A Letter To The Community From Our Radiologists

To All Patients in Central Florida:

Dr. Bravo and Dr. Posniak

At Sand Lake Imaging, we know that the COVID-19 pandemic has been, and will continue to be for the foreseeable future, quite disruptive to all of our lives.

We know that the great majority of symptomatic patients are going to be presenting to hospital emergency rooms and that these patients are going to be imaged in the hospital imaging facilities.

Not only are we the best in class at imaging in Central Florida, but we are now able to offer you a much safer alternative to any imaging performed in hospital facilities. We have initiated best in class safety policies to ensure that if you need imaging and come to Sand Lake Imaging the risk of transmission of COVID-19 is as low as medically possible.

The safety of all of our patients and staff is of the utmost concern at Sand Lake Imaging. Rest assured that you will continue to get the high-quality delivery of healthcare services at Sand Lake Imaging that you are accustomed to while at the same time remaining much safer than any hospital facility imaging department.

The COVID-19 pandemic does not negate your need for imaging. We stand ready to serve you at Sand Lake Imaging’s three facilities with all of our imaging modalities. Please call us with all of your needs at 407-363-2772. We are here to support you.

Stephen M. Bravo, MD

Robert Posniak MD

Regarding COVID-19 at Sand Lake Imaging Centers

Sand Lake Imaging will be initiating extreme sanitary measures to minimize transmission of any diseases including COVID 19.

If you are experiencing flu-like symptoms, please alert our front desk staff.

It is paramount and of utmost importance to us to ensure the health and safety of both our patients and employees.

We will be taking appropriate precautionary measures. Our personnel may be wearing masks throughout the building. We will also increase local cleaning measures.

For your safety and the safety of Sand Lake Imaging employees, only the patient that is scheduled for testing today will be allowed to enter the facility.

We are sorry for any inconvenience but we are taking this measure to stop any unnecessary potential exposure to the Covid-19 virus.

Upon entering our building, we will be asking patients these questions:

  1. Have you experienced a new cough, fever, or trouble breathing?
  2. Have you traveled outside the US or a designated high-risk area per the CDC guidelines within the last 21 days?
  3. Have you been in contact with a confirmed case of Coronavirus

For your protection, please use the hand sanitizer at the front desk. Click here to learn the proper way to wash your hands.

National Women’s History Month

Every year, March is designated as National Women’s History Month in the United States. Because we believe that women have always been an integral part of the medical field, we would like to honor a few of the women who paved the way for us.

Elizabeth Blackwell (1821-1910)

Dr. Blackwell was the first American female doctor, having applied to 12 medical schools before Geneva Medical College in Upstate New York admitted her. It is said she was admitted based on the idea that she would soon get tired of the antics of her fellow classmates and lose interest, therefore dropping her studies. She proved them all wrong and graduated with her medical degree in two years (1849). Blackwell would start an infirmary for poor women and children in New York and later train nurses during the Civil War. She would co-found the London School of Medicine for Women in 1874, the first medical school for women in Britain. Because of Dr. Blackwell, more women went on to pursue their dreams in medicine.

Elizabeth Blackwell

Rebecca Lee Crumpler (1831-1895)

Dr. Crumpler was the first African American woman to earn a medical degree. She attended the New England Female Medical College in Boston and graduated in 1864. After the Civil War, she and her husband moved to Richmond, Virginia where she worked with the Freedmen’s Bureau providing medical care for a large population of freed slaves. In 1883, Crumpler wrote what may be the first medical book by an African American author. The book was titled “A Book of Medical Discourses in Two Parts” and was dedicated “to mothers, nurses, and all who may desire to mitigate the afflictions of the human race.” Dr. Crumpler died in Boston in 1895.

Rebecca Lee Crumpler

Virginia Apgar (1909-1974)

Receiving her medical degree from Columbia University College of Physicians and Surgeons in 1933, Apgar would train as an anesthesiologist and become Columbia’s first female full professor in 1949. Her work was focused on anesthesia and childbirth. She created the Apgar test (Appearance, Pulse, Grimace, Activity, Respiration) in 1953 and it is still used today to assess the health of newborns. In 1959, Apgar left Columbia and started working for the March of Dimes where she focused on the problems of premature birth. She was also an advocate for the rubella vaccine. She served as the clinical professor of pediatrics at Cornell University School of Medicine, where she taught teratology (the study of birth defects).

Virginia Apgar

Gertrude Elion (1918-1999)

Elion was an American biochemist and pharmacologist who graduated from Hunter College in New York City in 1937. She was unable to obtain a graduate research position because she was a woman so she found work as a lab assistant (1937), an assistant organic chemist (1938-1939), a chemistry and physics teaching position (1940-1942), and a research chemist at Johnson & Johnson (1943-1944). In 1944, she started working at Burroughs Wellcome Laboratories (later becoming GlaxoSmithKline). She was instrumental in developing drugs that were effective against leukemia, autoimmune disorders, urinary tract infections, gout, malaria, and viral herpes. Though she officially retired in 1983, she helped oversee the development of azidothymidine, the first drug used in the treatment of AIDS. Along with Hitchings (whom she worked with at Burroughs) she shared the 1988 Nobel Prize for Physiology or Medicine for the development of drugs used to treat several major diseases. In 1991 she was awarded a National Medal of Science and was inducted into the National Women’s Hall of Fame.

Gertrude Elion

We thank all of these ground-breaking women of science for their steadfastness in pursuing their dreams of working in medicine.

American Heart Month

February is American Heart Month – a fitting time to bring awareness to the dangers of heart disease and stroke.

Heart disease is the number 1 killer of women – 1 in 3 American women have heart disease. According to the Centers for Disease Control, nearly half of all adult Americans have cardiovascular disease.

Sand Lake Imaging would like to remind you, our community, to focus on your hearts and encourage you and your friends to get involved in this common goal: the eradication of heart disease.

Now is the perfect time to know your risks and take steps to decrease your chances of having heart disease.

Risk Factors:

  • High blood pressure: Having uncontrolled high blood pressure is one of the biggest risks for heart disease and stroke.
  • High blood cholesterol: High cholesterol increases the risk of heart disease. Diabetes, obesity, smoking, eating unhealthy foods, and not exercising contribute to high blood cholesterol.
  • Smoking: More than 37 million American adults are smokers. Thousands of young people start smoking every day. Blood vessels are damaged by smoking, which can cause heart disease.
  • Obesity: Extra weight stresses your heart.
  • Diabetes: Sugar build-up in your blood can damage blood vessels leading to heart disease. Nearly 10 percent of Americans have diabetes.
  • Inactivity: Being physically active keeps your heart and blood vessels healthy. The American Heart Association recommends at least 150 minutes of physical activity per week.
  • Unhealthy eating: Most Americans eat too much sodium, increasing their blood pressure. Replace processed foods which are known to be high in sodium, with fresh fruits and vegetables to help lower your blood pressure. Diets high in trans-fat, saturated fat, and added sugar increase the risk factor for heart disease.
Go Red for Women – February 7, 2020

Changes You Can Make to Decrease Your Risk of Heart Disease

  • Don’t smoke. If you smoke, stop smoking now. Smoking is the leading cause of preventable deaths in the United States.
  • Manage your health care: If you do have high blood pressure or high cholesterol, work with your care team to manage it through diet, exercise, and medications.
  • Eat healthy foods: Make heart-healthy changes to your diet. Eat fresh fruits and vegetables, lean meats, and avoid processed foods and foods high in sodium.
  • Get active and stay active! Join an adult exercise class at the gym, go for a walk with a friend, or walk your golf game to get moving.

This year, Wear Red and Go Red for Women Day is on February 7th, to bring awareness about cardiovascular disease and save lives. Click here to find out how you can help in the fight against heart disease.

Sand Lake Imaging cares about your overall health. If you have concerns or questions about your heart health, please consult your physician.

Meet a friend for a walk.

National Hand Washing Week

The best way to prevent illnesses is to wash your hands frequently.

Hand washing reduces illness-causing germs

One of the best ways to protect yourself and your family from getting sick is by washing your hands.

You should wash your hands often to stay healthy, especially during key times when you’re likely to get and spread germs:

  • Before, during, and after preparing food
  • Before eating
  • Before and after caring for someone who is sick with vomiting and/or diarrhea
  • Before and after treating an open wound
  • After using the restroom
  • After changing diapers or cleaning up after a child who has used the restroom
  • After blowing your nose, coughing, or sneezing
  • After touching an animal, animal feed, or animal waste
  • After handling pet food or pet treats
  • After touching garbage (ie, taking out the trash)
  • After using your cell phone 

Washing your hands the right way:

  1. Wet your hands with clean, running water, turn off the tap, and apply soap
  2. Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails.
  3. Scrub your hands for at least 20 seconds. (Hum the “Happy Birthday” song from beginning to end, twice).
  4. Rinse your hands well under clean, running water.
  5. Dry your hands using a clean paper towel. Turn off the running water with the paper towel.

Washing hands with soap and water is the best way to get rid of germs, but if you can’t wash your hands, use hand sanitizer that contains at least 60% alcohol.

Hand sanitizers:

  • Do not get rid of all types of germs
  • May not be as effective when hands are visibly dirty or greasy
  • Do not remove harmful chemicals from hands like pesticides and heavy metals
  • May be more drying to your hands than using soap and water

How to use:

  1. Apply the hand sanitizer to the palm of one hand
  2. Rub your hands together
  3. Rub the sanitizer over all of the surfaces of your hands and fingers until your hands are dry.

The best way to keep illness-causing germs at bay is to wash your hands frequently and when that’s not an option, use hand sanitizer. Stay healthy!


Epilepsy Awareness Month

Epilepsy is the fourth most common neurological disease after migraine, stroke, and Alzheimer’s disease.

According to the Epilepsy Foundation, Epilepsy is a change in the normal brain activity that can result in various types of seizures which can last anywhere from a few seconds to several minutes. These are not the type of seizures that are caused by a high fever (febrile seizures).

Epilepsy remains misunderstood by the general public, discriminated against, and underfunded in research initiatives, despite the staggering number of people affected.

Because anyone can develop epilepsy at any time, and the number of people it affects, everyone should know more about it.

Epilepsy Facts:

  • 1 in 26 people in the United States will have epilepsy at some point in their life.
  • 1 in 10 Americans will have a seizure.
  • 5.1 million people in the United States have been diagnosed with epilepsy or a seizure disorder in the past.
  • 3.4 million American adults and children live with epilepsy.
  • Epilepsy costs the United States about $15.5 billion in healthcare and other expenses.
  • 60% of epilepsy cases have no known cause.
  • 150,000 people are diagnosed with epilepsy each year.
  • 30-40% will live with active seizures because available treatments do not work.
  • Epilepsy is not contagious.
  • Epilepsy is everywhere.
  • In 6 out of 10 people with epilepsy, the cause is unknown.
  • Epilepsy changes lives, impedes development, affects learning, causes accidents, and may result in early death.

Ways you can help

For more information, please consult your physician.

Lung Cancer Awareness Month

Lung cancer kills more people than the next three cancers combined.

Lung cancer can affect anyone, whether they smoked or not.

Lung Cancer Awareness Month in November is an effort to raise awareness of the need for more research and better community awareness of this disease.

Lung cancer can affect anyone, whether they smoked or not.

An estimated 156,000 lung cancer deaths are expected to occur in 2019. This is about 27% of all cancer deaths. Federal funding for lung cancer research per death is just $1,680 compared to $25,000 for breast cancer, $12,600 for prostate cancer, and $6,300 for colon cancer.

Lung cancer has the lowest 5-year survival rate of the other most common cancers.

  • Lung Cancer 17%
  • Prostate cancer 99%
  • Breast Cancer 89%
  • Colorectal Cancer 65%

Thanks to advances in technology, early detection screening using spiral CT has been shown to reduce lung cancer deaths by 16-20%, compared to standard chest x-rays.

When detected early, lung cancer patients have more treatment options and a far greater chance of survival. The key is being tested for lung cancer early.


Lung cancer symptoms aren’t normally apparent in the early stage. Typically, lung cancer is diagnosed in a late-stage due to the symptoms being more prevalent.

Classic symptoms of lung cancer, that by themselves aren’t generally worrisome. If you experience any of these symptoms, please talk to your doctor to rule out lung cancer.

  • Persistent cough (especially coughing up rust-colored sputum)
  • Shortness of breath
  • Hoarseness
  • Chronic bronchitis
  • Chest pain
  • Unexplained weight loss
  • Bone pain

Tests your doctor may recommend:

Risk factors for lung cancer:

  • Smoking
  • Exposure to second-hand smoke
  • Exposure to radon gas
  • Exposure to asbestos
  • Exposure to other carcinogens
  • Air pollution
  • Arsenic in drinking water
  • Previous radiation to lungs
  • Personal or family history of lung cancer

Ways you can help:

If you have any of the symptoms above or for more information, please consult your physician.

National COPD Awareness Month

November is National COPD Awareness Month, which is when the focus is on educating people about COPD.

COPD affects an estimated 11 million Americans.

An estimated 11 million Americans suffer from COPD, chronic obstructive pulmonary disease and several million other Americans likely have it and don’t know it.

Early diagnosis and treatment can help people with COPD live a higher quality of life and health.

According to the Centers for Disease Control, the symptoms of COPD are:

  • Frequent coughing or wheezing
  • Excess phlegm or sputum
  • Shortness of breath
  • Trouble taking a deep breath

COPD is diagnosed by taking a simple breathing test called spirometry. Treatment includes medication, pulmonary rehabilitation, and supplemental oxygen.

You can find out more information on COPD at the COPD Foundation’s Facebook page.


Men are facing a health crisis, yet it’s rarely talked about.

Movember is a movement to get people talking about men’s health.

Men are dying too young. We can’t afford to stay silent.

The Movember movement was started to raise money to get more research and awareness for Prostate cancer, testicular cancer, and mental health and suicide prevention.

Since 2003, Movember has funded more than 1250 men’s health projects around the world, shaking up men’s health research and transforming the way health services reach and support men. To find out more about the work Movember is doing, click here.

Ways to Get Involved:

  • Grow
    • Decide to Grow
    • Grow your mustache
    • Inspire other people to grow out their mustache for men’s health
  • Move
    • Commit to running or walking 60 miles over the month
    • Connect a fitness tracker to your Mo Space and log every step
    • Encourage others to move along with you
  • Host
    • Choose the type of function you’re hosting
    • Let family and friends know where you’ll be and when
    • Collect donations from attendees

So, if you’re inspired to grow a Mo’, let’s see it! Share your Mo’ with us on our Facebook page.

National Women’s Health and Fitness Day

September 25, 2019 is National Women’s Health and Fitness Day

Women’s Health and Fitness day is meant to bring awareness to the importance of regular exercise and healthy living for women of all stages of life.

Healthy Lifestyle Ideas:

  • See your physician for a checkup to monitor your health and make adjustments as needed.
  • Eat “superfood” – broccoli, apples, other fruits and vegetables, and lean meats.
  • Take up a new sport or take your current sport to a new level with a trainer.
  • Take a nap. Sleep is beneficial to your heart, mind, and weight.
  • Take a walk with a friend. Not only is the walk good for your body, but the time spent with a friend is also invaluable to your emotional well-being.
  • Eat foods high in calcium and vitamin D, like dairy products and leafy greens.
  • Drink plenty of water.
  • Get a massage. The health benefits are immeasurable.

Of course, working out with a friend is one of the most fun ways to get and stay in shape. Take it from Claudia and Alma, our amazing marketers!