Marion Healthy Living May 2017

Care

Dr. Ashley Cauthen introduces MidState Skin’s newest non-invasive skin cancer treatment

WHEN YOUR HEALTH OR THE HEALTH OF A FAMILY MEMBER MATTERS MOST, THE PROFESSIONALS AT CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA ARE HERE TO HELP.

Full Range of Cardiology Services Consultations | Electrophysiology | Nuclear Stress Tests | PET Stress Tests | Echocardiography | Vascular Ultrasounds & Procedures | PT-INR Clinic | Holter and Event Monitor Clinic | TEEs | Cardiac Catheterization | Peripheral Interventions | Pacemaker Clinic and MUCH MORE!

Most insurances accepted. We are ICANL and AAAHC accredited. All of our physicians have hospital privileges in Marion County. Full EHR Capabilities and In House Billing.

WWW.CVICFL.COM

WE GET TO THE heart OF THE MATTER

Shafeeq Ahmed, MD

Ramil Goel, MD

Siva Gummadi, MD, FACC

Vijaya Koka, MD, FACC

Jayanth Koneru, MD

Hima Mikkilineni, MD, FACC

Jigar Patel, MD

Srisha Rao, MD, FACC

Prem Singh, MD, FACC, FSCAI

Paul Urban, MD, FACC, FSCAI

The Ocala Health Family

Advanced Imaging Centers

8150 SW State Rd 200, Ocala

2300 SE 17th St, Suites 302 & 800, Ocala

OcalaHealthAIC.com

Family Care Specialists

2415 SE 17th Street, Ocala

1800 SE 17th Street, Bldg 100, Ocala

2300 SE 17th Street, Suite 402, Ocala

1111 NE 25th Ave, Suite 302, Ocala

10696 SE US Hwy 441, Belleview

4850 SE 110th Street, Belleview

8150 SW SR 200, Unit 400, Ocala OcalaHealthFCS.com

Ocala Health Heart & Lung Surgery

1500 SE Magnolia Ext, Suite 203, Ocala OcalaHealthHeartandLung.com

Ocala Health Neurosurgical Group 1725 SE 28th Loop, Suites 101 & 103, Ocala 1500 SE Magnolia Ext, Suite 204, Ocala OcalaHealthNeurosurgicalGroup.com

Wound and Hyperbaric Center 3300 SW 34th Ave, Suite 104, Ocala

Senior Wellness Community Center 9850 SW 84th Court, Suite 500, Ocala

Ocala Regional Medical Center 1431 SW 1st Ave, Ocala

West Marion Community Hospital 4600 SW 46th Court, Ocala

Summerfield ER 14193 S US Hwy 441, Summerfield

We work every day to provide the safest, most advanced, patient-focused care you’ve ever experienced. Our team is ready to care for you and your family with our two hospitals, three emergency departments, seven primary care practices, three imaging centers, two surgical practices, a wound center, and a center for senior wellness. As Marion County continues to grow, Ocala Health expands to better serve the healthcare needs of our community. Whether it’s adding to our existing facilities or adding new locations and services, we’re committed to the care and improvement of human life.

ON THE COVER:

skin deep

› PAGE 18

MidState Skin Institute incorporates new technology to change the way non-melanoma skin cancers are treated.

breaking away › PAGE 20

Take advantage of Florida’s late spring weather and hit the trail (or road!) this month. › By Jim Gibson

a girl’s best friend › PAGE 24

Ladies, gather round. We all know our bodies are seriously impressive, but when’s the last time you stopped to appreciate everything it can do? › By Katie

McPherson

on the front line

› PAGE 30

Local emergency management teams spring to action when the need arises. ›  By Cynthia McFarland

HEALTHY beat

› PAGE 7

TRENDS | NEWS | PEOPLE

By Laurel Gillum and JoAnn Guidry

› 8 Let’s dance!

› 10 What to do this month.

HEALTHY dose

› PAGE 13

INSIGHT | ADVICE | SOLUTIONS

By JoAnn Guidry and Laurel Gillum

› 14 Battling a broken heart

› 16 After the ICU

HEALTHY body

› PAGE 41

NUTRITION | FITNESS | BEAUTY

By Angelique Anacleto and Cealia Athanason

› 42 Nothing but neck.

› 44 Be a hot mama.

HEALTHY vibe

› PAGE 45

MIND | SPIRIT | FINANCE

By Angelique Anacleto, Brett Ballantini and Laurel Gillum

› 46 Fighting fair.

› 48 Slow down or speed up?

Photo by John Jernigan

PUBLISHER

Kathy Johnson kathy@healthylivingmagazines.com

OFFICE/PRODUCTION MANAGER

Cynthia Brown art@healthylivingmagazines.com

EDITORIAL

EXECUTIVE EDITOR

Karin Fabry-Cushenbery karin@healthylivingmagazines.com

MANAGING EDITOR

Melissa Peterson melissa@healthylivingmagazines.com

ASSOCIATE EDITOR & SOCIAL MEDIA SPECIALIST

Cealia Athanason cealia@ocalastyle.com

FOOD & LIFESTYLE CONTRIBUTOR

Robin Fannon

CONTRIBUTING WRITERS

Angelique Anacleto

Brett Ballantini

Jim Gibson

Laurel Gillum

JoAnn Guidry

Bonnie Kretchik

Cynthia McFarland

Katie McPherson

Sean Trapani

ART art@healthylivingmagazines.com

CREATIVE DIRECTOR

Jessi Miller

GRAPHIC DESIGNER

Kristy Taylor

PHOTOGRAPHERS

John Jernigan

Sheila Hartley fotolia.com

SALES DIRECTOR OF SALES Dean Johnson deanjohnson@healthylivingmagazines.com

SALES MANAGER

Sharon Morgan

ACCOUNT EXECUTIVES

Dawn Anderson

Liza Fritz

Skip Linderman

Peggy Sue Munday

Cecilia Sarco

Lori Tani

Tammy Walters

DISTRIBUTION

Dave Adams

Debra McQueen

Rick Shaw

Photo by John Jernigan

shall we dance?

If Dr. David and Diana Lammermeier fi nd themselves anywhere near wood fl ooring, they just might start dancing—more specifi cally, ballroom dancing.

“One of my fellow doctors in the cardiovascular intensive care unit at Munroe asked if we would be willing to try ballroom dancing,” says David, who is a cardiac, thoracic and vascular surgeon at Munroe Heart. “He said there was a studio in Ocala where we could take group lessons. So I talked to Diana, and we decided to give it a try. That was nine years ago, and we’ve been dancing ever since.”

For Diana, an RN and patient educator for cardiovascular surgery patients at Munroe Regional Medical Center, the timing to add a new hobby to their busy schedules was right.

“Our kids were all in college, and we were having a little bit of empty nest syndrome,” she says. “We really liked ballroom dancing right from the start. We each have our own hobbies, but this was something we could do together.”

Those initial group lessons quickly evolved into individual lessons and coaching for the Lammermeiers. And those dancing doctors soon created Dancing With The Docs, a fundraising

An Ocala couple is passionate about ballroom dancing while having fun, staying healthy and giving back.

“It takes about six to eight months of practice before we’re ready to do the dance in public. Then, we’ll usually perform that dance five or six times before moving on to a new dance.”

› By JoAnn Guidry › Photos by Ronald W. Wetherington

event for the Boys & Girls Clubs of Marion County and the YMCA.

“The fi rst Dancing With The Docs was held at Jumbolair in 2008, and that’s when we met Gary McIntyre. He and his partner, Susan Kirklin, are professional dancers from Austin, Texas,” says David. “Gary began choreographing our dances. We pick out a song we want to dance to, and then he and Susan make a video that they send us.”

McIntyre, a multiple world champion, and Kirklin are multiple U.S. champions who

di erence in our dancing.”

The style of ballroom dancing the Lammermeiers do is show dance, primarily the waltz. Think men in coat tails and women in beautiful gowns moving gracefully across the wood dance floor.

“It takes about six to eight months of practice before we’re ready to do the dance in public,” says David. “Then, we’ll usually perform that dance five or six times before moving on to a new dance.”

Therapeutic Riding Association, they changed things up and performed their first Latin dance routine.

“It’s a rumba bolero,” says David. “And it’s a little more challenging than our usual waltz. It has a quicker tempo and involves a couple of lifts. But we’re having a lot of fun with it.”

And for the Lammermeiers, fun and health are major factors that keep them in ballroom dancing.

“We are part of a local big group of ballroom dancers of all ages from 20s to 70s,” says David. “We not only go to dancing events, but we also do other social events. We are a very close-knit

compete in ballroom, country and West Coast swing divisions. Their Austin-based studio is GarySusanDance.

Soon after meeting McIntyre, the Lammermeiers had more dancing good fortune. At a dancing event in Orlando, they met Svetlana Rudkovskaya. She and her husband, Pavel Cherdantsau, received their master’s degrees in ballroom dance from the Belarusian University of Culture. They compete in ballroom dancing competitions around the world. The couple, who own the Jacksonville Dance Center, have claimed the U.S. National Championship in Classic Show Dance three times.

“Svetlana became our instructor,” says David. “Now when Gary sends us a video, we can work on the dance with Svetlana. She comes down to Dance Dance Dance Studio in Wildwood once or twice a month. Or we go up to Jacksonville. It’s made a huge

An important part of the dance is presentation, including David’s tuxedo with tails and Diana’s dresses. The latter are bought from vendors specializing in ballroom dancing attire and custom tailored if necessary.

Diana’s closet currently has fi ve waltz dresses. Then, there are the special ballroom dancing shoes. Although there are specifi c types of shoes for specifi c dances, all of them have suede soles to slide across the wood fl ooring.

“I have 15 pairs of ballroom dancing shoes,” says Diana. “And David has 10.”

The Lammermeiers do not compete professionally, but dance regularly by request at local clubs and participate in many fundraisers. At a recent Dance Dance Dance Studio event to raise money for the Marion

group that has become best friends thanks to ballroom dancing.”

And then there’s the other health aspects.

“Ballroom dancing is a great stress reliever,” says Diana. “And you get a good workout, too, and have fun at the same time. Anyone interested in giving ballroom dancing a try should start with group lessons like we did. It’s a comfortable way to try something new.”

And David adds, “Men should really give ballroom dancing a try. I was hesitant, too, at first, but now I love it.”

Dance instructors Pavel Cherdantsau and Svetlana Rudkovskaya with Diana and David Lammermeier

Fun

helpful tips and monthly to-do’s for May.

Mother’s

STAR WARS DAY MEMORIAL

May the 4th be with you!

CINCO DE MAYO

Good Deeds 4 Special Needs 5K Run/Walk at the Baseline Greenway Trailhead

Ocala’s First Friday Art Walk 6-9pm

Indian Lake State Forest Nature Walk at the Bear-N-Oak Trailhead

Brunch with gal pals at Tea with Lee

Family movie night: Premiere of Diary of a Wimpy Kid: The Long Haul in theaters

Kayaking on the Rainbow River

Chair

See below for a fun Star Wars craft Host

Last day for Citrus County Public Schools Last day for Marion County Public Schools

School’s Out! Rock the Park at Inverness Liberty Park

Spring Lake 5K & 2M Fun Run/Walk at the Arc Nature Coast Crystal River Triathlon 3 Race Series at the Fort Island Gulf Beach

may the 4th be with you

Celebrate Star Wars Day with these pool noodle lightsabers.

What you’ll need:

Pool noodle (each will make two lightsabers)

Silver duct tape

Black electrical tape

Knife

Cut pool noodle in half. › Wrap the bottom quarter of the noodle in silver duct tape. › Wrap three rings of electrical tape around the top of the silver tape. › Tape two pieces of black tape parallel to the noodle, as shown in picture.

3D Mammography™ examinations reveal what standard mammography can’t, especially if you have dense breast tissue. RAO offers a complete line of advanced women’s services, plus radiologists who subspecialize in women’s imaging. Best

Our Board Certified radiologists specialize in breast imaging and are honored to support women’s health in our community. They evaluate each and every mammogram in-house to ensure superior accuracy and care.

from left to right: Ryan K. Tompkins, MD, Amanda Aulls, MD, Medical Director and Lance P. Trigg, MD

Carrol Dillon-Smith Administrator/Owner

unsettling numbers

According to the Centers for Disease Control and Prevention, death rates due to cervical cancer are significantly higher than previously believed. These findings come from a reevaluation of previous numbers. Generally, death rates for cervical cancer are assessed by the number of women who die from a disease versus the general population at risk, and women with hysterectomies were originally included, even though a hysterectomy almost always removes the cervix, removing the risk for a woman to develop cervical cancer. These new numbers are believed to be more accurate because women who have had hysterectomies were excluded.

The findings also suggested that cervical cancer is more prevalent in black women than in white women, with some doctors suggesting the racial disparity is a result of unequal access to screenings and preventative care. The mortality rate in black women is 10.1 per 100,000, a rate comparable to that of women in many poor developing countries, while the mortality rate in white women is 4.7 per 100,000.

The main cause of cervical cancer is the human papillomavirus, the most common sexually transmitted infection. Cervical cancer can be screened for during a routine pap smear by a gynecologist.

diagnosis: broken heart

A broken heart is not just the stu of love poems or romantic novels and movies. Turns out that broken-heart syndrome is a recognized medical condition that a ects women more than men. And it can be deadly. When actress Debbie Reynolds died one day after her daughter, Carrie Fisher, many said that she died from a broken heart.

O cially known as stress-induced cardiomyopathy or takotsubo cardiomyopathy, Japanese researchers were the first to describe the syndrome in 1990. They named it takotsubo, which means “octopus pot or trap” and which resembles the malfunctioning heart in imaging studies.

“Broken-heart syndrome is a response to any kind of acute emotional stress, such as the death of a loved one, a divorce or loss of a job. It can even happen because of something good like a wedding or birth of a child,” says Dr. Srisha Rao, a cardiologist with Ocala-based Cardivascular Institute of Central Florida. “Too much of the stress hormone cortisol floods the system and stuns the heart muscle.”

Rao adds that “patients have all the markers of a heart attack, such as chest

pain and shortness of breath.” A part of the heart temporarily enlarges, while the rest of the heart functions normally or with more forceful contractions. Irregular heartbeats (arrhythmias) or cardiogenic shock may also occur. In cardiogenic shock, a suddenly weakened heart can’t pump enough blood to meet the body’s needs, and it can be fatal.

“Women may su er more than men from broken-heart syndrome because women’s blood vessels are more reactive than men’s,” says Rao. “I definitely encounter it in my practice, especially in postmenopausal women. That could be tied into a heightened stress response due to lack of estrogen.”

In broken-heart syndrome, test results di er from those of heart attack patients, including: blood tests show no signs of heart damage, heart catheterization shows no blockages in the coronary arteries, EKG results look di erent and atypical

WOMEN may suffer more than men from broken-heart syndrome because women’s blood vessels are more reactive than men’s.

ballooning and unusual movement of the left lower heart ventricle. Although there is no standard treatment for broken-heart syndrome, most people stay in the hospital while they recover.

“Once we establish that it is brokenheart syndrome, to err on the side of caution, I do treat it like I would a regular heart patient,” says Rao, “and prescribe medication.”

Those medications usually include angiotensin-converting enzyme (ACE) inhibitors, beta blockers or diuretics. Most meds can be stopped within three to six months. Follow-up care will likely include an echocardiogram about a month after diagnosis and regular checkups as necessary. Sources: heart.org, mayoclinic.org, webmd.com

Broken-heart syndrome is more than just a catchy phrase in a country western song.

Trust Your Step GripOnWith Non-Slip

More than nine million people experience a slip/fall accident every year and 25,000 of those result in hospitalization. About 35 percent of those accidents involve children, while 55 percent of adults over age 40 have had at least one slip/fall.

What if you could make floors and bathtubs up to 400 percent safer with one simple treatment? Thanks to GripOn Non-Slip, you can.

This long-lasting chemical treatment is not a coating, coverage or film. Instead, it creates an invisible tread design in the surface of hard mineral floors and porcelain/enamel bathtubs. Without changing the look or feel of the surface, the treatment increases the coe cient of friction by 200 to 400 percent when wet.

Although not obvious to the naked eye, a hard mineral surface has both hard and soft components. GripOn Non-Slip works by depressing the soft agents, creating a non-slip tread pattern, making the surface safer to walk on when wet. An added bonus is that it cleans, sanitizes and seals the floor and grout.

GripOn already serves four states and is well established in the Southeast. Guaranteed for one year or

longer, GripOn Non-Slip is proven to work on:

› Concrete

› Spanish tile

› Glazed brick

› Terrazzo

› Quarry tile

› Ceramic tile

› Marble

› Porcelain/enamel

› Many other hard mineral surfaces

The application process takes on average from one to three hours. There is no residue left behind, and you won’t notice any change in color or appearance. You can’t even tell the surface has been treated when it’s dry; the treatment is only activated when the surface is wet.

After application, there’s no waiting time to use the bathtub or walk on the floor. And because the whole process is environmentally friendly, there are no concerns about residue, fumes or skin/eye irritation.

“Until this product came on the market 10 years ago, the only ways to make floors non-slip were to acid sketch them, which destroys the floor’s integrity, or to apply a paint with grit that changes the appearance of the

floor,” explains Mike Stetzer, owner of GripOn USA, which services Marion and Alachua counties.

Many businesses don’t take action to make their floors safer until after they’ve had a slip and fall accident--and a lawsuit.

“Now there’s a relatively inexpensive way to help your customers and loved ones avoid pain and lawsuits,” notes Stetzer. “Our product helps companies and homeowners take the proper due diligence in making surfaces safe when wet.”

Included in every treatment is the Slip-Meter test, which documents that the application has increased the coe cient of friction as claimed.

Three months after application, Stetzer revisits every treatment site to ensure the product is doing its job exactly as promised. It’s this customer service and attention to detail that makes GripOn USA successful.

Make your business or home safer with GripOn NonSlip. Call today for your free demo.

after the ICU

In 2010, the Society of Critical Care Medicine (SCCM) grouped these post-ICU health issues into what is now known as postintensive care syndrome, or PICS. Risk factors that increase the chances of PICS include heavy sedation, delirium, acute respiratory distress, immobility, sepsis and hypoglycemia.

“The perfect scenario for PICS is mechanical respiration, sedation, being bedridden and infections,” says Dr. Joseph Philip, a University of Florida Health pediatrician certified in pediatric critical care medicine. “The severity of illness and the number of medical interventions raise the risk.”

PICS symptoms are divided into three main categories:

COGNITIVE: According to a 2013 study published in the New England Journal of Medicine, 58 percent of ICU patients who entered the hospital with normal brain function had cognitive impairments a year after discharge. Cognitive problems can include memory loss, di culty making decisions, slower processing speed and reduced attention and ability to concentrate. According to the SCCM, some people improve during the first year after discharge, but others may never fully recover.

PHYSICAL: According to the SCCM, ICU-acquired muscle weakness occurs in up to 50 percent of patients who stay in the ICU for at least one week. The condition makes normal daily activities, such as walking, bathing, dressing, grooming and eating, di cult. It may take more than a year to fully recover from ICU-acquired muscle weakness. Other physical problems linked to PICS include slower movement and multiple falls.

EMOTIONAL: These problems may include depression, anxiety and post-traumatic stress disorder. A recent Johns Hopkins University of Medicine study showed that 20 percent of all ICU patients su er from post-traumatic stress disorder, which can include severe anxiety and flashbacks.

how to help

“Even while the patient is in ICU, there are things we can do to alleviate PICS,” says Philip. “Doing physical therapy with a therapist and having family members have normal conversations or read to them. Setting up a routine day-night cycle while they are in the hospital helps with their emotional well-being, too.”

Once the patient is discharged, Philip says, “Patient and family members should be vigilant about PICS symptoms and stay in close contact with their primary care physician. Physical therapy, meds and cognitive therapy are some of the treatments. And it should be noted that even family caregivers can su er PICS, so they should seek help if needed, too.”

Millions of people undergo life-saving care in hospital intensive care units every year. But many of these patients may also develop health issues related to that very life-saving hospital stay.

Honoring Excellence

21st Century Oncology earns prestigious accreditation from the American College of Radiation Oncology.

21st Century Oncology is proud to announce that its cancer treatment centers in Central Florida have earned the prestigious American College of Radiation Oncology (ACRO) accreditation. The Ocala and Beverly Hills centers earned the distinction after a thorough, objective and impartial peer review of both facilities.

“This distinction is an honor for our practices,” said Ravi Sandrapaty, M.D., who is board certified by the American Board of Radiology in Radiation Oncology and is the medical director of 21st Century Oncology’s Central Florida locations. “Every day our team works tirelessly to provide the utmost care for our patients in both the Ocala and Beverly Hills facilities.”

ACRO’s mission is to strive to ensure the highest quality of care for radiation therapy patients, and promote success in the practice of radiation oncology through education, responsible socioeconomic advocacy and integration of science and technology into clinical practice.

As part of their mission, ACRO began their practice accreditation program in 1995, which consisted of practice standards within the field of radiation oncology.

Today, accreditation from ACRO remains a voluntary process in which professional peers identify standards indicative of a quality practice through audits conducted to assure that these standards are followed, including on-site visits by physics and administrative surveyors.

“This accreditation is proof that we have been successful in our commitment to excellence, but it does not stop here,” said Dr. Sandrapaty. “Every day we are reminded of our purpose through our interactions with patients. They are our motivation to continuously strive for high-quality care.”

During the review process, 21st Century Oncology’s locations in Central Florida were judged on accuracy in patients’ charts, including medical information, quality of documentation and case management, calibration of all machines, radiation safety

measures and a review of all processes and work flow within the facility.

21st Century Oncology is the largest global, physician-led provider of integrated cancer care services. The company o ers a comprehensive range of cancer treatment services focused on delivering academic quality, cost-e ective patient care in personal and convenient settings. As of September 30, 2016, the company operated 180 treatment centers, including 144 centers located in 17 U.S. states and 36 centers located in seven countries in Latin America. The company holds market-leading positions in most of its domestic local markets and abroad.

“Every day we are reminded of our purpose through our interactions with patients. They are our motivation to continuously strive for high-quality care.”

› Dr. Sandrapaty

Dr. Jay Rao and Dr. Ravi Sandrapaty

Skin Deep

MidState Skin Institute incorporates new technology to change the way non-melanoma skin cancers are treated.

Living in the Sunshine State, Florida residents know the damage that the sun can do to their skin, and they have to stay on top of their skin care. Skin cancer a ects 6 million people per year and costs an average of $8 billion per year. A variety of treatments are available, but Ocala’s own Dr. Ashley Cauthen of MidState Skin Institute is bringing game-changing technology to her Central Florida practice. This new treatment option o ers a painless, safe, and, best of all, e ective way to treat non-melanoma skin cancers. Treatments take only a few minutes. This technique will ease the process of removing cancer cells with no healing or down time required.

Meet The SRT-100

This technology is called the SRT-100™, which stands for Superficial Radiation Therapy. This technique uses a low-dose of superficial radiation therapy that penetrates only skin deep to zap cells that cause basal and squamous cell carcinoma—the two most common types of skin cancer. The radiation also destroys non-malignant tumor cells that cause keloids, which are scar-like in appearance.

Sensus Healthcare CEO Joseph Sardano explains, “Other modes of radiation are not the best way to treat skin cancer because of the radiation dose and because of how sensitive the skin is. Our system only penetrates 5 millimeters below the surface of the skin,

Dermatologists and healthcare providers are able to use the SRT-100™ in-o ce without having a radiation oncologist or medical physicist present to oversee the process. Patients diagnosed with basal or squamous cell carcinomas can then be conveniently treated right in their physician’s o ce. These skin cancers are superficial, and the SRT-100™ is gentle enough to be painless, but strong enough to be e ective at ridding the cancerous cells from the body.

Sensus Healthcare is a South Florida medical technology company that supplies healthcare providers with this equipment, and has distributed the SRT-100™ to providers all over the world. For many years, the Mohs surgical procedure has been required to rid basal and squamous cell carcinomas. This procedure requires cutting, potential scarring, and a more involved healing process. More than that, the Mohs procedure has been the most prevalent way to treat superficial skin cancers or irregularities—until now.

With the SRT-100™, patients don’t have to worry about cutting, bleeding, stitching, or scarring. There is no need for anesthesia and no recovery downtime. The low-dose radiation used to destroy the cancerous cells does not harm any surrounding or underlying tissues, resulting in a better cosmetic outcome. This treatment is also ideal for seniors who may experience slower healing times when it comes to surgeries or who are just not good surgical candidates.

Because of Sensus Healthcare’s innovative treatment technology, it won the Frost & Sullivan 2016 Global Non-melanoma Skin Cancer Therapy Technology Leadership Award in September, scoring 9.5 out of 10 possible points on the Frost & Sullivan scorecard.

“This award highlights the transformation Sensus has undergone in recent years as well as the acceptance we have achieved with physicians and patients,” says Sardano. “The Frost & Sullivan award not only validates our technology, but supports our e orts to increase the awareness

of our unique technology solution to e ectively address an important niche of the cancer treatment market.”

SENSUS HEALTHCARE

851 Broken Sound Parkway, Boca Raton (561) 922-2071

sensushealthcare.com

More Options At MidState Skin Institute

Sensus Healthcare’s equipment is ideal for private dermatology and oncology practices, hospitals, and other health care providers. Dr. Ashley Cauthen of MidState Skin Institute explains that dermatologists have been using radiation to treat patients for over 50 years.

“We had previously gotten away from this technique because the technology was not keeping up with changing times,” she says. “However, Sensus has brought to market

a great device that is safe and e ective at treating non-melanoma skin cancers.”

While surgery still remains the gold standard when appropriate, Cauthen has many patients who are tired of getting cut on and don’t want the downtime or scars associated with surgery. She is looking forward to providing her patients with more options for treating their skin cancers. For example, she says the SRT-100™ will be a great option for skin cancers on the legs of golfers or for skin cancers on the nose where surgery could be disfiguring. Cure rates are comparable to surgery at and above 96 percent.

MidState Skin has the machine already and is in the process of completing training and calibration.

“It is exciting to o er patients a ‘scarless’ technique,” says Cauthen. “We hope to treat our first patient in June.”

MidState Skin Institute Services

CLINICAL DERMATOLOGY:

› Acne

› Eczema

› Psoriasis

› Skin Cancer

› Vitiligo

› Sun Spots

› Liver Spots

› Rosacea

›

COSMETIC DERMATOLOGY:

› Botox

› Fillers (Juvederm/Restylane)

› Laser hair removal

› Photofacials for rosacea & sun damaged skin

› Laser treatments for acne scarring

› Individualized skin care regimens

› VelaShape cellulite reduction treatment

which makes it perfect for basal cell and squamous cell [carcinoma].”

The SRT-100™ is gentle enough to be painless, but strong enough to be e ective at ridding the cancerous cells from the body.

Breaking Away

Darla and Ryan Woodall

It’s May, and for many cycling enthusiasts, it’s also well known as National Bike Month. While the rest of the country is just now dusting o their bikes and being fitted for new helmets, Florida is such an ideal state for biking that Florida Bike Month is actually celebrated in March. Take advantage of Florida’s late spring weather and hit the trail (or road!) this month.

BY JIM GIBSON PHOTOGRAPHY BY JOHN JERNIGAN

“Florida, and especially Marion County and the Ocala area, is a very popular place for bicycling,” says Ryan Woodall, co-owner of Top Gear Bicycles in Ocala. “I’ve ridden all over the country, and in my opinion, the local trails are some of the best in the country.”

And Woodall’s opinion matters. At 32 years of age, he has been riding competitively for almost 20 years, and his résumé is solid. Seven times he has won the USA Cycling Florida State Championship Series in Cross-country Mountain Biking, three times he has won the Southeast Regional championship in the same category, and he has stood on the podium at several prestigious national events.

“If someone is looking for a great place to ride, the Santos trails are a fantastic place to go,” he says. “Santos has something for everyone, whether you’re a first-time trail rider or a professional. I love cross-country biking, and the Santos trails are a great place to ride.”

Most of the local trails are located on the Marjorie Harris Carr Cross Florida Greenway, where cyclists share the trails with hikers and horseback riders. The largest, the Santos Trail System, contains more than a dozen trails spanning 85 miles.

Paved Trails Or Cross Country

Woodall points out that cyclists have their choice of trail types, either paved or unpaved. Paved trails can accommodate virtually any type of bicycle but are best suited for road or touring bikes. These types of bikes are designed specifically to be ridden at a moderate-to-fast pace on a smooth, hard surface. They have skinny, smooth tires and most have drop-type handlebars; although, some have flat handlebars so the cyclist can ride in a more comfortable semi-upright position.

Another popular bike for paved trail riding is the cruiser. The cruiser is made for casual riding with a wide comfortable seat and a much wider tire than a road bike. Most have coaster brakes and upright handlebars that allow the rider to ride in a completely upright position.

Area cyclists looking for a paved trail suitable for all riders should check out the Withlacoochee State Trail.

“The Withlacoochee State Trail runs almost the entire length of Citrus County,” says Grant Chance, owner of Blue Run Bicycles in Dunnellon. “It runs from the Gulf Junction Trailhead in Citrus Springs to the Owensboro Junction Trailhead just south of Trilby in Pasco County. This is one of the Rails To Trails projects and is the longest paved trail in the state. It is suitable for everyone, no matter what age or riding skill. You’ll share the pavement with families and professional riders alike.”

Chance says that all types of bikes are found on the trail and that each cyclist chooses his or her pace and distance

traveled. Multiple trailheads allow riders to get on and o the trail at varying distances.

Another paved trail suitable for all riders is the Withlacoochee Bay Trail located next to the Cross Florida Barge Canal just south of Inglis. Approximately five miles long, this scenic trail meanders through hammocks and salt marsh, o ering riders the chance to see abundant wildlife, including deer, bobcat, bald eagles and even dolphins swimming the placid barge canal waters. This scenic route ends with a beautiful expansive view of the Gulf of Mexico. However, the trail closes at dusk, so plan ahead.

Woodall notes that many paved trails are shared with roadways and tra c. Cyclists

traversing these types of trails should make themselves aware of Florida bike laws and should have an intermediate to high degree of biking skills.

Unpaved trails can accommodate most bike types other than road bikes, but each trail has its own varying degree of di culty. This means that prior to attempting to bike a specific unpaved trail, the cyclist should determine if his or her bike is suitable for the planned ride.

Trails that are basically flat and smooth can possibly accommodate hybrid bikes (a mix of road and mountain bikes), cyclocross bikes, mountain bikes and even cruisers. The higher the degree of di culty, the narrower the range of bike

needed to negotiate the trail. Intermediate and expert trails usually require mountain bikes or hybrids. It would be smart to ask a professional who has extensive knowledge of the local trails, such as Woodall or Chance, what type of equipment is best suited for the trail you choose.

Spring is here, and it’s a great time to either take the bike out of the garage and give it a good safety check or head to one of your local bike shops to be fitted for a brand new ride. And then… hit the trails. Whether it’s a scenic paved trail or one of the beautiful dirt trails winding through rural Marion and Citrus counties, break away and enjoy National Bike Month.

Cullie Woodall

Local Trails

MARION COUNTY TRAILHEADS

› Santos Trailhead: 3080 SE 80th St., Ocala

› Vortex Trailhead: 9150 SE 25th Ave., Ocala

› Landbridge Trailhead: County Road 475A, Ocala

› 49th Avenue Trailhead: 12555 SW 49th Ave., Ocala

› Ross Prairie Trailhead: 10660 SW Highway 200, Dunnellon

› Baseline Trailhead: State Road 35 north of SE Maricamp Rd., Ocala

Ryan Woodall

SUGGESTS THESE SAFETY TIPS:

› Always wear a federally approved helmet, eye protection, colorful clothing and gloves.

› Obey all tra c laws just as if you were in a motor vehicle.

› Have a blinking tail light on your bike for night or day riding.

› Be aware of your surroundings at all times.

› Keep your bike well maintained, and give it a safety check before each ride.

› Always ride with the flow of tra c, and be a courteous rider.

› Share the road.

CITRUS COUNTY TRAILS AND TRAILHEADS

› Withlacoochee State Trail, Gulf Junction Trailhead: 2233 W Magenta Drive, Citrus Springs

› Withlacoochee Bay Trail, Felburn Park Trailhead: 10201 North Suncoast Blvd., Crystal River

› Whispering Pines City Park: 1700 Forest Drive, Inverness

› Dunellon Trailhead: 1279 W Withlacoochee Trail, Citrus Springs

Cullie Woodall,

BIKE FITTER AT TOP GEAR, OFFERS THESE TIPS FOR CHOOSING THE RIGHT BIKE:

› Choose the bike for the type of riding you will do most. For example, road bikes are built for higher speeds on paved surfaces and comfort bikes can be ridden on all surfaces at all speeds.

› You should have ample room to stand comfortably between the seat and handlebars with both feet on the ground.

› Choose a seat that is comfortable for the type of riding you do most. Large seats are best for slow speeds and narrower seats are best for higher speeds. A toolarge seat can cause inner-thigh cha ng when riding at higher speeds.

› Bikes come in five sizes: extra-small, small, medium, large and extra-large. The size bike that is best for you is determined by your torso length in relation to your leg length. It is best to be fitted by a professional if your goal is to ride often and in comfort.

› Step-through frames (once called a “woman’s bicycle”) are now called unisex frames and should be used by anyone who has trouble raising his or her leg high enough to get on a bicycle.

Biking is Serious Business

Florida has twice as many bicycle-related deaths than any other state.

88% of bicycle deaths are persons 20 years old or older.

Almost 90% of bicycle deaths are males.

Helmets reduce the chance of death by 50%

2% of motor vehicle crash deaths are bicyclists.

817 bicyclists died

in motor vehicle crashes in 2015.

Most bicycle deaths occur in urban areas outside of intersections.

Florida law says

› Recumbent bikes are best for persons with back pain or anyone who is more comfortable biking while in a sitting position. Sources:

that any bicycle rider or passenger under 16 years of age must wear a properly fitted and strapped helmet that meets federal safety standards.

By Katie McPherson

Ladies, gather round. We all know our bodies are seriously impressive, but when’s the last time you stopped to appreciate everything it can do? The female reproductive system is a complex one—the vagina can expand enough to accommodate a baby, is self-cleaning and boasts more nerve

endings than any other part of the body. But even though it’s capable of incredible things, it’s also susceptible to complicated health issues. Here are some easy ways to care for your closest lady friend and some common health concerns that may arise during your lifetime together.

ENDOMETRIOSIS: A painful condition in which the tissue inside the uterus begins to grow outside the uterus. In other words, a uterus gone rogue. The primary symptom is pelvic pain that often intensifies during menstruation. It a ects one in 10 women in the United States.

FIBROIDS: Muscular tumors that grow out of the uterine wall. Some women with fibroids experience pain and heavy menstrual bleeding.

OVARIAN CYSTS: Fluid-filled sacs on the surface of one or both ovaries. Many women will have cysts at some point in their lifetime, and they will come and go with no symptoms. Feelings of pressure on the bladder or in the abdomen can signal a cyst growing larger and mean it’s time to visit your friendly neighborhood gynecologist.

POLYCYSTIC OVARY SYNDROME: A common endocrine disorder occurring in women of reproductive age, PCOS may cause enlarged ovaries that have small collections of fluid, called follicles, located in each ovary. Approximately 5 million women su er from PCOS, which can cause infrequent or prolonged menstrual periods, excess hair growth, acne and obesity.

Aging Below the Belt

Valerie Altman, ARNP, has been practicing in the state of Florida for 33 years and caring for patients at the Citrus County Health Department since 1997. She sees many patients with concerns about changes in their reproductive health as they age. One of the

“One of the major annoyances is incontinence. The pelvic floor weakens, and the bladder can drop. Who wants, at any age, to worry about urine leakage?” says Altman. Many women experience weakening of the pelvic floor muscles over time, whether from aging, childbirth or weight gain. Because these muscles support the uterus, bowels and bladder, women may experience incontinence or decreased sensation during sex as they age and the muscles weaken. Common signs of a pelvic floor issue include accidentally leaking urine when laughing, coughing, sneezing or jumping; feeling a sudden urgency to go; or not making it to the bathroom in time at all. And, of course, there’s menopause. Although some women don’t experience the

discomfort from symptoms, there are solutions.

“They may get changes in the vagina, which can get less lubricating and less elastic, so sex becomes uncomfortable,” says Alice Carlisle, ARNP, Ph.D., who has practiced in Ocala for 21 years. “Sometimes if they’re not experiencing hot flashes but just experiencing trouble with the vagina, I recommend lubricants over the counter. The next step would be a topical hormone, either a cream, a small pill or a ring. Those are all very lowdose, so they don’t carry many of the risks often associated with hormone replacement therapy.”

Another aging concern is painful sex, or dyspareunia, which a ects a startling 25 to 45 percent of postmenopausal women.

“As for dyspareunia, that’s usually due to dryness and fragile tissue. It can get little tears and cause pain. And Viagra created a bit of a problem,” Carlisle laughs. “It means men can get an erection and have sex again, when maybe the woman hasn’t been having sex for a few years. The vagina shrinks from non-use. I encourage them to use a lube and take it slow.”

Just the Two of Us (And Our Viruses)

The most common sexually transmitted disease in Marion County is chlamydia, a ecting 419.5 per 100,000 people. Altman’s advice to avoid those particular cooties?

“Always get tested before you start a new relationship.”

What could be more romantic than a joint appointment at your local clinic? Not much, if it means two healthy people who know their status.

Low Libido, Or Something More?

Before getting concerned about a barelythere or long-gone sex drive, Altman says take a moment to evaluate your relationship for any obstacles between you and intimacy. For many women, low libido is a matter of timing. With only so much energy each day, leaving sex until bedtime means two tired people crashing and burning instead of getting hot and bothered.

“Women have to be in the right mood. And women are busy! They have a lot of responsibilities,” she says. “Maybe shake things up and have sex in the morning

could o er a simple solution. That’s not necessarily the case.

“It’s very expensive, and insurances are slow to get on board. Unlike Viagra— men take a pill when they want to have sex—women who go on this pill have to take a pill every single day. And there are side e ects associated with it as well,” says Carlisle. “I tell patients they have to talk to their partner about what they want, what pleases them during sex,

If your vagina could give its two cents, it would kindly request you wear cotton underwear, please.

Cotton should be your BFF (or if you’ve been pals for a while, good for you). Natural fibers wick away moisture and let out heat while synthetic materials, like nylon, hold in both. We all know that combination increases the risk of yeast infections.

Legging lovers, shapewear fans and skinny jean diehards, bad news—wearing too-tight garments too frequently can lead to urinary tract infections. After a day in tight quarters, try to wear loose pajamas or go commando at bedtime to, uh, get some fresh air.

And one more thing: It may be best to avoid thongs. Their shape makes it easy for bacteria from the behind to make its way to the front, if you follow. If something like E. coli makes its way into the uterus or bladder, you’re looking at anything from a bladder infection to pelvic inflammatory disease. Who has time for that?

HPV BY THE NUMBERS

Human papillomavirus (HPV) is extremely common— around 80 million people (or one in four) are currently infected, and nearly 14 million more become infected each year. There is no treatment for HPV infections, but it’s important for parents to consider vaccinating their children—both boys and girls—to prevent precancerous changes and cancer in their futures and their partner’s.

Data from 2015 shows 49.10 percent of male and female 12 year olds in Florida have received the HPV vaccine. In

Citrus County, that number is only 18 percent. Carlisle says the STD label placed on HPV may be the problem.

“I highly recommend the vaccine to my patients, but there was a time when mothers didn’t want to give the vaccine to their daughters, maybe thinking they were condoning sexual activity, or they weren’t sure it was safe. But we have so much literature saying that if they’re vaccinated prior to the first episode of sexual activity, we can decrease the instances of cervical cancer,” she says.

HPV IS RESPONSIBLE FOR:

HPV is believed to be responsible for 90 percent of cervical and anal cancers, 70 percent of vaginal and vulvar cancers and 60 percent of penile cancers. Approximately 23,000 women and 15,793 men are a ected each year by cancers caused by HPV. Vaccination could prevent the majority, around 28,000, from occurring.

Nationwide, four out of 10 girls are unvaccinated and six out of 10 boys are unvaccinated.

The three types of HPV vaccine, Gardasil, Gardasil 9 and Cervarix, all protect against HPV types 16 and 18. These two strains cause seven out of 10 cases of cervical cancer. Gardasil and Gardasil 9 also protect against types 6 and 11, which cause nine out of 10 cases of genital warts.

A study published in the journal JAMA Oncology in January found that among a group of 1,868 men in the United States, 45 percent had genital HPV infections. Only about 10 percent had been vaccinated for HPV.

The HPV vaccine is recommended for young women through age 26, and young men through age 21. The best time to vaccinate is at ages 11 or 12. All children who are 11 or 12 should have two shots of HPV vaccine six to 12 months apart. Teens 13 and older will require three vaccinations over a sixmonth period.

Ask your family physician if the HPV vaccine is right for your child, and visit cdc.gov/hpv to learn more about vaccine options.

Cervical & Anal Cancers 60% Penile Cancers 70% Vaginal & Vulvar Cancers

Unfortunate Findings

A study published in January 2016 in the journal Cancer revealed that more women are diagnosed with cervical cancer than previously thought. Prior data stated cervical cancer killed about 5.7 out of 100,000 black women and 3.2 out of 100,000 white women annually in the United States. Unfortunately, that data didn’t account for women who had undergone hysterectomies, which remove the cervix (and therefore the risk for cervical cancer).

The new study subtracted these women from the data and discovered the death rate is actually 10.1 per 100,000 black women and 4.7 per 100,000 white women. Those rates are 77 percent higher and 47 percent higher respectively.

The American Cancer Society recommends that women begin cervical cancer screenings at age 21 with a Pap test every three years. At 30, women should have a Pap test and HPV test every five years.

Source: cnn.com

Pap smear every three years. If you come in for regular exams, you’ll never have cervical cancer. We will catch it before it’s cancerous. If you never come in until something’s wrong, who knows what I’ll find?”

If cost is what’s standing between you and your annual exam, check out the Florida Breast and Cervical Cancer Early

Citrus County Health Department

120 Montgomery Ave., Inverness, FL 34450 (352) 527-0068

Marion County Health Department

1801 SE 32nd Ave., Ocala, FL 34471 (352) 629-0137

Visit floridahealth.gov for more information.

We Are The Champions

Ladies, while you may not appreciate your monthly menstruation or the sole responsibility of bearing children, it’s important to remember what makes your vagina kind of cool. So, how are vaginas bad***? Let

It’s got twice the sensory power of a penis. The clitoris has 8,000 nerve endings to the penis’ 4,000, which is what makes the female orgasm more intense than males’. Sorry, not sorry.

It’s classy. Did you know your vagina has the same pH level as a glass of wine? The normal pH for vaginas ranges from 3.8 to 4.5. Most wines’ pH levels fall between 3.0 and 4.0.

It’s basically an apex predator. Ever heard of squalene? In the vagina, this substance serves as a natural lubricant. It can also

On The Front

Local emergency management teams spring to action when the need arises.

BY CYNTHIA MCFARLAND

Line

It wasn’t your typical spring thunderstorm.

On the afternoon of April 20, 2015, 90mph winds tore a devastating path through the gated retirement communities of Oak Run and Palm Cay in southwest Marion County. The National Weather Service in Jacksonville confirmed that the storm included an EF-1 tornado, which traveled along the ground for about two miles, stretching up to 1,000 feet wide at one spot.

In the wake of the storm, 55 to 60 homes sustained damage, 10 to the point that they were deemed unlivable, according to fire o cials. Fortunately, no one was killed or injured.

Although the storm’s exact path might have been unpredictable, Marion County’s emergency response was right on target.

“The entire system worked the way it was supposed to,” says Erin Miller, deputy director of Marion County Emergency Management. “All the first responders, county and city government representatives were working together.

“We set up two commands,” she adds. “The fire department was on scene, as well as sheri deputies watching the perimeters to make sure they were secure. Local management from both communities was there, and within three hours, we had everyone in shelters whose homes were damaged. The county property appraiser’s o ce was on the scene within hours to conduct damage assessment.”

Prior Preparation

In our part of Florida, the most common weather emergencies include severe thunderstorm and wind events, hurricanes and wild fires. With drought conditions this

winter, fire danger is higher than normal in Marion County this spring.

We take it for granted that local authorities are prepared to handle emergency situations, but that preparation is the result of extensive training and long hours.

“We provide training for all our partners throughout the county—everyone from the fire department to public works to county engineers and commissioners,” says Miller.

“We bring them all into the Emergency Operations Center to ensure we’re all on the same page with emergency awareness,” she adds, explaining that it’s vital not only to have training but to have a plan and procedures in place so everyone knows what to do.

Training includes creating mock scenarios so that first responders and community o cials alike know what can be expected and what they need to do. These scenarios include everything from an active shooter or widespread forest fires to hurricanes and other natural disasters.

In Citrus County, the Emergency Operations Center is led by Captain Dave DeCarlo. As in Marion County, emergency management o cials work all year to ensure that citizens’ emergency needs are met, whether the situation is due to accident, natural disaster or even a catastrophic event caused by terrorism.

It’s easy to become complacent about severe weather when you live in a state like Florida where it’s not unusual.

“Training is a year-round process,” notes DeCarlo. “We conduct exercises, drills and tabletops throughout the year to ensure we exceed the public’s expectations. The most important part of our training is the evaluation process. It’s great to see what we did well, but what do we need to improve upon? That’s what I’m looking for. How can we improve on our preparation, response and recovery?”

Citizen Preparedness

Although it’s comforting to think that emergency management teams are ready to respond, citizens also have a role to play. Take steps ahead of time to ensure that you and your family are ready for a weather emergency or lengthy power outage.

“Every family should have supplies on hand for each family member to last for at least three days. You need to assume you might have to survive on your own if we get hit by a bad hurricane or something that takes out the power,” emphasizes Captain Chip Wildy, who has been with the Marion County Sheri ’s O ce for over 36 years and recently retired after 16 years as emergency management director, a position now held by Preston Bowlin.

O cials recommend having a supply of bottled water that will last two weeks, not just three days. This translates to one gallon per person per day.

You’ll also want to have non-perishable food and frozen gel packs that can be placed in a cooler. If anyone in your family has special medical or dietary needs, take this into consideration when planning ahead. The same holds true if anyone is taking prescription medication. Having at least a two-week supply on hand should get you through most emergency scenarios.

Keep in mind that if you need to apply for disaster assistance following severe weather, you’ll need the certified deed to your property. According to the Citrus County Clerk’s O ce, “a certified copy is substantive proof of ownership of your home and/or property and should be stored with other important papers in a safe place, away from your home.”

Stay Alert

As the saying goes, “Forewarned is forearmed.” A big part of being prepared is being informed.

In June 2016, Marion County Emergency Management implemented “Alert Marion,” an opt-in emergency alert and notification program. Residents sign up to receive critical information about emergencies and community situations, ranging from severe weather and evacuations to road closures and missing persons.

Citrus County has been using Alert Citrus since mid-December 2016. (Previously, the county utilized a system known as CodeRed.) The Citrus County

Sheri ’s O ce works with Everbridge, “a company specializing in unified critical communications to keep Citrus residents, department sta members and emergency personnel informed with quick and reliable emergency notifications and public service announcements via Alert Citrus.”

“When you sign up, you choose from various ways you want the message delivered, such as text, voice message, phone call, etc.,” explains Miller. “Messages go out any time people in that targeted geographical area need to be aware of an alert.

“This system has worked great,” she adds. “It’s being provided to every county in Florida by the Florida Division of Emergency Management. Marion was the second county in the state to get involved. As of February, about half the counties in the state are involved, and by the end of 2017, every county should have this system in place.”

Play A Part

Residents of Marion or Citrus County who want to be more involved can volunteer with the Community Emergency Response Team (CERT), a program that is active in more than 30 Florida counties. CERT members go through a 21-hour basic training program and learn how to be prepared for emergency situations in their neighborhoods and communities.

CERT members give support to first responders. They are often first on the ground in the neighborhoods, providing assistance to victims and valuable information to emergency professionals.

“I’m very proud of all of our CERT volunteers. They each want to give

With drought conditions this winter, fire danger is higher than normal in Marion County this spring.

Every family should have supplies on hand for each family member to last for at least three days.

Officials recommend having a supply of bo led water that will last two weeks, not just three days.

back and serve the community they live in,” says DeCarlo. “They are an invaluable resource that first responders can tap into. They heavily assisted the residents of Citrus County in the aftermath of Hurricane Hermine and put their training and commitment to community to work.”

Citrus County residents interested in becoming part of the CERT team can fill out a volunteer application online at sheri citrus.org.

In addition to CERT, Marion County has an Emergency Management Volunteer Program in which citizens can volunteer with the Marion Emergency Radio Team (MERT). The program provides communications support to shelters, health care facilities, points of distribution and more during a disaster.

Marion County residents interested in becoming part of CERT or MERT, can fill out a volunteer application online at marionso.com.

Both Marion and Citrus counties maintain a registry of residents with special needs, which can be very important during an emergency.

These programs were set up to identify those who might need special equipment or assistance during an evacuation. If an evacuation is ordered in the area where a registered special needs person lives, they will be contacted to determine if they need assistance during the evacuation process. If so, specially-trained personnel will aid them.

Remember that as well trained as our first responders and county o cials may be, we all need to heed warnings and make sure our own families are prepared.

It’s easy to become complacent about severe weather when you live in a state like Florida where it’s not unusual. When alerts and warnings are issued, take them seriously and follow any evacuation orders.

Homes can be replaced; lives cannot.

Do Your Part: Be Prepared!

Marion County Residents

Visit alertmarion.com to sign up for Alert Marion. Check out marionso.com and click on the “Emergency Management” button at the bottom left of the home page. From there, you can go to the Emergency Supply List to learn what to stock, fill out an application for the Special Needs Registry and much more. If you don’t have computer access or need to speak to someone, call Marion County Emergency Management at (352) 369-8100.

Citrus County Residents

Go to sheri citrus.org/emergency-management.php and click on the Alert Citrus link. For more information about emergency management in Citrus County, visit sheri citrus.org and click on the Emergency Management tab. If you need to speak to someone, call (352) 249-2705 or (352) 746-6555. In the event of an emergency, citizen information lines are sta ed and open 24 hours a day. The numbers are (352) 527-2106 and (352) 746-5470.

DATING AFTER DIVORCE WITHOUT LOSING YOUR SANITY

BY CYNTHIA MCFARLAND

HOW SINGLE ARE YOU?

If your ex still figures prominently in most of your thoughts and conversations, you’re still feeling emotional about the divorce or you’re only accepting a date to please your mom/best friend/sister, cut yourself some slack. You’re obviously still in the healing stages; be kind to yourself and give it a little more time. Divorce occurs in many stages, so “feeling single” won’t happen at the same pace for everyone. For example, when a spouse dies, some surviving partners don’t feel single for years. The same thing can happen with divorce.

“Becoming single is a process. It doesn’t just happen the day your legal decree comes through,” notes clinical psychologist Judith Sills, Ph.D., a highly regarded expert on the business of relationships.

An in-demand speaker and consultant, Dr. Sills is the New York Times best-selling author of several popular psychology books; she maintains a private consultation practice in Philadelphia.

As Sills points out, some people may not feel single for years after the legalities are finalized, while others feel emotionally free even before their soon-to-be ex has moved out.

Despite what may or may not be apparent to observers, there are a number of inward markers that will tell you how single

you really are—or are not— whether you were divorced last week or several years ago. Some important milestones in the process of becoming single include:

• Feeling separate from your ex-spouse (less emotionally attached and focused on

them, what they’re doing, who they’re with, etc.)

• No longer focused on your anger with your ex (It may come up from time to time, but it’s not a central preoccupation.)

• Becoming more focused on your own interests

• Making positive changes (going out with friends, new wardrobe, di erent haircut, taking steps to make the house “yours” not “ours,” etc.)

• Trying things that take you out of your “comfort zone” (a trendy new restaurant/club, di erent activities, taking a class or starting a hobby that has interested you, etc.)

“Depending on where you are in this process will determine how ready you are to date,” says Sills. “It’s such an individual thing. One person may go to a singles bar when their mate is moving out the toothbrush, while another can’t even think about dating for three years. “

e’ve all been there. Well, at least many of us have, given the current divorce statistics. You’re recently single, and some well-meaning relative or friend has a truckload of dating advice or, worse, is trying to set you up with someone they know who will be “perfect” for you. Take a deep breath and one step at a time. It’s going to be alright.

ONLINE SAVY

You’ve seen the commercials. You may even have friends who met their significant other online. But is it for you?

With such a vast array of dating websites out there, odds are there’s at least a few where you’ll feel comfortable. Many people set up profiles on multiple sites, and although there’s absolutely nothing wrong with that, be aware that the whole online dating thing can be time-consuming, so keep this in mind before you decide to join several sites at once.

“Many people meet online, and assuming you use a reasonable amount of prudence, it’s no more dangerous than

meeting any stranger on a blind date,” notes Sills.

“The dating rules have not changed in this technology-saturated age, but the experience of using technology comes with its own challenges,” she adds. “What is di erent is that people are less accountable because of the anonymity of being online. The way websites are set up is that the amount of ‘shopping’ is pretty vast. Everyone will tell you they’re looking for a relationship, but they may be lying to you—and to themselves.”

Sills says one smart way to protect your heart and your time when dating online is to meet sooner rather than later.

“People get tremendously invested in email relationships.

You email someone every day and after two or three weeks, it feels like you have a relationship. Then they disappear, which hurts and is very upsetting.

“Meeting in person is a huge reality check because inwardly you think ‘no’ or ‘maybe’ within seconds,” she explains. “Meeting soon will keep you from putting in too much time with someone who isn’t who they say they are.”

And when you do meet for the first time, avoid the “first date interview.” Skip questions like, “What are you looking for in a relationship?” “Do you want kids?” “Where do you see yourself in five years?”

“Instead, have a conversation about the here and now,” Sills suggests. “Ask about their day, what happened at work, share about a funny movie you saw recently. Talk about the same fun things you’d have in a conversation with a friend.”

As for background checks, Sills is all for them.

“We live in a world with all this information available; it doesn’t make sense not to avail yourself of information on any important subject, so yes, do a background check when you meet someone.”

KIDS IN THE MIX?

Dating after divorce hasn’t been smooth sailing for Nicki Belfoure*, 43, a single mother of two from Ocala who works in the medical field. The fact that she has two daughters only adds to the challenge.

Nicki, who has been divorced for over seven years now, wasn’t even interested in dating for the first five years after her marriage ended.

“I had kids and I just wasn’t interested. I’ve always been independent and I didn’t have any need for dating,” she says. “You need to find yourself before you go out and find a relationship with someone else. If you’re not happy, they’re not going to make you happy. That’s not being pessimistic; that’s my realistic point of view.”

As a mother, she was extra careful who she introduced to her daughters.

“I’ve kept guys away from my kids,” she says. “When you have kids, especially girls, you don’t want to bring any weirdos around them, and there are a lot of those out there.”

Once she started to dip her toe into the dating pool, Nicki discovered what many other singles have found. Many people aren’t honest, and some are downright deceptive.

“One guy I went out with, I found out was still married,” she says. “Then a friend of mine ran a background check on another guy I started dating and found out he had a felony charge. If something tips you o , listen to your gut feeling; it’s always right. Early last year, Nicki met a single dad who has full custody of his daughter who is the same age as one of her girls. The two started o as acquaintances, became friends

EVERYONE WILL TELL YOU THEY’RE LOOKING FOR A RELATIONSHIP, BUT THEY MAY BE LYING TO YOU—AND TO THEMSELVES

THE DATING RULES HAVE NOT CHANGED IN THIS TECHNOLOGYSATURATED AGE...

and have now been dating for about eight months.

Her hard-won advice? “Don’t get too wrapped up in one person too soon and definitely take your time getting to know someone.”

“Dating, especially if you’re a mom, will have a tremendous impact on your kids,” says Sills. “You will need to make a judgment on how to shield your kids from that impact.”

Although some women with young kids just swear o dating until their children are older, say high school age, Sills says that’s not necessary. But you must consider how your social life will a ect them.

“Some people are less protective of their kids than others and will be dating right away, but you should shield the kids from your romantic and sexual life when dating just like you do when you’re married,”

advises Sills. It can get tricky if a parent decides to live with someone—or even just have them “sleep over.”

“This is not putting the kids first,” says Sills. “Shielding them is harder on you but better on your kids.”

If you decide to engage in sexual activities with the person you’re dating, do so when someone else is watching the kids. Sneaking someone in and out or lying to your children complicates things and sets a poor example. And ask yourself: How serious do I want to be with someone who doesn’t care about how our situation a ects my kids?

IN THE TRENCHES

I came across a saying while writing this article: “Love when you’re ready, not when you’re lonely.” All I can say to that is, phooey. Does anyone really know they’re 100 percent “ready” to fall in love?

From what I’ve seen in my friends’ lives and experienced myself, love tends

to come along in its own good time, whether you’re ready or not.

Everyone has a di erent approach to dating after divorce. I chatted with a couple girlfriends, who both ended up happily remarried but took very di erent roads to get there. Perhaps their successful stories will inspire your own venture into the post-divorce dating world.

ONLINE SUCCESS

After moving to Florida at the age of 59 to be closer to family, Gwen Randle, of Morriston, Florida, took proactive steps toward meeting men. Sometimes that worked better than others.

She attended a singles dance once a week in The Villages. She found the atmosphere a little “intense” at times but met an interesting variety of men, including one she dated steadily for about 18 months before realizing his unreliability was due to alcoholism.

Gwen, who was busily working as a graphic artist at the time, decided to try online dating.

She ended up corresponding with several di erent men and followed some guidelines to stay safe, such as asking for their number instead of giving hers and only calling from her cell phone.

A few of those conversations were memorable, such as the man who told her in the first phone call that he couldn’t urinate without a catheter, the man who claimed he and his ex-wife only had sex twice in their 20-year marriage and that he stayed because he liked his in-laws or the guy who

confessed he was still trying to reconcile with his wife.

“I started an email chain with an interesting gentleman who was in Florida half the year and the Midwest the other half. I had almost agreed to meet him in person but balked at doing so at a nudist colony,” Gwen laughs. “I was reluctant to be naked the first time I met someone, so declined the invitation and never heard back.”

It wasn’t until after the nudist that she heard from a di erent man who sounded intriguing, but Gwen was so busy with work, it wasn’t until about a month later that they met one afternoon at a public park where Gwen, who plays guitar, and her friends were jamming.

Turns out the gentleman played the mandolin, although he hadn’t brought it that day. They went to dinner and discovered another mutual passion: horses and riding. Charlie and Gwen kept dating, eventually got engaged and, in 2016, celebrated their 10th wedding anniversary

“You can meet a lot of strange people online,” admits Gwen, “but once in a while, there’s a gem.”

FRIENDS FIRST

“After my ex-husband and I split, I had sworn o men and wasn’t interested in dating at all,” recalls Martha Pullian of Hernando, Florida.

One of her friends, a man she’d known through her job as a restaurant manager, was

roommate, she thought it might be a solution. What clinched the deal was that Don was fine with Martha bringing her dog. She moved in the week before Christmas 1999.

Although both were busy working, they occasionally did things together as friends—eating together if they were home at the same time, riding bikes, chatting about common interests.

“Then my dog died, which was horrible, but we went through the whole thing together, and that made a really strong bond,” says Martha. “I still wasn’t looking for a guy, but the traumatic death of my dog, who was my best friend, kind of turned the tide. I saw this side of Don I didn’t realize was there, the kindness and little things he would do. It wasn’t a physical relationship to start with; it was a friendship, so that laid a good foundation.”

The friendship evolved into dating by the end of January; the couple married March 10, 2001.

now that’s a real treat.’ That’s so appropriate and true for us. Don’s the greatest guy in the world, and our marriage has just gotten stronger over the years.”

OPEN HEART, OPEN MIND

You’ve no doubt heard the saying, “Life is what happens when you’re busy making plans.” As these stories remind us, there’s plenty of truth in that sentence.

“When we’re dating, we put a tremendous amount of time into thinking about it as if we

have control over it,” Sills says with a laugh.

“It’s great to talk to your girlfriends, make a list about what you don’t want and so forth. This is all good anxiety reduction and makes you feel you have control, but in real life, you hope to meet someone meaningful and fear that when you do, he will disrupt your life. Because of course he will.

“Dating is a risk. Love is a risk, but it’s a risk worth taking,” says Sills. “Don’t be so hard on yourself as to assume there’s a ‘right’ way or a ‘wrong’ way. It’s good to remember that romance, even bad dates, and falling in love with someone who never calls again—all of this is being alive and out in the world.

“It means you’re o your couch and out in the arena. Nothing that interesting happens at home on your couch—unless you’re there with someone special!”

Whether you’ve been “set up” by friends or are meeting someone from online, a little planning can ease first date jitters and keep you safe at the same time.

Meet in public. It should go without saying, but don’t give someone you don’t know your home address. Meet at a public spot with your own transportation.

Keep it short. Plan to meet for co ee or a walk in the park, something that won’t take more than an hour. You can always extend the time if you “click,” but if not, you won’t be stuck there for hours.

Have an escape plan. Tell a trusted friend where you’re going and how long you’ll be there. Ask them to call or text at a certain time to check in.

Do a background check. In this era of instant technology an online background check is easy and inexpensive. If you think this makes you suspicious, reassure yourself that you’re just being smart. (It may not be necessary for a first date, but definitely if you think the relationship has the potential of progressing into something serious.)

*name has been changed to protect privacy

“YOU CAN MEET A LOT OF STRANGE PEOPLE ONLINE, BUT ONCE IN A WHILE, THERE’S A GEM.”

Kayla Reidle

Bariatric Surgery Patient

When it’s time for surgery, you can count on the team at Ocala Regional Medical Center and West Marion Community Hospital. Whether you have your surgery same-day or inpatient, our team is ready to care for you before, during and after. We want you to have the best surgical experience possible, so we make sure we’re providing a safe environment and guide you and your family through the process with care. With minimally invasive surgeries available, patients experience better results and quicker recovery. Some of our surgeries are also available with robotic-assisted technology.

Minimally Invasive Surgery at Ocala Health

We Proudly Welcome Kathleen

DPM

Dr. Kathleen Telusma grew up in Orlando, Florida. She remained in Orlando for her college education where she received a BS in molecular biology and microbiology from the University of Central Florida. She went on to continue her medical education in Philadelphia, Pennsylvania, at Temple University where she earned her Doctorate in Podiatric Medicine. Dr. Telusma went on to finish her medical training by completing her surgical residency at the Atlanta VA Medical Center. Upon the conclusion of residency, she sought to return to Central Florida for practice. She is now happy to be the newest addition to Family Foot and Ankle. She treats a variety of foot and ankle pathologies with interests, including dermatology, wound care, bunions, hammertoes and heel pain.

soup’s on!

Juicing is so last year—souping is the trend that everyone’s talking about. Soup cleanse recipes typically o er a lot of good-for-you complex carbohydrates and veggies and are low in sugar. These soups tend to be quite flavorful, using spices like turmeric and cumin. Looking to get started? Try this tasty recipe!

Orange and Vanilla Butternut Squash Soup

2 lbs (about 4 cups) butternut squash, peeled and cubed

3 tablespoons olive oil, divided

1⁄2 tsp salt, divided

1⁄8 tsp cardamom

1⁄8 tsp nutmeg

1 1⁄2 cups chopped leeks, white and light green parts only

2 tbsp medium or dry sherry

1 quart low-sodium vegetable broth

1⁄2 tsp orange zest

1⁄2 cup Premier Protein Vanilla Shake

1⁄4 tsp freshly ground black pepper

Heat oven to 400°F. › Line baking sheet with foil. › In large bowl, toss squash with 1 tablespoon olive oil, 1/4 teaspoon salt, cardamom and nutmeg. › Place on baking sheet, and roast 25 minutes, stirring halfway through cooking time. › Meanwhile, in 3-quart pot over medium-high heat, heat remaining olive oil. › Add leeks, reduce heat to medium-low and cook 15 minutes, stirring often, until caramelized. › Remove squash from oven and add to leeks. › Stir in sherry and broth. › Bring to boil, reduce heat to medium-low and simmer uncovered 30 minutes. › Remove from heat, and blend to desired consistency using immersion or standard blender. › Reheat if desired. › Stir in orange zest, protein shake, remaining salt and pepper. › Serve immediately.

keep your chin up

Most of us don’t give much thought to our chin and neck areas until it’s selfie- or picture-taking time. Then, uh-oh, suddenly this area unmasks hidden insecurities. Around age 20, wrinkles and slackening around this touchy triangular region start revealing a person’s true age. To continue jutting out a strong chin and firm neck, try these non-surgical routes.

tech effect

Staying plugged in wreaks “tech neck” whereby horizontal neck creases form by gazing down at phones. Sagging and wrinkling are most common in those 18 to 39 who own multiple devices. Hold your device at eye level, or dictate messages using virtual assistants like Siri.

smooth & lighten

Rough neck skin deserves the same anti-aging creams and serums as your face, especially those containing protective antioxidants like retinol, vitamin C, vitamin E and beta carotene. To even skin tone, choose bleaching creams containing kojic acid, mushroom or licorice.

dermatology options

Sun repair: Non-ablative, intense pulsed light (IPL) like Lumecca, used for hair removal and acne, also freshens texture and pigment in one treatment.  Plump and fill: Dermal fillers Restylane and Juvederm inject hyaluronic acid to plump creases for approximately six months.

sun sense

double chin workouts

Firm jowls, holding each exercise for 10 seconds, and repeat 10 times.

CHIN RUSH: Start with your chin toward the ceiling. Push your fist against your chin, and lower your jaw to resist the pushing.

GRIMACE: Open your mouth and grimace hard by pointing the corners of your mouth downward while tightly flexing your neck tendons.

CEILING KISS: Lean your head back, point your chin upward and extend puckered lips as far as possible.

trim, tighten and rejuvenate

Radiofrequency procedures (Fractora, ThermiSmooth) deliver heat into tissues while laser treatments (Fraxel, A rm) create microscopic wounds to stimulate collagen production and tighten skin. Kybella injects deoxycholic acid, a naturally occurring substance that permanently breaks down fat.

our contouring guru says

Dr. Michael Holloway Lifestyle Solutions Medical Spa, Ocala

“CoolSculpting for permanent fat removal has been developed for 15 years. But recently, a mini applicator for the neck and chin received FDA clearance. It chills the area close to freezing, injuring the fat cells. The body then eliminates the unwanted fat. You’ll see dramatic results in the first month and ongoing improvement even after four months. We’ve had some amazing results where the patient had a large double chin, and it was as though it didn’t exist. Price depends on size of the area, generally $1,500-$3,000 for an hour session. Someone can come during lunchtime and go right back to work.”

If you unpack one reminder, use sunscreen today. Because sun damage accrues oh-so-slowly, many don’t consider it a dire case for slathering on the SPF protection. But when harmful rays meet the neck’s delicate tissue, elastin and collagen proteins that pu up the skin quickly deplete. Plus, age spots and blotchiness begin popping up. Frequently apply an SPF 30 or higher, with broad-spectrum coverage in the form of avobenzone, Helioplex or Mexoryl formulas.

Melissa Singleton, PA-C

Dr. Ashley Cauthen

Dr. Christina Mitchell

fit & pregnant

A pregnant girl’s guide to staying fit and healthy.

The outdated notions that when you’re pregnant you should only rest or that it’s OK to eat for two are just that—outdated. It could be argued that this is the most important time in your life to be fit and healthy. (Although a pregnancy six-pack might be a bit much.)

Pregnancy can make exercise seem like the very last thing you want to do, much less should do. But at this point, you’re likely tight with your obgyn, and with his or her approval, you may be able to exercise throughout your entire pregnancy.

rules of the road

Nadya Swedan, M.D., a women’s health expert and author of The Active Woman’s Health and Fitness Handbook

staying fit and healthy during pregnancy encourages an easier delivery, keeps your muscles strong and helps maintain blood sugar levels—along with

making it easier to lose the postnatal baby weight. One study published by the American Congress of Obstetricians and Gynecologists also suggests that exercise is beneficial during pregnancy.

“Women with uncomplicated pregnancies should be encouraged to engage in aerobic and strength-

conditioning exercises before, during and after pregnancy,” the study recommends.

Plus, you’ll feel better about your changing body. The big picture here is maintaining your normal fitness routine. If you’re thinking “What fitness routine?” taking power walks, swimming or doing prenatal yoga are great options. Just be sure to follow these general guidelines to keep you safe during pregnancy:

With your doctor’s approval, continue your normal fitness routine at a

It’s OK to lift weights that you’re accustomed to lifting. Make adjustments as your pregnancy progresses—use a chair or pillow for support, and go lower in

Avoid twists and crunch-like movements because they may increase your chance of ab separation. If you’re into yoga, switch to prenatal yoga.

Keep to low-impact exercises. Unless you’ve been running marathons for years, Swedan says the extra weight you’re carrying will only add more stress to your joints when doing high-impact exercises.

Listen to your body. Discontinue any activity or exercise if some-

Focus on your deep core (pelvic) muscles instead of your obliques, middle or upper abdominals. Strengthening your deep core will aid in labor and delivery and keep your lower back strong.

Don’t let yourself overheat, and keep your doctor up to date about your fitness routine each step of the way.

quiet please

Maybe it’s the clicking of the keyboard or the creaking of the chair. Either way, o ce noise can be so distracting! We are not alone in our thinking, either. Linda Carlson, Ph.D., professor of psychology and oncology at the University of Calgary, says o ce noise has been proven to negatively a ect employee performance and e ciency. Longterm e ects can range from high blood pressure to cardiovascular disease. So how are you supposed to ignore these minor annoyances all day long?

Randye Semple, Ph.D., assistant professor of psychiatry and behavioral sciences at USC’s Keck School of Medicine, recommends mindful meditation. In other words, rather than trying to ignore the noise, you learn to accept the sounds of the environment around you.

ultimate fighting

Professional physical fi ghting is a powerful, studied discipline where the end goal is to become a better fi ghter. In real life, there’s also an art to evolving into an e ective “fi ghter.” Although confl ict is inevitable, arguments don’t have to brew into ugly storm clouds of confrontation. They can actually be genuine attempts at clarity and relationship growth.

Sheryle Lyman, a licensed marriage and family therapist, whose West Citrus Counseling practice is based in Homosassa, discusses rules of engagement for productive fighting.

Avoid absolute or ultimatum language.

According to Lyman, much to an arguer’s surprise, this creates the exact opposite of your desired outcome.

“Those little words ‘always’ and ‘never’ feed the urge to keep more arguments going, as in ‘you always blame me’ or ‘you never help,’” says Lyman.

Refraining from dramatic, exaggerated talk prevents overwhelming and wearing

down the other party. After all, you want her or him to stick around and hear your needs. Instead, try emphasizing your desire for mutual cooperation and teamwork to lessen overall defensiveness.

Listen up.

In essence, tune in more, chatter less.

“We just don’t listen to each other anymore,” says Lyman. “Everyone is so anxious to make a cutting or witty comment that they are forming a response while their partner is talking rather than really listening to what is being said.”

To ensure you’ve heard the other person correctly, she recommends “reflective listening” or repeating back what has been shared.

“This assures the speaker is being heard and creates empathy in the listener,” says Lyman.

Time to talk.

At the height of boiled-over frustration, Lyman advises that arguers “walk away or call for a time-out.” Better yet, schedule an appointment to discuss concerns. Although this might seem like a blasé, buttoned-down reaction, it allows both sides to approach discussion in the proper mind frame for a positive outcome. Lyman notes an

example of bad timing as trying to launch into concerns just as the other person is leaving.

It’s not about winning.

A true win emerges when everyone’s happy.

“Prioritizing the relationship comes from asking yourself, ‘How does pointing that out help the situation?’” says Lyman. This sober reminder can change your entire perspective on a disagreement.

Practice relaxing.

Before engaging in a stressful event, Lyman endorses relaxation response, an established form of meditation or “physiological quieting” to peacefully steer you throughout your day. This involves “visualization, mental focus, breath control and a passive disregard for everyday thoughts.”

When tempers flare and words fly, language, listening and timing help you fight fair.

quantum leaps

Cut against the grain by slowing down what is normally rushed through—and speed up what you’re dragging your heels on. If time is elastic, then it’s about time you address how you spend your daily life. To that end, here are a few tips that will help you slow down when you’re moving too fast—and push past all that procrastination for procrastination’s sake.

slow down to savor

With faster phones, express lines and quick fixes, every corner of the globe seems to be pushing and prodding faster. The rush to complete everything and then ask for more, more, more has serious health consequences, including hypertension, weight gain, addiction and depression. Here are some suggestions to s-l-o-w things down.

MINDFUL EATS: Although often portrayed in media to comic proportions (chewing each bite “32 times keeps your tummy from danger,” Bob Newhart’s mom told him), a slow-paced meal results in better digestion and less tendency to overeat. Easing up on the chowing down might even let you savor every flavor that’s in that salad or pizza you’re tearing through.

WALKS AU

NATURALE: Take a walk down the street, through the park or even around your yard without being shackled to an electronic device. Your phone won’t run away without your hand gripping it. Take time to enjoy the miracle that is life.

DELIBERATE GREETS: So much communication today comes through hastily tapped chats and semigrammatical texts. No one is proposing that Emoji Nation needs to step away from the symbols and acronyms, but for your most important messages, take a pause. Re-read that email once or twice to make sure you’re communicating clearly. Even the greatest authors pause to re-read, correct mistakes and make meaning and intentions clear. Your relationships will benefit from a moment of extra care. Better yet? Pick up the phone and really connect with someone from time to time.

hurry-up hacks

It’s not to say that everything in your life should be slowed to a shu e. By procrastinating away important tasks, you’re eliminating stress now that will hit you back later, with interest.

FILE IT UP: Everyone’s had a stretch of avoiding a bill or skipping a thank-you card. But the longer the wait, the more trouble is invited. Sign up for bill autopay through your bank or a third-party service like Mint.com, which takes the danger out of putting o those monthly bills. And simply organizing your paperwork with in-boxes or file folders will help de-clutter your mind.

WILL IT SO: Ignoring a will is the ultimate postponing of the inevitable. Everyone envisions a long life, but accidents happen. Use DoYourOwnWill.com to compile a will for free.

TIME TO VISIT: Not many people enjoy going to the doctor or dentist. Although you don’t have to rush to get a yearly checkup out of the way in the first week of January, find a good time of year to make your routine visits and stick to it. Before you leave the o ce, schedule your next visit—and that’s one to-do o the never-ending list!

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More music & less talk.

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Classic Hits

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