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 Current Orlando Medical News

Forming a Bridge Between the Research Lab and Bedside Care
The Orlando Medical News caught up with Steven Smith, MD, soon after he started his new post as executive director of the Florida Hospital-Burnham Clinical Research Institute (CRI) and asked him about his decision to move to Orlando, what initially piqued his interest about studying the correlation of obesity and diabetes, and his game plan for the new institute. The CRI will be located on Princeton Street and will serve as the gateway to Florida Hospital's Health Village, an area being developed around Florida Hospital Orlando for medical space, residential areas, and retail. The two-year project should begin with a groundbreaking event during the first quarter of 2010.
LYNNE JETER

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Runners with a Cause
Winter Park Urology Associates Sponsors Autumn Race in Casselberry
WINTER PARK--On many mornings before the sun comes up, while most folks are still slumbering, urologist Jeff Thill rolls out of bed and laces up his running shoes before hitting the streets to log a few miles before work. If he's feeling adventurous, he may drive to the rolling hills of Clermont, once covered with citrus groves, for a change from the relatively flat terrain encompassing Orlando. By week's end, he will have 30 to 40 miles under his feet.
LYNNE JETER

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LEADERS IN HEALTHCARE: Steven R. Smith, MD, Florida Hospital-Burnham Clinical Research Institute
Low-key and reserved, Steven Smith largely went unnoticed in his high school class of 700. His college pals knew him as the guy who ran the roller coasters at Six Flags over Texas. And once headed for pharmacy school, he only took the MCAT on a dare from a friend.
LYNNE JETER

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Hospital Prepares High School Students for Health Careers
Unique Partnership between Florida Hospital East Orlando and Lake Nona High School Provides Hands-On Experience
LAKE NONA--Florida Hospital East Orlando has unveiled a new way to introduce health careers to high school students for a real-world, hands-on experience.
LYNNE JETER

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Maintaining Forward Momentum
Nemours Children's Hospital Construction on Track for 2012 Opening
Florida's Agency for Health Care Administration (AHCA) has given Nemours the green light to continue construction of the new $380 million Nemours Children's Hospital being built at Lake Nona and slated to open in 2012.
LYNNE JETER

Geriatric Mental Health
Twenty five percent of Americans will die in nursing homes. Over 40 percent of nursing home residents exhibit signs of clinical depression or anxiety. Furthermore, the Surgeon General's report on aging and mental health reveals that a considerable portion of the population 55 and older will experience specific mental disorders that are not part of the normal aging process such as unrecognized or untreated depression, Alzheimer's disease, alcohol and drug misuse and abuse, anxiety, late-life schizophrenia and other conditions that can be severely impairing, even fatal. The rate of suicide is highest among older adults relative to all other age groups. Studies have shown that many older adults who die by suicide – up to 75 percent – visited a physician within a month before death.
ERIK LEVY, Psy D

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How to Avoid Coding Blue Financially at the Office
Because physicians are often too busy to keep an eye on every detail of their surroundings at the office, they hire staff to assist in maintaining a thriving business. Unfortunately, some employees take advantage of their position, occasionally to the point that employers face serious financial burdens, possibly even bankruptcy.
LYNNE JETER

Local Medical Societies

Is Disorganization Costing You Money?
If your staff has trouble finding patient charts, supplies are often not ordered in enough time, patient billing is backlogged, or supervision of staff takes up a good deal of your time? Then disorganization is costing you a lot of money!
JENNY CHARBONNEAU

Should I Lease Or Own My Office?
These are life changing times we all live in these days...
The worst recession since the Great Depression, new healthcare reform, changes in referral patterns and demographic changes are causing major concerns throughout the medical community.
Many professionals realize and understand the need for some kind of a change, increase efficiency, finding ways to reduce operating expenses or looking for new or additional satellite offices in locations that are closer to their client base, etc.
SEAN GLICKMAN

The Great 401(k) Ripoff
Or How Killer Costs are Stealing Your Money
Mitchell Levin

 Imaging Focus

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Squeaking Hip Replacements Annoy and Worry Patients and Physicians
Go ahead. Log on to www.youtube.com and type the phrase "squeaking or squeaky hip replacements" in the search box. What pops up is an array of home videos, most featuring senior patients, who are documenting a noise their replacement joint makes with each step. For some, the noise resembles the sound of air released in sporadic bursts from a child's balloon. For others, the noise – all clichés aside – sounds just like a fingernail quickly scraping down a blackboard. For some of the patients, the sound is a popping, occasionally accompanied by the squeak.
SHARON H. FITZGERALD

 Health Information Technology Focus

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SOS: Save Our Seniors
Campaign Decries Impact of Proposed Cuts on Senior Care Facilities
The American Health Care Association (AHCA) and its affiliated National Center for Assisted Living (NCAL) have launched a vigorous national campaign to make Congress aware of what proposed Medicare cuts and potential reform measures could mean to some of the nation's oldest, frailest and most vulnerable citizens. The SOS – Save Our Seniors – campaign is a grassroots measure encouraging long-term care providers to make their voices heard on Capitol Hill.
CINDY SANDERS

 Spotlights

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Idelisa Torres-Berastain, MD
By the time she was 23, Idelisa Torres-Berastain was a doctor. The fact that she looked young for her age raised more than a few eyebrows.
"I'd get the comments like, 'you're too young to be a doctor!' or 'geez, doctors are looking younger these days,' or I'd get the Doogie Howser comments," said Torres-Berastain, with a laugh. "Now I'm 35, but it still happens today because I look 25."
LYNNE JETER

 Grand Rounds

Grand Rounds October

 Trusted Advisors

Obstructed Sleep Apnea
Obstructive Sleep Apnea (OSA) is a common chronic disease affecting at least 2 to 4% of the adult population; there are about 15 to 20 million American adults that are believed to have obstructive sleep apnea (OSA), which makes its prevalence comparable to other chronic diseases such as diabetes mellitus type 2. OSA represents an important medical condition with potential devastating consequences. Sleep deprivation with consequent daytime somnolence has been linked to motor vehicle and workplace-related accidents and there is recognition of OSA as a mediator of cardiovascular disease. There is abundant information in the medical literature implicating OSA in cardiovascular diseases such as atrial fibrillation (AF), stroke, myocardial infarction, and sudden cardiac death.

Breast Cancer Awareness Month
As we find ourselves approaching another Breast Cancer Awareness Month, we are reminded how far we have come in the diagnosis and care of patients with breast disease. Those of us with the privilege and duty to care for these patients are also reminded how much we have yet to achieve. Unfortunately, there are approximately 192,000 new cases of breast cancer in the United States per year. The number of deaths from the disease are over 40,000 per year. Based on rates from 2004-2006 approximately 12 percent (or one in eight) of women born will have breast cancer some time in their lifetime.

Autologous Chondrocyte Implantation
Articular cartilage defects in the knee are one of the more problematic injuries seen in sports medicine. Treatment options have evolved over time to attempt to recreate the cartilage surfaces with innovative techniques such as autologous chondrocyte implantation.
Randy Schwartzberg, M.D.

Why Not Private Home Care?
We are often told that hospitals and doctor offices don't seem interested in referring to private home care services. Why is that? Why do they seem uninterested in referring private duty care to clients that are looking for and could benefit from services such as ours?
Jody Guerrieri