CBS4 Magazine

T-CELL THERAPY

Woman Cancer Free After CAR T-cell Therapy Shows Promising Results

BIRD BOX CHALLENGE

FHP and Netflix Want You To Stop Doing The Bird Box Challenge

MAGAZINE

SURGEON GENERAL DECLARES:

E-CIG USE AMONG TEENS AN EPIDEMIC

Magazine ABOUT CBS4 NEWS MAGAZINE The CBS4 Magazine delivers award winning journalism you won’t find anywhere else!

Our content focuses on local business and community news which include: Health, Consumer News, Automotive and Entertainment.

REAL. LOCAL. NEWS. EDITORIAL TEAM NEWS DIRECTOR Liz Roldan lroldan@cbs.com ASSISTANT NEWS DIRECTOR Nick Bourne nbourne@cbs.com MANAGING EDITOR Alissa Merlo amerlo@cbs.com EXECUTIVE PRODUCER Miguel Fernandez mfernandez@wfor.cbs.com Jorge Gonzalez jgonzalez1@cbs.com Alex Hernandez ahernandez@wfor.cbs.com ANCHORS Eliott Rodriguez erodriguez@cbs.com Rudabeh Shahbazi rshahbazi@cbs.com Lauren Pastrana lpastrana@cbs.com Marybel Rodriguez marybel.rodriguez@wfor.cbs.com Diane Magnum dmagnum@cbs.com Frances Wang fwang@cbs.com WEATHER NEWS Craig Setzer csetzer@wfor.cbs.com Lissette Gonzalez lgonzalez@wfor.cbs.com REPORTERS Karli Barnett kbarnett@cbs.com Carey Codd cdcodd@wfor.cbs.com Rielle Creighton rcreighton@cbs.com Jim DeFede jdefede@wfor.cbs.com Amber Diaz adiaz@cbs.com Peter D’Oench peter.doench@cbs.com Joan Murray jmurray@wfor.cbs.com Ty Russell trussell@cbs.com Ted Scouten tscouten@cbs.com David Sutta dsutta@cbs.com LIFESTYLE / ENTERTAINMENT REPORTER Lisa Petrillo lpetrillo@wfor.cbs.com EXECUTIVE PRODUCER, SPECIAL PROJECTS & INVESTIGATIONS Cari Hernandez chernandez@cbs.com SPORTS Jim Berry jberry@wfor.cbs.com Mike Cugno mcugno@cbs.com Steve “Goldie” Goldstein sgoldstein@cbs.com Kim Bokamper KBokamper@wfor.cbs.com

4 Winter 2019 | cbsmiami.com

C O N TA C T U S WEB JOURNALISTS Lisa Cilli lcilli@wfor.cbs.com David Dwork ddwork@cbs.com John MacLauchlan jmaclauchlan@cbs.com MAGAZINE PRODUCTION GENERAL INFORMATION Victoria Zayas | Director of Client Relations victoria@cbs4newsmagazine.com 786-565-4556 ADVERTISING SALES Tony Gambirazio | Director of Sales tonyg@cbs4newsmagazine.com 786-565-4506 CREATIVE Tammy Kukic Art Director tammy@cbs4newsmagazine.com NEWSROOM DIRECT NUMBER 305-639-4500 WEBSITE Please visit www.cbsmiami.com for more information COPYRIGHT © 2019 BY MARCO G, INC. All rights reserved. The CBS4 News Magazine, a free publication, published quarterly by MARCO G, Inc. Material in this publication must not be stored or reproduced in any form without permission from Marco G. Inc. or WFOR CBS4. Requests for permission should be directed to: info@cbs4newsmagazine.com. CBS4 and/or Marco G. Inc do not assume any liability for products and/or services claimed in advertisements herein. CBS4 and its logo (s) are protected through trademark registration. The use of logos, content and/or artwork in whole or in part is strictly prohibited. For more information please contact 305.477.1699.

CONTENTS Winter 2019

COVER STORY PAGE 12

SURGEON GENERAL DECLARES:

E-CIG USE AMONG TEENS AN EPIDEMIC HEALTH

LIFE

WOMAN CANCER FREE AFTER CAR T-CELL THERAPY SHOWS PROMISING RESULTS 18

FHP AND NETFLIX WANT YOU TO STOP DOING THE BIRD BOX CHALLENGE 24

ORGANIC GARDENING: WHAT YOU NEED TO START YOUR OWN ORGANIC VEGETABLE GARDEN 38

ALFA ROMEO STELVIO QUADRIFOGLIO NAMED PERFORMANCE SUV OF THE YEAR BY THE AVA 45

STUDY: STETHOSCOPES LOADED WITH BACTERIA 20

LAUREN’S LIST: BREAKING DOWN NEGATIVE EFFECTS OF SLEEP TOO MUCH 26

10 QUESTIONS TO ASK BEFORE BUYING A NEW FLOOR 42

JEEP® WRANGLER RUBICON NAMED FOUR WHEELER “2019 SUV OF THE YEAR” 46

6 Winter 2019 | cbsmiami.com

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NEED A DOCTOR?

NOW, IT’S AS SIMPLE AS DOWNLOADING AN APP

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BY DONNA RAPADO • drapado@cbs.com

e’re still in the midst of flu season and when you feel miserable, getting out of bed to go to the doctor is the last thing you really want to do. But, you no longer really have to leave the house.

It’s what one doctor calls the wave of the future.

When Dr. David Mishkin’s busy 12hour shift ends at Baptist Hospital’s Emergency Department it’s not necessarily the end of his workday. Dr. Mikshin continues to help people from his own home.

responds. “And your physician at that time prescribed you some Tamiflu?”

“Correct. So I got the Tamiflu as well as the Zofran for nausea. And I’m feeling much better,” Suarez tells the doctor.

“I absolutely love using this program,” explains Suarez. “So, I used it about two years ago for my daughter when she had pink eye. It was actually very successful.

I mean we got the prescription we needed right away, over the phone.”

The flu, eye infections, ear infections, and sinus infections are perfect examples of illnesses treatable from afar. You no longer have to wait at an urgent care while you’re feeling miserable.

It’s called “Care on Demand.” You access doctors by downloading an app to your phone, tablet, even your PC. As long as you have a camera, you’re all set.

“To sit and wait for god knows how long, it is not fun. So, I love the convenience of doing this from my house, from my bed,” says Suarez.

Now you just dial in and within minutes an on-call doctor, like Dr. Mishkin, answers.

Since “Care on Demand” started in 2016 the number of people who use it has more than tripled to 20,000 now and provides urgent care to all 50 states.

He appears in the lower right corner of his computer screen as he talks to patient Jackie Suarez.

“I saw that we saw you for flu-like symptoms here last week,” Dr. Mishkin.

“Yes, yes, that’s correct,” Suarez

Initially started as just an urgent care platform, it has since added other services and doctors, like psychiatrists and oncologists. And next month the platform will add nutrition consults and breastfeeding support.

FEATURE cbsmiami.com | Winter 2019 9

But how is the doctor able to diagnose you if you’re not right there in person? Dr. Mishkin says it starts with asking the right questions.

“When you come in to see a physician for an acute medical problem, they are going to ask you basically a history of your present illness and that is going to give them a pretty good indicator of what you have,” Dr. Mishkin explains. He says the physical exam is a modified version.

“Seeing their appearance, how their disposition is, how they are breathing, and then, in addition, there is a lot of things we can see from visually,” says Dr. Mishkin. “Like skin rashes, we can look in their eyes really well and see if they potentially have an eye infection. We do not take insurance. It is really, for the most part, these types of programs in our country do

not take insurance. But the cost of the service is cheaper than a copay and it is a one time fee only. There is no hidden fees, no hidden billing, and it is pretty much, can be paid up front by the patient and it is very consumer driven in that regard.”

Dr. Mishkin says he realized early-on telehealth is the wave of the future, leading him to spearhead the program at Baptist.

“I’m really glad you’re feeling better,” he tells Ms. Suarez. “We’re always available if you find anyone else in the house starts to get those symptoms. Other than that you’re cleared to go back to work.”

Now, while no insurance is accepted, the doctor says the one-time fee is less than a copay.

FEATURE cbsmiami.com | Winter 2019 11

SURGEON GENERAL DECLARES

E-CIG USE AMONG TEENS AN EPIDEMIC

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he government’s top doctor is warning parents, doctors and health professionals about the dangers of e-cigarettes.

It comes as federal health officials try to combat the rapid rise in e-cigarette use among America’s youth.

Surgeon General Jerome Adams officially declared e-cigarettes an epidemic in the US. “We must protect our nation’s young people from a lifetime of nicotine addiction and associated problems,” said Adams.

E-cigarette use has skyrocketed among the middle and high school set.

According to the latest federal data, the percentage of high school age children reporting e-cigarette use in the past 30 days rose 75 percent from last year.

Vaping among middle school-age children also increased by nearly 50 percent.

Currently, more than 3.6 million US youth use e-cigarettes, including 1 in 5 high school students.

“Students are bringing e-cigarettes to the schools, using it in the school bathrooms and at times, during class.

How do we know that? Because they are taking selfies of themselves vaping in the classroom,” said substance abuse counselor Dr. Mila Vascones.

The unprecedented rise in vaping comes at a time when traditional cigarette smoking, drinking, and other drug use has gone down among young people. Health experts stress less harm is not harmless.

“We know that nicotine exposure during adolescence can uniquely harm the developing adolescent brain, impacting learning, memory, and attention,” said Adams.

The Food and Drug Administration introduced steps last month to cut down young people’s access to flavored e-cigarettes which is driving the epidemic. Officials say they will continue to crack down on stores that illegally sell e-cigarettes to minors.

FEATURE cbsmiami.com | Winter 2019 13

I-395 PROJECT INCLUDES DOUBLE DECKER ROAD, SWEEPING ARCHED BRIDGE

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massive construction project involving the redesign of I-395, and involves the roads that feed into downtown Miami and Miami Beach, is about to cause massive headaches for drivers.

Plans for I-395 involve a Signature Bridge that will be built over Biscayne Boulevard and double-decker span will be built to go over I-95 and the Miami River to the MacArthur Causeway.

The bridge will span 1,025 feet over Northeast 2nd Avenue and Biscayne Boulevard and have six sweeping arches.

The double-decked section will provide drivers with a direct connection to the MacArthur Causeway.

The project will create additional capacity on I-395 with a total of three through lanes in each direction and provide separate connector ramps for traffic to and from I-95.

The existing I-395 eastbound offramps at NE 2 Avenue will be moved west to North Miami Avenue, and the westbound on-ramps at NE 1 Avenue will be shifted to the west of North Miami Avenue. NW 2 Avenue will also

be reconnected under I-395, providing residents greater access.

The 1.4-mile enhancements on I-395 will stretch from NW 17th Avenue to the MacArthur Causeway.

Other enhancements in the project include widening the existing eastbound SR 836 ramp to northbound I-95 to reduce congestion.

Also, a new connector ramp from southbound I-95 to westbound SR 836 will be built.

The ambitious $802 million project won’t be completed until Fall 2023 barring any unexpected weather problems or unforeseen delays.

Geological testing and surveying near I-395 is already underway.

In terms of closures, the next 2 weeks will include non-peak hour closures southbound on I-95 between Northwest 29th Street and Northwest 17th Street.

Median work on that same stretch will begin in February.

Beginning in March and April, permanent closures between Northeast 12th Street and Northeast 2nd Avenue.

FEATURE cbsmiami.com | Winter 2019 15

THANKFUL FOR 26 YEARS OF CONNECTING HOPE DURING THE HOLIDAYS For 26 years our Adopt A Family for the Holidays program has brought the kindness of the community together. With the support our partners, Publix, MOD Pizza, Hoffman’s Chocolates and BBX Capitol, we are able to connect those in need with generous donors, bringing the true spirit of the holiday to deserving families. This past December, 537 families, a total of 2,285 people were generously given hope, through gifts and acts of kindness. One was even given a scholarship to a job training program. Gifts like these are life changing. From the smallest kindness to the most generous, we cannot thank the community enough for coming together each year. If you didn’t get a chance to help, it’s never too late. You can make a donation right on our website. www.neighbors4neighbors.org There is always as need and Neighbors 4 Neighbors is ready to help. Your donation will allow us to be ready for family in need during the holidays and any other time of the year.

HOPE FOR MOTHERS DEALING WITH STRESS The holidays and New Year can be very stressful for many, especially for new moms. But when the stress doesn’t seem to go away it could mean that you have post-partum depression.

This is a common problem for many new moms, but nothing to be ashamed about.

Our partners at the Children’s Services Council of Broward County have resources to help. MOMS (Mothers Overcoming Maternal Stress) is programming designed to address risk factors associated with maternal emotional distress, enhance bonding and attachment between mother and child, and improve overall family functioning utilizing best practice clinical and parenting modalities delivered in-home and in group settings. For more information or assistance in coping with Maternal Depression go to www.cscbroward.org/MOMS.

TAKING IT TO THE STREETS ConnectFamilias knows playing in the street brings communities to life! Together with, Urban Impact Lab and Miami Children’s Initiative partnered on a community-built #PlayStreets program, which brings #parents and #kids together for #safe, #outdoorplay in neighborhoods where there are few parks or open spaces. Funding for this initiative was provided by The Children’s Trust’s Innovation Fund. When #streets are safe and #families can #play, everyone wins! Download the Play Street Guides in English and in Spanish to join the fun! - http:// www.connectfamilias.org/news--updates.html. For more information on their programs and upcoming events, visit them at www.connectfamilias.org or call 305-854–2973.

PROTECTING BISCAYNE NATIONAL PARK, PROTECTS US Biscayne National Park a living protector of our shores. Mangroves, Seagrass, Corals and Sponges all work to protect our shores from erosion and keep our water clean. Keeping these plants and animals safe and providing a place for them to thrive is very important to us and our partners at the Herbert W. Hoover Foundation. Over 50 years ago they saw the crucial need maintain this ecosystem, which is not only beautiful, but necessary to keeping our shoreline intact. Something many don’t think of living inland even just a few miles. This area is like no other and we are honored to be working to protect this area.

This one of a kind place needs us to preserve the life that calls it home. For more information and learn how you can be an advocate too, visit: www.neighbors4neighbors.org/Biscayne-National-Park.

Neighbors 4 Neighbors is generously supported by the Herbert W. Hoover Foundation and The Children’s Services Council of Broward County.

FEATURE cbsmiami.com | Winter 2019 17

HEALTH

WOMAN CANCER FREE AFTER CAR T-CELL THERAPY SHOWS PROMISING RESULTS

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octors say an Ohio woman, who has battled non-Hodgkin’s lymphoma since 2009, is cancer free after becoming the first patient in a groundbreaking clinical trial.

Denise Kennan, 66, participated in a new cancer treatment in August called CAR T-cell Therapy at Seidman Cancer Center at University Hospitals of Cleveland. Just 30 days later, doctors say they can’t find any trace of cancer.

“The jury’s still out as far as how long this is going last because they just don’t have a lot of long-term data,” Keenan told told WJW. Kennan, who lives in Youngstown, has been in and out of remission several times over the past ten years with a variety of failed cancer treatments.

“I started getting used to the idea of not being here anymore,” Keenan said.

The trial is delivered in a single syringe and re-engineers T-cells to seek out and destroy the cancer cells.

“We collect the patient’s cells they get modified with a particular virus that introduces the genetic modification over 12 to 14 days,” said Dr. Paolo Caimi, a hematology and oncology specialist.

It is still not clear exactly how the new cancer treatment works and why some people respond better than others. However, experts believe that the clinical trial has shown some very promising results, especially for those suffering from cancers of the blood and organs.

Kennan says she knows the future isn’t guaranteed, but the wife, mother and sister says for now, she will live in the moment.

HEALTH cbsmiami.com | Winter 2019 19

STUDY:

STETHOSCOPES LOADED WITH BACTERIA

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new study from a University of Pennsylvania professor reveals that stethoscopes are loaded with bacteria, including ones that can cause health care-associated infections.

The study was conducted by Dr. Ronald Collman, a professor of medicine, pulmonary, allergy and critical care at the University of Pennsylvania.

“This study underscores the importance of adhering to rigorous infection control procedures, including fully adhering to CDCrecommended decontamination procedures between patients, or using single-patient-use stethoscopes kept in each patient’s room,” said Collman.

Researchers analyzed 40 stethoscopes that were being used in the ICU and found that all of them were contaminated with a diverse group of bacteria. Staphylococcus, the bacteria known for producing staph infections, was heavily found on all stethoscopes.

But, it could not be determined if the stethoscopes ever made the patients ill.

The effectiveness of the cleaning methods were also reviewed.

Researchers found while the cleaning methods reduced the amount of bacteria they failed to consistently bring contamination to the level of clean, new stethoscopes.

The study was published in the journal Infection Control & Hospital Epidemiology, the Journal of Society for Healthcare Epidemiology of America.

HEALTH cbsmiami.com | Winter 2019 21

LIFE

FHP AND NETFLIX WANT YOU TO

STOP DOING THE BIRD BOX CHALLENGE

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etflix is warning fans about the risks of a new social media challenge inspired by its hit movie “Bird Box.”

The R-rated film stars Sandra Bullock, who plays a blindfolded mother who is tormented by evil creatures that turn anyone who sees them suicidal. She and her children don blindfolds to make their escape.

Blindfolded copycats have now popped up on social media. In one video, a woman nearly burns herself on a heater, in another, a boy repeatedly crashes his tricycle into furniture.

After seeing what was happening, Netflix asked everyone to just stop.

“Companies are always a little concerned when something takes off that’s out of their control,” said Hollywood Reporter senior film editor Rebecca Keegan.

Keegan also believes Netflix senses a marketing opportunity for the movie.

“The first time I heard about the “bird box” challenge was by Netflix warning people about the bird box challenge,” she said. “Did you ever think it was going to be anything like this?”

The company, famously secretive about its viewership figures, boasted more than 45 million accounts streamed “Bird Box” in its first 7 days, numbers that can’t be independently verified.

“Bird Box” was released in theaters for only a week before Netflix started streaming it. Although the movie did well in test screenings prior to its release, Keegan says even Netflix has been taken aback by the audience response.

LIFE cbsmiami.com | Winter 2019 25

LAUREN’S LIST:

BREAKING DOWN NEGATIVE EFFECTS OF TOO MUCH SLEEP

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BY LAUREN PASTRANA • lpastrana@cbs.com

f you’re an early riser like CBS4’s Lauren Pastrana, you’re lucky to get 5 or 6 hours of sleep on any given night.

Seven to eight hours sounds like a vacation! 10 hours plus?! Forget about it!

We often hear the benefits of sleep, but like most things, anything in excess can be bad for you.

So today’s “Lauren’s List” breaks down the negative effects of sleeping too much, to make early birds feel just a bit better!

HEART DISEASE AND STROKE A concerning problem linked with long sleep is cardiovascular disease.

Researchers from the Chicago School of Medicine found that people who sleep more than 8 hours per night are twice as likely to have chest pain and 10 percent more likely to have coronary heart disease, according to RD.com. A study from the UK showed a 46 percent greater chance of stroke in long sleepers, even after adjusting for other risk factors.

OBESITY Much like the chicken or the egg, it’s hard to show what came first here. The long sleep leading to weight gain, or the weight gain causing you to want to sleep more.

Looks like sleep is a cause and effect for and of obesity. If you’re spending more time in bed, you’re not exercising or moving around, so you’re burning fewer calories. In a study from Canada, long sleepers were 25 percent more likely to gain weight over the study’s 6-year period.

DEPRESSION One symptom of depression is oversleeping, so having untreated mental health problems could be one reason why you’ve had a hard time getting up. Studies have shown long sleep is significantly associated with frequent mental distress, and this may be tied to the lack of physical activity caused by sleeping too much.

BRAIN FOG Have you ever taken a long nap only to feel even more tired? That’s why power naps are so helpful! A short burst of sleep will leave you feeling recharged and your brain sharp. One study out of Harvard shows older women who slept more than 9 hours had worse cognition, the equivalent of aging almost 2 years!

How many hours do you sleep each night?

Tell Lauren on Facebook or Twitter. If you have an idea for a future “Lauren’s List” send it to lpastrana@cbs.com.

LIFE cbsmiami.com | Winter 2019 27

TASTE OF THE TOWN:

FORT LAUDERDALE’S DUNE DISHES UP FANCY TO FUN

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BY LISA PETRILLO • lpetrillo@wfor.cbs.com

t’s a breath of fresh air at Dune, a sweeping indoor-outdoor dining venue located inside Auberge Beach Residences on Fort Lauderdale beach.

Designed by renowned New York firm Meyer Davis, Dune is relaxed, light, and warm with pale ocean hues, hand-carved woods, tropical plants, all framing Atlantic ocean views.

“It was designed to be more relaxed. We don’t want it to feel fussy. We are on the water, we want this place to feel comfortable, more of a neighborhood spot. We consider ourselves part of the neighborhood,” said Executive Chef Edgar Beas.

This is the first east coast restaurant from Auberge Resorts known first in Napa Valley.

Beas comes to Dune from Santa Fe where he was well regarded for his menu that incorporated sustainable ingredients as well as being a melting pot of flavors now considered American cuisine.

“It could be considered modern American or contemporary American food, because of the many cultures we have here in America,” said Beas.

Beas said what he likes about this menu is there’s something for everyone from fancy to fun.

“We have a beautiful bar and get early crowds too. If you want to do dollar oysters and a beer outside, that’s great too, that’s what I would do,” he said.

Back in the kitchen Beas prepared CBS4’s Lisa Petrillo’s tasting menu.

They began with Octopus a la Plancha with sofrito, patatas bravas, and a touch of green onion.

It’s very tender. It still has tentacles on them and then a nice crusty char on them,” Beas said.

“When you say tender, that’s an understatement,” replied Petrillo. “It is so tender and the crunch on the outside is terrific.”

LIFE cbsmiami.com | Winter 2019 29

Next, a whole roasted Branzino with charred lemon, sautéed hearts of palm, and housemade Vadouvan sauce.

“So we pan roast it and then baste it with butter. The unique thing about this is the sauce.

It’s Moroccan carrot paste curry, sautéed hearts of palm and then add the charred lemon to it,” said Beas.

“It almost has an Indian flavor to it, I guess more of a French Moroccan, it is special, that is a really special dish,” said Petrillo.

Also on the menu, a mouth-watering rack of lamb seasoned with sumac, charred cucumber, tzatziki sauce, and warm olives.

And a Florida favorite, fresh grouper with fingerling potatoes, fennel, in warm shellfish vinaigrette, preserved lemon, and chorizo.

“So the grouper is a very forgiving fish, it’s very buttery and flaky and for me this my favorite,” Beas said. “I’m a grouper girl too and this has such nice flavor,” said Petrillo.

Dune, where beachfront dining is both elegant and uncomplicated. It’s open 7 days a week for dinner only. For more info: dunefl.com.

LIFE cbsmiami.com | Winter 2019 31

MOST WOMEN LOVE HIGH HEELS,

BUT DOCTORS WARN THEY CAN REALLY DAMAGE FEET

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BY LAUREN PASTRANA • lpastrana@cbs.com

ost women know and love a good pair of high heels.

Often, the higher the better. However, doctors warn high heels can really damage your feet, causing a lot of pain.

It is informally called “Big Toe Arthritis.” A new implant made out of contact lens material may provide you some relief.

Patient Elizabeth Carbonell explains, “I knew that I needed surgery to the point that I was limping.”

Carbonell has suffered from foot pain for years. She blames her love of high heels her entire adult life.

“I guess I was very vain when I was younger and I was always in high heels, to the point I would go to school in high heels, go to university in high heels, go to work in high heels,” she says.

However, a few years ago, the pain in Carbonell’s feet and the rest of her body became unbearable.

“That type of walking hinders you in other ways because it causes lower back problems,” Carbonell says, wincing at the memory of her pain. “That’s one of the biggest red flags in my case when you realize that you have such terrible pain in your lower back. And it’s all due to your feet and the way you’re walking.”

Carbonell ended up opting for surgery on her left big toe. But it only led to more problems and three surgeries. Even now, years later, she says it is painful. Her ability to move the toe is compromised.

“It was a complete disaster.”

Still in pain, limping and somewhat traumatized by how wrong things went in that last surgery where her toe joint fused and was made unmovable, Carbonell waited for just the right option for her other foot.

“The whole idea of having to redo something like that again was just horrible in my mind,” she says.

“When we talk about big toe arthritis, we’re talking about this area here,” says Carbonell’s orthopedic surgeon says as he points to the bone of the big toe on a skeletal model.

Doctor Amiethab Aiyer with the University of Miami’s Health System is using the new Cartiva implant in surgeries for big toe arthritis.

Still pointing at the first joint of the big toe, Doctor Aiyer explains, “It’s this area here where my finger is that is particularly affected by this. That’s when we really start talking to the patients about adjusting shoe wear.” If that fails, the talks switch to surgery.

LIFE cbsmiami.com | Winter 2019 33

About two million people across the U.S. have ‘big toe arthritis”, most of them women. Dr. Aiyer says you get big toe arthritis a couple of different ways, with varying degrees of severity and pain.

toe to get down to the joint. The operative time is about 40% shorter. On average, a fusion can be done in about an hour whereas on average this takes anywhere from 20 to 40 minutes to complete.”

Inflammation from rheumatoid arthritis, gout, a fracture or broken bone are all often to blame. And of course, high heels.

In contrast to the surgery on her left foot, three months after this procedure putting Cartiva in her right foot, Carbonell was quickly out of bed and off the crutches.

“Loading of the joint in that particular fashion as the toe is sort of brought up with the high heel definitely causes more force and more stress on the joints in that area and definitely may be a reason why we see when patients come in with BTA early on big bone spurs that have formed in that particular spot.”

Doctor Aiyer continues, “Depending on the stage of the disease has really sort of dictated how we treat this. With lower stages or earlier grades, predominantly when there is a big bone spur on the top, you can make an incision on to the top of the big toe and remove the bone spur all the way to actually gluing the joint shut and fusing the toe when it’s really bad arthritis.”

“I’m very pleased. The recuperation time has been wonderful,” she says happily.

“Within six weeks. I was walking and doing therapy.”

Her right toe is still swollen. However, Carbonell’s wearing flat shoes and does so all the time now. And when she can, she tries to pass along some advice informed by her own many years in pain.

“I see these beautiful young women destroying their feet. I wouldn’t want other women to suffer the way I have. The issues that come along later in life aren’t worth it, it’s really not worth it.”

“He recommended I do this joint fusion and the technology is nowhere,” Carbonell says.

The Cartiva implant is made with the same material used in contact lenses. It is durable and slippery, acting much like cartilage.

“Interestingly a lot of people still use metallic joint replacements that do involve some degree of screwed mechanics or some degree of screw material,” says the doctor.

“The advantage with the Cartiva is the pain relief lasts for close to five years. In addition, people get between five and seven degrees more motion at the end of the surgery. You still have to make that dorsal incision, that incision on the top of the big

LIFE cbsmiami.com | Winter 2019 35

HOME

ORGANIC GARDENING CONTENT PROVIDED BY LOWES.COM

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earn what makes something organic, and find out what you need to start your own organic vegetable garden.

WHAT IS ORGANIC

GARDENING? The term “organic” describes farming and cultivation practices that enrich the soil, manage and prevent pests and disease without the use of synthetic chemicals and protect heirloom plant varieties. Organic gardeners consider the entire ecosystem as they grow their plants, working in harmony with the water supply, wildlife, insects and local community. Organic gardeners strive to enrich the soil with compost and choose plants suited to the local environment instead of exotic varieties.

Gardeners using organic practices are enthusiastic about green living and environmental protection, and many people believe that organic fruits and vegetables contain more essential nutrients than conventionallygrown produce. When you eat organically-grown food, you avoid exposure to pesticides, fertilizers, preservatives and other synthetic chemicals.

The satisfaction of growing organic fruits and vegetables in your yard includes a greater connection to the plants’ natural processes.

Because you won’t be working with potentially dangerous chemicals, you can feel good about letting your kids work with you in your garden, and you don’t have to worry about your pets coming into contact with pesticides.

ORGANIC SEEDS For a fruit or vegetable seed to be labeled “organic,” it must be approved by the USDA through a robust testing process. Look for the USDA Organic label to make sure you’re getting organic seeds.

Organic seeds are produced through green farming practices. Synthetic fertilizers, sewage sludge, irradiation, and genetic engineering can’t be used. Many people believe these practices are healthier, and they are popular with folks who are more earth-conscious. These seeds can be a little more expensive, though, because of the extra care it takes to grow organically.

If you’re going to spend the extra cash to get organic seeds, it makes sense to continue to use organic methods to grow your crops. The seeds will grow with synthetic fertilizer and non-organic soil, but you’ll enjoy the satisfaction of knowing your fruits and veggies are 100% organic. Ask your local Lowe’s associate where to find the best organic soils, fertilizers, seeds and more.

INSECTS AND ORGANIC GARDENING Organic gardeners work with the natural environment instead of against it. So if you are beginning an organic garden, learn about beneficial insects. Bees and other pollinators are crucial to spreading pollen in your garden.

HOME | Winter 2019 39

You can encourage bees in your garden by planting flowers that attract them, providing a source of shallow water for them to drink and leaving a bit of bare ground for them to make nests.

Spiders are also beneficial because they catch and eat other bugs that might eat your plants.

While some beetles can be pests in the garden, others, such as lady bugs, are useful because they feed on aphids and mites.

Protect these insects by avoiding pesticides or other toxic sprays. Even organic pesticides can harm beneficial insects, so only use them when your crops are being attacked and only on specific plants. Your best option is always to hand-pick insects that are on your plants.

WEEDS IN THE ORGANIC GARDEN There are organic alternatives to fighting weeds. Be vigilant to pull weeds when they emerge to prevent them from leaving seeds. It’s easier to pull weeds when it’s been wet for a few days, so wait until after you water or a rainfall to make it a no-fuss process – just be sure to get all of the root when pulling up weeds. .

You can use compost or other organic mulch to keep the weeds from seeing the light of day, which will kill them. Cover the bases of your plants with a 1 to 3 inch layer of compost, which will also serve as an excellent organic fertilizer.

You can also target specific weeds with white vinegar, or look for organic alternatives at your local Lowe’s Garden Center.

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10 QUESTIONS TO ASK BEFORE BUYING A NEW FLOOR CONTENT PROVIDED BY LOWES.COM

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our flooring options are endless. Our list of questions will help you assess your home’s flooring needs to narrow your choices quickly.

1. WHERE IS THE ROOM LOCATED AND HOW WILL IT BE USED? Ground-level and basement spaces are more susceptible to moisture than those upstairs, so consider the impact on your flooring choice. Also, if the room will serve as an entry area for your home or a play area for pets and kids, look for flooring that can handle wear. If the floor needs to support a wheelchair, walker or cane, make sure the flooring material will allow easy, unobstructed movement.

2. WHAT IS YOUR CLIMATE? Wood can warp and buckle and carpet can mold in humid environments. Tile makes a great alternative, is easy to clean and maintain and comes in a variety of textures, colors and sizes to suit your personal style.

3. WILL YOU HAVE TO REDECORATE? Color is a major consideration when buying a new floor because it impacts the entire room. Lighter flooring can make rooms feel larger but show stains and reveal wear. Darker flooring can make rooms feel cozy but show dust and pet hair. Neutral tones accommodate colorful décor easily, making it easy to change your home décor down the road.

4. WILL YOUR NEW AND EXISTING FLOORING COORDINATE? Consider how the new flooring will complement your overall interior style and decorating scheme.

Blending materials and creating interesting transition spaces with patterns or materials may solve your design dilemmas.

5. WHAT LEVEL OF FLOOR CARE IS

REQUIRED? Are you willing to make the new flooring’s maintenance schedule a part of your life? Ask what is involved in cleaning and upkeep and factor things like refinishing and steaming into your decision.

6. DOES ANYONE IN YOUR HOME HAVE ALLERGIES? Hard-surface flooring collects fewer dust mites and allergens. Add warmth and visual interest with easyto-clean rugs.

7. DO YOU HAVE, OR PLAN TO INSTALL, A HEATED FLOOR? Not all flooring options are compatible with subfloor heating. Consult a flooring expert for help exploring the options best for you.

8. CAN YOU INSTALL NEW FLOORING YOURSELF? New flooring installation is more than lining up boards and tiles. Know whether or not you can identify and repair a faulty subfloor, if you know how to safely dispose of old flooring and if you can return unused boxes or pieces to the store. Some flooring may require professional removal.

9. HAVE YOU FACTORED IN ADDITIONAL COSTS? Installing new flooring may also require you to replace your existing trim and thresholds. Also, if you’re having your flooring installed professionally, you’ll need to include this extra expense in your budget.

10. CAN YOU REFINISH YOUR EXISTING FLOOR? Research your refinishing options. You may be able to bring your floors up to date with a new stain.

HOME | Winter 2019 43

2019 ALFA ROMEO BEST-IN-CLASS PERFORMANCE & POWER ALFA ROMEO

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2019 ALFA ROMEO

A UNIQUELY ITALIAN TAKE ON THE SUV

Alfa Romeo of South Miami is dedicated to providing you with exceptional customer service that parallels the premium quality of our vehicles.

We look forward to providing you with a world-class experience.

AlfaRomeoUSAOfSouthMiami.com 305-305-3428

AUTO ALFA ROMEO STELVIO QUADRIFOGLIO NAMED PERFORMANCE SUV OF THE YEAR

BY THE AUTOMOTIVE VIDEO ASSOCIATION

CONTENT PROVIDED BY MEDIA.CHRYSLER.COM

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o win its title, the Stelvio Quadrifoglio beat out vehicles such as the Mercedes-Benz AMG GLC 63 and the BMW X3 M40i. In addition to naming the Stelvio Quadrifoglio as its Performance SUV of the Year, AVA judges crowned the McLaren 720S as their Performance Car of the Year.

The two winners were chosen from among five finalists in each category (Performance Car and Performance SUV). All vehicles were put through a series of tests and then rated by AVA judges.

“This year’s contenders were the best vehicle lineup we’ve had yet,” said Nik Miles, president of OurAutoExpert.com. “Although the battle was fought hard, only two winners could come out on top. Voting was down to the wire for every single contender in each performance category. Ultimately, only two remained from all judge’s entries.”

The AVA is a made up of a select group of automotive video journalists that represent an online audience of 500 million viewers per year.

The organization is made up of some of the most prominent and most followed automotive outlets in the country, including: • Nik Miles (Our Auto Expert) • Roman Mica (The Fast Lane Car)

• Alex Dykes (Alex on Autos) • Sofyan Bey (Redline Reviews) • Jason Fenske (Engineering Explained) • Matt Maranowski (Matt Maran Motoring) • Nick Murray (The Nick Murray YouTube Channel) Crafted by Alfa Romeo artisans in Cassino, Italy, the Stelvio Quadrifoglio is a testament to Alfa Romeo’s perfect balance of engineering and emotion, creating a premium midsize SUV for driving enthusiasts.

The Stelvio Quadrifoglio brings world-class performance, state-of-the-art technologies, seductive Italian style and an exhilarating driving experience to the premium midsize SUV segment. With the Alfa Romeo Stelvio Quadrifoglio, where other SUVs stop at utility, Alfa Romeo took on the challenge to create the perfect mix of high performance, capability and design. The Stelvio Quadrifoglio is the fastest SUV in the world with a Nürburgring lap time of 7:51.7 and boasts a best-in-class 0-60 mph time of 3.6 seconds.

For more information about the 2019 Alfa Romeo Stelvio Quadrifoglio, contact South Miami Alfa Romeo Fiat, located at 17220 South Dixie Hwy, Miami, FL 33157 or call (305) 305-3428, or visit them at alfaromeousaofsouthmiami.com.

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JEEP® WRANGLER RUBICON NAMED FOUR WHEELER “2019 SUV OF THE YEAR”

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he 2019 Jeep® Wrangler Rubicon – the most capable SUV ever – has been named FOUR WHEELER “2019 SUV of the Year.” The award is given annually by the editors of the opinion-leading off-road enthusiast publication.

“The Wrangler Rubicon is packed full of innovation and technology, fully modernizing the Jeep experience, yet capability, comfort and user-friendliness have only been improved upon,” said Sean Holman, Group Content Director for FOUR WHEELER. “This is one of those rare instances where a company got something so right, you can have your cake and eat it, too. It is a truly modern interpretation of the Wrangler without any dilution to the formula of what a Jeep should be.”

Over the course of a week, FOUR WHEELER’s judges conducted a variety of tests spanning more than 1,000 miles of terrain that included pavement, gravel, dirt, sand, rocks, mud and snow at elevations ranging from sea level to more than 9,000 feet. During the off-road portion of testing, judges evaluated visibility from the driver seat, four-wheel-drive system selection and performance, tire performance and durability, engine power and cooling, transmission function and cooling, suspension tuning and performance and traction control system function.

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Judges spent time on the road evaluating driving characteristics, such as handling, ride quality, interior comfort and steering feel. Other factors also taken into consideration include price, fuel efficiency, tire size and ramp travel index (RTI), which tests suspension articulation.

“Our all-new Jeep Wrangler has been improved in every way, and we are thrilled the FOUR WHEELER editors have honored the pillar of our brand with this important award,” said Tim Kuniskis, Head of Jeep Brand – North America. “Jeep Wrangler is the original SUV and has long been the most capable vehicle on the planet. This new Wrangler is completely refined, with more fuel-efficient powertrains, dramatically improved on-road driving dynamics, and an array of advanced technology, connectivity and safety features that make it a pleasure to drive every day – on the road or trail.”

For more information about the 2019 Jeep® Wrangler Rubicon contact Dadeland Dodge Chrysler Jeep Ram, located at 16501 South Dixie Hwy, Miami, FL 33157 or call (305) 278-9994, or visit them at www. dadelanddodgechryslerjeep.net.

ALL NEW 2019 RAM

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16501 South Dixie Hwy, Miami, FL • 1-877-240-8176

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