09.27.18 Health Matters

Health Matters

Observer

SEPTEMBER 2018

Westward Expansion

Orlando Health welcomed its first guests to the new Orlando Health Emergency Room and Medical Pavilion — Horizon West during a dedication ceremony Sept. 25. SEE PAGES 12-13.

Providers At Advanced Pediatrics, PA: MONA PATEL, MD FARAH USMANI, MD AISHA ASIF, MD

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Providers At Clermont Pediatrics, PA: MONA PATEL, MD FARAH USMANI, MD VIPIN MENDIRATTA, MD SHAHRZAD TARAFDAR, MD

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Observer Publisher / Matt Walsh, mwalsh@YourObserver.com Publisher / Winter Park/Maitland Observer Jackie Fanara, jfanara@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 News Editor / Gabby Baquero, gbaquero@OrangeObserver.com Black Tie Editor / Danielle Hendrix, dhendrix@OrangeObserver.com Associate Editor / Troy Herring, therring@OrangeObserver.com Associate Editor / Tim Freed, tfreed@OrangeObserver.com Black Tie Reporter / Harry Sayer, hsayer@OrangeObserver.com Staff Writer / Eric Gutierrez, egutierrez@OrangeObserver.com Advertising Executive / Cyndi Gustafson, advertising@OrangeObserver.com Advertising Executive / Kim Kowske, kkowske@OrangeObserver.com Creative Services / Tony Trotti, ttrotti@OrangeObserver.com Customer Service Representatives / Allison Brunelle, abrunelle@OrangeObserver.com Katie Rehm, krehm@OrangeObserver.com To Advertise, please call (407) 656-2121 or email AdvertiseNow@ OrangeObserver.com.

CONTACT US The West Orange Times & Observer and Observer are published once weekly, on Thursdays. The Winter Park/Maitland Observer is published once weekly, on Fridays. The Observer papers can also be found free in many commercial locations.

If you wish to subscribe to the West Orange Times, Observer or Winter Park/Maitland Observers, call (407) 656-2121 or visit our offices at 661 Garden Commerce Parkway, Suite 180, Winter Garden, FL., or 180 S. Knowles in Winter Park, FL.

HEALTH BRIEFS

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CENTRA CARE OFFERS FREE FLU SHOTS

Centra Care, Florida Hospital Urgent Care, is offering free flu shots at two of its locations in October.

Supplies are limited. Flu shots are provided on a first-come, first-served basis.

The shots will be available from 2:30 to 5:30 p.m. Wednesday, Oct. 3, at Winter Park Centra Care, 3099 Aloma Ave., Winter Park; and Wednesday, Oct. 10, at Lake Nona Centra Care, 9637 Lake Nona Village Place, Orlando.

For more information, call (407) 833-9201.

HEART OF FLORIDA WELCOMES NEW BOARD MEMBERS

Heart of Florida United Way recently elected seven new members to its board of directors. This group of successful professionals will donate their skills and talent to support the work that this organization is doing to help those in need in our community. n David Belvin, vice president of Lockheed Martin Missiles and Fire Control. He is currently responsible for leading the strategy, direction and execution oversight for Apache, Turreted Systems and Advanced Rotary Wing & Ground Systems program. He also serves as deputy to the vice president for the Sensors & Global Sustainment line of business. He has been recognized for his leadership of the Apache Fire Control Program and as a Focus Area Champion for talent retention and engagement. n Todd Goodman, CFO, Florida Hospital and Central Florida Division. He currently oversees operations for the Central Florida Region, which includes eight Florida Hospital campuses and Florida Hospital Waterman.

He had served as CFO of the Florida Hospital Foundation, director of finance of the Florida Hospital Physician Enterprise and director of finance of the FHHS and Florida Hospital Managed Care. n Gaby Ortigoni, president, Hispanic Chamber of Commerce of Metro Orlando. Prior to this role, she served as the regional vice president for Central Florida at Prospera, an economic development, nonprofit organization that provides free bilingual technical assistance to Hispanic entrepreneurs trying to estab-

lish or expand their business in Florida. n Tammy Paycer, senior vice president, community development manager of SunTrust Bank, Central Florida Division.

She began her banking career in 1994 and joined SunTrust in 2000. She is responsible for leading the Central Florida Division team’s community development activities including outreach to the under-banked populations, as well as partnering with organizations that promote affordable housing and economic development across the Central Florida community. n Tracey Powell, vice president — pricing, Disney Parks, Experiences and Consumer Products. She leads the Pricing and Revenue management teams for Walt Disney World Resort, Disneyland Resort and Disney Cruise Line. In addition, she supports the Disney Parks Experiences and Consumer Products segment of the Walt Disney Company as a Center of Excellence. n Lisa Shepard, assurance partner, Ernst & Young. She transferred to EY Orlando from Phoenix in April. She has served both private and public companies that have ranged in early stage to more than $125 billion in revenues. n Tammy Tipton, group CFO, CNL Financial Group. She is also chief financial officer and treasurer of CNL Lifestyle Properties and CFO of CNL Growth Properties. She oversees the accounting, reporting, planning and budgeting, payroll and purchasing functions for both the private company and the public funds.

SUICIDE-PREVENTION RESOURCES AVAILABLE Because suicide rates are rising in the region, on college campuses, in Florida and across the U.S., the Mental Health Association of Central Florida invites residents to know its and other resources for suicide prevention for those who need it most.

The association, mentalhealth advocates, prevention organizations, survivors and health organizations are uniting to promote suicide-prevention awareness for September, National Suicide Prevention Month.

The association offers referral and professional hands-on resources for persons at risk for suicide and for persons affected by suicide including:

n A Suicide Support Group meets at 6 p.m. every third Wednesday at the association, 320 N. Ferncreek Ave., Orlando. n Intro to Wellness Recovery Action Plan kicks off from 9 a.m. to 4:30 p.m. Sept. 27 and 28 at the association, 320 N. Ferncreek Ave., Orlando. For more information, contact eferlo@mhacf.org. n The Outlook Clinic, in partnership with Orange County government and Florida Hospital, treats uninsured individuals with anxiety and/or depression with co-occurring medical conditions. For more, call (407) 898-0110.

Other referral and mentalhealth support services can be found at mhacf.org or by calling (407) 898-0110.

FLORIDA DOH WELCOMES ADEBANJO

Although born in Palo Alto, California, Adebanjo is an Orlando native and graduated from Olympia High School. A pediatrician by training, she has a passion for Adverse Childhood Experiences, which she has chosen as her transformational practice and policy project for her fellowship.

While completing her fellowship with Florida Department of Health in Orange County, Adebanjo will promote Baby Safe Sleep awareness to fight against Sudden Infant Death Syndrome, collaborate on a Fetal Infant Mortality Review and develop a project to increase awareness and screening for ACEs. Adebanjo received her medical degree from the University of North Carolina at Chapel Hill School of Medicine; and completed her undergraduate degree in nutritional sciences at the University of Florida.

SHEGA LEADS VITAS DIVISION

Dr. Tolu Adebanjo

The Florida Department of Health in Orange County welcomed recently preventive medicine resident Dr. Tolu Adebanjo.

One of the four candidates selected by the Centers for Disease Control and Prevention to participate in the Preventive Medicine Residency and Fellowship program in 2018, Adebanjo is assigned to Florida Department of Health in Orange County and Orlando Health for a 12-month, full-time training program.

As a board-certified pediatrician with more than five years of clinical experience, Adebanjo will work closely with Dr. Kevin Sherin, Florida Department of Health in Orange County health officer.

“The Florida Department of Health in Orange County is delighted to participate in this first preventive medicine fellowship with the CDC and Orlando Health,” Sherin said. “Dr. Tolu Adebanjo is an incredible addition to our team. Her ability to work on projects within Orlando Health and the health department will pay future dividends by improving systems of care.”

Dr. Joseph Shega has been promoted to senior vice president and chief medical officer for VITAS Healthcare, the nation’s leading provider of end-of-life care.

Shega, a Gotha resident, is responsible for overseeing and leading the medical direction for all VITAS locations in 14 states and Washington, D.C. Shega joined VITAS in 2013 as a regional medical director and was promoted in 2016 to senior vice president and national medical director. Prior to joining VITAS, Shega was an associate professor of medicine at the University of Chicago in the section of geriatrics and palliative medicine. His clinical efforts included inpatient care at the University of Chicago hospitals, outpatient care at the Senior Health Center at South Shore, and Center for Comprehensive Care and Research on Memory Disorders and home care through Horizon Hospice and Palliative Care.

He earned his bachelor’s degree in biology and chemistry from Lewis University in Romeoville, Illinois, and doctoral degree from Northwestern University Medical School in Chicago. He completed an internal medicine residency at University of Pittsburgh Medical Center and earned a fellowship in geriatric medicine from the University of Chicago.

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Life-changing breakthrough Orlando Health’s Dr. Samer Elbabaa led a team that performed successfully in-utero surgery to repair spina bifida defects.

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ERIC GUTIERREZ STAFF WRITER

Orlando Health now offers a lifechanging procedure that could impact the lives of mothers and babies throughout Florida.

The local hospital recently became the first in the state to perform in-utero surgery to repair spina bifida, a spinal defect that develops in the fetus during the early stages of pregnancy.

The most common and severe form of spina bifida, Myelomeningocele, occurs in about one in every 3,000 births in the United States. The team that performed the procedure has performed it successfully on three patients to date, according to a release.

Dr. Samer Elbabaa, medical director of pediatric neurosurgery and the director of the pediatric neuroscience center of excellence for Orlando Health’s Arnold Palmer Hospital for Children, was the surgeon who performed the procedure along with a team of other medical professionals.

“Being the place (that offers) this fetal surgery option for parents — not only in the region but in the whole state — is a great addition (to Orlando Health),” Elbabaa said. “Unfortunately, only a few programs in the country are able to offer this meticulous fetal surgery option, because it requires a lot of program building, many specialties involved and requires a very comprehensive and multidisciplinary program to offer this operation safely for both the mother and the fetus.”

According to the release, this

Busting Myths About Flu Shots

by Carol Lemerond, ARNP, Florida Blue Nurse Practitioner

procedure is only offered in 12 medical centers throughout the country, with the closest centers in Tennessee and North Carolina.

Elbabaa has performed this procedure more than 60 times during his career. He was recruited by Orlando Health more than a year ago and immediately began building the program to be able to offer this surgical procedure when he started with the hospital.

“When I came here, my first job was to build a team around (a) goal, which is performing (the procedure) safely for both the mother and the fetus and to be able to offer this treatment option to the families here in the Central Florida region and the whole state.”

— Dr. Samer Elbabaa, Arnold Palmer Hospital for Children

“When I came here, my first job was to build a team around (a) goal, which is performing (the procedure) safely for both the mother and the fetus and to be able to offer this treatment option to the families here in the Central Florida region and the whole state,” Elbabaa said.

“There are a lot of risks involved, a lot of moving parts, a lot of factors playing in (regarding) the safety of the surgery.”

Elbabaa said one of the major risks of the procedure is premature birth. He added the surgery is challenging and the program is so difficult to build because the procedure requires a team comprising medical professionals with multiple disciplines and

specialties. Moreover, that two individuals are undergoing surgery in the procedure also presents a challenge.

“We’re technically doing two surgeries on two human beings — a mother and a fetus — at the same time under the same anesthesia,” Elbabaa said. “So, there are many specialties involved (such as) pediatric neurosurgery, internal fetal medicine, anesthesiology, immunology, pharmacy (and) ultrasound. There’s a long list of specialist and technicians who are involved in this meticulous surgery to perform it safely both on the mother and the fetus at the same time.”

Although fetal surgery is not a cure for spina bifida, studies have shown the procedure can reduce the need for a spinal shunt at birth and improve the child’s mobility and leg function.

“We are thrilled to have this innovative and life-changing surgery available at Orlando Health,” President and CEO of Orlando Health David Strong said. “Orlando Health is always advancing to meet the needs of our patients. We are pleased to be able to offer moms across the southeastern U.S. access to this service.”

Performing the procedure required a whole team of medical professionals with varying specialities.

Left: The procedure has been performed on three mothers and their children.

Courtesy photos

Getting a flu shot every year is the best way to protect yourself, your community and those you love from the flu. However, many people avoid getting the vaccine because they’ve heard incorrect information about it.

Here’s a look at myths and facts about the flu shot.

Myth: I could get the flu from the flu shot.

Fact: The flu shot does not give you the flu. After you get your flu vaccine, you may experience some redness or swelling at the site of the injection or some aches and a mild fever. However, this is not the flu. The flu shot only contains a few proteins from a dead flu virus that prime your immune system so it knows what to attack if it comes in contact with the flu virus.

Myth: If I don’t get a flu shot, I’m only putting myself at risk.

Fact: Skipping your flu shot not only puts you at risk but also your family, friends and community who you may spread it to.

When more people get vaccinated against the flu, less flu virus can spread through a community. You’re also helping protect those around you who are unable to get a flu shot such as babies under 6 months old.

Myth: I have to go to a doctor to get a flu vaccine.

Fact: While your doctor can administer a flu vaccine, you can also stop into your local Walgreens for a flu shot. In fact, our Florida Blue Center in Winter Park will offer flu shots on Sept. 18, Oct. 4, Oct. 18, Oct. 25, Nov. 3 and Nov. 10 between 10 a.m. and noon.

Myth: I have to pay for a flu shot.

Fact: Flu shots are one of the fully covered preventive care benefits provided by the Affordable Care Act, so there’s no cost to anyone with health insurance—even if you haven’t met your deductible. If you don’t have health insurance, Florida Blue and Walgreens will offer no-cost flu shots to anyone (insured or uninsured) at its Florida Blue Center in Winter Park on Sept.

18, Oct. 4, Oct. 18, Oct. 25, Nov. 3 and Nov. 10 between 10 a.m. and noon, and you’ll even get a $5 Walgreens gift card for getting vaccinated. Find out more at FloridaBlueCenters.com

Myth: It doesn’t matter if I get the flu because it doesn’t make you seriously ill.

Carol Lemerond is a nurse practitioner at the Florida Blue Centers in Winter Park Village and inside the Clermont Wal-Mart, where she teaches free health and wellness classes that are open to the public in addition to providing health coaching.

Fact: The flu can be life threatening, especially for young children and those over the age of 65. Having a condition like asthma, COPD, chronic bronchitis, heart disease or diabetes increases your risk of complications from the flu. The flu can even increase your risk of having a heart attack or stroke.

(352) 242-6800 Clermont (321) 441-2020 Winter Park www.FloridaBlue.com

Health Observed allows brands and businesses to connect directly with the Observer’s readership — and participate in the conversation — by creating engaging content on the Observer’s digital publishing platform. For more on Health Observed, email us at kohara@yourobserver.com.

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Convenience factor DaVita Medical Group’s new facility in MetroWest will enable the company to provide dialysis treatments to both locals and tourists.

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Denver-based DaVita Medical Group has its dialysis centers in several states across the United States and has served more than a million patients, but it is particularly excited about its new location in MetroWest. It began seeing patients in late June and held its ribbon-cutting July 17.

“It’s a beautiful, large facility, and it’s actually located very close and convenient to a lot of the attractions,” said Erin Deniz, outreach development manager for DaVita’s Central Florida locations.

Indeed, the practice, located in a shopping center at the northwest corner of Kirkman Road and Conroy Road, is adjacent to attractions such as Universal Studios.

That location makes it convenient

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for Central Florida’s millions of visitors, who often need medical treatments while in town — dialysis included.

“Central Florida actually sees the second-highest number of what we call ‘visiting dialysis patients’,” Deniz said. “A lot of those visitors are on dialysis and need treatment away from home.”

So, while DaVita has facilities in nearby locations such as Apopka and Celebration — not to men-

Courtesy photo

tion competing medical facilities offering dialysis treatment — there is still confidence this facility will be busy.

“There’s almost 31 million Americans that have some level of chronic kidney — so there’s definitely a need in the community,” Deniz said.

The facility will be able to treat higher-acuity patients and has a stretcher bed, which allows patients to be served even if they cannot sit up during treatment.

The team that opened the facility also has decades of experience

— so although the facility is new, those treating patients are not.

“The team at this clinic has just a vast level of experience,” Deniz said. “The three teammates that have opened the facility have 80 combined years of dialysis experience.”

The new location has seen a healthy volume of interest from new patients and current DaVita patients who intend to relocate their treatment there. The facility still is awaiting final certification to serve Medicare and Medicaid patients. When that is finiaized,

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it will allow the facility to serve many more patients.

It’s an exciting time, and the facility’s medical director — Dr. Fawad Ahmed — is enthusiastic about the opportunities to serve the community.

“As medical director of DaVita MetroWest, I am honored to be part of a team that will be providing therapy to Orlando-area dialysis patient,” Ahmed said. “Located so close to area attractions, we are well-positioned to serve vacationers from around the world while they enjoy quality family time.”

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www.orlandoveins.com

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The new team for DaVita MetroWest was all smiles at its ribbon-cutting for the Orlando Chamber of Commerce July 17.

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Creation of the Center for Genomic Health. The Orlando campus will have a new center that examines disease prevention from diagnosis to treatment. Physicians and researchers will use genomic profiles to see if patients are at risk for heart disease, cancer and other illnesses. Work on the center will begin in 2019.

Spiritual-wholeness screening. The hospital network’s new wholeness screening program will reach out to the 80% of Florida Hospital patients treated in practices, labs and other outpatient locations that typically do not have spiritual services. Patients will be asked four questions about their spiritual health and can have follow-up care from team members if they need it.

New online platform. AdventHealth will be launching a new online platform for patients to view their medical records, pay bills, make appointments and more. The eCare program also will be free throughout January.

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New name, renewed focus Florida Hospital recently unveiled its rebranding as AdventHealth.

HARRY SAYER BLACK TIE REPORTER

Florida Hospital is about to receive a rebranding.

Florida Hospital, the Seventhday Adventist Church-sponsored health nonprofit network, soon will have a new name — AdventHealth.

“Florida Hospital was built on a strong foundation, but it’s time we turn from the past and take a leap into the future,” Florida Hospital President and CEO Daryl Tol said in a prepared statement. “We’re creating a health care system that’s easier to navigate, simpler to understand, more convenient and — most importantly — focused on keeping people healthy.”

The rebranding, set to fully arrive Jan. 2, 2019, also will introduce a new series of health ini-

Courtesy photo

The Florida Hospital network will adopt the AdventHealth name on Jan. 2, 2019.

tiatives. AdventHealth will offer spiritual-wholeness screenings that focus on emotional and spiritual satisfaction. In that screening, patients will answer four questions about whether religious beliefs influences their medical decisions; if they have someone who loves and cares for them; if they have a source of joy

in their life; and if they have an overall sense of peace.

“The answers to those questions lead to a conversation with the patient that will allow health care providers to identify spiritual needs,” Tol said. “For example, asking a patient if they have someone who loves and cares for them allows the provider to know

if the patient will need extra help to follow the treatment or attend the next doctor’s appointment.

If patients require more assistance, the provider will connect them with a team of professionals who, through a follow-up call, will continue the conversation.”

There also will be a more streamlined online platform to check medical records and schedule appointments, as well as a new center for genomic health located on the Orlando campus that will better detect critical illnesses such as cancer, heart disease and more.

All three initiatives will be put into effect following the rebranding in January.

Florida Hospital, which has 22 care centers across Florida, will join the Adventist Health System and its nearly 50 hospitals in 11 states. The Orlando-based organization was founded over a century ago by a series of Seventhday Adventists raising around $9,000 to purchase a two-story farmhouse that served as the first health care facility.

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Do you really need less sleep as you get older?

The body’s sleep needs slowly change as we get older, but sleep is always important.

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Humans spend about one-third of their lives sleeping, but many people still aren’t getting the sleep their bodies need.

But what is the right amount of sleep, and how do our sleep patterns change? Ear, nose and throat surgeon Dr. Kiran Tipirneni, of The Ear, Nose, Throat and Plastic Surgery Associates in Winter Park, said it varies depending on your age.

The amount of sleep our bodies require to feel rested slowly decreases over our life span. A newborn requires around 20 hours of sleep, but our bodies need about half of that when we’re between the ages of 5 and 10 — about 10 to 11 hours.

The trend continues — teenagers or young adults need about nine hours of sleep. They grow up to become adults — between 20 and their 50s — and they require ideally eight hours of sleep per night.

As people get much older into their 60s, 70s and 80s, they only require five to seven hours of sleep at night but also sleep for short periods of time throughout the day, Tipirneni said. This is because younger adults get more restful (REM or rapid eye movement) sleep, which is where the body really recharges. That window of REM sleep decreases as we get older — our bodies go through fragmented cycles of sleep, Tipirneni said.

“As a child, you tend to go through the whole stage over the eight- or nine-hour period — that’s the difference between the elderly and the young,” he said.

“But sleep is just as important for the elderly as it is (for) the young.”

Getting the right amount of sleep is critical, Tipirneni said. A lack of sleep causes multiple risk factors, such as high blood pressure, stroke, depression, anxiety and diabetes.

STOPPING SLEEP APNEA There’s another demographic of people not sleeping — people with bed partners who snore throughout the night.

As an otolaryngologist, Tipirneni specializes in treating the different forms of sleep apnea, where there’s obstruction in the airways caused by the palate, the tonsils, the tongue or a combination of all three.

The gold standard is the CPAP mask, which keeps airways open with steady air pressure, but Tipirneni works with patients who can’t tolerate wearing the mask at night.

There’s numerous alternatives, Tipirneni said. One of which is an oral appliance or mouth guard, which is custom fit and positions the jaw in a way that moves the obstruction.

For more severe cases of sleep apnea, surgical procedures such as trimming down the palate or moving the tongue or tonsils can fix it.

The most cutting-edge procedure is a nerve stimulator called Inspire — which serves as somewhat of a sleep pacemaker.

“It was FDA approved in 2014,” Tipirneni said. “I’ve been doing them here for about two-and-a-half years. Of all the surgical options, this has had the best results.”

The procedure works by placing a small generator device inside the patient’s chest. A wire is run under the skin, from the device and up to the nerve for the tongue, near the jawline.

Another wire with a sensor runs from the device to a space between the ribs.

The Inspire device measures breathing around the ribs that happens during sleep, and tells the tongue to move out for the way and frees up space to breathe.

Patients simply turn on the device with a remote whenever they go to sleep, said Tipirneni, the only qualified doctor in Orlando to conduct the procedure.

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The West Orange Dental Alliance

By Peter M. Gordon

Faith was one of those people who brought joy to everything she did. Her welcome made first time customers to her West Orange Walgreens feel like family. Long-time customers looked for her when they came in the store.

When Faith smiled, though, her teeth showed evidence that, like many West Orange residents, she couldn’t afford proper dental care. Her lack of a smile was holding her back, until, one day, Dr. Deborah Titus of Titus Dental entered the store, met Faith, and told her she could help.

Photos by Tim Freed

Dr. Kiran Tipirneni of The Ear, Nose, Throat and Plastic Surgery Associates in Winter Park, has been using the revolutionary Inspire device to help treat sleep apnea.

Restoring Faith’s smile, for example, required help from oral surgeon Dr. Hector Briceno. Dr. Briceno has practiced in the area since 2001, and was one of the first local dentists Dr. Titus recruited. “Faith’s new smile can lead to a better quality of life for her,” said Dr. Briceno. “I devote one full day each week from my practice for my work with WODA. Dr. Titus said, “If you don’t have a presentable smile, it’s hard to move up in your career.” People in constant pain from toothaches and gum disease have difficulty concentrating at work, and sometimes stay home when pain overwhelms them. Relieving that pain and restoring smiles improves patients’ quality of life, enabling them to return to work, perform better, and put themselves in a position for promotions and better jobs.

“There is some degree of sleep deprivation that we all go through — it’s just the way we go about our lifestyle.”

WODA’s services also keep dental patients out of the Emergency Room. Dr. Titus said hospital emergency rooms are the most expensive way to treat these issues. That cost is borne by everyone in the community in the form of higher prices, insurance payments, and taxes. WODA’s treatment doesn’t only help their patients, “it improves the quality of life for the entire West Orange community,” said Dr. Titus.

WODA provides a “Jump Start” program to help patients go from “Restorable to Employable.” The program matches patients with community partners, including Shepherd’s Hope, Christian Service Center, local community centers, and Career Source Central Florida. “We want to get people out of pain and get them back to work,” said Dr. Titus. After her treatment was completed, Faith went back to work and is now pursuing other opportunities in the company.

— Dr. Kiran Tipirneni

actually feel more tired, because you don’t need that much to get into the stages of sleep.”

Catch-up sleep — sleeping for longer periods over the weekend after not getting the right amount of sleep during the week — is also helpful, Tipirneni said.

“It doesn’t completely regenerate as well as it should by getting eight hours a night … but it does help to some degree,” Tipirneni said.

Before

After

Dr. Titus

Dr. Briceno

Qualifying patients who need WODA’s help and providers looking to help out, can get more information at WODA’s web site:

www.wodentalalliance.org

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“Without getting enough sleep, those people tend to be a higher risk for that,” Tipirneni said.

Of course there’s also a difference between those who aren’t getting sleep and those who can’t sleep. Some people either can’t fall asleep, can’t stay asleep or have restless leg syndrome, which causes them to kick frequently and wake themselves up.

These are all called parasomnias and usually can be treated with medication or forms of psychotherapy.

Some of these struggles also can be avoided by having what Tipirneni calls “sleep hygiene.”

This means avoiding habits such as staying up late at night and eating a big meal, having alcohol or exercising before you go to bed.

“There’s things that can be modified in your lifestyle to make you more suitable for getting a good night’s sleep,” Tipirneni said.

Despite these negative side effects of not getting enough sleep, Tipirneni said most Americans don’t get the eight hours of sleep they need.

“There is some degree of sleep deprivation that we all go through — it’s just the way we go about our lifestyle,” he said.

A way to help that to some degree — but not replace a good night’s sleep — is to take short 20- to 30-minute naps.

“You don’t want to take too long of a nap,” Tipirneni said.

“People who are taking an hour or hour-and-a-half nap

In 2017, Dr. Titus, with support from the West Orange Health Alliance, led a group of local dentists to launch the West Orange Dental Alliance (WODA). WODA is dedicated to providing free dental care to members of the community who were, in the words of its mission statement, “uninsured, unqualified, low income, and overlooked.” Local dentists work together to manage WODA patients’ care.

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HEALTH MATTERS

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OrangeObserver.com

SEPTEMBER 2018

HEALTH MATTERS

OrangeObserver.com

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SEPTEMBER 2018

It’s here Orlando Health officials celebrated the new Orlando Health Emergency Room and Medical Pavilion — Horizon West with an event Sept. 25.

GABBY BAQUERO NEWS EDITOR

T

he sight of construction equipment and moving dirt is nothing new to Horizon West. As one of the fastest-growing communities in the nation, the region of West Orange County has exploded with new homes, new schools and new roads.

And now, at long last, it also has its new hospital.

Orlando Health celebrated its new Orlando Health Emergency Room and Medical Pavilion — Horizon West with a dedication ceremony Sept. 25.

Located at 16596 Porter Road, near State Road 429 and New Independence Parkway, the new hospital is the product of a partnership between Orlando Health and the West Orange Healthcare District.

The district contributed $29 million toward the first phase of the project, which cost a total of about $37 million, said Tracy Swanson, executive director of the West Orange Healthcare District.

The first phase includes a twostory, 78,000-square-foot freestanding emergency department and a medical pavilion with 16 ER patient rooms on the first floor and medical office space on the second floor.

The project’s second phase will include a six-story, 214,000-square-foot hospital with 103 inpatient beds, an onsite laboratory, outpatient imaging service center, and primary and specialty physician offices.

The medical office space on the second floor of free-standing ER will be for primary-care physicians and specialists, but construction still is underway and expected to be completed by January 2019, said Desmond Jordan, media relations manager at Orlando Health. There is no set timeline for phase two construc-

tion just yet, he said.

The emergency department on the ground floor is nearly operational and will be opened by no later than Oct. 1, Jordan said.

Mark Marsh, president of Orlando Health’s Health Central Hospital, said the first and second phases of the project are just the beginning and he expects the facility will expand its programs and services in the years to come.

“We have about 80 acres down there, so this ER space and the physician space is really just the first phase to get us started,” he said. “We anticipate having a hospital on the campus there as well as our medical office building space. ... But I think as Central Florida continues to grow, people will want to have all kind of health care options close to home, so I think we’re going to continue to expand the types of services that we offer.”

eating and exercise habits and offer residents programs and assistance in their goal to live a healthier lifestyle so they don’t have to visit the ER frequently.

PREVENTION IS KEY

A HEALTHIER WEST ORANGE

This new facility also will have a Human Performance and Wellness Center geared toward helping West Orange residents pursue a healthier lifestyle that keeps them from developing preventable diseases, Marsh said.

“The Human Performance and Wellness Center is a collaborative approach with the West Orange Healthcare District,” he said. “They were a big partner in helping us facilitate (the building) of the facility down here. ...

We want to not only focus on post or acute care — we really want to do preventative medicine. We have a whole group of dietitians and various types of (professionals), and our (goal) is to see West Orange become a very healthy, vibrant community. So this is one of the things we could do on the preventative side to make sure patients are caring for themselves.”

Marsh added the center will employ nutritional counselors who help patients improve their

A BIT OF HISTORY The new Horizon West facility sits on 74 acres off Porter Road just north of Orange County National Golf Center and Lodge and south of Hamlin Town Center. The West Orange Healthcare District purchased the first 40 acres in 2000 and the rest about five years later in anticipation of the need for more health care in West Orange.

THE PHASES n Phase 1: Two-story, 78,000-square-foot freestanding emergency department and medical pavilion with 16 ER patient rooms on the first floor and medical office space on second floor n Phase 2: Six-level, 214,000-square-foot hospital with 103 inpatient beds, on-site laboratory, outpatient imaging services, and primary and specialty physician offices

Photos by Gabby Baquero

Clockwise from top: The facility’s resuscitation room contains specialized equipment that allows ER physicians to immediately deal with life-threatening illnesses and injuries.

Orlando Health’s freestanding emergency department has 16 patient rooms.

X-ray imaging services also will be offered at the new Horizon West facility.

The new facility offers computed tomography (CT) scans for both ER patients and outpatient appointments.

Outpatient CT scans hours can be scheduled from 9 a.m. to 4 p.m. Mondays through Fridays.

The wellness center also reflects the goals behind the Healthy West Orange initiative spearheaded by the district, which contributed funding for the new cancer center and memory-care facility that recently opened at Orlando Health’s Health Central Hospital in Ocoee.

“The role the district has played is in expediting access to quality, state-of-the-art care within the region,” Swanson said. “So we work with Orlando Health developing facilities such as the emergency room and the medical pavilion coming to Horizon West.”

Swanson said the district partnered with Orlando Health in 2010 and is proud to have helped make all these projects a reality.

“The vision of seeing these projects come to fruition is exactly what the trustees had hoped to see, and it’s even more exciting to see that we are gaining momentum with Healthy West Orange in terms of seeing so many collabo-

ORLANDO HEALTH EMERGENCY ROOM AND MEDICAL PAVILION — HORIZON WEST 16596 Porter Road, Winter Garden WEBSITE: bit.ly/2NW92iJ PLANNED SERVICES n Cardiology n General surgery n Gastroenterology n Health improvement center n Neurology n OB/GYN n Orthopedics n Outpatient rehabilitation center n Primary care, including family medicine and pediatrics n Urology

rators in the community coming together to support our goal of becoming the healthiest community in the nation,” Swanson said.

In addition to the Horizon West facility, the two entities have worked to expand the existing Orlando Health — Health Central Hospital in Ocoee with the $28 million, 30,000-squarefoot Orlando Health UF Health Cancer Center, which opened in August, and a 100-bed skilled nursing facility.

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OrangeObserver.com

SEPTEMBER 2018

Auxiliary adds needed support to hospital AMY QUESINBERRY COMMUNITY EDITOR

Although they aren’t called Pink Ladies and Candy Stripers anymore, the adult and teen volunteers at Health Central Hospital are just as important now as they always have been. No longer do they have to don pink jackets or red-and-white striped pinafores to perform their duties as volunteers through the Health Central Hospital Auxiliary.

The color of their jacket indicates in which department they are working in today’s hospital.

The auxiliary is an independent group of workers within the hospital, and members offer their time, expertise and service for patient care at no cost to the hospital or community. There are more than 200 volunteers, from teenagers to senior citizens.

In the last 12 months, 495 volunteers logged 57,217 hours. That is the equivalent of nearly 30 full-

time employees, said Pauline Wolfe, volunteer manager/guest services.

The volunteer center is busy at 4 p.m., as the older volunteers are clocking out and the teenagers are just arriving for their threehour shift.

Each volunteer has a different reason for wanting to donate time to the hospital, but they all are there for one reason — to assist the medical staff and make the patients’ hospital stay as productive and pleasant as possible.

Pat Harper has been a Health Central Hospital volunteer for seven years. She is one of the veterans, working alongside new volunteers Shirell Smith, who recently started the position, and Kenry Severe, a student at Olympia High School.

Smith has been job-shadowing Harper for a few weeks, learning all the ins and outs of the volunteer position. Essentially, the two greet people as they walk in the

door, help them locate a doctor’s office or a patient’s room, assist those who need wheelchairs and answer the phone.

“And always keep a smile on your face,” Smith said.

“We just make people feel welcome,” Harper said.

Severe works in another part of the hospital.

“Basically, I’m the nurse’s sidekick,” he said. “I assist the patients, give out food to the patients, organize files and give certain items to the nurses.”

Harper added, “Whatever comes up, we do it.”

The reasons people volunteer at the hospital vary.

Smith returned to the hospital to work following a stay there.

“They had really made me feel so comfortable, and I said, ‘Wow, this is a place I would really like to give back to the community and work here,’” she said. “The ER nurses and the doctors and the patient advocate, everybody

VOLUNTEERS NEEDED

Would you like to volunteer at Health Central Hospital? The hospital is looking for volunteers to help with wheelchair transport within the facility.

To inquire, call Paulina Wolfe in Volunteer Services at (407) 2961148 or email her at paulina.wolfe@ healthcentral.org.

— they were just so wonderful.”

Harper has lived in the West Orange County area for probably 50 years, she said, and she watched the hospital being built.

“I knew a lot of the doctors when they first came here,” she said. “I know a lot of the patients who come here, and it’s like home. I enjoy working with people.”

Severe was born at Health Central, and his mother has worked there for 20 years, so the place feels like home to him, as well.

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The more than 200 volunteers at Health Central Hospital range in age from teenagers to senior citizens and help keep the hospital running smoothly.

HEALTH MATTERS

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SEPTEMBER 2018

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Paulina Wolfe, back right, manages the volunteer program at Health Central. With her are three of the facility’s many volunteers, Shirell Smith, back left; Pat Harper, front left; and Kenry Severe.

Amy Quesinberry

Smith knows what it’s like to be a patient and not feeling well, and she hopes her smile brings a smile to their faces. Sometimes, they just need someone to listen

to them, she said, so she does that, too.

Harper, who worked for Orange County Public Schools for decades, said the West Orange

Open 7 days a week 8am-8pm Walk-In Clinic

community means a great deal to her and she loves people and loves helping people. Even when she worked full time, she always made time for volunteering. She

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has put in many hours at the Edgewood Children’s Ranch and the Ronald McDonald House, too.

High-school students are required to donate 100 hours of community service before graduation, so Severe is at the hospital once a week for three hours. He would love to put in more volunteer hours, he said, so he likely will stay on even after reaching the 100-hour mark.

He has enjoyed meeting new people and the communication with the nurses.

All three like knowing they are helping make the visit more comfortable for the patients.

Harper wears a red ribbon that shows her dedication to the hospital. On it are three pins she received for just a portion of the hours she has logged: 100, 500, 1,000.

“I go home feeling very good,” Harper said. “It’s a wonderful hospital. It really is.”

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SEPTEMBER 2018

Easing the mind

Newly Renovated

Dr. Phillips High graduate and yoga instructor Ramona Crabtree-Falkner recently opened her boutique yoga studio, Authentic Life Journey, in Oakland.

DANIELLE HENDRIX BLACK TIE EDITOR

In Ramona Crabtree-Falkner’s boutique yoga studio in Oakland, the experience is about more than just the scent of diffused oils or sounds of relaxing music.

It’s also about embarking on your life journey.

Crabtree-Falkner — a Dr. Phillips High graduate, yoga instructor and massage therapist for 15 years in the West Orange area — attended college at Texas Wesleyan University and graduated with a bachelor’s degree in theater. She also just opened her new yoga studio, Authentic Life Journey, off Tubb Street in Oakland.

She discovered yoga through a friend in college, and for her, it was a place of solace and finding peace. Although she stopped practicing briefly while pregnant, she came back to yoga as a form of self-care and finding her authentic life journey.

“Yoga is what allowed me to go through my own self-exploration and find my healing,” she said. “I moved back to Florida from Texas and went to massage-therapy school. … (I) started diving deeper into yoga, which ultimately led me to owning a business in the West Orange area, adding yoga as part of it and pursuing training as a yoga teacher. I have tried different variations of teaching throughout the years and finally settled into (knowing) my truth is

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“Yoga is what allowed me to go through my own self-exploration and find my healing. … I have tried different variations of teaching throughout the years and finally settled into (knowing) my truth is to teach mindful practices.”

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— Ramona Crabtree-Falkner

AUTHENTIC LIFE JOURNEY 301 N. Tubb St., Suite 109, Oakland PHONE: (407) 242-7180 EMAIL: authenticlife journey@gmail.com WEBSITE: authenticlife journey.com FACEBOOK: facebook.com/ authenticlifejourney DETAILS: Authentic Life Journey offers yoga, Reiki, mindfulness coaching, and daytime and destination retreats. In honor of National Yoga Month, ALJ is offering a free group yoga practice on Sept. 29. For more information on the class, call or visit the studio’s Facebook page or website.

CLASSES: $15 drop-in; $120 class pass for 10 classes

to teach mindful practices.”

Crabtree-Falkner’s yoga teachings are about being in the moment, taking pause in between postures and utilizing pranayama, or breath work. Postures and breathing are assistive in centering oneself, she said, and her practice is orchestrated around guiding her students to listen to themselves while they’re in the practice, with the purpose of encouraging that off the mat.

“Our hope is that what they learn here they take into the world — that ease, that pause, that quiet, which we don’t get a whole lot of in this world,” she said. “This space, that’s the heart of it — to take them out of fight-or-flight and into a rest-and-digest state.”

She also has experience in being at the helm of a yoga studio — she previously owned Ananda Center for Yoga and Massage in Winter Garden and another location before it. Ananda opened in 2005, but unfortunately the recession hit shortly after, and eventually,

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SEPTEMBER 2018

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Our newest Schwab branch, now open in Clermont.

We are pleased to announce the opening of our new Independent Branch in Clermont. Financial guidance you can trust is now just around the corner.

Drop by our local branch and see how we can support you.

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Or call (352) 404-5238.

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Ramona Crabtree-Falkner loves teaching mindfulness and helping others apply those practices in daily life.

Crabtree-Falkner knew it was time to take a break.

She jumped at the opportunity to open her current studio in Oakland. Crabtree-Falkner had been working in Windermere the last year and wanted to be closer to her home in Clermont.

“I felt like it was time for me to have a space that was … (going to) allow me to do what I want to do, which is share this love of yoga that I have,” she said. “The opportunity presented itself, and it’s the absolute best equation I could ask for.”

She and her instructors offer classes for restorative yen yoga and its meditation practices, as well as yoga with acupuncture, yoga-teacher training, work-

shops, Thursday-night specials and mini day retreats.

“Every day you come to the mat, it’s going to be a little bit different,” she said. “The more you practice, the more you cultivate that behavior (of letting go) into your life and continue to bring that ease, that pause, that awareness and presence. … I think it’s about creating community and creating a space for people that feels safe to do their work. “(The name), Authentic Life Journey, just seemed like that was what I was doing,” she said.

“I was finding my authentic life journey, and everything I do is about creating space for others to do the same.”

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SEPTEMBER 2018

Don’t let sore feet stop you from having fun!

How to make those shine Tooth-whitening is among the most frequently requested dental procedures by the general public today.

TROY HERRING ASSOCIATE EDITOR

There are numerous methods of keeping up good dental hygiene.

Brushing, flossing and going to the dentist for cleanings and checkups are pretty typical, because they all help keep your teeth healthy.

These methods also help give those pearly whites their attractive aesthetic, but there’s another method of helping to keep up your teeth’s healthy appearance — teeth-whitening products.

Like any health-related issue, there are many different products for those looking to get their teeth white. But which practices and products work, and which are simply a waste of time money?

According to Dr. Mark Matar,

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“I’ve not really seen any detrimental effects from people using it, so when people want to try it, I encourage them to try it. I have no qualms with it.”

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— Dr. Mark Matar, Winter Park Family Dentistry and Prosthodontics

of Winter Park Family Dentistry and Prosthodontics, there are two different ways of achieving whiter teeth — mechanical and chemical. “(Mechanical) would be something like charcoal whitening, where they have abrasives and it kind of removes some of the superficial stains of the tooth,” said Matar, who has been working in the field of dentistry for 12 years. “That’s going to be like your whitening toothpaste and your charcoal whitening, and anything where you are actually scrubbing.”

Matar said many of his patients come into his office and ask about the charcoal whitening toothpastes and whether they are worth trying out.

Although the charcoal helps scrub off some of the surface stains on teeth, Matar said he also believes there is a sort of illusion caused by the color of the toothpaste.

For those who have never tried, charcoal toothpaste is a somewhat dark gray color, which when rinsed off can give the illusion that your teeth are whiter than they were before.

And although some folks may be wary about the contents in the toothpaste, there is no bleach or any other harmful chemicals included — so Matar never tells his patients to not try it.

“I’ve not really seen any detrimental effects from people using it, so when people want to try it, I encourage them to try it,” Matar said. “I have no qualms with it.”

The second form of teeth whitening is chemical in nature — which includes products such as whitening strips, mouthwashes, whitening gel and light whitening.

Products such as strips and washes can be obtained over the counter — just like the whitening toothpastes — but instead of relying on physical scrubbing

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SEPTEMBER 2018

407.297.0080 For All Your Growing Needs!

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drawback when it comes to whitening your teeth, Matar said, though it’s usually only an issue when dealing with in-office procedures because of the use of the highly concentrated product.

“I’m always very careful to tell patients that, ‘Yes, you can get it done quicker, but you may be in a lot of pain afterwards,’” Matar said. “There are ways that we can stop it — it’s not as though once we start, you have to suffer through it. We stop the procedure and tell them it’s not longer an option because they’re too sensitive for it.”

So if people are wanting to get their teeth whitened, where should they start? For Matar, that’s an easy question — try over-the-counter products, such as washes or strips.

“A large percentage of patients are fine with that — that’s all they really need,” Matar said. “They don’t have to have such a drastic change, and a majority of patients they come back six months later, and they’ve tried something they bought over the counter and they say they’re good.”

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that only hits the top layer of the tooth, it helps whiten teeth by using either carbamide peroxide or hydrogen peroxide. The two chemicals offer deeper cleaning that actually gets down into the tooth’s enamel and breaks apart staining compounds.

One of the most recent popular products is light whitening — which almost seems like something from a science-fiction movie but is actually rather simple, Matar said.

“The most common one is the Zoom whitening,” Matar said. “A light is used to activate the material (a gel put on the teeth) and sort of makes it work faster — or works more — per se.”

The Zoom whitening also is used in dentist’s office as well, but the only difference is that the product contains a higher concentration of peroxide — which makes the process of teeth whitening much faster. The catch, however, is that it comes with one drawback: increased tooth sensitivity.

In fact, increased tooth sensitivity is the only real possible

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SEPTEMBER 2018

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HEALTH CALENDAR

HEALTH MATTERS

THURSDAY, SEPT. 27

FAMILY YOGA 10:30 a.m. Thursdays at the Winter Garden Branch Library, 805 E. Plant St., Winter Garden.

This class is geared toward preschoolers, school-age children and their caregivers. Mats will be available. (407) 835-7323.

MINDFULNESS MEDITATION 10:30 a.m. Thursdays at the Southwest Branch LIbrary, 7255 Della Drive, Orlando. Learn the basic skills of breathing control and types of meditation. Develop abilities to cope with stress and anxiety through mindfulness meditation. (407) 835-7323.

FRIDAY, SEPT. 28

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Choosing the Road 5900 Westgate Drive • Orlando, FL 32835 407.296.8164 • 407.447.4490 to Recovery... www.MetroWestRehab.com Our Services t

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Conveniently located to: 8FTU (BUF %SJWF 0SMBOEP '- Dr. P. Phillips Hospital1IPOF ] 'BY • 9400 Turkey Lake Rd. • Orlando, FL 32819 XXX .FUSP8FTU3FIBC DPN Heath Central Hospital • 10000 West Colonial Dr. • Ocoee, FL 34761 Conveniently located to:

LIVING HEALTHY WITH DIABETES 10 a.m. Friday, Sept. 28, at the Winter Park Public Library, 460 E. New England Ave., Winter Park. Discover how to self-manage diabetes in this six-week workshop developed at Stanford University’s Patient Education Research Center. Attendees will learn the skills needed for dayto-day management and ways to increase activity. Family members, caregivers and friends are encouraged to attend. This event is free, but enrollment is required. Register by calling (407) 514-1806 or emailing Lauren.Benoit@sraflorida.org.

MORNING MIND AND BODY 10:30 a.m. Fridays at the Southwest Branch Library, 7255 Della Drive, Orlando. Experience the health benefits and rejuvenation of yoga-based stretches and relaxation exercises. This is a gentle stretching program with emphasis on an array of body and breathing exercises to promote better well-being and relaxation. No prior yoga experience is needed. All fitness levels are welcome. Exercises can be done with the help of a chair if needed or preferred.

Otherwise, take a mat or large towel and water, and wear loose or comfortable clothing. (407) 835-7323.

Choosing the Road to Recovery...

YOGA AT THE MAITLAND PUBLIC LIBRARY 4:30 p.m. Fridays at Maitland Public Library, 501 Maitland Ave. S., Maitland. Let Jenny Blackburn help you destress from the week and refresh for the weekend. Take your own mat, towel and water bottle. For more information, call (407) 647-7700.

MONDAY, OCT. 1

FENCING CLASSES 7 to 9 p.m. Mondays and Thursdays at the College Park Community Center, 2393 Elizabeth Ave., Orlando. Join this developmental and instructional class that teaches the fundamentals of fencing. A fencing class for youth is also available from 6 to 7 p.m. Mondays. Cost is $10 per class. For more information, call (407) 246-4447.

MONDAY, OCT. 5

STORIES AND STRETCHES 10:30 a.m. Monday, Oct. 5, at the Southwest Branch Library, 7255 Della Drive, Orlando. Calling all little yogis and wiggleworms. Join the library for a special movement storytime focusing on motor development filled with stories, songs and fun.

Ages 2 to 5. (407) 835-7323.

WEDNESDAY, OCT. 10

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3:30 p.m. Wednesdays, Oct. 10 and Nov. 14, at the Maitland Senior Center, 345 S. Maitland Ave., Maitland. Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 227-7669.

QUIT YOUR WAY 6 to 8 p.m. Tuesday, Oct. 9, at Orlando Health — Health Central Hospital, 10000 W. Colonial Drive, Ocoee. Quitting tobacco isn’t easy. Finding help should be. Tobacco Free Florida offers free tools and services to help you get started. (877) 252-6094.

MEMORY SCREENING 9:30 a.m. to 4:30 p.m. Wednesday, Oct. 10, at Premier Pointe Concierge Services for Seniors, 1420 Gay Road, Winter Park.

(407) 703-7022.

SMARTER SENIOR SERIES: AGING IN PLACE 10:30 a.m. Wednesday, Oct. 10, at the Southwest Branch Library, 7255 Della Drive, Orlando.

In this informative seminar, attendees will learn from experts what factors to consider when your goal is to age in place.

(407) 835-7323.

HEALTH MATTERS

OrangeObserver.com

SATURDAY, OCT. 13

TAKE A HIKE WITH THE OAKLAND NATURE PRESERVE 2 p.m. the second Saturday of the month at Oakland Nature Preserve, 747 Machete Trail, Oakland. For more, visit healthywestorange.org.

THURSDAY, OCT. 18

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3:30 p.m. Thursdays, Oct. 18 and Nov. 15, at Calvary Assembly, 1199 Clay St., Winter Park. Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 2277669.

MONDAY, OCT. 22

AARP DRIVER SAFETY PROGRAM 5 to 8 p.m. Monday, Oct. 22, and Tuesday, Oct. 23, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 227-7669.

SERVICES

• Post Acute Rehabilitation • Physical, Occupational, and Speech Therapy • Specialty Nursing Services • Wound Care • Nutritional Therapy

THURSDAY, NOV. 15

AROMATHERAPY: NERVOUS SYSTEM 11 a.m. Thursday, Nov. 15, at the Winter Park Public Library, 460 E. New England Ave., Winter Park. Explore the therapeutic uses of essential oils in this six-month series. A different oil will be featured each month; scent samples will be shared.

This class is free, but enrollment is required. Sign up by calling (407) 623-3300, Ext. 3.

We accept Medicare and most insurance plans. Please call our admissions office for details and to schedule a tour.

407-420-2090

266035

QUIT YOUR WAY 6 to 8 p.m. Thursday, Oct. 11, at Orlando Health — Dr. Phillips Hospital, 9400 Turkey Lake Road, Orlando. Quitting tobacco isn’t easy. Finding help should be. Tobacco Free Florida offers free tools and services to help you get started. (877) 252-6094.

NATURE WALK AND BOOK TALK: A WALKING BOOK CLUB 10:15 a.m. Wednesday, Oct. 24, beginning Dr. P. Phillips Community Park office building , 8249 Buenavista Woods Blvd., Orlando. Experience the benefits of exercising your body and mind by joining the Southwest Library for a casual walk followed by a lively book discussion of “The Hidden Life of Trees” by Peter Wohlleben. (407) 835-7323.

www.SolarisHealthCare.org

MONDAY, NOV. 26

AARP DRIVER SAFETY PROGRAM 9 a.m. to noon Monday, Nov. 26, and Tuesday, Nov. 27, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 227-7669.

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WEDNESDAY, DEC. 12

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3 p.m. Wednesday, Dec. 12, at Health Central Park, 411 N. Dillard St., Winter Garden.

Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 227-7669.

But a more balanced face, harmonious growth & development, improved airway/breathing/sleep, hence better overall health.

Interceptive, Integrative, & Minimally-Invasive Orthodontics for Aesthetics, Function and Stability • No Referrals Necessary • No Healthy Teeth Removed • Jaw Surgery MAY be avoided with EARLIER treatment • New & Conservative Approach

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CATARACT LUNCH AND LEARN Noon Thursdays, Oct. 11, Oct. 25, Nov. 15 and Dec. 6, at Orlando Eye Institute at The Grove, 4750 The Grove Drive, No. 230, Windermere. Lens replacement specialist Dr. Deepak Raja shares his insight on the world of cataracts. What causes them? How do you treat them?

Are there different types? What are the options if you have a cataract? (407) 704-3937.

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OrangeObserver.com

SEPTEMBER 2018

Common Mental Health Issues:

• • • • • • • • • • •

ADHD Anger Management Anxiety Behavioral Issues Highly Sensitive Person Issues Teenage Issues Women’s Issues Codependency Coping Skills Divorce Emotional Disturbance Family Conflict Grief Life Transitions Marital and Premarital Obsessive-Compulsive (OCD)

DR. NANCY RUDNER

T

he buzzing, the bites — you can’t live in Florida without being all too familiar with mosquitos and other insects.

We even have named a lagoon after mosquitos, and eastern Florida used to be called Mosquito County (not so good for tourism).

But they are more than a nuisance; they carry diseases.

And in our warmer climate, tick- and mosquito-borne diseases are increasing dramatically. Illnesses transmitted to humans by mosquitoes, ticks and other bugs increased 300% in the United States in the last 15 years.

Although ticks are less common in Florida, they are here and can carry serious diseases.

Rocky Mountain spotted fever, a serious, sometimes fatal, condition can develop from a tick bite. Despite its name, it is common in many eastern states, including several frequented by Central Floridians: Alabama, Mississippi, the Carolinas and Virginia.

Symptoms include fever, headache, nausea, vomiting, stomach and muscle pain and

BettyJo Camp, LMHC

• • • • • •

Parenting Peer Relationships Relationship Issues School Issues Self Esteem Stress

Free Consultations 213 S Dillard St., Ste #110F Winter Garden FL 34787 918-521-1997 www.therapyinthegarden.com

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by Orlando Magazine in 2007-2017 Also nominated for

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Protect yourself from Florida’s biting bugs

For more information, please call the office or visit our website at www.neuro-link.com

a rash. A splotchy or pinpointdots rash usually develops two to four days after fever begins.

Ticks also carry Lyme disease, most common in northern states.

Symptoms can include fever, chills, headache, fatigue, muscle and joint aches and swollen lymph nodes. Three out of four infected people develop a rash that clears in the middle, looking like a bull’s eye target.

Ticks like wooded areas, so beware those great walks in the woods. Wear long sleeves, long pants and socks. Use repellant. Check your body for ticks afterward. If you have a bite and any symptoms, seek care.

Antibiotics taken early in the infection usually can block the worst effects of these tickborne conditions.

Mosquitos are ubiquitous.

Mosquitos carry West Nile virus, St. Louis encephalitis, Eastern equine encephalitis, dengue fever and canine heartworm, as well as Zika and chikungunya.

Control of mosquitos and other disease carrying bugs requires community and individual effort.

Local governments and health departments provide many services to keep our community healthy, including control of mosquitos and other critters that can carry disease.

Local health departments routinely check the blood for disease in “sentinel” chickens kept throughout the county.

7340 Stonerock Circle Orlando, FL 32819

(Adjacent to Dr. P. Phillips Hospital)

9679 Lake Nona Village Place Suite 105, Orlando, FL 32827 (Lake Nona)

407-355-0575 for an appointment

283033

HEALTH MATTERS

HEALTH ACTION

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HEALTH MATTERS

OrangeObserver.com

down the warming of the earth could slow down the growth of mosquitos. Prevention of bites and reducing the mosquito population are key to preventing not only the diseases we know about, but also the newly developing ones.

The bugs don’t always have to win.

General & Surgical Dermatology MOHS Micrographic Surgery Cosmetic Dermatology INCLUDING:

Dr. Nancy Rudner, local workplace nurse coach with HealthAction.biz, helps individuals and employees understand their health, make healthy choices and achieve their health goals. Send your questions to Nancy@HealthAction.biz.

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The Orange County health department uses mosquito fish, a native Florida aquatic species that eats mosquito larvae, to help control mosquitos in abandoned green swimming pools, artificial ponds and other possible breeding grounds.

In the Miami area, sterile mosquitos have been released.

When they mate, no offspring are produces, reducing the mosquito population. Spraying is also used on some areas.

You can help reduce the risk of diseases from mosquitos and ticks by eliminating their habitats. Any standing water can be a breeding ground. Dumping out the water in buckets, tires, planters, tools, birdbaths, flowerpots and trash containers around your home each week can help.

Check the screens on doors and windows for any holes.

While you are getting rid of mosquito breeding spots, your neighbor may not be. Assisting neighbors in removing or treating standing water can help protect everyone’s health.

With all the rain and heat we have had this summer, biting bugs have flourished. Slowing

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HEALTH MATTERS

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SEPTEMBER 2018

OrangeObserver.com

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