NCH becomes first Mayo Clinic Care Network member in Florida. Working together...the key to better healthcare.

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1 Health Matters The latest news on the health and wellness issues that matter most September 202 NCH becomes first Mayo Clinic Care Network member in Florida. Working together...the key to better healthcare. Mayo Clinic and NCH Healthcare System officials today announced NCH Healthcare System as a member of the Mayo Clinic Care Network. NCH, based in Naples, is the first member of the network in Florida and the Southeast region of the United States. The Mayo Clinic Care Network extends Mayo Clinic s knowledge and expertise to physicians and providers interested in working together in the best interest of their patients. NCH s physicians will have access to Mayo Clinic, including the ability to collaborate with Mayo Clinic physicians on patient care, community health and innovative health care delivery. We re excited to formalize our relationship with NCH, says William C. Rupp, M.D., chief executive officer of Mayo Clinic in Florida. Collaborating with other medical providers to provide the best possible care for patients has always been part of Mayo Clinic s culture, and the Mayo Clinic Care Network helps Mayo and community care organizations work closer together, in new ways, to enhance the lives of patients. NCH is honored to be the first hospital in Florida selected to be a Mayo Clinic Care Network member, says Allen S. Weiss, M.D., president and CEO, NCH Healthcare System. Sharing a common philosophy, commitment and mission to improve the delivery of health care through the use of best practices and evidence-based medical care and treatment provides a solid foundation for this collaboration. The network s primary goal is to help people gain the benefits of Mayo Clinic expertise close to home, ensuring that patients travel outside the region only when necessary. Through the Mayo Clinic Care Network, Mayo Clinic is able to develop broader and stronger relationships with culturally likeminded organizations, says Stephen Lange, M.D., southeast medical director of the Mayo Clinic Care Network. By working together, sharing our expertise, more people in more places can benefit from the specialty knowledge and expertise that are hallmarks of Mayo Clinic. We are delighted to welcome NCH as the first Florida location, and we look forward to working with them. We want Floridians to live longer, happier, healthier lives through access to the highest-level knowledge and expertise, Dr. Weiss adds. The Mayo Clinic Care Network represents non-ownership relationships. Members share a goal of improving the delivery of health care in their communities through highquality, collaborative medical care. Launched last year, the Mayo Clinic Care Network has membership that extends to Arizona, Florida, Michigan, Minnesota, Missouri, New Hampshire and North Dakota. What does this mean for patients? NCH physicians will have access to the latest Mayo Clinic expertise and clinical care resources such as: AskMayoExpert, a state-of-theart online tool that makes available Mayo Clinic s knowledge in disease management, clinical care guidelines, treatment recommendations & reference materials for a variety of medical conditions. econsults that connect NCH physicians with Mayo Clinic experts when NCH physicians want additional input regarding a patient s care. The primary goal of the Mayo Clinic Care Network is to help more patients gain the benefits of Mayo Clinic knowledge and expertise close to home, ensuring they need travel outside the region only when necessary. For information on NCH and the Mayo Clinic Care Network, visit

2 Orthopedic Treatment at Its Best By Jean Amodea Before Peter Miskech consulted an orthopedic specialist for a possible knee replacement, he did his homework. He researched the training and experience of eight surgeons before choosing H. Kurtis Biggs, DO, a fellowship-trained, board-certified orthopedic surgeon and founder of the Joint Replacement Institute in Naples. It was the process, system and methodology that sold me on Dr. Biggs. The design of the knee replacement was made within one-half millimeter for precision fit, with virtually no room for error, Miskech said. Today, at eight weeks recovery, I am able to swim, bicycle, play tennis and golf, and I continue to work hard to restore my knee to full mobility. Dr. Biggs said that patients who are informed, who know what questions to ask and who have realistic expectations will attain the best outcomes. For those like Miskech in need of patient-specific knee replacements, Dr. Biggs said cutting-edge computer navigation and information from the patient s MRI enable him to custom design precision implants. Using the latest techniques, the patient is discharged after just 48 hours compared to traditional procedures which require a longer hospital stay. For those requiring patient-specific partial knee resurfacing, procedures are performed with the newest version of patient-specific implants and cutting jigs. Because this portion of the procedure is done before the surgery, this evolution has not only eliminated the need for the robot-assisted technique but also has shortened the procedure, thereby reducing blood loss and lessening the risk of infection. Another common procedure, hip replacement, is performed with a direct anterior approach technique that results in less trauma since muscles are not cut. Different from traditional hip surgery, which has a back-entry approach, the surgeon can better estimate leg length and reduce the risk of dislocation after surgery. There is also less loss of blood and decreased scarring around the joint. The hospital stay is significantly shortened to 24 hours, and the recovery rate and return-to-function time are shortened to four- to six-weeks as compared to the eight- to 2-week recovery period of traditional surgery. In addition to his expertise in the field of orthopedic implant surgery, Dr. Biggs said the hallmarks of his practice are his compassion, personal attention and ability to explain complex problems in a clear, upfront and simple manner. Dr. Biggs completed his fellowship at the Cleveland Clinic Foundation and was in private practice in Massillon, Ohio for five years, performing more than 400 joint replacements each year. In 2008, he relocated to Naples with his wife and five children and opened the Joint Replacement Institute. Dr. Jamie Weaver, a podiatric surgeon, also works at the Joint Replacement Institute, which offers a complete range of services for orthopedic and podiatric care. Dr. Henry Kurtis Biggs, DO examines patient Peter Miskech who underwent a full knee replacement procedure eight weeks ago, as Vincent Schaum, student physician s assistant, observes. For more information about the orthopedic unit and rehabilitation services, call (239) CARDIAC REHAB: An important part of NCH Cardiovascular Service By Kelly Merritt David Smith had open heart surgery in February. He left the hospital after one week to recover at home, but then was offered the chance to start cardiac rehab at four weeks post-op. He arrived as a heart surgery patient and left a changed man. I did all 36 sessions and completed them on June 20. Right now I feel better than I ever have and I ll be 8, says Smith, who formed a close bond with the staff at NCH Cardiac Rehab located in the Briggs Health Pavilion. Smith says cardiac rehab gave him the confidence that he could push himself to get better. Instead of sitting around and wanting to get better, I was put in a system that checked on me every moment I was there, and therefore I got better quicker, he says. Thank goodness my heart problem was caught before I had a heart attack; but the people at rehab are very caring, thoughtful and knowledgeable, and they were there checking every rehab assignment during each session. Exercise physiologist Ann Rosenquist says Smith s success is the result of a team effort between Smith and the staff. It takes time to establish habits, and while some need a longer program typically the full 36 sessions other people do less, she says. Sue Howlin--Darlene Hadley--Marianne Plamondon--Ann Rosenquist Marianne Plamondon, RN monitors blood pressure and other vital measures to ensure patients are ready for the rehab sessions. We are looking at the rhythm of the heart and blood pressure; and if the patient is a diabetic, we re also looking at blood sugar, Plamondon says. Ultimately, cardiac rehab is a crucial part of recovery for heart patients it can mean a major difference in quality of life. Now we are able to go on a trip for two months, Smith says. And I am very happy to have gone through cardiac rehab. I m way past where I would have been without it. If you have a heart problem, that s the place to go. They even conduct a cute little graduation ceremony when you finish. I hope to see them again but in a leisurely fashion no more heart problems for me.

3 SAVING OUR TINIEST TREASURES: Expansion is on the Horizon for the NCH Neonatal Intensive Care Unit By Kelly Merritt Take one look at the babies in the NCH neonatal intensive care unit (NICU), and it s not hard to see why the nurses and doctors call them little miracles. These tiny bundles of joy melt and break hearts at the same time, as caregivers facilitate their survival and family members pray for it. But such small treasures require a lot of care and lifesaving equipment. It s worth every penny, but pennies pile up. That s why multiple teams of people are coming together to raise the money needed for a major expansion of the NICU at the NCH North Naples Hospital. The NCH Healthcare Foundation, the fundraising arm of the not-for-profit NCH Healthcare System, is leading the charge to raise enough money to increase the square footage for more beds and purchase additional equipment. The goal is to literally double the size of the NICU Gayle Richmond attends to a baby in the NICU. from nine to eighteen beds, as the current number of beds falls short of the average census on any given day. When there are no available NICU beds to care for a sick or premature baby, NCH must send the fragile newborn to other healthcare facilities, sometimes far from home, creating a difficult situation for the entire family. To help keep babies born at NCH near their families and close to home, the 54th annual Hospital Ball, to be held on October 27th at the Ritz-Carlton Beach Resort, will raise much needed money for the expansion. Each year, a special NCH department or program is the beneficiary of the Ball s proceeds. On this special night, more than 600 guests will join together to show their support for the NICU. Another goal of the fundraising campaign is to raise dollars for Giraffe Omnibeds. Actually, NICU Nurse Manager Catherine Ravelo, BSN, RN would like six of them. The Unit currently has two. Giraffe neonatal Omnibeds are very special isolettes that properly position babies and provide a safe and protective healing environment that promotes developmental support. They also allow for quick and accurate assessment of weight in the bed, minimizing unnecessary baby stimulation, and other specialized functions that result in better outcomes for the babies, Ravelo said. These hardworking Omnibeds carry a hefty price tag, upwards of $45,000 each. It s an investment worth making, and the NCH Foundation is turning to the community for help. Gifts, large and small, add up quickly and make a big impact on our ability to provide these special beds to the babies who need them most, says Jim Martin, Chief Development Officer for the NCH Healthcare Foundation. The Hospital Ball is just the beginning. The NICU expansion and its future success rely on the generosity of those who want to provide a healthier future for children in our community. It s an ongoing need, says Martin. Ravelo adds, I firmly believe that Collier County deserves to have a family-centered facility. And these babies are not just a diagnosis--they become family. For those who are interested in supporting the lifesaving work of the NICU, the NCH Foundation s website is the best place to start. There, you can learn more about attending the Hospital Ball, making a tax-deductible donation or helping to fund a specific need by designating your gift towards the purchase of an item like a Giraffe Omnibed. For questions, please call the NCH Healthcare Foundation at (239) or visit

4 Getting Over the Goal Line - Occupational therapist Ashley Johnson works with Kora Sizemore, aged 4 months, on reaching, grasping and fine motor skills. NCH Pediatric Therapy helps children push past developmental obstacles By Lance Shearer Understandably, new parents are overwhelmed when they learn their child is not reaching certain milestones or has been diagnosed with developmental delay. Developmental delays can range from mild to severe and can include challenges with crawling, walking, speaking, and learning to name a few. Pediatric services of the NCH Outpatient Rehabilitation, located in the Green Tree Center, offers a full range of multi-disciplinary therapy programs to help children overcome developmental challenges and other diagnoses. NCH pediatric physical, occupational, and speech therapists are caring professionals who can make a difference in your child s future. According to pediatric physical therapist Beth Hardt, early intervention through therapy is crucial. We want parents to know developmental delays don t have to mean their children will show delays throughout their lives, she said. The American Academy of Pediatrics stresses the importance of starting therapy early for the best outcome, and a child s pediatrician is the key to identifying and accessing the services pediatric therapists can provide. If you have concerns, bring them up with your pediatrician so he can make further assessments, Hardt said. It s never too soon. Ashley Johnson is a pediatric occupational therapist at NCH Outpatient Rehabilitation. A recent morning found her sitting in a playpen full of brightly colored balls, working with a young child, Kora Sizemore, in ways that looked like playtime. One of the occupations of children is play, so using play, we motivate children in order to help them reach their goals, she said. Therapy should be engaging and fun. Occupational therapists work on improving fine motor skills necessary for functional tasks including selffeeding, dressing, and taking care of one s self. Another important component of the service the pediatric therapist provides, Hardt said, is involving the patient s family members into their child s therapy. We want to educate the family members so they can carry over the skills learned in therapy and incorporate them into daily family life, she said. Success for me is seeing children meet their goals and achieve their milestones, Johnson said. NCH offers multi-disciplinary outpatient pediatric physical, speech, and occupational therapy at Green Tree Center and at the outpatient rehabilitation center in Immokalee. TELL YOUR CHILD WHY YOU ARE CONCERNED ABOUT BULLYING. It s hard to know what to do if someone is picking on you. If you ever have a problem, we can figure out what to do together. In our family, we believe that everyone deserves respect. When you say mean things, don t let other children play with you, or push and hit others, that s not being respectful. PLAY THE WHAT IF GAME WITH YOUR CHILD. What would you do if: you saw someone getting picked on? someone was spreading mean rumors about you? you hurt someone s feelings? For more information on Pediatric Outpatient Rehabilitation Services, call (239) PREVENT BULLYING: Quick tips for parents LOOK FOR SIGNS OF BULLYING. Talk with your child about what s going on at school. Your child might be being bullied if he or she: Doesn t want to go to school Has cuts or bruises Is acting unhappy or depressed Complains of headaches or stomachaches Your child might bully other children if he or she: Enjoys teasing other kids Has a hard time controlling anger Is very rough or aggressive LEARN MORE ABOUT BULLYING. Talk to other parents and your child s school to find out how they handle bullying. Ask about the school s policies on bullying. Talk to your child s teacher or school counselor if you think your child is involved in bullying. For more info about preventing bullying, visit bullies.html

5 Help Control Your Weight KEEP RECORDS OF WHAT YOU EAT! Dear Diary, Keeping a record of what you eat can help control weight (whether you want to gain, lose or maintain), better manage blood pressure and help with glucose control. How? You ll want to keep a record via the format that best fits your busy life. For some that might be via a Smart Phone or website, others a Word document and for some maybe even good old fashioned pen and paper. Record as you go While it may be more time consuming, the single best way to record is in real time. Sure, you have the best intentions of recording your intake later tonight, but most people just seem to forget what they ve actually consumed. Its all in the details How detailed you get is up to you, but the more details you provide the better we can assist you. Estimate portion sizes (i.e. ½ cup, fistful, etc.), indicating mealtimes is also helpful. You can even note your mood before and after meals, (i.e. starving, bored, happy, etc.). The goal is to tell a tale without becoming obsessive. Self review Lying on your food diary is like lying to yourself. Since you want the best feedback available, you ll want to be as honest as possible. Before submitting your diary, you ll want to do a self review. Take a look at your fruit and vegetable intake, are you getting enough whole grain foods, how about water consumption. You might find some trouble spots to work on over the next few days. Based on a 2,000 calorie diet here s the average amounts for your weekly menu: Food group GRAINS (mostly from whole grains) Food group Average 6 ounces daily Average VEGETABLES GRAINS (mostly from whole grains) VEGETABLES Vegetable subgroups (amount per week) Dark green Vegetable subgroups (amount per week) Red/Orange Dark green Starchy Red/Orange Beans and Peas Starchy Other Vegetables Beans and Peas FRUITS Other Vegetables DAIRY FRUITS PROTEIN FOODS DAIRY Seafood PROTEIN FOODS Seafood 2.5 cups daily 6 ounces daily 2.5 cups daily.5 cups per week 5.5 cups per week.5 cups per week 5 cups per week 5.5 cups per week.5 cups per week 5 cups per week 4 cups per week.5 cups per week 2 cups daily 4 cups per week 3 cups daily 2 cups daily 5.5 oz daily 3 cups daily 8 oz per week 5.5 oz daily 8 oz per week This is what your plate should look like: What foods are in each group? FRUITS Any fruit or 00% fruit juice counts as part of the Fruit Group. Fruits may be fresh, canned, frozen, or dried, and may be whole, cutup, or pureed. VEGETABLES Any vegetable or 00% vegetable juice counts as a member of the Vegetable Group. Vegetables may be raw or cooked; fresh, frozen, canned, or dried/dehydrated; and may be whole, cut-up, or mashed. GRAINS Any food made from wheat, rice, oats, cornmeal, barley or another cereal grain is a grain product. Bread, pasta, oatmeal, breakfast cereals, tortillas, and grits are examples of grain products. Grains are divided into 2 subgroups, Whole Grains and Refined Grains. Whole grains contain the entire grain kernel - the bran, germ, and endosperm. Examples include: whole-wheat flour bulgur (cracked wheat) oatmeal whole cornmeal brown rice Refined grains have been milled, a process that removes the bran and germ. This is done to give grains a finer texture and improve their shelf life, but it also removes dietary fiber, iron, and many B vitamins. Examples of refined grain products are: white flour de-germed cornmeal white bread white rice Most refined grains are enriched. This means certain B vitamins (thiamin, riboflavin, niacin, folic acid) and iron are added back after processing. Fiber is not added back to enriched grains. Check the ingredient list on refined grain products to make sure that the word enriched is included in the grain name. Some food products are made from mixtures of whole grains and refined grains. PROTEIN All foods made from meat, poultry, seafood, beans and peas, eggs, processed soy products, nuts, and seeds are considered part of the Protein Foods Group. Beans and peas are also part of the Vegetable Group. For more information on beans and peas, see ChooseMyPlate.gov Select a variety of protein foods to improve nutrient intake and health benefits, including at least 8 ounces of cooked seafood per week. Young children need less, depending on their age and calorie needs. The advice to consume seafood does not apply to vegetarians. Vegetarian options in the Protein Foods Group include beans and peas, processed soy products, and nuts and seeds. Meat and poultry choices should be lean or low-fat. DAIRY For more information call the von Arx Diabetes & Nutrition Health Center at All fluid milk products and many foods made from milk are considered part of this food group. Most Dairy Group choices should be fat-free or low-fat. Foods made from milk that retain their calcium content are part of the group. Foods made from milk that have little to no calcium, such as cream cheese, cream, and butter, are not. Calcium-fortified soymilk (soy beverage) is also part of the Dairy Group FROM CHOOSEMYPLATE.GOV

6 NCH and the NCH Healthcare Group Directory of ServiceS Cardiology - Naples Heart Institute David Axline, MD, FACC Francis C. Boucek, MD, FACC Michael S. Flynn, MD, FACC, FSCAI Adam J. Frank, MD, FACC Bruce A. Gelinas, MD, FACC Ronald L. Levine, MD, MS, FACC Tracey Roth, MD, FACC Carlo Santos-Ocampo, MD, FACC Herman Spilker, MD, FACC David A. Stone, MD, FACC Silvio C. Travalia, MD, FACC Shona Velamakanni, MD, FACC James Venable III, MD, FACC Linda Cifani, ARNP Susan Gill, PA-C Daniel M. Moore, PA-C Michelle Brink, ARNP Matthew Palicka, ARNP Family Medicine Cynthia S. Bell, MD 4 Hospital Medicine Manuel Batlle, MD Carlos B. Quintero, MD Vladimira Vladi Valova, ARNP Infectious Diseases Gary A. Bergen, MD, FACP Vato Bochorishvili, MD Mark A. Brown, MD Internal Medicine George T. Crabb, DO, FACOI Mark R. Goldstein, MD, FACP Karen Henrichsen, DO Fritz F. Lemoine Jr., MD Mary Ann M. LoMonaco, MD Gary A. Parsons, MD David I. Sommerfeld, MD David C. White, MD, FACP Doreen Cassarino, ARNP Kelly Fennemore, ARNP Melanie Makar, ARNP Victoria Wadsworth, ARNP Psychiatry Damian McGovern, MD Samuel Pinosky, MD Thomas Sokol, ARNP Pulmonary, Critical Care & Sleep Medicine Lawrence H. Albert, MD, FCCP Kenneth Bookman, MD, FCCP Howard L. Cohen, MD, FCCP Douglas Harrington, MD, FCCP David H. Lindner, DO, FCCP Ismael Martin, DO, FCCP Christopher A. Mendello, MD, FCCP Bruce G. Roy, MD, FCCP, DASM Maria Ciferni, DNP, ACNP-BC AnnMarie Morisseau, ARNP Pamela Sans, ARNP Radiology Adam Fueredi, MD, FACR Daniel V. Tufariello, MD Stephen V. Veigh, DO Andrew M. Bernstein, DO Christian O. Beskow, MD Jennifer A. DiRocco, DO Richard S. Gould, MD Robert E. Hanson, MD Jesse H. Haven, MD Mark E. Josephson, MD Ashley L. Tunkle, MD, FAAFP Angela B. Beckwith, PA-C Jennifer Canfield, ARNP-BC, MSN Jill M. Hefti, ARNP Kearston Perfetto, ARNP Gastroenterology & Hepatology Jan M. Barrios, MD Guy R. Winzenried, MD Beth Diamond, ARNP Geriatric Medicine Angel H. Herrera, MD Obayedur R. Khan, MD, FACP, CMD Orthopedic Surgery Jon S. Dounchis, MD Howard J. Kapp, MD Erik Benson, PA Gerard Fischer, PA Pediatrics Reisha F. Brown, MD, FAAP Dulce V. Dudley, MD, FAAP Andrew P. Podos, MD, FAAP Gloria Ribas-Shultz, MD, FAAP Debra G. Shepard, MD, FAAP Todd Vedder, MD, FAAP Physical Medicine & Rehabilitation E. Sean Kelley, MD David Pitts, MD Rheumatology Eric J. Hochman, MD Jay Bombero, PA Urgent Care Karl Korri, MD Steven A. West, MD, FACEP Barbara Hulser, PA Michael Tanner, PA For an appointment with an NCH Healthcare Group physician please call (239)

7 Alico Rd NCH Downtown Naples Hospital Campus NCH Downtown Naples Hospital: Breast Health Navigator: Business/Occupational Health: Community Blood Center: Dr. John N. Briggs Wellness Center: Naples Diagnostic Imaging Center: Naples Heart Institute: Outpatient Infusion Services: Outpatient Rehabilitation Center: Physician Referral / Access Healthline: vonarx Diabetes & Nutrition Health Center: NCH North Naples Hospital Campus NCH North Naples Hospital: The BirthPlace: Naples Diagnostic Imaging Center: NCH Wound Healing Center: Outpatient Infusion Services: The Brookdale Center for Healthy Aging & Rehabilitation: NCH Marco Island Campus Marco Healthcare Center: Naples Diagnostic Imaging Center: Outpatient Rehabilitation Center: Naples Diagnostic Imaging Center: NCH Wound Healing Center: NCH Central Campus: White Elephant Thrift Store: 53-7 Outpatient Rehabilitation Center: Whitaker Wellness Center: Outpatient Rehabilitation Center: Bonita Springs Goodlette-Frank Rd Airport Pulling Rd Davis Blvd Corkscrew Rd. Bonita Beach Rd Immokalee Rd. Pine Ridge Rd. 846 Golden Gate Pkwy. Naples Immokalee Vanderbilt Beach Rd. 95 Gulf of Mexico 8 Community Blood Center: Outpatient Rehabilitation Center: NCH Wound Healing Center: NCH Healthcare Group Vanderbilt Urgent Care Center: NCH Healthcare Group Edison Family Medicine: For information on any of the NCH Healthcare System services, please call or visit us online at Marco Island The NCH Health Matters is a bi-monthly publication of the NCH Healthcare System. Every effort is made to ensure information published is accurate and current. NCH cannot be held responsible for any consequences resulting from omissions or errors. NCH Healthcare System, 350 7th Street North, Naples, FL 3402, Telephone: (239) ,

8 5 star rated for cardiology 0 years in a row. * Naples Heart Institute is a center of excellence for stateof-the-art cardiovascular care including the nationally recognized Code Save- A-Heart program. NHI physicians specialize in the management of chest pain, heart attacks, coronary artery disease, heart valve disease, congestive heart failure, palpitations, atrial fibrillation, and peripheral vascular disease. Offices in Naples & Bonita Springs. For more information or to make an appointment, call *by HealthGrades 202 David Axline, MD Francis Boucek, MD Michael Flynn, MD Adam Frank, MD Bruce Gelinas, MD Ronald Levine, MD Tracey Roth, MD Carlo Santos-Ocampo, MD Herman Spilker, MD David Stone, MD Silvio Travalia, MD Shona Velamakanni, MD James Venable, MD