Download Watson Clinic WINTER/SPRING 2013

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