By Dr. Corin DeChirico,
Healthcare Network’s vice president of medical affairs and chief medical
officer
February is National Self-Check month,
designed to remind us that like keeping an automobile fine-tuned, we have a
role in our own health maintenance. Being aware of our bodies helps us know
what is normal and what changes might need to be evaluated
by a doctor.
Early detection of many health changes
can result in better long-term outcomes when these changes signal illnesses
like cancer, heart problems and other issues, many of which can be treated.
One of the best ways to know what to
look for is awareness of any risk factors or family history that might put you
at higher risk for certain health conditions. Knowing your risks will also help
your doctor suggest any lifestyle changes that could help lessen these risks.
To get into a routine of self-checks
and be able to recognize problems, it is important to begin them when you are
feeling healthy, so you can become aware of what is normal for you.
Here are nine basic checks that can help
you keep track of your health.
1. Take your temperature. It is important to
check your temperature when you are feeling good, so you know what is normal
for you. Temperatures outside of your normal range often indicate illness.
2. Testicular and breast checks are important to
discover lumps or swelling that may indicate cancer.
3. Check your heart rate. Your resting heart rate
in the morning gives you an indication of general wellness and depends on your
age and fitness. Checking every morning for a week can help determine your
usual rate. A change of 10 beats per minute or more may be worth discussing
with your doctor. A persistent rate above 100 beats per minute may indicate a serious
health issue.
4. Blood pressure. High blood pressure is a major
risk for strokes, heart attack, heart failure and kidney disease.
5. Many blood and swab tests can be done at home
and can indicate cholesterol levels, thyroid issues, urinary tract infections
and strep throat. It is important that adverse results be interpreted by a
doctor.
6. Blood sugar levels can be tested with home
blood glucose tests. Blood sugar levels are important because diabetes can lead
to complications such as heart, kidney and dental disease, stroke and blindness.
7. Waist fat measurements. Too much fat around
your waist can increase the risk of cardiovascular disease, insulin resistance
and type 2 diabetes. Measure your waist at the level of your belly button. If your
waist is 37 inches or more for men and 31.4 inches or more for women, you may
be at risk, and should talk to your doctor about weight management.
8. Skin cancer is one of the most common forms of
cancer you can screen for yourself. Look for new growths or moles that have
changed, bleed, itch, burn
or crust over. If you are fair skinned, have family
history or spend a lot of time in the sun, you may also want to get checked
annually by a dermatologist.
9. Check your skin, hair and nails, as subtle
changes can suggest things happening internally, nutritional imbalances or more
serious issues such as a thyroid problem. Excessively dry skin, rough scaly
patches or redness could be eczema, psoriasis or rosacea, but they can also
offer clues about how your digestion and detox systems are functioning. Your
doctor can determine the underlying causes of changes in skin, hair and nails
and recommend treatments.
10. While it is beneficial to keep an eye on your
own health, it is also important to have a good relationship with a primary
care provider, who will also consider your risk factors and maintain a complete
picture of your overall health. While self-checks can help you catch potential health
problems early, they are most effective when results are evaluated by a doctor.
ABOUT THE AUTHOR
Dr. Corin DeChirico, Chief Medical
Officer and Vice President of Medical Affairs, runs the clinical programs for
Healthcare Network after more than 25 years as a healthcare clinician, leader
and physician executive. For information on Healthcare Network, visit
healthcareswfl.org or call
239.658.3000.
For low-income Collier County residents who are working but uninsured, access to the medications they need is not as easy as going to a regular chain pharmacy to pick them up. Thats where the Neighborhood Health Clinics expanded non-narcotic medication room comes in, giving patients managing chronic conditions including hypertension and diabetes timely access to medications at no cost. The 1,850-square-foot medication room, located at the clinic on Goodlette-Frank Road near Central Avenue, was built at a cost of $500,000 and is named for the late Stacy Forman, a Naples philanthropist who donated funding for the expansion.Keith Maples, CEO of Neighborhood Health Clinic, said the expanded medications facility enhances the clinics ability to serve patients faster and more efficiently. On a typical day, a patient can walk in and when they walk out, theyre walking out with thousands of dollars worth of medication that, if it were outside of the Clinic, they would not be able to fill those prescriptions because it would be outside of what they could afford, Maples said. He said the expanded space, equipped with updated technology and increased storage capacity, allows for a larger inventory of non-narcotic medications that enables the Clinic to fill prescriptions immediately to minimize delays in treatment. In 2024, the Clinic distributed $6.5 million in retail value of medications thanks to partnerships with Americares, Direct Relief, Dispensary of Hope and other pharmaceutical companies. The expansion allows us to work even more with our pharmaceutical partners to basically procure all of the medications necessary for our patients, Maples said. He said that many patients arriving at the Clinic for the first time have not previously received medical care for the condition needing treatment and may have vastly elevated blood pressure or blood sugar levels, for example. When they walk through the doors, theyre at such a heightened level that were trying to bring it back to a controlled number to where its manageable for them, Maples said. If their A1Cs are through the roof, their [blood] sugars are through the roof, were trying to get them back to an established number that helps them feel better. Well never cure them of all those illnesses, but well maintain that health for them, so they feel better and have a better quality of life.Clinic grows to meet patient demand The nonprofit Neighborhood Health Clinic was established in 1999 by Dr. Bill and Nancy Lascheid to provide medical care to low-income, working but uninsured Collier County adults. Their daughter, Leslie Lascheid, now serves as president of the organization. In 2024 the clinic saw more than 12,000 patient visits and delivered more than 30,000 patient procedures, Maples said, with all medications, primary care, specialty care, surgeries and outpatient procedures provided free of charge to patients.All funding is through philanthropy, as the Clinic does not receive any city, county, state or federal funding including Medicaid or Medicare. Over the years the clinic has expanded as the patient load has increased. The original 11,000-square-foot facility more than doubled in size with the completion of the Armstrong Medical Specialties Building in 2021, which expanded the campus to 23,000 square feet. The addition of the Van Domelen Education and Wellness Building, also in 2021, took the total to its current 32,000 square feet, and when the Bill and Candy Raveis Pathology Building is completed this summer, the total campus will be at 43,000 square feet, according to Marcie Berland, the Clinics director of development. Maples said the Clinic has expanded strategically over the years to meet the medical needs of patients many of whom work in hospitality, service or construction industries in Collier County and the growing volume of patient visits. When weve expanded, we didnt do it just to do it, he said. We based it on what were the patient needs and what do we need in-house on a daily basis to deliver the care, providing the opportunity for a patient to walk in the door, get all the care they need and not have to go to another location somewhere else, or come for another appointment. Because when our patients miss days of work, thats food on the table and the roof over their heads. Its not like if I call in sick: I get a sick day and still get paid. He said the campus expansions allow most procedures including lab work to be done in-house, creating opportunities for sustainable, uninterrupted patient care. When that patient walks through the doors, I never want them to wonder where theyre going to get their care or how theyre getting to their next appointment, Maples said. Many of our patients get rides here, or they walk or ride their bikes, because very few own cars that they can drive in. And while the Clinic does have a full-time paid staff of 14 and five part-time staff, no medical professionals are paid to deliver care, Maples said. More than 250 physicians, 50 dentists, 100 nurses and 300 non-medical personnel deliver care and provide patient education on a volunteer basis.
Beyond the Surface: Naples Cancer Advisors Spotlight Melanoma During Awareness MonthMay 1, 20256 Min ReadBy Jillian Hunt, CNP Executive Director of Clinical Operations at Naples Cancer AdvisorsMay is Melanoma Awareness Month, and in sun-drenched Collier and Lee Counties, its more than a calendar observance. Its a call to action. The sunny environment increases exposure to ultraviolet (UV) rays, which are a significant risk factor for skin cancer, including melanoma. Understanding the risks and adopting preventive measures can help residents enjoy the sun safely while minimizing their skin cancer risk.At NCA, we specialize in delivering second opinions and expert oncology guidance at no cost to patients. Our team, including nationally recognized oncologist Dr. Philip Leming, believes that no one should face a cancer diagnosis alone. This month, we want to shine a light on reshaping melanoma prevention, detection, and awarenessso you can stay protected and proactive.Prevention: A Daily Practice, Not Just a Summer ChecklistMost people know the basics: use sunscreen, avoid tanning beds, cover up when outside. But melanoma doesnt just show up where the sun shines. It can develop under your fingernails, between your toes, even on your scalp or eyes. We educate patients to look everywhere, not just the obvious spots.One powerful (and often overlooked) fact: a single blistering sunburn in childhood doubles your lifetime risk of melanoma. Thats why prevention is a family affair. We urge parents to build sun safety habits early and keep them consistent all year.Detection: A Watchful Eye is The Best ToolThe front line of defense against skin cancer is early detection. Identifying skin changes especially changes in moles is the easiest way to catch skin cancer earlier.What is a mole?A mole is a benign (non-cancerous) growth on the skin that develops when melanocytes, the cells responsible for producing pigment, cluster together instead of being evenly distributed. Moles can be present from birth or develop later in life.ABCDEs of Moles and Melanoma Detection Asymmetry: One half of the mole doesnt match the other. Border irregularity: The edges of the mole are uneven, ragged, or notched. Color variation: The mole has multiple shades of brown, black, or other colors like red, white, or blue. Diameter: The mole is larger than 6 millimeters (about the size of a pencil eraser). Evolving: The mole has changed in size, shape, or color, or has new symptoms like itching, bleeding, or crusting.The ABCDEs are a helpful tool for self-examination and can prompt individuals to seek professional medical advice if any of these signs are present.Dermatologists remain the front line in detection and diagnosis. However, emerging technologies are offering exciting backup. Artificial intelligence skin scanners and total body imaging are improving the speed and accuracy of diagnosis.Whether its through advanced tools or a trained eye, one truth remains: catching melanoma early saves lives.The NCA Difference: Compassionate, Cost-Free Cancer GuidanceNaples Cancer Advisors was founded to be a bridge for patients who feel lost, overwhelmed, or unsure where to turn after a cancer diagnosis. We offer a second set of expert eyes, help explain treatment options, connect people to top-tier providers, and support them throughout their journey.Melanoma may be aggressive, but its also highly preventable and treatable when caught early. This May, we urge everyone in our community to schedule a skin check, learn your ABCDEs (Asymmetry, Border, Color, Diameter, Evolving), and take sun safety seriously.And if you ever need clarity or support after a diagnosis, Naples Cancer Advisors is herefree, local, and fully focused on you.Jillian Hunt, CNP BioJillian has been caring for cancer patients since 2004. In that time, she has set the benchmark for her patient-centric approach in Cincinnati, Southwest Florida, and beyond.Her professional journey began at Cincinnati Childrens Hospital Medical Center in 1999 on the hematology/oncology/bone marrow transplant unit and later the emergency department.After spending five years caring for children, Jillian found her passion in caring for the adult oncology patient. Starting as a chemotherapy infusion nurse in private practice with Dr. Philip Leming at Cincinnati Hematology Oncology, she then pursued an advanced degree to offer a higher level of care to her cancer patients.Jillian has been an oncology nurse practitioner since 2011 and is passionate about patient care, education and staying current on research opportunities available for the patients she cares for.Jillian is a national speaker traveling to educate clinicians on the use and management of toxicities of medications that are used in cancer treatments. She has spoken at national nursing conferences and sits on several advisory boards. Jillian feels strongly about staying on the front lines to improve patient care and expert advice on cancer.Jillian was born and raised in Cincinnati and graduated from Lakota High School. She and her husband have five children. Outside of her love and passion for oncology, Jillian and her husband are licensed foster parents and have participated in global mission trips to serve orphaned children around the world.Naples Cancer Advisors239-846-2273 (CARE)3201 Tamiami Trail N, Suite 112, Naples, FL 34103
Healthcare Network is dedicated to providing high-quality, accessible healthcare to everyone in Collier County, regardless of job, income, or insurance status. Our comprehensive services include children's care, pediatric convenient care, family care, women's care, senior care, dental care, behavioral health, pharmacy, and specialty services.As Southwest Floridas premier patient-centered medical and dental home, our providers work collaboratively as a care team to deliver the highest level of coordinated care for patients of all ages. Since 1977, our private, not-for-profit model has been effective in meeting the healthcare needs of the community. We rely on philanthropic support to ensure we continue to achieve our vision of a community where every person has access to affordable and appropriate healthcare.Healthcare Network is committed to delivering culturally competent care, addressing health disparities, and supporting the overall wellness of our patients. Join us on our mission to make healthcare more accessible and to create a healthier community for all.All Locations:1265 Creekside Pkwy. #206, Naples 34108 1090 6th Ave N. Naples 34102 1845 Veterans Park Dr., Naples 34109 5450 YMCA Rd. #102, Naples 34109 6350 Davis Blvd. #1001, Naples 34104 1749 Heritage Trl. #801 Naples 34104 2355 Stanford Ct., Naples 34112 1454 Madison Ave. W., Immokalee 34142 1441 Heritage Blvd., Immokalee 34142 508 N. 9th St. #142, Immokalee 34142 12655 Collier Blvd. Naples 34116
Healthcare Network is dedicated to providing high-quality, accessible healthcare to everyone in Collier County, regardless of job, income, or insurance status. Our comprehensive services include children's care, pediatric convenient care, family care, women's care, senior care, dental care, behavioral health, pharmacy, and specialty services.As Southwest Floridas premier patient-centered medical and dental home, our providers work collaboratively as a care team to deliver the highest level of coordinated care for patients of all ages. Since 1977, our private, not-for-profit model has been effective in meeting the healthcare needs of the community. We rely on philanthropic support to ensure we continue to achieve our vision of a community where every person has access to affordable and appropriate healthcare.Healthcare Network is committed to delivering culturally competent care, addressing health disparities, and supporting the overall wellness of our patients. Join us on our mission to make healthcare more accessible and to create a healthier community for all.All Locations:1265 Creekside Pkwy. #206, Naples 34108 1090 6th Ave N. Naples 34102 1845 Veterans Park Dr., Naples 34109 5450 YMCA Rd. #102, Naples 34109 6350 Davis Blvd. #1001, Naples 34104 1749 Heritage Trl. #801 Naples 34104 2355 Stanford Ct., Naples 34112 1454 Madison Ave. W., Immokalee 34142 1441 Heritage Blvd., Immokalee 34142 508 N. 9th St. #142, Immokalee 34142 12655 Collier Blvd. Naples 34116
Healthcare Network is dedicated to providing high-quality, accessible healthcare to everyone in Collier County, regardless of job, income, or insurance status. Our comprehensive services include children's care, pediatric convenient care, family care, women's care, senior care, dental care, behavioral health, pharmacy, and specialty services.As Southwest Floridas premier patient-centered medical and dental home, our providers work collaboratively as a care team to deliver the highest level of coordinated care for patients of all ages. Since 1977, our private, not-for-profit model has been effective in meeting the healthcare needs of the community. We rely on philanthropic support to ensure we continue to achieve our vision of a community where every person has access to affordable and appropriate healthcare.Healthcare Network is committed to delivering culturally competent care, addressing health disparities, and supporting the overall wellness of our patients. Join us on our mission to make healthcare more accessible and to create a healthier community for all.All Locations:1265 Creekside Pkwy. #206, Naples 34108 1090 6th Ave N. Naples 34102 1845 Veterans Park Dr., Naples 34109 5450 YMCA Rd. #102, Naples 34109 6350 Davis Blvd. #1001, Naples 34104 1749 Heritage Trl. #801 Naples 34104 2355 Stanford Ct., Naples 34112 1454 Madison Ave. W., Immokalee 34142 1441 Heritage Blvd., Immokalee 34142 508 N. 9th St. #142, Immokalee 34142 12655 Collier Blvd. Naples 34116