05.18.17 Health Matters

Health Matters

Observer

MAY 2017

The Baby Issue From The Birth Place to Winnie Palmer Hospital for Women & Babies, Central Florida offers myriad health options for its youngest residents.

At birth, little Jeena Platon weighed 3 pounds, 12 ounces. Read her and her twin sister Jianna’s story beginning on page 14.

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stroke center just minutes away.

I choose Orlando Health.

No one ever expects a stroke, but when it does happen, every second counts.

That’s why it’s reassuring to know that Health Central Hospital a nationally certified primary stroke center.

• 24-hour stroke treatment and care • Accredited by The Joint Commission

Not actual patients.

— serving the residents of West Orange County — operates

• Linked to Orlando Regional Medical Center for neurological services

Health Central Hospital has earned The Joint Commission’s Gold Seal of Approval.

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Observer Publisher / Dawn Willis, dwillis@ OrangeObserver.com Executive Editor / Michael Eng, meng@OrangeObserver.com Design Editor / Jessica Eng, jeng@OrangeObserver.com Senior Sports Editor / Steven Ryzewski, sryzewski@ OrangeObserver.com Community Editor / Amy Quesinberry, amyq@OrangeObserver.com Staff Writer / Gabby Baquero, gbaquero@OrangeObserver.com Staff Writer / Danielle Hendrix, dhendrix@OrangeObserver.com Staff Writer / Brittany Gaines, bgaines@OrangeObserver.com Advertising Executive / Michelle Gentry, mgentry@OrangeObserver.com Advertising Executive / Cyndi Gustafson, advertising@OrangeObserver.com Advertising Executive / Ann Marie Vibbert, avibbert@OrangeObserver. com Creative Services / Tony Trotti, ttrotti@OrangeObserver.com Creative Services / Kathleen Carreiro, kcarreiro@OrangeObserver.com Customer Service Representative / Sarah Felt, sfelt@OrangeObserver.com Customer Service Representative / Allison Brunelle, abrunelle@ OrangeObserver.com

CONTACT US The West Orange Times & Observer and Windermere Observer are published once weekly, on Thursdays. They provide provides subscription home delivery. The West Orange Times also can be found in many commercial locations throughout West Orange County and at our office, 720 S. Dillard St., Winter Garden.

If you wish to subscribe to the West Orange Times, visit our website, OrangeObserver.com, call (407) 656-2121 or visit our office, 720 S. Dillard St., Winter Garden.

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MAY 2017

HEALTH BRIEFS

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“CALL TO HOPE” RAISES $490,000 More than 400 corporate and community citizens helped raise $490,000 at Shepherd’s Hope’s “Call to Hope” breakfast April 13 at Rosen Shingle Creek.

The event raised $490,000 in one-time gifts as well as multi-year and five-year pledges for the faith-based nonprofit celebrating its 20th anniversary. It also highlighted the work of volunteer medical and lay personnel who aid in providing free medical care to the uninsured and underinsured at the organization’s five local health clinics.

Shepherd’s Hope is a safetynet health care provider for the estimated 450,000 in Central Florida who do not have health insurance.

“Access to quality health care for our neighbors in need has been the mission of Shepherd’s Hope since we served our first patient in 1997,” said President and CEO Marni Stahlman. “Many of our patients are low-wage working families who struggle to simply afford basic housing and living needs. Far too often, they forgo medical care due to financial limitations or use area hospital emergency departments as a way of accessing care.”

The event also honored the work of 2,300 Shepherd’s Hope volunteers who in 2016 contributed 42,519 hours, equal to $2.4 million in in-kind volunteer services. Named in honor of Shepherd’s Hope first volunteer executive director, Dr. Ruth McKeefery, volunteers of the year in four categories received special recognition. They were: Muhammed Hasan (Outstanding General Volunteer of the Year); Bonnie Kellogg (Outstanding Volunteer Nurse of the Year); Patricia Weinstein (Outstanding Volunteer Clinical Practitioner of the Year); and Dr. Ronald C. Knipe, (Outstanding Physician of the Year).

NEMOURS ACHIEVES NATIONAL CERTIFICATION Nemours Children’s Primary Care has been awarded national certification as a PatientCentered Medical Home in recognition of the patient-centered and evidence-based care it provides to its patients.

A Patient-Centered Medi-

ORLANDO HEALTH HOSPITALS EARN TOP GRADE Orlando Health’s Dr. P. Phillips Hospital, Orlando Regional Medical Center and South Seminole Hospital recently were awarded “A” hospital safety grades

by The Leapfrog Group, an independent national nonprofit organization operated by employers and other large purchasers of health benefits.

Orlando Health’s Health Central Hospital and South Lake Hospital, in affiliation with Orlando Health, were awarded “B” grades.

Pediatric and specialty hospitals such as Arnold Palmer Hospital for Children, Winnie Palmer Hospital for Women & Babies, and UF Health Cancer Center at Orlando Health are not included in Leapfrog’s grading process.

Grades are based on a point system that assigns — then calculates — numerical scores of 30 health care measures such as patient experience, training, hospital culture, as well as hospitals’ rates for preventable medical errors, cal Home is not a place but rather a model of health care designed to improve how care is delivered. Within a PatientCentered Medical Home, care is delivered not just by an

injuries, accidents, and infections. All Orlando Health hospitals scored higher this rating period than the previous October 2016 rating period.

“The increase in scores at all five hospitals is a direct result of the hard work of doctors, nurses, clinicians and the entire Orlando Health team,” said Dr. Thomas Kelley, Orlando Health’s chief of quality and clinical transformation.

“This current Leapfrog rating period further demonstrates our priority to providing safe, high-quality care to all patients treated at our facilities.”

“I am so very proud of our entire team,” said David Strong, Orlando Health president and CEO. “Everyone in the organization has shown their collective and unwavering effort to achieve the highest quality standards in the care and treatment of every patient who walks through our doors.”

To view Orlando Health’s Leapfrog scores, visit the Hospital Safety Score website, hospitalsafetyscore. org. individual physician but rather by a team of health professionals. Care is relationship-based and coordinated to meet each child’s physical and mental health needs, with a special

focus on prevention and wellness, acute care and chronic care. Families are an important part of the care team and are involved in all decisions about a child’s health.

The Accreditation Association for Ambulatory Health Care determined that all 14 of Nemours Children’s Primary Care practices in Central Florida meet AAAHC’s standards for being certified as a PatientCentered Medical Home.

“When we established the Nemours Children’s Primary Care network five years ago, we were determined to provide the highest level of care for Central Florida children and create an environment in which families are part of all decisions related to the health of their child,” said Dr. Thomas Lacy, medical director of Nemours Children’s Primary Care. “Being certified as a Patient-Centered Medical Home is rewarding validation that we are on the right track.”

Ambulatory health care organizations seeking certification by AAAHC undergo an assessment and on-site survey by physicians, nurses and administrators who are experts in the field of ambulatory health care. Although some organizations label themselves a medical home, not all undergo the on-site survey process and are granted certification.

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MAY 2017

A positive touch Infant massage guru Tina Allen, founder of the Liddle Kidz Foundation, will lead classes in Central Florida later this year.

TIM FREED STAFF WRITER

Rubbing your baby’s tummy can not only lead to a sweet smile but also healthy growth and better sleep.

Just ask baby massage guru Tina Allen.

Area residents will get a chance to learn more about massage therapy for babies at a series of courses held at the Central Florida School of Massage Therapy.

From Aug. 26 to Sept. 1, Allen will host three courses held on multiple days. A certified infant massage teacher course gives attendees a chance to learn the benefits of infant massage and how to use it, as well as train to become certified teachers. Parents also will have a chance to participate in a free massage class. A NICU course and a certified pediatric massage therapy course also will be offered. “(Allen) comes here just about every year, and everyone who takes her class has nothing but very positive feedback,” said Lindsey Manz of the Central Florida School of Massage Therapy. “We’re always excited when she comes to teach here.”

BENEFITS

Allen said there are numerous proven benefits for the baby.

It encourages weight gain and growth, increases neurological and brain stimulation, and eases digestion concerns, gas and constipation, she said.

It also helps your baby sleep.

“When you have a newborn, sleeping can be difficult, trying to find a schedule that works for everyone,” she said. “With infant massage we find babies who have massage often fall asleep quicker, sleep deeper and longer.”

Allen said she originally had no intention of being a massage therapist for babies. She went into the field with a desire to work

Courtesy photos

Tina Allen said infant massage can help with weight gain, growth, digestion and more.

in pediatric care and later came across research that showed the benefits of infant massage. She was especially interested in the findings that massage encouraged growth and weight gain among premature babies.

“From that moment, I was hooked on the idea and worked to create a program that not only would allow qualified healthcare providers to be trained to work in the NICU, with babies and pediatric clients, but also educate parents on what they can provide their children through infant and pediatric massage,” Allen said.

Eventually, she started the Liddle Kidz Foundation, which today seeks to provide hospital-based pediatric massage program development and implementation, educational seminars, lectures, courses and hands-on volunteer outreach programs worldwide.

Allen has personally and professionally been involved with the addition of pediatric massage at more than 100 medical institutions around the world.

“Prior to my being in this field, there was no such position in a hospital as certified pediatric massage therapist,” she said.

“Now, many pediatric hospitals have such positions, and they are paid positions. When hospitals used to reject the idea of massage therapy, now hospitals are calling me to help them with program development.”

Contact Tim Freed at tfreed@orangeobserver.com.

Liddle Kidz Foundation provides hospital-based pediatric massage program development and implementation.

Left: Infant massage can be a great time for parents to bond with their newborns.

ABOUT TINA ALLEN Tina Allen is the founder of Liddle Kidz Foundation and the author of “A Modern Day Guide to Massage for Children.”

Allen’s work with children around the world has earned several honors, including being named the Massage Therapy Foundation/ Performance Health Humanitarian of the Year and receiving the American Massage Therapy Association Award for Distinguished Service.

She travels 365 days a year in a tour bus with her husband and their son, Otis.

IF YOU GO INFANT MASSAGE WITH TINA ALLEN WHERE: Central Florida School of Massage Therapy, 450 N. Lakemont Aven., Suite A, Winter Park WHEN: Aug. 26 to Sept. 1. The CIMT course will be from 9 a.m. to 5 p.m. Aug. 26, 27 and 28; the NICU course from 9 a.m. to 5 p.m. Aug. 29 and 30; and the CPMT course from 9 a.m. to 5 p.m. Aug. 31 and Sept. 1 INFORMATION: liddlekidz.com

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MAY 2017

Same room, separate bed?

Y

DR. GREGORY GORDON ORLANDO PEDIATRICIAN

ou may have heard of a recent change to infant sleep guidelines which advocate that parents sleep in the same room but not in the same bed as their baby.

In November 2016, the American Academy of Pediatrics updated their recommendations for a safe sleeping environment to reduce Sudden Infant Death Syndrome. Among these recommendations is one that calls for children to sleep in their parents’ room in a separate bed for the entire first year (“ideally for the first year of life, but at least for the first 6 months”).

While I often share the AAP’s recommendations with the parents of my patients and follow their guidance in my own home, this is one that I believe, based on a review of the medical literature and my own experience caring for children, is not advisable. There is simply not enough evidence to support this recommendation, and I fear that this recommendation will harm families and actually lead to an increase in SIDS.

A PRACTICAL DILEMMA

Dr. Gregory Gordon, known as the Orlando Pediatrician, is a West Orange-based pediatrician with Pediatric Associates of Orlando and the father of nine children.

For more information, visit gregorygordonmd. com.

My biggest concern is that this recommendation will lead to an increase in infants sleeping in bed with their parents, thus actually increasing the risk of SIDS. Research has shown that bed-sharing (child sleeping in bed with parents) greatly increases the risk of SIDS. In more than 20 years of pediatric care, I have never met a family where children slept in the parents’ room in a separate bed for an entire year. Children (after the first few months) either sleep in their own bed in their own room or sleep in bed with their parents.

While the benefits of bed-

sharing often are argued by bedsharing advocates, even bedsharing advocates acknowledge that sleeping in the parents’ bed increases the risk of SIDS. When children who are in the same bedroom wake in the night, tired parents tend to calm them by bringing them into their bed.

When children wake at night in their own room most parents attempt to calm them and return to the child’s own bed.

INSUFFICIENT EVIDENCE

The November AAP safe-sleeping policy lists four research articles that support the “same room, separate bed” recommendation. None of these articles seems relevant today. The data from these articles was collected between 1987 and 2000 in Europe and New Zealand.

Why was this recommendation made 15 to 30 years after the data was collected? During this time, there was a much higher incidence in prone sleeping, smoking and SIDS. Prone sleeping and smoking are major established risk factors for SIDS. In the largest of these studies, 61% of the mothers smoked, and in another, 61% had a parent who smoked. The Centers for

When children who are in the same bedroom wake in the night, tired parents tend to calm them by bringing them into their bed.

Disease Control and Prevention report that only 16% (yeah, reverse the digits) of adults in the United States smoked in 2013.

This “same room, separate bed” recommendation may apply to heavy-smoking, pronesleeping populations, but does it apply today? We are going to need new research with study subjects similar to the current population to say that for sure.

I’m no statistician, but a little research led me to question these articles even further. All these studies are retrospective “case control” studies. Researchers would learn about a child who died of SIDS and then compare it to similar children chosen by the researcher who didn’t die from SIDS. INHERENTLY FLAWED

Case-controlled studies are inherently flawed. Investigators can manipulate the data to support their own beliefs. One statistician from the University of Alabama Birmingham (where I trained) said he would not “be impressed” by less than a four-fold change in case control studies. Only one of the four articles touted more than a four times risk of sleeping in the own room. Three of the articles found an unimpressive two- to three-fold increase in SIDS, and one found a 10-fold risk. Importantly, this study (Blair et. al.) only found a two-fold risk when they analyzed sleeping in their own room alone but only when they evaluated multiple variables did their significance grow to 10-fold.

The fact that the results of one small study (only 325 cases) differ from the other three and that it needed statistical manipulation to obtain the “impressive” result only creates further doubts. The Blair et. al. study even states, “Further research is required to investigate whether room sharing is protective in itself or merely a marker for hidden confounders not measured in this study.”

UNANSWERED QUESTIONS

Importantly, none these studies looked at when it is best to move a child into their own room. It has never been shown that 12 months is safer than 13 months. None of these studies even looked at 13-month-olds.

The recommendation of sleeping in the parents’ room for 12 months is only based on the definition of SIDS —unexplained death in the first 12 months of life. None of these studies looked at the impact of room sharing on the family. In my experience, children and parents sleep better when children move to their own room.

The “same room, separate bed” recommendation is simply not supported by facts or parenting experts. I’ve talked to many experienced parents and seasoned pediatricians about this recommendation. None agrees with this recommendation. Many share my concern that the parents will end up pulling their children into their beds and ultimately increase the incidence of SIDS.

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MAY 2017

Better safe than sorry GABBY BAQUERO STAFF WRITER

Tanya Jablon, the owner of Safety First Swim School, has a job that comes with a lot of benefits. She gets to work from home, enjoys a picturesque lakefront view and, as part of her routine work shifts, gets to cuddle with babies.

With her husband, Marc Jablon, in charge of public relations and Tanya’s role as the primary swim instructor, the couple run their company out of their home in Winter Garden and the West Orange Country Club. The school, which has been in operation for four years, offers a survival swim program for infants and children aged from 6 months to 12 years old.

The idea behind the program

is to reduce the risk of fatal accidents that can happen during those few seconds a curious child is left unattended. As such, the lessons are designed to teach children what to do if they ever accidentally fall or slip into a pool — an incident that can happen to anyone, Marc Jablon said.

Depending on the child’s age, they instruct them to either float on their back or swim to the nearest wall or floatation device.

“These lessons are the difference between life and death,” Marc Jablon said. “You hear stories all the time about children who had a drowning incident. ... If you decide with dance, or tennis or golf or any of the other sports, ‘You know what? It’s not for me right now. I’m going to wait until they’re a little bit older.’

OK, so they don’t learn how to hit a ball over the net, or they don’t learn dance — that’s OK. But if you decide to wait before giving your child the life-saving skills they might need, you might end up at a hotel or a pool party and

Tanya Jablon, co-owner of Safety First Swim school, gives lessons both at the West Orange Country Club and at the Jablons’ Winter Garden home.

be on your phone, and all it really takes is one second.”

Marc Jablon speaks from firsthand experience — an experience that served as the impetus to launch their company after their

daughter had a near-drowning incident in their backyard pool.

While he worked in his home office, his daughter found her way into the pool area because the safety fence had been left

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for Disease Control and Prevention, about one in five people who die from drowning are children 14 and younger, and children ages 1 to 4 have the highest drowning rates. And for every child who dies from drowning, another five receive emergency care for nonfatal submersion injuries, the CDC reported.

The Jablons are well aware of the statistics, and their goal is to do their part in reducing the ever-present risk. Marc Jablon receives several panicked calls from parents whose child nearly drowned in a swimming pool, and their program sees substantial demand, offering 50 to 80 lessons per day among all three instructors.

“People don’t think it’s going to happen to them until it does,” Marc Jablon said. “You want to make sure that they have all those skills necessary for if they ever accidentally fall into the water. Yeah, it’s uncomfortable (to watch), and you might hear them crying, but you’d rather hear them crying than never hear them again.”

Contact Gabby Baquero at gbaquero@orangeobserver.com

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Photos by Gabby Baquero

Students learn a variety of swimming skills at Safety First Swim School.

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open for the family dogs to enter and exit. The sight of his 1-yearold daughter face down in the water before they pulled her out and called 911 was a traumatic experience neither he or his wife will ever forget, he said.

The incident is also what spurred his wife to obtain training in water-safety techniques and enroll both their children in a similar survival swim program.

Their 15-minute lessons, Marc Jablon said, really can save lives and provide parents a little peace of mind.

“Imagine taking your child to a playground and saying, ‘You can’t use the slide or the swing,’ or anything like that,” Marc Jablon said.

“That happens every day when people are having pool parties or different things. We heard about this family going to a hotel on vacation and one of the kids who was a year-and-a-half didn’t take survival swim lessons, and it was a nightmare because they were constantly afraid of the child going toward the water. So those are the reasons why parents sign up — it’s peace of mind that if their child ever fell into the water, they would know what to do.”

According to the U.S. Centers

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MAY 2017

Dads: Man up; change a diaper The Boot Camp for New Dads program helps prepare expecting and new fathers for their most important job.

STEVEN RYZEWSKI SENIOR SPORTS EDITOR

There are myriad books, classes and programs to help prepare a woman to become a mother or to guide an expecting couple, collectively — and rightly so.

But as any of many dads will tell you, the resources in place to prepare expecting and new fathers are perhaps a bit lacking.

Enter the Boot Camp for New Dads program.

Boot Camp for New Dads is a nonprofit program that helps prepare fathers-to-be, new dads and even dads of toddlers and older children who would like a refresher or some new tips. The program is put on by Healthy Start Orange, and classes take place all across the county at locations, including Health Central Hospital, Ocoee; Winter Park Memorial Hospital; Florida

Hospital for Women, Orlando; and Winnie Palmer Hospital for Women & Babies, Orlando.

The program has been around for five years, and for the past two years, it has been under the guidance of Director Kevin Sutton, also a local sports radio personality with ESPN 580 AM. Sutton, who, along with his wife, recently welcomed their second child into the world, said the idea is both to empower men and, in doing so, to strengthen moms.

“Through statistics, we started seeing that women did almost 60% better with the child when the father was involved,” Sutton said. “(Healthy Start Orange) realized that without the dads being involved … (families) were losing a stronghold on some great capabilities.”

The classes cover many things: communication with an expect-

ing and new mother; how to change a diaper; what the experience of the mother going through labor will be like; how to properly hold a baby; the value of a schedule; and more.

Sutton said it is important for men to be comfortable filling in as the infant’s main caretaker for a number of reasons — from giving mom a rest to forming lifelong bonds with the child.

“A lot of guys will sit back and wait until (the child) can walk and talk — and they miss out,” Sutton said. “When (the child is) a baby, they need you 100%. … Getting a dad involved during that diaperchanging (period) — that’s where you tear down those walls.”

The classes that Sutton directs are generally “guys only,” but they have an open-door policy for newborns and small children

Courtesy photos

Classes for the Bootcamp for New Dads program are open to dads of all experience levels.

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“Through statistics, we started seeing that women did almost 60% better with the child when the father was involved.(Healthy Start Orange) realized that without the dads being involved … (families) were losing a stronghold on some great capabilities.”

— Kevin Sutton

— and there is a reason for that.

Sutton said it can be a powerful visual experience for a man to witness another man properly holding and tending to his child.

“They see a father doing that, and there’s no mom around — that is what changes (their mindsets),” Sutton said. “The visual side of it, it tells them, ‘I guess I can do it.’ It changes everything.”

Finally, there is time allotted to discuss handling the highs and lows that any expecting or new mother will experience — a delicate and selfless art that many men are not prepared for.

“It’s about having a calm, cool, collective conversation,” Sutton said.

Although Sutton’s day job and growing family keeps him busy, he said the classes serve a great purpose, and that is what gets him excited for each one.

“I’m just trying to motivate guys to see their full potential,” Sutton said. “It changes society.”

Contact Steven Ryzewski at sryzewski@orangeobserver.com.

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200 N. Lakemont Ave., Winter Park SCHEDULE: 6:30 to 9:30 p.m. Fridays, May 19, June 23 and July 21 To learn more about the Boot Camp for New Dads program, visit healthystartorange.org/boot-campfor-new-dads.html.

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IT’S NOT JUST ABOUT TEETH

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DELIVERING

MIRACLES Winnie Palmer Hospital for Women & Babies is home to the fourth-largest NICU in the nation, along with myriad other services for women and babies.

BY DANIELLE HENDRIX | STAFF WRITER

OrangeObserver.com

Courtesy photo

HEALTH MATTERS

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T

he atmosphere is fairly calm in the globed lobby

11th

Additional NICU beds

Babies. Families are enjoying a meal from the

10th

new mothers are proudly being wheeled out with their babies to go home.

But in triage and the 10 floors above it, there’s so

More than 20 years ago, a group of pediatricians and community leaders realized the need for a center for specialized care for women and children. Orlando Health and golf legend Arnold Palmer and his wife, Winnie Palmer, joined forces to create Arnold Palmer Hospital for Children & Women.

The hospital opened in September 1989.

But by the early 2000s, more than 11,000 babies were born annually at Arnold Palmer Hospital, making it one of the busiest labor and delivery units in the nation. So in 2004, Orlando Health broke ground on Winnie Palmer Hospital for Women & Babies, which opened in May 2006 and serves the needs solely of women and babies.

Now, 11 years after its grand opening, Winnie Palmer has one of the most experienced labor and delivery units in the nation and delivers up to 15,000 babies each year. Additionally, it is home to the fourth-largest Neonatal Intensive Care Unit in the coun-

Gynecology

6th - 9th Mother-baby units

5th

Antepartum

4th

much more happening than meets the eye.

BEHIND WINNIE PALMER

MAY 2017

BY FLOOR

area of Winnie Palmer Hospital for Women &

cafeteria or perusing the gift shop on the first floor, and

|

Surgery

try, a Level III unit that specializes in subspecialty newborn care for infants born at 32 weeks gestation and under.

However, it’s more than one of the largest NICUs in the country. Winnie Palmer offers myriad specialized programs for mothers and babies, including childbirth services; childbirth and parenting classes; a high-risk maternity unit; lactation consultants; a mobile NICU; pregnancy care center; a breastfeeding helpline; fetal diagnostics; and extracorporeal membrane oxygenation.

Additionally, women can receive comprehensive gynecological services, which includes treatment for cysts and fibroids, early menopause, endometriosis, pelvic pain, fecal urgency, urinary and vaginal infections, pelvic prolapse, pelvic floor disorders and gynecological cancers.

3rd

MIRACLES HAPPEN

Babies delivered annually

Dr. David Auerbach, the chief quality officer and a neonatologist at Winnie Palmer, has seen his share of miracles. At this

NICU

2nd

Labor and Delivery; Women’s Intensive Care Unit

1st

Women’s triage unit, Hughes Center for Fetal Diagnostics, Winnie Palmer Hospital Maternal Fetal Medicine Specialists

BY THE NUMBERS 12,000 to 15,000 1,800 to 2,000

Approximate number of babies treated in NICU annually

400,000 Total square footage

315

Total number of hospital beds

142

Number of NICU beds

Danielle Hendrix

The Children’s Miracle Network Wall of Miracles showcases the various NICU graduates Winnie Palmer has seen over the years.

Courtesy photos

NICU suites on the 11th floor are equipped with chairs and a pull-out bed for family members to stay overnight with their babies.

point, the hospital is willing to undertake the support of babies as young as the 22- to 23-week gestation. The number of genuine survivors at that point in time is small, but Dr. Auerbach and the NICU staff work hard to help make miracles happen.

He recalls one girl who was born very prematurely, and the stress that came with trying to keep her alive was felt by both the family and medical staff.

“It can be stressful for all of us, especially on several occasions when it seemed like their little girl was doing her darnedest to try and die in front of us,” he said.

“She would turn blue, we couldn’t get her to breathe, we would stand there and work through this.”

But, over the course of several months, the baby grew enough to be released from the hospital on a ventilator. When Dr. Auerbach went to her first birthday party, she was close to being able to get rid of the ventilator. By her second birthday, she was off the machine and far more like a 2-year-old.

With time, caring parents and technology, he said, the outcome was ideal.

“When people come back afterward and say, ‘Here, meet soand-so,’ the kids don’t remember

you,” Auerbach said. “I’m not sure it means a whole lot to them when their parent says, ‘He saved your life!’

“But, it means a whole lot to those of us who are committed to getting the best outcomes we possibly can and seeing things that maybe at times you hardly believed could happen,” he said.

“But, with enough faith and hard work, it comes through. At the end of the day, they’ve (the babies) got a lot of work to do to grow and get better. To some extent, our role is to figure out how we can best support that and not get in the way.”

And the number of miracles Winnie Palmer has seen is evident through the Children’s Miracle Network Wall of Miracles. The hallway is filled with pictures of NICU graduates who now are healthy, thriving children. While the hallway is plastered with various photos, the hospital rolled out a new digital Wall of Miracles toward the end of 2015 to showcase more of the children cared for by its NICU over the years.

Families can choose a couple of photos to share, along with their child’s name and year they were in the NICU. All of the photos SEE PAGE 16

15

HEALTH MATTERS

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MAY 2017

EASING THE MIND Winnie Palmer also has a system for keeping families updated when they can’t be present with their patient.

The HIPAA-compliant Electronic Access to Surgical Events app works much like a secure text-messaging system, allowing patients and medical staff to send texts, photos and videos directly to family members to improve communication and reduce anxiety. This allows users to securely update their families from pre-op, surgery, NICU, ICU and other medical floors by a simple scan of a patient’s hospital bracelet bar code.

For more information on EASE, visit easeapplications. com.

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CONTINUED FROM PAGE 15

are displayed on a large television screen on the 11th floor, known as the Haley Family NICU. WELCOMING NEW LIVES

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When it comes to the childbirth experience at Winnie Palmer, each of the hospital’s 30 private birthing rooms is equipped to accommodate the entire birth process. After delivery, mothers are given one hour of skin-toskin contact immediately after birth before being transferred to their private suite. The idea is to reduce the amount of time the mother and baby are apart, with a focus on skin-to-skin contact, early feedings and more time together.

For labor and delivery nurse Sarah Rodriguez, being a part of the childbirth process and the family’s birth story is one of the most rewarding parts of working at Winnie Palmer.

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through scary and happy times, to have that impact that we know is lasting for the rest of their lives as they tell their birth story — that’s so rewarding,” Rodriguez said. “We get to work in a highrisk facility and see people who come in with complications that are even more fierce than just a normal delivery, but being able to walk with those patients through that is awesome.”

And when all is said and done, being able to assist families through one of the most memorable experiences of their lives is something Winnie Palmer staff loves to do.

“It’s really an honor to be here and work with patients who are having their first child or even their fourth child — it’s a really big day in their lives,” said Jessica York, assistant nurse manager for labor and delivery.

A MOTHER’S PERSPECTIVE

Three weeks ago, Clermont resident Diana Platon delivered her identical twin girls, Jianna and Jeena. But it’s been a long, hardfought journey to get them to the place they’re in now.

Platon has five older children — all boys, ranging in age from 7 to 25 — so when she first found out she was finally having girls, the excitement was palpable. What she didn’t realize, though, is that the girls wouldn’t be arriving without a fight.

Originally pregnant with triplets — the twins and a third baby — Platon learned she had lost the third triplet, who never developed.

“Then when it was the two, I felt sad, because the other didn’t make it, but things happen for reasons,” Platon said. “I had issues from the very beginning.

I was on bedrest until I was 14 weeks, off bedrest for four weeks,

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HEALTH MATTERS

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and then on bedrest again until I hit 25 weeks and came here.”

Platon ended up staying at Winnie Palmer’s antepartum unit from the time she hit 25 weeks until the twins were delivered at 32 weeks. One of her twins, Jianna, was diagnosed with intrauterine growth restriction, a condition in which a baby doesn’t grow to normal weight during pregnancy.

Platon was monitored and had daily ultrasounds and fetal heartrate checks. When it was time to deliver, she said, it all happened so fast that she barely had time to think.

“I was on a monitor, and one of the doctors came in to see me, then he walked out and walks right back in and says, ‘You’re having the babies,’” Platon said. “I was freaking out, and the nurses took me as quickly as they could down to the OR. My heart rate was like 140, and I was scared; it was crazy. It’s very scary, but they try to make you as calm as they possibly can. It’s a hard situation, but I made it through.”

After her emergency C-section, another diagnosis came: Jianna and Jeena had twin-to-twin transfusion syndrome, a disease of the placenta that affects iden-

tical twin babies. The shared placenta contains abnormal blood vessels, which cause the blood to be transfused disproportionately between twins.

The “donor twin” will have decreased blood volume, while the “recipient twin” is overloaded with blood. Jianna, the donor twin, was born extremely pale, while Jeena, the recipient, was more red.

“I couldn’t see Jianna, my husband was telling me they were working on her and Jeena for maybe 10 minutes, and they whisked them both away,” Platon said. “I got to kiss them for a second, and that was it. Once I was out of recovery, I was able to go in my bed and see the girls real quick. It was a quick hi and bye, and that was it, and then I had to wait about 12 hours before I could see them again.”

At birth, Jianna weighed 2 pounds, 3 ounces, while Jeena weighed 3 pounds, 12 ounces.

There were steps forward and steps back, but at 2 weeks old, Jianna and Jeena had their own private suite on the 11th floor and were progressing well. Jeena was able to take a bottle and have her feeding tube removed, while sis-

ter Jianna continued to progress toward having hers removed.

None of the ups and downs was what Platon had envisioned, but the care she and her girls have received, as she puts it, is “the bomb.” She is staying at the Ronald McDonald House nearby to be close to her girls as they progress toward coming home.

“The nurses on the fifth floor were amazing; they made it easier

for me for sure,” she said. “Here (in the NICU), it’s a whole different ballgame. You have your babies, and then you have to just trust in so many other people that your babies will be taken care of.

But I wouldn’t leave the hospital if I couldn’t trust that they would take care of my girls.”

|

17

MAY 2017

Danielle Hendrix

After a long hospital stay, Diana Platon — with youngest son, Jax, and twin daughters, Jeena and Jianna — delivered her twins at 32 weeks.

Contact Danielle Hendrix at dhendrix@orangeobserver.com.

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HEALTH MATTERS

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MAY 2017

Addressing infant death

The Finley Project and The TEARS Foundation are two organizations that help parents whose babies die too soon.

The TEARS Foundation Kelly Steffee and the TEARS Foundation are out to break the silence about infant death, whether in the womb or after their first breath.

AMY QUESINBERRY COMMUNITY EDITOR

Photos by Amy Quesinberry

Noelle Moore finds peace in knowing her baby girl is always with her, not in body but in spirit.

The Finley Project A Central Florida woman created a seven-step holistic program to deal with infant loss after discovering a lack of resources following her personal experience with grief.

AMY QUESINBERRY COMMUNITY EDITOR

Noelle Moore can smile again. She has been through the most soulsqueezing grief known to parents — the death of an infant. But she can finally say she finds joy in life again.

The path has been lengthy and torturous, and suicide was a constant thought in those days, weeks and months following baby Finley’s death after only 23 days.

What would end up being Moore’s passion and life calling began in 2013.

“Everything I knew was pulled out from under me,” Moore said.

“My dad, who was my best friend, my No. 1 fan — he died unexpectedly. That was my first encounter with grief. Why did it have to be my dad to navigate through my grief?”

She was five months pregnant when he died.

Four months later, Moore was in the hospital to deliver her daugh-

ter. The mother was in labor for 30 hours before staff determined she needed an emergency Caesarean section. There were no doctors on-site, she said, so she waited in the operating room 30 to 45 minutes until a doctor arrived to perform the surgery.

Finley came into this world 7 pounds, 8 ounces and with hair on her head. She was beautiful, but she was not breathing.

Moore said her daughter was resuscitated and put on life support, where she would remain for her entire 23 days.

“I remember a very sympathetic neonatologist kneeled down beside me and said, ‘The most selfless thing you can do as her mommy is to let her go. She will never know you, she will never walk, she will never talk,’” Moore said. “And that was the moment that we had to decide and make the worst decision of our lives. I prayed to God to take her. I didn’t want to make that decision as her

When Kelly Steffee left the hospital after giving birth, she didn’t go home with her baby; all she carried out was a memory box.

Sutton Ruby was born sleeping, as Steffee refers to her daughter’s birth, on Aug. 6, 2014.

The day before, at Steffee’s obstetric appointment, Sutton had a healthy heartbeat. The next day, during Steffee’s anatomy scan, it was gone.

“Nothing is worse than your kids knowing you’re going to an ultrasound to find out if (they’re) going to have a brother or sister,” Steffee said. “Nothing is worse than going home and seeing them excited to find out if it’s a boy or a girl, and then telling them there is no baby.”

Steffee has lived through every mother’s biggest fear — that of losing a child.

“People literally shut down when you talk about it,” she said.

“We’re breaking the silence. No one wants to talk about it, ever. … It’s so taboo to say, ‘I lost my daughter.’”

In 2014, she was pregnant with a baby girl; her husband and older three boys were ecstatic. Stefee also had a 4-month-old son, as well as her husband’s daughter, at home.

Steffee was almost 19 weeks pregnant when the unthinkable happened. Despite her grief, she had to deliver Sutton by natural childbirth. One of the nurses asked her what she could do, and Steffee asked her not to leave her side. The nurse stayed there the entire time.

When Ruby was born, she weighed 2.6 ounces.

Kelly Steffee always feels at peace when she visits Secret Lake Park in Casselberry. She lost her daughter, Sutton Ruby, in 2014 when she was almost 19 weeks pregnant. At the time, the state considered it a miscarriage and not a death.

“She fit in our hand,” Steffee said. “But she was a fully formed baby.”

When she was back at home, she went to bed and didn’t get out for about a month. Worried family and friends offered to help, but it wasn’t until she got a text from a friend that something in her changed. The friend suggested she contact The TEARS Foundation. She did, and it has given her purpose.

ROCK AND WALK

The nonprofit TEARS Foundation was started in 2002 by Sarah Slack following her infant son’s death. The organization compassionately assists bereaved families who have lost a child from 20 weeks gestation to 1 year by paying funeral, burial and cremation expenses and through peer companionship.

Steffee started slow, first by joining the group’s Facebook

page but not ready to share her own story. When she shared it a week later, she heard back from Slack and was put in touch with a person in Central Florida.

The foundation’s annual signature event is the Rock and Walk remembrance celebration; Steffee attended her first walk and immediately decided this was something she wanted to be involved with.

She chaired the Orlando walk last year and is now one of the co-leaders for the state. When she posted information about the 2016 walk, Cheryl DallaireBellhouse saw it and wanted to be part of the group.

Because of The TEARS Foundation, Steffee has a place to go to visit her daughter. Anyone who raises $500 for the walk can get their child’s name engraved on an Angel of Hope monument. Sutton is on the monuments in Ormond Beach and Alaska and will be add-

HEALTH MATTERS

OrangeObserver.com

Finley

mom.”

On a Friday afternoon, with family and friends gathered, Finley’s parents said goodbye.

“I can remember walking down the NICU hallway and thinking, ‘How can I just leave her here?

Who’s going to taking care of her?’”

THERE’S NO ONE ADDRESSING INFANT LOSS

After Moore left the hospital, there was no follow-up, no offers of support from a professional organization.

“This is an epidemic,” she said. “Over the next few days, I was very desperate for help, and

TEARS

ed to the new ones in Washington and Georgia.

“Eventually she will be on every state’s monument, so I can visit my baby girl anywhere,” Steffee said.

I started looking for help in this area. I needed help right away, and I couldn’t figure out where to go.”

At a friend’s suggestion, she attended a Grief Share meeting at a local church. That program — and meeting other people who have suffered devastating loss — saved her life.

“I’ve always been an advocate for injustice,” Moore said. “Helping the down and out has been my calling, helping women has been my calling. I never knew that thing that was always inside me would become my purpose.

“When I started seeing the gap between the hospital and the home, I knew I had to do something,” she said. “There was not a program walking with families once it happened and supporting them through their basic needs During each visit, she reads all the names listed “to keep their name out there.”

ANOTHER BOY

Two months after Sutton’s birth, Steffee was pregnant with her rainbow baby, a baby that is conceived following another’s death.

It was a boy.

According to Moore, the Finley Project is the only organization in the country that offers a seven-part holistic program to support grieving mothers emotionally and physically at no charge.

Team members work with these mothers for five years — starting immediately after the loss.

The first step is planning the funeral, and a Finley Project team member researches and presents options to the family, walking them through the entire process.

Meal and grocery gift cards

are provided for five weeks. Professional massage therapy sessions are offered for the mother’s well-being. Household needs are taken care of with professional house cleaning services for three months.

Team members find a local support group for the mother to interact with other women who share their grief. Weekly one-on-one counseling sessions are arranged for three months. The mother also is assigned a volunteer support coordinator who stays in contact with her throughout the five-year program.

“My objective was that no mother go at it alone, so we serve mothers who lose (children) from 22 weeks gestation to 2 years of age,” Moore said.

The program is financially

I look at him and think, ‘I love him so much,’ but then I think how much I miss her,” Steffee said. “But it’s bittersweet, because then, he wouldn’t be here.”

The week her youngest was born, Steffee and her husband received a Molly Bear. It is clad in pink bows and weighs 2.6 ounces. These bears are special order

and are filled to match the baby’s weight.

The family is open about their daughter, and their house has a cabinet dedicated to her memory.

One thing they won’t do is share photos of Sutton; they wanted to keep at least one thing private that connects the couple to their baby girl.

and getting them in counseling.

“There’s no one addressing infant loss,” she said matter-offactly.

Thus, the Finley Project was created.

THE FINLEY PROJECT

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MAY 2017

19

supported mostly by individual donors. Currently, 52 families are receiving services. “(For) a lot of our families, it’s a very lonely and desperate space to be in,” Moore said. “There’s nothing more lonely than being in a crowded room but feeling misunderstood.”

FOREVER FINLEY

Finley is Moore’s only child.

“It’s amazing to look back on it honestly and to think I survived,” she said. “I will never be the same person again. Everything is so fragile. ... I felt like heaven was more real to me. I felt like it was more close to me than ever.

“You don’t move on; you learn to carry it with you,” Moore said.

“She’s with me. ... There’s so much peace in that.”

To help with the foundation, call Steffee at (407) 902-6788 or email her at suttonrubytears@ gmail.com. A volunteer meeting is scheduled for June for the purpose of building committees for the May 5, 2018, walk.

Contact Amy Quesinberry at AmyQ@orangeobserver.com.

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MAY 2017

A special place for a special time Natural births are a popular open at The Birth Place, located in Winter Garden.

BRITTANY GAINES STAFF WRITER

From birthing tubs to regular visits with a midwife, the staff at The Birth Place all are trained to provide mothers with a positive birthing experience.

“It’s very much a family from the minute you walk into reception,” said Jo James, a midwife in charge of strategic operation at The Birth Place. “You’re treated like everyone else.”

The Birth Place, located in both Winter Garden and Orlando, was founded by midwife Jennie Joseph and is focused on providing mothers with the birthing experience they want — whether natural or in a hospital.

“One of the most rewarding aspects of my work has been to have the honor and opportunity to be a part of new families as they form,” Joseph said. “It is wonderful to be able to support moms and dads bringing new life and, after 38 years in the profession, I have lost count of the number of babies I have delivered.”

BUILDING TRUST

Joseph was trained in midwifery in her native United Kingdom — where midwives are common.

In the UK, midwives meet with mothers on a weekly basis and tend to the mother and baby every day for two weeks after the birth.

The key to being a good midwife is creating a bond of trust with the mothers.

“When the trust between you and that person is there, they’re going to be honest with you,” James said. “They aren’t going to be embarrassed asking questions.

They’ll be confident to ask question and be involved.”

Although The Birth Place specializes in natural births, mothers can choose to give birth in a hospital because of the organization’s partnership with local facilities.

But in recent years, the center has noticed an uptick in the number of requests for natural births.

“It’s very popular,” James said.

“We have a lot of people wanting a natural birth.”

On average, The Birth Place performs an estimated 100 births per year at its birthing facilities and another 800 births at local hospitals. Overall, the two locations combined attend to nearly 1,000 women annually.

In the event that a mother’s delivery at The Birth Place doesn’t go as planned or the baby is under duress, the center can quickly transfer the mother from the facility to a nearby hospital.

COMFORT IS KEY

At the Winter Garden location, the center is equipped to treat mothers from prenatal to postpartum.

It has several examination rooms where pregnant mothers go through routine check-ups. One room is equipped with a small bed

Relief is just a Pellet Away!

THE BIRTH PLACE 213 S. Dillard St., Suite No. 340, Winter Garden PHONE: (407) 656-6938 EMAIL: jessica@thebirthplace.org WEBSITE: thebirthplace.org

and sofa, which are used to educate mothers on how to breastfeed their baby. But in the back of the center are the birthing rooms.

One is light and airy, painted in light yellow, while the other is a dark blue. Both rooms include birthing tubs, large beds, a sofa and fully equipped bathrooms.

“It’s designed to be like a home birth without doing it at home,” James said.

ALL ABOUT THE MOM

When Joseph moved to the United States in 1989, she immediately immersed herself in maternity care. She founded Commonsense Childbirth Inc., which includes the operations of The Birth Place, and also founded the Commonsense Childbirth School of Midwifery.

One of her greatest passions as a midwife is to provide care to any

and all women who need it.

“When the front desk operates as an ‘open-door triage’ there is no barrier to prenatal care,” Joseph said. “You are eligible for all services simply because you are pregnant and you have expressed a need. No one is turned away — regardless of ability to pay.”

Joseph’s advocacy for women’s health has earned her a reputation within her field. In fact, she was requested to speak at the March for Moms event in Washington, D.C., on Mother’s Day this year.

Her passion and love of providing mothers with the care and support they need has been passed on to her employees. At The Birth Place, James said the workers have their own strengths and they all collaborate together to provide mothers with the best care possible.

“It’s all about the mom,” James said. “It’s about making it the birth that they want. It’s making sure the woman has the most positive birth experience.”

Contact Brittany Gaines at bgaines@orangeobserver.com.

Join us in congratulating Dr. David Boers for being voted TOP DENTIST in Windermere 2016 by Orlando Family Magazine

David W. Boers DDS PA Gabriella Alford, DMD

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HEALTH MATTERS

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THURSDAY, MAY 18

SMART SNACKING 11 a.m. to noon Thursday, May 18, at the Roper Family YMCA, 100 Windermere Road. Winter Garden. If planned properly, snacks can fit into a healthy eating plan and provide an energy boost between meals. In this class, a registered dietician will help attendees plan, learn and choose nutritious snacks.

For more, visit healthywestorange.org.

SATURDAY, MAY 25

RESOURCES AND OPPORTUNITIES FOR ELDERS 1 to 1:30 p.m. Saturday, May 25, at the Windermere Library, 530 Main St., Windermere. Orange County’s Elder Ambassadors help residents learn about resources for elders in Central Florida, including support services, dementia resources and active aging opportunities.

(407) 835-7323.

SATURDAY, JUNE 4

THURSDAY, MAY 23

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3 p.m. Thursday, May 23, and Friday, May 26; and Thursday, July 20, and Friday, July 21, at Health Central Park, 411 N. Dillard St., Winter Garden. Bring a driver’s license and AARP membership card, if you are a member. AARP, 1-888-227-7669.

COMMUNITY YOGA 3 p.m. Saturday, June 4, and Sunday, July 9, at the West Oaks Branch Library, 1821 E. Silver Star Road, Ocoee. Yoga is a great way to improve the health of your body and mind.

Studies show that regular yoga practice can strengthen muscles, improve bone density, increase cardiovascular health and reduce stress. Children ages 12 and younger must be accompanied by an adult.

(407) 835-7323.

THURSDAY, JUNE 8

INTRODUCTION TO PILATES FOR SENIORS 2 p.m. Thursdays, June 8 and 22, at the West Oaks Branch Library, 1821 E. Silver Star Road, Ocoee. Exercise your way to fitness in this introduction to Pilates class. You will learn simple moves that will work your muscles, help alignment, and encourage flexibility.

Comfortable exercise or loosefitting clothing required; yoga mats encouraged. Registration recommended at ocls.info/ nextchapter or call (407) 8357323.

SATURDAY, JUNE 10

SOUTHWEST STORYWALK 10:30 a.m. to 1:30 p.m. Saturday, June 10, at the Dr. P. Phillips Community Park, 8249 Buenavista Woods Blvd., Orlando. The Southwest Library’s first StoryWalk will have guests strolling along a nature trail as they read the classic children’s story “Henny Penny” and collect fun souvenirs along the way. The StoryWalk Project was created by Anne Ferguson, of Montpelier, Vermont, and developed in collaboration with

MONDAY, JUNE 19

the Kellogg-Hubbard Library.

(407) 835-7323.

TUESDAY, JUNE 12

CAREGIVING MATTERS WORKSHOPS 6 p.m. Tuesday, June 12, at Health Central Hospital, 10000 W. Colonial Drive, Ocoee.

The Alzheimer’s & Dementia Resource Center holds caregiver support group meetings at locations around Central Florida. A facilitator from ADRC guides the meeting, which lasts between one and two hours.

For more information, call (407) 843-1910 or info@ADRCcares.org.

THURSDAY, JUNE 15

EMPOWERING KIDS THROUGH WATER SAFETY 6 p.m. Thursday, June 15, at the Windermere LIbrary, 530 Main St., Windermere. The British Swim School will teach attendees and their children the steps necessary to ensure water activities are safe activities. For more information, visit BritishSwimSchool.com. Registration recommended.

AARP DRIVER SAFETY PROGRAM 5 p.m. Monday, June 19, and Tuesday, June 20, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

Bring a driver’s license and AARP membership card, if you are a member. AARP, 1-888227-7669.

THURSDAY, JULY 6

SAVE THE PLANET, SAVE YOUR SKIN: NATURAL BEAUTY FOR TEENS 6:30 p.m. Thursday, July 6, at the Winter Garden Branch Library, 805 E. Plant St., Winter Garden. Learn natural beauty secrets and recipes to save the planet and save your skin. Ages 11 to 18. Seating is limited. Registration recommended. (407) 835-7323.

MONDAY, JULY 10

ALZHEIMER’S ASSOCIATION CAREGIVER COLLEGE —LEGAL AND FINANCIAL MATTERS 5:30 to 7 p.m. Monday, July 10, at the Dr. P. Phllips Hospital, 9400 Turkey Lake Road, Orlando. Guest speaker will be

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HEALTH MATTERS

Heather Kirson, elder law attorney. Register at 800-272-3900 or infocnfl@alz.com.

THURSDAY, JULY 27

PRENATAL YOGA 6 p.m. Thursday, July 27, at the Windermere Library, 530 Main St., Windermere. Enjoy gentle poses and movements to keep you healthy, fit and comfortable during pregnancy with yoga instructor Carrie Tavris. Prepare your body and mind for birth while bonding with baby and other expecting mothers. For more information visit, yogababy. weebly.com.

CLASSES & GROUPS

18+ OPEN GYM VOLLEYBALL 7:30 p.m. Tuesdays and 7 p.m.

Wednesdays at Jim Beech Recreation Center, 1820 A.D. Mims Road, Ocoee. This program is offered year-round and offers the community a great way to have fun and exercise at the same time. Cost is $2.50 per day or $25 annually (Ocoee residents) $4.50 per day or $40 annually (non-residents). For more visit ocoee.org.

50+ FITNESS AEROBICS CLASSES 10:45 a.m. Mondays and Wednesdays at St. Luke’s United Methodist Church, 4851 S. Apopka-Vineland Road, Orlando.

Exercise mats are provided. Cost is $2. For more information, email to fit4ever40f@cfl.rr.com or visit st.lukes.org.

ALZHEIMER’S & DEMENTIA SUPPORT 6 p.m. the second Tuesday of the month, in the second-floor conference room at Health Central Hospital, 10000 W. Colonial Drive, Ocoee. For more, call (407) 843-1910.

CHILDBIRTH EDUCATIONAL CLASS Held weekly in Health Central Hospital’s Gleason Room, 10000 W. Colonial Drive, Ocoee. These classes are designed to prepare expectant parents for the childbirth experience. Participants are encouraged to bring at least two pillows, a blanket, a coach, a drink and a snack. Registration is required, and classes are free for Healthy Start and MomCare participants. Visit healthystartorange.org to register.

FITNESS BELLY DANCE FOR LIFE 7 to 8:30 p.m. Thursdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

This program is designed to incorporate technique, cardio fitness and weight training — all while learning the art of belly dance. Ages 18 and older. Cost is $5 for Winter Garden residents and $6 for non-residents per class. (407) 656-4155.

GENTLE YOGA 7:15 p.m. Tuesdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. The next four-week session begins April 7. Great for beginners or anyone who wants a gentle workout. Yoga involves stretching and strengthening exercises, breathing techniques and relaxing meditation. Cost is $6 for residents and $7 for non-residents per class, or $20 for residents and $24 for non-residents per four-week session.

HEALTH CENTRAL WALKERS 8:30 a.m. daily, at the West Oaks Mall, 9401 W. Colonial Drive, No. 728, Ocoee. Walkers meet at the food court entrance. Put on a pair

of walking shoes and join friends and neighbors for a brisk stroll.

The group also hosts a monthly breakfast. Attendees are asked to bring at least one canned food donation for Second Harvest Food Bank. Donations may be dropped off at the Community Relations department, fourth floor, Health Central Hospital, 10000 W. Colonial Drive, Ocoee.

HIP-HOP DANCE 10:15 a.m. Saturdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

The next monthly session begins April 6. Each week encompasses different routines and music. Participants will improve on rhythm, coordination and overall dance skills during this hourlong cardio dance workout. Ages 13 and older. Cost is $4 for residents and $5 for non-residents per class, or $15 for residents and $18 for non-residents per month.

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MOMS RUN THIS TOWN The Central Florida chapter of this women’s running club invites local women to get together to run/walk/jog and socialize. All skill levels are welcome. To join the group or for more information, visit facebook.com/groups/ centralflorida.mrtt, email mrttcentralfl@gmail.com or visitmomsrunthistown.com/centralfl.

PILATES 6 p.m. Tuesdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. The next four-week session begins April 4. Ages 16 and older. Cost is $8 for residents and $10 for non-residents per class, or $30 for residents and $36 for nonresidents per four-week session.

SYSTEMA 7 to 8:30 p.m. Mondays, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

The next session begins April 3.

This Russian martial art focuses on self-defense methods, greater strength and endurance. Cost is $15 per class; or $45 for residents and $55 for non-residents per month. For more, call (407) 656-4155.

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Special Grand Opening Pricing For a Limited Time!

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Bethany is... Caring. Love. Hope.

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HEALTH MATTERS

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MAY 2017

For EXCELLENCE in VEIN CARE

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To schedule a meet and greet with one of our pediatricians, please call our office at (407) 876-CARE(2273) Located in Lakeside Village Plaza on CR535 (Behind the 7-11, just north of Publix). Please use Bing or Google Maps to find us!

Accepted Insurance Plans: Aetna | Avmed | Cigna | Florida Blue | Florida Hospital | Medicare | United Healthcare | …and many more!

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“Caring for your family is more than skin deep�

W

hen people think of a dermatologist, many imagine someone who treats acne or skin cancer, but at Mid Florida Dermatology & Plastic Surgery, we believe that dermatology is more than just skin deep. Our mission is to provide quality patient care in an atmosphere of excellence and integrity; and to preserve the dignity of the patient-physician relationship. We continually strive to deliver the best in dermatological care by attending to the patient first and the condition second.Alongside these standards, we are proud to offer many dermatologic and innovative cosmetic procedures to our patients.

Our practice is continually striving to become the best. With that being said, it is our pleasure, to welcome Dr. Mariela Salinas and Dr. Christopher Savage to our practice. Dr. Salinas is committed to providing a high standard of medical, surgical and cosmetic skin care to all her patients, including adults and children. While her clinical interests and expertise include the prevention, detection and treatment of skin cancer, acne, psoriasis, hair loss, eczema and other dermatological conditions; Dr. Savage excels at providing great care and expertise as a board certified plastic surgeon. His specialities include: Skin cancer surgery, cyst and lipoma excisions, rhinoplasty, facial reconstruction, Kybella injections, fat transfers, and more!

Call today to make an appointment with

407-299-7333 • FLDermDoc.com

Multiple Office Locations. Accepting new patients and most major insurances!

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Dr. Mariela Salinas or Dr. Christopher Savage.

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