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Treating Feet One Step at a Time

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THE IMPORTANCE OF CORE STABILITY WHEN IS IT TIME FOR A NEW HIP? DENTIST PROVIDES PEACE TO HIS PATIENTS VARICOSE VEINS - BEYOND A COSMETIC CONCERN AND MORE

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From the Audrey Brooks | PUBLISHER / OWNER

Dear Valued Reader,

Spring season is in full swing and the excitement that comes with it never gets old—that is except for the traffic! New life arrives during the spring season and not just flora and fauna. It’s also, traditionally, kitten season, the peak time for kittens to be born. If you’re an animal lover, you won’t want to miss this issue’s ‘For a Greater Cause’. We go behind the scenes at the Gulf Coast Humane Society and find out how they prepare to receive and find homes for an influx of unwanted or abandoned cats, as well as dogs. You might be surprised to find out how the shelter’s mission goes beyond pet adoptions. The pages of this latest publication are also full of local businesses that can help with your spring-cleaning, home improvement s , as well as self-improvements. We introduce you to dental practices and dent is t s t hat go above and beyond when it comes to patient care, prevention, and technology. You’ll also learn how prevalent venous disease is. ART DIRECTOR

Teddy Tedford

Teddy brings a wealth of branding, marketing and creative experience to livinglocal. Throughout his design career he has worked with local SWFL businesses and luxury brands across the state.

MARCH/APRIL 2020

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Publisher It runs much deeper than visible varicose veins and is often the cause of medical problems that many physicians find hard to diagnose. Southwest Florida is known for some of the finest healthcare professionals, such as Dr. Christopher Calcagni, this issue’s cover feature. The physician, founder of Coastal Foot & Ankle Center uses cutting edge stem cell technology for healing and specializes in minimally invasive surgical techniques to correct problems with the foot and ankle. Dr. Calcagni is also known for sports medicine. Hear from a few of his patients inside this edition, who are now living pain-free after being under his care. And speaking of sports, those of you who know me, know I’m a Red Sox fan. Spring Training is a particularly exciting time of the year for me. Who knows, maybe I will see you at one of the games! Thank you for Living Local.

Audrey

LOCAL CONTRIBUTOR

Gina Birch

Gina is a freelance writer for USA Today 10Best and a well-known TV & radio personality in SW Florida. Google her blog, “The Birch Beat” and follow her on Facebook & Twitter @GinaBirch.


side Inside this ed tion ii

Dr. Christopher Calcagni

Coastal Foot & Ankle Center

Dr. Bill Campbell

Park Family & Cosmetic Dentistry

Dr. Joseph Magnant Vein Specialists

Dr. Peter Ameglio

Ameglio Orthopedics

Mike & Tiffany Kriz Kriz Physical Therapy

Theresa Clements

Fast & Frugal Interiors

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For Pets & People At Gulf Coast Humane Society

Our mission at livinglocal includes spotlighting local non-profits that are making a difference in our community. In addition to sharing their story, we also provide a monetary donation on behalf of our advertisers. Gulf Coast Humane Society is no-kill, animal welfare organization established in SW Florida in 1947. Their mission is to provide humane care for surrendered animals by offering refuge, providing medical care, and facilitating an adoptive home. Each year they take in more than 2,000 animals in need of compassionate care. www.mylivinglocal.com

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Š2020 Brooks Infinity, Inc. - All content is property of the publisher and may not be used or reproduced without expressed written consent from Brooks Infinity, Inc. mylivinglocal.com | MARCH/APRIL 2020


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When you hear Dr. Christopher Calcagni’s story, you may agree that it seems he was destined to practice podiatry in Southwest Florida. Founder of Coastal Foot & Ankle Center, he treats all aspects of the foot and ankle while specializing in minimally invasive surgery. MARCH/APRIL 2020

| mylivinglocal.com


Connect with us! E Q

t e e F g n i t a e Tr ep at a Time One St

Dr. Calcagni’s parents began vacationing in the area in the early 90’s. He laughs, “I always wanted to move here, but they thought no one lived here year around. In medical school, I remember being told to move where you want to live, then figure the rest out.” That’s what he did. Of Italian decent, Dr. Calcagni’s surname means “heel” when translated, and his mother’s maiden name is Naples. Add to the fact that there are nine doctors on her side of the family and it’s easy to see how his stars aligned.

went out of their way to get me in, and make sure I had everything I needed when I came out.” Vujovic had a number of problems with her feet including bunions, arthritis, and a hammertoe that was keeping her from finding shoes that fit comfortably. She says, “I had heard horror stories about foot surgery. But when I finally got up the courage to go a n d se e a b o u t i t , Dr. Calcagni put me at ease.”

“ I f u s e d h e r t o e ,” s ay s D r. C a l a c a g n i , PAT I E N T “ H o w e v e r, I w a n t t o Since 2009, Dr. Calcagni has been stress that a lot of people practicing medicine in Southwest who come in with hammertoes don’t Florida with a family focus—at home need surgery.” That’s because toes are and in the office. He says, “Our patients flexible and can be straightened by a are part of our family.” simple in-office procedure.

Bozana Vujovic

Both Bozana Vujovic and Gennaro Casale have experienced that family feel first hand. Vujovic says “He (Dr. Calcagni) and his staff could not have been nicer when I needed surgery. They

He explains, “I can numb the area and cut the tendon. There is no down time. Patients that experience this minimally invasive procedure are super happy with it. There are alternatives to surgery.” mylivinglocal. com | MARCH/APRIL 2020 Conitnued on next page


Custom molded orthotics help correct problems and keep conditions such as plantar fasciitis from coming back.

–DR.CALCAGNI

In Casale’s case, he had been suffering for months with a non healing foot ulcer on his toe due to his diabetes. In addition his legs were discolored and leaking. Dr. Calgni recalls, “His doctors up north were having trouble successfully treating his toe ulcer. We were able to get things healed in three weeks.” The process involved using proper bandages, compression stockings, a lymphedema pump for his legs, and skin grafts.

podiatric visit along with special shoes and inserts to help prevent problems such as ulcers that could eventually lead to the loss of a toe or foot.

Vujovic and Casale’s stories are just two examples of the wide range of foot and ankle success stories at the hands of Dr. Calcagni. His practice runs the gamut from performing foot and ankle surgeries, treating toenail fungus with lasers, to a procedure that can eliminate ingrown toenails permanently, as well as pediatrics and Gennaro Casale sports medicine. PAT I E N T

Casale says, “Once I got the skin grafts I was back to normal in a couple of weeks. Dr. Calcagni did a great job. He is very smart and has a good temperament. He talks to you and gives you his time.”

For diabetic patients like Casale, Medicare covers the cost of a yearly

A fo r m er fo ot b all p layer a t Oklahoma State University, he understands sports injuries, and the desire for patients to get back to their game as quickly as possible. Ankle sprains are a common injury and severe sprains can sideline athletes for an extended period of time.

Foot & Ankle Surgery • Diabetic Foot Care • Wound Care Sports Injuries • Laser Therapy • Stem Cell Therapy • Pediatric Care MARCH/APRIL 2020

*Every patient is different, and individual results will vary.

| mylivinglocal.com


About Dr. Calcagni

However, Dr. Calcagni says, “I perform a lot of ankle repairs using scopes and special implants that can have patients moving normally in two weeks rather than six to eight weeks.” Instead of sacrificing a ligament or tendon, he is able to use a special fiber wire that speeds recovery quite remarkably. Stem cell therapy also aids in healing and recovery from injuries and surgery; Dr. Calcagni is one of the few podiatrists in Southwest Florida to use it. Stem cell therapy also eases pain from chronic problems such as arthritis of the foot and ankle, Achilles tendonitis, plantar fasciitis and more.

Dr. Calcagni received is Doctor of Podiatric Medicine degree from Kent State University College of Podiatric Medicine in Independence, Ohio. He is board certified by the American Board of Lower Extremity Surgery and the American Board of Podiatric Medicine. Married for six years he met wife Michelle on a blind date. They have two boys ages two and four. Although he enjoys exercising and travelling, he says “My hobby is really spending time with my family. They are the most important things. I love spending time and hanging out with them.” Orthotics are not just for adults with foot pain but they’re also a part of his growing pediatrics practice. “Most of the children I see with foot pain have bio mechanical problems that can be addressed with the help of inserts,” says Dr. Calcagni.

Plantar fasciitis, another common problem for Dr. Calcagni’s patients, can often be solved in just a couple of visits through any combination of stretching, injections, and professionally fitted shoe inserts called orthotics.   

If a parent has f lat feet, bunions, hammertoes, or arthritis, it’s likely that their children will develop these problems as well, according to the podiatrist. “Having children properly fitted for orthotics can help prevent them from developing more serious problems as they get older,” he says.

“Problems with feet start with the biomechanics of how you walk and how the foot is shaped. Custom molded orthotics help correct problems and keep conditions such as plantar fasciitis from coming back.”

If you or your child is experiencing foot pain, or have an injury to the foot or ankle, call Dr. Calcagni for an appointment. Casale says, “He’s one of the best doctors I’ve seen in my life.”

( 239) 596-7024

1205 Piper Blvd #102, Naples • CoastalFootCare.com mylivinglocal.com | MARCH/APRIL 2020


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E R C Stability The phrase “Core Stability” is used a lot by all disciplines involved in health and wellness. In our twenty years of experience as physical therapists, we have seen that the definition of “the core” is highly variable but most often includes the abdominals.  The core muscles attach to, and stabilize, the spine, the rib cage and the pelvis. The muscles combined are thought to construct a cylinder that allows for pressure to be built in the abdominal region that provides stability.   The definition of the core from our perspective is as follows: Comprised of the following muscles:  Transverse Abdominus: The deepest abdominal muscle. The outside wall of the cylinder. Diaphragm: The top of the core’s Pelvic Floor Muscles: The bottom of the cylinder. Iliopsoas (often referred to as the psoas)  Multfidii: Small muscles along the spine. Provides a solid foundation (when efficient) on which the arms, legs and trunk move Requires that the framework (skeleton) is efficiently aligned, that is to say: “posture is KING!” Injury, pain and habitual posture all affect the speed, strength and endurance of core muscles, so it is

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important to take care of and be aware of anything that may affect them.   The theory of instability of the lumbar spine and pelvis rests, in some part, on the inefficient contraction of core muscles that allow the vertebrae to move excessively and in a relatively uncontrolled fashion causing shearing, compression or tearing forces on the tissues of the spine including the ligaments, muscles, fascia, nerves and blood vessels that provide support and nourishment to the spine.  If spinal instabilities are left unaddressed for even short periods of time, degeneration of the spine may occur. Pain and weakness often follow but it may take weeks, months or years to manifest. Nagging, persistent little aches and pains in the back, hips and legs are often associated with these dysfunctions. The theories of stabilizing the spine focus on strengthening the core muscles so that they can prevent the excessive movements of the spine and the “wear and tear” associated with it.  Across the spectrum of physical therapy and personal training, one can find a wide variety of exercises directed at strengthening the core. The difficulty is choosing the appropriate exercises to be done at any given time in a training program.   Research is now demonstrating that the core is effectively contracted

9

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when our parts (head, neck, rib cage and pelvis) are stacked on top of each other...again, posture is King! When muscles are either stretched or shortened from posture habits such as standing with the back hyperextended and, most commonly seen, sitting like “a boiled shrimp”, they are unable to contract at the correct time, with enough force or long enough to stabilize the spine when we sit, stand or perform daily tasks, much less when we play a sport.  Standing straight, as many of us were told to do by our parents, may actually place the rib cage in a slight backward tilt rendering the core less responsive. Learning to stack the rib cage appropriately over the pelvis is one small step to improving the core response. Remember that habits are often deeply ingrained and require frequent corrections.  Depending on the severity of the habit, those corrections may be every few minutes, hours, days and weeks. Even when we think that the old habits are broken, we may find ourselves lapsing into the old habitual postures, especially when tired or under stress.   When training ef ficient posture for sitting, standing or during sport or exercise, building strength and endurance of the muscles is important.  This is the reason that exercises are

K

Tiffany & Mike Kriz OWNERS

per formed. Exercises should be performed with appropriate form and to the point of fatigue of the target muscles. However, when proper form falters, the exercise should be stopped. Depending on the severity of the habit, those corrections may have to be performed every few minutes, hours, days and weeks to implement. A well trained Functional Manual Physical Therapist can help guide you through the morass of posture changes and exercises that you will need to make your core muscles responsive and strong so that you are able to do what you want with better strength and endurance and reduce the potential for injury.

KrizPhysicalTherapy.com KrizPT1@Gmail.com

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SW FLORIDA’S 1ST & MOST EXPERIENCED SUPERPATH SURGEON mylivinglocal.com | MARCH/APRIL 2020


e c a e P g n i d n i Patients F air

h C l a t n e D in the mily and Cosmetic Dentistry at Park Fa

“I know this may sound kind of a slow progression,” he says, adding, weird about going to the dentist, “Teeth actually wear away with age but I actually enjoyed it,” says Jim and can begin to weaken.” Minor about his experience at Park The tooth enamel can erode; the Family and Cosmetic Dentistry. force can have adverse affects on the As the years went by, Minor was gums and even cause teeth to change beginning to notice changes in his smile. positions. “Aesthetically patients may “My teeth had moved and a composite notice a yellowing of the teeth, shorter was chipping away. I wanted a prettier teeth and even cracks in teeth,” says smile,” he says. In addition, he had lost Dr. Campbell. a tooth, there were areas where Forces associated with a teeth were getting smaller poorl y aligned bi te may because of normal wear also contribute to enamel and tear, and his bite eroding, bone loss, and didn’t feel right. gum recession around Then there were the teeth. A s teeth wear decades old silver fillings away t heir alignment he had. “They didn’t hurt. and position within I was in no pain but I the dental arch may did not want things “I think I open my mouth more when I be altered leading laugh. I get compliments on my smile to get any worse,” he to more complex and I have a little more confidence” remembers. The fear dental care. – Jim Minor | Patient of pain is one reason As in many health Minor waited so long to seek dental help. conditions, the sooner you take action Then he met Dr. Bill Campbell at Park the better. “Some patients who see Family. “I like the way we could talk, he tooth wear say it doesn’t bother them wasn’t’ telling me how it was going to be. but this is when it is easier to fix. If He wanted to know my expectations.” you wait until there is a problem, or Minor was experiencing tooth wear, you are beginning to experience pain a common problem Dr. Campbell sees you’ve let it go too long,” says the Park in patients as they age. “Tooth wear is Family dentist.

690 Goodlette-Frank Rd N. • Naples • (239) 300-9741 MARCH/APRIL 2020

| mylivinglocal.com


In Minor’s case, Dr. Campbell was able to use a combination of veneers and crowns to restore his entire mouth. He is also able to utilize more technique sensitive preparations such as inlays and onlays when able, saying, “I try for a conservative approach. I just don’t go straight for a crown. The more tooth enamel I can preserve the better it is for the long term.” I t took M inor several v isi t s to complete his smile makeover and he could not be happier with the process. He says, “Talk about painless. I’m a little bit of a baby when it comes to needles but Dr. Campbell was so gentle.” And it wasn’t just Dr. Campbell who lef t an impression on Minor. “His assistant, James, had a great rapport. Everyone, beginning with those at the reception desk, made me feel like they wanted me to be there and wanted me to have a positive experience.” Tooth wear is a natural part of aging to which Dr. Campbell says, “Dentistry is making sure things decline at a slower rate. It restarts the clock. The mouth is a harsh environment and dental restorations can wear out over time. We do the best dental work we can but then it’s up to the patient to maintain it with good oral hygiene and regular dental check-ups.”

Catching problems early, such as small cracks that can be repaired before a tooth splits saves time, effort, and money and decreases the chances for the patient to experience pain or tooth loss. Following the completion of his smile restoration Minor says, “I think I open my mouth more when I laugh. I get compliments on my smile and I have a little more confidence; I like to smile.” When it comes to tooth wear Dr. Campbell says, “It’s much better to be proactive than reactive. The later may cost more in the long run.” If you are experiencing tooth wear, call Park Family and Cosmetic Dentistry for an appointment.

About Dr.Campbell

Growing up in Fort Lauderdale, Dr. Campbell was a baseball player at St. Thomas Aquinas H.S and graduated with a 4.2GPA. Having a love for science and biology as well the desire to work with his hands contributed to his desire to pursue dentistry. With a doctorate in Dental Medicine from Nova Southeastern University and a master’s in Biomedical Sciences from Barry University, his advanced trainings and certifications are many. He has two sons who he describes as “high energy.” They keep him and his wife Alissa busy with sports, scouting, and school activities.

www.MyParkDental .com

Follow Us mylivinglocal.com | MARCH/APRIL 2020


Varicose Veins are More Than Just a Cosmetic Concern.

It wasn’t painful at all. Dr. Magnant explained everything. It was such a positive experience. aricose veins run in Ann Spang’s family; both V her mother and father had them. Hers began developing in her 20’s. In 2001 she had her first

procedure to treat the bulging and unsightly veins in her right leg. She remembers, “I had to wear compression stockings and I was allergic to latex, so it was a miserable experience.” So miserable in fact that she waited nearly 20 years before seeking medical attention for the veins in her left leg. Not only were the veins visually unappealing, but Spang was having trouble going about her regular, daily activities. Her legs swelled so much one time during a cruise that she had to ice them down at night.

MARCH/APRIL 2020

| mylivinglocal.com

— Ann Spang, Patient

“My legs were hurting and felt very heavy. My feet would hurt and swell. I started noticing some skin discoloration and the varicose veins were getting worse. They were moving up from my calf to my thigh. That scared me,” she remembers. After researching physicians specializing in vein treatment, Spang called Dr. Joseph Magnant, founder of Vein Specialists. “That’s all they do in his office—veins,” she says. “It made me feel very comfortable knowing that this is the only thing they focus on at Vein Specialists, and he is a Board-Certified Vascular Surgeon performing all procedures.”

Joseph G. Magnant, MD, FACS, RPVI Vascular Surgeon & Vein Expert


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Following her firs t appointment she remembers, “I always thought my veins were just a cosmetic problem. I never really knew about vein disease.” Dr. Magnant explains, “Venous disease is a medical condition like hypertension and high cholesterol and deserves investigation and potential treatment before complications occur.” Venous disease affects about 20% of the U.S. population, or roughly 40-50 million adults. Venous insufficiency occurs when valves in the leg veins fail to close, making it difficult for blood to return to the heart. When the blood can’t return, it pools in the legs resulting in increased venous pressure which causes varicose veins, swelling, inflammation, and skin conditions such as stasis dermatitis and venous ulcers. A majority of people who are suffering from venous disease don’t even realize they have it; not all signs or symptoms are as obvious as bulging varicose veins. Some patients may experience nighttime leg cramps, Charlie horses, restless legs or frequent urination, what Dr. Magnant refers to as the “nighttime triad.” Other patients may have skin pigmentation and thickening around the ankle for which they have sought the attention of a dermatologist. While the most advanced stage, venous ulceration might land other patients in a wound care center for many months of wraps and even hyperbaric oxygen tank treatments. What all these patients may share is the underlying condition of venous insufficiency. Venous insufficiency is an easily diagnosed and treatable condition in the hands of a Board-

www.WeKnowVeins.com Fort Myers

1500 Royal Palm Square Blvd. #105

Certified Vascular Surgeon focused on vein disease management. Spang had an ultrasound of both legs by a Registered Vascular Sonographers, which revealed leaking veins or venous insufficiency. Most of the time the superficial veins are the problem veins which is good news for patients since after treating the superficial veins, blood can still return to the heart through the normally functioning deep veins. The abnormal veins can be sealed by either heat or medical adhesive techniques. These are procedures that Dr. Magnant has performed on more than 28,000 patients in Southwest Florida. He performs this procedure in the office, under local anesthesia and in a sterile environment, and it takes approximately 30 minutes to complete. Most patients can return to normal activity within 24-48 hours. Two weeks after Spang’s first treatment, the same procedure was done on the leaky veins in her right leg. She says, “It was not painful at all. Dr. Magnant explained everything thoroughly and talked to me through the entire procedure. We actually had fun. It was such a positive experience.” After her first vein procedure nearly 20 years ago, Spang’s veins did not completely disappear. Today, thanks to Dr. Magnant, they are completely gone. “It’s a miracle,” she says. Adding, “And when I played golf, I was struggling by the 16th hole, but now I can walk all 18 and it’s nothing.” Spang advises anyone with painful varicose veins not to wait any longer and call Vein Specialists immediately for a consultation.

|

(239) 694-VEIN (8346) Naples / Bonita Springs

3359 Woods Edge Circle #102

*Every patient is different, and individual results will vary. There are risks and recovery times associated with surgery. mylivinglocal. com | MARCH/APRIL 2020


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e m a G e h T Stay In Foot & Ankle Surgery • Diabetic Foot Care Wound Care • Sports Injuries • Laser Therapy Stem Cell Therapy • Pediatric Care

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1205 Piper Blvd #102, Naples • CoastalFootCare.com mylivinglocal.com | MARCH/APRIL 2020


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| mylivinglocal.com


Fast&Frugal INTERIORS DESIGN With An EDGE

H

Theresa’s Tip of the Month

ome improvement shows are some of the most addicting programs on television. They can inspire you to take on a new decorating project or redo your If you have to put your bed in front of entire home décor. But looking at all of the windows because of space issues, turn it into a design statement. various patterns, textures and styles can be a tad bit overwhelming if you have no If you need more direct assistance, idea where to start. Clements says, “Get on your running shoes, – will become That’s when you call Theresa Clements, we are going to get to work.”–She owner of Fast and Frugal Interiors. For over your personal shopper, taking you to furniture, 25 years, she’s been bringing her client’s consignment and home improvement stores visions to life through interior design. She’s to find the perfect accent pieces, paint colors even been featured on HGTV thanks to her and more, all within your budget. unconventional technique.

In the beginning of her career as part owner of Galloways, Clements and Associates in Royal Palm Square, she had what she calls ‘a dream team’ of architects, builders and contractors, at her disposal. Fast and Frugal is a spinof f of sor t s, targeting the everyday homeowner who wants to transform their living space but needs expertise. She says, “I’m trying to reach people who wouldn’t think of calling a designer.” Although the name speaks to her efficiency, Clements makes sure to spend adequate time with each client in order to capture their vision in the most accurate way.

About her job, Clements says, “It’s exciting for me to open new doors to clients and give them a way to solve what they thought was a huge problem.” She continues, “Once you see their vision, the fun thing is giving them the best version of that vision.”

If a home consultation is all you have the budget for, she will come in and decide on a game plan, giving you a road map of where to go and how to achieve exactly what you want.

1637 HENDRY STREET • FORT MYERS • 239-936-1231

@fastandfrugal

mylivinglocal.com | MARCH/APRIL 2020


Barbara Bukousky | Patient

When to Replace

To be able to get up and walk & not be in a wheelchair is amazing AND I’m not in pain.

B

arbara Bukousk y was born with hip dysplasia, a congenital hip disorder affecting 1 out of every 1,000 babies born. This deformity occurs when the hip fails to form normally. Barbara was unaware that she had this disorder until her early 30’s. That’s when she took a fall and shortly thereafter started to experi-

ence severe groin pain.“In 1988 I began visiting every doctor I could find in Southwest Florida and around the state, and no one could tell me what was wrong.” Some physicians even dismissed her, suggesting the pain was in her head. In 1991, she traveled to Boston to find a solution and found herself under the care of Dr. Stephen Murphy. Barbara underwent extensive reconstruction surgery to preserve her hip joint, the result of the hip dysplasia. Since total hip replacements typically last from 10-30+ years, this surgery was designed to delay the need for a total hip replacement - which Dr. Murphy informed Barbarba she eventually would need. When that time came little did Barbara know Dr. Murphy, co-inventor of SuperPATH® total hip replacement, would be the surgeon who personally introduced Dr. Ameglio to this cutting-edge technique. Although developed in 2003, Dr. Ameglio is the pioneer of this procedure in SW Florida and is the most experienced SuperPATH surgeon in our area. With a traditional hip replacement, even after the hip heals the potential exists for it to dislocate during normal activities. Therefore, patients are sent home with a list of movement precautions that they must adhere to for 2 months. SuperPATH carries none of these restrictions. This is the only hip replacement where both the hip is never dislocated, and no muscles or tendons are cut. According to Dr Ameglio, “The SuperPATH

DR. AMEGLIO’S SOLO PRACTICE IS NOW OPEN & ACCEPTING NEW PATIENTS.

6160 Winkler Road, Fort Myers (Between College Pkwy. & Cypress Lake Dr.)

239-494-3147

MARCH/APRIL mylivinglocal. comresults will vary. There are risks and recovery times associated with surgery. *Every2020 patient|is different, and individual


or Not Replace Your Hip approach is less traumatic. It’s easier on the patient physically, they experience less pain, and the recovery time is shortened significantly. It just makes sense and anatomical studies confirm it.” It made sense to Bukousky as well. Over the summer she had her right hip replaced by Dr. Ameglio via SuperPATH and was driving two weeks after the surgery. “I experienced little to no pain,” she marvels. Her hip was back in working order however, about 4 months later Bukousky began experiencing back and groin pain on the opposite side. “I would be up for two weeks and in bed for three, and thought it was time for a hip replacement on the left side,” she recalls. Dr. Ameglio began to investigate the cause of her pain. Although Barbara’s X-ray clearly indicated arthritis in her hip, this time her symptoms were slightly different from the right side. This raised the suspicion that Barbara may be suffering from sacroiliac joint dysfunction. “The symptoms of hip arthritis and SI dysfunction many times overlap making it challenging to diagnose the source of a patient’s pain.” The sacroiliac joint functions as a shock absorber, supporting the entire spine. It dissipates the shock to the sacrum and pelvis; however, with age, it’s less able to absorb shocks and becomes less mobile. SI dysfunction can also present itself after an accident, fall, childbirth, or simply picking up a suitcase.

PeterAmeglio.com @PeterAmeglioMD

Problems with the SI joint can result in pain in the buttocks, thigh, groin, and can radiate down the leg. SI dysfunction is not identifiable on X-rays or any imaging study, adding to the complexity of the diagnosis. “This is why understanding the difference is critical in avoiding an unnecessary hip replacement or revision hip replacement surgery”, adds Dr. Ameglio. Dr Ameglio is the only Orthopedic Joint Surgeon in SW Florida treating both the hip and the SI Joint. This gives him a unique perspective in understanding the source of patients’ pain. “15-30% of people with low back pain have sacroiliitis and in patients who have a lumbar spine fusion, up to 45% have sacroiliitis,” says the surgeon. “It’s a sizable number and it is critical to consider this diagnosis.” Dr. Ameglio performed an SI fusion on Barbara’s left side in November. Barbara is now living pain free for the first time in decades. “30 years is a long time to live the way I lived,” says Bukousky. “To be able to get up and walk and not be in a wheelchair is amazing AND I’m not in pain.” Convinced by the success of her surgeries performed by Dr. Ameglio, her husband has scheduled SuperPATH hip replacement with the surgeon. “There’s not too many doctors I trust anymore because of what I’ve gone through,” says Bukousky. “I love Dr. Ameglio, I believe in him, and most importantly, I trust him.” Dr. Ameglio opened his solo orthopedic practice in July with the help of his wife. Patients have embraced his move and the welcoming atmosphere. The surgeon is known for treating the whole person, for being a good listener, and a physician with empathy. “I love caring for others, I believe it’s what God created me to do,” expresses Dr. Ameglio. He and Audrey enjoy the outdoors and just celebrated their one-year wedding anniversary.

mylivinglocal.com | MARCH/APRIL 2020


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MARCH/APRIL 2020

| mylivinglocal.com


PARK

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Dr. Ascunce is treating young patients on Saturdays providing parents with the convenience of not having to pull kids out of school for dental appointments.

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www.MyParkDental.com • 690 Goodlette Frank Rd. Naples

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mylivinglocal.com | MARCH/APRIL 2020


Quality, Service & Selection

thats a cut above Ingredients (4 servings) • 3 lb Mario’s Boneless Country-Style Pork Ribs • 2 cans Mario’s Italian Plum Tomatoes (28 oz), hand crushed

PERFECTLY BALANCED BONELESS RIBS

• 1 cup Dry Red Wine • 1 pkg. Mario’s Imported Rigatoni (17.6 oz) • ¼ cup Mario’s Imported Italian Olive Oil • 1 large Yellow Onion, chopped (approx. 2 cups) • 3 tbsp. Garlic, minced • 4 tbsp Fresh Parsley, chopped • ¼ tsp. Crushed Red Pepper • Grated Parmesan Cheese, to taste • Fine Sicilian Sea Salt, to taste • Ground Black Pepper, to taste

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Directions • Heat oil in a sauce pot over medium-high heat. • Brown ribs in oil, about 3-4 minutes per side, • •

making sure not to crowd the pan. Once browned, remove from heat. Add onions, garlic, 2 tablespoons parsley, crushed red pepper, salt and pepper to the pan and sauté until onions are translucent. Place ribs back in the pan and stir for 1 1/2 minutes to flavor meat with onions. Deglaze with red wine and sauté another 1 1/2 minutes. Pour in tomatoes, bringing the mixture to a boil, then reduce heat to medium-low, cover and cook for 2 hours, stirring occasionally. Add remaining parsley to the sauce before removing from heat. Cook pasta according to package directions. To plate, top pasta with sauce, ribs, and freshly grated parmesan cheese, if desired.

Buon Appetito! We offer the finest choice in beef, pork, veal, poultry & the largest selection of Italian specialties! 12326 S Cleveland Ave, Fort Myers • (239)936-7275 • Open Mon-Sat 9A-6P MariosMeatMarket.com • MARCH/APRIL 2020 | mylivinglocal.com


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239-234-2442 www.komoonthai.com

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WED • 7:30

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| mylivinglocal.com


DentalOfficeTraining2South.com

• I have also attached a few photos from 123rf. I like them, but would really like to be able to include a “man” dental assistant too. Actually one of them they use on the website. Although with the pink, I’m not sure it goes!! LOL There is a testimonial but with no photo - so I’m not sure whether we should include.

Living Local Text - Justified (must have space between paragraphs) • New Year,Body New Career in Dental Assisting*!

NEW YEAR,

Tatusci utemosae. Vellaccus. Two Programs Available:

qui rem fugitati nobit ut latem exceatur? Nos dolupta doluptin cus quidessimus. Individuals New to Dental Assisting Pitia excerrovide nihillab dolorrovid Expanded Functions forini Dental Assistants Aque dit aut od maxim aut repre pratur moditas int molorep eribus dolecta seque volorepra aut quo endiciae laut tiumquiatur? Rit voles sam illibus Low Teacher-to-Student Ratio andeli- quis et pedi repudandit, sam, tempore, tatis est, ut modia dis ut ressi cus essum int laborerum conet lab int odi sequis Flexible Class Times quae**Expanded voluptatur, num etincludes aut harciae et adit, volorera que dolor aut od qui Functions EFDA Advanced Placement of Restorations ctusanis doluptat. aut fugiatur?

NEW CAREER IN DENTAL ASSISTING!

“I got a job within a week graduation! Every single detail that they showed me, told

me,volorem and gave me increased my confidence. They changed my life and have helped quam Igendit raeperrum inverrum Us acculparunt, quundenimped * metosucceed in my career!” -Maggie, Graduate di quo beatiisque solorum rerspitatfugiate mpossitatur, aut dolore nus ur mos rem estem net apitas doluptas volorem venesciatus sitatur ma atiant Enrollment for Winter 2020. Call NOW to sign upvoloribus or schedule avolende visit! iliquatLimited emporem poreptiam quod earupta acepeleste latet, spicia239-216-9281 aut porecum quam, omnis et quam sa conectum repudis nitatqu amusam, doluptatiate velitemo qui con pore, ist, seremquate voluptatur, qui ium harcita 9861 Bernwood Place Drive, Suite opta 175, Fortnam Myers volessit quo ipsae lanisqu aturiost, dolorec abore, iuntibus.

2

(phone number much larger than physical address)

PROGRAMS

Individuals New to Dental Assisting Expanded Functions for Dental Living AVAILABLE Local Body Text - Justified / Indented (space between para. notAssistants required) dentalofficetraining2south.com Disclosures (small at bottom)

“I got*The a job withinof aDental week of graduation! Every detail employment Assistants is projected to grow 11%single from 2018 to 2028,that Aque dit autpopulation od maximand autongorepre pratur Tatusci utemosae. Vellaccus. much faster than the average for and all occupations. Theincreased aging they showed me, told me, gave me my confidence. seque volorepra aut quo endiciae laut Pitia excerrovide nihillab ini dolorrovid ingchanged research linking health and general health will lead to continued increases They my oral life and have helped in sam, my career!” quis et me pedisucceed repudandit, tempore, moditas int molorep eribus dolecta in the demand for preventive dental services.

-Maggie

A DUATE conet lab int odi sequis tiumquiatur? RitLabor volesStatistics sam illibus andeli- intGRlaborerum -Bureau of (10/2019) tatis est, ut modia dis ut ressi cus essum et adit, volorera que dolor aut od qui aut fugiatur? quae**One voluptatur, num et aut harciae LOW TEACHER-TO-STUDENT RATIO • FLEXIBLE CLASS TIMES of the first training facilities approved to teach this advanced procedure. ** Us acculparunt, quundenimped quam ctusanis doluptat. Expanded Functions includes EFDA Advanced Placement of Restorations Igendit volorem raeperrum inverrum fugiate mpossitatur, aut dolore nus di quo to beatiisque solorum rerspitat- volorem venesciatus sitatur ma atiant CALL NOW ASKnet ABOUT INTRODUCTORY SAVINGSvoloribus & RESERVE YOUR SPOT! volende latet, ur mos remTO estem apitas doluptas acepeleste iliquat emporem poreptiam quod earupta sa conectum repudis nitatqu amusam, spicia aut porecum quam, omnis et quam seremquate voluptatur, qui ium harcita doluptatiate velitemo qui con pore, ist, nam iur re es ex et et autati inimaxi 9861 Bernwood Place Suite 175, Fort Myers suscili quodia volessit quo ipsae lanisqu aturiost, optaDrive, millendes il id moluptas qui rem fugitati nobit ut latem exceatur? in perchiligene exceaque quias ut fuga. *The employment of Dental Assistants is projected to grow 11% from 2018 to 2028, much faster than the average for all occupations. The aging population and ongoing Nos linking dolupta quidessimus. Ficipsam iuntibus research oral healthdoluptin and general healthcus will lead to continued increases in the demand for preventivequi dentaldolorec services. -Bureauabore, of Labor Statistics (10/2019)

239-288-4677

**One of the first training facilities approved to teach this advanced procedure.

mylivinglocal.com | MARCH/APRIL 2020


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O P E N FO R L U N C H A N D D I N N E R HOURS: MON - FRI: 11:30AM - 9PM • SAT & SUN: 11AM - 9PM

4761 Estero Blvd, Fort Myers Beach

MARCH SPECIAL

buy one,get one

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MAX DISCOUNT $ 25

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UPSTAIRS HAPPY HOUR 3pm - 6pm • Bar Area Only

We are Proud to be the Only Restaurant on Fort Myers Beach to Receive this Award

MARCH/APRIL 2020

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APRIL SPECIAL

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DOWNSTAIRS HAPPY HOUR 3pm - close • Cabana Bar • $6 Wells & $8 Calls • $4 Domestics • $5 Imports and Craft Beers • $6 House Wines by the Glass • $8 Frozen Drinks • $10 Speciality Drinks • Appetizer Specials from Our New Happy Hour Brick Oven Pizza Menu

239-463-FOOD (3663) • BayfrontBistro.C O M

| mylivinglocal.com


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TL C

Pets & People At Gulf Coast Humane Society

For

Event

Upcoming

Pets are more than just animals; they are family members for many people. But what happens to them when the family breaks up? When there is divorce or sickness? A financial set back, job loss or relocation? Many of them end up at the Gulf Coast Humane Society (GCHS,) a not-for-profit, no-kill shelter. In 20 1 9 t he shel ter rescued a whopping 2532 animals and adopted 2309 of them. “Many people are surprised to know we’ve been around since 1947 and at our current location off of MLK in Fort Myers since the early 70’s,” says Executive Director, Jennifer Galloway. Formerly known as Lee Count y H umane S ociet y, t he name was changed in the late 90’s; people often confused the shelter with the county’s animal services department. In addition, the organization’s reach goes far beyond Lee County. The shelter partners with smaller towns all over Southwest Florida that have limited resources. Animals are often euthanized in smaller communi-

ties because there is no medical care or even worse, no space for them. Galloway says, “Florida is one of top states that still euthanizes animals. By helping rural communities we help reduce those numbers.” When it comes to adoptions, “One of the biggest myths is that because an animal is in a shelter, they must have done something bad when that is just not the case.” Galloway says most animals end up there because owners can no longer take care of them. Once in the shelter, it is her mission to ease the fears of the animals, make sure they feel loved and leave with new skills. She likens a shelter stay to summer camp saying, “We do enrichment. We have certified trainers. We have play dates so they can go in the yard with other dogs. We want them to keep their social skills.” The same holds true for cats. GCHS has a free roaming cat room complete with a lanai for felines to lounge in the sun. Galloway explains, “It makes an easier transition into a home if the cats aren’t stuck in cages while they are here.”

What 10th Annual ‘The Fast & The Furriest’ 5K run & 1 mile walk Where Jet Blue Park, Fort Myers WheN April 4th Who The event is timed for serious runners but also dog friendly How Find race forms and donation information at:

MARCH/APRIL 2020

GulfCoastHumaneSociety.org

| mylivinglocal.com


@GulfCoastHumaneSociety

“For A Greater Cause” is a monthly initiative of livinglocal, spotlighting a local nonprofit that is making a difference in our community. livinglocal also makes a monetary donation to the nonprofit on behalf of its advertising partners. Not all cats are adoptable; there is a large feral (free roaming cats) population in Southwest Florida. GCHS partners with Fortunate Ferals, another local non-prof it organization that teaches people how to colonize feral cats with an emphasis on spaying and neutering. “It’s our goal to reduce the cat population problem in the state,” says Galloway. The influence of GCHS is indeed much greater than the walls of the shelter. “We go into the community with animals to ease tensions and stress,” says Galloway, adding, “Even 911 call centers because it’s such a stressful job. The animals bring smiles to their faces.” The same holds true for children who are experiencing trauma. Shelter dogs make regular cameos at places such the Children’s Advocacy Center of Southwest Florida and Valerie’s House. Animals are used for humane education programs in local schools and at summer camps, and volunteers take them to nursing homes and adult day care programs throughout Southwest Florida.

GCHS was founded before the National Humane Society, and while a member of that organization, receives no funding from it. GCHS is privately funded, relying on donations and volunteers. Volunteers walk dogs, take them on car rides and even home for observation. If any behavior issues are noticed, trainers will work with the animals. Dog-training classes are offered to the public as well. “The goal is to get them in a home and keep them in a home,” says Galloway, “We do all we can to give our animals good skills.” Perhaps one of the biggest needs, besides funding, is that for foster parents. This is especially true during kitten season when babies whose eyes aren’t even open, are abandoned and have to be bottled fed. Ditto for puppies and injured animals. “There is only so much we can do in the rehabilitation center,” says Galloway. “It’s just like with people. We get better faster in a home, with fresh air, love and sunlight. I’m a true believer that heals us all.”

Veterinary Clinic 2685 Swamp Cabbage Ct • Fort Myers, FL 33901 (239) 332-2719 Spay & Neuter Clinic 2010 Arcadia St • Fort Myers, FL 33916 (239) 332-0364

mylivinglocal.com | MARCH/APRIL 2020


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