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sheet of brous tissuethatdevelops on the membrane trip totheeye doctorrevealed anepiretinal ing butnormal,dailyactivitiesdi cult. A vision problems that made not only sh- ment, Celmabeganexperiencingsome all back to the foundation.” won ve hundred dollars and just gave it .  eyear Iwonthetournament, my mother, whodiedofovarian cancerin Cancer Foundation, which is named for Ovarianment gototheCelmaMastry Master Angler in before. year thatI’veladies tournamentevery won Old Salt Fishing Foundation. We have a Gulf ofMexico. “I’m alsoamemberofthe says of a popular reef in the northeastern the Middle Grounds and sh,” Celma,, her and her siblings. Fishing, she says, just came naturally to outboardthat sells and services engines. operated aSt. Petersburg-based company and shing people.” kind of our family trade. We’re boating are for justwonderful shing. It’s really until Iwaseight,andthewatersthere in Belize,” Celmasays.“Ilived there that shing is her greatest passion. the water, itshouldcomeasnosurprise Hawaii. Given allthetimeshe’s spentnear “living away,” as she puts it, in Belize and T years, Celma’s familyhasowned and “Any chance I get, I love to go out to An epiretinal membraneisathin Not longafterwinningthattourna- “All theproceeds from thattourna- Indeed theyare. For more than “I rst started shing whenIlived Vision Vision Quest Quest Rene M. Reed, DC, DABCO, NMD The Silent Thief ofSight had developed on her retina. Get Back intheGame has alsospentsometime St. Petersburg, CelmaMastry most ofherlifelivingin hough shehas spent Cataract surgery brings theworld Shettle Eye Research, Inc. back into focus another eye issue recently did. rst experienced blank spots. and/or blankspotsinthevision.Celma can cause blurred vision, vision distorted macula, orcentralarea, oftheretina. It to have surgery. and they’re pretty ripe. You probably need ting betterbutsaid,You’ve gotcataracts me the macular issue was actually get- I went to my retina specialist. He told was gettingharder andharder tosee,so over my regular glasses. reason, soI’ve alwayswornsunglasses prescription sunglassesforwhatever difficult becauseInever gotapairof bright,andforme,thatwaswas very brighter than it was before. also noticed the sunshine was suddenly was like there were halos around them. I with lights at night,” Celma explains. “It havingall trouble of a sudden, I started because ofthemacularissueandthen, needs tobeaddressed surgically, but has not developed to a point where it macular issueever since. atissuestill specialist has been monitoring Celma’s began seeing a retina specialist. The As aresult ofherdiagnosis,Celma “No matterwhatIwasdoing,it “Even whenIwore sunglasses,it “I was already having the dark spots NATHAN R. EMERY, MD DENNIS RYCZEK, OD DAVID E. HALL, MD Physician by Phone Zimmer MedicalServices ” South Florida EyeSouth Florida Clinic Eye Laser Floater Quick, Easy and HemWell America Effective eyes and their suitability for surgery. exam toevaluate theoverall health oftheir we alwaysgive ourpatientsanextensive Dr. recalls. “As Emery ofourroutine, part patient of mine that she works with,” MD, ofPasadena Eye Centerashersurgeon. chose aftersheselectedNathan R.Emery, second eye corrected.  at’s theroute Celma one- ortwo-week break before havingthe one eye at a time, with the patient taking a the need for glasses of any kind. and reading orclose-upwork, eliminating IOLs thatcorrect visionforbothdistance monovision. Athird optionispremium corrected forreading, anoptioncalled eye xed for distancevisionandtheother ily fordistance.Patients canalsohave one cial lens isremoved and replaced with an arti- outpatient procedure inwhichthenatural be corrected quicklyandeasilythrough an slowly over anumberofyears, theycan reduction in color vibrancy. an increase insensitivitytolightanda both.  ey typically cause blurred vision, bers, aclumpingoftheeye’s proteins or a natural breakdown of the eye’s lens lenses known as cataracts from thenaturalcloudingofeyes’ cent ofpeopleandolderwillsuer older. Studies, in fact, show that  per- eventually a andects mosteveryone oftheagingprocess thatnatural part The development ofcataracts is a A Matter of Time “Celma wasreferred tomeby another is usually performed Cataract surgery Standard IOLscorrect visionprimar- Though cataractstendtodevelop Cataracts mostoftendevelop from intraocular lens O phthalmolgy The Eye of Institute West Florida I Can See Clearly NowI CanSeeClearly (see Vision, page4) Quest New Look, New Life Experiencing Foot Experiencing Summer 2019 FHCN SpecialReport Coastal JawCoastal Surgery , or IOL or Ankle Pain? or Ankle

Celma Mastry and . O . ptometry

Page 2 | Florida Health Care News | Summer 2019 | South Pinellas County Edition Erectile Dysfunction Get Back in the Game

Revolutionary acoustic wave therapy boosts sexual performance utside of being about four line of defense against erectile dysfunction, “It works like a little or ve pounds overweight, or ED. If those proved unsuccessful, the pneumatic hammer except Elliott* says he’s in great next treatment option has generally been you don’t feel it because shape for a man who will injections into the penis. If that failed, the it doesn’t touch your Osoon celebrate his th birthday. last resort has long been a penile implant. skin,” Dr. Reed explains. “I’m in excellent health,” the now  ere is now a revolutionary, non- “And once that plaque and retired civil engineer exudes. “ e only invasive and highly e ective treatment calcium are broken up, you problem I’ve had has been in the bed- called GAINSWave® therapy that treats get better blood flow. It’s that room, if you know what I mean.  at’s erectile dysfunction through the use improved blood  ow that leads to the only place where I’ve had a tendency of acoustical waves that is performed better, longer-lasting erections.” to feel my age on occasion.” in Clearwater by Rene M. Reed, DC, Along with providing better blood DABCO, NMD. flow through existing blood vessels, the GAINSWave treatment also stimulates the Acoustic Wave Technology growth of new nerve tissue, which is vital for Dr. Reed is a practicing chiropractic ortho- achieving and maintaining healthy erections. pedic specialist and naturopathic medical In addition, GAINSWave causes the GAINSWave treatments last about  doctor who specializes in alternative med- growth of new blood vessels to occur.  at minutes, with patients typically receiving RENE M. REED, DC, DABCO, NMD icine. He recently added GAINSWave to process typically takes three to four months two such treatments per week for a span his menu of treatment options because of to complete and leads to larger girth and of six weeks. Some patients, such as those On those occasions when Elliott the great need he sees for it. rmer erections that are totally natural. with high blood pressure or diabetes, has actually felt his age, it was erectile “I do hormone treatments, genetic GAINSWave treatments can also be may require more sessions to achieve the dysfunction, or the inability to either testing, stool studies for digestive issues used to treat Peyronie’s disease, which is desired response. achieve or maintain an erection satisfac- and treat autoimmune diseases. Now, I do what occurs when scar tissue builds up in “For those patients as well as anyone tory for sexual intercourse, that robbed GAINSWave treatments because I’ve seen the penis and causes an abnormal bend, who has been a heavy smoker, as many as him of his vim and vigor. erectile dysfunction destroy relationships or curvature, to the penis that can impede twenty treatments may be needed to see a “I used to get early-morning and devastate men,” Dr. Reed explains. urination and/or ejaculation. result,” Dr. Reed con rms. “But the ther- erections all the time,” Elliott says. “I apy does work. More than seventy percent used to wake up with one.  en, a few of men who undergo GAINSWave ther- years ago, they started going away or apy respond to it.” decreased in time or just weren’t as hard. Dr. Reed says most patients begin After a couple years of that, I couldn’t to experience a response after about get a good, hard erection at all.” six sessions and notes that they typ- Elliott is not alone in his plight. ically experience the effects for more Studies show that more than half of all than a year. Elliott is among those who men will experience some form of erectile reported positive results after his first dysfunction during their lifetime and that course of treatment. men su ering from hypertension, diabe- “It wasn’t all that long after I started tes or cardiovascular disease are even more the treatments that my erections started likely to experience dysfunction. to become bigger and stronger, and my Smoking, heavy consumption wife can attest to that,” Elliott says. “It’s of alcohol and drugs (either illicit or been about a year now since I completed prescription) can also cause erectile my treatment, and I’m still going strong. dysfunction, which is typically the result “But I’m not stopping there. This of circulatory impairment in the blood treatment has made such a di erence in capillaries of the penis. my life and in my relationship with my For years, medications such as wife that I’m going back in the summer for VIAGRA® and CIALIS® have been the rst “It doesn’t matter how educated you “By making certain adjustments to a tune-up. And let me say that everyone in are or how rich you are. When that ability the machine’s settings, we can treat the Dr. Reed’s o ce is very professional. to express yourself in the area of romance brous tissue the same way we treat blood “Dr. Reed is a fascinating guy. He wanes, it tears men apart. I’ve literally had vessels and break down the scar tissue that shows a great deal of concern for his grown men cry in front of me over it. may be causing that irregular shape,” patients, and his sta does a great job. “Most men won’t even admit they have Dr. Reed informs. I don’t hesitate to say that Dr. Reed has this kind of a problem. But all they’re doing “Women can bene t from this treat- not only changed my life, but he’s made is letting themselves down and letting their ment, too, because the anatomy and it better. A lot better.” wives down. What they need to know is that physiology of the female genitalia is the FHCN article by Roy Cummings. Doctor photo by Jordan it’s okay to let somebody know they have an same as the man. And just like men, when Pysz. Graphic courtesy of GAINSWave. mkb issue, because we can x it.” women get older, their labia shrink up, *Patient’s name withheld at his request. GAINSWave fixes the problem and their clitoris shrinks up just like the through the use of a small, handheld device man’s penis shrinks up. that delivers acoustical waves in a series of “But, just as it does with men, Specializing short, painless pulsations that break up the GAINSWave can improve that blood plaque and calcium that have built up inside supply and reinvigorate the nerves in Good the blood vessels in the penis. and put some spice back into their lives and their relationships so that Results Rene M. Reed, DC, DABCO, NMD, has been in practice for  years and has a long they’re not one of two people just liv- Through his unique approach to history of using leading-edge technologies for his patients’ health and welfare. ing together anymore.” alternative medicine, Dr. Reed treats In addition to providing chiropractic orthopedic care, he has graduated from diffi cult cases and people who have an integrative medical school and rotated through the Cook County Hospital been unable to find a solution to Department of Orthopedic Surgery. He attended daily surgeries involving hip Remarkable Results replacement, as well as shoulder, foot, hand and back surgeries as part of a pro- Elliott’s relationship was nearing just such their problems elsewhere. If you fi t this category, call or visit Dr. Reed. gram at the Cook County Department of Orthopedic Surgery in Chicago, Illinois. a stage when he sought out Dr. Reed, who He began private practice in  in Evergreen, Colorado and later became an Good results are his specialty. acupuncturist with a sub-specialty in nutrition. He has studied IV and nutrient had previously treated him for a vitamin therapies and has a degree as a Naturopathic Medical Doctor. He has continued de ciency. After discussing the matter, Clearwater his education in genetic studies and hormone therapies and currently treats people from around Elliott and Dr. Reed agreed that Elliott  Druid Rd. East, Suite  the world, matching individual genetics to nutritional programs geared to provide the best care for his patients, along with hormone balancing, orthopedic care, GI studies, blood and lab testing and would benefit from the GAINSWave now GAINSWave for optimal sexual function. treatments, which he began last spring. (  ) -

Visit them on the web at rene-reed-dc.business.site and at practice.gainswave.com/dr-rene-reed Pain Management/Spine Surgery South Pinellas County Edition | Summer 2019 | Florida Health Care News | Page 3 he nightmare began five years ago for Michigan native Laura Wall. That’s when the former Ford TMotor Company employee rst expe- rienced stabbing pain in her lower back. Her doctor diagnosed the problem as spinal stenosis, a narrowing of the spi- nal canal and neuroforamen, in the areas where nerves exit the spinal cord Sweet though the vertebrae. “It was an excruciating, throbbing, sharp pain in my lower back, and it was Dreams getting very achy,” Laura, , shares. End back pain “And it was constant. It didn’t last just with minimally invasive for ve minutes.  e pain was present laser procedures every hour, every day, whether I was sitting or lying down.” Over the years, Laura’s spinal stenosis deteriorated further, and her back pain intensified. Two years ago, the pain became so unpleasant, it began interfering with her daily endeavors. By that time, Laura had retired and was looking ahead to a long, active retirement in the warmer Laura Wall Florida climate. But her back condi- tion threatened to derail those plans. After reviewing her MRI, Dr. St. Louis bers and simply push the muscles aside. can do now. And my pain level is zero. It “ e pain increased until I couldn’t told Laura she didn’t need major sur-  is way, we preserve the muscles and was zero two days after surgery. walk very far without holding my back gery on her discs. Instead, he could their function.” “Now, I can walk to the mailbox and in extreme agony,” Laura relates. “I perform a minimally invasive spine Because surgeons spare the muscles, walk long distances. I couldn’t walk very could hardly walk to the mailbox from procedure that would relieve her pain. and use smaller incisions during mini- far for ve years. Now, I walk ve miles my house, which is only six houses Laura was ecstatic and agreed. mally invasive spine surgery, there is less a day. Since my surgery, I can do every- down, without pain. I couldn’t swim. bleeding, less pain and a quicker recovery. thing without any back pain whatsoever. I could hardly stand up, but I couldn’t Sparing Muscles It can be performed as an outpatient pro- And it’s been wonderful. I’m going to be sit for very long, either.  e pain was a When it comes to surgery, the term cedure rather than requiring a several-day sixty- ve in September, and I’m having ten on a scale of one to ten.” “minimally invasive” is typically equated hospital stay. the time of my life.” with a procedure per- Surgeons at Physician Partners of  e other doctors Laura visited gave formed through smaller America can also use minimally invasive her little hope of nding relief from her ago- incisions than those techniques to perform procedures such nizing back pain, but she de ed their dire used during open as laminotomy and foraminotomy using prognoses. She’s especially pleased that her surgery. But with min- a laser.  ese procedures make room for retirement plans are back on schedule. Her JAMES ST. LOUIS, DO BRETT MENMUIR, MD imally invasive spine nerves that are pinched at the openings nightmare is back to being a sweet dream. procedures, there’s more between the discs or at the neuroforamen. “Getting this minimally invasive laser In search of a solution to her agoniz- to it than that. These procedures are “We use various instruments to spine surgery was the best thing that ever ing back problem, Laura turned to several muscle-sparing as well. move past the muscles and get to the happened to me,” Laura enthuses. “It spine specialists for their expert guidance. “During traditional open surgery on bone,” explains Brett Menmuir, MD, changed my whole retirement life. Now, She visited one specialist while still living in the back or neck, the muscles are cut away another Physician Partners of America I can swim. I can play with my grandkids. Michigan and two others after she moved from the bone so that the surgeon can minimally invasive spine surgeon. I can sit and do my pottery. I like to shop, to Florida. None had good news for her. visualize the area and see what he or she is “Guided by the patient’s MRI, we assess and now I can. I can walk in the park and “ e doctors said they couldn’t help doing to the spine,” describes Dr. St. Louis, what is pinching the nerve. It could be a on the beach. I can do anything I want. me,” she recalls. “ ey said I would have who is a pioneer in the eld. “And once bone spur, a thickened ligament, a cyst “What’s better than walking out the to have major surgery on my discs, and it a muscle is cut, it is damaged forever and or a piece of herniated disc material. We front door after surgery and going home, probably still wouldn’t help with the pain. can no longer function appropriately. use a laser to free up the nerve by remov- relaxing for a day or two, then carrying I cried when I heard that. I thought, Here ing whatever is pinching it. on with your life the way you want? I am retired, and I can’t do anything “Using this technique, patients  ere is no better way to deal with severe because of my back. My life was generally have significant back pain than that. So yes, I think min- just terrible at that point.” improvement in their pain. imally invasive spine surgery at Physician Laura’s fortunes began And the procedures are Partners of America is fantastic. I really to change in early  after performed through an appreciate what they did for me.” she heard about a seminar on incision that is typically FHCN article by Patti DiPanfilo. Photo by Nerissa Johnson. mkb minimally invasive spine sur- an inch or smaller.” gery that was o ered by the Leaders in spine specialists at Physician “A New Life” Partners of America. She decided Laura had a laminotomy Interventional Pain to attend the seminar, and there she met and foraminotomy to relieve Management and James St. Louis, DO, director of Physician “During her agonizing back pain. Dr. St. Louis Minimally Invasive Partners of America’s Minimally Invasive minimally invasive spine surgery, the used a laser that enabled him to target Laser Spine Surgery Spine Group. Dr. St. Louis gave Laura muscles are not cut at all. Instead, we the speci c area of her low back that was what the other doctors did not: hope. insert special dilators between the muscle the source of her problem: lumbar discs Physician Partners of America three and four. is committed to providing the “Apparently, swollen nerves were highest levels of compassionate, James St. Louis, DO, earned his Bachelor of Science and Masters of Science wrapped around my spinal cord,” Laura patient-centered care possible. degrees from the University of Wisconsin, La Crosse. He received his osteo- They have  locations across describes. “During surgery, Dr. St. Louis pathic medicine degree from the Kansas City University of Medicine and Florida to serve you. To schedule a Biosciences, and completed his surgical training in the US Army and at Kennedy shaved a little bit o of my spine to make consultation with one of their pain Medical Center in Cherry Hill, NJ. Dr. St. Louis is a member of many medical room for the nerves. I walked out of the management or minimally inva- organizations including the American Osteopathic Association, American hospital the same day. I received excellent sive laser spine specialists in the Osteopathic Academy of Orthopedics, American Medical Association and care, and after two days, I felt fantastic.” greater Tampa area, call or visit: American Association of Physician Specialists. Laura underwent her minimally inva- sive spine procedure in March . Now, St. Petersburg Brett Menmuir, MD, earned his Bachelor of Science degree from Georgetown more than a year later, she’s still amazed  th Avenue N, Suite B University and his medical degree from Georgetown University School of by the surgery’s overwhelming success. Medicine. He completed his residency in orthopedic spine surgery as well as Tampa “It’s been a new life for me since I  N Habana Avenue, Suite  a fellowship at Twin Cities Spine Center in Minneapolis, MN. He is a member had this surgery,” Laura raves. “Now, I of the American Academy of Orthopaedic Surgeons, Society of Lateral Access can sleep, I can bend over, I can sit for Surgery and AO Spine. hours. Everything I couldn’t do before I ( ) - To learn more, visit them online at PPOASpine.com Page 4 | Florida Health Care News | Summer 2019 | South Pinellas County Edition Ophthalmology and Optometry Florida Health Care News Vision Quest 215 Bullard Parkway Temple Terrace, FL 33617 (continued from page 1) (813) 989-1330

“We did that with Celma and also conducted a test to Barry Levine determine the most appropriate Executive Publisher IOL for her. In discussing the Gina L. d’Angelo di erent options and what her CFO/HR goals were, we decided the extensive-range multifocal lenses were Roy Cummings going to work best for her.” Editorial Supervisor When tting a patient with multifocal IOLs, the goal is to leave Michelle Brooks them with perfect / distance and reading vision. Achieving that Creative Director mark when correcting for near or reading vision can be di cult, but Brian Levine technological advances are making it easier. Project Coordinator “With our reading vision, there tends to be a certain area that’s Patti DiPanfilo kind of a sweet spot, and that’s di erent for every person,” Dr. Emery Annette Mardis explains. “So, what’s being done now with certain multifocals is, Editorial Staff they’re being made with di erent reading strengths. Celma is seeing better than ever following cataract surgery. Laura Engel “For those who do a lot of reading of ne print, we can give them Production Assistant a lens where the sweet spot is a surgery on her other eye two weeks later, but she was already seeing Nerissa Johnson little closer. For those who do a more clearly well before that. Graphic Designer lot of work at a computer or do a “I noticed a di erence right away, after the rst eye was cor- Nerissa Johnson lot of intermediate-type reading, rected,” Celma says. “ e rst thing I noticed was how much clearer Jordan Pysz the sweet spot can be set a little everything was. And then, after I got home, one of the rst things I Fred Bellet farther out. noticed was how much sharper the TV looked. Photography “We’re also nding that it “I had recently bought a new television, thinking before that it Steve Turk works very well when we mix was the TV that just wasn’t sharp. So, I bought this brand-new smart Mario Hill and match the multifocals and TV, and I was so excited when I turned it on and saw how crisp the Robert Mize have one eye where the sweet picture is and how bright the colors are. Gary Smith spot is set for that computer “It was really amazing the di erence that just one surgery made. Aldy Laracuente Distribution range while the other is set for  en I had the second one done, and it was even more amazing. I’m a little closer up.  at gives the so happy that I got this done and that I got these topnotch lenses patient a much better near- and received such topnotch care. vision range.” “Dr. Emery is really great. He’s very personable and that meant Pasadena Eye Center Celma’s macular condition a lot to me. Anytime someone is operating on your eyes, it can be a Ophthalmology and Optometry was not a ected by, nor did it very stressful time. But Dr. Emery eased all my fears and made me Rene M. Reed, DC, DABCO, NMD Erectile Dysfunction Celma (Left) and her nephew impact, her cataract surgeries, feel comfortable. I de nitely recommend him.” Kevin Carlan show o one of the rst of which was performed FHCN article by Roy Cummings. Patient photos by Jordan Pysz. Fishing photo courtesy of Celma Physician Partners of America Celma’s prize catches. in late March. She underwent Mastry. mkb Pain Management/Spine Surgery The Magnification Company Low Vision Pasadena Eye Center Shettle Eye Research, Inc. Intraocular Lens Ophthalmology Research The doctors and sta are dedicated to providing the highest quality eye care to patients, along with the latest advancements in ophthalmology. ¤ IOLs are made of  exible plastic. Regenerative Services: ¤ During the surgery, the IOL is rolled up and placed Orthopedic Institute inside the eye. Stem Cell Therapy/ • Complete eye exams • Alcon® AcrySof® IQ Toric IOL Pain Management ¤ Once in place, the IOL unfolds and the side structures • Bladeless cataract surgery with • Personalized glaucoma care Zimmer Medical Services implant lenses and astigmatism • SLT & ECP and IRIDEX CPC laser called haptics hold it in place. Concierge Medicine correction treatments for glaucoma South Florida Eye Clinic • TECNIS® • Contact lenses Ophthalmology • Symfony® • Full-service optical shop with OsteoStrong • ReSTOR® custom ttings and digital lenses Osteoporosis Treatment Pasadena Surgery Center is a state-of-the-art facility, conveniently located in HemWell America St. Petersburg, o ering excellent patient care in a comfortable setting. The facility Hemorrhoid Treatment utilizes new, top-of-the-line equipment to perform surgical procedures. Coastal Jaw Surgery Oral and Maxillofacial Surgery Envision Great Results Common Symptoms of Cataracts Include The Eye Institute of West Florida Pasadena Eye Center off ers leading-edge, comprehensive eye ¤ Blurry or cloudy vision Ophthalmology care. For additional information or to schedule an appointment, ¤ Colors appear faded visit or call their offi ce in St. Petersburg at: ¤ Glare, especially in regard to All stock imagery that is not marked otherwise is courtesy of istockphoto.com, lighting such as headlights, kisspng.com or pixabay.  Central Ave. lamps and sunlight ¤ Poor night vision (  ) - Florida Health Care News is published by Florida ¤ Double vision or Health Care News, Inc. Pasadena Eye Center also off ers the services of a top-rated multiple images Florida Health Care News, Inc., reserves the right to optical shop, which can be reached directly by calling: decline any advertising/marketing article. ¤ Changes in prescription Florida Health Care News is provided for information only and should not be construed as health care advice (  )  - eyeglasses or contact lenses or instruction. If you have questions concerning articles in this edition, feel free to call our contributing editors. Florida Health Care News provides a paid forum for David E. Hall, MD, is a board-certifi ed ophthalmologist. He graduated from the University of Mississippi and received his medical degree from the health care professionals to present their ideas about various aspects of health care treatment and proce- University of Tennessee College of Medicine. He completed his internship at Erlanger Hospital and his residency in ophthalmology at the University of dures. Florida Health Care News, Inc. is not responsible Tennessee. He is a diplomate of the American Board of Ophthalmology and is a member of the Florida Medical Association, Pinellas County Medical for the health care delivered by the contributing editors Society, American Academy of Ophthalmology and American Society of Cataract & Refractive Surgeons. He is also on staff at Palms of Pasadena presented in this edition. Articles reflect the opinion of the sponsoring profes- Hospital and Pasadena Surgery Center. sional or organization and do not necessarily reflect the opinions of other contributing editors. Contributing editors have approved all text contained within their Nathan R. Emery, MD, is a board-certifi ed ophthalmologist. He completed his undergraduate studies at Brigham Young University, Provo, UT, before respective articles. serving a two-year mission in England. Upon his return to the United States, he completed his medical degree at the Chicago Medical School in © 2019 Florida Health Care News, Inc. All rights Illinois. He served his internship at Resurrection Medical Center, Chicago, and completed his residency at the University of South Florida, Tampa. reserved. The contents of this publication, including articles, may not be reproduced in any form without Dr. Emery is a diplomate of the American Board of Ophthalmology and is a member of the Pinellas County Medical Society, American Academy of written permission from the publisher. Ophthalmology and the American Society of Cataract & Refractive Surgeons. He is on staff at Palms of Pasadena Hospital and Pasadena Surgery Center.

Dennis C. Ryczek, OD, is a Florida-certifi ed optometrist. He attended St. Petersburg Junior College and the University of South Florida. He graduated FOR ALL health care summa cum laude with a doctorate in optometry from the University of Houston, TX, and completed his externship at Hermann Hospital, Houston. professionals having articles in this publication: Dr. Ryczek has received extensive training in primary eye care, including pre- and postoperative care for cataract and refractive procedures. He currently THE PATIENT AND ANY OTHER PERSON serves as a Clinical Investigator for both Johnson & Johnson’s Vistakon Division and Bausch & Lomb and is a member of the American Optometric RESPONSIBLE FOR PAYMENT HAS THE RIGHT TO REFUSE TO PAY, CANCEL PAYMENT OR BE Association, Florida Optometric Association, Pinellas County Optometric Association and American Optometric Association’s contact lens section. REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION OR TREATMENT WHICH IS PERFORMED AS A RESULT OF, AND WITHIN 72 HOURS OF RESPONDING TO, THE ADVERTISEMENT FOR A FREE, DISCOUNTED OR REDUCED FEE Please visit Pasadena Eye Center on the web at www.pasadenaeyecenter.com SERVICE, EXAMINATION OR TREATMENT. Low Vision South Pinellas County Edition | Summer 2019 | Florida Health Care News | Page 5 The IrisVision® Advantage Wearable video magni er provides visual independence

or  years, age-related macular  e Magni cation Company has provided can only be held up to the eyes for a very World’s® Epcot  eme Park so they could degeneration (AMD) slowly magnifying assessments, training and lec- limited time. In addition, the eld of view view the surroundings and the  owers. robbed Sherwood White of tures to people with vision issues for more with these devices is very limited and they People use it to go places they haven’t his vision. In the beginning, than  years.  e company o ers sales only provide one speci c power. IrisVision been to in years.” heF was given injections of medication and services throughout Florida. overcomes all of these obstacles.” into his eyes, which slowed the disease’s New World of Vision progression for a while, but didn’t stop “I looked at many products before my it.  ree and a half years ago, his eyes low-vision doctor told me about IrisVision,” registered / on an eye test, and he states Sherwood. “ e other products just was declared legally blind. weren’t going to work for me. I contacted Bob about IrisVision. He brought me an IrisVision headset, and it was just amazing.” Going to events again was just one of the delights Sherwood experienced from the IrisVision headset he got from  e Magni cation Company. He found BOB SCHREPFER that while wearing the IrisVision unit, he could see the television much better, and “At rst, the AMD was just in one work at his computer and read with less eye, then it a ected both of them,” shares di culty.  e hands-free unit also makes the semi-retired nancial advisor. “I knew him more independent. something was wrong when the television “It’s amazing how the IrisVision started looking squiggly, and I needed to helped me,” enthuses Sherwood. “I have have really good light to read. reasonably normal vision with it. I can “I eventually reached a point when I go to the games and see the action on couldn’t see my computer adequately to IrisVision has given Sherwood, who is legally blind, new sight. the eld when my grandsons play foot- work, so I sold my business and limited ball. I can see pictures of my grandkids. I my clients. I also downsized my home of couldn’t do that before. twenty-seven years to two condos. One is “Legal blindness is not the same as According to Bob, before IrisVision “Now, I can see everything in church where I work, the other is where I live. I total blindness,” informs Bob. “People with was released, its technology, to a lesser plain as day. At my Rotary Club meet- had to get rid of my car and quit driving. legal blindness still have some remaining degree, was and still is available in desktop ings, we have speakers, and many times, I got a disabled parking pass and an ID vision, but they’ve lost their visual inde- electronic magni ers [CCTVs] that plug they have visual presentations. Without card instead of a driver’s license.” pendence to drive, recognize faces, watch into the wall.  ese models are most often IrisVision, I can’t see them, but with it, I Sherwood’s failing eyesight impacted TV, read print or do all of the things that used for reading and writing tasks only. can see ne. When I’m looking for some- his quality of life in other ways as well. those with good sight can still do.”  ere’s also portable, handheld electronic thing detailed on my desk, like client les, “I couldn’t go to events like Rays or magni ers, but they are limited in their I put the IrisVision on because I can see Bucs games,” he relates. “And I couldn’t Wearable Magnifi er magni cation range and screen size, plus so much better with it.” go to my grandsons’ high school foot- “ irteen months ago, IrisVision part- they have to be held, which is tiresome. Sherwood is amazed by his vision with ball games to watch them play because nered with Samsung and released a “IrisVision looks like a wearable the help of IrisVision. He shares his success I couldn’t see what was happening on unique product for people with low vision headset or goggles that can be used with story with friends who come over and visit. the eld. At church, I couldn’t see the called IrisVision.  is technol- or without prescription glasses,” notes “IrisVision opened up a whole new screen where they project the videos and ogy magnifies distant, Bob. “With a headset on, people’s hands world of vision for me,” he o ers. “My words of the songs, and I couldn’t see intermediate and are free, so they can do all of their vision is like three-dimensional compared the pastor or the choir.” near vision. It’s daily tasks like they’re wearing to the way it was before. I can see colors When Sherwood was declared legally totally hands-free a glorified pair of glasses. The really well, and the IrisVision brings a lot blind, a representative from the Florida and can increase IrisVision, however, provides of light into the picture. Division of Blind Services and a low- or decrease wearers enhanced contrast and “I absolutely recommend IrisVision vision occupational therapist visited him. magnification an unlimited amount of and have already. I took mine to a ninety-  ey taught him to use assistive technol- anywhere from magni cation, which one-year-old friend to let him try it. He ogy and modify his tasks to live better one to twenty- is why most said, Oh, my gosh.  is is the best thing with his poor eyesight. four times with a visually I’ve seen yet. And I replied, It is for me, too. “ e occupational therapist shared ideas seventy degree eld of “I had to nd something that works that made it easier for me to work, including view, which is unheard of because I wasn’t going to stop doing what using a larger keyboard and a video magni- for telescopic devices.” impaired individuals I was doing. Bob and  e Magni cation er for my computer,” he describes. “Other IrisVision is in a brand-new can see more detail more Company really came through for me.” tips included using bigger lights around my category of magni ers known as a wear- clearly with it on.” FHCN article by Patti DiPanfilo. Photo by Jordan Pysz. desk and a handheld magni er. able electronic magni er. The IrisVision technology returns Stock photo from FreeImages.com.mkb “The therapist also referred me to Previous to its introduction, the most people to the visual world, and makes Lighthouse of Pinellas, an organization common devices that provided enough them visually independent. With the for the blind and visually impaired, where magni cation to help people with low IrisVision on, people can see across a Rediscover I learned how to use an assistive cane. vision for distance tasks were monocular room, recognize facial expressions, read  ey provided all the magnifying prod- telescopes and/or binoculars. text and access digital media. IrisVision Your Visual ucts I needed through Bob Schrepfer. He “Those devices have significant uses a readily available but highly sophis- brought the products to my house, so I drawbacks,” comments Bob. “Low vision ticated virtual reality platform, which Independence could try them out.” monocular telescopes will go up to about solves visual problems as well as keeps The Magnifi cation Company provides Bob Schrepfer is president of The ten times magni cation and are typically them cost-e cient. hundreds of new, innovative Magni cation Company in St. Petersburg. used for spot reading, while binoculars “One of the other attributes of magnifying products at its showroom or IrisVision is that it has its own internal through convenient, no-charge home Bob Schrepfer, owner and president of The Magnification battery,” discloses Bob. “When it’s fully demonstrations throughout Florida. Company has dedicated more than  years to helping those charged, it lasts for about three and a half For additional information, email with low vision regain their independence with high-powered hours of continuous use. If people need them at [email protected] magnifying devices. He also off ers entertaining and informative more, we provide a battery adapter that or call or visit their office in seminars for eye care professionals, health care providers and senior living communities. These seminars highlight the various goes into a port underneath the unit.  at St. Petersburg at: new magnifying devices, including the latest magnifying prod- will keep it going for as much as eight  st Ave. South, ucts in text-to-speech devices, wearable and portable electronic hours of continuous use. Suite D magnifi cation, and new services that become available for the “ is allows people to go to events. visually impaired throughout Florida. We’ve had people go to Walt Disney () - To learn more, visit them online at TheMagni cationCompany.com (  ) - Page 6 | Florida Health Care News | Summer 2019 | South Pinellas County Edition Ophthalmology Research THE SILENT THIEF OF SIGHT Clinical study investigates glaucoma treatment

laucoma is the second “Glaucoma has no obvious visual include African-American and Hispanic Iridotomy treats narrow-angle leading cause of blindness symptoms in its early stages. As it pro- patients over the age of forty; everyone over glaucoma. During this procedure, the in the United States, but gresses over many years, damage occurs the age of sixty; and, especially, anyone laser is used to create tiny holes in the iris of the millions of people to the optic nerve, resulting in loss of with a family history of to improve the  ow of Ga ected by it, many are unaware the peripheral vision. Without treatment, this glaucoma, particularly  uid within the eye. condition is present. loss of vision can progress to blindness, if a parent or sibling In more advanced robbing people of their vision slowly and has the disease.” stages of glaucoma, quietly. It’s a silent thief of sight.” People are also at patients may require a greater risk for glau- procedure called sur- Types of Glaucoma coma if they have gical trabeculectomy  ere are di erent types of glaucoma, certain medical condi- in which surgeons LEE SHETTLE, DO including open-angle glaucoma, also tions, such as diabetes, create a small hole called wide-angle glaucoma. This is heart disease and high in the eye wall. The “Nearly four million people are esti- the most common type and rep- blood pressure. Other wall is covered by mated to have glaucoma, but half don’t resents about  percent of cases in risk factors include hav- a flap of tissue that know it,” con rms Lee Shettle, DO, a the US. Other, less common types ing had a previous eye serves as a trap door board-certi ed ophthalmologist at Shettle include closed-angle glaucoma, normal- injury, being farsighted through which excess Eye Research who conducts clinical tension glaucoma, congenital glaucoma or nearsighted and fluid drains to an area research in partnership with ophthalmic and secondary glaucoma. taking steroid medications for a long time. under the eye’s surface. pharmaceutical companies. Closed-angle glaucoma, also called “As it is with most conditions, Dr. Shettle’s research aims at assisting narrow-angle glaucoma, occurs when Halting Progression early detection is critical when treat- ophthalmic pharmaceutical companies there’s a blockage in the eye, causing Treatment for glaucoma aims to slow the ing glaucoma,’’ Dr. Shettle emphasizes. in developing new medical eye drops to a sudden rise in eye pressure. Closed- disease progression. It may include medi- “And treatment is crucial to prevent treat various eye conditions such as dry angle glaucoma is an emergency and cated eye drops, a laser procedure or surgery. the progression of this common eye eye disease and ocular in ammation. He requires immediate medical attention to “For patients with mild glaucoma, disease.” is currently enrolling patients in a clinical prevent permanent damage to the optic the use of medicated eye drops or a laser Because glaucoma in its early stages study testing treatments for glaucoma. nerve and vision loss. treatment to lower intraocular has no symptoms, people with the dis- Glaucoma is a condition where  e cause of normal- pressure may be all that’s ease often don’t seek medical attention increased pressure in the eye causes dam- tension glaucoma is needed to keep the until some vision loss has begun. age to the optic nerve, which can lead to not completely disease under con- “Screening for glaucoma should blindness if untreated. understood, trol,” Dr. Shettle be part of all routine eye exams, “ e increased eye pressure is caused but most doc- states. which every patient should have at by either an overproduction of eye  uid tors believe Medicated least every year or two, based on their called aqueous humor or a decrease in it’s related to eye drops alter risk,” Dr. Shettle observes. “Tests for drainage of aqueous through the trabec- reduced blood the production glaucoma include measuring the eye ular meshwork,” explains Dr. Shettle, who flow to the of fluid and pressure as well as analyzing the optic has been practicing general ophthalmol- optic nerve. lower pressure nerve for changes.” ogy in Largo since . “In a healthy eye, Congenital glau- in the eye.  ey FHCN article by Patti DiPanfilo. Ad graphic courtesy of aqueous humor exits the eye at the same coma is hereditary work in one of Shettle Eye Research, Inc. mkb rate as the eye’s ciliary body produces it, and often diagnosed two ways: by either so there is always a balance in pressure in very young children. decreasing the produc- within the eye. It results when the eye doesn’t tion of aqueous humor or by “With glaucoma, aqueous either form properly during development. increasing the amount of aqueous humor passes too slowly through the trabecular Secondary glaucoma is the result of exiting through the trabecular meshwork. meshwork or the ciliary body produces another condition, such as diabetes. Trabeculoplasty and iridotomy are an increased amount of aqueous Some people are at greater risk for two laser procedures used to treat glau- humor. You can think of it as a faucet developing glaucoma. coma. During trabeculoplasty, the laser being turned on too high or the drain “Glaucoma is more common in cer- is applied to the drainage tissue, where in the sink being clogged, resulting tain populations,” Dr. Shettle expresses: it starts a physical and chemical reaction in a build-up of  uid. “ e people at highest risk for glaucoma that improves drainage function.

Lee Shettle, DO, is board certifi ed by the American Osteopathic Board of Ophthalmology and Otorhinolaryngology. He received his bachelor’s degree in Biology from Northeast Missouri State University in Kirksville, then earned his Doctor of Osteopathic Medicine degree from Kirksville College of Osteopathic Medicine. Following an internship at Sun Coast Osteopathic Hospital in Largo, FL, Dr. Shettle completed a fellowship in neuro-ophthalmology at Michigan State University in East Lansing. Dr. Shettle then completed an ophthalmology residency at the Detroit Osteopathic Ophthalmology Consortium in Highland Park, MI, and an advanced cataract and refractive sur- gery fellowship in Aurora, CO. For more information, visit them on the web at leeshettleeye.com Stem Cell Therapy/Pain Management South Pinellas County Edition | Summer 2019 | Florida Health Care News | Page 7 New Generation Regenerative stem cell therapy relieves disabling knee pain without surgery he arrival on the internet of “I was looking through the paper and websites such as Ancestry.com, saw an article about him and his practice,” FamilySearch.com and Lydia says of Erick A. Grana, MD, of MyHeritage.com has helped Regenerative Orthopedic Institute. “After Tturn genealogy into the second most popular reading the article, I was intrigued by his hobby in America. Eighty-two-year-old Lydia work and the success he’s had. Pain is among those caught up in the craze. “After that, I started researching him a little more, and the more I researched him, the more I learned things that made me comfortable with him. I learned, for example, that Dr. Grana was a professor at Baylor University in Texas. “My brother taught there for a while, ERICK A. GRANA, MD too, and that was a selling point for me. Since receiving the RegenaJoint treatment, Lydia has been Since I had someone in my own family pain free for two years. “It’s fascinating,’’ Lydia declares. who had taught at the same university he “I recently found out that my family had, I felt good about him and decided to actually has its roots in Greece, Italy and see if he could help me.” Stem cell therapy is autologous, Marvelous Outcome Spain and that someone way back was meaning it utilizes stem cells, PRP and Lydia rst went to see Dr. Grana two years a privateer, which is like a pirate who’s New Age Specialty growth factors taken from the patient’s ago.  ough the doctor she rst visited licensed to hold up merchant ships on Dr. Grana specializes in regenerative own body. Using the patient’s own cells told her she had no cartilage left in her the high seas during a war.” medicine and treats patients with a eliminates the chances of reactive side knees, she was con dent there was enough The wife of a retired US Army nonsurgical technique called stem cell e ects or rejection. left to make her a candidate for stem cell Lieutenant Colonel, Lydia’s passion for therapy.  is therapy uses the patient’s Stem cells are extracted from the therapy. Dr. Grana con rmed her belief. researching the family trees of friends own specialized stem cells to promote patient’s bone marrow or fat, while “I had done my homework and and other family members has replaced the growth of new tissue in joints the PRP is taken from the patient’s thought I understood that there is almost the passion she once had for gardening, ravaged by arthritis or injury. own blood. The harvested stem cells always a little bit of cartilage left that can which remains the number one hobby “Regenerative medicine treats disease are separated through a centrifuge and grow,’’ she says. “ at’s what I was aiming in the country. and injuries by harnessing the body’s own injected into the painful area to stimu- for, and when Dr. Grana said there was, I “Gardening used to be my favorite healing powers,’’ Dr. Grana explains. “ e late the regeneration of damaged tissue said, Great, let’s go ahead with the injections.” hobby, but I had to give that up a couple natural healing process is accelerated by a and the healing of tendons, ligaments, After going through the extraction of years ago,’’ Lydia says. “I say I gave it up combination of growth factors and bio- joints or spinal discs. process, which she describes as simple because of my age, but I had some knee active cells in the form of stem cells and “When I was first introduced to and painless, Lydia eventually received problems that made it hard for me to get platelet-rich plasma (PRP). stem cell therapy, I recognized its tre- stem cell injections in both knees. She up and down and made gardening di cult.” “ is process results in a safe, e ective mendous potential for patients who returned about a month later for a sec- Gardening wasn’t the only activity treatment, and unlike traditional surgery, would otherwise have limited treatment ond injection in each knee. Her pain that became di cult for Lydia. Her knee which can result in blood loss, scarring options for pain relief,” Dr. Grana dis- began to disappear soon thereafter. pain also made it hard for her to climb and long, painful recovery periods, stem closes. “Patients with osteoarthritis, “After I received the injections, it stairs and eventually made walking more cell therapy requires only injections into in particular, have very few choices was like a miracle had happened,’’ Lydia of a chore than it should be. At one point, the damaged joint. other than surgery when the condition exudes. “I was in pain for so long, but I she was literally bedridden by her pain. “It also o ers a much quicker recov- advances and damages the joint. have now been pain free going on two “My husband purchased a walker for ery than surgery. Typically, patients begin “Since surgery has potential com- years. I do walk with a cane when walk- me, but even with the walker, the pain to feel a noticeable decrease in pain after plications, when we treat arthritic joints ing long distances, but that’s because I’m was so intense, I couldn’t do anything,’’ six weeks.” without surgery, patients do much bet- afraid of falling, not because of pain. Lydia relates. “I was probably in bed for ter. Not only can we relieve the patient’s “ e pain is truly gone, and that’s the two weeks before I nally built up the pain, but we can also reverse some of most important thing because pain is very courage to do something about it.” the damage done by the osteoarthritis. aging. It makes you not want to do things, What held Lydia back from seeking  is is accomplished by regenerating but Dr. Grana took care of that. I have to medical attention was her suspicion she the cartilage and connective tissues in tell you, he is so nice, and he answered all would be told the problem could only be and around the joint area.” the questions I had. corrected through knee replacement sur- Dr. Grana has developed a system “He explained everything about the gery. She wasn’t surprised then when the for the delivery of stem cells and PRP procedure so well, and he really knows rst doctor she visited suggested just that. into the pain generators in and around what he’s doing. As for me, I just mar- Largely because of her age and the joints such as the knees, shoulders and veled at the whole thing because it’s time required for recovery, Lydia was hips. It’s called RegenaJoint™. such a simple procedure compared to unwilling to go through surgery. As a He also developed a similar system the replacement surgery, and it gets result, she began looking for an alterna- to treat the spine called RegenaSpine™. even better results. tive. She found it while reading a copy of RegenaJoint and RegenaSpine are both “I was so impressed that I even Florida Health Care News. minimally invasive procedures that are encouraged my son, who is fty- ve and performed right in the doctor’s office has some knees that are in very bad shape, Erick A. Grana, MD, is a using a local anesthetic. Patients typically to have it. He did, and he’s thrilled with diplomate of the American resume normal activities immediately fol- the outcome, just like I am.” Board of Physical Medicine and Rehabilitation and lowing the procedure. FHCN article by Roy Cummings. Photos by Jordan Pysz. mkb the American Board of Electrodiagnostic Medicine, with subspecialty certifica- tion in pain medicine. After he received his medical degree from the University Don’t Operate, Regenerate of Puerto Rico School of Medicine, he completed For more information about stem cell therapy, please call or visit his internship and residency at the university’s Regenerative Orthopedic Institute in Tampa at: hospital and was subsequently awarded a fel- lowship from the department of rehabilitation medicine at the University of Washington in Seattle. Dr. Grana is a former assistant professor  North Himes Avenue, Suite  at Baylor College of Medicine in Houston and a member of the American Medical Association, Lydia the International Spinal Injection Society and the Pain Florida Academy of Pain Medicine. () - Visit Regenerative Orthopedic Institute on the web at www.dontoperate.com Page 8 | Florida Health Care News | Summer 2019 | South Pinellas County Edition Concierge Medicine Physician by Phone Concierge practice is accessible to traveling patients

n their retirement, Jerome and “This summer, while we were in “Concierge physicians see patients the Annette Baesel like to travel.  ey’re Canada, we thought Jerry had an infected traditional way, of course, but we also have away from their Florida home four to bug bite. We contacted Dr. Zimmer by the bene t of using technology to com- ve months out of the year.  ey feel email, and he gured out it was actually municate with them,” observes the doctor. Itheir health is in good hands when they’re shingles. We found out what the problem “We can provide care without forcing traveling because wherever they go, they have was and what to do about it while in a patients to physically be in the o ce.” their primary care physician with them. place where it would’ve been di cult to Dr. Zimmer recalls the occasion of Michael A. Zimmer, MD, the nd a doctor who’d treat us.” Jerome’s shingles. He remembers being in Baesels’ physician, is a board-certified constant contact with the Baesels as they Jerome and Annette Baesel internist with Zimmer Medical Services gave a detailed description of Jerome’s in St. Petersburg who practices concierge symptoms. With that information, “We have three meetings each year medicine. With this practice model, phy- Dr. Zimmer was able to make his diagnosis, when we spend half an hour on my sicians see fewer patients, so they are able then carefully relay instructions for Jerome’s issues,” Jerome describes. “Dr. Zimmer to spend more time with the patients MICHAEL A. ZIMMER, MD, MACP treatment to the couple in Canada. reviews everything in my le beforehand, they see.  ey are also accessible to their “I started Jerome on medication to so he’s familiar with my issues when we patients after hours by phone and email. relieve the pain related to the shingles sit down and talk. He addresses whatever For Dr. Zimmer, that accessibility Constant Contact infection,” Dr. Zimmer states. “ e med- issue I want to talk about. includes when his patients are traveling.  e concierge model works well for trav- ications we use have side e ects, so I have “Annette and I are exceedingly happy “ e ability to reach Dr. Zimmer by eling patients, notes Dr. Zimmer, because to monitor those and adjust the dose of with the concierge practice.” email and text when we travel is a bene t physicians who practice this way are not medication accordingly. This usually FHCN article by Patti DiPanfilo. Photo courtesy of Jerome of his concierge practice I didn’t foresee,” limited by the regulations of Medicare requires frequent face-to-face visits. and Annette Baesel. mkb Annette relates. “If something comes up and commercial insurance.  ese insurers “In this case, however, I was able while we’re away, we can contact him, and require o ce appointments for physicians to use the internet and phone to stay he responds right away. to provide care to patients. in touch with Annette and Jerome, Innovative, Thorough and engage Jerome’s response to the medi- Compassionate Care Michael A. Zimmer, MD, MACP, is board certifi ed by the American Board of Internal Medicine and is a master of the American College of Physicians. Dr. Zimmer completed cation and adjust as needed. I was able Zimmer Medical Services is readily his undergraduate studies at Temple University in Philadelphia, where he graduated to provide the appropriate care while available to assist those who want summa cum laude and Phi Beta Kappa. He earned his medical degree from Jeff erson a more comprehensive physician- Medical College in Philadelphia and then continued studies in general surgery at the they were in Montreal.” patient experience. To learn more University of Medicine and Dentistry of New Jersey in Newark. Dr. Zimmer did post- about concierge medicine, call them graduate training in internal medicine at Morristown Memorial Hospital, a Columbia Best Benefi t or visit the practice in St. Petersburg at: University affi liate, in Morristown, NJ. He is currently a clinical assistant professor of medicine at the University of South Florida College of Medicine in Tampa. He served as president of For Jerome, the extra time Dr. Zimmer  Jackson St. North the Florida Chapter of the American College of Physicians, where he was elected to Mastership and spends with him is one of the best bene ts Fellowship. He serves on the Florida Medical Delegation to the American Medical Association and is also a member of the Pinellas County Medical Society. of concierge medicine. (  ) -

To  nd out more, check out Zimmer Medical Services online at www.zimmercm.com

Ophthalmology

Scott Geller, MD, teaches the technique worldwide aser treatment of eye  oat- “I’m always asked why this useful I  y in the engineers from Switzerland to “ ers is fascinating,” says treatment modality is not more widely update and service them yearly.” Scott Geller, MD, a board available, or why some doctors try it certified ophthalmologist but give it up,’’ Dr. Geller explains. A Doctor and an Educator withL a specialty clinic in Fort Myers. “I look “The answer is simple: there are no Dr. Geller has personally trained the forward to doing this every day. And our courses for training, and there is a lack most experienced ophthalmologists of proper equipment.” in the US, as well as the top surgeons Dr. Geller was trained directly from Italy and Holland, who have by the professor who researched laser visited his Florida facility. inside the human eye at “I am concerned about SOUTH FLORIDA EYE CLINIC the famous University Eye “Live with it colleagues rushing into some- Clinic in Bern, Switzerland. thing new without having SCOTT L. GELLER, MD is Dr. Geller has performed more Dr. Geller adds: “ ey never not a formal preceptorship,’’ than 15,000 documented eye reputation has become worldwide with the thought this would be applica- Dr. Geller says. “It is easy to fl oater laser sessions. advent of the internet. We’ve had a steady ble to eye  oaters, but I proved acceptable.” push the button, but not so  ow of patients from Europe, Canada, and them wrong.” easy to get the optimal result ophthalmology meeting.  is is the fourth even Russia, China, Arabia and Israel.” Dr. Geller uses the Swiss and avoid complications.” invitation, and I will also consult and treat Dr. Geller can rightly claim to have made Lasag laser. To improve physician patients there, as I have in the past.” started this niche area of ophthalmic “I have tried others, but there is education, Dr. Geller gave an hour-long Dr. Geller welcomes other ophthalmol- surgery, with the largest, continuous absolutely no doubt in my mind this is the course this year at one of the country’s ogists to come and observe, and to call if clinical series, having performed more than most versatile and precise instrument,’’ he major ophthalmology associations. they need advice on di cult cases. , documented eye  oater laser sessions. notes. “In fact, I have two of them, and “This was the first course of this Article submitted by Scott Geller, MD. Photo by Jordan Pysz. mkb quality anywhere in the US,’’ notes Scott L. Geller, MD, is board certifi ed by the American Board of Ophthalmology. Dr. Geller. “And I am going back to Italy, He is a graduate of Ohio Wesleyan University and Rush Medical College. While in where I was invited to lecture at a major For Eye Floater Solutions medical school, he was awarded a student fellowship to study tropical medicine South Florida Eye Clinic is located at a missionary hospital in India, and pursued additional studies at the famous in Fort Myers at: Brompton Hospital in London, England. He interned at Presbyterian Hospital, Pacifi c Medical Center, San Francisco, CA, and completed his residency in ophthalmology SCAN THIS  Summerlin Rd. at Sinai Hospital of Detroit, which was affi liated with Wayne State Medical School Call Dr. Geller at: and Kresge Eye Institute. Dr. Geller was fellowship-trained in anterior segment and TO YOUR refractive surgery with Dr. William Myers of the Michigan Eye Institute. Dr. Geller is a fellow of the SMARTPHONE ()  - American Academy of Ophthalmology, and has presented papers on eye fl oater laser treatment at the International Congress of Ophthalmology, European Congress of Cataract & Refractive Surgery, TO SEE ACTUAL or toll-free at: European Congress of Ophthalmology and the Florida Society of Ophthalmology. PATIENTS ( )  -

See what Dr. Geller’s patients say about the Eye Floater Laser at www.vimeo.com/eye oaters and on the Scott Geller MD YouTube channel. Osteoporosis Treatment South Pinellas County Edition | Summer 2019 | Florida Health Care News | Page 9 Reverse Osteoporosis

Once-a-week, 15-minute workouts increase bone density

ince discovering her life’s pur- men will su er an osteoporosis-related pose and moving to the United fracture at some point in their lifetime. States some  years ago, Noa After first being diagnosed with Spector-Flock has not only osteoporosis, Noa began taking an oyster Sbecome a licensed massage therapist but shell-based calcium supplement to written three books on body movement, improve her bone density. She learned wellness and injury prevention. six months later that wasn’t working for her. She then chose to get more aggres- sive in her ght against osteoporosis. “ e rst thing I did was start taking a di erent and hopefully more e ective supplement that is made with algae,” Noa explains. “But I wanted to speed up the Her books and the videos that go healing process, so I also decided to start with them explain how a speci c set of doing the OsteoStrong workouts as well.” exercises and the use of a large elastic band such as those used for resistance train- Revolutionary Program ing allow certain muscles in the body to A revolutionary program that has helped lengthen while they contract. more than , people reverse the nega- Known clinically as eccentric contrac- tive e ects of osteopenia and osteoporosis, tion, the goal of Noa’s exercise regimen OsteoStrong helps rebuild bone through is to improve overall once-a-week, -min- strength and decrease ute sessions using the chances of injury. specialized strength- Unfortunately, Noa’s ening equipment. workout regimen This specialized Noa found the OsteoStrong workouts easy and e ective. doesn’t work for every equipment includes part of the body. four bio-mechanical new bone and muscle structure and the body and you need to take care of it Noa learned a machines that allows improving the density of the bones we and be aware of changes to it.” couple years ago that the user to perform have,” Mark says. Noa is among those who have while her workouts resistance-based “As a result of that research, it is experienced a significant increase in do indeed have the pushing and pulling now a known medical fact that when bone density levels since beginning ability to improve the exercises with their you put certain forces on the bones, the the OsteoStrong program. She says a strength of certain arms and/or legs. body responds by growing new bone very recent density scan showed that muscle groups and During these exer- tissue. And the results of these short she made the right call by beginning therefore decrease a cises, the user can workouts is absolutely amazing. OsteoStrong workouts. person’s chances of safely exert pressure “On average, our studies have found “ e workouts are de nitely mak- injury, they do nothing to ward o the four to  times their body weight. that OsteoStrong improves people’s bone ing a di erence, and one of the things onset of osteoporosis. “ e di erence between our exer- density from three to seven percent a year. I really like about them is they’re very Found most often in post-menopausal- cise equipment and that used at a Also, people will increase their strength easy,” Noa says. “I also like that if you are women, osteoporosis is a potentially severe traditional gym is that our equipment by an average ambitious, you condition in which new bone growth does is isometric, which means tension is of seventy-three Osteoporosis can track your not keep pace with degeneration, and the developed without contraction of the percent over BEFORE AFTER improvement bone mineral density becomes so low that muscle,” states Mark Brady, president of their rst year at in terms of how the risk of fracture is markedly increased. OsteoStrong in South Pasadena. OsteoStrong.” much weight About  million Americans have oste- “ ere is no force pushing against Mark also you push. oporosis and low bone mass, which places you, which means you create the force. points out that “And there’s them at increased risk for osteoporosis. On the leg press, for example, I’ve had similar studies always some- Breaking a bone is a serious complication ladies in their eighties weighing one hun- show that doing one there to of osteoporosis, especially as people age. dred pounds who can press a thousand an OsteoStrong guide you and Osteoporotic bone breaks are most pounds.  at’s because it’s isometric. session more watch you and likely to occur in the hip, spine or “For a person who weighs one hundred than once a week does not promote make sure that you’re doing the exercises wrist, but other bones can break too. pounds to develop new bone working out any additional bene t. As a result, the right and getting the maximum bene t. Osteoporosis can also cause some to lose on traditional equipment, they would have workouts are not only impactful, but Everyone there is very personable and height as it can also a ect the vertebrae, to create a resistance of well over four hun- time e cient. helpful. I’m a big fan, and I highly rec- which are the bones in the spine, and dred pounds,” Mark continues. Mark encourages men and women of ommend it.” often leads to a stooped posture. “ at simply can’t be done for ninety- all ages to accept his invitation to try out FHCN article by Roy Cummings. Photo by Jordan Pysz. mkb Considered a silent disease by many nine percent of all people in a gym the OsteoStrong equipment, because he physicians, osteoporosis often goes environment because it involves weights says it’s important to know that osteopo- undetected until a person su ers a bone that they couldn’t physically move or, if rosis is not a disorder that is exclusive to a fracture or change in posture, but statistics they could, they’d be at high risk of injury.” speci c age group or gender. show one in two women and one in four To understand the di erence, Mark “Osteoporosis is not something that Reverse invites people to come in and try the only happens to old people,” he notes. “We Diseases and Conditions That equipment for themselves, noting that his have clients from young to old and every- Bone Loss Can Cause Bone Loss include: facility in South Pasadena o ers two free thing in between. And men are not immune. OsteoStrong leverages scientifi cally sessions that allow newcomers to experi- When they start losing their testosterone, proven osteogenic-loading † Autoimmune disorders ence the OsteoStrong workout. their bone loss becomes more rapid. † Digestive disorders “This is an amazing concept that “In addition to helping them recover methodologies to help all ages and † Breast or prostate cancer is the culmination of twelve years of from it, OsteoStrong wants to help edu- fitness levels. It was created using † Stroke research that looked into the body’s cate people about bone loss.  e skeletal research in cellular biology, anti- † Celiac disease † Lupus own adaptive response to growing framework is the most important part of aging, longevity and bone mass. † Parkinson’s disease OsteoStrong is in South Pasadena at: † Spinal cord injuries OsteoStrong® o ers a natural way to trigger your own adaptive responses to improve bone † Diabetes density and physical strength. It is the no-sweat, no-soreness, once-a-week system that only  Gulfport Blvd., Suite  † Scoliosis takes about seven minutes per session. More than , people have experienced amazing † Poor posture and poor diet results from OsteoStrong. Supporting scienti c data and countless personal testimonies are (  )  - making OsteoStrong® the best choice for strong bones, muscles and balance in the world. Page 10 | Florida Health Care News | Summer 2019 | South Pinellas County Edition Hemorrhoid Treatment Safe, Quick, Easy and E ective nonsurgical

or the better part of the ten Outpatient Procedure treatment years he suffered from hem- “Hemorrhoids are swollen veins in the relieves orrhoids, Jason* told no one rectum or anal canal and they’re extremely hemorrhoids of the condition, not even his common,” notes Linh B. Nguyen, MD, Fwife or his doctor. of HemWell America. “In fact, more than “I guess like a lot of people I was too fty percent of people age fty or older embarrassed to talk about it,” have them to some degree.” Jason con des. “It was de - Most sufferers are nitely a problem, though. understandably reluctant I’d wake up in the middle of to try the available treat- the night, itching like crazy. ment options, some of I tried hemorrhoid cream, which have traditionally but it didn’t do anything. It been both painful and was horrible.” inconvenient. Fortunately, and convenient. Up to ninety percent of Also gone is Jason’s unwillingness Now retired, Jason spent Dr. Nguyen o ers microcur- people who have it done get relief from to talk about hemorrhoids. In fact, he his working years in the LINH B. NGUYEN, MD rent electrolysis (MCE), an their hemorrhoids, and it can be safely talks about them freely now, in case it broadcasting industry, where FDA-approved, nonsurgi- repeated as needed. helps others. he managed radio and television stations. cal method for treatment of hemorrhoids. “One of the best things about it is “I tell people that this is the most One day, he heard about HemWell  e noninvasive, relatively painless outpa- that there is no need to take any special comfortable treatment and it’s not an America and had a revelatory moment. tient procedure has been helping patients preparation to clear the bowels. Patients embarrassing situation,” he notes. “If “I said to myself, at’s me. I’m not for more than  years and is completed can have the procedure done and go you’re putting treatment o because of telling my wife about this; I’m not telling right in the doctor’s o ce. back to work immediately, so there is no embarrassment, don’t wait another sec- anybody,” Jason recalls. “So I went home “A low current is applied to the base downtime.  e entire procedure takes ond. Pick up the phone and get it done that night and told my wife, I’m having of the hemorrhoid, causing a chemical approximately twenty minutes.” because it’s not embarrassing at all.” a little problem down there and I’m going reaction that induces the hemorrhoid FHCN staff article. mkb to make an appointment with HemWell.” to shrink,” the doctor explains. “This “Feel Like New” *Patient’s name withheld at his request. method doesn’t cause the agonizing pain “Dr. Nguyen makes you feel very comfort- Microcurrent Electrolysis often associated with traditional hem- able during the procedure,” says Jason, who Why Su er? orrhoid surgery and is covered by most reports that the MCE treatment was not If pain, itching and bleeding from Hemorrhoid Treatment insurances and Medicare. only painless but immediately e ective. hemorrhoids are aff ecting you, • FDA-approved “In addition to being well tolerated “I felt like a new person when I walked there’s help. Call HemWell America • Well-tolerated – no anesthesia by patients, this method does not require out of the doctor’s o ce after the proce- today or visit one of their offi ces: required anesthesia, and it’s highly e ective, safe dure,” he says. “ e itching was gone.” Pinellas Park • No downtime  Park Blvd., Suite  • No special preparation Linh B. Nguyen, MD, is board certifi ed and is a diplomate of the American Board of Tampa • No painful surgery Family Practice. He is a graduate of the University of Florida and received his medical  Armenia Ave., Suite  • Covered by most insurance and degree from Hahnemann University, Philadelphia, PA. He is certifi ed in microcurrent electrolysis for the treatment of hemorrhoids. Medicare  W. Linebaugh Ave. • Highly eff ective and safe ()  -WELL () Visit www.hemwellamerica.com Special to FHCN Experiencing Foot or Ankle Pain?

ches and pains in the feet or Podiatrists treat a wide variety of anti-inflammatory medications and ankles may be a common podiatric complaints, including heel, cortisone injections to relieve pain. complaint among seniors, foot and ankle pain, and di cult-to-heal In the event that conservative treat- but it’s important to under- wounds on the lower extremities. ments do not provide long-term relief, Astand that just because something is Heel pain may result from stress on many of these troublesome conditions commonplace does not mean it’s normal. the muscles and ligaments of the foot, can be addressed with a minimally inva- Although certain medical conditions stretching and tearing of the brous con- sive outpatient procedure. such as arthritis and diabetes can cause nective tissue that runs along the bottom For bunions, an osteotomy may be foot pain, the primary cause of most foot of the foot, or tearing of the membrane used to surgically realign the bones of the pain is actually a problem with the foot’s that covers the heel bone. toe, and the corrected position is secured function or biomechanics. Plantar fasciitis, or chronic in am- with a small titanium screw implant. In Pain in the foot or ankle that recurs mation of the plantar fascia, is the most most instances, patients are able to begin on a regular basis or lasts for an extended common cause of heel pain.  e plan- wearing soft, comfortable shoes within period should be evaluated by a board- tar fascia is the rigid ligament along just two weeks after the procedure. certi ed podiatrist – a physician specially the bottom of the foot, and it often Patients suffering from unresolved trained in the treatment of the foot, ankle, becomes a problem for runners and plantar fasciitis often benefit from Common Foot and and lower leg. other athletes, people who are required endoscopic plantar fasciotomy, or EPF, a Ankle Conditions to stand for long periods at work, or minimally invasive outpatient surgery per- • Achilles Tendinitis even as a result of pregnancy. formed under local anesthesia with mild • Ankle Pain Podiatrists treat A neuroma is an in ammation and sedation.  e procedure takes only a few • Arthritis swelling of the digital nerve on the bot- minutes, and patients are typically allowed • Bunions problem areas of tom of the foot, running between the to return to normal activities within a week. the feet, ankle metatarsal heads at the base of the toes. Morton’s neuroma can typically be • Diabetic Foot Bunions result when a patient’s foot treated without surgery. Dehydrated Complications or lower leg by is or becomes unstable, causing the alcohol injections provide long-term (ulcers) prescribing one foot to roll and weakening the tendons relief for many patients, even in cases • Flat Feet or several of the and ligaments that stabilize the great where the patient has had a neuroma (adult and pediatric) toe. Repetitive motion from rolling, or excision in the past. • Foot Pain following: over-pronating, allows the bone to drift Any course of treatment should be over- • Fractures • Physical therapy and causes pain and bone enlargement. seen by a board-certi ed podiatrist. Above • Hammer Toes Hammertoe is a bending or curl- all else, it is important to remember that • Heel Pain • Prescription drugs ing of the toe, often resulting in the foot pain is not normal, and that it should • Ingrown Toenails • Surgery on lower formation of painful corns as the toe be evaluated and treated as soon as possible. • Morton’s Neuroma extremity fractures deformity presses unnaturally against Although we may sometimes take our • Nail Fungus the patient’s footwear. feet for granted, we shouldn’t.  e better • Plantar Fasciitis • Orthotic inserts Conservative treatments for we treat them, the better our active life- or soles these conditions may include hot or styles can be. • Sprains cold compresses, physical therapy, FHCN staff article. mkb • Warts Oral and Maxillofacial Surgery South Pinellas County Edition | Summer 2019 | Florida Health Care News | Page 11 New Look, New Life Smile, self-con dence restored with Same Day Teeth®

or years, the smokestacks that dot- At Coastal Jaw Surgery, Gail met ted the small Pennsylvania town prosthodontist Philip J. Hedger, DMD. northeast of Pittsburgh that Gail Initially, the tooth replacement special- Portervint called home poured ist and “smile architect” spoke at length Fnoxious fumes into the air. Like too many of with Gail to uncover her biggest concerns the area’s residents, Gail and her family were about her smile. severely impacted by the toxic pollution. Dr. Hedger also consulted with Dr. Michael A. Pikos, oral surgeon team member. Together, they per- formed a thorough clinical evaluation of Gail and created a comprehensive MICHAEL A. PIKOS, DDS treatment plan for her. JOSÉ F. LÁZARO, DMD KENNETH L. ANDERSON, DDS “When I met Gail, she was dis- JASON B. BLUNDELL, DDS couraged with her dental care and LINDSEY PIKOS ROSATI, DDS, MS PHILIP J. HEDGER, DMD, MS the progression of her periodontitis,” Dr. Hedger notes. “It was becoming dif- Gail is elated with the results of the Same Day Teeth process. “Seven of thirteen in my immedi- cult for her to maintain her teeth. She ate family developed cancer,” the retired would lose a tooth from the periodon- performed a dry run surgery on those mod- “And the teeth look like my own. I computer programmer discloses. “One titis, then require oral surgery. She was els,” Dr. Hedger reports. Finally, Dr. Pikos surprise everybody when I tell them these family member is a leukemia survivor, and embarrassed of her smile as well due to performed the implant surgery on Gail. At teeth are not mine.  ey say, ey look another is a melanoma survivor. Another crooked dentition. the same appointment, Dr. Hedger placed totally natural. I never would’ve guessed was told he had a spot on his kidney and “Gail was unhappy because her teeth the teeth that were made in advance of sur- they’re not yours.” instructed the doctors to remove it.  e were failing, and it was starting to a ect gery in a very precise manner. In addition to achieving an excellent kidney was full of cancer. her self-confidence. She did not want “In essence, the surgery was performed outcome with her restored smile, Gail “When I had my blood drawn, my to keep putting money into teeth that three times: Once on the computer, once realized a result that neither she nor her white blood cell count was three to four times were deteriorating. She wanted a solu- on the models and finally on Gail. We doctor expected.  e nding eased some higher than what it should have been. I, too, tion for her smile that looked good, was do not go into surgery blindly. We do it of her anxiety over being a cancer suspect. was considered a cancer suspect and went long-lasting and eliminated future dental twice before we perform it on the patient “After I had my teeth removed, there every six months to have my blood tested. problems. She was a good candidate for to ensure its predictability and success. was no more periodontal disease,” Gail Over the years, my counts didn’t change.” Same Day Teeth.” Guided surgery is like a blueprint for a relates. “At the next appointment with my cancer specialist, he said, I don’t know what you did, but your blood count is normal. Same Day Teeth also cured my white blood cell condition.” “Everybody at Coastal Jaw Surgery is like my extended family,” she adds. “They are so courteous and make me BEFORE AFTER feel so welcome. I really got to know Dr. Hedger because I see him more than  e possibility of developing cancer Same Day Teeth is Coastal Jaw Surgery’s house.  e whole design is orchestrated the other dentists. He’s marvelous and so is an ever-present concern for Gail, who unique process for smile restoration. It’s an ahead of time and implemented once.” happy all the time. I highly recommend was once anxious about periodontal, or advanced approach that includes a fully As part of the Same Day Teeth pro- Coastal Jaw Surgery!” gum, disease as well. Gail knew she could digital process for planning and perform- cess, patients leave Coastal Jaw Surgery The team members at Coastal Jaw lose bone in her jaw and teeth if the con- ing dental implant surgery. With Same Day with temporary replacement teeth on the Surgery are all part of Tampa Bay’s only dition progressed. Teeth, patients receive implants and replace- same day their failing teeth are extracted. multidisciplinary specialty treatment group “I had periodontal disease most of my ment teeth in a single day. Recently, advances in the process have that brings oral surgery, prosthodontics life. I got my teeth deep cleaned, but that shortened the wait time for patients to and periodontics together under one roof. doesn’t take away the disease,’’ says Gail, who Three Steps to Success receive their permanent replacement teeth. FHCN article by Patti DiPanfilo. Photo by Jordan Pysz. was equally concerned with the appearance After consulting with Dr. Hedger and “Technology in dentistry is always Before and after images courtesy of Coastal Jaw Surgery. mkb of her smile and badly wanted to improve it. Dr. Pikos, Gail agreed on the Same Day evolving, and we now have new equipment “I was never a lover of my smile because Teeth protocol and at this point, her surgery and protocols for our Same Day Teeth pro- Improve Your Bite! my two front teeth crossed and there was was planned. Dr. Hedger began by gathering cess,” Dr. Hedger con rms. “In the past, decay and discoloration, so I didn’t really additional information culled from measure- we waited three to four months before giv- Coastal Jaw Surgery, The Center for Dental like to smile,” she describes. “Today, younger ments and digital photos he took of Gail’s ing patients their permanent teeth. Implants/Facial & Oral Reconstruction, people have perfect-looking teeth because teeth. He then made molds from which he “Today, our preferred route, for welcomes calls regarding this article and their parents got them braces. created a customized surgical approach. patients who are candidates, is to give other oral surgical topics. To schedule a “My parents couldn’t a ord that, so for “We submitted all of the data we col- them permanent teeth the day of surgery.” complimentary consultation and CT scan, please call or visit any of their locations: years, I just lived with crooked teeth. But lected to our team lab in Nevada, after then I heard about Coastal Jaw Surgery and which Dr. Pikos and I collaborated on a web Unexpected Benefi t Palm Harbor their smile restoration process, and I made meeting with a digital specialist from the lab On the day of her surgery, Gail arrived at 2711 Tampa Rd. the choice to visit them.” to thoroughly plan Gail’s case,” Dr. Hedger Coastal Jaw Surgery at : a.m. Several (727) 786-1631 informs. “All this was done in virtual mode.” hours later, after Dr. Pikos completed  e lab then created physical guides the surgical phase of her treatment, Tampa The Doctors at that precisely matched Gail’s bone struc- Dr. Hedger was able to place the permanent 11940 Sheldon Road ture and the computer results.  e guides, teeth as per her original treatment plan. Coastal Jaw Surgery which t in Gail’s mouth during surgery, “I’m extremely happy with the Same (800) NEW-LOOK have fi ve locations throughout the Tampa Bay area and are members and offi cers of showed exactly where to place the dental Day Teeth process,” she raves. “I expected Trinity numerous professional organizations, implants to achieve the aesthetic results more di culty, but it all went perfectly. I 8845 Hawbuck Street including the Florida Society of Oral & Dr. Hedger designed for her. love my teeth now, and I feel much better Maxillofacial Surgeons; American and (727) 375-0469 Florida Dental Societies of Anesthesiology; “From the computer, exact mod- as a person. I’m so glad I did this. I cannot American, Florida, West Coast, West els of Gail’s mouth were printed, and we be more pleased. Pasco, Upper Pinellas, and Hernando Trinity County Dental Associations; Academy of Same Day Teeth Osseointegration; and American Academy 8740 Mitchell Blvd. of Implant Dentistry. Additionally, Coastal Philip J. Hedger, DMD, MS, earned his undergraduate Jaw Surgery operates the Pinnacle and degree in nutrition from the University of Florida. He received (800) NEW-LOOK Hygiene Study Clubs for the area’s general his dental doctorate from the University of Florida College dentists and dental hygienists. of Dentistry. Dr. Hedger then completed an advanced prost- hodontics residency at the University of Illinois at Chicago Spring Hill College of Dentistry. He maintains an active involvement 4372 Commercial Way, Suite 4 within the dental community, serving on committees and (352) 596-6804 providing educational lectures to peers. Outside Florida See educational videos at www.CoastalJaw.com (727) 877-0011 Page 12 | Florida Health Care News | Summer 2019 | South Pinellas County Edition Ophthalmology

STEPHEN M. WEINSTOCK, MD, FACS JEFFREY S. SCHWARTZ, MD LEONARD S. KIRSCH, MD, FRCS C RICHARD J. HAIRSTON, MD, FACS ROBERT J. WEINSTOCK, MD NEEL R. DESAI, MD JASMINE MOHADJER, MD JANIE A. HO, MD STEVEN E. KANE, MD SANDRA M. JOHNSON, MD VASILIOS F. DIAKONIS, MD