How did you get started in orthodontics? I was raised in a dental family. My father practiced 50 years as a comprehensive general dentist with many advanced accreditations in implants, crown, and bridge. Also, both grandfathers had dental lab experience with one owning one of the first in the Detroit area. I have an engineering background with a master’s in biomedical engineering from the University of Michigan. This helps with problem solving for treatment planning and the mechanics of moving teeth. Also, I was fortunate to have a vast clinical experience at both dental school and orthodontic residency. I was honored to be awarded the top prosthodontic award (crown and bridge) and have a year of advanced education in general dentistry. I completed my education with a post doctorate certification in orthodontics and have been a Diplomate with the American Board of Orthodontics for the past 11 years (an honor held by only about 30% of orthodontists nationwide). What is the typical time frame for most patients? From 5 months to one and half years What cutting-edge technologies do you use? I use the latest digital oral scanning technology and was the first practice in Northeast Florida to embrace these updated slimmer and faster scanners. I use them in digital planning such as Invisalign, Insignia, custom Damon braces, LightForce 3D printed clear braces, and metal printed appliances. They have six 3D cameras in the capture wand, and it replaces goopy impressions with scans that take only two minutes. My 3D x-rays show not only the teeth but their placement in the bone so I can easily move them without fear of compromising the roots. Centering the teeth in the bone also provides a more stable finish. I create digital custom treatment plans for each patient in braces and Invisalign. Plus, our retainers are made and ready for the day braces are removed by digitally removing braces from 3D printed models. How does the use of the latest technology improve patient outcomes? It increases efficiency and accuracy. It also helps with planning and fabrication of appliances such as braces, aligners, and metal printed expanders for a custom fit, and the accuracy of retainers which can be prepared immediately after removing braces. Orthodontics is not a one-size-fits-all therapy. Everyone’s anatomy is different, and we have the tools to respond to and optimize those differences and create their best smile. What are some of the typical problems you see? Overlapped and crowded teeth are the most frequent problem I see. In addition to the aesthetic reward of straight teeth, crowded teeth are more difficult to keep clean and since the teeth are out of place, the bite does not fit as it should, and wear becomes a problem over time. What are the most common treatments? Unraveling crowding can be done using braces or Invisalign so we tailor the treatment to the patient. Invisalign can be used on patients from age 7 to 80 and beyond so it is always an option in our hands. Because crowding is often a result of a narrow upper palate, we like to see children starting at Age 7 so if an expander is needed to make more room for the erupting teeth, we can get that heavy lifting done early and create a better environment for the permanent teeth to erupt in a much better position. We can accomplish all of that in just 6-9 months; That leaves less work to be done once all the teeth are in. When the teeth are closer to their final positions from the start, retention is easier as well. We encourage parents to bring their children for a complimentary evaluation once the permanent teeth begin to arrive around Age 7. Not everyone will need early intervention but for those who do, it can save the child from more complicated and sometimes invasive procedures down the road.  How does Smiles by Dr. Craig Hadgis Orthodontist give back to the St. Johns community?
My practice has been in place now for over 40 years. I joined back in 2018 and am now sole owner of Smiles by Dr Craig Hadgis Orthodontist. As a local business and family, we feel it is our duty to give back to the communities we serve and do our best to support our patients and schools. We have given thousands of dollars in sponsorships and donations. We appreciate the community support we receive and enjoy seeing our patients and our schools thrive. What do you like to do in your spare time? As a University of Michigan graduate, I do enjoy watching college sports. Anne and I have three small children, two girls and our boy just arrived on April 18! Other than helping my patients improve their smiles, there is no place I would rather be right now than with Anne and our children helping them grow! With three we are officially outnumbered and there is always a hilarious, imaginative, or magical moment to enjoy.
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YMCA Summer Camp ExperienceBy Richard Bombach, Executive Director, First Coast YMCA Camp Immokalee
 FYZICAL |
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FAQ:
 | Little Preparation: CycleBar provides the shoes, a towel, and water – all you need to do is show up! Time Maximizer: In addition to a quality workout, you gain access to a great network, as well as some mindfulness time to focus on you and your health. An Awesome Environment and Superior Equipment: With patented Stages bikes, a superior sound system, and an energizing environment – you can feel your energy level rise even before you enter the cycling theater. Highly Skilled Instructors to Coach You: When working out solo, you’re lacking the feedback that helps you optimize your workout and prevent injury. Conversely, skilled cycling instructors motivate you to push past barriers and help correct improper techniques that may lead to pain or injury. Community Benefits that Go Both Ways: There’s nothing like bonding with those who have just endured the same 45-minute roller coaster with you. In the case of CycleBar, there will also be many after-class events to promote fun, learning, and community, as well as involvement with non-profit community causes through CycleGive events. |
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Could you jump into a pool to save someone’s life? In the deep end? What if it was your child? That’s a scary thought but it’s a nightmare I lived through when my daughter was five years old. Had both of us not learned how to swim at the YMCA, she might not be alive today.
It was clear from a young age McKinley was a fish. She took swim lessons at the YMCA when she was two years old and loved it. It’s so important to get your kids in the water early so they develop critical skills that’ll last a lifetime.
That was never more evident than the day she got stuck in a neighborhood pool. She was maneuvering her body to try and free herself, but she was trapped. There was no lifeguard on duty, so I jumped in and pulled my daughter out. She wasn’t breathing, so I administered CPR and was able to revive her before taking her to Baptist Medical Center, where Dr. Neeraj Neval, Neocritical Care ICU Medical Director took over.
It was clear from a young age McKinley was a fish. She took swim lessons at the YMCA when she was two years old and loved it. It’s so important to get your kids in the water early so they develop critical skills that’ll last a lifetime.
That was never more evident than the day she got stuck in a neighborhood pool. She was maneuvering her body to try and free herself, but she was trapped. There was no lifeguard on duty, so I jumped in and pulled my daughter out. She wasn’t breathing, so I administered CPR and was able to revive her before taking her to Baptist Medical Center, where Dr. Neeraj Neval, Neocritical Care ICU Medical Director took over.
I remember sitting in the emergency department, soaking wet, wondering what would happen next. I knew my daughter would survive, but would she be afraid of the water for the rest of her life? I didn’t have to wait long to find out.
About a month later, our neighbors asked us if we wanted to go the Williams Family YMCA to watch their kids take swim lessons. I immediately tensed up. I remember thinking the only way my daughter was going to be around a pool again was if we sold our house and bought one with a pool so we could constantly keep an eye on her. Reluctantly, I agreed to go with our neighbors and McKinley came too.
I’ll never forget that car ride. She initially stared quietly out the window but then spoke up.
“Do I have to get in the water?” she asked.
“No, of course not,” I replied.
A few minutes passed.
“If I just want to put my feet in, can I?” she said.
“Yes, if you want,” I answered.
We eventually got to the pool and after watching her friends go through their class, McKinley stood up and said, “I’m ready.”
When she jumped in, I immediately started crying and thanking God for seeing us through this.
My brave little girl, who I had to bring back to life just a month prior, fearlessly got back in the water and started swimming like nothing had happened.
About a month later, our neighbors asked us if we wanted to go the Williams Family YMCA to watch their kids take swim lessons. I immediately tensed up. I remember thinking the only way my daughter was going to be around a pool again was if we sold our house and bought one with a pool so we could constantly keep an eye on her. Reluctantly, I agreed to go with our neighbors and McKinley came too.
I’ll never forget that car ride. She initially stared quietly out the window but then spoke up.
“Do I have to get in the water?” she asked.
“No, of course not,” I replied.
A few minutes passed.
“If I just want to put my feet in, can I?” she said.
“Yes, if you want,” I answered.
We eventually got to the pool and after watching her friends go through their class, McKinley stood up and said, “I’m ready.”
When she jumped in, I immediately started crying and thanking God for seeing us through this.
My brave little girl, who I had to bring back to life just a month prior, fearlessly got back in the water and started swimming like nothing had happened.
"It’s so important to get your kids in the water
early so they develop critical skills that’ll last a lifetime."
It’s incredible to witness the heart of a child but in that moment, it was just as moving to see the heart of everyone at the pool. As soon as McKinley started swimming, they all started to applaud and cheer. They didn’t know our story and what she had been through. Rather, they were cheering simply because that’s what the Y family is about – we support one another to live healthy and fulfilling lives. I’ve never felt more supported at the Y than I did that day.
Because we live in Florida, we’re almost always around water. Still, there are a surprising number of adults and children who don’t know how to swim. If that’s you or your child, please reach out to your local Y and sign up for lessons. If it’s important for your child to breathe, it should be just as important for them to learn how to swim. I know what it’s like to see my child not breathing, but because she and I both know how to swim, she’s alive today and enjoying the water, like every kid should.
Because we live in Florida, we’re almost always around water. Still, there are a surprising number of adults and children who don’t know how to swim. If that’s you or your child, please reach out to your local Y and sign up for lessons. If it’s important for your child to breathe, it should be just as important for them to learn how to swim. I know what it’s like to see my child not breathing, but because she and I both know how to swim, she’s alive today and enjoying the water, like every kid should.
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Jill is an architect of and for life. She has a unique way of listening, perceiving, and producing quality perspectives that make one think, move, know, and grow. She has been in practice of self-development for 15 years which has affected her personal and professional life to be able to bring you Continuum Life Coaching, LLC. She is an objective creator and has an uncanny way to get to the heart of the matter, seamlessly, all while painting a picture of opportunity that includes an objective view that is universal and inclusive of each subject. She has a natural and deep perceptive way of listening that makes one comfortable, at ease, and open to move to grow. Her natural ability to bring out the best in each one is truly a gift to experience.
"I am a Life Artist who coaches, constructs, and coordinates, the colors of our lives to produce a vision and view that reflects the internal hue. As a result I produce the coordinated effect upon the white canvas to overcome the ultimate fear, the fear of the unknown called, "The Art of Transformation", which consistently and confidently connects us to the "Continuum" of life."
"I am a Life Artist who coaches, constructs, and coordinates, the colors of our lives to produce a vision and view that reflects the internal hue. As a result I produce the coordinated effect upon the white canvas to overcome the ultimate fear, the fear of the unknown called, "The Art of Transformation", which consistently and confidently connects us to the "Continuum" of life."
by Katie Nussbaum, Wolfson Children's Hospital
The smallest child to date to have a PDA closed at Wolfson Children’s, Jaden was less than five pounds at the time of the procedure.
New heart device helps the smallest patients.
Jaden Stewart was removed from oxygen support and breathing on his own in July.
Born 17 weeks premature on March 29, 2022, Jaden Stewart has spent the first five months of his life in neonatal intensive care. Thanks to a tiny new technology and procedure recently introduced at Wolfson Children’s Hospital, Jaden is home with his family.
Soon after birth, Jaden, who weighed less than two pounds, was diagnosed with patent ductus arteriosus, or PDA, a potentially life-threatening opening between the two major blood vessels leading from the heart.
“The lungs tend to be fairly fragile in premature babies and that extra blood flow that goes into the lungs through that PDA can cause a lot of issues,” said Robert English, MD, a pediatric interventional cardiologist who practices at the C. Herman and Mary Virginia Terry Heart Institute at Wolfson Children’s Hospital. “They require support to be able to ventilate and oxygenate and that extra blood flow may cause prolongation of the need for support. That support can be damaging to the lungs over time.”
While required in fetal life, the vessel opening typically closes on its own within a few days after birth, but that’s not always the case, especially in premature babies.
“The opening was always of moderate size but it never got any smaller,” said Jaden’s mom, Tiffany Stewart.
In mid-June, Jaden was transferred to the Wolfson Children’s Hospital Neonatal Intensive Care Center from another area hospital. Two weeks later, he underwent a non-surgical procedure to close the PDA using the Amplatzer Piccolo™ Occluder, which is so small it fits on the face of a dime. Wolfson Children’s is the only hospital in Northeast Florida to offer this procedure.
Born 17 weeks premature on March 29, 2022, Jaden Stewart has spent the first five months of his life in neonatal intensive care. Thanks to a tiny new technology and procedure recently introduced at Wolfson Children’s Hospital, Jaden is home with his family.
Soon after birth, Jaden, who weighed less than two pounds, was diagnosed with patent ductus arteriosus, or PDA, a potentially life-threatening opening between the two major blood vessels leading from the heart.
“The lungs tend to be fairly fragile in premature babies and that extra blood flow that goes into the lungs through that PDA can cause a lot of issues,” said Robert English, MD, a pediatric interventional cardiologist who practices at the C. Herman and Mary Virginia Terry Heart Institute at Wolfson Children’s Hospital. “They require support to be able to ventilate and oxygenate and that extra blood flow may cause prolongation of the need for support. That support can be damaging to the lungs over time.”
While required in fetal life, the vessel opening typically closes on its own within a few days after birth, but that’s not always the case, especially in premature babies.
“The opening was always of moderate size but it never got any smaller,” said Jaden’s mom, Tiffany Stewart.
In mid-June, Jaden was transferred to the Wolfson Children’s Hospital Neonatal Intensive Care Center from another area hospital. Two weeks later, he underwent a non-surgical procedure to close the PDA using the Amplatzer Piccolo™ Occluder, which is so small it fits on the face of a dime. Wolfson Children’s is the only hospital in Northeast Florida to offer this procedure.
Dr. English is specially trained to implant this technology in babies weighing as little as two pounds
"For a long time, we have been able to close these vessels in older and bigger infants and children because the devices used to close them are of a certain size, but they're too big for the premature babies," said Dr. English, who performed Jaden's procedure. "This tiny device is the first technology that allows us to close a PDA in premature infants."
Dr. English is specially trained to implant this technology in babies weighing as little as two pounds through a cardiac catheterization procedure in which the wire mesh device is guided through the vessels to close the opening.
A non-surgical option for premature infants
Previously, the only other option to close a PDA in infants was surgery.
"Heart surgery is more invasive and involves an incision between the ribs," said Dr. English. "The children usually recover well following the surgical procedure, but there are some risks associated so we prefer a non-surgical procedure to close the PDA when possible."
The smallest child to date to have a PDA closed at Wolfson Children's, Jaden was less than five pounds at the time of the procedure. Stewart said she noticed a positive change in Jaden just hours after the procedure was completed.
"Almost immediately, you could see a difference just with his oxygen support levels," she said.
Within a couple of days, Jaden was taken off the ventilator and put on low-flow oxygen support.
In late August, Jaden was removed from all oxygen support, breathing on his own and ready to join his dad Justin and sisters, Jordan, 12, and Riley, 10, at home.
"He's doing a lot better with his breathing and he's even starting to bottle feed now," Stewart said. "He is definitely pacing himself as far as being able to breathe and swallow at the same time, but the procedure turned things around."
Stewart said Jaden is growing stronger each day and hitting milestones a lot quicker than before.
"He's on his way to being healthy and being able to really function without as much support as he needed before," she said.
The pediatric cardiology, imaging, cardiac intensive care, cardiac anesthesiology and heart surgery teams with Wolfson Children's C. Herman and Mary Virginia Terry Heart Institute treat a full range of pediatric cardiac conditions, from defects present at birth to heart rhythm disorders. To learn more, call 904.202.8550 or visit wolfsonchildrens.com/heart
Dr. English is specially trained to implant this technology in babies weighing as little as two pounds through a cardiac catheterization procedure in which the wire mesh device is guided through the vessels to close the opening.
A non-surgical option for premature infants
Previously, the only other option to close a PDA in infants was surgery.
"Heart surgery is more invasive and involves an incision between the ribs," said Dr. English. "The children usually recover well following the surgical procedure, but there are some risks associated so we prefer a non-surgical procedure to close the PDA when possible."
The smallest child to date to have a PDA closed at Wolfson Children's, Jaden was less than five pounds at the time of the procedure. Stewart said she noticed a positive change in Jaden just hours after the procedure was completed.
"Almost immediately, you could see a difference just with his oxygen support levels," she said.
Within a couple of days, Jaden was taken off the ventilator and put on low-flow oxygen support.
In late August, Jaden was removed from all oxygen support, breathing on his own and ready to join his dad Justin and sisters, Jordan, 12, and Riley, 10, at home.
"He's doing a lot better with his breathing and he's even starting to bottle feed now," Stewart said. "He is definitely pacing himself as far as being able to breathe and swallow at the same time, but the procedure turned things around."
Stewart said Jaden is growing stronger each day and hitting milestones a lot quicker than before.
"He's on his way to being healthy and being able to really function without as much support as he needed before," she said.
The pediatric cardiology, imaging, cardiac intensive care, cardiac anesthesiology and heart surgery teams with Wolfson Children's C. Herman and Mary Virginia Terry Heart Institute treat a full range of pediatric cardiac conditions, from defects present at birth to heart rhythm disorders. To learn more, call 904.202.8550 or visit wolfsonchildrens.com/heart
How did you have the idea to open
Modern Aesthetic Centers in St. Johns?
Born and raised in the greater Jacksonville community, we started to notice a growth in the medical spa business over the last few years. With our backgrounds in the aesthetics and wellness industry, Paul and I wanted to bring something significant to the table and open our first center in the Saint Johns community. We know that we have to look at our clients as a whole, not just offer treatments to enhance their look. We have a growing service list for wellness offering to address the internal health of our clients and their overall wellbeing.
When did you open your business?
We opened Modern Aesthetic Centers in November of this year, 2022.
What are some of the unique
services you provide?
We offer a few unique services that sets us apart from a traditional medical spa. One of those services is hormone replacement therapy, which consists of running a full lab panel and assessing if a client is a good candidate for hormone replacement. If so, we prescribe hormones to put them back in balance, which significantly changes their lives. It treats hot flashes, increases energy levels, increases libido and treats mood swings, just to name a few.
Another unique service we offer is skin rejuvenation with the addition of PRF and exosomes. These are cutting edge offering which dramatically increase collagen and elastin, resulting in visible reduction of wrinkles, age spots, skin brightness and firmness immediately and continuously as over time.
Modern Aesthetic Centers in St. Johns?
Born and raised in the greater Jacksonville community, we started to notice a growth in the medical spa business over the last few years. With our backgrounds in the aesthetics and wellness industry, Paul and I wanted to bring something significant to the table and open our first center in the Saint Johns community. We know that we have to look at our clients as a whole, not just offer treatments to enhance their look. We have a growing service list for wellness offering to address the internal health of our clients and their overall wellbeing.
When did you open your business?
We opened Modern Aesthetic Centers in November of this year, 2022.
What are some of the unique
services you provide?
We offer a few unique services that sets us apart from a traditional medical spa. One of those services is hormone replacement therapy, which consists of running a full lab panel and assessing if a client is a good candidate for hormone replacement. If so, we prescribe hormones to put them back in balance, which significantly changes their lives. It treats hot flashes, increases energy levels, increases libido and treats mood swings, just to name a few.
Another unique service we offer is skin rejuvenation with the addition of PRF and exosomes. These are cutting edge offering which dramatically increase collagen and elastin, resulting in visible reduction of wrinkles, age spots, skin brightness and firmness immediately and continuously as over time.
 | Who are your team members and what do they bring to the table? Our team members are remarkable. Tanya Temple is our Nurse Practioner. Her background in dermatology sets her apart from most aesthetic injectors, as she assesses and treats her clients skin health concerns and not just visible enhancements. Bobbie Stewart is our Master Aesthetician. Bobbie is a trained registered nurse and a Massage therapist. The skill set she acquired with her past training elevates her knowledge versus a traditionally trained aesthetician. She understands the skin and muscular system and brings that knowledge to the table when consulting and treating her clients. Kristen Parker is our Client Coordinator. Kristen has a degree in nutrition and takes a big role in our wellness program. She also understands how to manage the day to day operations of our business and puts our clients first from the moment they call and walk in the door until the moment they leave. What do you want clients to know about Modern Aesthetic Centers that sets you apart? Our diverse menu of aesthetic and wellness services coupled with cutting edge options sets us apart from traditional medical spas. We also have a remarkable team with strong backgrounds, from our leadership team to our providers. Do you offer a consultation before an appointment? What does this entail? We do offer our clients a consultation before their appointments. When a client makes an appointment with us for the first time, we schedule enough time to provide an initial consultation as well as their treatment. Our providers address all of their aesthetic and wellness concerns during this initial visit by listening to the clients' goals, assessing their overall skin health, reviewing their current and past medical history and providing a customized treatment plan to get them to their goals. Why did you choose St. Johns? Do you have plans to open other Centers in our area? We chose to open our first location in Saint Johns because of the remarkable growth of the county. Living in the Saint John's area myself, I am very familiar with the past, current and future growth of this county. We also have a lack of aesthetic and wellness centers in the area we opened, which we have now filled that need. We do plan to open three more centers over the new few years. What is your favorite thing to do when you are not working? When I am not at work, I have two girls and a large family that keep me busy. We love to enjoy the amazing outdoors our hometown provides. The beach is our favorite place outdoors and we also love the many parks and trails our town has to offer. |
Dr. Jason Lewis & Dr. Royce Barlow
Bartram Dental Center, BDC, has been in business since 2005, and its focus has always remained on positivity, compassion, teamwork, and family with the goal of providing patients with quality care and treatment. The doctors, Dr. Jason Lewis and Dr. Royce Barlow live and work in St. Johns along with their families.
As they designed their new office, providing a premier patient experience was always their intention. From the inviting lobby, the offer of a blanket, a warm hand towel, or a fresh baked cookie, they want patients to truly enjoy their time. Customer service is a lost art in the medical profession, and they are passionate about providing it for their patient family.
BDC made an investment to become a “Complete Health” dental practice and continue to receive training to enhance the level of care and connection to the medical community of their patients. For patients this means they are focused on helping them maintain their very best “complete health” –not just ideal “dental health”.
BDC is also home to Bartram Dental Assisting School (BDAS). Classes are held in the dedicated classroom space on Saturdays 8 AM – 5 PM and is available for community use during the week. Educating students on the importance of caring for patients, professionalism, chairside technique, and enabling them for success is something they are proud to contribute to the dental community.
As they designed their new office, providing a premier patient experience was always their intention. From the inviting lobby, the offer of a blanket, a warm hand towel, or a fresh baked cookie, they want patients to truly enjoy their time. Customer service is a lost art in the medical profession, and they are passionate about providing it for their patient family.
BDC made an investment to become a “Complete Health” dental practice and continue to receive training to enhance the level of care and connection to the medical community of their patients. For patients this means they are focused on helping them maintain their very best “complete health” –not just ideal “dental health”.
BDC is also home to Bartram Dental Assisting School (BDAS). Classes are held in the dedicated classroom space on Saturdays 8 AM – 5 PM and is available for community use during the week. Educating students on the importance of caring for patients, professionalism, chairside technique, and enabling them for success is something they are proud to contribute to the dental community.
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