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ARTICLESFeatured

(see Defeat Dizziness, page 4)

KELLY HANSEN, AUD NIKKI GOLDOWSKI, AUD

Defeat Dizziness

L ast June, Gina Trani began hav-ing trouble with her sinuses, which she expected at that time of year. What she didn’t expect

was that this year, severe dizziness came with the package. She woke up one morn-ing so dizzy and disoriented, she had to call in sick to work, something she never did, for four days straight.

“When I got out of bed, the room was spinning,” she recounts. “I slowly tried to get ready for work, then sat back down. I thought, � is is crazy. I was not feeling well. I was sweating and having a panic attack because I was alone.

“I had to stay home because I couldn’t drive. � e dizziness was horrible. I felt like I was falling o� a building.”

Four days later, Gina went to an area clinic, where they ruled out a brain tumor as the cause of her condition. � ey also recommended she visit an ear, nose and

throat physician. � e ENT prescribed medication for her sinuses, which helped that problem somewhat. It did little to eliminate the dizziness, and her symptoms continued to come and go.

“When I would stretch or turn my head a certain way, or lie in bed and turn to the right, it was like, Whoa, it’s still there,” notes Gina. “But it’s like having a panic attack. I didn’t want to think about it because I was afraid it was going to come back.”

� e recurrent symptoms impacted Gina’s routines signi� cantly. � ey a� ected her ability and desire to participate in normal, everyday activities.

“This dizziness changed my life,” confirms Gina. “I was afraid of fall-ing. I didn’t want to go far from home because I was afraid of driving. That limited me socially. I couldn’t go to the gym or do yoga. When I walked, I kept my head down and walked quickly. I looked like I was drunk.”

Later in the year, at a routine physi-cian appointment, Gina told the doctor about her dizziness, and he gave her some sage advice. He said, If it comes back, you need to see Dr. Hansen at Trinity Hearing and Balance Center.

Another episode of dizziness in November prompted Gina to make an appointment at Trinity Hearing & Balance Center, where she met with Nikki Goldowski, AuD, a colleague of Kelly Hansen, AuD. Dr. Goldowski and Dr. Hansen are doctors of audiol-ogy who specialize in treating hearing loss and dizziness.

“When Gina came in, she was expe-riencing a great deal of unsteadiness and difficulty with balance,” observes Dr. Goldowski. “She was also having a hard time focusing and concentrating. Every time she tried to tip her head back, lie down or roll over in bed, the dizziness would start all over again.”

Dr. Goldowski tested Gina using state-of-the-art equipment and, based on the results and Gina’s symptoms, diagnosed her with benign paroxysmal positional vertigo (BPPV). BPPV is the most common cause of episodic ver-tigo. The condition is caused by small crystals of calcium carbonate that get into the inner ear balance mechanisms. When these particles become loose in the ear canals, causing symptoms, they must be repositioned.

“I use an advanced, software-driven machine, the Epley Omniax System, to diagnose and treat dizziness and bal-ance disorders such as BPPV,” notes Dr. Goldowski. “� is system allows me to pinpoint the location of the particles and develop a detailed plan for repo-sitioning them. Trinity Hearing and Balance Center is one of very few centers in the country to have this system.”

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Audiology And BAlAnce disorders

Page 2 | Florida Health Care News | Spring 2018 | West Pasco County Edition MedicAl oncology/rAdiAtion

Charles supervises Michaelle’s spinal

decompression treatment.

Proven resultsCharles C. Donley, PT, is director of Regional Rehab. He earned his Bachelor of Science degree in Physical Therapy, graduating cum laude, from the University of Pittsburgh, PA. He served on the board of the Hernando County United Way, is a director with Touching Nations Today, Inc. and was the Staff PT for Dance Revolution

Ministries for ten years. Charles has been a John Maxwell Team Member since 2015, and is certified in public speak-ing, leadership and coaching.

Visit Regional Rehab on the web at regionalrehabptlaser.com

CHARLES C. DONLEY, PT

NOW IN-NETWORK with…VETERANS CHOICE PROGRAM

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The experienced therapists at Regional Rehab look forward to working with you. The outpatient facility is located at 465 Mariner Blvd. in Spring Hill. Se habla Español. For more information or to make an appointment, call

(352) 688-8066.

Steve spends quality time with his dog, Dolce.

Treatments bring “freedom” to Army veteran

Steve Pena’s 18 years of military service took a huge toll on his body. He can’t recite the details of every injury he su� ered.

� e last one caused severe and permanent damage to his spinal cord, ended his Army career and threatened his independence.

Steve will say only that he hurt himself while in Germany doing physical activity that involved “reaching, pushing and pulling.” Spinal fusion surgery performed years later only worsened his condition, he asserts, leav-ing him 100 percent disabled and with excruciating pain in his back, neck and shoulders.

“I’ve got numbness down my whole left side,” shares Steve, who walks with a limp. “I’ve got limitations on how far I can walk and on what I can pick up. I can’t lift a gallon of milk or tea out of the refrigerator; my wife has to get it because it’s just too painful for me.”

Driving presented another challenge because he had di� culty turning the steering wheel and moving his head to look to either side or behind him.

Prescription pain medicine makes Steve very ill, even in low dosages. He needed relief and “to be more func-tional.” He � nally found a path to both goals through a VA referral to Regional Rehab in Spring Hill, owned by Charles and Christine Donley.

Personalized Approach “Patients come to us with a diagnosis from a doc-tor and, many times, results from x-rays or an MRI,” Charles explains. “I’ve been a therapist for thirty-four years. I perform the initial evaluations and compare clinical � ndings to the imaging results and set up spe-ci� c programs for patients.”

Deep tissue therapy with a Class IV therapeutic laser has been an essential treatment tool for Steve and many others. Laser therapy uses speci� c wave-lengths of light (red and near-infrared) to stimulate the body’s natural ability to heal, promoting faster healing, reducing discomfort, increasing blood circu-lation and decreasing swelling.

Steve bene� ts from a regular regimen of laser treat-ments, heat application and Hivamat 200 deep oscillation electrical stimulation. � is form of e-stim is applied with the hands to the area of pain, swelling or to the wound to decongest the cells of the a� ected area.

A New FreedomAfter an extended course of treatment at Regional Rehab, Steve reports, he has more mobility and less pain.

“I can do things without wincing every time I move,” he remarks. “When you get that relief, it feels like some-body opened up a new freedom for you. You can drive to the hardware store and do other tasks.”

Steve feels comfortable in the family atmosphere the Donleys have created and lauds Charles for his caring demeanor.

“He listens to what you’re telling him as to where the pain is coming from, and what has happened to you in the past, so he can � gure out how to treat you,” Steve praises. “I’ve seen so many doctors who just want to hand you another painkiller, pat you on the back and say, We know it’s not helping much, but there you go.”

Now that he’s found a therapy program that helps immensely, Steve has pushed the VA to approve contin-ued treatment at Regional Rehab.

“My condition is not going away,” he concludes, “but any relief I can get is gold.”

Laser Heals FasterRegional Rehab has helped other military veterans become productive after su� ering life-changing injuries. Michaelle Goodrich, who served seven years in the Navy, has bene� ted from laser and other therapies after a 2010 car accident and, more recently, a venomous spider bite.

Michaelle su� ered herniated and bulging discs in her back and neck when a motorist sped at more than 60 mph through a red light and plowed into the driver’s side of her car. She lost her career as an emergency medical technician because she had di� culty walking and can’t repetitively lift, push or pull anything weighing more than 55 pounds.

“I was only able to walk short distances and then I had to stop and take a break,” she shares. “My legs or my back would give out on me sometimes, and I would fall.”

� anks to Class IV laser treatments, Hivamat deep oscillation e-stim, moist heat and stretching, Michaelle hasn’t fallen in a “good while” and is “not as wobbly.”

She felt well enough last July to trim bushes in her yard. At one point, she felt a sharp sting on her right shoulder. She reached back and swatted it – and came away holding a spider. Michaelle says she recognized it as a brown recluse because she’d seen them when she lived in Texas.

Because the bite didn’t hurt for a day or two after-ward, she put o� seeking medical attention. But by the third day, Michaelle was in tremendous pain, which the mother of three describes as worse than childbirth, and felt a horrible pressure in her shoulder as if something was inside her trying to push its way out.

A trip to the emergency room brought little relief. And then infection set in.

“My back was infected from the top of my right shoulder down to my waist, and then from my spine over to my side,” Michaelle recounts.

� e spider’s venom, even more potent than a rattle-snake’s, had caused necrosis, or tissue death, in the area around the bite.

Her doctor at the VA clinic in Brooksville opened the wound to drain it. “It felt like lava coming down my back,” shares Michaelle. She was sent directly to the VA hospital in Tampa, where she spent � ve days receiving antibiotics and other medical care.

Regaining Strength Once she went home, nurses came by two to three times daily to repack and redress the wound, which had grown to four inches long, three inches wide and two to four inches deep.

“� e nurses felt it would take anywhere from four to six months to heal,” Charles comments. But after Regional Rehab began treating her wound with the Class IV Deep Tissue Laser, her recovery time dropped to just over six weeks.

“Now, it looks like a tiny incision line on her shoul-der blade,” he reports. “You wouldn’t know she had this massive injury. � at’s how great the laser is. It’s antifungal and antibacterial and promotes healing of the still-living tissue from the inside out.”

Michaelle says she began to feel better within three weeks after beginning laser treatment and has been regain-ing the strength in her shoulder lost during her ordeal.

She’s returned to work, caring for adults with Down syndrome and autism, and is considering pursuing a nursing degree to supplement her Master’s in Public Administration, with an emphasis on health care management.

She’s continuing therapy for her lower back at Regional Rehab.

“� e treatment I’m receiving has been wonderful,” Michaelle concludes. “I have noticed a big di� erence between when I started and now.”FHCN article by Annette Mardis. Photos by Jordan Pysz. mkb

West Pasco County Edition | Spring 2018 | Florida Health Care News | Page 3PhysicAl therAPy

(continued from page 1)

Kelly Hansen, AuD, has more than 21 years of experience in the diagnosis and treatment of hearing, dizziness and balance disorders. Dr. Hansen obtained her undergraduate and graduate degrees at Purdue University in West Lafayette, Indiana and her Doctor of Audiology degree from Arizona School of Health Sciences. She has attended numerous courses and workshops for dizziness, bal-ance and hearing disorders throughout her career and is experienced in the most up-to-date diagnostic testing and treatment for these disorders. Dr. Hansen is one of a select number of audiologists board certi� ed in audiology. She is a Fellow of the American Academy of Audiology and the Academy of Doctors of Audiology.

Nikki Goldowski, AuD, earned a Bachelor of Arts degree in Speech and Hearing in 2011 from Cleveland State University and her Doctor of Audiology degree from the University of Louisville in 2015. She completed her clinical fellowship year at Trinity Hearing & Balance Center and began working permanently at the practice in May 2015. Dr. Goldowski is a member of the American Academy of Audiology.

For more information, visit www.trinityhearingandbalance.com or � nd them on Facebook

Help is available at Trinity Hearing & Balance Center,

located at 8605 Easthaven Court,

Suite 101, in the Trinity/New Port

Richey area. To schedule your

appointment with Dr. Hansen or

Dr. Goldowski, call

(727) 493-4641.

Precise Positions� e Epley Omniax System includes a chair that rotates to put patients in nearly any position. � e doc-tor then monitors the patients’ eye movements for signs of diz-ziness. � is enables the doctor to determine which positions lead to symptoms and, in the case of BPPV, which ear is a� ected.

“The chair is computer con-trolled, so it can put patients in the very precise positions necessary to move the crystals loose in the ear canals back where they belong,” explains Dr. Goldowski. This approach is also less physically demanding than previous treatment methods.

“ The cha i r allows us to eas-ily put patients in these precise positions without placing strain on their necks or backs. It is also much more comfortable for the patients than being moved around a table, which is the way we used to reposition them.”

“When Dr. Goldowski put me in the chair, she told me everything she was going to do,” states Gina. “I would wear gog-gles, and she was going to put me in di� erent posi-tions. She even informed me of all the positions I was going to be put in.

“I was a little nervous at � rst, but Dr. Goldowski was so compassion-ate. It’s very unusual to find doctors and sta� who are so car-ing and nice.”

When both ears are a� ected, as in Gina’s case, treatment is most e� ective when one ear is treated at a time.

Defeat Dizziness

Chronic dizziness can make everyday activities like driving a challenge.

“I treated Gina’s right ear the day of her first appoint-ment. She came back a week later, and that side tested nor-mal,” reports Dr. Goldowski. “I then treated her left ear, and after that treatment, her dizzi-ness was completely gone.”

is measured by our commitment to patient satisfaction, continuing education and the expert applica-tion of current technologies.

“Many patients who have gone through our Patients for Life™ program experience greater satisfaction with their

hearing technology and a greater quality of life.”

One of the most unique aspects of Audigy’s service is e-patient®, which brings their Patients for Life program into the digital world.

“The e-patient program, a component of Patients for Life, is an educational tool we provide for patients,” educates Dr. Hansen. “It is a treatment-focused software tool that enables us to quickly a n d e f f e c t i v e l y explain products and procedures to patients. E-patient

has excellent visuals to show the patient how their hearing works and what happens when some-one has a hearing loss.

“E-patient also offers an overview of what’s going to happen during the patient’s appointment.”

Firmly Planted� e dizziness Gina su� ered was life-altering. She couldn’t imag-ine how some people lived with the condition. She didn’t have to live with it, however. Her treat-ment with the Epley Omniax System brought her quick relief.

“I felt great immediately,” she marvels. “When I l e f t Tr in i ty H e a r i n g a n d Balance Center, it was like my whole person-ality changed. I was amazed that a treatment like that could make me feel so much better.

“I’m back to the gym, and on the treadmill. I’m not afraid to move my head, and I’m not scared of fall-ing. It’s great.”

N o w t h a t Gina feels firmly planted on solid g r o u n d , h e r

social life is back on track, and she no longer looks like she’s been drinking when she walks. She’s so happy with her results, she’s telling the world about her experience.

“Ever yone a t Tr in i ty Hearing and Balance Center was very friendly including the receptionist, who was the � rst person I met,” she says. “I didn’t have to wait long, which was nice. Dr. Goldowski brought me right in. She had a student with her, but she made it com-fortable even though there was somebody else in the room.

“I want to get the word out to help others. I tell people on Facebook about the center because I wouldn’t have known about it if not for my doctor.

“I can’t tell enough peo-ple because they might know someone with vertigo, and the chair is worth a try. It’s better than medicine. Trinity Hearing and Balance Center was life-saving for me!”FHCN article by Patti DiPanfilo. mkb

– Gina

“I felt great immediately. When I

left Trinity Hearing and Balance

Center, it was like my whole person-

ality changed. I was amazed that a

treatment like that could make me

feel so much better.”

Nationally Certi� edTrinity Hearing & Balance Center’s philosophy and dedica-tion to patient care set it apart from other hearing centers.

“Our center is proud to be an AudigyCerti� ed™ practice,” acknowledges Dr. Hansen. “We

are one of only two hundred and � fty clinics in the nation to hold this certi� cation.

“AudigyCerti� ed professionals are among the country’s most expe-rienced hearing care professionals, possessing some of the industry’s highest credentials. Our expertise

Page 4 | Florida Health Care News | Spring 2018 | West Pasco County Edition

Spring 2018

Contributing Editors

Barry P. LevineExecutive Publisher

Dan OchmanSenior Associate Publisher

Gina L. d’AngeloCFO/HR

Roy CummingsEditorial Supervisor

Michelle BrooksCreative Director

Brian LevineProject Coordinator

Patti DiPanfiloAnnette Mardis

Editorial Staff

Laura EngelProduction Assistant

Nerissa JohnsonGraphic Designer

Nerissa JohnsonJordan PyszFred BelletPhotography

Steve TurkMario Hill

Kent BoothArthur Andrews

Rick BowserRobert Mize Distribution

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Audiology And BAlAnce disorders

West Pasco County Edition | Spring 2018 | Florida Health Care News | Page 5orAl And MAxillofAciAl surgery

Page 6 | Florida Health Care News | Spring 2018 | West Pasco County Edition Bio-nAturAl horMone rePlAceMent therAPy

West Pasco County Edition | Spring 2018 | Florida Health Care News | Page 7Bio-nAturAl horMone rePlAceMent therAPy

Page 8 | Florida Health Care News | Spring 2018 | West Pasco County Edition Prosthetics And orthotics

oPhthAlMology

West Pasco County Edition | Spring 2018 | Florida Health Care News | Page 9steM cell therAPy/PAin MAnAgeMent

Page 10 | Florida Health Care News | Spring 2018 | West Pasco County Edition cholesterol lowering

EECP may be the nonsurgical alternative for you! Dr. Amarchand’s

o� ce is located at 750 Desoto Ave. in Brooksville. For more

information or to schedule an appointment, please call

(352) 796-6721.

L. AMARCHAND, MD, FACP L. AMARCHAND, MD, FACP

DR. TONG GUO

The Natural Coronary Bypass

The bene� ts of surgery without scalpels or scars

Following his retirement after more than 15 years in the United States Air Force, Emory Sullivan didn’t stop working.

After the Air Force, Emory went on to jobs in the petroleum and crude oil business, with the US Postal Service, for the state of Florida and then in the county sheriff ’s o� ce before � nally calling it quits. After retirement, the Clearwater native remained active. However, over time, his body stopped cooperating.

“I was going to the gym three times a week,” he remembers, “but I started getting tired all the time. My legs began to swell due to water retention, and I was diagnosed with congestive heart failure.

“I also began having trouble with my balance. I could not walk straight. I tended to veer to the left, and I needed to use a walker to get around.”

It was tough for Emory to have to slow down. Unfortunately, his condition continued to deteriorate. Eventually, he su� ered a heart attack and a stroke, which sent him to the hospital for treatment.

“I recognized the stroke right away,” he shares. “I couldn’t lift my right arm. I had to go to Gainesville to have a carotid artery stent put in. At the time, I didn’t realize I’d also had a heart attack.”

When Emory returned to the local hospital, he became frustrated with the heart care he was receiving from his doctor. He found out about a Brooksville-based, board-certi� ed cardiologist and internist who also worked at that hospital. It was L. Amarchand, MD.

“I was in the hospital being treated by another doc-tor, but I was not happy with his treatment,” con� rms Emory. “So, I switched doctors. I chose Dr. Amarchand.”

With his heart function severely compromised, Emory was interested in all his treatment options. Dr. Amarchand told Emory about a unique therapy he o� ers to his patients. It’s a safe, noninvasive, circulation-boosting technique called enhanced external counterpulsation (EECP).

Dr. Amarchand uses nonsurgical EECP to treat patients with heart disorders such as congestive heart failure, blocked coronary arteries and angina pain. Using EECP, Dr. Amarchand has an impressive record of suc-cess in maintaining his cardiac patients’ heart health and

independence.“Dr. Amarchand started

treating me by changing my

Emory has enough balance now to walk to his mailbox.

medication,” relates Emory. “After a few months, he asked me if I’d like to try the EECP. I said, Yes.”

Timed Rhythms� e fatigue and feelings of weakness Emory felt, as well as a tightening or pressure in the chest, shortness of breath and other symptoms, can all

be caused by a lack of oxygenated blood flowing through the

heart. As these symptoms get progressively worse, it is

not unusual for people to restrict their activities in order to reduce their discom-

fort. As a result, their quality of life quickly diminishes. EECP can reverse these symptoms. It works like a natural bypass procedure.

“More than twelve million Americans have found relief from their symptoms and had their energy restored, along with other benefits, using EECP,” points out Dr. Amarchand.

EECP is typically accomplished in a series of 35 hour-long sessions over the course of seven weeks. During an EECP session, the patient reclines, fully clothed, on a cushioned table while listening to music or watching a movie. Compression cu� s are wrapped around the patient’s calves, thighs and buttocks to apply pressure in rhythms carefully timed to the patient’s heartbeat.

“� e pressure propels more blood upward and into the coronary arteries, enlarging the arteries and improv-ing collateral circulation,” informs Dr. Amarchand. “It helps the patient’s own circulatory system bypass cor-onary artery blockages and opens up the underused collateral blood vessels.”

“At � rst, the EECP treatment felt very unusual,” describes Emory. “I lay there and they put the com-pression � ttings on my legs, then the machine vibrates. However, once I got used to it, it was � ne.”

EECP is the perfect option for individuals who want to try a noninvasive procedure before resorting to open-heart surgery. It is also good for those who have not achieved relief with prior surgical procedures such as bypass and angioplasty, and for patients who are not candidates for surgery.

“Eighty-� ve percent of patients completing EECP treatments obtain substantial and sometimes dramatic relief of their heart-related symptoms, according to stud-ies done on the procedure,” cites Dr. Amarchand. “� e same percentage realizes increased exercise tolerance, mental alertness and reduced need for nitroglycerin to relieve angina pain.

“Because it is noninvasive, EECP can be repeated as often as needed,” emphasizes the doctor. “However, its bene� cial e� ects can last from three to � ve years.

“ E E C P i s a l s o F D A - a p p r o v e d a n d Medicare-reimbursed.”

Care and ServiceLike many patients undergoing EECP, Emory started to feel the results after just a few sessions. Patients need to complete all 35 sessions, however, to achieve the therapy’s full bene� t.

“I felt much more energy once I started the treat-ment,” reports Emory. “I started feeling it after about two weeks.”

Unfortunately, Emory had a slight setback when he was recently diagnosed with atrial � brillation, or irregu-lar heartbeat, and had a cardiac pacemaker implanted in his chest. � at meant more time in the hospital, where he lost some of his newfound strength and energy.

“I was in the hospital for three weeks. I was rather weak when I got out, but I’m getting better,” he states.

Despite the setback, Emory has gained substantial bene� ts from the EECP. Since the treatment, his balance

and walking have improved signi� cantly. He expects to get back to his activities very soon as well.

“My walking is not perfect, but it’s much better now,” he o� ers. “I used to need to use a walker; now, I’m only using a cane. Next week, I anticipate going back to the gym, where I do resistance training.”

Now that he’s a patient of Dr. Amarchand, Emory is more than satis� ed with his treatment. He is grateful to the doctor and his sta� for their exceptional patient care and customer service. He credits Dr. Amarchand with saving his life.

“� e sta� in Dr. Amarchand’s o� ce is very good,” he says. “Whenever I call, I talk to the nurse immedi-ately, or if I have a question, she returns my call within a reasonable time.

“Dr. Amarchand is great. If it wasn’t for him, I don’t think I’d be here now!”FHCN article by Patti DiPanfilo. Photo by Jordan Pysz. mkb

L. Amarchand, MD, FACP, is board certi� ed by the American Board of Internal Medicine. He completed a residency in internal medi-cine and a two-year fellowship in cardiology and cardiac nuclear imaging at St. Barnabas Medical Center, Livingston, NJ. His third year

of fellowship training included a clinical and research fellowship in cardiology and a cardiac nuclear imaging fellowship at Massachusetts General Hospital, Boston, MA, as well as a research fellowship in medicine at Harvard Medical School. Dr. Amarchand is former chief of sta� (2001-2005) at Brooksville and Spring Hill Regional Hospitals. He has served as a medical expert for the Florida Agency for Health Care Administration. He is a Fellow of the American College of Physicians and a member of the American College of Cardiology and the American Medical Association.

Dr. Tong Guo, a pioneer in obtaining FDA approval of EECP for use in the United States, assists Dr. Amarchand in oversee-ing EECP, ensuring the delivery of optimal treatment with excellent outcomes for patients. Dr. Guo worked as a research fel-

low in the cardiology division at Stony Brook Medical Center School of Medicine, NY, helping to set up the � rst EECP treatment centers.

West Pasco County Edition | Spring 2018 | Florida Health Care News | Page 11cArdiology

Page 12 | Florida Health Care News | Spring 2018 | West Pasco County Edition stretching under sedAtion