Orlando Health Choose Health (Fall 2020)

FALL 2020

GUIDE TO

Building a Healthy

IMMUNE SYSTEM

Your Germ-Fighting Superhero
The Immediate
Benefits of Exercise
Cleaning Up Your
Sleep Hygiene
Reduce Stress by
Enhancing Resilience
The Best (and Worst)
Foods to Eat

Patient Journey:

Too Young –
And Too Busy
– For A
Heart Attack

Overactive Bladder

OrlandoHealth.com/ChooseHealth

IN THIS ISSUE David Strong
President & CEO
AURCGOENMATELENINTTYTED Orlando Health

Download the Orlando Health Experience app Andrew J. Snyder
to enjoy exciting reality content in this and future Senior Vice President
editions of Choose Health magazine. Marketing & Communications

Step 1: Use your smartphone CHOOSE HEALTH CONTRIBUTORS
camera to scan the QR code
on the r ight to download the Jeanne Adam
Orlando Health Experience app. Wendy Bacigalupi-Bednarz
Felicia Cavuoto
Step 2: Look for this symbol Kim Couch
and use the app to scan Elizabeth Davis, MD
images in this magazine. Lindsay Gigler-Huff
Kathy Halley
Step 3: See the page come to Esther T. Han, DO
life and unlock special content! Erick Hawkins
Rod James
Augmented Reality can be Amanda Maldonado
found on page 12. Kim Marcum
Nathaniel Melendez, Exercise Specialist
Lisa Nickchen
Mary Kate Reischmann, MD
Mary Senne, PhD
Todd J. Sontag, DO
Chelsea Stevens
Cherisse Stover
Kyndall N. Truett, Exercise Specialist
Julie Vargo
Ashlee Wright, Registered Dietitian

OrlandoHealth.com/ChooseHealth Proud recipient
of the APEX 2020
Award of Excellence,

recognizing
excellence in

publishing

WELCOME

Welcome to the fall
edition of Orlando Health
Choose Health magazine.
In this issue, the experts at
Orlando Health share tips
and advice in our special
guide, Building a Healthy
Immune System, including
myth busters, the benefits
of exercise, adopting better
sleep hygiene and more.

We also introduce you to an inspiring
patient whose second chance led
to more adventures and a healthier
lifestyle for her whole family.

INSIDE THIS ISSUE

The Foundry: Guide: Building a
Finding New Solutions Healthy Immune System

4 11 – 21

Why Yoga Is More Is It a Strain
Than a Stretch Goal 5 or a Sprain?

Is Your Brain 22
Prank-Calling Your Bladder?
Welcome New Physicians
6–7
23 – 32
Patient Journey: Too Young
– And Too Busy – For a Heart Upcoming Classes
and Programs
Attack 8 – 9
34

3ChooseHealth OrlandoHealth.com/ChooseHealth

TECHNOLOGY

Turning Aha Moments Into
Healthcare Innovations

By Wendy Bacigalupi-Bednarz, Editorial Contributor

A few years ago, Orlando Health team member Todd Roberts was at
his doctor’s office when he noticed coughing and sneezing patients in
line ahead of him waiting to sign in. They all were using the same pen.
Stunned, Roberts thought to himself, “People deserve clean pens.”

That aha moment led to Roberts developing The CleanBlock, a small cube that
contains a powerful sanitizing solution. Users simply push a pen or stylus through
the block to clean it and prevent the spread of germs. Roberts turned to the
Orlando Health Foundry program to help refine his idea.

The Foundry Program Debuting New Products

Part of Orlando Health Strategic Innovations, the Among the innovations developed through the
Foundry program launched in 2017. Its goal is to Orlando Health Foundry are:
help team members and physicians from across
Arthur App: A two-way technology
Orlando Health develop, test and solution for patients unable to
implement new products that can verbally communicate in a care setting
improve healthcare delivery and
patient outcomes. Bilisense: Turns a smartphone into a comprehensive,
jaundice-assessment tool that’s easy to use
“The Foundry is an accelerated
process for selected Orlando IrriGATOR: A sterile, all-in-one
Health innovators to refine their irrigation device (patent pending) to
concepts, validate the market expedite wound cleaning in the emergency room
opportunity and identify product
development or service needs,” says Erick Hawkins, Pediatric to Adult Care Transition (PACT):
Orlando Health’s senior vice president of strategic A coordinated healthcare solution that
management. The final step is developing a plan for helps children with chronic healthcare
growth, including go-to-market strategy and funding. needs transition to adult care settings

Stethilizer: A portable and powerful ultraviolet light
cleaning solution for stethoscopes

Learn more at OrlandoHealth.com/Foundry.

4ChooseHealth OrlandoHealth.com/ChooseHealth

MEN ’S HEA LTH

Why Yoga Is More
Than a Stretch Goal

By Wendy Bacigalupi-Bednarz, Editorial Contributor

While yoga is gaining
popularity among men, several
misconceptions prevent even more
from enjoying its many benefits.

The Myths The Realities

It’s just stretching. The benefits of yoga may begin with stretching, but What began in the 1800s as a workout for boys is
they go much further, says Nathaniel Melendez, an exercise specialist at practiced today by many professional NBA and NFL stars.

the Orlando Health National Training Center, which is part of Orlando They recognize that yoga can address issues like a weak
core, tight or weak hip flexors or glutes, and immobility
Health South Lake Hospital. “Practicing yoga on a regular basis can help of the thoracic spine. It also helps to repair tissues in
preparation for your next workout.
increase athletic performance and core strength, decrease injury and
Keys to Success
improve body awareness, digestion and sex life.”
• Find an instructor who matches your preferences
I’m not flexible. Men tend to believe that to practice yoga, you must and skill level.
already be flexible to get started. “In fact, we take up yoga because we’re
not born gymnasts or acrobats,” says Melendez. “We’re ordinary people • Start slow.
who want to become strong and flexible.” • Be present and focus on your breathing.
• Relax your body.
Yoga is only for women. “Not true,” adds Melendez. “Because men • Remember that practice makes permanent.
tend to hold emotions inside and not express feelings, over time this can
lead to stress, anxiety or depression. Yoga helps reduce heart rate, lower For more fitness and exercise advice,
blood pressure and ease respiration, which in turn lower anxiety and go to OrlandoHealth.com/ContentHub.
depression and can especially benefit men. Research shows that yoga may
be considered as medication and the first option to modulating the stress OrlandoHealth.com/ChooseHealth
response in place of antidepressants, alcohol or drugs.”

ChooseHealth 5

WOMEN ’S HEA LTH

Is Your Brain

By Julie Vargo, Editorial Contributor

If you base your daily schedule
around bathroom breaks, map your
travel routes around restroom

locations or choose social
functions with potty proximity
in mind, you may suffer from an
overactive bladder.

Common, but underreported by those who suffer from
it, overactive bladder is twice as likely to affect
women as men. Up to 40 percent of women
will experience the condition at some pointin
their lives.

“The most common symptom is the
sudden, uncontrolled and repetitious
urge to urinate,” says Dr. Esther Han, a

board-certified urologist with Orlando
Health Medical Group Urology. “It’s as
if your bladder is prank-calling your
brain to tell it you have to pee, but
you really don’t have to go.”

In addition to urgency, other telltale
signs include frequency and
accidental leakage. “Urinating more

than eight times during the day
or more than once a night can
indicate overactive bladder,”

says Dr. Han.

6ChooseHealth OrlandoHealth.com/ChooseHealth

Bladder Chatter primary care physicians are unaware medication to relax the bladder.
of the problem because most don’t Physical therapy and urge-
Aging, medical conditions, bladder ask about overactive bladder, and suppression techniques like pelvic
obstruction and weak pelvic muscles patients don’t bring it up.” floor exercises offer yet another
can spur overactive bladder, which option.
affects an estimated 50 million Some just learn to live with
Americans. Being overweight, it, adjusting their lifestyle to More severe cases of overactive
consuming certain foods or accommodate multiple trips to bladder may demand further
taking some medications also can the toilet. “I tell my patients, if it medical treatment. Percutaneous
aggravate the situation. Constipation doesn’t bother you, it doesn’t bother tibial nerve stimulation (PTNS)
can put pressure on the bladder. me,” says Dr. Han. “But if you find combines an acupuncture-type
And in men, long-standing prostate yourself constantly worrying about therapy with electrical current to
conditions can cause similar your bladder, avoiding exercise or modulate bladder function. Botox
symptoms. Sometimes, the cause social situations, or you can’t sleep injections work to relax bladder
simply is unknown. through the night without visiting muscles. Sacral neuromodulation
the bathroom, it’s time to talk with (SNM) therapy depends on a
Depending on the severity, your doctor.” rechargeable implanted device that
overactive bladder can create addresses both urinary and fecal
chronic and even debilitating quality- Restroom Resolutions incontinence by restoring normal
of-life issues, inhibiting everything communication between the brain,
from one’s work and travel to their “There is no need to suffer,” adds bladder and bowel. Most of these
exercise, sleep and sex life. The Dr. Han. “Overactive bladder and procedures can be done right in the
constant urge to urinate combined urinary incontinence can be easily doctor’s office.
with the fear of wetting oneself treated with simple lifestyle changes
lead some people to social isolation and relatively noninvasive therapies.” “So many of my patients are
and depression. Their reluctance surprised when they find out they
to leave home can severely limit As we age, our bladders become aren’t alone in their suffering and
their independence. Others opt more irritable and sensitive. Spicy relieved when they discover there
for absorbent pads or underwear, foods, citrus, fizzy drinks, alcohol are so many ways we can help
dressing in dark clothes to hide any and caffeine can bother the bladder, them,” says Dr. Han. “They love being
accidental wetting that may occur. as can too little dietary fiber. able to be spontaneous again and
Drinking liquids four hours before to go on longer car rides without
Unfortunately, too many simply bedtime can prompt nighttime plotting out every restroom along
suffer in silence. “Some patients are bathroom runs. For some, changing the way. Addressing their overactive
embarrassed,” says Dr. Han. “Others their diet, cutting caffeine, limiting bladder issues opens up their world
believe overactive bladder is just bedtime beverages and adding fiber again.”
a normal result of aging or having for better bowel habits can make a
children. Maybe they had a parent big difference. Do you have an overactive bladder?
or a family member who ‘just dealt Find an expert who can help at
with it’ in the past. Often, their If lifestyle modifications don’t OrlandoHealth.com/Urology.
work, your doctor can prescribe

7ChooseHealth OrlandoHealth.com/ChooseHealth

PATIENT JOURNEY

Too Young –
and Too Busy
– for a Heart

Attack

By Julie Vargo, Editorial Contributor

Like many working
mothers, Nadia Wiltshire-

Bernard is a juggler.
Her jam-packed daily
schedule combines caring
for her family, building
her real estate business
and volunteering in her
community. Rarely does

she drop a ball.

8ChooseHealth OrlandoHealth.com/ChooseHealth

So, when she awoke one morning with worked with a cardiac nurse and exercise and strong. Wiltshire-
chest pain the bustling multitasker chalked physiologist to prescribe an individualized Bernard’s children
it up to work-related stress. After all, she program designed to improve the young advocate for heart
was only 38 years old – too young and far mother’s exercise tolerance, strength health and share
too busy to worry about a little chest pain and flexibility. That program included tips they’ve
and annoying pressure. monitored exercise, education and learned with their
counseling on lifestyle changes for heart peers. When
But as the day progressed, the pain health, along with psychological support. they hit the
continued at work and worsened grocery store,
throughout the evening. After making A New Way of Living everyone reads food
dinner and tucking her two children labels and pays more attention to
into bed, Wiltshire-Bernard made a life- Throughout her rehab sessions, Wiltshire- what items end up in the grocery cart and
changing decision: She told her husband Bernard’s care team provided the support on the pantry shelves.
she was going to the emergency room, then and guidance necessary to successfully
called her brother to meet her there. recuperate and create a new way of living. In the mornings before work, the real
“The cardiac rehab team ... wow,” she says. estate entrepreneur and her husband now
Heart of the Matter “If there was a day when I just felt like I regularly exercise together, walking around
couldn’t do it, they would listen, motivate the lake near their neighborhood or using
Fortunately, the Central Florida resident and encourage me. I still go back and their home gym. She continues to work
made it to Orlando Health South Lake see them because they are now going to out with the regimen she created during
Hospital before suffering a heart attack forever be a part of my life. During one of her time in cardiac rehab. Thanks to being
caused by 100 percent blockage in one my most difficult times, they were there more active, Wiltshire-Bernard now enjoys
of her arteries. She remembers checking unconditionally. That is something I will improved endurance, increased energy and
in at the emergency room and seeing her never forget.” a clearer mind.
brother. The rest of the night is a blur.
Wiltshire-Bernard attended cardiac rehab Determined to live by her new motto of
Dr. Vijay Kasi, interventional cardiologist twice a week for 18 weeks. She learned how “Health Is Wealth,” she credits her cardiac
with the Orlando Health Heart & Vascular to set goals, increase her activity and create team at Orlando Health with saving her life.
Institute, inserted a stent into the clogged an exercise regimen she could maintain
artery to regulate Wiltshire-Bernard’s blood on her own. She also was taught how to “The care I received was
flow. The procedure went smoothly. She monitor her heart rate to ensure she was top-notch,” says Wiltshire-
regained consciousness in the hospital staying in a healthy range. In addition to Bernard. “Their expert care
catheterization lab, greeted by Dr. Kasi and encouraging her physical fitness, the team and commitment helped me
the news she had suffered a heart attack. at Orlando Health considered her mental turn what could have been
well-being. They recognized the fear and a devastating result into a
Three days later, Wiltshire-Bernard was back uneasiness that accompany the scare of whole new lifestyle for my
home with a prescription for cardiac rehab at suffering and surviving a heart attack.
the Orlando Health South Lake Hospital Their continued assurances, support and entire household.”
encouragement eased her worry, allowing
Cardiac Rehabilitation Center. Her her to become more confident and If heredity or lifestyle put your heart health
physician for comfortable she could live a full life post- at risk, contact a nearby specialist with the
follow-up care, heart attack. Orlando Health Heart & Vascular Institute
Dr. Lushantha for guidance.
Gunasekera Family Affair
with the For more patient stories, go to
Orlando Today, her whole family is committed to OrlandoHealth.com/Stories.
Health Heart a healthier lifestyle. Each member focuses
& Vascular on eating well and exercising to keep fit
Institute,

9ChooseHealth OrlandoHealth.com/ChooseHealth

EXPERTS.THE HEART AND VASCULAR
At the Orlando Health Heart & Vascular Institute, our comprehensive approach to care
is designed to bring you the best possible experience and outcome. Our teams of heart
and vascular experts work together and with you and your family — streamlining your care
with a quick, accurate diagnosis and treatment plan personalized to your needs and
your lifestyle — and always with a focus on your safety.

Cardiology and Vascular Care • Cardiovascular and Thoracic Surgery • Vascular Surgery

OrlandoHealth.com/Heart

GUIDE TO

Building a Healthy

IMMUNE SYSTEM

Our guide brings together expert tips
and advice including myth busters,
the benefits of exercise, adopting
better sleep hygiene and more.

11ChooseHealth OrlandoHealth.com/ChooseHealth

G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

ImThpeortance Immune System

of a

By Julie Vargo, Editorial Contributor

Most of us don’t realize we’re in
the midst of daily germ warfare.
Like a superhero in combat, our
immune system quashes microscopic
attackers before they can make us sick. But
to be successful, our germ-kicking crusader
must be healthy and strong.

“Your immune system is designed to fight anything trying to invade
your body -- infections, viruses, bacteria,” says Dr. Todd J. Sontag, a
family medicine physician with Orlando Health Physician Associates.

Composed of special organs, cells and chemicals that battle infection-
causing microbes, the immune system works hard to recognize dangerous
intruders and get rid of them. “By creating a physical barrier, the skin is
actually the immune system’s first line of defense,” says Dr. Sontag. “As long
as you don’t get a cut, bacteria have a tough time entering.”

Because the skin is so good at its job, most contagions actually enter through
your respiratory system (think nose and mouth). Once in your body, their arrival
sets off a series of protective actions.

Scan this page with your Orlando Health Experience App.
See page 2 for more information.

ChooseHealth 12 OrlandoHealth.com/ChooseHealth

Building Immunity Infection Fighting
Dos and Don’ts
Everyone is born with some general protection. Our immunity increases as we’re exposed to
various diseases or immunized against them with vaccines. Although you can’t make a
healthy immune system more
“Germs have proteins unique to them on their surface called antigens,” effective or efficient, you can
says Dr. Sontag. “These antigens prompt white blood cells to make damage it. Smoking, vaping,
protective antibodies. These antibodies attach to the antigen, the way a key excessive drinking, poor nutrition
fits into a lock, and help destroy it.” and lack of sleep can affect your
body’s ability to fight infection.
After antibodies have been created and the germ eliminated, special cells commit the culprit to To keep your immune system
memory. If you run into that microbe again, these memory cells instantly alert the body to trigger in tiptop condition, take a
the appropriate antibodies. The potential problem is eliminated before you even know you were commonsense approach. Strive to
re-exposed to the infection. control stress, get enough shut-
eye, exercise and eat well.
Immunizations work in a similar manner, introducing an antigen so the body can produce
antibodies to ward off future infection. “Because vaccines contain weakened, dead or synthetic “Much of our immune
versions of viruses, you become immune without getting sick,” says Dr. Sontag. “For example, it is system’s strength depends
virtually impossible to ‘get’ the flu from a vaccine today because it isn’t made with live virus.” on how well we take care
of our bodies,” says
Community protection, or herd immunity, happens when enough people become resistant Dr. Sontag. “The better
to a disease that its spread to others becomes unlikely. “Herd immunity usually occurs with your general health, the
vaccinations or if enough people get infected naturally,” says Dr. Sontag. “However, the more better your body will be
contagious a virus is, the more immune people it takes to activate herd immunity.” at fighting infection.”

Immune System Myth Busters Get your flu shot today!
Visit OrlandoHealth.com/Flu
Contrary to popular belief, downing large doses of vitamins and supplements won’t
benefit a healthy immune system. “If your immune system is weak or out of balance, you can
strengthen it to a degree,” says Dr. Sontag. “There are vitamin D receptors
on the immune system, for example. If you are deficient in vitamin D,
a supplement might help the immune system work like it should.

“But there aren’t any supplements that will increase
the number of fighter cells or antibodies in your immune
system,” he adds. “Getting vaccinated is the only thing we can
actually do to supplement the antibodies in our body.”

While taking extra vitamins probably won’t help your immune system, wearing a mask over your
nose and mouth won’t hurt it. “Right now, everyone wants an opinion on masks,” says Dr. Sontag,
who debunks the myth that not wearing one will build your immunity. “Wearing a mask is all
about minimizing risk. Anything we can do to help prevent an infection from getting into the
body is something we should do. If everyone is wearing a mask, the chance of catching a virus
is less possible.”

13ChooseHealth OrlandoHealth.com/ChooseHealth

G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

For a Fighting Chance, Strive for

When it comes to your immunity, you are what you eat. But
you can’t depend on just a handful of vitamins to get the job
done. If you want to power up your immune system, it’s better
to bypass the pharmacy in favor of the grocery store.

“Our diets play a huge role in protecting us from disease,” says Ashlee Wright,
a registered dietitian with Orlando Health. “To support a healthy
immune system, you need to consume the proper combination
of vitamins and minerals every day. It’s important to focus on
obtaining these nutrients through a well-balanced diet rather
than taking supplements.”

14ChooseHealth OrlandoHealth.com/ChooseHealth

Trust Your Gut Self-Serve Sizing

The gut makes up a large and important part of the immune system. The When striving for five plant-
better the balance of healthy gut bacteria, the more robust and efficient your based servings, here’s how to
immune system is at fighting infections. tell what’s enough.

“Fruits, vegetables, grains and yogurts contain beneficial types of special fiber One fruit serving =
and microbes that boost healthy gut bacteria,” says Wright. “These whole A medium-sized piece of fruit
foods, among others, also contain vitamins A, C and D, as well as zinc, which or a half cup of fresh, frozen or
are critical nutrients for strengthening our gut and immune systems.” canned fruit packed in water or
100 percent juice
Vitamin A helps in the production and function of white blood cells. Vitamin
C, an antioxidant, aids with destroying free radicals and supports the body’s One veggie serving =
natural immune response. Vitamin D works to prevent inflammation. Zinc 1 cup of raw, leafy vegetables;
defends against invading germs. Vitamins C and D also may play a role in a half cup of fresh, frozen or
preventing pneumonia and respiratory infections. canned veggies; or a half cup of
vegetable juice
Support Group
Strive for 5 Food Choices
Fortunately, these essential nutrients are found in a variety of plant and animal
foods. Wright suggests piling plates high with at least five servings of fruits For meals that pack a powerful
and vegetables every day. punch, find your favorite dining
companions from the following list:
Keep your options open. “Variety in what you eat is as important as how much
you consume,” says Wright. “The vitamins, minerals and amount of fiber differ Vitamin A: Sweet potatoes,
among plant foods, as does their impact on gut microbes. Make sure to eat a carrots, green leafy vegetables,
diverse diet so you get an assortment of nutrients.” cantaloupe, pumpkin, red
peppers, dairy products, eggs,
While seasonal, vine-ripe produce is always the best choice, don’t worry if you fortified cereals
can’t find high-quality fresh fruits and veggies. Frozen is fine. “Manufacturers
freeze produce at its peak ripeness, so the nutritional value is similar to fresh,” Vitamin C: Broccoli, Brussels
says Wright. sprouts, cantaloupe, citrus fruits,
kiwi, peppers, strawberries,
Nutritional No-Nos tomatoes

A diet filled with refined sugar, processed foods and fatty red meat can cause Vitamin D: Eggs, fatty fish, plant-
the immune system to sputter. “Eating too much salt, sugar and unhealthy fats based milks, fortified cereals,
can result in chronic inflammation,” says Wright. “Inflammation hinders the dairy products, orange juice
body’s response to viruses and other germs.”
Zinc: Beans, peas, beef, dairy
Like processed food, less is more when it comes to alcohol as well. “Drinking products, fortified cereals, nuts,
too much can lead to increased respiratory infections and impaired immune whole grains, poultry, seafood
responses,” says Wright, who suggests moderation — up to one drink a day for
women and two per day for men. For more nutritional advice, go to
OrlandoHealth.com/ContentHub.
Making the right food choices gives the immune system a fighting chance
against a variety of viruses. But it is not a magic bullet.

“Nothing you eat will totally guarantee you won’t get sick,”
says Wright. “But consuming a nutrient-dense,
varied diet gives the immune system and gut
the best opportunity to defend you.”

15ChooseHealth OrlandoHealth.com/ChooseHealth

G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

Fighting off The right amount of quality
SleeInpfDecetmioonns s sleep can help protect your
mental and physical well-being.
By Julie Vargo, Editorial Contributor “A good night’s sleep plays a
vital role in keeping us healthy,”
Quality over quantity is a common says Dr. Mary Kate Reischmann,
catchphrase that works well when applied a board-certified pulmonologist
to friends and fashion. But when it comes to and sleep specialist at Orlando
achieving a better night’s sleep, smart snoozers Health. “Sleep supports the
know you can’t have one without the other. immune system, reduces the risk
of infection and helps the body
fight viruses.”

ChooseHealth 16 OrlandoHealth.com/ChooseHealth

On the flip side, slumber time Quality Control Sleep Hygiene 10 Tips
that’s delayed by a variety of for
sleep demons can negatively A good night’s sleep is more Instead of strapping on a
affect your immune system. than just a numbers game. wellness tracker, Better Sleep
“Too little sleep, called sleep Quality also matters. Dr. Reischmann suggests
deprivation, weakens the working on sleep hygiene – For better quality sleep,
body’s defense system and Sleep-tracking devices have healthier habits that promote be sure to:
makes you more susceptible to become a common way for consistent, uninterrupted sleep.
contracting a virus and other Americans to monitor their Establishing behaviors like a • Go to bed and wake up at
common infections,” says nightly doze, with up to sleep schedule, cozy bedroom the same time every day,
Dr. Reischmann. 10 percent of adults using and relaxing pre-bedtime even on the weekends.
them, according to a study in routines all contribute to
The Power Hours the Journal of Clinical Sleep quality sleep. • Avoid strenuous activities
Medicine. While popular, these before bed.
Despite sleep’s significance, a also can create a preoccupation A consistent routine helps
concerning number of Americans with getting the “perfect signal bedtime is approaching. • Keep your bedroom quiet,
don’t get enough shut-eye. Adults sleep,” a new condition called Hitting the sack and waking up cool and dark, with the
aged 18 to 64 should strive for orthosomnia. at the same time daily, even on thermostat set between
seven to nine hours of sleep weekends, creates consistency. 60-67°F.
daily, according to National Sleep “In these cases, patients report Thirty minutes of quiet reading
Foundation recommendations. feelings of failure, anxiety and or meditation is the perfect prep • Create a soothing pre-
Those aged 65 and over need insomnia if they miss tracking for drifting off to dreamland. bedtime routine.
seven to eight hours a night. Yet, benchmarks,” says Ditto disconnecting from digital
40 percent of Americans get less Dr. Reischmann. “But devices a half hour before • Avoid caffeinated beverages
than the recommended amount constantly worrying about tucking in. Tablets, TVs, cell and nicotine within four to
of sleep, according to a recent sleep can trigger or worsen phones and laptops can keep six hours of bedtime.
Gallup poll. sleeplessness.” your brain revved up, making it
harder to wind down. The light • Stop drinking alcohol three
That helps explain why To determine if you should from these devices also can hours before retiring.
Americans feel sleepy on ditch your sleep tracker, ask interfere with the body’s natural
average three times a week, yourself whether you felt production of sleep-producing • Create calm with a fan or
according to the National Sleep well rested before you began melatonin. white-noise machine.
Foundation’s annual Sleep in monitoring the situation, but
America poll. For 55 percent have since experienced poor Adopting better sleep hygiene • Turn off screens at least
of those surveyed, it’s because sleep quality. If so, take off the can take time, but don’t give 30 minutes before bedtime.
they’re not sleeping well tracker before bed. up. The effort will pay off by
enough. Forty-four percent of making you more relaxed and • Spend time outside every
respondents tie their daytime “If you wake up refreshed, alert ready to hit the snooze button day and stay physically
doziness to not having enough and ready to take on the day, at bedtime. And while there active.
time to sleep. you know you’ve gotten the is more to bolstering your
right amount of good-quality immunity than just getting • Don’t invite a sleep tracker
sleep,” says Dr. Reischmann. ample sleep, if you do catch to your slumber party.
some sneezes or sniffles, a well-
rested body will be better able to
bounce back faster.

Concerned about your sleep patterns? Talk to your primary care
physician or find one at OrlandoHealth.com/Physician-Finder.

17ChooseHealth OrlandoHealth.com/ChooseHealth

G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

By Wendy Bacigalupi-Bednarz, Editorial Contributor

Whether you are a longtime How It Works
fitness buff or a newcomer to
walks around the neighborhood, When you exercise, blood gets pumped through the
you can experience the benefits of body and helps establish and distribute immune-
boosting T-cells that drive what is known as “adaptive
exercise on your immune immunity.” Through adaptive immunity, the body
system. And you won’t destroys invasive germs and the toxic byproducts they
have to wait long. release that make you sick.

“A lot of people mistakenly think that In addition to making your body a less inviting place
someone who’s been exercising long- for germs, exercise can help the immune system by
term will have a better immune system improving sleeping patterns. Small proteins called
than someone who just has started,” cytokines are released when you get adequate sleep.
says Kyndall Truett, an exercise specialist at Cytokines must remain abundant in your system to fight
Orlando Health National Training Center. off infections, says Truett. Sleep deprivation can take
your body’s existing cytokines and make them pro-
But that’s not the case. “Exercise triggers an immediate, inflammatory, which can cause damage to your body by
positive response in the immune system,” she says. It’s suppressing your immune system.
like instant gratification for your biological defenses.
When you engage in physical activity, your body releases
What It Does endorphins. These can help you feel good and stay well.
Endorphins help to reduce stress and create a healthy
Exercising contributes to a healthy immune system in number of cytokines within your body, thereby helping
several ways, according to the U.S. National Library of support a healthy immune system.
Medicine. It can help:
What to Do
• Flush bacteria out of your lungs and airways,
potentially reducing your chance of getting a cold, The key to enhancing immunity through exercise is to
flu or other illness stay consistent, says Truett. With any exercise, “such
as a brisk 30-minute walk, the immune system benefits.
• Cause positive changes in antibodies and white When you make physical activity a habit, the immune
blood cells system becomes healthier.”

• Briefly raise your body temperature to prevent bacteria But don’t overdo it. As with many things, moderation
from growing and help your body fight infection is the key, according to the U.S. National Library of
(similar to what happens when you have a fever) Medicine.

• Slow the release of stress hormones that increase the Try 20 to 60 minutes of cardiovascular fitness at least
chance of illness three to five times a week as recommended by the
American College of Sports Medicine. If you are just
ChooseHealth 18 beginning an exercise routine, an easy place to start
is with walking and stretching. You also might
consider bicycling with your children or partner
a few times a week or regularly playing golf.

OrlandoHealth.com/ChooseHealth

Gradually work up to longer blocks of time
spent exercising. If you move into a more
intense workout routine, be sure you are
properly trained by an exercise professional
beforehand. Some options include:

• Resistance training two or three times
per week, making sure to target the
large muscles

• Body-weight exercises such as
stationary squats and elevated
push-ups

• Joining a fitness center when
ready to add more to your routine

• Investing in home exercise
equipment such as cables,
resistance bands and free
weights, if you don’t feel
comfortable going to a gym yet

Where’s the Miracle Pill?

“No miracle pills exist to strengthen
your immune system,” says Truett.
“Each of us has to do the work.
Along with an antioxidant-rich diet,
moderate exercise plays a vital role in
preparing your immune system when
infection invades.”

It’s important to understand that regular
physical activity should be built into
your daily routine. Sporadic exercise is not
considered a quick fix for immunity boosting.
A consistent exercise regimen is key to improving
your chances of defending yourself against
illnesses.

Find more health and fitness articles at
OrlandoHealth.com/Content Hub.

ChooseHealth 19 OrlandoHealth.com/ChooseHealth

G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

Few Americans will soon Stress: It’s Not All in Your Head
forget 2020 – a year of nonstop
changes. From a global pandemic In times of physical or emotional stress, your body reacts by sending out a
flood of cortisol, a hormone that activates your nervous system’s “fight or
to civil unrest, 2020 has thrown us flight” response. With cortisol’s help, your heart rate and breathing speed up,
enough curveballs to cause stress in your pupils dilate, and your arteries narrow to pump blood faster. Typically,
even the most well-adjusted person. when the perceived threat has passed, cortisol levels drop back to normal,
Add these pressures to the everyday and your body starts recovering from the hormone’s effects.
ones we regularly experience – like
managing finances, jobs, family life and Left unchecked, though, stress and its sidekick cortisol can have a negative
health – and we’ve got a near-perfect effect on your health, boosting inflammation and actually suppressing your
storm of chronic stress in the making. immune system’s effectiveness. Chronic stress also can lead to a range of
unhealthy habits, from overeating to the increased use of alcohol, tobacco
and other recreational drugs. And, it can increase your risk of getting
physically sick. By contrast, studies from the National Institutes of Health
and other experts have shown that Americans reporting the least amount of
stress also were the least likely to get infections.

ChooseHealth 20 OrlandoHealth.com/ChooseHealth

The Benefits of Resilience

One strategy to managing and even combating stress is developing resilience, says Mary Senne, PhD,
director of the Wellness and Resilience Program at Orlando Health.

“Resilience is the ability to adjust and adapt to the current situation without being consumed by it,”
says Senne. “Adaptability has been shown to be a key component of individuals who endure and face
unprecedented experiences – and do so effectively.”

She offers 10 steps you can start taking today to enhance your resilience and help manage stress.

Avoid asking “why”: Why questions compel people to look for Take a technology break: Put your phone in another room for
reasons. But in times of increased uncertainty, this search can make 30 minutes. Or step away from the computer for 2 minutes and
matters worse. Instead, ask how and/or what can be done about focus on a positive image, a beautiful object or a human face. If you
a situation. How and what questions help generate solutions and can’t stay away from technology, try stress-relieving apps such as
move conversations toward resolutions. HeadSpace and CALM.

Change your focus: Notice and focus on what you can do Go on a media diet: Take breaks from
more than on what you wish you could do. Focusing on your watching, reading or listening to news
abilities, talents and how you can use them will give you a sense of stories, including those on social media.
empowerment.
Focus on breathing: Practice the 4-7-8 breathing exercise to slow
Spend time with “builders”: Everyone yourself down and re-energize. Exhale completely. Next, close your
responds differently during critical situations. mouth and inhale for 4 seconds. Hold your breath and mentally count
Avoid those who seem to be caught up in to 7. Then, exhale through your mouth for a count of 8. Repeat.
generating drama or who seem to complain
excessively. Instead, spend more time with Enjoy the silence: Put yourself in a
those who provide input, feedback and information that lifts you up. place with little to no distractions for 10
minutes. This may be uncomfortable at
Remain purpose-driven: Adaptability does not mean changing first, but push yourself to focus on your
your goal but changing your methods. Continue to maintain sight of energy level and your breathing.
your purpose while being open to alternative or innovative ways to
achieve it. Reflect on what’s good: Spend a few moments jotting down three
good things that happened to you today.
Try mindfulness exercises: Take 2 minutes
— three to four times a day — to pause, breathe For more ways to stay mentally and emotionally healthy,
and be conscious of yourself. This exercise can go to OrlandoHealth.com/ContentHub.
enhance your ability to concentrate, be more
present and minimize stress.

21ChooseHealth OrlandoHealth.com/ChooseHealth

C H I L DR E N ’ S H E A LTH

Is It a Strain or a Sprain?

By Wendy Bacigalupi-Bednarz, Editorial Contributor

It’s hard enough to tell the difference between
a strain and a sprain for ourselves. With kids, it
can be even harder.

Strains and sprains are similar injuries with common symptoms.
Both injuries involve tearing or trauma to the muscle, tendon or
ligament tissue and often affect ankles, knees, wrists, elbows,
backs, shoulders and thumbs.

A strain — sometimes referred Recovery periods for strains and sprains are different, too. “A strain may
to as a “pulled muscle” — is a take days or weeks to heal, while a severe sprain may take four to six
muscle or tendon injury often felt weeks, or longer,” Dr. Davis says.
in the hamstring or lower back.
A sprain refers to a stretched Treatment and Prevention
or torn ligament, with the ankle Strains and sprains range from mild to severe. After a brief physical
particularly susceptible. Both exam, your doctor may request an X-ray or MRI to rule out any breaks
injuries bring pain, swelling and or fractures. Otherwise, whether your child is diagnosed with a sprain or
limited flexibility and range of strain, the treatment is often the same, starting with RICE:
motion.
Rest Ice Compression Elevation
How to Spot a Strain or a Sprain
“Look for bruising around the joint, Depending on the severity of the injury, your child may need physical
as that is the hallmark of a sprain, therapy, a temporary splint or a cast.
whereas muscle spasms often
accompany a strain,” says You can help your child reduce their chances for a strain or sprain by
Dr. Elizabeth Davis, a pediatric encouraging them to:
sports medicine physician with
Orlando Health Orthopedic Warm up and stretch before activities and cool down after.
Institute Orthopedic and Sports Get moderate daily exercise.
Medicine Group. Wear shoes with appropriate treads for sports and activities.
Get plenty of rest.

For more advice on keeping your children healthy, go to
ArnoldPalmerHospital.com/ContentHub.

ChooseHealth 22 OrlandoHealth.com/ChooseHealth

Celebrating 20 Years of
Helping Children and Families

B I R T H DAY
C E L E B R AT I O N

What is now The Howard Phillips Center for Children & Families, a part of Orlando Health
Arnold Palmer Hospital for Children, started more than 20 years ago on their journey to
become the local hub for community-based children’s services for at-risk kids.

Bringing all of the hospital’s social services for children and families under one roof in 2000,
the facility at 601 W. Michigan St. officially became The Howard Phillips Center for Children &
Families! Today, The Howard Phillips Center provides services to some of Central Florida’s most
vulnerable through the following programs:

1. The Developmental Center for Infants & Children/Early Steps

2. Healthy Families Orange and Osceola

3. Children’s Advocacy Center (CAC)

4. The Healing Tree

5. The Child Protection Team

6. Teen Xpress

While a lot has changed over the past two decades, one thing has not, the need for The Howard
Phillips Center. This special place continues to provide at-risk children, teens and families the
education, therapies, hope and healing they deserve.

Help us Prepare for the Next 20 Years
In the past 20 years, The Howard Phillips Center has grown to employ more than 185
team members, providing critical care to over 20,000 children and families every year.
Moving forward, as the demand for community-based services increases month-by-month,
philanthropy is a key component to the center’s ability to provide services.

Join us as part of this community’s safety net of care for our most vulnerable children and
families. Visit HappyBirthdayHPC.com to learn how you can become involved. And, thank you
to the dedicated staff who have been caring for those in need for more than two decades.
YOU ARE OUR HEROES!

ChooseHealth 23 OrlandoHealth.com/ChooseHealth

OUR PHYSICIANS

Meet the Newest Physicians
on the Orlando Health Team*

Mohammad N. Musaddeque Rodolfo Emilio Elizabeth Iba
Abbasi, MD Ahmad, MD Aldir, MD Alonso, MD Alwohoush, MD Al Wohoush, MD

VASCULAR INTERNAL CARDIOLOGY SURGICAL NEUROLOGY INFECTIOUS
SURGERY MEDICINE ONCOLOGY DISEASE
ST. CLOUD DR. PHILLIPS AREA
DOWNTOWN DOWNTOWN DOWNTOWN DR. PHILLIPS AREA
ORLANDO CAMPUS ORLANDO CAMPUS (407) 348-1780 ORLANDO CAMPUS (321) 841-2800
(407) 370-8720
(407) 539-2100 (321) 841-6600 A board-certified (321) 841-1838 Dr. Alwohoush is
cardiologist with a board-certified Dr. Al Wohoush is
A board-certified Dr. Ahmad is a board- Orlando Health A fellowship-trained neurologist who a board-certified
vascular surgeon, certified internal Medical Group surgical oncologist, joined Orlando infectious disease
Dr. Abbasi joined medicine physician Cardiology at Dr. Alonso joined Health Neuroscience specialist who joined
Orlando Health Heart with Orlando St. Cloud, the Gastrointestinal and Rehabilitation Orlando Health
& Vascular Institute Health Medical Dr. Aldir joined Cancer Center at Institute Neurology Medical Group
in August. He Group. He provides the organization in Orlando Health UF Group in May. Infectious Disease
specializes in treating comprehensive July with St. Cloud Health Cancer Center in May.
patients with diseases medical care focusing Regional Medical in August. He is board She completed her
of the arteries, veins on wellness and Center, now certified in general medical training at He completed his
and lymphatic prevention, while Orlando Health surgery and holds a the University of medical education
system. His clinical treating complex St. Cloud Hospital. specialty certificate Vermont Medical at the University of
interests include medical conditions. in hepatobiliary and School (Burlington) Damascus Faculty
aortic aneurysm He completed his pancreatic surgery. and performed her of Medicine (Syria).
repair, minimally He earned his medical training at residency at St. Louis His residency was
invasive endovascular medical degree Universidad Central Dr. Alonso completed University School of performed at St. Louis
surgery, carotid at Dhaka Medical del Este (Dominican medical training at Medicine (Missouri). University School of
arterial disease and College (Bangladesh). Republic), his internal University of Florida Medicine (Missouri)
peripheral arterial He completed medicine residency (Gainesville), a general and his fellowship in
disease. postgraduate studies at Northern Ohio surgery residency infectious disease at
in child health at University’s College at University of Texas A&M College
Dr. Abbasi received National University of Medicine (Canton) California (Riverside) of Medicine (Bryan).
his medical training of Ireland (Dublin) and his fellowship in and a fellowship in
at State University of and his residency in cardiovascular disease hepatobiliary and
New York at Stony internal medicine at Case Western pancreatic surgery at
Brook and completed at New York Reserve University Providence Portland
his residency in Presbyterian Brooklyn (Cleveland). He is Cancer Institute
vascular surgery at Methodist Hospital fluent in English and (Oregon). He is
Cleveland Clinic. (New York City). Spanish. fluent in English
and Spanish.

ChooseHealth 24 OrlandoHealth.com/ChooseHealth

The physicians at Orlando Health are part of a collaborative
network that works toward one common goal: your health.

Om Axel Martha Catalina Carlos E. Neeraj R. Tracy R.
Amin, MD Anderson, MD Aragon Lopez, MD Arrieta Garcia, MD Bajaj, MD Bilski, MD

GASTROENTEROLOGY UROLOGY FAMILY MEDICINE CARDIAC INTERVENTIONAL SURGICAL
ELECTROPHYSIOLOGY CARDIOLOGY CRITICAL CARE
ST. CLOUD ST. CLOUD KISSIMMEE/
THE LOOP DR. PHILLIPS AREA DR. PHILLIPS AREA DOWNTOWN
(407) 891-2970 (407) 891-2951 ORLANDO CAMPUS
(407) 499-4911 (321) 841-6444 (321) 841-6444
A board-certified Dr. Anderson is (407) 649-6884
gastroenterologist a board-certified Board certified in Board certified in Board certified
with Orlando Health urologist with family medicine, cardiology, cardiac in interventional Board certified in
Medical Group Orlando Health Dr. Aragon practices electrophysiology cardiology, surgical critical care,
Gastroenterology Medical Group with Orlando Health and cardiac cardiovascular Dr. Bilski joined
at St. Cloud, Urology at St. Cloud. Physician Associates echocardiography, diseases and nuclear Orlando Health
Dr. Amin joined He joined the Family Medicine at Dr. Arrieta joined cardiology, Dr. Bajaj Medical Group
the organization in organization in St. Cloud. She joined Orlando Health Heart joined Orlando Surgery in May.
July with St. Cloud July with St. Cloud the organization in & Vascular Institute in Health Heart &
Regional Medical Regional Medical July with St. Cloud August. He specializes Vascular Institute She earned her
Center, now Orlando Center. Regional Medical in cardiac implantable in June. medical degree at
Health St. Cloud Center, now Orlando devices. Thomas Jefferson
Hospital. He treats He received his Health St. Cloud He completed his Medical College
common and chronic medical training Hospital. He earned his medical medical training (Philadelphia) and
conditions of the from Ross University degree at Universidad at Jefferson completed her
digestive tract. (Dominican She received her Del Norte (Colombia) Medical College residency at New
Republic). He medical training and completed his (Philadelphia). York-Presbyterian/
He earned his medical completed a from the University residency in internal He performed his Weill Cornell
degree at American residency in urology of Valle (Colombia) medicine at Canton residency at Emory Medical Center
University of Antigua at Memorial Health and completed her Medical Education University Affiliated (New York City).
(Guatemala) and University Medical residency in family Foundation (Ohio). Hospitals (Atlanta) She performed
completed his Center (Savannah, medicine at Hofstra He performed and a fellowship her fellowship in
residency in internal Georgia), and North Shore-LIJ fellowships in in cardiovascular surgical critical care
medicine at West a residency in School of Medicine cardiovascular medicine at at the University
Virginia University general surgery at (Hempstead, New disease and cardiac the University of Pennsylvania
(Charleston). Jacksonville Health York). She is fluent in electrophysiology of Pittsburgh (Philadelphia).
His fellowship in Education Program English and Spanish. at Illinois Masonic Medical Center
gastroenterology was (Florida). He is Medical Center (Pennsylvania).
performed at West fluent in English (Chicago). He is
Virginia University and Spanish. fluent in English
(Morgantown). and Spanish.

ChooseHealth 25 OrlandoHealth.com/ChooseHealth *New physicians from
May 2020-August 2020

OUR PHYSICIANS

Meet the Newest Physicians
on the Orlando Health Team*

Chad Robert Terrence J. Patrice Cates- Marilyn Kaitlin M.
Campbell, DO Capobianco, MD Carter, MD Lonberger, MD Chavannes, MD Christopherson, MD

INTERNAL GENERAL OBSTETRICS & INTERNAL FAMILY MEDICINE RADIATION
MEDICINE / SURGERY GYNECOLOGY MEDICINE ONCOLOGY
PEDIATRICS ST. CLOUD
ST. CLOUD EDGEWATER WINTER PARK WEST ORANGE
NARCOOSSEE (407) 892-3387 COUNTY
(407) 498-3763 (407) 635-3366 (407) 635-5565
(407) 891-2922 Board certified in (321) 841-8650
Dr. Capobianco is A board-certified Board certified in family medicine,
Dr. Campbell is a board-certified OB-GYN, Dr. Carter internal medicine, Dr. Chavannes A radiation
a board-certified general surgeon joined Orlando Dr. Cates-Lonberger practices with oncologist,
internist and with Orlando Health Health Physician joined Orlando Orlando Health Dr. Christopherson
pediatrician with Medical Group Associates in August. Health Physician Physician Associates joined the Orlando
Orlando Health Surgery at St. Cloud. He cares for women Associates in May. Family Medicine at Health UF Health
Physician Associates He joined the from adolescence She diagnoses and St. Cloud. She joined Cancer Center
Internal Medicine at organization through their senior treats patients with the organization in in August. She
St. Cloud. He joined in July with St. years. Dr. Carter is conditions that July with St. Cloud specializes in
the organization in Cloud Regional experienced with range from common Regional Medical the treatment of
July with St. Cloud Medical Center. high-risk deliveries illnesses to complex Center, now Orlando genitourinary,
Regional Medical Dr. Capobianco and maternal fetal diseases such as heart Health St. Cloud hematologic, and
Center. specializes in medicine, and disease, diabetes, Hospital. head and neck
minimally invasive certified in robotic hypertension, obesity cancers, and is skilled
He received his techniques. surgery using the and chronic lung She received her in advanced radiation
medical training da Vinci® Surgical disease. medical training from techniques.
at Midwestern He received his System. George Washington
University’s medical training She completed her University School Dr. Christopherson
Arizona College from Georgetown He earned his medical training at of Medicine & completed her
of Osteopathic University medical degree Indiana University Health Sciences medical training at
Medicine (Glendale) (Washington, D.C.) and completed School of Medicine (Washington, D.C.) the University of
and completed and completed his a residency in (Indianapolis), where and completed her Florida (Gainesville)
residencies in residency in general obstetrics and she also performed residency in family and her residency in
internal medicine surgery at Saint gynecology at her residency. medicine at Phoebe radiation oncology
and pediatrics Barnabas Medical Southern Illinois Putney Memorial at the University of
at Banner Good Center (Livingston, University School Hospital (Albany, Texas M.D. Anderson
Samaritan Medical New Jersey). of Medicine Georgia). She is fluent Cancer Center
Center (Phoenix) and (Springfield). in English and Creole. (Houston).
Phoenix Children’s
Hospital.

ChooseHealth 26 OrlandoHealth.com/ChooseHealth

The physicians at Orlando Health are part of a collaborative
network that works toward one common goal: your health.

Karan A. Alexandria B. Patrick Muhammad Lukasz E.
Desai, MD Dixon, MD Fisher, DO Ghanem, MD Gierut, DO

HAND SURGERY PEDIATRICS CARDIOLOGY BARIATRIC FAMILY MEDICINE
SURGERY
HORIZON WEST LAKE NONA ST. CLOUD ST. CLOUD
DOWNTOWN
(321) 843-5851 (407) 893-7377 (407) 891-2940 ORLANDO CAMPUS (407) 892-3387

Dr. Desai is a Dr. Dixon joined A board-certified (321) 843-8900 Dr. Gierut is a board-
fellowship-trained Orlando Health cardiologist with certified family
hand surgeon who Physician Associates Orlando Health A fellowship-trained medicine physician
joined Orlando in August as a Medical Group physician who with Orlando Health
Health Orthopedic pediatrician. Cardiology at specializes in bariatric Physician Associates
Institute Orthopedic St. Cloud, surgery, Dr. Ghanem Family Medicine at
and Sports Medicine She earned her Dr. Fisher joined joined Orlando St. Cloud. He joined
Group in July. medical degree the organization in Health Weight Loss the organization in
from East Carolina July with St. Cloud and Bariatric Surgery July with St. Cloud
He completed his University Regional Medical Institute in July. Regional Medical
medical training at (Greenville, Center. He received Center, now Orlando
the University of North Carolina) his medical training He completed his Health St. Cloud
South Florida School and completed at Kirksville College medical training at Hospital.
of Medicine (Tampa), her residency in of Osteopathic Jordan University
residencies in general pediatrics at Medicine (Missouri) of Science and He received his
surgery and in plastic Orlando Health. and completed Technology (Jordan) medical training
and reconstructive his residency in and his residency in at Chicago College
surgery at Emory internal medicine general surgery at of Osteopathic
University and Grady at Northwestern Methodist Health Medicine, Midwestern
Hospital (Atlanta), University (Chicago). System Dallas. He University and
and a dual orthopedic He performed performed a bariatric completed his
and plastic hand fellowships in surgery fellowship at residency in family
and upper extremity clinical cardiology at Orlando Health. medicine at West
surgery fellowship at Medical College of Suburban Medical
New York University, Virginia (Richmond) Center (Oak Park,
Langone School of and in advanced Illinois). He is fluent
Medicine (New York heart failure-heart in English and Polish.
City). transplant at
Stanford University
(California).

ChooseHealth 27 OrlandoHealth.com/ChooseHealth *New physicians from
May 2020-August 2020

OUR PHYSICIANS

Meet the Newest Physicians
on the Orlando Health Team*

Cielo D. Edgar D. Guzman John Pearl Huang- Kirk Zafar U.
Gnecco, MD Arrieta, MD Hartman, MD Ramirez, MD Hutjens, MD Kaleem, MD

OBSTETRICS & VASCULAR FAMILY MEDICINE FAMILY MEDICINE INTERNAL NEUROLOGY
GYNECOLOGY SURGERY MEDICINE
KISSIMMEE KISSIMMEE DOWNTOWN
KISSIMMEE DOWNTOWN OVIEDO ORLANDO CAMPUS
ORLANDO CAMPUS (321) 442-1214 (321) 442-1214
(407) 847-6166 (407) 635-5560 (321) 841-2800
(407) 539-2100 Dr. Hartman is Board certified in
In August, board certified in family medicine, Dr. Hutjens is a Dr. Kaleem is a
Dr. Gnecco joined A board-certified family medicine Dr. Huang-Ramirez board-certified board-certified
Orlando Health vascular surgeon, and practices with practices with internal medicine neurologist who
Winnie Palmer Dr. Guzman joined Orlando Health Orlando Health physician who joined Orlando
Hospital for Women Orlando Health Heart Physician Associates Physician Associates joined Orlando Health Neuroscience
& Babies as an & Vascular Institute in Family Medicine at Family Medicine at Health Physician and Rehabilitation
OB-GYN. August. He specializes St. Cloud. He joined St. Cloud. She joined Associates in May. Institute Neurology
in treating patients the organization in the organization in He provides care for Group in July.
She earned her with diseases of the July with St. Cloud July with St. Cloud adult patients with
medical degree arteries, veins and Regional Medical Regional Medical common illnesses He completed his
at Florida State lymphatic system. Center, now Orlando Center, now Orlando and those with medical training at
University Health St. Cloud Health St. Cloud medically complex Allama Iqbal Medical
(Tallahassee) Dr. Guzman received Hospital. Dr. Hartman Hospital. Dr. Huang- conditions. College (Pakistan)
and completed his medical training at specializes in Ramirez specializes in and his residency in
her residency in Universidad Nacional comprehensive care comprehensive care He completed his neurology at St. Louis
obstetrics and de San Agustin (Peru) for the whole family. for the whole family. medical training at University Hospital
gynecology at and completed the University of School of Medicine
Orlando Health his residency He received his She received her Wisconsin School of (Missouri). He
Winnie Palmer at University of medical training medical training Medicine and Public performed a clinical
Hospital for Women Illinois Medical from the University from Brown Health (Madison) neurophysiology
& Babies. She is Center (Chicago). of Miami (Florida) University’s Warren and his residency fellowship at
fluent in English and He performed a and completed his Alpert Medical at Wright State University of South
Spanish. fellowship in vascular residency in family School (Providence, University College Florida (Tampa).
surgery at Cleveland practice at Duke Rhode Island) and of Medicine
Clinic. He is fluent in University Medical completed her (Dayton, Ohio).
Center (Durham, residency in
English and North Carolina). family practice
Spanish. at Lancaster
General Hospital
(Pennsylvania).

ChooseHealth 28 OrlandoHealth.com/ChooseHealth

The physicians at Orlando Health are part of a collaborative
network that works toward one common goal: your health.

Karla M. Sunanda Shriti Cesar R. Neasha Peter T.
Leavitt, MD Mangraj, MD Mehta, MD Mejia, MD Merritt, MD Morrow, MD

MATERNAL FETAL INFECTIOUS CARDIOLOGY PEDIATRICS FAMILY MEDICINE INTERNAL
MEDICINE DISEASE MEDICINE
ST. CLOUD WEST ORANGE BUENAVENTURA
DOWNTOWN DOWNTOWN COUNTY LAKES ST. CLOUD
ORLANDO CAMPUS ORLANDO CAMPUS (407) 891-2984
(407) 635-3013 (407) 348-0990 (407) 892-3387
(321) 841-8555 (407) 423-1039 Dr. Mehta is a board-
certified interventional A board-certified Dr. Merritt is a Dr. Morrow is a
A board-certified Dr. Mangraj is a cardiologist with pediatrician, board-certified family board-certified
OB-GYN, Dr. Leavitt board-certified Orlando Health Dr. Mejia joined medicine physician internal medicine
joined the Center infectious disease Medical Group Orlando Health with Orlando Health physician with
for Maternal Fetal specialist who joined Cardiology at Physician Associates Physician Associates Orlando Health
Medicine at Orlando Orlando Health St. Cloud. She joined in June. Family Medicine at Physician Associates
Health Winnie Palmer Medical Group the organization in St. Cloud. She joined Internal Medicine at
Hospital in August. Infectious Disease July with St. Cloud He completed his the organization in St. Cloud. He joined
She completed her in June. Regional Medical medical training July with St. Cloud the organization in
medical degree and a Center. at the SUNY Regional Medical July with St. Cloud
residency in obstetrics She completed her Downstate Health Center, now Orlando Regional Medical
and gynecology at medical education She received her Sciences University Health St. Cloud Center, now
the University of at Sawai Man medical training (New York City) Hospital. Orlando Health
Puerto Rico (San Singh Medical from the University and performed his St. Cloud Hospital.
Juan). She performed College (India). of Kansas School of pediatric residency She completed her Dr. Morrow provides
a fellowship in She performed her Medicine (Kansas at Albert Einstein - medical training adult patients with
fetal therapy at residency at Prince City), completed Montefiore Medical at the Universidad preventive primary
the University of Georges Medical a cardiovascular Center (Bronx, New Central Del Este care services and
Maryland Medical Center (Hyattsville, disease fellowship at York). Dr. Mejia is (Dominican specializes in
Center (Baltimore), Maryland) and Washington University fluent in English and Republic) and a geriatric care.
a fellowship in a fellowship in Barnes- Jewish Spanish. family medicine
reproductive and infectious diseases Hospital (St. Louis) residency at He completed his
medical genetics at East Tennessee and performed St. Francis medical training at
at Albert Einstein State University her fellowship Family Medicine the University of
College of Medicine (Johnson City). in interventional (Wilmington, Miami School of
(Bronx, New York) cardiology at the Delaware). She is Medicine (Florida)
and a maternal fetal University of North fluent in English and and his residency at
medicine fellowship Carolina (Chapel Hill). Spanish. Presbyterian Medical
at University of South Center (Denver).
Florida (Tampa).

ChooseHealth 29 OrlandoHealth.com/ChooseHealth *New physicians from
May 2020-August 2020

OUR PHYSICIANS

Meet the Newest Physicians
on the Orlando Health Team*

Ashley A. Daniel J. Nohra Madiha S. Martin Mary Kate Inoel Rivera-
Muehlberger, MD Revilla, DO Noor, MD O’Malley, MD Reischmann, MD Ramirez, MD

PLASTIC AND NEUROLOGY PEDIATRICS INTERNAL PULMONARY & UROLOGIC
RECONSTRUCTIVE MEDICINE CRITICAL CARE ONCOLOGY
DR. PHILLIPS AREA CLERMONT
SURGERY ST. CLOUD MEDICINE DOWNTOWN
(321) 842-2090 (407) 905-6014 ORLANDO CAMPUS
DOWNTOWN (407) 892-3387 DOWNTOWN
ORLANDO CAMPUS A fellowship- Dr. Noor joined ORLANDO CAMPUS & WINTER PARK
trained neurologist, Orlando Health A board-certified
(321) 841-7090 Dr. Nohra specializes Physician Associates internist with (321) 842-5052 (877) 876-3627
in headache and in August as a advanced training in
A fellowship- facial pain at the pediatrician. She geriatric medicine, A board-certified A board-certified
trained surgeon, Orlando Health has special interests Dr. O’Malley practices pulmonologist, urologist who is
Dr. Muehlberger Neuroscience and in newborn care; with Orlando Health Dr. Reischmann fellowship-trained in
joined the Orlando Rehabilitation asthma, allergies Physician Associates joined Orlando urologic oncology,
Health UF Health Institute Neurology and immunology; Internal Medicine at Health Medical Group Dr. Rivera joined
Cancer Center in Group. He joined the behavioral medicine; St. Cloud. He joined Pulmonary and Sleep Orlando Health
August. She has practice in August. minimally invasive the organization in Medicine in August. in June. Skilled in
extensive training procedures; and July with St. Cloud She treats cystic laparoscopic and
in microsurgery He received his gastroenterology. Regional Medical fibrosis, asthma, lung robotic surgery, he
techniques. medical training at Center, now Orlando cancer, pulmonary provides treatment
Nova Southeastern She earned her Health St. Cloud hypertension and through the Orlando
She earned her University (Fort medical degree at Hospital. COPD. Health UF Health
medical degree Lauderdale) Florida International Cancer Center.
from Northeastern and completed University (Miami) He received his She earned her
Ohio University his residency and completed a medical training medical degree from He completed his
College of Medicine in neurology at pediatric residency from the University the University of medical training, as
(Rootstown) Larkin Community at Orlando Health of Miami (Florida) Florida (Gainesville) well as residencies
and completed Hospital (Miami). Arnold Palmer and completed his and completed her in urology and
her residency in He performed Hospital for Children. residency in internal residency in internal general surgery, at the
general surgery at a fellowship in Dr. Noor is fluent in medicine at Willford medicine at the University of Puerto
Orlando Health. headache and facial English, Urdu and Hall Medical Center University of Alabama Rico (San Juan). He
She performed her pain at the University Hindi. (Lackland Air Force (Birmingham). performed a urologic
fellowship in plastic of South Florida Base, Texas). She performed oncology fellowship
and reconstructive (Tampa). He is a fellowship in at the University of
surgery at Beth Israel fluent in English pulmonary and critical Florida (Gainesville).
Lahey Health and and Spanish. care at Columbia He is fluent in English
Tufts Medical Center University Irving and Spanish.
(Boston). Medical Center (New
York City).

ChooseHealth 30 OrlandoHealth.com/ChooseHealth

The physicians at Orlando Health are part of a collaborative
network that works toward one common goal: your health.

Mangesh Danielle Solomon Melissa Soltero Natasha L. Laura Thuong
Shukla, MD Alhemovich, DO Castaner, MD Spencer, MD Tait, MD Trinh, DO

GASTROENTEROLOGY INTERNAL OBSTETRICS & OBSTETRICS & BEHAVIORAL HEALTH OTOLARYNGOLOGY
MEDICINE GYNECOLOGY GYNECOLOGY
ST. CLOUD DOWNTOWN ST. CLOUD
WEST ORANGE LEESBURG ALTAMONTE SPRINGS ORLANDO CAMPUS
(407) 891-2970 COUNTY (407) 992-9229
(407) 635-3030 (407) 635-5518 (407) 262-2220
Dr. Shukla is a (407) 877-6500 Dr. Trinh is
board-certified Dr. Soltero joined An OB-GYN, Dr. Tait is a board- board certified in
gastroenterologist Board certified in Orlando Health Dr. Spencer joined certified adult otolaryngology
with Orlando Health internal medicine, Physician Associates Orlando Health psychiatrist who and facial plastics,
Medical Group Dr. Solomon joined as an OB-GYN in Physician Associates joined Orlando and practices with
Gastroenterology at Orlando Health August. in May. She provides Health Medical Orlando Health
St. Cloud. He joined Physician Associates comprehensive Group Behavioral Medical Group Ear,
the organization in in June. She provides She completed her obstetric and Health in May. She Nose and Throat at
July with St. Cloud adult patients with medical degree gynecologic care to provides evaluations St. Cloud. She joined
Regional Medical preventive primary at Ponce Health women through all and treatment the organization
Center, now Orlando care services, as Sciences University stages of life — from for depression, in July with St.
Health St. Cloud well as treatment for (Puerto Rico). adolescents to seniors anxiety, bipolar Cloud Regional
Hospital. conditions such as Her residency in — and specializes disorder, attention Medical Center, now
high blood pressure obstetrics and in pelvic pain, deficit hyperactivity Orlando Health St.
He received his and cholesterol, gynecology was reproductive health, disorder (ADHD), Cloud Hospital. She
medical training arthritis, diabetes and performed at and menopause care schizophrenia, received her medical
from University mood disorders. Orlando Health and management. post-traumatic stress training at the
of Delhi (India) Winnie Palmer disorder (PTSD) and University of Health
and completed She received her Hospital for Women She earned her medical substance abuse. Sciences College of
his residency in medical training at & Babies. Dr. Soltero degree at Florida Osteopathic Medicine
internal medicine at Kansas City University is fluent in English State University She completed her (Kansas City, MO)
University Medical of Medicine and Spanish. (Tallahassee) and medical training at and completed
Center Southern and Biosciences completed her Howard University her residency in
Nevada (Las Vegas). (Missouri) and her residency at the College of Medicine otolaryngology
He performed internal medicine University of Florida (Washington, D.C.) and facial plastics
a fellowship in residency at the and a residency in at Ohio Health
gastroenterology University of (Pensacola). psychiatry at the Doctors Hospital
at the University Connecticut University of Florida (Columbus). She is
Medical Center at the (Farmington). (Gainesville). fluent in English and
University of Alabama Vietnamese.
(Tuscaloosa).

31ChooseHealth OrlandoHealth.com/ChooseHealth *New physicians from
May 2020-August 2020

OUR PHYSICIANS

Meet the Newest Physicians
on the Orlando Health Team*

Jorge Andres Aura Urquia- Mariaah H. Claudia Pawel
Uribe Eusse, MD Robles, DO Williams, MD Zapata, MD Zelenski, MD

INVASIVE FAMILY MEDICINE FAMILY MEDICINE PEDIATRIC INTERNAL
CARDIOLOGY HEMATOLOGY & MEDICINE
KISSIMMEE ST. CLOUD
DR. PHILLIPS AREA ONCOLOGY ST. CLOUD
(321) 442-1214 (407) 891-2992
(321) 841-6444 DOWNTOWN (407) 892-3387
Dr. Urquia-Robles Dr. Williams is a ORLANDO CAMPUS
Board certified in is board certified board-certified family Dr. Zelenski is a
echocardiography and in family medicine medicine physician (321) 841-8588 board-certified
nuclear cardiology, and practices with with Orlando Health internal medicine
Dr. Uribe joined the Orlando Health Physician Associates Board certified physician with
Orlando Health Heart Physician Associates Family Medicine at in pediatrics and Orlando Health
& Vascular Institute Family Medicine at St. Cloud. She joined fellowship trained in Physician Associates
in July. St. Cloud. She joined the organization in pediatric hematology Internal Medicine at
the organization in July with St. Cloud and oncology, St. Cloud. He joined
He completed his July with St. Cloud Regional Medical Dr. Zapata joined the organization in
medical training at Regional Medical Center, now Orlando the Haley Center for July with St. Cloud
Universidad Colegio Center, now Orlando Health St. Cloud Children’s Cancer Regional Medical
Mayor de Nuestra Health St. Cloud Hospital. Dr. Williams and Blood Disorders Center, now Orlando
Senora Del Rosario Hospital. provides care for at Orlando Health Health St. Cloud
(Colombia) and children and families Arnold Palmer Hospital. Dr. Zelenski
participated in the She received her with common Hospital for Children specializes in geriatric
internal medicine medical training at illnesses to complex in July. medicine with an
programs at Orlando New York College of conditions. interest in nutrition
Health and Michael Osteopathic Medicine She completed and fitness.
Reese Hospital (Old Westbury) She completed her her medical
(Chicago). His and completed her medical training at training at Florida He earned his
cardiology fellowship residency in family Meharry Medical State University medical degree
was performed at medicine at Peconic College (Nashville, (Tallahassee) and a from the University
Orlando Health. He is Bay Medical Center Tennessee) and her pediatric residency of Miami (Florida)
fluent in English and (Riverhead, New residency in family at Miami Children’s and completed his
Spanish. York). Dr. Urquia- medicine at Halifax Hospital (Florida). residency in internal
Robles is fluent in Health Medical She performed medicine at Orlando
English and Spanish. Center (Daytona her fellowship at Health.
Beach). Children’s Hospital of
Philadelphia.

ChooseHealth 32 OrlandoHealth.com/ChooseHealth *New physicians from
May 2020-August 2020

CYPHOHYOUSROICCSIEOATMNRMCUASUTRNEEITDINY.

As you continue protecting yourself and others, Orlando Health wants to remind
you that your primary care is important. And at Orlando Health Physician Associates
maintaining the safest environment possible continues to be a top priority.
Choose a trusted provider. Choose Orlando Health.

ADULT | FAMILY | PEDIATRICS
WOMEN’S HEALTH
SAME-DAY, NEXT-DAY AND
VIRTUAL APPOINTMENTS
AVAILABLE.

OrlandoHealth.com/PhysicianAssociates
(321) 841-3724

UPCOMING CLASSES & PROGRAMS

Childbirth Education Cancer Support Community

Virtual Live Parent Chat Many of our popular support services are available via
Hosted by the Maternal Education team and telephone and web-based programming and several have
facilitated by a registered nurse lactation consultant, reopened with social distancing in place. We look forward to
this live virtual chat is for parents with infants up to reopening additional classes soon. Please call (321) 841-5056
12 weeks of age. Interact with other parents as we or email [email protected]
discuss infant care, feeding, your baby’s growth and for the most up-to-date information.
maternal postpartum adjustment throughout the
4th trimester and beyond. Ask questions and hear Virtual Stroke Support Group
from other parents like you. Stroke survivors and caregivers can find care, support and
Dates: Mondays Time: 1:00 pm – 2:00 pm connection at Orlando Health’s Stroke Support Group.
Cost: Free Participants will have the opportunity to share stories and
WinniePalmerHospital.com/ParentChat experiences with others who understand their journey, while
learning about helpful topics such as nutrition, available
Virtual Prenatal Breastfeeding resources and other ways to improve one’s lifestyle.
Designed for expectant parents, this virtual Date: Last Wednesday of every month
lesson is presented by a registered nurse Time: 2:00 pm – 3:30 pm
lactation consultant. Learn what to expect while OrlandoHealth.com/StrokeSupportGroup
breastfeeding your baby during the first few days
after delivery and through the first few months. Virtual Weight Loss Surgery Support Group
Infants welcome. Partners are encouraged This helpful support group is an opportunity for patients to
to participate. The class will also include the learn more about what to expect throughout the journey
opportunity to ask questions. of bariatric surgery. Postoperative patients are strongly
Dates: Wednesdays Time: 6:00 pm – 7:30 pm encouraged to attend this group. We also welcome
Cost: $15.00 preoperative patients who are interested in learning about the
WinniePalmerHospital.com/BreastfeedingClass lifestyle changes necessary to be successful with weight loss.
Date: Second and fourth Wednesdays of each month
Virtual Basic Newborn Care Time: 6:00 pm – 7:00 pm
Our Basic Newborn Care virtual class is presented OrlandoHealth.com/WeightLossSupportGroup
by a registered nurse lactation consultant and
highlights key information about caring for your Virtual Weight Loss Surgery Information Session
newborn baby. Obesity threatens your health and well-being. The team at the
When to Attend: Third trimester of pregnancy Orlando Health Weight Loss and Bariatric Surgery Institute can
Cost: $15.00 per couple Time: 6:00 pm – 7:30 pm help you lose weight through minimally invasive surgery and
Date: First Wednesday of the month lifestyle changes. During the group session, you will virtually
WinniePalmerHospital.com/Newborn meet our experienced weight loss surgeons. They will discuss
procedures offered, benefits, lifestyle recommendations and
answer any questions you may have.
Date: Thursdays Time: 6:00 pm – 7:00 pm
OrlandoHealth.com/WeightLoss

Orlando Health Joint Replacement Classes
This class will provide an overview of what you need to
know about preparing for your joint replacement surgery,
rehabilitation and successful recovery at home. For dates,
times and locations, please visit the Events page at
OrlandoHealth.com/JointReplacement.

ChooseHealth 34 OrlandoHealth.com/ChooseHealth

OCALA DAYTONA
BEACH
ORLANDO HEALTH HOSPITALS
4
ER’S & PEDIATRIC ER’S
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MEDICAL PAVILIONS
CARDIOLOGY PRACTICES LAKE MARY
JEWETT ORTHOPEDICS
CARE SPOT LEESBURG WSPIRNINTEGRS
OUTPATIENT CENTERS MT. DORA
PRIMARY CARE PRACTICES
SPECIALTY CARE PRACTICES APOPKA
COMMUNITY PHYSICIANS
75 WINTER OVIEDO
Map is a visual representation of Orlando Health service area. GARDEN
For more information about our locations please visit OrlandoHealth.com ALTAMONTE AVALON
TURNPIKE SPRINGS PARK
75
OCOEE WPAIRNKTER CARESPOT
ORLANDO OPENING 2021

TURNPIKE

CLERMONT

OPENING DR. PHILLIPS 4 LAKE
JANUARY 2021 NONA

TURNPIKE OPENING 95
APRIL 2021
MELBOURNE
OPENING KISSIMMEE ST. CLOUD
DECEMBER 2021 DAVENPORT 95

CELEBRATION

4 LAKELAND

ST. PETERSBURG

WHEN IT COMES TO MEDICAL CARE IN CENTRAL
FLORIDA, ORLANDO HEALTH HAS YOU COVERED.

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plus tips and advice from Orlando Health doctors and specialists.
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DISCOVER A VARIETY OF HEALTH TOPICS
FOR FRESH INSPIRATION:

• Annual Exams • Emotional • Family Health • Parenting
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Health
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