Watson Clinic WINTER/SPRING 2013 A community health education magazine made possible by generous donations from the Watson Clinic Foundation’s supporters. Healthy pregnancy A GUIDE FOR OLDER MOMS A 3-step plan for cancer prevention Shalini Mulaparthi, MD Galina Vugman, MD COULD PREVENTING cancer be as easy as 1, 2, 3? According to experts, in many cases the answer is yes. “Doctors can’t say with certainty who will get cancer,” says Shalini Mulaparthi, MD, oncologist-hematologist at the Center for Cancer Care & Research (CCCR). “And they can’t offer a guaranteed way to keep the disease from striking.” But after reviewing thousands of studies, they’ve determined that cancer isn’t always something that just happens. Often, the disease can be linked to behaviors and lifestyle. That means our everyday choices may lessen our cancer risk. “Certainly that’s true with smoking,” says Galina Vugman, MD, a board-certified oncologist-hematologist with CCCR. “If you choose to kick a cigarette habit or not smoke in the first place, you dramatically lower your risk of lung cancer—and several other types of cancer.” But prevention doesn’t end there. According to Drs. Mulaparthi and Vugman and the American Institute for Cancer Research, taking these three steps may also go a long way toward staying cancer-free: 1 Eat mostly plant foods. Fruits, vegetables, whole grains and legumes contain phytochemicals that may bolster the body’s ability to fight cancer in a variety of ways. “For example, some phytochemicals seem to prevent cancer-causing substances from becoming active in the body,” Dr. Mulaparthi says. “Others may help heal damage to the body’s cells or trigger the death of cells that are cancerous.” Aim for a colorful variety of at least five servings of fruits and vegetables each day. And at mealtime, strive to fi ll at least two-thirds of your plate with plant foods. Animal foods, such as meat, should make up no more than one-third of your meal. But try to limit red meat to 18 ounces or less each week, and avoid processed meats. 2 Be physically active at least 30 minutes each day. Growing evidence suggests regular exercise may reduce the risk of cancers of the colon and, in women, of the endometrium and breast (in those who have gone through menopause). The benefit to the colon may be due to the fact that physical activity promotes the quick passage of waste. In women, activity may lower levels of hormones that raise cancer risk. 3 Maintain a healthy weight. “In the body, fat may produce hormones that promote cell growth,” Dr. Vugman says. “These hormones also produce proteins that cause inflammation and insulin resistance, which may also promote cell growth and reproduction.” The more cells divide, the more chance there is for cancer to develop. Fat around your waist may be particularly dangerous. Speak with your doctor about what a healthy weight would be for you. And remember, both the diet and physical activity described here will help you achieve it. For more information on the Center for Cancer Care & Research, visit us online at www.LakelandCancerTreatment.com. 2 Health Scene • www.WatsonClinic.com Inside this issue We care about your healthcare From the desk of Dr. Louis Saco FOR MORE THAN seven decades, Watson Clinic’s mission has resulted in a healthcare experience like few others in our region. Our proudly independent structure as a private medical group provides our patients with a wealth of benefits, including: Dedicated service. Generations of Watson Clinic patients have benefited from the one-on-one relationships they form with our physicians, a level of care that isn’t found in other areas. Our patients have peace of mind in knowing that their Watson Clinic doctor will be highly trained and qualified to treat their medical needs and remain deeply invested in their care for the long haul. Personalized care. Watson Clinic thrives on the purity of the doctorpatient relationship. We believe that medical care should be determined by the physicians our patients trust most. Our independent structure allows patients that luxury, while delivering advanced technologies and treatment breakthroughs that defi ne the future of medicine. Commitment to community. Our structure also permits us to build a stronger community presence, because our specialists have chosen this area as the place they 100 S. Kentucky Ave., Suite 255 Lakeland, FL 33801 WINTER/SPRING 2013 Executive Director, Watson Clinic Foundation, Inc. Cauney Boydston Bamberg HEALTH SCENE is published three times a year (this is issue 1 of 3) as a special service for the friends and neighbors of WATSON CLINIC. It is supported by generous contributions made to the Watson Clinic Foundation, Inc. The Foundation’s mission is to promote community wellness want to call home. Their commitment Louis S. Saco, MD, MBA is apparent not only in the compassionate and personable care they provide their patients, but also in the many philanthropic outreach efforts they perform. Convenience and expertise. Patients choose Watson Clinic because they know their care will be provided by expert specialists recruited from the fi nest medical schools in the country. Our physicians encompass over 40 specialties, and they work together to ensure each patient receives the most efficient, comprehensive and hasslefree continuity of care. You’ll fi nd further evidence of our unique brand of diverse and convenient healthcare within these pages, as our physicians address topics from local cancer trends and sports injuries to lifesaving screenings and stress management. We appreciate our community members and will continue to provide you with important health and wellness information. Yours in good health, 10} Center for Cancer Care & Research. Ten years of high-tech, high-quality care. 17} Stay fabulous. A woman’s guide to good health after 40. Louis S. Saco, MD Chairman and Chief Executive Officer, Watson Clinic LLP through education, research and service. If you wish to be added to or removed from the HEALTH SCENE mailing list, please write to healthscene@ WatsonClinic.com or Watson Clinic’s Department of Marketing Communications and Media Relations at 4263 S. Florida Ave., Lakeland, FL 33813, or call 863-904-4653. We will facilitate your request before the next issue. Watson Clinic Board of Directors Louis S. Saco, MD, chairman and chief executive officer; Richard Cardosi, MD; Steven Colucci, DO; John Ellington Jr., MD; Randel Miller, MD; Stephen G. Swengros, MD; Scott Swygert, MD; Jorge Gonzalez, MD, medical director; Stanley Piotrowski, chief administrative officer; Keith Pernicano, chief financial officer; Melinda Harrison, senior associate administrator of operations Health Scene Communications Team Jamey DuVall, Nicole Longo, Nancy S. Martinez, Jim Tompkins Information in HEALTH SCENE comes from a wide range of medical experts. Models may be used in photos and illustrations. If you have any concerns or questions about specific content that may affect your health, please contact your Watson Clinic healthcare provider at 863-680-7000. Copyright © 2013 Coffey Communications, Inc. HSM28985 Check out our websites www.WatsonClinic.com www.LakelandCancerTreatment.com Email us at healthscene@ WatsonClinic.com. www.WatsonClinic.com • Health Scene 3 Getting schooled on lunch More than 2,000. That’s how many school lunches you could pack by the time your child graduates from high school. That’s a lot of W. Jason lunches. Cornett, MD Add to that the need to make those meals both delicious and nutritious, and the task can seem overwhelming. “Fortunately, there are ways to make it less daunting and a lot more fun for everyone,” says W. Jason Cornett, MD, a pediatrician at Watson Clinic’s North pediatrics location. Get the kids involved. Sit down together and make a list of each child’s favorite fruits, veggies, whole grains and lean proteins. Mix and match from the list when planning lunches for the week. Or let the kids plan an entire lunch once in a while. (And feel free to include an occasional favorite treat when you’re on lunch-making duty.) Try something new. “Broaden your child’s culinary horizons with occasional forays into the unknown,” Dr. Cornett says. “Peruse the produce aisle for fun new treats, such as star fruit, freezedried strawberries or jicama.” Create interest. Grab your child’s attention with fun shapes—put those cookie cutters to good use on sandwiches and other items—and sizes (minimuffins, anyone?). Turn fruits or vegetables into kababs. Or go with a theme, such as using foods of all one color in the lunch, along with napkins and utensils to match. Ask the kids to help. Your kids may be more likely to eat things they’ve helped prepare. So get them to pitch in on making that pasta salad or rolling up that wrap. And enjoy the bonding time as you work together. “Finally, don’t forget to make food safety a part of your plans,” Dr. Cornett What is asthma? Asthma is a chronic lung disease that causes episodes of breathing problems called asthma attacks or flareups. These episodes happen because asthma causes inflammation in the bronchial tubes—the airways into the lungs. That inflammation makes the airways very sensitive to substances— G. Weyman known as triggers—such as dust, Price, MD smoke or animal dander. When a person with asthma inhales an asthma trigger: ✓ The airways react by swelling even more. ✓ Muscles around the airways tighten or spasm. ✓ Cells in the airways make more mucus than normal. “As a result, the airways become narrowed, making it 4 Health Scene • www.WatsonClinic.com says. “Use insulated lunch bags to keep cold foods cold and hot foods hot.” Schedule an appointment with Watson Clinic’s pediatrics department at one of three convenient locations by calling 863-680-7337 (North Pediatrics), 863-680-7190 (Plant City), or 863-647-8012 (South). Appetite control Starting dinner with a salad—even at home—is a good way to work vegetables into your day. It also helps curb hunger, which helps you avoid overeating. Academy of Nutrition and Dietetics hard for air to flow freely,” says G. Weyman Price, MD, an allergy, asthma and clinical immunology specialist at Watson Clinic South. “The person may wheeze, cough and have trouble breathing—an asthma attack. Asthma attacks can be mild or lifethreatening. For some people, exercise or having a cold can be asthma triggers.” There is no cure for asthma. However, treatment allows most people with asthma to live normal, active lives with few, if any, symptoms. For more information or to schedule an appointment with Dr. Price, call 863-680-7486. Sources: American Lung Association; National Heart, Lung, and Blood Institute Make a move for moderate exercise “We should all know the benefits of exercise by now—a longer life, a lower risk of cancer and high blood pressure, better weight control, and better mental health,” says James G. Hardigan, DO, PharmD, a Watson Clinic family medicine specialist. So why do nearly half of us stop short of what we need? Maybe because huffing and puffing just sounds so hard. The good news: For overall health, moderate exercise is enough. And it can be fun. Clear the air Thousands of lung cancer deaths could be prevented every year by reducing radon in homes where levels are too high. Radon testing kits—widely found at hardware stores— are inexpensive and simple to install. Every home should be tested. Source: American Lung Association WHAT DOES MODER ATE MEAN? “Moderate-intensity exercise means any activity that feels challenging but not difficult,” Dr. Hardigan says. “Try talking out loud while you’re active. You should be breathing hard but not gasping for air as you converse.” Moderate-intensity exercise can also be an activity done for a longer time at a slower pace. For example, washing and waxing a car for 45 to 60 minutes counts the same as shooting baskets for 30 minutes. Moderate means: ✓ About 30 to 45 minutes of volleyball, touch football or gardening. ✓ About 30 minutes to ride a bike 5 miles, push a stroller 1.5 miles or walk 2 miles. ✓ About 15 minutes of shoveling snow, stair-climbing or jumping rope. “So for health, aim for at least 30 minutes a day of moderate-intensity activity— enough to burn about 1,000 calories a week,” Dr. Hardigan says. “Put in more time at a higher intensity to lose weight or gain more health benefits.” James G. To schedule an appointment with Dr. Hardigan or any Watson Clinic primary Hardigan, DO, care specialist, call 863-680-7190. PharmD How to choose an OB-GYN You need to feel comfortable with any doctor you see. But that’s especially true when the doctor is an obstetrician-gynecologist (OB-GYN). “After all, this is the doctor you trust with your reproductive health—and if you become pregnant, the health of your baby,” says Pamela D. Schwartz, DO, a boardPamela D. certified Watson Clinic OB-GYN. “You Schwartz, DO must be able to talk about intimate topics.” Because OB-GYNs also specialize in the general medical care of women, this is also the doctor who can help you stay healthy at every stage of your life. So you need to feel confident about the quality of medical care your OB-GYN provides and about your ability to communicate with him or her. How can you find an OB-GYN with both qualifications? You might ask women you know and trust for their recommendations. You can also check with your insurance plan. Many provide a list of approved providers. TIME FOR AN INTRODUCTION “Once you have a list of doctors who seem like a good match, it’s a smart idea to schedule visits with them,” says Dr. Schwartz. “This is your opportunity to be sure that you truly feel at ease with your future OB-GYN and that he or she explains things in a way you understand.” You’ll also want to find out: ✓ What hospital the doctor uses. ✓ His or her views about pregnancy, labor and delivery if you’re considering having a baby. To schedule an appointment with a member of Watson Clinic’s OB-GYN department, call 863-680-7243. Sources: American Board of Obstetrics & Gynecology; American College of Obstetricians and Gynecologists www.WatsonClinic.com • Health Scene 5 Breast cancer: Know 1 in 8 the More than 210,000 diagnosed a year second leading cause of cancer death in U.S. women facts Median age is 61 “MYTHS AND MISINFORMATION about breast cancer can cause confusion and unnecessary fear,” says Elisabeth L. Dupont, MD, a breast surgeon at Watson Clinic Women’s Center and medical director of breast health services at Watson Clinic. “So it’s important that you know the facts.” What follows is information you can trust about breast cancer. National numbers ➜ Based on current rates, about 1 of every 8 women born today will get breast cancer during her lifetime. ➜ More than 225,000 women per year are diagnosed with breast cancer. The risk ➜ Breast cancer risk increases with age. ➜ Bumping, bruising or pinching the breast cannot cause breast cancer. ➜ Having cancer in one breast increases the risk of developing cancer in the other one. ➜ A family history may play a slight role, but not as often as women think. ➜ If your weight has increased by 20 percent since high school, you are at an increased risk. ➜ Postmenopausal women are at increased risk as well. What you can do “Talk to your doctor if you’re concerned about your risk for breast cancer,” Dr. Dupont says. “Regular mammograms are your best screening tool for finding cancer early. You should have these done in addition to a monthly self-examination and a clinical breast exam every three years starting at age 20, and annually after the age of 40.” You may be able to reduce your risk of developing the disease if you maintain a healthy weight and get regular exercise. At least 150 minutes a week of exercise is beneficial, but 210 minutes weekly is even better. To find out more about our comprehensive breast health services, call 863-680-7638. Timing options for reconstruction You can start your breast reconstruction at the same time you have your mastectomy. Or you can wait until after your cancer treatment is over. Here is some information about each option. Immediate reconstruction. “Because you’ll begin getting your new breast at the same time as your mastectomy, you typically undergo fewer surgeries than if you opt to delay reconstruction,” says Faeza Kazmier, MD, a board-certified plastic and reconstructive surgeon at the Watson Clinic Women’s Center. “And the final result may look better because your chest 6 Health Scene • www.WatsonClinic.com tissue has not been damaged by radiation or scarring.” In addition, you wake up from surgery with your new breast well under way. This may help you cope better with the changes to your body after mastectomy. “However, immediate reconstruction means a longer initial surgery and recovery time than mastectomy alone,” Dr. Kazmier says. “And radiation treatment may affect your newly reconstructed breast.” Delayed reconstruction. Reasons for considering this may include: ✓ You still need radiation, which can affect the reconstruction process. ✓ You don’t want to cope with cancer Elisabeth L. Dupont, MD treatment and reconstruction at the same time. ✓ You have health issues that may affect the reconstruction. Delaying reconstruction means livFaeza ing without a breast Kazmier, MD after a mastectomy for an unknown period of time. This can be difficult for some women. “If you choose breast reconstruction, talk with your doctor before the mastectomy—even if you’re going to wait,” Dr. Kazmier says. To schedule a consultation with Dr. Kazmier, call 863-680-7676. Awareness is important What every woman should know about ovarian cancer OVARIAN CANCER is rare. But there are some important things you ought to know about it, including this: Of all gynecologic Richard J. cancers, it is the Cardosi, MD deadliest. What makes ovarian cancer so often incurable? One reason is that ovarian tumors can be hard to fi nd during an examination, notes Richard J. Cardosi, MD, a Watson Clinic gynecologic oncologist, and the American Cancer Society (ACS). “Another reason is that the symptoms of ovarian cancer may not necessarily ring any serious alarms with women,” Dr. Cardosi says. “The symptoms are often not present until the tumor has advanced. Stage I ovarian Feeling tired? Tips for coping with cancer fatigue Cancer and its treatment can take a serious toll on your energy. For some survivors, the fatigue can last a long time. When you have cancer, an important part of taking care of yourself is taking steps to cope with fatigue. Try asking yourself the following questions. The answers may help you find ways to recover some of your energy. cancer is often asymptomatic.” But research has focused in on this disease, narrowing the essential information women need to know. And ongoing clinical trials may provide more help. Common early symptoms Ovarian cancer is most easily treated when it’s discovered early. According to Dr. Cardosi and the ACS, research has identified specific symptoms common in women diagnosed with it: ➜ Pelvic pressure or abdominal pain. ➜ Abdominal bloating. ➜ Urinary urgency. ➜ Urinary frequency. ➜ Feeling full quickly or trouble eating. “Almost everyone occasionally has one or more of these symptoms,” Dr. Cardosi says. “What is important, WHAT COMES FIRST? To make the most of your energy, prioritize your activities and commitments. Focus on the most important and let other things go. Also: ✓ Ask for help and let other people help you check things off your to-do list. ✓ Maintain a regular daily routine as much as possible. It’s OK to pace yourself and take rests. But try to avoid spending too much time in bed, which can make you weaker. however, is if any of the symptoms you have are new, persistent and frequent—noticeably different than how you usually feel. If so, that’s a signal to take your concerns to your doctor as soon as possible.” Unfortunately, there is no single, reliable way to test for ovarian cancer. Still, your doctor can do a full physical exam and order tests. Learn more Richard J. Cardosi, MD, is one of the top-ranked practitioners of minimally invasive robotic surgery for a series of procedures, including those involving ovarian cancer. For more information or to schedule a consultation, call 863-680-7578. AM I TAKING CARE OF MY BODY? Healthy habits may improve your energy level and your mood. For example: ✓ Get regular exercise. Talk with your doctor before starting an exercise program. He or she may refer you to a physical therapist who works with cancer patients. ✓ Eat a balanced diet. If you’re feeling nauseated or have no appetite, your doctor or a registered dietitian may be able to offer suggestions that can help. ✓ Get enough sleep. Rest briefly when you need it between taxing activities. A few breaks during the day are better than one long nap, which may make it harder to sleep at night. Try to stick to a regular nighttime sleep schedule, and tell your doctor if you’re sleeping too much or not enough. If you still find yourself struggling with fatigue, talk with your doctor. Other treatment options may help. Source: American Cancer Society www.WatsonClinic.com • Health Scene 7 g n i th o o s d n a Smoothing dry skin YOUR DOCTOR MIGHT call it xerosis. You might call it dishwater hands. But you’re both talking about dry skin—skin that is flaky, itchy and so dry that it begins cracking. Dry skin isn’t confi ned to the hands, of course. It can develop on your arms, legs, face and lips—just Richard L. about anywhere you have skin. Moore, MD It also can occur at any age. But it’s especially common in those of us who have moved beyond our middle years. “Compared to other health issues that can occur in older age, dry skin may seem like a small problem,” says Richard L. Moore, MD, a board-certified dermatologist at Watson Clinic Dermatology at Zephyrhills. “Ignore it, however, and it can become a bigger concern that requires a doctor’s care.” What turns skin bone-dry? An outer layer of natural oils helps keep water locked in the deeper layers of your skin. If you lose that protective oil, you lose the moisture underneath. That’s the recipe for dry skin. Oil can be washed away by too much time spent in Learn more Watson Clinic’s dermatology department offers offices in north and south Lakeland, Zephyrhills and Sun City Center. To schedule an appointment, call 863-680-7267 (Bella Vista Building and South), 813-633-6121 (Sun City Center) or 813-788-7867 (Zephyrhills) or call toll-free at 866-409-DERM (3376). 8 Health Scene • www.WatsonClinic.com hot baths or cold weather. It can also be depleted by smoking, swimming in chlorinated pools or living in a dry climate. How can you help your skin hold onto its needed oils and water? Dr. Moore and the American Academy of Dermatology offer these tips: ➜ Limit baths or showers to 10 minutes. ➜ Wash yourself in warm, not hot, water. ➜ Avoid antibacterial, perfumed or deodorant soaps. ➜ Shave after bathing, while your skin is still soft and moist. ➜ Use moisturizing creams or lotions right after bathing. Treating dry skin “Get a jump on dry skin early by using a daily moisturizer that contains ingredients such as petroleum jelly, mineral oil or glycerin,” Dr. Moore says. “They help to maintain a healthy epidermal barrier.” Check for those ingredients in lip balm too, and apply it to chapped lips at bedtime. If your skin becomes very dry, talk to your doctor. He or she might prescribe a topical corticosteroid to reduce itching and help avoid infection. Additional source: National Institute on Aging The path to healthy skin Watson Clinic’s Bella Vista Spa offers a menu of services designed to promote glowing, vibrant and healthy skin, all delivered by highly experienced and licensed professionals. These services include multiple facial packages, body wraps and scrubs, chemical peels, and microdermabrasion. These calming and luxurious treatments are complemented by a complete line of the finest Obagi and Skinmedica skin care products. In addition to this wide range of skin care treatments and products, the Bella Vista Spa also offers comprehensive massage packages, makeup and nail services, and much more. The Bella Vista Spa is open to the public and offers competitively priced services, with no tipping required. For more information and to schedule an appointment, call 863-904-6250. Teach kids how to call for emergency help In an emergency, your littlest family members could be your biggest allies. So making sure they know how to summon help is something every parent should do. According to the American College of Emergency Physicians, even 3-year-olds can understand the concept of 911. At about that age, you can teach them to call 911 if they need a police officer, a firefighter or an ambulance. Stress that you call only for emergencies— it’s not a game. And talk about what some emergencies might be. Of course, every child should also know his or her name, address and phone number. You can start to teach these to your child as you teach the ABCs. You can also help your child practice making an emergency call by pretending to be a 911 operator. Ask your child questions an operator would ask, such as: What is your emergency? What is your address? What is your full name? Hopefully, your young child will never have to make a 911 call. But if the need does arise, knowing he or she is prepared can give you peace of mind. A parent’s guide to kids’ ear infections Tamara T. Pistoria, DO BY AGE 3, most kids have had at least one middle ear infection, according to the American Academy of Pediatrics (AAP). Because ear infections are so common, it’s best to know the signs that your child may have one. Inner workings “Ear infections occur when fluid builds up in the middle ear and gets infected by either bacteria or a virus,” says Tamara T. Pistoria, DO, a pediatrician at Watson Clinic South. “Th is can happen when a child has a cold, allergies, or a nose or throat infection.” The infection can cause swelling and a great deal of pain. In infants, you may notice a lot of irritability and crying— especially during feeding, since sucking and swallowing create pressure changes in the ear that can be painful. Children who have an ear infection may also: ➜ Pull at their ear. ➜ Have a fever. ➜ Have yellow or white fluid draining from their ear. ➜ Have difficulty hearing (usually a temporary problem that goes away when the fluid in the ear is gone). ➜ Have trouble with their balance. Treatment options About 80 percent of middle ear infections get better without antibiotic treatment, note Dr. Pistoria and the AAP. If your child doesn’t have a high fever and doesn’t seem too ill, your doctor may recommend watchful waiting for a few days. If your child’s symptoms don’t get better within two days, your doctor may decide to prescribe an antibiotic. “In the meantime, over-the-counter products, such as acetaminophen or ibuprofen, can help relieve the pain,” Dr. Pistoria says. “Don’t give your child aspirin, however. It may trigger a potentially dangerous condition called Reye’s syndrome.” See your child’s doctor if: ➜ There is blood or pus coming from your child’s ear. ➜ Your child seems very sick, can’t sleep or won’t eat. ➜ Symptoms don’t improve within a few days. ➜ Your child has a fever higher than 102.5. To schedule an appointment with a Watson Clinic pediatrician, call 863-680-7337 (North Pediatrics location) or 863-647-8012 (South location). www.WatsonClinic.com • Health Scene 9 The evolution of care THIS YEAR REPRESENTS the 10th anniversary of the opening of the Center for Cancer Care & Research (CCCR). “In this period of time, we have seen an enormous wave of change and advancement,” says Fred J. Schreiber, MD, oncologist-hematologist with CCCR. “In the surgical oncology field, perhaps no technology has had a greater impact than robotic surgery, a revolutionary leap which allows our surgeons to perform complex procedures with greater precision and better outcomes than ever before.” Radiation therapy has benefited enormously from the development of stereotactic radiosurgery, delivering higher doses of targeted radiation directly to the tumor site while sparing the surrounding healthy tissue. Chemotherapy has also been transformed by many more precisely targeted agents. The next 10 years will surely see further expansion of these technologies and more personalized treatments than ever before. Facing the future The next significant evolution in cancer care will be personalization. “Cancers are as individual as people, and each cancer has a unique mutation responsible for that illness,” Dr. Schreiber says. “Looking forward, as we see targeted therapies expand and proliferate, personalized care regimens will start to develop that will match the right treatment to each patient’s unique cancer.” 10 Health Scene • www.WatsonClinic.com Achieving this level of care requires a large team of experts who encompass a diverse range of specialties. CCCR provides the ideal framework for this multi-specialty collaboration. In fact, our patients are already reaping the rewards of this teamwork as they have unfettered access to cardiologists, critical care intensivists, dermatologists, dietitians, gastroenterologists, OB-GYNs, hospitalists, nephrologists, neurologists, oncologists, orthopaedists, otolaryngologists, pain management physicians, psychiatrists, pulmonologists, radiologists, surgeons, urologists and many more. Early detection saves lives CCCR had an exciting year as we’ve implemented the latest advancements in cancer prevention and early detection. “The importance of mammography and its role in early detection have now evolved to To access our latest annual report featuring 2012 data of local cancer trends, visit us online at www.LakelandCancerTreatment.com. produce our most effective diagnostic tool yet: breast tomosynthesis, otherwise known as 3D mammography,” says Luis A. Franco, MD, oncologist-hematologist at CCCR. “Th is 3D technology allows us to detect potential tumors in their earliest stages, facilitates a more accurate diagnosis of breast cancer in dense breasts, and is helpful in differentiating fibrocystic disease, a condition which has frequently posed diagnostic problems.” In the field of research, CCCR, in collaboration with Watson Clinic’s Breast Health Services division, is currently engaged in a study to observe how frequently our elderly residents schedule an annual mammogram and the impact of breast cancer on this group of patients. Promoting prevention Unfortunately 2 out of every 3 cancer deaths in the U.S. are still due to preventable causes. Here in Polk County, we have a low incidence of colonoscopy screenings on healthy individuals aged 50 or older; therefore, we see a 60 percent incidence of stage III and IV carcinomas of the colon. To combat this sobering statistic, CCCR has improved education for primary care providers and patients with the goal of raising the number of residents over 50 who schedule their colonoscopy to 80 percent. “Since most cancers result from genetic changes, we arrange for our patients to consult with genetic counselors,” Dr. Franco says. “As we continue to learn more about the timing, sequence and frequency of these changes, we now have unique opportunities to identify chromosomal aberrations earlier— which improves our prospects for earlier intervention.” Finally, we continue our commitment to our tumor boards, promoting the multidisciplinary approach we work to embody, and collaborating with our colleagues in a group setting to build individualized treatment plans for each patient. We believe this approach optimizes patient care and increases survival outcomes. Fred J. Schreiber, MD Luis A. Franco, MD Most frequent cancer sites treated at CCCR (2011) 25% 32% Breast Lung and bronchus Prostate Colorectal Non-Hodgkin Lymphoma Combined other 5% 7% 19% 12% www.WatsonClinic.com • Health Scene 11 T * H * A * T HURTS! How to recognize the signs of a sports injury You don’t have to run, throw or swing like a pro athlete to get hurt like one. * No matter what type of game you play or how good you are at playing it, injuries are a part of sports. “Any part of your body can be injured during a sporting event,” says Douglas A. Shenkman, MD, a board-certified orDouglas A. thopaedic surgeon Shenkman, MD at Watson Clinic’s Main location who specializes in sports medicine. “But most sports injuries involve the musculoskeletal system, which includes muscles, bones, and tissues, such as cartilage and ligaments.” Common mishaps According to the American Academy of Orthopaedic Surgeons and the National Institutes of Health (NIH), frequent sports injuries include: Sprains. A sprain is a stretch or tear of a ligament—the band of connective tissues that joins the end of one bone to another. “Sprains are usually caused by a fall or blow that knocks a joint out of place and, in some cases, tears the supporting ligaments,” says Phuc Vo, MD, a boardcertified Watson Clinic orthopaedic surgeon and sports medicine Phuc Vo, MD 12 Health Scene • www.WatsonClinic.com specialist. “Ankles, knees, shoulders, elbows and wrists are the parts of your body you are most likely to sprain.” Signs of a sprain include tenderness and pain, bruising, swelling, and trouble moving the affected joint or limb. Sprains can range from mildly stretched ligaments to complete tears. Strains. A strain is a twist, pull or tear of a muscle or tendon—the tissue that connects a muscle to a bone. “Strains usually result from noncontact injuries, such as overstretching,” Dr. Shenkman says. “Areas of your body you are most likely to strain include your back and hamstring—a major muscle in the back of your thigh.” Signs of a strain include pain, muscle spasms and loss of strength. Strains can range from mild pulls or tears to the complete rupture of part of a muscle. Knee injuries. The knee is the most frequently injured joint in the body. These injuries can result from a blow or twist to the knee, from an improper landing after a jump, and from running too hard or too much or without a proper warmup. Injuries can range from mild to severe. Mild knee injuries include pain or tenderness close to or under the kneecap, pain on the outside of the knee, and an inflamed tendon (tendonitis). Serious knee injuries include tears of the anterior cruciate ligament (ACL) or medial collateral ligament (MCL) or of the cartilage. Signs of a knee injury include a popping noise, severe pain, inability to move the knee and swelling. Achilles tendon injuries. The Achilles tendon is the largest tendon in the body. It is also the most frequently ruptured tendon. Common Achilles tendon injuries include stretches, tears or irritation of the tendon, which connects the calf muscle to the back of the heel. An Achilles tendon injury can occur suddenly and be very painful. “The most frequent trigger of an Achilles tendon injury is tendonitis, which is caused by aging or overuse,” Dr. Vo says. “When the Achilles tendon is weakened, it can rupture. Middle-aged athletes who do not exercise regularly or take the time to stretch properly before an activity are at risk for having an Achilles tendon injury.” Signs of Achilles tendon problems include pain after exercise that gradually becomes worse, morning tenderness above the point where the tendon meets the heel bone, stiff ness that gets better with use, and swelling. Fractures. A fracture is a break in the bone that can occur either from a quick, one-time injury to the bone (an acute fracture) or from repeated stress to the bone over time (a stress fracture). Acute fractures can be simple— a clean break with little damage to surrounding tissue—or compound, a break in which the bone pierces the skin. Most acute fractures require emergency medical attention. A fracture that breaks the skin is especially dangerous because of a high risk of infection. “Stress fractures are most likely to occur in the feet and legs and are common in sports such as running, gymnastics, and track and field,” Dr. Shenkman says. “The most common signs of a stress fracture are pain that worsens with weight-bearing activity, tenderness and swelling.” What to do Many sports injuries can be treated with rest and rehabilitation. The vast majority of sports injuries do not require surgery, according to Drs. Shenkman and Vo and the NIH. However, in some cases, surgery is needed to fi x torn tendons and ligaments or to put broken bones back into place. “Rehabilitation is a key part of treatment for any injury, Dr. Vo says. “It involves exercise to get the injured body part back to normal. Moving the injured area helps it heal. The sooner you begin rehabilitation, the better you will heal.” Expert care Watson Clinic’s orthopaedic department offers surgeons specializing in joint replacement, joint resurfacing, arthroscopic surgery, rotator cuff repair, ligament reconstruction, cartilage injury surgery and much more. The entire team—including our orthopaedic surgeons, hand surgeons, sports medicine specialists and athletic trainers—is housed in our Main Clinic location, with physical and occupational therapists located nearby at the Watson Clinic Center for Rehabilitative Medicine. Call 863-680-7214 for more information or to schedule an appointment. PHYSICIANS: ✓ Prashant J. Desai, DO ✓ Camilo E. Guzman, MD ✓ Peter Kazmier, MD ✓ Ann L. Licht, MD, FACS ✓ Anne M. Meo, DO ✓ Salvador O. Montenegro, MD ✓ Douglas A. Shenkman, MD ✓ Phuc Vo, MD ✓ Marc A. Volpe, MD www.WatsonClinic.com • Health Scene 13 Movin’ on Physical therapy can help keep your body in motion IF YOU’RE RECOVERING from an illness or injury or living with a medical condition that’s slowed you down, you may need help to get moving again. A physical therapist (PT) is often bestsuited to provide that assistance. Who are they? PTs are highly educated medical professionals. Minimally, they are required to hold a master’s degree. But many now leave school with doctorates. As students, PTs study a range of subjects, including biology, anatomy, physiology, neuroscience and pharmacology. And as part of their training, they’re required to have supervised clinical experience. Letting you be you A PT’s goal is to help patients: ➜ Move more easily. ➜ Have better function and less pain. ➜ Avoid disability. Th is wide range of goals means that therapists can put their knowledge and skills to use in many different situations and with people of all ages. For example, a PT might: Comprehensive care Watson Clinic’s Center for Rehabilitative Medicine offers a full roster of physical and occupational therapy services delivered by a team of WATSON CLINIC CENTER FOR REHABILITATIVE MEDICINE 1430 Lakeland Hills Blvd., Appointments: 863-680-7700 Hours: 7 a.m. to 6 p.m., Monday to Friday 14 Health Scene • www.WatsonClinic.com ➜ Position an infant and tap the baby’s chest in a way that allows secretions to drain from the lungs. Th is can make it easier for the baby to breathe. ➜ Work to strengthen limbs weakened by stroke so that a person can walk again and regain as much independence as possible. ➜ Develop a fitness program for older adults with arthritis that will enable them to continue to take part in their favorite activities. Sometimes PTs specialize in a particular area, such as geriatrics, neurology or sports. But all PTs tailor their work to their patients’ unique needs. Ready to help PTs make use of a variety of techniques when working with patients, including exercises, manual therapy and assistive devices. And they are expected to receive continuing education throughout their careers. Talk with your doctor to see if a PT could help you. A therapist can get you moving in the right direction—and that can make a real difference in your life. Watson Clinic’s physical therapists are here to get you active and moving again. Source: American Physical Therapy Association highly experienced and licensed specialists. They offer a variety of services, including: ✓ Treatment for neurologic conditions (such as strokes or Parkinson’s disease). ✓ Orthopaedic rehabilitation and sports medicine. ✓ Vestibular rehab (for nervous system and balance disorders). ✓ Lymphedema (limb swelling) treatment. ✓ Wound care. ✓ Neck/back pain treatment. ✓ Osteoporosis treatment. ✓ Treatment for sports injuries. ✓ Postoperative surgical rehabilitation. ✓ Hand therapy. The department features a team of board-certified specialists in orthopaedics, lymphedema, manual therapy, wound care and hand therapy. Their close collaboration with Watson Clinic oncologists, hand surgeons, orthopaedic surgeons and additional specialists ensures a smooth continuity of care for established Watson Clinic patients. Take 3: Ask the experts We asked members of Watson Clinic’s medical staff to answer questions about some common health concerns PULMONOLOGY INTERNAL MEDICINE CARDIOLOGY Q A Q A Q A What are the health risks of sleep apnea? People who have sleep apnea stop breathing briefly—but repeatedly—during sleep, which interrupts their sleep. Interrupted sleep can lead to fatigue and sleepiness during the day, which may cause people to fall asleep at work or when driving. In addition, people with sleep apnea are at increased risk for health problems such as high blood pressure, heart disease, heart attack and stroke. If you often feel sleepy during the day or if you snore heavily or choke and gasp during the night, talk with your doctor about being tested for sleep apnea. It is usually diagnosed with a sleep study, during which your brain and heart activity, oxygen levels, and breathing are monitored while you sleep. Treatment options include making lifestyle changes or wearing a device that helps you breathe better while you sleep. ERIC J. LIPSON, MD You can schedule an appointment with Dr. Lipson or any member of Watson Clinic’s Sleep Disorders Center by calling 863-680-7627. I have type 2 diabetes. Can exercise help me manage the disease? When it comes to diabetes management, exercise is one of the best things you can do to control the disease. It helps your body use insulin better, and that helps improve your blood sugar level. As a result, you might not need to take as much diabetes medication. Plus, exercise offers a host of other benefits. It can help improve your blood pressure and cholesterol levels, decrease your body fat, make your bones and muscles stronger, and lower your risk of heart disease and stroke. As a bonus, it can help you feel more energetic and less stressed. It’s important to talk to your doctor before getting started. If you have certain diabetes complications, such as eye disease or nerve damage, you might need to avoid some types of exercise. Your doctor can help you plan a safe, effective exercise routine. Ideally, your routine will include different types of workouts, including aerobic activities and strength training. I have just been diagnosed with heart failure. What do I need to know to stay healthy? Heart failure means that your heart can’t pump as much blood as your body needs. As a result, you feel symptoms like fatigue, heart palpitations and shortness of breath. Fortunately, treatment— including taking medications—can help lessen symptoms and improve your quality of life. To stay as healthy as possible you should also: Adopt a healthy lifestyle. Eat a low-sodium diet, and increase your activity level as your doctor recommends. Also, weigh yourself every morning to track any weight gain. Watch for warning signs that the disease may be getting worse. Contact your doctor immediately if any of the following occur: ➜ Sudden weight gain—3 or more pounds in a day or 5 or more pounds in a week. ➜ Swelling in your legs or feet. ➜ Difficulty breathing. ➜ Chest pain. ➜ Increased or constant fatigue. ➜ Loss of appetite. ➜ Fever or influenza. DONA C. STONE, MD Dr. Stone practices internal medicine at our Watson Clinic South location. To schedule an appointment, call 863-680-7190. DOUGLAS G. EBERSOLE, MD, FACC For more information or to schedule an appointment with Watson Clinic’s cardiology department, call 863-680-7490. www.WatsonClinic.com • Health Scene 15 Healthy pregnancy, healthy baby OLDER MOMS CAN HAVE BOTH YOU’RE A LITTLE OLDER, a little wiser. You’ve thought it through and decided it’s time to start a family or add to the one you already have. But you’re over 35. Will it be safe? Can you have a healthy pregnancy? “Absolutely,” says James B. Mammel, MD, FACOG, a board-certified Watson Clinic obstetrician-gynecologist. More and more women are choosing to have children later in life, and most of them will have healthy pregnancies and healthy babies, reports Dr. Mammel. Know the risks “There are some risks to having a baby later in life,” Dr. Mammel says. “It may be difficult to get pregnant, for one. You are also at increased risk for certain problems, including having a miscarriage and developing high blood pressure or gestational diabetes.” Babies born to women over 35 are at an increased risk of having certain genetic or chromosome-related birth defects, such as Down syndrome. And you are also more likely to have multiples—twins or more! Still, doctors can carefully monitor your pregnancy and prevent or treat many problems that may arise. Be prepared The best thing you can do to ensure a healthy pregnancy is to plan and prepare. Dr. Mammel and the March of Dimes offer the following advice: ➜ Be at your best. Aim to be at a healthy weight and in good shape before you get pregnant. Take 400 to 800 micrograms of folic acid every day to help prevent certain birth defects. ➜ See your doctor before you get pregnant. “Your doctor can help make sure you’re as healthy as possible before becoming pregnant,” Dr. Mammel says. “If you have a chronic condition, such as diabetes or high blood pressure, you can work with your doctor to get it under control. Your doctor can also make sure you are up-to-date with any needed immunizations.” ➜ Seek good prenatal care. Once you’re pregnant, regular checkups mean your doctor can monitor your pregnancy and spot potential problems early on. ➜ Make health a habit. Eat a variety of nutritious foods. Don’t smoke, drink alcohol or take drugs. Make sure your doctor knows about and OKs any medication—prescription, herbal or over-the-counter—that you take. Watson Clinic’s OBGYN team is pleased to offer two convenient locations—the Lakeland Highlands office and their beautiful new facilities on the third floor of the Bella James B. Mammel, Vista Building. MD, FACOG To schedule an appointment with a member of Watson Clinic’s OB-GYN team, call 863-680-7243. 16 Health Scene • www.WatsonClinic.com Fit and fabulous at 40 Wise-women moves for staying healthy “I’M NOT 40. I’m 18 with 22 years of experience.” Do those words ring true for you? “If so, you’re among the nearly 22 million women Patricia A. in the U.S. who’ve Schmaedeke, MD reached a very special decade: their 40s,” says Patricia A. Schmaedeke, MD, a family medicine specialist at Watson Clinic’s South location. “You’re old enough to know what things are important in your life and still young enough to enjoy them!” As a 40-something female, you’re probably busier now than ever. But no matter how jam-packed your schedule, it’s important to carve out some time to keep yourself fit, fab and healthy. Wise woman, well woman You’ve had quite a few well-woman appointments by now, so you know the importance of annual visits with your doctor. Put them on your calendar, and make them a priority. In your 40s, you should also have: ➜ An annual pelvic exam, clinical breast exam and mammogram. ➜ A Pap test—at least every three years. ➜ A blood pressure test—at least every other year or annually if you have hypertension. ➜ A conversation with your doctor: Discuss your lifestyle and family More wise choices Staying at a healthy weight can be a challenge in your 40s. Your diet and exercise choices can play a key role in managing your weight and in managing other aspects of your health. Strive to: ✓ Give your plate a makeover. Fill half your plate with fruits and veggies, choose low-fat dairy products and lean proteins, and eat plenty of fiber. These things help keep your heart fit, your blood pressure down and your weight in a healthy range. ✓ Replace channel surfing with windsurfing (or biking, swimming, playing softball—anything that makes you move). Physical activity helps you feel great: It can reduce stress and lighten your mood. It also strengthens muscles and bones and enhances stamina and flexibility. You should aim to get 150 minutes or more of moderate-intensity aerobic exercise every week. On two or more days of the week, add muscle-strengthening activities that work all major muscle groups. When it comes to your health, seize the decade. Apply your 20-plus years of wisdom to carry you through your 40s and beyond—looking and feeling great. health history to see if you need other screenings, such as for diabetes, cholesterol or a sexually transmitted infection. “Be sure to mention any changes in your periods—for example, bleeding that’s heavier than usual,” Dr. Schmaedeke says. “These changes may be normal signs of perimenopause—the years leading up to menopause. But your doctor will want to rule out more serious causes.” Throughout your 40s, report worrisome symptoms immediately to your doctor, including breast changes, such as lumps, changes in breast skin or nipples, or discharge from nipples. To schedule an appointment with Watson Clinic’s family medicine department at any one of our convenient locations throughout Lakeland and Bartow, call 863-680-7190. www.WatsonClinic.com • Health Scene 17 A schedule worth keeping “IT’S EASY TO THINK you can skip regular health screenings if you’re in good health or your results have always been normal,” says Ernesto A. Uy, MD, FACP, a Ernesto A. Uy, board-certified Watson MD, FACP Clinic internal medicine specialist. “But screening tests can help fi nd diseases early—often before they cause symptoms. And usually the earlier a disease is found, the easier it is to treat.” Here are some of the major screening tests recommended for most healthy adults at average risk. Be sure to check with your doctor to see if these schedules work for you. If you’re at increased risk for certain diseases, such as cancer or heart disease, you may need to be tested earlier or more often. For a physician referral to a Watson Clinic primary care specialist, call 863-680-7190 or visit our website at www.WatsonClinic.com. 18 Health Scene • www.WatsonClinic.com Tests for everyone Ages 18–39 Ages 40–49 Ages 50–64 Ages 65 and older Blood pressure At each physician visit; at least every two years; annually if you have hypertension At each physician visit; at least every two years; annually if you have hypertension At each physician visit; at least every two years; annually if you have hypertension At each physician visit; at least every two years; annually if you have hypertension Cholesterol Every 5 years starting at age 20 Every 5 years Every 5 years Every 5 years High-sensitivity fecal occult blood test (FOBT) Yearly Yearly until age 75; after that, discuss with your doctor Flexible sigmoidoscopy (with FOBT) Every 5 years Every 5 years until age 75; after that, discuss with your doctor Colonoscopy Every 10 years Every 10 years until age 75; after that, discuss with your doctor Colorectal health: health one of three methods Skin exam Monthly self-exam; by a Monthly self-exam; by a Monthly self-exam; by a Monthly self-exam; by a doctor as part of a routine doctor as part of a routine doctor as part of a routine doctor as part of a routine full checkup starting at full checkup full checkup full checkup age 20 Tests for women Ages 18–39 Ages 40–49 Ages 50–64 Ages 65 and older Yearly* Yearly* Yearly* Yearly Yearly Yearly Get a bone density test if you’re at increased risk; discuss with your doctor Get a bone density test at least once; discuss repeat testing with your doctor Breast health Mammogram Clinical breast exam At least every 3 years starting in your 20s Bone density (osteoporosis screening) Pap test Every 3 years starting at age 21; from 30 to 39, every 3 years or every 5 years if combined with an HPV test Every 3 years or every 5 years if combined with an HPV test Every 3 years or every 5 years if combined with an HPV test Pelvic exam Yearly starting at age 21; discuss with your doctor if you’re younger than 21 and sexually active Yearly Yearly Yearly Sexually transmitted infections (STIs) Get screened for chlamydia if you’re 24 or younger and sexually active; discuss screenings for other STIs with your doctor Discuss with your doctor Discuss with your doctor Discuss with your doctor Tests for men Ages 18–39 Ages 40–49 Ages 50–64 Ages 65 and older Once between ages 65 and 75 if you’ve ever smoked Abdominal aortic aneurysm PSA blood test (prostatespecific antigen; not routinely recommended) Sexually transmitted infections Discuss with your doctor Discuss with your doctor Discuss pros and cons with your doctor starting at age 50 Discuss pros and cons with your doctor Discuss with your doctor Discuss with your doctor Sources: Agency for Healthcare Research and Quality; American Cancer Society; American Diabetes Association; Centers for Disease Control and Prevention; U.S. Preventive Services Task Force *Mammography screening recommendation from the American Cancer Society www.WatsonClinic.com • Health Scene 19 ANXIETY DISORDERS When you’re wearied THE THEATER WAS showing the latest action-adventure movie, and it started with a bang. As the drama of the opening scene grew in intensity, the audience was hooked. Except for Trina Richards*. Her heart had started pounding when the theater’s lights dimmed. The onscreen tension and accompanying soundtrack were making it worse. She was fi nding it hard to breathe. So while everyone else sat rapt in their seats, Richards got up and hurried out of the theater, bound for home. “That’s what it’s like to have an anxiety disorder,” says Daniel A. Weinberg, MD, a board-certified psychiatrist at Watson Clinic’s Main location. Anxiety disorders are an overactivation of the “fight, fl ight or freeze” response. “Everyone has those reactions to anxiety,” Dr. Weinberg says. “But these responses are more easily triggered for people with an anxiety disorder—and they’re triggered in situations where they aren’t warranted.” There are different types of anxiety disorders, with varying degrees of severity. The fear and uncertainty they cause can be so relentless as to be debilitating—harming relationships and careers and even holding people hostage in their homes. Panic disorder The hallmark symptom of panic disorder is the panic attack—the sudden onset of terror accompanied by a pounding heart, sweating, or feeling weak, faint or dizzy. Dr. Weinberg and the American Psychiatric Association describe a panic attack as an overwhelming combination of physical and mental distress, and it’s what sent Richards fleeing from the movie theater. Panic attacks can occur anytime, even during sleep. In addition to the symptoms already mentioned, others may include: ➜ A tingling or numbness in your hands. ➜ A sense of unreality or fear that you’re losing your mind. ➜ Chest pain, nausea or a feeling of imminent doom. The attack itself is so frightening that, after it’s over, people with panic disorder worry about when the next attack will come. They might stop going places where they’ve previously 20 Health Scene • www.WatsonClinic.com When children worry too much by worry Watson Clinic mental health services Here to help Watson Clinic is committed to nurturing the total wellness of our patients, expertly treating conditions that affect both their physical and mental wellbeing. We understand that a person’s health can be affected by stress and anxiety—or that a number of other factors may require that they seek the services of an expert. Watson Clinic offers comprehensive mental health services from three convenient locations. Call 863-680-7165 (Main), 863-647-8043 (South), or 863-668-3465 (Edgewood) for an appointment. had attacks or where escape in case of an attack seems difficult. Eventually, they may avoid leaving the house whenever possible—a condition called agoraphobia, or fear of open spaces. Seeking treatment early, when the attacks fi rst start, can help stop the progression to agoraphobia. Treating anxiety disorders Most people who have an anxiety disorder can be helped. The disorders usually are treated with therapy and medications. “Two specific types of therapy often work best: cognitive behavioral therapy and exposure and response prevention,” Dr. Weinberg says. The former helps you understand the thinking patterns behind your fears, as well as how to change how you react to them. Exposure-based therapy slowly reintroduces you to what you fear—much like dipping your toe into a pool—and helps you learn to cope with that fear. Medications can help keep symptoms under control during the therapy process. For more information about anxiety disorders, including questions to ask your doctor, visit the Anxiety Disorders Association of America at www.adaa.org. *Name has been changed. Daniel A. Weinberg, MD How often have you seen children laughing with their friends at a playground or shopping mall and thought, “How nice to be a child, without a care in the world”? “But kids do have Karen R. worries,” says Karen R. Teston, MD Teston, MD, a psychiatrist at Watson Clinic’s South location. “As an adult, you may not remember the anxieties you had when you were 5, 8 or 12 years old—but you likely had some.” Anxiety is as normal for children as it is for adults. And, like adults, children can become excessively anxious—to the point of having an anxiety disorder. “Children can develop different types of anxieties, including phobias, panic disorder and separation anxiety,” Dr. Teston says. “Each has its own list of signs and symptoms.” But here are some red flags from Dr. Teston, the American Academy of Pediatrics and other experts to alert parents that a child needs help. An anxious child may: ✓ Seem overly tense. ✓ Seek frequent reassurance. ✓ Have nightmares or trouble sleeping. ✓ Avoid social situations or have few friends. ✓ Worry a lot about friends, school or family or about mistakes. Other signs to watch for include: ✓ A marked decline in schoolwork. ✓ Frequent physical complaints, such as stomachaches or headaches. ✓ Compulsive behaviors, such as constant counting or praying. ✓ Excessive cleaning or handwashing. WHAT YOU CAN DO First, make an appointment with your child’s doctor. If an anxiety disorder is suspected, your doctor may refer you to a mental health professional who specializes in treating children. The therapist likely will see your child individually and also may suggest family sessions. www.WatsonClinic.com • Health Scene 21 r e s i a r d n Annual fu y a w r u o racing y in April LADIES AND GENTLEMEN... Start your engines! America’s most popular sport meets Florida’s hottest attraction during an exciting upcoming event hosted by the Watson Clinic Foundation, and you’re invited to participate. On Friday, April 19, LEGOLAND® Florida in Winter Haven will be the site of the 2013 Watson Clinic Foundation annual fundraising spectacular. The theme of this year’s event is the NASCAR racing series. Event sponsors and participants can indulge in live racing events and compete for the fi rst annual Watson Cup Championship, all the while raising money to support the philanthropic mission of the Foundation. Early in the evening, all participating drivers will race to qualify for their pole positioning in the final race of the event. Drivers with the fastest qualifying times will have the best positioning available as they compete for the championship cup. Both rookies and seasoned drivers are welcome to take part. In addition to the exciting NASCAR-themed racing events, the evening will also include a live band, terrific food and a wealth of interactive activities. “Th is year’s fundraiser has a lot to offer,” says Richard Cardosi, MD, president of the Foundation. “And it will serve as an excellent launching pad as we announce the Watson Clinic Foundation’s vision for 2014.” For event details, sponsorship opportunities, or to purchase your ticket, please visit our website at www.WatsonClinic.com/wcf or call 863-802-6220. A Foundation of excellence For well over 50 years, Watson Clinic Foundation has transformed our healthcare landscape by offering invaluable services to our community members who need them the most. The Foundation’s efforts have also inspired great leaps forward in medical research, nurtured future doctors and nurses in their quest for an education, and created programs that promote improved treatment outcomes for patients within our community and beyond. A donation to Watson Clinic Foundation is an investment that not only improves the wellness of our community, but ultimately holds the potential to effect change throughout the world. 22 Health Scene • www.WatsonClinic.com Is that pain arthritis? FOR MOST OF your life, you’ve paid little attention to your joints. Your knees worked just fi ne. Ditto for your fi ngers. Now, it seems, those once trusty joints are falling down on the job. One of your knees Marian F. or fi ngers is sometimes Ceniza, MD stiff or swollen. Routine tasks, such as opening a jar or walking up stairs, are often painful and difficult. If the above scenario sounds familiar, then you may have osteoarthritis (OA)— one of the most common diseases in the U.S. Here is what you need to know about it. What causes it? “OA occurs when the cartilage that pads the ends of bones in a joint begins to wear away,” says Marian F. Ceniza, MD, a board-certified Watson Clinic rheumatologist. “Th is causes bones to rub against each other. OA most often affects the fi ngers, knees and hips.” Growing older is the most common cause. But it can also be triggered by an injury or overuse of a joint. Being overweight can lead to OA in the knees. And you’re at risk for developing OA in your hands if other family members have the disease. How does it feel? OA symptoms can range from mild pain that comes and goes to pain that doesn’t stop even when you’re resting or sleeping. A joint affected by OA can become painful and swollen. How is it treated? “There is no cure for OA, but it can be managed,” Dr. Ceniza says. “Medicines can help control pain. Rest, exercise and physical therapy can make it easier to move your joints. It’s also a good idea to maintain a healthy weight. If other treatments don’t relieve your pain, surgery—including joint replacement— may be an option.” Talk to your doctor if you suspect that you have OA. He or she will examine your joints. Sometimes additional tests, such as x-rays, are needed to determine the extent of the disease. Watson Clinic’s team of board-certified rheumatologists treats a variety of complex inflammatory conditions involving the joints, connective tissues, autoimmune system and blood vessels, including arthritis, osteoporosis, lupus, back pain and fibromyalgia. Watson Clinic rheumatologists can help you cope with arthritis. To make an appointment, call 863-680-7486. MINIMALLY INVASIVE CATARACT TREATMENTS You can see clearly now Musa H. Awan, MD Adam S. Gant, MD CATARACTS CAUSE a clouding of vision that often obscures our ability to see clearly when performing everyday activities, such as reading street signs, driving at night, playing golf or reading small print. Though they are common as we age, cataracts may also result from factors such as diabetes, smoking or certain medications. “Cataract surgery is the most common surgical procedure performed in the United States and boasts a remarkable 95 percent rate of effectiveness,” says Musa H. Awan, MD, a boardcertified ophthalmologist with Watson Clinic. Watson Clinic is proud to offer minimally invasive cataract treatment that involves flexible foldable lens replacements. The procedure involves smaller incisions, and usually requires no stitches or general anesthesia. Some patients even experience a decreased need for glasses following the surgery. “Best of all, these procedures can be performed as a convenient outpatient procedure,” says Adam S. Gant, MD, a Watson Clinic boardcertified ophthalmologist. “The patient goes home the same day as their surgery.” Watson Clinic’s ophthalmology department offers comprehensive eye care, including routine examinations, glaucoma treatment and laser surgery. A convenient in-house eyewear store is also available. For more information, call 863-680-7486. www.WatsonClinic.com • Health Scene 23 REACH US Watson Clinic Locations Bartow Behavioral Health at Edgewood Bella Vista Building Better Now Health Center Center for Cancer Care & Research–Bartow Center for Cancer Care & Research–Lakeland Center for Rehabilitative Medicine Dermatology at Sun City Center Dermatology at Zephyrhills Kidney Center LabCare Xpress at Merchants Walk Lakeland Highlands Main Clinic North Pediatrics Plant City South Women’s Center XpressCare at Lakeland Highlands XpressCare at Merchants Walk Health Scene Watson Clinic Foundation 863-533-7151 863-668-3465 863-904-6200 863-837-5738 863-519-7005 863-680-7780 863-680-7700 813-633-6121 813-788-7867 863-680-7560 863-680-7190 863-647-2313 863-680-7000 863-680-7337 813-719-2500 863-647-8011 863-680-7556 863-393-9472 863-904-6222 863-904-4653 863-802-6220 Nonprofit Org. U.S. Postage PAID 100 S. Kentucky Ave., Suite 255 Lakeland, FL 33801 Jacksonville, FL Permit No. 1176 Welcome, new physicians Watson Clinic is proud of the high standards of recruitment that bring quality physicians to our community. Please welcome these physicians who recently joined us. Jorge E.R. Burgueno, MD HOSPITALIST Medical school: Higher Institute of Medical Science, Camaguey, Cuba Internship and residency: Internal medicine and critical care, Higher Institute of Medical Science, Havana, Cuba; Internal medicine, Texas Tech University Health Sciences Center, Lubbock, Texas Location: Lakeland Regional Medical Center (LRMC) Shawn Chhabra, MD OPHTHALMOLOGY Medical school: Boston University, Carlos A. Feliciano, MD NEUROLOGY Medical school: Ponce School of Medicine, Ponce, Puerto Rico Internship: Ponce School of Medicine/Hospital Episcopal San Lucas, Ponce, Puerto Rico Residency: Neurology, University of South Florida, Tampa, Fla. Board certification: Psychiatry and Neurology Location: Main Clinic, LRMC Appointments: 863-680-7300 Boston, Mass. Internship: Internal medicine, Harvard Medical School/Brigham and Women’s Hospital, Boston, Mass. Residency: Ophthalmology, Wills Eye Hospital, Philadelphia, Pa. Fellowship: Cornea/anterior segment, Bascom Palmer Eye Institute, Miami, Fla. Board certification: Ophthalmology Location: Main Clinic Appointments: 863-680-7486 For more information, visit www.WatsonClinic.com/ physician-search.
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