Brevard Health Source 2018

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BE OPEN WHEN TALKING TO DERMATOLOGIST Susan Hammerling, FOR FLORIDA TODAY After practicing dermatology for more than 15 years, I’ve learned many things from my patients, especially how important communication is. Sometimes a patient will present us with something that we think is not significant, but they are self conscious about and it makes them anxious or avoid social situations. As health care providers, we need to get a thorough history on why the patient is here and what motivates them to be here. It’s not necessary to spend an entire office visit doing a psychological evaluation, but it needs to be part of the patient history. First, we need to validate the patients’ feelings whether it be fear, anxiety or skepticism and let them know we take their problem seriously. Open-minded communication is key to establishing a successful office visit by letting the patient know they can ask questions and be part of the treatment plan. By letting the patient know there is an open line of communication, they will feel more comfortable in disclosing their history to you. Second, eye contact with the patient is important and can result in a more honest and forthcoming statement from the patient. In addition, by observing the patient’s body language, one can learn a lot about the patient’s state of mind — whether they smile, make eye contact or have visible or no affect. Many times the patient may appear being rude or aloof but instead they are depressed. Third, it’s important to understand our patients’ fears, hopes and expectations. Lots of times they have identifiable emotional reactions such as being anxious or experiencing anger or depression. However, it doesn’t always manifest in classic ways. In order to communicate with patients successfully and make sure a treatment plan works, health care providers need to take the time and assess a patients’ motivations. Many times, patients fear their skin problems will get worse, intensify or never go away, causing them social anxiety or avoiding social activities. Sometimes as providers, we do not understand the motivation of the patient and assume the patient wants to be there. For example, a parent brings in their teenager for acne on the face but the teen has no interest in being there. Or some patients’ motivations are that they want a modest improvement of their condition versus someone who has an unrealistic expectation. Finally, a thorough history is a crucial part of the correct diagnosis and successful treatment of the patient. Many times a patient will present to the dermatology office with a specific problem and answer the health care provider with one answer that is inaccurate. An example of this is, when asking a patient what creams they are applying to their body and they respond by saying nothing. After 10 minutes of interviewing the patient they disclose they are using nine different creams their friends or neighbors gave them. They defend their answer of stating they are using nothing by saying, “nothing has changed.” Or I may ask what medications they take and a common response I get is, “a small white pill in a white bottle with a really long name.” In conclusion, by writing down specific questions before the office visit regarding your skin condition and a list of previous medications tried, this can save many office visits and co-pays by providing the health care provider with the most accurate information. Susan R. Hammerling, PA, MPAS, DFAAPA, works at Florida Dermatology Associates in Palm Bay.
AUDIOLOGY CARDIOLOGY KAREN COWAN-OBERBECK, AUD 7777 N. Wickham Rd. Ste. #21 Melbourne, FL 32940 321-752-4552 250 N. Courtenay Pkwy. Ste. #102 Merritt Island, FL 32953 321-452-9131 1875-D South Patrick Dr. Indian Harbour Beach, FL 32937 321-777-7113 EarCare.net Practice: EarCare, P.A. Special Focus: Geriatrics, Diagnostic Audiology, Hearing Aids, VA Certifications: American Board of Audiology, ASHA Clinical Competency in Audiology Fellowship: Doctorate: Nova Southeastern University, 2000 Memberships: Fellow-American Academy of Audiology, American Speech Language Hearing Association, Florida Academy of Audiology, Florida Speech-Language Hearing Association AMELIA L. LAMMERS, ARNP 675 S. Babcock Street Melbourne, FL 32901 321-951-1010, Fax: 321-952-4038 Medical Group: Quality Medical Care Hospital Privileges: Holmes Regional Medical Center Education: Chamberlin College of Nursing, The University of Iowa, College of Nursing CARDIOLOGY SUBHASH K THAREJA, MD 675 S. Babcock Street Melbourne, FL 32901 321-951-1010, Fax: 321-951-8333 Qualitymedicalcare.net CHIROPRACTIC SUSAN V. VILLE, DABCO, DC 2222 S. Harbor City Blvd Ste. 530 Melbourne, FL 32901 321-723-7716, Fax: 321-723-0604 thebackcenter.net Medical Group: Quality Medical Care Hospital Privileges: Holmes Regional Medical Center Special Focus: Cardiology Certifications: American Board of Internal Medicine, American Board of Cardiovascular Disease Education: Maulana Azad Medical College New Delhi, India, University of Medicine of New Jersey Fellowship: Deborah Heart and Lung Center, New Jersey Memberships: AMA Practice: The B.A.C.K. Center Special Focus: Chiropractic Orthopaedics Certifications: American Board of Chiropractic Orthopedists Education: National College of Chiropractic, Lombard IL Fellowship: International Academy of Medical Acupuncture Memberships: American Chiropractic Association, Florida Chiropractic Association BrevardHealthSource.com HealthSource | 7
Page 1 and 2: Health Source A Comprehensive Guide
Page 3 and 4: Health Source A Comprehensive Guide
Page 8 and 9: GENERAL & COSMETIC DENTISTRY DERMAT
Page 10 and 11: DERMATOLOGY JANE C. MAST, MPAS PA-C
Page 12 and 13: HEARING SPECIALIST ANDREW W. CLARKE
Page 14 and 15: INTERNAL MEDICINE ANDREA J MEIER, A
Page 16 and 17: ONCOLOGY/HEMATOLOGY CRAIG BADOLATO,
Page 18 and 19: ONCOLOGY/RADIATION RAHUL R. CHOPRA,
Page 20 and 21: OPHTHALMOLOGY JAMES N. MCMANUS MD 1
Page 22 and 23: OPHTHALMOLOGY FRANK X. VENZARA III,
Page 24 and 25: ORTHOPAEDICS ORTHOPAEDICS KENNETH S
Page 26 and 27: PROPER NUTRITION IS KEY TO SENIOR H
Page 28: Need a doctor? Call 321-268-6PMG Ch

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