Sarasota Health 2015

MAGAZINE’S

HEALTH

BEST

Y O U R G U I D E T O G R E AT M E D I C A L C A R E

THE

320

MOST RECOMMENDED

BY THEIR PEERS

DOCTORS

& DENTISTS CARING FOR THE CAREGIVER LOOK YOUNGER WITHOUT

INVASIVE SURGERY

sarasotamagazine.com

LIFESAVERS 12 MEDICAL BREAKTHROUGHS CHANGING LIVES IN OUR REGION

LOCAL FITNESS CLASSES & EXERCISE TIPS

NO MORE SLEEPLESS NIGHTS: NEW HOPE FOR INSOMNIA

PLASTIC SURGERY

We are pleased to continue Plastic Surgery University, the FREE educational seminar series, launched this October at UTC Mall.

Stay up-to-date on the most effective treatments and the latest advances by attending. All “students” are eligible for special gifts and/or pricing.

View the lecture schedule and join our email list at www.sarasota-med.com.

Mommy Makeover, Breast and Body Contouring Natural breast enhancement.

Restoring pre-pregnancy contours.

SmartLipo laser body sculpting.

Introducing Cell fina – Smooth that Lasts TM

96% 2-year satisfaction rate for reducing cellulite dimples.

AVAILABLE February 2016 at Holcomb-Kreithen Plastic Surgery!

Injectables 101 and Fat Grafting From softening frown lines, brightening tired eyes and restoring natural lip volume to a liquid facelift — amazing results happen with experienced hands.

Skin Care University Learn how to reverse sun damage and improve visible signs of aging with effective topicals and treatments appropriate for your skin type.

Female Rejuvenation with ThermiVa® and HRT Learn the nonsurgical way to regain control, tighten and improve function of the most intimate part of your body.

CoolSculpting®– Introducing CoolMini and CoolSmooth

NeoGraft Hair Restoration

TM

Reduce your double chin and improve body contour by reducing non-pinchable fat (e.g. hips and thighs).

Learn how to benefit from the Automated Follicular Unit Extraction and Implantation Hair Transplant System.

No surgery or downtime!

No invasive surgery or linear scarring.

Introducing Halo – for Radiant Skin without Downtime

Laser Assisted Facelift as seen on The Doctors

TM

Halo targets the skin’s surface and deeper inner layers simultaneously with two different lasers.

Improves skin tone and texture, reduces pore size and increases reflectivity and glow.

Dr. Holcomb shares his expertise on the latest innovations and how he integrates the AccuLift procedure for amazing results.

Lawrence Glassman, M.D.

J. David Holcomb, M.D.

Joshua Kreithen, M.D.

AMERICAN BOARD OF PLASTIC SURGERY

DOUBLE BOARD CERTIFIED FACIAL PLASTIC SURGEON

BOARD CERTIFIED PLASTIC SURGEON

Cosmetic Surgery of the Face & Body

Facial Plastic & Cosmetic Laser Surgery

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|

Breast and Body Contouring Specialist

w w w. s a ra s ot a - m e d . c o m

ONE SOUTH SCHOOL AVE. SUITE 800 | SARASOTA, FL 34237

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SARASOTA HEALTH Volume 4, Number 1

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Break free of those long, wakeful nights with advice from local experts. By Su Byron and Marty Fugate

FEATURES

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MEDICAL MIRACLES Hannah Wallace reports on breakthroughs and treatments that are changing lives in our region right now.

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PULSE New and notable health tips, treatments and facilities in our region.

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NUTRITION When it comes to healthy eating and weight loss, Sarasota’s Rena Greenberg starts with the brain.

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RESOURCES A round-up of local fitness classes to keep you in the pink.

83

TECH Our fitness reporter reviews a new app that keeps runners ahead of the zombies.

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LAST LOOK Sarasota’s lawn bowlers keep fit while having fun.

CARING FOR THE CAREGIVER Health reporter Heidi Godman understands in a very personal way the challenges for those looking after a loved one.

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BEYOND THE CUTTING EDGE Innovative ways to look and feel younger, without invasive surgery.

By Su Byron

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TOP DOCTORS Our exclusive list of the area’s best physicians, as nominated by their peers and evaluated by Castle Connolly Medical.

TOP DENTISTS Your guide to the Sarasota-Manatee dentists most recommended by their peers, compiled by topDentists.

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DEPARTMENTS

SLEEPLESS IN SARASOTA

SARASOTA HEALTH 2015

SPECIAL ADVERTISING SECTIONS 25 Ask the Expert 71 Who’s Who in Health

at Doctors Hospital

“When we went to the ER, they were wonderful. They took us in right away. We were very thankful to have Doctors Hospital nearby and it’s something we can count on.

Learn more about our experience at DoctorsOfSarasota.com/Charlottes.”

— Jeff & Virginia Charlotte, Sarasota, FL JE Charlotte Construction

emergency c a r e 5731 Bee Ridge Road at Cattlemen Road, Sarasota DoctorsOfSarasota.com | 1.888.685.1596

SARASOTA

HEALTH PRESIDENT & CEO Dan Denton EXECUTIVE VICE PRESIDENT & GROUP PUBLISHER Kelley Lavin VICE PRESIDENT & EDITORIAL DIRECTOR Pam Daniel CONSULTING PUBLISHER Randy Noles VICE PRESIDENT & GENERAL MANAGER Pamela Flanagan

EDITORIAL EXECUTIVE EDITOR Kay Kipling SENIOR EDITOR Susan Burns SENIOR EDITOR Ilene Denton ASSOCIATE EDITOR Hannah Wallace WEB EDITOR Megan McDonald EDITORIAL AND WEB ASSISTANT Chelsey Lucas

ART CREATIVE DIRECTOR Gigi Ortwein ART DIRECTOR Pepe Nieto DESIGNER Amy Hoffarth

PRODUCTION PUBLICATIONS DIRECTOR Norma Machado ADVERTISING SERVICES MANAGER Katherine Orenic

ADVERTISING + MARKETING SENIOR ACCOUNT EXECUTIVE Kim Davis ACCOUNT EXECUTIVE Dan Starostecki ACCOUNT EXECUTIVE Sandy Moore ACCOUNT EXECUTIVE Debra Clark Maradiaga ACCOUNT EXECUTIVE Keith Magnuson ACCOUNT EXECUTIVE Katie Fegan SALES AND MARKETING TEAM LEADER Regina Walters MARKETING MANAGER Amy Overbay SALES AND MARKETING ASSISTANT Bobbilynn Hollifield

BUSINESS CIRCULATION MANAGER Diana Clenney CREDIT MANAGER Sara Clements CIRCULATION COORDINATOR Joy Quici

Sarasota Health is published by Sarasota Magazine®, a member of the Florida Magazine Association, City and Regional Magazine Association, The Greater Sarasota Chamber of Commerce and The St. Armands Circle Association. Copyright © 2015 by Gulfshore Media, LLC. All rights reserved. No part of this publication may be reproduced without written permission from the publisher.

SA R A S OTA M AG A Z I N E , 330 S. Pineapple Ave., Suite 205, Sarasota, FL 34236.

E - M A I L : info@sarasotamagazine.com

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SARASOTA HEALTH 2015

PULSE

BY HANNAH WALLACE

ON THE SCENT

A LOCAL ENTREPRENEUR TRAINS DOGS TO SNIFF OUT CANCER.

We all know that dogs can sniff out drug smugglers, lost children and victims of earthquakes, but a new local research company is training them to smell human cancer cells, too. At Myakka Citybased BioScent K9, founded by Heather Junqueira, a former breeding manager for Southeastern Guide Dogs, beagles learn to recognize volatile chemical compounds (VCCs)—chemicals released by abnormal cancer cells—in human breath and urine samples.

Junqueira, 42, started the nonprofit company as a collaborative research effort with the cancer education and research organization Pine Street Foundation in San Anselmo, Calif. Dogs have already successfully identified lung, breast, ovarian, prostate and colon cancers at Pine Street. Beagles are famous for their sense of smell, and Junqueira’s puppies are being trained to give a cue—raising a paw or barking—if they detect VCCs. By the end of the year, the dogs will be ready to test samples provided by local doctors collected during annual physicals. A report based on the dogs’ reactions will be sent to the doctor to advise the patient whether to follow up with an oncologist. Her research will be compounded with Pine Street’s to help win FDA approval.

Early detection is the most effective way of treating most cancers, Junqueira says. “[This technique] is noninvasive and cost effective. If we know dogs can do this, why don’t we use them for that purpose?” she asks. n

BioScent K9’s Heather Junqueira with a beagle-intraining.

ALEX STAFFORD

“IF WE KNOW DOGS CAN DO THIS, WHY DON’T WE USE THEM FOR THAT PURPOSE?”

VISIT bioscentk9.com FOR MORE INFORMATION.

SARASOTA HEALTH 2015

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P U LS E

TAKING A STAND AGAINST FALLS A NEW SCREENING PROGRAM CAN DETERMINE YOUR RISK. Recently, Pines of Sarasota announced a new public screening program that can determine an individual’s risk for falls. Falls represent a major health risk, especially in the elderly, and the Pines program is aimed at raising awareness as well as promoting preventive measures.

Three systems in your body contribute to your balance by sensing your position in space: vision, inner ear and proprioceptors in the joints. All of them are affected by age, but with early detection, you can

Threepart Screening

• A questionnaire determines risk factors such as medication, changes in vision, activity level and history of falls.

reverse deterioration in a particular area and/or help strengthen the other sensors in order to maintain a safe sense of balance.

Based on your risk, the Pines clinicians will recommend appropriate action to improve balance and avoid untimely falls.

By appointment only; visit pinesofsarasota.org to find out more. n • A TUG test, or “Timed Up and Go,” involves walking 10 feet, turning and walking back.

• Three 20-second sessions on a state-ofthe-art Biodex System to measure balance and reflexes.

GIVE MILK? SMH’S NEW MILK DEPOT SERVES THE HOSPITAL’S YOUNGEST, MOST FRAGILE PATIENTS. Sarasota Memorial Hospital’s maternity and neonatal services now include the “Milk Depot,” a place where nursing mothers can donate breast milk that will be screened, analyzed and sent to babies who need it.

Premature babies aren’t the only ones playing catch-up after their early arrival; mothers who give birth prematurely may not yet be producing milk, leaving their fragile babies without a natural food source. The next best thing to mother’s milk? Another mother’s milk—as provided through a “milk bank,” which screens

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SARASOTA HEALTH 2015

donators and their donations in order to provide clean, nutritious breast milk for babies in need.

“Donating breast milk is like donating blood—it saves lives,” says Mary O’Connor, SMH’s manager of Childbirth Education & Lactation Services.

SMH’s Milk Depot was established in association with the Mother’s Milk Bank of Florida in Orlando. Local moms interested in donating their breast milk can start the screening process by calling the Mothers’ Milk at (407) 2485050 or visiting milkbankofflorida. org. Once approved, they can bring their frozen milk to SMH’s Milk Depot, which accepts donations daily. n

3 ounces of donated milk = about nine meals for a premature baby

P U LS E

BEATING PROSTATE CANCER FOR ROBERT DEAN, A ROUTINE BLOOD TEST WAS A LIFESAVER.

MYUNIONHOUSE.COM

“free PSA” test, which measures the level of PSA that’s not attached to other proteins. Dean’s PSA was 3.9—borderline

Robert Dean

“It’s a cruel thing,” says Robert Dean of prostate cancer, a disease he faced in 2010 at the age of 54. Now the 58-yearold Sarasotan is dedicated to telling his story and helping other men navigate their screening, diagnosis and treatment.

Dean’s own diagnosis was a fluke.

A new life insurance policy required a variety of blood tests, including the common PSA (Prostate-Specific Antigen) screening as well as the less-common

at worst, and something the insurance company would have let slide—but his free PSA was lower than 10, which warranted a biopsy. Of 12 cores biopsied, 8 were cancerous. “I flipped out,” Dean says. “The C-word gets mentioned and you’re in an altered state immediately.”

But after the initial shock, he says, “It kicked me into gear.”

Dean spent several months studying, traveling to different facilities and talking to dozens of prostate cancer patients. But he eventually found the solution in his own back yard.

His research led him to Dr. John Sylvester, who helped pioneer brachytherapy treatment in the 1980s in Seattle before coming to Lakewood Ranch’s 21st Century Oncology. Brachytherapy involves the implantation of tiny, radioactive “seeds,” which target the cancerous areas while limiting negative side effects on surrounding tissue.

“Prostate cancer is, outside of skin cancer, the most common cancer in men,” says Sylvester. “The older you get, the higher your risk.” Prostate cancer is also the second-leading cause of cancer death in men, but with cure rates now hovering at or above 99 percent, diagnosis is the most important factor for survival.

Under Sylvester’s care, Dean underwent IMRT, a form of external radiation, and then had the brachytherapy seeds implanted. It’s a common one-two punch with a 20-year track record of being highly successful

“PROSTATE CANCER IS, OUTSIDE OF SKIN CANCER, THE MOST COMMON CANCER IN MEN. THE OLDER YOU GET, THE HIGHER YOUR RISK.” 12

SARASOTA HEALTH 2015

KNOW YOUR PSA

PSA screenings measure the amount of prostate-specific antigen in your blood, among the primary indicators of cancer risk.

PSA: higher than 4 FREE PSA: lower than 10

with few side effects—the most serious being potential incontinence and impotence. Dean says today his chances of recurrence hover around 2 percent.

Though Sylvester admits that there’s some controversy regarding screening (who should be tested and how frequently), he notes that “historically people have gotten screened every year,” so that changes in PSA levels can be noted.

For his part, Dean preaches the importance for men over 50 of getting screened. “It’s really that simple,” he says. “It takes three seconds, and it might save your life.” n

Michael Jones Owner and Certified Senior Advisor of Comfort Keepers® Home Care

Serving Sarasota and Manatee Counties “Family Taking Care of Family” is Michael Jones’ motto; it guides his business and life decisions.

He learned the true meaning of these words when his father passed away. Although Michael was only seven, he felt thrust into the role of head of household and experienced how his family bonded to care for each other through their sorrow and hardship. Caring for others has been a cornerstone of his life’s work ever since.

In his early career as a financial planner, Michael witnessed how older clients were often abused by unethical advisors. This further strengthened his determination to protect the vulnerable— especially seniors. In fact, it became his mission.

When Michael moved his family to Sarasota to be close to his aging mother, he realized the need for quality homecare for seniors. After much research, Michael chose Comfort Keepers® for its groundbreaking, interactive care-giving methods.

Michael and his dedicated team now run three offices in Sarasota, Bradenton, and Venice. Thanks to their services, thousands of area seniors enjoy meaningful and enriched lives in their own homes.

Michael takes an active role in the community by hosting a TV talk show on SNN discussing issues that affect older adults. He is a founding member of the state board for the Homecare Association lobbying for senior rights, a past president of the Sarasota County Aging Network, and heads up the annual company Senior Food Drive and Alzheimer’s Walk fundraisers.

Michael’s wife, Charlotte Jones, R.N., is a partner in the business. “It’s the epitome of family helping family,” says Michael. “We make sure that we only hire caregivers that I would send to help my own family. It’s well worth it, as we’re deeply touched seeing the positive results from the care and compassion our caregivers provide.”

Inspired? You can reach Michael and his team at (941) 921-4747 to discuss ways you or a loved one can remain independent.

Each office independently owned and operated FL License # HHA299992670, 299994101

www.sarasota.comfortkeepers.com www.bradenton.comfortkeepers.com www.venice.comfortkeepers.com

(941) 921-4747

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M A S S A G E E N V Y S PA

INTRODUCTORY MASSAG E

With regular massages, facials and exclusive membership, you can start living a healthier and happier life. Take the first step today at MassageEnvy.com/membership SARASOTA NORTH 2855 University Parkway University Walk between Publix and Panera (941) 556-6400

SARASOTA SOUTH 4055 Clark Road Expo Center

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SARASOTA MIDTOWN 1279 S. Tamiami Trail Midtown Plaza by Michael’s On East (941) 308-7600

MassageEnvy.com Open 7 Days: M-F 8 am-10 pm, Sat 9 am-8 pm, Sun 9 am-8 pm

| Franchises available

*See clinic for details. Rates and services vary by location and session. Each location is independently owned and operated. ©2014 Massage Envy Franchising, LLC. MM#20895

PULSE

FOIL THE FLU HAVE YOU HAD YOUR SHOT YET?

• Each year’s flu shots are tailored to protect against three (trivalent) or four (quadrivalent) of the most common influenza viruses observed that year.

• Flu shots are recommended for virtually everyone over the age of 6 months. (It’s only contraindicated for those already experiencing flu-like symptoms, or those who have had bad reactions to the shot in the past.)

• Flu shots are strongly recommended for pregnant women and people with chronic conditions who may suffer even more serious consequences from contracting the flu.

• Influenza vaccines are developed from dead viruses; they cannot reanimate, reactivate or otherwise come back to life to infect you after you’ve received the shot.

Question: I got a flu shot and then got sick. Did the shot give me the flu?

Answer: No. Here’s what may have happened: 1. You contracted a strain of the influenza virus that was not included in this year’s vaccine. (Sometimes getting a flu shot makes us act somewhat carelessly about disease in general, especially when it comes to washing hands and not touching our faces.)

2. You came down with a cold, perhaps caused by bacteria (which cannot be vaccinated against) or that was otherwise unrelated to influenza. n

HEALTHY HOOK-UP

THE SARASOTA IV LOUNGE PLUGS YOU INTO A NEW LEVEL OF PREVENTIVE MEDICINE. Doctors often use IV-administered vitamins and nutrients to treat existing illnesses and other conditions. But what if IV treatments were available for people before they needed more serious medical intervention?

The Sarasota IV Lounge in midtown Sarasota offers a full menu of nutrientrich, medically sound “cocktails” to alleviate common chronic conditions, combat illnesses and boost everyday wellness. The “Skin Repair” bag, for instance, combines vitamins and antioxidants with a big dose of hydrating fluids to revive skin cells.

The “Pick Me Up” consists of taurine, B12, magnesium and that all-important hydration to boost energy. There are IV cocktails for detoxification, immune system, fertility, mood-lifting and even hangovers (walk-in spots available).

The founder of the lounge, the late Dr. Guy DaSilva of Lakewood Ranch’s DaSilva Institute, was a pioneer in intravenous techniques and frequently traveled across the country to lead seminars about IV treatments. Similar medical lounges exist in places like Miami and Las Vegas, though DaSilva designed his cocktails to serve the broader spectrum of health

conditions within Sarasota’s medically savvy population.

The treatments are administered by a registered nurse in a medically supervised but relaxing, spa-like lounge setting. Treatments last between 30 minutes to an hour.

You might think of the IV concoctions much in the way you envision juice bars and over-the-counter vitamins—a proactive way to help the body run a little more smoothly. But unlike juices and pills, which are subject to imperfect absorption through the digestive system, the primary argument here is that IV treatments go directly into the bloodstream. And, in addition to nutrients and minerals, that 100 percent absorption includes simple hydration, which many of us neglect and can make a huge difference in health and wellness. (Athletes are often given hydrating IVs, especially in the case of illness or warm-weather games, because drinking Gatorade just won’t cut it.)

Some question whether nutrients like B12 and magnesium actually improve health, or the logic of rehydrating by IV when a person is still capable of drinking.

And some doctors worry that this might be used as another do-it-yourself treatment in lieu of more traditional intervention.

But the IV approach has its supporters, and Sarasotans now have a chance to experience it for themselves. n

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Welcome to Bright Day

SMOKING GUNS?

E-CIGARETTES MAY NOT BE HARMLESS AFTER ALL. Bonti Marie Burgess CEO/Administrator Committed to providing the highest level of care, Bright Day recognizes you are unique. We offer accredited private duty home health care and a Customized Care Plan to help you live your bright potential each and every day.

Joint Commission #519604 AHCA #299993941

2620 S. Tamiami Trail, Suite 301 Sarasota, FL 34239

941-955-8900

www.brightdayhomehealth.com

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SARASOTA HEALTH 2015

Though they’ve been used by countless smokers to transition away from actual cigarettes, e-cigarettes— the electronic, vapor-based nicotine delivery systems—are now getting a backlash from the medical community.

Over the last decade, the products have become popular both as tools for quitting and as ways to stay a “smoker” in smoke-free environments (because the vapor quickly dissipates, many nonsmoking establishments still allow the use of e-cigarettes).

But that popularity has led to increased scrutiny, and concern that the e-cigarettes may actually promote nicotine addiction rather than helping people quit. There’s also a fear that e-cigarettes are even more attractive to teenagers, who may develop an

addiction they would have otherwise avoided. And they’re not as harmless as initially thought. Reports now show that e-cigarettes can produce alarming levels of formaldehyde, rivaling the carcinogen production of their real counterparts.

The debate heated up when California declared e-cigarettes a public health threat just as three Florida teens were hospitalized after smoking an e-cigarette—which are illegal to sell to minors in this state. n

Only Our Name Has Changed

We continue to feature the same board-certified and fellowship-trained ophthalmologists providing specialized care for your eyes.

(Back Row)

• Murray Friedberg, M.D. • Robert Edelman, M.D. • Pooja Khator, M.D. • Eric Berman, M.D. • Allison Menezes, M.D. • Scott Silverman, M.D. (Front Row) • Jeffrey Davis, M.D. • Anita Shane, M.D. • Robert Sambursky, M.D. CASTLE CONNOLLY

TOP DOCTORS

} 2 015

Dr. Murray Friedberg, Dr. Robert Edelman & Dr. Scott Silverman Awarded “Top Doctor” by Castle Connolly Medical, Ltd.

Specialties:

Formerly Manatee Sarasota Eye Clinic 1427 S. Tamiami Trail or 2020 Cattlemen Rd. Ste. 500 Sarasota

6310 Health Park Way, Ste. 340 Lakewood Ranch

• Laser Cataract Surgery • Micro-Incision Cataract Surgery • Advanced Lens Implants • Glaucoma Care • Macular Degeneration • LASIK Surgery • Pediatric Eye Care • Neuro-Ophthalmology • Dry Eye Treatment

CoastalEye.com • 941.748.1818

P U LS E

PLAY HAPPY NANCY LOPEZ ON THE HEALTH BENEFITS OF GOLF.

Nancy Lopez’s Hall of Fame career began right here in Sarasota, when in 1978 she won her very first LPGA event at Bent Tree Country Club. Nine years later, she returned to win again. Most recently, Lopez, who has children and grandchildren living in Venice, serves as Team USA captain for the ISPS Handa Cup, Nov. 12-14 at Palm-Aire Country Club in Sarasota, part of the LPGA’s Legends Tour.

Lopez has long been involved in charity, and health-related causes have always been close to her heart. She has supported organizations ranging from March of Dimes to hospice to breast cancer. “You never know how cancer will affect you,” Lopez says. “You may be helping your own child one day.”

She’s an outspoken advocate for the health benefits—both physical and mental and especially for women—of the game she loves. Her Venice-based Nancy Lopez Golf Adventures project,

which follows the slogan “Play happy,” arranges vacations that incorporate golf instruction and playing time.

“I just want to get the word out about golf,” she says. “It’s not about how long you play. It’s that you can smell the freshcut grass, get away from the stress of life—it’s killing us. I’ve been encouraging women to play. Play nine holes—it revives you. You need that time to recharge. After it, we really are better parents, better spouses, better people.”

As for her own health, Lopez admits that, in her day, “We [pro golfers] kind of neglected ourselves.” Now, at age 58, her knee troubles have warranted stem cell therapy. She remains an avid skier and plays golf frequently, but she’s always aiming for improvement.

“My body’s taken a beating. I hope this year will be my year of reviving—I’d like to lose some weight. I’m eating better. I want to have a good old life,” she says. n

Culp-Henson Private Cardiology and Internal Medicine is a concierge medical practice dedicated to the mission of providing a superior physician-patient relationship. We offer highly personalized care, mutual respect, and convenience. Both of our physicians, Dr. Stephen Culp and Dr. Kenneth Henson, hold dual Board Certifications in Cardiology and Internal Medicine. This allows comprehensive care in the setting of a single practice. Our enrollment is limited to allow us to focus on each patient.

We invite you to call our office to learn more about our practice. Our physicians welcome the opportunity to schedule an informational interview to explore how our practice might suit your needs.

3830 BEE RIDGE ROAD, SARASOTA, FL 34233

(941) 924-4729

culphenson.com 18

SARASOTA HEALTH 2015

• Direct access to highly qualified physicians • Around the clock personalized care • Extended time for office visits • Ease of scheduling • Advocacy for care coordination with other specialists • Enhanced communication

P U LS E

IMPROVING MASTECTOMIES A NEW TECHNIQUE HELPS PRESERVE THE BREAST’S APPEARANCE AND REDUCE THE RISK OF CANCER. Breast cancer patients face not just the pain of cancer but the consequences of treatment—especially when mastectomies can impose such a scarring physical transformation.

Now a new technique allows patients to preserve more of their natural appearance.

Traditional mastectomies, including those performed in patients who are high risk for breast cancer but haven’t yet developed it, remove the underlying breast tissue as well as the skin, nipple and areola. The change in a woman’s appearance can increase the psychological toll of an already painful situation.

Now physicians have developed a way to remove the breast tissue—

Incidence 114/100,000 Incidence in Florida

122/100,000 in the U.S. “All women are at risk for breast cancer. The risk increases as you age. Most breast cancers and breast cancer deaths occur in women aged 50 and older.”— komen.org

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SARASOTA HEALTH 2015

Warning Signs of Breast Cancer • Lump, hard knot or thickening inside the breast or underarm area • Swelling, warmth or darkening of the breast • Change in size or shape • Dimpling or pucker of the skin • Itchy, scaly sore or rash on the nipple • Concave nipple or other area of the breast • Sudden nipple discharge • New pain in one spot that doesn’t go away

where cancer usually resides—while maintaining most of the skin and nipple. Even better, the procedure can reduce breast cancer risk by as much as 95 percent. When Angelina Jolie famously underwent a preventive double mastectomy, her doctors performed this new nipple-sparing procedure.

Dr. Russell Novak, a general surgeon, and Dr. Alissa Shulman, a plastic surgeon, have teamed up to offer the procedure at Sarasota Memorial Hospital.

Not everyone is a candidate. That depends on the location and size of the cancer, as well as other factors. But as studies show the nipple-sparing technique is both safe and effective, more medical centers are performing it. n

Introducing The New Look Of INTRODUCING Sarasota Plastic Surgery

941-366-8897 WORLD RENOWNED Doctors *Braun Graham, *David Mobley,

and *Scott Engel are pleased to introduce Dr. Brian Derby as their new associate

2255 S Tamiami Trail, Sarasota, Fl 34239

sarasotaplasticsurgery.com

FOR NATURAL RESULTS *

*

P U LS E

ROCKER THERAPY

AC/DC’S BRIAN JOHNSON GIVES YOUNG PATIENTS A COOL NEW MUSIC ROOM. PHOTOGRAPHY GENE POLLUX

Music does more than soothe the savage soul; it can also help young patients to, for a few minutes, at least, forget about their illnesses and have fun. That’s the theory behind the Brian Johnson Music Therapy Center that opened at Sarasota Memorial Hospital in 2014, thanks to a donation from

AC/DC lead singer Brian and his wife, Brenda. An expansion of a previous Brian Johnson music therapy room that was opened in 2008, this new center provides even more musical options for young patients to explore and develop their creativity. In addition to instruments, the

A look inside Sarasota Memorial Hospital’s bright Music Therapy Center.

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hospital wing offers amps, lighting and flat-screen monitors for kids to experiment with and even put together their own live performances. The facility was in part designed to allow the patients to feel like famous rock stars preparing for bigtime concerts. n

PULSE

THE FULL-BODY WORKOUT The 10 benefits of exercise, from tip to toe.

Skin/Hair

Increased circulation improves appearance and function of surface cells, and also removes toxins faster and more efficiently.

Brain

Lungs

Significantly lowers the frequency and severity of upper respiratory infections.

Back

Increased strength and flexibility (especially from low-impact exercise like walking) can reduce chronic back pain, improve spinal structure and reduce the risk of injuries.

Heart

Increases strength and efficiency; lowers blood pressure.

Arteries

Lower cholesterol reduces buildup and blockages.

“TO ENJOY THE GLOW OF GOOD HEALTH, YOU MUST EXERCISE.” -GENE TUNNEY

Triggers brain chemicals (endorphins, serotonin, etc.) that reduce stress and boost mood.

Eyes

Creates growth factors that help maintain retinal neurons, reducing age-related vision loss.

Pancreas

By reducing risk of insulin resistance and type 2 diabetes, exercise lowers pancreas’ burden (and prevents harmful glucose buildup throughout the body).

Bones

Increases bone density.

Feet/Hands

Increases size and number of capillaries, for improved circulation, especially at your extremities.

Consult your doctor before beginning any new exercise regimen.

SARASOTA HEALTH 2015

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Results You Want

The Patient Care You Deserve

A Facial Plastic Surgeon You Trust

1958 Prospect St Sarasota, FL 34239

RejuveFace Facial Plastic & Reconstructive Surgery

5HIUHVK Ȇ 5HV WRUH Ȇ 5HMXYHQDWH

Mark Checcone, MD, FACS

(941) 404-LIFT RejuveFace.com

Whether you are considering a facial procedure for the first time, seeking a second opinion, or hoping to improve a prior result, call for your free consultation. Dr. Checcone and his team at RejuveFace are focused on exceptional care, with services tailored specifically for you.

Your Skin, Your Way! RejuveFace now offers full medical skin care services with our Medical Esthetician, Patty Ruggero.

ADVER TI SEMENT

ASK

THE EXPERT SARASOTA’S LEADING MEDICAL PROFESSIONALS answer important health care questions and bring you in-depth information about medical issues, new treatments and technologies in health care, and helpful advice on finding the right doctor or medical center for your individual needs.

SARASOTA HEALTH 2015

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ADVER TI SEMENT

ASK THE EXPERT

HOW DO YOU MEASURE QUALITY IN HEALTH CARE?

- By Cheri Trinchetto, R.N., B.S.N., M.S.N., C.P.H.Q., C.P.H.R.M., L.H.R.M.

DOCTORS HOSPITAL OF SARASOTA ABOUT

A 155-bed acute and general care facility, including 24/7 emergency room, medical and specialty services as well as outpatient services and diagnostic and rehabilitation services.

CONTACT

(941) 342-1100

What does “quality in health care�

Hospital Compare. Some organizations

really mean?

like The Leapfrog Survey ask hospitals to

Quality is measured in so many ways. For

voluntarily participate, retrieve data from

instance, does every patient receive the

CMS and then may audit the facility after

same level of care for the same disease

it submits its data. The hospital must be

process? Are all programs available at all

willing to share the good and, sometimes,

times? Is the physician performing the

the not so good.

procedure qualified to do so? What are the outcomes? Is someone monitoring

How do hospitals know what is

all of this? Most hospitals do monitor

best practice?

these factors, but not all facilities are

There are so many resources. Of course,

transparent. I am very fortunate to work

there is current scientific literature and

at Doctors, where we have such a strong

recommendations from organizations like

focus on quality. We have an entire

American Heart Association, Professional

team that reviews all of these measures

Medical organization, Center for Disease

and more.

Control, Agency for Healthcare Research and Quality, etc. At HCA, our corporate offices are constantly identifying new

Doctors Hospital has an entire team that reviews quality health care measures.

initiatives to make our patient outcomes some of the best in the country. And having 160-plus sister facilities to ask for ideas is invaluable.

LOCATION

Doctors Hospital of Sarasota 5731 Bee Ridge Road Sarasota, FL 34233 (941) 342-1100 DoctorsOfSarasota.com

What do you think of the various

Cheri Trinchetto is the vice president of

Internet sites that compare and rate

quality and patient safety at Doctors

health care facilities?

Hospital of Sarasota. She has worked at the

It can be very confusing. Each company

facility since 2001. She is focused on

may have different ways of gathering

improving the quality of health care

data. Some ask hospitals to self-report;

delivered to the Sarasota community.

others use sources like The Center for Medicare Services or CMS, which makes many different quality measures available to the public on a website called

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SARASOTA HEALTH 2015

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WHAT DO I NEED TO KNOW ABOUT MACULAR DEGENERATION? - By Joshua Mali, M.D.

Age-related macular degeneration

toring with an Amsler Grid to note any

(AMD) affects approximately 15 million

changes; and quitting smoking. Ongoing

people in the U.S. and is a major cause of

clinical studies continue to seek additional

severe vision loss in people over 60. AMD

therapies.

occurs when there is a breakdown in the

THE EYE ASSOCIATES ABOUT

· Fellowship trained medical and surgical vitreo-retinal specialist · One of the first in the U.S. to use Iluvien, a new implant for diabetic macular edema

macula, the center of the retina which

What is Wet Macular Degeneration

allows eyes to see fine details clearly.

(Wet AMD)?

There are two forms: “Dry AMD” and “Wet AMD.”

Wet AMD (also known as neovascular AMD) is less common, but a much more devastating condition with the poten-

“Today, we have access to revolutionary medications that can treat wet macular degeneration to help preserve vision and even improve vision with early diagnosis and treatment.”

tial to cause rapid vision loss. In this entity, there is abnormal blood vessel growth beneath the retina that can leak blood, causing scarring and permanently damaging light-sensitive retinal cells. Dr. Joshua Mali adds, “Today, we have access to revolutionary medications that can treat wet macular degeneration to help preserve vision and even improve vision

CONTACT

with early diagnosis and treatment.”

(941) 923-2020 What is Dry Macular Degeneration LOCATIONS

(Dry AMD)?

6002 Pointe West Blvd.

Bradenton, FL 34209

dry form, making it the most common

2111 Bee Ridge Road Sarasota, FL 34239

Ninety percent of AMD patients have the type of AMD. It is diagnosed when cellular waste products accumulate, causing yellowish deposits, known as drusen, in the macula. It is this drusen and subsequent atrophy of the retina that causes AMD.

TheEyeAssociates.com

Dry AMD usually causes a slow, gradual deterioration of vision, unlike the sudden onset of wet AMD. Current treatment/

For more than 30 years, The Eye Associates has set the standard in eyecare and specializes in restoring and improving sight. The doctors and staff take great pride in their expertise, knowledge, educational standards and quality patient care. The Eye Associates also provides cosmetic, dermatology and hearing services for all ages.

management for the dry AMD includes vitamin therapy (AREDS2 formulation); regular eye examinations; home moni-

SARASOTA HEALTH 2015

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ASK THE EXPERT

WHAT SHOULD YOU KNOW ABOUT ACUPUNCTURE? - By Christina Captain, D.O.M., A.P., S.L.P.

HOW DOES ACUPUNCTURE WORK?

successful practitioner is being effective

While there are many complex theories

in teaching your patients how to care for

about the mechanism of acupuncture, the

themselves through nutrition, exercise,

most common is the theory of qi (energy)

meditation and other types of self-care.

and meridians. Qi being the vital life force that keeps the body’s many systems and

THE FAMILY HEALING CENTER ABOUT

Christina Captain is a nationally board-certified doctor of Oriental medicine and acupuncture physician, and is certified in Jaffe-Mellor Technique, acupuncture injection therapy, facial rejuvenation and Feng Shui.

WHO IS QUALIFIED TO PRACTICE

functions in order, and meridians being

ORIENTAL MEDICINE?

the pathways for the qi to flow, you might

A primary care practitioner who is licensed

say in similar fashion to the circulatory

and board certified in acupuncture and

system. Acupuncture opens the merid-

Oriental medicine has completed a mini-

ians for the energy to flow freely, and this

mum of 2,800 hours of training in addition

flow resolves disharmonies allowing for

to other prerequisite education. Due

homeostasis to occur. This balance assists

to acupuncture’s effectiveness, various

in healing of all kinds from post-surgical

other health care practitioners attempt to

pain to infertility.

Current research demonstrates changes

practice acupuncture with little training.

Always verify that your acupuncturist

in brain function and chemistry during

is certified by the National Certification

acupuncture, so we understand that the

Commission on Acupuncture and Oriental

needles are not solely working on the spe-

Medicine and is licensed to practice in

cific area being treated but on the body

Florida. Visit ccaom.org and myflorida.gov

as a whole.

for licensure and qualification verification.

“The key in being a successful practitioner is being effective in teaching your patients how to care for themselves.”

West College of Natural Medicine in Sara-

CONTACT

(941) 951-1119 LOCATION

1219 East Ave. S., Suite 104 Sarasota, FL 34239

degree focusing on integrative medicine WHAT IS ORIENTAL MEDICINE?

from AOMA-Graduate School of Integrative

Oriental medicine is a complete model of

Medicine, Austin, Texas (2016).

medicine that includes acupuncture, herbal medicine, food therapy, qi gong and other healing practices focused across the mind, body and spirit continuum to achieve health and wellness. The key in being a

SARASOTA HEALTH 2015

sota. She is a candidate for a master’s degree in nutrition science at the University of Bridgeport, Conn. (2014) and for a doctoral

familyhealingcenter.com

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Dr. Captain earned her degree from East

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WHAT IS BARRETT’S ESOPHAGUS? - By Scott Corbett, M.D.

Can acid reflux become deadly?

firm the presence of Barrett’s tissue and

Yes. When acid reflux causes severe in-

help assess the risk for the individual.

flammation in the esophagus, the healing process can replace the esophageal cells

GASTROENTEROLOGY ASSOCIATES OF SARASOTA

Barrett’s esophagus?

ant of acid. This transformation is called

Most precancerous abnormalities in

Barrett’s esophagus. Although initially

humans are addressed by removing

protective, in some patients continued

the precancerous tissue and preventing

genetic changes in these cells predispose

cancer from occurring. In 2001 the FDA

this tissue to develop into intestinal-like

approved the use of radio-frequency to

cancer in the esophagus. This cancer

treat Barrett’s esophagus. By using this

has the worst prognosis of any human

simple endoscopic method we are able to

malignancy.

CONTACT

the last decade over 100 peer-reviewed

“Although initially protective, in some patients these cells develop into intestinal-like cancer in the esophagus.”

studies have been published demonstrating the safety, efficacy, cost effectiveness and durability of radio-frequency ablation for treating Barrett’s esophagus. If you or someone you know has this condition, it is likely we can help.

How do I know if I have Barrett’s esophagus?

(941) 365-6556

Frequent, prolonged or nocturnal heart-

LOCATION

even some patients without symptoms

2089 Hawthorne St., Suite 200 Sarasota, FL 34239

are at risk. If chronic heartburn resolves

burn are a few predisposing factors, but

without therapy this still needs investigation. Currently the best method to detect

FDHS.com

remove the Barrett’s precancerous tissue and minimize the risk of cancer. During

ABOUT

Diplomate, American Board of Internal Medicine and Subspecialty Board of Gastroenterology Gastroenterology fellowship, University of Miami M.D., New York University School of Medicine

What can be done if I am found to have

with intestinal cells which are more toler-

Barrett’s esophagus is a simple test called “upper endoscopy,” where a gastroenterologist passes a small video camera into the esophagus and stomach while you are

Named a Top Doctor by Castle Connolly Medical for nine consecutive years, gastroenterologist Dr. Scott Corbett has been performing radiofrequency ablation for Barrett’s esophagus since 2005. Dr. Corbett has served on several expert panels and was selected for the authoring committee of the National Barrett’s Registry.

sedated. This allows for visualization and sampling of the esophageal tissue to con-

SARASOTA HEALTH 2015

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ASK THE EXPERT

HOW DO YOU TREAT HERNIAS? - By David Napoliello, M.D., F.A.C.S.

What is a hernia?

Does hernia surgery require a hospital

Hernias are holes in the abdominal wall

admission?

layer called the “fascia,” allowing the ab-

Most hernia repairs are outpatient. Larger

dominal lining and intestines to protrude.

ventral hernias and hiatal hernias require an admission.

Are there different types of hernias?

DR. DAVID A. NAPOLIELLO

Yes. Types include inguinal hernia, which

ABOUT

also umbilical hernias, or “belly button”

· Mayo Clinic, minimally invasive surgery fellowship · Penn-State Geisinger, surgery residency · Georgetown University School of Medicine · Bucknell University, B.A. · Board certified, American Board of Surgery · Fellow American College of Surgeons · SAGES · Presenter, First World Congress of Hernia Surgery, Milan, Italy 2015 CONTACT

(941) 388-9525

Dr. Napoliello provides management for complex hernias.

hernias, incisional hernias, which can occur in any location that has undergone surgery, and femoral hernias, usually

Do hernias need to be repaired?

found in slim women.

Hernias will not get better. Some are

A hiatal hernia is an enlargement of the natural hole in the diaphragm that allows

painful, enlarge and protrude further.

Emergencies arise if bowel becomes stuck

the esophagus to pass to the stomach.

within a hernia (incarcerated), or bowel

Symptoms include difficulty swallowing,

death (strangulation). Classically, small,

breathing and gastro-esophageal reflux

asymptomatic hernias can be followed if a

disease.

Spigelian hernias, in the lower, lateral

patient wishes to avoid surgery, although studies show a number of these patients

quadrants of the abdomen, and lumbar

will eventually need emergency surgery.

hernias, toward the lower lateral back and

Cases should be talked over with the

flanks, are more rare.

patient’s primary doctor and surgeon.

What types of surgery exist?

There are two main approaches to hernia Dr. David A. Napoliello has had a special

LOCATIONS

repair: “open repairs” and “laparoscopic

Venice, Lakewood Ranch and Sarasota

repairs.” Laparoscopy is considered

interest in hernias for nearly 20 years. As

minimally invasive; however, some open

an original consultant for the Origin Corp.,

techniques are minimally invasive, too.

a pioneer in laparoscopic hernia repair,

davidnapoliellomd.com

F.A.C.S.

is located in the groin and generally affects men more than women. There are

Founding Member

rgery

al Procedures

oendoscopic Surgeons SARASOTA HEALTH 2015 inal Endoscopic30Surgeons Alumni Association

Most hernia repairs use mesh patches,

he helped train other surgeons in these

which lowers recurrence rates. Classic

new techniques. He’s been named to

“non-mesh” repairs are reserved for inguinal and small umbilical hernias. I perform both open and laparoscopic approaches.

Castle Connolly’s Top Doctors list for seven consecutive years.

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WHAT DO WE NEED TO KNOW ABOUT OUR NOSES? - By Mark Checcone, M.D., F.A.C.S.

What is a good-looking nose?

Will rhinoplasty fix a deviated septum?

Healthy noses come in all shapes and sizes.

Many techniques can improve breathing

Attractive faces do, too. As it turns out,

and appearance of the nose, including

the most pleasing faces are not defined by

septoplasty, a procedure to straighten a

the nose. The nose should be the center of

deviated septum. Alone, a septoplasty

your face, but not the center of attention.

is a functional surgery, which improves

An attractive nose should disappear when

nasal breathing and is typically covered

our attention is captivated by bright

by medical insurance. If combined with a

eyes, a beautiful smile, well-defined

cosmetic rhinoplasty, form and function

ABOUT

cheekbones and chiseled jawlines with

are both enhanced.

· Facial Plastic Surgery · Rhinoplasty (primary & revision) · Eyelid Rejuvenation · Face Lift · Facial Fillers · Botox/Dysport/Xeomin · Skin Cancer Reconstruction · Medical Grade Skin Care · Skin Resurfacing · Laser Hair Removal

smoothly textured skin. A nose that draws

REJUVEFACE

our attention away from these attributes

What’s the best age to have

becomes the center of attention. Thus, a

rhinoplasty?

good-looking nose is simply the center of

Adults and mature adolescents with fully-

one’s face.

grown facial bones may have a rhinoplasty. Girls tend to mature faster than boys so waiting until the age of 16 for

“The nose should be the center of your face, but not the center of attention.”

girls and 17 for boys is preferred for best

If a balanced nose requires a

Mark Checcone, M.D., F.A.C.S. is an

harmonious face, how do I achieve this?

accomplished facial plastic surgeon and

Getting the nose just right requires care-

owner of RejuveFace, a comprehensive facial

ful attention to both form and function

plastic surgery center specializing in

as well as thoughtful consideration for

treatments that refresh, restore and

the entire facial balance. It is quite com-

rejuvenate your face. A caring and committed

5105 Manatee Ave. W., Suite 20

mon for rhinoplasty to be complemented

staff will guide you through many minimally

Bradenton, FL 34209

by other related procedures such as

invasive and surgical options to reach your

chin surgery, neck lift, sub-mental fat

personal health and aesthetic goals.

CONTACT

(941) 404-LIFT LOCATIONS

1958 Prospect St. Sarasota, FL 34239

results.

removal; lip surgery, facial fillers or Botox.

RejuveFace R ef resh• R esto re• R eju venate

SARASOTA HEALTH 2015

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ASK THE EXPERT

WHY DO I LOOK SO TIRED? - By Brian M. Derby, M.D.

What is a blepharoplasty?

SARASOTA PLASTIC SURGERY CENTER ABOUT

· Dr. Derby has a special interest in eyelid, facial, breast and body contouring surgery. · Dr. Derby is a candidate member of the American Society for Aesthetic Plastic Surgery.

CONTACT

(941) 366-8897

blepharoplasty?

surgery performed to counteract the

I often combine lower lid blepharoplasty

fatigued appearance of eyelid aging such

(and other procedures I perform such

as heavy upper lids, or lower lid “bags.”

as facelifts) with fat grafting to restore

In addition, ptosis surgery can correct the

youthful contours to the lid and cheek.

appearance of droopy upper eyelids, or

Fat grafting, in combination with a tech-

so-called “bedroom eyes.”

nique I use to maintain normal lower lid position during healing, helps to ensure a

Would blepharoplasty be right for me?

Sarasota, FL 34239

sarasotaplasticsurgery.com

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SARASOTA HEALTH 2015

natural, unoperated look.

If you often hear that you look tired, angry or upset, despite feeling quite

Is it safe?

the contrary on the inside, this may be

Risks are minimal, and will be reviewed

the result of excess upper eyelid skin, or

during your consultation. Please ensure

prominent lower eyelid bags. My patients

that your surgeon is currently board-

who undergo blepharoplasty often find

certified, or in the process of board-certi-

themselves “refreshed” and “bright-eyed”

fication by the American Board of Plastic

after their procedure.

Surgery (ABPS). It is also important to ensure that your procedure is being per-

“I often combine lower lid blepharoplasty with fat grafting to restore youthful contours to the lid and cheek.”

LOCATION

2255 S. Tamiami Trail

What are the newest techniques in

Blepharoplasty is another word for eyelid

formed in an accredited facility such as Sarasota Plastic Surgery Center.

Dr. Derby obtained his medical degree from the University of South Florida College of Medicine in Tampa. He completed his plastic

How long will I be recovering?

surgery residency training at Southern Illinois

My patients often return to an office job

University’s Institute for Plastic Surgery in

one to two weeks following surgery. I

Springfield, Ill. After residency, he studied

typically suggest planning for six weeks

two additional years of oculoplastic and

of total healing time prior to a wedding or

aesthetic surgery fellowship study in Atlanta,

other social event.

Ga. and Birmingham, Ala.

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WHY SEE A VASCULAR SPECIALIST FOR VEIN TREATMENT? - By Russell H. Samson, M.D., F.A.C.S., R.V.T.

Why see a board-certified vascular

and microsurgery (phlebectomy) with

surgeon?

return to immediate normal activity. The

Not all varicose or spider veins have to

saphenous vein should not always be

be treated, and it is extremely rare that

removed or destroyed (and certainly

varicose veins can lead to life threatening

never for spider veins). Doing so could

problems. Around the country, so-called

negatively affect your long-term health.

“vein centers” have sprung up, some

DR. RUSSELL H. SAMSON

with untrained physicians performing

Should my veins be saved?

unnecessary or poorly performed

As a board-certified vascular surgeon,

treatments. In addition, many press, radio

Dr. Samson appreciates the need to

and TV ads and so-called “screenings”

save some of the veins in case they

are designed to entice patients to have

may be required for future heart or leg

ABOUT

unnecessary procedures. Vascular

bypass operations. Some less trained

· Clinical Professor of Surgery (Vascular), Florida State University Medical School · President, Mote Vascular Foundation, Inc.

surgeons are the only officially recognized

doctors will indiscriminately eradicate

CONTACT (941) 357-VEIN (8346) (941) 371-6565

LOCATION

600 N. Cattlemen Road, Suite 220, Sarasota, FL 34232 veinsandarteries.com

specialists specifically trained in the

these veins without concern for the

diagnosis and treatment of disorders of

well-being of the patient. Patients come

the veins. Other doctors may claim to be

from all over the country specifically to

boarded in vein treatment, but there is no

be treated by Dr. Samson. Your health

officially certified specialty board for vein

depends on appropriate care, so why go

treatment other than vascular surgery.

anywhere else?

Patients come from all over the country specifically to be treated

by Dr. Samson.

Dr. Russell H. Samson is a board-certified vascular surgeon, a Distinguished Fellow of the Society for Vascular Surgery and medical editor of that prestigious Society’s official newspaper. He has written 25 textbook chapters, 95 peer-reviewed

How should varicose and spider veins

journal articles, lectured internationally,

be treated?

and has invented products for the

There are many different treatments for

treatment of vein disorders used by

varicose and spider veins. Dr. Samson

millions around the world.

is able to offer all the available officebased methods, including injections (sclerotherapy), laser therapy, VNUS

SARASOTA HEALTH 2015

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ASK THE EXPERT

HOW DO I START AN EXERCISE ROUTINE? - By Lauren Chandwick-Sonnen

STUDIO SOUTH FITNESS ABOUT

Lauren’s enthusiasm for fitness extends back to her stellar track career in college and her later participation in national weightlifting competitions.

She enjoys teaching proper technique and mechanics for all body movements as well as educating her clients on current research.

CONTACT (941) 365-4584

info@studiosouthfitness.com LOCATION

55 S. Palm Ave. Sarasota FL 34236 studiosouthfitness.com

I have several medical conditions. Is

I walk every day. Is that enough

exercise safe for me?

exercise?

As long as you are cleared to exercise and

Movement of any sort daily is great. We

are moving pain free, yes! Begin with a

start to develop compensations, however,

proper assessment such as the functional

by the things we do repetitively. It’s

movement screen, which measures your

important to make sure you incorporate a

mobility, stability and any imbalances you

stretching and myofacial routine daily and

may have. From there we can determine

a strength training program one to two

the best corrective exercises for you to

times a week. This will help to strengthen

focus on. These corrective exercises will

the muscles around the joints and protect

keep you safe and pain-free as you prog-

the joints.

ress through your fitness program.

“Corrective exercises keep you safe and pain-free as you progress through your fitness program.”

a registered strength and conditioning Which exercises are easy on the joints?

coach through the National Strength

I love to use bands to help assist with exer-

and Conditioning Association, certified

cises. They help to correct movement pat-

functional movement specialist and a

terns that have been restricted by other

board certified exercise physiologist

muscles doing jobs they weren’t intended

through the American Association of

to do. For example, most people can’t do a

Exercise Physiology.

deep squat because of a restriction in the core (abdominals and low back), mobility in the hips, ankles or knees, or because it causes pain during knee flexion. By adding a resistance band behind the back, it acts as a stabilizer, allowing the person to go through the squat in a pain-free full range

SARASOTA HEALTH 2015

in fitness, Lauren Chandwick-Sonnen holds a M.S. in exercise physiology and a B.S. in exercise sports sciences, and is

of motion.

34

With more than 15 years of experience

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HOW CAN SKIN CANCER BE DETECTED EARLIER? - By David S. Sax, M.D.

UNIVERSITY PARK DERMATOLOGY ABOUT

Dr. Sax started University Park Dermatology practice in Sarasota in 2001 and its adjoining medical spa Sanctuary at the Park in 2006.

Who gets skin cancer?

What technologies are available to help

Anyone can get skin cancer, but common

detect melanoma?

risk factors include ultraviolet light exposure,

Beyond visual inspection with regular

genetics and family history, history of sun-

screenings, there are several tools that can

burns, or people with fair skin, blue eyes and

be helpful for the dermatologist. In our

blonde hair. Skin cancer is very common,

office we use digital photography as well

and millions of people a year are affected.

as useful tool called a dermatoscope. Our digital dermatoscope device magnifies the mole or lesion, which can aid in early diag-

“Our digital dermatoscope device magnifies the mole or lesion, which can aid in early diagnosis of skin cancer.”

nosis of skin cancer. We also are the first office in Sarasota to use Melafind, which is a unique computerized device that scans moles with different wavelengths of light to detect melanoma in its earliest, most curable stage.

What does skin cancer look like?

There are several types of skin cancer,

CONTACT

each of which can have a different appear-

(941) 360-2477

ance. Melanoma is the deadliest form of skin cancer, but it is 99 percent curable

LOCATIONS

8451 Shade Ave. Suite 205 Sarasota, FL 34243 13145 King Lakes Drive Suite 104 Gibsonton, FL 33534 upderm.com

when detected and treated early. Knowing the early warning signs or, ABCDEs, of melanoma, can be helpful in early detection: (A) asymmetric lesions, (B) irregular or jagged borders, (C) varied color or pigmentation, (D) diameter larger than a pencil eraser, and (E) evolving or changing skin lesion.

Squamous cell carcinoma can appear as a red bump or scaly patch that doesn’t heal.

Basal cell carcinoma is the most common

As the recipient of a full science scholarship to Penn State University, Dr. Sax graduated Phi Beta Kappa with honors for his two bachelor’s degrees. He completed medical training at Thomas Jefferson University, his internship at Penn State Medical Center, and dermatology residency at the University of Michigan. He then spent an additional year in Columbus, Ohio, training in skin cancer surgery, including Mohs Micrographic Surgery.

form of skin cancer and can appear as a pimple-like lesion or pearly bump.

SARASOTA HEALTH 2015

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ASK THE EXPERT

WHAT’S THE LATEST IN DENTAL IMPLANT TECHNOLOGY? - By Burr Bakke, D.D.S.

What are the “All On 4,” “Teeth in a

Do I get something other than “plastic

Day,” “Same-Day Smiles,” or “Teeth by

denture teeth” as my final set of teeth?

Tonight” articles I’ve seen?

In our office you actually receive three sets

These articles are referring to replacing

of teeth: The initial acrylic bridge, which

all the teeth with dental implants and

has been modified to fit onto the implants

a bridge that attaches to the implants.

and is fixed into place the day of surgery,

Usually it requires a minimum of four

is used while the implants are integrating

implants and a fixed bridge in a single

into the bone.

WORLD CLASS DENTISTRY

surgical visit. With good planning, the

ABOUT

more messy denture adhesive to hold in

bridge is developed for ideal color, size

a poorly fitting denture. Eating food can

and function or bite (how the teeth fit

Places and restores implants for optimal health, function, longevity and seamless start-to-finish consistency.

CONTACT

(941) 914-9342

are solid, we place a second composite

with a fixed bridge that looks good. No

modified bridge onto the implants. This

become a joy again.

and correct function.

“The patient can replace his or her dentures with a fixed bridge that looks good.”

treatment?

The “All on 4” technique was designed to minimize or eliminate the need for bone grafting, instead using areas in the front of the jaws that typically retain enough bone. These areas are located in the front of the mouth where the front six or eight teeth are usually located. There are times that bone grafting is required, but those instances are rare for this technique.

36

SARASOTA HEALTH 2015

The final porcelain bridge is then constructed using this prototype, and is milled from a solid block of zirconia porcelain an exact replica of the ideal set— strong and beautiful.

I’ve been told I don’t have enough bone for implants. Can I still have this

sarasotadentist.com

together). This bridge is worn by the patient in order to confirm smile design

LOCATION

3951 Swift Road Sarasota, FL 34231

In three months when the implants

patient can replace his or her dentures

Dr. Bakke is a local expert in the “All On 4” dental technology treatment, implant placement and care. Call (941) 923-6363 for a complimentary consultation to see if this treatment will work for you.

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ASK THE EXPERT

WHAT’S NEW IN COSMETIC DENTISTRY? - By Jill Morris, D.M.D.

What’s new in the field of cosmetic

approved by the patient from the start.

dentistry?

We even have computer programs that

One exciting advancement is the harder

give us details like surface texture and

and prettier ultra-thin porcelains, which

characterization. These are the small

require less tooth structure to be removed.

details that go a long way toward making

For the past 20 years, I have had to grind

the new smile look natural.

away healthy tooth structure in order

WORLD CLASS DENTISTRY ABOUT

· Accredited by the American Academy of Cosmetic Dentistry · American Academy of Dental Facial Esthetics fellow · Member of American Academy of Dental Sleep Medicine · Practicing dentistry for 25 years

to achieve an esthetic smile. Now the

Are people with crooked teeth

harder porcelains can be made very

candidates for these ultra-conservative

thin, like a contact lens, and still achieve

veneers?

desired aesthetic results. Many patients

If the teeth are very crooked, it’s best to

don’t even have to be numb during the

straighten them with braces for two to six

procedure. And because the new veneers

months prior to fitting with veneers. New

attach to enamel, the bonds are much

orthodontic technology allows for quick

stronger and longer lasting.

movement with light force and minimal discomfort. Adults love the new braces because the brackets and wires are now

“New technology allows me to perform a healthier and more aesthetic long-term result.”

very hard to see, and they work very quickly.

All of this new technology allows me to perform a healthier and more aesthetic long-term result with fewer complications.

CONTACT

(941) 914-9342 LOCATION

3951 Swift Road Sarasota, FL 34231 sarasotadentist.com

How has digital technology affected

In private practice in the Sarasota area

cosmetic dentistry?

for more than 25 years, Dr. Jill Morris

Digital dentistry is revolutionizing our

is one of only 350 dentists accredited

speed and accuracy. We can create

by the American Academy of Cosmetic

artful smile designs, temporary and final

Dentistry. She has served as a post-

veneers—all virtually, with just a few

doctoral instructor, journal editor and test

computer clicks instead of lengthy trial

product consultant. Her Sarasota practice

testing. Also, those messy impressions can

was featured in the book How to Create an

now be done with a 3-D digital scanner.

Exceptional Aesthetic Practice.

Veneer prototypes can be altered and

SARASOTA HEALTH 2015

37

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OUR EXCLUSIVE LISTING OF THE MOST RECOMMENDED DENTAL SPECIALISTS IN SARASOTA AND MANATEE. When choosing a dentist for your family, you probably want someone with a reputation for being among the best. We’ve partnered with topDentists™ to publish this list, selected by their peers, of the best dentists in our region. This list can be used as a resource for getting started with the search for topnotch dental care.

“If you had a patient in need of a dentist, which dentist would you refer them to?”

This is the question we’ve asked thousands

given the opportunity to nominate other

of dentists to help us determine who the

dentists that they feel should be included in

topDentists should be.

our list.

The nomination pool of dentists consists

Of course there are many fine dentists who

of dentists listed online with the American

are not included in this representative list.

Dental Association, as well as all dentists

A dentist’s inclusion on our list is based on

listed online with their local dental societies,

the subjective judgments of his or her fellow

thus allowing virtually every dentist the

dentists. Listings cannot be purchased, and

opportunity to participate. Dentists are also

no payment is required to be listed.

This list is excerpted from the 2015 topDentists™ list, which includes listings for more than 85 dentists and specialists in the Sarasota area. For more information call: (706) 364-0853 or email: info@usatopdentists.com or visit: www.usatopdentists.com topDentists has used its best efforts in assembling material for this list but does not warrant that the information contained herein is complete or accurate, and does not assume, and hereby disclaims, any liability to any person for any loss or damage caused by errors or omissions herein whether such errors or omissions result from negligence, accident, or any other cause. Copyright 2011-2015 by topDentists, LLC, Augusta, GA. All rights reserved. This list, or parts thereof, must not be reproduced in any form without permission.

No commercial use of the information in this list may be made without permission of topDentists. No fees may be charged, directly or indirectly, for the use of the information in this list without permission.

SARASOTA HEALTH 2015

39

ENDODONTICS William H. Aippersbach Radiance Endodontics 321 Nokomis Ave. S., Suite C Venice, FL 34285-2452 (941) 484-8740 www.radianceendodontics.com

Joseph L. DeJongh Manatee Endodontics 2111 59th St. W. Bradenton, FL 34209-7015 (941) 792-4166 www.manateeendodontics.com

L. Carl DeJongh Manatee Endodontics 2111 59th St. W. Bradenton, FL 34209-7015 (941) 792-4166 www.manateeendodontics.com

David D. Fabre Manatee Endodontics 2111 59th St. W. Bradenton, FL 34209-7015 (941) 792-4166 www.manateeendodontics.com

Marineyda Oyola Sarasota Endodontics 3900 Clark Road, Building Q Sarasota, FL 34233 (941) 922-4948 www.sarasotaendodontics.com

Hans R. Salheiser 3400 S. Tamiami Trail, Suite 203 Sarasota, FL 34239-6093 (941) 952-5151 www.sarasotaendodontist.com

Michael P. Sardzinski Venice Endodontics 1172 Jacaranda Blvd.

Venice, FL 34292-4501 (941) 492-3570

Dennis S. Siddiqi 3440 Tamiami Trail, Suite 3 Port Charlotte, FL 33952-8134 (941) 627-8022

John M. Wheeler 2217 Stickney Point Road Sarasota, FL 34231 (941) 921-3003 General Dentistry

Delia Cotera

Lance A. Karp

Allison L. O’Brien

Osprey Dental 3976 Destination Drive, Unit 203 Osprey, FL 34229-9502 (941) 375-8505 www.ospreydental.com

The Sarasota Dental Group 2100 Proctor Road Sarasota, FL 34231-8433 (941) 926-0000 www.sarasotadentalgroup.com

Comprehensive Dental Care of Lakewood Ranch 6975 Professional Parkway E. Sarasota, FL 34240-8472 (941) 373-3904 www.lwrdentalcare.com

Thomas T. Doan

Zachary F. Kesling

Exceptional Dentistry of Sarasota 1999 Lincoln Drive, Suite 102 Sarasota, FL 34236-9120 (941) 365-4418 www.exceptionaldentists.com

Osprey Dental 3976 Destination Drive, Unit 203 Osprey, FL 34229-9502 (941) 375-8505 www.ospreydental.com

Roy A. Parker

Michael R. Dorociak

Lisa Klein

3900 Clark Road, Suite J5 Sarasota, FL 34233 (941) 924-1100 www.sarasotafamilydental.com

Venice Dental Associates 1740 E. Venice Ave., Unit 6 Venice, FL 34292-3193 (941) 484-6400 www.venicedentalassociates.com

Meadows Dental Associates 4987 Ringwood Meadows Sarasota, FL 34235-2033 (941) 377-3659 www.meadowsdentalassociates.com

Douglas R. Fabiani The Sarasota Dental Group 2100 Proctor Road Sarasota, FL 34231-8433 (941) 926-0000 www.sarasotadentalgroup.com

Craig P. Georgiades 3900 Clark Road, Suite E4 Sarasota, FL 34233-2373 (941) 924-2880

Richard B. Gilleland 2496 Caring Way Port Charlotte, FL 33952-5336 (941) 627-9900 www.caringwaydentistry.com

Shaun D. Graser Advanced Dentistry 321 Nokomis Ave. S. Venice, FL 34285-2452 (941) 485-1191 www.drgraser.com

Gregg G. Hassler Jr. 232 Milan Ave. W. Venice, FL 34285 (941) 486-8883 www.hasslerdental.com

Timothy G. Herring 1445 S. Osprey Ave. Sarasota, FL 34239-2915 (941) 366-3894 www.sarasotafloridadentist.com

Michael F. Hughes

GENERAL DENTISTRY

1205 Jacaranda Blvd.

Venice, FL 34292-4519 (941) 497-4702 www.drmichaelhughes.com

George W. Castro

Walter C. Janson Jr.

Paradise Dental 1711 Lakewood Ranch Blvd.

Bradenton, FL 34211-4906 (941) 744-1226 www.paradisedental.org

4044 Sawyer Road Sarasota, FL 34233-1272 (941) 929-9580

Jeffrey A. Chirillo Dentistry by Design 130 S. Indiana Ave., Suite B Englewood, FL 34223-3301 (941) 475-2442 www.drchirillo.com

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SARASOTA HEALTH 2015

Douglas C. Jungman Zamikoff, Klement, Jungman & Varga 2103 59th St. W. Bradenton, FL 34209-7015 (941) 792-2766 www.zkjdental.com

Robert J. Klement Zamikoff, Klement, Jungman & Varga 2103 59th St. W. Bradenton, FL 34209-7015 (941) 792-2766 www.zkjdental.com

Christine Koval Koval & Koval Dental Associates 2477 Stickney Point Road, Suite 216A Sarasota, FL 34231-4068 (941) 923-5406 www.askdrkoval.com

Anthony Leonards

4016 Ninth Ave. W. Bradenton, FL 34205 (941) 748-7403

Mary Porter

Michelle M. Scala-Frenchman 1805 Bayshore Gardens Parkway Bradenton, FL 34207-4706 (941) 755-6477 www.drfrenchman.com

Monica Scheurer 1215 Beneva Road Sarasota, FL 34232-3152 (941) 366-4553 www.sarasotacosmeticdentists.com

Deborah L. Simpkins 3212 Gulf Gate Drive Sarasota, FL 34231 (941) 921-2122 www.DeborahSimpkinsDMD.com

Family Dentistree 3850 S. Osprey Ave. Sarasota, FL 34239-6831 (941) 313-3844 www.familydentistree.com

Ronald J. Smith

Francisco Marcano-Soltero

Richard W. Steinberg

Sarasota Center for General Dentistry 7315 Merchant Court, Suite B Sarasota, FL 34240-8463 (941) 907-7792 www.smilesofsarasota.com

North River Dental 3030 U.S. Highway 301 N. Ellenton, FL 34222-2010 (941) 722-0502 www.northriverdental.com

Shelly D. McAvoy

Tarpon Shores Dental 1314 E. Venice Ave., Suite F Venice, FL 34285-7160 (941) 488-7910 www.tarponshoresdental.com

8460 Cooper Creek Blvd., Suite 103, University Park FL 34201-2019 (941) 366-1010 www.coopercreekdental.com

Todd W. McCabe Meadows Dental Associates 4987 Ringwood Meadows Sarasota, FL 34235-2033 (941) 377-3659 www.meadowsdentalassociates.com

William H. McElveen III 1980 Lincoln Drive Sarasota, FL 34236-9114 (941) 951-6188 www.bestsarasotasmiles.com

6404 Manatee Ave. W., Suite C Bradenton, FL 34209-2358 (941) 798-3652 www.rjsmithdds.com

R. Scott Thompson

William K. Urschel Aesthetic & Reconstructive Dentistry 836 Sunset Lake Blvd., Suite 202 Venice, FL 34292-7556 (941) 492-2967 www.drwilliamurschel.com

C. Romesh Weerasooriya Tarpon Shores Dental 1861 Placida Road, Suite 105 Englewood, FL 34223 (941) 474-9548 www.tarponshoresdental.com

Shanaka L. Weerasooriya Tarpon Shores Dental 1861 Placida Road, Suite 105 Englewood, FL 34223 (941) 474-9548 www.tarponshoresdental.com

ORAL AND MAXILLOFACIAL SURGERY Mark Burne North Port Oral Surgery 2787 Sycamore St., Building F, Suite 106, North Port, FL 34289 (941) 423-1750 www.site.northportoralsurgery.com

David Christian Bradenton Oral Surgery Center 2902 59th St. W., Suite H Bradenton, FL 34209 (941) 794-1788 www.bradentonosc.com

Barry D. Hothersall 943 S. Beneva Road, Suite 110 Sarasota, FL 34232-2471 (941) 365-7116

Scott A. Middleton Middleton Oral Surgery 2902 Bee Ridge Road Sarasota, FL 34231 (941) 926-9100 www.srqimplant.com

Craig M. Misch Misch Implant Dentistry 120 S. Tuttle Ave., Suite 220 Sarasota, FL 34237 (941) 957-6444 www.bonegraft.com

Cara L. Overbeck 1040 E. Venice Ave. Venice, FL 34285-7162 (941) 488-8788 www.caraoverbeck.com

Gary Raska Implantis Oral & Facial Surgery Center 3940 Swift Road, Sarasota, FL 34231 (941) 923-0033 www.sarasotaoralsurgery.com

Todd J. Reuter 3300 S. Tamiami Trail, Suite 7 Sarasota, FL 34239 (941) 365-3388 www.sarasotaoms.com

Patricia A. Scott 3443 Tamiami Trail, Suite A Port Charlotte, FL 33952-8159 (941) 625-8500

Jeffrey R. Smith Troxler and Smith Oral Surgery Associates 3914 Ninth Ave. W. Bradenton, FL 34205-1704 (941) 747-5597 www.troxlerandsmithoralsurgery associates.com

ORTHODONTICS Michael C. Alpern 3100 Port Charlotte Blvd.

Port Charlotte, FL 33952-5157 (941) 629-2221 www.winningsmiles.com

Aaron W. Carroll Carroll & Sutton Orthodontics 3045 Bobcat Village Center Road North Port, FL 34288 (941) 257-2000 www.csorthodontics.com

Jesse Ehrlich

Karen Varone

Javier E. Gonzalez-Toledo

Moricz and Varone Orthodontics 2916 Bee Ridge Road Sarasota, FL 34239 (941) 922-6444 www.mvorthodontics.com

Sarasota Periodontal Associates 1830 S. Tuttle Ave. Sarasota, FL 34239-3112 (941) 366-6161 www.sarasotaperiodontal.com

PEDIATRIC DENTISTRY

Lewis E. Hanan

Ronald S. Acquaro Children’s Dentistry of Manatee 5714 21st Ave. W. Bradenton, FL 34209-5606 (941) 792-6272 www.manateekidsdentist.com

Ehrlich and Sallapudi Orthodontics 140 Indian Ave. Venice, FL 34285-2629 (941) 485-7006 www.crossbite.com

Jerry R. Hynton

David H. Freeman Freeman Orthodontics 3300 S. Tamiami Trail, Suite 8 Sarasota, FL 34239-5100 (941) 953-7500 www.freemanorthodontics.com

Claudia F. Moricz 6286 Lake Osprey Drive Sarasota, FL 34240 (941) 907-8898 www.mvorthodontics.com

Sarasota Periodontal Associates 1830 S. Tuttle Ave. Sarasota, FL 34239-3112 (941) 366-6161 www.sarasotaperiodontal.com

Susan D. Lamar

2225 59th St. W., Suite A Bradenton, FL 34209-7006 (941) 792-6641

1531 Tamiami Trail S., Suite 701 Venice, FL 34285-5575 (941) 497-5591

Nilofer A. Khatri

Michael A. Pawlus

Janoff & Khatri Pediatric Dentistry 333 Miami Ave. W., Suite 3 Venice, FL 34285 (941) 484-2629 www.janoffandkhatri.com

1901 Floyd St., Suite 303 Sarasota, FL 34239-2932 (941) 923-2288 www.drmichaelpawlus.com

Silas E. McAninch

Periodontal Specialist and Dental Implants 1906 59th St. W., Suite G Bradenton, FL 34209-4639 (941) 792-0029 www.bradentonperio.com

2711 S. Tamiami Trail Sarasota, FL 34239-4507 (941) 953-3535 www.drmcaninch.com

Maribel Santos-Cordero

Thomas G. Rubino

Dentistry for Children and Adolescents 7315 Merchant Court, Suite A Sarasota, FL 34240-8463 (941) 907-7762 www.sarasotachildrendentistry.com

John Russo

3982 Bee Ridge Road, Building H, Suite B Sarasota, FL 34233-1210 (941) 927-8395 www.sarasotabraces.com

Leslie A. Thompson

PROSTHODONTICS

Michael Radell

PERIODONTICS

1215 S. East Ave., Suite 202 Sarasota, FL 34239-2353 (941) 955-8887 www.gingerchasolen.com

Jack H. Corn

Howard M. Chasolen

80 S. Tuttle Ave., Suite 100 Sarasota, FL 34237-6344 (941) 373-1616 www.drjackcorndmd.com

Chasolen Prosthodontics 2033 Wood St., Suite 125 Sarasota, FL 34237-7933 (941) 957-0063 www.howardchasolen.com

James A. Morrish Jr. Morrish Stewart Orthodontics 708 43rd St. W., Bradenton, FL 34209 (941) 746-2463 www.msorthodontics.com

Frank J. Pazulski

Radell Orthodontics 3900 Clark Road, Building A, Suite 2 Sarasota, FL 34233 (941) 923-1885 www.radellorthodontics.com

Nitin Sallapudi Ehrlich and Sallapudi Orthodontics 140 Indian Ave., Venice, FL 34285 (941) 485-7006 www.crossbite.com

Michael A. Sutton Carroll & Sutton Orthodontics 3045 Bobcat Village Center Road North Port, FL 34288 (941) 257-2000 www.csorthodontics.com

Jeffrey S. Thompson Orthodontic Specialists 4008 Ninth Ave. W. Bradenton, FL 34205-1706 (941) 746-7226 www.drjeffreysthompson.com

1882 59th St. W. Bradenton, FL 34209-4630 (941) 792-9392 www.drlesliethompson.com

Lindsay Eastman

Russo Periodontics 1704 Bay Road Sarasota, FL 34239-6810 (941) 955-3100 www.russoperio.com

Ginger R. Chasolen

Eastman Periodontal Specialist and Dental Implants 6310 Health Park Way, Suite 240, Bradenton, FL 34202 (941) 792-3899 www.eastmanonline.com

Katherine E. Misch

N. Joseph Farris

3300 S. Tamiami Trail, Suite 1 Sarasota, FL 34239 (941) 365-5235

Sarasota Periodontal Associates 1830 S. Tuttle Ave. Sarasota, FL 34239-3112 (941) 366-6161 www.sarasotaperiodontal.com

Misch Implant Dentistry 120 S. Tuttle Ave., Suite 220 Sarasota, FL 34237 (941) 957-6444 www.bonegraft.com

Gregory Rutherford

Benjamin J. Tindal Tindal Prosthodontics 5911 N. Honore Ave., Suite 123 Sarasota, Florida 34243 (941) 225-2520 www.tindalsmiles.com

SARASOTA HEALTH 2015

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Medical MIRACLES

BY Hannah

Wallace

Twelve new breakthroughs happening now in SarasotaManatee.

M

edicine is advancing at unprecedented rates. Sarasota surgeon Dr. Thomas Sweeney, who now uses the first robotic system approved by the FDA for spine surgery, compares the current medical evolution to the late 20th century’s acceleration of computing technology: “Twenty or 30 years ago, we couldn’t have envisioned having powerful computers on our laps,” he says. “Now, every 18 months we double our computing speed.” Today, he says, medicine is racing ahead at a similar rate, with new treatments and technology that would have seemed like science fiction only a few years ago. Thanks to our demographics (aging residents who want and can afford the latest care), which attract topnotch medical professionals and fuel the growth of state-of-the-art facilities, Sarasota/Manatee residents can enjoy front-row seats in this theater of innovation. Here are 12 medical breakthroughs that are improving—and even saving—lives in our region right now.

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SARASOTA HEALTH 2015

Lena Chesnoff was only 1 year old, but her mother, Holly, was worried about her eyes.

Holly had endured treatment for amblyopia, or “lazy eye,” as a child, and she feared Lena might have the same condition. If left untreated, amblyopia causes the brain to ignore signals from the drifting eye, rendering it essentially useless. Once that happens, there’s no reversing the loss of sight.

Early diagnosis can be difficult. Traditionally, doctors would cover one eye and then the other, back and forth, in the hopes of “catching” an eye’s deviation from forward— an imperfect technique at best, and especially difficult in wriggling young children.

But at Lena’s 1-year checkup, pediatrician Dr. Robert Weiss was able to capture a full picture of Lena’s ophthalmological health in, literally, the blink of an eye. The Spot Vision Screener uses an infrared beam to collect data throughout the eye. Unlike traditional ophthalmological instruments, Spot Vision automatically and instantly performs its test when it senses it’s at the right distance— about three feet—away from open eyes; no physical contact is necessary, and the test only requires a split second for a full scan. The device even emits lights and birdlike noises to help capture young patients’ attention.

“One-fourth of preschoolers have eye problems,” says Weiss, who now uses Spot Vision to asses all of his patients, starting at six months of age, to detect everything from astigmatism to a retinal tumor.

Lena, it turned out, did have amblyopia.

Weiss referred the Chesnoffs to a specialist, who recommended immediate treatment, starting with an eye patch worn on alternate eyes to train the brain to use each one equally. “I was wearing a patch when I was in elementary school, and I was embarrassed,” says Holly. But Lena, now 2, is unfazed.

revolutionized eye surgery. Combined with a 3-D imaging technology as part of the LensAR Laser Cataract System, the femtosecond laser creates precise, perfectly round openings in the eye’s cloudy lens, which is then softened by the laser so that it can be quickly removed.

With customizable and easy-to-reproduce precision, the whole process is finished in a matter of minutes. In 2012, Dr. David Shoemaker, CEO of Sarasota’s Center for Sight, was among the first to perform LensAR laser cataract surgery in the U.S.

The First Robot in Spine Surgery By the time he met with Dr. Thomas Sweeney of Sarasota’s Southeastern Spine Center, Mark Levenson, a human resources professional, had already undergone five spinal surgeries. A car accident in the late ’80s left him with multiple back injuries, and each surgery had required large incisions through muscle and ligament in order to implant, swap out or rearrange various pins and rods in his vertebrae. And still Levenson suffered with numbness and pain.

Lena Chesnoff

FRED LOPEZ

Revolutionizing Pediatric Eye Care

Removing Cataracts without Cutting Nearly 19 million people undergo cataract surgery every year, making it the most commonly performed surgery in the world.

And while minimally invasive surgeries are becoming the standard in a number of specialties, the femtosecond laser has

SARASOTA HEALTH 2015

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But Sweeney had the answer: the Mazor Robotics Renaissance guidance system. Though da Vinci systems have made robotically assisted, minimally invasive surgeries de rigueur in many other fields, the Mazor technology is the first robot to be cleared by the FDA for spinal surgery. There are only about 50 of the machines in the entire country, and Doctors Hospital of Sarasota has one.

Surgeons start with a CT scan and practice by performing the surgery virtually, using the Mazor software. Then, during

FRED LOPEZ

Mark Levenson

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SARASOTA HEALTH 2015

the actual surgery, the robot acts as a guide, with precisely positioned tubes that allow for accuracy within three-tenths of a millimeter—much more than even the best surgeon could do manually. “The human hand shakes,” explains Sweeney.

“I hope that I see in my lifetime that no one ever has to have open back surgery.”

Sweeney replaced two rods in Levenson’s back. The Mazor technology meant less blood loss during a faster and more precise procedure, which also reduced Levenson’s recovery time. Now, the 66-year-old

Levenson can embrace his hobbies, including playing saxophone with the Sarasota Concert Band and even spending time on the podium, conducting with his natural verve.

“I’m a very physical conductor,” he says.

“Prior to the surgery, I wasn’t able to be me.

I can be more ‘me’ now than I was before.”

A Procedure That Dramatically Reduces Asthma Attacks Before now, 24 million American asthma sufferers relied on medications to keep their breathing difficulties at bay, and

those with severe, persistent attacks still endure frequent emergency room visits.

But this year, bronchial thermoplasty, the first non-drug procedure approved by the FDA, has come to Sarasota specifically for severe asthmatics for whom other treatments haven’t worked.

SMH critical care pulmonologist Joseph Seaman uses a bronchoscope to heat the inside of the lungs to 149 degrees, shrinking the smooth-muscle tissue that usually swells and restricts breathing during an asthma attack. The procedure has been shown to reduce the frequency of asthma attacks by a third, while drastically decreasing their severity across the board. The very first bronchial thermoplasty in Sarasota was performed by Seaman last spring.

When Open-Heart Surgery Isn’t an Option Those who need heart surgery the most may be too frail to go through it. But now, at a number of local facilities, Transcatheter Aortic Valve Replacement (TAVR) allows surgeons to replace a faulty heart valve through a catheter inserted via a small incision in the thigh or the side of the chest.

It’s much less traumatic for the body than open-heart surgery and allows for improved blood flow through the heart itself, relieving symptoms such as angina and fatigue, and ultimately lowering the risk of heart failure.

“Very sick patients who might otherwise be turned down for bypass or other surgical options have had years given to them thanks to the TAVR procedure,” says Enrique Rivera, an interventional cardiologist at Blake Medical Center.

Bariatric Surgery Gets Respect Sometimes a medical breakthrough can be a shift in doctors’ attitudes. Such is the case with bariatric surgery, which is only now shedding its negative reputation as a cosmetic weight-loss shortcut. In fact, according to Venice surgeon Dr. Joseph Chebli, decades ago studies showed gastric bypass surgeries create immediate metabolic changes—including triggering insulin production and the creation of more insulin receptors—that can reverse conditions like type 2 diabetes and

hypertension well before any weight loss occurs. And bariatric surgeries are actually safer than other common procedures like ventral hernia repair or gallbladder surgery.

The medical community is finally taking note. Diabetes organizations and endocrinologists have joined forces with metabolic and bariatric surgeons, and even orthopedists are discussing bariatric surgery as a way to prevent future joint problems.

“Here we are in 2015, [and] people say to me, ‘Can you believe this stuff?’” says Chebli.

“I’m trying to get people to understand, we’ve been doing this for 15 years.”

Beckford of the Center for Wound Care and Hyperbarics at Venice’s HealthPark.

But in just the last year, a new generation of “skin substitutes” began changing the game. These new dressings are made from growth factor-rich human tissue like dried amniotic fluid or foreskin. Unlike traditional grafts, which cover the wound, these skin substitutes are absorbed by the body, giving it the growth factors it needs to heal itself. Now, says Beckford, “They’re healing so much quicker.”

A Robot Operating Through a Keyhole

Tinnitus, or chronic ringing or noise in the ears, can be caused by aural trauma or just aging, and the condition, which can be distracting to a maddening degree, affects a fifth of the population. “[The ringing] is a threatening tone, so you start paying more attention to it. The more attention you pay, the louder it’s perceived,” explains Dr. Jeff Lezynski of Sarasota’s Silverstein Institute. “You lock yourself in a cycle.”

For those trapped in this cycle, the Widex Zen device is, literally, music to their ears. Either on its own or as part of a hearing aid, Zen technology trains the brain to break free of the tinnitus cycle

Just released in November 2014 and arriving at Sarasota Memorial Hospital shortly thereafter, the da Vinci Xi represents the very latest in minimally invasive surgical technology—a machine that allows surgeons to visualize and operate through keyhole-size incisions. Dr. Kenneth Meredith, one of SMH’s dozen or so experienced robotic surgeons, has performed more robotic esophageal surgeries than anyone else in the world and today leads the hospital’s gastrointestinal oncology program. “Each generation of the [da Vinci] robot extends the surgeon’s

Distracting Ringing Ears with Soothing Sounds

“Here we are in 2015, [and] people say to me, ‘Can you believe this stuff ?’” reach, vision and precision,” says Meredith.

“Now we can access areas within the body safely, from almost any position.”

Helping Chronic Wounds Heal Themselves The problem with chronic wounds, like diabetic ulcers and pressure ulcers, is that eventually, the body stops trying to heal them; and skin grafts and other treatments flounder when there are no growth factors to encourage new skin. “The longer you’re open, the higher the risk of infection, which can lead to amputation,” says Anne

by playing subtle—but more interesting and less frightening—sounds. Patients are distracted by the new sounds and learn to ignore the constant ringing of tinnitus.

“It takes away some of that fear,” says Lezynski. “[Tinnitus] is always there, but with Zen, it kind of drops to the background.”

Brand-New Joints, STAT Not long ago, having a knee or hip replaced meant an extended hospital recovery period. Now, thanks to across-the-board evolutions, orthopedic surgeons like Sarasota’s Dr. Adam Bright perform joint

SARASOTA HEALTH 2015

45

replacement as an outpatient procedure.

“I replace knees using custom guides based on MRI, so when my team and I prepare for the surgery we already know what size the replacement should be and where it should be positioned,” says Bright. “This eliminates 22 steps. The surgery is faster, more accurate and with less bleeding.”

An intravenous infusion also reduces bleeding, and patients are encouraged to exercise before their surgery so they are more prepared and can recover more easily. “It’s not a single thing but rather a gradual evolution and perfection of an already great procedure,” says Bright.

Bob Kneebone

Protecting Healthy Organs from Radiation Part of the risk associated with treating prostate cancer with radiation is the collateral damage suffered by surrounding organs. Dr. John Sylvester of Sarasota’s 21st Century Oncology has begun using a revolutionary protective substance only recently approved by the FDA. The SpaceOAR (Spacing Organs At Risk) “hydrogel” system is injected into the body as a liquid that almost instantly solidifies into a gel, which creates a barrier protecting the sensitive rectum from radiation damage.

With that barrier in place, doctors can use higher doses, allowing for faster, more effective cancer eradication. Within six months, the gel re-liquefies and is flushed from the body.

A Reversal for Age-Related Macular Degeneration.

FRED LOPEZ

At 78, Bob Kneebone loves cars—driving them, fixing them up, showing them. But a few years ago, a sudden change in his vision threatened his favorite hobby. “I was having trouble seeing the streetlights changing,” he admits. By the time he visited Dr. Keye Wong of the Retina Associates of Sarasota, the streetlights had all but faded into nothingness: Kneebone was legally blind.

Wong diagnosed Kneebone with wet age-related macular degeneration. For many patients, AMD can be caught early and slowed down with medications. But

until now, it couldn’t be reversed. “In my career, all of our therapies were to slow down the decline,” says Wong. “The average patient would slowly get worse.”

Brand-new medications are changing that prognosis. Wet AMD is caused by leakages of blood or fluid that pool and obstruct the macula, the central portion of the retina, where light-sensitive tissue lines the back wall of the eye. These new medications, called “anti-VEGFs,” target the molecule that causes those leakages.

Kneebone was given shots of Lucentis, one of three primary anti-VEGF brands, in both eyes, and he noticed the effects almost immediately. Within a few months, his vision had gone from legally blind to an astounding 20/25. “I don’t even use glasses anymore,” he says.

He’ll continue to receive the injections every eight weeks for the rest of his life, but there’s no reason to believe their effectiveness will diminish. Now he’s back to spending most of his time behind the wheel or under the hood.

Wong is quick to point out that anti-VEGF medications aren’t perfect. Injections to the eye risk serious infection, and not everyone experiences Kneebone’s astonishing success. Still, Wong likens the new drugs to finding a cure for pancreatic cancer— the reversal of a seemingly unstoppable disease. “People just lost vision before these medicines,” he says. “And now, 30 to 40 percent of people regain vision.” n

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Specialists offer noninvasive alternatives to traditional facelifts.

Beyond the Cutting Edge

BY Su

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Byron

P

hysicists speak of “Time’s arrow.” Basically, that means you know that time is moving forward if things are getting worse. Still, physics never stopped people from trying to turn back the clock—baby boomers, especially. Those who think young want to look young. For years, that’s meant invasive plastic surgery, which can involve a big chunk of change, lost time from work, swelling, pain and occasional complications.

But in the last few years, noninvasive alternatives to cosmetic surgery have emerged. These offer fewer risks, quicker recovery time and a smaller bite out of your bank account. We’ll explore a few of these non-cutting-edge alternatives to going under the knife. Let’s start with micro-needling.

Cosmetic Damage Control

Brady contacted Sandra M. Day, a clinical aesthetician and the co-founder of NeoDerm Aesthetics, which had recently begun performing the procedure.

“I asked if it was right for me,” she says. “She replied, ‘You’ve got an active lifestyle and very little downtime. I think it’s perfect for you.’ We set up my appointments then and there.”

Brady had four sessions over the next month. The procedure was painless. She looked like she had a sunburn for about a day, then the reddening went away. “I saw a few changes right away—my face had more of a glow,” she recalls. “But the real change came slowly, because the effects were cumulative. There was a gradual build-up of collagen—then, after about 30 days, it kicked in. It softened my contours, helped with pigmentation. The results were incredible.”

Micro-needling therapy, also called collagen induction therapy (CIT), works by an apparent paradox—repairing your skin by damaging it. Seriously? Yeah, that’s the basic principle. And it’s not as crazy as it sounds.

Just ask Maria Brady, the creative voice behind Choreographed Events. As an event planner and wedding coordinator, she’s constantly on location and needs to look her best. Brady wanted to tighten, tone and refresh her face. “When I read about micro-needling it seemed to fit the bill,” she recalls. “I decided to try it out.”

JOHN REVISKY

The Science of Skin

Maria Brady found micro-needling a viable option.

Dr. Robert P. Hillstrom, one of our area’s pioneering facial plastic surgeons, offers a crash course on the science behind the procedure. “It’s all about the structure of the skin,” he says. “It’s a complicated organ—one you wear on the outside.” He shared a few insights that made us feel like we’d wandered into a med school doctorate review. Sensing our confusion, he did his best to make it simple.

The epidermis is the body’s interface to the outside world—our first line of defense. It connects us, protects us and takes a constant beating. Below

that, there’s the dermis. This layer is a complicated matrix of connective tissue, collagen fibrils and microfibrils. Essentially, it’s the body’s shock absorber. When it’s healthy, our skin looks firm and toned.

When it’s not healthy, our skin can look old and loose. But what’s creating that impression?

“In many cases, the skin on the surface isn’t the primary issue,” says Hillstrom.

“It’s the dermis—the substrate below.

That’s what creates the impression of age.

What’s holding the epidermis up is the real problem.”

If so, it follows that repairing or rejuvenating this substructure can be a solution. And that’s exactly how microneedling works.

As the name implies, this procedure works through lots of tiny little needles.

It’s a medical device, not a torture device, though it looks like one. Typically, there’s a grouping of surgical-gauge needles arranged on a hand-held roller. All those tiny needles penetrate the dermis and poke through to the epidermis. The resulting injuries provoke the skin’s natural healing processes.

“Each pinprick is a micro-wound,” Hillstrom explains. “The tiny punctures create sub-dermal inflammation. The body responds by creating new collagen, the protein behind skin elasticity.

It also produces more elastin—and new capillaries as well. The resulting neovascularization and neocollagenesis yield amazing results, from the reduction of scars to basic skin rejuvenation.” He agrees that the procedure can make you look younger. But it can also deal with acne scars, stretch marks and rosacea. “It’s not just a vanity procedure,” he says. “It allows some people to face the world who’ve been living in isolation for many years.”

So, in a nutshell, micro-needling creates a cascade of healing and growth factors. Thanks to all those pinpricks, the body builds collagen density and firms and tones skin. Other benefits include dermal and epidermal skin thickening and hydration enhancement. As a bonus, there’s minimal risk or downtime. You look like you’ve got a nasty sunburn and your skin is saying “ouch.” But take it easy for

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The Price of Beauty (EXACT PRICES MAY VARY.)

Halo Around $1,500 per treatment

Acculift Stand-alone (neck and jowls), $2,500 per area Combined with laser assisted lower face and neck lift, $9,850

HydraFacial $160 for face and neck; includes “peel” solution

Micro-needling From $175 to $600, according to areas treated

three days or so, and you can go back to work. After about a month, the procedure jump-starts your body’s own production of collagen. People notice you look better, though they can’t say why.

“Micro-needling is a whole system procedure,” Hillstrom says. “It’s not just a quick-fix on the surface level. It literally gets below the surface, and uses the body’s own natural response to make the skin more healthy and alive.”

Now let’s talk about lasers.

The Amazing Laser When you mention lasers, supervillains and James Bond’s castration anxiety may come to mind. But cosmetic surgeons with no designs on world conquest use the laser as a force for good in today’s world. Dr. J. David Holcomb, a double board-certified facial plastic surgeon, is one of them.

Once again, why you look old in the first place is what counts, he explains. Go below the dermis but not too far. What you’ll find is fat.

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Fat. That’s the name of our supervillain.

To complicate matters, it’s not always bad. Fat in the right places is pinchable and cute.

Fat in the wrong places makes you Dr. J. David Holcomb look old. Sadly, as we age, the fat in our face descends. Jowls and cheeks start to sag like sacks full of buckshot. Nature, it seems, wants you to look like Richard Nixon.

But fat is no match for the amazing laser. And Dr. Holcomb has two powerful weapons in his arsenal. One of them, the AccuLift procedure, he invented. This procedure employs a fiber-optic laser with a beam as thin as six strands of human hair. The procedure melts away fat—literally.

“Basically, it’s laser-assisted microliposuction,” Dr. Holcomb says. He shows

us a video to illustrate. A placid-looking woman smiles bravely as amber-colored goop drains out of a tiny pinprick on her right cheek. That goop is fat. And, yes, it appears to be melting.

It looks that way because it is.

Holcomb explains that the laser goes beneath the skin and liquefies fat deposits.

The surgeon then drains the liquefied fat with a cannula (medical speak for a tiny straw), then the needle puncture closes.

That’s it.

“It helps us contour the face in ways we never really could have before,” notes Holcomb. “The fat removal is permanent.”

This “facelift” is noninvasive, aside from the tiny pokes of the laser filament and the cannula. The entire procedure takes about 30 minutes and requires only local anesthetic. And there’s next to no bruising, swelling or downtime.

“The beauty is the simplicity,” he says.

“With AccuLift, we’re draining the fat from your face. That’s all there is to it.” But for those with significant skin laxity, surgery

One beam zaps the outer skin, frying unwanted pigments and smoothing out texture. Another beam targets sub-surface water and collagen. This initiates collagen remodeling, removes deeper pigments and tightens pores. Once again, there’s very little damage or downtime. “The results are amazing,” says Holcomb. “Halo can resurface the skin, repair sun damage. I can set the dials for exactly what each patient needs. It’s truly a game-changer.”

So that’s the game. Needles and lasers against time’s relentless undertow. Hightech wonders to the rescue! But don’t forget the old standbys. Namely hydration, dermabrasion, fillers, injectables and chemical peels.

(2014 FIGURES FROM THE AMERICAN SOCIETY OF PLASTIC SURGEONS)

15.6 million

surgical and nonsurgical cosmetic procedures.

13.9 million

nonsurgical cosmetic procedures.

6,673,608

Botox treatments. spent on surgical cosmetic procedures.

$5 billion

spent on nonsurgical cosmetic procedures.

$13 billion

spent on all cosmetic procedures.

Women accounted for

90.6 percent

of all cosmetic procedures.

is needed. Dr. Holcomb uses the same laser for his Laser Assisted Face Lift.

It’s a simple solution to a simple problem.

But some problems are more complicated.

Which leads us to another weapon in the fight against time’s insults: Halo, the world’s first hybrid, fractional laser. What does that mean, exactly?

Let’s break it down.

“Hybrid” means the device employs two fractional lasers to simultaneously target the skin’s outer layer and its sub-surface collagen. “Fractional” means the laser zaps the skin, one fraction at a time, like a Photoshop artist working pixel by pixel.

Think of those Renaissance paintings where bright, blue blood vessels gleamed just below the skin’s surface on various pale saints and aristocrats. Halo gets down to those levels.

PHOTO COURTESY OF SARASOTA PLASTIC SURGERY CENTER

$7 billion

Saving Face—Fast The HydraFacial is a nonsurgical, serum-based skin resurfacing treatment that combines hydration, cleansing, JoAnne Ronzani extraction and exfoliation. According to JoAnne Ronzani, a medical aesthetician at Sarasota Plastic Surgery Center, it’s a four-step process employing a proprietary device. The technician cleans and exfoliates through hydrodermabrasion; creates a gentle peel with glycolic/salicylic acid; deep-cleans clogged pores with a “vortex-extraction nozzle” (basically a mini vacuum cleaner); then hydrates and infuses the skin with a serum rich in collagens and antioxidants.

A variety of available serums target different skin types and conditions.

PHOTO COURTESY OF SARASOTA PLASTIC SURGERY CENTER

America the Beautiful

A HydraFacial treatment in progress.

“This gentle resurfacing treatment removes the top layer of dead skin cells and then bathes the skin with glycolic acid and lactic serums that renew it,” says Ronzani.

“The result is skin that’s radiant and hydrated.” She adds that the HydraFacial treatment is noninvasive and each session takes from 30 to 40 minutes and doesn’t require an anesthetic. There’s no downtime; the treatment works best if repeated every four to six weeks.

IPL, also called Intense Pulsed Light or PhotoRejuvenation, can improve a host of skin irregularities caused by aging, sunlight or genetics. A medical device generates electronically controlled pulses of multi-wavelength light. Patients come away with smoother skin, fewer brown spots, smaller pores and reduced fine lines. IPL can also eradicate tiny blood vessels that bother many men and women.

“An 82-year-old man recently came in,” Day at NeoDerm recalls. “He said he wanted to get rid of the brown spots on his hands and face, although he felt like a like a ‘silly old fool.’ I told him there’s nothing silly looking your best, whatever your age might be.”

Bottom line? You can’t turn back time’s arrow. But science is still marching on. And not all solutions are medical …

“The aging process isn’t a given,” says Holcomb. “Yes, we all get old. But we don’t have to look old—at least without a fight.”

And even if you choose not to resort to medical intervention, he says, “You can still take care of yourself. Stay out of the sun, avoid smoking or anything else that can damage your skin. A bad self-image is the most damaging factor of all. Accept your face, wrinkles and all, and you’ll look years younger. So, for heaven’s sake, stop scowling at yourself. When you see yourself in the mirror, always remember to smile.” n

Resources American Society of Plastic Surgeons plasticsurgery.org American Academy of Facial Esthetics facialesthetics.org Food and Drug Administration fda.gov/ForConsumers/ConsumerUpdates/ ucm049349.htm

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Caring for the

CAREGIVER Health reporter Heidi Godman knows this story from the inside.

Reprinted in part with permission from Harvard Health Publications and Belvoir Media Group

Heidi Godman is the executive editor of the Harvard Health Letter, the national subscription periodical from Harvard Medical School, as well as the host of Health Check with Heidi Godman on WSRQ 98.9 FM, 106.9 FM, and 1220 AM.

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H

istory is repeating itself in my family.

My mother has Parkinson’s disease, and my father is her caregiver. Forty years ago, my mom was the caregiver for her own mother, who had advanced Parkinson’s disease and dementia.

I didn’t know my grandmother before she became frail and sick, but I knew that her children adored her. They couldn’t bear to place her in a nursing home, so they took sixmonth turns caring for her in their own homes. Every day, my mother would bathe my grandmother, dress her, feed her, and make sure she took her medications. She had no additional help, and no support from my grandmother’s doctors. It was exhausting for my mother, and I felt her anguish.

That was in the mid-1970s, when being a caregiver wasn’t a defined role. Now it’s so commonplace that researchers study caregiving. They estimate that 43.5 million people in our country provide in-home, longterm care for older adult family members with a chronic illness. We have many caregivers here on the Suncoast as well, about 34,000 in Sarasota County alone, according to Pam Baron, director of senior services for Jewish Family & Children’s Services of the Suncoast (JFCS). “That population is very independent,” says Baron. They grew up in

the Depression or World War II. “They look at caregiving as just part of what they’re expected to do,” she says But despite the awareness of these roles, the medical attention paid to caregivers isn’t much different from when I was a kid. In fact, a report published March 12, 2014, in the Journal of the American Medical Association finds that many physicians overlook care­ giver burden.

“Most physicians haven’t been trained to ask patients about it, and it’s a new clinical habit that you have to consciously adopt and work on,” says geriatrician Dr. Anne Fabiny, who is the medical editor of Caregiver’s

Handbook, a special health report from Harvard Medical School.

The authors of the JAMA study found that caregivers are typically women who spend about 20 to 40 hours a week providing care.

They also found that most caregivers feel abandoned and unrecognized by the health care system. Spousal caregivers face greater challenges than caregivers helping a parent for a variety of reasons, one of which is that they tend to be older.

Of these caregivers, 32 percent have a high caregiver burden. There is no medical classification for “caregiver burden.” But it’s generally known as the toll that caregiving

takes on a person. It can manifest in many ways, including physical ailments, mental illness, social isolation and financial problems.

“Caregivers get depressed. Then they neglect their own health, or they miss doctor appointments because they can’t extract themselves from their caregiving role. They just don’t have support, so things like exercising, getting enough sleep or engaging in a social life all fall away,” says Dr. Fabiny. The JAMA study even cites cases of elderly caregivers who are so distraught that they try to commit suicide.

So the authors of the JAMA report and others are urging physicians to help prevent

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or reduce mounting desperation among caregivers by playing a part in assessing the caregiver’s health during regular clinic visits for the person who is chronically ill.

Physicians can evaluate the caregiver by asking: • How are you coping with these responsibilities?

• How would you describe your quality of life these days?

• How often do you get out?

• Do you have your own physician?

The answers can help physicians to direct caregivers to various services and support systems, including some of the following: • respite for the caregiver, in the form of a home companion or an adult daycare program for the patient • help with non-medical services such as housekeeping and cooking

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• counseling about caregiver stress and its consequences, from either a therapist or support group • training so the care­ giver learns how to care for her or his loved one without injury, such as learning how to lift the person without suffering back strain.

atric care management (all offered by JFCS, by the way). Nonprofits such as our region’s Neuro Challenge Foundation, which I’ve been involved with for years, offer support groups, tailored care plans, educational seminars and even exercise classes for people with Parkinson’s disease and their families.

Such support would have eased my mother’s burden when I was a kid. And it’s especially important to me now that my parents are in a spousal-caregiver relationship. I might worry about my father, a prince who never complains, except that my parents have me, a bossy health reporter, who is aware of support options and quick to arrange them. Plus, everyone in my family is helping, including my husband, my children, my siblings and my nieces and nephews. We’ve each taken a particular role in the care of both my mom and dad, in the form of cooking, cleaning, bill payProfessionals ing, “momsitting,” taking mycan parents offertohelp docin medical caring for tor appointments, arranging for serthe disabled or vices, buying clothes and many other jobs. elderly.

We talk openly about how we are holding up. If one of us is having a hard time, another listens and offers support, or fills in for the person. I’m not saying it’s been easy. I’m just saying it’s been a team effort, and that we are pulling each other through this tough time.

But I’ve also relied on the advice of therapists, nurses and doctors who’ve given me some tools to cope. I think any resource you can take advantage of will make a difference, such as the Caregiver’s Handbook. It includes a detailed questionnaire to help caregivers identify problems and solutions for their caregiving situations. It also offers suggestions for legal and financial planning and tips for taking care of yourself as the caregiver.

The bottom line is that caregiving is a job we all may face one day. Just don’t neglect yourself in the process. “If you don’t take care of yourself, you can’t take care of the person you love and are responsible for,” says Dr. Fabiny. n

Caregiving is a job we all may face one day.

The good news is that an entire industry of services has developed to help older adults age in place, complete with home health aides, companions, chefs, emergency call buttons, and transportation for the disabled or elderly.

That’s in addition to the agencies that offer caregiver support groups, counseling and geri-

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www.lecom.edu

BY Su

Byron AND Marty Fugate

SLEEPLESS in Sarasota New ways to get you through the night.

B

irds do it, bees do it, and humans do it, too. Sleep, that is. It’s a natural state of altered consciousness in which sensory input shuts down and voluntary muscles are inhibited. The average person spends 227,468 hours of his life in the land of dreams. And it’s not just a waste of time…

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While you’re catching Zs, Mother Nature is hard at work. Essentially, your body and brain rebuild themselves every night. When the process goes smoothly, the benefits are profound. A good night’s sleep boosts memory, keeps inflammation in check, extends your life span, jump-starts creative ideas, regulates hunger hormones, reduces stress, wards off depression, supercharges the immune system and keeps memory and attention sharp. On top of all that, you just plain look better when you’re well rested.

There’s a reason they call it beauty sleep.

Sadly, millions of aging baby boomers are sleep deprived. Yes, the generation that partied until dawn in college and burned the midnight oil chasing success as young adults is now paying the price. They were the young and the restless then—and they’re the the old and the restless now.

What’s keeping them up at night?

Sleep’s natural and unnatural enemies include pain, aging, illness and the sideeffects of medications, depression, anxiety, and Stephen King novels. (Just kidding, Mr. King.) A host of sleep disorders can also be to blame. Doctors have listed more than 70 of them, including restless legs syndrome (RLS), insomnia and plain old snoring. Obstructive sleep apnea is the main culprit—especially for the formerly young generation. But don’t lose any more sleep over it. Bad sleep is usually the result of bad sleep habits. In most cases, a few simple lifestyle changes will get you sleeping like a baby. Even if you are a baby boomer.

To do it right, let’s start with what you’re probably doing wrong.

The Tao of Sleep First, stop staring at the clock on your nightstand. (3:00. 3:01.) Seriously, stop staring at it! The clock that matters is the one you were born with. It’s standard equipment on all living beings—a built-in, biological clock of metabolic cycles called circadian rhythms.

These cycles influence body temperature, hormone levels and a host of other biological functions. Ignore this inner clock, and your sleep will suffer.

Ask Dr. Matthew Edlund. As a psychiatrist, sleep medicine expert and the director of Sarasota’s Center for Circadian Medicine, he sees what happens when people ignore these cycles.

“Americans think they can keep going and going and suddenly shut down,” he says.

“That doesn’t work. Human beings don’t come with on-off switches. We’re not machines.”

So, face the fact you’re a cyclical being, not the Energizer Bunny.

The first step? Set up regular times for eating and exercise, but above all, for wakeup and bedtimes. Wait—you’re an adult, and you have to have a bedtime? Yes, sorry, your mother was right. According to Edlund, this gets you in synch with your inner clock.

The time you go to bed matters. What you do before you hit the hay does, too.

Make time for daily exercise. The healthier you are, the better you sleep—and the better you sleep, the healthier you are. A vigorous workout is ideal, but light exercise is better than sitting on the couch. Exercise whenever you want, except right before sleep time. Create a consistent, daily transition time of rest and relaxation before you go to bed. Meditate, listen to classical music or take a hot bath; whatever works for you.

Basically, wind down before you shut down.

Create buffer times between intense activity and sleep. Decompress gradually, from your hectic day to the quiet night. That sets your inner clock for shut-eye.

While fine-tuning time, don’t forget to create a sleep-friendly ambiance. Think cool and quiet—and buy black-out curtains or an eyeshade if you have to. Sunlight tells your body to wake up; darkness says sleep. Your roughly 24-hour circadian cycle is as simple as night and day. When your body time is out of whack with the sun, strategically timed truespectrum light therapy can put it right.

Overeating, unhealthy eating, drugs and alcohol will also keep you up at night. A bad attitude will, too.

“The natural way is best,” Edlund says.

“Everybody needs decent rest, which should be as normal and easy as breathing. A few lifestyle changes are usually all it takes.”

But sometimes it takes more. With certain sleep disorders, it probably will.

We’ll focus on the leading culprit …

Obstructive sleep apnea.

Every Breath You Take: The ABCs of Sleep Apnea Let’s say you’ve caught yourself nodding off at the wheel or at the weekly Power Point presentation. No matter how much sleep you get, you feel tired and fuzzyheaded during the day. You wake up with a dull headache that doesn’t seem to go away. A reliable source has informed you that you’re cranky and irritable and your snores wake him or her up at night. Heck, you wake yourself up at night. Sometimes it feels like you can’t breathe.

Do these warning signs apply to you?

Then you might have obstructive sleep apnea—a disorder in which your breath stops and starts while you’re asleep.

Dr. Glenn D. Adams, the medical director of Sarasota Memorial Hospital’s Sleep Disorders Centers and a clinical assistant professor of medicine at FSU, takes it very seriously. “The impact is worse than insomnia,” he says. “It’s not merely a lack of sleep.

It’s a lack of oxygen.”

What’s going on, exactly?

While you’re awake, muscle tone keeps your breathing passage open. When you sleep, your muscles relax. If you’ve got obstructive sleep apnea, they go too far.

As you begin to nod off, your soft palate and tongue start to block the upper airway.

A snore is the sound of vibrating tissue as your breath forces its way out. The more you relax, the more your airway closes. As your sleep deepens, your breath will pause or become extremely shallow. When you finally can’t breathe? You’ll fight your way back to lighter levels of sleep or wakefulness. Whatever it takes to catch a breath.

And it’s not just a one-time thing. If your sleep apnea remains untreated, you might stop breathing for 10 to 20 seconds or so, then gasp for breath—and jolt back to consciousness. This can happen hundreds of times a night, disrupting your sleep cycle,

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Resources Sarasota Memorial Hospital’s Sleep Disorders Centers: (941) 917-2525 The National Sleep Foundation is dedicated to improving health and well-being through sleep education and advocacy. The foundation is a charitable, educational and scientific not-for-profit organization located in Washington, D.C. Its membership includes researchers and clinicians focused on sleep medicine, health professionals, patients, families affected by drowsy driving and more than 900 health care facilities. sleepfoundation.org.

The American Sleep Association (ASA) is dedicated to improving public awareness about sleep disorders and sleep health, promoting sleep medicine research, and providing a portal for communication between patients, physicians, health care professionals, corporations, and scientists. sleepassociation.org.

The American Sleep Apnea Association, founded in 1990, is a 501(c)(3) nonprofit organization that promotes awareness of sleep apnea, works for continuing improvements in treatments for this serious disorder, and advocates for the interests of sleep apnea patients. sleepapnea.org.

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“Sleep apnea can destroy your quality of life [and] result in chronic tiredness.” and depriving you of the rapid eye movement (REM) sleep that your brain and body need.

The end result? Chronic sleep deprivation.

A form of torture, according to Amnesty International.

Can you live with it?

Yes, for a while, if you call it living. Not for long, though, if you fall asleep on I-75.

Dr. Andrew Marlowe practices adult and pediatric otology, neurotology and general otolaryngology (ear, nose and throat). He notes that untreated sleep apnea leads to daytime sleepiness, slow reflexes, poor concentration and an increased risk of accidents.

The list goes on, but you get the idea.

“Sleep apnea can destroy your quality of life,” he says. “If it remains untreated, it can result in chronic tiredness.”

Bottom line? If you suspect that you have it, see a sleep specialist and find out for sure.

And stick with the treatment they recommend if it turns out you do. Here’s an overview of the leading treatment options:

Noninvasive treatments include positional therapy (sleeping on your side instead of your back); weight loss (excess weight is a leading cause of sleep apnea); and nasal decongestants.

If these don’t work, there’s a medical arsenal of devices, masks and plugs designed to keep you breathing while you sleep. The weapon of choice? Continuous positive airway pressure (CPAP). This device pumps in air through a tube connected to either a full breathing mask or nasal plugs. It keeps your windpipe open by a flow of positive air pressure.

“CPAP remains the gold standard in sleep apnea treatment,” says Adams. He adds that the latest machines are quieter and masks have become smaller and more comfortable.

“The bottom line is, you’re still tethered to a machine. A few patients can’t stay with it.

That said, 85 percent of my patients with sleep apnea continue to use CPAP longterm,” he says.

The less invasive Provent nasal plug creates positive airway pressure without a pump, using the force of your own breath.

The Winx Sleep Therapy System employs negative pressure. A small mouthpiece and tube connect you to a tiny suction pump.

The soda-can-sized device creates a gentle vacuum that pulls your tongue and uvula from the back of the throat. Oral appliances

Different Types of Insomnia Acute insomnia Usually a brief but intense episode of sleeping difficulty. Acute insomnia is typically caused by a life event, such as a stressful change in a person’s job, receiving bad news or travel.

Often, acute insomnia resolves without treatment.

Chronic insomnia A long-term pattern of sleeping difficulty. Insomnia is usually considered chronic if a person has trouble falling asleep or staying asleep at least three nights per week for three months or longer. Some people with chronic insomnia have a created by dentists can also open up your airway by holding the lower jaw forward.

The arsenal includes two promising new treatments; both require minor surgery.

Inspire Upper Airway Stimulation is a neurostimulator device similar to a pacemaker.

Once implanted, it detects your breath patterns and stimulates the breathing reflex when airflow is interrupted. (It even comes with a remote control.) In the Pillar Procedure, a surgeon implants small polyester rods to harden the soft palate. This reduces the tissue vibration that usually causes excessive snoring. The procedure takes about 20 minutes and requires only a local anesthetic.

If none of these treatments work, major surgery is a possibility. But the first step remains the most important.

If you suspect you have sleep apnea, see a sleep specialist. Don’t try to be your own doctor. It’s good to know the warning signs, but don’t self-diagnose. Snoring doesn’t automatically mean you have sleep apnea; some people with sleep apnea don’t snore. “Some people keep putting it off—even though they haven’t had a good night’s sleep in years,” says Marlowe. “When they finally do come in, they always wonder why they waited so long.” n

long-standing history of sleep problems. Chronic insomnia has many causes.

Comorbid insomnia Insomnia that occurs with another condition. Psychiatric symptoms—such as anxiety and depression—are known to be associated with sleep changes.

Certain medical conditions can either cause insomnia or make a person uncomfortable at night (as in the case of arthritis or back pain, which may make it hard to sleep).

Sleep Apnea Signs: Snoring, Gasping, Sleepiness

Onset insomnia Difficulty falling asleep at the beginning of the night.

The three main warning signs of obstructive

Maintenance insomnia

sleep apnea are:

The inability to stay asleep.

• Loud, persistent snoring

People with maintenance

• Pauses in breathing, accompanied with gasp-

insomnia wake up during

ing episodes when sleeping

the night and have difficulty

• Excessive sleepiness during waking hours SOURCE: WEBMD.COM

returning to sleep.

SOURCE: NATIONAL SLEEP ASSOCIATION

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The number of people we help support each year is equal to almost

one THIRD oF SARASoTA CoUnTY’S PoPULATIon.

CoULD one oF THeM Be SoMeone YoU CARe ABoUT?

CAMPUS oF CARInG The Glasser Schoenbaum Human Services Center is an internationally recognized concept in philanthropy and in nonprofit administration that supports organizations who deliver services to those in need in Sarasota and Manatee Counties. Celebrating our 25th anniversary, we currently provide homes to 19 nonprofit health and human service agencies on our campus at a deeply discounted occupancy rate, so they can focus on what’s important. Our reach is extraordinarily wide and our impact is profound. Just as your next donation can be.

Visit us on Facebook or at gs-humanservices.org to make a donation, view our event calendar and learn more.

1750 17th Street Sarasota FL 34234 941.365.4545

TOPDOCTORS OUR EXCLUSIVE LISTING OF RESEARCHER CASTLE CONNOLLY’S TOP PHYSICIANS IN SARASOTA-MANATEE.

W

elcome to our annual listing of the region’s most outstanding physicians, as nominated by their peers and compiled, vetted and verified by Castle Connolly Medical.

The research firm’s extensive process starts with online nominations open to all physicians and includes screening of each doctor’s professional credentials and record.

It’s important to note that the best physician is the one who’s best for you, and that many physicians in Sarasota and Manatee who are not on this list also provide excellent care. Consider this list a starting point in your search for care in a region that’s building a reputation for outstanding medical professionals and facilities.

Allergy & Immunology Eva A. Berkes

Sarasota Memorial Hospital Hawthorne Clinic & Research Center 2068 Hawthorne St., Sarasota, FL 34239 (941) 953-5050 Allergic rhinitis, hereditary angioedema, food and drug allergy

John P. Cella

Allergy Affiliates 5701 21st Ave. W. Bradenton, FL 34209 (941) 792-4151 Asthma and allergy, insect allergies, sinus disorders

Roger N. Danziger

Manatee Memorial Hospital 5404 Cortez Road W. Bradenton, FL 34210 (941) 761-1911 Asthma, food and drug allergy, hives

Donna M. Jamieson

Sarasota Memorial Hospital Allergy Associates 2650 Bahia Vista St., Suite 304 Sarasota, FL 34239 (941) 366-9711 Allergy and asthma

Rajivi P. Rucker

Lakewood Ranch Medical Center Whole Child Pediatrics 8936 77th Terrace E., Suite 103 Lakewood Ranch, FL 34202 (941) 366-2273 Pediatric allergy and immunology

Hugh H. Windom

Castle Connolly Medical Ltd. is a healthcare research and information company founded in 1991 by a former medical college board chairman and president to help guide consumers to America’s top doctors and top hospitals. Castle Connolly’s established nomination survey, research, screening and selection process, under the direction of an M.D., involves many hundreds of thousands of physicians as well as academic medical centers, specialty hospitals and regional and community hospitals all across the nation. Castle Connolly’s physician-led team of researchers follows a rigorous screening process to select top doctors on both the national and regional levels. Its online nominations process—located at www.castleconnolly.com/nominations—is open to all licensed physicians in America, who are able to nominate physicians in any medical specialty and in any part of the country, as well as indicate whether the nominated physician is, in their opinion, among the best in their region in their medical specialty or among the best in the nation in their medical specialty. Careful screening of doctors’ educational and professional experience is essential before final selection is made among those physicians most highly regarded by their peers. The result—we identify the top doctors in America and provide you, the consumer, with detailed information about their education, training and special expertise in our paperback guides, national and regional magazine “Top Doctors” features and online directories.

CASTLE CONNOLLY

TOP DOCTORS

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Doctors do not and cannot pay to be selected and profiled as Castle Connolly Top Doctors.

Physicians selected for inclusion in this magazine’s “Top Doctors” feature may also appear as Regional Top Doctors online at www.castleconnolly.com, or in a Castle Connolly Top Doctors® guide, such as America’s Top Doctors® or America’s Top Doctors® for Cancer.

Sarasota Memorial Hospital 3570 S. Tuttle Ave. Sarasota, FL 34239 (941) 927-4888 Immune deficiency, asthma, sinus disorders, food and drug allergy

Cardiac Electrophysiology Walter R. Hepp

Sarasota Memorial Hospital Heart Specialists of Sarasota 1950 Arlington St., Suite 400 Sarasota, FL 34239 (941) 917-4250 Arrhythmias, pacemakers

Jeffrey M. Rothfeld

Manatee Memorial Hospital Blake Medical Center Bradenton Cardiology Center 316 Manatee Ave. W. Bradenton, FL 34205 (941) 748-2277 Defibrillators, arrhythmias, pacemakers

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TOP DOCTORS Cardiovascular Disease George T. Abernathy

Venice Regional Bayfront Health 395 Commercial Court, Suite B Venice, FL 34292 (941) 488-7333 Echocardiography, nuclear stress testing, cardiovascular imaging

Edmund A. Bermudez

Venice Regional Bayfront Health Regional Cardiac & Vascular Associates 600 Nokomis Ave. S., Suite 203 Venice, FL 34285 (941) 486-6979 Interventional cardiology, heart failure, coronary artery disease

James J. Fox

Sarasota Memorial Hospital Venice Regional Bayfront Health Florida Cardiac Consultants 1540 S. Tamiami Trail, Suite 401 Sarasota, FL 34239 (941) 917-0060 Interventional cardiology, cardiac catheterization

Chippy C. Nalluri

Sarasota Memorial Hospital Heart Specialists of Sarasota 1950 Arlington St., Suite 400 Sarasota, FL 34239 (941) 917-4250 Noninvasive cardiology, heart disease in women, nuclear cardiology, cardiac CT angiography

Eugene M. Parent

Blake Medical Center Manatee Memorial Hospital Bradenton Cardiology Center 316 Manatee Ave. W. Bradenton, FL 34205 (941) 748-2277 Echocardiography

Kenneth W. Pfahler

Englewood Community Hospital Cardiology Center of Englewood 601 Medical Drive Englewood, FL 34223 (941) 475-5621

Eulogio J. Sanchez

Blake Medical Center Cardiovascular & Vein Center of Florida 6100 Pointe West Blvd.

Bradenton, FL 34209 (941) 792-1717 Vascular disease, nuclear cardiology

David M. Yamada

Sarasota Memorial Hospital Heart Specialists of Sarasota 1950 Arlington St., Suite 400 Sarasota, FL 34239 (941) 917-4250 Angiography-coronary, noninvasive cardiology

Sarasota, FL 34239 (941) 702-9978 Anxiety, depression, bipolar/mood disorders, obsessive-compulsive disorder

Colon & Rectal Surgery Richard W. Golub

Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Surgical Group 3333 Cattlemen Road, Suite 206 Sarasota, FL 34232 (941) 341-0042 Colon and rectal cancer, laparoscopic surgery, hemorrhoids

Dermatology

Beatrice J. Berkes

Bay Area Skin Cancer Surgery & Dermatology 702 Manatee Ave. W. Bradenton, FL 34205 (941) 748-4747 Mohs surgery, skin cancer

Megan Bogart

Sarasota Memorial Hospital 7400 S. Tamiami Trail Sarasota, FL 34231 (941) 364-8220 Mohs surgery

Elizabeth F. Callahan

Sarasota Memorial Hospital Skin Smart Dermatology 5911 N. Honore Ave., Suite 210 Sarasota, FL 34243 (941) 308-7546 Mohs surgery, skin laser surgery, botox therapy

Alfred D. Hernandez

Sarasota Memorial Hospital 1849 S. Osprey Ave. Sarasota, FL 34239 (941) 957-4767 Dermatologic surgery, Mohs surgery, skin cancer

Cathy P. Milam

Sarasota Memorial Hospital 7400 S. Tamiami Trail Sarasota, FL 34231 (941) 364-8220 Skin cancer

Joshua M. Newman

Center for Sight 1360 E. Venice Ave. Venice, FL 34285 (941) 488-2020 Cosmetic dermatology, skin cancer

David S. Sax

Manatee Memorial Hospital University Park Dermatology 8451 Shade Ave., Suite 205 Sarasota, FL 34243 (941) 360-2477 Psoriasis, acne, eczema, Mohs surgery

Skin cancer, acne, psoriasis, hair and nail disorders

Diagnostic Radiology Charles J. Davenport

Venice Regional Bayfront Health Radiology Associates of Venice & Englewood 512-516 Nokomis Ave. S. Venice, FL 34285 (941) 488-7781

Elizabeth A. Dienes

Venice Regional Bayfront Health Radiology Associates of Venice & Englewood 512-516 Nokomis Ave. S. Venice, FL 34285 (941) 488-7781

Eugenio Erquiaga

Venice Regional Bayfront Health Radiology Associates of Venice & Englewood 512-516 Nokomis Ave. S. Venice, FL 34285 (941) 488-7781

Richard M. Goldberg

Partners Imaging Center 1250 S. Tamiami Trail, Suite 103 Sarasota, FL 34239 (941) 951-2100 Thoracic radiology, gastrointestinal imaging, cancer imaging

Kevin S. Schroeder

Blake Medical Center 804 40th St. W. Bradenton, FL 34205 (941) 749-5464 PET imaging, neurological imaging, cancer imaging

Nancy M. Wilson

Partners Breast Diagnostic Center 2415 University Parkway Building 3, Suite 219 Sarasota, FL 34243 (941) 757-1044 Mammography, MRI-breast, ultrasound

Endocrinology, Diabetes &Â Metabolism Motaz Agabani

Wende M. Kozlow

Child & Adolescent Psychiatry

Joseph J. Yohn

Mark A. Lupo

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Joseph S. Chirillo Jr.

Millennium Physician Group 190 W. Dearborn St. Englewood, FL 34223 (941) 474-3359

David J. Gooding

Millennium Physician Group 190 W. Dearborn St. Englewood, FL 34223 (941) 474-3359

Laura L. Hershorin

Sarasota Memorial Hospital Sarasota Center for Family Health & Wellness 6120 53rd Ave. E., Suite A Bradenton, FL 34203 (941) 364-4411

Harold L. Johnson

Sarasota Memorial Hospital Intercoastal Medical GroupPalmer Ranch 8592 Potter Park Drive, Suite 100 Sarasota, FL 34238 (941) 921-6618

Joseph J. Larkin Jr.

Sarasota Memorial Hospital Doctors Hospital of Sarasota IMG-Palmer Ranch 8592 Potter Park Drive, Suite 100 Sarasota, FL 34238 (941) 921-6618 Preventive medicine

Shanthi Prakash

Sarasota Memorial Hospital 2400 Fruitville Road Sarasota, FL 34237 (941) 365-0333 Diabetes, cholesterol/lipid disorders, thyroid disorders

Blake Medical Center 5601 21st Ave. W., Suite B Bradenton, FL 34209 (941) 794-5432 Skin cancer, Mohs surgery, cosmetic dermatology

Family C.O.P.E. 2620 S. Tamiami Trail

Family Medicine

Jose R. Antunes

Susan H. Weinkle

IMG Dermatology 3333 Cattlemen Road, Suite 106 Sarasota, FL 34232 (941) 379-1799

Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical GroupEndocrinology 3333 Cattlemen Road, Suite 104 Sarasota, FL 34232 (941) 379-1777 Thyroid disorders, osteoporosis, diabetes, obesity

Kevin J. Miller

Sarasota Memorial Hospital Doctors Hospital of Sarasota Gulf Coast Cardiovascular Consultants 1921 Waldemere St., Suite 301 Sarasota, FL 34239 (941) 357-1673 Interventional cardiology

Stephanie Lirio

Jesus B. Perez

Doctors Hospital of Sarasota Endocrine Medical Center 2650 Bahia Vista St., Suite 104 Sarasota, FL 34239 (941) 330-8355 Diabetes, osteoporosis, thyroid disorders

Lakewood Ranch Medical Center Intercoastal Medical GroupEndocrinology 3333 Cattlemen Road, Suite 104 Sarasota, FL 34232 (941) 379-1777 Diabetes, thyroid disorders, metabolic disorders

Frederick R. Yturralde

3050 Bee Ridge Road Sarasota, FL 34239 (941) 342-9750 Parathyroid disorders, thyroid disorders

Doctors Hospital of Sarasota Sarasota Memorial Hospital The Thyroid & Endocrine Center of Florida

Venice Regional Bayfront Health Paradise Family Healthcare 1101 S. Tamiami Trail, Suite 108 Venice, FL 34285 (941) 488-2332 Sarasota Memorial Hospital Sunshine Medical Center 5937 Beneva Road Sarasota, FL 34238 (941) 918-2011

Soordal Prakash

Doctors Hospital of Sarasota Sarasota Memorial Hospital Sunshine Medical Center 5937 Beneva Road Sarasota, FL 34238 (941) 918-2011 Geriatric medicine

Barry I. Stein

Sarasota Memorial Hospital First Physicians Group 6128 S. Tamiami Trail Sarasota, FL 34231 (941) 923-5882

Precision Beyond Just Laser Cataract Surgery Two Convenient Locations in Venice and Englewood.

Scott Durrett, M.D., Board Certified Ophthalmologist Robert Daddario, O.D., Board Certified Optometrist

Dr. Scott Durrett is proud to be the first ophthalmologist in Sarasota County to offer laser cataract surgery performed with the Alcon LenSx Laser with the precision-enhancing ORA System with VerifEye and Verion Image Guided System.

New Patients Accepted Most Insurances Accepted Transportation Provided for Surgery

Laser cataract surgery alone may not optimize your independence from glasses as it still must rely on potentially less accurate in-office measurements to determine proper lens implant power and guide astigmatism treatment. Make sure the results of your cataract surgery are guided and enhanced with the precision of the ORA and Verion Systems!

1191 Jacaranda Blvd., Venice, FL 34292 (941) 493-0311 473 Indiana Ave., S., Englewood, FL 34224 (941) 475-8532

www.provisioneye.com

Our friendly staff is here to help with all of your needs!

Minimize your pain Maximize your life! n

Fabian A. Ramos, M.D. FIPP, DABA, DABIPP, DABPM

Fellow of Interventional Pain Practice Board Certified:

American Board of Interventional Pain Physicians American Board of Pain Medicine American Board of Anesthesiology

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Interventonal Medicine & Procedures Medical Management of Chronic Pain Vertebral Fractures / Kyphoplasty Metastatic Spinal Tumor Ablation Physical Therapy Stem Cell Interventions Behavioral Therapy Research Anesthesia Services Weight Loss, Nutrition & Lifestyle

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Functional Pain Medicine

SARASOTA Medical Office Building at Doctors Hospital 5741 Bee Ridge Rd. n Suite 550

BRADENTON Riverwalk Professional Park 100 3rd Ave. West n Suite 110

941-708-9555 n RamosCenter.com Se Habla Español • Medicare, Most Insurances & Workers’ Compensation Accepted SARASOTA HEALTH 2015

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TOP DOCTORS Krista A. Toomre

Doctors Hospital of Sarasota Intercoastal Medical Group-Family Practice 943 S. Beneva Road, Suite 204 Sarasota, FL 34232 (941) 953-5213

Gastroenterology

Stacey South

Manatee Memorial Hospital Women’s Choice Oncology 5315 Fourth Ave. Circle E. Bradenton, FL 34208 (941) 746-7507 Gynecologic cancers, minimally invasive surgery

Norman M. Aprill

Hand Surgery

F. Scott Corbett

Sarasota Memorial Hospital 1950 Arlington St., Suite 111 Sarasota, FL 34239 (941) 921-2600 Sports injuries, hand and wrist surgery, elbow surgery

Sarasota Memorial Hospital 2750 Bahia Vista St., Suite 250 Sarasota, FL 34239 (941) 366-7282 Inflammatory bowel disease Sarasota Memorial Hospital Gastroenterology Associates of Sarasota 2089 Hawthorne St., Suite 200 Sarasota, FL 34239 (941) 365-6556 Endoscopy, pancreatic/biliary endoscopy (ERCP), Barrett’s esophagus

Robert H. Felman

Venice Regional Bayfront Health Creekside Gastroenterology 1041 Ridgewood Ave. Venice, FL 34285 (941) 484-3557

Isaac Kalvaria

Sarasota Memorial Hospital Sarasota Digestive Health Specialists 1801 Arlington St., Suite 101 Sarasota, FL 34239 (941) 894-3490 Endoscopy, inflammatory bowel disease

Douglas A. Kuperman

Sarasota Memorial Hospital Gastroenterology Associates of Sarasota 2089 Hawthorne St., Suite 200 Sarasota, FL 34239 (941) 365-6556 Liver disease, inflammatory bowel disease, endoscopy

Manuel E. Rodriguez

Blake Medical Center Florida Digestive Health Specialists 1886 59th St. W. Bradenton, FL 34209 (941) 794-1980 Gastroesophageal reflux disease (GERD), colonoscopy, endoscopy

Bruce W. Trotman

Manatee Memorial Hospital Blake Medical Center 5715 21st Ave. W. Bradenton, FL 34209 (941) 761-1800 Biliary disease, hepatitis B and C, colon and rectal cancer

Geriatric Medicine Deven M. Dave

Venice Regional Bayfront Health 1720 Venice Ave. E. Venice, FL 34292 (941) 483-9700

Gynecologic Oncology James V. Fiorica

Sarasota Memorial Hospital First Physicians Group - Gyn/Onc 1888 Hillview St. Sarasota, FL 34239 (941) 917-8383 Breast cancer, uterine cancer

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John D. Hand

David M. Klein

Sarasota Memorial Hospital Doctors Hospital of Sarasota Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd., Suite 301 Sarasota, FL 34232 (941) 365-0655 Rotator cuff surgery, hand and upper extremity surgery, wrist/hand injuries

Hematology

Mehnaz A. Junagadhwalla

Venice Regional Bayfront Health Florida Cancer Specialists & Research Institute 901 S. Tamiami Trail Venice, FL 34285 (941) 484-3531

Infectious Disease Aaron L. Cooks

Blake Medical Center Bach & Godofsky Infectious Diseases 6010 Pointe West Blvd.

Bradenton, FL 34209 (941) 746-2711

James D. DeMaio

Blake Medical Center Bach & Godofsky Infectious Diseases 6010 Pointe West Blvd.

Bradenton, FL 34209 (941) 746-2711

Eliot W. Godofsky

Blake Medical Center Bach & Godofsky Infectious Diseases 6010 Pointe West Blvd.

Bradenton, FL 34209 (941) 746-2711 Hepatitis C, viral hepatitis, HIV

James E. Knapp

Venice Regional Bayfront Health Englewood Community Hospital 406 N. Indiana Ave., Suite 9 Englewood, FL 34223 (941) 475-3980

Tanya S. Schreibman

Sarasota Memorial Hospital 1231 N. Tuttle Ave. Sarasota, FL 34237 (941) 366-0134 HIV

Internal Medicine Carlos F. Caballero

Sarasota Memorial Hospital Private Physician Services 1801 Arlington St., Suite 2 Sarasota, FL 34239 (941) 917-8365 Concierge medicine

Stephen P. Coppa Blake Medical Center

Manatee Memorial Hospital Healthcare America Medical Group 6110 S.R. 70 E. Bradenton, FL 34203 (941) 755-4242

David C. Daiello

Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical GroupHyde Park 2881 Hyde Park St. Sarasota, FL 34239 (941) 366-2460 Geriatric medicine

Scott B. Elsbree

Doctors Hospital of Sarasota Sarasota Memorial Hospital 2601 N. Cattlemen Road, Suite 304 Sarasota, FL 34232 (941) 342-1333

Catherine A. Fedako

Bradenton, FL 34209 (941) 795-2468 Cardiac catheterization, carotid artery stent placement

Alberto E. Montalvo

Manatee Memorial Hospital Blake Medical Center Bradenton Cardiology Center 316 Manatee Ave. W. Bradenton, FL 34205 (941) 748-2277 Cardiac catheterization

Daniel S. Pacifico

Sarasota Memorial Hospital Venice Regional Bayfront Health Florida Cardiac Consultants 1540 S. Tamiami Trail, Suite 401 Sarasota, FL 34239 (941) 917-0060

David Schreibman

Venice Regional Bayfront Health Gulf Coast Medical Group 1720 E. Venice Ave., Floor 2 Venice, FL 34292 (941) 483-9730

Sarasota Memorial Hospital Heart Specialists of Sarasota 1950 Arlington St., Suite 400 Sarasota, FL 34239 (941) 917-4250 Echocardiography

Steven W. Fineman

Niranjan Seshadri

Sarasota Memorial Hospital Sarasota Personal Medicine 1250 S. Tamiami Trail, Suite 202 Sarasota, FL 34239 (941) 954-9990 Concierge medicine

Charles R. Hollen

Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical GroupCattleridge 3333 Cattlemen Road, Suite 208 Sarasota, FL 34232 (941) 379-5121

Constance B. Purser

Lakewood Ranch Medical Center 8936 77th Terrace E., Suite 102 Lakewood Ranch, FL 34202 (941) 361-1177 Concierge medicine

Robert S. Schulman

Doctors Hospital of Sarasota MAXhealth 5831 Bee Ridge Road, Suite 210 Sarasota, FL 34233 (941) 379-8481

Interventional Cardiology Stephen C. Culp

Sarasota Memorial Hospital Doctors Hospital of Sarasota 3830 Bee Ridge Road, Suite 201 Sarasota, FL 34233 (941) 929-7272 Concierge medicine

Christopher J. Davis

Blake Medical Center Manatee Memorial Hospital Bradenton Heart Center 2010 59th St. W., Suite 4200 Bradenton, FL 34209 (941) 794-3999 Arrhythmias, cardiac catheterization, coronary angioplasty/stents, echocardiography

Hugh P. Liebert

Blake Medical Center Cardiology Associates of Bradenton 1400 59th St. W.

Lakewood Ranch Medical Center Heart Care Consultants 6310 Health Park Way, Suite 120 Bradenton, FL 34202 (941) 907-8951 Pacemakers, coronary angioplasty/ stents, echocardiography

Medical Oncology Brian T. Berry

Blake Medical Center Florida Cancer Specialists & Research Institute 2401 60th St. Court W. Bradenton, FL 34209 (941) 792-1881 Skin cancer, gynecologic cancers

Richard H. Brown

Sarasota Memorial Hospital Doctors Hospital of Sarasota Florida Cancer Specialists & Research Institute 1970 Golf St. Sarasota, FL 34236 (941) 957-1000

Janice F. Eakle

Sarasota Memorial Hospital Doctors Hospital of Sarasota Florida Cancer Specialists & Research Institute 600 N. Cattlemen Road, Suite 200 Sarasota, FL 34232 (941) 377-9993

Robin Lifton

Venice Regional Bayfront Health Florida Cancer Specialists & Research Institute 901 S. Tamiami Trail Venice, FL 34285 (941) 484-3531

Scott D. Lunin

Bayfront Health Port Charlotte Bayfront Health Punta Gorda Florida Cancer Specialists & Research Institute 1970 Golf St. Sarasota, FL 34236 (941) 957-1000

TOP DOCTORS Steven W. Mamus

Sarasota Memorial Hospital Cancer Center of Sarasota-Manatee 3830 Bee Ridge Road, Suite 301 Sarasota, FL 34233 (941) 923-1872

Sarasota Memorial Hospital Neurosurgery and Spine Specialists 5831 Bee Ridge Road, Suite 100 Sarasota, FL 34233 (941) 308-5700 Spinal surgery

Stephen Orman

Christopher Guerin

Venice Regional Bayfront Health Florida Cancer Specialists & Research Institute 901 S. Tamiami Trail Venice, FL 34285 (941) 484-3531

James R. Rubinsak

Venice Regional Bayfront Health Florida Cancer Specialists & Research Institute 836 Sunset Lake Blvd., Suite 101 Venice, FL 34292 (941) 408-0500

Caryn L. Silver

Sarasota Memorial Hospital Doctors Hospital of Sarasota Florida Cancer Specialists & Research Institute 1970 Golf St. Sarasota, FL 34236 (941) 957-1000 Breast cancer

Robert C. Whorf

Blake Medical Center Florida Cancer Specialists & Research Institute 2401 60th St. Court W. Bradenton, FL 34209 (941) 792-1881

Nephrology

Ranjan P. Ghose

Doctors Hospital of Sarasota Sarasota Memorial Hospital Nephrology Associates of Sarasota 1921 Waldemere St., Suite 413 Sarasota, FL 34239 (941) 917-6585 Hypertension, kidney disease

Andrew L. Lazin

Sarasota Memorial Hospital Gulf Coast Kidney Associates 1921 Waldemere St., Suite 306 Sarasota, FL 34239 (941) 917-8722

Lazo Pipovski

Sarasota Memorial Hospital Gulf Coast Kidney Associates 1921 Waldemere St., Suite 306 Sarasota, FL 34239 (941) 917-8722

Vinod Prasad

Manatee Memorial Hospital Blake Medical Center Kidney Disease Consultants of Bradenton 508 Manatee Ave. E. Bradenton, FL 34208 (941) 744-0024

Neurological Surgery John R. Cassidy

Venice Regional Bayfront Health Sarasota Memorial Hospital Neurosurgical Associates 842 Sunset Lake Blvd., Suite 302 Venice, FL 34292 (941) 484-3404 Brain surgery, spinal surgery

Ryan S. Glasser

Doctors Hospital of Sarasota

Sarasota Memorial Hospital Venice Regional Bayfront Health Neurosurgical Associates 842 Sunset Lake Blvd., Suite 302 Venice, FL 34292 (941) 484-3404 Brain tumors, spinal surgery

Peter L. Mayer

Sarasota Memorial Hospital Doctors Hospital of Sarasota Neurosurgery and Spine Specialists 5831 Bee Ridge Road, Suite 100 Sarasota, FL 34233 (941) 308-5700 Neurovascular surgery, brain and spinal surgery, peripheral nerve surgery

James M. Schumacher

Sarasota Memorial Hospital 1921 Waldemere St., Suite 809 Sarasota, FL 34239 (941) 955-1960 Minimally invasive surgery, movement disorders

Neurology

Robert Baumann Venice Regional Bayfront Health Gulf Coast Neurology Associates 600 Nokomis Ave., Suite 204 Venice, FL 34285 (941) 486-6600

Julio C. Cantero

Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical Group - Neurology 2881 Hyde Park St. Sarasota, FL 34239 (941) 906-7155 Epilepsy, sleep medicine

Juliette E. Coleman

Venice Regional Bayfront Health Gulf Coast Neurology Associates 600 Nokomis Ave., Suite 204 Venice, FL 34285 (941) 486-6600 Vascular neurology

Mauricio Concha

Sarasota Memorial Hospital Doctors Hospital of Sarasota Intercoastal Medical Group - Neurology 2881 Hyde Park St. Sarasota, FL 34239 (941) 906-7155 Stroke/cerebrovascular disease

Gennady Gekht

Lakewood Ranch Medical Center Coastal Orthopedics & Pain Management 6015 Pointe West Blvd.

Bradenton, FL 34209 (941) 792-1404 Pain management, neuromuscular disorders, spinal disorders

Bridget J. Keller

2401 University Parkway, Suite 204 Sarasota, FL 34243 (941) 379-8830

Allen M. Lifton

200 Capri Isles Blvd., Suite 7D

Venice, FL 34292 (941) 485-2220

Donald Negroski

Sarasota Memorial Hospital Doctors Hospital of Sarasota 1921 Waldemere St., Suite 701 Sarasota, FL 34239 (941) 487-2160 Multiple sclerosis, Parkinson’s disease, Alzheimer’s disease, migraine

Douglas R. Sinclair

Manatee Memorial Hospital Bradenton Neurology 3930 Eighth Ave. W. Bradenton, FL 34205 (941) 746-3115 Parkinson’s disease

Daniel P. Stein

Sarasota Memorial Hospital Doctors Hospital of Sarasota 5602 Marquesas Circle, Suite 108 Sarasota, FL 34233 (941) 400-1211 Multiple sclerosis, neuromuscular disorders, sports neurology, concussion

Dean Sutherland

Sarasota Memorial Hospital 1921 Waldemere St., Suite 701 Sarasota, FL 34239 (941) 487-2160 Parkinson’s disease

Neuroradiology Philip Blaustein

Blake Medical Center 804 40th St. W. Bradenton, FL 34205 (941) 749-5464 PET imaging, Alzheimer’s disease

Obstetrics & Gynecology Gina Arabitg

Venice Regional Bayfront Health Gynecology of Venice 241 Nokomis Ave. S., Suite A Venice, FL 34285 (941) 485-9941 Gynecology only, robotic surgery

Kinnari P. Desai

Blake Medical Center Manatee Gynecology 1850 59th St. W., Suite B Bradenton, FL 34209 (941) 792-4993 Endometriosis, menstrual disorders, pain-chronic pelvic, uterine fibroids

Gary W. Easterling

Sarasota Memorial Hospital Gulf Coast Ob/Gyn of Sarasota 1950 Arlington St., Suite 203 Sarasota, FL 34239 (941) 379-6331 Minimally invasive surgery, robotic surgery

Richard Jamison

Sarasota Memorial Hospital Gulf Coast Ob/Gyn of Sarasota 1950 Arlington St., Suite 203 Sarasota, FL 34239 (941) 379-6331

A. Jothivijayarani

Manatee Memorial Hospital 3501 Cortez Road W. Bradenton, FL 34210 (941) 752-2828 Gynecology only

Michele L. LeMay

Manatee Memorial Hospital West Coast Ob/Gyn 513 Manatee Ave. W. Bradenton, FL 34208 (941) 745-1616 Adolescent gynecology, sexual dysfunction

Karen F. Liebert

Blake Medical Center Manatee Gynecology 1850 59th St. W., Suite B Bradenton, FL 34209 (941) 792-4993 Gynecology only

Marion M. Pandiscio Blake Medical Center Manatee Gynecology 1850 59 St. W., Suite B Bradenton, FL 34209 (941) 792-4993 Gynecology only

Neil Pollack

Sarasota Memorial Hospital First Physicians Group 1921 Waldemere St., Suite 802 Sarasota, FL 34239 (941) 917-7888 Gynecology only

G. Michael Swor

Sarasota Memorial Hospital 1617 S. Tuttle Ave., Suite 1A Sarasota, FL 34239 (941) 330-8885 Gynecology only, robotic surgery, laparoscopic surgery, uro-gynecology

Greg A. Towsley

Sarasota Memorial Hospital First Physicians Group 1921 Waldemere St., Suite 802 Sarasota, FL 34239 (941) 917-7888

Jon Yenari

Sarasota Memorial Hospital Intercoastal Gynecology 3333 Cattlemen Road, Suite 200 Sarasota, FL 34232 (941) 379-1700 Pelvic floor reconstruction, incontinence-female

Michael S. Finazzo

Ophthalmology

Kyle Garner

Manatee Memorial Hospital 1509 53rd Ave. W. Bradenton, FL 34207 (941) 753-0220 Cataract surgery, LASIK-refractive surgery

Sarasota Memorial Hospital First Physicians Group 1921 Waldemere St., Suite 307 Sarasota, FL 34239 (941) 917-8565 Sarasota Memorial Hospital Gulf Coast Ob/Gyn of Sarasota 1950 Arlington St., Suite 203 Sarasota, FL 34239 (941) 379-6331

Jonathan A. Adler

Liaquat Allarakhia

Manatee Memorial Hospital Blake Medical Center Bradenton Eye Clinic 4812 26th St. W.

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TOP DOCTORS Bradenton, FL 34207 (941) 727-3937 Cataract surgery-lens implants, glaucoma, macular degeneration, dry eye syndrome

Daniel B. Pope

Melvin C. Chen

Thomas L. Schwartz

Sarasota Memorial Hospital Sarasota Retina Institute 3400 Bee Ridge Road Sarasota, FL 34239 (941) 921-5335 Retinal disorders, retinal/vitreous surgery, macular disease/degeneration, strabismus

Robert Edelman

Manatee-Sarasota Eye Clinic 217 Manatee Ave. E. Bradenton, FL 34208 (941) 748-1818 Cataract surgery, glaucoma, laser surgery, lens implant

John P. Fezza

Sarasota Memorial Hospital Doctors Hospital of Sarasota Center for Sight 2601 S. Tamiami Trail Sarasota, FL 34239 (941) 925-2020 Oculoplastic surgery, orbital reconstruction

Murray Friedberg

Manatee-Sarasota Eye Clinic 217 Manatee Ave. E. Bradenton, FL 34208 (941) 748-1818 Corneal disease and surgery, cataract surgery, lens implant, LASIK-refractive surgery

Harry Grabow

Sarasota Memorial Hospital Envision Eye Specialists 3920 Bee Ridge Road, Building F, Suite A Sarasota, FL 34233 (941) 921-7744 Cataract surgery

Joshua W. Kim

Sarasota Memorial Hospital Center for Sight 2601 S. Tamiami Trail Sarasota, FL 34239 (941) 925-2020 Glaucoma, cataract surgery, lens implant

William J. Lahners

Doctors Hospital of Sarasota Center for Sight 2601 S. Tamiami Trail Sarasota, FL 34239 (941) 925-2020 Cataract surgery, cornea transplant

William J. Mestrezat

Center for Sight 2601 S. Tamiami Trail Sarasota, FL 34239 (941) 925-2020 Retina/vitreous surgery, diabetic eye disease/retinopathy, macular disease/ degeneration, retinal vascular diseases

John H. Niffenegger

Venice Regional Bayfront Health Retina Associates of Sarasota 3920 Bee Ridge Road D Building Sarasota, FL 34233 (941) 924-0303 Macular degeneration, diabetic eye disease/retinopathy, retinal detachment, clinical trials

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Eye Depot 426 Manatee Ave. W. Bradenton, FL 34205 (941) 708-9000 Sarasota Memorial Hospital 1219 East Ave. S., Suite 105 Sarasota, FL 34239 (941) 957-4216 Cataract surgery, corneal and external eye disease

David William Shoemaker Center for Sight 2601 S. Tamiami Trail Sarasota, FL 34239 (941) 925-2020 Cataract surgery-lens implant

Scott Silverman

Manatee-Sarasota Eye Clinic 217 Manatee Ave. E. Bradenton, FL 34208 (941) 748-1818 Pediatric ophthalmology, strabismus, eye muscle surgery, tear duct problems

William L. Soscia

Center for Sight 5409 University Parkway University Park, FL 34201 (941) 330-2020 Cataract surgery-lens implant

Dee Stephenson

Stephenson Eye Associates 200 Palermo Place Venice, FL 34285 (941) 485-1121 Cataract surgery-lens implant

Keye L. Wong

Sarasota Memorial Hospital Retina Associates of Sarasota 3920 Bee Ridge Road D Building Sarasota, FL 34233 (941) 924-0303 Retinal disorders, retina/vitreous surgery, diabetic eye disease/ retinopathy, macular degeneration

Orthopaedic Surgery William F. Bennett

Doctors Hospital of Sarasota Sarasota Memorial Hospital 1250 S. Tamiami Trail, Suite 303 Sarasota, FL 34239 (941) 953-5509 Shoulder and knee surgery, stem cells in orthopaedics, sports medicine

Adam S. Bright

Sarasota Memorial Hospital 1950 Arlington St., Suite 111 Sarasota, FL 34239 (941) 921-2600 Hip and knee replacement, rotator cuff surgery, sports medicine, arthroscopic surgery

William L. Mehserle

Doctors Hospital of Sarasota Venice Regional Bayfront Health Center for Orthopaedics & Sports Medicine 1525 Tamiami Trail, Suite 602 Venice, FL 34285 (941) 497-2663 Joint replacement, sports medicine, minimal invasive surgery

Ashvin I. Patel

Sarasota Memorial Hospital

Doctors Hospital of Sarasota Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd., Suite 301 Sarasota, FL 34232 (941) 365-0655 Spinal surgery

Christopher R. Sforzo

Sarasota Memorial Hospital Doctors Hospital of Sarasota Florida Orthopedic Specialists & Sports Medicine 5831 Bee Ridge Road, Suite 200 Sarasota, FL 34233 (941) 378-5100 Hand and upper extremity surgery, rotator cuff surgery, carpal tunnel syndrome, sports medicine

Gary S. Shapiro

Sarasota Memorial Hospital Doctors Hospital of Sarasota Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd., Suite 301 Sarasota, FL 34232 (941) 365-0655 Knee cartilage/meniscus transplants, minimally invasive surgery, knee replacement, sports medicine

Arthur L. Valadie

Blake Medical Center Manatee Memorial Hospital Coastal Orthopedics & Sports Medicine 6015 Pointe West Blvd.

Bradenton, FL 34209 (941) 792-1404 Sports medicine, arthroscopic surgery, knee reconstruction

Andrew M. Wolff

Sarasota Memorial Hospital Doctors Hospital of Sarasota 1921 Waldemere St., Suite 610 Sarasota, FL 34239 (941) 917-6700 Arthritis, joint replacement, hip and knee surgery, shoulder surgery

Otolaryngology Sumeet Bhanot

Sarasota Memorial Hospital Silverstein Institute 1901 Floyd St. Sarasota, FL 34239 (941) 366-9222 Cosmetic and reconstructive surgeryface

Matthew D. Byers Sarasota Memorial Hospital Lakewood Ranch Medical Center Intercoastal Medical GroupOtolaryngology 3333 Cattleman Road, Suite 204 Sarasota, FL 34232 (941) 379-1800 Trauma, nasal and sinus disorders, nasal surgery, sleep disorders/apnea

Daniel A. Deems

Sarasota Memorial Hospital University ENT Associates 8451 Shade Ave. Building 2, Suite 107 Sarasota, FL 34243 (941) 355-2767 Balance disorders, ear infections, Meniere’s disease, thyroid surgery

Michael J. Gurucharri

Manatee Memorial Hospital 701 Manatee Ave. W., Suite 202 Bradenton, FL 34205 (941) 748-2455 Head and neck cancer, pediatric

otolaryngology, laser surgery, allergy

Robert P. Hillstrom

Lakewood Ranch Medical Center Blake Medical Center Hillstrom Facial Plastic Surgery 5911 N. Honore Ave., Suite 120 Sarasota, FL 34243 (941) 355-3223 Cosmetic surgery-face, reconstructive plastic surgery, nasal surgery

Andrew Marlowe

Sarasota Memorial Hospital Center for Hearing 5432 Bee Ridge Road, Suite 150 Sarasota, FL 34233 (941) 379-3277 Pediatric and adult otolaryngology, head and neck surgery, hearing and balance disorders, nasal and sinus disorders

Chad Marrs

Lakewood Ranch Medical Center Center for Hearing 5432 Bee Ridge Road, Suite 150 Sarasota, FL 34233 (941) 379-3277 Pediatric and adult otolaryngology, allergy

Michael L. Patete

Venice Regional Bayfront Health 213 Palermo Place Venice, FL 34285 (941) 485-7783 Head and neck cancer and surgery, sinus disorders

Seth I. Rosenberg

Sarasota Memorial Hospital Silverstein Institute 1901 Floyd St. Venice, FL 34239 (941) 366-9222 Balance disorders, sinus disorders/ surgery, ear disorders/surgery, neuro-otology

Roger Shea

Sarasota Memorial Hospital Lakewood Ranch Medical Center Shea ENT Clinic 5432 Bee Ridge Road, Suite 140 Sarasota, FL 34233 (941) 371-2244

Herbert Silverstein

Sarasota Memorial Hospital Silverstein Institute 1901 Floyd St. Sarasota, FL 34239 (941) 366-9222 Ear disorders/surgery, Meniere’s disease, dizziness/vertigo, hearing loss

Jack J. Wazen

Sarasota Memorial Hospital Silverstein Institute 1901 Floyd St. Sarasota, FL 34239 (941) 366-9222 Skull base surgery, Meniere’s disease, acoustic neuroma, hearing and balance disorders

Pain Medicine

Myrdalis Diaz-Ramirez

1921 Waldemere St., Suite 607 Sarasota, FL 34239 (941) 363-9400 Pain-cancer, pain-neuropathic, spinal cord stimulation

TOP DOCTORS Pediatrics

Patricia J. Blanco

Sarasota Memorial Hospital 8460 Cooper Creek Blvd., Suite 101 University Park, FL 34201 (941) 360-1266 Special health care needs (CSHCN), neonatal addiction

Marc Kallins

Blake Medical Center 4110 Manatee Ave. W. Bradenton, FL 34205 (941) 748-8383 Pain-back, spinal rehabilitation

Paul Lento

Manatee Memorial Hospital West Coast Pediatrics 1414 59th St. W. Bradenton, FL 34209 (941) 761-0663

Sarasota Memorial Hospital Sarasota Orthopedic Associates 6230 University Parkway, Suite 203 Sarasota, FL 34240 (941) 951-2663 Musculoskeletal injuries, sports medicine

Helene R. Hubbard

Plastic Surgery

Jacqueline F. Kelly

Doctors Hospital of Sarasota Sarasota Memorial Hospital 5741 Bee Ridge Road, Suite 510 Sarasota, FL 34233 (941) 343-9900 Breast reconstruction and augmentation, liposuction and body contouring, cosmetic surgery-face

Constance M. Charles-Logan

Manatee Memorial Hospital 408 Manatee Ave. E., Suite 1 Bradenton, FL 34208 (941) 922-5366 Developmental and behavioral disorders, developmental delay, learning disorders, autism Sarasota Memorial Hospital 1428 S. Osprey Ave. Sarasota, FL 34239 (941) 365-9222

Eric G. Patrusky

Sarasota Memorial Hospital 5664 Bee Ridge Road, Suite 103 Sarasota, FL 34233 (941) 377-8687

Enas Sallam

Sarasota Memorial Hospital First Physicians Group 5350 University Parkway, Suite 101 Sarasota, FL 34243 (941) 917-4675

John W. Wassenaar

Sarasota Memorial Hospital 929 S. Tamiami Trail Osprey, FL 34229 (941) 917-4700

Robert A. Weiss

Sarasota Memorial Hospital 2201 Cantu Court, Suite 117 Sarasota, FL 34232 (941) 552-8341

Joseph S. Yeh

Sarasota Memorial Hospital First Physicians Group 929 S. Tamiami Trail Osprey, FL 34229 (941) 917-4700

Physical Medicine & Rehabilitation Susan E. Aull

Sarasota Memorial Hospital Doctors Hospital of Sarasota 5535 Marquesas Circle Sarasota, FL 34233 (941) 487-7244 Sports medicine, pain management, musculoskeletal disorders, neurologic rehabilitation

Erik S. Herman

Doctors Hospital of Sarasota Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd., Suite 301 Sarasota, FL 34232 (941) 365-0655 Pain-back and neck, electromyography

Christopher D. Adamson

Marguerite P. Barnett

Venice Regional Bayfront Health 1715 Stickney Point Road Sarasota, FL 34231 (941) 927-2447 Cosmetic surgery-face, liposuction and body contouring, cosmetic surgerybreast, breast reconstruction

Scott Engel

Sarasota Memorial Hospital Sarasota Plastic Surgery Center 2255 S. Tamiami Trail Sarasota, FL 34239 (941) 366-8897 Cosmetic surgery-face, body contouring, breast augmentation, facial rejuvenation

Braun H. Graham

Sarasota Memorial Hospital Sarasota Plastic Surgery Center 2255 S. Tamiami Trail Sarasota, FL 34239 (941) 366-8897 Cosmetic surgery-face and breast

J. David Holcomb

Sarasota Memorial Hospital Holcomb-Kreithen Plastic Surgery & MedSpa 1 S. School Ave., Suite 800 Sarasota, FL 34237 (941) 365-8679 Cosmetic and reconstructive surgeryface, laser surgery

David L. Mobley

Sarasota Memorial Hospital Sarasota Plastic Surgery Center 2255 S. Tamiami Trail Sarasota, FL 34239 (941) 366-8897 Cosmetic surgery-face, cosmetic surgery-breast, liposuction and body contouring, laser surgery

Raja Nalluri

Sarasota Memorial Hospital Blake Medical Center Nalluri Plastic Surgery & Laser Center 6118 S. Tamiami Trail Sarasota, FL 34231 (941) 752-7842 Cosmetic and reconstructive surgery, cosmetic surgery-face and body, cosmetic surgery-breast, facial rejuvenation

Charles L. Rodriguez

Venice Regional Bayfront Health Riverchase Dermatology & Cosmetic Surgery 329 Nokomis Ave. S. Venice, FL 34285 (941) 955-0360 Breast augmentation, cosmetic surgery-breast, cosmetic surgery-face, liposuction and body contouring

John L. Strausser

Sarasota Memorial Hospital Doctors Hospital of Sarasota 1900 S. Tamiami Trail Sarasota, FL 34239 (941) 955-9096 Cosmetic surgery, reconstructive surgery, cancer surgery

Psychiatry

Bradenton, FL 34209 (941) 792-0611

Michael Seeman

Blake Medical Center Manatee Memorial Hospital The Lung Center 2210 61st St. W. Bradenton, FL 34209 (941) 792-0611 Lung disease

Floyd W. Wells

Blake Medical Center Manatee Memorial Hospital The Lung Center 2210 61st St. W. Bradenton, FL 34209 (941) 792-0611 Asthma, lung cancer, emphysema

Matthew J. Edlund

Radiation Oncology

Pulmonary Disease

Manatee Memorial Hospital Blake Medical Center 21st Century Oncology 401 Manatee Ave. E., Suite A Bradenton, FL 34208 (941) 748-4324 Stereotactic radiosurgery

Sarasota Memorial Hospital Center for Circadian Medicine 1241 S. Tamiami Trail Sarasota, FL 34239 (941) 365-4308 Sleep disorders

Glenn D. Adams

Sarasota Memorial Hospital Doctors Hospital of Sarasota 1625 S. Osprey Ave. Sarasota, FL 34239 (941) 917-8772 Sleep disorders/apnea, restless legs syndrome, narcolepsy

Donald Arents

Mary Koshy

Stephen J. Patrice

Sarasota Memorial Hospital 21st Century Oncology 3210 Fruitville Road Sarasota, FL 34237 (941) 364-8887 Lung cancer, brain tumors, stereotactic radiosurgery

Venice Regional Bayfront Health Pulmonary Medicine of Venice 219 Palermo Place Venice, FL 34285 (941) 484-5864 Sleep medicine, emphysema and asthma

Larry N. Silverman

David K. Denholm

Gray B. Swor

Lakewood Ranch Medical Center Sarasota Memorial Hospital 21st Century Oncology 3210 Fruitville Road Sarasota, FL 34237 (941) 364-8887

Venice Regional Bayfront Health Gulf Coast Pulmonology Associates 333 S. Tamiami Trail, Suite 101 Venice, FL 34285 (941) 488-1906 Sleep medicine, lung cancer, critical care

Sarasota Memorial Hospital 21st Century Oncology 3210 Fruitville Road Sarasota, FL 34237 (941) 364-8887 Breast cancer

Kenneth M. Hurwitz

Sarasota Memorial Hospital Manatee Memorial Hospital 21st Century Oncology 8946 77th Terrace E. Bradenton, FL 34202 (941) 907-9053 Prostate cancer, brachytherapy

Sarasota Memorial Hospital Lung Associates of Sarasota 1921 Waldemere St., Suite 705 Sarasota, FL 34239 (941) 366-5864 Critical care

David E. Law

Sleep Manatee 5517 21st Ave. W., Suite F Bradenton, FL 34209 (941) 792-8383 Sleep disorders/apnea

Kisha J. Morgan

Sarasota Memorial Hospital Lung Associates of Sarasota 1921 Waldemere St., Suite 705 Sarasota, FL 34239 (941) 366-5864

Janine M. Mylett

Blake Medical Center Manatee Memorial Hospital The Lung Center 2210 61st St. W.

John E. Sylvester

Reproductive Endocrinology Julio E. Pabon

Doctors Hospital of Sarasota Sarasota Memorial Hospital Fertility Center and Applied Genetics of Florida 6050 Cattleridge Blvd., Suite 103 Sarasota, FL 34232 (941) 342-1568 Infertility-IVF, preimplantation genetic diagnosis

Rheumatology Shehla Atiq

Venice Regional Bayfront Health Gulf Coast Medical Group 1720 E. Venice Ave. Venice, FL 34292 (941) 483-9730

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We love her too much to compromise. outhful Aging Home Health promises truly good days for your loved one. We are the area’s premier concierge private duty care agency, specializing in brain health, Alzheimer’s and dementia. To maintain the highest standards and personalized service, we limit the number of clients we serve, and you can interview and select your caregiver from our specially trained staff. Don’t settle for anything less.

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VISION LOSS? WE CAN HELP! Let our expert staff help you find the right magnifier for you!

Lighthouse of Manasota provides training in skills that promote self-sufficiency and independence in the lives of individuals experiencing vision loss. Call to learn more about our no-cost classes.

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3 0th Anniver

sary

7318 N Tamiami Trail, Sarasota, FL 34243

TOP DOCTORS Kenneth Crager

Blake Medical Center Pinnacle Medical Group 315 75th St. W. Bradenton, FL 34209 (941) 792-8329

Yoel Drucker

Sarasota Memorial Hospital Sarasota Arthritis Center 1945 Versailles St. Sarasota, FL 34239 (941) 365-0770

Sarasota, FL 34239 (941) 365-0770 Arthritis

Richard Yonker

Sarasota Memorial Hospital Sarasota Arthritis Center 1945 Versailles St. Sarasota, FL 34239 (941) 365-0770

Sports Medicine Steven J. Schafer

Venice Regional Bayfront Health Gulf Coast Medical Group Rheumatology 1525 S. Tamiami Trail, Suite 601 Venice, FL 34285 (941) 497-4069

Blake Medical Center Coastal Orthopedics & Sports Medicine 6015 Pointe West Blvd.

Bradenton, FL 34209 (941) 792-1404 Arthroscopic surgery, knee injuries/ ACL/meniscus tears

Jeffrey L. Kaine

Surgery

Brian McKinley

Doctors Hospital of Sarasota Sarasota Memorial Hospital Vascular and Surgery Associates 1921 Waldemere St., Suite 504 Sarasota, FL 34239 (941) 957-1700

David I. Greenfield

Sarasota Memorial Hospital Sarasota Arthritis Center 1945 Versailles St. Sarasota, FL 34239 (941) 365-0770 Blake Medical Center Pinnacle Medical Group 315 75th St. W. Bradenton, FL 34209 (941) 792-8329

Daniel A. Small

Sarasota Memorial Hospital Sarasota Arthritis Center 1945 Versailles St.

Steven L. Halbreich

Brian J. Kimbrell

Blake Medical Center Bradenton Trauma Surgical Group 2010 59th St. W., Suite 2200 Bradenton, FL 34209 (941) 794-5621 Trauma

David A. Napoliello

Venice Regional Bayfront Health Lakewood Ranch Medical Center 8340 Lakewood Ranch Blvd., Suite 101 Bradenton, FL 34202 (941) 388-9525 Laparoscopic surgery

Paige K. Pennebacker Blake Medical Center West Coast Surgical Group 5953 17th Ave. W. Bradenton, FL 34209 (941) 761-0500

Scott B. Stevens

Sarasota Memorial Hospital Intercoastal Surgical Group 3333 Cattlemen Road, Suite 206 Sarasota, FL 34232 (941) 341-0042 Laparoscopic surgery, obesity/bariatric surgery

Thoracic & Cardiac Surgery Joseph P. Alesnik

Manatee Memorial Hospital Riverview Cardiac Surgery 5304 Fourth Ave. Circle E. Bradenton, FL 34208 (941) 744-2640 Aneurysm-thoracic aortic, congenital heart disease, coronary artery surgery, heart valve surgery

Mateo B. Dayo III

Venice Regional Bayfront Health Venice Ocala Heart Institute 706 The Rialto

Venice, FL 34285 (941) 484-8004 Cardiac surgery, lung surgery

Jonathan C. Fong

Venice Regional Bayfront Health Venice Ocala Heart Institute 706 The Rialto Venice, FL 34285 (941) 484-8004 Carotid artery surgery, lung surgery

W. Peter Graper

Sarasota Memorial Hospital 1540 S. Tamiami Trail, Suite 303 Sarasota, FL 34239 (941) 371-9710 Mitral valve surgery, lung surgery, pacemakers, defibrillators

Ronald D. Smith

Manatee Memorial Hospital Blake Medical Center Riverview Cardiac Surgery 5304 Fourth Ave. Circle E. Bradenton, FL 34208 (941) 744-2640 Cardiovascular surgery, heart valve surgery, lung surgery

Paul A. Vesco

Sarasota Memorial Hospital First Physicians Group 1540 S. Tamiami Trail, Suite 303 Sarasota, FL 34239 (941) 917-8791 Cardiac surgery, lung surgery, minimally invasive surgery, robotic surgery

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TOP DOCTORS Urology

A. Joseph Bilik

Sarasota Memorial Hospital Florida Urology Specialists 1 S. School Ave., Suite 200 Sarasota, FL 34237 (941) 309-7000 Robotic surgery

Kenneth J. Bregg

Sarasota Memorial Hospital Urology Treatment Center 1921 Waldemere St., Suite 310 Sarasota, FL 34239 (941) 917-8488 Voiding dysfunction, incontinence, urologic cancer

Robert I. Carey

Sarasota Memorial Hospital Urology Treatment Center 1921 Waldemere St., Suite 310 Sarasota, FL 34239 (941) 917-8488 Robotic surgery, minimally invasive surgery, prostate cancer, kidney cancer

Edward Herrman

Manatee Memorial Hospital Blake Medical Center Urology Partners 200 Third Ave. W., Suite 210 Bradenton, FL 34205 (941) 792-0340 Kidney stones, incontinence, erectile dysfunction, minimally invasive surgery

G. Austin Hill

Manatee Memorial Hospital Blake Medical Center

Urology Partners 200 Third Ave. W., Suite 210 Bradenton, FL 34205 (941) 792-0340 Incontinence-female, urologic cancer, voiding dysfunction, prostate disease

Gregory M. Lomas

Venice Regional Bayfront Health RTR Urology 842 Sunset Lake Blvd., Suite 403 Venice, FL 34292 (941) 485-3351 Prostate disease, kidney stones

Alan K. Miller

Manatee Memorial Hospital Blake Medical Center Urology Partners 200 Third Ave. W., Suite 210 Bradenton, FL 34205 (941) 792-0340 Minimally invasive surgery, urologic cancer, incontinence, prostate disease

Matthew J. Perry

Sarasota Memorial Hospital Florida Urology Specialists 1 S. School Ave., Suite 200 Sarasota, FL 34237 (941) 309-7000

Thomas J. Ruane

Venice Regional Bayfront Health RTR Urology 842 Sunset Lake Blvd., Suite 403 Venice, FL 34292 (941) 485-3351

Vascular & Interventional Radiology Osarugue A. Aideyan Blake Medical Center 804 40th St. W. Bradenton, FL 34205 (941) 749-5464

Russell H. Samson

Sarasota Memorial Hospital Doctors Hospital of Sarasota Sarasota Vascular Specialists 600 N. Cattlemen Road, Suite 220 Sarasota, FL 34232 (941) 371-6565 Peripheral vascular disease, vein disorders

Stephanie K. Hiskes Blake Medical Center 804 40th St. W. Bradenton, FL 34205 (941) 749-5464

David P. Showalter

Sergio L. Selva

Venice Regional Bayfront Health Radiology Associates of Venice & Englewood 512-516 Nokomis Ave. S. Venice, FL 34285 (941) 488-7781

Vascular Surgery

Sarasota Memorial Hospital Doctors Hospital of Sarasota Sarasota Vascular Specialists 600 N. Cattlemen Road, Suite 220 Sarasota, FL 34232 (941) 371-6565 Peripheral vascular disease, endovascular surgery

Steven Silverman

Michael R. Lepore

Sarasota Memorial Hospital Doctors Hospital of Sarasota Sarasota Vascular Specialists 600 N. Cattlemen Road, Suite 220 Sarasota, FL 34232 (941) 371-6565 Endovascular surgery, aneurysm-aortic, minimally invasive vascular surgery, angioplasty and stent placement

Deepak G. Nair

(941) 371-6565 Minimally invasive vascular surgery, endovascular stent grafts

Sarasota Memorial Hospital Doctors Hospital of Sarasota Sarasota Vascular Specialists 600 N. Cattlemen Road, Suite 220 Sarasota, FL 34232

Sarasota Memorial Hospital Doctors Hospital of Sarasota Vascular & Surgery Associates 1921 Waldemere St., Suite 504 Sarasota, FL 34239 (941) 957-1700

Woodrow W. Yeaney III

Blake Medical Center Manatee Memorial Hospital The Vascular Group of Bradenton 4502 Cortez Road W., Suite 200 Bradenton, FL 34210 (941) 243-3991 Minimally invasive vascular surgery n

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SARASOTA HEALTH 2015

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WHO’S WHO IN HEALTH

OUR AREA’S LEADING HEALTH AND WELLNESS PROFESSIONALS. Dr. Bradley Abrams, D.O. Abrams Dermatology

Michele Rose befitSRQ

Kitt Crown-Boltz

Eldercare Services Unlimited

Dr. Scott Corbett, Dr. Steven Kucera and Dr. Douglas Kuperman Gastroenterology Associates of Sarasota

Dr. David S. Sax

University Park Dermatology

Ryan Jawitz, D.O., FAOCD Anne McBride, M.D., FAAD Charles Rodriguez, M.D. Paul Stevenson, D.O., FAOCD Stefan Adair, M.D., FACS Denise West, PA-C Rebecca Thompson, ARNP Chasie Haupt, PA-C Kristin Yunis, ARNP Michael Banuchi, PA-C

Riverchase Dermatology and Cosmetic Surgery

Derek J. Cuff, M.D.

Suncoast Orthopaedics and Sports Medicine

Dr. Fred Harvey, M.D. The Harvey Center

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TOP DENTIST

HEALTH CARE

ABRAMS DERMATOLOGY Kybella: Eliminating double-chin.

DOUBLE-CHIN—clinically known as “submental fat”—can now be treated with an FDA-approved, fat-burning injectable called Kybella. And Bradley Abrams, D.O., of Abrams Dermatology LLC is one of the first Southwest Florida physicians trained in this treatment.

“Many patients are bothered by their double chin, but they don’t want expensive, invasive procedures,” explains Dr. Abrams. “Kybella is noninvasive and eliminates the fat under the chin in two to four treatment sessions. After that, there’s no need for further treatments.”

Kybella is the first and only FDA-approved nonsurgical treatment that destroys fat cells when “We care about injected into subcutaneous fat—thereby reducing the submental bulge and improving the chin your skin and profile. With less fat there, the dreaded “double specialize in chin” drastically shrinks in appearance. Dr. Abrams meeting all of your develops a customized treatment plan based on skin care needs each patient’s needs and desires. “Each treatment takes about 15 minutes,” he explains, “and the for life.” results are noticeable within the first two injections.”

The procedure results in very little downtime and virtually no swelling.

Kybella is just one in a comprehensive menu of skincare services offered at Abrams Dermatology. The practice was founded in Sarasota by Dr. Abrams in 1998.

Partnered with advanced registered nurse practitioner Sheryl Wilson, Dr. Abrams specializes in the latest, most effective medical and cosmetic procedures, including treatments for sun damage, hair loss and acne, as well as Juvederm, Restylane, photodynamic therapy, microdermabrasion and many more. Dr. Abrams is also a fellow of the American Society of Mohs Surgery and a skilled practitioner of that tissue-sparing cancer procedure.

Describing the practice in his own words, Dr. Abrams says, “We care about your skin and specialize in meeting all of your skincare needs for life.”

3328 BEE RIDGE ROAD SARASOTA, FL. 34239 (941) 926-2300 ABRAMSDERM.COM

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Dr. Bradley Abrams is among the first and only physicians in Sarasota to be trained in the Kybella double-chin treatment.

CREDENTIALS: Doctor of Osteopathic Medicine, Kirksville College of Osteopathic Medicine A.O.B.D. Board Certified in Dermatology and Dermatologic Surgery Fellow, American Society of Mohs Surgery

ADVER TI SEMENT

TOP DENTIST

HEALTH CARE

ELDERCARE SERVICES UNLIMITED One-on-one in-home care.

FOR MORE THAN 13 YEARS, ElderCare Services Unlimited has provided exemplary, comprehensive, licensed and certified care and companionship individually tailored for each client. Founder Kathryn (Kitt) M. Crown-Boltz has more than 36 years of combined experience in medical and business operations management.

ElderCare offers agency-licensed in-home care. Unlike assisted-living facilities, which typically offer a private suite with minimal kitchen functions complemented by staff-organized meals and activities, in-home care caters specifically to the needs and wants of each client. You may need 24/7 care, or you may prefer a smaller shift to assist with household needs and to have a friendly face visit on a regular schedule.

“One-on-one care Crown-Boltz and her staff of more than 25 enables clients caregivers, companions and home-makers to interact with follow a threefold mission: to encourage clients to maintain interest in personal, social, familiar faces and professional and family activities; to enhance to come and go as clients’ lifestyles by providing medical and needed.” non-medical, exclusive personal assistance and individual companionship; and to create peace-of-mind and safekeeping for clients and their families.

“It’s as much of a vocation as it is an occupation for all of us,” Crown-Boltz says, “and my staff is doing more than I could ever ask. It’s heartwarming to see our clients active, stimulated and involved in their daily living.”

Before any services are performed by ElderCare, Crown-Boltz spends time gathering information about a client so she can be sure to match them up with the most suitable caregiver. “We provide an unprecedented level of service,” she says, “and treat each client as family.”

There is a complete menu of services located on their website as well as provided by ElderCare either in your home or current place of residence. Personal assistance, light housekeeping, transportation, monitoring medication, meal preparation and planning and one-on-one companionship are but a few of the available options.

ElderCare founder Kitt Crown-Boltz combines skills and experience in both health care and business operations management.

STAFF HIGHLIGHTS: Registered nurses Licensed practical nurses Nursing assistants Home health aides Home care aides Personal care assistants

(941) 377-4465 ELDERCARESARASOTA.COM SARASOTA, VENICE, THE KEYS AND THE ISLANDS LICENSE # FL30211372

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TOP DENTIST

HEALTH CARE

GASTROENTEROLOGY ASSOCIATES OF SARASOTA Helping those at risk for esophageal cancer.

GASTROENTEROLOGY ASSOCIATES OF SARASOTA has served Sarasota in the prac-

tice of gastroenterology, hepatology and advanced therapeutic endoscopy since 1984.

Repeatedly selected as Top Doctors several years running, Drs. F. Scott Corbett and Douglas Kuperman, along with Dr. Steven T. Kucera, have a longstanding reputation for quality care. Their style is to listen to the patient and help them in whatever way possible. They offer expert performance in colonoscopy, endoscopy, therapeutic biliary procedures (ERCP), endoscopic ultrasound, endoscopic management of Barrett’s esophagus and reflux disease, video capsule endoscopy and hemorrhoid banding.

Although the practice has a hometown, familybased feel, the doctors’ recent publications have Their ultimate been recognized internationally. All of the physicians are board certified in both internal medicine goal is to provide and gastroenterology, and their ultimate goal is to you with the provide you with the tools needed to educate and tools needed increase your digestive health awareness.

Dr. Kuperman graduated from Ohio State to educate and University Medical School and trained at the increase your University of Florida, Shands Hospital; he also was digestive health formerly GI Department Chief for over 25 years.

Specializes in reflux, Barrett’s Esophagus, IBS, and awareness. also screening colonoscopies.

Dr. Kucera trained at USF/Moffitt, is the current Chief, Department of GI at Sarasota Memorial Hospital and specializes in advanced therapeutic endoscopy and endoscopic oncology. He brings a wide variety of expert endoscopic skills to our area, some not otherwise available in southwest Florida.

Dr. Corbett is a graduate of NYU School of Medicine and trained at University of Miami- affiliated hospitals. He is widely published and highly regarded as a national thought leader in the field of Barrett’s esophagus and radiofrequency applications in gastroenterology. His contributions are becoming accepted as standards of care.

Drs. Doug Kuperman, Steven Kucera and F. Scott Corbett specialize in all aspects of digestive health.

CREDENTIALS: F. SCOTT CORBETT, M.D. New York University School of Medicine Alpha Omega Alpha Residency and Fellowship, University of Miami Affiliated Hospitals

DOUGLAS ALAN KUPERMAN, M.D. Ohio State University School of Medicine Residency and Fellowship, University of Florida, Gainesville, Fla.

STEPHEN KUCERA, M.D. Residency, Case Medical Center, Case Western University Fellowship, University of South Florida Fellowship, Advanced Therapeutic Endoscopy and Endoscopic Oncology, Moffitt Cancer Center

2089 HAWTHORNE ST., SUITE 200 SARASOTA, FL 34239 (941) 365-6556 FDHS.COM

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TOP DENTIST

TOP DOCTOR

UNIVERSITY PARK DERMATOLOGY The art and science of skin care.

AT UNIVERSITY PARK DERMATOLOGY, Dr. David S. Sax offers his patients an un-

beatable combination: unquestionable expertise, widespread professional accolades, and a dedication to quality and safe and confidential care.

Dr. Sax founded his practice 15 years ago and continues to cater to the sun-soaked population of Sarasota and Manatee counties. He is a specialist in Mohs micrographic surgery, a meticulous stepwise technique for removing several types of common skin cancers, including basal cell carcinoma and squamous cell carcinoma.

In addition to his dermatology residency training, Dr. Sax received advanced training in Mohs surgery and is able to perform the outpatient procedure in a matter of hours by utilizing an in-house laboratory. Dr. Sax also uses the BLU-U photodynamic therapy to MelaFind is a treat precancerous lesions in-office.

Adjacent to the current office, Dr. Sax added a first-of-its-kind comprehensive medical spa, Sanctuary at The Park, technology in skin offering concierge-level service and the latest examination. cosmetic techniques, such as CoolSculpting, Botox, cosmetic fillers, intense-pulsed light treatments, Thermage CPT, ActiveFX CO2 laser and the new Vectus laser hair removal. Two full-time aestheticians on staff provide additional cosmetic services including the HydraFacial. The convenient location means clients can easily take advantage of medical and aesthetic services in one visit.

Dr. Sax is excited to incorporate the MelaFind device into his practice. MelaFind is a first-of-its-kind technology that is used during a skin examination to help capture, display and analyze irregular moles under the skin’s surface where the naked eye can’t see. This FDA-approved device has a high sensitivity in detecting melanoma at its most curable stages.

The combined cosmetic and medical services are summed up in the practice’s goal of providing “the art of beauty and science of skin care.”

Dr. David Sax has earned professional recognition and the trust of his patients.

CREDENTIALS: M.D., Thomas Jefferson University Residency, University of Michigan Certified, American Board of Dermatology Fellow, American Academy of Dermatology Fellow, American Society for Mohs Surgery

PRACTICE SPECIALTIES: Skin care CASTLE CONNOLLY

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HEALTH CARE

befitSRQ Custom workouts designed specifically for you.

AT SARASOTA’S NEWEST PRIVATE HEALTH AND FITNESS STUDIO,

befitSRQ, we emphasize quality over quantity, with fast results in less time.

You will get a custom workout designed specifically for you—your fitness level and personal goals. It’s a total body workout without breaking a sweat. Wear your street clothes and be done in less than 30 minutes. All types of programs, strength training, cardio, stretch and balance are all tailored to YOU. Michele Rose, owner of befitSRQ, has been in the fitness industry for more than 25 years. She has a bachelor’s degree in sports management and a master’s degree in injury prevention and performance enhancement.

“Exercise is the fountain of youth,” says Rose. “I am committed to improving my client’s quality of life through total body workouts. My goal is to get clients strong, healthy, and fit.”

Call today for your free assessment.

Michele Rose, owner of befitSRQ.

330 S. PINEAPPLE AVE., #202 SARASOTA, FL 34236 (941) 365-2348

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THE HARVEY CENTER FOR INTEGRATIVE MEDICINE Combining the best of Western medicine with alternative holistic therapies.

“I WANT TO HELP PEOPLE THRIVE AND LIVE HEALTHY, VITAL LIVES.

I want to help the whole person, not just treat an illness. And I believe that optimal wellness is much more than the absence of illness,” says Dr. Fred Harvey.

Dr. Harvey began specializing in functional medicine after he became disenchanted with cookbook medicine that focuses on naming, blaming, then taming the disease with drugs and surgery. Traditional medicine is good at treating acute care; however, it is often inadequate with chronic illnesses, he believes. With a strong focus on wellness, Dr. Harvey offers customized treatments, including intravenous nutritionals and pharmaceutical-grade natural supplements.

Dr. Fred Harvey is a triple board certified physician from the American Board of Internal Medicine, Internal Medicine/Geriatrics and Holistic Medicine.

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3982 BEE RIDGE ROAD SARASOTA, FL 34233 (941) 929-9355 HARVEYCENTER.COM

SARASOTA HEALTH 2015

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HEALTH CARE

Riverchase Dermatology and Cosmetic Surgery Comprehensive skincare for Southwest Florida and beyond.

RIVERCHASE DERMATOLOGY AND COSMETIC SURGERY is Southwest

Florida’s most comprehensive skincare center treating all types of skin and cosmetic concerns with the latest advancements in medicine. From simple skin concerns to skin cancer and cosmetic surgeries, Riverchase’s team of experts has you covered.

With many convenient office locations spanning Sarasota to Marco Island, plus a tele-dermatology mobile application, DermConnect, the boardcertified experts at Riverchase Dermatology and Cosmetic Surgery are able to provide outstanding patient care throughout Southwest Florida and beyond.

Riverchase is dedicated to excellence in every aspect of patient care. Their guiding principle has remained the same: to treat every patient as if they were family. They hope you will become part of theirs.

Ryan Jawitz, D.O., FAOCD, Anne McBride, M.D., FAAD, Charles Rodriguez, M.D., Paul Stevenson, D.O., FAOCD, Stefan Adair, M.D., FACS, Denise West, PA-C, Joseph Santini, PA-C, Rebecca Thompson, ARNP, Chasie Haupt, PA-C, Kristin Yunis, ARNP, Michael Banuchi, PA-C.

A community resource providing Psychological and Neuropsychological services to Adults. Medicare and most Insurances accepted.

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Jennifer Roberts, MS, PA-C

836 Sunset Lake Blvd.

Building A, Suite 205 | Venice, FL 34292 (941) 485-1505 779 Medical Drive, Suite 8 Englewood, FL 34223 (941) 485-1505

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The mission of Community AIDS Network/CAN

missionaofcontinuum Community Network/CAN isThe to provide ofAIDS medical, social and is tomission provide a continuum ofAIDS medical, social and and The of Community Network/CAN education services essential to the health iswell to provide continuum of medical, social and being ofaservices those infected with HIVhealth and AIDS educational essential to the and education services essential to the and and to being enhance publicinfected awareness andhealth prevention. well of those with HIV and AIDS well being of those infected with HIV and AIDS

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DIET & NUTRITION

MINDFUL EATING Sarasota’s Rena Greenberg spreads the gospel of “Easy Willpower” on national TV.

THINK OF ALL THE NON-FOOD influences on what and when we eat.

From Thanksgiving to girls’ nights out, most social gatherings revolve around meals, and from the moment we’re born, we associate food with happiness and comfort, creating lifelong habits we often don’t realize are triggering our cravings.

But we also learn to associate these “indulgences” with guilt and unhappiness. These conflicting impulses can make it hard to get hold of our love handles.

This is why Sarasota dietary consultant Rena Greenberg starts with the brain. Greenberg teaches mindfulness and self-hypnosis (which might also be called “meditation”) to develop a healthy relationship with food.

“It’s more than just consciously saying we want [healthy habits]—of course we want them,” says Greenberg. “If we could do this with the conscious mind alone, we already would have done it.”

Since coming to Siesta Key in 1990, Greenberg has worked with more than 75 hospitals, leading seminars and implementing long-term programs for teaching patients how to improve their diets. Her devotees have shared their success on Good Morning America and Nightline. Most recently, Greenberg appeared this summer in a 90-minute, nationwide PBS broadcast detailing her “Easy Willpower” manifesto.

Greenberg’s front-loaded, mental-centric methodology puts the bulk of the weight loss work well before you walk into a kitchen or sit down at a table. Here are some of her tips, techniques and talking points.

Muster your motivation. “You can’t be on the fence about it,” she says.

Develop awareness. Try to discover the mindset behind cravings or eating

Rena Greenberg teaches mindfulness and self-hypnosis.

behavior. Do you keep eating just to clean your plate? Do social gatherings “need” to center around food or alcohol? Is food a natural distraction from negative thoughts?

Be honest. Don’t tell yourself in the grocery store you’ll eat one cookie at a time when you know you’ll finish the whole package. Habits develop one deliberate decision at a time. “I see people giving up too quickly. I see people not trusting themselves,” Greenberg says.

Avoid the trap of deprivation. “The more you’re dieting, the more you feel deprived,” she says. “When you try not to think of something, you just want it more.”

Nutrition is not binary. “For people who are struggling with their weight, food is so black or white, good or bad, on a diet or off a diet,” she says. “Either you’re eating the most decadent processed toxic food or you’re on some rigid,

extreme program. But food is meant to be enjoyed.” The key is to shift your perspective to see how much your body and mind enjoy nutritious food.

Your body has its own rules; get to know them. “You’re always looking to the experts: Is it OK to have this or that?” Greenberg asks patients to use a “food map” to keep track of which foods affect their own bodies in what ways. “It’s not going to be the same for everyone,” she says.

Understand hypnosis. Hypnotic states can occur naturally, Greenberg likes to explain. For instance, when you’re in the midst of a long drive on the interstate: You’re not incapacitated; your consciousness has simply stepped aside, allowing a more direct interaction between your subconscious and the outside world.

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T EC H

MINDFUL EATING (continued)

GASTRIC BYPASS HYPNOSIS One of Greenberg’s most popular techniques is “gastric bypass hypnosis,” during which she vocally guides her patients, while hypnotized, through each aspect of a gastric bypass surgery, planting reassuring messages in the patient’s subconscious throughout the experience. There are, of course, skeptics, and Terry Cleveland, 57, counted himself among them; he doubted he could even be hypnotized, much less gain lasting positive effects from the procedure.

But he felt he’d run out of options and had nothing to lose. “I’ve been clean and sober for 35 years from drugs, alcohol and cigarettes,” he says. “I thought that if I wanted to, I could get anything under control. But the eating I couldn’t.”

Last fall, he underwent gastric bypass hypnosis during three sessions over a three-day period. Despite his skepticism, Cleveland was giddy after his first taste of hypnosis. Being guided through a scenario while hypnotized, he says, is “like being in a virtual reality video game.”

Afterwards, he says he felt like he’d just had a long night’s sleep. “It was an incredible feeling,” he remem-

bers. “I knew something was different.”

One year later, Cleveland has lost 100 pounds. He’s enthusiastic about his craving for healthy foods, but he also speaks passionately about his new routine of self-hypnosis, which he believes helps to maintain his healthy mindset.

“I take a half hour out of my time each day [to do self-hypnosis],” he says. “It’s like a vacation.” n

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T EC H syncs with whatever playlist you like, and you’ll hear the storyline progress in between songs. (As the songs play, you’ll occasionally hear an automated voice describing various items you’ve “collected” along your way; those items act as a sort of currency for building your base in a secondary, interactive part of the app that isn’t tied directly to the story.) And like any good running app, it keeps track of pace and distance (in kilometers—because,

ZOMBIES, RUN!

Want to jog your way to greater fitness?

There’s an app for that.

BY HANNAH WALLACE

JOGGING IS A GREAT WAY to stay in shape, especially in Sarasota-Manatee, where balmy weather lets you hit the road in comfort most months of the year.

If you need some help staying motivated, a clever app called Zombies, Run! offers to entertain you while your feet eat up the miles. The app provides you with a storyline to accompany your workout, and it’s presented in the second person, so rather than just listening to the story, you are a participant. You’re not just jogging; you’re saving humanity.

I gave it a test run and found it equal parts encouraging and distracting—both good things when you’re trying to go the distance.

Here’s how it works. The story is broken down to a list of “missions” (basically, episodes). “You” are “Runner 5,” new member of a post-apocalyptic community in England that uses a team of runners to gather information and supplies, and, more often than not, divert packs of zombies from whatever needs protecting.

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It comes through your headphones as though you’re wearing a headset; people in the communications tower at the base are talking to you, feeding you information that helps paint a picture of what’s happening in the story. They might say, “Head west, through the thicket, and you’ll see an old farmhouse—whoa, watch out for that pack of zoms trailing you…”

(The team’s postapocalyptic surveillance cameras help them keep an eye on you wherever you go.)

Each mission, lasting around 30 or 35 minutes, comprises five or six audio exchanges of about a minute or two apiece. The app

The download and the first season and a half are free, after which you pay a small amount for subscription to the rest of the second season, and so on.

To learn more, go to: zombiesrungame. com

y’know: British) and stores your runs in a log. It doesn’t make you run at any pace, unless you enable the “chase” feature, which occasionally tells you to sprint away from approaching zombies; in that case, if you don’t maintain an increased speed for long enough, you’ll lose supplies.

The characters project lots of personality, especially the goofily charming Sam Yao, who’s your primary contact.

And in addition to your general “run here, grab this” plot, there’s plenty of backstory and drama— for example, when a character listens to a recording from her presumed-dead lover, I couldn’t help feeling her pain. The quality slips a bit as missions go on, with dialogue that can be a little high school skit-like, as well as occasionally dubious voicework— before I heard Lem, a short-lived character, I never knew it was possible to blend Australian and American Southern accents. But I’ve heard way worse on TV. Something about it really works for me. When I jog through North Water Tower Park in north Sarasota, I’ve started pretending all the disc golfers are zombies. n

R E S O U RC E S

A sampling of classes to improve your physical and mental well-being.

W

HETHER YOU’RE NEW TO ­EXERCISE, recovering from health issues or just want to fill the void between crossfit and Zumba, these community resources offer a menu of expert-guided health classes covering everything from fitness and nutrition to mindfulness and fall prevention.

We’ve singled out just a few of their offerings here; visit their websites or call for a complete menu.

SARASOTA MEMORIAL HEALTHFIT CLARK ROAD AND RAND BOULEVARD, SARASOTA (941) 917-7000,

smhfit.com Sample Classes • Wellness coaching— A full-body assessment and nutritional consultation followed by group or one-on-one coaching sessions addressing health, fitness and nutrition as well as motivation and lifestyle.

• Bone Builders • Prenatal Yoga • Total Body Conditioning

PHOTO COURTESY OF SARASOTA MEMORIAL HEALTHFIT

LEARN AND BURN

OTHER OPTIONS

FRIENDSHIP CENTERS 1900 BROTHER GEENEN WAY, SARASOTA (941) 556-3220

PD IN MOTION A partnership between Neuro Challenge Foundation and the Sarasota Ballet to overcome the symptoms of Parkinson’s disease through dance. parkinsonsneurochallenge.org

Sample Classes • Balance Movement & Falls Prevention—Exercises targeting balance, strength, flexibility, confidence and awareness, as well as lessons in creating a safe environment and making good decisions.

• Qi Gong • “Tappersize” and “Yogarobics” • Powerful Tools for Caregiving (PTC) support program

BABY BOOT CAMP National program founded by Sarasota’s Kristen Horler for moms to achieve pre-pregnancy fitness levels. babybootcamp.com PHOTO COURTESY OF INSPIRING WELLNESS LLC

PHOTO COURTESY OF FRIENDSHIP CENTERS

friendshipcenters.org

SARASOTA YMCA THREE LOCATIONS.

Sample Classes • Body Combat— An energetic, martial arts-based fitness class generating movement and motivation through a warrior mindset.

• TRX • Family Yoga • CPR Training

PHOTO COURTESY OF YMCA

sarasota-ymca.org

Frank G. Berlin, Sr. Branch YMCA

MIRACLE SWIMMING FOR ADULTS A fun and easy program teaching adults how to swim and be comfortable in the water. miracleswimming.com

SARASOTA HEALTH 2015

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L A ST LO O K

ROLL ’EM

J. B. McCOURTNEY

A HEALTHY LIFESTYLE DOESN’T require hardcore exercise. Lawn bowling, an iconic local favorite, especially among snowbirds, involves a number of elements that can help keep you well, including sunshine, socialization, mental engagement, light weights and a gentle range of movement. To learn how you can get out on the green, visit sarasotalawnbowlingclub.com.

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OPEN MRI

For large & claustrophobic patients

1.5T MRI

PET/CT Alzheimer’s and Cancer

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CT

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ULTRASOUND Vascular and Body

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BONE DENSITY DEXA Scan

WOMEN’S IMAGING CENTER Mammography, Breast MRI, Biopsies

When it comes to imaging Choose the Best!

Partners Imaging Centers Choose the only imaging center in Sarasota that is owned and operated by practicing Radiologists, Partners Imaging Centers. All of our Radiologists are board certified and experienced in a subspecialty body system. This ensures that every patient gets the best chance for a complete and accurate diagnosis.

Partners accepts all hospital and physician scripts, and most insurance plans, too. Have a high deductible or no insurance? Discounted self-pay rates are also available. Now, you can have the highest quality of care and affordable rates, too. So when it comes to imaging, why take chances? Choose the best, Partners Imaging Centers.

Call for an appointment today!

Partners Imaging Center Sarasota Supercenter 1250 South Tamiami Trail Suites 101 & 103 Sarasota, FL 34239

Partners Imaging Center Bradenton 5101 4th Avenue Circle East Suite 100 Bradenton, FL 34208

Partners Breast Diagnostic Center 2415 University Parkway Building 3, Suite 219 Sarasota, FL 34243

941-951-2100

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*Dr. Richard M. Goldberg has been Awarded Sarasota’s Top Radiologist for 2015, as voted by Regional Medical Peers & listed in Sarasota Magazine June, 2015.

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