The latest news on the health and wellness issues that matter most • September 2020 HealthMatters
After Your MAMMOGRAM : Understanding Your RESULTS
A screening mammogram is used to check for breast cancer in women who have no signs or symptoms of the disease. It is a series of images of breast tissue made by low radiation-ray beams. “The results can help find beast cancer one to three years before a lump can actually be felt in the breast, therefore being one of the most effective ways to find and treat beast cancer early,” says Dr. Priyanka Handa, MD, Director of Breast Imaging at NCH Imaging Centers. Results of mammograms will be explained by your physician, but be sure to ask questions if you don’t understand what you are told. Here is some information below that will help you.
can help detect additional cancers in women with dense breast tissue with no cancer detected on mammogram. My mammogram described my breasts as being “heterogeneously dense, which may obscure small masses.” What does this mean? This means that you have moderately dense tissue. This is common and no cause for concern. Sometimes dense tissue can make it harder to accurately read a mammogram. Luckily, the newest 3D mammography technology has been FDA approved as superior for women with dense breasts, therefore improving accuracy. NCH Imaging Centers offer digital 3D mammogram, which allows physicians to examine breast tissue layer by layer. So instead of viewing the breast tissue in one flat image, the radiologist can examine the tissue one “slice” at a time reducing callbacks by up to 40%. “3D mammography is the only method proven to find 20-65% more invasive breast cancers compared to 2D alone, an average increase of 41%,” says Dr. Handa. “NCH Imaging has cut the radiation dose of a typical 3D mammogram in half, while maintaining excellent diagnostic accuracy.”
The rating system
Only a doctor (radiologist) can interpret a mammogram. The technologist who gives the test can’t tell you the results. They also can’t discuss what they are looking at while doing the exam. Radiologists look for problems in the images. Then they take this information and sum it up in one number (score) when they send their findings to your healthcare provider. Your mammogram results will be given a number of 0 through 6. This rating system is known as the Breast Imaging Reporting and Data System (BI-RADS). This system makes accurate communication and follow-up after the tests much easier. Your healthcare provider will talk with you about your mammogram’s category and what, if anything you need to do next.
Priyanka Handa, MD
BI-RADS Breast density report
Your report will also include a description of how much fibrous and glandular tissue is in your beasts, as opposed to fatty tissue. This is called breast density. The denser your breasts, the harder it can be to see abnormal areas on mammograms. Having dense breasts is very common. BI-RADS classifies breast density into 4 groups: 1. Breasts that are almost all fatty tissue (easiest to detect cancer on mammogram) 2. Breasts with scattered areas of dense tissue (fairly easy to detect cancer on mammogram) 3. Breasts made of more glandular and fibrous tissue, making it difficult to see small tumors 4. Breasts that are extremely dense, making it difficult to see tumors in tissue If you have dense breast tissue, talk with your healthcare provider about what this means for you. Be sure that they know your health history. Also tell them if you know of anything in your history that increases your risk for breast cancer. Supplemental whole breast screening ultrasound ($240 out-of- pocket expense, rarely covered by health insurance in Florida)
What happens if my mammogram results are abnormal?
“You did the right thing and got a mammogram,” says Dr. Handa. “But something suspicious has been found and you’ve got to come back for more testing. Getting called after a screening mammogram to get additional testing is fairly common and doesn’t mean you have breast cancer,” she explains. For most women, more mammogram views or ultrasounds will help clarify something that was seen on the screening mammogram, and most initial results will be benign. If further tests show that the mass is solid, your physician radiologist will advise a biopsy, which is a procedure in which small pieces of breast tissue are sent to the lab to check for cancer. “As you age, your chances of getting breast cancer increase,” says Dr. Handa. The American Cancer Society recommends yearly mammogram screenings for all women at age 40. “Although mammograms are a very effective way to detect cancer, they cannot detect all breast cancer. If you notice a change in your breast, such as a lump, skin changes, nipple changes or discharge, call you physician right away,” stresses Dr. Handa.
Making sense of it all
There are 6 categories for breast imaging results:
0: Your mammogram is still incomplete. More information or imaging is needed to assign a true score. Sometimes magnification (or zoomed-in) views are necessary to characterize what was initially seen. 1: This means your mammogram is negative. No signs of cancer were found. You should continue to have routine screenings. 2: This also means your mammogram is normal with no apparent cancer. But it means other non-cancerous (benign) findings such as cysts were found. You should continue routine screenings. 3: This score can only be given at a diagnostic mammogram. After additional imaging, it means your mammogram is probably normal and the findings are most likely benign and does not yet warrant a biopsy. There is a very small (2%) chance of early and unlikely to spread breast cancer. You will likely need a follow-up mammogram in 6 months to ensure stability. 4: This means the findings are suspicious. Your provider may advise that you should have a biopsy (tissue sampling). 5: The findings mean you are likely to have cancer. A biopsy is strongly advised to guide treatment. 6: This means you have already been diagnosed with breast cancer by tissue sampling (biopsy) and the pathologist has confirmed the diagnosis.
NCH Imaging 5 convenient locations to serve you
NCH Imaging – Ninth Street
311 9th Street N., #104, Naples
NCH Imaging – Bonita
24040 S. Tamiami Trail, Bonita Springs 800 Goodlette Rd., #230, Naples
NCH Imaging – Goodlette Rd. NCH Imaging – Medical Blvd. NCH Imaging – Southeast
1715 Medical Blvd., Naples 7717 Collier Blvd., Naples
To make an appointment for your Mammogram call NCH Imaging Centralized Scheduling at (239) 624-4443
NCH Baker Downtown Hospital Emergency Department Renovation Project
In keeping with the focus of always putting patient care first, NCH is in the process of renovating the NCH Baker Hospital Emergency Department. The fifth part of NCH’s ED Project construction is phased to ensure uninterrupted emergency services and should be completed by 2021. NCH Baker Hospital Emergency Department last witnessed renovations over 20 years ago. In 2019, 102 board-certified emergency medicine physicians, advanced practice clinicians, registered nurses, and ancillary staff specialized in emergency care, cared for more than 38,000 visitors. The NCH emergency departments’ modernization project was initiated in 2014 with the renovation of the Emergency Department at North Naples Hospital in 2014. NCH opened the first and only freestanding Emergency Department in Collier County, NCH Healthcare Northeast in 2015, and opened the first and only Pediatric Emergency Department in Collier County in 2016. In December 2018, NCH opened the freestanding Emergency Department, NCH Healthcare Bonita, in south Lee County. The NCH Baker Hospital Emergency Department project includes renovation of the existing 27,600 square-foot space, along with a 19,300 square-foot, two-story
expansion. As part of the renovation and expansion, the first-floor Observation Unit will be relocated to the new-second floor space. The current patient capacity of 32 (a mixture of bays and private beds) will be increased to 43 new private exam rooms and three lean-care chairs, along with a patient observation area increase from 18 bays to 24 (18 private exam rooms and six patient bays). Six resuscitation rooms with specialized equipment for acute, critical care of heart attacks, strokes and trauma will be incorporated. The new design focuses on our senior population, with improved patient privacy, comfortable family access areas, enhanced lighting, noise reduction, non-slip flooring and clearly defined way-finding. The new lean-design model supports a more efficient workflow to achieve greater throughput and higher levels of patient satisfaction. For more than 60 years, NCH has continuously evolved and enhanced its services to meet the needs of those it serves. The new innovative NCH Baker Hospital ED facility will provide efficient, emergency care and expanded access to our nationally recognized stroke and cardiac programs - all within 10 miles or less for most residents of Collier and southern Lee counties.
Medication Safety
An estimated 71,000 children (18 years old or younger) are seen in emergency departments each year because of unintentional medication poisonings (excluding recreational drug use). Most of these visits (over 80%) were because an unsupervised child found and consumed the medication without adult supervision. Children less than 5 years old are twice as likely as older children to be taken to the emergency department for an adverse drug event, and one out of every 180 two-year-olds visits an emergency
department for a medication poisoning annually. Pre-school age children can be seriously harmed if they get into medicines when no adult is watching. Finding and eating or drinking medicines on their own, without adult supervision is the #1 cause of emergency visits for adverse drug events among children less than 5 years old. An estimated 53,000 children less than 5 years old are brought to emergency departments each year because of unsupervised ingestions.
Medication Safety Tips : ✚ Never leave children alone withmedicines. If you are giving or takingmedicine and you have to do something else, such as answer the phone, take the medicine with you. ✚ Do not leave medicines out after using them. Store them in medicine cabinets or other childproof cabinets that young children cannot reach. ✚ When purchasingmedicines for young children, check tomake sure they are in child-resistant packaging that you are comfortable using. ✚ Put the Florida Poison Information Center phone number, 1-800-222-1222, on or near every home telephone and save it on your cell phone.
Visit NCH Safe & Healthy Children's Coalition at www.safehealthychildren.org for more information.
The NCHMacDonald Pediatric Emergency Department is located at North Naples Hospital, 11190 Health Park Blvd ., phone (239) 624-6100
How Men Can Get Healthier
Stacy Gazan, APRN
Marc D. Colton, M.D.
A new program at NCH is taking a broad, holistic view helping men improve their health and increase vitality. NCH’s Men’s Health and Vitality program was created to help men who may struggle with the problem of low testosterone. Marc D. Colton, M.D., Director of Urology for NCH Physician Group, heads up the program, together with Stacy Gazan, APRN, Specialist in Men’s Health and Sexual Medicine. “We take a more comprehensive, integrative approach,” says Colton. “Many of our patients have multiple issues, so we want to be sure to address them all. We want to personalize and individualize their care.” Many men suffer from low testosterone, a condition that is relatively common and can have far-reaching effects. Recent research shows that one in four men over age 30 has low testosterone, though most of them will not develop any symptoms. Testosterone is a hormone that helps govern sperm production and sex drive as well as building muscle and bone mass. The symptoms of low testosterone can include any or all of these: • Erectile dysfunction . Low levels of this hormone can contribute to a man’s inability to keep and maintain an erection. Many other conditions, such as alcoholism, diabetes and high blood pressure, can also interfere with erectile function. • Low sex drive . While many men experience a decrease in sex drive as they age, a low testosterone level can cause a dramatic drop-off.
help boost health as well. For one thing, he requires the men in his care to start using an activity tracker, such as a FitBit. It’s never been easier to track your activity: iPhones now have activity trackers installed automatically, and there is certainly no shortage of apps to help. It’s important to track your activity so you know you are getting the recommended 150 minutes a week of moderate activity. Exercise is well known to have a positive effect on physical, as well as mental, health. The NCHWellness Centers, with classes, personal trainers, and a multitude of equipment for stretching, strengthening, and cardio, are a great place to start an exercise program. Apps can help patients track what they eat and how much they move. Colton also recommends starting a meditation practice, beginning with five minutes a day. “I’m pretty inspirational,” he says. “I can get guys on the right path on my own.” If you are curious about trying it, look for a class around town, possibly at a yoga studio. If patients need outside help, Colton has a cadre of other health practitioners he can refer to for counseling, stress management, a nutritionist or bariatric surgery for severe overweight. Colton is confident that his multidisciplinary approach is the way to go. “If you just treat someone with Viagra or testosterone replacement, it’s like putting a Band- Aid on a gaping wound,” he says. Gazan adds: “By having this holistic approach, and having patients incorporate diet and lifestyle modifications, it will also optimize the medical treatments that we may offer them.”
• Loss of energy . A common symptom of low testosterone is fatigue, which may manifest as having no desire to exercise, and being sleepy despite getting enough sleep. • Decreased muscle mass . Men with low testosterone levels may notice their muscles shrinking, even if their strength is not decreasing. • Increased body fat . Men with low hormone levels may see their fat stores growing, especially around the breast area. • Decreased bone mass . Because testosterone affects bone production, the loss of it may bring about thinning bones and an increased likelihood of fractures. • Memory problems . Although many people notice a dulling of memory as they age, a low testosterone level can affect memory dramatically. Patients who come to the center for treatment will have their testosterone and other blood levels measured. Although some may need to be put on testosterone therapy or another medicine, Colton emphasizes that there are many other factors that can
• Hair loss . Because testosterone contributes to hair growth, a decrease in it may cause a loss of hair.
For more information about NCH’s Program for Men’s Health and Vitality, or to make an appointment, call the office of Dr. Colton at (239) 624-1160
A new treatment for arthritic knees may ease pain and restore movement By Jean Amodea
I f you suffer from arthritis of the knee – you may already know that the condition is not “fixable.” However, there are a number of treatments available that can ease the pain and discomfort of this common condition. According to Gregory Rubin, DO, board-certified in sports medicine, common first-line treatments include weight loss, over-the-counter pain relievers such as ibuprofen and acetaminophen, physical therapy, and – when necessary – corticosteroid injections. “We try to use them infrequently,” explained Dr. Rubin of the steroid treatments, “because some data shows it can actually thin some of the cartilage.” However, all hope is not lost for patients who have tried all of these treatment options without success. The field of viscosupplementation came about as a conservative treatment option approved for knees in patients who have had cortisone with diminishing effect," said Dr. Rubin. A gel-like substance called hyaluronic acid is injected into the knee
joint using ultrasound guidance, said Dr. Rubin. The gel acts as a lubricant around the joints for those with osteoarthritis whose hyaluronic acid has diminished, causing pain. Originally derived from a rooster's comb, now there is a synthetic version of hyaluronic acid.
Gregory Rubin, DO.
"Hyaluronic acid is typically produced in the knee and acts as a support structure,” explained Dr. Rubin. “Some studies have found it helps support the cartilage itself. We know its volume, and in arthritic knees, the number of hyaluronic particles goes down and changes to a different form. Viscosupplementation provides the knee joint with good, healthy hyaluronic acid to pick up the slack of these functions." The challenge with viscosupplementation, said Dr. Rubin, is to mimic as close as possible what normal hyaluronic acid looks like. Many brands are different as far as weight and viscosity, and its use is based on the individual needs of each patient. Injections may be administered every six months, and aftercare is minimal; there may be soreness at the injection site for 24 hours. In rare cases, some brands of hyaluronic acid can cause an inflammatory response that could almost mimic an infection. "Outcomes are mixed,” said Dr. Rubin, “but some patients do wonderfully. It's a safe alternative, and it may give long-term benefits of pain relief.”
• Relief of arthritic symptoms • More movement in the knee joint • Provides the ability to resume normal activities Benefits of viscosupplementation injections
• Over-the-counter pain relievers • Physical therapy • Corticosteroid injections • Weight Loss • Viscosupplementation Typical Non-Surgical Treatments for arthritis of the knee
For more information, or to make an appointment, contact Dr. Gregory Rubin, DO at (239) 624-0310 or visit NCH Orthopedics , 1285 Creekside Blvd. East, Unit 102, Naples
For the Children – Two Pediatricians Join the NCH Family BY LANCE SHEARER BOTH DR. SHUSTER AND DR. VEDELLA ARE ACCEPTING NEW PATIENTS
If you live in the northern part of Collier County, NCH Physician Group has recently added two skilled pediatricians at two locations, and they’re ready to handle all your children’s medical needs. At NCH Northeast on Collier Blvd., Dr. Whitney Vedella, MD is accepting new patients. With a background in helping underserved populations, she has treated a wide variety of pediatric ailments in diverse conditions. She volunteered full-time
medical school, Dr. Shuster was headed for a career in general medicine until a rotation in the pediatrics department opened his eyes to his true passion.
for a year in a community health clinic in Washington, DC, established a system for enrolling uninsured or underinsured patients into patient assistance programs, and provided pediatric care to members of the Onondaga Nation in upstate New York.
“It’s great getting to people while they’re young,” he said. “Hopefully, you can influence
them to adopt healthy lifestyles.” Both Dr. Shuster and Dr. Vedella stressed the convenience they can provide to patient families, with quick, sometimes same-day appointments available, and virtual as well as in-person visits as an option.
Dr. Vedella is board-certified in pediatrics and, through the American Heart Association, pediatric advanced life support. She earned her medical degree at American University of the Caribbean School of Medicine, her bachelor of science, cum laude, at Salisbury University, and served her internship and residency at SUNY Upstate Medical University in Syracuse, New York. She has two small children of her own, and said with a laugh, “I am the oldest of five children myself. I’ve been taking care of kids all my life.” At the NCH Physician Group center on Veterans Park Drive off Immokalee Rd., Dr. Paul Shuster, MD, has joined the staff to augment the services of the two existing pediatricians, Dr. Danielle Silva and Dr. Tali Wojnowich. A fellow of the American Academy of Pediatrics, Dr. Shuster has worked as a pediatric emergency physician, and served as chairman of the Dept. of Pediatrics at Washington County Hospital in Hagerstown, Maryland. He earned his bachelor of science, cum laude, at American University, and his doctor of medicine degree at the University of Maryland School of Medicine, where he served his internship and residency at the UM Hospital for Children. With two sons of his own and two stepsons, including one preparing to apply to
Whitney Vedella, MD
Paul Shuster, MD
To schedule an appointment with Dr. Vedella call (239) 624-0600 To schedule an appointment with Dr. Schuster call (239) 624-0570
Project Search
- NCH internship program provides job opportunities for developmentally disabled high school grads
GRN, who serves as Clinical Educator, Neuro and Behavioral Science Service Line, and Project Search Business Liaison. “We give them a start - a jumping platform - to progress, with the reward of gaining a job or full-time employment.” According to Fletcher, three of the 11 graduates have been hired by NCH, and the remaining eight have been hired by other organizations within the community. Trey works part-time with Sodexo, and Caleb is a per-diem hire in the central distribution office. Both graduates average 20 to 25 hours each week. Integral in the training of the students are the Exceptional Student Education Teachers (ESET) and job coaches. "Annual skill-testing – a simulated experience of the different tasks they will be performing – determines program entry," said Kim Kaye, ESET. Once approved for participation in Project Search, interns work about six hours each day, and are mentored by NCH staff in 12 departments, such as central distribution, linen management, sterile processing, maintenance, or engineering. Ruth Karaczun, a job skills coach, partners with Nicole Cholka, ESET, to create ways to teach skills using diagrams, checklists, or pictures. Then, interns work with their mentors to perform a job function. Each department has
By Jean Amodea NCH is extending its reach into the community, providing meaningful employment training to Collier County public school students aged 18- 21 with intellectual and developmental disabilities. Eligible students have completed high school graduation requirements are offered the opportunity to enter Project Search, a one-year job-training program. The program, now in its second year, has experienced a 100 percent success
❝ We are so proud at the district about the career and life readiness program that supports the concept that even though a student is not college-bound, success can be attained within transition programs. ❞ Nicole Spencer, Coordinator for Exceptional Education
hard and soft skill sets that help to prepare interns to
and Student Support Services, Collier County Public Schools
transfer their learned skills to a job at NCH, or elsewhere in the community. "The three-rotation internship in the fall, winter and spring lasts about 12 weeks and is based on student interests and skill levels,” explained Cholka. “Interns switch departments, building skills in each department.” An hour of classroom time each day focuses on employability skills and is followed by a five-hour workday. Afterward, they meet with their mentors for 30 minutes to review problems, challenges, and to set goals for the next day. In an effort to foster independence, punctuality, and responsibility, all interns must access public transportation and find their way, just as in a real job, said Cholka. By the program's end, students have a resume, portfolio, and undergo mock interviews. NCH guest speakers and various employees address the interns about workplace topics. Kaye says that interns are being evaluated and assessed every day. Three times each year, teachers hold employment planning meetings to review progress, strengths, growth, and accountability.
Photo: provided by NCH
rate thus far, with each intern gainfully employed; five interns the first year, and six last year. "Upon graduation from the program, they get a Project Search diploma and their high school diploma,” explained Lisa Fletcher, MSN, NPD-BC,
Project Search benefits to NCH
Project Search benefits to student interns
★ Interns complete jobs that employees may not get to ★ NCH has access to a labor pool to accomplish a variety of labor needs ★ NCH is supporting and investing in the community ★ NCH has the opportunity to hire potential employees ★ Department mentors have a sense of accomplishment in assisting challenged youth to successful job training ★ Builds leadership skills among NCH staff/mentors. ★ Enriches team building and fosters collaboration between those of different skill and social levels
★ Learn skill training in punctuality, following directions, time management, organization, and in the use of verbal and email skills ★ Learn confidence building ★ Learn interview skills ★ Develop resumes and portfolios ★ Learn healthcare provider basic life support skills (AED, compressions, ventilations, Heartsaver)
For more information on Project Search, contact Lisa Fletcher, Project Search Business Liaison, at (239) 624-4170
NCH and the NCH Physician Group
● ● ● 5 ●● 3 6 13 15
● ● ● ● 16 19 3 2
Academic Internal Medicine Clinic Charles Graeber, MD
Leniesha Ferringon, MD Angeline Galiano, MD
David C. White, MD
Gianpietro Zampogna, MD Gina LaFountain, APRN Erica Staudinger, APRN Victoria Wadsworth, APRN
● ● ● ● 1 ● 1 1 1 1
Lirka Gonzalez-Rodriguez, MD
David Linz, MD
Karen Hiester, DO Brian Menichello, MD Monica Menichello, MD Samuel Parish, MD John Pennisi, DO Gilberto Riveron, MD Kathryn Tapper, MD Venkata Yerramilli, MD Adrian Zamora, MD Michelle Clark, APRN Sarah Lindsay, APRN
● ● ● ● 19 ● ● ● ● 5 ● ● ● ● 2 ● ● 6 19 ● ● ● ● ● ● ● ● 1 14 14 ● ● ● ● ● 2 ● ● ● ● ● ● 13 13 ● ● ● ● 16 15 1 19 ● ● ● ● ● ● ● 1 5 2 3 1 16 6 13 13 13 13 5 5 1 15 4 2 1 1 1 1 1 1 14 2 2 14 13 4
●● 5 16
Jeffrey Howland, MD Tracy Walsh, MD
Nephrology Shariq Ahmad, MD Neurosurgery Edison Valle, MD
Medical Resident Physicians
● 1
Allergy and Immunology Florina Neagu, MD Behavioral Health Brandon Madia, DO Esther Mugomba-Bird, APRN
● 19
● 1
● ● 1 1
Orthopedic Surgery Christopher Adams, MD
● ● ● 14 1 ● ● ● 14 ●● 14 1 18 ●● 14 14 14 4
Cardiology David Axline, MD Michael S. Flynn, MD Adam J. Frank, MD Bruce A. Gelinas, MD
Richard de Asla, MD
●●● 5 15 1 ●● ●●● ●●● ● 1 15 1 1 15 15 5 5
Herbert M. Bertram, MD Jon S. Dounchis, MD Howard J. Kapp, MD Gregory Rubin, DO
Cindi Lukacs, APRN Angela B. Morales, PA-C Alejandrina Montas, PA-C
● ● 1 ● ● ● ● ● ● 1 1 1 ● ● 2 2 ● ● ● ● 17 1 1 ● ● ● 1 ● ● ● 1 1 ● ● ● ● 2 2 13 13 17 20 20 15 1 1 1
KaitlinWalls, APRN
Larry Leslie, MD
Scott Thompson, MD Raisa Genao, APRN Pain Medicine Magid Al-Kimawi, MD Haroon Andar, DO Palliative Care Elizabeth Brawner, MD Ryan Perdzock, MD Pediatrics Paul Shuster, MD Danielle Silva, MD Whitney Vedella, MD Tali Wojnowich, MD 2
Gastroenterology & Hepatology Mazen Albeldawi, MD
Randolph Panetta, MD
●● ●● ●● ●● ●● 15 1 1 1 1 1 1 1 15 15 15 5
Tracey Roth, MD
● ● 14 14 ● ● ● ● 19 19 ● ● 5 19 1 1
Maged Bakr, MD
Samantha Sublette, MD Carlo Santos-Ocampo, MD Dinesh Sharma, MD Hillary Tassin, MD Silvio C. Travalia, MD Shona Velamakanni, MD
Anna Juncadella, MD
J. Ryan Obi, MD
Rajeev Prabakaran, MD Kunal Suryawala, MD
Heather Paris, PA
Aubrey Fulton, APRN General Surgery Robert Bailey, MD
Tara Louka, PA-C Caroline Shaw, PA-C
Cardiovascular Surgeons Stephen D’Orazio, MD
Wesley Dailey, MD
Robert Grossman, MD Luigi Querusio, MD
Robert Pascotto, MD Brian Solomon, MD
Pulmonary, Critical Care & Sleep Medicine Brenda Juan, MD
Christopher Staudinger, MD
Center for Breast Health Tran Ho, DO Sharla Gayle Patterson, MD Concierge Medicine Ruben Contreras, MD
● ● 1 ●● ●● ●● ●● 1 1 1 1 1 14
Infectious Disease Sergey Akimov, MD Gary A. Bergen, MD Vato Bochorishvili, MD Mark A. Brown, MD Miguel Madariaga, MD Rebecca Witherell, MD Internal Medicine Susan Best, DO Louis Dusseault, MD Giuseppe Guaitoli, MD Kim Hamilton, MD Jeffrey Howland, MD
Douglas Harrington, DO
Jose Herazo, MD
● ● ● ● ● ● 19 19 14 14 14 1 1 14 16
David H. Lindner, DO 1
Vinay Patel, MD Vishal Patel, DO
Rasai Ernst, MD
Mark Goldstein, MD Robert E. Hanson, MD Jesse H. Haven, MD Julie Southmayd, MD
Carl Ruthman, MD Gaja Shaughnessy, MD Gary Sporn, MD Jose Valle, MD Rheumatology Su Yien Zhaz MD Urology Marc Colton, MD Stacey Gazan, APRN Wound Care Reynald C. Allam, MD
●● 1 14
Gary Swain, MD
Endocrinology Victor Luna, MD Valeriu Neagu, MD
Larry Kohn, MD David Linz, MD
Michelle Nowak, APRN Family Medicine Andrew M. Bernstein, DO Christian O. Beskow, MD
Pedro Martin, MD Bryan Murphey, MD Mark Speake, MD Tracy Walsh, MD
●● 7 14
Jerry G. Best, MD Emily Essert, DO
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
1
11
4
15 10
2
2
5
75
12 17
1419 9
3
8
16 20 13
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
4
Naples
1
18
5
7
6
7 8 9
6
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
10 11 12 13 14
•
Outpatient Rehabilitation Center: 624-0970
NCHWound Healing Center: 642-0900 Bonita Community Health Center
NCH Immediate Care: 624-8220
NCH I magin g: 624-4443
NCHWound Healing Center: 642-0630 Outpatient Rehabilitation Center: 624-0380
Marco Island
15
NCHHeart Institute: 624-1000 Outpatient Cardiac Rehabilitation: 624-1080 NCH Immediate Care: 624-1050
3
For information on any of the NCH Healthcare System services, please call 624-1999 or visit us online at www.NCHmd.org
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
MASK WEAR A
THE LIFE YOU SAVE COULD BE YOUR CO-WORKER’S
To learn more about how NCH is keeping our staff, patients and community safe, visit nchmd.org/safety
Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8Made with FlippingBook Publishing Software