Marion Healthy Living November 2016

A Reason To

Giving back with the BHRS

November 18, 2016 - January 1, 2017

• More than 2 million lights, acres of stunning decor and an ALL-NEW 60ft Christmas tree

• NEW ICE! theme - 2 million pounds of colorful, hand-carved ice sculptures and slides featuring A Charlie Brown Christmas

• NEW! Mrs. Claus’ Christmas Traditions and Story Time Sing-a-long

Tickets and Packages on Sale Now!

• NEW! Breakfast with Charlie Brown™ & Friends

• Cirque Dreams UnWrapped Stage Show

• The Elf on the Shelf® Scavenger Hunt

• Gingerbread Decorating Corner

• Build-A-Bear Workshop®

• Alpine Rush Snow Tubing and more!

ChristmasAtGaylordPalms.com | (407) 586-4423

basis of race, color, national origin, age, disability, or sex. Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-401-2740 (TTY: 711). Kreyòl Ayisyen (French Creole): ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele

Mon-Fri from Feb

(TTY: 711) For Member Services

Live Your Life IN MOTION

We’re committed to making a difference.

When you live life “on the go,” you don’t want chronic joint pain to slow you down. That’s why Ocala Health takes a leading-edge, comprehensive approach to the treatment and rehabilitation of joint pain – designed to return you to maximum function as quickly and safely as possible. Our exceptional outcomes and shorter average length of hospital stay is among the best in the country.

Highly trained board-certified orthopedic surgeons and a multi-disciplinary patient care team work with you and your primary care physician to develop a customized treatment plan. If you need surgery, we offer the most advanced surgical procedures using the latest technologies, including minimally invasive techniques with the MAKO robotic arm.

To be connected with our award-winning team of physicians, please call 1-800-530-1188 or visit us at ocalahealthsystem.com.

We perform the following specialized joint surgeries:

• Knee replacement

• Partial knee replacement

• Knee resurfacing

• Hip replacement using both anterior and posterior approach

• Shoulder replacement

• Reverse shoulder replacement

• Arthroscopic sports medicine

RaceWith Your Heart

›  PAGE 44

Flown The Coop › PAGE 30

Why did the chicken cross the road? To live in your yard, of course! › By Cynthia McFarland

Cosmic Things › PAGE 34

An endless bounty of stars awaits in the dark Florida skies. Here’s a guide to discoveries above. › By Brett Ballantini

Take Control › PAGE 38

Hope for those living with—or worried about developing—diabetes. › By Cynthia McFarland

Aging Wisely › PAGE 48

Nationally—and globally—the population of aging adults is growing. Research reveals that 8.5 percent of the world’s population is 65 and older. › By Cynthia McFarland

› By JoAnn

BY JOHN JERNIGAN

DEPARTMENTS

HEALTHY beat

› PAGE 9

TRENDS | NEWS | PEOPLE

By Cealia Athanason, Laurel Gillum & Katie McPherson

› 10 Putting pointers.

› 12 Hone your honey-do list.

› 14 Vroom, vroom.

› 16 Welcome to the Test Lab.

HEALTHY dose

› PAGE 21

INSIGHT | ADVICE | SOLUTIONS

By Laurel Gillum and Molly Norman

› 22 See ya later, Germs!

› 24 Stop the smoke.

› 26 Facts about fainting.

› 28 A new treatment.

HEALTHY

body

› PAGE 55

NUTRITION | FITNESS | BEAUTY

By Laurel Gillum, Katie McPherson & Molly Norman

› 56 A weight training primer.

› 57 Curly hair? Tame it!

› 58 Charcoal: for more than just the grill.

› 59 Keep it fresh.

HEALTHY vibe

› PAGE 61

MIND | SPIRIT | FINANCE

By Molly Norman and Katie McPherson

› 62 Stream your stuff.

› 63 A new way to give.

› 64 Adventure awaits.

If you like multitasking, the Big Hammock Race Series is perfect for you. Not only do the race events provide a great opportunity to be physically active but all raise funds for numerous charitable causes.

Guidry

ADVISORY BOARD

HEALTHY LIVING MAGAZINE has brought together a group of medical experts and community leaders to serve on our advisory board and share their expertise and insight with our readers.

Craig Ackerman Public Information O cer FLORIDA DEPARTMENT OF HEALTH IN MARION COUNTY

Ashley Hersey Clinical Liaison KINDRED HOSPITAL OCALA

Ashley Cauthen, M.D. Cosmetic And Clinical Dermatology MIDSTATE SKIN INSTITUTE

Derek Farr, D.O. Orthopedic Surgeon TWIN PALMS ORTHOPEDICS

Amy McLaughlin, APR, CPRC Director, Marketing & Communications SEVEN RIVERS REGIONAL MEDICAL CENTER

Katie Myers, APR Director Of Marketing And Public Relations CITRUS MEMORIAL HEALTH SYSTEM

Navinderdeep Nijher, M.D. Plastic Surgery OCALA PLASTIC SURGERY

Chris Okonkwo, M.D. Pediatrics CHILDREN’S HEALTH OF OCALA

Joseph Foster Senior Solutions Director SUPERIOR RESIDENCES OF LECANTO

Carmen M. Hernandez Health Education Program Manager FLORIDA DEPARTMENT OF HEALTH

Michael Holloway, M.D. Physician-Directed Weight Management & Medical Aesthetics LIFESTYLE SOLUTIONS MEDSPA

Mark Jank, M.D. Ophthalmology OCALA EYE

Amanda Ostrom Director of Marketing and Communications RADIOLOGY ASSOCIATES OF OCALA, P.A.

Jayanti Panchal, M.D. Internal Medicine And Medical Weight Management SUCCESS BY DESIGN

Carolyn Reyes, MPA, M.Ed. Community Liaison, Citrus & Hernando Counties COMFORT KEEPERS

Suzanne Santangelo Director, Marketing OCALA HEALTH

Linda M. McKenna Director of Professional Relations CHAPTERS HPH HOSPICE

Meghan Shay, CFRE Director Of Public Relations And Development THE CENTERS

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

Katie McPherson katie@ocalastyle.com

EDITORIAL ASSISTANT & SOCIAL MEDIA SPECIALIST

Cealia Athanason cealia@ocalastyle.com

CONTRIBUTING WRITERS

Brett Ballantini

Jim Gibson

Laurel Gillum

JoAnn Guidry

Bonnie Kretchik

Cynthia McFarland

EDITORIAL INTERN

Molly Norman

ART art@healthylivingmagazines.com

CREATIVE DIRECTOR

Jason Fugate

ART DIRECTOR

Jessi Miller Castro

GRAPHIC DESIGNER

Christina Geiger

PHOTOGRAPHERS

John SheilaJernigan fotolia.comHartley

SALES

DIRECTOR OF SALES

Dean Johnson deanjohnson@healthylivingmagazines.com

SALES MANAGER

Sharon Morgan

ACCOUNT EXECUTIVES

Anne Farrior anne@healthylivingmagazines.com

Lori Tani

Skip Linderman

Peggy Sue Munday

Liza Fritz

Tammy Walters

Dawn Anderson

DISTRIBUTION

Dave Adams

Debra McQueen

Rick Shaw O

At

Our compassionate care for women at every stage of life includes annual pelvic and breast exams, management of menopausal symptoms, minimally invasive surgery and more. To make it more convenient for you to get the care you need, we have two locations plus: Extended hours • Weekend appointments

Our extended hours make women’s healthcare more

Melissa Singleton, PA-C

Dr. Ashley Cauthen

Dr. Christina Mitchell

Kill ‘Em With Kindness

November 13 marks World Kindness Day, and it’s kind of a big deal. If one kind act leads to another, make it a goal to change the world one random act of kindness at a time.

Every day should be a positive one. Chose one of these tasks and brighten someone’s day.

› Smile at a stranger.

› Hold the door open for others.

› Make a CD of happy songs that everyone knows. Make copies and give them to random people or leave them where they can be found.

› Pay for the car behind you in the drive-thru.

› Leave a note on someone’s car with a positive message or funny joke.

› Let the person behind you skip ahead of you in line.

› Stop negative topics. Steer the conversation to something more positive.

Tee Off (Without The Rulebook)

Cardillo has

Hackers: How to Reduce Pain

From the Game of Golf

After retiring and moving to The Villages in 2001, Cardillo made a commitment to take advantage of all the golfing opportunities in his new community. His wife took lessons so they could play together, and their love for the game blossomed from there. During the learning process, Cardillo realized all the resources available were catered to professional golfers rather than a recreational one like himself.

Katie McPherson

Top 5 Golf Tips From Rich Cardillo

Read on for a preview of the golf tips Rich shares in his hilarious manual for recreational hackers.

“Probably 80 to 90 percent of the golfers in Florida are recreational, other than league players. There are really no guidelines out there for recreational golfers—all the books, publications and teaching professionals teach ‘this is how you’re supposed to swing and these are the clubs to use.’ They don’t focus on the unconventional, other-than-pure golf techniques, so I think I’m filling a gap by having a publication for the rest of us,” he explains.

Cardillo says his book is for anyone without a natural talent for golf but who enjoys a game with friends nonetheless and wants to improve. It’s best for golfers with a funny bone.

“Over the years, I learned some tips I thought would be helpful to other golfers and also experimented with a lot of different clubs. I thought ‘why don’t I translate that into a book that would be helpful to recreational golfers?’ League players may not get anything they can use from it, but I think they’ll enjoy the humor and the golf jokes,” he says.

As for the process of publishing his book, Cardillo has selfpublished before but opted for a different route this time to get his book into as many readers’ hands as possible.

“This time, I wanted to go through a publisher that would have distribution channels, more ways to promote the book and more expertise in editing the book. They liked the fact that I addressed golf for geezers and all of the chapters and headings, so when I got that kind of feedback, I was very excited. I felt very comfortable with using a publisher and everything they did to edit and hone my writing skills, and the cover development and distribution through all their channels.”

If you or someone in your family could use their own copy of Golf for Hackers: How to Reduce Pain and Suffering From the Game of Golf by Rich Cardillo, it is available on Amazon.com, BooksAMillion.com and BarnesandNoble.com

Keep your head down for every golf shot.

Always hit to a safe place away from obstacles, such as water hazards and trees.

Always hit from the tee box that matches your ability.

Do whatever is needed to avoid hitting into a bunker.

1 2 3 4 5

Practice all of your golf shots every chance you get. No one gets better at anything without practice.

Rich

been golfing for 15 years, and now he’s imparting his experience—and his sense of humor—in his book Golf for

and Suffering

.

›

By

...all the books, publications and teaching professionals teach ‘this is how you’re supposed to swing and these are the clubs to use.’ They don’t focus on the unconventional, other-thanpure golf techniques...

› Rich Cardillo

TRENDS

Clean Sweep

Each month we create a new challenge for our readers to try to improve their health and wellness.

This month, get out your honey-do list—we’ve got home maintenance on the brain.

The Issue

Loose doorknobs, smelly refrigerators and that smoke detector that won’t stop beeping in the hallway—there’s always something to do around the house. The time in which to complete these monotonous tasks, however, is lacking.

The Challenge

Here’s to those household chores that you’ve been “meaning to do.” Although routine activities involving cleaning may not be at the top of your to-do list, they are inevitable. This month, putting off chores is not an option. So take a room-by-room inventory of all the tasks that can’t wait another day, and each day this month, cross something off the list. Your house will be like new in no time.

November’s To-Do List

Here are a few tasks you won’t want to skip.

Kitchen sink disposals often harbor bacteria. Sprinkle half a cup of baking soda down the drain, adding one cup of white vinegar. Allow this mixture to set in while you bring a pot of water to a boil. Next, pour the hot water down the drain. Last, fill the sink with about two cups of ice and half a lemon. With the water running and the disposal going, this mixture will help loosen debris, clean and deodorize.

Check gutters and downspouts, and clean them if necessary. Pine needles and leaves can clog these spaces, attracting unwanted pests around your home.

Test your smoke detectors to make sure they function correctly. Holding down the test button on most detectors will do the trick. This ensures the batteries are working and not expired.

Examine fire extinguishers for obvious damage, leakage or lightness. You can also measure the pressure gauge to make sure it is within operable range. And if you don’t have a fire extinguisher, add it to your shopping list right now.

Check the attic for insulation, leaks, hiding squirrels, etc. and the basement, if you have one, for cracks, leaks, dampness or mold. This is very beneficial to your health, bringing potential mold infestations to a halt.

Vacuum and clean the coils on the back of the refrigerator and stove. These crevices are often overlooked, but keeping them clean can make appliances run more e ciently, saving you money in the long run.

Inspect kitchen and bath fixtures and cabinets for leaks, and prevent water damage by recaulking or regrouting countertops and tiles in the kitchen and bathroom as necessary.

Make an appointment to have your septic tank pumped. This is one stinky task you don’t want to put o .

Clear dead plants and shrubs away from the house. This prevents spiders and insects from finding their way inside.

Sort out your garage. You may even have enough odds and ends gathered toward the end for a garage sale. Sort items into keep, sell and toss piles. This is an organized way to get things done fast.

Get Rid of Uterine Fibroids Safely & Without Surgery.

If you have been diagnosed with uterine fibroids, your doctor may recommend uterine artery embolization (UFE), a quick, minimally invasive procedure that safely seals off the blood vessels feeding the fibroids, causing them to shrink and be eliminated by the body. Most UFE procedures take about 60-90 minutes.

CVH’s Board Certified Interventional Radiologists are medical doctors with advanced training who have been performing safe, effective UFE procedures for more than 18 years. We will work closely with your physician before, during and after your treatment, ensuring that you get the best possible care.

(352) 671-4252

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Procedures performed at: Munroe Regional Medical Center (MRMC) & Ocala Regional Medical Center (ORMC)

BOARD CERTIFIED, VASCULAR AND INTERVENTIONAL FELLOWSHIP TRAINED RADIOLOGISTS

Rolando E. Prieto, MD

David C. McKay, MD

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We

When it’s time to seek treatment for uterine fibroids, you can trust your care to the experienced, dedicated doctors of CVH.

Vroom Vroom

Inverness’s upcoming festival is all about speed and races toward its sixth year of celebrating motorsports.

› By Cealia Athanason

There’s a rip-roaring good time waiting for you at the Inverness Grand Prix and Motorsports Festival.

“There’s nothing like it around,” says Harry Lewis, race organizer.

Several years ago, the Affordable Karting Club met with Inverness City Manager Frank DiGiovanni to talk about developing a street race. It was originally the idea of a local ice cream shop owner, Josh Richardson of The Ice Cream DR. When the AKC would come hang out over ice cream after racing, he brought up how cool it would be to have a street race.

“It happened four months after it was mentioned,” says Lewis.

And the race has continued each year since. The last two years, rain interfered a bit, but they still managed to put on a good show. Besides rain, racers also have to take into account that this is a street race. The streets

The streets of downtown Inverness aren’t modified at all, and the karts must race over various street surfaces, including crosswalks and drainage dips—not to mention, navigating 90-degree turns.

of downtown Inverness aren’t modified at all, and the karts must race over various street surfaces, including crosswalks and drainage dips—not to mention, navigating 90-degree turns.

“The karts are so low to the ground. You can’t fit a finger below them,” Lewis says.

For experienced racers, this adds an element of complexity to the race that keeps them on their toes. But for the inexperienced? Well, Lewis laughs and says prepared tracks are easier to race on, so that’s usually what they would prefer.

These karts are fast, and he remembers one police officer clocking a racer going 72 mph.

“I think we’ve had people faster than that,” Lewis says. “It’s all a matter of where you gear it on the track.”

That’s why hay and plastic barriers are set up in direct-impact areas. There’s also a giant rule book put together by the World Karting Association that karting clubs and the festival follow.

Besides the kart races on Saturday, this motorsports festival kicks off on Friday night with a local car cruise-in, vendors and a restaurant and pub crawl at 5pm. Then, at 7pm, Tampa’s Stormbringer Band takes the stage. Saturday morning, while the kart racers practice, another car show starts at 10am. The races get going at noon.

It’s a packed two days, with an estimated crowd of 5,000 attending each year. Take the whole family—it’s the only one of its kind in the southeastern United States.

Test Lab: Airbrush Foundation

The Claims

The Perfection Mist Airbrush Foundation from the Sephora Collection retails for $28 for 2.5 oz, which isn’t bad considering drugstore foundations run from $8 to $10 for one fluid ounce. Sephora.com describes it as an “ultrafine mist” meant to “blur imperfections seamlessly and control shine for up to 10 hours.” Being a quick spritz away from flawless sounds infinitely faster than splotching on liquid foundation and waiting for it to set. It’s also oil-free and noncomedogenic, so besides the serious convenience factor, it would be easy on the skin. So is it a canned miracle or a mess in the making?

The Experiment

After shaking for five seconds, hold the bottle eight to 10 inches away from the face and spray in circular motions. Then blend it into the skin with a beauty sponge or foundation brush. (You could also spray the product directly onto a brush and blend, but this only works for lighter coverage and robs you of all your fun.) Apply the rest of your makeup as usual, and go stun onlookers with your perfectly smooth mannequin face.

The Results

Cover your clothes and mind your hairline—the overspray is real with this product. Oh, and hold your breath during application. Learn from my mistakes.

Those warnings aside, this little can of wonders may be my new best friend. The foundation allows you to build up coverage from light to nearly full, and although most foundations claim to feel weightless, this one actually is. My skin feels like… skin, I guess. That shouldn’t be weird, but it’s a rare thing indeed. My skin looks smooth and glowy without appearing overdone, and I was even able to forego concealer on my dark spots and under eye circles. (It does cling to flakes, so be sure to moisturize if you’re on the dry side.) It even held up to its 10-hour wear claim; I only had to blot my oily zones once during the day.

My only complaint? I found my match in the shade “fair,” but the range is limited, with four of 10 total colors being variations for fair skin. But if you can find your perfect match, I’d give this the old college try. Perfection Mist Airbrush Foundation: Test Lab approved.

Do you ever see trendy foods, beauty techniques or odd products and think, “Now that I have to try!” Here in the Test Lab, I’m trying the next best thing to hiring a glam squad: airbrush makeup.

›

By Katie McPherson

Home At Last

Everyone understands that adoption is important. But unless you’ve met an adopted young person in your own community, it’s easy to overlook the world of difference that adoptive parents make every day in our backyard. So let’s meet Andrew, a local teen who has experienced the transformative power of a loving adoptive home.

Andrew had no idea how much his life would change in 2015. As the year began, times were tough for the then 14-year-old young man. He struggled with anger management and had poor grades. As a result, he was placed under heavy restrictions in the group home where he had lived for four years.

“I used to keep to myself,” he said. “It was hard for me to look up in school or when I was around others. I didn’t say much, but I was crying on the inside.”

In February 2015, Andrew embarked on a new journey when he entered Charmaine and Nick Schultz’s home as a foster child. He immediately felt that he fit in with the Schultzes and made an immediate turnaround in every aspect of his young life. And when Charmaine and Nick adopted him, Andrew was so

happy that he announced it in every one of his classes at school. He was home at last.

“It feels good to be part of a family now. Having people around you who actually care—that’s most important to me,” he said. “Being part of this family has given me a much better attitude, and my grades are better.”

Before Andrew, Charmaine and Nick cared for other foster children, but they had no experience fostering teenagers and were hesitant about bringing a foster teen into the family. After learning more about the need for families for local teens and welcoming Andrew into their lives, they are now active advocates for teen adoption.

Hundreds of older children and teens in our community— especially those 9-15 years old—still need loving families. Andrew and his family urge people who are considering adoption to think about the many teens who, like him, deserve a nurturing home and a strong foundation for life.

“Those who want to adopt shouldn’t just go with the blond-haired, blue-eyed babies. Teens can contribute more to the family, and they can be easier to work with,” Andrew said. “Give a teen a chance.”

Please ask yourself if foster parenting or adoption is right for you. To learn more, please call Paula Mealy of Kids Central at (352) 387-3487 or visit KidsCentralFosterParents.org for further information. Kids Central is the nonprofit lead agency charged with caring for abused, neglected and abandoned children in Citrus, Hernando, Lake, Marion and Sumter Counties.

How adoption changed a local teen’s life for good

It feels good to be part of a family now. Having people around you who actually care—that’s most important to me.

F.

Soap Up

Several active ingredients—including triclosan and triclocarban—will no longer be able to be marketed to the public. Due to the unproven fact that antibacterial soap can be used as a preventative measure for certain illnesses, the final ruling on the matter is for companies to remove any ingredients from soap products that are not yet deemed “safe” for long-term exposure. In the meantime, plain soap will do the trick.

There’s nothing like good ol’ soap and water, according to the U.S. Food and Drug Administration. Turns out that antibacterial soaps and body washes are not as effective— or safe for that matter—as we once thought.

Cootie-Free

They invade our personal space, gobble up key nutrients and bring in dangerous toxins. These guests are not welcome back. Germs, you’ve got to go.

Kids & Germs

It shouldn’t be too hard for adults to follow these preventative methods. For kids, though, it’s a much tougher job. Here are some nifty gadgets touted to decrease the spread of germs.

THE SNEEVE

Available on amazon.com or thesneeve.com

With a target audience ranging from 3 to 8, the Sneeve is made of a flexible synthetic fabric treated with an antimicrobial mix of citric acid and silver that you wear on your upper arm. The CDC recommends that people cough and sneeze directly into their elbow or upper sleeve if they don’t have a tissue. The Sneeve is a brilliant reminder.

CARTOON MASKS

Available on etsy.com

When all else fails and someone gets sick, surgical masks are great at keeping germs from spreading. Surgical masks featuring your kids’ favorite cartoon characters are even better! Just imagine if you could stop the cold dead in its tracks.

TIPTAPTOP

Available on tiptaptop.fr

Unfortunately, the termination of germs is not that simple. Germs are everywhere. From phones to door knobs, they reside on just about every surface. Most germs, however, are not harmful. Before an infection occurs, your immune system will kick in, protecting your body against infectious agents. It’s only the germs that go on to mutate that will breach the body’s defensive tactics. Take these simple precautions to lessen your likelihood of coming down with a bug. They may seem like no brainers, but they work!

› AVOID CLOSE CONTACT. If you know someone at work or school who is sick, maintain a safe distance from them.

› WASH YOUR HANDS. A lot. The bacteria that builds up on your hands from touching objects throughout the day should frequently be washed o .

› AVOID TOUCHING YOUR FACE. Your nose, mouth and eyes are o -limit areas. Teach your kids this, too!

› CLEAN AND DISINFECT. Keep your work and living areas clean and sanitized to avoid a buildup of germs and bacteria.

Wave your hands underneath the TipTapTop and the sensor will detect your movement. Water is released in stages and a musical jingle plays, guiding children through every step of the handwashing process. Once hands are squeaky clean, it stops the flow and reduces water waste by up to 70 percent. Soap comes in automatic dispensers, too.

DUSTING SLIPPERS

Available on amazon.com

Got little kids shuffling around your house? Not a problem. We present you with Dusting Slippers. Irritant dust that settles in the nose may lead to inflammation. Therefore, these slippers will benefit more than their cozy feet as they clean up while they play.

Once they move in, they are hard to kick out.

Find

If you’re suffering with knee or hip pain, relief is in sight. Join us at our free seminar to learn about the causes and treatments, including medications, nutrition and exercise. And should you ever need surgery, it’s good to know that Seven Rivers Regional Medical Center is a Blue Distinction® Center+ for knee and hip replacement*.

Free Seminar: Good News About Knee & Hip Pain

First Wednesday of every month • 1 p.m.

Senior Circle Center • 11537 W. Emerald Oaks Dr., Crystal River

Registration is required.

To reserve your space, register online or call 352-795-1234.

SevenRiversRegional.com

SOLUTIONS

Ready, Set, Stop

Organized by the American Cancer Society, smokers across the nation participate in the Smokeout. The idea is to use the date as a marker to either plan to stop smoking or to plan in advance and use the date to stop smoking all together. Whatever the plan, November 17 will be the date you succeed in being one step closer to a tobacco-free life.

Here are some tips to get started. Challenge yourself. The Great American Smokeout is designed to encourage smokers to utilize the tools and knowledge provided to quit for good. Today, an estimated 42 million Americans smoke. There is help out there to quit smoking and plenty of health reasons to do so. Check out the information on this page, and use it as a great stepping off point.

Understand the risks. As scary as they are, statistics are the truth. Your health is a priority. You don’t want to risk a long-term problem for short-term enjoyment.

Join a stop-smoking support group. They have them both in person and online. Do whatever works for you. A support group can help you identify your triggers and find ways to limit them.

Get counseling. The Tobacco Free Partnership of Marion County coordinates tobacco prevention efforts throughout the county. This group’s primary goal is to provide the necessary tobacco education and intervention early on to Marion County residents. Visit tfp-marion.org/news or call (352) 359-5383 for more information. For Citrus County residents, visit tobaccofreeflorida.com/county/citrus or call (352) 527-0068, ext. 304.

Get inspired. Self-help books are available at almost any local bookstore. Check out these titles at your local bookstore or on Amazon: Allen Carr’s Easy Way To Stop Smoking by Allen Carr or Overcoming Your Smoking Habit by David Marks.

Ask for help. Lean on your family or friends for moral support and encouragement. For many, quitting isn’t easy. Visiting tobaccofreeflorida.com/quityourway offers more options to those seeking help. By calling Tobacco Free Florida at (877) U-CAN-NOW you can speak with a trained Quit Coach. The Text2Quit program lets you receive tips, games and reminders with practical advice and encouragement on your phone. Call Group Quit at (877) 848-6696 to

Named the leading cause of preventable disease, tobacco is a contributing factor in one out of five deaths. Don’t be a statistic. Sources:

The term “quitting” has taken on a whole new meaning. The Great American Smokeout is a day to celebrate taking the first step in maintaining a healthy life: quitting smoking.

Quitting tobacco isn't easy. Finding help should be. Tobacco Free Florida offers free tools and services to help you get started.

Quitting tobacco isn't easy. Finding help should be. Tobacco Free Florida offers free tools and services to help you get started.

CLASS SCHEDULE

CLASS SCHEDULE

Quitting tobacco isn't easy. Finding help should be. Tobacco Free Florida offers free tools and services to help you get started.

CLASS SCHEDULE

FREE Nicotine replacement patches, gum and lozenges* .

FREE Nicotine replacement patches, gum and lozenges* .

Quitting tobacco isn't easy. Finding help should be. Tobacco Free Florida offers free tools and services to help you get started.

CLASS SCHEDULE

Nicotine replacement patches, gum and lozenges* .

*While supplies last and if medically appropriate.

*While supplies last and if medically appropriate. FREE Community, worksite and clinic groups offered.

*While supplies last and if medically appropriate. FREE Community, worksite and clinic groups offered.

Programs cover all forms of tobacco.

FREE Community, worksite and clinic groups offered.

FREE Nicotine replacement patches, gum and lozenges* .

Programs cover all forms of tobacco.

Programs cover all forms of tobacco.

*While supplies last and if medically appropriate. FREE Community, worksite and clinic groups offered.

Is the in-person option of Tobacco Free Florida Quit Your Way services.

GROUP QUIT

Is the in-person option of Tobacco Free Florida Quit Your Way services.

Programs cover all forms of tobacco.

Feeling Faint?

Various ailments can cause a person to faint, including standing up too fast, feeling stressed or being dehydrated. Although fainting is often predictable and usually brief, it’s important to be aware of the cause if it’s a recurring problem.

When It Becomes Serious

Fainting shouldn’t be something that you ignore. Here are a few reasons when feeling faint or actually fainting could be an indication of a more serious issue. Make sure to talk to your doctor about any fainting spells you may have experienced.

Low blood pressure. Normal blood pressure is 120/80. Having chronically low blood pressure could potentially result in diabetes or nervous system diseases.

Medications. Some prescribed medications can cause fainting. Make sure to always read the labels and potential side effects.

Heart problems. Some heart disorders can be identified from fainting, such as an arrhythmia, which is an abnormal heart rhythm.

Low blood sugar. When a person’s blood sugar drops too low it often results in sweating and fainting.

Structural disturbance. Disturbances of the heart muscle, valves or blood vessels can cause fainting.

Dehydration. When you are dehydrated, you are not getting enough fluids, which causes low blood pressure and dizziness.

Anemia. The main symptom of anemia is tiredness, but because you’re not getting enough oxygen to the brain, you could also feel light-headed and dizzy.

Panic attacks. Those who are diagnosed with anxiety syndrome can feel faint right before having a panic attack.

Stress. When you are stressed out, you often breathe more rapidly and frequently. This could produce dizziness and numbness.

Questions For Your Doc

Here are some questions you can ask your doctor if you have fainted before or are worried about fainting.

› What is causing me to faint?

› Is there something I can do to prevent fainting?

› Is there any medication I can take for fainting?

› If I faint once, should I call the doctor immediately?

› Is there a diet I should follow to help deal with fainting?

Fainting First Aid

If someone faints, here are the steps you should take to ensure they’re breathing and out of harm’s way.

1. Position the person on his or her back. If they are breathing, raise the person’s legs above their heart about 12 inches if possible. Loosen tight clothing. Don’t try to get the person up too quickly. If the person doesn’t regain consciousness within one minute, call 911.

2. Check the person’s airway to be sure it’s clear, and watch for vomiting.

3. Check for signs of circulation, such as breathing, coughing or movement. If the person isn’t breathing, begin CPR and call 911 immediately.

Fainting is a sudden loss of consciousness due to an inadequate supply of blood to the brain, resulting in passing out or falling down.

Good News About “Difficult” Colon Polyps

› By Michael Roizen, M.D. and Mehmet Oz, M.D.

Every year, tens of thousands of people face serious colon surgery to remove big polyps before they can morph into colon cancer. Many have part of their colon removed at the same time—and face a long, painful recovery. Now, an important new study shows that for most, it may be safe to simply snip out even large polyps during a colonoscopy.

Although most polyps are removed during a colonoscopy, if they’re big—about 3/8 of an inch across, the size of a marble or bigger—or are in a hard-to-reach spot, colon surgery often is recommended, even though doctors aren’t sure if

For the study, researchers at the Cleveland Clinic checked the health records of 439 people who’d undergone colon surgery for a polyp. Turns out a whopping 92 percent of big polyps were benign. Just 8 percent had signs of cancer or precancerous cells.

“Our study is a real eye-opener; it’s the first step showing the low incidence of cancer in these large polyps,” says the lead researcher Emre Gorgun, M.D., FACS, FASCRS, a staff surgeon in the department of colorectal surgery. “Ninety-two percent of patients had their colon removed for noncancerous reasons.”

Here’s why we think this study is significant: The researchers conclude that sparing the colon by removing only the big polyp would be just as effective, in terms of cancer prevention, for many people as removing the colon. And it would let thousands sidestep the risks and side effects of colon-removal surgery, also known as colon resection or colectomy.

“Colon resection doesn’t come for free—it’s a major abdominal operation associated with the risk of serious adverse events,” Dr. Gorgun notes. This procedure is done under general anesthesia and often involves a 6- to 8-inch incision in the abdomen. Several inches of the colon are removed. The remaining sections are then stitched or stapled back together. Risks include leakage from the colon into the abdomen and infections. Recovery can be painful, could keep you out of work for up to three weeks and involves restricting activity and following a special diet for a month or more. In this study, nearly one in five people who had colon resections for polyps had complications of their surgery within a month.

According to the American Cancer Society, more than 134,000 people will be diagnosed with this cancer, and more than 49,000 will die from it this year. The good news: Cancer rates are dropping as more people get colonoscopies. The United States Preventive Services Task Force recommends screenings start at age 50 and continue as needed up to age 75 (older or younger screenings can be decided by your doctor). Yet one in three adults hasn’t been screened. Perhaps that’s why colorectal cancer is still the second-leading cause of cancer deaths in America.

Our study is a real eye-opener; it’s the first step showing the low incidence of cancer in large polyps.

For 25 years, we have been committed to creating an environment where our residents feel secure, cared for and loved. We would be honored to care for your loved ones in their time of need.

Services Offered:

In-House Psychiatrist

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We are currently accepting referrals

Ocala’s Best-Kept Secret

Prestige Manor

Assisted Living Facility

6333 SE Babb Rd. | Belleview, FL | 352-307-6333

prestigemanorassistedliving.com

Carrol Dillon-Smith Administrator/Owner Megan Christine Forrest Director of Operations

Why did the chicken cross the road? To live in your yard, of course!

BY CYNTHIA MCFARLAND

In case you hadn’t noticed, backyard chickens are all the rage lately. Even in town, it’s become trendy to have a few hens.

In addition to providing fresh eggs and adding a touch of “Green Acres” charm to suburban yards, chickens are great at controlling bugs, including mosquitoes and ticks.

According to the Marion County (Florida) Zoning Department, you can have up to six hens (sorry, boys, no roosters allowed) in residentially zoned properties. Just be sure to keep your poultry “at least 150 feet from any residence other than that of the animal’s owner.”

Once you’ve decided to jump on the chicken bandwagon, you need a place to put them. Spend a little time online and you’ll find more ideas for coops than you can shake a chicken leg at. You can pick from simple and rustic to elaborate designs with ornate trim and fanciful architectural details that elevate the plain “chicken house” to a work of art.

If you possess basic carpentry skills, you can download plans to build your own. You want the structure to last, but skip the pressure-treated lumber, which contains chemicals that can be harmful to chickens. Instead, choose naturally rot-resistant lumber; cedar and redwood are good choices.

If your DIY skills are limited, or you don’t have the right tools, you can choose from numerous readymade coops or models that require simple assembly.

Include The Basics

Whether you build or buy, every good chicken dwelling has certain necessities. Your birds need two main spaces, and they should be connected: an enclosed coop where they’ll sleep and lay eggs, and a run where they can

get fresh air, exercise, socialize and take the occasional dust bath.

You’ve heard the horror stories of how factory farm hens live their sad, short lives in a space not much bigger than a sheet of 8-1/2 x 11-inch paper. It doesn’t take a lot of effort or expense to provide far more spacious digs for your

chickens. But before you decide what size coop and run to build or buy, you need to have a general idea of how many chickens you plan to keep.

According to the experts at mypetchicken.com, a Connecticut-based business that sells chicks and all the chicken supplies you can imagine, the minimum amount of space inside the coop is two to three square feet per bird, and four to five square feet in the outside run. Bigger is better; for happier, stress-free hens, allow for more space than the minimum.

Ventilation is crucial; otherwise, your girls might come down with respiratory problems. You don’t want the coop drafty, nor do you want it snug and tight, which will make it too hot and a breeding ground for bacteria.

While the run is obviously at ground level, the coop should be off the ground two feet or higher. Because it’s your chicken’s “house,” the coop needs some basic amenities. There should be an opening about 12 x 12-inches square with a gradually sloping ramp (no less than eight inches wide) that leads down into the run so the hens can come and go as they please. You’ll need a larger door on the side so you can clean out the interior and access the water and food.

Speaking of which, hang the water and feed sources

above the floor of the coop. Make sure there’s enough roosting space for all your birds, allowing about 10 inches when they’re roosting side by side.

Screening on the floor of the coop under the roosting poles allows the droppings to fall through to the ground below. (Think of this not as manure, but as free fertilizer for your yard and garden!)

Ideally, you will situate the run so it has shade from a tree. If no trees are available, drape shade cloth over at least part of the top of the run so your chickens don’t get too hot in the sun.

about six inches above the floor to keep chickens from walking into them and spilling the contents.

The coop is also where you place nesting boxes (one box for every four to five hens). You can buy ready-made wooden nesting boxes, but plastic kitty litter boxes also work great and are a breeze to clean. Whichever you use, fill them with clean straw.

You don’t want the chickens to sleep in their nesting boxes (too messy), so you need to provide places for them to roost at night. Poles (or tree branches) two inches in diameter are ideal and should be installed higher than the nesting boxes, at least a couple feet

otection om edators

If you’re going to keep chickens, you’ve got to think about predators. Unfortunately, hawks, coyotes, raccoons, foxes, opossums, bobcats— not to mention dogs—all look at chickens as part of the food chain. Make sure your coop/run is secure and predator proof—not just from all sides but also from the top and bottom. Despite its name, chicken wire isn’t the

best choice for penning your chickens in. It’s flimsy, and the holes aren’t small enough. For much better protection, opt for “hardware cloth,” which isn’t cloth at all but resembles stiff wire screen. It comes in different size increments; your safest choice is the one-half-inch squares. You’ll need small fence staples (sometimes called “poultry staples”) to attach the wire securely to the wood.

You’d be amazed what raccoons can open, so use latches that can be locked; a snap or carabiner clip should do the trick.

For ultimate safety, use the hardware cloth as a “floor” on the ground of the run, as well, so predators can’t dig under. Otherwise, you’ll need to bury the screening down into the ground at least one foot deep on all sides of the coop.

For extra protection, you can buy wolf urine or coyote urine (no, we’re not kidding) and use it around your

chicken coop to deter predators. Available online (mypetchicken.com has both wolf and coyote urine in liquid and granule form), it will keep away a variety of critters.

Stocking Your Coop

Local garden/feed stores sell chicks in the spring, but you can order throughout the year from suppliers. If your heart is set on specific breeds, however, there may be some wait time.

Given our typical fall weather, this is actually a good time to order your backyard chicks. Young hens start laying when they’re about 6 months old, so if you order your pullets (girl chicks) in the fall, they’ll be ready to start producing next spring.

Chicks aren’t expensive (expect to pay anywhere from $2.75 to $4.50 (higher for more rare breeds), but suppliers usually have a minimum order, and there are shipping costs, as well.

When your chicks arrive, they’re too small and fragile to head to the coop. You’ll need to keep them indoors; a cardboard box and heat lamp will be home for the first few weeks. And watch the weather as you transition them outdoors. Young chickens can’t handle the cold.

A healthy, well-cared-for backyard hen can live for eight to 10 years or longer, so build her a house she’ll appreciate and you’ll be proud of. Order

Or just type “chicken coop plans” into an Internet search engine.

Photo by Cynthia McFarland

BY BRETT BALLANTINI

For such a populous and hightech state, Florida remains full of blessed “dark spots” that enable stargazers to enjoy a buffet of sights in the nighttime sky.

Although you’ll have to trek down to Big Pine Key in the Florida Keys to arrive at a location that is routinely listed among the best 10 or 15 stargazing spots in the country, there are plenty of dark-spot pockets on the mainland you can use to successfully peer up at the heavens.

Freebie Fridays

A great place for a stargazing newbie to begin is one of Gainesville’s University of Florida “Public Nights,” which are held every Friday from 8:30-10pm when classes are in session and the skies are clear.

UF’s Public Nights encompass a range of activities, including observation of the moon, planets and stars through 8-inch and 12-inch telescopes; use of a CCD imaging camera to photograph what you see through the telescope as a memento; view Hubble Telescope images and those of other remote telescopes; children’s demonstrations; and Q&A sessions that can help guide your future stargazing.

Contact UF Astronomy for more information (including directions) and dial (352) 392-1016 after 7:30pm on Public Nights to determine Gainesville weather conditions.

Other clubs in Central Florida include:

• Alachua Astronomy Club (Gainesville)

• Central Florida Astronomical Society (Seminole County)

• Local Group of Deep Sky Observers (Sarasota/Bradenton)

• M.A.R.S. Astronomy Club (Tampa Museum of Science and Industry)

• Undergraduate Astrophysics Society of the University of Florida (Gainesville)

• University of Central Florida Astronomy Society (Orlando)

Planetarium Alignment

A planetarium is a museum of stars, in a sense. So if you are looking for an educational experience to complement your glimpses at the actual sky, opt for an indoor show that is sure to teach you a few things about your next stargazing mission. Here are some options:

• Daytona Museum of Arts and Sciences Planetarium (Daytona Beach)

• Eastern Florida State College Planetarium (Cocoa)

• Emil Buehler Perpetual Trust Planetarium, Seminole State College (Sanford)

• Kika Silva Pla Planetarium, Santa Fe College (Gainesville)

• Saunders Planetarium, Tampa Museum of Science and Industry

392-2052 x229 › public@astro.ufl.edu › astro.ufl.edu/ outreach/Public_Nights.

Go Clubbing

Another good starting point for a new stargazer would be joining an astronomy club. The Ocala Astronomy Club currently boasts three dozen members and can be reached at (352) 680-1737 or kking660@ earthlink.net for future meeting and event information.

Most of the rest of the world sees the Big Dipper as a different object, like a wagon. In France, it’s the Great Chariot; in Ireland, it goes by King David’s Chariot; in Britain, the constellation is known as the Plough.

Want to Go? › University of Florida Public Nights › UF Astronomy Teaching Observatory, Gainesville › Free › (352)

An endless bounty of stars awaits in the dark Florida skies. Here’s a guide to discoveries above.

The Big Dipper

See The Constellations

The most well-known constellation in the Northern Hemisphere isn’t really a constellation at all. The Big Dipper (along with its smaller companion, the Little Dipper) is merely a component of the constellation Ursa Major (the Great Bear) and is considered an asterism (an interesting, easily recognizable star pattern). If you peer northward, you should easily see seven bright stars that comprise it. Most of the rest of the world sees the Big Dipper as a different object, like a wagon. In France, it’s the Great Chariot; in Ireland, it goes by King David’s Chariot; in Britain, the constellation is known as the Plough.

So, while the sky’s most famous “constellation” isn’t actually a constellation, there is still plenty to see; in fact, winter is the best time of year to catch stars and constellations in the night sky.

Turn southward, and the clear, dry winter air reveals a sky rich with stars, one of the spiral arms of our Milky Way Galaxy; and seven of the 21 brightest (first magnitude) stars in the entire night sky can be seen in winter’s southern sky.

The greatest of all constellations, Orion (The Hunter), is a rectangle of bright stars, two corners of which are first magnitude stars Betelgeuse and Rigel. The rectangle is also bisected by a diagonal row of stars termed “the belt,” while another trio of stars below the belt comprises “the sword.”

Tracking down and to the left of “the belt” is a brilliant, white star, the brightest in the heavens: Sirius. Sirius leads the constellation Canis Major (The Great Dog). In winter, refraction makes Sirius sparkle in a rainbow of colors.

Up and to the right of Orion’s belt is a V-shaped star grouping called the Hyades, which comprises the head of Taurus (The Bull). At the upper-left end of the V is Aldebaran, the reddishorange eye of the Bull. Farther out from the Hyades is a small star cluster that

can be seen with the naked eye, the Pleiades (Seven Sisters).

The uppermost horn of Taurus is part of a pentagon that includes a bright yellow star, Capella. The pentagon itself is the constellation Auriga (The Charioteer). Auriga is above Orion and sits directly overhead of our Northern Hemisphere in the middle of winter. Extend a line from Orion upward through Rigel and Betelgeuse to the rectangular constellation Gemini (The Twins), containing bright stars Pollux and Castor.

To the left of the line connecting Sirius, Pollux and Castor is the first magnitude star Procyon. Procyon forms an equilateral triangle with Betelgeuse and Sirius to form Canis Minor (The Little Dog).

When To See The Sights

There are numerous notable astronomical dates through the end of the year:

• November 4-5: A Taurids meteor shower produces only five meteors per hour, but many are fireballs, from late night to dawn.

• November 14 (and December 14): The full moon phase (supermoon) happens when a full moon or new moon gets closest to Earth, making

Florida has several impeccable dark spots open to anyone with a telescope, binoculars or merely a pair of eyes.

it look around 12-14 percent bigger than a micromoon.

• November 17-18: The Leonid meteor shower is so named because the meteors seem to emerge from the constellation Leo. This shower occurs every 33 years, when the Earth passes through debris of the comet Tempel-Tuttle. You should see around 20 meteors per hour, best after midnight.

• November 29 (and December 29): The new moon phase means the moon is not visible, making it easier to stargaze on other celestial bodies.

• December 11: When Mercury is at its greatest Eastern elongation, it is most easily seen after sunset. Mercury is normally very hard to see because it orbits so near the Sun.

• December 13-14: The Geminid meteor shower should be so bright that it

outshines the light of the supermoon on December 14.

• December 13-14: Jupiter will rise in the east, so from 2am to sunrise, Jupiter will be extremely visible.

• December 21: Winter solstice (5:44am EST) is the longest night of the year, when the sun is directly over the Tropic of Capricorn.

• December 21-22: The Ursids meteor shower is so named because the meteors seem to emerge from the constellation Ursa Minor. Like the Leonid, it occurs every 33 years, when the Earth passes through debris of the comet Tempel-Tuttle. You should see around 10 meteors per hour.

Time To Observe

If you’re ready for some serious stargazing, head to one of many Central Florida observatories to supercharge your view of the universe:

Gemini Orion

Taurus

Telescope Tips

Once you’ve decided to take a deeper dive into astronomy and are in the market for a new or improved telescope, use this primer below to make the best of your stargazing:

Binoculars first: Don’t jump right into telescope use; instead, feel your way through the sky using a pair of binoculars. This also allows you to observe all the basic star phenomena at a fraction of the price.

Realistic expectations: A good telescope will allow you to see all the planets in the solar system, as well as stars and deeper sky objects. But in all cases but the moon, detail won’t be terribly crisp—not when you’re used to seeing Hubble Telescope images and the like.

Cool down: In Florida, there are plenty of dark sky locations, and the state is known for good “seeing (atmospheric) conditions.” But remember to let your telescope adjust from indoors to outdoors with a cool-down period (15 minutes to an hour), otherwise your images will be distorted.

Power down: Although high magnification helps discern detail once an object in the sky is located (moon crater details once

you’re pointed at the moon, for example), low magnification (30x to 50x) generally makes it easier to find sky objects and is where most observation occurs.

Performance: The three most important aspects of telescope performance are optical quality, mount and eyepiece.

Vendors: Three trusted names in telescopes are Meade, Celestron and Orion.

GOTO: Telescopes with built-in GOTO locators (like a GPS for stars) are recommended beginning only at the $500+ range. And keep in mind that much of the joy of stargazing is locating at least some sky objects yourself!

Where to buy: It’s common sense advice, but to ensure quality parts and craftsmanship, it’s best to buy from a store or website dedicated to telescopes.

Budget $400: This minimum investment for a quality telescope should get you a 6-inch Dobsonian telescope, one additional eyepiece and an excellent astronomy guidebook, like NightWatch by Terrence Dickinson.

• Crosby Observatory (Orlando)

• Eastern Florida State College Observatory (Cocoa) (Friday and Saturday nights)

• Embry Riddle Creekside Observatory (Daytona Beach)

• Kissimmee Park Observatory

• Radio Jove Observatory, University of Florida (Gainesville)

• Robinson Observatory, University of Central Florida (Orlando): Knights Under the Stars, 8:30pm on Wednesdays or Thursdays when school is in session

• Rosemary Hill Observatory (Bronson)

• Star Fields Observatory (Chiefland)

• Teaching Observatory, University of Florida (Gainesville)

Check It Out!

There’s more to the starry sky than what can be seen at observatories and planetariums. Florida has several

impeccable dark spots open to anyone with a telescope, binoculars or merely a pair of eyes. Here’s a primer:

• Biolab Boat Ramp, Canaveral National Seashore (Titusville)

• Chiefland Astronomy Village (Chiefland): This collective of stargazers has created one of the best amateur locations in the state, hosting monthly “star parties” and/or “new moon weekends.”

• FarrOut “Observatory” (Dade City): Absolutely the friendliest of all amateur sites, FarrOut boasts hilarious rules of conduct and snacks like the world famous Foo (chili) Dogs.

• Withlacoochee River Park (Brooksville): Otherwise known as the gathering spot for the St. Petersburg Astronomy Club.

Want to Know More? › D’Auria’s Ocala Star Observatory › A clear sky chart that is a “weather forecast” for stargazing, updated daily › cleardarksky.com/c/DrOcObFLkey.html?1

You Don’t Need a Telescope!

For many of the major astronomical phenomena, you only need your eyes to observe. For instance, for any one of the many meteor showers, follow a few basic tips: Get out of the city to a place where artificial lights won’t impede your viewing. (Check floridaastronomy.weebly. com/dark-sites for an animation of the best dark sky sites in Florida.)

During a shower’s peak, you don’t need special equipment, only your eyes.

Bring a blanket and chair for comfort, as

stargazing takes patience. And once the show begins, you won’t want to go home until it is over. Make note of the weather forecast, as well as times for moonrise and moonset, to prepare properly for your gazing. A nice guide for viewing planets, stars and constellations at different times of the year—by naked eye or telescope—is at earthsky.org/tonight.

Want to Know More? › Jason Higley’s Florida Astronomy › floridaastronomy.weebly.com

Joe Roberts’ Amateur Astronomer’s Notebook › rocketroberts.com/astro/ aan.htm

Hope for those living with—or worried about developing—

DIABETES

By C McF

First, the good news: Over the last few years, the number of new cases of diabetes in the United States has shown a modest decline. People with diabetes are living longer because of improvements in managing the disease. One of the key reasons that people with diabetes are living longer is that there has been a steady decline in the death rate due to cardiovascular disease. Improvements have also been seen in the tools and medications that people with diabetes can use to manage the disease.

Now, the bad news: There are still 1.4 million new cases of diabetes diagnosed every year, and even though we now have better ways to manage diabetes, the financial burden of doing so has increased.

DIABETES BY THE NUMBERS

29.1 MILLION:

DIABETES DEFINED

TYPE 1:Less common than type 2, about 5 percent of people with diabetes have type 1. Type 1 diabetes was previously known as “juvenile diabetes” because it’s most often diagnosed in children and young adults. In simple terms, the food you consume is broken down into glucose, which provides the energy your body needs to function properly. The body uses insulin to burn that glucose. When someone has type 1, his or her body does not produce insulin.

HOW IT’S TREATED: Insulin therapy is necessary. Additional medication/ treatments may also be used.

$245

TYPE 2:Most common form of diabetes. When someone has type 2, their body makes insulin but might not make enough and does not use it properly. When the disease first starts, the pancreas produces extra insulin but eventually can’t make enough to maintain normal levels of blood glucose. Glucose then builds up in the blood, where it causes a host of problems rather than going into the cells and providing energy. Type 2 diabetes is generally progressive, with the body’s ability to produce its own insulin declining over time.

HOW IT’S TREATED: Lifestyle changes (diet and exercise). Medication and/or insulin may also be necessary if lifestyle changes aren’t adequate to regulate blood glucose levels. There is no cure, so it’s all about management.

RISKY BUSINESS

“Two things you can’t control, which are very important factors, are genes and increasing age. You can’t avoid your genetics or getting older. If you don’t have the genes, you’re not going to develop type 2 diabetes,” notes Matt Petersen, managing director of medical information for the American Diabetes Association.

sedentary. If anything, genetics are to blame for diabetes, but being overweight and sedentary are triggers.”

Petersen notes that it’s unfair to say people won’t get type 2 diabetes if they just take better care of themselves, but neither should the benefits of lifestyle changes be ignored. Research has shown that improving diet and losing even a small amount of weight can delay the development of type 2 diabetes among at-risk adults by as much as 40 to 60 percent.

Lifestyle modifications can also help someone who has been diagnosed with diabetes keep it under control without medication for some time.

“Usually, in time, this begins to fail and medication is necessary simply because diabetes is a progressive disease,” Petersen observes.

Important factors: genes + increasing age

Certain racial and ethnic groups are at somewhat higher risk and therefore more susceptible to developing type 2 diabetes. These include African-Americans, Hispanics, American Indians, Asian-Americans and Pacific Islanders. “You can only develop type 2 diabetes if you have the genetic predisposition, but lifestyle generally plays a role,” Petersen explains. “Our genes haven’t really changed over the last few decades, but lifestyle has changed. Americans have a great abundance of cheap and tasty calories and are now heavier than ever before; they’re also more

“It’s, unfortunately, not the case that if you just maintain your weight and stay active this will keep you from needing medication forever, but it will be helpful. Healthy eating and physical activity are common elements in treating diabetes, cancer and heart disease, and even if you need medication, it’s not a time to stop a healthy lifestyle.”

Source: American Diabetes Association

BE AWARE!

THE FOLLOWING SYMPTOMS CAN INDICATE YOU HAVE PROGRESSED FROM PREDIABETES TO TYPE 2 DIABETES, SO SEE YOUR HEALTH CARE PROVIDER RIGHT AWAY IF YOU NOTICE THESE SIGNS:

FATIGUE FREQUENT URINATION INCREASED THIRST BLURRED VISION

Twenty years ago, there were only two oral medications to treat type 2 diabetes. Today, there are 12 different classes of medications to address the disease. There are also new oral medications that have been proven to lower the risk of cardiovascular disease.

“These diabetes medications work in different ways, so we have more tools. This has made it easier to control diabetes simply because we have more choices,” says Petersen. “Often, you can use two medications together to get twice the benefits because they work in different ways.”

Of course, the most effective drug for controlling diabetes is insulin, and there are new types of synthetic insulin—from fast-acting to long-lasting—that provide more flexibility to manage and treat diabetes.

PREDIABETES

PREDIABETES OCCURS WHEN YOUR BLOOD SUGAR LEVEL IS HIGHER THAN NORMAL BUT NOT HIGH ENOUGH TO WARRANT A DIAGNOSIS OF ACTUAL DIABETES.

PREDIABETES IS A WAKE-UP CALL, BECAUSE, IF NOT ADDRESSED, YOU HAVE A HIGHER RISK

“A lot of people have the sense that if they have to start using insulin they’ve failed, but using it can mean bringing your diabetes under excellent control,” says Petersen. “Because the natural progression of the disease puts you at much higher risk of complications, if you get to the point where you need insulin, it can be a lifesaver. It’s not a cure, and it carries its own risks, but insulin is the only drug that can always bring blood glucose down to normal levels.”

And if you thought insulin is only administered via syringe, think again. There are now small devices (the size of a flip phone or pager) that have a tiny tube that’s inserted under the skin. The

OF DEVELOPING TYPE 2 DIABETES WITHIN THE NEXT FIVE TO 10 YEARS.

YOU MAY BE ABLE TO CHANGE YOUR LIFESTYLE AND AVOID—OR AT LEAST DELAY— DEVELOPING DIABETES BY GETTING YOUR BLOOD SUGAR NUMBER DOWN TO A NORMAL

LEVEL. THESE LIFESTYLE CHANGES INCLUDE EATING RIGHT, REGULAR PHYSICAL ACTIVITY AND MAINTAINING A HEALTHY WEIGHT. YOU DON’T NEED A TOTAL METAMORPHOSIS TO SEE IMPROVEMENT. JUST DROPPING 10 TO 15 POUNDS CAN MAKE A DIFFERENCE!

device can be programmed to deliver accurate amounts of insulin to meet your specific needs.

Petersen says the next exciting development for diabetics will be the release of a system that combines a continuous glucose meter and a glucose pump that will automatically release insulin as needed. Think of it as an artificial pancreas outside the body.

“There’s been a tremendous amount of energy going into developing these over the last few years. We are ‘this close’ to having it on the market,” notes Peterson.

“Trials still have to be wrapped up, and we need FDA approval, but I believe we’ll have these on the market within the next two to three years. It’s still not perfect or a cure, but it will greatly ease the ability of people to manage their diabetes and is very relevant to everyone who has type 1 diabetes and to many people with type 2 diabetes who use insulin.”

Lower Your Risk

Take proactive steps to reduce your risk for developing type 2 diabetes.

LOSE THE WEIGHT. Maintaining an appropriate body weight range is the No. 1 thing you can do to avoid diabetes. About 85 percent of people who are diagnosed with type 2 diabetes are overweight or obese. Talk to your doctor about developing a realistic plan to lose weight.

DON’T SMOKE. This seems like a no-brainer, but there are still people who think they can do other things to improve their health without giving up cigarettes. Don’t kid yourself. Smoking raises your blood pressure and your bad cholesterol, damages your lungs and reduces the amount of oxygen needed by your organs to function normally. Because people with diabetes are already at higher risk for cardiovascular disease, smoking is especially bad for them.

BY JOANN GUIDRY

Charitable organizations that have benefited from Big Hammock Race Series races include: The Cornerstone School’s Tuition Assistance Program; United Way of Marion County’s ReadingPals program and health programs; the YMCA scholarship fund; Boys and Girls Club of Marion County; Young Life of Marion County; youth running programs and scholarships; National Association of Mental Illness (NAMI) Florida and NAMI Marion County; Veterans Memorial Park; and the American Cancer Society’s We Can Weekend.

“Participating in the BHRS is a great way to improve your physical fitness and give back to the community at the same time,” says Karen Donnelly, co-founder of the series. “Both are good for the heart.”

It was concern about Ocala/Marion County’s poor health statistics that inspired Donnelly and co-founder Tina Banner, both avid runners, to establish the BHRS. They have incorporated existing and newly created races into the innovative series. A major requirement is that all the races have a charitable connection. The initial season featured seven races, while season two has eight.

“Our mission from the beginning has been for the BHRS to be a community health initiative,” says Donnelly. “We want to share the joy of running and walking as a fun family activity. Families who participate in the BHRS are developing lifelong healthy habits. And the races are great social events where people make wonderful connections, some that last a lifetime.”

Donnelly notes that “since its inception, the BHRS has had great sponsors and has

been heavily promoted.” And that in turn has reaped benefits for the races and their charities.

“We looked at the number of participants in the races prior to and after being part of the BHRS,” says Donnelly. “And the numbers show that the BHRS is driving new participants to these races. More participants means more entry fee money, which translates to more money going to community charities. The first season of the BHRS accounted for approximately $29,423 in total race entry fees from BHRS participants in the seven races. That additional money in race earnings means there is more to give to the charities. It’s a win-win for everyone.”

In addition to presenting sponsor Prime Mortgage Group, other BHRS sponsors are Ocala Style and Healthy Living magazines, Plaid Frog Creative Resources, United Way of Marion County, Gateway Bank of Central Florida, Day & Day PA and the City of Ocala. Here’s a look at some of the races and the impact the BHRS has had on them and their charities.

If you like multitasking, the Big Hammock Race Series—Season 2, presented by Prime Mortgage Group, is perfect for you. Not only do the race events, which are open to runners and walkers of all ages, provide a great opportunity to be physically active, but all raise funds for numerous charitable causes.

Gateway Bank’s Reindeer Run 5K DEC. 10, 2016

For Gateway Bank of Central Florida Chief Executive Officer Tom Ingram, becoming involved with the BHRS was an easy decision.

“We have always been very pro-healthy living here at Gateway, so the Big Hammock’s health community initiative was definitely a draw to become a sponsor of the series,” says Ingram. “We have sponsored the Reindeer Run since 2013. The race starts and finishes at the bank, which then provides a great location to watch the annual Christmas parade. We thought becoming part of the BHRS would be a great way to grow the race.”

Ingram has been happy with the results on all counts.

“There is no doubt that the BHRS has motivated more people to become more physically active. The series is open to everyone of all ages, walkers as well as runners,” he says. “And we’ve definitely seen more participants in

the Reindeer Run thanks to the BHRS. This has helped us attract more sponsors for the race, which means more money raised for the community charities we support.”

Although most races give to their respective charities from net race entry proceeds once expenses have been met, Gateway Bank utilizes a different method.

“With the Reindeer Run, the race entry money pays for expenses,” says Ingram. “But money raised from our sponsors is kept separate, and that money is earmarked only for the charity fund. This allows us to give more directly to the charities.”

In 2015, the first season of the BHRS, money raised by Reindeer Run sponsors went to the Boys and Girls Clubs of Marion County ($20,000) and Young Life Marion County ($10,000). In 2016, Young Life Marion County will be the Reindeer Run’s benefiting charity.

It should be noted that Gateway Bank also has another role in the BHRS, serving as the host for the series’ season-ending awards party.

“We are very pleased to be a part of the BHRS in all our roles,” says Ingram. “Participating in the BHRS is a great way to be healthier and give back to the community at the same time.”

Ocala Marathon/Half Marathon/5K JAN. 15, 2017

Iggy’s Four On The Fourth JUL. 4, 2017

“The partnership with the BHRS has definitely been positive,” says Chris Moling, president of the Citrus Road Runners Club and race director for the Ocala Marathon weekend. “While we focus on bringing runners from all over the country to Ocala for the marathon weekend, the BHRS has done a great job of increasing the number of local participants. And that has been a tremendous

BY THE NUMBERS: BHRS Impact SEASON 1

Turkey Trot 5K/10K

BHRS drove 153 new people to the Turkey Trot, which translates to approximately $3,825 in race entry fees.

Reindeer Run 5K

BHRS drove 161 new people to the Reindeer Run, which translates to approximately $4,025 in race entry fees.

Photo by Sheila Hartley

help to us in growing the event.”

As for the funds raised for charities, Moling is quick to point out that “more participants means more race entries money and more money, after expenses, that we can pass on to our causes.

“The Citrus Road Runners Club uses net proceeds from a total of six events, including the Ocala Marathon weekend races, to raise money for its beneficiaries,” adds Moling. “The CCRC provides funding and support to Citrus County youth running programs, scholarships, support to high school students and contributes to Road Runners Club of America for elementary students in school running programs.”

Moling is also the race director for Ocalabased Iggy’s Four On The Fourth.

“The funds raised by the Four On The Fourth go directly to the Ocala-based Veterans Memorial Park and the American Cancer Society’s We Can Weekend,” says Moling.

Ocala Marathon/Half Marathon/5K

BHRS drove 146 new people to the Ocala Marathon weekend races, which translates to approximately $5,467 in race entry fees.

Live Oak International 5K (SEASON 1)

Blueberry Horseshoe 5K (SEASON 2)/FEB. 19, 2017

Donnelly was the race director for Live Oak International 5K, which in the BHRS Season 1 raised money for the National Association of Mental Illness (NAMI) Florida. More than 40 counties, including Marion County, are served by NAMI Florida.

“We had 620 registered with 536 finishers at the Live Oak event,” says Donnelly. “That is absolutely unheard of participation for a first-year event. The BHRS drove 297 people to the Live Oak event for a total of $9,652 in race entry fees. And the Live Oak International 5K raised $55,000 for NAMI Florida.”

In the BHRS Season 2, the new Blueberry Horseshoe 5K will raise funds for NAMI Florida and NAMI Marion County.

“We are very excited about the Blueberry Horseshoe 5K,” says Donnelly. “The race is going to be held at Lambholm South, a beautiful Thoroughbred farm in northwest Marion County. Just like Live Oak Stud was a beautiful setting, so is Lambholm South. It’ll be a great day for all participants.”

Ready, Set, Go

UPCOMING RACES FOR SEASON 2 OF THE BHRS:

Frank DeLuca YMCA

Turkey Trot 5K/10K (11/24/2016): Benefiting the YMCA Scholarship Fund

Gateway Bank Reindeer Run 5K/Super Race (12/10/2016): Benefiting Young Life Marion County

Ocala Marathon/ Half Marathon & 5K/ Super Race (1/15/2017): Benefiting Citrus County Youth Running Programs

Blueberry Horseshoe 5K/Super Race & Lucky Charm Challenge Race (2/19/2017): Benefiting NAMI Florida & NAMI Marion County

St. Paddy’s Day 5K/Lucky Charm Challenge Race (3/18/2017): Benefiting United Way of Marion County’s Health Programs

Iggy’s Four On The Fourth (7/4/2017): Benefiting Veteran’s Memorial Park & American Cancer Society’s We Can Weekend

Find out more › To register for the BHRS and for more information, visit bighammockraceseries.com

Valentine’s Day 5K

BHRS drove 109 new people to the Valentine 5K, which translates to $2,180 in race entry fees.

Live Oak International 5K

BHRS drove 297 new people to the Live Oak International 5K, which translates to approximately $9,652 in race entry fees.

St. Paddy’s Day 5K

BHRS drove 94 new people to St. Paddy’s Day 5K, which translates to approximately $2,350 in race entry fees.

Iggy’s Four On The Fourth

BHRS drove 68 new people to Iggy’s Four On The Fourth, which translates to approximately $1,923 in race entry fees.

$29,423: Total estimated amount the first season of the BHRS generated in race entry fees.

*Statistics provided by Karen Donnelly with BHRS

Aging Wisely

BY CYNTHIA MCFARLAND

Nationally—and globally—the population of aging adults is growing. Research reveals that 8.5 percent of the world’s population is 65 and older. That number is projected to expand to almost 17 percent by 2050. Experts predict the population of those 80 and older will more than triple by 2050.

“In the United States, the population of those 85 and above is the most rapidly-growing segment of our society,” observes Michael Wasserman, M.D., a member of the American Geriatrics Society and an expert on aging.

For the average person, peak physical function occurs around age 30.

For some, though, age is just a number it seems. As actress Bette Davis said, “old age ain’t no place for sissies,” but that hardly means it’s all downhill after 30.

“Studies have shown that much of what we used to think of as the inevitable decline in muscle mass, strength and even aerobic capacity that begins in your 40s can be slowed—or even staved off—through exercise and proper diet. This ability to maintain and

slow the aging process appears to be for as long as you keep working at it,” notes Wasserman, who has been a geriatrician since 1989.

“The best example is how proper diet and exercise can literally reverse diabetic blood sugar levels,” he adds. But the No. 1 thing anyone can do to improve their health, at any age, is not smoke.

“It drives me nuts when doctors prescribe cholesterol medication for smokers. That’s like trying to shoot down a missile with a bow and arrow,” says Wasserman.

“If someone smokes, to bother with all the other areas—even diet and exercise—is almost nonsensical. I say this with 30 years of experience in caring for people in their 80s and above. It is rare for me to meet 80 and 90 year olds who were smokers. If you smoke, you will probably not live into your 80s or beyond.

“Your 40s, 50s and 60s are really the decades to do everything you can to take better care of yourself,” Wasserman emphasizes. “Treat what has to be treated, but try to reverse what can be changed.”

YOUR 40S

What To Watch For Now

CHANGES IN SKIN

TONE AND TEXTURE. Sun damage becomes more obvious, including wrinkles, dark spots, freckles, discolorations and blotchiness, with duller tone overall. Skin may become drier, pores tend to look larger. Collagen is starting to break down, resulting in loss of fullness.

HAIR CHANGES. For many people, this is the decade when those first

gray hairs pop up. Hair texture can also become more coarse and color more dull.

VISION CHANGES. Many will start wearing readers or “cheaters,” thanks to a common condition known as presbyopia, in which the lens of the eye stiffens, making it difficult to refocus from distance to closeup vision.

WEIGHT GAIN. Unless you’ve become a major

Screenings and Tests

BLOOD PRESSURE: At least every two years

couch potato, blame that extra pudge around your middle on a slower metabolism.

DECREASED MUSCLE

MASS AND TONE. Research shows that the average person in their 40s loses about 1 percent of muscle mass each year. That doesn’t sound too bad until you consider it’s possible to lose 10 percent of your muscle mass by the time you hit 50.

Fight Back

› Be vigilant with sunscreen. Wear it daily, opting for a minimum of 30 SPF, preferably higher.

› Moisturize faithfully. Use skin care products with ingredients that help improve firmness and texture, such as retinoids, antioxidants and alpha hydroxy acids.

› Schedule an eye exam if you experience blurriness or changes in vision.

› Wear sunglasses faithfully, as long-term exposure to sunlight is blamed for a higher risk of cataracts as you age.

› Make over your diet, incorporating lean protein and foods rich in fiber like vegetables, fruit and whole grains, while cutting out processed foods, saturated fats and excess sugar. If your diet doesn’t contain enough essential nutrients, consider taking supplements.

› Add weight training to your workout if you’re already exercising, and if you aren’t, start now! Include a combination of cardiovascular activity (walk, run, ride a bike) and strength training.

CHOLESTEROL CHECK: Every five years; more often if you have had high levels in the past or have diabetes, heart disease, kidney problems, etc.

DIABETES SCREENING: Every three years if 45 or older; more often if you are overweight, have high blood pressure or other risk factors

MAMMOGRAM (WOMEN): Every one to two years starting at age 40

PAP SMEAR (WOMEN): Every one to three years

EYE EXAM: Every two to four years; more often if necessary

STOOL OCCULT BLOOD TEST: Every one to three years

FLU SHOT: Annually

TETANUS-DIPHTHERIA BOOSTER VACCINATION: Every 10 years

› Include exercises such as yoga or Pilates to strengthen your core.

“In the last decade we’ve seen 80 year olds competing in Ironman,” says Wasserman. “There’s no question the things you start doing in your 40s can carry you on until the end.”

What To Watch For Now

Watch for health concerns from previous decades, plus:

HEART HEALTH. Ongoing stress tends to catch up to the heart in your 50s. As arteries and blood vessels become less elastic, your heart has to work harder, often leading to hypertension (high blood pressure).

BONE LOSS. Both men and women are affected by osteoporosis, which increases the risk of fracture (especially in hips, knees and wrists), but it’s more common in women. Bone density can diminish after menopause, when estrogen levels plummet.

BOWEL ISSUES. Constipation may occur, due to medications, diet and decreased physical activity.

UROGENITAL CHANGES. Both sexes can begin to experience urinary incontinence. The prostate may enlarge in men, while women often experience menopausal changes to the vagina and bladder.

50YOUR S

DENTAL HEALTH. Receding gums can make teeth more vulnerable to decay. Dry mouth can often result from medications you’re taking for conditions such as high blood pressure, high cholesterol, etc.

SEXUAL HEALTH. Vaginal dryness and atrophy can make sex uncomfortable for women after menopause, while men may face impotence issues. Medication you’re taking for other health issues may negatively impact libido and sexual performance.

SLOWER METABOLISM. What started slowing in your 40s, continues this decade. Like it or not, you have to eat less to maintain the same weight.

Fight Back

› Reduce stress!

› Don’t smoke—it hardens your arteries and raises blood pressure and heart rate.

› Make exercise a regular part of your routine; it lowers blood pressure and can reduce the amount of arterial sti ening. Shoot for 30 minutes per day.

› Aim for seven to eight hours of sleep per night—this is when your body repairs itself.

› Get enough calcium: 1000mg for men ages 51 to 70 and 1,200mg for women ages 51 and older and men 71 and older. Take a supplement if your diet doesn’t contain adequate amounts.

› Get enough vitamin D: 600 IU daily for adults age 19 to 70; 800 IU daily for those 71 and older.

› Ask your doctor if medication for osteoporosis is right for you.

› Drink plenty of water and eat a high-fiber diet.

Screenings and Tests

Follow up on the screenings and tests from previous decades, plus: COLONOSCOPY: At least every 10 years, starting at age 50

› Don’t “hold it.” When you have to go, go!

› Avoid acidic foods and beverages that can irritate the bladder, such as ca eine, alcohol, soda and carbonated drinks.

› Continue skin care routine with extra attention to moisturizing, sun protection and products that address texture and tone.

› Brush at least twice daily, and floss daily. Schedule annual dental exams, and visit your hygienist for cleanings twice a year or more frequently if your dentist recommends.

› Talk to your health care provider about hormone replacement for vaginal and bladder health and medication for libido and/or erectile dysfunction.

› Eat a healthy diet, and, if necessary, consume fewer calories to lose/maintain weight.

“Double down on what you did for health in your 40s, and get the recommended cancer screenings, because they can save your life,” advises Wasserman.

“Most of these cancers are curable if found early, so there’s no excuse not to get screened.”

IS IT JUST FORGETFULNESS?

MILD COGNITIVE IMPAIRMENT: Misplacing things, forgetfulness, difficulty coming up with desired words, more memory problems than normal for their age

DEMENTIA: Loss of thinking, memory and reasoning skills to the point that it affects daily functioning

ALZHEIMER’S DISEASE: Serious form of dementia in which nerve cells in the brain die; symptoms eventually worsen to the point that the person loses ability to perform regular activities and requires total care

VASCULAR DEMENTIA: Form of dementia caused by strokes or changes in brain’s blood supply, which causes brain tissue to die; can affect memory, language, reasoning, coordination, mood and personality

Source: National Institute on Aging, nia.nih.gov

YOUR 60S

“The problem is that medications we take in our 50s and 60s may not have side effects then, but when we get older, they will. Overmedication of older adults is a growing problem. Many older adults are put on medications to treat the side effects of their other medications,” he adds. “As a geriatrician, I have discontinued more medications than I’ve prescribed because the benefits no longer outweighed the risks.”

What To Watch For Now

Watch for health concerns from previous decades, plus:

BLURRINESS OR VISION LOSS. Glaucoma, cataracts and macular degeneration often show up now.

HIGH BLOOD PRESSURE. Over 50 percent of those 60 and older have this condition, defined as a reading of 140 (systolic) over 90 (diastolic) or higher.

HEARING LOSS. Approximately 30 percent of adults in this decade experience some loss of hearing, and it’s more common in men than women.

ANEMIA. If you’re constantly tired, ask your doctor to check for anemia, which is found in one in 10 people over age 65.

Screenings and Tests

Follow up on the screenings and tests from previous decades, plus:

BONE DENSITY SCREENING (WOMEN): At age 65 and from then on, as recommended by doctor

EYE EXAM: Every one to three years from age 64 on; more often if you have vision issues

PNEUMONIA VACCINATION: Annually, or as recommended by doctor

SHINGLES VACCINATION: Once after age 60

Fight Back

› Schedule annual eye exams.

› Maintain a healthy weight, exercise regularly and watch sodium intake (no more than 1,500 milligrams per day). Take medication, if your doctor prescribes it.

› See your doctor if you notice hearing changes, especially if just in one ear.

› Take an iron supplement, if your doctor recommends.

“Take medication for a condition if you need it, but we underutilize non-pharmaceutical options. Lifestyle changes like diet, exercise and reducing stress are very important,” says Wasserman.

Cancer cells like to be in a rapid growth environment, which is why they do very well in younger bodies. In older adults, everything’s slower, and you also have to look at the balance of life expectancy and treatment. Cancer is different in 80 and 90 year olds than it is in 50 year olds. You have to balance the effects of treatment with the natural course of the disease.

“For example, if a man lives to be 100, he will invariably

have cancer cells in the prostate, but he won’t die of it. Now, if a 50 year old has them, it’s very serious and must be treated,” Wasserman explains.

“I cared for a dear patient for many years, who got prostate cancer in his mid-80s. His urologist treated it aggressively, but when the patient started declining and was hospitalized at 88, I told him, ‘They’re killing the cancer, but they’re also killing you.’ We stopped the treatment, and I

What To Watch For Now

Watch for health concerns from previous decades, plus:

MEMORY CHANGES. About one in eight adults age 65 to 74 have Alzheimer’s, while 43 percent of those over 85 have the disease.

SOCIAL CONNECTIONS. The older you get, the more friends and family pass away, but social interaction is vital to combat depression and stress.

Screenings and Tests

Continue to follow up on the screenings and tests from previous decades.

put him on testosterone, making a deal with his urologist that if the PSA went above 30, we’d put him back on treatment. This gentleman just had his 98th birthday, and his PSA has never gone above 17.

“If you enter your 80s healthy, you need to maintain a healthy lifestyle and be very cautious about over-treatment,” cautions Wasserman. “Your metabolism is different when you’re older, and you are also more prone to side effects.”

Fight Back

› Exercise your brain! Do mental puzzles and games, take up new hobbies, play a musical instrument, read, etc. to keep your brain active.

› Stay socially connected.

› Eat a diet shown to positively impact brain health, including salmon, walnuts, dark leafy green and berries. Red wine and dark chocolate are also beneficial—in moderation, of course!

70YOUR S AND BEYOND

“When you hit your 70s, you start entering some gray zones when it comes to cancer prevention, so a lot of earlier preventative recommendations no longer apply,” notes Wasserman. “It’s not because people at this age don’t get cancer, but that as you age, cancer tends to be di erent.

Time for a new Medicare plan?

Time for a new Medicare plan?

Time for a new Medicare plan?

Time for UnitedHealthcare®.

Time for UnitedHealthcare®.

Time for UnitedHealthcare®.

If your health needs have changed, or your current plan doesn’t offer the benefits you’re looking for, it may be time to switch to a UnitedHealthcare® Medicare Advantage plan.

If your health needs have changed, or your current plan doesn’t offer the benefits you’re looking for, it may be time to switch to a UnitedHealthcare® Medicare Advantage plan.

Time for a new Medicare plan?

Time for UnitedHealthcare®.

If your health needs have changed, or your current plan doesn’t offer the benefits you’re looking for, it may be time to switch to a UnitedHealthcare® Medicare Advantage plan.

Don’t wait. Medicare Open Enrollment ends

Don’t wait. Medicare Open Enrollment ends

December 7. Call me today.

Don’t wait. Medicare Open Enrollment ends

December 7. Call me today.

If your health needs have changed, or your current plan doesn’t offer the benefits you’re looking for, it may be time to switch to a UnitedHealthcare® Medicare Advantage plan.

James F Schuler

December 7. Call me today.

James F Schuler

Don’t wait. Medicare Open Enrollment ends

Licensed Sales Representative

James F Schuler

Licensed Sales Representative

December 7. Call me today.

352-341-3596, TTY 711

Licensed Sales Representative

James F Schuler

352-341-3596, TTY 711

aarpmedicareplans.com

aarpmedicareplans.com

352-341-3596, TTY 711

Licensed Sales Representative

352-341-3596, TTY 711

aarpmedicareplans.com

aarpmedicareplans.com

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. AARP isn’t an insurer, doesn’t recommend products, and encourages you to evaluate your needs. AARP does not employ or endorse agents, producers or brokers.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. AARP isn’t an insurer, doesn’t recommend products, and encourages you to evaluate your needs. AARP does not employ or endorse agents, producers or brokers.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. AARP isn’t an insurer, doesn’t recommend products, and encourages you to evaluate your needs. AARP does not employ or endorse agents, producers or brokers.

Y0066_160721_094120 Accepted

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. AARP isn’t an insurer, doesn’t recommend products, and encourages you to evaluate your needs. AARP does not employ or endorse

Y0066_160721_094120 Accepted

Y0066_160721_094120 Accepted

SPRJ27925B

The FiveSecond Myth

A recent study from researchers at Rutgers has found this unfortunate fact to be true—it takes less than half a second for some bacteria to transfer to food dropped on the ground. Yuck, right? Our take? It’s hardly worth it for that last chip! If your food (or your child’s food) falls on the floor, toss it! Better safe than sorry.

A moment of silence for all the food we have dropped (or will drop in the future) and now can’t eat.

Learn To Lift

New to lifting? Weight management can at times feel daunting.

If you are willing to commit, however, you will reap countless rewards. After all, a strong body is a healthy body.

Dumbbells

PROS: Most gyms will have a good set of dumbbells. If you want to train at home, sets of dumbbells are easy to come by. For beginners, it may be a better fit to start off training with dumbbells versus barbells.

CONS: Once you have been on the same regimen for a while, you may outgrow your set fairly quickly. A membership to your local gym may help resolve this problem.

Barbells

PROS: It’s much easier to lift more weight with barbells, especially for squats and deadlifts. For exercises like the squat or the press, you can use racks to safely load and unload heavy weights.

CONS: It is necessary to have a squat rack, a barbell, a bench and enough weight to complete routines involving barbells. This means either a definite investment or a gym membership.

Bodyweight

PROS: The equipment needed for bodyweight training is minimal. You can train from anywhere—as long as you have space to move around. A classic example of this form of exercise is pull-ups.

CONS: To ensure you are progressing, your routine will constantly have to be modified.

Proper Gym Etiquette

Don’t want to get any dirty looks from other gym-goers? Follow these tips.

1. Always put the weights back when you’re done.

2. If someone is using the equipment you’re wanting to use, don’t pressure them to finish quicker. On the other hand, don’t sit at the equipment for an extended period of time, either.

3. If you get the equipment sweaty, wipe it down.

4. Let people be. You don’t want others coming over to tell you everything you are doing wrong—show others the same respect.

5. Don’t talk on your cell phone while dealing with weights.

Safety First

Better safe than sorry is a motto that applies to gym life as well.

Once you know how to navigate your way around the equipment, follow these tips to avoid injuries.

› Stay hydrated. Dehydrated muscles can quickly turn into injured muscles. Make sure you’re drinking plenty of water throughout the day and before and after your workout.

› Get enough rest. The harder you train, the more rest you will need. Overstressing your muscles could lead to severe injury. Rest at least 48 hours between workouts.

› Pay careful attention to form. Good form is essential for maximum results and for injury prevention. Make sure your alignment is in check. It’s OK to do fewer reps if necessary. Never push yourself to do something that you are uncomfortable with.

› Stop if you feel pain. Your muscles should feel tired and challenged by the final rep, but you shouldn’t feel any pain.

EDITOR’S NOTE: Always talk with your doctor before beginning any new exercise program.

BEAUTY

You Go, Curl

Boys and girls with curls, you know your hair can be hard to handle.

Curly hair requires delicate handling, tons of moisture and the right products to keep ringlets intact. But once you master your own curly hair routine, you’ll love your natural texture more than ever.

Priority No. 1

All hair types need moisture, which is usually provided by natural scalp oils and distributed through hair thanks to brushing. But curly-haired folks can’t brush out their curls without going full frizz and ruining the ringlets. (Usually, frizzy hair is a result of curls needing more moisture, so this kind of feels like a lose-lose, no?) Besides conditioning, oils and leave-in products are your best friends for hydrating curls.

Add an oil for moisture and shine. SLEEK & SHINE MOROCCAN SLEEK OIL TREATMENT FROM GARNIER FRUCTIS ($5.99, garnierusa.com) is inexpensive and smells heavenly.

Leave-in conditioners smooth and soften throughout the day to prevent frizz. CAROL’S DAUGHTER HAIR MILK ORIGINAL LEAVE-IN MOISTURIZER  ($20, carolsdaughter. com) is one highly rated option.

From Shower To Slumber

Maybe you’ve had Holy Grail products nailed down for a while, but we’ve got some game-changing steps to add to your routine.

› Opt for sulfate-free shampoos and silicone-free conditioners. Silicone adheres to strands to mimic smoothness, and sulfate shampoos remove that layer during your next shower. But this process means sulfates may strip away silicones and some of hair’s natural oil, and silicones weigh down the hair, meaning limp curls. Google silicone-free and sulfate-free formulas to find one right for you. (Many curly girls don’t use shampoo at all, so research going no-poo while you’re at it.)

› Post shower, gently blot curls dry using a t-shirt, not a towel. Fibrous towels cause frizz by roughing up your curls, but a smooth, absorbent cotton T-shirt is gentler.

› As for bedtime, hair pros suggest sleeping on a silk or satin pillowcase. It won’t cling to curls and pull them apart like other fabrics.

Perfect Products

Curly girl products are personal—unfortunately, you may have to try one or two (or 10) before finding the perfect fit. When shopping, just keep these guidelines in mind to narrow down the right goo for you:

1 2 3

Visit naturallycurly.com to determine your curl pattern before hitting the hair care aisle. For example, type 3 curls do best with cream and gel formulas. Knowing what works means you won’t waste your money on the wrong item.

If you can, purchase travel or sample sizes to test new products. Invest in the full size only after it has proven it’s right for your hair.

The Beauty Of Charcoal?

We’ve heard just about every insane thing people have done to improve the look of their skin. (Like Demi Moore letting leeches bite her face… Can you say crazy?)

But let’s face it—many of us are willing to try something a bit, shall we say, eccentric, to get the look we’re desiring. Well, we have a new beauty trend that you’re going to want to get behind.

Did you know activated charcoal is full of powerful preservatives and detoxifying properties? It’s been used since ancient Egyptian times, and today, activated charcoal can be used to treat everything from drug overdoses to anemia in cancer patients. But, put it on your face? Keep reading.

Skin And Beauty

Created when oxygen is added to regular charcoal, activated charcoal is perfect for makeup and skin products because it helps clear skin while also removing dirt (We know—it seems counterproductive, but it’s honestly true.), impurities and oils. It’s allnatural and won’t add new chemicals to your skin that could potentially cause a negative reaction.

When dirt and oil in your pores come in contact with charcoal, they stick to it and then get washed away when you rinse. It is known as the “black diamond of healers,” according to skincare guru May Lindstrom. Once you rinse off the charcoal, beneficial minerals like calcium, potassium and magnesium are all released into your skin. So although it might not seem glamorous to rub charcoal on your skin, the health and beauty benefits may have you running to the outdoor section at Lowes.

Get Started

Not sure where to begin? Here are some products to check out that contain the magic ingredient.

MAY LINDSTROM

PROBLEM SOLVER

CORRECTING MASQUE: This mask heals blemishes and inflammation and also shrinks pores. (Goop, $90)

LELAND FRANCIS BLACK ROSE BAR: This gentle antiaging soap bar fights breakouts while hydrating and soothing your skin. (Goop, $22)

LITTLE BARN APOTHECARY CHARCOAL CLEANSER: This cleanser can be used on both normal and breakout-prone skin and leaves your skin soft and silky. (Goop, $22)

SEPHORA BAMBOO CHARCOAL BLOTTING

PAPERS: Thin, double-sided sheets absorb oil without disturbing your makeup. (Sephora, $8)

LUSH GUV’NER

DEODORANT: This deodorant powder containing sage, lavender and charcoal eliminates all types of odor. (Lush, $10.45)

KURO SHAMPOO: This healthy, deep cleanser can be used on all types of hair. (Sort of Coal, $37.50)

From Store To Storage

Ripe, crunchy or soft, how to properly store fresh groceries is a trick to master.

Here are some storage tips to keep your fruits and veggies tasty. May your broccoli be crunchy and your avocados soft.

Apples

STORE IT: In the refrigerator drawer

KEEP IT: Unwrapped THROW IT AWAY IN: 3 weeks*

Avocados

STORE IT: On the countertop to ripen; refrigerator shelf when ripe

KEEP IT: Unwrapped THROW IT AWAY IN:

4 days, once ripe

Bananas

STORE IT: On the countertop

KEEP IT: Unwrapped THROW IT AWAY IN:

3 days, once ripe

Carrots

STORE IT: In the refrigerator drawer

KEEP IT: In a plastic bag

THROW IT AWAY IN:

3 weeks

Mushrooms

STORE IT: On the refrigerator shelf

KEEP IT: In a paper bag

THROW IT AWAY IN:

3 days

Grapes

STORE IT: In the refrigerator drawer

KEEP IT: In a vented plastic bag

THROW IT AWAY IN:

1-2 weeks

Citrus fruits (lemons, oranges, grapefruit, etc.)

STORE IT: On the refrigerator shelf

KEEP IT: Unwrapped

THROW IT AWAY IN:

2 weeks

Unsliced whole melons

STORE IT: On the countertop

KEEP IT: Unwrapped

THROW IT AWAY IN:

5 days, once ripe

Peaches/Plums

STORE IT: On the countertop to ripen; refrigerator shelf when ripe

KEEP IT: Unwrapped

THROW IT AWAY IN:

5 days, once ripe

Pears

STORE IT: On the countertop

KEEP IT: Unwrapped THROW IT AWAY IN:

4 days, once ripe

Celery

STORE IT: In the refrigerator drawer

KEEP IT: Wrapped in foil

THROW IT AWAY IN:

2 weeks

Onions

STORE IT: In a dark pantry

KEEP IT: Unwrapped

THROW IT AWAY IN:

1-2 months

Bell peppers

STORE IT: On the refrigerator shelf

KEEP IT: In a plastic bag

THROW IT AWAY IN:

1 week

Broccoli

STORE IT: In the refrigerator drawer

KEEP IT: Wrapped in plastic wrap

THROW IT AWAY IN:

5 days

Asparagus

STORE IT: On the refrigerator shelf

KEEP IT: With stems in water, wrapped loosely with plastic wrap

THROW IT AWAY IN:

4 days

Berries

STORE IT: In the refrigerator drawer

KEEP IT: In a vented container

THROW IT AWAY IN:

3-5 days

Cauliflower

STORE IT: In the refrigerator drawer

KEEP IT: Wrapped in plastic wrap

THROW IT AWAY IN:

5 days

Beets

STORE IT: In the refrigerator drawer

KEEP IT: wrapped in plastic wrap

THROW IT AWAY IN: 5 days

Potatoes

STORE IT: In a dark pantry

KEEP IT: In a paper bag

THROW IT AWAY IN: 1-2 months

Cucumbers

STORE IT: In the refrigerator drawer

KEEP IT: Wrapped in plastic wrap

THROW IT AWAY IN: 1 week

Summer squash

STORE IT: On the refrigerator shelf

KEEP IT: In a plastic bag

THROW IT AWAY IN: 5 days

Cabbage

STORE IT: In the refrigerator drawer

KEEP IT: Wrapped in plastic wrap

THROW IT AWAY IN: 2 weeks

Tomatoes

STORE IT: On the countertop

KEEP IT: In a vented container

THROW IT AWAY IN: 5 days, once ripe

*Don’t forget to use your best judgment. Toss-by dates will vary depending on how ripe the produce was when you purchased it and personal preferences.

• CONSULTATIONS

• BOARD & TRAIN

• PRIVATE LESSONS

• PUPPY IMPRINTING

• OBEDIENCE/OFF-LEASH

• HUNT & RETRIEVE

CARLA W. RICHARDS

Founder/Trainer

Ph. 352.745.0147

carla@goldenviewdogtraining.com www.goldenviewdogtraining.com

Lights Out

After an intense analysis of 977 children over a 10-year time period by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, researchers found direct links between children’s bedtimes and obesity. In fact, only 10 percent of preschoolers who went to bed at 8pm or earlier were obese as adolescents. On the other hand, 23 percent of the kids who went to sleep after 9pm as 4 year olds were obese as teenagers. Sleep also benefits a child’s physical health, mood and mental health. Looks like negotiating bedtime is o the table for now. Sorry, kids!

It turns out adults are not the only ones who are a bit sleep deprived these days.

Stream Me Up

#TBT to when you had to impatiently wait each week to find out who got booted o The Bachelor.

Shout out to technology—now we are able to stream almost everything online, from live newscasts and sports events to classic movies and television favorites. Missed The Office back when it was actually on TV? Join one of these streaming services and watch as much Michael Scott as your heart desires.

Because there is an overwhelming number of streaming services to choose from, we’re going to break down the top choices, according to Tom’s Guide, and leave it up to you to decide which one best fits your preferences and price range. And don’t forget: Picking a streaming service is just the first step. The hard part is deciding which television series to binge watch.

Netflix:

Best overall streaming service ($9/month)

Hulu:

Best streaming service for network TV ($8/month)

Amazon Prime:

Best streaming service for families ($99/year)

Sling.TV:

Best cable TV replacement ($20/month)

PlayStation Vue:

Best for PlayStation owners ($50/month)

Vevo:

Best service for music fans (Free)

Pros Cons

Great movie, TV series and original programming selection; good recommendation system; can create up to five di erent profiles on a single account

Inexpensive; good selection of current TV shows if you don’t want to invest in a cable or satellite subscription

If you love to shop online, this option gives you free two-day shipping on a ton of items. As an added bonus, there’s a great selection of comedy and children’s programming available for streaming—just be aware that not all of it is free.

Cheaper than cable, no contract required; perfect for sports fans because it o ers ESPN without cable or satellite TV

Provides 90 live channels, including local sports and news; strong DVR capabilities

Free to watch and includes everything from music videos and ongoing documentary series to up-and-coming artists

Netflix

Current seasons of TV shows are not available

Hulu

Frequent commercials; limited movie selection

Rarely gets brand-new videos

Amazon Prime

Sling.TV

PlayStation Vue

Vevo

Other optional streaming services include:

Not compatible with many devices; almost as expensive as cable

Not compatible with many devices; almost as expensive as cable

Not many long-form videos, navigation isn’t great

YouTube: You can find just about anything you’re interested in watching quickly and easily; the quality of the videos is not always good

HBO Go: Offers just about every recent and old TV series and movies; you can only watch if you have a subscription, which is $15 per month

Twitch: Ideal for video game users; the app is free on almost every platform but is pretty much limited to just video game content and live streams

Change For Change

Of course, that dollar figure didn’t come from one source alone, rather each dollar collected was added into the said figure, changing millions of lives. This year, make your dollar matter. Check out these free apps that make giving a cinch.

Charity Miles

Here’s an app that enables you to donate, without dipping into your bank account. As simple as opening the app and choosing a charity— this app measures the distance that you bike, walk or run, earning charitable money for your chosen cause. Start racking up the miles—every cent counts!

iOS and Android

One Today

One good deed a day makes for a better tomorrow.

Every day, discover a new non-profit organization. If you like the mission, donate a dollar. You will see displayed a real-world photo, a short story and the satisfaction of knowing that you have done your part to change the world.

iOS and Android

Donate A Photo

Finally, an actual reason to take a selfie. For every photo you share through Donate a Photo, Johnson and Johnson will donate one dollar to a cause you want to help. The app tracks the organizations that you have helped and notifies you once their goal has been achieved. Over 127,000 photos have been uploaded thus far.

iOS and Android

Budge

Challenge a friend and support charity at the same time— it’s a win-win. From a game of chess to a sack race, whoever loses makes a small donation to a worthy cause. With an array of charities to choose from, this is far from being considered punishment.

iOS

Give 2 Charity

Carry your phone and make a difference. Give 2 Charity calculates the distance you have traveled with your phone in your pocket. After reaching certain goals, users receive points, which are turned into money. The money then will go to a meaningful cause, such as assisting other countries in obtaining clean drinking water.

iOS and Android

ResQwalk

Discover local dog parks and help raise resources for animal welfare organizations simply by walking—your pooch will thank you later. Activity is measured by using GPS and involves you traveling at a speed less than 14 mph. Every month, your distances will be accessed and your earnings appropriately distributed. Looks as if change really is one step away.

iOS and Android

Last year, Americans broke barriers when it came to charitable donations, racking up nearly $360 billion.

Adventurous Axioms

Wherever you go, use these beautiful weekends to explore your town, county, state or even further beyond if you can! Been waiting for the right time to book your tickets? Consider this a sign. Or take it from some people much wiser than us.

If you think you’re too busy: “I travel a lot; I hate having my life disrupted by routine.” Caskie Stinnett

Oh, and: “Adventures do occur, but not punctually.” E.M. Forster, A Passage to India

If you’re considering a day in the Ocala National Forest or at the springs: “Live in the sunshine, swim in the sea, drink the wild air.” Ralph Waldo Emerson

If you think you have to leave town to explore: “There’s a whole world out there, right outside your window. You’d be a fool to miss it.” Charlotte Eriksson

IF YOU’RE GOING FOR AN AFTERNOON HIKE: “Between every two pines is a doorway to a new world.” John Muir

If you think the same old autumn plans will just have to do again this year: “The very basic core of a man’s living spirit is his passion for adventure. The joy of life comes from our encounters with new experiences, and hence there is no greater joy than to have an endlessly changing horizon, for each day to have a new and different sun.” Christopher McCandless

If you’re a victim of wanderlust (which, by the way, you should totally give in to): “Then something…woke up inside him, and he wished to go and see the great mountains, and hear the pine trees and the waterfalls, and explore the caves, and wear a sword instead of a walking-stick.”

J.R.R. Tolkien, The Hobbit

If you just need to get away: “There is a time for departure even when there’s no certain place to go.” Tennessee Williams

IF YOU THINK YOU DON’T HAVE TIME FOR A VACATION: “The sun will rise and set regardless. What we choose to do with the light while it’s here is up to us. Journey wisely.” Alexandra Elle

If you’re worried about the cost: “Investment in travel is an investment in yourself.”

Matthew Karsten

If you’ve never been that far from home: “Life begins at the end of your comfort zone.”

Neale Donald Walsch

This fall, if a tree falls in the forest, we say you should be there to hear it. Or maybe you’re more the lakeside getaway type?

The Nature Coast’s LOCAL radio stations!

More music & less talk.

We know why our audience listens to our stations…because they LOVE THE MUSIC! So we avoid DJ chatter and deliver the greatest Top 40 and Classic hits of all time, along with important information like news, sports and weather. As a result, our listeners listen longer!

The Nature Coast’s #1 hit music station

Classic Hits

Classic Hits

OCALA

TIMBER RIDGE

THE

LECANTO

Bud Conklin beat prostate cancer with the help of advanced technologies, like RBOI’s Calypso 4D Localization Treatment.

Not many things slow Bud Conklin down. In his 60s, this Air Force veteran still hits the gym regularly and completes a weekly 20-mile bike ride. So when he was diagnosed with prostate cancer, he sought out the most advanced and efficient treatment available. After discussing his options with RBOI cancer specialist Dr. Bennett, Bud chose the high-tech Calypso treatment, which works like a GPS system in the prostate to optimize radiation targeting and minimize side effects. Bud is now cancer free and proud to say he didn’t miss a beat in his fast-paced life. We helped Bud write his success story. Let us help write yours.

technology helped me serve my country. Years later, it helped save my life.