The Laker/Lutz News

Serving Lutz since 1964 and Pasco since 1981.
Proud to be independently owned.

Medicaid

Don’t forget to fill out your census form, officials urge

By

While headlines about coronavirus disease-2019 (COVID-19) dominate media coverage,  something else that’s very important — the U.S. Census — is barely getting a mention, Pasco officials say.

Maj. James Mallo, of the Pasco County Sheriff’s Office, spent a few minutes talking about the census during an April 24  virtual town hall meeting, hosted by Pasco County Commissioner Kathryn Starkey.

“The census has taken a backseat,” Mallo said, and added that it’s vital that Pasco County gets an accurate count to be sure that it gets its fair share of federal tax dollars.

“The last I looked at it, we were at about 53% (participation). We definitely want to see as close to 100(%) as possible.”

“We have to do a better job,” Mallo said.

“It’s never been quicker. It’s never been easier. You can do it by phone. You can do it by Internet. You can do it by paper,” he said.

“It took me about 3 minutes to complete mine,” he added, emphasizing the ease of the process.

He also assured those listening: “The U.S. Census keeps your information safe and confidential.”

Mallo said he can’t overstate the importance of everyone being counted.

“It controls $675 billion of federal funds,” he said.

Census data is used to divvy up federal money for health, education, housing and infrastructure, he explained.

The data helps assign funding for things such as school lunches, special education programs, Medicaid, and Head Start. It also helps determine the need for roads, hospitals, schools and other types of public infrastructure.

“It directly impacts the safety and security of our county,” added Mallo, noting that he’s keenly interested in ensuring that protection.

Besides providing useful information for government leaders, census data is important to private business owners because it can help to guide their decisions.

Census data also plays a role in government representation. It determines how many representatives a state has in the U.S. House of Representatives.

“The thing is, we only get one shot every 10 years, so I really, really want to stress the importance of everybody just doing one simple thing,” Mallo urged listeners.

“If people realized how many things it will affect for so long, people would run to fill out the census. It’s just that important,” he said. “We deserve our fair share of federal funding.”

Commissioner Starkey agreed: “We can’t stress that enough.”

If you have questions about the census, visit 2020Census.com, or call (844) 330-2020.

Published May 06, 2020

Celebrating a decade of helping mothers-to-be

By

When Peter Castellani lost his corporate position at IBM, little did he know that his journey would lead him to open a safe haven for expecting mothers.

Oasis Pregnancy Care Centers is that organization, providing women with free services, including pregnancy testing and baby supplies.

Cherisse Rivera is director of Oasis Pregnancy Care Center’s Land O’ Lakes branch. Here, she’s shuffling through baby attire in the Baby Boutique room – where mothers can pick out needed items. (Brian Fernandes)

This year marks the nonprofit’s 10th anniversary in serving Tampa Bay, and it wants the community to join the celebration.

To commemorate its decade of operations, the agency is hosting a fundraiser at Idlewild Baptist Church in Lutz, on Sept. 19.

The pregnancy care organization may be celebrating a milestone anniversary, but Castellani was an advocate for prenatal assistance long before Oasis opened on Oct. 1, 2009.

“I’ve been involved in the pregnancy care center movement for 20 years,” the executive director said.

He and his wife, Ellen, were church liaisons who were actively involved with Walk for Life and other pro-life organizations back in New York.

When the couple moved to Florida in 1999, they continued their support at A Woman’s Place Medical Clinic, where Castellani served on the board.

Then, he began serving the Pregnancy Care Center of Zephyrhills, eventually becoming president.

When Castellani was laid off after a 30-year career at IBM, it seemed like a sudden shift for the worst — until he realized it was an opportunity to expand his ministry.

He distinctly recalls that several days after his layoff, while still reeling with grief, he awoke to experience what he describes as a clear directive from God.

His new objective became a quest to build a pregnancy center in Land O’ Lakes, close to the high schools.

“Tears just started running down my face, because I never had a direct vision like that before,” said Castellani, who is Christian.

Coincidentally — or maybe not — the first Oasis branch opened nine months later, in Land O’ Lakes.

The center was opened with the support of Pastor Elbert Nasworthy, his Myrtle Lake Baptist Church and the community, Castellani said.

David Dorsey, left, Peter Castellani, April Beck, Cherisse Rivera and Helen Rairigh are among staff and volunteers who operate Oasis Pregnancy Care Centers. The nonprofit organization strives to help women as they transition into motherhood.

Now, Oasis has locations in Wesley Chapel and Tampa. It has 15 staff members and over 80 volunteers.

It also has helped thousands of families through the years, including 450 during the first seven months of this year, according to Castellani.

He attributes the organization’s success to its cohesive work team, that is both business- and ministry-oriented.

The women who come to the centers can receive various types of assistance. The information they provide remains confidential.

They can undergo testing to confirm if they’re pregnant.

Ultrasound screenings are available to let expecting mothers check on their baby’s status.

Counseling sessions are available, too.

The women and their partners also can watch educational videos that provide pointers on parenting techniques.

Dealing with an unplanned pregnancy can be difficult for many women.

“You have women that come in and they are totally devastated,” Castellani said. “Counseling with them for a couple hours, you see a miraculous change. They leave here with hope and a future.”

Oasis’ services are provided for free.

Although, as women continue receiving Oasis services, they are granted coupons, which they can exchange for supplies in the Baby Boutique room. This transaction encourages the women to remain in the program.

Castellani reasoned: “It gives them dignity and respect. Even though it’s free, they’re earning it. It’s not just a hand-away.”

At the Baby Boutique, an array of items can be found, such as diapers, maternity and infant clothing, and portable baby seats – to name a few.

Oasis is able to provide its services and provide giveaways because of funding it receives from local churches, businesses and the state.

The organization also hosts three annual fundraisers: a clay shoot event, a golf tournament and a banquet.

As a Christian, nondenominational establishment, Oasis encourages mothers to see their pregnancies through to birth. They also refer them to local churches as  additional support networks.

The organization helps mothers from various age groups, too.

Castellani dispelled a common stereotype: “It’s not always teenagers – that’s only about 20 percent. Most of our women that come in are college and career-aged women.”

And, for those who may face financial difficulties, Oasis helps them sign up for government assistance, such as the Women, Infants and Children (WIC) program and Medicaid.

One of Oasis’ future endeavors is to bring more education to Pasco County schools, encouraging students to remain abstinent until marriage.

The fundraising celebration at Idlewild Baptist Church, 18333 Exciting Idlewild Blvd., will help propel these initiatives forward.

Doors open at 5:30 p.m., followed by live performances, catered food by Carrabba’s Italian Grill, and guest speaker RV Brown.

While there are no costs to attend the event, the organization is encouraging those present, to offer a generous donation to support the cause.

Those planning to attend are asked to R.S.V.P at bit.ly/OasisCelebration2019.

To volunteer or donate to Oasis, visit HeartsForOasis.org.

For additional information or services about Oasis, call (813) 406-4965, or visit OasisPregnancyCenter.org.

Oasis 10th anniversary fundraiser
Where: Idlewild Baptist Church, 18333 Exciting Idlewild Blvd., in Lutz
When: Sept. 19; doors open at 5:30 p.m.
Cost: Free
Details: To celebrate 10 years of service, Oasis Pregnancy Care Centers will host a fundraising event with radio personality Mason Dixon as the emcee. Evangelist RV Brown will be the night’s guest speaker and attendees can enjoy a dish catered by Carrabba’s Italian Grill.
Info: Attendees are encouraged to RSVP online at bit.ly/OasisCelebration2019. Online donations can be sent through HeartsForOasis.org, and for further information, call (813) 406-4965.

Published September 11, 2019

Teen’s health struggle makes her a national voice

By

When Mark and Kelly Dees of Land O’ Lakes decided to name their unborn daughter Hope, it was a sign of their unwavering optimism despite devastating news.

What was supposed to be an exciting reveal of their baby’s gender, soon became a moment of sadness after Hope was diagnosed with congenital heart defects.

Hope Dees, of Land O’ Lakes, sits next to her father, Mark, in the office of U.S. Rep. Gus Bilirakis in Washington D.C. The 13-year-old was among many youths who traveled to Capitol Hill to talk to lawmakers about policies to better help kids with health issues. (Courtesy of Amy Gall, BayCare Health System)

“We were told by the first doctor that she wouldn’t live to see her first birthday,” Kelly recalled.

But now, at age 13, Hope has far exceeded that grim diagnosis.

Not only has she undergone multiple operations, she also recently had the chance to make her voice heard by the nation’s lawmakers on Capitol Hill.

Still, it hasn’t been an easy path.

A fighting chance
After hearing the initial troubling news about their daughter, the couple went to St. Joseph’s Children’s Hospital in Tampa, where a second diagnosis showed a brighter outcome.

Hope had a 92 percent success rate of survival, according to Dr. James Huhta, who still cares for her to this day.

She was born eight weeks premature with not only a weak heart, but a mild form of cerebral palsy, among other health complications.

At just 2 months old, she had her first open-heart surgery and spent several months recuperating at All Children’s Hospital in St. Petersburg.

Also, her esophagus did not connect to her stomach and had an abnormal connection to her trachea. This resulted in her being tube fed. Because of her complex situation, doctors waited until she weighed at least 4 pounds before performing corrective surgery.

Hope underwent two more heart surgeries, the second at 9 months old and the last at age 10. These were performed at St. Joseph’s Children’s Hospital.

She had other health concerns, too.

When Hope was 18 months, her parents noticed she was walking unusually.

Hope Dees, 13, stands alongside U.S. Rep. Charlie Crist while on a trip to Washington D.C. She and her parents spoke to Florida legislators about health care coverage for kids with medical needs.

Over the years, she has had to go through extensive physical therapy and orthopedic surgery on her left leg and foot.

“As she grows, the bone grows faster than the muscle,” Kelly explained. “The bone is growing and the tendon is pulling in because it’s not as long as the bone.”

Although Hope uses a leg brace for stability, she still may need another surgery.

Being in and out of hospitals all her life and getting to know medical staff, especially at St. Joseph’s Children’s Hospital, has become routine for Hope.

“This has always been her normal,” Kelly said of her daughter. “For me, it’s nothing but gratitude for all that they’ve done for her over the years, and all they continue to do.”

Speaking aloud for action
BayCare Health System and the Children’s Hospital Association have been working in conjunction for years to bring kids with medical needs to Washington D.C., for the annual Family Advocacy Day.

Amy Gall is a regional communications coordinator for BayCare Health System and has become Hope’s friend.

“We’ve been bringing a family up to meet with the legislators every summer,” Gall said.

Because Kelly is an advocate for protecting Medicaid for kids, Gall knew that Hope would be the perfect candidate to go to Capitol Hill with her family from June 24 to June 27.

Like dozens of other youth from around the nation, Hope had the opportunity to meet with congressional representatives from their respective states, and perhaps help to influence policy.

At Capitol Hill, Hope had the chance to meet with U.S. Senators Marco Rubio and Rick Scott. Also present were U.S. Representatives Gus Bilirakis, Vern Buchanan, Kathy Castor, Charlie Crist, Darren Soto, Ross Spano and Greg Steube.

Along with Hope, Mark and Kelly helped address concerns about stabilizing health coverage for kids.

“As they are adults, taking responsibility of their own health care, it’s important that they have the coverage that they need and the assistance that they need,” Kelly said, in an interview with The Laker/Lutz News, after the family traveled to Washington D.C.

She said she wants assurance that when kids like Hope become adults, that they are guaranteed coverage and not discriminated because of pre-existing conditions.

Hope is currently on Children’s Medical Services, which falls under the Medicaid program.

There is a premium to pay, based on income, but the program has been helpful, Kelly said.

However, she said, a child must reapply annually, or the coverage will lapse.

One year, Hope’s paperwork was late, and she was without coverage for a month.

Changing that system was a topic presented to Congress.

“Some families can’t afford to just abruptly lose their coverage,” Kelly added. “It’s important that they are able to continue to afford their own coverage or doctor visits. It’s not cheap.”

Kelly said the reception offered by the federal lawmakers was sincere, and they appeared to be willing to see what could be done to help kids like Hope.

Still pressing forward
Even after everything Hope has endured, she still views herself as an average teenager, her mom said.

When she has free time, she practices the piano and goes swimming. And as she prepares to enter eighth grade at Dr. John Long Middle School, she plans to sing soprano in the choir.

While she was visiting Rep. Ross Spano’s office, he showed the family a sign engraved with the words: “Never give up.”

Kelly said she’s inspired by the same mantra — and, she added, that her daughter, Hope, has taught her the true meaning of those words.

Published July 24, 2019

Enjoy beer and wine samples, and help a good cause

By

The Fall Brewfest for Hospice on Oct. 6 gives people a chance to sample beer and wine, while benefiting Gulfside Hospice & Pasco Palliative Care.

The venue for the event is Land O’ Lakes Heritage Park, 5401 Land O’ Lakes Blvd., and it’s scheduled for Oct. 6, from 6 p.m. to 9 p.m.

During the Spring Brewfest in March, festival-goers enjoyed live music and sampled beer and wine offered by local breweries. (Courtesy of Gulfside Hospice & Pasco Palliative Care)

Admission is $25 for one ticket, $45 for two and $120 for six.

The entrance fee covers beer and wine samples from various local breweries and wineries.

Food trucks will offer an array of choices, and picnic benches will be available.

Strictly Business, a band made up of local business owners, will provide live entertainment.

There also will be health care organizations offering information, and vendors selling arts, crafts, jewelry, candles and other goods.

Festival-goers will be able to play cornhole and other games, too.

“It’s a fun event, but we’re doing it for a good cause,” said Kirsty Churchill, community relations manager for Gulfside Hospice & Pasco Palliative Care, the only nonprofit hospice care that serves Pasco County exclusively.

The hospice organization accepts patients regardless of whether they can pay the expenses.

The fundraiser is important, Churchill said.

“Events like this really help cover the gap of what’s not paid for by Medicare, Medicaid and insurance,” she explained.

The event is open only to those age 21 or older.

Tickets are available online at BrewfestForHospice.org and by calling (727) 845-5707.

For additional information, contact Leesa Fryer at or (727) 845-5707.

Fall Brewfest for Hospice
Where: Land O’ Lakes Heritage Park, 5401 Land O’ Lakes Blvd.
When: Oct. 6, 6 p.m. to 9 p.m.
Cost: $25 for one ticket, $45 for two and $120 for six
Details: Brewfest offers event-goers a chance to sample beer and wine, play games and purchase meals from food trucks.
Info: Contact Leesa Fryer at or (727) 845-5707. Tickets are available online at BrewfestForHospice.org and at (727) 845-5707.

Published October 3, 2018

 

State lawmaker offers overview of past legislative session

By

This past legislative session — and money flowing into Pasco County from the state’s record $88.7 billion budget for fiscal year 2019 — was the topic du jour for State Rep. Danny Burgess, during a recent appearance at a North Tampa Bay Chamber of Commerce meeting.

Burgess, who represents the House District 38 seat covering east Pasco and portions of central Pasco, highlighted a number of local projects that received state funding:

  • $15 million for the Overpass Road interchange at Interstate 75
  • $4.3 million for the Thomas Varnadoe Forensic Center for Research and Education located at the Land O’ Lakes Detention Center
  • $1 million for the proposed Sarah Vande Berg Tennis Center in Zephyrhills
  • $5.9 million for upgrades at the Zephyrhills Municipal Airport
  • $750,000 for a road study on pursuing an additional extension to State Road 56 that would link to State Road 39
State Rep. Danny Burgess was the featured guest speaker at the North Tampa Bay Chamber’s September breakfast. (File)

“We walked away locally in east Pasco with the most historic levels of funding that we’ve ever had. We were able to do some pretty good things for this area,” said Burgess, the featured guest speaker at the chamber’s September breakfast at the Pasco-Hernando State College Porter Campus at Wiregrass Ranch in Wesley Chapel.

Overall, the entire state budget was a 7.6 percent increase, or about $6.3 billion more than the   2018 fiscal budget.

Burgess noted the considerable surge was due to some “unforeseen things,” including Hurricane Irma, the Parkland shooting and rising health care costs related to Medicaid.

Even so, Burgess said the state still came away with a balanced budget and AAA bond rating, which he characterizes as “fantastic news” for areas, including Pasco County, that are “developing and growing and expanding their business base.”

Said Burgess: “All of the major publications and research entities in the country are still ranking Florida the top one, or two, in terms of fiscal health and places that people want to be in, and, places that people want to start their business, so that matters. Florida is right there neck and neck with Texas in terms of desirability and enacting the right policies to have a friendly business climate, so those are things that we can continue to foster and build upon as we move forward.”

Meanwhile, of the 74 bills signed into law by Gov. Rick Scott, Burgess said the “biggest win” of the legislative session was the passage of HB 37, which sets forth parameters for direct primary care agreements.

Under direct primary care agreements, doctors charge patients monthly fees in advance of providing services, with patients then able to access services at no extra charge.

The bill amends the state insurance code to make clear that direct primary care agreements do not violate insurance regulations.

Primary care providers are defined as physicians, osteopathic physicians, chiropractors, nurses or primary care group practices.

Burgess, who sponsored the bill with Sen. Tom Lee, R-Thonotosassa, said there’d been an attempt to pass some variation of the bill over the last four years.

He explained the legislation should benefit small businesses who’d like to offer health care options for their employees, but otherwise can’t afford to in the traditional health care marketplace.

“This bill is a great way to expand options and access for Floridians everywhere,” the state representative said.

“It removes that middleman of bureaucracy of health care and health insurance, and it allows so much more time between the patient and doctor.

“I think that it’ll have a big impact for us as we move forward. More doctors are going to start practicing in this arena, which is great,” the state lawmaker said.

Elsewhere, Burgess touched on other priorities Florida needs to address going forward — such as expanding opportunities for veterans statewide.

The state representative stressed the need to provide more options for soldiers suffering from combat-related illnesses, including post-traumatic stress and traumatic brain injuries.

He also mentioned the need to create more workforce opportunities for veterans through equivalency of training programs in careers, including law enforcement, engineering, firefighting, contracting and others.

Said Burgess: “Florida needs to be the most veteran-friendly state in the nation. I think that we’re close to being there.

“We’ve done a lot to be there, but I think we have a long way to go.”

Published September 12, 2018

Legislative forum covers wide spectrum of issues

By

Dozens of speakers signed up to draw attention to topics they think are important at Pasco County’s annual legislative delegation meeting.

The topics ranged from fracking to Medicaid; the opioid epidemic to immigration; medical marijuana to homelessness; and, scores of budget requests.

Some requests were for items vetoed by Gov. Rick Scott last year.

Pasco County Sheriff Chris Nocco, for instance, asked legislators to renew his request for $4.3 million for the Thomas Varnadoe Forensic Center for Education and Research.

From left: State Sen. Tom Lee, Rep. Richard Corcoran, Rep. Danny Burgess, Sen. Wilton Simpson and Rep. Amber Mariano
attend the Pasco County legislative delegation’s annual meeting to hear from local constituents about issues they’d like lawmakers to address during the 2018 legislative session. (Kathy Steele)

The Adam Kennedy Forensics Field, also known as a “body farm,” opened in May on land next to the Land O’ Lakes Detention Center, off U.S. 41. The facility is the seventh of its type in the nation.

Construction money is needed for the indoor forensic center. The complex is planned jointly with the sheriff’s office, Pasco County, Pasco-Hernando State College, and the University of South Florida’s Institute for Forensics and Applied Science.

“It is a critical piece for us,” Nocco said.

The sheriff also noted that there already are international inquiries regarding training opportunities.

The city of Zephyrhills also had a big-ticket request. It’s asking for $3.25 million to help build the Sarah Vande Berg Memorial Tennis Center.

The planned tennis center includes eight soft courts, two hard courts and nine pickle ball courts.

The city of Zephyrhills already has hired Pennsylvania-based Tennis P.R.O. LLC to operate and manage the complex.

A pro shop, a multipurpose community room and two offices also are planned.

“It’s gaining a lot of momentum,” said Todd Vande Berg, the city’s planning director. “It will bring in players from around the world, and Zephyrhills really will be a destination in the sports arena.”

The complex is named for Vande Berg’s daughter, a tennis scholarship student at University of South Carolina, who died in a car accident.

The annual legislative delegation meeting is a ritual that gives lawmakers a chance to find out what is on the minds of their constituents for the coming legislative year.

This year’s session was on Nov. 27 at the Wesley Chapel Center for the Arts, at Wesley Chapel High School.

More than 60 people signed up, with each allotted three minutes to address the legislators, who were seated at a table on the arts center’s stage.

Rep. Danny Burgess, the delegation’s chairman; Rep. Amber Mariano; and Sen. Wilton Simpson attended the entire meeting. Sen. Tom Lee and Rep. Richard Corcoran attended portions of the meeting. Sen. Jack Latvala was absent.

Afterward Burgess described the meeting as a fact-gathering session to help legislators deliberate on issues during the 2018 legislative session in Tallahassee.

“It’s important — with a state this big and statute books so voluminous —it’s impossible to know every issue,” Burgess said.

He also said people’s presence and participation are important.

“It’s a truly collaborative thing,” he said, noting, lawmakers will have more information “because people from our areas decided to take the time to come here.”

Along those lines, Debra Golinski asked lawmakers to provide funding for screening programs at Sertoma Speech & Hearing Foundation Inc.

She said about $750,000 is needed for a program to help hearing-impaired children, ages 3 to 6 years, “begin to listen and talk.”

Golinksi also asked legislators to support a bill to provide hearing aids for children.

Timothy Beard, president of Pasco-Hernando State College, said the college is expanding rapidly and needs about $3.7 million in additional funding for operations.

He said school enrollment has increased from about 1,800 three years ago to about 4,000 students now.

“The growth there has really been phenomenal. We really, really need the dollars,” Beard said.

Other agencies and nonprofits seeking state funds included the Gulf Coast Jewish Family & Community Services, the Area Agency on Aging of Pasco-Pinellas Inc., the Reach program with Pasco’s PACE Center for Girls, and the Pasco County Alliance for Substance Abuse Prevention, or ASAP.

Hot button political issues also came up.

James Brown, of the nonprofit Farmworkers Self Help, sought support for “DACA kids”, the children who are part of the Deferred Action for Childhood Arrivals program.

The federal program could be ended soon, leaving these children subject to deportation. They and their families harvested crops for years, Brown said.

“They did nothing more than work hard. We need to give these longtime families a place in the county. We’re not asking for budgetary concerns. We’re just asking for your compassion,” Brown said.

Several people also spoke on fracking, asking legislators to ban the practice in Florida.

Fracking is a process for pumping chemically treated high pressure water into a drilled pipeline to break through rock formations to tap into oil or natural gas reserves.

“Our message is simple,” said Brooke Errett, of Food & Water Watch. “Fracking doesn’t make sense.”

Legislators also got updates on initiatives under review at the federal level by U.S. Rep. Gus Bilirakis.

His aide, Summer Robertson, told them that Bilirakis is seeking

a balanced approach toward addressing the opioid crisis.

He wants an approach that helps people with opioid addiction but still gives people “with legitimate pain” access to medications, Robertson said.

Published December 6, 2017

Caregivers of Alzheimer’s patients don’t have to go it alone

By

When someone learns that a loved one is afflicted with Alzheimer’s disease, it can seem overwhelming.

Phyllis Bross, a retired attorney from Land O’ Lakes, understands the feeling. Her mother and aunt were both Alzheimer’s patients, and she now runs the Alzheimer’s Association/Caregiver Support Group that meets monthly at the Land O’ Lakes Branch Library, 2818 Collier Parkway.

Based on her own experiences, Bross said, generally, when a caregiver learns about the diagnosis, he or she feels lost.

Phyllis Bross, a retired attorney, runs a monthly Alzheimer’s Association support group at the Land O’ Lakes Branch Library. It’s a monumental challenge for caregivers, she said. In short, she recommends: ‘Try to get as much information as you can. Try to get as much support as you can. Try to get things rolling.’ (B.C. Manion)

“You’re worried about your future finances, and providing medication, and other kinds of support and help for your loved one.

“You know you don’t have a medical background, so you’re wondering: Should someone else be taking care of him or her? Or, should I do it because of the familiarity and the love for the person?” Bross said.

Because they don’t know what to do, most people begin sorting things out by turning to a support group for help.

“I think that’s a great place to start,” said Bross, who, in addition to her legal experience, has an undergraduate degree in social work. There are all kinds of support groups available, offered by the Alzheimer’s Association and other groups, she added.

There are definite steps that caregivers can take to help themselves, Bross added.

While the loved one is competent, it’s important to ask: “Do you believe you can trust me … to take care of you, to take care of your money/the family money, to take care of your health, to make end-of-life decisions for you?” Bross said.

If the answer is yes, the next question would be: “Can we go to an attorney, an elder law attorney and discuss you’re possibly providing me with a durable power of attorney?” Bross said.

Taking that action will simplify later decisions that will need to be made, she said.

She also suggests organizing a family meeting, so you can find out their level of support and if they can help you make decisions.

It’s also important to start asking questions early, Bross said.

For instance, when visiting an elder law attorney, ask about the possibility of your loved one qualifying for Medicaid, in case the family ends up not being able to afford all of this care that’s going to be needed.

It’s also important to become aware of long-term care facilities that may become necessary at some point.

“Look at facilities. Even if you’ve promised your loved one you won’t put them in a facility, you don’t really know how sick they’re going to get,” Bross said.

Sometimes, no matter how much a caregiver wants to keep his or her loved one at home, it becomes impossible.

In short, Bross recommends: “Try to get as much information as you can. Try to get as much support as you can. Try to get things rolling.”

Beyond needing help with feeding, bathing and other physical needs, Alzheimer’s patients sometimes become difficult to handle.

“Their temperament changes very often. They might become abusive,” Bross said.

She advises to prepare for “the worst-case scenario.”

Bross also recommends a book called, “The 36-Hour Day: A Family Guide to Caring for People Who Have Alzheimer Disease, Related Dementias, and Memory Loss,” by Nancy L. Mace and Peter V. Rabins.

“People in my Alzheimer’s care group call it their Bible,” she said.

It is important to provide support to caregivers, Bross said. In addition to the physical, medical and financial challenges they encounter, there’s an emotional toll, as well, Bross said. “It’s a terrible disease.”

It’s important to provide support to help caregivers through “their sadness and depression,” Bross said.

“It’s such a hard job,” she said.

Alzheimer’s disease
Memory loss and confusion are the main symptoms of Alzheimer’s disease, but those also can be symptoms of other health conditions. A medical diagnosis is necessary to pursue appropriate treatment and to rule out other possible, sometimes reversible, conditions.

People with Alzheimer’s may experience these types of symptoms:

Cognitive: mental decline, difficulty thinking and understanding, confusion in the evening hours, delusion, disorientation, forgetfulness, making things up, mental confusion, difficulty concentrating, inability to create new memories, inability to do simple math, or inability to recognize common things

Behavioral: aggression, agitation, difficulty with self-care, irritability, meaningless repetition of own words, personality changes, restlessness, lack of restraint, or wandering and getting lost

Mood: anger, apathy, general discontent, loneliness, or mood swings

Psychological: depression, hallucination, or paranoia

Other common symptoms: inability to combine muscle movements, jumbled speech, or loss of appetite

Source: Google fact sheet

Practical tips for caregivers:

  • Join a support group.
  • Attend summits and seminars to learn about financial resources and research studies.
  • Create a binder to keep track of medical information, financial information, legal information and questions.
  • Be aware there are all sorts of potential sources for funding and research, including federal, state, county, local, universities and nonprofits.
  • Ask family members how they would like to help and divvy up the tasks, accordingly. Someone may be willing to handle providing transportation, while another provides financial support. Someone else may be able to do practical chores, such as cooking, cleaning, yard work and so on.
  • Observe the patient’s status and record it in a journal — to help keep track of the patient’s changing condition.

Practical ways to help caregivers:
If you’d like to help a caregiver of someone afflicted by Alzheimer’s disease, here are some ways you can help:

  • Offer to give them a break by volunteering to watch over the patient, while the caregiver does shopping, goes to a hair appointment or does errands. (This may not be possible based on the patient’s condition or willingness to accept your care. If that won’t work, another option would be to provide a gift of paid-for respite care.)
  • Bring over dinner or provide gift certificates for meals.
  • Watch a movie at the caregiver’s house.
  • Take some nice photographs of the caregiver and their loved one, so the caregiver will have them later.
  • Provide emotional support, through a poem or a loving letter.
  • Step in to help in practical ways, such as yard work, house work or other chores.

Source: Phyllis Bross, facilitator of the monthly Alzheimer’s support group that meets at Land O’ Lakes Branch Library

 

Other sources of help include:

  • The Alzheimer’s Association: 24-hour hotline: (800) 272-3900; or visit ALZ.org
  • The Florida Department of Elder Affairs: (800) 963-5337; or visit ElderAffairs.state.fl.us

Published November 29, 2017

Celebrating health care services in Lacoochee

By

The Lacoochee Family Health Center, a Premier Community Healthcare Group satellite location, hosted an open house on April 20 to celebrate the location’s first anniversary.

The event was at the Stanley Park Lacoochee Community Center in Dade City.

The center served nearly 400 patients during 2015, according to a news release.

The Lacoochee health center opened in response to a need expressed by the community, said Cheryl Pollock, director of business development for Premier.

Cheryl Pollock is director of business development for Premier Community Healthcare Group, which provides quality, accessible medical care to underserved communities in Pasco County.
Cheryl Pollock is director of business development for Premier Community Healthcare Group, which provides quality, accessible medical care to underserved communities in Pasco County. (Courtesy of Cheryl Pollock)

Premier is dedicated to providing high quality, affordable, accessible medical care to Medicaid/Medicare recipients, uninsured and underserved communities of Pasco County.

Premier provides a full range of comprehensive primary care medical services that include family medicine, pediatrics, dental, behavioral health, obstetrics and gynecology.

The center in Lacoochee was opened in response to the community’s request for more accessible health care, Pollock said. Most of its patients walk to the clinic.

It provides a wide range of services, and it can provide bus passes to help people who need to go to other locations for services it doesn’t provide, Pollock said.

The center in Lacoochee is not funded with grant money, so its operations must be paid for through fundraising efforts, she added.

Statistics for the first year of operations show that 47 percent of patients were on Medicaid, 31 percent were uninsured or opted to self-pay, 12 percent were classified with private insurance, 6 percent were on Medicare, and 4 percent were classified as “other.”

Of those served, 24 percent were under age 17, and the rest were adults.

Also, 37 percent of all patients received services through same-day appointments.

The 600-square-foot clinic is staffed by a nurse, a provider and a clerical worker, Pollock said.

The equipment and furnishings were provided by the Florida Medical Clinic Foundation. The clinic space is also provided for free, through a coalition of community organizations.

The anniversary celebration was held to help draw attention to the center and to encourage more people to take advantage of the availability of primary health care services in the area.

Those attending had a chance to pick up information about health care services and enjoy some refreshments.

Premier Community Healthcare has eight offices throughout Pasco County.

Published April 27, 2016

Assisted care center set to open in August

By

A new $13 million assisted living center in Lutz is under construction, and set to open in August.

Angels Senior Living at Lodges of Idlewild, located at 18440 Exciting Idlewild Blvd., in Lutz, will have 94 units to serve about 100 residents, according to Daniel Almendares, corporate operations manager at Angels Senior Living.

The 85,000-square-foot facility expects to employ 45 people.

Construction is under way on the new Angels Senior Living at Lodges of Idlewild facility. The $13 million, 85,000-square-foot facility will have 94 units for up to 100 residents. (Photos courtesy of Angels Senior Living)
Construction is under way on the new Angels Senior Living at Lodges of Idlewild facility. The $13 million, 85,000-square-foot facility will have 94 units for up to 100 residents.
(Photos courtesy of Angels Senior Living)

As part of the assisted living experience, residents will be aided in hygiene, ambulating, keeping track of medications, and dining.

In addition to assisted living, Lodges of Idlewild will offer both memory care and independent living services.

The memory care program, designed for residents suffering from dementia or Alzheimer’s disease, will be a “secured unit” with a higher staffing ratio for additional attention.

The independent living program features independent apartments where residents can pay for “a la carte services” and transition into the assisted living facility when needed.

A rough estimate for the monthly cost for a resident to live at the facility is $4,000, Almendares said.

The two best options for financial assistance for senior care is through the Medicaid Managed Long Term Care program, or the Veteran’s Aid (VA) and Attendance program attained by serving in a war, according to Angels Senior Living’s website.

The Medicaid route requires being on Medicaid and then applying for the program to pay an amount that may total 25 percent to 50 percent of monthly rent.

The veteran’s aid option requires an application through the U.S. Department of Veteran’s Affairs. Financial assistance in this program varies.

The location of the senior living center “fit well into our geographic offerings,” Almendares said, adding that its proximity to the Idlewild Baptist Church in Lutz is a bonus.

Once it is complete, the assisted living center should look similar to this prototype. The senior living center is set to open in August 2016.
Once it is complete, the assisted living center should look similar to this prototype. The senior living center is set to open in August 2016.

“We want to develop a tight-knit relationship with the church and the patrons, and for our residents to enjoy the services offered on such an already beautiful campus,” he said. “The placement along a major thoroughfare only improves the ease for family members to visit their loved ones on the way from work, school, or (coming) from errands.”

To help promote social interaction, there will be activity rooms for games, arts and crafts, and exercise.

“The activities for all our residents are there to entertain and provide a higher quality of life beyond just great care,” Almendares said.

Angels Senior Living operates a total of nine other locations throughout Hillsborough, Pasco and Pinellas counties.

There are three facilities in North Tampa alone — Connerton Court in Land O’ Lakes, Angels Senior Living at New Tampa on North 42nd Street, and Shady Palms on North Florida Avenue.

Angels Senior Living has not yet determined who will be the executive director to oversee the day-to-day operations at Lodges of Idlewild, Almendares said.

Angels Senior Living at Lodges of Idlewild
What: A $13 million, 85,000-square-foot assisted living facility with 94 units
Where: 18440 Exciting Idlewild Blvd., in Lutz
Opening date: August 2016
Key Programs: Assisted living, memory care and independent living
For information, call (813) 886-2023, or visit AngelsSeniorLiving.com.

Published February 10, 2016

Looking for a reason to get health insurance?

By

The new year is coming, and with it a chance for many people to figure out whether they want to have health insurance for the coming year.

Bayfront Health Dade City, however, feels the decision to pick up health insurance is an easy yes — even for people who are generally quite healthy, because no one knows when they might be faced with an accident and need medical care.

And without that insurance, that person or his or her family may not be able to afford medical care when they need it most.

Also, those with health insurance are more likely to see their doctor before their condition worsens and becomes more expensive to treat. Those with diabetes and do not have health insurance have a higher mortality rate those than with diabetes and health insurance at the same time.

If someone doesn’t have health insurance and experiences a serious illness or medical emergency, he will be responsible for all his medical costs, the hospital said. Health insurance protects people and their families from financial hardships that may result from health care expenses.

Also, some colleges, universities and international programs require proof of health insurance to enroll.

One of the biggest changes to health insurance in recent years thanks to the Affordable Care Act is where someone cannot be denied because of pre-existing conditions, such as having diabetes or a previous cancer diagnosis. At the same time, all insurance plans on the marketplace must cover essential health benefits, including emergency services, hospitalization, outpatient care, pregnancy and maternity, mental health and substance abuse, and prescription drugs, among others.

Marketplace health plans also must cover a set of preventive services, like screenings, tests and vaccinations to keep adults and children healthy. Those preventive services are provided free of charge, meaning no copays or deductibles.

Many people may qualify for lower costs on a health plan, the hospital said. Depending on household income and family size, people could qualify for financial assistance from the government, or subsidies, toward the cost of the premium and other financial obligations like copays and deductibles.

Also, some people may qualify for lost-cost coverage through Medicaid. In all states, Medicaid provides health coverage for some low-income people, families and children, as well as pregnant women, the elderly, and people with disabilities.

Although Florida has chosen not to expand Medicaid, there are still many people who qualify for Medicaid coverage in the state, the Dade City hospital said.

If nothing else, those without health coverage in 2015 who can afford it may have to pay a penalty of $325 per adult, $162.50 per child, and up to $975 per family — or 2 percent of family income, whichever is higher.

For example, a family of four with a household income of $40,500, would have a penalty of $975, since 2 percent of income would be $810. However, a family of four with a household income of $65,000 would have to pay the 2 percent, which in this case would be $1,300.

Bayfront Health Dade City is offering help through the 2015 enrollment deadline of Feb. 15, at (352) 518-1055.