Sarasota Memorial HealthCasts

What happens if your mammogram shows something abnormal? In this episode of Sarasota Memorial HealthCasts, Christina Sazepin, APRN, program lead for the Brian D. Jellison Cancer Institute's Breast Surveillance Comprehensive Assessment & Diagnostic Clinic, and radiologist Sara Floyd, MD, discuss the importance of regular breast cancer screenings, understanding your personal risk factors and what to expect if you're called back for additional testing. Learn the difference between screening and diagnostic mammograms, when an ultrasound or breast biopsy may be needed, and why an abnormal mammogram doesn't necessarily mean cancer.

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Choosing a health insurance plan involves more than comparing monthly premiums. Roxanne George, Senior Manager of Revenue Cycle Education at Sarasota Memorial, explains what to consider when reviewing health insurance and Medicare coverage — including the importance of checking provider networks, out-of-pocket costs and pre-authorization requirements. Also learn about the options available to Medicare beneficiaries during this year’s annual Medicare Open Enrollment period starting Oct. 15. Check out other interviews with SMH experts at smh.com/podcast, and subscribe on your favorite streaming app.

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What can genetic testing tell you during pregnancy—and what can’t it tell you? Cecilia Delisanti, MS, CGC, a genetic counselor with First Physicians Group Maternal-Fetal Medicine, explains prenatal genetic counseling, including carrier screening, NIPT (cell-free DNA), diagnostic testing and ultrasound findings. She also discusses how genetic counselors help families understand their individual risks, navigate uncertain results and make informed decisions based on what matters most to them. Learn how integrating genetic counseling with maternal-fetal medicine can help provide coordinated, personalized care before and during pregnancy.

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Pelvic floor dysfunction can affect bladder and bowel function, pelvic comfort, movement and quality of life, for both women and men. However, pelvic floor problems aren't something people have to simply accept as a normal part of aging or childbirth.

Pelvic and women’s health therapy specialist Kristi Kliebert, DPT, PWCS, explains how the pelvic floor works, common signs and symptoms of pelvic floor dysfunction, and how pelvic floor rehabilitation can help.

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What makes pediatric emergency care different from adult emergency care? Sarasota Memorial Health Care System’s pediatric emergency care coordinators from both the Sarasota and Venice campuses discuss how specialized teams prepare to care for children of all ages, from newborns to adolescents. Learn about pediatric readiness, dedicated child-friendly emergency spaces, 24/7 pediatric physician expertise, simulation training and specialized resources for children with autism, sensory processing disorders and other neurodevelopmental differences. Discover how Sarasota Memorial provides safe, compassionate and specialized emergency care for children when they need it most.

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Epilepsy treatment is advancing with innovative options for patients whose seizures are not controlled by medication. Kenneth Vives, MD, a neurosurgeon with Sarasota Memorial Health Care System’s First Physicians Group, discusses the latest advancements in epilepsy care, including responsive neurostimulation (RNS) and the NeuroPace device. Learn how these technologies can help monitor brain activity, identify seizure patterns and deliver targeted stimulation to help reduce seizures and improve quality of life.

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Are GLP-1 medications right for you? Karen Hamad, MD, Associate Chief Medical Officer of SMH First Physicians Group's Primary Care, and Mikka Ipri, RDN, the RENEW program coordinator, discuss how today's prescription weight loss medications work, who may benefit and why long-term success depends on more than the medication alone. Learn how nutrition, exercise, lifestyle changes and ongoing support from your healthcare team can help maximize results, protect your health and build sustainable habits for lasting weight management.

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At Sarasota Memorial's Brian D. Jellison Cancer Institute, a multi-disciplinary team approach is used to treat every patient and every cancer. Ryan Leahy, DO, Medical Director of Interventional Radiology at SMH-Sarasota, explains the current use of minimally invasive procedures to directly target cancer, and the future of this exciting field.

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Strong primary care relationships improve prevention, help manage chronic conditions and provide continuity of care through every stage of life—especially in today's rapidly changing healthcare landscape. Karen Hamad, MD, Associate Chief Medical Officer for SMH's First Physicians Group Primary Care, explains why having a primary care physician is one of the most important investments you can make in your long-term health.

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SMH’s Kolschowsky Research and Education Institute is enrolling patients in a research study evaluating LINFU (Low-Intensity Non-Focused Ultrasound), an emerging screening technology designed to help doctors identify precancerous changes in people at high risk for pancreatic cancer, but who have no signs or symptoms of the disease. Kenneth Meredith, MD, chief of gastrointestinal oncology at SMH’s Brian D. Jellison Cancer Institute and principal investigator of the local study, says the screening represents an important step forward in pancreatic cancer research.

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Low dose radiation therapy (LDRT) is a short, safe and effective outpatient treatment option which can enhance functionality and alleviate pain associated with many benign conditions. Kunal Saigal, MD, Medical Director of Radiation Oncology at Sarasota Memorial’s Brian D. Jellison Cancer Institute discusses misconceptions surrounding radiation treatment, and why LDRT is a good alternative for patients wishing to avoid surgery or limit their need for pain medications.

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Colorectal cancer is making headlines — and increasingly, it’s affecting younger adults. Stephen Kucera, MD, Medical Director of Gastroenterology and Endoscopic Oncology, explains why diagnoses are rising in people under 55, what may be driving the trend, and the warning signs no one should ignore. He also shares the lifesaving steps everyone can take to reduce their risk, including when to get screened and how early detection can make all the difference.

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No matter the sleep disorder a person may be experiencing, getting an accurate diagnosis and appropriate treatment is essential, as quality sleep plays a critical role in overall health. Rabih Loutfi, MD, Medical Director of Sarasota Memorial’s Sleep Disorder Center, explains how sleep impacts overall well-being and highlights the comprehensive diagnostic services available to identify and treat sleep disorders.

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Endometriosis can be incredibly painful, and while it doesn't have a cure, it can be managed with hormone therapy or surgery. Gynecologist Kyle Garner, MD, discusses misconceptions about endometriosis, and what patients can do to advocate for themselves.

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Concussions are actually a type of traumatic brain injuries, and should be treated as such. Casey Howell, RN, SMH's Trauma Injury Prevention Coordinator, explains the signs and symptoms of concussions, and why people often aren't treating them appropriately.

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Diagnosing hypertension, known as a "silent killer," is incredibly important. Interventional cardiologists Ricardo Yaryura, MD, Jeffrey Rossi, MD and Daniel Molloy, MD, explain the diagnosis, traditional treatments and a newer option for uncontrolled blood pressure.

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Minimally invasive cardiac surgery (MICS) is one of the techniques used by cardiac surgeons to repair or replace valves, including the mitral valve. While the procedure has a shorter recovery time than the traditional sternotomy, it is still an open heart operation, and not the same as the minimally invasive techniques used by interventional cardiologists. SMH Chief of Cardiovascular Surgery Jonathan Hoffberger, DO, explains the different options, and how the heart team approach helps to pair the right patient with the right procedure.

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Simulation has transformed the way healthcare providers learn, practice and deliver care. Jessica DePaulo, DNP, RN, the Advance Practice Program Coordinator for Simulation in the Kolschowsky Research and Education Institute discusses the critical role simulation plays in medical training at SMH, and how immersive learning environments are improving patient safety, building confidence, strengthening communication and shaping the future of healthcare education.

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When battling illness or injury, and looking to get help as soon as possible, it can be difficult for people to decide if they need an emergency room for care, or can go to the nearest urgent care center. Emergency medicine physician and medical director of the SMH ER at Lakewood Ranch, Tara Wendt, MD, is breaking down the difference between the options, and how you can make that decision.

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Cancer is among the leading causes of death among firefighters. By reducing firefighters’ exposure risks, encouraging regular cancer screenings and providing education, navigation and support, the Firefighters Cancer Collaborative aims to change that and save more lives. Richard Brown, MD, Medical Director for the Brian D. Jellison Cancer Institute at SMH, and Town of Longboat Key Fire Chief Paul Dezzi, explain the collaborative's mission and discuss the successes so far.

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While the word "trauma" is often thrown around flippantly, it has big meaning when it comes to mental health. Stephanie Iacopelli, LMHC, Manager of Behavioral Health Services for the Cornell Behavioral Health Pavilion at Sarasota Memorial, explains what trauma really is and how it can be treated.

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Senior mental health deserves real attention—and real conversations. In this continuation of the behavioral health mini-series, Jacqueline Carlson, MSN, APRN, Director of Nursing at the Cornell Behavioral Health Pavilion discusses the emotional, psychological, and social well-being of older adults, and what challenges are most commonly faced by this patient population.

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External stressors can have a major impact on mental health. David Stone, LMHC, Clinical Supervisor of the SMH Behavioral Health Intervention Team, discusses what trends are being seen at the Cornell Behavioral Health Pavilion, and how current events can impact patients and families.

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Because young people go through a variety of hormonal and developmental changes, it can be difficult to spot mental health challenges. For the first episode of a HealthCasts behavioral health mini-series, Conor Malloy, MD, shares insights from his work at the Cornell Behavioral Health Pavilion at SMH with teens and families. He discusses the growing challenges young people face in an age of social media and constant pressure, and offers practical advice for parents and caregivers.

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Sarasota Memorial’s RENEW program highlights how balanced nutrition and regular fitness are essential pillars for achieving long-term health and wellness goals. Mikka Ipri, RDN, and Kara Saunders discuss how expert guidance and sustainable lifestyle changes can make a lasting impact on overall well-being. Visit smhrenew.com to learn more about the program.

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Whether a patient is undergoing a mastectomy due to breast cancer or as a preventive measure, understanding their options is an important part of the journey. Plastic surgeon Jerette Schultz, MD, discusses the different types of breast reconstruction, and helping patients at Sarasota Memorial's Brian D. Jellison Cancer Institute make informed decisions.

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Benign prostatic hyperplasia (BPH) impacts many men at some point as they age. Ramsay Kuo, MD, discusses why treatment is so important, and the growing number of options men have to improve quality of life and prevent irreversible bladder damage.

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At Sarasota Memorial, the multi-disciplinary cancer care team provides prostate screening and diagnostic biopsy services, along with comprehensive care. Kunal Saigal, MD, Medical Director of Radiation Oncology at the Brian D. Jellison Cancer Institute, discusses the latest advancements in prostate cancer treatment, including the use of Pluvicto.

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From heartburn and IBS to more serious gastrointestinal issues like IBD and GERD, First Physicians Group gastroenterologist Mark Radetic, MD, breaks down symptoms, causes, and the latest treatment options.

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Pediatric asthma is the leading cause of emergency room visits and hospitalizations in children. SMH First Physicians Group pediatrician Azima Khan, MD, discusses how asthma is diagnosed in children, how it's treated, and why it's vitally important that families are educated about asthma.

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Congenital heart defects are the most common birth defects, affecting nearly 1 in 100 babies. Jeffrey Sell, MD, Chief of Cardiothoracic Surgery at Sarasota Memorial, explains how these conditions are diagnosed, treated, and managed across a patient’s lifetime.

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A national shortage of providers for pregnant patients is cause for concern, but Sarasota Memorial is joining a team of partners helping to address this complex issue. Abby Olsen, RN, Director of Women's and Children's Services at SMH, discusses the Pregnancy Care Team and how this initiative is helping patients get the prenatal care they need.

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Are your devices causing you pain? Steven Papuchis, DO, and Regina Bonynge, OTR/L, talk about the rise of tech-related injuries—from "tech neck" and “text claw” to posture problems and repetitive strain injuries. Learn how ergonomics play a crucial role in preventing and treating these modern-day issues.

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If you or a loved one is experiencing early signs of dementia or cognitive impairment, specialized brain imaging can help detect different types of dementia and lead to more targeted treatments for Alzheimer’s disease, Parkinson’s dementia and other causes of cognitive decline. Richard Lichtenstein, MD, a radiologist practicing at Sarasota Memorial explains how these scans work and why early detection is vital.

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When people hear the word "dementia," they most often associate it with Alzheimer's disease. However, dementia is actually a symptom of numerous diseases, Alzheimer's is just the most common cause. Danielle Valery, BS, CDP, program manager for the SMH Memory Disorder Clinic, explains how dementia can be prevented, and also how it is diagnosed and treated.

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Many cervical cancers are linked to the HPV virus. However, thanks to screening advancements, early detection of the cancer resulting in effective treatment is possible. Toni Kilts, DO, discusses screening guidelines and cervical cancer prevention.

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Sarasota Memorial recently opened the Kolschowsky Research and Education Institute, housing technology to support medical education and innovation in the community. SMH Chief Medical Officer James Fiorica, MD, and Chief Academic Officer Wilhelmine Wiese-Rometsch, MD, discuss the importance of the Institute, and what it means for patients.

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While the first goal of head and neck cancer surgery is always clear margins, a secondary goal is reconstruction, whether for functionality of cosmetic improvement. Wesley McIlwain, MD, a head and neck cancer surgeon at Sarasota Memorial discusses options for reconstruction and how the team at the Brian D. Jellison Cancer Institute comes together to get patients the best outcomes.

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Sarasota Memorial's trauma team has seen a concerning increase in e-bike, scooter, and bicycle accidents. And with summer months just around the corner, they know more people will be getting outside and hitting the road for family vacations, which could also cause even more injuries. Trauma Injury Prevention Coordinator Casey Howell, RN, discusses how everyone in the community can do their part to prevent these traumatic accidents.

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For those who need cardiopulmonary rehabilitation, it can truly be life-changing. But according to SMH Medical Director of Cardiac Rehab, Hakim Morsli, MD, the program is significantly underutilized by eligible patients. Along with program supervisor Meredith Cleveland, BS, CCRP, Dr. Morsli explains how the program works and why it's so important patients get referred and get the rehab they need.

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