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ON THE COVER

CONTENTS

6 8 9 10 14 15 16 18 19 20 22 25 26 27

10

summer

20

2015

Letter from the Editor Community Calendar / Endorphin Source Doctors’ group seeks aid to Nepal quake survivors Edwards was ‘conservation before conservation was cool’ Dr. Turck – Peripheral Neuropathy Viera Medical Mile 5K & Fun Run Guests have a ball while combatting cancer Golfers get a better workout by walking State says beaches safe for most swimmers, despite potentially deadly bacterium Five-star service: Viera Hospital earns top ranking Wuesthoff center wins national honors/ Take steps to swat mosquito-borne illnesses Here’s the Dish: Summer spaghetti Hair today: Nonprofit gathers wigs for cancer patients App helps patients get the picture

4 | VIERA MD MAGAZINE

22 26

Arnold Palmer Hospital for Children Nationally Ranked in 7 Pediatric Specialties CARDIOLOGY & HEART SURGERY DIABETES & ENDOCRINOLOGY GASTROENTEROLOGY & GI SURGERY ORTHOPEDICS NEUROLOGY & NEUROSURGERY PULMONOLOGY UROLOGY

Orlando’s Only Nationally Ranked Children’s Hospital

BY U.S. NEWS & WORLD REPORT

We’re honored that U.S. News & World Report has recognized Arnold Palmer Hospital for Children’s excellence again in seven pediatric specialties. We thank our outstanding physicians and team members, our patients and their families, our referring physicians and our community for all they do to make this accomplishment possible.

To learn more about our specialty care, visit ArnoldPalmerHospital.com or call 321.843.KIDS (5437).

letter from the editor

Awa rds a n d dis t i nc t i o ns reflect the health of he a l thc a re

I

t’s a tremendous source of pride when you look at it — the multistory edifice piercing the horizon that engulfs it with a golden sunset before glowing lights create its necklace of many colors through the night. Health First’s Viera Hospital recently won a distinction that proves its beauty inside as well as out.

The hospital earned a five-star rating reserved for the highest performing hospitals in customer service based on patient experience scores reported in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The survey covers topics such as how well doctors and nurses communicate with patients, how responsive hospital staff are to patient needs, how clean and quiet hospital environments are and how well patients are prepared for post-hospital settings, see page 20.

My wife, our children and I am spoiled by the nearness of the hospital. When you need it, minutes count, and the fact that you can breeze in for emergency needs or specialty care with little or no wait is priceless, too.

It was built with the assumption that west Viera homes would already be in place, but the economy of the past decade slowed progress, so many areas are barely used. I have no doubt that as residential construction continues to speed up and the facility is at peak capacity, service will remain at five stars, even as greater need calls for future expansion.

The greater Viera healthcare scene glowed on as Wuesthoff Wound Care & Hyperbaric Center-Rockledge recently received national awards for clinical excellence and wound healing.

The center at 1257 S. Florida Ave. earned the Center of Distinction Award from Jacksonville-based Healogics Inc., the nation’s largest provider of advanced wound care services. It also earned the Robert A Warriner III, M.D., Center of Excellence award for meeting Healogics, Inc.’s Center of Distinction quality standards. To earn the award, the center had to achieve standards for at least two consecutive years, see page 22.

Great healthcare options are key to the matrix that makes the Viera area a great place to live, work and play.

Mike Gaffey

6 | VIERA MD MAGAZINE

vieramd.com Summer 2015 • Volume 2, Number 3

BLUEWATER CREATIVE GROUP 7630 N. Wickham Rd. Suite 105 Viera, FL 32940 242.1235

MANAGING EDITOR Jill Blue-Gaines

EDITOR Mike Gaffey

ART DIRECTOR Cory Davis

WRITERS Mike Gaffey Katie Parsons • Melinda Millsap Wittlekind George White • Linda Wiggins © 2015 All rights reserved.

Bluewater Creative Group Inc. bluewatercreativegroup.com

A sister publication to Viera Voice.

All material contained in Viera MD print or electronic versions is strictly copyrighted and all rights are reserved. Duplication or reproduction of this magazine in whole or in part is prohibited without permission of Bluewater Creative Group, Inc. We cannot accept liability for omissions or typographical errors. Listings, feature articles or advertisements do not constitute an endorsement. Opinions expressed are not necessarily those of the publisher. Viera MD is a free publication and is available at many Viera physician and other business offices.

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BMW_Viera purchasers, owners, or leasees. Please see bmwusa.com/UltimateService or ask your authorizedVoice_Half_MAR09.indd BMW center for details. 1 ** LSpecial ease financing available on new 2015 BMW 528i Sedan from participating BMW centers on leases assigned to BMW Financial Services through July 31, 2015. Monthly lease payments lease and finance offers available through BMW Financial Services. ©2014 BMW of North America, LLC. The BMW name, model names and logo are registered trademarks.

For model year 2015 or later vehicles sold or leased by an authorized BMW center on or after July 1, 2014, BMW Maintenance Program coverage is not transferable to subsequent of $449.00 for 36 months based on MSRP of $52,745.00. $4,244.00 cash due at signing is based on $3,000.00 down payment, $449.00 first month payment, $795.00 acquisition fee, purchasers, owners, or leasees. Please see bmwusa.com/UltimateService or ask your authorized BMW center for details. and $.00 security deposit (not all customers will qualify for security deposit waiver). Tax, title, license, registration and dealer fees are additional fees due at signing. Program available from Special lease and finance offers available through BMW Financial Services. ©2014 BMW of North America, LLC. The BMW name, model names and logo are registered trademarks. participating BMW dealers to eligible, qualified customers with excellent credit history who meet BMW Financial Services credit requirements. Payments do not include applicable taxes.

All figures presented are examples only. Actual MSRP may vary.

Community Calendar Weekly Events: Viera Regional Community Center 2300 Judge Fran Jamieson Way, 433-4891

July 25: Run the Tide Beach 5K, 8 a.m., Longdoggers, Indialantic; information at uprunningracemanagement.com

Mondays, Wednesday and Fridays: Boot Camp Fitness Classes, 8:30 to 9:30 a.m.

Aug. 1: Workman Warriors 5K, 7:30 a.m., Wickham Park; information at secure.runningzone.com/workman5k/

Mondays and Wednesdays: Iron Works Fencing, 5:30 to 6:30 p.m. Mondays, 6 to 7 p.m. Wednesdays July 23: Senior Strength Exercise Class, 8:30 to 9:30 a.m.

One Senior Place, 8085 Spyglass Hill Road, Viera; 751-6771 July 30: Weight Management 101 with Dr. Mark Pinsky, 5:30 to 7 p.m. One Senior Place, 8085 Spyglass Hill Road, Viera; 255-2289

Aug. 8: I Run for Pizza Football Kickoff 5K, 7 a.m., The Avenue Viera; information at runningzone.com/series/news2/1729 Aug. 22: Running on Island Time 5K Race/Walk, 7:30 a.m., Divine Mercy Academy, Merritt Island; information at debwells@cfl.rr.com

Aug. 12: Remembering Through Sharing, a free support group for families who have experienced pregnancy loss, stillbirth or loss of a newborn, 7 to 8:30 p.m., Cape Canaveral Hospital Medical Plaza, Conference Room D., 701 W. Cocoa Beach Causeway, Cocoa Beach; 868-2701

Sept. 5: Sister Run 5K, 7:30 a.m., Ryckman Park, Melbourne Beach; information at thesisterrun.org/

Sept. 4-7: 30th Annual NKF Rich Salick Pro/Am Surf Festival, Cocoa Beach Pier, 401 Meade Ave., Cocoa Beach. The largest charity surfing competition in the world benefits the National Kidney Foundation of Florida; 784-5661

January 9: Viera Medical Mile 5K Fun Run, see page 15

Sept. 12: Turtle Krawl 5K Run/Walk, 7:30 a.m., Nance Park, Indialantic; information at turtlekrawl.com/

Submit upcoming calendar events to Partners@VieraMD.com

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8 | VIERA MD MAGAZINE

DOCTORS’ FOUNDATION BRINGS AID, COMPASSION

TO NEPAL QUAKE SURVIVORS

BY MIKE GAFFEY

T

he Doctors’ Goodwill Foundation is looking for more physicians and nurses in Brevard County to volunteer for future trips like its July mission to assist survivors of Nepal’s deadly April earthquake.

The Brevard-based group traveled to Nepal’s quakeravaged capital of Kathmandu July 13 for a 10-day mission to bring medical equipment, supplies and funds, foundation founder Dr. Kantilal Bhalani said. Several doctors from the Tampa area accompanied Bhalani and other foundation Simple Media Productions members.

Dr. Kantilal Bhalani “We need more physicians from Viera and Suntree to take part in future trips,” Bhalani said. “Anybody can volunteer.”

On April 25, the strongest earthquake in Nepal in more than 80 years struck the impoverished South Asia country. The 7.8-magnitude quake killed more than 8,800 people and injured more than 23,000. Entire villages were flattened, leaving hundreds of thousands homeless. A 7.3-magnitude aftershock on May 12 left another 250 dead and 2,500 injured.

Volunteers were required to make a nonrefundable deposit to book the mission, Bhalani said.

The foundation welcomes donations from doctors and hospitals of used, working medical equipment such as X-ray, EKG and anesthesia machines and operating room and surgical supplies, Bhalani said. Health First and Parrish Medical Center donated medical supplies for the Nepal trip.

To make a tax-deductible cash donation toward the current or future trips, mail checks payable to the Doctors’ Goodwill Foundation to Dr. Bhalani at 3 Indian River Ave., Unit 1201, Titusville, FL 32796.

The foundation was established as a nonprofit charitable organization in December 2003 by a group of Parrish Medical Center physicians. Its first mission was in Tibet in 2004. Since then, the group, which has grown to more than 400 volunteers, has taken part in medical camps in Tanzania, Brazil, New Orleans, Indonesia, India, Costa Rica, Pakistan and Fiji.

For more information or to volunteer for future trips, call 321735-6492, email info@doctorsfoundation.org, or go to doctorsfoundation.org. n VIERA MD MAGAZINE

|9

Edwards was ‘conservation

before conservation was cool’ DENTIST FOCUSES ON BIOLOGIC CARE

BY LINDA WIGGINS AND MELINDA MILLSAP WITTEKIND

D

ressed in a bright Hawaiian print shirt with an attitude that is lighter than air, it wouldn’t be the first time Dr. Chris Edwards was mistaken for a waiter rather than the head of a Viera dental empire providing community education and outreach at a networking event.

Even in the office, don’t expect the sterile white lab coat of traditional medicine and dentistry. He may have the hands of a surgeon when needed, but Edwards has the heart of a surfer. When he came of age and his professional peers joined The Establishment, he made the conscious decision to simply stay cool, man. He was conservation before conservation was cool.

physicians to help patients receive the best care possible, with minimally invasive procedures preferred. Edwards is certified by the American Naturopathic Medical Certification Board and accredited by the International Academy of Oral Medicine and Toxicology (IAOMT), which means he follows its protocol for safe removal of mercury fillings.

“Very few dentists are trained and certified to do this, anywhere from a quarter of a percent to 1 percent,” Edwards said. “We work closely with medical and alternative health professionals and we are the dental part of a team that works together to help patients obtain health.”

Merging nature with technology Edwards is upgrading his new office to keep up with all the new changes in technology and care. Much of his education has been

After 30 years of practicing dentistry and leading a healthy, balanced lifestyle, it was natural for Edwards to open his new wellness center to focus on the health of the whole person.

Built with green technologies and materials, from natural cork floors to filtered alkaline water, the environment supports the goal of helping patients obtain health in a relaxed, caring environment.

That’s natural People seeking healthy dental care in Central Florida can find it in Viera at the Smile Design and Wellness Center, 5445 Village Drive, at the northeast corner of Murrell Road and Viera Boulevard. Slated for a late July opening, this is the new name and location for Edwards’ dental practice, formerly called Smile Design and Implant Center off Devereux Drive. Edwards’ passion for healthy living is the reason for the name change and the new green office. The biologic dentist has combined this high-tech, green technology with the latest medical and alternative health care procedures.

Edwards applies conservation principles to dentistry, and that means preserving natural teeth whenever possible.

His staff members are trained beyond the field of dentistry to include comprehensive healthcare and they work with

Biologic dentistry is a growing branch of dentistry that looks at the mouth and its structures as part of the whole body.”

10 | VIERA MD MAGAZINE

Viera MD/JIll Blue Gaines

CEREC Technology can produce a crown, overlay, veneer or even a bridge in one visit.

Viera MD/Alex Edwards

The old wood from the former New Life Church sanctuary will find new purpose throughout the office.

Edwards combines his love of woodworking with his passion for conservation by repurposing wood.

in modern technology such as implants, lasers, and 3D technologies such as CEREC one-visit crowns.

A patient comes in to restore a decayed, broken or weak tooth in one visit. The old filling, if it contains mercury, is removed safely. The tooth is minimally prepared, preserving as much of the healthy tooth as possible. Instead of a goopy impression and temporary crown, the tooth is digitally scanned. A restoration crown, onlay, veneer or even a bridge, is designed on the computer, milled in a CAD CAM machine and crystallized in an oven. Prior to cementation, the tooth is flooded in ozone gas to sterilize and desensitize the area before the biocompatible restoration is permanently affixed. The tooth is matched to the exact color of the surrounding teeth so it is indistinguishable from the others. The patient never leaves the office, passing the time enjoying a relaxing paraffin hand dip in a spa environment.

The use of computers and digital technology provides a higher level of dental treatment. The wellness center is a paperless office that adds the benefit of 3D Cone Beam X-ray technology with very low radiation and high diagnostic value.

Edwards graduated from the U.S. Merchant Marine Academy and Temple University School of Dentistry with honors, completing his general practice residency at the Queens Medical Center in Honolulu.

Work hard, play harder As in his days on the Big Island where his Hawaiian shirts are just called, well, shirts, Edwards still loves the water, but traded in his surf board for a kayak for more of a family sport that also works well inland on the Indian River Lagoon. But while his entire family adores the shore, it was not the myriad bodies of water on the Space Coast that drew him

Hardwoods collected along Edwards’ life jouney will be used throughout the new office.

Looking more like his old surfboard, this wood will be repurposed as the new lips for the new Smile Design sign.

The new location on Village Drive has groomed commercial frontage and a nature preserve in the back, above.

VIERA MD MAGAZINE

| 11

Viera MD/Linda Wiggins

Edwards and staff surround the spaceman that will “float” in the air at the new office on display with a flag that flew in space.

here 13 years ago, but his belief that education is important for his children as well as himself.

Patients love the Beatles room filled with iconic memorabilia.

The family relocated so daughter Jill could dual-enroll in high school and college for an aeronautical program, later graduating from Florida Institute of Technology and going on to Embry-Riddle Aeronautical University for her master’s degree.

She now is working locally at Embraer Executive Aircraft in Melbourne. Another successful daughter, Mae, lives in Boston.

His wife, Judy Edwards, is an artist and member at the highly regarded Fifth Avenue Art Gallery in the Eau Gallie area of Melbourne. Her medium of choice is encaustic painting, also known as hot wax painting, involving the use of heated beeswax to which colored pigments are added. The liquid or paste is then applied to a surface — usually prepared wood.

According to plan When a patient enters the Smile Design and Wellness Center, comfort is the primary concern, with all five senses engaged.

If you arrive early, you can sip on your choice of coffee or tea.

Aromatherapy has always been used throughout the office to create a relaxing environment. Patients can chose their own scent in the treatment rooms. Beautiful imagery sends the eyes on a journey while headphones take the edge off the drill.

The first step to all of this is a visit with a patient care coordinator to set up a personalized treatment program.

“We learn about your goals and concerns so we can make you more comfortable,” staff member Jenny Colmer explained. The use of both video and still photography through a microscope documents and shows patients the conditions in their mouths and helps them make informed decisions about their treatment choices and the best plan for them.

12 | VIERA MD MAGAZINE

The new office location has spiritual roots. It is the former home of the popular New Life Church, which moved out to accommodate its growing congregation. It meets at the Brevard County School Board in Viera while plans move forward to build a permanent location on land it owns nearby in west Viera.

Chris and Judy Edwards share a love of wood, and while Judy’s art is incorporated with wood, Chris’ art is the wood itself. His passion for “repurposing” it speaks to his belief in conservation.

He made use of the woods used in the space that was once the church sanctuary and is combining them with hardwoods he has collected throughout his life’s journey to be used throughout the new office.

Edwards stood up from his work at the table saw during construction recently, the noise of the blade the only sound disturbing the quiet of the new office that is surrounded by nature.

His hand lovingly traced the edge of a cut he’d just made, tiny particles of wood wafting through the afternoon sunlight.

“I feel really good knowing it will be the cornerstone of our new home.”

For more information, call 321-751-7775 or go to SDICFL.com or smiledesigncenter.us. n Viera MD/Photo

Edwards, second from the left, traded in his surf board for a kayak, joined by his daughter Mae, wife Judy, son-in-law Stuart Wilson and daughter Jill.

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VIERA MD MAGAZINE

| 13

Peripheral neuropathy what you need to know

BY RONALD A. TURCK JR. M.D. Do you have numbness and tingling in your feet? Have you noticed difficulty with balance? Have you heard of peripheral neuropathy and feel this may be affecting you? Here is some helpful information to learn more about it.

What is peripheral neuropathy? In simple terms, this is damage of the peripheral nerves. These are the nerves that come off the spinal cord, and the majority are in the extremities. The feet, especially the toes, have the longest nerves, and typically have damage before others. The nerve has a covering, or myelin sheath, and an inner portion, the axon. The damage often occurs at the axon, but can also occur at the covering only.

What causes peripheral neuropathy? There are many causes of nerve damage, the most common in the United States being diabetes mellitus, commonly referred to as diabetes.

This causes elevated blood sugar, which will cause damage to the peripheral nerve. Other causes include inflammation due to auto-immune disease (the immune system “attacking” the nerve), vitamin deficiencies (such as B12) and damage due to abuse of alcohol.

What are symptoms of peripheral neuropathy? How do I know if I have this? The most common symptoms are sensory; typically one will develop numbness and tingling. This typically starts in the feet. A person can also note difficulty with balance, not related to any sensation in the head (such as dizziness, lightheaded feeling or vertigo). Discomfort can occur, especially at night. This can be “pins and needles,” sharp sensation, or a burning sensation. Weakness may also occur.

How is it diagnosed? A neurologic exam, assessing the sensory and motor function, along with assessing balance and walking, is the most important. Testing to confirm the diagnosis includes a nerve conduction study (NCS, sometimes referred to as NCV), which uses electrical stimulation to assess nerve function. This is performed along with an electromyogram (EMG), which uses a needle to assess the muscle. Testing also includes bloodwork to assess for a cause.

Is there any treatment for it? Diagnosing and treating the cause is most important. There are FDA-approved medications for treating the discomfort and pain associated with it. Presently there are no treatments for repairing nerve damage.

14 | VIERA MD MAGAZINE

Should you get evaluated for it? If you feel you have symptoms, you should discuss this with your primary care physician.

Assessment by a neurologist is recommended. The neurologist will often perform the testing.

Further information can be found on educational websites such as the National Institute for Neurologic Disease and Stroke (ninds.nih.gov), The Neuropathy Association (neuropathy.org), the Mayo Clinic (mayoclinic.org) and Johns Hopkins (hopkinsmedicine.org).

Dr. Ronald Turck Jr. is board certified in general neurology by the American Board of Psychiatry and Neurology. He is fellowship trained in clinical neurophysiology, with a focus on neuromuscular diseases and has treated all types of neurologic diseases including Parkinson’s, dementia and memory disorders such as Alzheimer’s, stroke, epilepsy, migraine headaches and neuromuscular disorders such as peripheral neuropathy. Dr. Turck’s office is at 8045 Spyglass Hill Rd. #102 in Viera or call 321-241-6535. n

5K & Fun Run T

he Viera Medical Mile will get its first official planned event in January. Event host Viera MD authored the moniker that refers to the one-mile circuit up and down Spyglass Hill Road between Murrell Road and Baytree Drive.

The Jan. 9 Viera Medical Mile 5K & Fun Run will kick off New Year’s resolutions with a day of active family fun. Proceeds will help meet the health and basic needs of families who take in or adopt children.

The Viera Medical Mile Walk & Talk with the Doc series will invite the public and patients of the upscale medical-services area to get moving while they learn what else they can do to get more from a healthy lifestyle.

Viera Medical Mile was officially named by Viera MD in its award-winning June 2014 issue by CEO Jill Blue-Gaines of Bluewater Creative Group, which also publishes Viera Voice, Senior Life, Boomer Guide and the Charlie Corbeil Birding Guide, and hosts many popular expos and events each year.

For more information or to sponsor or host events, call 321-242-1235 or go to VieraMD.com. n

VIERA MD MAGAZINE

| 15

HEALTH FIRST BALL RAISES $451K for early

lung cancer detection

BY KATIE PARSONS

T

he 2015 Health First Foundation Benefit Ball raised $451,000 that will go toward the purchase of early lung cancer detection equipment in April.

Every year between 500 and 700 new cases of lung cancer are reported in Brevard County and it is the leading cause of cancer fatalities nationwide in men and women.

The cutting-edge cancer detection equipment will be part of the Health First Cancer Services facilities. Specifically, the equipment being purchased includes an endobronchial ultrasound (EBUS) and electronavigation bronchoscopy (ENB) equipment. Right now, lung cancer patients have to travel out of the area to access these devices.

Past Health First Foundation Benefit Balls have brought in more than $5 million for health services that are utilized in Brevard. A few of the initiatives that have benefited from the ball include the NICU at Holmes Regional Medical Center, Hospice, the da Vinci Robotic Surgical System, and Digital Mammography Equipment.

The Benefit Ball is one of three major fundraising events that the Health First Foundation hosts every year, including The Grape Escape and a Golf Tournament.

“Lung cancer causes more cancer deaths than breast, colon and prostate combined,” Mohr said. “EBUS provides real-time biopsies and diagnosis of the central chest lymph nodes and lesions. ENB is a GPS for the lungs. In combination with our lung screening program, these technologies will assist in earlier detection, more accurate diagnosis, fewer complications and greater comfort for those in need.”

To find out how to participate in next year’s event, contact Sandy Grutta at sandy.grutta@health-first.org. You can also support these continued efforts by making a contribution at HFgive.org or calling the Health First Foundation at 321-434-7353. n

“The funds raised for Health First Cancer Services will help reduce the financial burden and unnecessary stress of extended travel out of the area for patients and their families during cancer treatments,” said Terry Mohr, Health First Foundation president.

The event was manned with 30 volunteers, had 475 guests in attendance and was held at the Clemente Center. The safarithemed “An Evening in Africa” was complete with animal decorations and tribal drum music.

Health First Photo

The Health First Foundation Benefit Ball Committee

POIS MOI COLLECTION

Health First Photo

Co-chairs of the The Health First Foundation Ball Underwriting Committee Becky (from left) and Al Dukes, Health First President/ CEO Steve Johnson and Ball Committee Chair Debbie Keller.

16 | VIERA MD MAGAZINE

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| 17

FOR CALORIE-CONSCIOUS GOLFERS,

WALKING BEATS RIDING ON A CART Baytree National Golf Links charges the same fee to either walk or ride and only lets walkers play in the late afternoon.

Turtle Creek Golf Club in nearby Rockledge lets walkers play any time of the day at a lower rate, as do the three county-run golf courses – The Savannahs on Merritt Island, The Habitat at Valkaria and Spessard Holland in Melbourne Beach.

There’s no question you’ll get a better workout walking 18 holes versus riding in a cart.

According to an April 2014 health and fitness blog on golfdigest. com, you will burn about 1,500 calories if you walk 18 holes, about 800 calories more than if you ride.

But regardless of the added exercise or lower rates, area golf course managers say very few golfers choose to walk.

BY ALICE GARWOOD

D

rive by an area golf course on any given day, and you’ll see golf carts zipping across fairways.

A far less common sight is golfers on foot, either with a push or pull cart or carrying their bag. Although professional, college and high school golfers are required to walk during tournaments, most recreational golfers cover 18 holes in the comfort of an electric cart.

The health benefits of regular walking are well-known. And although walking golfers aren’t on the move continuously, walking five to seven miles during the typical four-hour round will burn nearly twice as many calories as riding.

Besides the physical requirements of walking, golfers may also be deterred by some clubs’ policies, with many requiring riding until later in the day or charging the same rate for walking or riding.

Melloh said about 5 percent of golfers at Viera East walk the sprawling course, likely because of the “very long” distances between the greens and tees.

“Most walk for health benefits, sometimes for economics. In our neighborhoods, most golfers have their own golf carts so they can get around the course quicker,” Melloh said.

But even at The Savannahs, which is “more walkable” because the tees and greens are closer, no more than about 5 percent walk, Romanoff said.

Melloh, however, said he thinks walking can benefit golfers’ game, noting that when they ride in a cart, they get to the ball quickly and often are chatting with a playing partner.

“For the pure golf experience, you play better golf when walking because you have more time to think about your shots. It’s easier to focus on the game when walking.” n

Revenue generated from cart rentals is a big reason for the restrictions, course managers say.

“We still want people to walk, but we’re trying to break even.

Losing cart revenue is difficult,” said Alex Romanoff, manager of The Savannahs on Merritt Island.

“Many courses don’t even allow walking at all, or allow walking only after 4 p.m. It’s purely an economic reason,” said Tim Melloh, general manager and golf pro at Viera East Golf Club.

Another reason some courses restrict walking is because it can slow the pace of play, said Melloh, although he doesn’t think that’s always the case, depending on the golfers’ experience level.

“A good foursome would keep up with the pace of a foursome riding,” he said.

Most courses in the Viera area allow walking only later in the day, when fewer golfers generally are playing.

Viera East Golf Club is open to walkers, at a reduced rate, Monday through Thursday after 2 p.m., while Duran Golf Club lets walking golfers play after 2 p.m. any day at a reduced rate.

18 | VIERA MD MAGAZINE

Photos by Alice Garwood Viera MD

Although walking golfers aren’t on the move continuously, walking five to seven miles during the typical four-hour round will burn nearly twice as many calories as riding.

State says beaches safe for most swimmers, despite potentially deadly bacterium

BY MIKE GAFFEY

F

“Water and wounds do not mix,” officials said. “Do not enter the water if you have fresh cuts or scrapes. Individuals who are immunocompromised, i.e. chronic liver disease, kidney disease, or weakened immune system, should wear proper foot protection to prevent cuts and injury caused by rocks and shells on the beach.”

The infection can also spread to people who eat raw or undercooked seafood, especially oysters.

lorida’s beaches and water are safe, say state health officials who claim recent media reports of risks posed by a so-called “flesh-eating” bacterium are inaccurate.

Vibrio vulnificus can cause stomach pain and vomiting, and can lead to septicemia, skin ulcers and limb amputation. The bacterium is fatal in about 50 percent of cases.

A normally healthy person who does not have open cuts or wounds has little to fear from Vibrio vulnificus, the Florida Department of Health said in a June 12 press release.

For more information, go to floridahealth.gov. n

A 57-year-old Brevard County man was one of seven people killed so far this year by the bacterium, which thrives in warm, brackish ocean, lake and river waters. The other victims were in Duval, Lake, Sarasota, Marion and Hillsborough counties. As of July 10, 14 Vibrio vulnificus cases had been reported across 11 counties.

Cases can increase from May to October when water is warmest, according to the Centers for Disease Control and Prevention.

A May 29 health department release reminding Floridians of ways to protect themselves from the naturally occurring bacterium prompted several media reports that contained “inaccuracies about the safety of Florida’s beach water related to cases of Vibrio vulnificus infections,” the health department said in its June 12 release.

Vibrio vulnificus infections are rare, but visitors to Florida’s coastal waters should still take precautions, health officials said.

Dr. Richard Levine invited panelist at Oncology Forum Dr. Richard Levine, a board-certified medical oncologist and president of Space Coast Cancer Center, was an invited panelist at the 2015 Association of Community Cancer Centers (ACCC) Institute for the “Future of Oncology Forum” on June 25 in Chicago.

Levine was asked to identify challenges anticipated in the future and help provide solutions so that patients will receive the best medical care possible in the United States.

Space Coast Cancer Center was the first practice in Florida and one of the first 17 in the United States certified for quality by the American Society of Clinical Oncology’s Quality Oncology.

For more information, go to spacecoastcancer.com. n

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VIERA MD MAGAZINE

| 19

Viera Hospital’s 5 Stars for patient experience is a Central Florida first

BY LINDA WIGGINS

J

im Young of Suntree sliced into a delicately spiced Caribbean chicken breast, added a freshly steamed green bean and tender, flavorful grains of rice onto his fork and took a bite.

“Joan was in a hospital for a serious, lengthy stay and we discovered that good food service was very important,” Young said of his wife of nearly four decades. He slowly shook his head in solemn remembrance of the bleak daily meals served both in room and in the cafeteria. “So we can tell you this is a huge selling point, and this food is amazing.”

The Youngs were on a June 4 tour of Health First’s Viera Hospital organized to celebrate its recent five-star designation.

The rating is reserved for the highest performing hospitals in customer service and is based on patient experience scores reported in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The survey covers topics such as how well doctors and nurses communicate with patients, how responsive hospital staff are to patient needs,

Viera MD Photo

Brevard County District 4 Commissioner Curt Smith, left, COO of Health First’s Viera Hospital Deborah Angerami and president of Community Hospitals for Health First Bill Calhoun give and receive a framed proclamation at a May meeting in honor of the hospital’s recent 5-Star rating .

how clean and quiet hospital environments are and how well patients are prepared for post-hospital settings.

It was the first time the Centers for Medicare & Medicaid Services (CMS) evaluated 3,500 hospitals using a one to five-star rating system for patient experience in an effort to make it easier for consumers to choose a hospital and understand the quality of care it delivers.

The Brevard County Board of Commissioners honored the hospital at a May meeting.

“We are pleased to accept the proclamation on behalf of our dedicated associates, medical staff and volunteers,” Bill Calhoun, president of Community Hospitals for Health First, told commissioners.

Viera Hospital was one of only four hospitals in Florida — and the only one in Central Florida — to receive the top rating from the federal government. Overall, only 251 hospitals (7 percent) in the country earned the top mark.

The hospital is also Brevard’s newest, employing state-of-theart design to reflect patient preferences and automation that not only saves money but also improves accuracy.

Viera MD Linda Wiggins

Shirley King and Dennis Dahlman check out the Health First Viera Hospital chapel during a recent tour.

20 | VIERA MD MAGAZINE

“Human error,” Craig Coumbe replied when volunteer tour guide Phil Burroughs asked why planners would opt to automate the hospital pharmacy. Pills are dispensed by robots that verify the

accuracy of each dose and automatically inventory the need for restocking. Everything is done behind secure doors, the prescriptions dispensed out a small security window.

While Coumbe and his wife, Diana, were merely customers on a tour, they are also experts. Hospital pharmacy directors for 37 years before their recent retirement, they inspected and approved the pharmacy when Viera Hospital opened in 2011.

“The operations are the best we’ve ever seen,” he added.

Apart from the emergency room, gone are the mass waiting areas for patient care. Instead, waiting areas of a few comfortable chairs are in alcoves at each specialist care location. After a patient checks into surgery, loved ones are given a code and can track the patient’s movements through the operating theater and recovery. There is no longer a need to ask a nurse on duty for patient updates.

Viera MD Linda Wiggins

Health First Viera Hospital volunteer tour guide Phil Burroughs shows off the spacious bathrooms and sweeping views outside each of the 84 private patient rooms to guests Cheryl Lamp, Shirley King and Dennis Dahlman.

“You can order a ribeye steak for dinner — if it’s medically allowed — you can order pay-per-view movies on cable TV. This literally is home away from home.”

For more information, go to health-first.org or call 321-434-9000. n

Viera MD Linda Wiggins

Jim and Joan Young of Suntree gave the food a thumbs up on a recent tour of Health First’s Viera Hospital.

Burroughs and his wife, Nance, are among the many former patients turned volunteers. The hospital specializes in orthopedic joint replacement and bariatric surgery.

“There are a lot of volunteers who are sporting new hardware, and are so thrilled with the care they received that they want to be a part of making this experience available for others,” Phil Burroughs said.

All 84 rooms are private and because they are all on the perimeter of the building they look out onto sweeping views of either wetlands or residential and retail development interspersed throughout nature. Bathrooms feature spacious walk-in showers and other amenities that cater to guests as well as patients.

Gone are the set visiting hours of traditional hospital settings.

“You can move in if you want,” Phil Burroughs said to a spouse on the tour, gesturing to a love seat that converts to a twin bed.

VIERA MD MAGAZINE

| 21

se

Wuesthoff Wound Care center

wins 2 national awards

Simple steps can reduce threat

of mosquito-borne illnesses SPECIAL TO VIERA MD Summer in Brevard County brings lots of rainfall. And that rainfall spawns lots of disease-carrying mosquitoes. But residents and visitors can fight back against the pesky, biting insects.

The Florida Department of Health says simple steps can reduce chances of contracting mosquito-borne illnesses.

“Avoiding mosquito bites is the best way to prevent mosquitoborne disease,” said State Surgeon General and Secretary of Health Dr. John Armstrong. “Floridians and visitors are encouraged to take simple steps that reduce the chance of being bitten, like draining any standing water, covering skin with clothing or repellent and maintaining screens over doors and windows.”

Viera MD photo courtesy of Wuesthoff Health System

Wuesthoff Wound Care & Hyperbaric Center-Rockledge recently received national awards for clinical excellence and wound healing.

SPECIAL TO VIERA MD

W

uesthoff Wound Care & Hyperbaric Center-Rockledge recently received national awards for clinical excellence and wound healing.

The center at 1257 S. Florida Ave. earned the Center of Distinction Award from Jacksonville-based Healogics Inc., the nation’s largest provider of advanced wound care services.

Wuesthoff scored outstanding clinical outcomes for 12 consecutive months, including patient satisfaction rates above 92 percent and a minimum wound-healing rate of at least 91 percent within 30 median days to heal.

Wuesthoff was one of 172 centers that received the honor among 506 eligible facilities.

The center also earned the Robert A Warriner III, M.D., Center of Excellence award for meeting Healogics, Inc.’s Center of Distinction quality standards. To earn the award, the center had to achieve standards for at least two consecutive years.

Wuesthoff was one of 88 centers to win the award among 155 eligible centers. The award is named for Dr. Robert A. Warriner III, a pioneer in wound care and Healogics’ former chief medical officer.

“We are honored to receive both of these prestigious awards as it exemplifies our commitment to quality service and patient care,” said Andrea Eldridge, program director for Wuesthoff Wound Care & Hyperbaric Center-Rockledge. “These awards are a testament to our staff members who are invested in our mission.”

A member of the Healogics Network of more than 635 Centers, Wuesthoff provides access to benchmarking data and has treated more than 2 million chronic wounds. The center offers specialized wound care to patients suffering from diabetic ulcers, pressure ulcers, infections and other chronic wounds.

Advanced treatments include hyperbaric oxygen therapy, negative pressure wound therapy, bio-engineered skin substitutes, biological and biosynthetic dressings and growth factor therapies.

For more information, call 321- 637-7690 or go to wuesthoff.com. n

22 | VIERA MD MAGAZINE

Mosquitoes can spread diseases such as Dengue Fever, St. Louis Encephalitis and West Nile Virus. People at increased risk for severe disease from mosquito bites include newborns exposed during delivery, people 65 years of age or older and people with chronic conditions such as diabetes, hypertension or cardiovascular disease.

Since mosquitoes lay eggs in standing water, residents should drain water-accumulating sources such as old car tires, flower pots and buckets, empty and clean birdbaths and pets’ water bowls at least once or twice a week, and drain water from car and boat-protecting tarps.

Pool owners should keep their swimming pools maintained and chlorinated, and empty plastic swimming pools when not in use.

Homeowners should cover doors and windows with screens to keep mosquitoes out and repair broken screens on windows, doors, porches and patios.

When outside, residents and visitors should cover their skin with clothing or mosquito repellent to avoid bites. Repellents with DEET, picaridin, oil of lemon eucalyptus and IR3535 are effective, according to the health department.

For more information on mosquito-borne diseases, visit the Florida Department of Health at floridahealth.gov/ diseases-and-conditions/mosquito-borne-diseases/index. html or the Centers for Disease Control and Prevention at cdc.gov/ncidod/diseases/list_mosquitoborne.htm. n

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When things get painful, don’t wait it out.

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To check our E.R. wait times, text your ZIP code to ERTIME (378463)* or visit Wuesthoff.com.

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24 | VIERA MD MAGAZINE

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12/23/14 5:40 PM

HERE’S THE DISH Sunshine Salad This recipe provides 2 fruit and vegetable servings per person.

INGREDIENTS 5 cups spinach leaves, packed, washed and dried well ½ red onion, sliced thin ½ red pepper, sliced 1 whole cucumber, sliced 2 oranges, peeled and chopped into bite-size pieces ⅓ cup of bottle “lite” vinaigrette dressing (around 15 calories per tablespoon or less)

Summer Vegetable Spaghetti This lively vegetarian pasta dish contains no added fat or oil, is low in cholesterol, and is good hot or cold.

INGREDIENTS 2 cups small yellow onions, cut in eighths 2 cups fresh ripe tomatoes (about 1 lb), chopped and peeled 2 cups yellow and green squash (about 1 lb), thinly sliced 1½ cups fresh green beans (about ½ lb), cut ⅔ cup water 2 Tbsp fresh parsley, minced 1 clove garlic, minced ½ tsp chili powder ¼ tsp salt black pepper to taste 1 can (6 oz) tomato paste 1 lb spaghetti, uncooked ½ cup Parmesan cheese, grated

Yield 9 servings Serving size: 1 cup spaghetti and ¾ cup sauce with vegetables

METHOD

1 2 3

Yield Serves: 5 people

METHOD

1

Toss all ingredients together in a large bowl. Add dressing and toss again. Serve immediately.

Each serving provides: Cholesterol: 0 mg Fiber: 8 g Sodium: 200 mg

Calories from protein: 18% Calories from carbohydrate: 62% Calories from fat: 20%

Spinach Salad for Summer This recipe provides 2.5 fruit and vegetable servings per person.

INGREDIENTS 3 cups baby spinach leaves, well washed and dried 1 cup seasonal fresh vegetables or fruits of your choice such as raw sugar snap peas, strawberry halves, blueberries, or peach slices 3 Tbsp vinaigrette salad dressing, low-fat ½ tsp black pepper

Yield

Combine first 10 ingredients in large saucepan; cook for 10 minutes, then stir in tomato paste. Cover and cook gently, 15 minutes, stirring occasionally until vegetables are tender.

Cook spaghetti in unsalted water according to package directions.

Spoon sauce over drained hot spaghetti and sprinkle Parmesan cheese over top.

Serves: 2 people

METHOD

1

Place the spinach and seasonal fruits or vegetables into a large bowl. The more colors you add to your diet, the more nutrients you’ll get. Toss with the dressing and serve.

Each serving provides: Each serving provides: Calories: 271 Total fat: 3 g Saturated fat: 1 g Cholesterol: 4 mg Sodium: 328 mg

Fiber: 5 g Protein: 11 g Carbohydrate: 51 g Potassium: 436 mg

(Nutritional information includes strawberries in salad): Calories: 59 Total fat: 2 g

Saturated fat: 0 g Carbohydrate: 10 g Sodium: 250 mg Fiber: 6 g

recipes courtesy of health.gov VIERA MD MAGAZINE

| 25

wigs for cancer patients

Salon manager collects underwent six rounds of chemotherapy, radiation treatment and a double mastectomy before being declared cancer-free.

While the wigs initially brought her comfort, Russo quickly grew tired of them. They were hot, uncomfortable and just not natural. She soon decided that she’d rather just be completely bald than to have to wear them anymore.

“When I ripped that wig off, it was empowering,” she said. Along with new self-confidence, she was left with a lot of expensive wigs that she no longer needed. The idea for Women in God Strong, or WIGS, was born.

“I have the shampooing and drying mechanisms to disinfect wigs and get them ready for a new owner,” she said. “I started to reach out to other people to donate their old wigs too, so that other women with cancer don’t have to spend a lot on them.”

In the short time the 501(c)(3) nonprofit has been in operation, Russo has seen an outpouring of community support. Many people simply want to know how to help. Russo has added a “donate” button on the WIGS website, and is also planning some upcoming fundraising events.

A July 16 WIGS fundraiser at Tuscany Grill promoted the cause.

The Painting for WIGS event was hosted by artist Michelle Nicodemus with Art Tango. More events are in the works.

“I just want to get the word out and also give women some support and confidence during such an overwhelming time,” Russo said.

To “shop” for a donated wig, or to find out how to donate to WIGS, go to womeningodstrong.com. n

Courtesy of Yvette Gioia/Gioia Photography

After her own experience losing her hair from breast cancer treatments, Dawn Russo started WIGS, a nonprofit providing wigs and other support to other women fighting the disease.

BY KATIE PARSONS

D

awn Russo is an expert in women’s hair. As district manager for Imperial Salon locations in Suntree and Indian Harbour Beach, she knows that the way a woman’s hair looks is often integral to her confidence and identity.

That’s what made her Stage IV invasive lobular carcinoma breast cancer diagnosis in March 2014 especially devastating.

Russo knew she would lose her hair due to the cancer-fighting treatments.

Like most women who experience the same diagnosis, Russo immediately went out and bought several wigs. They were expensive, but she couldn’t stand the idea of not having any hair.

“Losing your hair is incredibly traumatic, even if you know it is because of treatment that is saving your life,” said Russo, who

26 | VIERA MD MAGAZINE

The DrawMD iPad app enables physicians to visually communicate complex medical conditions and procedures with the swipe of a finger.

the image to customize it. Doctors can add relevant items such as tumors or catheters to show a patient what to expect.

Refined drawing tools allow users to change text, or scale, rotate and change the opaqueness of stamps.

Doctors can share the diagrams and notes with patients during consultations and email the diagrams to them. And patients can use the images to ask questions about their conditions and surgeries.

Content is updated regularly, so there’s no need to download new apps.

For more information or to suggest a new medical specialty for DrawMD to add, go to visiblehealth.com. n

App helps doctors illustrate surgical procedures Family pharmacy opens at SPECIAL TO VIERA MD A free iPad app provides doctors with interactive anatomical illustrations in order to better explain complex conditions and surgical procedures to their patients.

Viera Hospital Medical Plaza

Austin, Texas-based Visible Health’s DrawMD was conceived by urologist Dr. Todd Morgan and urologic oncologist Dr. Alexander Kutikov, Harvard Medical School classmates who had grown tired of sketching procedures on paper for patients to take home.

W PU EL B C LI O C M E

Their brainchild, DrawMD, currently offers 15 physician-created medical specialty apps such as cardiology, orthopedics and pediatrics. Users can select a full-color anatomical image or upload their own, and can sketch, stamp and type directly on

Located on the first floor of the plaza at 8725 N. Wickham Road, Suite 102, Health First Family Pharmacy is available to Health First Health Plans members, Health First Medical Group patients and Hospice of Health First patients.

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SPECIAL TO VIERA MD Brevard County’s third Health First Family Pharmacy opened recently in Viera Hospital Medical Plaza.

Located on the first floor of the plaza at 8725 N. Wickham Road, Suite 102, the pharmacy is available to Health First Health Plans members, Health First Medical Group patients and Hospice of Health First patients.

Services include filling electronic prescriptions from doctors’ offices, online orders and walk-in customers. Ninety-day supplies of maintenance medications and mail order are also available.

Health First Family Pharmacy accepts Health First Health Plans, as well as many other insurance carriers, including Medicare, United Healthcare Commercial, Caremark, Cigna, Blue Cross/Blue Shield, Medco, Tricare and worker’s compensation. n

2300 Clubhouse Dr.,Viera

321-639-6500

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Open to the public daily 7 am to 6:30 pm

The pharmacy is open from 8:30 a.m. to 6:30 p.m. weekdays and 9 a.m. to 4 p.m. Saturdays.

Valet parking is available.

For more information, call 321-434-7355 or toll-free 866-469-1506, or go to myHFFP.org. n VIERA MD MAGAZINE

| 27

Most insurance accepted

Family Pharmacy now open at viera Hospital Medical plaza

Save time and money

Serving: ■■ ■■

Health First Family pharmacy accepts cash, credit cards and many insurance plans including: ■■ Medicare ■■ Health First Health plans ■■ united Healthcare commercial ■■ caremark ■■ cigna ■■ Blue cross/Blue shield ■■ Medco ■■ tricare ■■ Worker’s compensation

Health First Health Plans members Health First Medical Group patients

Filling your prescriptions has never been easier or more convenient. You can order your medications and refills online and pick them up or have them shipped directly to your home.

For more information, please call us at 321.434.7355 or toll-free 1.866.469.1506.

HealtH Insurance



HospItals

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Open Monday–Friday 8:30 am to 6:30 pm and Saturday 9 am to 4 pm 8725 n. Wickham rd., ste. 102 Viera, Florida 32940

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Outpatient ServiceS