SPRING 2011 - Baptist Health South Florida

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Baptist Health South Florida Chairman of the Board, Judge Robert Dubé; President, Brian E. Keeley. Trustees: Tony Alonso, Calvin Babcock, Yerby Barker, Wendell Beard, George Cadman III, James Carr, the Rev. William Chambers III, the Rev. David W. Cleeland, George Corrigan, William Dickinson, Joyce Elam, Herbert Greene, M.D., George Harth, Jay Hershoff, Charles Hood III, the Rev. Dr. Gary Johnson, Norman Kenyon, M.D., Rudy Kranys, the Rev. Richard Ledgister, the Rev. Wilner Maxy, Paul May, the Rev. Dr. Marcos Ramos, Aida Shafer, Ronald Shuffield, Roberta Stokes, W. Peter Temling, the Rev. Tom Thompson, Bill Tillett, Scott Weston, the Rev. Dr. William White. Baptist Hospital of Miami Board Chair, Calvin Babcock; President, Baptist Hospital Medical Staff, Eugene Eisner, M.D.; Chief Executive Officer, Bo Boulenger. South Miami Hospital Board Chair, Yerby Barker; President, South Miami Hospital Medical Staff, Guillermo Pol, M.D.; Chief Executive Officer, Lincoln Mendez. Homestead Hospital Board Chair, the Rev. William Chambers III; President, Homestead Hospital Medical Staff, George Tershakovec, M.D.; Chief Executive Officer, William Duquette. Mariners Hospital Board Chair, Jay Hershoff; President, Mariners Hospital Medical Staff, Elisa Brown-Soltero, M.D.; Chief Executive Officer, Rick Freeburg. Doctors Hospital Board Chair, Norman Kenyon, M.D.; President, Doctors Hospital Medical Staff, Jack Cooper, M.D.; Chief Executive Officer, Nelson Lazo. Baptist Outpatient Services Board Chair, Roberta Stokes; Chief Executive Officer, Patricia Rosello. Baptist Health Enterprises Board Chair, James Carr; Chief Executive Officer, Ana Lopez-Blazquez. Baptist Health South Florida Foundation Board Chair, Rudy Kranys; Chief Executive Officer, Stephen Parsons. Directors of Affiliated Boards Yvette Aleman, Dick Anderson, George Aronoff, Orlando Bajos, James Barker, Matthew Becherer, Kerrin Bermont, Robert Berrin, Michael Bileca, Bonnie Blaire, James Boruszak, Steven Brodie, Bette Brown, Joseph Buchanan, Robert Burstein, Miguel Cano, Willie Carpenter, Mark Caruso, M.D., Gerald Case, Ray Castellanos, Mauricio Cayon, Barron Channer, Maria Costa-Smith, Augustin de Goytisolo, Elizabeth Diaz de Villegas, Lani Kahn Drody, Joyce Elam, Tomas Erban, Manuel Fernandez, Carlos Garcia, Peter Gardner, Maria Garza, William Gilbert Jr., Robert Gintel, Gretchen Goslin, Michael Graham, M.D., Leif Gunderson, Barry Halpern, M.D., Kent Hamill, James Harris, Alysa Herman, M.D., Elizabeth Hernandez, Gerald Hirsch, Nathan Hirsch, M.D., G. Glenn Huber, Jacque Huttoe, Jeanne Jacobs, Ph.D., David Johnson, Lane Jones, S. Lawrence Kahn III, George Kakouris, George Knox, Manuel Lasaga, Katrina Lavene, Cynthia Leesfield, Maria Camila Leiva, Orlando Leon, M.D., Andrew Levy, James Loewenherz, M.D., Victoria London, Miriam Lopez, John Maas, Bruce MacArthur, Joseph McCain, DMD, Derek McDowell, Jo McGregor-Ganus, Stanley Margulies, M.D., Joy Martin, Charlie Martinez, Andrew Menachem, Hans Mueller, Patricia Mull, Ramon Oyarzun, Martha Pantin, Johanna Paterson, Ann Pope, Samuel Porco Jr., DMD, Juan-Carlos Quintero, DMD, Ramón Rasco, Charlen Regan, Ian Reiss, M.D., Bonnie Rippingille, Domingo Rodriguez, Gonzalo Sanabria, Steven Sapp, Joel Schenkman, M.D., Betty Schilling, I.E. Schilling, Robert Shafer Jr., Emery Sheer, Joel Shepherd, Karent Sierra, DDS, Paul Soulé, Patricia Stanley, Lee Stapleton, Rene Taylor, Patricia Thorp, Bill Tillett, Joseph Traina, M.D., Sats Tripathy, Nick Waddell, Jeff Weiner, Warren Weiser, Lisa White, William Wilson III, Robert Zolten, M.D., Leonard Zwerling, M.D. EDITOR Jo Baxter CONTRIBUTING EDITOR Patty Shillington ART DIRECTOR Elizabeth Lane Lawhorn WRITERS Liz Doup, Sheila Konczewski, Sharon Harvey Rosenberg, Elizabeth Rosenthal, Anne Streeter, Adrienne Sylver, Phyllis Teitelbaum, Tanya Walton EDITORIAL ASSISTANTS Georgette Koch, Barbara Moore, Dee Moustakas, Dorothy Stein PHOTOGRAPHY Mabel Rodriguez TO SEND COMMENTS, ADDRESS CHANGES OR TO UNSUBSCRIBE, E-MAIL MyResource @ baptisthealth.net 6855 Red Road, Suite 600,Coral Gables, FL 33143 baptisthealth.net
Women&Health Fibroid Center offers team approach F or four years, Kimberly Mitchell suffered with symptoms caused by noncancerous growths known as uterine fibroids. Birth control pills no longer alleviated the breakthrough bleeding and lower back pain. And the fibroids kept growing. “I got discouraged and wasn’t sure what to do,” said Ms. Mitchell, a Miami mother of three. Then she discovered South Miami Hospital’s Fibroid Center, which opened last fall as part of the hospital’s Center for Women & Infants. The Fibroid Center offers women a unique, multispecialty approach to diagnosing and treating their problems, all in one location. “This is a one-stop shop and very convenient for the patient,” said gynecologist Rafael Perez, M.D., medical director of the Center. “Everything is done in one place with experienced physicians evaluating all the treatments and using the latest techniques.” The Center features a team of specialists including gynecologists, robotic surgeons, diagnostic and interventional radiologists and fertility specialists. Along with the women and their own doctors, these specialists work together to develop and implement a treatment plan tailored to each patient. “Historically, for a woman to get all her options, she had to go to two or three doctors,’’ said interventional radiologist Adam Geronemus, M.D. “Ours is a team approach. After looking at all the patient’s information, Kimberly Mitchell discusses treatment options with Rafael Perez, M.D. we collaborate. We’re able to give her all her options.” Dealing with fibroids can be emotional for women, especially when they want a family. “Many women are concerned about retaining their fertility,” said reproductive endocrinologist Maria Bustillo, M.D. “We do a lot of handholding.’’ As many as 50 to 80 percent of women develop fibroids during their lifetime, though not all experience symptoms. Because fibroids vary in size and location, symptoms and treatments vary. Symptoms range from severe menstrual cramps and painful intercourse to anemia and miscarriages. The Center’s specialists perform different treatments to shrink the growths, including fibroid embolization, laparoscopic or robotic myomectomy, which leaves the uterus intact; removal of the uterine lining; and laparoscopic or robotic hysterectomy, which removes the uterus. Most insurance plans cover the Center’s services. In addition, each doctor bills the patient’s insurance company. An evaluation and office visit with a nurse practitioner for those without insurance is $50. Ms. Mitchell, 34, found the Center efficient and the staff accommodating. Drs. Perez and Geronemus presented her with several options, explaining each in detail. She decided on a robot-assisted hysterectomy, which typically results in less scarring and postoperative pain and a quicker return to normal activities than a traditional hysterectomy. Before going to the Center, “I wasn’t aware of all the methods and technology,’’ Ms. Mitchell said. “Now that I’ve learned so much, it helped in making my decision.” To contact the Fibroid Center, call 786-662-8585. — Liz Doup BREAST MRIs MAY SAVE LIVES Annual MRIs plus mammograms and breast exams may help save lives of women at high risk for breast cancer — those with mutations in the BRCA1 or BRCA2 genes or with a family history of breast cancer. A Dutch study published in The Journal of Clinical Oncology is the first to measure whether adding MRIs to mammography screening increases survival. In 2,157 high-risk women, researchers found that after six years of the combined screenings, 93 percent of those with the gene mutation were alive, compared to 74 percent who were alive at five years in earlier studies without MRIs. In women with the BRCA1 mutation, MRI was superior to mammograms in finding cancer. All of those with family histories of breast cancer were still alive after six years. In recent years, annual breast MRIs along with mammograms have been recommended for those at increased risk for breast cancer. MRI is better at finding tumors, but mammography is also needed to detect cancers missed by MRI. Breast MRIs are not advised for women with average risk because of the chances for finding abnormalities that aren’t cancer, leading to unnecessary biopsies and repeat scans. Talk to your doctor about what breast cancer screening regimen is best for you. A prescription is needed. To make an appointment, call 786-573-6000 in Miami-Dade, 954-837-1000 in Broward or 305-434-1588 (mammography only) in Monroe County. —Anne Streeter RESOURCE 3
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SPRING 2011 - Baptist Health South Florida

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