A Guide to Geriatric Care Managers in Manatee, Sarasota, and Charlotte Counties

Digital what?  Footprint?  You may be thinking thats what you leave behind at the beach.  While that may be correct, it is also what you leave behind every time you provide your email, set up a new online account, or allow your data to be tracked.  Your digital footprint is the trail you leave behind with Location services on your phone.  It is the data you leave behind when commenting on Aunt Sallys Facebook page, sharing your familys vacation pictures on Instagram, or traipsing around the internet to various sites looking for that cute Lladro figurine your mother wanted for Christmas.  All of it tells something about you whether you realized it was happening or not.Most of the time, the sharing of your data what you do, how you do it, etc. may not be a big deal.  Or is it?  The reality is that your data supports big business every day.  It is collected, bought and sold (mostly without your knowledge) by data brokers (i.e., Acxiom, Epsilon), credit and identity bureaus (i.e., Experian, Equifax, TransUnion), and Big Tech Companies (i.e., Google, Amazon, Meta, Microsoft, Apple) that share your data with their partners and ad networks.The danger to you is when there is a data breach at one of the many sites that has your data and your data is captured and posted on the dark web.  This enables nefarious characters to better target you for scams and potentially steal your identity.  Call Lily in the Details today 941-237-0157 and schedule Understanding Your Digital Footprint, Navigating the Online World Safely and Wisely for your community.

Living with a chronic illness can be challenging in many ways. Beyond managing symptoms and making lifestyle adjustments, individuals with long-term medical conditions often face the ongoing responsibility of navigating a complicated healthcare system. From scheduling appointments and coordinating with specialists to understanding treatment options and managing medications, keeping up with healthcare needs can quickly become overwhelming.Conditions such as diabetes, lupus, heart disease, multiple sclerosis, arthritis, and other chronic illnesses often require continuous medical attention. Patients may work with several healthcare providers, undergo routine testing, manage multiple prescriptions, and make important decisions about their treatment and long-term health.While managing a chronic illness can sometimes feel like a full-time job, understanding how to navigate the healthcare system can make the process easier. Having the right information, staying organized, communicating with healthcare professionals, and knowing where to find support can help patients take a more active role in their healthcare journey.Understanding the Challenges of Living With a Chronic IllnessA chronic illness is generally a health condition that lasts for an extended period and often requires ongoing medical management. Some conditions can be controlled with medication and lifestyle changes, while others may involve complex treatments, frequent appointments, and periods when symptoms become more severe.For example: Diabetes: Requires ongoing blood sugar monitoring, medication management, regular testing, and attention to nutrition and physical activity. Lupus: An autoimmune disease that can affect multiple parts of the body and may require care from several specialists. Heart Disease: Often involves monitoring heart health, managing medications, making lifestyle changes, and attending regular medical appointments. Multiple Sclerosis (MS): A neurological condition that may require specialized treatment, symptom management, rehabilitation, and ongoing monitoring. Arthritis: Can cause chronic pain, stiffness, and mobility challenges that require medication, physical therapy, and other forms of treatment. Although each condition is different, patients often face similar challenges when managing their healthcare.They may need to coordinate appointments with multiple specialists, understand complicated medical information, keep track of treatment plans, and communicate changes in their symptoms. These responsibilities can become especially difficult when someone is already dealing with pain, fatigue, or other symptoms associated with their illness.Understanding how the healthcare system works and knowing how to access the right resources can make a meaningful difference.Build a Strong Relationship With Your Primary Care PhysicianOne of the most important steps in managing a chronic illness is establishing a good relationship with a primary care physician.Your primary care provider can serve as a central point of contact for your healthcare needs. They can help monitor your overall health, coordinate referrals, review medications, and communicate with specialists involved in your treatment.Even if you see several specialists, maintaining regular appointments with your primary care physician helps ensure that your overall health is not overlooked.A primary care physician can also help identify changes in your condition and determine whether additional testing or specialized care may be necessary.Patients should feel comfortable discussing their symptoms, concerns, and treatment goals with their physician. Open communication helps providers better understand individual needs and make appropriate recommendations.Understand Your Medical Condition and Treatment OptionsLiving with a chronic illness often means becoming familiar with medical terminology, test results, medications, and treatment recommendations.However, understanding complicated medical information can be difficult, particularly when patients are dealing with a newly diagnosed condition or an unexpected change in their health.Taking time to learn about your diagnosis can help you become a more informed participant in your healthcare decisions.Start by asking your healthcare provider questions such as: What exactly does my diagnosis mean? How will this condition affect my overall health? What treatment options are available? What are the potential benefits and risks of each treatment? What symptoms should I watch for? Are there lifestyle changes that could help manage my condition? How often should I schedule follow-up appointments? When should I contact my doctor if my symptoms change? Do not hesitate to ask your physician to explain something again if you do not understand it. You deserve to have your questions answered and to understand the recommendations being made about your health.It can also be helpful to request written instructions or reliable educational resources that you can review after your appointment.Coordinate Care Among Multiple SpecialistsMany people with chronic illnesses receive care from several different medical specialists.For example, someone with diabetes and heart disease may see an endocrinologist, cardiologist, primary care physician, and nutrition specialist. A patient with lupus may work with a rheumatologist, nephrologist, dermatologist, and other specialists depending on which parts of the body are affected.Although each provider contributes valuable expertise, coordinating care between multiple medical professionals can become complicated.Patients may receive different recommendations, have difficulty transferring medical records, or struggle to remember which provider is responsible for specific aspects of their treatment.To make coordination easier, consider the following steps:Keep a List of Your Healthcare Providers: Maintain an updated list of doctors, specialists, clinics, and other healthcare professionals involved in your care.Organize Your Medical Records: Keep copies of important test results, diagnoses, treatment plans, and medical reports in one accessible location.Share Important Health Information: Make sure each provider has accurate information about your medical history, current medications, allergies, and other relevant health concerns.Track Appointments and Follow-Ups: Use a calendar or scheduling application to keep track of appointments, testing, and recommended follow-up visits.Ask Who Is Coordinating Your Care: Find out which provider should be your primary contact when questions involve multiple aspects of your treatment.Effective communication among healthcare providers can help patients receive more coordinated care and reduce confusion when managing complex medical conditions.Keep Track of Your MedicationsMedication management is another important part of living with a chronic illness.Some patients take several medications to control symptoms, prevent complications, or manage multiple health conditions. Keeping track of prescriptions, dosage instructions, refill dates, and potential side effects can become challenging.To stay organized, maintain an updated medication list that includes: The name of each medication. The prescribed dosage. When and how often it should be taken. The reason it was prescribed. Any known medication allergies or reactions. The prescribing healthcare provider. Bring this list to medical appointments and update it whenever a medication is started, stopped, or changed.It is also important to tell your healthcare providers about vitamins, supplements, and over-the-counter medications you use, since these may interact with prescription medications.If you experience side effects or have concerns about your prescriptions, contact your healthcare provider or pharmacist. Never stop or change a prescribed medication without discussing it with the appropriate medical professional.Medication reminders, pill organizers, and pharmacy refill services can also help make medication management easier.Prepare for Medical AppointmentsWhen living with a chronic illness, medical appointments may become a regular part of your routine. Preparing ahead of time can help you make the most of each visit.Patients sometimes forget important questions or struggle to remember changes in their symptoms when speaking with their doctors.Before an appointment, consider writing down: Any new or worsening symptoms. Changes in pain, energy levels, or mobility. Questions about medications or treatment recommendations. Concerns about side effects. Results from recent testing. Changes in your daily activities or quality of life. If you monitor certain health measurements at home, such as blood pressure or blood glucose, bring relevant records to your appointment.You may also want to bring a trusted family member or friend who can help take notes, remember instructions, and provide additional support.Being prepared can help you communicate more effectively and ensure that important concerns are addressed.Learn How to Advocate for YourselfSelf-advocacy is an important part of managing a chronic illness. It means taking an active role in your healthcare by asking questions, expressing concerns, and making sure your needs are understood.Patients sometimes hesitate to speak up because they do not want to question their physician or appear difficult. However, asking questions and requesting clarification are important parts of receiving appropriate care.If something does not seem right, or if you do not understand a treatment recommendation, it is reasonable to ask for more information.Effective self-advocacy may include: Speaking up when symptoms change or become worse. Asking for clarification when medical instructions are confusing. Discussing treatment options and personal preferences. Requesting copies of medical records and test results. Asking how different treatments may affect daily life. Seeking another medical opinion when appropriate. Remember that you are an important member of your healthcare team. Your experiences, concerns, and treatment goals deserve to be heard.Consider Getting a Second Medical OpinionA chronic illness may require ongoing treatment and long-term medical decisions. In some situations, patients may benefit from receiving another professional opinion about their diagnosis or treatment plan.A second opinion can provide additional information, confirm an existing diagnosis, or help patients better understand alternative treatment options.This may be particularly helpful when: You have received a complicated or unexpected diagnosis. Your current treatment is not producing the expected results. You are considering a major medical procedure. You are experiencing significant side effects. You want to explore additional treatment approaches. You feel uncertain about the recommendations you have received. Seeking a second opinion does not mean you distrust your current physician. It is simply another opportunity to become informed and feel confident about your healthcare decisions.A healthcare advocate may also help patients understand the process of obtaining another opinion and organizing the medical records needed for a consultation.Use Technology to Manage Your HealthcareTechnology has made it easier for many patients to access medical information and stay connected with their healthcare providers.Patient portals, mobile applications, and telehealth services can help individuals manage some of the everyday responsibilities associated with chronic illness.Depending on the healthcare provider and available services, technology may allow patients to: Review laboratory results and medical records. Request prescription refills. Schedule appointments. Send secure messages to healthcare providers. Participate in virtual medical visits. Track health measurements and symptoms. Receive appointment reminders. Some patients also use mobile applications to monitor blood pressure, blood glucose, physical activity, medication schedules, or other health information.These tools can help patients stay organized and provide useful information to share with their medical team.However, technology should complement, not replace, communication with healthcare professionals. Patients should discuss concerning symptoms and unexpected changes with their providers rather than relying solely on information from an application.Understand Your Health Insurance and Healthcare CostsManaging a chronic illness can involve significant financial responsibilities. Regular appointments, specialist visits, medications, laboratory testing, medical equipment, and treatment procedures can add up over time.Understanding your health insurance coverage can help you avoid unexpected expenses and make more informed decisions about your care.Important things to review include: Your insurance plan's coverage for specialist visits. Prescription medication coverage and pharmacy requirements. Deductibles, copayments, and out-of-pocket maximums. Whether referrals are required to see specialists. Coverage for physical therapy and other supportive services. Available financial assistance programs. If you are unsure about coverage, contact your insurance company or healthcare provider's billing department for clarification.Hospital and clinic social workers may also be able to connect patients with financial assistance programs, medication resources, and community organizations.Understanding your options can help reduce financial stress while ensuring you have access to the services you need.The Role of a Healthcare Advocate in Managing Chronic IllnessNavigating the healthcare system can be especially challenging when managing a long-term medical condition. Patients may spend considerable time coordinating appointments, communicating with specialists, understanding treatment recommendations, and organizing medical information.For individuals who feel overwhelmed by these responsibilities, working with a healthcare advocate may provide valuable support.A healthcare advocate helps patients understand and navigate the healthcare system while keeping their needs and preferences at the center of the process.Depending on the services offered, a healthcare advocate may help with:Understanding Medical Information: Helping patients organize information about their diagnosis, treatment recommendations, and healthcare options so they can have more informed conversations with their physicians.Coordinating Appointments: Assisting with scheduling and organizing appointments with multiple specialists and healthcare providers.Preparing for Doctor Visits: Helping patients identify questions, organize medical records, and prepare for important healthcare discussions.Improving Communication: Helping patients communicate concerns and understand instructions from their medical team.Exploring Additional Resources: Identifying support services, community programs, and other resources that may help patients manage their condition.Supporting Informed Decisions: Helping patients understand the information available so they can discuss treatment choices and personal preferences with their healthcare providers.A healthcare advocate does not replace a physician, diagnose medical conditions, or make treatment decisions. Instead, they provide guidance and support to help patients become more confident and informed participants in their healthcare journey.For patients managing multiple medical conditions or working with several specialists, having someone help organize the process can make a meaningful difference.Build a Support System to Help Manage Your ConditionLiving with a chronic illness can sometimes feel isolating, particularly when symptoms interfere with everyday activities or require ongoing lifestyle changes.Having a reliable support system can make managing a long-term condition easier.Family members and friends may be able to provide transportation, help with household responsibilities, attend medical appointments, or offer emotional encouragement.Patients may also benefit from connecting with support groups and organizations focused on their specific medical condition.For example, individuals living with diabetes, lupus, heart disease, or multiple sclerosis may find educational resources and support communities through national health organizations and local programs.In addition, counselors, social workers, registered dietitians, and other healthcare professionals may provide specialized assistance depending on individual needs.Having people who understand your challenges and are willing to help can reduce stress and make it easier to stay engaged in your healthcare.Take an Active Role in Your Long-Term HealthLiving with a chronic illness requires ongoing attention, patience, and commitment. While some days may be more challenging than others, taking small steps to stay organized and informed can make a significant difference.Understanding your diagnosis, maintaining communication with your healthcare providers, keeping track of medications, and coordinating appointments can help you feel more in control of your medical care.It is also important to remember that you do not have to manage every aspect of your healthcare alone. Family members, medical professionals, support organizations, and healthcare advocates can all play valuable roles in helping you navigate the process.You Don't Have to Navigate Chronic Illness AloneManaging a chronic illness involves much more than attending medical appointments and taking prescribed medications. It requires ongoing coordination, communication, decision-making, and adjustments to everyday life.For patients living with conditions such as diabetes, lupus, heart disease, multiple sclerosis, and other long-term illnesses, the healthcare system can sometimes feel complicated and overwhelming.Having the right support can help make the journey easier.A knowledgeable healthcare advocate can help patients understand medical information, prepare for appointments, coordinate care, and identify resources that may improve their healthcare experience.Vital Voice Healthcare Navigation understands that managing a chronic illness can be challenging. Having someone to help you navigate the healthcare system, communicate with medical professionals, and better understand your healthcare options can make a meaningful difference. You deserve to feel informed, supported, and confident as you take an active role in managing your long-term health.

By Dr. David RiceSouthwest Florida is home to more than 100,000 veterans, according to the U.S. Department of Veterans Affairs.They own homes, manage businesses and pay taxes here. They volunteer at local nonprofits and donate to local causes. They are the core of our community.Nearly every day, at least one veteran walks into Advocate Radiation Oncology for treatment. Cancer impacts people from every background, including veterans. Even the most hardened veterans struggle with a cancer diagnosis, which is understandable; no one is invincible and cancer generates a wave of emotions shock, anxiety, frustration, fear and stress.Over the years, veterans in Charlotte and Sarasota counties have found an ally inside the treatment room Dr. Brian Lawenda. A board-certified, Harvard-trained physician who completed medical school at Temple University, Lawenda has all the credentials to help a patient feel confident that they're in good hands, medically speaking. Then they find out something else about their physician. He is a veteran, too, having served this country 13 years with the U.S. Navy and attaining the rank of commander."When I enlisted, I took an oath to serve this country and uphold the U.S. Constitution," Lawenda said. "When I became a doctor, I pledged to dedicate my practice to patients and the community I serve, and it's especially gratifying when those patients are fellow veterans."The best doctors don't just treat symptoms; they connect with patients, usually through shared experiences they're from the same state, cheer for the same sports team or attended the same university. Lawenda's military experience helps create an instant doctor-patient bond that continues during treatment and beyond. In fact, Lawenda has become the region's go-to radiation oncologist for veterans, not just Navy veterans, but those who have admirably served across all six branches of the military."When he told me he served in the Navy, it gave me comfort," said Ret. Command Master Chief Scott Fusco, a North Port resident who recently completed prostate cancer treatments at Advocate. "I had absolute trust in him from that point on."Lawenda wasn't the only veteran on Fusco's care team, either. His urologist also served in the Navy and referred Fusco to Dr. Lawenda for treatment."We served at different times and places, but we're all part of the same team," Fusco said. "They've been there, done that, just like me. There is instant respect, instant trust."Lawenda, who sees patients at Advocate's cancer treatment centers in Port Charlotte and Venice, specializes in the treatment of prostate, lung, breast, head and neck, rectal, liver, bone, cervical and other types of cancers. Although Lawenda doesn't technically specialize in the treatment of veterans, he is especially proud to support patients like Fusco on their cancer journey."A veteran may retire or end their military service, but he or she will never stop serving this country and their community," Lawenda said. "Being able to help local veterans beat cancer is extremely gratifying and certainly rewarding. The military is a brotherhood and a sisterhood, and I'll continue fighting for my brothers and sisters."About the AuthorDr. David Rice is a board-certified radiation oncologist who sees patients through Advocate Radiation Oncologys cancer treatment centers in Port Charlotte and Venice. Visit AdvocateRO.com for more information.