David N. Robinson, MD – Hematology & Oncology

Board certified in oncology and internal medicine, Dr. Robinson brings more than 15 years of clinical
experience in the treatment of cancer and blood diseases. Appointments may be scheduled now by calling 407- 303-4078.

Specializing In:

• Diagnosis and treatment service of all cancers
• Administration of inpatient and outpatient chemotherapy
• Controlling symptoms and pain associated with cancer
• Blood disorders
• Access to clinical trials

Profile:

• Fellowship in Hematology and Oncology , Medical College of Virginia, Richmond, VA
• Residency in Internal Medicine, Medical College of Virginia, Richmond, VA
• Doctor of Medicine, University of Florida College of Medicine, Gainesville, FL
  Board Certification, American Board of Oncology and American Board of Internal Medicine
• Medical Director, Florida Hospital Cancer Institute, Osceola Division
• Volunteer Faculty, University of Central Florida College of Medicine, Orlando, FL

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What is Hematology?

Hematology is the medical specialty that involves the diagnosis and treatment of diseases of the blood. Doctors of Hematology treat various blood diseases ranging from anemia, blood clotting disorders or other disorders of the blood or blood-forming organs. In fact, a hematologist will often diagnose and treat cancers of the blood, such as leukemia and lymphoma. Hematology is separate from but overlapping with the subspecialty of medical oncology. This is why hematology and oncology are mentioned together. Doctors of Hematology and Oncology have completed a specialized residency program after finishing medical school and a residency in internal medicine.

How hematology and primary care doctors differ

Beyond ordering a hematology panel and perhaps reading hematology results, your general doctor will not practice much hematology. While your primary care physician is excellent for most illnesses that you are likely to encounter, he will likely refer you to a hematologist if your hematology results are abnormal. Because doctors of hematology complete extensive additional training, they are the premier hematology specialists. In central Florida, many of the hematology referrals that are made come to the specialists at Premier Hematology & Oncology.

Why you might need a doctor of hematology?

Most often, your doctor will be the one to make a referral to a hematologist for a full or specialized hematology panel and workup. Some patients visit a hematologist directly, however. Patients that have been previously been diagnosed with anemia, blood clotting disorders or other disorders of the blood or blood-forming organs may want to contact a hematologist directly for treatment and follow up. These diseases can be challenging to and treat, a premier hematology provider can offer answers where others have failed.

If you need a hematologist

Before your hematology appointment, it is helpful to understand your hematology results so that you can have an informed discussion. For example, RBC stands for red blood cells, which are the cells that carry oxygen. If this value is low, it could indicate anemia. WBC, on the other hand, stands for white blood cells. White blood cells are the immune system cells that attack infections in the body. This number goes up in infection, but abnormalities could mean a number of different things. The third component of a hematology panel (CBC) is platelet number. Platelets help the blood form clots. If platelets are too low, it could mean that the blood will not clot as effectively.

If you are in Central Florida and want to speak with a hematology or oncology provider, contact Premier Hematology & Oncology.

Premier Hematology Doctors

• Dr. Ricardo Crisostomo, MD
• Dr. David Robinson, MD

Premier Hematology & Oncology
400 Celebration Place, Suite A270
Celebration, Florida 34747
Phone: (407) 303-4078
Fax: (407) 303-4083

Florida Hospital Cancer Institute of Kissimmee
1300 West Oak Street
Kissimmee, FL 34741
407-944-5240
Fax: 407-944-5251

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Ricardo H. Crisostomo, MD – Hematology & Oncology

Ricardo H. Crisostomo, MD has joined David N. Robinson, MD on the medical staff of Premier Hematology & Oncology. Board certified in Medical Oncology and Internal Medicine, Dr. Crisostomo is dedicated to promoting cancer awareness and prevention through a Christian-based approach. Appointments may be scheduled now by calling 407- 303-4078.

Specializing In:

• Diagnosis and treatment service of all cancers
• Administration of inpatient and outpatient chemotherapy
• Controlling symptoms and pain associated with cancer
• Blood disorders
• Access to clinical trials

Profile:

• Fellowship in Hematology – Medical Oncology, VA Medical Center, San Juan, PR
• Residency in Internal Medicine, San Juan City Hospital, San Juan, PR
• Doctor of Medicine, Faculdade de Medicina, Universidade Federal da Bahía, Brazil
• Diplomate of the American Board of Internal Medicine – Medical Oncology
• Diplomate of the American Board of Internal Medicine

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Dr. Redan: A Highly Accomplished Name in Laparoscopic Surgery

Less pain, no large incision scar, reduced hospital stay, and extremely short period of recovery are all benefits offered by modern laparoscopic surgical techniques. However, having a highly skilled surgeon is just as important as the surgical techniques in order to fully exploit the potentials of laparoscopy. Dr. Jay A. Redan, director of minimally invasive surgery at Florida Hospital Celebration Health, is known as one of the best laparoscopic surgeon in the United States. The majority of Dr. Redan’s patients recover without pain, scarring, or complications due to his outstanding skills in laparoscopic surgical techniques.

Dr. Redan and his team at Florida Hospital Celebration Health conduct laparoscopic and endoscopic surgeries by inserting a scope through a very small incision, or no incision at all Dr. Redan and his team use advanced endoluminal and laparoscopic techniques that are usually not available in general medical practices. Due to non-availability of these state-of-the-art facilities and services closer to home, a large number of patients travel to Central Florida from around the world to come to Florida Hospital Celebration Health. Dr. Redan conducts many surgeries including colo-rectal, hiatal hernia many others abdominal and thoracic procedures. However, his expertise is in removing the polyps and tumors with the laparo-endoscopic approach. Dr. Redan also works with world-renowned gynecologist, Dr. Steven McCarus, at Celebration Health to perform endometriosis and female reproductive surgeries including complex and complicated abdominal surgeries.

Dr. Redan has performed over 4,500 minimally invasive operations in the last 20 years. Dr. Redan also provides services for those patients dealing with complications arising from their previous traditional surgeries. Many patients come to Dr. Redan after having suffered with such complications. Typically these post-surgery complications cannot be identified with CT scans or MRIs and patients are often told to take medications to offset the effects of these traditional complications. At Celebration Health’s Center for Complex Abdominal and Pelvic Pain Syndrome, Dr. Redan uses his laparoscopic surgical skills to treat these patients and results are often exceptionally positive.

His dedication to laparoscopic surgery is not only beneficial to humans but animals as well. Dr. Redan recently performed laparoscopic surgery on an antelope at Walt Disney World’s Animal Kingdom with great success.

To disseminate his immense knowledge and experience, Dr. Redan travels around the world to train other surgeons in these specialized laparoscopic techniques. He has published many researcher papers and has served on the editorial staff for the Journal of Society of Laparoendoscopic Surgeons and the Trocar Online Videojournal of Gynecologic and Surgical Laparoscopy.

Florida Hospital Celebration Health
Dr. Jay Redan
Advanced Laparoscopic Surgeons
400 Celebration Place, Suite A140
Celebration Fl 34747
407-303-4602 office
407-303-4603 fax

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McCarus Technique: Outstanding laparoscopic technique for Hysterectomy by Dr. McCarus

The laparoscopic technique of removal of the uterus or “hysterectomy” is gaining more and more popularity as a minimal invasive technique. Traditional or open surgical techniques carry many disadvantages including: large painful abdominal incision, scar, longer hospital stay and recovery period (approx 6-8 weeks).

Dr. Steve McCarus, board-certified gynecologist with specialty in laparoscopic gynecological surgery and director of the Center for Pelvic health at Florida Hospital Celebration Health, has received enormous attention for his contributions in the development of the minimally invasive laparoscopic hysterectomy.

Before the development of the “McCarus Technique,” patients had to stay in the hospital for longer periods of time, followed by a recovery period of at least six weeks. Using Ultrasonic harmonic energy to perform hysterectomies via a tiny hole in the belly, the McCarus Technique offers early discharge from the hospital, averaging one day in most patients, followed by a shorter recovery period of only two weeks.

Dr. McCarus took the task of improving already existing techniques by gathering data and simplifying the method to show a proven outcome. After refining the instrumentation and collecting data, in 2006, he was able to develop a refined technique.  He is now educating patients and physicians on the benefits of his well improved minimally invasive technique. He is also working with insurance companies and wants more and more people to know that this type of surgery is available to them, and to convince surgeons to become adept at performing it.

With ever increasing popularity of the “McCarus Technique”, physicians from all over the globe are coming to Central Florida to learn this state-of-the-art technique from him at the Nicholson Center for Surgical Advancement at Florida Hospital Celebration Hospital. The American Society for Women’s Health, founded by McCarus himself, and Florida Hospital Celebration Health has a Gynecologic Pelvic Surgery Fellowship Program which offers training to postgraduate residents.

Dr. McCarus is also well known for treating disorders such as endometriosis, uterine fibroids and incontinence, and offers infertility evaluations and hormone replacement therapy (HRT) consultations.

Dr. Steve McCarus
Center for Specialized Gynecology
410 Celebration Place
Suite 302
Celebration, FL 34747
Phone: (407) 303-4190
Fax: (407) 303-4192

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Neuro-oncology

When it comes to brain cancer, it takes a village—a village of specialized physicians, that is. Brain cancer is a complex problem and brain cancer treatments are rarely provided by just one doctor. Not only does it take many physicians and surgeons working as a single oncology team, but each of these individuals should be specially trained to treat every unique group of people.

One model of how neuro-oncology should be practiced can be found at the Florida Hospital Neuro-Oncology Center. The oncology group at Florida Hospital employs a staff of leading physicians specifically trained to provide effective brain cancer treatments, and in many cases, brain cancer cures. Their oncology group has experts in medical oncology and radiation oncology. The experts in medical oncology provide chemotherapy, targeted therapy, and other medical brain cancer treatments. Likewise, specialists in radiation oncology deliver internal and external radiation treatment when appropriate.

Another part of a neuro-oncology team is the surgeon. Florida Hospital Neuro-Oncology Center has dedicated neurosurgeons on staff remove solid brain tumors. They use the latest surgical, and minimally invasive procedures to provide the best chance of experiencing brain cancer cures. Not only do all of these medical and surgical professionals work in the same hospital, they work as a multidisciplinary team to provide their patients with the best possible brain cancer treatments.

Florida Hospital Neuro-Oncology Center
2501 North Orange Avenue Suite 249
Orlando, FL  32804

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CNA Kwik Track Orlando – CNA Kwik Track

Are you considering a career as a CNA? It’s no secret that America is aging.  Healthcare workers in Florida are in demand now more than ever!

At CNA Kwik Track, you will learn all the skills necessary to become a CNA in just one week!  CNA Kwik Track is a local CNA training facility in Orlando that offers a quality CNA training program like no other. This program specializes in hands-on training, allowing each student to practice the skills needed to pass the Florida State CNA exam.  CNA Kwik Track in Orlando has competent instructors and helpful staff to assist you with the process of becoming a certified nurse’s assistant in Florida.  Additionally, CNA Kwik Track offers AED training and CPR training and renewal classes. 

If would like to learn more about becoming a CNA, visit their website!  Click HERE to make your reservation today or call (407) 209-6478.  New classes start every week but fill up fast, so don’t delay! Begin your new career as a CNA today!

CNA Kwik Track
3599 W Lake Mary Blvd, Suite 1C
Lake Mary, FL    32746
407-209-6478
407-402-5823

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There are quite a few stop smoking programs available to those who want to stop smoking. A health care professional should be consulted first for advice regarding which stop smoking program, or combination thereof, would be most beneficial. If a smoker has enough motivation and support from family and friends to do it on his or her own, then nicotine gum, patches, or pills could be tried first.

Many people choose to join stop smoking programs such as Nicotine Anonymous, which is based on the traditional 12-step philosophy. There is also private and group counseling available to people who need more intensive support. A number of online stop smoking program options are also available consisting of therapy and support forums, herbal supplements, pills, and other potions. Be sure to research these stop smoking programs well before you expend any funds on something that just isn’t going to work for you.

These days technology is always coming out with new and extraordinary things, hence the quit smoking laser treatment. You should ask your family doctor about it now. You can easily head into the office for a quit smoking laser treatment and virtually curb that nicotine craving for weeks, or even months.

Whatever stop smoking program you choose is only as effective as your desire to quit. Without motivation to change your habits and lifestyle, your efforts will be for nothing. Plan a stop smoking program ahead of time. Pick a date to quit and get your support system in place. Plan how you are going to deal with temptation in social settings and times of stress, since this is probably when you have the greatest desire to smoke. A stop smoking program can be very successful if it is planned and adhered to by the person who wants to quit. Mind over matter, right? Next time go for a brisk walk or call a friend instead of lighting up, your lungs will thank you. Good Luck!!

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If you decide to take the natural route, natural ways to lower blood pressure include monitoring your weight, exercise and food intake. Being overweight correlates with high blood pressure, so staying at optimal weight is good for your arterial walls. Optimal weight is achieved through healthy diet and exercise, so go for a run or hit the gym for at least 30 minutes for most of the days of the week.

In terms of what you eat, there are many things you can consume to keep blood pressure levels down, and there are things you should avoid that promote artery clogging. Substances that can help lower blood pressure are fiber, oats, Omega-3, Vitamins C and E, calcium, zinc, potassium and magnesium. These can be found in a variety of foods like whole grains, fish, milk, bananas, celery and leafy vegetables. In addition to food, these substances are also available in the form of pill supplements.

Things you should avoid consuming are the usual suspects: sugar, saturated and trans fats, tobacco and alcohol. It’s a good idea to stay away from drinking sodas and eating junk food, as well as smoking cigarettes and drinking alcoholic beverages. It’s okay to eat and drink these things once in a while, but excessive consumption has unhealthy consequences.

Making use of natural ways to lower blood pressure is a great alternative to medical methods. After all, if you maintain health naturally, then there’s no need for treatment in the first place.

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Pediatric Hematology & Bone Marrow Transplant

We often take our blood for granted. When we develop a disorder of the blood like cancer, however, we begin to appreciate how important the blood really is. When blood cancer strikes a child, as it does too often, effective treatment becomes the singular focus. Fortunately doctors of pediatric hematology and the children’s oncology group are experts in fighting these diseases.

Blood disorders usually start in the bone marrow, which is the soft tissue in the center of the long bones of the body. Bone marrow is the place where blood cells are born but also the place where cancers of the blood come from as well. Many diseases of the blood can be cured with a procedure called a bone marrow transplant. While, cancers such as leukemia and lymphoma are particularly suited for treatment with a bone marrow transplant, non-cancerous blood diseases like sickle cell anemia and congenital neutropenia (low white blood cells) can be treated with the procedure, too.

In a bone marrow transplant, a doctor of oncology or of pediatric hematology infuses drugs into the bloodstream which target and kill the cancer and disease causing cells. Virtually all of the bone marrow is killed at the same time. Since people must have bone marrow in order to live a normal life, this is where the “transplant” of a bone marrow transplant comes into play.

In an allogenic bone marrow transplant (for humans, allogenic means tissue or cells that come from another human), bone marrow that people have generously donated is purified and made ready for transplant. The children’s oncology physician or nurse infuses the donor bone marrow into the bloodstream of the patient. The marrow cells make their way to the bones and begin to make new, healthy blood cells.

While allogenic bone marrow transplant and autologous bone marrow transplant are performed routinely, it is still a specialized treatment and not available at every hospital. If your child needs this lifesaving treatment, you will be referred to one of a number of bone marrow transplant hospitals. In central Florida, the Florida Hospital for Children is the home of expert oncology and pediatric hematology physicians. Their children’s oncology group specializes in the treatment of blood diseases and cancer, but also in the care of children. After all, each patient is a person and when it comes to pediatric hematology, each person is a child.

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