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Hope HEALTHCARE SERVICES

January I February I March 2016

Feature Story:

Pedaling Forward with DBS


Symposium Speaker:
World Renowned Neurosurgeon
Dr. Kelly Foote
A Knockout Workout:
Boxing for PD

Dear Friends of Hope Parkinson Program


Its impossible to watch a
beautiful sunrise and not
be inspired by the hope of
a new day. For those of us
who are blessed to work at
Hope, we are privileged to
experience that same kind
of inspiration on a regular
basis.
Our team is continually
inspired by what we see
around us individuals
fulfilling their lifes journey
with strength and courage; families supporting their
loved ones through challenges and embracing time spent
together in special ways. We see staff and volunteers
dedicated to providing caring comfort to those who need
it most.
Of course, our Parkinson Program is a major source of
inspiration. Throughout the year, our participants find
encouragement and support through activities designed

to nurture both body and mind, such as the Ladies PD


Support group, Tai Chi and pole walking workshops,
Voice Aerobics classes, and the new and very popular PD
boxing program.
Our Annual Parkinson Symposium in February promises
to be the best yet. Come learn about up-to-date surgical
treatments for Parkinsons from a world-renowned
neurosurgeon and become motivated by a young
professional who took his PD diagnosis and turned it
into an opportunity to teach others how to find faith in
themselves to create their very best life. See page 5 for
more information.
I wish for each of you a new year filled with beauty,
inspiration and the hope of many sunrises.
Warm regards,

Samira K. Beckwith
President and CEO
Hope HealthCare Services

When is it time to consider surgery


for Parkinsons disease?
Dr. Amanda Avila

A common question for many Parkinsons disease


patients is Am I a candidate for deep brain stimulation
surgery to treat my PD? Like most treatments, there are
risks and benefits. Making sure the benefits of DBS (deep
brain stimulation) outweigh the risks will be important
in determining if surgery is the right move.
Firstly, DBS is used to treat many symptoms of PD, but
it is not curative and in fact can worsen some symptoms
as well. It works best on tremor, stiffness and slowness. It
can also improve the motor fluctuations many patients
notice throughout the day and can eliminate dyskinesia.
In some patients, DBS may also allow them to decrease
the amount of medication taken on a daily basis.
Typically, the symptoms that are best treated with DBS
are the same symptoms that respond to carbidopa/
levodopa, although there are some exceptions to this.
DBS is not generally helpful for non-motor symptoms,
especially, or for balance trouble. In some cases, it can
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actually worsen walking and fall frequency. It also


can worsen memory and word-finding trouble. An
extensive preoperative workup is completed prior to
surgery to determine if these risks are present in patients
considering surgery.
DBS is best used in patients who have moderate disease
and have needed to increase the frequency of their PD
medications or who have noted more side effects to these
medications especially dyskinesia. It is also great for
tremor and can in some cases eliminate this regardless of
the tremors responsiveness to levodopa.
If you are considering DBS, speak with your neurologist.
In the right patient, DBS can radically improve
Parkinsons disease symptoms.
Amanda Avila, MD

Hope Parkinson Program Medical Director


Movement Disorder Specialist, Florida Neurology Group

Turmeric and Parkinsons Disease


Kathrynne Holden, MS, RD
If you havent yet heard about turmeric, theres a good
chance you soon will. Turmeric is a bright yellow spice
found in curry powders. Its also used in pickles, and
its what makes mustard yellow. Research studies have
determined that tumeric contains at least 20 powerful
compounds that attack cancer cells, help control blood
glucose, and appear to help prevent the death of nerve
cells in Parkinsons disease. These compounds are called
curcuminoids, the most important of which is curcumin.

Curcumin has powerful anti-inflammatory effects and


is a very strong antioxidant. Unfortunately, it is poorly
absorbed into the bloodstream. Consuming black pepper
with turmeric enhances the absorption
of curcumin by 2,000%. The presence of oil, such as
coconut or olive oil, also aids curcumin absorption.

Turmeric can be mixed into soups and other dishes. Here


are some easy ways to add turmeric to your daily menu:
Break one or two eggs into a bowl. Add tsp. of
turmeric and a few grinds of black pepper. Pour into
a hot, oiled skillet and scramble.
When making soup or a casserole that begins by
cooking onions, add one teaspoon turmeric and 1/4
tsp. freshly ground black pepper along with the
onion, then continue preparing the dish.
If you like smoothies, add turmeric and black
pepper and a half-teaspoon of olive or coconut oil
before blending.

Kathrynne Holden, MS, Moderator of the National Parkinson Foundation Forum


Ask About Nutrition, and author of Eat Well, Stay Well with Parkinsons Disease,
and Cook Well, Stay Well with Parkinsons Disease. www.nutritionucanlivewith.com.

Hope Parkinson Program participants wrapped up the year with


the Fall Forum, workshops, activities and holiday celebrations.

Save The Date

Expert Lecture: Exercise Changes Lives for those with PD


Dr. Gregory Robrahn, PT
Friday, Jan. 8 at 1 p.m. at Hope Cape Community Room

Seating is limited, and reservations are required. Contact Michelle Martin at 239-985-7727
or Michelle.Martin@HopeHCS.org for more information.

Winter Workshops
PD Golf Clinic
January 16 February 6
PGA professional instructor Tim
Jankowski is ready to help you brush up on
your golf basics. The four-week PD Golf
Clinic is designed for those experiencing
mild to moderate symptoms where balance
is beginning to become a challenge, but is
not yet severe. Participants should be able
to perform activities of daily living and
walk without assistance.
The clinic is $40 per person and space
is limited. Registration is required by
January 9. Consult with your doctor before
beginning a new exercise program. For
more information or to register please call
847-644-1513.
Saturdays 10 a.m.
Alico Family Golf
16300 Lee Road, Fort Myers

3-P: Posture, Poles & PD


February 6 February 27
Pole walking turns a regular walk into a whole-body
workout! Using special rubber-tipped poles outfitted with
wrist straps, you will exercise your arms, shoulders, chest
and back muscles as you walk. During the four-week pole
walking workshop, instructor Lindy Smith will lead classes
through a gentle warm-up with special attention to posture,
seated exercises for flexibility, standing challenges and
breathing awareness. Participants are limited to those with
PD or Parkinsonism diagnosis who can stand and walk
unassisted. One care partner per participant may attend for
support. No special equipment needed. Loaner poles will be
provided courtesy of LEKI.
The workshop is $20 per person and space is limited.
Registration is required by January 22. A doctors consent
form will be required to participate. Please call 239-9857727 or email Michelle.Martin@HopeHCS.org to register.

Special thanks to Alico


Family Golf for hosting our
recent fundraiser.
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Saturdays 11 a.m. to noon


Hope Cape Community Room
2430 Diplomat Parkway East, Cape Coral

Special thanks to LEKI for sending


three pairs of longer poles for our taller
participants!

2016 Annual Hope Parkinson Symposium


Friday, February 12 9 a.m.
Check-in and Registration: 8 to 9 a.m.
Harborside Event Center, 1375 Monroe Street, Fort Myers
Featured Keynote Speaker
Kelly D. Foote, MD
What is the role of surgery in the treatment
of Parkinsons disease in 2016?
Dr. Foote is one of the few
neurosurgeons in the world
with fellowship training in
both movement disorders
neurology and movement
disorders neurosurgery. Dr.
Footes current research focus
is on novel applications of
deep brain stimulation (DBS)
technology, optimization of global DBS outcomes,
and neurophysiological and micro-anatomical
characterization of functional brain circuitry. His
NIH-sponsored research includes projects applying
and optimizing DBS therapy for the treatment of
Parkinsons disease, severe tremor secondary to
multiple sclerosis, obsessive-compulsive disorder and
Tourette syndrome. Since joining the UF neurosurgery
faculty in 2002, Dr. Foote has performed over 1,000
deep brain stimulator lead implantation procedures.
Perhaps most notably, he and his neurologist partner,
Dr. Michael Okun, founded and co-direct the worldrenowned University of Florida Center for Movement
Disorders and Neurorestoration. Dr. Foote has been
consistently recognized among the Best Doctors in
America and Americas Top Surgeons and has served
on the Board of Directors of the American Society for
Stereotactic and Functional Neurosurgery. Dr. Foote
received the UF Neurosurgery Faculty Mentor of the
Year Award in 2011 and was honored by election to the
American Academy of Neurological Surgery in 2012.

Amanda Avila, MD
Managing PD: Tips for
Today & Trends for
Tomorrow
Dr. Avila is the Hope Parkinson
Program Medical Director and
a Movement Disorder Specialist
with Florida Neurology
Group. Dr. Avila completed
her fellowship with the University of Florida College
of Medicines Center for Movement Disorders and
Neurorestoration. Certified by the American Board of
Psychiatry and Neurology, she is the first Movement
Disorder Specialist to practice locally in Southwest
Florida.

John Baumann
Tapping into Your
Inner Strength to Have
an Amazing Life with
Parkinsons
John was a successful attorney,
a member of the University of
Louisville faculty, and a semiprofessional softball player before Parkinsons disease
forced him to give up these activities that, in his late
30s, he thought defined him as a person. Now, as a
critically acclaimed author, internationally recognized
speaker and successful workshop facilitator, John
considers himself Positively Unshakeable. His
message is simple, yet powerful: there are always things
that you can do to have the best life possible if you
reach deep down inside yourself and tap into your life
force no matter what the challenge or adversity.

Symposium attendance is $25 per person and includes a light breakfast and valet parking.
Pre-registration is required by February 1. Register online at https://donate.hopehcs.org/
pdsymposium or call 239-985-7727.
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April 2016: Hope Parkinson Program Walk 4 Hope


Saturday, April 30 at 10 a.m. at Lakes Regional Park, Fort Myers

April is National Parkinson Awareness month. Join us to help raise awareness and support our
local Parkinson Community during a one- to three-mile walk at 7330 Gladiolus Drive in Fort
Myers. $25 registration includes t-shirt and refreshments. Sponsorships are welcome. Register
online at donate.hopehcs.org/Walk4Hope, or call 239-985-7727 for more information.

New Tai Chi Workshop


Dont forget!
Open Tai Chi classes
continue this winter
in Fort Myers and
Cape Coral. We
can modify the
program for seated,
assisted standing
and standing
participants. Please
check the calendars
for details.
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Tai Chi balance classes are great for those with PD! Learning and
practicing a set of simple, continuous, rhythmic and functional Tai
Chi movements can help participants lower their fall risk, help their
balance and improve the performance of daily functional activities.
Hopes five-week program focuses on adaptation and integration
of motor-sensory systems, gait, lower extremity muscle strength,
walking ability and coordination, fear of falling and incidence of falls.
Our program is based on an evidenced-based falls prevention
program developed by the Oregon Research Institute and is
recommended by the Centers for Disease Control, the National
Council on Aging and the Administration on Aging.
Tai Chi is FREE for those with PD, along with their care partners.
Pre-registration is required by calling 239-985-7727.
Tuesdays, Jan. 5 - Feb. 2 1 2 p.m.
Hope Bonita Community Room 27200 Imperial Parkway,
Bonita Springs

Local Resources for Parkinsons Disease

Contact the following organizations for more details and current programming schedules.
Educational and Navigational Support
Area Agency on Aging for Southwest Florida
Aging and Disability Resource Center
15201 N. Cleveland Ave.,
North Fort Myers
Helpline 866-413-5337;
www.aaaswfl.org

Exercise Health & Wellness


Bonita YMCA Pedaling for Parkinsons program
Marla Ramsey; 239-221-7560

United Way-211
Helps people navigate their way through the maze of
health and social services agencies by providing the
most adequate resources for the clients situation and
promoting prevention and self-sufficiency by giving
clients easy access to services.
www.unitedwaylee.org

Lehigh Senior Citizens Center


Weekly Tai Chi Balance Classes
219 Plaza Drive, Lehigh Acres
239-369-5355; seniorcentermgr@comcast.net

The Alvin A. Dubin Alzheimers Resource Center


Educational, informational and supportive resources
for individuals with Alzheimers disease and related
disorders and their caregivers.
12468 Brantley Commons Court, Fort Myers
239-437-3007; www.alzheimersswfl.org
Lee Memorial Health System
Lee Physicians Group Memory Care
Caregiver educational workshops
Allie Henderson; 239-343-9224
Chronic Disease Self-Management Workshop
Its All About You
239-424-3122

National Resources
NPF National Parkinson Foundation
PD Help Line; Patient Education Booklets;
Aware In Care Kits; Ask the Doctor Forum
www.parkinson.org
800-473-4636
MJ Fox Foundation
PD Research Opportunities
www.michaeljfoxfoundation.org

Laughter Yoga
Fort Myers Beach
Meg; 614-216-9341;
coolabah123xyz@gmail.com

LMHS SHARE Club


Senior Health & Wellness program serving residents of
Southwest Florida ages 50 and older.
239-424-3765;
SHARE-Club@LeeMemorial.org
Lee County Parks & Recreation Pools
San Carlos, Lehigh Acres, Fort Myers and Pine Island
239-533-7275
Medical Services
LMHS PD Rehabilitation Services Team
Balance Screenings & PD Rehab Clinics
Mary Jo Haughey; 239-434-4962
FYZICAL Therapy & Balance Centers
239-561-5616; www.fyzical.com/fort-myers
Hope at Home
Private Duty Nursing Care, Medicare Home Health,
Palliative and Hospice Care
239-482-HOPE; HopeHCS.org

UF Center for Movement Disorders


3450 Hull Rd., Gainesville, 32607
movementdisorders.ufhealth.org
352-265-8408
Davis Phinney Foundation
www.davisphinneyfoundation.org
PDF Parkinson Disease Foundation
www.pdf.org
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Pedaling Forward with DBS


Once Doug Kirk made the decision to undergo DBS, he never looked
back. In fact, he just kept pedaling.
The Road to DBS
The Kirks moved to Cape Coral about the same time
Dr. Amanda Avila, a neurologist who specializes in
movement disorders, joined Florida Neurology Group
in Fort Myers. Dr. Avila completed her fellowship
at the University of Florida Center for Movement
Disorders and Neurorestoration, which is well-known
as an international leader in the use of Deep Brain
Stimulator therapy for treating Parkinsons and other
movement disorders.
Dr. Avila told me at my first appointment that I was a
great candidate for DBS, but at that time I wasnt ready
to let someone drill into my brain especially being
awake when they do the surgery! said Doug.
But by the end of 2013, Dougs symptoms were
interfering with his daily living to the point that he
realized trying DBS was worth taking the risk.

Doug Kirk was diagnosed with Parkinsons


disease about 15 years ago. Fortunately, the disease
progressed relatively slowly, allowing him to work for
10 years after being diagnosed.
I had voluntarily demoted myself from managing 20
software developers and overseeing multiple projects,
to leading a small team of four developers on a single
project, he shared.
By 2011, he could no longer keep pace at work and
went on permanent disability. The next year, Doug
and his wife Shelia relocated from Iowa to Southwest
Florida to help Shelias mother, who suffers from
Alzheimers disease.
This turned out to be one of many blessings we have
experienced since my diagnosis, said Doug. Living
here allows us to remain active year-round, with bike
riding being a favorite way to enjoy the outdoors.

Doug chose the world-class DBS team lead by


neurologist Dr. Michael Okun and neurosurgeon
Dr. Kelly Foote at the University of Florida Center
for Movement Disorders and Neurorestoration in
Gainesville.
Once I crossed that line and made the decision, I
wasnt overly concerned with the procedure. The
process of being evaluated at the clinic and meeting
the team removed any concerns I had, he said. My
wifes strong faith taught me to trust that God will
always be with us, no matter the outcome.
Doug had successful DBS surgery in the fall of 2014.

Navigating the Course


He explained the device he has installed is part of a
trial from Boston Scientific.
The leads that are placed into my brain have eight
contacts; the current device has one, he said. Doug
has the ability to increase or decrease the amplitude.
I actually have a biking mode with an increased
amplitude that allows my legs to pedal faster and
increase the RPM on the bike. I prefer riding at a
higher RPM.

Undergoing DBS did not change Dougs medication


regimen. He remains dependent on Carbidopa/
Levodopa the gold standard for fending off the
stiffness and rigidity he experiences with PD. He also
takes Selegiline, Amantadine and Foltx.
Doug has the highest praise for UFs neurologists
and neurosurgeons. They are amazing, of course.
Its one of the top programs in the country, he
said, making sure to mention that he thinks Pam
Zeilman, ARNP, is wonderful as well.
Shelia calls her Magic Pam because of the way
she can adjust my DBS and make my symptoms
disappear. Pam is a critical link in the DBS process,
he said. Theres no doubt that the placement of the
leads are everything with DBS. But once the leads
are in place, programming is just as critical. This step
does not get a lot of press.
After Dougs fourth programming visit, Pam told
him she was happy with his settings but wanted to
try something different. He couldnt tell at the time
of the appointment if the settings were better, so they
were saved as a separate program so he could try it
out at home. Two days later, he switched to the new
settings. The difference was remarkable.
When my medication is working and with the new
settings, its like I dont have PD. This was the point
where I decided we would ride road bikes instead
of our trikes this year on Registers Annual Great
Bicycle Ride Across Iowa (RAGBRAI), said Doug.

The Finish Line


Doug and Shelia were always active bike riders with
their friends in Iowa, but Doug never considered
riding RAGBRAI until he met the Pedaling for
Parkinsons team in 2012.

After hearing about the positive effect riding has on


managing the symptoms, I was hooked. I decided
to attempt the ride in 2013. I was probably more
nervous that first year of RAGBRAI than I was about
my first DBS surgery! he said.
RAGBRAI is the worlds largest and oldest bike
tour a 462.2 mile trip that includes 16,000 feet of
vertical climb. Last July, Doug and Sheila completed
their third RAGBRAI.
Every year has been special, but this year was extra
special, said Doug. For years, we rode recumbent
trikes because of balance issues caused by PD. Our
friends in Iowa even nicknamed me Waterbug
because of the way I maneuvered the trike. But
because of my successful DBS surgery, I was able to
ride an upright road bike once again.
Waterbug, no more.
Doug and Shelia are already making plans to ride
the 2016 RAGBRAI. But Dougs plans extend
beyond the annual event.
I also would like to join one of the local riding
clubs this year. I want to do more than just train for
RAGBRAI and complete the ride I want riding,
and all of its benefits, to be a regular part of our
lives, he said.
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The pilot PD Boxing


on Railz program at
Fyzical was a great
success last fall, with
participants excited to
learn a fun, new way to
benefit from movement
therapy.

A Knockout Workout!
Boxing for Parkinsons Disease
8-Week Workshop Starting February 1

As part of Hope Parkinson Programs collaboration with Fyzical Fitness, the


new boxing workshop is designed for those experiencing mild-to-moderate
PD symptoms. The non-contact fitness curriculum includes boxing drills and
conditioning to help develop




optimal agility
speed, endurance and accuracy
hand-eye coordination
footwork
overall strength

Participants can attend three classes each week:


Mondays at 11:45 a.m.
Wednesdays at 1:15 p.m.
Saturdays at 9 a.m.
The 8-week workshop will be held at Fyzical Fitness, 13010 Metro Parkway,
Fort Myers.
The $199 registration fee includes all 24 classes, access to the FYZICAL
Fitness gym, over 30 group classes and a personal one-on-one pre-workshop
evaluation.
Space is limited, so call Mike Drumm at Fyzical at 239-561-1177
to register and schedule a pre-workshop evaluation before the January 25
deadline. Remember to consult your physician before starting any new
exercise program.
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I was impressed and


amazed at what an
astonishing job everyone
did, and even more
exciting was that everyone
who participated seemed
to feel the same way about
their performance, said
Hope Parkinson Program
Coordinator and certified
RockSteady Boxing Coach
Michelle Martin.

The pilot program


participants shared their
rave reviews:
Its so much more fun to
tell my grandkids I am
going to boxing than to
PT.
Thanks for helping me
get my anger towards PD
out!
I was so surprised that
during such an intense
workout I was able to
maintain such a high level
of energy.

Restoring The Voices of Those with Parkinsons


Mary Jo Haughey, Lee Memorial Health System

There are two internationally recognized speech therapy treatment programs for people with Parkinsons
disease: LSVT LOUD and SPEAK OUT! Parkinson Voice Project.
It is estimated that 89% of individuals with Parkinsons will experience speech and voice disorders.
However, only 3 to 4% of people with PD receive speech treatment. Speech therapy increases vocal
loudness by stimulating the muscles of the votive box (larynx) and speech mechanism through a
systematic hierarchy of exercises.
Lee Silverman Voice Training (LSVT) focuses on a single goal: speak LOUD. LSVT LOUD uses loudness
training to maximize speech intelligibility and to bring the voice to an improved, healthy vocal loudness
with no strain.
Based on the teachings of Dr. Daniel R. Boone, the SPEAK OUT! program focuses on teaching the patient
to speak with intent and deliberation. Together, the patient and their speech language pathologist work
their way through a series of speech, voice and cognitive exercises outlined in a comprehensive workbook.
For more information about where these treatment programs are administered through Lee Memorial
Health System, please call Mary Jo Haughey, MS, CCC-SLP, at 239-343-4962.

NEW! Hope CAF Workshops

January 28 - February 25

Want to improve your speech and voice use with others


in a fun atmosphere? Enjoy the CAFE - an acronym for
communication, activity, friendship
and education.

Hi-VOLT voice-on-light, calibrated voice feedback


tool. Maximum six participants per class. $25 per
session for five sessions. Sorry, no spouses or caregivers
allowed.

Through community-based classes, participants will


learn skills to improve communication and strengthen
breathing, voice and speech. Classes are led by Mary
Spremulli, MA, CCC-SLP, licensed speech-language
pathologist and owner of Voice Aerobics, LLC.

Voice Aerobics Whole Body Voice Strengthening


Program: 1 to 2 p.m.
This 60-minute class focuses on posture, breathing and
voice while incorporating upper body stretching and
movement. Participants will receive a Voice Aerobics
DVD for home practice. Maximum 30 participants per
class. $55 for five sessions. Care partners attend for free.

Thursdays
Hope Cape Community Room
2430 Diplomat Parkway East, Cape Coral
Speak Easy A.M.
11:30 a.m. to 12:30 p.m.
Speak Easy P.M.
2:30 to 3:30 p.m.
Join others for an hour of
communication activities
designed to improve
the way you speak and
challenge your thinking. A
workbook for daily home
practice will be provided,
along with a

Seating is limited and registration is required. A


portion of your class fees support the Hope Parkinson
Program. Register for any
individual class or attend
both classes for $175. Visit
www.voiceaerobicsdvd.
com/seminarsvoice-aerobics.html.
To pay by credit card or
for additional information,
contact Mary Spremulli at
info@voiceaerobicsdvd.com
or call 941-204-1515.
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Fall Forum
Thank You

The Parkinson Fall Forum in November


was a great success, with a record number
of Hope Parkinson Program participants
attending PD Treatment Updates:
Medications and Surgical Treatments.
We would like to give a special thank you to our
speakers, Dr. Amanda Avila of Florida Neurology
Group and Dr. Sam Javedan of Lee Memorial
Health System Neurosurgery, for their informative
presentations. We also truly appreciate the support
of our sponsors: US WorldMeds, Medtronic and
Crowne Plaza Fort Myers at the Bell Tower Shops.

Hope Parkinson Program Calendar Details

All events require pre-registration. Please call 239-985-7727 or email Michelle.Martin@hopehcs.org.


The latest programming information can be found at www.Hopeparkinson.org.
e v e n t

C O L O R K E Y:

Support Groups: Blue


Exercise Classes: Black
Educational Events: Red
Social Events: Green

Bonita and Estero classes are


provided in partnership with
PASFI.
Entry to Estero and North
Ft. Myers Lee County Parks and
Recreation facilities requires you
present a Membership Card that
can be purchased at the facility
prior to attending your first
class. Cost is $10 for a lifetime
membership.

L O C AT I O N S :

BONITA SPRINGS
The Terraces: 26455 S Tamiami Trail
CAPE CORAL
Cape Coral Wellness Center: 609 SE 13th Court
HOPE Cape Community Room: 2430 Diplomat Parkway E.
ESTERO
Estero Recreation Center: 9200 Corkscrew Palms Blvd.
FORT MYERS
Harborside Event Center: 1375 Monroe Street
Cypress Cove Edison Room: 10500 Cypress Cove Drive
Brookdale Cypress Lake: 7460 Lake Breeze Drive
FUMC-Faith United Methodist Church: 15690 McGregor Blvd.
Hope HealthPark Community Rooms: 9470 HealthPark Circle
Shell Point Retirement Community Kings Crown Meeting Room:
14701 Kings Crown Way
LABELLE
Hope Connections: 475 East Cowboy Way
lehigh acres
Hope Lehigh: 1201 Wings Way
NORTH FORT MYERS
Recreation Center: 2000 North Recreation Park Way
Schedules are subject to change.

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13

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

25

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

18

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

PD Support Group
Shell Point 10:15 am

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

11

Monday

Hope LaBelle 1 pm

PD Support Group
N. Ft. Myers 12 pm
(Brown Bag Lunch)

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

26

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

19

PD Support Group
Hope LaBelle 1 pm

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

12

Tuesday

Exercise
FTM-FUMC 10 am
Estero 11 am
Hope HealthPk. Tai Chi 2:30 pm

27

Exercise
FTM-FUMC 10 am
Estero 11 am
Hope HealthPk. Tai Chi 2:30 pm

20

Exercise
FTM-FUMC 10 am
Estero 11 am
Hope HealthPk. Tai Chi 2:30 pm

13

Caregiver Support Group


FTM-FUMC 10 am

FTM-FUMC 10 am
Estero 11 am
Hope HealthPk. Tai Chi 2:30

Wednesday
6
Exercise

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

28

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

21

PD Support Group
Brookdale Cypress Lake
11:30 am
Cape Wellness Ctr. 2 pm

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

14

Caregiver Support Group


Cape Wellness Ctr. 1 pm

Thursday

Living Well With PD


Hope HealthPark Rm.
RSVP required

29 Finding Hope For

PD Support Group
PWP & Care Partners
Meet separately same bldg.
Punta Gorda 10:30 am

22

Ladies PD Support Group


Hope HealthPark 1 pm

PD Expert Lecture 1 pm
Excerise Changes Lives
For Those with PD
Speaker: Greggory Robrahn, PT
Hope Cape
RSVP required by 1/8

15

Friday

Ja n ua ry 2 0 1 6

14

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

PD Support Group
Shell Point 10:15 am

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

22 & 29

15

Monday

23

16

Hope LaBelle 1 pm

PD Support Groups
N. Ft. Myers 12 pm
(Brown Bag Lunch)

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

PD Support Group
Hope LaBelle 1 pm

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

Tuesday

Exercise
FTM-FUMC 10 am
Estero 11 am

Exercise
FTM-FUMC 10 am
Estero 11 am

Exercise
FTM-FUMC 10 am
Estero 11 am

Hope HealthPk. Tai Chi 2:30 pm

24

Hope HealthPk. Tai Chi 2:30 pm

17

Hope HealthPk. Tai Chi 2:30 pm

10

Caregiver Support Group


FTM FUMC 10:00 am

Hope HealthPk. Tai Chi 2:30 pm

FTM-FUMC 10 am
Estero 11 am

Wednesday
3
Exercise

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

25

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

18

PD Support Group
Brookdale Cypress Lake 11:30 am
Cape Wellness Ctr. 2 pm

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

Caregiver Support Group


Cape Wellness Ctr. 1 pm

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

11

Thursday

2016 Annual
PD Symposium 9 am
Harborside Event Center
Speakers:
Dr. Kelly Foote,
Dr. Amanda Avila &
John Baumann
RSVP required

PD Support Groups
PWP & Care Partners
Meet Separatly Same Bldg.
Punta Gorda 10:30 am

26

Young Onset PD Dinner 6pm


RSVP required

Ladies PD Support Group


Hope HealthPark 1 pm

19

12

Friday

f e b rua ry 2 0 1 6

15

28

21

14

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

Exercise
Cypress Cove 11 am
Hope Cape Tai Chi 3 pm

PD Support Group
Estero 12 pm

Exercise
Cypress Cove 11 am
Hope Cape Tai Chi 3 pm

PD Support Group
Shell Point 10:15 am

Exercise
Cypress Cove 11 am
Estero 11 am
Hope Cape Tai Chi 3 pm

Monday

29

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

Hope LaBelle 1 pm

PD Support Groups
N. Ft. Myers 12 pm
(Brown Bag Lunch)

N. Ft. Myers 11 am

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

PD Support Group
Hope LaBelle 1 pm

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

Exercise
Bonita Terraces 11 am
N. Ft. Myers 11 am

22 BonitaExercise
Terraces 11 am

15

Tuesday

Exercise
FTM-FUMC 10 am
Estero 11 am

Exercise
FTM-FUMC 10 am
Estero 11 am

Exercise
FTM-FUMC 10 am
Estero 11 am

Exercise
FTM-FUMC 10 am
Estero 11 am

Exercise
FTM-FUMC 10 am
Estero 11 am

Hope HealthPk. Tai Chi 2:30 pm

30

Hope HealthPk. Tai Chi 2:30 pm

23

Hope HealthPk. Tai Chi 2:30 pm

16

Hope HealthPk. Tai Chi 2:30 pm

Caregiver Support Group


FUMC 10 am

Hope HealthPk. Tai Chi 2:30 pm

Wednesday

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

24

17

PD Support Group
Brookdale Cypress Lake 11:30 am
Cape Wellness Ctr. 2 pm

Exercise
Brookdale/Lakes 10:30 am
Bonita Terraces 11 am
N. Ft. Myers 11 am

Caregiver Support Group


Cape Wellness Ctr. 1 pm

10

Thursday

Friday

Ladies PD Support Group


Hope HealthPark 1 pm

PD Support Groups
PWP & Care Partners
Meet Separatly Same Bldg.
Punta Gorda 10:30 am

25

Young Onset PD Dinner 6pm


RSVP required

18

Expert Lecture
By Dr. Eric Ahlskog,
Mayo Clinic
TOPIC: Alpha-synuclein and PD
Hope Cape
RSVP required by 3/4

11

march 2016

Join the
Hope Parkinson
Program

Hope Hospice and Community Services, Inc.


9470 HealthPark Circle
Fort Myers, FL 33908

Prsrt Std
US Postage
PAID
Permit #589
Ft. Myers, FL

There is no cost to register and becoming a


participant is simple. Visit HopeParkinson.
org/Join and follow the easy-to-understand
instructions. Registration by phone is also
available at 239-985-7727.

Ways to Give Back


SPREAD THE WORD: Share this newsletter
with friends, relatives, coworkers and
neighbors.
VISIT OUR RESALE STORES: Donate or shop
at Hope Chest, North Fort Myers, 239-6521114 and Hope Chest at the Crossings, Bonita
Springs, 239-444-1100.
VOLUNTEER: Lead an exercise class or help
with office work.
DONATE: Send a check to
9470 HealthPark Circle,
Fort Myers, FL 33908
Or make a secure online donation at
www.hopehcs.org
*Special Note: When donating online please
indicate Parkinson Program in the comments
field.
ORGANIZE: Design your own event to benefit
our program. Call us at
239-985-7727 for details.

Please shop at Amazon Smile, and choose


us as your charity!
Amazon will make a donation to our
organization. Just select name Hope Hospice
and Community Services, Inc.

Sometimes love
needs a helping hand.
Home Health Care
Private Duty Nursing

Theyre relying on you. And you may


need some help. At Hope, we understand you

Medication
have many roles in your family - and that few are as
Management
Personal Care important as your role of caregiver. We can support
Assistance all you do with our comforting care - coordinating
Proud Partner Agency

239-985-7727
800-859-0314
HopeParkinson.org
The Hope Parkinson Program is
provided by Hope HealthCare Services,
a not-for-profit, 501 (c)(3)-status
community-based agency.

Caregiver Support medical needs, explaining options and providing


Family Education emotional guidance for you and your loved ones.
Palliative Care Together, we can make each day the best possible.
Expert Hospice Care
Let Hope be there for you.
Bereavement
Counseling

hopehcs.org 239.482.4673

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