March 2019 health matters

The latest news on the health and wellness issues that matter most • March 2019 Health Matters

NCHNamed A “Best Regional Hospital” by U.S. News &World Report

NCH Downtown Baker Hospital

U.S. News & World Report, a respected authority in hospital rankings, heralded NCH Downtown Baker Hospital as a 2018-19 “Best Regional Hospital,” ranking it 11th in the state of Florida. These rankings are designed to assist patients in making informed decisions about where to receive care . Although all “Best Regional Hospitals” are considered ‘high performers’ in at least one medical specialty, NCH is recognized for high performance in seven specialty services: Bypass Surgery, Congestive Health Failure, Total Hip Replacements, Total Knee Replacements, Chronic Obstructive Pulmonary Disease, Colon Cancer, and Abdominal Aneurisms. “High Performing” facilities are fully capable of providing first-rate care, even to patients who have serious conditions or need demanding procedures. U.S. News’ ranking positions NCH among hospitals that offer a high level of medical care to their communities. This recognition, which is awarded by national, independent organizations, is a hallmark of excellence — in physicians, staff, board members and volunteers. NCH, which includes two hospitals, the NCH Downtown Baker Hospital and NCH North Naples Hospital with a total of 716 patient beds, is equipped toaddress southwest Florida’smost

pressing healthcare needs — from wellness, to diagnosis, to treatment. NCH meets medical, surgical, cardiac, orthopedic, obstetric, pediatric, rehabilitative, psychiatric, oncology, emergency treatment and diagnostic needs for almost 40,000 inpatients every year. The NCH outpatient offerings include rehabilitation, imaging, immediate care and wound healing, among others. More than 5,000 hospitals fall under the umbrella of hospitals that U.S. News evaluates each year in 16 different medical specialties. The exhaustive judging criteria include death

rates, patient safety, procedure volume and other objective data. The analysis also includes physician response to a national survey. In the survey, specialists must name hospitals considered to be the best in their respective areas for cases that are challenging. That information is also factored into the eventual naming of the Best Hospitals. “The confirmation of that level of quality by respected and objective third parties, particularlyU.S. News&WorldReport, validates our commitment to delivering exceptional care at NCH,” concludes Georgine Kruedelbach, RN, Director of Performance Improvement at NCH.

NCH Named “High Performing” in: ★ Heart Bypass Surgery ★ Heart Failure Treatment ★ Abdominal Aortic Aneurysm Repair

★ Hip Replacement ★ Knee Replacement ★ Colon Cancer Surgery ★ COPD Treatment

For more information about the NCH Healthcare System, visit nchmd.org

ADDICTION NCH Family THE COMMON PATHWAYS TO

history of substance use that goes back to their earliest use,” he explains. For some with severe alcohol abuse, the first exposure could have been as young as 8 years old. However, Dr. Parish was quick to point out that early experimentation doesn’t necessarily put you on a pathway to addiction. Instead, it is likely adverse childhood experiences that play the most significant role. “Studies have shown that secondary factors like external life situations and stressful events are predictive to developing an addiction,” he adds. “Those external factors can lead you to continued use of a substance, despite negative connotations.” Dr. Parish says that some patients have described addiction as their brain being hijacked by the substance that they crave. Also, the makeup of the human brain plays an important role in the formation of addiction, adds Dr. Parish. “There are different pathways that genetically makes someone more prone to developing a substance use disorder — and they are different for cocaine, alcohol, opioids and nicotine.” Even if there was a genetic screening that would reveal our predisposition toward abusing a substance, he doesn’t believe

it would change society’s approach to treatment. In order to combat substance abuse effectively, “we need to have open conversations and screening tools that we actually pay attention to,” he says. Recognizing that real success depends upon long-term care, Dr. Parish stresses the importance of ongoing monitoring as a component of any substance abuse treatment plan. “Most people experience five to eight relapses before finding sustained sobriety. We need to get people back in treatment really quickly if they relapse.” Dr. Parish personally has seen what effective substance abuse treatment can do for a community, while serving as chief medical officer for a community health center in Nashville, Tenn. The health center offered treatment and support to a large population of intravenous heroin users, says Dr. Parish. “We saw people’s lives change; saw people’s lives turn around in amazing ways. Families were back together,” he recounts. Now, Dr. Parish looks forward to bringing that same sense of hope and recovery to the newly established addiction support and treatment services at NCH. “We offer a safe non-judgmental environment. We offer hope. There is a chance for recovery.”

Medicine physician, Samuel Parish, MD, looks at addiction a bit differently than many other medical professionals. He sees addiction as a brain disorder

that requires a systematic approach to treatment — treatment that is both long-term and ongoing. In his practice, Dr. Parish commonly sees patients with addiction to alcohol and/ or tobacco, but regularly treats addiction to prescribed opioids, heroin, fentanyl, cocaine, methamphetamines, and cannabis. Although these addictions are different, one thing is clear in all cases, “the substance is in control,” says Dr. Parish, adding that he rarely sees someone with just one substance abuse disorder. Addiction to multiple substances makes treatment even more challenging. In the early stages of treatment, Dr. Parish says he must first identify when substance use evolved from experimental use, or a low-risk use, to an uncontrollable problem – and why. “Our approach is to get a complete Dr. Samuel Parish

Dr. Samuel Parish’s offices are located at 800 Goodlette-Frank Rd. Suite 310, Naples. For more information, or to make an appointment, call 239-624-0870.

Cryoablation procedure proves effective for treating atrial fibrillation F o r patients suffering with the symptoms of atrial fibrillation (AFib), a new cryoablation procedure produces positive YOURCRYOBALLOON PROCEDURE Cryoballoon Ablation Procedure U O ryoballoon lation Procedure R PR DURE ry all l ti r ce re ll l Medtronic

outcomes and improves quality of life. NCH clinical cardiac electrophysiologist, Philip George, MD, describes AFib as a condition whereby disorganized rhythms in the top chambers of the heart cause a fast heart rate and irregular beats, oftentimes resulting in palpitations or a pounding heart. Left untreated AFib can worsen over time. Dr. George says that with some patients, AFib can lead to heart failure symptoms, lower extremity swelling or difficulty breathing when not sitting up. These patients also have an increased risk of blood clots and stroke. While some patients with AFib are completely asymptomatic, others report fatigue, shortness of breath, dizziness, light-headedness or chest pressure. “If symptoms are primarily driven by the heart rates, we control the rates and the patient feels better,” explains Dr. George. “But if symptoms are driven by the fact that you are actually in AFib, then our goal is to get you out of AFib.” According to Dr. George, the NCH Heart Institute uses antiarrhythmic medications specially formulated to help suppress AFib. However, some patients, even those on a stable dose of medications, can still periodically have breakthrough of AFib while taking antiarrhythmic medications. Apart from medication, ablation, a minimally invasive catheter-based procedure, is utilized when indicated. The two types are the newer cryoablation used mainly for first time ablation and paroxysmal AFib, and radiofrequency ablation which can be used for all types of AFib and more persistent forms. Radiofrequency ablation was the initial treatment designed to treat heart rhythm disturbances. The ablation procedures to correct heart rhythm disturbances generally treat abnormal areas of tissue that are responsible for causing the heart rhythm disturbances. “In the ablation procedures, we insert a catheter in the vein of the groin and advance the catheter up to the heart,” says Dr. George. “In the cryoablation, we freeze tissue to create scar tissue, whereas in radiofrequency ablation, a catheter that heats the tissue is used to create scar tissue.” Cryoablation candidates with the best outcomes are those who are newly diagnosed undergoing initial ablation for paroxysmal AFib– which are alternating episodes of normal rhythm and episodes of AFib. Dr. George adds that while we can still do cryoablations in persistent AFib patients, radiofrequency ablation is typically recommended for those patients. Cryoablation and radiofrequency ablation are also performed by NCH clinical cardiac electrophysiologist Dr. Dinesh Sharma. doctor immediately ab ut any changes in your health. You may be under general anesthesia for the procedure. After You will need to limit your activities for a couple of days. Minor soreness in the chest or bruising at the insertion site is normal. Let your physician know if you xperience any symptoms th t are bothering you. Your doctor will probably arrange follow-up visits to monitor your healing and heart rhythms. Your doctor will probably tell you not to eat or drink after idnight the night before your procedu eed to stop ant to tell your doctor i ediately about any hanges n r health. You ay be under general ane thesia for the procedure. fter You will need to li it your activities for a e chest s g si n c f o p sy pto s that are bothering you. tor will probably arrange follow-up visits our healing and e Y ur d ct r ill pr bably tell y n t t eat r drink after idnight the night bef re y ur pr cedure. You may need t st p certain medications. You will also want t tell y ur doctor i ediately ab ut any changes in your health. Y u ay be under general anesthesia f r the pr cedure. ft r Y u ill need t li it y ur activities f r a couple of days. Minor soreness in the chest or bruising at the insertion site is normal. Let your physician know if you experience any sy pt s that are b thering y u. Your d ct r ill pr bably arrange f ll -up visits to monitor y ur healing and heart rhythms. Dr. Philip George Your doctor will discuss your procedure with you in detail, but here is a general overvi w of what you can expect. Before Your doctor will probably tell you not to eat or drink after midnight the night before your procedure. You may need to stop certain medications. You will also want to tell your Your doctor will discuss your pro edure with you in detail, but here is a general overview of what you can expect. Before Y ur d ct r ill discuss y ur pr cedure ith y u in detail, but here is a general vervie f hat y u can expect. f r

Access The doctor makes a small incision in the groin area through which to insert the catheter (small tube). To access the left atrium, the doctor must create a puncture in the wall that separates the left and right sides of the heart. The cryoballoon is then advanced to the left atrium. Access The doctor akes a s all incision in the groin area through which to insert the catheter (s all create a puncture in the wall that separates the left and right sides the heart. The cryoballoon is then advanced to the left atriu . ccess he doctor akes a s all incision in the groin area through hich to insert the catheter (s all tube). To access the left atrium, the doctor must create a puncture in the wall that separates the left and right sides of the heart. he cryoballoon is then advanced to the left atriu . A T l i i i i t r in r through which to insert t c t t ( ll t ). l i , t r m st t punct i t wall that separates the l ft right sides of t h rt. T lo i t vanced to t left atriu .

Inflate The doctor inflates the balloon and moves it to the opening of the pulmonary vein. The goal is to temporarily close off the opening of the pulmonary vein completely, stopping blood flow between the atrium and the vein (this is called occlusion). Inflate l the opening of the pul onary ve The goal is to te porarily close off the opening of the pul onary vein co pletely, stopping blood flow between the atriu and the vein (this is called occlusion). Inflate The doctor inflates the balloon and moves it to the opening of the pul onary vein. he goal is to te porarily close off the opening of the pul onary vein co pletely, stopping blood flo bet een the atriu and the vein (this is called occlusi ). t i l m ves it t l r v in. T l il cl f t l r v in c let ly, st ing bl od flow t i t v in (t is is c led l i ).

Freeze (Ablate) When occlusion is confirmed, the doctor introduces cold energy into the balloon. The cold energy freezes the tissue where the balloon touches the opening of the pulmonary vein. This scars the tissue, stopping the transmission of electrical signals that cause atrial fibrillation. Freeze (Ablate) hen occlusion is confir ed, the doctor introduces cold energy into the balloon. The cold energy freezes the tissue where the balloon touches the opening of the pul onary vein. This scars the tissue, stopping the trans ission of electrical signals that cause atrial fibrillation. Freeze ( blate) hen occlusion is confir ed, the doctor introduces cold energy into the balloon. he cold energy freezes the tissue here the balloon touches the opening of the pul onary vein. his scars the tissue, stopping the trans ission of electrical signals that cause atrial fibrillation. Freeze ( blate) hen occlusion is confir ed, the doc or introduces c ld energy into the balloon. The cold energy freezes the tiss e here t alloon touc the opening o he p lmo ry vein. is sc rs t ti sue, stopping the transmission of electric l signals that cause atrial fibrillation.

Cryoablation alleviates AFib symptoms such as: • Shortness of breath • Fatigue • Generalized weakness • Trouble breathing when lying prone

For more information, contact the NCH Heart Institute at (239) 624-4200.

Robert Grossman, MD Joins NCH General Surgery Department NCH is proud to welcome Robert Grossman,

Robotic and laparoscopic benign and malignant stomach and esophagus procedures: • Achalasia General and specialized surgeries offered by Dr. Grossman include: Robotic and laparoscopic benign and malignant colon and rectal procedures: • Colon and rectal cancer • Diverticulitis • Rectal prolapse Robotic and laparoscopic Hernia Repair: • Inguinal hernia • Ventral and umbilical hernia • Incisional hernia • Abdominal wall reconstruction Robotic and laparoscopic spleen and adrenal surgery Bariatric and weight loss procedures Gastroparesis treatment General and emergency surgery (gallbladder, appendix, hernia, etc.) Median arcuate ligament syndrome treatment Sports hernia and athletic pubalgia • Hiatal hernia repair • Anti-reflux surgery • Gastroesophageal cancer

MD, to its general surgery physician staff. A highly trained and experienced surgeon, Dr. Grossman specializes in minimally invasive surgeries of the gastrointestinal tract and brings a wealth of training and expertise to the department. Born and raised as an only child in Miami, Dr. Grossman is the son of a retired plastic and reconstructive surgeon. He attended medical school at the University of Miami and completed his residency at Mount Sinai Medical Center in Miami Beach. “I received excellent training,” says Dr. Grossman, who exceeded the number of cases required to graduate three times over. He also completed a fellowship at George Washington University in Washington, DC, where he studied laparoscopic, robotic, and minimally invasive surgery. He was mentored by very highly regarded surgeons in the field, including Frederick Brody, MD and Vincent Obias, MD. “The things we can do now through tiny incisions are pretty incredible,” says Dr. Grossman. “The robot is a fantastic platform for the future of minimally invasive surgery, offering full-wristed movements that allows for more finesse.” That finesse of movement lends itself well to robotic and laparoscopic surgeries for the removal of benign and malignant lesions of the stomach, colon and rectum. Dr. Grossman also uses his surgical skills to repair hiatal hernias and to reconstruct abdominal walls, as well as to repair abnormalities that cause reflux disease. “And, I have an almost pain-free laparoscopic or robotic technique that has great outcomes for the repair of abdominal wall – or ventral – hernias called the Rives-Stoppa technique,” explains Dr. Grossman. Dr. Grossman also performs other surgeries including decompression of the celiac artery that causes median arcuate ligament syndrome,

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otherwise known as celiac artery compression syndrome – a relatively rare abdominal disorder – as well as gastric electrical stimulation for gastroparesis. He also works with Dr. Wesley Dailey, NCH general surgeon, in performing bariatric sleeve and gastric bypass surgeries. Striving to be an excellent surgeon is not the only trait Dr. Grossman recognizes as being important. “Staying humble is important in all aspects of life,” states Dr. Grossman, “everyone deserves respect and everyone has a purpose.” Treating others with respect comes naturally to Dr. Grossman because he recognizes its importance in the treatment of disease. “We must treat the patient not only the patient’s disease,” he explains. “Doctors have to address the patient as a whole and communicate with him/her and the concerned family members.” When he is not seeing patients or performing surgery, Dr. Grossman enjoys working out and

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reading. He hopes to use his expertise and passion to better serve the southwest Florida community. For more information, or to schedule an appointment with Dr. Robert Grossman at NCH Physician Group General Surgery, call (239) 624-4650 Secret to Optimal Recovery After Joint Replacement Surgery Is Pre-Surgical Planning

Jennifer Miller

The numbers are staggering. It is projected that by 2023, 4 million total joint replacements will be performed annually nationwide. Taking the appropriate steps before and after elective joint replacement surgery will optimize recovery and decrease stress and anxiety. One step patients can take to maximize their recovery is to stop smoking before surgery. Smoking inhibits the healing process, and being smoke-free a minimum of six weeks prior to surgery will decrease the risk of complications. Additionally,

According to NCH physical therapist Sara Baldwin, patients should increase walking, do exercises in the pool, ride a bicycle, or perform physical exercises at a facility with a trainer or at home to increase endurance and flexibility before joint replacement surgery. Baldwin says that after surgery, pain medication will be prescribed and should be taken before post-surgery physical therapy visits. For swelling that may last up to six months, cold therapy using ice is effective, she explains. Suzanne Graziano, Nursing Director of Medical-Surgical Units at NCH Downtown Baker Hospital says it’s important to prepare your home environment too. “We will provide outstanding care while you are at NCH, but you need to plan for your first few days at home. Once you are discharged, have a support system in place - someone who is a phone call away or who can stay with you the first couple of days,” Graziano advises. “Prepare and freeze meals, stock up on nutritious, quick foods or use a food shopping service. Install a safety grab bar and a shower stool and use a raised commode if needed. Remove throw rugs when possible, and clear your living area of obstacles.”

even moderate amounts of alcohol can weaken the immune system, slow recovery, and can lead to surgical complications and bleeding. Refraining from alcohol use for 2 weeks prior to elective surgery is strongly recommended to decrease these risks, as well as the potential for alcohol withdrawal symptoms following surgery. “Do your best to maintain a healthy weight,” advises Jennifer Miller, RN, surgery, follow a diet that ensures you get the right balance of proteins and vegetables; a good balance of nutrients and controlled blood sugar levels aid the healing process and decreases complications,” she adds. Take care of dental issues before joint replacement surgery; bacteria from dental problems can enter the blood stream, leading to prosthetic joint infections. It is important to communicate about your new prosthetic joint to your dentist, as antibiotics will generally be required prior to any future dental procedures. Miller teaches a two-hour pre-surgery class that patients should attend before their surgery date. In the class, patients learn about preparations for surgery, expectations about the hospital stay and discharge information. Total Joint Coordinator at NCH. “Pre and post-

How to optimize recovery after joint replacement surgery After surgery: • Have a support system ready after discharge • Use ice as directed to reduce swelling

Before surgery: • Avoid smoking and alcohol use • Maintain a healthy weight • Eat nutritious and balanced meals • Attend the pre-surgery class • Increase walking, do water exercises, ride a bicycle • Prepare quick and easy meals to freeze • Clear your home of obstacles • Install safety devices in shower and bathroom

• Follow the prescribed physical therapy plan • Take prescribed pain medication,especially before physical therapy visits • Keep a positive outlook

“Before surgery, stay as active as you can without causing more discomfort to your joints,” advises Miller. “Upper body strength will also be important as all patients will use a walker after surgery and doing normal movements like getting in and out of bed may take more strength than usual. And, keeping a positive mind-set and focus will aid in the healing process.”

For more information, contact Jennifer Miller, NCH Total Joint Coordinator at (239) 624-3998 or email Jennifer.Miller3@nchmd.org

March is Colorectal Cancer Awareness Month

Colorectal cancer is the second-leading cause of cancer death in the United States. But, screening can and does save lives. About 90% of people live five or more years when their colorectal cancer is found early through testing.

adenomatous polyps should be screened more often. A colonoscopy remains the best test to detect colorectal cancers before they start causing symptoms. The test also allows for the immediate removal of polyps or other abnormal tissues before they have a chance to morph into deadly cancers. “Prep is the most important part of the colonoscopy,” Dr. Suryawala says. “The cleaner the colon, the better the exam.” Colonoscopy preparations are available in different volumes and are very effective in cleansing the colon. The choice of preparation is usually selected based on the individual’s medical history and preference. For individuals for whom the colonoscopy is not an option for whatever reason, a fecal occult blood test (FOBT) or fecal immunochemical test (FIT) may be ordered instead of colonoscopy. However, these tests are not nearly as accurate as the “eyes-on” examination that colonoscopy allows. Although the causes of colon cancer are still unknown, risk may be reduced by eating a diet high in fruits and vegetables, being physically active, maintaining a normal body mass index (BMI) and avoiding smoking and heavy alcohol intake. It is important to note that these measures do not replace screening.

Dr. Kunal Suryawala

“It is one of the preventable cancers,” says Kunal Suryawala, MD, one of five physicians with NCH Physician Group’s Gastroenterology department. “We can screen for it, and the tests really help reduce the incidence and mortality rates from colorectal cancer. We can save more than half of the people who get it by finding it early through screening.” In early stages, colorectal cancer does not have any symptoms. That is one reason why 1 in 3 adults between 50 and 75 do not get tested as recommended. Most guidelines recommend screening starting at the age of 50 years old in average risk individuals, and every ten years thereafter if no issues are found. However, the new recommendation from the American Cancer Society has decreased the recommended age for first screening to 45 for average-risk individuals. Patients with a personal or family history of colon cancer or

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control Prevention

For more information, or to make an appointment for colorectal cancer screening, call the NCH Physician Group Gastroenterology offices at (239) 624-8070. The office is located 1285 Creekside Blvd. East, Suite 102, in Naples.

surgical suites and other NCH facilities. NCH lab utilizes state of the art laboratory equipment including an Automation line to achieve improved quality and rapid results. They are proud of their TAT (Turnaround Time) for ED STAT Creatinine—averaging 20 minutes from receiving the specimen in lab to reporting results. The lab also performs cardiac enzyme testing and coagulation testing for patients on Coumadin or Heparin therapy. They identify abnormal cells that can cause leukemia and other blood diseases in the Hematology lab. In the Pathology/Histology lab, they process surgical specimens (biopsies, resections, fluids) to rule out, diagnose, and stage cancer and other abnormalities. In the robust Blood Bank/Transfusion Services lab they perform blood typing and cross match testing, and provide all blood products for SAFE transfusion for Emergency Department, Oncology, Infusion, Pediatric and Newborn, Cardiac, General Surgery and hospital inpatient populations. Microbiology Medical Technologists diagnose infections and perform antibiotic sensitivity testing to let the doctor know best treatment for the patient’s infection. The lab also performs molecular PCR testing for rapid diagnosis of infections in less than an hour—the right diagnosis, in the right time, right NOW! Batya Levy, NCH Laboratory System Director and Medical Technologist certified by the American Medical Technologists, oversees the daily operations of the lab. Batya and her team work hard to achieve timely, accurate results and make the experience for patients as pleasant as possible.

TheNCHLabHas aCritical Mission L-R: Ryann Lilli, Medical Technologist, Batya Levy, Laboratory System Director, Marlene Clark, Laboratory Manager, Janet Magee, Medical Technologist, set-up the Lab at the new NCH Healthcare Bonita facility.

“Without the lab, you’reonlyguessing,” isaproud reminder of the importance of NCH’s 180 clinical lab colleagues including medical and histology technologists, lab assistants/phlebotomists, and eight pathologists (physicians). NCH’s lab mission-critical colleagues last year: • Drew 170,924 lab specimens on hospital inpatients and more than 50,000 lab specimens on outpatients at various NCH • Transfused 14,796 blood products, which included 10,291 Packed RBCs (separated red blood cells) • Set up and worked up 82,558 various cultures—blood, tissue, urine, throat, wound, stool, CSF (cerebrospinal fluid Physician Group locations. • Performed 2,044,239 tests

analysis), AFB (acid-fast bacilli) in addition to completing 5,417 Antigen testing for Rapid Diagnostics. • Performed 9,703 PCR (Polymerase Chain Reaction) molecular tests for rapid diagnosis of infections and reported 16,000 automated bacterial identifications • Evaluated and analyzed specimens for 16,781 surgical and endoscopy cases An estimated 70% of medical decisions regarding a patient diagnosis and treatment, hospital admission and discharge are based on laboratory results. Our NCHHospital Laboratory System accredited by the College of American Pathologists (CAP), operates 24/7, reporting normal and abnormal results for patients from the Emergency Department, hospital floors,

You can visit www.nchmd.org/services/all-services/laboratory for more information about NCH Lab services.

NCH and the NCH Physician Group

Academic Internal Medicine Clinic Charles Graeber, MD

Internal Medicine Susan Best, DO Elisabeth Broderick, MD

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Giuseppe Guaitoli, MD Larry Kohn, MD David Linz, MD Pedro Martin, MD Bryan Murphey, MD Gregory Rubin, DO Robert Sadaty, MD Joseph Stafford, MD Tracy Walsh, MD David C. White, MD Alejandrina Montas, PA-C Victoria Wadsworth, APRN Orthopedic Surgery Christopher Adams, MD Richard de Asla, MD Jon S. Dounchis, MD Howard J. Kapp, MD Scott Thompson, MD Pain Medicine Magid Al-Kimawi, MD Palliative Care Elizabeth Brawner, MD

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Behavioral Health Brandon Madia, DO

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Cardiology David Axline, MD

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Venkata Yerramilli, MD Michelle Clark, APRN Sarah Lindsay, APRN Cindi Lukacs, APRN Angela B. Morales, PA-C

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Carlo Santos-Ocampo, MD Maurice Schneider, MD Dinesh Sharma, MD Herman Spilker, MD David A. Stone, MD Hillary Tassin, MD Silvio C. Travalia, MD Shona Velamakanni, MD

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Rajeev Prabakaran, MD Kunal Suryawala, MD

Cardiovascular Surgeons Stephen D’Orazio, MD

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Heather Paris, PA

Robert Pascotto, MD Brian Solomon, MD

Pulmonary, Critical Care & Sleep Medicine Cartrell Cross, MD

Aubrey Fulton, APRN

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General Surgery Wesley Dailey, MD Robert Grossman, MD David Lamon, MD Luigi Querusio, MD Geriatrics Joseph Bandeira, MD Infectious Disease Gary A. Bergen, MD Vato Bochorishvili, MD

Center for Breast Health Sharla Gayle Patterson, MD Concierge Medicine Robert E. Hanson, MD

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Jesse H. Haven, MD Julie Southmayd, MD Endocrinology Victor Luna, MD Valeriu Neagu, MD

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Janice King, APRN Family Medicine Andrew M. Bernstein, DO

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Urology Marc Colton, MD

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Miguel Madariaga, MD

For an appointment with a physician, please call (239) 624-8106 Consult with a healthcare provider 24/7 from anywhere in Florida for only $45, visit NCHmd.org/VirtualCare to start your treatment.

NCH Baker Hospital Downtown NCH Downtown Naples Hospital: 624-5000 Academic Internal Medicine Clinic: 624-0940 Business/Occupational Health: 624-4630 Community Blood Center: 624-4120 Dr. John N. Briggs Wellness Center: 624-2750 Emergency Department: 624-2700 NCH Heart Institute: 624-4200 NCH Imaging: 624-4443 Outpatient Cardiac Rehabilitation: 624-1680 Outpatient Infusion Services: 624-4370 Outpatient Oncology Navigator: 624-4988 Outpatient Rehabilitation Center: 624-1600 Palliative Care Clinic: 624-8490 vonArx Diabetes & Nutrition Health Center: 624-3450 NCH North Naples Hospital Campus NCH North Naples Hospital: 624-5000 Emergency Department: 624-9199 Center For Breast Health: 624-8120 NCH Imaging: 624-4443 NCHWound Healing Center: 624-0630 Outpatient Pulmonary Rehabilitation: 624-6800 Pediatric Emergency Department: 624-5000 The BirthPlace: 642-6110 The Brookdale Center: 624-5722 NCH Marco Island Campus Marco Urgent Care Center: 624-8540 Outpatient Cardiac Rehabilitation: 624-8590 Outpatient Pulmonary Rehabilitation: 624-8595 Outpatient Rehabilitation Center: 624-8580 NCH Healthcare Bonita Emergency Department: 624-6900 NCH Imaging: 624-4443 NCH Healthcare Northeast Emergency Department: 624-8700 Outpatient Rehabilitation Center: 624-8790 NCH Imaging: 624-4443 NCH Healthcare Southeast NCH Immediate Care: 624-8220 NCH Sleep Center: 624-8220 Outpatient Rehabilitation Center: 624-1900 NCH Imaging: 624-4443 NCH Imaging: 624-4443 NCHWound Healing Center: 624-0650 NCH Central Campus: 513-7144 White Elephant Thrift Store: 624-6690 Outpatient Rehabilitation Center: 624-6820 WhitakerWellness Center: 624-6870

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Outpatient Rehabilitation Center: 624-8050

Outpatient Rehabilitation Center: 624-0970

NCHWound Healing Center: 642-0900 Bonita Community Health Center: 949-1050

NCH Immediate Care: 624-8220

Marco Island

NCH I magin g: 624-4443

For information on any of the NCH Healthcare System services, please call 624-1999 or visit us online at www.NCHmd.org

NCHWound Healing Center: 642-0630 Outpatient Rehabilitation Center: 624-0380 NCHHeart Institute: 624-1000 Outpatient Cardiac Rehabilitation: 624-1080 NCH Immediate Care: 624-1050

The NCH Health Matters is a bi-monthly publication of the NCH Healthcare System. Every effort is made to ensure information published is accurate and current. NCH cannot be held responsible for any consequences resulting from omissions or errors. NCH Healthcare System, 350 7th Street North, Naples, FL 34102, Telephone: (239) 624-5000, www.nchmd.org

Healthcare Bonita

24040 S. Tamiami Trail Bonita Springs Two blocks south of Coconut Point on US 41 Now Open

Coconut Rd. Coconut Point Mall

Quality Healthcare Close to Home in Bonita Springs & Estero We are happy to ensure that the residents of south Lee County have more choices for quality healthcare close to home. NCH Healthcare Bonita features a 24/7 emergency department and outpatient imaging on the first floor. Outpatient surgical and endoscopy services as well as NCH Physician Group primary care physicians are located on the second floor.

Pelican Colony Blvd.

Services Include: 24/7 Emergency Department • Outpatient Imaging • Outpatient Surgery Endoscopy • Internal Medicine Physicians • Family Medicine Physicians

NCHmd.org

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