ChooseHealth SUMMER 2023 The First Orthopedic Specialty Hospital in Florida 5 Reasons Why Swimming Is an Ideal Exercise Why Is Stretching So Good for You? How To Avoid Injuries in 7 Popular Sports Choosing Correct Shoes Helps Avoid Injury Is It Safe To Play Through the Pain? Why Our Joints Make Noise Best Exercises To Slow Osteoporosis Keep Moving OrlandoHealth.com/ChooseHealth
ChooseHealth This next-level care now comes with a state-of-the art setting as Orlando Health Jewett Orthopedic Institute opens its downtown Orlando complex, offering a range of orthopedic care in an all-inclusive environment. Expertise, technology and services come together under one roof and span the whole continuum of care — from prevention and diagnostics to therapeutic and surgical treatment options. Besides an advanced specialty hospital that incorporates education and research platforms, the complex includes a best-in-class medical pavilion with comprehensive outpatient services. In total, 375,000 square feet of space devoted to orthopedic and spine care will serve Central Florida, the Southeast U.S. and beyond. Introducing the First Orthopedic Specialty Hospital in Florida As the region’s largest orthopedic and sports medicine provider, Orlando Health Jewett Orthopedic Institute offers the most advanced orthopedic care to more than 250,000 patients each year. By Lisa Nickchen Editorial Contributor 2
Hundreds of Options Orlando Health’s Orthopedic Complex In addition to a large valet loop, parking is available in the 1,000-space garage connected via skywalk to the orthopedic complex. Parking FIRST FLOOR MRI in Minutes New technology shortens MRI scan times without compromising image quality. Scans that once took 45 minutes can be completed in 10 minutes. Medical Pavilion FIRST FLOOR Vacation Views During your MRI scan, you can visit the beach, mountains or your choice of destinations thanks to augmented reality technology. SECOND AND THIRD FLOORS Eugene Jewett, MD, Surgery Center Named after the orthopedic pioneer, pictured left, the Eugene Jewett, MD, Surgery Center provides same-day orthopedic and spine surgery in its 12 operating rooms. FIFTH FLOOR Sports Simulator Injured athletes can recover with the help of a sport simulator that tracks progress and enhances treatment. Nearby areas feature realistic playing surfaces to practice on. On the downtown Orlando campus, a new complex dedicated to worldclass patient care showcases the technology and experts that define Orlando Health Jewett Orthopedic Institute. Thew complex has a 1,000-space parking garage (left), a five-story medical pavilion (center) and a seven-story specialty hospital (right). 3
FOURTH, FIFTH AND SIXTH FLOORS Smart Room Features Digital display screens connect to the electronic health record so inpatients can view scans, track physical therapy, preview discharge instructions and more. Orlando Health’s Orthopedic Complex FIRST FLOOR OR Showroom Like a builder’s showhouse, this fully equipped operating room recreates the state-of-the-art space all of our orthopedic patients experience, but few see. Interactive components educate patients and families on key elements inside our 22 best-in-class ORs. SEVENTH FLOOR Next-Generation Learning With a 116-seat auditorium and a conference center for 60+ attendees, the Research and Education floor is dedicated to discovering and training for what’s ahead in orthopedic care. Specialty Hospital FOURTH FLOOR Walk-In Clinic A convenient alternative to an emergency room visit, the walk-in clinic enables patients to receive same-day orthopedic care without an appointment. SEVENTH FLOOR Bio Skills Lab This hands-on training environment has all the technology and instruments of an actual operating room to provide a top-rated learning experience. FIFTH FLOOR Antigravity Treadmill Walk and run earlier in your recovery using the AlterG® antigravity treadmill that lifts and lightens bodyweight by 80 percent. On the downtown Orlando campus, a new complex dedicated to worldclass patient care showcases the technology and experts that define Orlando Health Jewett Orthopedic Institute. Thew complex has a 1,000-space parking garage (left), a five-story medical pavilion (center) and a seven-story specialty hospital (right). OrlandoHealth.com/ChooseHealth 4
Performance health is a key component of the institute — providing both the professional and leisure athlete access to sports medicine doctors, physical therapists and the newest technology to help them recover and play in peak condition.. ‘Everyone Is an Expert’ With more than 60 physicians, this multidisciplinary team was created to deliver exceptional outcomes for even the most challenging and complex cases. Orthopedic surgeons and sports medicine physicians diagnose and treat conditions from concussions to spine injuries to foot and ankle fractures — and every joint in between. They also are experts in joint replacement, orthopedic trauma and bone health, and have a support system of specialists ready to assist in neurosurgery, musculoskeletal radiology, anesthesia and interventional pain. “The great thing about this facility is that from the moment a patient comes in the door, every person they interact with is an expert in their area of orthopedic care, everyone,” says Dr. Michael Jablonski, physician president of Orlando Health Jewett Orthopedic Institute. “And every facet of medical care that is involved in orthopedics is going to be under one roof.” Orthopedic Specialty Hospital Opening this summer, the Orlando Health Jewett Orthopedic Institute Downtown Complex’s orthopedic specialty hospital is a showcase of technical and design innovations focused on delivering the ultimate patient experience. Medical Pavilion The complex’s outpatient medical pavilion, which opened March 27, offers a full scope of outpatient services for orthopedic and sports medicine patients alike. • All 75 private inpatient rooms incorporate smart-room technology with digital whiteboards for real-time updates, advanced video capabilities and voice-activated room controls. • A state-of-the-art research and education center includes a bio skills lab and 3D printer. • Large 116-seat auditorium provides ideal space for educational symposiums and conferences. • Imaging services include an ultrafast MRI with augmented reality for enhanced patient comfort. • The largest orthopedic outpatient surgery center in Florida, the Eugene Jewett, MD, Surgery Center has 12 operating rooms and minimally invasive sports medicine technology. • A 63-exam-room clinic houses comprehensive orthopedic care for scheduled and walk-in patients. • Physical therapy space features sports simulators and real-world playing surfaces to help get athletes back to playing form. A Focus on Education Three components of excellence define an Orlando Health institute: outstanding patient care, teaching and research. And that triad works together. That means surgery is done by surgeons experienced in handling the most difficult cases. These same physicians also teach the next generation of doctors, and they do leadingedge clinical research. This research improves patient outcomes by developing better joint replacements, pain management techniques and other advances. “If you have that in one facility, that’s an ideal situation for the patient,” says Dr. George Haidukewych, director of orthopedic trauma, chief of complex joint replacement and academic chairman of orthopedic faculty practice at Orlando Health Jewett Orthopedic Institute. “That’s the mecca of orthopedics in the Southeast. That’s what we’re striving to achieve with this institute.” For more information, visit OrlandoHealth.com/DowntownOrthoInstitute. Orlando Health Heart and VascularInstitute SILVER COURT S. ORANGE AVENUE ORMC Garage (A Deck) SLIGH BOULEVARD Orlando Health Jewett Orthopedic Institute KUHL AVENUE COLUMBIA STREET UNDERWOOD STREET LUCERNE TERRACE W. COPELAND DRIVE Orlando Health Orlando Regional Medical Center Orlando Health Cancer Institute Orlando Health Digestive Health Institute Ambulatory Care Center OrlandoHealth.com/ChooseHealth 5
David Strong President and CEO Orlando Health Andrew J. Snyder Senior Vice President Marketing and Communications Choose Health Contributors Jeanne Adam Matt Ayres Wendy Bacigalupi Maria Baldasare, MD Tim Barker Jamin Brahmbhatt, MD Tracey Choroco Lisa Cianci Pierce Ebaugh, DO George Eldayrie, MD April Ernst Mary Frances Emmons Maria Fajardo Shiniko Floyd Kristin Ford Rona Gindin Melissa Gough Christine Carlan Greves, MD George Haidukewych, MD Kathy Halley Jacobo Hincapie-Echeverri, MD Christine Jablonski, MD Michael Jablonski, MD Rod James Stuart Janousky, MD Abhishek Kannan, MD Elizabeth Katona Mike Lafferty Kim Marcum Justin Mullner, MD Arvind Murali, MD Lisa Nickchen Christine Schmidt Benjamin Service, MD Kauren Sidhu Frederick Soliman, DO Chelsea Stevens Julie Vargo ChooseHealth SUMMER 2023 The First Orthopedic Specialty Hospital in Florida 5 Reasons Why Swimming Is an Ideal Exercise Why Is Stretching So Good for You? How To Avoid Injuries in 7 Popular Sports Choosing Correct Shoes Helps Avoid Injury Is It Safe To Play Through the Pain? Why Our Joints Make Noise Best Exercises To Slow Osteoporosis Keep Moving OrlandoHealth.com/ChooseHealth OrlandoHealth.com/MyChart Manage Your Healthcare Anywhere. Anytime. Scan the QR code to get started today. MyChart® is a registered trademark of Epic Systems Corporation. Communicate with your doctors Manage your appointments Check test results Request prescription refills View and pay your bills Manage your care in the hospital
ChooseHealth SUMMER 2023 2 Spotlight Orthopedic Complex 8 Inspiring Stories How a Nurse-Patient Bond Helped a Runner Get Her Life Back 10 Nutrition Don’t Panic – You Can Still Use Artificial Sweeteners 12 Women’s Health Are Bath Bombs Bad for Me? 13 Guide Keep Moving 5 Reasons Why Swimming Is an Ideal Exercise Why Is Stretching So Good for You? How To Avoid Injuries in 7 Popular Sports Choosing Correct Shoes Helps Avoid Injury Is it Safe To Play Through the Pain? Snap, Crackle, Pop: Why Our Joints Make Noise Best Exercises To Slow Osteoporosis 24 Prevention Beware: Extra Pounds Can Increase Your Cancer Risk 26 New Doctors at Orlando Health 31 Children’s Health Toddler Not Interesed in Potty Training? Don’t Worry 32 Spotlight How Safe Are Dietary Supplements? 33 Men’s Health Check Under the Hood To Stay Healthy 34 Calendar of Events 35 Foundation 36 Community Good OrlandoHealth.com/ChooseHealth Proud recipient of the APEX 2022 Award of Excellence, recognizing excellence in publishing Inside This Issue OrlandoHealth.com/ChooseHealth 7
INSPIRING STORIES How a Nurse-Patient Bond Helped a Runner Get Her Life Back By Mary Frances Emmons | Editorial Contributor Marathoner Kelley Duell found her calling before she ever laced up a pair of trainers. She had met a guy — now her husband — who was a runner. “I absolutely was not, but I said I was because he was so cute,” she says with a laugh. Fast forward a couple of years. Now a mother of two, Duell was stressed out. “I used it for release. I’d put them in a double stroller and just run.” 8
An Unexpected Gift “I woke up and it was my birthday,” Duell recalls. “The ORMC nurses had put up a ‘Happy Birthday’ sign. They went above and beyond for me, all of them.” Duell’s first question was predictable: When can I run? Then she told the nurses about the race of a lifetime — the one she was missing. “They said, we’ve got somebody you should meet.” Rebecca Whitman, 42, a clinical assistant nurse manager in Orlando Health ORMC’s Cardio-Thoracic Surgical Unit, has been with the organization nearly 20 years. She also is a marathoner. Whitman had just qualified for Boston, a race Duell had run more than once. Duell wasn’t her patient, but Whitman would prove to be the medicine Duell needed. Whitman laughs when she remembers hearing about Duell. “Runners have a habit of talking about running, and that’s all we talk about. We’re a little bit obsessed — everybody else is a little sick of hearing it.” Whitman was incredulous that Duell had somehow kept training, as sick as she was. “I still can’t believe she could run through that.” At that point, Duell was feeling low. “When Bec walked in, she was like, ‘We’re going to run Boston together,’ and I believed her,” Duell says. “She had so much faith in me, a bright spot in a very dark part of my life.” Successes Large and Small Duell, who ran the Chicago marathon six months after surgery, invited Whitman to join her running group. They ran a couple of races together. Then COVID hit, and Boston was canceled that year. But in 2021, Whitman’s prediction came true. Although in different age categories, they both ran Boston and did well enough to qualify for the Wanda Age Group World Championships for runners over 40, held concurrently with the top six marathons in the world: Berlin, Tokyo, New York, Boston, Chicago — and London. “The way we met, and how we got to London — it’s what dreams are made of,” Duell says. Of 7,000 runners, only 700 spots are reserved for foreigners. Whitman called it a “fantastic race” for each of them. “There aren’t too many women in their 50s doing what she’s doing, who have pushed through what she has,” Whitman says. “It’s a testament to how strong she really is.” One day she saw an ad for the 2016 New York City marathon. “I had no idea what I was doing, but I was absolutely hooked from that point on.” By 2019, she had run many marathons and had set her sights on one of the most exclusive: London, an almost impossible dream for American runners because admission is tightly restricted. Duell, 51, would eventually board that plane, but not before a health crisis would test the qualities that made her a marathoner — resilience, determination and a fierce belief in herself. Along the way, she would forge one of the most important friendships of her life. ‘I’m OK, I’m Training’ “As a runner, when you feel something’s not right, you have a tendency to blame it on training,” Duell admits. Super tired? “I’m training for a race.” Having trouble breathing? “It’s just because I’m training.” And she was training — for her miracle race, the London marathon. Against all odds, she had been admitted, and race day was three weeks away. Ironically, Duell’s conditioning masked the fact that she had a severe lung infection. Taken by ambulance to a hospital, she was diagnosed with pneumonia and a collapsed lung. Within two days, she deteriorated so rapidly that doctors transferred her to Orlando Health Orlando Regional Medical Center (ORMC). “It was really bad. I had abscesses all over my lung, and they had to go in and cut them out,” she says. For more inspiring stories, go to OrlandoHealth.com/ContentHub. OrlandoHealth.com/ChooseHealth 9
NUTRITION Don’t Panic — You Can Still Use Artificial Sweeteners By Rona Gindin | Editorial Contributor Headlines about the artificial sweetener erythritol — warning it can cause a stroke or heart attack — may have you ready to give it up and go back to eating sugar. Don’t toss your keto-friendly peanut butter fudge ice cream into the trash just yet. But don’t eat a gallon at a time, either. “For most people, it’s OK to have some foods with erythritol or other artificial sweeteners,” says Dr. Maria Baldasare, a boardcertified interventional cardiologist with Orlando Health Medical Group FHV Health. Let’s look at the facts. What Is Erythritol? Erythritol is an artificial sweetener that’s used in everything from power bars to chewing gum. The erythritol you find in products at the grocery store is factory-made, usually from mashed, fermented corn, and is less sweet than table sugar. Our bodies also make small portions of it, and some fruits and vegetables, including mushrooms, contain a bit. The commercially made versions have been part of processed foods since 1990, and dozens of countries now allow it in processed foods. Erythritol is a popular choice for many reasons, including it: • Has close to no calories • Doesn’t leave an unpleasant aftertaste • Causes fewer stomach upsets than some other artificial sweeteners • Resembles table sugar • Does not cause insulin or glucose levels to rise That’s why food manufacturers often choose erythritol, alone or combined with another artificial sweetener such as monkfruit or stevia, to make their products taste and have a texture similar to foods made with table sugar. Diabetics, cardiac patients and others on low-sugar diets are drawn to products made with erythritol and other artificial sweeteners. You might not know if it’s in the items you purchase, though. The U.S. does not require manufacturers to spell out erythritol on the ingredients list. 10
Why the Concern? The debate over whether erythritol is safe began after Nature Medicine published a study claiming erythritol causes platelets in the blood to form significant numbers of clots. When those blood clots travel to your heart, they can cause a heart attack. When they move up to your brain, they can cause a stroke. The study says erythritol forms these potentially lethal clots rapidly, so a clot might quickly get very large. For the most part, the study looked at the blood of those already facing medical challenges, such as heart issues. Still, researchers did test a few low-risk volunteers. When they drank a beverage that contained 30 grams of erythritol, they had a spike of the substance in their blood that lasted for up to three days. The spike was big — 1,000 times more than they had beforehand. The study has flaws. It is not yet clear if eating or drinking items with erythritol will hurt you. Further studies need to examine which people are most at risk, how much erythritol it’s reasonably safe to consume and if erythritol is more dangerous for people who eat unhealthy foods. Eat Healthfully Talk to your doctor if you eat a lot of artificially sweetened foods. Diabetics, heart patients, those on ketogenic diets and anyone else who regularly snacks on sweetened, processed foods made with something other than sugar should get medical advice about these choices. If you don’t have those conditions, you should eat mindfully, starting with these tips: Keep your quantities small. If you crave a sweet and don’t want sugar, have one reasonable portion of whatever you choose. Choose whole foods. Sugar is in most processed foods, and many others have artificial sweeteners, including erythritol. Processed foods also have artificial colorants and preservatives. When looking at labels in the supermarket, go by the rule, “If you can’t pronounce the ingredient, it’s probably not good for you.” Limit diet drinks. If you’re watching your weight, heart or blood sugar, and you like diet soft drinks, treat yourself to one a day — not six. Drink water the rest of the time. Use alternatives. Skip the bottle or can of processed iced tea. Drink unsweetened iced tea or flavored seltzers instead. Live within the lines on weekdays. Choose natural, low-fat, unsweetened and unprocessed foods as much as possible Monday through Thursday. You can loosen up a bit on the weekends. That’s more tolerable than never. For more nutrition news, visit OrlandoHealth.com/ ContentHub. OrlandoHealth.com/ChooseHealth 11
The dinner table is cleared. A candle flickers. You step into a tub filled with lusciously warm water, ready to soak away your stress. If that tub is scented by a so-called bath bomb, you may want to change your routine. Bath bombs — bundles of scent and color meant to enhance bath water — are made with ingredients that irritate some women’s vulva or vagina. The same can be true for bubble bath products and scented Epsom salts. Bath Bomb ABCs Bath bombs are generally composed of bicarbonate, like the foundation of baking soda, that makes the product fizz and dissolve in water. It’s mixed with a mild variety of acid, often citric acid, along with dye, essential oils or even a substance that foams when wet. Bath bombs and related products offer an easy way to self-pamper. For many women, that is 100 percent fine. That’s not the case if they irritate you, inside or out. WOMEN’S HEALTH Are Bath Bombs Bad for Me? By Rona Gindin | Editorial Contributor Also, don’t think these products will help you in any important way. “Quite frankly, you do not need to wash your vagina. A vagina can take care of itself,” says Dr. Christine Carlan Greves, a board-certified OB-GYN with Orlando Health Winnie Palmer Hospital Center for Obstetrics and Gynecology. How a Bath Bomb Might Harm You Washing your vagina can mess up the flora, which keeps the area balanced. A very gentle soap is fine for the vulva — the outside genitalia. Just say no to douches and other products meant to freshen up your interior female parts. A bath bomb won’t do any major damage, but it can mess up the organically well-aligned Ph balance. For some women, bath bombs cause the vulva and/or vagina to dry out. Some experts also claim that bath bombs can cause urinary tract infections, or UTIs. That has not been proven. To find an OB-GYN who can answer your questions about women’s health issues, go to OrlandoHealth.com/Physician-Finder. 12
In this issue, our Keep Moving Guide includes topics and easy steps that will help you avoid injuries and stay healthy. Our experts provide tips on effective stretching exercises to why swimming is an excellent low-impact, full-body workout. Learn how to prevent injuries in popular sports and the best exercises to slow osteoporosis. Keep Moving GUIDE OrlandoHealth.com/ChooseHealth 13
Reasons Why Swimming Is an Ideal Exercise By Tim Barker | Editorial Contributor Swimming is an excellent way to get exercise. It delivers a low-impact, full-body workout. Even better, people of all ages and most fitness levels can benefit. If you’re wondering whether swimming is for you, here are some tips to keep in mind. GUIDE 14
The Advantages Requiring only access to a pool (or a clean body of water), a swimsuit and usually goggles, a regular swimming routine delivers these five benefits: Toned muscles. Swimming is a sport that requires use of every muscle group, from arms and abdominals to legs, ankles and even feet. Cardiovascular health. As an aerobic exercise, swimming supports heart health by increasing its blood flow and strength, which in turn lowers your risk of heart disease and high blood pressure. Weight loss. A 30-minute swim can burn from 200 to nearly 450 calories, depending on your body weight and swimming intensity. Increased mobility. For those recovering from injuries or suffering with arthritis, swimming and water-based exercises help healing with low-impact strengthening, range of motion and muscle balance. Stress reduction. By stimulating the production of endorphins and decreasing the production of stress hormones such as cortisol, swimming can make you happy. To learn more about exercise and healthy habits, visit OrlandoHealth.com/ContentHub. Preparing for Your Workout “Just because swimming is a low-impact exercise doesn’t mean you’re safe from injury. Even Olympic swimmers can suffer from a variety of physical aches and pains,” says Dr. Benjamin Service, a board-certified shoulder and elbow surgeon with Orlando Health Jewett Orthopedic Institute. To avoid minor issues such as cramping and swimmer’s ear — and more serious conditions like swimmer’s shoulder (causing inflammation or damage to the rotator cuff) and tendonitis in elbows or knees — prepare your body and monitor it during any water workout. Like any exercise program, talk with your doctor before diving in. Once you’re ready to go, these strategies can help reduce your risk of injury. • Stretch thoroughly. Swimming uses all the muscles in the body, often in directions normal day-to-day activities don’t require. Four areas to stretch include the chest, legs, ankles and shoulders. • Include cross-training for bone strength. Swimming’s low-impact benefit also can be a deterrent to bone health, which requires resistance and weight-bearing to maintain strength. Consider adding walking, bodyweight training or resistance training that uses elastic bands or weights. • Stay hydrated. You can get dehydrated and even sweat while swimming in a pool of water. This can lead to cramping in your legs and feet. To avoid this, be sure you drink enough water during the day, and limit caffeine and alcohol as they can affect your body’s water balance. • Ease into swimming. Even world-class swimmers don’t start out doing the 100-meter butterfly in under 50 seconds. Adjust the intensity and length of your swim practice over time, being careful not to overtax yourself too soon. Consider taking lessons or getting a stroke coach to be sure your form is correct, and don’t compare yourself with other swimmers in the pool. Focus on learning each stroke and technique over time — and enjoy the process. Water Safety Before swimming, the Red Cross recommends you always consider these basic water safety tips: • Only swim in designated areas, preferably monitored by lifeguards. • Never swim alone — especially in open water — and have a life jacket close at hand. • Talk to your doctor before starting a swimming program to make sure your body is fit to take on new movements. If something does not feel right, stop and rest. Make sure to do a warm-up and cool-down to help your body recover from each swim workout. When done safely, swimming is an exercise you can do for a lifetime. OrlandoHealth.com/ChooseHealth 15
By Julie Vargo | Editorial Contributor Stretching doesn’t just feel good — it’s great for your health, too. That’s because stretching helps blood flow to your muscles, which keeps them healthy and lubricated. It also protects us from injury during sports or exercise. But there are plenty of other benefits when we lengthen our muscles. Stretching increases: • Range of motion • Muscle effectiveness • Performance during exercise • Strength of muscles and ligaments Stretching decreases: • Risk of injury • Stiffness and soreness 16
Stretching Do’s and Don’ts “While stretching before and during movement brings lots of benefits, it’s also possible to stretch improperly,” says Dr. Justin Mullner, a board-certified sports medicine physician with Orlando Health Jewett Orthopedic Institute. These tips can help you get the most out of stretching. DO: Warm up before you stretch. A pre-stretch increases body temperature and blood flow to your muscles, making them move more comfortably. DO: Stay within a natural range of motion. Overstretching could result in a torn or strained muscle, especially if you’re not warmed up already. Stretching should feel a little uncomfortable but never painful. DO: Stretch regularly. To maintain flexibility, stretch major muscle groups (back, neck, shoulders, chest, hips and legs) at least two or three times a week. DO: Hold your stretch. Try to hold stretches for about 30 seconds. Stop when you feel a tight pull and then let go. DON’T: Bounce your stretch. When you bounce in a stretch, the motion can trigger the muscle to tighten to protect itself, which defeats the purpose of the stretch. You also can stretch too deeply when you bounce, leading to pulled or strained muscles. DON’T: Stretch injured muscles. Ignoring an injury may cause lingering pain and slow down the healing of injured tissue. Effective Stretching Stretching all your muscles is important, but you should focus on the pectoral and hip flexor muscles, which become tight when we sit for too long, leading to pain and dysfunction. These major muscle groups provide stability and proper functioning for many of the movements in the upper and lower body. The pectoral muscles are found on each side of your sternum (breastbone) and connect the front walls of your chest with the bones of your upper shoulder and arm. The hip flexor muscles, including the quadriceps and iliopsoas, are found on the top part of your thigh and pelvic area. The flexibility of these two muscle groups is important because they are used in everyday tasks as well as strenuous exercise and athletics. 4 Stretches To Try Hamstring Stretch: Sit with one leg extended and your back straight. Bend your other leg so that the sole of your foot rests against the mid-thigh of your extended leg. Reach toward the ankle of the extended leg while keeping your knee, neck and back straight. Feel the stretch in the back of your thigh. Repeat on the other side. Runner’s Lunge Stretch: Put one knee down on the ground and then the other. Place one foot out in front of you and push your pelvis and hips forward to stretch your hip flexors. Repeat on the other side. Pectoral Stretch: Stand in a door frame and put your hands on either side of the frame. Push your chest forward to stretch the pectoral muscles. Triceps Stretch: Bend your elbow and put your forearm behind your head. Hold your forearm behind your head with your opposite hand and pull the triceps to stretch the arm, core and side body. Repeat on the other side. If you have an injury or a chronic condition, talk to your doctor before trying new stretches or workouts. A physical therapist can help you to choose the most appropriate workout or stretching program that won’t cause further harm or injury. Looking for more exercise tips? Follow Orlando Health Jewett Orthopedic Institute on Instagram and Facebook. OrlandoHealth.com/ChooseHealth 17
GUIDE How To Avoid Injuries in 7 Popular Sports By Tim Barker | Editorial Contributor Whether you jog, lift weights, golf or play another sport, you can’t escape the injury potential that comes with being active. Sometimes, it’s just bad luck. But there are ways you can protect yourself against injury, including stretching and listening to your body. Focusing too much time and attention on a single sport can make you more vulnerable to injury. “Often, people underestimate the value of cross training, which can help your body be better prepared for the stresses and strains of sports,” says Dr. Abhishek Kannan, a fellowship-trained orthopedic sports medicine surgeon with the Orlando Health Jewett Orthopedic Institute. Let’s look at some common injuries in seven popular sports — and how to decrease your risk of getting hurt. Running Runners can suffer from several injuries, including plantar fasciitis and IT band syndrome. But one of the most common injuries is the stress fracture — a small crack or bruising in one of the many bones of the foot. It’s an overuse injury encountered by runners who don’t recognize when it’s time to cut back or take a break. Stress fractures also can occur in older runners, who might have poor bone health. You can reduce your risk of stress fractures by wearing quality running shoes, eating a diet strong in vitamin D and calcium, and not pushing your body too hard. Pickleball Pickleball is the fastest-growing sport in the U.S., but the frequent side-to-side movement, along with swinging the paddle, can cause strains, rotator cuff tears and even broken ankles and wrists. Stay injury-free by wearing good athletic shoes and well-padded socks, and by doing warm-up stretches, particularly for your hamstrings and shoulders. 18
Tennis The most common injury is tennis elbow (lateral epicondylitis). This painful condition is an inflammation or micro tearing of tendons that connect the forearm muscles on the outside of the elbow. It can be caused by overuse and improper mechanics. Protect yourself by not overdoing it, and making sure you are using proper swing technique and that your racket fits you. Rackets that are too heavy or with an improperly sized grip can put extra stress on your forearm. Golf An overuse injury, golfer’s elbow (medial epicondylitis) is caused by inflammation in the tendons that attach the forearm muscles on the inside of your elbow. It’s not uncommon for the pain to spread into the forearm and wrist. Reduce your risk through a combination of proper swing form, rest, physical therapy, stretching and, sometimes, wearing a brace. Biking Aside from unavoidable accidents, some of the most common threats to cyclists are lower back and knee injuries. Both tend to result from a combination of overuse, improper sitting position and equipment issues. To avoid them, work on building your core strength, focusing on posture while riding. And make certain your bike fits you. If your saddle is too low, that can put undue force on the front of your knee or the kneecap. If your saddle is too high, that can put strain on your hamstrings. Weightlifting Weightlifters deal with muscle strains and lower back injuries. Weightlifting is all about form. Consider deadlifting, for example. To the untrained eye, the weightlifter appears to be hunched over the barbell, ready to lift it off the ground. But that approach is dangerous for your back. Instead, the weightlifter is stabilizing the barbell with his arms, while attempting to push his feet through the floor. The key to avoiding injury is to work on core strengthening exercises, with an intense focus on body mechanics and understanding proper weightlifting form. Find more fitness articles at OrlandoHealth.com/ContentHub. Soccer One of the biggest risks in soccer is an anterior cruciate ligament (ACL) sprain or tear, which causes damage to one of the strong ligaments that provides stability to the knee. You can reduce your risk through exercises that improve your core strength (hips, pelvis and lower abdomen) and decrease unwanted stress on the knee. Exercises to strengthen your leg muscles can ensure an overall balance in those muscles. Cross training also can help by keeping your body ready for unexpected stresses. OrlandoHealth.com/ChooseHealth 19
Start with the Right Size Wearing a correctly sized shoe is crucial. You might be surprised by how many people don’t wear shoes that fit properly. “Adults often don’t realize that shoe size can change as our body changes over the years,” says Dr. Pierce Ebaugh, a fellowship-trained orthopedic surgeon with Orlando Health Jewett Orthopedic Institute. “It’s unlikely you’ll be the same size throughout your life.” A poorly fitting shoe can cause problems such as: • Ulcers • Sores • Blisters Choosing Correct Shoes Helps Avoid Injury By Lisa Cianci | Editorial Contributor The first step to avoid a foot or ankle injury while playing sports is choosing the appropriate shoe. But there are so many options that it’s easy to get overwhelmed. The right athletic shoe can help boost your performance and prevent injury, especially to the foot and ankle. To learn more about exercise, visit OrlandoHealth.com/ContentHub. • Callouses • Irritation Measure your foot regularly — or visit an athletic shoe store that specializes in outfitting customers with the best shoe possible — and consider the proper fit and size. Where To Shop Online purchases are convenient, but unless you have previous knowledge of the shoe requirements for a specific sport, have a brand that has worked for you in the past and have recently had your foot measured, a brick-andmortar store often is the best place to start. Shoe-Buying Tips Mind the clock. Our feet tend to swell throughout the day — sometimes growing up to 8% larger. For the most comfortable fit, buy your shoes toward the end of the day. Socks matter. To ensure the proper fit, try on your shoes with the sock you would normally wear. Break them in. Walk around in the shoes before wearing them for an athletic event. Lace up. Shoes can often be laced in different ways to provide different levels of support to the top and sides of the shoe, so experiment to ensure you have a secure fit. GUIDE 20
GUIDE Is It Safe To Play Through the Pain? By Tim Barker | Editorial Contributor When athletes get injured, it’s common to see them “walk it off” and continue playing. But that isn’t always the right thing to do. Some injuries may appear to be mild, but activity could cause more damage. For example, tissue injuries are usually less severe than bone, tendon and ligament injuries, which take much longer to heal. Extent of the Injury While repetitive movement and stress on bones, muscles and joints can cause soreness, pain is another thing altogether. Pain is the most common symptom associated with injury, and there’s a clear distinction between pain and soreness. Pain: Can be acute or chronic discomfort and can be described different ways, including stabbing, radiating or throbbing. Soreness: Feels like a dull ache that shows up between eight and 24 hours after repetitive movement in a joint or muscle. Soreness may linger for up to 48 hours. “With soreness, you should be able to safely continue playing,” says Dr. George Eldayrie, a board-certified sports medicine physician with Orlando Health Jewett Orthopedic Institute. “But debilitating pain, where you struggle with regular range of motion, usually indicates an injury that could worsen with continued activity.” Injuries Can Get Worse Serious injuries such as concussion need to be diagnosed and treated quickly. Most league-level sports have strict guidelines for what to do if a player is suspected of having a concussion. Other injuries may appear to be mild but can worsen without rest, rehabilitation and treatment. For instance, if you have tendinitis (swelling and inflammation of a tendon after an injury), increased physical activity could aggravate your injury. Other injuries that can intensify without rest and rehabilitation include: • Fractures can lead to blood clots and joint, muscle, ligament or nerve damage. • Tears or rupture in soft tissue can cause permanent loss of range of motion, chronic pain, instability and arthritis. Play Smart Prevention is better than cure, so listen to your body. Don’t push it past its limits and when in doubt, sit it out. Find more health and wellness advice at OrlandoHealth.com/ContentHub. OrlandoHealth.com/ChooseHealth 21
GUIDE By Tim Barker | Editorial Contributor Why Our Joints Make Noise You may be worried about the clicks, cracks, snaps and pops you hear from your joints when you stand up first thing in the morning or walk up the stairs. “These noises usually are not a cause for concern,” says Dr. Frederick Soliman, a board-certified sports medicine physician with Orlando Health Jewett Orthopedic Institute. Common Causes The body’s musculoskeletal system is made up of bones, cartilage, connective tissues, ligaments and tendons, which work together. Common causes of joint noises include: Air bubbles in joint fluid. Synovial fluid acts as a lubricant for your joints. It contains gases like carbon dioxide, oxygen and nitrogen. When joints crack, these gases are released as air bubbles that make noises when they pop in the fluid. Friction in the joint. When your joints move, the nearby tendons move slightly out of place, which can cause friction. You might hear a noise, such as when cartilage surfaces rub together or a tendon is sliding back into place. This is common in knees and ankles. Arthritis/loss of joint cartilage. When the cartilage in joints deteriorates, it causes pain, stiffness and swelling. If you hear noises that are associated with pain, this may be a symptom of arthritis. You can get temporary pain relief with over-the-counter medications, ice packs, gentle stretching and taking warm Epsom salt baths. Aging. As we get older, the cartilage in our joints may begin to wear down, causing more friction that leads to noisier joints. This usually isn’t cause for concern unless the sounds are accompanied by pain or swelling. When To See a Doctor If your joint noises are accompanied by pain, this may be a signal that something needs attention, such as arthritis, bursitis or tendinitis. See your doctor if you are experiencing joint pain with or without sounds. Experiencing joint pain? Find an expert who can help at OrlandoHealth.com/ OrthoDocs. Snap, Crackle, Pop: 22
GUIDE Best Exercises To Slow Osteoporosis By Kim Marcum | Editorial Contributor Bones continually rebuild themselves to maintain strength. When you’re young, you build more bone than you lose. But as you age, you start to lose more bone than you build, leading to bone fragility called osteoporosis. “It’s referred to as a ‘silent disease’ because you often don’t know it’s happening until you break a bone,” says Dr. Christine Jablonski, a board-certified internist with the Orlando Health Bone Health and Osteoporosis Care program. Why We Lose Bone Mass For women, bone loss increases after menopause as they lose hormones. For men, osteoporosis usually happens at about age 65 or 70. This causes the bones, commonly in the hip, spine and wrist, to become thinner, more brittle and subject to breaks during a fall. Risk factors include: • Endocrine disorders, such as diabetes and thyroid diseases • Inflammatory disorders, such as Crohn’s disease and rheumatoid arthritis • Consuming a lot of caffeine or salt • Having three or more alcoholic drinks daily • Consuming a diet low in calcium Best Exercises for Slowing Osteoporosis Exercise can help slow osteoporosis. But before you start working out, it helps to know which bone-strengthening exercises deliver the greatest benefit. The best types of bone-strengthening exercises that help slow osteoporosis include: Weight-bearing exercises, including walking, jogging, stair climbing, dancing, tennis and jumping rope. Resistance training with activities that pull and push against the muscle and provide resistance against the bones — such as using resistance bands, lifting light weights with both upper body and lower body, and lifting your own body weight. Balance exercises to help prevent falls and improve posture, such as tai chi, yoga, Pilates, standing on one leg, standing up from a seated position, toe raises and knee curls. The best advice? Exercise carefully and listen to your body. For more health and exercise tips, go to OrlandoHealth.com/ContentHub. OrlandoHealth.com/ChooseHealth 23
P R E V E N T I O N Beware: Extra Pounds Can Increase Your Cancer Risk By Tim Barker | Editorial Contributor If you’re looking for a good reason to drop some pounds, here it is: Being overweight can put you at higher risk for at least 13 types of cancer. “The obesity link is stronger for some cancers than others, and researchers are still learning more about the complex relationship,” says Dr. Jacobo Hincapie-Echeverri, a fellowship-trained medical oncologist at Orlando Health Cancer Institute. For example, gaining weight at certain points in life (childhood versus late adulthood) may impact your risk differently. Still, research has pointed to obesity as a risk factor for numerous cancers, which represent 40% of all cancers diagnosed each year in the United States. They include: • Adenocarcinoma of the esophagus • Breast cancer in women past menopause • Colorectal cancer • Endometrial cancer • Gallbladder cancer • Stomach cancer • Kidney cancer • Liver cancer • Ovarian cancer • Pancreatic cancer • Thyroid cancer • Meningioma (a form of brain cancer) • Multiple myeloma (a cancer of white blood cells) 24
P R E V E N T I O N Beware: Extra Pounds Can Increase Your Cancer Risk Cancer-Obesity Link There are a range of possible reasons to explain how obesity can change your body in ways that increase your risk. They include: • Fat tissue produces the hormone estrogen. At elevated levels, it may increase your risk for breast, endometrial and ovarian cancers. • Obesity can cause increased levels of insulin and insulinlike growth factor-1, which can lead to type 2 diabetes and stimulation of cell growth and cell division. This, in turn, increases your risk for abnormal changes in the genetic code of previously normal cells, turning into a higher risk for colon, kidney, prostate and endometrial cancers. • Obesity can cause chronic inflammation, which can lead to gallstones or non-alcoholic fatty liver disease. These conditions can cause DNA damage and increase your risk of biliary tract and other cancers. Gut microbiota — the community of bacteria, viruses and fungi that live in our digestive tracts — also may play a role. About 60% of your immune system is found in your intestines, and it is affected by ultra-processed foods, extra calories, alcohol intake and abuse of antibiotics. An abnormal microbiota is the source of multiple medical problems, ranging from obesity, high blood pressure, depression, diabetes and even cancer. Researchers have been studying how the food we eat affects the microbiota and its ability to do its job — which includes protecting you from various cancers, including colon, pancreatic and liver. Reducing Your Risk Losing weight requires adopting a new lifestyle, with better eating habits and more physical activity. In terms of what you eat, your goal is to shift to more of a plant-based diet. At least half of your plate should be filled with vegetables and salad but without dressings that only add preservatives to the food and eliminate the benefit of the nutrients. Grab foods with color, such as carrots, peppers, berries, onions and tomatoes. Proteins are fine, but you should reduce red meat in favor of fish and poultry. Many diets can work for the sake of losing weight, but science has proved that the Mediterranean diet can help you live longer. A Mediterranean diet includes: • Vegetables, fruit, plant sources of fat like avocados, high protein content foods like lentils, chickpeas and beans, and sources of omega 3-6 like nuts • Sources of antioxidants like berries, red fruits • Whole grains • Extra virgin olive oil • Fish (particularly fish rich in omega-3 fatty acids like salmon, trout) • Greek plain yogurt and white cheese • Limited red meat • Limited sweets or sugary drinks • Limited alcohol Increased physical activity also can make a significant difference in your weight. Cardio activities like walking, running, cycling and swimming are excellent options. But perhaps even more important, don’t neglect weight training. Loss of muscle mass is natural, particularly once you hit your 50s. Maintaining or building muscle will help you lose weight, while also boosting your overall health, which can prevent depression, falls, decline in function and cancer risk. Your primary care doctor at Orlando Health Physician Associates can connect you with a dietitian to help you eat healthier. OrlandoHealth.com/ChooseHealth 25
Welcome New Doctors* Inflammatory Bowel Disease Downtown Orlando Campus (321) 842-9000 Dr. Agarwal, a board-certified gastroenterologist, joined the Center for Inflammatory Bowel Disease at Orlando Health Digestive Health Institute in December. She earned her medical degree from Florida State University (Tallahassee) and completed a residency in internal medicine at the University of Florida (Gainesville). She performed fellowships in gastroenterology and hepatology at the University of Illinois (Chicago) and in advanced inflammatory bowel disease at the Cleveland Clinic Foundation (Ohio). Mitali Agarwal, MD Cardiothoracic Surgery Downtown Orlando Campus (321) 841-6444 In April, Dr. Allen joined Orlando Health Heart and Vascular Institute as a board-certified cardiothoracic surgeon. He earned his medical degree at Albany Medical College (New York) and completed two general surgery residencies at the University of Texas (Houston). Dr. Allen performed a fellowship in cardiothoracic surgery at the University of Utah (Salt Lake City) and a fellowship in mechanical circulatory support at the University of Utah School of Biomedical Engineering Jarvik Heart Lab. Gary S. Allen, MD Pediatric Behavioral Health Downtown Orlando Campus (321) 841-9340 Board certified in developmental pediatrics, Dr. Baechler joined the Pediatric Behavioral Health and Developmental Center at Orlando Health Arnold Palmer Hospital for Children in January. She earned her medical degree at Uniformed Services University of the Health Sciences (Bethesda, Maryland). Her training includes a pediatrics residency at William Beaumont Army Medical Center (El Paso, Texas) and a fellowship in developmental behavioral pediatrics at Madigan Army Medical Center (Tacoma, Washington). Veronica Baechler, MD Internal Medicine East Orlando (407) 635-3020 Dr. Beauge, who is board certified in internal medicine, joined Orlando Health Physician Associates in December. She received her medical training from Universidad Iberoamericana (Dominican Republic) and completed an internal medicine residency at Long Island Community Hospital (Patchogue, New York). She is fluent in Spanish, Haitian Creole and English. Carley Beauge, MD Interventional Cardiology Clermont (321) 841-6444 Board certified in interventional cardiology and cardiovascular disease, Dr. Balanos joined Orlando Health Heart and Vascular Institute in March. He earned his medical degree at Florida International University (Miami). Dr. Bolanos completed his residency in internal medicine at Shands Hospital at the University of Florida (Gainesville) and performed fellowships in cardiovascular disease and interventional cardiology at Baylor College of Medicine (Houston). He is fluent in both English and Spanish. Alexander J. Bolanos, MD Congenital Heart Disease Downtown Orlando Campus (321) 841-5725 Board certified in pediatric cardiology and adult congenital heart disease, Dr. Briston joined Orlando Health Arnold Palmer in April. He earned his medical degree at West Virginia University (Morgantown) and completed residencies in pediatric internal medicine at Jackson Memorial Hospital (Miami) and Holtz Children’s Hospital (Miami). He performed fellowships in pediatric cardiology at The Children’s Hospital at Montefiore (Bronx, New York) and adult congenital cardiology at Nationwide Children’s Hospital and Ohio State University (Columbus). David Briston, MD 26
The doctors at Orlando Health are part of a collaborative network that works toward one common goal: your health. Plastic and Reconstructive Surgery Downtown Orlando Campus (321) 841-7090 Dr. Chavanon, a board-certified plastic and reconstructive surgeon, joined Orlando Health Aesthetic and Reconstructive Surgery Institute in March. He earned his medical degree from the University of Pittsburgh School of Medicine. He completed a plastic surgery residency at Mount Sinai Hospital (New York City) and performed a hand surgery fellowship at the University of Miami Health System. He is fluent in both English and French. Vincent A. Chavanon, MD Oncology and Hematology Ocoee (321) 841-1869 In December, Dr. Chi joined Orlando Health Cancer Institute as a board-certified medical oncologist and hematologist specializing in gastrointestinal and urologic cancers. He earned his medical degree from Drexel University (Philadelphia). Dr. Chi completed his residency in internal medicine at Hofstra University (Manhasset, New York) and performed his fellowship in medical oncology and hematology at the medical school’s campus in Lake Success, New York. He is fluent in both English and Mandarin Chinese. Jeffrey Chi, MD Pediatric Neuropsychology Downtown Orlando Campus (321) 841-5725 Pediatric neuropsychologist Gloria Chiang, PhD, joined Orlando Health Arnold Palmer Hospital for Children in March. Her graduate training was completed at Nova Southeastern University (Fort Lauderdale), where she earned a PhD from the psychology program with a specialization in clinical psychology. She performed her clinical psychology internship at Franciscan Children’s Hospital and Rehabilitation Center (Boston) and a postdoctoral fellowship at Children’s Hospital Boston Developmental Medicine Center. Gloria Chiang, PhD Pediatrics Lake Nona (407) 261-2934 Dr. Colombo, a board-certified pediatrician, joined Orlando Health Physician Associates in January. He earned his medical degree from the University of Nevada (Reno) and completed his residency at the University of Minnesota Pediatric Residency Program (Minneapolis/St. Paul). Daniel Colombo, MD Plastic and Reconstructive Surgery Downtown Orlando Campus (321) 841-7090 In April, Dr. Crespo joined Orlando Health Aesthetic and Reconstructive Surgery Institute as a board-certified plastic and reconstructive surgeon. He earned a pharmacy degree from the University of Florida (Gainesville) and his medical degree from the University of Connecticut (Farmington). He completed his residency in plastic surgery and performed a fellowship in hand surgery at the University of Massachusetts (Worcester). He is fluent in both English and Spanish. Jason Crespo, MD Internal Medicine Winter Park (407) 635-5730 Dr. Dhand joined Orlando Health Physician Associates as a board-certified internal medicine physician in December. She received her medical training from St. George’s School of Medicine (Grenada, West Indies) and completed her residency in internal medicine at New York University’s Langone School of Medicine (Brooklyn). Her education also includes a Diploma of Higher Education in Medical Sciences from Northumbria University (Newcastle, England). Menaka Dhand, MD *New doctors from November 2022 through May 2023 OrlandoHealth.com/ChooseHealth 27
Welcome New Doctors* Gastroenterology Winter Garden (321) 841-4344 Board certified in gastroenterology, Dr. Andre Fialho joined Orlando Health Digestive Health Institute in November. He received his medical training from the Medical School of the Federal University of Ceará (Brazil). Dr. Fialho completed his residency in internal medicine at the Cleveland Clinic Foundation (Ohio) and performed a fellowship in gastroenterology and hepatology at University of Florida Health (Jacksonville). He is fluent in Spanish, Portuguese and English. Andre Fialho, MD Gastroenterology Winter Garden (321) 841-4344 In November, board-certified gastroenterologist Dr. Andrea Fialho joined Orlando Health Digestive Health Institute. She received her medical training from the Medical School of the Federal University of Ceará (Brazil). Dr. Fialho completed her residency in internal medicine at the Cleveland Clinic Foundation (Ohio) and performed her fellowship in gastroenterology and hepatology at University of Florida Health (Jacksonville). She is fluent in Spanish, Portuguese and English. Andrea Fialho, MD Radiation Oncology Downtown Orlando Campus (321) 841-1869 Dr. Harris, a board-certified radiation oncologist, joined the Center for Advanced Radiation Therapy at Orlando Health Cancer Institute in March. She earned her medical degree, completed her residency in radiation oncology and performed a fellowship in patient safety and quality at the Johns Hopkins School of Medicine (Baltimore). She is fluent in both Spanish and English. Kendra M. Harris, MD Cardiology Orlando (321) 841-6444 In November, board-certified cardiologist Dr. Karkal joined Orlando Health Heart and Vascular Institute. He received his medical training at Seth G S Medical College-King Edward VII Memorial Hospital (India). His internal medicine residency was completed at the University of California, Long Beach VA Medical Center. He performed a fellowship in clinical and interventional cardiology at Cornell University Medical Center (New York). Shivanand Karkal, MD Pediatric Hematology and Oncology Downtown Orlando Campus (321) 841-8588 Dr. Libes, a fellowship-trained pediatric hematology and oncology specialist, joined the Haley Center for Children’s Cancer and Blood Disorders at Orlando Health Arnold Palmer Hospital for Children in February. She received her medical training from St. George’s University (Grenada) and completed her pediatrics residency at State University of New York (Brooklyn). Her fellowship in pediatric hematology and oncology was performed at Vanderbilt University (Nashville). Jaime Libes-Bander, MD Pediatric Cardiology Downtown Orlando Campus, Kissimmee (407) 649-6907 In November, Dr. Mart joined The Heart Center at Orlando Health Arnold Palmer as a board-certified pediatric cardiologist. He earned his medical degree from the University of Arkansas (Little Rock). His pediatric residency was completed at Penn State Health Milton S. Hershey Medical Center (Hershey, Pennsylvania). Dr. Mart performed a pediatric cardiology fellowship at the State University of New York (Syracuse). Christopher Mart, MD 28
The doctors at Orlando Health are part of a collaborative network that works toward one common goal: your health. Internal Medicine Orlando (407) 367-4706 Dr. McCullough, who is board certified in internal medicine, joined Orlando Health Physician Associates in December. He earned his medical degree from Florida State University (Tallahassee) and completed an internal medicine residency, primary care track, at Alameda Health System Highland Hospital (Oakland, California). Shawn McCullough, MD Family Medicine Lady Lake (352) 753-0606 Dr. Mercer, a board-certified family medicine specialist, joined Orlando Health Medical Group FHV Health in February. She earned her medical degree from the University of Iowa (Iowa City) and completed her family medicine residency at the University of South Florida (St. Petersburg). Connie Mercer, MD Internal Medicine Wildwood (352) 323-9505 A board-certified internal medicine physician, Dr. Minello joined Orlando Health Medical Group FHV Health in May. He received his medical training from the Philadelphia College of Osteopathic Medicine (Pennsylvania). His internal medicine residency was completed at the Wright Center for Graduate Medical Education (Scranton, Pennsylvania), where he served as chief resident. Christopher Minello, DO Pediatrics Lake Mary (407) 302-3130 In February, board-certified pediatrician Dr. Reiner joined Orlando Health Physician Associates. He earned his medical degree from the Lewis Katz School of Medicine at Temple University (Philadelphia). His residency in pediatrics was completed at Children’s National Hospital (Washington, DC). Samuel M. Reiner, MD Endocrinology Winter Garden (321) 841-7171 In March, Dr. Rickson joined the Orlando Health Cancer Institute as a boardcertified endocrinologist. She earned her medical degree from the University of South Florida (Tampa), where she also completed a residency in internal medicine and performed a fellowship in the endocrinology, diabetes and metabolism program. Neha Rickson, MD Cardiology Horizon West (321) 841-6444 Dr. Stuart, a board-certified cardiologist, joined Orlando Health Heart and Vascular Institute in January. He received his medical training at the Michigan State University College of Osteopathic Medicine (East Lansing). Dr. Stuart completed his internal medicine residency and his fellowship in cardiology at McLaren Oakland (Pontiac, Michigan), through the Statewide Campus System at the Michigan State University College of Osteopathic Medicine. Mark P. Stuart, DO *New doctors from November 2022 through May 2023 OrlandoHealth.com/ChooseHealth 29
Welcome New Doctors* Pain Management Dr. Phillips Area (321) 841-1570 Dr. Tella, who is board certified in interventional pain management, joined Orlando Health Neuroscience Institute in April. He received his medical training at Andhra Medical College (India). Dr. Tella completed an internal medicine residency at the Drexel University College of Medicine (Philadelphia). His fellowship in interventional pain management was performed at Harvard Medical School (Boston). Prabhav Tella, MD Pancreatology Downtown Orlando Campus (321) 842-9000 Dr. Wilcox, a board-certified gastroenterologist specializing in pancreatic diseases, joined Orlando Health Digestive Health Institute in November. He earned his medical degree from Medical College of Georgia (Augusta) and completed his residency in internal medicine at the University of Alabama (Birmingham). His fellowship in gastroenterology was performed at the University of California (San Francisco), followed by a clinical research fellowship at San Francisco General Hospital. Charles ‘Mel’ Wilcox, MD Vascular Surgery Lake Mary (321) 841-6444 Board-certified in vascular surgery, Dr. Thorne joined Orlando Health Heart and Vascular Institute in November. She received her medical training from Lake Erie College of Osteopathic Medicine (Pennsylvania). Her residency in integrated vascular surgery was completed at TriHealth/Good Samaritan Hospital (Cincinnati). Whitney Thorne, DO *New doctors from November 2022 through May 2023 Find the Doctor that Is Right for You Scan the QR code to find the right doctor for you. Palliative Care Ocoee (321) 841-5169 In April, Dr. Zeidan joined Orlando Health Cancer Institute as a board-certified hospice and palliative care physician with the Supportive and Palliative Care Program. He received his medical training at St. Matthews School of Medicine (Grand Cayman). His residency in family medicine was completed at Wayne State University (Rochester, Michigan). He performed his fellowship in hospice and palliative medicine at Virginia Commonwealth University School of Medicine (Richmond). Issa ‘Jason’ Zeidan, MD Doctors 30
CHILDREN’S HEALTH Toddler Not Interested in Potty Training? Don’t Worry By Mike Lafferty | Editorial Contributor Potty training can be stressful, especially if your child shows no interest in giving up diapers. “With persistence and a lot of support along the way, your child should be fine,” says Dr. Stuart Janousky, a board-certified pediatrician with Orlando Health Physician Associates. It’s a good time to begin training when your child signals readiness, which includes: • Telling you when they’ve soiled their diaper • Asking to start wearing underwear • Imitating you in the bathroom Girls typically are potty trained between 24 and 30 months, and boys between 36 and 42 months. Training Obstacles If potty training is a struggle, your child might be fearful of anything from falling into the toilet to losing a part of themselves. Your child also might feel embarrassed about going to the bathroom. Other medical conditions can develop. For ways to keep your children healthy, visit ArnoldPalmerHospital.com/ContentHub. Children who avoid defecating might become chronically constipated, which can lead to a condition called encopresis, in which a child begins involuntarily defecating. Urinary incontinence — enuresis — often shows up as nighttime bedwetting. Don’t Panic If the problem is controlling bowel movements, try these strategies: • Use stool softeners to make bowel movements less painful. Check with your pediatrician first. • Encourage exercise to help move food through the digestive system. • Feed your child a nutritious diet, with higher-fiber foods like fruit, vegetables and whole grains. • Try to get your child on a schedule. Going to the potty after each meal can be effective. • If the problem is controlling urination, particularly at night, try these steps: • Reduce the amount of fluid your child has before bedtime and avoid drinks with caffeine in them. • Be sure your child goes to the bathroom before bed. • Ask your pediatrician about medication that can reduce the amount of urine at night. Always avoid punitive measures when potty-training your child. Instead, minimize pressure on your child and reward their successes. OrlandoHealth.com/ChooseHealth 31
SPOTLIGHT How Safe Are Dietary Supplements Symptoms of liver damage include: • Jaundice • Pain in your upper right abdomen • Swollen belly • Nausea • Dark-colored urine • Unexpected weight loss • Disorientation Tips for Staying Safe Before taking a dietary supplement, talk with your healthcare provider about the benefits and risks. Do your own research about possible interactions with your medicines and check independent organizations that offer quality testing. Products that pass these tests can display a seal of quality assurance, but it doesn’t guarantee a product is safe or effective. For more health and nutrition news, visit OrlandoHealth.com/ContentHub. By Kristin Ford | Editorial Contributor Just because a dietary supplement is available at your local pharmacy or health food store doesn’t mean it is safe. In fact, some herbs and supplements have been associated with liver damage. Here’s what you need to know before deciding to take supplements. What Are Dietary Supplements? Dietary supplements come in tablets, capsules, powders, bars, gummies and liquids. Common supplements include: Vitamins Minerals (such as calcium, magnesium and iron) Herbs (such as echinacea and ginger) Botanical compounds (such as caffeine and curcumin) Amino acids (such as tryptophan and glutamine) Live microbials (also known as probiotics) Risks of Dietary Supplements Supplements are not approved by the U.S. Food and Drug Administration (FDA), and their side effects do not have to be disclosed. The FDA only monitors adverse reaction reports that are submitted by dietary supplement companies, healthcare professionals and consumers. Some supplements can interact with medications, interfere with lab tests or have dangerous effects during surgery. “Problems can occur if you combine supplements, mix medicines and supplements, or take too much of some supplements,” says Dr. Arvind Murali, a board-certified gastroenterologist and hepatologist with the Orlando Health Digestive Health Institute Liver Center. Supplements also can harm your liver. One study found that two types of supplements were largely to blame: multi-ingredient nutrition products such as those used for weight loss, and anabolic steroids used in bodybuilding. 32
MEN’S HEALTH Check Under the Hood To Stay Healthy By Wendy Bacigalupi | Editorial Contributor Your body is your most important vehicle. That’s why, whether you’re sporting a newer model or a classic, routine maintenance is key to keeping your body running at maximum efficiency. “From routine self-examinations to prostate cancer screenings, checking under the hood regularly is important to getting the most mileage out of your body,” says Dr. Jamin Brahmbhatt, a board-certified urologist and men’s health expert with Orlando Health Medical Group Urology. Know Your Maintenance Schedule Whether you’re a younger adult or have put on a few miles, you should check in with your primary care doctor regularly for routine physicals. Urologic issues may easily be overlooked but can be an underlying factor in many health concerns for men, ranging from prostate cancer to erectile dysfunction. Common urologic conditions that can be addressed through regular screenings include: Ages 20 to 30 Testicular cancer, sexual health issues (including sexually transmitted diseases) and infertility Ages 40 to 50 Prostate enlargement and prostate cancer Ages 50 to 70 Prostate cancer, erectile dysfunction and urinary incontinence Health Screening Plan Ages 20 to 45 • Establish a relationship with a primary care doctor • Self-check testicles monthly • Schedule baseline checkup and screenings for sexually transmitted infections, blood pressure and cholesterol • Review lifestyle choices, such as diet and exercise • Screen for prostate cancer (starting in your 40s if you have family history, 50 if you do not) • Screen for colon cancer (starting in your mid-40s) Ages 46 to 60+ • Self-check testicles monthly • Continue regular checkups and screenings for colon and prostate cancer • Discuss any changes in health status and any new symptoms or concerns with your doctor • Review ongoing health issues Practice Preventive Maintenance Your body needs preventive maintenance to run with maximum efficiency, including: • Eating a healthy diet • Getting regular exercise • Avoiding or quitting smoking • Limiting alcohol consumption • Learning to manage stress Looking for a primary care doctor? Check out OrlandoHealth.com/ Physician-Finder. OrlandoHealth.com/ChooseHealth 33
Childbirth Education Mother Baby T.E.A. TLC, Education, Answers Created specially to meet the unique needs of mothers with babies up to three months of age, this group provides education, reassurance and support along with a little T.L.C. in a comfortable setting. Lactation consultants and nurses will answer questions about infant care, breastfeeding, ways to comfort your baby, self-care and more. Dates: Fridays Time: 10:00 am – 11:30 am Cost: Free Location: Orlando Health Winnie Palmer Hospital for Women and Babies - WinniePalmerHospital.com/TEA Virtual Prenatal Breastfeeding Designed for expectant parents, this virtual lesson is presented by a registered nurse lactation consultant. Learn what to expect while breastfeeding your baby during the first few days after delivery and through the first few months. Infants welcome. Partners are encouraged to participate. Dates: Monthly Time: 6:00 pm – 7:30 pm Cost: $15 WinniePalmerHospital.com/ BreastfeedingClass Virtual Basic Newborn Care Our Basic Newborn Care virtual class is presented by a registered nurse lactation consultant and highlights key information about caring for your newborn baby. Attend during your third trimester of pregnancy. Dates: Monthly Time: 6:00 pm – 7:30 pm Cost: $15 WinniePalmerHospital.com/NewbornCare Support and Programs Cancer Support Community Our popular support services are available in a variety of formats including in person, via telephone or in web-based programming. We look forward to you joining our groups! Call (321) 841-5056 or email CancerSupportCommunity@ OrlandoHealth.com for the most up-to-date information. Virtual Stroke Support Group Stroke survivors and caregivers can find care, support and connection at Orlando Health’s Stroke Support Group. Participants will have the opportunity to share stories and experiences with others who understand their journey, while learning about helpful topics such as nutrition, available resources and other ways to improve one’s lifestyle. Dates: Last Wednesday of every month Time: 2:00 pm – 3:30 pm OrlandoHealth.com/StrokeSupportGroup Virtual Weight Loss Surgery Support Group This helpful support group is an opportunity for patients to learn more about what to expect throughout the journey of bariatric surgery. Postoperative patients are strongly encouraged to attend this group. We also welcome preoperative patients who are interested in learning about the lifestyle changes necessary to be successful with weight loss. Dates: Every third Wednesday of the month Time: 6:00 pm – 7:30 pm OrlandoHealth.com/WeightLossSupportGroup Virtual Weight Loss Surgery Information Session The team at the Orlando Health Weight Loss and Bariatric Surgery Institute can help you lose weight through minimally invasive surgery and lifestyle changes. During the group session, you will virtually meet our experienced weight loss surgeons. They will discuss procedures offered and answer any questions you may have. Dates: Tuesdays 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 details, please visit OrlandoHealth.com/JointReplacement. Orlando Health Physician Associates Diabetes Management and Nutrition Program Provides ongoing education and support for individuals who are diabetic or pre-diabetic. Accredited by the Association of Diabetes Care and Education Specialists, participants will learn to make informed decisions about their health, develop personal goals and action plans. Individual consultations are available in Orlando, Longwood and St. Cloud area. Call (321) 842-6436 to schedule a class. Calendar of Events 34
F O U N D A T I O N Mom’s Intuition Leads to Lifelong Diagnosis Rebekah Marcone Arnold and her husband were enjoying a date night when they received a call that their 8-year-old daughter, Kylie, was ill and vomiting violently. “I was confused because she was completely fine when we left,” recalls Arnold. The worried parents hurried home to find Kylie in terrible pain and incoherent after drinking three glasses of water and eating a bowl of grapes. “My gut told me to check her blood sugar, so I pulled out an old glucometer,” says Arnold. “The level read ‘High.’ ” They rushed Kylie to the emergency room, and she was quickly transferred to Orlando Health Arnold Palmer Hospital for Children. She was in diabetic ketoacidosis with a blood sugar of over 700 milligrams — seven times higher than the normal level. During “the scariest night of my life,” Arnold remembers nurse Katie, “my angel in disguise,” coming in to explain how she lives a full life with diabetes and to reassure her that Kylie could too. Living with Diabetes Once Kylie was feeling better, the focus became managing her Type 1 diabetes. “I had to tell her it will never go away, but we can give her medicine to make her feel better,” says Arnold. Now 11, Kylie better understands her diabetes. “It’s like trying not to die every day. There is no day off, no cheat day, no cheat meal. Ever. “Diabetes is part of me, and if given the chance, I wouldn’t take it back,” she says. “It has made me smarter.” A Team To Help The family is thankful to Kylie’s physician, Dr. Joshua Yang, and their team at Orlando Health Arnold Palmer Hospital for Children Endocrinology and Diabetes Center. “Every single person we have met has been supportive, kind and encouraging,” Arnold says. “Kylie has a confidence I never could have imagined because of the time our healthcare providers spend with her.” To learn how you can improve the lives of patients through philanthropy, visit OrlandoHealthFoundation.com. By Elizabeth Katona | Editorial Contributor OrlandoHealth.com/ChooseHealth 35
Scrubs Wellness Clinic Orlando Health Horizon West Hospital sponsored the Scrubs Wellness Clinic held at Castleview Elementary School. Students in Horizon High School’s Biomed Program put together a wellness clinic with stations for handwashing, teeth brushing, wound care and stretching. Orlando Health physicians and team members, along with Jason Cannon from Healthy West Orange, were on hand to support and teach the students all about healthy living. Thrive Clermont Orlando Health South Lake Hospital welcomed about 35 teens from the Thrive Clermont program for a behind-the-scenes hospital tour. The teens were introduced to entry-level healthcare positions they may not be as familiar with, such as lab tech, rehab/ transport tech, nutrition services and patient access. Team members gave tours and answered questions. Legislative Luncheon and Leadership Class Orlando Health sponsored the West Orange Chamber of Commerce 2023 Legislative Luncheon at the Ocoee Lakeshore Center for over 250 attendees. The luncheon also celebrated 2022-2023 Leadership West Orange graduates, including Orlando Health team members Zachary Hoover, Lauren Nadeau, Angel Thompson and Lauren Cardona. Community Good Rainbow Run Orlando Health was a presenting sponsor of the 7th Annual CommUNITY Rainbow Run benefiting the National Pulse Memorial & Museum and onePULSE Foundation. Great Big Backpack Build Orlando Health team members helped stuff 20,000 backpacks full of school supplies for Central Florida students at A Gift For Teaching’s The Great Big Backpack Build. Spring Fever in the Garden Orlando Health was the presenting sponsor for the Bloom and Grow Garden Society’s Spring Fever in the Garden, a two-day plant, flower and garden festival held each spring in Downtown Winter Garden. Run With a Hero Orlando Health sponsored Lake Mary’s 6th Annual Run with a Hero. All proceeds from the 2023 run went to the Florida Firefighters Safety and Health Collaborative, providing education, training and sharing of best practices. I-Drive Chamber Healthcare Day Orlando Health Dr. P. Phillips Hospital and Orlando Health Jewett Orthopedic Institute provided tours as part of I-Drive Chamber Healthcare Day, designed to show the intricate part the healthcare system plays in the tourism industry. Participants were able to explore the many facets of healthcare and learn what happens when a tourist finds themself in need of care. Puerto Rican Parade Orlando Health sponsored the 2023 Puerto Rican Day Parade and Festival held in Downtown Orlando, bringing thousands to celebrate Puerto Rican culture, heritage and pride. 36
Our efforts have earned us numerous quality and safety recognitions over the years including Best Regional Hospital in Orlando from U.S. News & World Report and consistently earning an “A” Safety rating as well as a Top Hospital award from The Leapfrog Group, a national healthcare quality and safety watchdog organization. Connected, Convenient and Expert Healthcare For more than 100 years, Orlando Health Orlando Regional Medical Center (ORMC) has provided the most advanced options available for surgical, medical, rehabilitative and emergency care, including serving as Central Florida’s only Level I Trauma Center, providing care for the most critically ill and injured. Caring for patients at Orlando Health ORMC and Orlando Health Arnold Palmer Hospital for Children, the Orlando Health ORMC Level I Trauma Center is supported by Central Florida’s only hospital-based emergency air rescue transport service. Orlando Health ORMC also isrecognized as a state-designated Advanced Comprehensive Stroke Center, treating both simple and complex cerebral vascular disorders. Through our leading-edge technology and expertise in trauma, heart, vascular, stroke, neuroscience, oncology, surgery and orthopedics, we provide a comprehensive continuum of care for the entire family. 52 W. Underwood St. | Orlando, FL 32806 | (321) 841-5111 OrlandoHealth.com/ORMC
If you do not wish to receive future mailings, please email your name, address and the type of mailing you no longer wish to receive to [email protected]. 1414 Kuhl Ave., MP 56 Orlando, FL 32806 Non-Profit Organization U.S. Postage PAID Permit No. 3459 Orlando, FL You are one click away from finding a doctor 1793307 © 2023 Orlando Health, Inc. OHORMC We put our hearts into caring for yours. Orlando Health Heart and Vascular Institute is the region’s most chosen for advanced cardiac care. Our compassionate team of experts specializes in more than 40 heart and vascular areas – equipped with the most advanced technology. OrlandoHealth.com/Heart choose well. Expert Heart Care.