The Prostate Cancer Treatment Book

 

Edited by Peter D. Grimm, D.O., John C. Blasko, M.D., and John E. Sylvester, M.D.

Dr.  John Sylvester is board certified in Radiation Oncology by the American Board of Radiology. Dr. Sylvester is one of the four clinicians who wrote the most recent ABS guidelines used by prostate cancer Brachytherapists worldwide. Over the past two decades, Dr. Sylvester has performed over three thousand prostate brachytherapy procedures. He has developed, and assisted in the development, of several technical improvements in the procedure.

The Prostate Cancer Treatment Book helps:

  • Understand your diagnosis and determine the best treatment
  • Learn what to expect from screening tests and how to interpret results
  • Discover the most important questions to ask you doctor
  • Use diet and supplemental remedies to improve your prostate health

Florida Medical Retreat is proud to partner with Dr. Sylvester. For more information, contact Florida Medical Retreat at www.floridamedicalretreat.com

For a great vacation in Sarasota, there's an app for that!

By Virginia Haley, President of Sarasota Convention and Visitors Bureau

The Sarasota Convention & Visitors Bureau (SCVB) has been in the digital driver's seat for more than 15 years.

We understood early that digital marketing would be a fundamental tool in our campaign to market the vacation possibilities on Florida's Gulf Coast. This understanding was reflected in our decision to invest heavily in online advertising, social media and email marketing years ago. Like many destination management organizations, the SCVB didn't enter into digital lightly. We came prepared with strategies that captured interaction metrics and tactics for anticipating new consumer touch points.

The Web is a steady resource for visitors researching destinations, booking flights and hotels and deciding what to do once when they arrive at their destination. That's why Sarasotafl.org is designed to encapsulate all the vacation possibilities Sarasota County has to offer, while making the online experience seamless.

The site highlights the award-winning Sarasota County beaches, including the recently ranked No. 1 beach in the nation, Siesta Beach, of course, as well as culinary delights, arts and cultural events and eco-adventures. Visitors can search for content by location or by theme, making everything from finding the perfect hotel for you and your pet to planning the best excursion for your family as easy as possible.

Best of all, visitors can easily navigate the robust website thanks to menu sliders that stay in place so visitors know exactly "where they are" and can see "where they want to go." And since online travel bookings account for more than a third of the total travel marketplace, according to a PhoCusWright travel industry report, once visitors have crystallized their ideal Sarasota vacation, they then can book their flights, hotel and transportation right on the site.

With the percentage of smartphone users spiking nationally to 35 percent in 2011, we knew it was time to take our mobile marketing to the next level. According to Pew Internet & American Life Project's Smartphone Adoption and Usage Study in 2011, 25 percent of smartphone users said their smartphone was their main tool for Internet access. We wanted to take advantage of that trend with an application for mobile devices that made Sarasota County vacations even better by connecting the dots between vacationers and our diverse areas and events.

We went straight to the source to build an app that gave travelers the inside scoop on everything about Sarasota County. We interviewed travelers and hotel concierges and analyzed web metrics and travel research. Then, we prioritized functionality to settle on the features — places, deals, and events — that would make any traveler fall for the app. To capture the exciting new brand that was launched in 2011, the design used vibrant photos as well as color-coded themes throughout its interface. Our prototypes were rolled out to CVB partners and test audiences to gauge reaction and perfect the app.

The Visit Sarasota iPhone app launched in September 2011 and quickly snagged a 5-star rating in the App Store. Best of all, visitors had Sarasota County — whether they were planning a trip or already here — right at their fingertips.

The features travelers use most are the social sharing, events and deals — all of which can be filtered by their interests. Now, visitors know about events and activities across the entire destination, not just the street or even the island their hotel is on. The app, along with overall marketing initiatives, helped to increase market share of first-time visitors.

As for overall website results, we've seen more great news. For all of 2011, page views on the site are up by more than 23 percent to over 5 million, and people are averaging more than four minutes per visit on the website — an increase of 8 percent from last year.

We've also seen a terrific boost in the Arts & Culture sections of the website, which increased page view 43 percent for the October-to-January period, proving that our niche marketing focus is paying off.

 

Med Travel Gets Voice in Obama's Tourism Strategy

Johns Hopkins Exec Appointed to U.S. Travel Board Medical travel has representation in the Obama administration’s new travel and tourism strategy, with the appointment of Steven Thompson, chief executive officer, Johns Hopkins Medicine International, to the U.S. Travel and Tourism Advisory Board. Thompson is one of 32 members of the board, which advises the Commerce Department on policies and issues affecting travel and tourism.

“I enthusiastically accepted the appointment, due to the important and growing demand for U.S. education and health services coming from the international community,” Thompson told Travel Market Report.

“The adoption of travel policies that encourage and support growth in international travel are vital to these business sectors within our economy.”

Thompson is not the first representative from the medical travel sector to serve on the board. Dr. David Hayes, a cardiologist at the Mayo Clinic, served on a previous board.

“The Department of Commerce recognizes the important role that both medical travel and educational travel and tourism play in strengthening our economy,” said Mara Lee, deputy director of communications in the department’s International Trade Administration.

Commenting on Thompson’s appointment to the Travel and Tourism Advisory Board, she said that it “signals the Department’s continued recognition of the value that medical and educational travel and tourism contributes to U.S. exports.”

Original Post: Travel Market Report http://www.travelmarketreport.com/medical?articleID=6872&LP=1

Understanding Minimally Invasive Spine Surgery Options

Florida Medical Retreat is proud to partner with Dr. Thomas Sweeney. For additional information, please contact us today.

Dr. Thomas Sweeney is nationally recognized as a leader in the Minimally Invasive Surgery Procedures. Dr. Sweeney serves as an instructor for other surgeons across the United States for different minimally invasive techniques and access devices. These include the Pathfinder from Abbott Spine and the X-lift from Nuvasive.
The advantages of having minimally invasive access vs the traditional open surgery technique are:

  • Reduction of time spent in the hospital. (Average length is 24 hours)
  • Less pain so less narcotics utilized.
  • Less scarring
  • Less blood loss during surgery.
  • Overall a quicker recovery period to get back to daily activities and work.
  • Reduction of health-care costs

Dr. Sweeney has performed more surgeries using theAtavi@ System than any other surgeon in the United States. Dr. Sweeney serve as an instructor for surgeons across the USA to learn these procedures using the Atavi@ System. For more information about the Atavi@ System,
please visit www.Endius.com.

This surgical technique involves two very small incisions that allows a tubular introducer called a cannula, to be inserted into the affected area of the spine and visualize the space utilizing an endoscopic camera and monitor or a microscope.

This system allows the surgeon to complete all the steps involved in the surgery thus eliminating the large incisions that can be more traumatic to the body.

Dr. Sweeney has special training and clinical expertise to perform these surgeries. If an individual is not a good candidate for Minimally Invasive Access Surgery, a Traditional Open Approach can be utilized.

Minimally Invasive Surgeries include:

Microsurgical Discectomy is a procedure performed by utilizing a tubular device inserted through a very small incision. Muscles are moved aside to see the vertebrae. The herniated portion of the disc is removed to allow room for the nerve to resume its normal position. There is less damage to nearby parts of the spine. Patients tend to recover faster. This is usually done using a microscope for visualizing.

Spinal Stenosis - Spinal Stenosis is minimally invasive procedure that relieves debilitating pain in the back and legs. This new treatment option involves implanting an X-Stop, a titanium alloy implant. This is a low-risk alternative to the current LSS treatment options and has been clinically proven to relieve a patients symptoms.

Endoscopic Discectomy - Many surgical procedures have been revolutionized by the use of special TV cameras. The procedure is still the same, but even smaller incisions (1/4 inch) are made to insert a special magnified TV camera into the spinal canal so that the surgeon can actually see the disc material. Through these tiny incisions, the camera and several other surgical instruments are inserted. Rather than looking through a microscope, the doctor watches the TV screen while working with specially designed instruments to remove the disc material.

Transforaminal Lumbar Fusion (TLIF) is a surgical technique that is performed from a posterior approach to stabilize the spinal vertebrae and disc between. By going through the transforaminal direction there is less bone removed so thus less disturbance to the site. By fusing the vertebrae to eliminate any movement between the bones, the spine is stabilized and a reduction of pain and nerve irritation is accomplished. Surgical hardware (screws and rods) can be applied to help enhance the fusion. Bone graft, along with an interbody spacer will be inserted into the disc space helping to restore normal height and opening up the nerve foramina to take pressure off the nerve roots.

Posterior Lumbar Interbody Fusion (PLIF) is a surgical technique for placing bone graft between adjacent vertebrae (interbody). Using various instruments, the disc is removed through the right and left sides of the spinal canal and the intervertebral space, which has been cleared, is then packed with bone graft and a bone block or cage implant. Instrumentation, such as pedicle screws, are used to provide support for the fused vertebrae. Additional bone graft may be placed to ensure a solid fusion.

Instrumented Posterior Lumbar Fusion is a surgical procedure done with a posterior approach to stabilize the Spinal vertebrae. This is done utilizing special surgical instrumental hardware such as metal screws and rods (hardware) that holds the vertebrae in place. These devices are intended to stop movement from occurring between the vertebrae. These metal devices give more stability to the fusion site and allow the patient to be out of bed much sooner.

Kyhoplasty is a surgical procedure for compression fractures by percutaneously inserting a flexible instrument that utilizes a balloon that inflates and restores the correct anatomy of the vertebral body. The inflated space is then filled with a cement that will maintain the integrity of the vertebrae.

Nucleoplasty or Percutaneous Discectomy is a procedure utilized for the treatment of chronic back pain caused by a contained herniated disc. This minimally invasive procedure uses a needle that is placed into the center of the disc where a series of channels are created to remove tissue from the nucleus. Tissue removal from the nucleus acts to decompress the disc and relieve the pressure exerted by the disc on the nearby nerve root.

 

 

 

Non-surgical treatment options for Spinal Care with Dr. Thomas Sweeney

Florida Medical Retreat is proud to partner with Dr. Thomas Sweeney, Orthopedic Spine Surgeon. Here are several non-surgical treatment options we would like to share with you for spinal care.

If you would like additional information on how you can schedule your Florida Medical Retreat with Dr. Sweeney contact us today! We look forward to assisting you! www.floridamedicalretreat.com or call (800) 643-0529.

Dr. Sweeney and his team attempt to treat as conservatively as possible, as many patients can recover without surgery because of the wide spectrum of treatments available. Approximately 90% of our patients can be treated utilizing conservative medical treatments to eliminate or reduce pain. Below are some of the common non-surgical methods of treatments that can be used separately or in combinations as the physician plans an individual's treatment plan.

Physical Therapy

Physical Therapy may be indicated and ordered as a treatment to facilitate the patient's successful recovery. These techniques are often very effective as the first step in a conservative course of treatment for certain spinal disorders. The physician will refer a patient to a rehabilitation therapy center for programs specifically designed for spinal patients.

These therapy programs will include learning how to manage their symptoms, minimize any further injury with activity, learn body mechanics, and gain the strength and flexibility needed to help return to their daily activities. Active participation is the key to success in the therapy process and an understanding that recovery takes time.

Bracing

Bracing may be ordered by the physician as part of your treatment. There are soft and rigid bracing available for both the neck and the back. The primary rationale for the use of bracing is to mobilize and support the spine, or to possibly correct a spinal deformity. This type of support may decrease muscle spasms and pain. The physician will determine if a brace would be of benefit to you along with the specific model that would be indicated. When a brace is ordered a clinician will provide the educational training to utilize the brace properly and receive the maximum benefit..

 

Medications

Medications are often utilized in the medical management of pain and other symptoms a patient may be experiencing. Medication may be the primary source of treatment or in conjunction with another therapy. There are a variety of types of medications available for the specialist to use that would correlate with the patient's specific diagnosis and treatment plan.


Injections

One of the treatment options to be utilized may include injections that can help to alleviate pain and improve function. Injections can help to relieve the pain that is caused by inflammation. There are a variety of injections that are either therapeutic or diagnostic. This will be determined by your physician based on your specific symptoms and physical exam. These injections can be done on an outpatient basis in our procedure room or in another Surgery Center.

Osteopathic Manipulation - Osteopathic Spinal Manipulation

Osteopathic manipulation is primarily used to treat musculoskeletal pain conditions, such as back pain, shoulder pain, and tension headaches. It involves manipulation of soft tissues and joints outside the spine utilizing gentle, large movements. OM is often said to be specifically effective for conditions that have persisted for some time. There are several specific osteopathic techniques in wide use, many of which are named after their founders. For such treatments we will refer you to one of the many outstanding and local physicians.

We hope this helped provide a little more information. Please call today if you have more questions.

 

 


Tennis Elbow - Part III by Christopher R. Sforzo, M.D.

Tennis Elbow: The Good, the Bad, and the Ugly

By Christopher R. Sforzo, M.D.

Board Certified - Fellowship trained Orthopedic Surgeon, Hand and Upper Extremity Orthopedic Surgeon with Florida Medical Retreat

When conservative treatment has failed, usually after 6 months, then surgery is discussed. many procedures have been describe. Procedures as simple as percutaneous  release of the tendon off of the bone have been described and more recently arthroscopic procedures or other procedures involving the joint and resection of a ligament as well have been described.

The most popular procedure today is a simple excision of diseased tissue from within the tendon, shaving down the bone and re-attachment of the tendon. This can be performed as an outpatient procedure with regional anesthesia (where only the are goes to sleep) and through a relatively small incision of approximately 3" long. After surgery, a sterile bandage and splint is placed on the elbow. Patients will remain in a splint for about one week to allow the incision to heal. After that point, the splint is removed, and the patient can begin gentle motion of the wrist and elbow. 85-90% of patients with this technique are  typically able to perform full activities without pain after a recuperation of two to three months. Approximately 10-12% of patients have improvement but with some pain during aggressive activities and only 2-3% of patients have no improvement.

Tennis elbow is a very common and disabling problem. It is one of the most common conditions I see in my practice, and can sometimes be the most frustrating because of the persistence or recurrence of symptoms. Thankfully, only a small percentage of patients go on to need surgery. However, until the pain is under control, it can greatly curtail your active lifestyle.

For more information, to find out how Florida Medical Retreat and Dr. Sforzo can help you with your elbow pain today, contact us at (800) 643-0529.

 

 

Tennis Elbow - Part II with Dr. Christopher R. Sforzo

Tennis Elbow: The Good, the Bad, and the Ugly. Part II

By Christopher R. Sforzo, M.D.

Board Certified - Fellowship Trained Orthopedic Surgeon, Hand and Upper Extremity Orthopedic Surgeon with Florida Medical Retreat

Other causes of pain over the outside of the elbow include instability of the joint, elbow arthritis, and radial tunnel syndrome. The symptoms of these conditions are usually distinct, but in some cases they can be confusing. X-rays of patients who have the diagnosis of tennis elbow are almost always normal. Other studies such as an EMG or MRI are only obtained if there is confusion about the diagnosis.

Before surgery is considered, a trial of at least six months of conservative treatment is indicated and consists of a properly place forearm or wrist brace and modification of elbow activities. I have not found anti-inflammatory medication or physical therapy to be of significant value, although both can be used if desired. If the above treatment is not helpful, a cortisone injection can be beneficial but no more than three or four injections are recommended in any one location in a year.

Conservative treatment is in two phases. Phase I (pain relief): consists of activity modification, bracing, cortisone injections, and possibly anti-inflammatories and/or physical therapy. Phase II (prevention of recurrence): is equally as important and involves stretching and then later strengthening exercises, proper tennis form, grip size, and string tensioning, so the micro tears will not occur in the future. Stroke mechanics should be evaluated to ensure patients are hitting the ball in the center of the racquet and players should not lead the racquet with a flexed elbow. I will often encourage my patients to see a tennis pro/instructor for a swing and racquet evaluation. Approximately 70% of patients will by symptom free regardless of treatment in one year after symptoms begin. 

Some newer treatments that have been described include extracorporeal shock wave therapy and autologous blood injection. Shockwave therapy is a controversial treatment option for tennis elbow and recent studies have not shown it to be of any benefit. A recent article in the Journal of Hand Surgery reported the results of a small group of patients who underwent injection of their own blood into the location of lateral epicondylitis. More investigation is needed before this should be considered a standard treatment.

Stay tuned for Part III: When conservative treatment has failed.

 

Tennis Elbow- Part I by Dr. Christopher R. Sforzo

Tennis Elbow: The Good, the Bad and the Ugly

By Christopher R. Sforzo, MD

Board Certified - Fellowship Trained Orthopaedic Surgeon, Hand and Upper Extremity Orthopedic Surgeon with Florida Medical Retreat.

Unfortunately, tennis elbow affects many of us. Tennis elbow, or lateral epicondylitis, is the most common injury in patients seeking medical attention with the complaint of elbow pain. Tennis elbow occurs in men and women equally, and on the dominant side 75% of the time. They typical age to get tennis elbow is between 35 and 65 years old.

It is thought that the problem occurs because of small, irreparable tears n the tendon that cocks up the wrist. Pain over the outside of the elbow is the most common symptom, which is where this tendon begins. This same tendon (called the extensor carpi radialis brevis or ECRB) also shares its origin with the common finger extensor tendons, which straighten the fingers out. Thus, it is not uncommon for the pain to extend down the top of the forearm to the wrist and hand. Usually my patients describe the pain when they are lifting things, especially away from their body wit the forearm turned palm down and the wrist flexed, or bent towards the palm side. Some pain can even be at rest and feel very intense like a burning or stabbing pain. The pain associated with tennis elbow usually has a gradual onset, but may also come on suddenly. Numbness is not associated with tennis elbow.

Tennis elbow is typically seen in manual laborers (plumbers, painters, gardeners, and carpenters) or those involved in racquet sports. Probably 1/3 of regular tennis players experience tennis elbow at some point in their career. In addition to racquet sports, tennis elbow is seen in golfers, fencers and other sports participants. However, the total number of patients who are tennis players is less than 10%. It is not common for professional tennis players to get tennis elbow, as you will will never see anyone at Wimbledon with a tennis elbow strap on! This is probably due to poor stroke mechanics in the everyday player, whereby the wrist is bent and then extends when striking the ball during the backhand. This puts tremendous strain on the ECRB, and with each stroke, exacerbates the problem. Other contributing factors include striking the ball off the "sweet spot" of the racquet, improper grip size, and over-tensioned tennis strings. Playing on harder surfaces also increases the risk of developing tennis elbow.

Stay tuned for Part II - Other causes of pain and before surgery is considered.

American College of Radiology Recognizes Doctors Hospital of Sarasota

Doctors Hospital has been awarded a three-year term of accreditation in computed tomography (CT), Nuclear Medicine and MRI as the result of a recent review by the American College of Radiology (ACR).

 The ACR gold seal of accreditation represents the highest level of image quality and patient safety. It is awarded only to facilities meeting ACR Practice Guidelines and Technical Standards after a peer-review evaluation by board-certified physicians and medical physicists who are experts in the field.

“Obtaining the ACR Accreditation signifies that our facility provides essential imaging services to our community at the highest level of image quality and safety,” says Kay Adkins, Director of Imaging & Cardiovascular Services. “It shows that our facility meets their requirements for equipment quality control, quality assurance, image superiority, and continuing education for staff and physicians. We are committed to delivering quality patient care and services that our consumers can trust.”   

CT scanning — sometimes called CAT scanning — is a noninvasive medical test that helps physicians diagnose and tailor treatments for various medical conditions. Nuclear Medicine is a branch of medical imaging that uses small amounts of radioactive material, ingested by the patient, to diagnose and treat a variety of diseases, including many types of cancers, heart disease, and certain other abnormalities within the body. MRI is a noninvasive medical test that utilizes magnetic fields to produce anatomical images of internal body parts to help physicians diagnose and treat medical conditions.

Testimonial from knee replacement patient for Dr. Edward Stolarksi

Florida Medical Retreat is happy to share a knee replacement patient      testimonial for Dr. Edward Stolarski. If you would like more information on how to schedule a consultation with Dr. Stolarski, contact Florida Medical Retreat.

 

Dear Doctor Stolarski,

I would like to volunteer to be your Knee Replacement Poster Boy, at the tender age of seventy-one.

Seriously, I am writing to update you on my experience and recovery from a total knee replacement that you performed on August 25, 2011. My experience with you and your staff from the very onset was extremely positive. That included my office visits, pre-surgery visits, surgery, post-op. rehabilitation and physical therapy.

I was hoping that the surgery would enable me to return to a more active, pain-free lifestyle, that included tennis and golf. Within two months I was back playing golf, and within three months I was able to play doubles tennis. When I inquired about the possibility of downhill skiing, you gave me a green (yellow?) light that I should be able to, if I skied conservatively and avoided moguls.

Over the Christmas holiday Gust four months after surgery) I joined my sons and families in Utah for a ski vacation, not knowing if I would last an hour or a day. In fact, I lasted the full three days, each day skiing more aggressively and confidently. I was amazed at how well the new knee performed. It had been years since I had skied without pain, and had actually given up the sport a couple of years ago because the pain was too severe and the joint too weak.

In summary, I cannot thank you enough for all that you did for me. My new knee Is straighter and stronger than ever, and devoid of all pain----an affliction I had reluctantly accepted for fifty years, ever since I injured it in a serious automobile accident. Thank you for restoring the quality of my life, and please feel free to use this endorsement in any way that you deem appropriate.

       Sincerely,

       Michael J Loparco

Creating a Center for Excellence with Dr. David Shoemaker

Florida Medical Retreat is proud to partner with Dr. David Shoemaker and Center for Sight. Offering the best in Cataract and  Lens Implant  Surgery.

Center for Sight was founded nearly 25 years ago by David W. Shoemaker, MD, with a mission to be the best in the world at bringing clear vision to life through caring and trusting relationships and the pursuit of excellence in eye care. His goal was to provide comprehensive eye care and surgery in a way that delivered unsurpassed results and exceeded patients' expectations.

When most cataract surgery was being performed in a hospital, and outpatient surgery was looked upon questionably, Dr. Shoemaker knew that he could create a better experience for patients and achieve improved visual outcomes by creating a center for excellence in vision. More than 100,000 cataract procedures later, Center For Sight's experience has proven to be a differentiator for the practice, and the dedication to the patient's experience is even stronger.

Today, Dr. Shoemaker still serves as the center's chairman and CEO, and his partner, William J. Lahners, MD, serves as the medical director.  With nearly 200 employees and 20 physicians serving patients in eight locations throughout Southwest Florida, Center For Sight strives to help every patient achieve his or her best personal visual outcome and to make him or her feel special along the way. 

Transforming the little things

Holding a patient's hand during surgery, wearing crisp white lab coats, providing courtesy transportation, combing all services on one easy-to-read billing statement, and providing personalized gift bags are the small things that add up to a great experience for the patient. Center For Sight's patients awarded more than 3,000 stars to staff members last year through the company's "Recognize a Star Program" and 98% of patients say they have referred a friend or family member to a Center For Sight physician. At Center For Sight, we pay attention to the details.

Original Post by James D. Dawes, MHA, COE, CMPE

For more information on how to schedule your Florida Medical Retreat with Dr. David Shoemaker at Center For Sight call (800) 643-0529 today! www.floridamedicalretreat.com

 

 

Successful Bone Anchored Hearing Aid studies with Dr. Jack Wazen

Studies Show Successful Bone Anchored Hearing Aid Loading at 3 Weeks: Presented at AAO-HFNS

By Fred Gebhart

SAN FRANCISCO -- September 2011 -- Some bone-anchored hearing aids can be loaded and put into use as little as 3 weeks after implantation, according to 2 studies presented here at the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting 2011.

Typical indications for these devices call for 6 weeks and longer between implanting the bone anchor, loading the external processor, and turning on the hearing aid.

Riccardo D’Eredita, MD, Vicenza Cochlear Implant Program and Hearing Implantable Devices, Vicenza Civil Hospital, Vicenza, Italy, described his recent experience with a specific implant system (Baha BI-300). The titanium implant has been modified with microthreads and a roughened surface to encourage ingrowth from adjacent bone and better osseointegration.

Most bone-anchored hearing aids call for a 6- to 8-week delay between implantation and loading of the external processor to allow for osseointegration, Dr. D’Eredita explained during an oral presentation on September 14. The wait between implantation and loading can be up to 6 months in children.

For the study, researchers implanted 13 ears in 12 patients, including 3 children and 9 adults, and followed them for 52 weeks. The median skin healing time was 7.6 days with no extrusions and no flap necrosis. The implant stability quotient (ISQ) reached a plateau in about 2 weeks and the implants were loaded at 3 weeks with no serious adverse events.

In another study, Jack Wazen, MD, Silverstein Institute Ear Research Foundation, Sarasota, Florida, and colleagues prospectively examined 14 adults who received implants and compared them with a control group of 12 adults implanted 1 year earlier. Study group implants were loaded at 3 weeks and control group implants were loaded at 6 weeks after implantation. Both groups were followed for 52 weeks.

“We had no soft tissue reactions,” Dr. Wazen reported. “Based on our ISQ findings and comparative animal studies, we believe these implants are as mechanically stable at 2 weeks as the prior models were at 3 months.”

“This is an ongoing evaluation of the technology. It has been used for years in dental implants, but it is new to us in otolaryngology. Early loading of the external processor and early hearing rehabilitation gave us improved patient satisfaction.”

A larger study is planned, he added. If the positive results of early loading are confirmed, the device manufacturer may request a formal change in indications to allow for loading at 3 weeks.

For more information contact Florida Medical Retreat, in partnership with Dr.  Jack Wazen.

Minimally Invasive Hip Replacement Surgery with Dr. Edward Stolarski

Minimally-Invasive Total Hip Replacement New minimally-invasive hip replacement makes surgery easier on you. Thanks to a smaller incision, there is less trauma to underlying muscle and soft tissue. The result? Patients benefit from a smaller scar, less post-operative pain and a faster return to normal activities. In fact, minimally-invasive hip replacement allows recovery in half the time of traditional hip replacement surgery.(1) The thought of major surgery is enough to make most people cringe, but a minimally-invasive techenique can make the whole experience a lot better. Anesthesia, pain medication, blood loss, hospital time and complications -- all these can be significantly reduced with minimally-invasive hip replacement.(1-2) You can get back to your life, back to what is important, faster and with less downtime than ever before. This new procedure far surpasses the older approach in terms of minimizing trauma; reducing complications; and hastening patient recovery. The chart below speaks for itself. As you can see, minimally-invasive hip replacement cuts the recovery time in half over traditional hip replacement surgery. Thanks to a smaller incision, the operation itself becomes less invasive and more precise. This creates many patient benefits, including:

  • Less anesthesia
  • Decreased blood loss
  • Reduced post-operative pain, which means less pain medication during recovery
  • Lower risk of complications, including heart and lung problems
Traditional Hip Replacement Surgery Minimally-Invasive Hip Replacement Surgery
Incision Size 8 - 10 inches 3 - 4 inches
Duration of Surgery 83 minutes 50 minutes
Hospital Stay 5 - 7 days 3 - 4 days
Recovery Time 12 Weeks 4 - 6 Weeks

 

If you would like more information on Dr. Edward Stolarski and the latest minimally invasive hip replacement surgery contact Florida Medical Retreat or call (800) 643-0529.

1. Swanson, Todd V., M.D., Hanna, Rammy S., M.D., "Advantages of Cementless THA Using Minimally Invasive Surgical Technique." Exhibit at 2003 AAOS Meeting, New Orleans, LA 2. Chimento GF, Sculco TP. "Minimally Invasive Total Hip Replacement." Operative Techniques in Orthopaedics. 2001;11(4):270-3

Dr. Brian Schofield Discusses Rotator Cuff Repair

Last week Dr. Brian Schofield spoke at the Sarasota Bay Club on Shoulder Pain and the latest treatment options. On of the topics he discussed were Rotator Cuff Tears.

What are Rotator Cuff Tears?

A torn rotator cuff is a group of four muscles that come together as tendons to hold the arm bone (humerus) into the shoulder socket (glenoid). Together, they form the rotator cuff and enable your arm to lift and rotate in different directions. When one or more of the rotator cuff tendons is torn, the tendon, or part of the tendon, no longer fully attached to the bone. This can begin as minor fraying, turn into a partial tear, and can lead to a complete tendon tear.

Rotator cuff tears may be caused by an injury due to a fall or lifting a heavy object. However, many tears are the result of tendon degeneration over time, which occur with wear and age. People who do overhead activities and repetitive lifting, like painters and carpenters, are at risk for rotator cuff tears. Athletes, especially baseball and tennis players, are also at greater risk.

Treatment Options

It is important to seek medical evaluation from a sports medicine doctor or orthopedic specialist if you have chronic shoulder pain. While rotator cuff tears commonly heal on their own, some tears can worsen over time. If your doctor determines you have a rotator cuff tear, there are several nonsurgical treatment options that may be considered. These methods can include medications, activity changes, steroid injections and physical therapy.

If your shoulder pain and weakness do not improve with nonsurgical methods, your doctor may recommend surgery to reattach and repair the torn rotator cuff tendon. They type of your doctor decides is best will depend on several factors,  including the size of the tear and quality of the tendon tissue. There are generally three types of rotator cuff repair procedures - traditional open repair, arthroscopic repair and mini-open repair.

To learn more about each, to schedule an appointment with Dr. Schofield, or to contact Florida Medical Retreat to start the process to be treated by Dr. Schofield, contact Florida Medical Retreat. Toll free (800) 643-0529 or www.floridamedicalretreat.com

Testimonial from Lisa R., an ASI hip replacement patient from New Hampshire

We're always pleased to share a testimonial from a happy client! For more information on Board Certified, Fellowship trained Orthopedic Surgeon, Dr. Edward Stolarski contact Florida Medical Retreat today!

"Hope you don't, but if you do need any surgical work, you will not find a better team than this. They go above and beyond attending to every detail, including how you are doing emotionally as you approach your surgery. Everyone is so caring and considerate of you as a human with fears and feelings, not just a patient. And Crystal attends to every detail of all the paperwork and insurance, leaving no stone unturned, which takes a lot of the worry away. My doctor, Dr. Stolarski, did such a fabulous job I was out of the hospital in 24 hours with a total hip replacement - amazing!" Lisa R. from New Hampshire

Dr. Brian Schofield Discusses Shoulder Replacement Options

It was a full room for Dr. Brian Schofield's free  seminar on Shoulder pain and the latest treatment options, held at the Sarasota Bay Club on Wednesday, February 15th.

We learned there are generally three procedures for shoulder replacement - primary total shoulder replacement, reversed total shoulder replacement, and should resurfacing.

Primary Total Shoulder

With a primary total shoulder replacement, the ball (humeral head) of the shoulder joint is replaced with an implant that includes a stem with a smooth, rounded metal head. The socket (glenoid) is replaced with a smooth, rounded plastic cup that fits the head of the ball perfectly.

Reversed Total Shoulder

With a reverse total shoulder replacement, the normal structure of the shoulder is "reversed". The ball portion of the implant is attached t the scapula (where the socket normally is) and the artificial  socket is attached to the humeral head (where the ball normally is). This allows the stronger deltoid muscles of the shoulder to take over much of the work of moving the shoulder, increasing joint stability. A reversed procedure is often indicated for patients with compromised rotator cuff function.

Shoulder Resurfacing

An option for some patients is shoulder resurfacing. With this procedure, the damaged humeral head is sculpted to receive a metal "cap" that fits onto the bone, functioning as a new, smooth humeral head. This procedure can be less invasive that a total shoulder replacement and can provide pain relief; however, your shoulder specialist will advise the best option for your specific condition.

If you would have questions or would like to learn more, contact Florida Medical Retreat.

Dr. Edward Stolarski attends Annual American Academy of Orthopaedic Surgeons

San Francisco was the location of this year's 2012 American Academy of Orthopaedic Surgeons. Florida Medical Retreat's Knee & Hip Orthopaedic Surgeon, Dr. Edward Stolarski was in attendance and was a moderator for hip replacement surgery.

The conference is a vital source to continuing medical education activities include a world-renowned Annual Meeting, multiple CME courses held around the country and at the Orthopaedic Learning Center, and various medical and scientific publications and electronic media materials.

We are proud to work with Dr. Stolarski and his continuous efforts to remain the top in his field.

Dr. Edward Stolarski to Speak at Doctors Hospital in Sarasota

Dr. Edward Stolarski, Orthopedic Hip & Knee Surgeon and physician partner with Florida Medical Retreat will be speaking at Doctors Hospital of Sarasota on Saturday, February 18th at 10am. The lecture will be held at Doctors Hospital Auditorium.

For more information please contact Crystal at (941) 552-3288 or (800)643-0529.

February is Heart Month

February is a month filled with heartfelt sentiments and the perfect time to take stock of your heart health. During American Heart Month join their heart health experts at Sarasota Memorial HealthSquare, located near Macy's in the center of Westfield Sarasota Square, for a series of free presentations focusing on the latest trends, treatments and strategies to guard against heart disease. Free presentations will be help weekly throughout February.

For topics, dates and times, browse their online calendar at smh.com or contact Sarasota Memorial's HealthSquare by calling (941) 302-4271 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Sarasota Memorial HealthSquare Opens at Westfield Sarasota Square

Healthcare has come a long way from "take two aspirin and call me in the morning." Things were simpler then, healthcare choices definitely more limited.

Today, the options in medical care are almost limitless and enough to boggle the mind. That's why Sarasota Memorial Health Care System took steps this year to make those decisions a little easier.

The not-for-profit public health system recently opened Sarasota Memorial HealthSquare at the Westfield Sarasota Square. It's a warm, welcoming space - located squarely in the middle of the shopping center- where visitors can stop by at their convenience, ask questions and get help sifting through the multiple options and medical services available in our community.

"Hospitals typically are not places where people want to go, and in fact, often avoid  until they are facing a serious health concern" said Sarasota Memorial CEO Gwen MacKenzie. "But we have found through our social networking and community outreach efforts that people want and need access to fast, reliable health information."

Staffed by Sarasota Memorial trained facilitators, HealthSquare offers interactive touch screens where visitors can take advantage of free screenings and health risk assessments and learn the latest strategies to manage and prevent chronic disease. They also can find a physician, make an appointment, get directions to Sarasota Memorial physician offices and outpatient locations, and more. There's also a mini-stage, where physicians and expert speakers will host lectures and discussions.

"It is a privilege to continue to help Sarasota Memorial educate the people of our community and provide the information and support they need t protect their health and quality of life",  said Alex Quarles, president and CEO of Sarasota Memorial Healthcare Foundation, Inc. "We are excited about the new location and greater access and public interaction the shopping center will provide to our citizens and visitors."

Original Post:  Sarasota Memorial Health Care System newsletter, Winter 2012

            

 
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