENT CARE
DIRECTORY
OF SERVICES
LEE PHYSICIAN GROUP Lee Physician Group is a multi-specialty group
with a major emphasis on primary care. Our doctors specialize in family practice, internal
medicine, pediatrics, obstetrics and gynecology, endocrinology and rheumatology. Lee
Physician Group currently has over 26 office locations throughout Southwest Florida with
more than 70 doctors, as well as physician assistants, advanced registered nurse practitioners, certified nurse midwives and trained staff committed to taking care of you and your
family’s healthcare needs.
Associates in Pediatrics
LEE PHYSICIAN
GROUP PRACTICES
AND LOCATIONS
* Denotes currently accepting
new patients.
Associates in Internal Medicine
George Ball, MD
Patrick Bowman, MD
Paul Mantell, MD
Leah Lynch, MD
Binh Truong, MD*
Lane Edwards,ARNP
Tina Wood,ARNP
1 1569 MATTHEW DRIVE
FORT MYERS, FL 33907
PHONE: 939-1700
2 16201 BASS RD, STE. 304
FORT MYERS, FL 33908
PHONE: 939-1700
Associates in OB/GYN
Ronnie Frankel, MD
Dirk Peterson, MD, PhD, FACOG*
John Oliva, MD, FACOG*
Bonnie Shepheard, CNM*
Meegan Page, CNM*
3 650 DEL PRADO BLVD., STE. 106
CAPE CORAL, FL. 33990
PHONE: 573-5600
Irwin Kash, MD*
Martin Sherman, MD*
John Distasio, MD*
Piedade Silva, MD*
Anthony Pietroniro, MD*
William Daniel Wood, Jr., MD*
Kimberly Ghuman, MD*
Nancy Witham, MD*
Thomas Schiller, MD*
Cynthia Capets,ARNP*
Kori Lipman,ARNP*
Peggy Fay,ARNP*
4 1555 MATTHEW DRIVE
FORT MYERS, FL 33907
PHONE: 939-1000
5 650 DEL PRADO BLVD., STE. 107
CAPE CORAL, FL 33990
PHONE: 939-1000
6 1303 HOMESTEAD RD.
LEHIGH, FL 33936
PHONE: 939-1000
7 19910 S. TAMIAMI TRAIL, STE. B
ESTERO, FL 33928
PHONE: 939-1000
Bonita Primary Care
Internal Medicine
Jorge Serra, MD*
Jelin-Israel Cvik, MD*
Adela C. Hunt,ARNP*
8 3501 HEALTH CENTER BLVD.,
STE. 2310
BONITA SPRINGS, FL 34135
PHONE: 992-0558
LEE CONVENIENT CARE Lee Physician Group board certified
doctors also staff our Lee Convenient Care walk-in medical centers. These familyoriented, walk-in medical centers are in easily accessible locations throughout Lee
County. Lee Convenient Care provides treatment when you have common medical
problems such as sore throat, flu, colds, rashes, earaches, infections, or minor,
non-life-threatening emergencies, sprains, fractures, lacerations, abrasions, burns,
eye injuries. Many conditions that don’t require you to go to the Emergency
Department can be treated at any of the Lee Convenient Care walk-in centers.
Campbell, DeVall, Morris &
Ebenger
OB/GYN
Kevin S. Campbell, MD*
Diana D. DeVall, MD*
Cherrie Morris, MD*
Martin Ebenger, MD*
Kim Town,ARNP*
Patricia Hunsucker, CNM*
Nancy Redecker, CNM*
Zoe Sheppard, CNM*
9 9981 HEALTHPARK CIRCLE, STE. 283
FORT MYERS, FL 33908
PHONE: 432-3500
10 5216 CLAYTON COURT
FORT MYERS, FL 33907
PHONE: 936-1776
11 19910 S. TAMIAMI TRAIL, STE. B
ESTERO, FL 33928
PHONE: 498-5292
N. David & Saludo
Family Practice
Nicasio David, MD*
Rodolfo Saludo, MD*
12 4040 PALM BEACH BLVD., STE. F
EAST FORT MYERS, FL 33916
PHONE: 694-0400
Domingo & Radhakrishna
Internal Medicine
Bharath Radhakrishna, MD
Juan C. Domingo, MD
13 1228 S.E. 8TH TERRACE
CAPE CORAL, FL 33990
PHONE: 574-8588
Family Practice at
Clayton Court
Joseph R. Salaz, MD*
Joseph Hobson, DO*
Albert Van Zyl, MD*
Pamela Salaz,ARNP*
Kathryn Udell,ARNP*
Tammara Bezanson,ARNP*
14 5225 CLAYTON COURT
FORT MYERS, FL 33907
PHONE: 939-7222
Family Practice at Estero
Ricardo Bendeck, MD*
Rachel Bartels, MD*
15 19910 SOUTH TAMIAMI TRAIL, STE.C
ESTERO, FL 33928
PHONE: 498-6912
Family Practice at Lehigh
R. Michael Tucker, MD
Charlene Couillard, PA*
Sue Flottemesch,ARNP*
16 60 WESTMINSTER STREET, STE. A
LEHIGH ACRES, FL 33936
PHONE: 368-1808
HealthPark of the Islands
Family Practice
Dan Pulsipher, DO*
17 1699 PERIWINKLE WAY
SANIBEL, FL 33957
PHONE: 395-1414
Kai-Fu Chow, M.D.
Internal Medicine
Kai-Fu Chow, MD*
18 930 S. MAIN STREET
LABELLE, FL 33935
PHONE: 863-675-4450
Lee OB/GYN Associates
Bipin Shah, MD*
Debra Skinner, MD*
Gilbert Draulans, MD*
Renee Black, CNM*
Celeste Frazier, CNM*
Kwee Green, CNM*
Naomi Pacheco, CNM*
Sister Evelyn Lebiedz, CNM*
Cindy Stewart, CNM*
Christina Sierra, CNM
Elena Kolovrat, CNM
19 3610 BROADWAY
FORT MYERS, FL 33901
PHONE: 275-0549
20 16271 BASS ROAD
FORT MYERS, FL 33908
PHONE: 432-3322
21 325 PRATT BOULEVARD
LABELLE, FL 33935
PHONE: 275-0549
22 100 EAST EL PASO
CLEWISTON, FL 33440
PHONE: 275-0549
For more detailed information about each physician, practice
and maps please visit www.leephysiciangroup.org.
HEALTHY NEWS
WWW.LEEMEMORIAL.ORG
11
4
4
224
LaBelle 18
LaBelle 21
3
Clewiston
12
27
13
5
19
16
1
4
14
25
4
6
26
10
24
9
28
23 20
2
11
17
7
15
8
LEE PHYSICIAN
GROUP PRACTICES
AND LOCATIONS
* Denotes currently accepting
new patients.
Lee Physician Group at
Bass Road
Lee Physician Group at
College Pointe
Internal Medicine
Family Practice
Salvatore Lacagnina, DO
Lisa Chow, MD
Diana Young, MD*
John Ardesia, DO*
Adriana Loukanova, MD*
Family Practice
Gregory E. Krill, MD
23 16271 BASS ROAD
FORT MYERS, FL 33908
PHONE: 432-3322
Robert Bourgeois, MD*
Manuel A. Garcia, MD*
Sebastian Draulans, MD*
A. Joseph Piccola, DO
Darren Jacobs, DO*
Rick Waks, DO*
Lorie Quigley,ARNP*
Internal Medicine
Athan Drimoussis, MD*
Bruce J. Lipschutz, DO*
Charles Briseño, MD*
South Cape Physicians
Internal Medicine
Felix R. Mestas, MD*
Ellen Hoefer-Hopf MD*
Marshall D’Souza, MD*
Milena Loukanova, MD*
Family Practice
Hilario David, MD*
25 507 CAPE CORAL PKWY.
CAPE CORAL, FL 33904
PHONE: 549-878
Rheumatology
Juan Bustillo, MD*
24 9131 COLLEGE POINTE COURT
FORT MYERS, FL 33919
PHONE: 432-0101
LEE CONVENIENT
CARE HOURS AND
LOCATIONS
Lab and X-ray services are
available on-site. Most major
insurance plans are accepted.
You never need an appointment
or referral.
Fort Myers
Linda Saether, MD
John Glazer, DO
Ann Boudreaux, MD
Paul Fortier, MD
Saiful Islam, MD
Victoria Boisen, MD
Avra Bowers, MD
26 4771 S. CLEVELAND AVENUE
(NORTH OF PAGE FIELD COMMONS)
7:00 A.M. – 7:00 P.M.
OPEN SEVEN DAYS A WEEK
274-7100
North Fort Myers
Steven Bernstein, MD
27 13279 N. CLEVELAND AVENUE
(SOUTH OF HANCOCK BRIDGE
PARKWAY)
MONDAY - FRIDAY, 8:00 A.M. – 5:00 P.M.
SATURDAY & SUNDAY, CLOSED
997-9733
South Fort Myers
Rose Pothen, MD
Jan Martin,ARNP
28 16271 BASS ROAD
(HEALTHPARK)
MONDAY - FRIDAY, 8:00 A.M. – 5:00 P.M.
SATURDAY & SUNDAY, CLOSED
432-4235
For more detailed information about each Lee Convenient
Care location, hours of operation and maps please visit
www.leememorial.org/convenientcare
OUR PRACTICES ARE PART
OF LEE MEMORIAL HEALTH
SYSTEM. Each practice delivers
individualized, quality care,
backed by the comprehensive
services and staff of your community-owned health system.
Further, Lee Physician Group
offices and Lee Convenient Care
walk-in medical centers are
accredited by the Joint
Commission on Accreditation of
Healthcare Organizations, the
highest national accreditation
body for healthcare services in
the United States.
Every day, hundreds of
Southwest Florida residents and
visitors turn to Lee Physician
Group for healthcare because of
our quality services. We provide
expert care, personal attention,
quick and convenient locations,
relaxed atmosphere and friendly,
professional staff.
Living the Good
Life with CHF
Michael Danzig, MD, FACC
Southwest Florida Heart Group
December 6, 2005
2 p.m.
Meeting Rooms 203-204
HealthPark Medical Center
Dr. Danzig is a Fellow of the American College of
Cardiology and serves as Medical Director of
Congestive Heart Failure (CHF) for Lee Memorial Health
System. He will share information about updated treatments for those suffering from CHF and talk about
lifestyle issues the condition creates.
TO RESERVE A SPOT FOR THIS IMPORTANT
PROGRAM, CALL 239-432-4786.
COMMUNITY PROGRAMS
L EE M EMORIAL H EALTH S YSTEM
SUPPORT GROUPS
OFFERS NUMEROUS SUPPORT GROUPS
BEREAVED PARENTS OF SOUTHWEST FLORIDA
432-3672 (PREGNANCY AND CHILD LOSS)
AND EDUCATIONAL EVENTS TO THE
COMMUNITY THAT ARE HELD IN OR
CAREGIVERS
SUPPORT 334-5634
NEAR OUR HOSPITAL FACILITIES .
C ALL THE NUMBERS LISTED BELOW
FOR MEETING DETAILS .
CANCER 877-680-0008 (TOLL-FREE)
OVARIAN CANCER, BREAST CANCER, BRAIN TUMOR
T HE AREA CODE FOR ALL PHONE
NUMBERS IS 239. ( EXCEPT TOLL - FREE )
NEW!
LEUKEMIA AND LYMPHOMA 992-5781
THYROID 560-8495
BREAST CANCER 432-2568
DIABETES 574-0263
PROGRAMS AND CLASSES
HEARTS
IMPLANTABLE CARDIAC DEFIBRILLATORS 432-4614
MENDED HEARTS 432-0985
INFLAMMATORY BOWEL DISEASE
CROHN’S DISEASE AND ULCERATIVE COLITIS
292-2773 OR 939-9939
PARKINSON’S
SHELL POINT AND CAPE CORAL 334-5883
VOICE SUPPORT (SPEECH PROBLEMS) 772-6572
STROKE
STROKE EDUCATIONAL GROUP 336-6142
VICTORS CLUB 334-5081
STROKE 574-1438
ALZHEIMER’S
LEE MEMORY CARE FREE SCREENING 334-5634
CAREGIVERS
CLASSES 334-5884
CANCER 877-680-0008 (TOLL-FREE)
CANCER ADVOCACY CENTER,QUESTIONS ON CANCER,
BREAST CANCER NAVIGATOR, RESOURCE LIBRARY,
NUTRITION COUNSELING, GENETICS COUNSELING,
MAGIC CHOICES BOUTIQUE, CLINICAL TRIALS,
EDUCATION SERIES
DIABETES
LEE DIABETES CARE (CLASSES)
573-5720
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WEIGHT MANAGEMENT
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LMHS FOUNDATION
985-3550
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CLASSES 432-3271
CALENDAR OF EVENTS AVAILABLE ON OUR WEB SITE—FOR A MONTH-BY-MONTH LISTING WITH DETAILS OF CURRENT AND ONGOING
SUPPORT GROUP MEETINGS, CLASSES, SEMINARS, LECTURES AND HEALTH SCREENINGS, VISIT OUR WEB SITE, WWW.LEEMEMORIAL.ORG.
FROM THE HOME PAGE CLICK ON EVENTS.
Cape Coral Hospital – 239-574-2323
636 Del Prado Blvd., Cape Coral, Florida 33990
ORTIZ AVE
HEALTHY NEWS IS PUBLISHED AS A COMMUNITY
SERVICE BY LEE MEMORIAL HEALTH SYSTEM,
P. O. BOX 2218, FORT MYERS, FL 33902
HealthPark Care Center – 239-433-4647
16131 Rose Rush Court, Fort Myers, Florida 33908
HEALTHY NEWS
HealthPark Medical Center –239-433-7799
The Children’s Hospital, 9981 S. HealthPark Drive,
Fort Myers, Florida 33908
NOVEMBER 2005
CEO AND SYSTEM PRESIDENT
Lee Memorial Hospital – 239-332-1111
The Rehabilitation Hospital, 2776 Cleveland Avenue,
Fort Myers, Florida 33901
Fort Myers
Outpatient Center at HealthPark Commons – 239-432-3000
16281 Bass Road, Fort Myers, Florida 33908
SIX M
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PRESS
Lee Physician Group Referral – 239-481-4111
JIM NATHAN
CORPORATE DIRECTOR
MARKETING COMMUNICATIONS
JERRY ELLIOTT
WRITER AND EDITOR
BRENDA ORDONEZ
The Outpatient Center – Cape Coral Lab Services 573-5777
1335B Cape Coral Parkway
DESIGN
GLADIOLUS
JENNIFER LEONARD
Riverwalk Professional Center
Lab Services, 573-5777
Radiology – LMR Imaging, 437-8008
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COPYRIGHT © 2005
Employment Center – 239-772-6500 Circuit City Plaza
(across from Edison mall)
4300 Cleveland Avenue
Suite B-2, Fort Myers, FL 33907
LEE MEMORIAL HEALTH SYSTEM
BOARD OF DIRECTORS
DISTRICT 1
JOHN D.DONALDSON, MD; MARILYN STOUT
Bonita Community Health Center – 239-949-1050
3501 Health Center Blvd., Bonita Springs, Florida 34135
BONITA COMMUNITY
HEALTH CENTER
Lee Convenient Care Locations—No appointment necessary; simply
walk-in. Extended and weekend hours available at most locations.
North Fort Myers – 239-997-9733
13279 N. Cleveland Avenue, North Fort Myers, FL 33903
Fort Myers – 239-274-7100
4771 S. Cleveland Avenue, Fort Myers, FL 33907
South Fort Myers – 239-432-4235
16271 Bass Road, Fort Myers, FL 33908
DISTRICT 2
REV.JAMES J.ENGLISH; NANCY M.MCGOVERN, RN
DISTRICT 3
LOIS C.BARRETT, MBA; LINDA L.BROWN, ARNP
DISTRICT 4
FRANK T.LA ROSA;WILLIAM (BILL) MARTIN
DISTRICT 5
JAMES GREEN; GAYLE LYONS, MPH