Insight Magazine - January 2015

January 2015 • www.InsightEastOrlando.com

Serving The Communities Of East & Southeast Orlando

This Month: Healthcare

Quick appointments

Experienced Physicians

Florida Law Requires It

Covered By PIP Insurance

Simple Testing Procedures

Objective Assessment of Injury

Peace of Mind

Get Out of Pain

Prevent Permanent Damage

Make Better Decisions

We Are SafeCare Docs we canHELP

Been in an Accident? Don’t Delay, Get Checked Today!

New Healthcare Alliance Aims to Simplify Accident Rehab

GuideWell Innovation Center Brings Biotech Commerce to Lake Nona

Seniors Taking Center Stage in East Orlando

Vaccinations and Your Kids: What You Need to Know

Plus:Florida Hospital East Orlando Unveils Simulation Center

About the Cover:At SafeCare Docs, their goal is simple; to assess a patient’s condition and

recommend a treatment plan that is appropriate. Details on page 9.

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A controversial plan proposed by Orange County Public Schools

(OCPS) to relieve Avalon Middle School drew Hundreds of parents to a community meeting at Timber Lake Elementary School on December 8.

The meeting is the first of many as OCPS looks to build a middle school in the community of Timber Springs instead of an elementary school, which is what the land is currently zoned to accommodate. Relief is desperately needed for Avalon Park Middle School, which has a capacity for about 600 students and currently hosts almost 1,800. The Homeowners Association for Timber Springs is opposing the request and has said it will dedicate $250,000 in attorney fees to oppose it.

Hundreds of parents from both Timber Springs, who mostly oppose the rezoning, and Avalon Park, who mostly supported

it, expressed their thoughts about the change in an open-forum meeting. The meeting quickly became heated as parents interrupted each other and accusations began to fly. In fact, Orange County Sheriff’s Office deputies were called in to monitor the crowd.

Timber Springs residents are concerned about the larger footprint, traffic and loitering a middle school may bring. Because middle schools start at 9:30 a.m. instead of 8:30 a.m., Timber Springs residents say this will affect the times they go to work more. Another concern is safety in the area and how emergency vehicles would travel through the Timber Springs community if traffic is backed up.

The biggest concern for parents is whether the land is compatible for a middle school. The required land acreage for a middle

school without a waiver is 25 acres, the proposed site is 16.7 acres and a rezoning would require multiple waivers from Orange County.

“This is about the site, about trying to squeeze a middle school into a spot that’s substandard by all means. Avalon Park Middle is 19.16 (acres) and it’s overcrowded,” a parent said during the meeting. “If we build a relief school and shove it onto 16.7 acres, the day it opens it will probably be overcrowded because [OCPS] won’t tell you how it’s going to get rezoned.”

But parents with students at Avalon Park Middle School think that their children’s education is the biggest issue at hand.

“It’s about me wanting my kids to get a good education,” says Crystal Adams who has children in elementary, middle and high school. “You’re going to have traffic regardless of the school.”

Orange County’s Development Review Committee will now convene and review the request by Orange County Public Schools and the feedback from the community. A public hearing will be scheduled with the Orange County Planning & Zoning Commission before making its way to the Orange County Board of County Commissioners.

Those wishing to express their concerns to the county commissioners should email all of the commissioners and Mayor Teresa Jacobs’ office.

Timber Springs and Avalon Park Parents Express Concerns for New Middle School SiteBy Ashley White

Insight Magazine | January 2015 • 3www.InsightEastOrlando.com | 321.302.6553 for advertising information

For the latest updates and to voice your opinion on the issue, check out InsightEastOrlando.com as the story continues to develop.

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A resident passionately expresses his concerns.

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Even though Lake Nona isn’t far from Medical City, it seems to be attracting

doctors as if it were Medical City.

Lake Nona Village will welcome a new Physician Associates, one of the largest multi-specialty healthcare groups in Central Florida and a part of Orlando Health, office at the end of April 2015.

“Lake Nona is a growing community and is certainly in need of additional primary care services,” says Dennis Buhring, CEO, Physician Associates, in a release. “We are excited for this opportunity to provide additional healthcare options to those living in the Lake Nona area, right in their own backyard.”

Three physicians, Alix Casler, MD; Daniel Goddard, MD; and Norman Lamberty, MD, will relocate from the Vista Lakes

office to the Lake Nona location. Casler specializes in pediatric care, Goddard specializes in family medicine and Lamberty specializes as an obstetrician and gynecologist.

“We are very excited that we will be able to now call Lake Nona home. It has always been the goal of Physician Associates to provide healthcare right in our communities as you can see by our locations all over Central Florida,” Casler says. “Expanding to Lake Nona seemed like the perfect fit as we focus on our patient-centered medical home and bringing primary care services to more neighborhoods throughout this area.”

Also new to Lake Nona Village is Absolute Urgent Care, which opened in June.

“We have just enjoyed [being here],” says Dr. Turi Maki D.O. whose idea it was to open Absolute Urgent Care. “The whole goal is to get a community of physicians that are all good and make things that are convenient for our communities.”

Maki decided to open Absolute Urgent Care after she was on the patient-side of things. She felt as if she could do things in a more patient-oriented manner.

At Absolute Urgent Care, the goal is

to not have to send patients to the emergency room. The staff also has a respiratory therapist, a radiology technician and a paramedic. And on Tuesdays and Wednesday, two OB/GYNs from Contemporary Women’s Care of Orlando are in the office.

“I do most of the stuff here that I would do in the E.R. for a fraction of the cost,” Maki says. “And people don’t have to go out of Lake Nona.”

Because of Maki’s certifications, Absolute Urgent Care can give patients IVS, work with sutures, dislocated and broken bones.

Lake Nona Village is also home to Lake Nona

Ophthalmology and will soon be home to Watercrest of Lake Nona Assisted Living and Memory Care Community. Lake Nona Ophthalmology, founded by Dr. Chirag J. Patel, specializes in medical and surgical eye care and facial aesthetic and medical spa services. The 76,000 square foot, 80-unit Watercrest is slated to open in Fall 2015. It will offer 56 assisted living and 24 memory care apartments for senior citizens.

More Doctors Moving to Lake Nona By Ashley White

Alix Casler, MD Daniel Goddard, MD Norman Lamberty, MD

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Dear Readers,

Welcome to 2015. We have made it through another great year in East Orlando, but now it’s time to see how we can make the next 365 days even better.

In January we devote our issue to healthcare, so hopefully as you flip through you are encouraged to maintain your resolutions for a healthier you!

East Orlando has seen a lot of growth in the healthcare industry and local businesses continue to expand. Florida Hospital unveiled a new simulation center, Lach Orthodontics is opening a new office in Eastwood and a GuideWell Innovation Center is coming to Lake Nona.

Our cover this month focuses on SafeCare Docs whose goal is to assess a patient’s condition after an injury and recommend a treatment plan that is appropriate.

Be sure to check out a patient testimonial for Dr. Chirag Patel at Lake Nona Ophthalmology and how his comprehensive iCare and iSpa services benefit his patients.

In this issue, we also update you on the proposed Avalon Middle Relief School and how this could affect your children.

As always, visit us at InsightEastOrlando.com to stay connected with local stories and updates that matter to you.

We hope you enjoy this issue and don’t forget to put your health first.

Happy New Year!

Table Contentsof

Features Timber Springs and Avalon Park Parents Express

Concerns for New Middle School Site

Lake Nona Continues to See More Doctors

GuideWell Innovation Center Brings Biotech Commerce to Lake Nona

The Benefits of a Boutique Approach to Facial Aesthetics

Growth of Elder Population Leads to Increase in Assisted Living Facilities

Florida Hospital East Orlando Brings Medical Innovation to Community

Medical Offices Grow As Local Economy Improves

The New Bad Disease

3

4

6

7

8

10

11

12

Cover StoryNew Healthcare Alliance Aims to

Simplify Accident Rehab9

Letter from the Publisher – David Mullins


With the recent groundbreaking of the GuideWell Innovation Center, one of

the final pieces of the Medical City at Lake Nona is falling into place.

The new center joins research groups like the Sanford-Burnham Medical Research Institute and the University of Florida’s Academic and Research Center.

It will also be neighbors with treatment centers like Nemours, the VA Medical Center and the academic facilities at UCF’s Health Sciences Campus.

Joining this prestigious array of advanced medical centers means that they will be at the heart of cutting edge healthcare in America.

They will also be upping the ante by bringing their own brand of innovation and inspiration to the medical community with a combination of office, lab and co-working space.

The new complex will eventually span four separate buildings, scheduled to be completed over the coming years.

The first building to be completed in the new campus will house GuideWell, parent company to Florida Blue Cross & Blue Shield, occupying the first floor. The 30,000 square foot space will be home to their six core “Centers of Excellence” and will

provide office and meeting space.

“The center will be home to organizations that specialize in life sciences, health innovation and technology, that share a common goal to develop an adaptive health care system that meets the ever evolving needs of consumers,” says Renee Finley, vice president of Enterprise Innovation at GuideWell.

One of the goals of the center is to become the hub of a global network of healthcare innovators.

“The state-of-the-art building environment is designed to be efficient, cost-effective, high-tech and most importantly, conducive to the formation of ideas and solutions that will entice health care advocates from around the world to join the conversation at the GuideWell Innovation Center, which will ultimately empower consumers, improve the

effectiveness of care, and preserve the long term sustainability of the healthcare industry,” says Finley.

The GuideWell Innovation Center will also be home to a new type of business incubator hosted jointly by the University of Central Florida and the University of Florida, both of whom are home to award winning incubators already.

This new venture will focus exclusively on developing biotech companies from concept to commercialization in the 15,000 square foot incubator facility.

There will be both wet and dry labs, along with clean room space for emerging life science and technology companies to test their products and build successful business models under the guidance of UCF and UF’s proven programs.

According to the development company, Tavistock, funding for the incubator has been provided by $2.5 million in state funding.

The new center still has space available for lease to new and mid-stage companies who fit within the medical, entrepreneurial spirit of the complex.

“The building continues to progress nicely and we are on track for an opening later next year. Since our groundbreaking, we have fielded several inquiries for space from interesting organizations. We expect to have more announcements in the coming months,” Thaddeus Seymour senior vice president of Tavistock Development Company.

GuideWell Innovation Center Brings Biotech Commerce to Lake Nona By Allison Olcsvay

GuideWell Innovation Center Groundbreaking.

Thaddeus Seymour, senior vice president of Tavistock Development.


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Beauty is in the eye of the beholder. But what if the beholder wants a little help

to look her best?

Well, if she’s anything like Denise, a longtime Lake Nona resident, she seeks help from a knowledgeable, compassionate expert in her community. As fate would have it, that’s exactly how she found Chirag J. Patel, M.D., a board certified ophthalmologist who happens to be the founder of Lake Nona Ophthalmology and its boutique medical spa known as iSpa.

Wait a second. What does ophthalmology have to do with facial aesthetics like Botox and lid lifts? In addition to being one of the oldest medical specialties, ophthalmology specializes in the structure, function, and anatomy of the eyes, the eyelids, and the mid-face from both a medical and surgical perspective.

Many ophthalmologists, like Dr. Patel, have expertise in managing the delicate skin around the eye as well as performing surgery to enhance facial features through state-of-the-art cosmetic procedures.

What is iSpa?

At iSpa, Dr. Patel offers so much more than just the surgical aspect of facial aesthetics thanks to a small, dedicated team of specialists that includes an Aesthetician and a Physician Assistant.

iSpa focuses on a holistic approach to facial aesthetics, which includes skin care, injectables, and surgery. The boutique medical spa provides unique skin care systems such as Obagi and Neova, specialty chemical peels, and injectables like Botox, Juvederm, and Voluma; in essence, there is something for everyone.

“Together my team and I work to develop an individualized treatment plan for every patient, and that starts with a complimentary consultation,” says Dr. Patel. “We recognize that every person is unique and so are their goals. Our team-based

approach helps patients achieve what they want as safely and quickly as possible.”

Dr. Patel says the emphasis at iSpa is creating a relaxing experience where results are long lasting, and so are relationships.

“I think small offices have that high-class boutique feeling,” says Denise. “After meeting Dr. Patel and my first appointment I’ve been hooked ever since.”

The Personal Touch

Creating a team of facial aesthetic experts is only part of the iSpa difference. For Dr. Patel, service comes second to none and patients take notice of the welcoming, tight-knit culture at Lake Nona Ophthalmology.

“The staff here has been phenomenal,” raves Denise. “If you call, they talk to you by your first name and when you come in they say, ‘Oh, I haven’t seen you since this date,’ and it’s not because they’re looking at a medical record.”

She is constantly impressed when she calls the office and they remember her and know exactly what she needs. She also says they are very good about working around a busy schedule in order to ensure her needs are met.

“Patient satisfaction is extremely important to myself and everyone in this office,” says

Dr. Patel. “Service is paramount to us and we do everything we can to make sure every experience with us, whether it’s on the aesthetic side or the medical and surgical side, is a positive one.”

Innovative Procedures

iSpa’s menu of services offers the latest in non-invasive facial rejuvenation treatments to highlight each patient’s true beauty.

“Because we’re a smaller office, I think it helps us keep up with the latest innovative treatment methods and procedures for aesthetics,” says Dr. Patel. “We are constantly looking for new and innovative ideas and technology to provide the best experience possible for patients.”

Seeing the Difference

Above all, Denise says the experience at Lake Nona Ophthalmology’s iSpa with Dr. Patel continues to be one of the best decisions she’s ever made regarding her skin – and her confidence.

“Absolutely, I would refer anyone here,” says Denise. “It’s awesome.”

With a unique combination of personalized, down-to-earth service and the latest technology, it’s easy to see the iSpa difference.

The Benefits of a Boutique Approach to Facial Aesthetics By Corey Gehrold

Denise, left, visits with Dr. Patel, right, on her initial appointment at Lake Nona Ophthalmology's iSpa.


Nationally and especially here in Florida the proportion of seniors

within the population is growing.

According to 2010 U.S. Census data, they make up 13 percent of the national population and 17 percent of Florida’s population.

There are over 43 million senior adults in the U.S. today, by 2020 that number will reach 56 million and by 2040 there will be nearly 80 million.

As more and more of us live longer lives, planning ahead for our Golden Years becomes more critical.

How and where one wishes to live can mean vast differences in expenses. Options about where one lives, with whom and how will it be paid for must all be considered.

For most, the options come down to three choices: living independently, some version of assisted living or a skilled nursing facility.

Living independently is often the primary goal; no wants to give up their independence unless they have to.

When the decision is made to move to an

assisted or skilled care facility, the choice often comes down to one of three factors says Brenda Lecco, director of marketing at Encore at Avalon Park. They are: falls, finances or family.

“Falls or other serious injuries are the most common reasons people must give up their independence. Following such an event, the doctor will usually recommend a change for safety sake.”

Often it becomes more expensive to keep a senior at home rather than move them, due to the high cost of private, in-home care.

Then there are family considerations.

“The level of care needed can become overwhelming for family members and sometimes there are no family nearby who are able to do it,” says Lecco.

Until recently, East Orlando residents had few options to choose from when it came to assisted living but with the addition of two new facilities, The Encore at Avalon Park and Watercrest of Lake Nona more options are on the way.

Encore is an 80,000 square foot assisted living and memory care center in the

heart of downtown Avalon Park. The first phase includes 90 apartments, 60 for memory care residents and 30 for assisted living. The first resident at Encore will be moved in starting January 2015

Watercrest of Lake Nona is a similar facility with 80 units in a resort-like setting. It will feature spa services, fine dining options and its own wine cellar. It is scheduled to open in the fall of 2015.

For seniors who are comfortable at home and do not yet need the services of an assisted living facility, Encore will soon be offering an alternative, following the

“village model,” called The Club. Encore’s The Club will offer seniors a way to stay in their homes, while receiving top quality as-needed assistance.

They will receive visits from professionals who can perform safety checks, help move heavy objects, do light cleaning and many other in-home services.

It will be the first such “village model” in

East Orlando following the lead of similar groups like Neighbors Network in Winter Park.

Encore also runs a support group for caregivers meeting on the second Monday of every month.

“We are trying to build a multi-generational community in Avalon Park, where people can feel comfortable moving here, knowing they will not have to go elsewhere as they or their parents age,” says Lecco.

“Seniors are a vital part of our community and deserve the best possible care available.”

Growth of Elder Population Leads to Increase in Assisted Living Facilities By Allison Olcsvay

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About the Cover

New Healthcare Alliance Aims to Simplify Accident RehabBy Allison Olcsvay

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At SafeCare Docs, their goal is simple; to assess a patient’s condition and recommend a treatment plan that is appropriate.

SafeCare Docs are not affiliated with any law firm or insurance carrier.

Auto accidents are only one of their specialties; they can also access injuries ranging from falls, sports injuries or joint pain.

Radio and television ads reminding people to seek help after an accident

are everywhere, most of them sponsored by lawyers.

The implications sound ominous, seek help now or forever regret it. Clearly, lawyers have their own interests in mind when purchasing these ads, but their advice is accurate.

New laws on the books in Florida now require accident victims to seek medical attention within 14 days of the incident or forfeit the right to any potential injury claim.

Because finding the right help in a timely manner is important to both the patient’s health and peace of mind, Dr. Brent Baldasare of Affinity Health and Wellness has founded a new alliance of local doctors who are prepared to help patients navigate the best course post-accident.

Baldasare was injured during his last game of his senior year in college. The injuries he sustained were permanent low back injuries. He contributes his amazing recovery to chiropractic. He lives a normal, active life, but still experiences episodes of intense pain.

"I feel this injury has helped me relate more with my patients. I may not be able to help everyone, but I will give 100% of my attention and expertise to help the ones I can,” says Baldasare.

SafeCare Docs are not affiliated with any law firm or insurance carrier and are prepared to follow patients from initial check out through completion of rehab, including handling insurance claims and coordinating care with primary care physicians.

“All of our treating offices are staffed with highly trained injury experts and professional insurance billers,” says Baldasare.

Many of the patient referrals SafeCare Docs receives are from primary care physicians who are not equipped to handle the injury rehab process or the sometimes complicated billing processes.

After rehab, patients return to their regular doctors for care.

If seen within the 14-day window, most PIP auto insurance will cover the visit and necessary follow-ups, up to the limits of the individual policy.

“The key factor is to make sure you are checked as soon as possible after an accident. Fourteen days can come and go quickly, especially if your car is damaged and you’re dealing with a rental. It’s just as important, if not more important, to get yourself checked out after an accident as it is to get your car checked out,” says Baldasare.

At SafeCare Docs, their goal is simple; to assess a patient’s condition and recommend a treatment plan that is appropriate.

Even if everything seems fine and the accident appears minor, everyone should be checked out just to be sure.

Dr. Baldasare shares a key example: “We had a situation the other day where a young mom came in with her child. She only wanted to have her child checked. After she saw how easy the exam was she wanted to get checked out. The child was fine but Mom wound up having a significant sprain in her neck and a disc injury.”

Cases like this demonstrate how easy it is to be concerned about others and not even realize an injury may be present.

“Pain is not a very good indicator to detect auto injuries and there are a lot of other factors that need to be measured,” says Baldasare.

One of the simplest ways to diagnose injury is to do a simple digital x-ray says Baldasare.

“It has minimal exposure with maximum information. With today’s advanced imagery we can see injuries almost immediately,” he said.

Following an accident, you may feel ready to move on and find yourself wondering if you should trouble with contacting an attorney.

A quick visit to one of the SafeCare Docs can help you make that critical decision.

“After a complete evaluation, all of our doctors sit with a patient one-on-one to go over the results. In many cases patients are

relieved to know that they are without injury, and that they can go about their business with the peace of mind knowing they’re okay,” says Baldasare.

SafeCare Docs are not just for auto accidents. That is only one of their specialties; they can also access injuries

ranging from falls, sports injuries or joint pain.

SafeCare Docs are also active sponsors of the UCF Athletic programs.

“We are UCF Knight fans so we do what we can to support the athletes with scholarships and event sponsorships,” says Baldasare.

“ All of our treating offices are staffed with highly trained injury experts and professional insurance billers.”

Joint Pain: Experienced by 30% of adults

(CDC)

Falls: 2,400,000 falls each year

(CDC)

Car Accidents: 2,362,000 injuries each year

(National Highway Traffic Safety Administration)

Sports Related Injuries: 10,000,000 injuries each year

(GR Health)

Things SafeCare Docs Can Help You With:


Florida Hospital East Orlando is innovating medical training with its

simulation lab. The lab allows physicians, nurses and medical students to refine their skills on patient simulators, or mannequins, that mimic real-life medical situations.

“The simulation lab provides a hands-on learning environment that enhances the quality and safety of patient care,” says director of medical education at Florida Hospital East Orlando Dr. Patrico Bruno in a release. “The staff uses the center to

explore and perfect new clinical processes, crisis management techniques, advanced teamwork models and educational research studies. This new addition further exemplifies the continuous growth and commitment of Florida Hospital East Orlando.”

At the state-of-the-art lab, clinicians and students from across the country can

learn advanced techniques and treatments through hands-on learning. The patient simulators imitate a real human body that can have heart attacks, give birth, get the flu, break bones and experience other medical conditions that healthcare providers may encounter.

“One of the benefits is [students] can practice new techniques and treatments that help them perfect their skills so that they can bring innovative care to the patients that come to East Orlando,” says media relations

specialist at Florida Hospital Priscilla Lature.

Florida Hospital East Orlando modified part of its facilities to create the three-part simulation lab that is open to anyone in the community who would encounter a patient. One part is three hospital simulation rooms connected by a central command center; the other is a skills laboratory with 16 work stations where healthcare providers can

practice every-day skills such as starting IVs or prepare for infectious diseases; the other is a lecture hall. One feature of the simulation lab is its video-recording capabilities that allow students to assess their bedside manner, greetings, nutrition check and more.

“In recent months, the hospital has grown, adding to the rich Adventist Health system

tradition of providing state-of-the-art, faith based care for patients,” says Florida Hospital East Orlando’s Senior Vice President Mike Thompson in a release.

“Through these elite training methods, we are able to continuously work on refining our skills, streamlining our services and enhancing the overall patient experience within our hospital.”

Florida Hospital East Orlando Brings Medical Innovation to Community By Ashley White

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Construction crews and Now Leasing signs are becoming the norm again as

our local east Orlando economy continues to improve. After 23 years servicing patients on the east side of town, Dr. David Lach of Lach Orthodontics is finally developing a property he has owned on south Alafaya Trail.

Dr. Lach broke ground this past September on his third office location, a 5,200-square-foot office which will be part of a 22,000-square-foot neighborhood

plaza, to be called Stoneybrook Village Center, he is developing just outside the entrance to the community of Eastwood on South Alafaya Trail. Lach’s office will be on the second level, above a variety of new shops and offices catering to the Eastwood, Waterford, Avalon and Lake Nona communities.

Although the property is just 6.4 acres, 22,000 square feet of retail and office will be built during the first phase of construction, including the home of Dr. Lach’s new office,

followed by a second phase of approximately 30,000 square feet of additional space.

Dr. Lach currently treats many patients from the Waterford Lakes and Avalon Park areas and considers an east Orlando location to be the next logical step for his growing practice. Last year Dr. Lach expanded into the growing Lake Nona area.

Additional locations equates to more patient access for Dr. Lach. “We have so many patients from the Waterford and Avalon area that are so excited to be close to their homes and schools,” says Dr. Lach.

Millennia Partners Orlando is coordinating the rental of the retail and office space below Dr. Lach’s office. They are looking at both local and chain businesses. Dr. Lach is being selective on who is chosen in order to provide unique services that people in the community do not already have.

“We only have a very limited amount of space available for lease at present and we want to make sure that we sign tenants who

can provide goods and services that are not already in the area in close proximity to the residents of Eastwood, Stoneybrook, Waterford Lakes and Avalon Park Communities,” says Dr. Lach. “We have had some strong interest and I think there are some real exciting possibilities ahead for the residents.”

An associate at Millennia Partners, Brittany Morrison, says there are many reasons that businesses would be interested in the available space.

“It’s nestled between houses and isn’t far from Stoneybrook,” Morrison says. “It’s just south of Waterford Lakes Town Center and the rent is probably a little cheaper.”

When the plaza is complete, Dr. Lach will host a grand opening celebration for the community.

Medical Offices Grow As Local Economy ImprovesBy Danielle Owings and Ashley White

“We have so many patients from the Waterford and Avalon area that are so excited to be close to their homes and schools.”

Stay tuned to InsightEastOrlando.com for event and construction updates.


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A sniffle, a sneeze, rosy cheeks—these set off a new kind of alarm bell for Kids R

Kids Avalon Park Manager Mercedes Suttles.

With the hype surrounding some new viruses circulating this cold and flu season, Suttles said she’s been hyper vigilant about sickness in her center—washing everything with bleach and soapy water, plus Lysol Wipes in between.

“It caught my attention because of what I do and I don’t want my kids to get sick,” she says, referring to both her two young children who attend Kids R Kids in Waterford Lakes and the children at her Avalon center.

And it’s not just her. She’s fielding frequent calls from parents about sicknesses, either trying to pinpoint where their kid’s cold came from or asking what Kids R Kids is doing to keep their child healthy.

“I don’t know if it’s because of the news and the new viruses coming out but it started in the last month or so,” she says.

Busier Than Usual Cold and Flu Season A mix of enterovirusus circulate every year, according to the Centers for Disease Control and Prevention, but this year the number of people with confirmed enterovrus-D68 is much greater than in previous years. There have been a few reported cases in Florida, including one unconfirmed case reported this fall in Orange County.

Local pediatricians are calling this a busier-than-normal cold and flu season with many more calls from parents. Dr. Raymond Caron, a Florida Hospital pediatrician, said his office is asking parents to bring their children in for even minor symptoms such as cough or fever, just in case it could be something more serious.

“I tell parents to play it cautious with the kids when there are strange germs out there,” he says.

According to the CDC, the percentage of visits for Influenza-like illness is low across the country, which is common for this time of year. Typically, the percentage of these visits won’t spike until the last week in December and they remain high through the holiday season.

But locally, Dr. Lisa Barkley, University of Central Florida College of Medicine assistant professor of family medicine,

agreed that it’s been an exceptionally busy season already and that more parents want their child to be seen for any sign of sickness. She warned that parents should seek the facts before reacting to the news.

“Every so often there’s going to be a new bad disease,” she says. “You have to take it one step at a time and focus on what can be controlled, such as your health habits.”

The New Bad Disease By Megan Stokes

Kids R Kids Manager Mercedes Suttles spends more time than ever cleaning the center because of elevated concerns over illness.

“ You have to take it one step at a time and focus on what can be controlled, such as your health habits.”


Getting more sleep, taking it easy at work to reduce stress and eating more whole foods in place of processed foods, especially during the holiday season, enable the body to fight off sickness.

“Those things sound simple but they can really make a difference in whether you end up getting sick or not,” she says.

Heightened Awareness Caron says that since all the news reports about cases of enterovirus, Ebola and Whooping Cough, more parents have been asking questions about getting their children vaccinated. This trails a trend of more parents adopting a delayed vaccination schedule or foregoing them all together. According to the Orange County Health Department, there was a 2 percent decrease in the number of two-year-old children getting vaccinated in Florida in 2013, which rose to a 4 percent decrease in 2014.

“I do see heightened concern, especially with the Ebola issue,” Caron says. “It has stimulated an interest in vaccines. The most important thing we do in pediatrics is vaccinate children. I’m sure that pediatricians across the country have the same view.”

Personal Choice Barkley says vaccines are valuable to our society but advised that parents become educated on the subject when deciding which route they want to take for their children.

“I’ve certainly seen over my career some of those childhood illnesses that cause a lot of kids to be super sick or die that you never see anymore because of vaccines,” she says.

“But I can understand the hesitation because there’s a lot of unknowns about what goes into vaccines.”

After doing her own research, local mom Cat Ruiter says she decided to forego vaccines for her seven-month-old son. She believes that, like a muscle, the immune system must be exercised to work properly. Her beliefs harkens to her youth when parents had things like Chicken Pox parties so all of the kids would catch the disease and “get it out of the way”. Now, children are given a vaccine for Chicken Pox.

“Diseases come and go and if you have a strong immune system, you’ll be able to fight it,” she says. “If you’re healthy, you don’t need all that intervention.”

Barkley says vaccinations should be a personalized decision.

“You just really have to take it individually—talk to your own provider, look at your own family, your own kids and then try to come up with the best decision for you,” she says,

recommending the CDC’s and the American Academy of Pediatrics’ websites for information.

Join the conversation: Do you get your children vaccinated? Why or why not?

Tell us at InsightEastOrlando.com


It’s a new year and your resolution may be to lose weight or live a healthier lifestyle.

However, if you begin a workout plan that is too intense too fast, you could be overtraining, and this could have negative effects on your body.

Overtraining occurs when the volume and intensity of an individual's exercise exceeds their recovery capacity.

Think you might be pushing yourself too hard? Here are 12 signs that you could be overdoing it:

1. Halted Progress Has your body stopped changing in spite of your best efforts? If so, you may be overtraining.

2. Lowered Self-Esteem Many fitness enthusiasts and professional athletes become obsessed with training. With this mindset, they begin overtraining and lowered self-esteem often follows.

3. Decreased Motivation If you generally live, breathe, and sleep the gym life, then suddenly become disinterested, you’re probably overexerting yourself.

4. Injury Increase Getting injured more often? In particular, are you re-aggravating old injuries? If so, you may be overtraining. Delayed Onset Muscle Soreness (DOMS) for 24-72 hours after a hard workout is an expected result from the microtrauma occurring in the muscle.

“If the pain isn’t resolving in 7 days your body may not be recovering properly from your workout,” says Jill Traver, physical therapist at Ability Rehabilitation. “Continued training may result injury to the muscles, to the tendons, or to the joints as the muscles may not be protecting it properly.”

5. Loss of Concentration Focus is critical. When you go into the gym you have a job to do. Unfortunately, sometimes people bring other stressors into the gym and it can affect concentration.

6. You Get Sick Often Feeling ill isn’t part of a healthy lifestyle. In fact, sometimes it’s your body’s way of telling you that your immune system is suffering from overtraining.

7. Personality Changes It’s possible for there to be an

“intensification of personality traits” for

people prone to being aggressive, irritable, or depressed.

8. Depression When you think of working out, you don’t typically associate it with depression. But, if you’re overtraining, it’s a possible outcome.

9. Insomnia Is your gym time increasing, while at the same time you’re having difficulty sleeping? It’s most likely a result of a combination of nervous system and or hormonal system overload.

10. Muscle Soreness It’s normal to have muscle soreness for a day or two following a workout. However, if you’re still sore past the 72-hour mark, be sure to schedule a break and rest.

11. Insatiable Thirst Do you frequently have an unquenchable thirst? Are you starting to believe that no matter what you drink, you’ll still crave more? If this happens to be coinciding with a period of increased gym-time activity,

there’s an excellent chance that you’re overtraining.

“Proper water and electrolyte intake can reduce the chance of muscle damage from the lactic acid buildup that occurs in the muscle with overtraining,” adds Traver.

12. Altered Resting Heart Rate Altered resting heart rate is the result of an increased metabolic rate to meet the imposed demand of the training and can be used to determine overtraining.

As you take on your healthy resolutions, be sure to consult with your doctor and a trainer to develop a healthy plan that works for you and avoids overtraining.

12 Signs You Might Be Overtraining

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Many patients feel helpless in the face of rising health-care costs. They think

there is nothing they can do. But actually there is.

One critical choice consumers can make could cut their health-care costs significantly, often by thousands of dollars, and often improve their care.

They can choose an independent physician rather than one who is employed by a hospital.

The difference sounds small, but whether a doctor is independent or employed by a medical system has a huge impact on both cost and quality of care.

It’s not always easy to tell whether a doctor is independent or a hospital employee unless you ask. And the numbers of independent doctors are dwindling.

Every day, because of growing economic pressures, more physicians are giving up their independent practices to become hospital employees. In 2000, well over half (57 percent) of all physicians in the United States worked for themselves. Today, that number is closer to one in three (36 percent), according to a report out from Accenture.

The move costs all of us. Studies show that these hospital-physician mergers negatively

impact patients, doctors, communities and the nation’s health care.

Here, according to Tommy Thomas, Orlando CPA and founder of the Association of Independent Doctors, are six of those consequences:

1. Competition decreases When hospitals buy physician practices, competition dries up. Fewer independent providers competing with each other means costs go up and quality goes down.

2. Quality goes down When doctors start working for hospitals, they stop working for patients. Because hospitals track how many patients their doctors admit and how many tests they order, employed physicians’ become focused on meeting quotas. This pressure results in employed physicians ordering more unnecessary tests, procedures, and hospital admissions than independent doctors, which not only drives up health-care costs, but also puts patients in harm’s way.

3. Costs increase Hospitals get to charge something called a

“facility fee,” an added cost for absolutely no added value. For the exact same procedure provided by an independent doctor, hospitals charge patients three to five times more.

For instance, a heart catheterization in a freestanding center costs around $1,100 while the same procedure costs $4,000 in a hospital outpatient setting.

4. Patients have less choice Employed physicians are expected to refer only to other doctors employed by their hospital system, and to order tests only through hospital-owned facilities, regardless of whether those doctors or facilities are the best, or most cost effective.

5. Communities lose jobs Independent practices are small businesses. Small businesses create about 65 percent of our nation’s new jobs. When independent doctors sell to hospital systems and become employees, the hospital takes over staffing and that often means loyal office workers lose their jobs.

6. Taxes go up When a nonprofit health system acquires an independent physician’s practice, that practice overnight goes from supporting the community through paying property, tangible and sales taxes to paying no taxes. We all pay for that.

Thankfully, many doctors are bucking the trend.

“I turned down offers of hospital employment

because I knew that by remaining independent my allegiance could remain purely on my patients,” said emergency physician Dr. Turi Maki, who opened Absolute Urgent Care in Lake Nona earlier this year to provide personalized urgent care in her own community.

“I want a close relationship with my patients, away from all the administrative requirements and quotas that can hinder a doctor’s ability to practice and deliver the best patient care,” said Dr. Maki.

The Association of Independent Doctors was formed to help independent doctors stay independent because it’s healthiest for patients, doctors, communities and our nation. For more information, go to www.aid-us.org.

One Simple Question Can Save You $1000s in Health Care Costs

Marni Jameson is the executive director for the Association of Independent

Doctors. You may reach her at 407-865-4110 or [email protected].

By Marni Jameson

Dr. Turi Maki

Here’s How it works:● January 1 to January 9 share your amazing fitness story and

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Insight on Education

District and school leaders across the country have been adjusting to the

changes in the way we teach students. In our state, these changes are known as the Florida Standards. In some states, the term is Common Core.

The Florida Standards provide a new framework for what students are expected to know in grades kindergarten through 12. To begin with, students will move from just memorizing information to measuring application of knowledge. The promise is that the new standards will improve student readiness for post-secondary paths - college and career.

In OCPS, we have implemented the standards roll out with primary grade

students having been taught the new way last school year. This year, 2014-2015, we expanded to full transition where all students in grades kindergarten through 12 are learning via the new system of delivering education.

What are the Florida Standards exactly? Well, the new standards are designed to be relevant, reflecting the knowledge and skills that students need to succeed in college and careers. In education, we begin with a grade-level understanding of the skills and expand upon it as we move up in grade level and age.

For example, the literacy standards require that students become critical readers, not only of fiction, but also of informational texts. Students must show they are able to read and comprehend texts of steadily-increasing complexity as they progress through school, so that they can independently read a range of texts and analyze the text as a critical reader and thinker.

In mathematics, the Florida Standards are built on progressions. A basic mathematical concept introduced in kindergarten may be taught on a six-year-old level, only to grow deeper and wider as the child progresses through the grades. This is good because students have the opportunity to deeply learn math concepts through exposure, experience and building on prior knowledge. Teachers are expected to fully develop concepts which will build upon skills the student will use in the next grade level.

The test that goes along with the Florida Standards is called the Florida Standards Assessment (FSA). It is mandated by Florida statute. The Student Success Act and Race to the Top grant funding require it. Time reserved for students to take state required end-of-course exams and district diagnostic tests range from less than one full day for

K-2 students, to approximately four days for grades 3-10, five days for high school juniors, and two days for seniors. Not all tests are given the same day so the number of days tests are administered will be higher.

Generally, K-4th grade tests will be paper and pencil, or verbal (kindergarten). All others will be computer based. District benchmark tests are interim tests to gauge student progress and familiarize students with the kind of test the end of course test will be, and in the same format (computer or otherwise).

Florida Standards Assessments will administered at varies times primarily throughout the months of March and April. Overall, the philosophy of Florida Standards rests on the fact that the United States is seeking to allow our students to compete in a global marketplace.

The Florida Standards and Your Child – What You Need to Know Before the State Mandated Tests BeginBy the Orange County Public Schools’ Curriculum Department

“ The new standards are designed to be relevant, reflecting the knowledge and skills that students need to succeed in college and careers.”


Healthy Living

If you’ve ever tapped into the business world, you’ve heard the classic acronym

of setting S.M.A.R.T. goals. S.M.A.R.T. goals are goals which are Specific, Measurable, Attainable, Realistic, and Timely. This practice has worked for ages in the business world to help clarify and strategize company goals; but have you ever considered applying this age-old adage to your health and wellness goals?

Specific It’s important to be very clear on what you’d like to accomplish. Rather than just

“lose weight,” how about a specific body fat percentage? Instead of “get healthier,” perhaps “reduce disease risk factors” or “less dependent on medication?” Fit into a size 8? Complete a triathlon? Be as clear and accurate as possible.

Measurable You must be able to measure your progress. This could be through self-checkpoints along the way such as body composition tests, happiness self-inventory (rating your moods/confidence on a 1-10 scale), pant size, pictures, an outfit, a race/fitness. Try to leave scale weight out of this one, as this can be a very unreliable measure of success. For example, if you combine healthy eating habits with strength training, muscle is built and fat is lost, yielding a negative net change in weight which can do some pretty destructive psychological damage.

Attainable & Realistic Some goals are attainable but perhaps realistic right now. It’s important to be realistic about your goals and sure that they are reachable. For example, it might be attainable to run a marathon, but not in 6 weeks if you haven’t ran in ages (unrealistic). That is why setting short and long-term goals are a constructive and helpful strategy.

Typically, I have my clients set goals for the year and/or race season for athletes. There is almost always a cycle for ideal body composition/mobility work/foundations, a preparation phase, a competition phase, and a recovery phase. This is a great way to allow the body to heal and cycle through diverse elements of fitness that cannot be done all together (it’s not always feasible to expect body fat loss and strength gains or muscle mass gain (hypertrophy) while training for an Ironman, for example.

Along those lines, implement smaller strategies and goals to aid in your journey

toward the larger goals (see: setting specific goals). For example, plan to meal prep and write about meal plans weekly; set a phone alarm to get up and move, stretch, and drink water or have a snack multiple times a day; set reminders to journal about things you’re grateful for and love about yourself should confidence be a risk factor for your success.

Timely Again, be realistic about your goals and set multiple smaller goals or phases to get to those larger ones. If weight loss is your primary goal, do not expect miracles in the first month (and expect a few slip-ups as well). A realistic and sustainable weight loss goal would be 1 lb. lost per week.

Remember, you are 100 percent capable of setting the goals you set for yourself this year; New Year’s goals often fail because of failure to plan—so get to planning and see those S.M.A.R.T. goals through to the end. Best of luck in 2015!

New Year, New You: Setting S.M.A.R.T. Health Goals in 2015

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Orlando Jeep Club members entertained parade watchers with the sounds of powerful motors, lights, loud music and lots of smiles.

Festivities, games, rides and great food continued into the evening and concluded with a winter fireworks display.

Parade Princesses ride in luxury at the 12th Annual Avalon Aglow Christmas Parade on December 6, 2014 in downtown Avalon Park.

LED bubble guns provided lots of smiles and laughter.

The first test launch of Orion took place on December 5, 2014 at 7:05 a.m. atop a Delta IV heavy lift launch vehicle from Cape Canaveral Air Force Station. Orion will eventually take humans on deep space missions to asteroids and ultimately Mars.

Night bungee jumping offered lots of "zero gravity" tumbling opportunities.

Wishes flew silently into the night sky on Sky Lanterns. The lanterns produce a beautiful glow and can travel more than a mile.

Joe Kittinger Park located at the southwest corner of executive airport became home to a veteran warbird of the Vietnam War: an F-4D Phantom jet like the one flown by Colonel Joe Kittinger during his 3rd combat tour in Vietnam. Col. Kittinger's aviation exploits including being a POW are legendary. Next time you're traveling west on S.R. 408, look right prior to the Crystal Lake exit and you'll see this thrilling display.

The parade was presided over by Santa Claus and included a variety of participating groups including the custom built, high-performance vehicles of the Orlando Jeep Club.

A tumbling expert taught youngsters how to perform back flips at the Avalon Aglow Christmas Parade.

Community Photos Submit Photos and See Full Event Gallerieson InsightEastOrlando.comCheck out some great photos from East and Southeast Orlando. Want to see more and stay connected to your community? Visit www.InsightEastOrlando.com today! All photos courtesy of PotShots Photography unless otherwise noted.


Residents were dancing in the streets to the sounds of live and broadcast music.

Kids test their agility and reflexes in the multiple dodge ball basher.

According to the Orlando Sentinel, "The former Booby Trap on Lee Road is not long for this world." The Winter Park City Commission recently voted to purchase and demolish the well known structure. It was built January 1980 and has become a prominent Orlando landmark, even appearing in the book, "Weird/Fun Places in the Orlando Area that Are Soon to be Extinct." It's also considered a way point for giving directions. Current owners have remodeled and renamed it The Latin Cabaret and plan on reopening at a new location. Notables like Richard Pryor have visited this establishment.

The all-day family event was attended by banner crowds who were able to sample small bites of food and beverages from more than 20 of Waterford Lake's top restaurants.

Residents take a moment to treat themselves to a 'selfie.'

Some young residents score at a game of cornhole.

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Thursday, November 27, hours of cooking, preparation and waiting for the turkey to be removed from the oven is over. Teri removes a wing from the turkey as the scent fills the kitchen.

Waterford Lakes Town Center conducted its 15th Annual Taste of Orlando Event on Saturday, November 15, 2014. Proceeds from Taste of Orlando support scholarships for at-risk youth in the local community.

Kith and kin come to the table. A prayer of thanks precedes the meal.

The men gather around the TV for football after the big meal.

Children test their skills and courage on the rock climbing wall.


THE EXTRA MILE: Business of the Month

The businesses that have rose to a level of excellence to be included in The

Extra Mile column are diverse in what they offer the East Orlando community. We’ve covered dance studios, doggie spas, apparel businesses, professions in the medical community, restaurants, accounting practices, and hardware stores. They all have met the criteria of providing excellent customer service, treating employees fairly, and contributing to the community, and they are all exciting and interesting to cover. However, since we sometimes have first-hand experience with The Extra Mile business in order to provide the reader with actual facts, restaurants create a special interest—- sampling the products is a sacrifice we are

willing to make. This month is especially exciting as we bring you Milano’s Pizza in Avalon Park.

Milano’s Pizza & Italian Restaurant opened in 2005 and has been under the ownership of Andrew Vedamanikam since 2013. “When I first took over Milano’s, there was a transition period in which we lost some consistency with our food and thereby customers,” says Vedamanikam. “Now, I encourage those who used to come in to revisit Milano’s Pizza and Italian Restaurant and see the exciting changes we have made and will continue to make.” One of Milano’s biggest hits has been its large cheese pizza. Sounds simple, but this pie is not simple in flavor. “Customers rave about our crust and cheese,” says Vedamanikam. “Our crust is a New York style and our cheese is of the highest quality.”

Great food is one way to bring customers through the door, but it doesn’t last long if the customer service stinks. Numerous restaurants with good food have been shut down due to careless service and non-caring servers. Milano’s keeps a keen eye on providing the best in customer service to keep people coming back for more. Vedamanikam states that, “Excellent customer service

is about building relationships with our customers. I encourage my team to engage the customer in a positive manner at every opportunity. For us, every contact is an opportunity. Whether it is the delivery team, telephone or table side servers, we strive to continually make new friends in the community. This enhances our growth and keeps my team happy.”

Milano’s Pizza & Italian Restaurant employs 18 people and 95 percent of them are from the Avalon Park area. Vedamanikam says that continual training is the key to their success. “Similar to engaging the customer, I engage my team at every opportunity with consistent and relevant training. We do a five to 15-minutes daily ‘stand up’ where we discuss service issues and how to resolve and prevent them. We also have monthly meetings where procedures are reiterated and communications flow freely back and forth. My team is empowered to do whatever it takes to make the customer happy. We project a positive image with body language, smiles, positive talk. Milano’s only plays family friendly, positive music and we don’t allow bad language.”

Milano’s is continually fine tuning its menu

to the customer’s preference. If there is an item that a customer liked in the past, simply call the restaurant and they will bring it back. Milano’s motto is “If we have it, you got it.” The restaurant encourages customers to provide feedback, both positive and not so positive. Vedamanikam loves the community and is looking forward to providing greater support in the near future. “Milano’s greatest contribution to the community is yet to come. We have tried to get involved with organizations such as Avalon Park Rotary and others; however, time is the enemy. We are currently involved with school and community activities as well as after school kids activities.”

Milano’s is located at 3464 Avalon Park East Boulevard and can be reached by calling 407-273-6688. Visit or call Milano’s for more information and be sure to try the cheese pizza!

Milano’s Pizza Italian Restaurant By Johnny Duncan

Johnny Duncan, business writer and President of Duncan Consulting, Inc.,

partners with business owners to provide workforce management solutions including

customer service training, job analysis, people-to-job matches, copywriting and conflict resolution. He can be reached at

[email protected] or by calling 407-739-0718.

High DeductibleNo Problem!


Community Comments

This month we took our camera into the community and asked your neighbors, “The doctor-patient relationship is critical. What do you believe is the most important thing in determining how you feel about the relationship with your primary care provider?”

Have a comment you’d like to share with us? Check out our Facebook page and let us know what you think about relationship with your primary care provider.

“I need to be satisfied with my doctor for not only medical treatment, but someone who listens and doesn’t rush me through my appointment.”Denise

“My doctor will treat me in a manner I can trust. The doctor will not just go by the book during my visit, but will follow up with whatever is necessary for my welfare as a person and a patient.” Denise

"Thoroughness of doctor, hear me and educate me as we go along really matters. They shouldn't schedule so many people in a day." Doug

“A primary care provider is someone you trust to go the extra mile for you, so I want strong communications with my doctor, in both directions.” Leonor

“Build a relationship. Taking time to know family history, genetics.” Darnell

Visit us on Facebook and leave a comment to let us know what you think about the impact of the arts on your life.

Join the conversation:

“My wife is a nurse so she takes care of our children’s health needs. When they need a doctor, we choose by word of mouth and reputation.” Jose

FHMG-14-21922

Together, we’re rooting for your health

FLORIDA HOSPITAL & UCF HEALTHPutting Down Roots in Lake Nona, Spring 2015

Welcome to Gateway—a revolutionary concept created with a shared vision of innovation and access to the best in health

care options. Through collaboration in medicine and education, we are offering primary care and specialty physicians,

imaging services and physical therapy to provide the latest prevention, diagnosis and treatment for the body, mind and spirit.

Together, we’re creating your gateway to better health.

P R I M A R Y C A R E | I M A G I N G | P H Y S I C A L T H E R A P Y | S P E C I A L I S T S

www.GatewayLakeNona.com

FHMG-14-21922 Lake Nona Phase 1 Coming Soon Ads_insight 11x13.indd 1 12/10/14 3:46 PM

Documents

Insight Magazine - January 2015