May 2019 Health Matters

May 2019 Health Matters

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

• Scott Thompson, MD - sports medicine and joint replacements Undergraduate in chemistry at Harvard University. Medical degree from Johns Hopkins University School of Medicine. Residency in orthopedic surgery and fellowship in cartilage regeneration at UC San Diego. Fellowship in joint replacement and sports medicine at Mayo Clinic. Undergraduate degree in Molecular Biophysics and Biochemistry at Yale University. Medical Degree from Harvard Medical School. Residency in Orthopedic Surgery at Columbia University Medical Center, New York City. Fellowship at Boston University in sports medicine and arthroscopic surgery of shoulder and knee. • Christopher Adams, MD – shoulder Medical degree from State University of New York. Residency in orthopedic surgery at Mayo Clinic and arthroscopic shoulder fellowship at the San Antonio Orthopedic Group. Senior vice-president and medical director of the global education program at Arthrex, in Naples. • Howard J. Kapp, MD – total joint replacements Magna Cum Laude from Harvard. Medical degree from Case Western Reserve University. Completed a combined orthopedic residency program at Massachusetts General Hospital and Brigham &Women’s Hospital in Boston. former Director of the Foot & Ankle Orthopedic Division at Massachusetts General Hospital and was the hospital’s first surgeon to perform a total ankle replacement in 2010. • Richard J. de Asla, MD – foot and ankle Fellowship at the prestigious Hospital For Special Surgery in New York City, former Harvard Medical School faculty member, • Jon S. Dounchis, MD – sports medicine and joint replacements

NCH Orthopedic Program From Shoulders to Toes, and Everything in Between

T he NCH Healthcare System is the only hospital in Southwest Florida to receive the highly coveted Joint Commission Certification for Total Knee and Total Hip Replacement Surgery. In 2016, NCH earned the Joint Commission’s Gold Seal of Approval for its Orthopedic Program with a perfect score and was recently re-certified by The Joint Commission as an Orthopedic Center of Excellence. That means NCH Orthopedics offers the highest quality care and patient satisfaction for total hip and total knee replacement in the region. The NCH Orthopedic Program includes a stellar line-up of highly trained orthopedic surgeons providing surgeries and treatments in a variety of sub-specialties as well as highly- trained physician assistants, nurses and physical therapists who complete the team. The collective expertiseof this groupof orthopedic specialists is unmatched anywhere in Southwest Florida, and offers the same clinical techniques, high quality of surgical efficiency and surgeon academic training and background as you would find in large metropolitan hospitals. “NCH orthopedic care is about more than just fixing bones and joints; it’s about getting people back to the lives they knew before pain,” says Zach Bostock, Chief Administrative Officer, NCH Physician Group. The NCH board certified orthopedic surgeons specialize in treating a broad range of operative and non-operative injuriesandmusculoskeletal conditions. “Wealso have pain management and sports medicine services to cover a wide range of patients’ needs

with the mission of returning them to good health and productivity,” he adds.

Bostock shares that future plans for the Orthopedic Program include adding one or two additional orthopedic surgeons and opening a new orthopedic office in Fall 2019 at the NCH Downtown Baker Hospital. Physician leader for NCH’s Orthopedic Division, RicharddeAsla,MD,adds that theNCHCreekside Orthopedic location will double its current space to accommodate additional practitioners. “Presently, orthopedic surgeries are performed at the NCH Downtown Baker Hospital and at the NCH North Naples Hospital and we just opened an outpatient surgery center at NCH Healthcare Bonita,” he says. “A second outpatient surgery center in the Medical Plaza on the Downtown Baker Hospital campus is also in the plans.” “In my field, we are doing more total ankle replacements as the implants improve,” says Dr. de Asla. “For many decades, we used fusion operations for patients with unremitting pain secondary to ankle arthritis. We are now on the third to fourth generation of ankle joint replacements,whichhaveadvancedsignificantly as evidenced by the improved longevity of the implants.” Dr. de Asla shares that he is excited to assist in the growth of the evolving NCH Orthopedic Program and is proud of the superior services that have earned NCH Orthopedics a perfect score as a Joint Commission certified orthopedic Center of Excellence.

• Magid Al-Kimawi, MD - physical medicine, rehabilitation and interventional pain medicine

Residency at Tufts-New England Medical Center and fellowship at St. Elizabeth’s Medical Center of Boston in physical medicine and rehabilitation.

• Gregory Rubin, DO – primary care sports medicine Trained in internal medicine, with fellowship training in sports medicine at the University of Kentucky. Sees patients with non-operative orthopedic issues, concussions, and ultrasound-guided injections.

NCH Orthopedic Program specializes in: • Total knee and total hip replacement surgery • Foot and ankle • Shoulder • Sports medicine • Interventional pain management

To make an appointment with one of NCH Orthopedic Program doctors, visit www.FindanNCHdoctor.org

Tiny Heart Pump Offers Hope for High-Risk Patients in Need of Cardiac Surgeries

H igh-risk cardiac patients with clogged arteries in need of surgery, as well as patients in need of other cardiac procedures, can now benefit from the world’s smallest heart pump, called the Impella, which helps the heart pump blood throughout the body while surgery is being performed. Michael S. Flynn, MD, FACC, FSCAI, from the NCH Heart Institute and who is board- certified in interventional cardiovascular disease, says that many patients who are in need of life-saving cardiac surgeries are often disqualified from having the procedures because their hearts do not have the strength to support the body through the surgery. “The use of the Impella in these patients offers the opportunity for successful cardiac interventions,” says Dr. Flynn. “It shows how much advancement we have made in procedures for high-risk cardiogenic shock patients (patients with inadequate heart pumping function and severely low blood pressure).” The Impella heart pump can be placed into the heart using a catheter inserted into an artery in the leg – or it can be placed using traditional surgical methods. In addition to supporting heart pumping function during surgeries, the Impella can be left in place when patients experience continued heart pump function failure, explains Dr. Flynn. “So, instead of just giving

actual capacity of an average healthy

human heart, which pumps

between 5 and 7 liters of blood per minute. Although a new 5-liters per minute pump

Dr. Michael S. Flynn

is now in use in Europe, FDA approval is not expected in the United States for another year or two. “The pump is a temporary device,” explains Dr. Flynn. “The heart at rest puts about five liters per minute, so the 3.7-liter pump can nearly unload the left ventricle. It can be left in patients with cardiogenic shock for two to three days. For patients with high-risk angioplasty, it is left for less than one day, and for open-heart surgery patients, it may be in for three to five days.” Benefits to the high-risk heart patient:  Less risk of death or disability  More rapid recovery from procedures  Avoidance of circulatory collapse and

patients a lot of adrenaline and intravenous medications, the pump can do a lot of the work, and allow for recovery, post-surgery.” According to Abiomed, the company making Impella, the pump works by unloading blood from the left ventricle and expelling it into the ascending aorta, which mimics the actual cardiac output of the heart muscle. Dr. Flynn says that in terms of output, the first Impella, introduced about five years ago, could pump approximately 2.5-liters of blood per minute. The newest Impella can handle 3.7-liters per minute, coming closer to the

arrest during the procedure  Makes the procedure safer

For more information on the Impella pump and its role in supporting the heart through cardiac surgeries in high-risk patients, contact the NCH Heart Institute at (239) 624-4200 .

Stop Sneezing and End Suffering From Allergies

The NCH Physician Group welcomes Florina Neagu, MD, specialized in finding out what makes you sniffle, sneeze and scratch. A Board-Certified Allergy, Asthma and Immunology physician, she helps those looking for relief from seasonal allergens, skin problems, nose, sinus, eye allergies, asthma symptoms and hives, as well as others. Her goal is to improve a patient’s quality of life. “Patients are tired of feeling embarrassed that they have to take care of their nose while at dinner with friends,” says Dr. Neagu. “Nasal and ocular (eye) irritants and aeroallergens can cause a chronic cough, asthma and other respiratory conditions, while food allergies can cause severe systemic reactions (such as anaphylaxis), or rashes, eczema or even asthma. Without a diagnosis, patients are left to guess what will give them relief.” Dr. Neagu takes the guesswork out of diagnosis. After a patient interview, she recommends one of two diagnostic tests: a skin test or patch test for nasal and ocular symptoms, problems with foods or skin conditions, and a breathing test for chronic cough and asthma type problems. Both tests determine if there is an allergy or an adverse reaction. “By testing, we narrow down and categorize to see what kind of problem there is,” Dr. Neagu explains. “We diagnose if it’s an allergy or a skin irritant, and if it is a true food allergy or an adverse reaction to foods.”

While testing accuracy has vastly improved over the years, Dr. Neagu stresses that there is no cure for allergies. As part of her treatment plan, she teaches patients the best way to use medications and how to avoid triggers. The key is to control the allergy symptoms and see if allergy injections will be a good treatment plan for you. While relief won’t happen overnight, Dr. Neagu also offers these tips to those with seasonal allergies:  Limit morning outdoor exposure. Pollen is moving around between 5 a.m. and 10 a.m.

Florina Neagu, MD

 Take a shower immediately after being outdoors. Wash from head to toe, including your hair, and change clothes.  Use a nasal saline rinse.  Pre-medicate before exposure. Take an antihistamine and use nasal spray when you know you’ll be around allergens.  Determine a treatment plan with an allergy specialist.

SYMPTOMS OF AN ALLERGIC REACTION Some of these symptoms can be a sign of a life-threatening allergic reaction

Itchy, watery eyes Itchy nose Sneezing Runny nose Rashes Hives (a rash with raised red patches)

Wheezing (a whistling sound when you breathe) Chest tightness and losing your breath Feeling faint, light-headed or “blacking out” A sense of “impending doom”

Stomach cramps Vomiting Diarrhea Bloating Swelling

Redness Pain Tongue swelling Cough Throat closing

Dr. Florina Neagu’s office is located at 1845 Veterans Park Dr., Suite 210, in North Naples . Call (239) 624-0530 for an appointment or for more information.

Christopher Raphael NCH System Director of Critical Care

Everyone hopes that they will never need the services of a hospital critical care unit, but should the need ever arise for yourself or a loved one, it is good to know that a state-of-the-art facility – equipped with the latest technologies and staffed by the most qualified medical professionals – exists right in our own community. The renovation of the Critical Care Unit at NCH Downtown Baker Hospital was completed in January and offers large private ICU rooms. With 22 beds, the unit is now double the size of the previous critical care unit. The renovation is part of the larger master plan, which was initiated in 2014, explains Christopher Raphael, RN, MSN, CCRN-K, NE-BC, System Director of Critical Care, Hemodialysis, Vascular Access Nursing and Interventional Radiology Nursing. New Critical Care Unit Renovation Offers the Best Technology for Patients

Providing ‘round-the-clock care, ten critical care intensivists staff the unit. All are board-certified physicians with special training in the needs of critically ill patients. Rounding out the team are eight nurse practitioners, seventy- eight registered nurses – both year-round and seasonal – ten secretaries, four clinical techs and an APACHE (acute physiology and chronic health evaluation) coordinator. “We now have space to integrate with all care providers—respiratory therapists, pharmacists, internal medicine residents, physical and occupational therapists, community physicians and attending physicians from the hospital, which provides more opportunity for greater collaboration,” says Raphael. “Multi-disciplinary and teaching rounds occur daily.”

With a strong emphasis on the creature comforts, which are known to improve patient outcomes, each room has now been equipped with a family center - a small separate area where family members can spend the night with the patient. “The family is an integral part of the care,” explains Raphael. “We communicate with the families and keep them updated throughout the day.” Elsewhere on the unit, a consultation room allows families to conduct sensitive conversations with physicians, and a family area offers restrooms, coffee, telephones, television and areas for seating. Each room features contrasting soft colors with a focus on therapeutic healing as well as a window to provide natural light, which is important for the healing process and day / night orientation. All rooms also have dimmable LED lighting, which appears more natural than the old-fashioned fluorescent lighting. Changes to the Critical Care Unit do not stop at the décor, of course. Brand new equipment brings the most modern technological advances in the treatment of critically ill patients. New cardiac monitors, and invasive and

Features of the renovated Critical Care Unit:

non-invasive monitoring systems are fully linked with electronic health records. Plans to send alarms to staff phones are also being developed. Integrated patient lifts in every room help to increase patient mobility and staff safety – which improves overall patient care.

Every room has a family center, enabling overnight stays A separate consultation room for family consultations with physicians Nurses' stations are designed to have line of sight to each room

22-bed, large, private rooms, equipped with smart technology Separate family center with restrooms, coffee, telephones, television and areas for sitting Alarm-management technology

Soft colors, natural and LED dimmable lighting A computer i n each room for medication barcode scanning and patient records Work space for internal medicine residents

“We have a computer mounted in each room for patient documentation and medication barcode scanning at the bedside, which is a patient safety best practice. The computers also enable physicians to pull up patient records and radiology images to review with family,” explains Raphael. Every patient room has clear line of sight from the nurses’ stations, helping staff monitor each patient’s status at all times. A work space for internal medicine residents has also been added.

For more information, contact Christopher Raphael, NCH System Director of Critical Care , at (239) 624-3266 or email [email protected]

Minimally Invasive Procedures Are Freeing Patients FromYears of Chronic Pain

Innovations in pain management are changing the way Magid Al-Kimawi, MD, treats patients with chronic, long-term pain. An interventional pain medicine specialist, Dr. Al-Kimawi uses a plethora of minimally invasive procedures to help patients find relief, even after years of pain. “With advancements in MRIs, imaging

returns. In the meantime, he helps patients maintain a good quality of life. Dr. Al-Kimawi says that he likes that his interventional pain medicine practice, a relatively new medical specialty, requires both clinical and procedural work. “There are many different ways to help

with the pain,” he adds. “The new trend is to minimize medications and try everything else instead.” While most of his patients suffer from chronic back pain, Dr. Al- Kimawi does have patients with athletic injuries, work-related trauma issues and post-surgical pain. “We are trying to help those in pain whether they are old or young,” he states. Dr. Al-Kimawi hopes to use his expertise and passion to better serve the southwest Florida community.

and ultrasounds, we can know more about where the pain is coming from,” explains Dr. Al-Kimawi, who recently joined the NCH Physician Group. “Then, we can put a needle where there is a problem and kill the inflammation in that area.” Other techniques include radiofrequency ablation therapy, where heat or cold is administered to the nerve that is giving off pain signals. Or, spinal cord stimulation for people with back pain, which helps block pain signals traveling through the spine to the brain. He has also seen patients receive relief from stem cell injections and platelet-rich plasma injections. Dr. Al-Kimawi explains that these treatments offer different results to different people, but typically, patients can expect to be pain-free for three to six months, or until the inflammation Magid Al-Kimawi, MD

The office of Dr. Magid Al-Kimawi is located at 1285 Creekside Blvd., suite 102, in North Naples. For more information, or to make an appointment, call 239-624-0960.

LOOK BEFORE YOU LOCK A car can Heat up to 125 Degrees in Minutes! On average, 37 US children die in hot cars every year (approx. 1 every 9 days) and 87 percent of children who have died are age 3 and younger. Car heat stroke is not always understood. The majority of parents would like to believe that they could never forget their child in the backseat of a vehicle. Unfortunately, a change in daily routine, lack of sleep, stress, fatigue and simple distractions are things that can contribute to these tragedies. Children have died in hot cars when the outside temperature was as low as 60 degrees. Cracking the windows does NOT help slow the heating process or decrease the maximum temperature in the car. Heat stroke happens when the body cannot cool itself fast enough and the core temperature rises to dangerous levels. Children’s bodies heat up three to five times faster than adults. “Heat stroke can lead to a number of complications depending on the amount of time the body temperature has been high,” says Dr. Myers, Medical Director of the NCHMacDonald Pediatric Emergency Department. “It is essential that the body temperature is lowered as quickly as possible. If the body temperature is not lowered immediately, heat stroke can lead to swelling of the brain and other vital organs leading to permanent damage.” “We treat heat stroke by lowering the body temperature of the child to the normal temperature. This prevents or reduces damage to vital organs or even death,” she adds.

Dr. Myers shares these simple tips to remind oneself that a child is in the car:  Keep your personal items (wallet, purse, cell phone, briefcase) in the backseat with the child.  Keep the diaper bag or child belongings in the front seat as a visual clue.  Have daycare call you if the child is not dropped off by a certain time each day. Source: CDC KidsandCars.org

Dr. Pia Myers

Safe Kids is urging everyone to ACT: A void heat stroke-related injury and death by never leaving your child alone in a car, not even for a minute. And make sure to keep your car locked when you’re not in it so kids don’t get in on their own. C reate reminders by putting something in the back of your car next to your child such as a briefcase, a purse or a cell phone that is needed at your final destination. This is especially important if you’re not following your normal routine. T ake action. If you see a child alone in a car, call 911. Emergency personnel want you to call. They are trained to respond to these situations. One call could save a life. In the State of Florida, it is against the law to leave your children unattended in a vehicle . Visit NCH Safe & Healthy Children's Coalition at www.safehealthychildren.org for more information.

The NCH MacDonald Pediatric Emergency Department is located at North Naples Hospital, 11190 Health Park Blvd., phone (239) 624-6100.

NCH Cardiac Catheterization Lab facts: • Performs more than 4,000 cardiac catheterization procedures and 1,000 angioplasty procedures annually. • Treats 150 patients annually who are having a heart attack through the 24/7 Code-Save-A-Heart team with a 68-minute door to balloon time. • Performs diagnostic studies to diagnose valvular and structural heart problems as well as electrophysiology procedures. • Performs Structural Heart procedures, like TAVR, WATCHMAN or PFO (patent foramen ovale) with full cardiovascular operating room support. • The Electrophysiology Lab located within the Cath Lab performs over 1,000 procedures including pace- maker, ICD implants and ablations for arrhythmias. • Enables cardiac specialists to perform advanced structural heart procedures • Utilizes drop-down, ceiling- mounted equipment • Creates a sterile and safe work environment for staff • Eliminates trip hazards • Improves patient safety and observation Features of the new NCH cath lab

NCH Cardiac Cath Labs Reduce Need for Invasive Heart Surgeries

Modern advancements in the treatment of heart and cardiac system disorders – primarily through the use of cardiac catheterization – have made open heart surgeries much less necessary and much less risky than they once were. With improved catheterization technologies, more cardiac patients are now able to avoid open heart surgeries. NCH recently opened its fifth Cath Lab to serve the cardiac needs of the Southwest Florida community. The NCH cath lab team includes highly skilled professionals utilizing state-of-the-art equipment to perform procedures such as the transcatheter aortic valve replacement (TAVR) and Watchman, which are based on the latest technological advances. TAVR treats aortic stenosis, or malfunction of the aortic valve, in patients who may not be healthy enough to undergo an open-heart surgery. More than 100 TAVR procedures have been performed at NCH since October 2018, with an excellent success rate. Other cath lab procedures include Watchman, which reduces stroke risk for atrial fibrillation (A-Fib) patients; patent foramen ovale (PFO) closure procedures, which also reduces the risk of stroke;

and ablation procedures to treat arrhythmias. The newest lab is designed to house the specialized equipment needed for cardiac electrophysiology procedures which require an anesthesiologist. This room includes an equipment boom that extends from the ceiling and provides access to oxygen, suction, electrical ports for the monitors and everything else that the anesthesiologists need to work with and observe their patients. It creates a very safe room environment. NCH Director of Invasive Cardiology, Stephen Cooke, BSN, RN, RCIS, says that the staff was very involved in designing the first four cath labs. Workstations were placed within the labs to improve line of sight and communication with patients. Medications and central supply dispensers were also located in the lab for speed and efficiency. “This design means we’ve eliminated the need for wall plugs and we don’t have to wheel equipment and supplies in on carts,” says Cooke. “Everything is right there. It’s a safe and sterile operation. A study showed that we saved 19 minutes on average per case, based on the labs’ setup and workflow.”

For more information about NCH’s Cardiac Catheterization Labs, contact Stephen Cooke at (239) 624-2545 or email [email protected]

NCH Director of Invasive Cardiology,

Stephen Cooke, BSN, RN, RCIS

Understanding the Link Between High Blood Pressure and Stroke

Each day that your blood pressure is too high, your chances of having a stroke are increased. Normal blood pressure is considered to be less than 120 over less than 80 millimeters of mercury (mmHg) or 120/80 mmHg. A stroke is a loss of brain function caused by a lack of blood to the brain. Stroke can result from the damage that ongoing high blood pressure causes in your vessels. If the affected vessel stops supplying blood to the brain, a stroke results. Brenda Hartmann, NCH System Stroke Coordinator, explains that

signs of stroke can differ among men and women. Strokes do not always hurt and often include one or more of the following coming on quickly: ■ Sudden numbness or weakness in the face, arm or leg, especially on one side of the body. ■ Sudden confusion, trouble speaking or difficulty understanding speech. ■ Sudden trouble walking, dizziness, loss of balance or coordination. ■ Sudden severe headache with no known cause.

Acting F.A.S.T. is key: F — Face : Does one side of the face droop when smiling? A — Arms : Close the eyes and raise both arms. Does one arm drift downward? S — Speech : Say a phrase such as: “You can’t teach an old dog new tricks.” Is the speech slurred? T — Time : Call 9-1-1 immediately if you observe any of these signs.

High Blood Pressure damages blood vessels Vessels Thicken

Vessels break Sometimes blood flows with enough force toweaken a vessel wall. If the vessel is small or damaged, the wall can break. When this happens, blood leaks into nearby tissue and kills cells. Other cellsmay die because blood cannot reach them.

Clots form When blood pressure is too high, it can damage blood vessel walls which results in scar tissue. Fat and cholesterol (plaque) collect in the damaged spots. Blood cells stick to the plaque, forming a mass called a clot . A clot can block blood flow in the vessel.

When blood presses against a vessel wall with toomuch force, muscles in the wall lose their ability to stretch. This causes the wall to thicken, which narrows the vessel passage and reduces blood flow.

Source: The Staywell company retrieved from Krames

For more information about the NCH Stroke Center call Brenda Hartmann at (239) 624-4172

NCH and the NCH Physician Group

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Pulmonary, Critical Care & Sleep Medicine Cartrell Cross, MD

Robert Pascotto, MD  Brian Solomon, MD 

Aubrey Fulton, APRN

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

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

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Jose Herazo, MD

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Gary Sporn, MD

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Internal Medicine Susan Best, DO

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

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

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Marco Island

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

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

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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

Patients have been absolutely tickled with NCH pediatric services!

Always Open, Close To Home

The NCH Healthcare System has been providing comprehensive, quality pediatric services close to home to the children in our community for years. Located primarily on the NCH North Naples Hospital campus, NCH Pediatrics provides: •The only Pediatric Emergency Department in Collier County •24hr Board Certified Pediatric Intensivist

•The Robert & Mariann MacDonald SeaCAREium inpatient pediatric unit -Pediatric subspecialists in surgery, critical care, cardiology, ENT, gastroenterology, infectious disease, neurology, oncology/hematology, orthopedics, pulmonary and urology •Pediatric outpatient unit with sedation for MRI, CT, etc. •RN staff with specialized education and experience in pediatrics & NICU •Pediatric Rehabilitation •NCH Physician Group Pediatricians

For information, call 239-624-5322

NCHmd.org