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Strong hiring in the hospital-ity and retail sectors pushedunemployment to a five-yearlow across Southwest Florida inOctober.

Lee County’s unemploymentrate of 6.5 percent in October isthe lowest rate recorded since

April 2008, according to datafrom Florida’s Department ofEconomic Opportunity. That’sdown from 7 percent in Sep-tember and 8.4 percent a yearago.

The 6.5 percent rate repre-sents about 18,500 people whowant to work but can’t find ajob.

Collier County’s unemploy-ment rate was 6.4 percent,down from 7.2 percent in Sep-tember and 8.5 percent a yearago.

“Businesses have hired a lotearlier this year for the winterseason than they have in thepast,” said Jim Wall, spokes-man for Southwest FloridaWorks. “The longer-term win-ter visitors seem to be comingearlier and employers have hadto respond to that.”

The hospitality sector, whichincludes hotels, resorts and res-taurants, reported the largestjob gains in the month, with

JOBS

Lee unemployment hits a low6.5 percent rate lowestsince April 2008By Tim Engstromtengstrom@news-press.com

See JOBS » A15

When Naples retiree Carol Ker-nan wanted to get routine mammo-grams, she preferred bookingflights to New York for scans atsome of the nation’s top health cen-ters, rather than get checked locally.

These days, she said she’s sold ona newly opened Bonita Springs clin-ic that offers one of the latest imag-ing devices in the region’s ever-es-calating medical equipment armsrace — a digital breast tomosynthe-sis device, also known as 3-D mam-mography.

Kernan has particularly densebreast tissue, making it difficult fordoctors to tell the difference be-tween tumors and healthy tissue intraditional mammograms. She alsohas a family history that may puther at higher risk for breast cancer:

Her grandmother, aunt and cousinall had the disease.

“With my history I’m careful,”Kernan said. “I do a lot of research.”

Premier Women’s Radiology, lo-cated just south of the Coconut Pointshopping center, began offering thefirst such scans available in this re-gion about two months ago.

While the devices are not yet cov-ered by most insurance and requiremedical practices to make million-dollar upfront investments, expect3-D mammography to be increas-ingly offered throughout SouthwestFlorida.

Bedford, Mass.-based manufac-turer Hologic has the only devicewith FDA approval, though ma-chines made by General Electricand Siemens are under review.

A standard mammography canidentify dangerous masses effec-tively. But some are indistinguish-able from spots that may be massesor may be visual “artifacts,” false-positive illusions created by photo-graphing a compressed breast, par-ticularly those with dense tissue.

Think of a visual artifact like acluster of stars in the night sky.From our view, a two-dimensional

HEALTH CARE

Radiologist Dr. Harmindar Gill prints the results of Naples resident Carol Kernan’s 3-D mammogram at Premier Women’s Radiology.

LOCAL CLINIC REACHESANOTHER DIMENSION

Mammographiesgo 3-D at newlyestablished facilityin south Lee

A comparison of a traditional mammogram, top,and a newer 3-D mammography scan. PHOTOS BY

SARAH COWARD/THE NEWS-PRESS

By Frank Gluckfgluck@news-press.com

See 3-D » A8

L.A., New York, Detroit.And FGCU? Students in DunkCity are not just listening tohip-hop and rap, they are hit-ting the studios, making videosand trying to make it as artists.The interest was fueled as theuniversity gets more diverse,pulling more students frombigger population centers suchas Broward and Hillsboroughcounties as well as from theNorth.

Hip-hop roots there can betraced to the first Eaglepaloozain 2006. The annual event hasbrought in stars such as BustaRhymes, LMFAO and Pitbull.

See how the trend continuesto grow and influence campuslife and music education.

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appoint a replacement tothe U.S. Senate and manyother posts, but the U.S.Constitution requires aHouse vacancy be filledthrough election. If Radelresigned after Jan. 1, theelection is at the gover-nor’s discretion, but fewbelieve voters would lookkindly at having the seatstay vacant for manymonths. A special elec-tion also could eventuallymean a few months’ sen-iority over freshmenelected for the first timein November, an impor-tant, if small, advantagein the House.

Timing is crucial. IfRadel is persuaded tostep down this year, or if

the governor set an elec-tion sooner instead oflater, the best-knowncandidates and those whocan raise money fasthave an advantage.

Benacquisto, who’salso been mentioned as apotential lieutenant gov-ernor candidate with Gov.Rick Scott, has a strongfollowing in Lee County,and ability for even moreexposure in her role as asenator seeking re-elec-tion. She’s also one of theSenate’s top fundraisers,with almost $440,000 inher re-election account.That money can’t be usedfor a congressional race,but many of the individ-ual donors could takeback their state donationsand donate again to acongressional account.

Some question wheth-er all the statewide sup-

port would hold if she raninstead for a seat inWashington. Corporatedonations make up muchof incumbent legislators’accounts, and those busi-nesses can’t give to feder-al races. Whether all thestatewide interests thatexpended effort to haveher voice in Tallahasseewould be equally happyto see her in Washingtonremains to be seen. Butvirtually all agree shewould be a formidablecontender.

“The residents ofSouthwest Florida de-serve someone focusedand who can serve thearea well, with their fullattention,” Benacquistosaid. “We have some veryimportant issues comingup in Washington,” in-cluding votes on waterissues that affect Lake

Okeechobee and the Ca-loosahatchee.

Goss finished secondin the six-man GOP pri-mary Radel won with 30percent of the vote. Gosshad almost 22 percent,and could gear up hisformer organizationquickly. “This countryhas serious issues and weneed good representationin Washington,” saidGoss, who also has a sup-port network in Washing-ton where he onceworked.

Mack, meanwhile, alsohas name recognition,and also can reach intoWashington for fundrais-ing help. If Radel refusedto step down, it’s lessclear whether Mackwould run against himgiven their long relation-ship.

Goss and Benacquisto

sound interested in therace, regardless.

Former state Rep.Gary Aubuchon, who ranunsuccessfuly for Con-gress last year, also ismentioned, but he’s lesswilling to talk about acandidacy. “I want to letsome time pass,” he said.“One thing I’ve learned inpolitics is that things arerarely as urgent as somepeople would like you tobelieve.”

Consider the dominoesin play here: If Benac-quisto runs for Congress,that opens her Senateseat, which could havemore appeal for Aubu-chon. A homebuilderwhose business haspicked up along with theeconomy, Aubuchonmight prefer returning toTallahassee, where heheld leadership roles and

is a respected figure,than Washington.

While Southwest Flori-da is considered one ofthe nation’s most reliableRepublican seats---andthe GOP primary victorycrucial in deciding thecongressman---Demo-crats want a seat at thetable. April Freeman hasbeen running for monthsas a Democrat for theseat, and said state partyofficials have talked withher about the possibilityof Radel’s resignation andspecial election.

If Radel resigns andthere’s a special election,she said, “we’re preparedto go into campaign hyp-er-drive” and compete.But she also believes theseat could stay open for along time, with the deci-sion made in the regularfall elections.

Continued from A3

Parker

perspective, it looks like asingle blob of light. Onlyby zooming past themcould you discern them asdistinctly separate, andthus smaller, objects.

The 3-D device effec-tively offers that extraperspective of the breast’sinterior by taking multi-ple X-rays in 1-millimeterphotographic slices.

“This is really where itdoes benefit patients —when you can go through,in a very detailed manner,dense breast tissue,” saidclinic owner Dr. Harmin-dar Gill.

Kernan’s last 3-D scanseveral weeks ago was allclear. Some spots wouldlikely have been consid-ered suspicious with a tra-ditional two- dimensionalscan, Gill told Kernan.Kernan said she’s used tothat.

“At (other clinics)they’d have to go throughthis three or four timessometimes,” Kernan said.“This was quick. It’s re-lieving too, because I’vegot a little bit of anxiety.”

But is this for every-one? After all, not all newtechnology translates intobetter care.

Significantly for somepatients on fixed incomes,insurance does not yetcover 3-D like it does fortraditional scans. Gill saidshe charges patients $69for 3-D mammography,though that does not in-clude any out-of-network

charges some patientsmay experience.

U.S. studies on its effi-cacy are limited. Butthose that have been donesuggest that this type ofimaging can reduce thenumber of false positivesand extra scans.

The first large U.S.trial, a 2012 study by aHouston breast imagingcenter with some ties toHologic, observed “recallrates” — instances inwhich patients get repeatscans to check suspiciousspots — dropping from 8.7

percent to 5.5 percentwith the 3-D machines.Cancer detection rates in-creased from 4 per 1,000screenings to 5.4 per 1,000screenings the studyfound.

The American CancerSociety says the technol-

ogy may allow doctors tobetter detect cancer butnoted that “the role of thistechnology in screeningand diagnosis is still notclear.”

This kind of imagingmay increase radiationexposure, particularly forwomen who also get thecovered two- dimensionalmammography else-where, though Gill’s ma-chine can provide 2-Dscans that are covered.

Dr. Mary Kay Peter-son, director of women’simaging at the SouthwestFlorida-based RadiologyRegional Center, said shethinks the scans are worthit for many women and areof minimal risk. Radiolo-gy Regional offers tradi-tional 2-D mammographybut is now trying to decidewhat kind of 3-D machineto purchase, she said.

“It’s a significant in-vestment, which is why alot of practices don’t haveit yet,” Peterson said. “ButI think if you’re dedicatedto making an impact onyour community, it’ssomething worth lookingat.” She added: “It’s defi-nitely going to have a posi-tive effect in detectingbreast cancer early.”

Connect with this reporter: @Frank-Gluck (Twitter)

Continued from A1

3-D

Dr. Harmindar Gill demonstrates the motion of the new 3-D digital breast tomosynthesis mammography system atPremier Women's Radiology. SARAH COWARD/THE NEWS-PRESS