Healthy Living April 2014

Page 44

THE ‘WEIGHT’ IS OVER!

A YEAR’S WORTH OF SWEAT AND DETERMINATION TAKES A LOAD OFF OF TRACI OLIVER’S BODY AND MIND

LOOK GOOD, FEEL GOOD

Good health starts from within!

BIKE ACROSS AMERICA

Pedaling coast-to-coast to help raise money for wounded veterans and their families.

to Attend Central Florida Health Alliance and Go Red for Women®

Heart Disease is the No. 1 Killer of Women—Killing More Women than All Forms of Cancer Combined.

Most women don’t notice the symptoms of heart disease until it’s too late. That’s why heart disease has been called the silent killer. But we won’t be silent.

The American Heart Association’s Go Red for Women is the world’s largest network standing together to

Invite you Leesburg Regional Medical Center

BREAKFAST IN RED

Wednesday, May 14, 2014 9:00 a.m. – 11:00 a.m.

Harbor Hills Country Club

end heart disease. Millions of women are uniting by wearing a red dress, the public who know this truth, the more lives we can save.

Make plans to attend CFHA’s Go Red for Women Breakfast in Red for a complimentary breakfast and to hear more about how we can save the lives of the women we love.

RSVP by May 1, 2014 . Seating is limited, so please reserve your seat by calling 323-1000. Central Florida Health Alliance The Villages Regional Hospital Leesburg Rehabilitation Hospital

Limbstitute is a center for comprehensive treatment of peripheral, venous and arterial diseases. It’s now open to patients with venous insufficiencies, peripheral arterial disease and non-healing wounds.

A SERVICE OF
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INSTITUTE OF MEDICAL EXCELLENCE

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Williston 412 W. Noble Ave. // 352.528.0790 ocalaice.com

LIMBSTITUTE

Summerfield 10435 SE 170th Place // 352.233.4393

Tavares 2754 Dora Ave. // 352.259.5960

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Jeffrey D. Baumann, MD Ray D. Maizel, MD Gregory J. Panzo, MD
Call 888.820.7878 or 352.735.2020 MidFloridaEye.com 4
Stacia H. Goldey, MD, FACS Keith C. Charles, MD Shawn C. Wilker, MD

CONTE

April 2014

THE ‘WEIGHT’ IS OVER 26

For the past year, “Healthy Living” has provided bimonthly updates on Traci Oliver’s successes and struggles. Here is the moment you have been waiting for as we reveal how much weight Traci has lost. Remember, though, the number on the scale is only one aspect of Traci’s amazing journey. While she certainly looks better on the outside, she is healing on the inside, as well.

WRITER: JAMES COMBS

LOOK GOOD, FEEL GOOD

When it comes to being healthy, it’s not just important to look good. True health begins from the inside and radiates out into the world. Therefore, it is important to be physically, mentally, spiritually, and financially on your game. In honor of our annual “Look Good, Feel Good” issue, “Healthy Living” once again offers valuable tips to help you become beautiful both inside and out.

WRITER: SHEMIR WILES

FROM SEA TO SHINING SEA

Where there is a ‘wheel,’ there’s a way. At least that is the case for Tracy Draper and her Ride Across USA team. With a burning desire to help our brave soldiers who have been physically and emotionally wounded on the battlefield, Tracy and five other Floridians will embark on a cross-country bicycle ride and raise money for Hope for the Warriors.™ The 3,000-mile trip begins in June and concludes in July.

WRITER: JAMES COMBS

ON THE COVER

DIRECTION: JAMIE EZRA MARK

PHOTOGRAPHER: FRED LOPEZ

PHOTOSHOP: JOSH CLARK

HAIR: ANGELA GIANGROSSI

MAKE-UP: ALICIA D’AIUTO

38 46
FEATURING

HEALTHYBODY

SHAPE

56 YOGA FLOW

Find inner peace while increasing your flexibility.

WRITER: TRACY DRAPER

EAT FIT/NOT FAT 60 ‘EGG’CELLENT BREAKFAST

Jumpstart your morning with a wholesome omelet.

WRITER: ANNA GUNTER, RD, LD/N INSIDE

62 DISSECTING COSMECEUTICALS

What you read on the label is not always what you get.

WRITER: RICHARD T. BOSSHARDT, M.D., FACS

CONTINUED

HEALTHYBODY

WORTH 68 LOVING THYSELF

No matter what, you should feel good about yourself.

MINDSET 70 NO NEGATIVE THOUGHTS ALLOWED

Make your mind a space for only positivity.

HEALTHYSPIRIT

FAITHFUL 76 HEALTHY SPIRITUALITY

The effects of spirituality can translate to overall good health.

UHH?

80

HEALTHYFINANCE

RECREATION

84 STAYCATION VS. VACATION

When summer arrives, which one will you be able to afford?

WRITERS: THOMAS FROSS AND ROBERT FROSS

PEACE 78 IN PERFECT HARMONY

Meditation is a practice with tons of benefits.

MENCOURAGEMENT

80 HUGE THUNDERCLAPS OVERHEAD

When your wife asks an impossible question, answer with caution.

WRITER: RICHARD BURGUET

OWN

86 THE ROAD HOME

Owning your first home is more achievable than you think.

WRITER: THOMAS RUGGIE, CHFC, CFP

thi k THOMAS CFP W IN EVERY ISSUE 68 60

8 // HL // APRIL 2014
“DO THESE PANTS MAKE ME LOOK FAT?” , 10 PUBLISHER’S CORNER 12 MEDICAL MYSTERIES 14 HEALTH MATTERS 20 HEALTHY INSPIRATION 88 CALENDAR 90 COMMUNITY 98 THINGS YOU SHOULD KNOW

“I’ve been in the medical field for 23 years, so it is fair to say I know what a successful practice entails. I was impressed with Tri-County Podiatry from the very beginning. The entire staff is warm and friendly and goes out of their way to make patients feel comfortable and informed. My experience was great, and I would not hesitate to go back.”

is warm and and goes out of way to patients feel comfortable informed My experience was great, uld

--Rene Barnes

Rene

1585 Santa Barbara Blvd., Suite B, The Villages tricountypodiatry.net // 352.259.1919 MEDICAL & SURGICAL TREATMENT OF: • Bunions and Hammertoes • Corns • Morton’s Neuromas • Ingrown Nails and Warts • Heel and Arch Pain • Thick, Painful Toenails • Foot Injuries • Diabetic & Geriatric Foot Care • Sports Medicine • Orthotics • Diabetic Shoes • Numbness/Tingling of Feet FOOTCARE FOR PEOPLE OF ALL AGES WITH ACTIVE LIFESTYLES. MEDICARE AND MOST INSURANCES ACCEPTED SCAN HERE with your smart phone To learn more about Tri-County Podiatry

Publisher’s corner

KENDRA AKERS publisher/editor-in-chief kendra@akersmediagroup.com

DOUG AKERS vice president doug@akersmediagroup.com

JAMIE EZRA MARK chief creative officer jamie@akersmediagroup.com

A STORY OF SUCCESS

Anyone who knows me knows that I am like a sponge for anything that is inspirational, motivational, and falls even slightly in the category of self-help, which is why I am head over heels in love with this issue.

One year ago, Traci Oliver, a local schoolteacher who had struggled with being overweight, approached us and asked if we would publicly cover her journey to health in the magazine. Traci had followed our past coverage of B.E. Thompson and his very publicized and successful weight loss journey. Traci felt she had tried everything, with no success, and was determined to get herself back to a healthy state. She thought sharing her journey publicly would provide even more motivation to succeed since it would put her directly in the spotlight for people to follow.

What Traci may not have been prepared for was the overwhelming number of people that she would touch and inspire along the way. Over the past year, we have published an update on Traci bimonthly. We thought it would be more helpful for readers to see the struggles and triumphs in real time rather than try to capture it all at the end of her journey.

Every other month we have witnessed Traci’s determination and perseverance; to say she is an inspiration is an understatement.

Our staff and readers have fallen in love with Traci and we have all been rooting for her success. I’m happy to report that Traci has not only accomplished many of her goals, she also has achieved much more. She has conquered fears, insecurities, and self-doubt.

Thank you Traci Oliver for sharing your journey with our team and readers. You will forever be a Healthy Living sweetheart.

Sincerely,

Comments or questions for our publisher? Please email kendra@akersmediagroup.com. Our goal is to provide you with the best quality publication, so your feedback is vital.

EDITORIAL // DESIGN

TINA MORRISON editorial/community relations director tina@akersmediagroup.com

MARY ANN D ESANTIS editor-at-large maryann@akersmediagroup.com

SHEMIR WILES managing editor/writer shemir@akersmediagroup.com

JAMES COMBS staff writer james@akersmediagroup.com

MELANIE MELVIN marketing director melanie@akerscreative.com

LACEY MORGAN marketing assistant lacey@akerscreative.com

contributing writers RICHARD T. BOSSHARDT, MD, FACS RICHARD BURGUET

ROBERT FROSS

THOMAS FROSS

ANNA GUNTER, RD, LD/N

FRED HILTON DR. MARK ROTHSCHILD

THOMAS H. RUGGIE, CHFC, CFP

STEVEN J. CODRARO associate creative director steve@akersmediagroup.com

JOSH CLARK senior designer/advertising josh@akersmediagroup.com

ANTHONY CASTO senior designer/editorial anthony@akersmediagroup.com

MICHAEL GAULIN production director michael@akersmediagroup.com

AUBREY AKERS production coordinator aubrey@akersmediagroup.com

FRED LOPEZ chief photographer fred@akersmediagroup.com

MATTHEW GAULIN photography assistant matt@akersmediagroup.com

contributing photographer MORGAN ELLIS RON VANDEVANDER

SALES // MARKETING

TIM MCRAE vice president of sales and marketing tim@akersmediagroup.com

MIKE STEGALL senior marketing representative mike@akersmediagroup.com

LORI STRONG marketing representative lori@akersmediagroup.com

HEIDI RESSLER marketing representative heidi@akersmediagroup.com

SHAENA CHASTAIN sales assistant shaena@akersmediagroup.com

DISTRIBUTION

SCOTT HEGG distribution manager scott.hegg@akersmediagroup.com

10 // HL // APRIL 2014 All contents are copyright © 2014 by Akers Media Group, Inc. DBA Lake County’s Healthy Living Magazine. All reproduction or use of content without written persmission is strictly prohibited under penalty of law. The contents of the Lake County’s Healthy Living Magazine are for informational purposes only. The information is not intended to be an alternative to professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider before starting any new diet or exercise program. The ideas and opinions contained in this publication do not necessarily reflect the thoughts or opinions of Akers Media Group. Phone: 352.787.4112 // Fax: 352.323.8161 P.O. Box 490088 Leesburg, FL 34749
www.akersmediagroup.com
MEDICARE ACCEPTED Call toll free 1-855-GULFCOAST (485-3262) GulfcoastSpine.com Locations THE VILLAGES, TAMPA, INVERNESS, SPRING HILL
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MINIMALLY INVASIVE SPINE
DR. JAMES RONZO Board Certified Fellowship Trained
CARE

Medical mysteries

BITE YOUR TONGUE

THE

MUSCLE IN YOUR

There is a common trivia question that most of us have heard, and we will all be pretty sure we know the correct answer. If asked, “What is the strongest muscle in the body?” you most likely will answer, with total confidence, it’s the tongue.

Not so fast, my friend.

Writing for HowStuffWorks.com, Sarah Dowdey squashes that answer quickly and decisively: “There’s a famous myth that the tongue is the body’s strongest muscle. It’s not really true — and not by any definition of strength.”

(Accessed Feb. 25, 2014)

This doesn’t diminish the work of the tongue. “Everyday Mysteries” says “the tongue is a tough worker… it helps in the mixing of foods… binds and contorts itself to form letters.” It also helps filter out germs.

Sources: “Is the Tongue the Strongest Muscle in Your Body?” www.ask.com/question/is-the-tongue-the-strongest-muscle-in-your-bod

y; “How Your Tongue Works,” by Sarah Dowdey. science.howstuffworks.com/life/human-biology/tongue.htm; “What is the strongest mu scle in the human body?” The Library of Congress. www.loc.gov/rr/scitech/mysteries/muscles.html; “What Is the Strongest Muscle in Your Body?” zidbits.com/2011/02/what-is-the-strongest-muscle-in-your-body; “What’s the Strongest Muscle in the Human Body?” by Lily Norton. www. livescience.com/32823-strongest-human-muscles.html; “Strongest Muscle in the Human Body.” www.buzzle.com/articles/strongest-mus cle-in-the-human-body.html

One problem with the tongue’s “strongest” claim is there are three types of muscles: smooth, skeletal, and cardiac. You can’t really compare them. It’s like comparing apples and oranges and kumquats. There are also several different ways of measuring strength.

The human body has from 640 to 850 muscles (the experts disagree).There really isn’t any single muscle that can legitimately be called the “strongest,” but at least a half dozen have a better claim to the title than the tongue.

The hardest working muscle is clearly the heart. It pumps two ounces of blood with every heartbeat — about 2,500 gallons a day. It can beat more than 3 billion times during a person’s lifetime.

The muscle that exerts the most pressure is the masseter, which works the jaw. It can close the teeth with a force of up to 200 pounds. A good case for “strongest” can also be made for the muscles of the calf (the soleus and the gastrocnemius). Without them, we couldn’t “stand, walk, run or shake our bodies on the dance floor,” Lily Norton wrote on LiveScience. com. The muscles of the uterus also show great strength by the

ability to force a baby through the birth canal.

The external muscles of the eyes are easily the strongest relative to their size and weight. They are also the “busiest” muscles and can make some 10,000 coordinated movements in an hour of reading a book. There is also the largest muscle, the gluteus maximus. It has the job of keeping the trunk of the body erect, serving as the chief antigravity muscle and making J.Lo famous.

If you disagree with any of this, don’t complain. Just hold your tongue.

12 // HL // APRIL 2014
STRONGEST
BODY MAY NOT BE THE ONE YOU THINK.
FRED HILTON spent 36 years as the chief public relations officer/spokesman for James Madison University in Virginia and 10 years prior as a reporter and editor for The Roanoke Times in Roanoke, Virginia. He is now happily retired in The Villages with his interior designer wife, Leta, their Cadillac Escalade golf cart, and their dog, Paris. (Yes, that makes her Paris Hilton).

PINPOINTE LASER TREATMENT

The Center for Ankle & Foot Care uses the state-of-the-art PinPointe Laser to cure embarrassing and unsightly toenail fungus. This FDA-approved treatment is a safe and effective way to kill fungus and improve the appearance of your nails. Our practice also sells the SteriShoe. This patented ultraviolet shoe sanitizer kills the microbes that cause athlete’s foot, toenail fungus, and offensive shoe odor.

FOOT AND ANKLE CARE

Board-certified foot surgeons Dr. Michele McGowan and Dr. Timothy Henne offer a number of foot and ankle services for comprehensive foot care and ankle disorders. They are trained to handle problems as small as ingrown toenails and warts to as large and complex as bunions, hammertoes and heel pain.

THE NATURAL NAIL SPA

For a relaxing and enjoyable spa experience, try the Natural Nail Spa, a podiatrist-owned and certified modern nail lounge that maintains a pampering, relaxing atmosphere and the utmost sterilization and safety techniques. Even the nail polish bottle goes home with the client — just another step to heighten the “safe pedicure experience.”

Matters Local philanthropy / Food for thought / Staying healthy

STEPS TOWARD A CURE

Relay for Life is an 18-hour event held in communities throughout the country. Participants take turns walking around a track through all hours of the night to raise money to fund cancer research and create awareness about this deadly disease. Proceeds benefit the American Cancer Society.

This year’s Relay for Life events in Lake and Sumter counties are as follows:

• Leesburg/Lady Lake: April 5 at Leesburg High School

• Mount Dora/Sorrento: April 11 at Mount Dora High School

• The Villages of Hope: April 11 at Wildwood Community Building

• South Lake: April 25 at the Living Well Center

• Sumter County: May 2 at Lake-Sumter State College’s Sumterville campus

• Eustis/Tavares: May 3 at Tavares High School

• North Lake: May 17 at Cadwell Park

For more information, please call 352.326.9599.

DID YOU KNOW?

Relay for Life began in 1985. Dr. Gordy Klatt, a colorectal surgeon in Tacoma, Wash., spent 24 hours walking and running around a track at the University of Puget Sound. He completed 83 miles and raised $27,000.

Source: cancer.org

14 // HL // APRIL 2014

We Love to See You

“I have been a patient with Dr. Barr for years — from fillings to cleanings, he has always made my dentistry experience a positive, calming one,” says Sandy Turner. “He displays nothing but professionalism every time I see him. Plus, he has such a caring staff.” Ed Turner, Sandy’s husband, agrees. “I have been going to Dr. Barr since we have been married, and I cannot say enough good things about this wonderful dentist and his charming staff. We both feel like family every time we are in his office!”

www.adambarrdds.com 980 Mt. Homer Rd. Eustis, FL 32726 352.357.7900
980 Mt H Rd

KEEP YOUR LIFE AFLOAT

With temperatures warming up, many people will be taking that much-anticipated plunge into their home swimming pool. Of course, those of you with children should take safety precautions to avoid an accidental drowning. Remember, drowning is the leading cause of injury-related death among children ages 1-4, according to the Centers for Disease Control and Prevention (CDC.) Here are a few tips from the American Red Cross.

• Supervise children at all times when they are swimming.

• Consider enclosing the pool with a 4-foot high fence or barrier equipped with a self-closing gate.

• Keep basic lifesaving equipment by the pool such as poles, ropes, and personal flotation devices.

• Keep toys away from the pool when it’s not in use because children may be attracted to the toys and accidently fall into the pool.

• Establish and reinforce firm rules such as “no diving,” “no running,” and “always swim with a buddy.”

MAKING A DIFFERENCE

The Realtors Association of Lake and Sumter Counties recently collaborated with Deliver the Difference to help end hunger for local children. The association is sponsoring children in Deliver the Difference’s Kidspack program, which provides breakfast, lunch, snacks, and drinks to disadvantaged children so they have something to eat over the weekend.

“We have to take care of our kids,” says County Commissioner Sean Parks. “There is no reason why kids, through no fault of their own and in circumstances where they don’t have enough to eat,

should go hungry.”

Deliver the Difference focuses on local hunger relief for disadvantaged children and their families. Operating from a warehouse in Eustis, volunteers packaged more than 1 million meals in 2013.

DID YOU KNOW?

1 in 4 Central Florida children does not know from where the next meal will come. Lake and Sumter counties have more than 3,600 homeless school-age children.

• Encourage your family members to take water safety, first aid, and CPR courses.

Matters
Local philanthropy / Food for thought / Staying healthy

Let us help you get back in the game

Let us help you get back in the game

Villages Rehab & Nursing Center

The brand new and state of the art Villages Rehab and Nursing Center is now open and accepting seniors in need of a helping hand recovering from a recent hospital stay to quickly and thoroughly return to their previous active lifestyle. We are proud to bring to the area pioneering concepts to make rehab a personalized and positive experience for the patient and their family.

Rehab & Nursing Center

Source: National Council on Alcoholism and Drug Dependence

Pets: A healthy investment

Few things in life are as enjoyable as owning a pet. Pets make loyal companions and love you unconditionally. Of course, few may realize being a pet owner also comes with added health benefits. According to the CDC, pets decrease the following:

• Blood pressure

• Cholesterol levels

• Triglyceride levels

• Feelings of loneliness

Pets can also increase the following:

• Opportunities for exercise and outdoor activities

• Opportunities for socialization

There are other benefits, according to the Delta Society, a nonprofit organization dedicated to advancing human health through positive interactions with animals.

• Pet owners enjoy a better psychological well-being and feel less afraid of being a victim to a crime in their home.

• A survey of 11,000 people found that pet owners made 15 to 20 percent fewer visits to the doctor each year than non-pet owners.

If you would like a pet, consider contacting the following local animal rescue shelters:

Humane Society of Lake County (Umatilla)

352.589.7400

South Lake Animal League (Groveland)

352.429.6334

Houndhaven, Inc. (Minneola)

352.243.9795

Cat Protection Society (Eustis)

352.589.6228

Pet Lovers Rescue (Lady Lake)

352.598.1588

Humane Society/SPCA of Sumter County (Lake Panasoffkee)

352.793.9117

A TOAST TO RESPONSIBLE DRINKING

April is Alcohol Awareness Month. While one ice-cold beer or a tasty glass of wine is relatively harmless for most people, binge drinking can ultimately lead to alcohol addiction. According to the CDC, binge drinking is defined as “consuming four or more drinks per occasion for women and five or more drinks per occasion for men.”

Here are some sobering statistics to consider.

• Nearly 18 million Americans suffer from alcohol-use disorders.

• Approximately 25 percent of U.S. children have been exposed to alcoholuse disorders in their families.

• Teens who experiment with alcohol before age 15 are four times more likely to become alcohol dependent.

• Seventy-five percent of domestic abuse is committed while one or both members are intoxicated.

• Drinking and driving causes 16,000 deaths each year.

• As many as 75 percent of crimes are committed by people under the influence of alcohol.

If you are an alcoholic who needs help, call the Lake Sumter Intergroup, an Alcoholics Anonymous chapter, at 352.360.0960.

DETOXIFY YOUR LIFE

The environment around us alarms Jean Sumner of The Villages. There are toxins in the air we breathe and in the water we drink. Our skincare products, food, and household products are also filled with toxins.

“These toxins are causing many diseases, especially cancers,” says Jean, who is co-founder and president of World Wellness Education, an organization that encourages people to lead healthier lifestyles. “We need to know how to avoid these toxins whenever possible. This means making changes in our lives.”

Making those important changes may be easier thanks to Jean’s recently published book titled, R U Toxic. The book offers 52 weekly changes people can make to help minimize their exposure to toxins.

“I did try to look on the brighter side and give readers alternatives for the products they are currently using. For example, I found a recipe for weed killer that really works well and contains a much milder formula than the weed killers found in stores,” she says. “Prepare to be surprised by the information in this book, and remember it is just one change a week. This will lead to a healthier and happier you.”

18 // HL // APRIL 2014
Matters Local philanthropy / Food for thought / Staying healthy

The Floor Shoppe

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Family owned & community trusted since 1979 we know DR. JOSÉ DIAZ Board-Certified in Internal and Pulmonary Medicine. Privileges at LRMC, The Villages Regional Hospital, Florida Hospital Waterman and Promise Hospital. DR. MARJERY LOPEZ Board-Certified in Internal and Pulmonary Medicine. Privileges at LRMC, The Villages Regional Hospital, Florida Hospital Waterman and Promise Hospital. LEESBURG: 1038 W North Blvd, Ste 102 VILLAGES: 1400 US Hwy 441, Bldg 900 Ste 906 352.315.1627 • www.pg-cf.com • INTENSIVE AND ICU MANAGEMENT • COPD • ASTHMA • DISEASES OF THE LUNGS • SLEEP DISORDERS • NOW ACCEPTING NEW PATIENTS • MOST INSURANCES ACCEPTED Excellence with a personal touch. Exclusively offering pulmonary rehab with an experienced respiratory therapist. Specializing in pulmonary and critical care.

SUCCEEDING IN SOBRIETY

TERESA J. HAS USED HER RECOVERY FROM ALCOHOLISM TO GIVE OTHERS A GLIMPSE OF HOPE.

For many years, alcohol was an important daily routine for Teresa. She was a functional, working alcoholic who didn’t think she had a problem. She would leave the country club where she worked, go drink, and be up the next day to do it all over again. To her, this was normal.

However, after 23 years with her husband and while raising two teenage boys, Teresa allowed her social drinking to cause her marriage to fall apart, which forced her to face her addiction alone. In 2002, her divorce and selling the house where she had lived with her family made her even more dependent on alcohol. “I remember closing the door to that empty house and thinking my home has become just a house,” she says.

When the boys went to live with their father just a few days before Christmas, Teresa sought out alcohol to help numb the pain of losing her family. That resulted

in her fi rst DUI. For three more years, Teresa lived in denial about her drinking. She was arrested for another DUI in 2005 before she was faced with the harsh reality that her life had become unmanageable.

“My body was freezing as I sat in that concrete cell wrapping my hands and feet in toilet paper. I kept thinking, ‘How could a professional working woman and former Sunday school teacher end up here?’” she says. “My sister picked me up from jail after my second DUI and said, ‘I don’t think you are an alcoholic, Teresa.’ That was when I thought to myself, ‘No, that’s exactly what I am.’”

A friend who had achieved sobriety after seeking help for her own alcohol problem visited Teresa and encouraged her to attend 90 meetings in 90 days to break free from the stronghold of her addiction. “It took 90 days to get to know myself again — the real me that God

wanted me to be,” she says.

Teresa was able to get a sponsor to go through the 12-step program that has helped her stay sober for more than eight years. “Complete strangers wanted to help me for nothing in return. Now I’m just paying it forward,” she says.

For four years, Teresa has helped support and offer hope to others who are struggling with alcoholism and other

dependencies. She coordinates volunteers to take phone calls and she pays visits to people who are seeking help for what many people think is a weakness, not a disease. “I have more respect for recovering alcoholics than anyone else,” she says. “My job has given me a second chance and allows me to see God’s miracles first hand, and for that, I have never been richer.”

Healthy inspiration
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DON’T LET JOINT PAIN KEEP YOU FROM THE LIFE YOU DESERVE

Over the past 30 years, I’ve treated many thousands of patients suffering from knee, shoulder and other joint pain. 90% of my patients are able to return to their normal activity level without surgery. For the remaining 10%, I offer everything from arthroscopy to the most advanced minimally-invasive joint replacement procedures utilizing the finest state-of-the-art implants on the market today. The specialized knee and shoulder implants I use are designed to match each patient’s particular anatomy and bone structure to help ensure greater comfort, function and aesthetic satisfaction than can be experienced with “one size fits all” replacements – and I have the success, safety and patient approval ratings to prove it.

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Shoulder Surgery

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urrgeons

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(352) 728-3000

www.bonesandmuscles.com

To find out more information on joint replacement, visit www.exac.com KNEE OR SHOULDER PAIN? PROVEN DESIGNS. PROVEN MATERIALS. Exactech Knee and Shoulder Replacements offer a range of high-quality implants designed to Help match each individual patient’s bone structure Meet a variety of indications Address unique clinical challenges Preserve a patient’s natural anatomy Get back to what you LOVE. FIND AN ORTHOPAEDIC SURGEON NEAR YOU. www.exac.com/surgeonlocator With any surgery, there are potential risks, and results will vary depending on the patient. Joint replacement surgery is not for everyone. Check with your physician to determine if you are a candidate for joint replacement surgery. Your physician will consider the risks and benefits associated with this product, as well as individual factors such as the cause of your condition, and your age, height, weight, and activity level.

THE ‘W IS

26 // H
//H H //APRIL 20 2014 14

WEIGHT’ OVER!

Traci Oliver has lost an incredible amount of weight during the past 16 months without fad diets, gimmicks, or surgery. In the process, she has gained a healthier overall life —physically, mentally, and emotionally. Her big reveal has been a year in the making…

dible without fad diets, s, he

WRITER: JAMES COMBS PHOTOGRAPHER: FRED LOPEZ+TRACI OLIVER

W

Traci Oliver, 42, gripped the rope tightly with both hands as she ascended a mud-covered and slippery 30-foot climbing wall. She huffed and puffed and occasionally slipped while trying to conquer this challenging obstacle at the Warrior Dash 5K Mud Run in Lake Wales.

Having spent most of her adult life morbidly obese, Traci recognized those old feelings of self-doubt, insecurity, and failure that were creeping into her mind.

“I thought the rope would give out because so many others had used it throughout the day,” says Traci, a resident of Fruitland Park. “You cannot let go because you’ll fall and hit your back on the ground. I kept thinking I would fall and possibly never walk again.”

But those negative thoughts soon became a source of self-motivation. Since embarking on a lifestyle change in January 2013, Traci has conquered many obstacles — and she realized this would just be another in a long list. As she inched her way to the top, Traci recalled all the amazing feats she had achieved that once seemed impossible for a 5-foot, 4-inch woman who weighed 300 pounds: avoiding fast food, jogging around her neighborhood, whitewater rafting down a wild river, and making public appearances without fear of ridicule.

“There was a point going up the climbing wall where I told myself to let go of the fear and trust the process,” she said. “During this weight-loss journey, I have doubted myself many times before and ended up surprising myself.”

This time would be no exception.

“When I finally reached the top, I started crying because I was so happy. Before going down the other side of the wall, I stopped and told the crowd I would like to make an announcement. There was total silence, like I had stopped time or something. I let them know I had lost lots of weight and told them what a miracle it was for me to be standing where I was at that exact moment. Although the people in the crowd did not know me, they began cheering like crazy.”

This obstacle was symbolic of her lifestyle change — it was an epic fight to the top. But for Traci, the view from the top proved to be breathtaking.

THE OLD TRACI A YEAR OF HISTORIC FEATS

For much of Traci’s adult life, the mountaintop had seemed rather intimidating from the bottom. Ironically, her decision to make a lifestyle change came shortly after walking up a mountain in Georgia during a family vacation in January 2013. As she and her family followed a trail back to their cabin, Traci felt extreme pain in her lower back that left her immobile.

“The thing I remember most was seeing fear in the eyes of my daughter Libbey,” she says. “I felt ashamed that my child had to see me in my lowest of lows. I promised myself then that nothing like this would ever happen again. I was sick and tired of feeling sick and tired.”

For Traci, that “sick and tired” feeling had plagued her since the

late 1990s. At age 26, she gave birth to her daughter, Bailey Gable, and two years later, divorced her high school sweetheart, forcing her to raise Bailey as a single mother. Several months later, she lost her best friend, Kelly Wise, to breast cancer.

“Because I was raising a small child all by myself, I was no longer the number one person in my life. My life centered on my child, so I never really worried about my health and weight. Losing Kelly was hard because I knew her my entire life and always knew I could talk to her about anything. When she passed away, there was a huge void in my life so I filled the void by having a relationship with food.”

This unhealthy relationship continued even after giving birth to a second daughter, Libbey, in

28 // HL // APRIL 2014
“It was a moment of disappointment, disgrace, sadness, and humiliation”
— Traci after needing to ask a stewardess for a seatbelt extender

THE NEW TRACI

Following the family vacation in the north Georgia mountains, Traci vowed to make profound changes to her unhealthy eating habits and change her sedentary lifestyle. But this time things would be different. Rather than go at it alone, she sought the help of a nutrition coach and personal trainer. Moreover, her journey became public, as Healthy Living magazine documented Traci’s triumphs and struggles during the past year. This allowed the publication’s readers to follow a real person overcoming real struggles.

“Going from being a private person to an open book is not easy,” she says. “It makes you

feel like a fish in a fish bowl where everyone is looking at you. I made the decision to just put myself out there and become vulnerable. However, when you allow yourself to show vulnerability, the best results take place.”

Traci charged full-steam ahead, even taking the 20132014 school year off from teaching to concentrate fully on her weight loss and health goals. Lori Esarey, owner of Lady Lake-based Total Nutrition and Therapeutics, was instrumental in helping Traci make drastic changes to her eating habits. She has faithfully stuck to lean proteins and vegetables. Occasionally, she allows herself to

have fruit. There have been a few slip-ups along the way but always in moderation and never in overindulgence. To this day, she logs everything she eats and visits Lori for a weekly weigh-in. From an exercise standpoint, Traci started out walking 12,000 to 16,000 steps a day. As the pounds dropped and her endurance increased, she spent an increasing amount of time jogging around her neighborhood, swimming laps at the public pool, and running on treadmills in the gym. Under the guidance of personal trainer Laine D’Souza, co-founder of LB CrossFit and Wellness Studio in Lady Lake, Traci has incorporated yoga, core strengthening, cardio, and weight training into her exercise regimen.

DAY 154 DAY 191

She has also completed four 5K runs — including one where she never stopped running. To say she has come a long way would be an understatement. “I remember the first time I ran 25 yards across a parking lot. I had tears rolling down my face,” she says. “In that moment I knew I was healing and becoming stronger. For Traci, this lifestyle journey has proven as different as day and night from her previous weight-loss attempts.

“My previous weight-loss efforts were like a bungee cord: I could achieve fast results, but my weight would spring right back up. Now, it is as if I am crawling down a mountain. It’s a slow process, and every now and then I hit a rock, but I continue going down and learning new ways.”

2000 and marrying her current husband, Chad, in 2001. Traci returned to college to pursue a degree in elementary education. She ultimately earned a bachelor’s degree from St. Leo University in 2006, and three years later she earned a master’s degree from National University in teaching and leadership focus.

“While I was attending school, I was a full-time student, a full-time wife, and a full-time mother. Trying to juggle those duties was hectic. My diet consisted of french fries, pizza, fried food, and sweets. I would

find myself coming home from school and stopping at fast-food restaurants, or I would be studying late at night while snacking and eating. I loved anything loaded with carbs.”

Traci continued ignoring her health after landing a job as a teacher at The Villages Charter School. She eventually reached 300 pounds. Because of her weight, family time was not necessarily fun time. If the family went horseback riding, she worried about being too heavy for the horse. When the family went out to eat, she wondered

whether she could fit comfortably in a booth. Whenever the family went ice skating, Traci opted to take photographs rather than risk falling and embarrassing herself.

Out of desperation, she tried several fad diets, but each one proved ineffective. She also flew to California on numerous occasions to try to land a spot on the NBC hit reality show “The Biggest Loser.” During one of those flights in 2011, she experienced one of the most uncomfortable moments of her life.

“I had to ask the stewardess for a seatbelt extender, which

caused me to panic,” she says. “To me, having to announce that I am a big person was very embarrassing. It was a moment of disappointment, disgrace, sadness, and humiliation.”

When her flight landed, Traci placed the seatbelt extender in her purse.

“I knew I was going to be making a return flight and didn’t want that humiliation again. I ended up taking it home and putting it inside my bathroom cupboard. I made several flights after that so the seatbelt extender always came in handy.”

LAKEHEALTHYLIVING.COM // 29
Traci loses 46 pounds in the first five months of her lifestyle change. Traci decides to take the 2013-2014 school year off as a teacher to concentrate on meeting her weightloss goals.
DAY 150
Although she fears the possibility of sitting next to strangers, Traci attends a Tampa Bay Rays baseball game.

FEEDING HER FEEL INGS

For Traci, the list of achievements seems endless. She enjoys a new body, is physically fit, and consistently eats healthy food. She has gone from a size 24 dress to size 12. She has motivated her family to exercise alongside her. And she is now teaching a sevenweek wellness course at Heritage Community Church in Fruitland Park.

Yet, despite her accomplishments, Traci continues battling with the emotional aspect of losing weight and still struggles to see herself in a positive light.

“Even though I looked extremely bad on the outside,

my emotions on the inside were much worse,” she says. “I have repeatedly told my daughters that I’m not making a lifestyle change for an image reason; I’m doing it to make my inside as healthy as my outside.”

Without question, it takes more than numbers on a scale to erase and replace years of low self-image and deep-seated insecurity. “I still look in the mirror and see a 300-pound woman,” she says. “And I absolutely hate mirrors. When you take 100 pounds off a 5-foot, 4-inch frame there are still imperfections. My brain has been

programmed to view myself a certain way, and I am in the process of reprogramming my brain so I can see myself in a more positive light.”

Today’s culture promotes perfect bodies, and in the eyes of some, how people look often trumps who they are. Traci has found that to be true.

“People who did not have anything to do with me before are now okay with me,” she says. “Even though I accept those people in my life, it angers me because I’m still the same person. I also notice a difference in how I’m treated by strangers. That is

so wrong, and I would never judge a person based on his or her weight.”

DAY
DAY
201
204 DAY 214
During a vacation dinner, Traci avoids eating orange cake, a longtime favorite dessert of hers.
DAY 198
Traci begins swimming 70 laps each morning at the Leesburg City Pool with her daughter, Bailey. Putting her best foot forward, Traci begins running 1.4 miles every afternoon. Usually one to avoid family activities, she goes whitewater rafting down Colorado’s Cache La Poudre River.
“Some may gauge Traci’s success based on pounds on a scale; I view her success based on her complete change of using food as fuel for the body and Traci’s acceptance of herself. Her journey is far from over, but it has been an incredible year of healing on so many levels!”
—LORI ESAREY, TRACI’S NUTRITION COACH

TRACI: BY THE NUMBERS

STARTING BODY FAT PERCENTAGE: 55.4

CURRENT BODY FAT PERCENTAGE: 42.3

“Traci jumps rope, flips tires, and does pushups and pullups. She no longer lets mental perspective limit her body’s potential of what she thinks she can or cannot achieve. She has worked tirelessly throughout this process and understands there are no shortcuts.”

STARTING BODY FAT: 160 LBS CURRENT BODY FAT: 88 LBS

STARTING BODY MASS INDEX: 50.32

CURRENT BODY MASS INDEX: 35.68

STARTING TRIGLYCERIDE LEVEL: 68 CURRENT TRIGLYCERIDE LEVEL: 58

STARTING BLOOD-SUGAR LEVEL:

104 CURRENT BLOOD-SUGAR LEVEL: 98

LAKEHEALTHYLIVING.COM // 31
DAY 250
DAY 286 She takes a spin class to help raise money for breast cancer awareness.
After years of shopping
at Lane Bryant for plus-sized clothing,
Traci musters the courage to shop
at department stores. DAY 347 Traci attends her first Florida State football game in several years. Previously, she was worried whether she could fit in a chair. She attends a Christmas party with fellow schoolteachers and brings a veggie tray shaped like a Christmas tree. DAY 288
— LAINE D’SOUZA,
TRACI’S PERSONAL TRAINER

SO, EXACTLY HOW MUCH WEIGHT HAS TRACI LOST?

Healthy Living is proud to report that Traci has lost 100 pounds since January 2013!

While she has not achieved complete mental healing, she realizes losing weight has led to even bigger gains as far as being active and engaging in more activities. For instance, she is no longer ashamed to attend her husband’s softball games in fear of being ridi-

culed or embarrassed. She is also an active participant in family activities like ice skating.

“For me, it is a great feeling knowing that I’m no longer restricted by my obesity. When you’re obese, it controls every moment and thought. I am now in control of my life. I feel like I have been liberated and can do almost anything I want.”

In recent months, she emptied out her closet and donated her extra-large clothes to charity. She also returned the seatbelt extender to the airline.

also appreciate my family and friends who have provided me with unyielding support throughout this journey. I think it would be almost impossible to go through something like this without a solid support system in place.”

came from, but I need to be successful in my career. This is going to be a new balancing act for sure. One thing I’ll do is bring a change of clothes and run around the perimeter of the school. I’ll also bring healthy snacks and food to school and avoid the temptations around me.”

“This

“This has been the greatest year of my life because I have been a participant rather than an observer,” she says. “I

Traci realizes that challenges lie ahead. For instance, she’ll return to The Villages Charter School next year as a teacher. Days will be spent inside the classroom instead of the gym. Evenings may be spent grading papers instead of jogging around her neighborhood. Traci has mapped out a plan with one of her food coaches, Jaime Alonso, to avoid potential pitfalls.

Still, she looks forward to moving sprightlier, keeping pace with her students, and feeling more confident in the classroom. “Now, I’ll be able to get down on the floor and play games with my students,” she says enthusiastically. “What a wonderful feeling that is!”

Just another small step in her climb to the top.

want

“Reality can be scary. I don’t want to go back to where I

32 // HL // APRIL 2014
DAY 365
RIL 2014 ore activities. For e is no ashamed to end mes in fear of ridi-
Rather than relax, Traci spends New Year’s Day at the gym flipping tires to improve core strength.
has been the Jaime to
her than relax,
r’s rove strength
to back to where I
Traci New
“This has been the greatest year of my life because I have been a participant rather than an observer.”
— Traci Oliver

The number of Snickers equal to the 100 pounds that Traci lost: 860

The Knee Replacement Nature Envisioned

• Conservative, bone sparing technique

• Does not sacrifice any ligaments

• 20+ years of successful patient outcomes

• Restores your knee to a more natural state

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ACL and PCL critical for knee stability

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Unlike most knee implants, the ACL and PCL are not sacrificed with the TKO

Total knee replacement is intended for individuals with degenerative, rheumatoid and post-traumatic arthritis of the knee. Knee replacement surgery is contraindicated for patients with certain types of infections, some mental or neuromuscular disorders, compromised bone stock, skeletal immaturity, severe instability of the knee, or excessive body weight.

As with any surgery, knee replacement surgery has certain risks. Speak to your surgeon to decide if knee replacement surgery s appropriate for you. Individual results vary and not all patients will return to the same activity level.

BioPro, Inc., 2929 Lapeer Road, Port Huron, Michigan 48060 USA 800.252.7707 • 810.982.7777 • www.bioproimplants.com

be your best

Ways you can improve the health of your hardest working organ.

ocalaice.com // 1
giant steps
your best foot forward INSTITUTE FOR MEDICAL EXCELLENCE what do you care? Improving your health impulse SPRING 2014 /// THIS QUARTERLY PUBLICATION IS A SERVICE OF
LIMBSTITUTE
Put
2 \\ innovation. compassion. excellence. SERVICES OF

FEATURING beat your best

Empower yourself with these state-of-the-heart tips, tactics, and technologies to help you improve the health of your hardest working organ.

giant steps

Limbstitute has made giant strides utilizing the latest techniques and technologies to improve limb health—but the first steps are yours.

what do you care?

It’s your body—what are you doing to care for it? Here are some things you can do today to enhance your overall health and quality of life tomorrow.

ocalaice.com // 3 contents
DEPARTMENTS 4 : from the heart A personal message from Dr. Asad Qamar 5 : nice to know Our patients speak from the heart 6 : the beat The latest news, stats and information 14 : on ice Meet the people who are at the heart of ice 15 : heart and soul Expressions of the (he)art ocalalai ai 8 : 10 : 12 :

Put your heart in it

We at ICE are so pleased to bring you this latest evolution in our IMPULSE series. You may have noticed it’s a little more substantial than previous editions. We wanted a larger forum to be able to treat subjects more indepth and to make the communications more informational and ultimately more useful. This first issue in our new format is focused on empowerment. We want you to know how much control you have when you “put your heart” into your own heart health, the health of your limbs, and your overall wellness.

Empowered cardiac health means so much more than “quit smoking and exercise more.” We explore some tools available to you that go beyond simply good advice. For someone who may have very real concerns about their heart health right now, we want to share some insights and open up a dialogue that provides knowledge and hope and helps alleviate anxiety that can be downright frightening.

We added the Limbstitute to our ICE family because the incidence of PAD (peripheral artery disease) is becoming almost epidemic among people atrisk. Rather than wait for symptoms to progress and develop into a serious limb-threatening condition, there are things that can be done before arterial problems force an invasive medical intervention.

Primary care is one of the areas where personal involvement in you and your family’s health has been the focus of many studies and spawned innumerable lifestyle choices that are the talk of daytime TV and impassioned discussions around the office water cooler. We want you to know what choices you have out there that are both worthwhile and supported by the physicians in our IME offices. We want you to take control of your health. We want you to feel the joy that comes with results directly attributable to something you did for you.

Please enjoy this latest IMPULSE. There’s a lot of good information in here and a real opportunity for you to make a healthy difference in your own life. As always, thank you for reading.

Sincerely,

4 \\ innovation. compassion. excellence.
from the heart
We want you to feel the joy that comes with results directly attributable to something you did for you.

Tom Behan

Listening to the doctor and making lifestyle changes have been the key to success.

Tom Behan is a man who has enjoyed a “new lease on life” after he had his mobility restored following a series of procedures with Dr. Qamar at The Institutue of Cardiovascular Excellence. Tom is one more example among many who truly understands what a marvelous gift it can be to regain a part of everyday living that he had feared was lost to him forever. He can now look forward to some very specific benefits….

“I have so many things to look forward to for the holidays and in the New Year. I can’t wait for our family dinner, especially because I love my mother-in-law’s special holiday dish. We also have an eight-day European river cruise on the Danube scheduled where we plan to visit Hungry, Slovakia, and Germany followed by three days in Prague.”

ocalaice.com // 5 oc ocalalaiaiccee.ccom om nice to know

Silicone Sheath

A form-fitting sheath containing sensors worked flawlessly to provide a complete picture of a rabbit’s heart function without interfering with the heart’s performance. Heart rhythm, temperature, and electrical activity were some of the things monitored. A huge improvement over sensors glued or sewn to a heart, the silicone sheath approach must next be approved for human study.

Study performed by John Rogers from the University of Illinois and reported in Nature Communications

Aspirin and Fish Oil—The Dynamic Duo

Many studies on the benefits of aspirin and fish oil have been done on the two singly. But a new study on combining the two indicates that the one-two punch could be used to treat everything from chronic arthritis to heart disease, cancer, even Alzheimer’s. The key is inflammationreducing molecules called resolvins. Resolvins shut off—or resolve—inflammation. Aspirin triggers the body to produce resolvins. They’re found naturally in omega-3 fatty acids. Using the dynamic duo together puts extra muscle in the fight against irritants that cause the body to produce an inflammation response. Inflammation is at the heart of the debilitating effects caused by most chronic diseases.

— Dean Ornish, MD, founder and president of the Preventive Medicine Research Institute and clinical professor of medicine at the University of California, San Francisco

Stem cells to improve circulation?

A new study at UC Davis Vascular Center is examining the potential for using a patient’s own stem cells to improve circulation in the lower extremities. Bone marrow is harvested and then stem cells are extracted and injected at various sites in the lower leg muscles. “Our own research in mice has shown that adult human stem cells are very efficient at targeting areas of low oxygen and promoting the formation of new blood vessels,” said Jan Nolta, director of the UC Davis Stem Cell Program and Institute for Regenerative Cures. “This next stage of our research will determine if the treatment truly offers hope for people without other options and who are at risk of losing a limb.”

6 \\ innovation. compassion. excellence. the beat
CARDIAC BREAKTHROUGH
“You absolutely can reverse at least some of the damage of even severe heart disease.”
PHOTO CREDIT: RODGERS ET AL. NEW REPORT

by the numbers

The number of Americans killed annually by heart disease: approximately 1 MILLION

The number of Americans that will have a heart attack this year: OVER 920,000 The number of women who die each year from heart attacks:

Add 2,000 steps a day to slash your risk of heart disease.

Exercise is good; we all know that. This is the first study to link “how much” with a quantifiable result. Over 9,000 adults in 40 countries participated in the study that showed an 8% reduction in risk for getting CVD (cardiovascular disease).

— Dr. Thomas Yates from the University of Leicester in The Lancet

Being slim reduces heart disease risk better than fitness.

A Swedish study of almost 750,000 men showed that fit but overweight men had almost twice the risk of heart disease compared to unfit but slim men and four times the risk compared to fit, slim men.

— from a study published in the European Heart Journal

ocalaice.com // 7
Six times more than the number of women who die from breast cancer. Someone in the United States dies from cardiovascular disease every 33 SECONDS Roughly equivalent to 9/11 repeating itself every 24 hours, 365 days a year. HEALTH TIP
OVER 267,000
FAST FACT

be your best

Your state-of-the-heart health starts with you. Learn what you can. Do what you can.

The Institute of Cardiovascular Excellence has set the standards of cardio care for hundreds of Central Floridians and continues to do so with diagnostic tests, cath procedures, angioplasties, and other medical interventions to ensure

the cardiovascular health of our patients. Every day, we see the consequences of choices people make in their lives and the damaging effects our modern day lifestyle can have on their health. We’d like to do all we can to interrupt the harmful cycle of cause and effect by

empowering our patients—even before they become patients—by arming them with the tools to either avoid cardiac problems before they get started or help reverse some of the damage if heart disease has already gained a foothold in their lives.

8 \\ innovation. compassion. excellence.

Be on the lookout

Heart disease is sneaky. Its symptoms can look like a hundred other things. Still, we want you to call or come to ICE if you exhibit any of the following.

Pain in the chest is the easy one. Sometimes it is described as burning, fullness, pressure, or like “an elephant sitting on my chest.” Medically, the condition is called angina and it can range from mild discomfort—no dramatics—to a severe squeezing pain or ache. Don’t try to self-diagnose. Don’t chalk it up to heartburn or “the fish I had last night.” We know you don’t want it to be a heart attack. We don’t either. But don’t wait, hoping against hope. Call 9-1-1 or the Institute immediately. The first hour after a cardiac event is optimum for us to administer medical intervention—clot buster drugs or angioplasty—that can head off permanent heart damage.

Many of our women patients at ICE thought only men suffered heart attacks until they experienced a pain in their arm or shoulder, abdomen or anywhere but their chest. Truth is, woman have heart attacks, too. However, their symptoms are often more subtle. Women are more likely to feel faint, dizzy, and experience nausea or shortness of breath. They may have a persistent headache or backache. A radiating ache in the jaw is very common—and often self-diagnosed as a bad tooth. Be on the lookout for these. Over half of the deaths from heart disease occur in women — six times the number that will succumb to breast cancer.

We want to help

Don’t wait for symptoms to appear. No symptoms is no guarantee of a healthy heart. Half of the people who

will experience a “heart event” this year will have no prior symptoms. That’s why the American Heart Association recommends that regular cardiovascular screening tests begin at age 20! Call us and make an appointment if you’re over 20 and have never had a heart screening. It’s better to know where you stand before symptoms begin. After that, our physicians will determine the frequency of follow-up exams based upon what risk factors—cholesterol, family history, etc.—we find.

Want to take a more active role in your heart health? We can help you with that as well.

Exercise is a great place to start. The physicians at ICE can tailor an exercise plan designed to your exact fitness level and capabilities. We’ll monitor your progress and celebrate with you when you reach your fitness milestones.

Eat right. Rather than accept the oft-repeated advice to simply eat a low-fat, low-carb diet with lots of fruits and vegetables, let experts at the Institute advise you. We’ll help create a diet you can actually live with that accounts for your own tastes and your own weight loss expectations.

Sleep well. There is ample evidence that poor sleep patterns can result in a host of heart ailments. Between seven or eight hours is about right. Below five is harmful. So is sleeping too much. If you are concerned you have a sleep disorder, tell us. We’ll put you in touch with medical experts who can best evaluate your situation.

Reduce your stress levels. That is easier said than done sometimes, especially in today’s world. But we can help you find active ways to keep stress under control, from medication to meditation and other stress control techniques. By the way, exercise is a powerful stress reliever—with a two-for-one benefit!

Eat fish—at least two servings a week. Fatty fish—like salmon— are high in omega-3 fatty acids, which have been shown to lower triglycerides, reduce plaque in arteries, and even reduce heart arrhythmias. When you come to us for diet advice, you can be sure fish— or fish oil—will definitely be on your menu plan.

Floss! We see many patients whose hearts have been compromised by bacteria—the same kind that causes gingivitis. Healthy gums will reduce the incidence of harmful bacteria that can cause inflammation, which can harm your heart.

Take aspirin. Consult with us first before beginning any aspirin regimen. But usually, one regular or two baby aspirin a day is the amount we prescribe to our patients to realize the maximum benefit.

A healthy heart is a product of what we can do for you and what you can do for yourself before the Institute of Cardiovascular Excellence ever gets involved. So, take your heart in your hands. Take an active role in the process. You’ll feel better, look better, and live a more enjoyable life—something we both want for you.

ocalaice.com // 9 INSTITUTE FOR CARDIOVASULAR EXCELLENCE

giant

steps

Limbstitute has made giant strides utilizing the latest techniques and technologies to improve limb health—but the first steps are yours.

Simply put, the Limbstitute was created to save legs. We provide comprehensive vein care and incorporate the latest technologies—closing off veins with radio waves for example— to get the best results. We’re also wound care specialists and experts in artificial skin grafts. We do whatever it takes to save a limb and give a patient their life back, we do.

Every day, we see and treat patients who come to us with symptoms that can be as innocuous as a little swelling at night or as debilitating as severe pain that impairs their ability to walk. Many times there are a combination of symptoms—restless leg syndrome, night cramps, fatigue, constant aches and pains.

The most important step—the giant step—we want our patients to take is to come in when they have symptoms like those and let us evaluate their situation before it gets any worse. Personal empowerment comes with education, with knowing what symptoms to look out for, and bringing them to the attention of someone who specializes in knowing what they all mean. Only until we know what we are dealing with can our specialists set upon the right path to saving a leg—even saving a life. Should I exercise? It’s a question our patients often ask. The answer is maybe. Don’t begin a walking program without checking with us first. Sometimes, depending on a patient’s condition, exercise would be the worst thing they could do. Even when exercise is an option, with circulation that may be compromised, the key is care and moderation. Limbstitute experts will advise you every step of the way with what exactly you can do and for how long.

It may involve walking or swimming. Some of our patients begin with light housework. We’ll perform regular testing over time to monitor your progress.

Many of our patients who suffer from Raynaud’s Disease—poor circulation in their hands and feet— know to stay warm when they need to. They wear gloves and warm socks and we advise them to add a hot water

grade supplement called Vasculera. It decreases inflammation in veins while at the same time making them stronger. We’re the leading Vasculera specialist in Central Florida.

Ask us about other holistic approaches that have proven effective in increasing circulation, including hydrotherapy, reflexology, yoga and stretching, and acupuncture and massage. For those disciplines that we don’t offer at the Limbstitute— acupuncture for example—we maintain close working relationships with a wide network of local specialists and direct our patients to those whom we think may provide the most beneficial effects.

Medical specialties that are beyond the scope of the Limbstitute but that still impact the limb health of our patients—orthopedists, lymphedema specialists, rheumatologists and more—we consult with on a regular basis to give our patients every chance for an optimum result.

bottle to their regimen when it gets really cold. A variation that can help circulation is a hot and cold treatment. Alternate between a hot water bottle and cold—frozen peas work perfectly—to simulate circulation. Just don’t overdo either one.

Eating right goes without saying. Nutritionists at the Limbstitute can be instrumental in helping control dietary issues that contribute to diabetes. We may recommend certain herbs to enhance your circulation. Did you know cayenne, garlic, gingko biloba and ginger added to your food or taken in capsule form could have a positive effect on blood flow?

We go even further than diet and herbs with a proprietary prescription-

Finally, we see so many patients at The Limbstitute who are there because they took up smoking at some point in their lives. If they still smoke, we advise them strongly to quit—and we provide consultation to help with that. Of all the things you can do to improve circulation, quitting smoking is at the very top of the list.

Do you suspect you may have a circulation problem? Exhibit one or more of the symptoms mentioned earlier? Please, take that first giant step and come see the comprehensive vein care specialists at the Limbstitute. Let us evaluate your condition, advise you, and intervene with whatever procedures may be indicated. We’re here to help you salvage a limb and your life. It’s the only reason we’re here and it’s the only thing that we do.

ocalaice.com // 11
LIMBSTITUTE
“The whole point of the Limbstitute is to save limbs. It’s what we do.”
— Tom Tram, PA

what docare?you

No one cares about you—or should care— like you do. You know what’s going on, when something feels “off,” or when something hurts. But the primary care physicians with IME certainly come in a very close second. We’re here to provide care for the “everyday maladies” of life, as well as guidance you’ll need to help you take better care of yourself.

Regular checkups are the perfect way to begin. Blood tests, chest X-rays, EEGs, and exams that document blood pressure are important. Your IME physician will evaluate tendencies for diabetes and uncover the beginning of cardiac problems and myriad other conditions and diseases. Our doctors are an excellent resource for all those medical questions you always wanted to ask.

Like what’s the best way to Quit Smoking? We all know smoking is bad for you. The only question many of our patients have is how to quit. We can help with that. There are several effective methods. An IME primary care physician can recommend which method might be right for you.

Eat Healthy. Two out of every three Americans is overweight or obese, and the numbers are escalating. Obesity exposes you to everything from heart disease to cancer, arthritis, depression, kidney stones, fatty liver disease, and erectile dysfunction. To make it worse, there are a million diets, fads, and trends people dabble at—none that result in lasting success. Ask one of the physicians

at IME for advice on the best ways to lose weight and keep it off

Don’t Stress. It causes everything from gray hair to heart attacks and can damage every system in the body from respiratory to circulatory to the nervous system. Are you stressed? Your IME primary care physician will evaluate your stress level and prescribe an appropriate remedy.

Sleep. If you suffer from a lack of sleep— seven to eight hours is the target, under 5 hours is bad—it will have a negative effect on judgment and mood. Kids will find it harder to learn in school. And a serious sleep deficit over time can lead to a host of health problems including obesity, diabetes, cardiovascular disease and even death. Tell your primary IME physician if you feel you have a sleep problem. We’ll evaluate your condition and steer you toward experts who can provide the right treatment.

Get A Flue Shot. Especially if you are in any of these at-risk groups: caretaker for a child under 2 years, any child 6 months to 19 years, 50 and older, pregnant, have a chronic condition, live in a nursing home. The flu virus can be serious, even deadly, because it involves the lungs and can cause pneumonia. So, make an appointment once a year. Come in. Get the shot.

Exercise. Everyone knows they could probably do more. But almost no one pays attention to the fine print: Consult your physician before beginning any new exercise program. The physicians at IME are here to help before you start

and do more harm than good. See if your heart, your joints, your core, your respiratory system and your circulatory system will be able to keep up with all of your good intentions.

Drink Water. You don’t need an IME physician to tell you that. Drink at least one glass to start the day. Room temperature or cold—the debate is still going on. Water helps flush toxins, hydrate tissues, jumpstart the metabolism, promote weight loss, keep you regular, boost the immune system, improve skin tone, increase energy and lessen fatigue…to name a few. How much water? Another debate. Some say five glasses a day, some say eight to 10. Some say more. We say drink what you can and don’t overdo it.

Take A MultiVitamin. A comprehensive blood test will tell your IME physician a lot about your health. He or she may very well recommend a multivitamin. Even the most conscientious diets can fall short every so often. A multivitamin is a sure way to bridge the gap.

According to the CDC, over 40 percent of men and women take one every day.

Your IME physician is your first line of defense—and offense—in the constant struggle to maintain good health for you and your family. Lean on us when you need to. Ask for our help when you have questions. Use us. We’re here to help you take better care of yourself.

ocalaice.com // 13
It’s your body—what are you doing to care for it? Here are some things you can do today to enhance your overall health and quality of life tomorrow.
INSTITUTE FOR MEDICAL EXCELLENCE

Ultrasound

Kim is the Vascular Supervisor in the Ultrasound Department of the Institute of Cardiovascular Excellence and counts herself as a lucky member of a very special family. “There are eleven of us in the department and we treat ourselves and most especially our patients as one big extended family. We put ourselves in a patient’s place. We know how we’d like to be treated so that’s what we do. Dr. Qamar demands that level of commitment from each one of us and we are all an extension of him. Of course, it helps that it’s in our nature to be that way…Our department is excellent. But not all ultrasound departments are created equal. For instance, a lot of places allow just thirty minutes for an ultrasound study. Some patients, if they’re in

a wheelchair or are in a lot of pain, that’s not enough time. We allow half again as much time— forty-five minutes per ultrasound. It makes all the difference…Our equipment is all top-notch. I’m not a machine person, but our machines are brand new. Whatever we need, Dr. Qamar sees that we get it…At the end of the day, the most rewarding thing about being a part of this family at ICE is being able to help someone. I’ve had patients come in with some pretty difficult problems. Dr. Qamar is able to operate and make them better. And we helped. I know that’s why I was put in this place—to do this.”

“That’s why I was put in this place—to do this.”

14 \\ innovation. compassion. excellence. on ice
DEPARTMENT SPOTLIGHT
— Kim Terrell

heart and soul

Sculpture by Kelly Decaire presented to Dr. Qamar in appreciation of the medical care her husband was provided by ice

ocalaice.com // 15
Ocala 4730 SW 49th Rd. Tavares 2754 Dora Ave. Summerfield 10435 SE 170th Pl. Williston 412 W. Noble Ave. The Villages 1050 Old Camp Rd. The Villages 1950 Laurel Manor Dr., Bldg 240 352.854.0681 // ocalaice.com // limbstitute.com Remember when Mom used ice to make it all better? As adults, our health issues may be more complex, but the answer is still put ice on it.

The future of orthopedic surgery

Dr. Vrej Manoogian is the only doctor in Florida to offer this revolutionary tendon-sparing BioPro TKO knee implant

Dr. Vrej Kristapor Manoogian is offering the most advanced treatments available for hip, knee, and shoulder problems.

Dr. Manoogian is the inventor of the “Living Hip” total hip replacement. This is the most bone-conserving total hip available and has the ability to maintain bone integrity throughout the entirety of a patient’s life.

With regards to shoulders, Dr. Manoogian performs arthroscopic rotator cuff repairs through incisions only millimeters in length. He also performs a multitude of other completely arthroscopic shoulder treatments, open procedures, and, when necessary, total shoulder replacement arthroplasty.

When it comes to knees, Dr. Manoogian offers the TKO implant, a complete ligament-sparing total or partial knee replacement. He offers other surgical knee replacement procedures, as well. Rather than using a one-size-fits-all approach, he carefully examines the ligament and functional status of the patient’s knees to see which option would best suit the individual patient.

Dr. Manoogian’s treatment philosophy has been and always will be to proceed with the most conservative treatments available to restore function to normal or as normal as possible.

SPECIAL PROMOTIONAL FEATURE Manoogian & Guru Orthopedic Center, P.A. l 1945 Bay Road in Mount Dora 352.483.5633 l www.manoogianorthopedics.com
has
already arrived in Lake County!
M The BioPro® Living Hip Stem Horizontal Platform Support

PUR excellence

The PUR Clinic strives to offer world-class care for patients both local and from around the globe.

SPECIAL PROMOTIONAL FEATURE

At The PUR Clinic in Clermont, the name says it all: Personalized Urology and Robotics. Patient-centered, individualized care is top priority at this newly launched clinic in the heart of South Lake County. With a growing need for more medical practices that address patients’ needs one-on-one, The PUR Clinic leads the revolution by providing the most advanced, innovative, and compassionate care available for men and women seeking urologic care. Their practice also specializes in advanced interventions for male infertility and chronic testicular pain, groin pain, or female pelvic pain.

“Our focus is on quality, not quantity,” says Dr. Sijo Parekattil. “Our goal is not to be the biggest but to be the best.”

Such is evidenced by the growing number of national and international visitors that are coming to The PUR Clinic to receive specialized treatment at the hands of co-directors Dr. Jamin Brahmbhatt and Dr. Sijo Parekattil. Recognized as global pioneers in the field of robotic-assisted microsurgery, they have performed more than 1,000 of these procedures through their partnership and over 100 at The PUR Clinic since it opened December 2013 at South Lake Hospital, in partnership with Orlando Health.

“We continually receive a lot of great feedback from our patients,” says Dr. Brahmbhatt. “They like the personalized touch we offer. This brings the human aspect back into medicine. Our patients appreciate the time our staff takes in listening to them. I think that is most rewarding.”

Both Drs. Brahmbhatt and Parekattil are dual fellowship trained in male infertility and robotic surgery. Both surgeons are credited with pioneering many of the robotic assisted microsurgical procedures used at The PUR Clinic to treat male infertility and chronic groin and testicular pain. They both combine their fascination for robotics with their love for microsurgery to provide state-of-the-art urologic interventions for men and women.

The PUR Clinic uses the advanced techniques offered by the da Vinci robotic surgery system. It includes a high definition 3D camera and four surgical arms that are controlled by the surgeon that give them more control than traditional laparoscopy. In addition to performing robotic microsurgery for vasectomy reversal and chronic groin and testicular pain, half their time is dedicated to general urology for the management of kidney stones, erectile dysfunction, enlarged prostate, prostate/kidney/bladder cancer, low testosterone, and more.

Outside of their clinical duties, Dr. Brahmbhatt and Dr. Parekattil have made it a priority to give back to the community. Through their STAR (Science and Technology Advancement through Robotics) initiative they hope to inspire future leaders in science and technology. During STAR, high school students spend a month

in the summer exploring their interests in science, technology, engineering, and robotics through hands-on and didactic lectures. They are also active board members with the Robotic Assisted Microsurgical and Endoscopic Society (RAMSES), a multispecialty group with an interest in robotic assisted microsurgery. The purpose of the society is to further the development and application of robotic assisted microsurgical tools and platforms for enhanced surgical and patient outcomes. The 2014 annual RAMSES meeting will be hosted in Lake County.

One of their biggest community events is slated for June 12, 2014. The Drive for Men’s Health marathon will serve as a way to increase awareness of men’s health issues and to encourage men to make their health a priority. Dr. Brahmbhatt and Dr. Parekattil plan to set the record for driving from Clermont to New York City in an all-electric Tesla vehicle. The drive will be done in collaboration with National Men’s Health Week, which is June 9 through 15.

“We want people to understand that men need to make their health a priority,” says Dr. Brahmbhatt. “We’re going to try to make the drive in less than 24 hours. During our charging breaks, we will engage the global community in presentations and discussions focusing on men’s health issues.”

This marathon will also help raise funds to help support research and education. Half the funds will be used for a genetic study on men with chronic groin or testicular pain. The PUR Clinic is trying to assess if there may be any genetic abnormalities that could explain why some men suffer from these conditions. The other half will go toward scholarships for students attending the new Florida Polytechnic University in Lakeland.

For more information about The PUR Clinic visit mypur.org. To support the Drive for Men’s Health, visit drive4menshealth.org.

SPECIAL PROMOTIONAL FEATURE The PUR Clinic 1900 Don Wickham Drive, Clermont, FL 34711 • 352.536.8761 • mypur.org

LOOK GOOD, FEEL GOOD

“Think of food as fuel,” says Lori Esarey, owner of Total Nutrition and Therapeutics in Lady Lake. “You cannot expect to go for a drive in your car without fueling it first. Similarly, we cannot expect our bodies to function properly if we do not fuel them in the morning. If you do not eat breakfast, your body remains in a state of fasting. When you finally eat lunch, your body is going to store everything because it wonders when it will eat again. By eating a healthy breakfast, we are turning on our body’s metabolism to burn fat. In addition, studies have shown that children who eat breakfast make better grades in school than children who routinely skip breakfast.”

DON’T SKIP BREAKFAST TRY HANDS-ON HEALING

While many people equate massages with relaxation and pampering, they are actually quite therapeutic. As a matter of fact, most of Michele LaFever’s business comes from clients suffering headaches, neck pain, muscle spasms, and sciatic nerve pain.

“I give more therapeutic massages than I do relaxation massages,” says Michele, a massage therapist who owns Healing LifeCare Center in Leesburg. “Massage has healing benefits for both the mind and body.”

As clients lie comfortably on a massage table with soft music playing in the background, Michele uses a combination of gentle and firm strokes to increase blood flow, stimulate nerves, reduce pain and muscle tension, improve sleep, and eliminate anxiety and stress.

WR

WRITER:

ITER: SHEMIR WILES

It’s no secret that everyone wants to look good, but it’s just as important to feel good. Good health starts from within, and once you embrace a better way of living, your true beauty will start to shine. Healthy Living offers some health-giving tips to help you look and feel your absolute best.
// H //APRIL 2014
It’s no secret everyone wants to Good health starts from an livin start to shine. offers some to h look and
W

CURB HUNGER WITH SLEEP

A lack of sleep can increase a person’s risk of obesity because sleep helps regulate the hormones that make you feel hungry (ghrelin) or full (leptin). When you don’t get enough sleep, your level of ghrelin increases while your level of leptin decreases, which makes you feel hungrier.

WALK IT OFF

When it comes to fitness, people think you have to hit the gym or hire a personal trainer to trim the fat. However, losing weight can be as easy as walking.

GIVE YOUR MIND A WORKOUT

According to the Mayo Clinic, a regular brisk walking routine can help maintain a healthy weight, strengthen bones, and improve balance and coordination. Walking can also decrease

Americans have gym memberships

the risk of heart disease, Type 2 diabetes, and high blood pressure.

Zzzzz 350 45.3

calories are burnt everyday just by fidgeting

As you grow older, it’s important to keep the mind feeling sharp and alert. Here are some simple ways to better your brain.

Read a book: Neuroscientists at Emory University in Atlanta determined that reading a novel can change the way the brain connects with different circuits for at least five days.

Learn a new language: Swedish researchers from Lund University found that becoming fluent in another language could help strengthen the cerebral cortex,

For maximum health benefits, make sure you practice good posture while walking. Your head should be up and looking forward, and your neck, shoulders, and back need to be relaxed. A little pumping with your arms is encouraged, and your abs should be slightly tightened to keep your back straight. Also, walk smoothly by moving your foot from heel to toe.

Don’t forget to warm up before and cool down after each walk. In addition, stretch to make sure your muscles don’t become tight and sore.

which controls reasoning, visual processing, planning, and memory. It can also enlarge your hippocampus, or the part of the brain that helps with long-term memory.

Complete a crossword puzzle: According to a study published in the Archives of Neurology in 2012, adults who participate in more mind-stimulating activities, especially in their early and middle years, are less likely to develop brain plaques that are tied to Alzheimer’s disease.

LAKEHEALTHYLIVING.COM // 39
SOURCE: The National Heart, Lung, and Blood Institute
30 MINUTES
is the recommended amount of moderate physical activity adults should perform five days a week to maintain a healthy weight

CREATE A WORK OF ART

The therapeutic effects of creating art have long been touted. From cancer patients to those fighting mental illness, art has proven to help people express their innermost emotions. Not only is creating art a stress reliever, it is a way for people to feel a sense of freedom. Therefore, why not tap into your imagination and unleash your own creativity with the following local art opportunities:

LAKE EUSTIS MUSEUM OF ART CREATE & CRITIQUE

Held weekly on Wednesdays

Create & Critique is a very supportive, friendly atmosphere for adult water medium painters. All water media are encouraged with an emphasis on watercolor and acrylic. It is led by LEMA founder and artist Mary Zeigengeist. 10a.m.–noon. Cost: $5 for non-members; $3 for LEMA members. Participants must bring their own materials and new artists are always welcome. For more information, call .352.483.2900.

SOUTH LAKE ART LEAGUE MIXED MEDIA

Held weekly on Fridays at Montrose Gallery

Bill Bernoir leads students in a mixed media class. Participants may be sculpting with clay or using recycled materials and acrylic paints on canvas. Beginners are welcome. 7–9p.m. Cost: $35. A small materials fee may be charged. For more information, contact Bill Bernoir at 352.429.2608 or at wmbernoir@yahoo.com.

LEESBURG CENTER FOR THE ARTS SOCIAL ART WORKING FOR ADULTS

April 17 (Pretty as a Peacock); May 15 (Antique Rose) Bring your favorite beverage and snacks, and get ready to enjoy the relaxing experience of canvas painting. Even if you have never held a paintbrush before, you will walk away with a piece of art you will proud to hang in your home. So bring some friends and enjoy an evening you won’t forget with our fun and talented instructors. 6:30–8:30p.m. Cost: $30 per person. Use of supplies is included. For more information, call 352.365.0232.

MOUNT DORA CENTER FOR THE ARTS JEWELRY FABRICATION

Morning classes (10a.m.–1p.m.) Tuesdays through Thursdays Midday classes (2–5p.m.) Wednesdays and Thursdays Evening classes (6–9p.m.) Mondays, Wednesdays, and Thursdays Students will learn the basics of design, fabrication, and studio safety. Three projects will be completed during the four-week session using jeweler’s tools for measuring, cutting, forming, soldering, and polishing. Techniques may also include patinas, texturing, and some stone setting. Cost: $120 for MDCA members; $150 for non-members. A $50 material fee, payable to the instructor, will cover all silver costs for the first four-week session. Classes take place in the Two B’s Studio on North Baker Street, Suite 211. For more information, contact Barbara Boyce at 352.638.0001 or at barbboyce@earthlink.net.

MAINTAIN A SENSE OF HUMOR

Laughing more may actually help prevent heart disease. According to a study by cardiologists at the University of Maryland Medical Center in Baltimore, people with heart disease were 40 percent less likely to laugh in a variety of situations compared to people of the same age without heart disease.

DOES

SIZE

Miller, M.D., director of the Center for Preventive Cardiology at the University of Maryland Medical Center and a professor of medicine, believes the claim of laughter helping protect the heart has a lot to do with stress, which can cause fat and cholesterol build-up in the coronary arteries.

Men’s brains are about 10 PERCENT LARGER than women’s brains.

SOURCE: Scientific American

MATTER?

DIG YOURSELF OUT OF DEBT

Living with mounds of debt takes a toll on your physical and mental health. Therefore, the best thing to do is take measures to stop this unnecessary freefall. Joe Dykes, a resident of Leesburg and financial adviser for 40 years, offers five valuable tips to help you take control of your financial situation.

1. PLAN A BUDGET

“I’ve found that failure to plan is the greatest problem for 90 percent of people who are deeply in debt. Once you’ve developed a plan that is right for you, stick to it.”

2. SEEK OUT A FINANCIAL ADVISER

“Find one who is looking out for you and not his or her commission. Most people have not been educated on financial matters, so that is why I recommend finding a financial adviser. Shop around and find someone who matches your personality and needs.”

3. REDUCE SPENDING

“Look for areas where you can cut back unnecessary spending. For instance, you may spend too much money eating out at restaurants or shopping for clothes you don’t really need. You cannot blow everything you make. Save. Save. Save.”

4. PAY OFF DEBT

“Start by paying off your smallest balances first, and once those are gone, use the extra money to begin paying down your larger balances.”

5. LIMIT CREDIT CARD USAGE

“Use credit cards only for emergencies. If you continue using credit cards for nonessential items, your debt will continue piling up.”

EXPLORE THE GREAT BEYOND

The universe is filled with so many unanswered questions: Why are we here? Is there a greater being that created us? What is the meaning of life?

It’s only natural as human beings to want to crack the greatest mysteries of our existence. Finding those answers may mean going to church, a synagogue, or mosque. Many believe organized religion helps shed light on a world much bigger than just us.

However, spirituality doesn’t have to include religion. You may find a sense of inner peace through quiet activities such as reading, yoga, nature walks, meditation — anything that allows time to put life into perspective and increase self-awareness.

In a world that can be filled with so much confusion, finding a mental and even physical space away from the chaos can help with coping with some of life’s daily stressors.

Discovering one’s spiritual preferences may take some inner reflection and selfdiscovery, but it can ultimately lead to a host of advantages such as eased anxiety, better sleep, reduced depression, and simply a better outlook on life. These then can be translated to overall health benefits such as lower blood pressure and cholesterol levels, a reduced risk of heart disease, a better functioning immune system, and much more.

HEALTHY FINANCE BY THE NUMBERS

No more than

10% 30% 3to6

of a person’s salary should go toward savings. If you are inching closer to retirement, increase your savings to 20 or 25 percent.

of a person’s gross income should go toward paying debt (car payments, mortgage, student loans, credit card payments).

months’ worth of post-tax income should be saved in case of an emergency (unexpected medical expense, job loss, car repairs).

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LAKE EAR NOSE THROAT & FACIAL PLASTIC SURGERY

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By providing quality, comprehensive care that is tailored to the unique needs and desires of each patient, our accomplished board-certified physicians, physician assistants, and doctors of audiology can effectively diagnose and treat individuals who come to our offices looking for answers and solutions.

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A: Unlike polyps in the colon, nasal polyps are usually not cancerous. They can, however, cause nasal and sinus blockage and produce symptoms of infection such as sinus pressure, discolored or thicker drainage, and can create sense of smell issues.
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The future of eye care is here.

Each year, three million Americans have cataract surgery, and those looking for doctors who lead the pack in technology and surgical experience choose the surgeons of Lake Eye. Over the past decade, Drs. Scot Holman and Scott Wehrly have performed thousands of successful cataract surgeries, preventing cataract-related blindness and returning clear, healthy vision to thousands of satisfied patients.

Drs. Holman and Wehrly are not only cataract surgery specialists, they are caring local doctors dedicated to discovering and mastering the safest, most effective procedures available, and delivering them with a personal touch no other surgery center can match. You won’t find superior quality, safety, performance or personal attention anywhere else.

Lake Eye provides world-class surgical experience, training and technology to rid you of cataracts and restore clear vision, even if you have astigmatism or require multifocal lenses. It is the future of vision restoration – here today at Lake Eye. call away and available 5 days a week.

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FROM SEA TO SHINING SEA

To help raise money for wounded veterans and their families, a Eustis woman has organized a coast-to-coast bicycle ride.

WRITER: JAMES COMBS

How far would you be willing to travel and how much would you endure to help a stranger?

For local resident and personal trainer Tracy Draper, the answers to those questions are simple: 3,000 miles with possible thunderstorms, steaming pavement, treacherous mountains, and flat tires.

In 2013, the 48 year old organized Ride Across USA to fulfill a personal goal of completing a cross-country bicycle ride before reaching age 50.

After one year of intense training, Tracy and five other team members throughout Florida are ready to begin an adventure of a lifetime. On June 4, they will leave Malibu, Calif., and, if everything goes as planned, will arrive in Amelia Island on July 8.

Of course, the trip will prove to be much more than a test of endurance. Tracy decided to make her adventure a fundraiser for Hope For The Warriors™, a nonprofit organization that provides help to military men and women who have sustained physical and psychological wounds in the line of duty. She hopes the ride raises $30,000.

“Almost 90 percent of income that Hope For The Warriors generates helps support their 11 programs,” says Tracy, who has been an avid cyclist since 2010. “When I conducted research and realized how transparent the organization is with its money, I immediately wanted to make them the beneficiary of my cross-country ride.”

SEEINGAMERICA

While veterans make tre-

mendous sacrifices on the battlefield, Tracy and her team are undoubtedly making sacrifices of their own. In addition to spending time away from their families and riding through unfamiliar terrain, team members are paying for their airfare, lodging, and food out of pocket. The estimated cost for each cyclist is $3,000.

To help offset expenses, Tracy has sought donations from individuals and businesses and held several fundraisers. In addition, she has spent countless hours emailing and calling town officials across the country who have invited her team to sleep in churches, schools, and community centers. One special invitation came from leaders of the Navajo Nation, who invited the team to sleep inside chapter houses for several nights following their departure from the Grand Canyon.

“We will sleep in a hotel every third or fourth night because we need to get some good sleep during our rest days,” she says. “But other than that, we’ll be doing indoor camping with cots, sleeping bags, and air mattresses.”

The nine-state route will allow team members to see some of the country’s majestic sights — the beautiful night skies of the Mojave Desert, the picturesque red sandstone formations at Garden of the Gods in Colorado Springs, Colo., and the scenic sunflower fields that dot the Kansas landscape. They will also visit the Air Force Academy in Colorado Springs and enjoy a Fourth of July celebration in

Oxford, Ala.

“One of the coolest parts about this trip will be enjoying the breathtaking sights,” Tracy says. “I look forward to seeing the country from an entirely different perspective.”

She also looks forward to interacting with veterans and their family members along the journey. When the team enters Kingman, Kan., they will meet the mother of a soldier who served three tours in Afghanistan and suffers from post-traumatic stress disorder (PTSD). The mother and Tracy have become “email buddies.” They will also ride to Fort Benning, a U.S. Army base in Georgia, and receive much-needed massages from a military nurse. Tracy also expects that several wounded soldiers currently stationed there will join her team for a small leg of the ride.

“This has become a fulltime volunteer job, but I wouldn’t trade it for the world,” she says. “Veterans from around the country have

contacted me and asked to meet or join us somewhere along the trip. Having complete strangers contacting you because they want to help has been a beautiful thing to see. Every email and every phone call has been worth it.”

PEDALPOWER

When she’s not emailing or making phone calls, Tracy spends time on her Stradalli road bike training for the cross-country ride. She averages 225 miles per week, riding the back roads of Lake County. Of course, simulating the uphill climbing she’ll experience in the Rocky Mountains is impossible in Florida, where the highest point is barely above sea level.

That’s why Tracy cycled 13 miles up the 14,115-foot Pikes Peak in Colorado last September. One week later, she competed in the Six Gap Century race in north Georgia, a grueling competition that requires cyclists to

THE RIDE ACROSS USA TEAM

INCLUDES THE FOLLOWING FLORIDIANS:

Ed Bennett a retired firefighter from Geneva

Ruth D’Autio a customer service representative from Clermont

Keith Sherrick a restaurant franchise owner from Winter Garden

Marion Kusters a surgical nurse from Apopka

Scott Manning a computer programmer from Jacksonville

Tracy Draper a personal trainer from Eustis

LAKEHEALTHYLIVING.COM // 47

climb more than 11,400 feet in 105 miles.

Other team members have been training equally hard. In March, 53-year-old Ruth D’Autio of Clermont completed a five-day ride from Maitland to Key West with 12 other cyclists. That is impressive, especially considering she suffered a neck injury last December that kept her off her bike for nearly two months. Still, the setback has not derailed her from being part of Ride Across USA.

“This will be the ultimate adventure,” says Ruth, a customer service representative with The Cycling Hub in Clermont. “I look forward to riding with a great group of people. I’m a little nervous because we do not know the roads, but at the same time I’m excited because we’re exploring new territory. All the sweat and tears will be worth it because we are doing this for veterans.”

Team members have also completed three training rides together of varying lengths — 124 miles, 187 miles, and 254 miles.

“We did this as a team so we can get to know each other’s personalities and riding styles,” Tracy says. “It also helps us bond, and we’ll certainly need each other’s encouragement and support when we are doing the crosscountry ride.”

YOURCHANCE TOHELP

As of this writing, there is still room for two more

cyclists who would like to make the cross-country ride. In addition, Tracy is hoping someone can donate a vehicle that would follow the team during its journey and transport necessary supplies. Clay Smith, a retired Navy veteran from The Villages, has agreed to be a driver. Pam Hunt, a Howey-in-theHills resident whose crosscountry ride in 2005 inspired Tracy, will drive the support and gear (SAG) vehicle for a portion of the trip. Pam’s husband, John, will follow in their vehicle.

“I am so proud of my team, and they’ve been extremely helpful with planning routes, helping in fundraising efforts, attending team meetings, and providing input for the entire mission,” Tracy says. “As hard as they have worked, we still would appreciate any support the local community could provide, especially when it comes to financial donations.”

By becoming a rider or simply donating money, you will be helping a great cause — a cause that shows the men and women of the U.S. military how much their daily sacrifices are truly appreciated. For more information on how you can help, visit rideacrossusa.com.

Hope For The

Warriors was started in 2006 by a group of military wives who experienced firsthand the toll that war takes on service members and their families. The organization provides assistance to veterans through the following 11 programs:

• ABOVE AND BEYOND

• OUTREACH

• CRITICAL CARE COORDINATION

• FAMILY REINTEGRATION

• FAMILY SUPPORT

• HOPE AND MORALE

• OUTDOOR ADVENTURE

• RUN FOR THE WARRIORS

• SPOUSE/CAREGIVER SCHOLARSHIPS

• A WARRIOR’S WISH

• HOPE AND CARE CENTER

For more information about these programs, visit hopeforthewarriors.org.

INTRODUCING

Brookdale® Place at Freedom Pointe

Coming Soon to Freedom Pointe at The Villages

With brand new accommodations for Assisted Living and Alzheimer’s and dementia care now under construction, Freedom Pointe at The Villages is truly your destination for all the places life can go! The new Brookdale Place at Freedom Pointe will feature gorgeous golf course views and provide residents with access to a complete continuum of care.

Don’t struggle with aging. Find a solution.

Call now to see our new floor plans and learn more about our pre-opening specials. (352) 750-1355
AT FREEDOM POINTE Assisted Living | Alzheimer’s & Dementia Care 1700 El Camino Real | The Villages, FL 32159 (352) 750-1355 | brookdale.com Assisted Living Facility License pending opening December 2014

EXCELLENCE a tradition of

Specializing in everything from broken bones to arthritic joints to aching feet, Florida Musculoskeletal Institute has offered Leesburg and The Villages the region’s most technologically advanced, comprehensive and compassionate care for more than 30 years. FMI’s doctors have provided dramatic and lasting relief from pain and dysfunction to thousands of patients throughout Central Florida, and even many who have traveled from outside the state to take advantage of FMI’s renowned reputation, technology and expertise. First established in 1983 as Lake Centre for Orthopaedics, the practice

changed its name when it expanded its list of services in 1998. The majority of FMI’s business has come from ongoing patient loyalty and enthusiastic referrals, which attests to the therapeutic success and skill of FMI’s doctors, and to the aptness of the practice’s philosophy that improving patients’ lives requires the right combination of cutting-edge orthopaedic techniques, customized surgery and proven-effective care.

“The growth and longevity of this practice has come from taking the time to listen to patients and treat each case personally,” says Dr. Andrew Huntt, one of FMI’s founding physicians.

“We think it is common sense to

(L–R): Dr. Chad Watkins, Dr. Carl Ollivierre, Dr. Andrew Huntt, and Dr. John Cowin.

investigate breakthroughs and trends, but to employ only those that are proven to work and apply them based on individual circumstances. We have established the right blend of state-ofthe-art equipment and procedures with good bedside manner. The fact that our patients’ family members and friends seek us out is testament to our approach’s effectiveness.”

Another member of FMI’s talented team of physicians is Dr. Carl Ollivierre, an orthopaedic surgeon who specializes in sports medicine, total knee and hip replacement, as well as anterior approach hip replacement, which is a revolutionary procedure providing a smaller incision, a lower complication rate, and a quicker recovery than traditional hip replacement procedures.

“The recent advances in medicine are exciting,” says Dr. Ollivierre. “I thoroughly explore every new technique that shows promise and abandon any that seem more like novelties than good medicine. Lots of fads may provide some fleeting help, but we don’t consider a procedure effective until it proves to be successful over the long term.”

The large number of patients suffering from foot and ankle problems inspired FMI to welcome podiatrist Dr. Chad Watkins to the practice in 1999. Dr. Watkins specializes in treatments designed to relieve pain syndromes such as plantar fasciitis, tendonitis, bunions and hammertoes. Says Dr. Watkins, “I think it’s important to have a podiatrist and orthopaedic surgeons in the same practice. Oftentimes people with foot pain may develop a limp that aggravates their hips or knees. After I help rid them of foot pain, I can refer them to one of our doctors to help treat their hip or knee pain, which is a great convenience.”

The board-certified physicians of FMI perform a variety of orthopaedic and podiatric surgeries, including partial and full joint replacement, fracture and soft tissue repair, foot pain treatments and specialized surgeries such as anterior-approach hip replacement and gender knee replacement.

However, patients can rest assured that every technique and surgery the doctors employ are proven to work long term. “We provide only truly effective surgeries and non-surgical treatments,” says Dr. John Cowin, another of FMI’s founding physicians. “We don’t push fad surgeries that aren’t shown to provide lasting relief. Other practices may fi nd it acceptable, but we don’t believe in taking advantage of people’s pain to make a buck.”

Adds Dr. Ollivierre, “Surgery works only when it’s the right surgery for a particular patient. We specialize in and utilize only established procedures that are genuinely successful for most people.”

FMI has two convenient locations. The Leesburg office is at 600 N. Blvd. West; phone number 352.728.3000. The Villages office is at 910 Old Camp Road, Building 110, Suite 112; phone number 352.753.4366. Please call for more information or visit FMI on the web at www.bonesandmuscles.com.

SPECIAL PROMOTIONAL FEATURE
Dr. Chad Watkins Dr. Carl Ollivierre Dr. Andrew Huntt
Call today to schedule your appointment. 352.530.2256 Two new locations to serve you. LEESBURG 803 E. Dixie Ave., Leesburg, FL 34748 THE VILLAGES 1149 Main St., The Villages, FL 32159
Dr. Sanjeev Bhatta
Ronnie Sabbah Call today to schedule your appointment. 352.530.2256 Two new locations to serve you. LEESBURG 803 E. Dixie Ave., Leesburg, FL 34748 THE VILLAGES 1149 Main St., The Villages, FL 32159
Dr.
LAKEHEALTHYLIVING.COM // 55 SHAPE // EAT FIT/NOT FAT // INSIDE YOGA FLOW 56 ‘EGG’CELLENT BREAKFAST 60 DISSECTING COSMECEUTICALS 62 BODY // E T

SHAPE BODY

YOGA FLOW

For the past 5,000 years, people have been practicing yoga as exercise to relieve stress, tone muscles, and unite the mind and body. The very name itself — yoga — means “to yoke, to connect.” It combines breathing, exercise, and meditation into one discipline that offers a plethora of benefits. Many who practice yoga on a regular basis are more flexible and have a deeper sense of peace and calmness. You do not have to be a yoga master to incorporate these basic moves into your weekly workout regimen. Feel the power within!

WARRIOR POSE

1. Start position: With feet together, take a deep breath and exhale, relaxing the shoulders.

2. Move it: Take a giant step to the left, turning the left foot out, and look left. Arms reach out away from the center of your body. The right foot remains facing forward.

3. Finish position: Breathe deeply three times while contracting core muscles. On the final exhale, push hard off the left foot and return to start position. Repeat on the right side.

TRAINER’S TIPS

• Breathe in through the nose and out through the mouth in a slow, controlled manner.

• Work your way up to doing five to eight repetitions per side.

• Be sure to give your glutes a big squeeze as you hold this position.

MUSCLE GROUPS TARGETED: core, quads, glutes

DID YOU KNOW?

There are more than 100 different types of yoga.

In the West, the spiritual aspect of yoga is not emphasized, but the mind and body element is strong.

There are five yoga postures: standing, seated, twisting, inverted, and prone/ supine lying.

//////
WRITER: TRACY DRAPER

Final position

DESK JOCKEY

Stuck in a cubicle for eight hours a day? Take a short walk to a stairwell and get in a few crescent moons or warrior poses if you can dress for it. A modification to the downward facing dog is the following:

• Stand behind a chair, holding onto the back of it.

• Bend at the hips and step backward, keeping legs straight with weight on heels. Keep arms straight.

• Drop the chin toward the collarbone, fully extending the arms.

OODF O

FUN FOOD TIP

• Take in three deep breaths and stand straight up on third exhale, squeezing glutes.

Try some nuts, applesauce, whey, spinach, or even a sweet potato an hour before practicing yoga, as they are known to have a calming effect on the nervous system.

some nuts, T sweet an hou o r before pr p acticing yoga, as are kn k owwn to o a effect on o nervo v us s systtem m

Source: naturalnews. com/038747_nervous_system_ calming_foods.html

So S urcee: na n turalnews. coom/038747_nner e vouss_sys y tem_ m calming_foodds. s ht h ml

LAKEHEALTHYLIVING.COM // 57
//

CRESCENT MOON

1. Start position: Stand with feet together and arms by sides.

2. Move it: Inhale deeply as arms raise overhead. Gently clasp hands and lean, reaching toward the left. Hips go slightly to the right to maintain balance. Hold with glutes, quads, and abs contracted.

3. Finish position: Exhale and find a focal point. Inhale and exhale slowly three times. Return to start position on the final exhale. Repeat on the other side.

TRAINER’S TIPS

• Do this three times per side.

• Remember to breathe evenly and deeply; do not hold your breath.

• Reach the arms as far away from your center as possible; no part of your body is fully relaxed.

MUSCLE GROUPS

TARGETED: core, obliques

First position

Second position

osition

Final position

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DOWNWARD FACING DOG

1. START POSITION: Kneel on all fours with abs drawn in and toes turned under.

2. MOVE IT: Inhale and straighten legs, pushing hips up. Try to get your heels on the ground. Keep abs pulled in toward the navel and exhale.

3. FINISH POSITION: With straight legs, shoulders fully extended and hips high in the air, keep abs drawn in and head neutral. Inhale three more times and return to start position on the final exhale.

TRAINER’S TIPS

• If you are unable to keep your heels on the ground, keep working on it. With time, you will.

• Be sure to keep the arms by your ears and head in a neutral position.

• Flex knees slightly if too intense.

MUSCLE GROUPS

TARGETED: abdomen, hamstrings, calves, trapezius, triceps, gluteus maximus

WRAP UP

By incorporating a little flexibility and breathing techniques into your day, you will find that the little stressors in life can be melted away. Stress tightens our muscles (in a negative way) and by stretching them gently, you will literally feel stress making its way out of your body. Try it! You might like it… that is, unless you live a stress-free life. Source: americanyogaassociation.org

First position

Second position

LAKEHEALTHYLIVING.COM // 59
TRACY DRAPER is an AFAA-certified personal trainer with more than 12 years experience in personal fitness training. As a wife and mom, she discovered a few years ago that she could once again be an athlete, as well. In 2014, she is leading a team of cyclists on a cross-country ride. Visit www.RideAcrossUSA.com for more details.
DR A lea po
MODELS: Tracy Draper and John Hockley on location at Gold’s Gym, Mount Dora SOURCES: Yorke, Mary. Personal Fitness Training: Th eory & Practice, Sherman Oaks, CA: 2010
WSTA dra MO Kee FIN ho he nh pos yo ou e s a n ex RA First O 1. M . s th I p • If gro • Be in • Fl TR

EAT FIT/NOT FAT

‘EGG’CELLENT BREAKFAST

WRITER: ANNA GUNTER, RD, LD/N

HAVING A HEALTHY EGG OMELET CAN BE A GREAT WAY TO START THE DAY

With Easter around the corner, you may find yourself decorating Easter eggs. In addition to being a spring decoration, eggs offer a good source of high-quality protein. Eggs are also full of biotin and vitamin D, which is important for bone health and metabolism in the human body. However, eggs should be eaten in moderation because the yolk is high in cholesterol.

The yolk of a large egg contains nearly 200 milligrams of cholesterol. The U.S. Department of Agriculture’s dietary guidelines recommend that cholesterol intake should be limited to no more than 300 milligrams per day. Limiting cholesterol intake is important to prevent high LDL cholesterol (bad cholesterol) and reduce the risk for heart disease.

Egg substitutes are typically made from egg whites, which contains no cholesterol. By using egg whites or a cholesterol-free egg substitute product instead of whole eggs in recipes, you can reduce your intake of dietary cholesterol.

BE AWARE:

BACON, EGG, AND CHEESE BISCUITS FROM FAST FOOD RESTAURANTS

Stay away from unhealthy additions to eggs such as bacon, sausage, and full-fat cheese, which are high in saturated fat and sodium. For example, a regular sized bacon, egg, and cheese biscuit from McDonald’s will cost you:

460 calories

26g fat

13g saturated fat

250mg cholesterol

300mg sodium

BETTER:

A VEGETABLE FRITATTA WITH WHOLE EGGS

Vegetables are a fiber-rich addition to eggs, and fresh vegetables contribute negligible sodium. However, remember whole eggs containing the yolks should only be eaten in moderation.

60 // HL // APRIL 2014
BODY
ANNA GUNTER is a registered dietitian and American College of Sports Medicine certified health fitness specialist. She earned a Bachelor of Science degree in food science and human nutrition from the University of Florida. Anna is the outpatient dietitian at Florida Hospital Waterman in Tavares.

BEST

A VEGETABLE OMELET WITH CHOLESTEROL-FREE EGG SUBSTITUTE

Yield: Two omelets

Ingredients:

3/4 cup cholesterol-free egg substitute

1 tablespoon fresh parsley, minced

1 tablespoon fresh basil, minced

1 teaspoon chives, minced

1/2 teaspoon tarragon

1/2 teaspoon garlic powder

Pepper to taste

1/2 cup onions, chopped

1/3 cup green bell pepper, chopped

1/3 cup red bell pepper, chopped

Directions:

1. Whisk together egg substitute, parsley, basil, chives, tarragon, and pepper.

2. Sauté onions in olive oil for three to five minutes. Then add green bell pepper and red bell pepper and cook for another minute or two.

3. Add the onions and peppers to the beaten eggs and combine well.

4. In a large skillet or frying pan, melt some vegetable oil spread and swirl it so it coats the entire bottom of the pan.

5. Pour half of the egg mixture into the pan, and sprinkle with garlic powder.

6. Allow to cook just until done (until the eggs are lightly golden brown). Then fold in half, and cook for a few more minutes.

7. Repeat with remainder of egg mixture.

Serve the omelet with fiber-rich whole-wheat toast, fruit, and a glass of skim or 1 percent milk for a healthy, balanced breakfast.

LAKEHEALTHYLIVING.COM // 61

INSIDE

DISSECTING COSMECEUTICALS

Cosmetics have been around since the first cavewoman used chalk dust to powder her nose before heading out for another day of hunting and gathering. Her mate probably grunted something to the effect that she looked particularly alluring that morning and the future of cosmetics was assured.

The desire to look one’s best has persisted and fueled the multibillion dollar cosmetics industry, but has taken on a new dimension with the addition of a nod to wellness as opposed to just looking good. The concept of wellness — a state of balance between the mind, body, and spirit that maximizes one’s potential — dates back to the emergence of the middle class in the 19th century as a consequence of the Industrial Revolution. At last, people had the time and means to devote to bettering themselves and their circumstances, rather than just struggling to stay alive.

Now, when it comes to the discussion of cosmetics, it really is one for women. Cosmetics are understood to be things that enhance appearance and nothing more. Men, even modernday “metrosexuals,” rarely use pure cosmetics, like facial makeup, eyeliner, eye shadow, lipstick/lip gloss, and mascara. Constant change in life and culture is a given, however, and in 1980,

the term “cosmeceutical” was coined by Dr. Albert Klingman, a dermatologist. Dr. Klingman, a somewhat controversial figure, discovered that retinoic acid, more popularly known as retin-A, could be used both medically to treat acne and cosmetically to treat wrinkles. The ripple effect of this discovery was huge.

It did not take long for the cosmetics industry to appreciate the potential of this discovery and, thus, the cosmeceuticals industry was born. Cosmeceuticals are products that combine the appearanceenhancing character of a cosmetic with the therapeutic character of a pharmaceutical product. In 2010, the industry had grown into a $16 billion per year juggernaut.

Most everyone is aware of pharmaceuticals. These are products that have a biologic effect on our bodies. Pharmaceuticals range from nonprescription products, like aspirin, to the most potent new generation antibiotics. They are intended to prevent or treat disease and illness and alter the structure and/or function of cells or tissue in the human body. In contrast, cosmetics are inert. Pharmaceuticals are regulated by the Food and Drug Administration (FDA) and must meet high standards of effectiveness and safety.

Cosmeceuticals straddle the fence between cosmetics and pharmaceuticals,

a regulatory “no man’s land” where perception becomes as important as reality. The FDA does not recognize the term “cosmeceutical.” A product is either a cosmetic or a drug… or it is not. Products that claim pharmaceutical properties are treated as drugs and are subject to the same regulations as any other drug.

A common example of a cosmeceutical would be makeup containing a sunblock. Because sunblocking agents are intended to prevent burns, sun damage, and possibly future skin cancer, they are regulated by the FDA as drugs and must meet certain conditions for approval. A product intended to hide freckles and blotchy pigmentation in the skin would be a cosmetic. If it contained something to treat spots and make them fade away, it would be a cosmeceutical and under FDA regulation.

However, not all cosmeceuticals come under FDA scrutiny. Many claim to have benefits that stop short of meeting the definition of a drug. Here is where semantics comes into play. How a cosmeceutical describes its action often determines whether it is regulated or not. Terms like “beautifies,” “moisturizes,” “hydrates,” “protects,” “conceals,” “highlights,” “conditions,” “cleanses,” and “refreshes” all imply a benefit

62 // HL // APRIL 2014
BODY
DO THESE ‘MIRACLE’ BEAUTY PRODUCTS ACTUALLY BENEFIT YOUR APPEARANCE?

beyond simple cosmetic enhancement without claiming to treat or prevent any skin condition per se. Descriptions such as “prevents signs of aging,” “regenerates damaged skin,” “stimulates skin repair,” “fades pigment spots,” and “penetrates into skin to act…” would all be therapeutic claims.

Cosmeceuticals do not want FDA oversight. It is time consuming and expensive to seek FDA approval for a drug. Companies must prove safety and effectiveness with peer-reviewed, controlled, scientific studies. These are absent for many, if not most, cosmeceuticals.

Agents with medicinal properties used in cosmeceuticals include antiinflammatory products, such as steroids and derivatives of non-steroid drugs like aspirin; antioxidants, such as vitamins C and E; alpha hydroxyl acids, like glycolic and lactic acid; and pigment lighteners, such as hydroquinones. For the consumer, there are several problems with unregulated cosmeceuticals. For one, the potency of the supposedly active agent is usually not listed on the labeling and is often well below the usual level of what is used therapeutically. The effectiveness of the active agent in accomplishing those wonderful results claimed by the manufacturer is hardly ever

substantiated with controlled clinical trials. It is truly the wild, wild West out there with purveyors of many of these products being the modern equivalent of old snake oil salesmen. The operating principle, overwhelmingly, is “let the buyer beware.”

On the plus side, there is probably little danger from most cosmeceuticals. The same low potency that makes their effectiveness problematic also tends to insure that serious reactions and complications from their use are rare. An example of an exception might be sun damage, and even skin cancers, arising from overreliance on the sun protection claims of some products.

As a physician, I take the position that so long as there is little danger and you feel that it is beneficial to you — and you are willing to part with your money to use it — then go for it. As a physician, I also have to practice according to evidence-based, ethical medical principles, and I cannot in good conscience recommend, or sell, many of these products to my patients. While I can happily prescribe retin-A to a patient because of its known skin rejuvenating effects, I cannot similarly recommend a cosmeceutical with an unknown concentration of this medication, nor can I say that one brand is better than another. Many physicians

today, in an effort to improve their bottom line, offer proprietary and even self-named products for enhancing skin health. Their medical degree gives them a greater perceived authority and legitimacy. Many of these products come from clearing houses that will take generic cosmeceuticals and label them with the physician’s name or their practice name. I believe such marketing is disingenuous.

My prescription for skin health is relatively simple. Live a healthy lifestyle that includes enough exercise, good nutrition, rest, engaging work, and social interactions. Avoid unnecessary direct sun exposure and use a high quality sunblock consistently when outdoors. Also, avoid excess alcohol intake and all tobacco products and stay well hydrated. For your skin, use a simple soap and a buff pad to remove dead surface cells. Use a good moisturizer and high quality makeup. Learn to apply it well. If you do these things, you probably do not need to spend a lot of money on cosmeceuticals.

LAKEHEALTHYLIVING.COM // 63
RICK BOSSHARDT, M.D., graduated from the University of Miami School of Medicine in 1978. He founded Bosshardt & Marzek Plastic Surgery Associates, Lake County’s first practice to provide full-time cosmetic and reconstructive plastic surgery services, in 1989.

Thefirst step towards a beautiful, healthy smile!

We here at Lake OMS practice a full scope of oral and maxillofacial surgery that includes expertise in the areas of corrective jaw surgery, wisdom teeth removal, diagnosis and treatment of facial injuries, as well as bone-grafting procedures Drs. Azizi and Figueroa employ the most recent advances in dental implant technology by utilizing CT-guided system for minimally-invasive implant surgery. With this technology, we can evaluate the bone ahead of time and place implants precisely in an ideal functional and esthetic position. We are committed to provide the highest quality treatment so our patients can smile and function with confidence.

Lake Oral & Maxillofacial Surgery

19051 US Highway 441, Suite 100, Mount Dora 352.735.5005 • www.LakeOralSurgery.com

Enrollment for 2014-2015 has begun! Enrollment will continue until classes are full.

CDC Prediabetes Screening Test

COULD YOU HAVE PREDIABETES?

Prediabetes means your blood glucose (sugar) is higher than normal, but not yet diabetes. Diabetes is a serious disease that can cause heart attack, stroke, blindness, kidney failure, or loss of feet or legs. Type 2 diabetes can be delayed or prevented in people with prediabetes through effective lifestyle programs. Take the first step. Find out your risk for prediabetes.

TAKE THE TEST—KNOW YOUR SCORE!

Answer these seven simple questions. For each “Yes” answer, add the number of points listed. All “No” answers are 0 points.

Are you a woman who has had a baby weighing more than 9 pounds at birth?

Do you have a sister or brother with diabetes?

Do you have a parent with diabetes?

Find your height on the chart. Do you weigh as much as or more than the weight listed for your height?

Are you younger than 65 years of age and get little or no exercise in a typical day?

Are you between 45 and 64 years of age?

Are you 65 years of age or older?

Add your score and check the back of this page to see what it means.

Yes 1 1 1 5 5 5 9 No 0 0 0 0 0 0 0 Height Weight Pounds 4’10” 129 4’11” 133 5’0” 138 5’1” 143 5’2” 147 5’3” 152 5’4” 157 5’5” 162 5’6” 167 Height Weight Pounds 5’7” 172 5’8” 177 5’9” 182 5’10” 188 5’11” 193 6’0” 199 6’1” 204 6’2” 210 6’3” 216 6’4” 221 AT-RISK WEIGHT CHART (352) 357-1668 ext. 3316
Florida Department of Health in Lake County

IF YOUR SCORE IS 3 TO 8 POINTS

This means your risk is probably low for having prediabetes now. Keep your risk low. If you’re overweight, lose weight. Be active most days, and don’t use tobacco. Eat low-fat meals with fruits, vegetables, and whole-grain foods. If you have high cholesterol or high blood pressure, talk to your health care provider about your risk for type 2 diabetes.

IF YOUR SCORE IS 9 OR MORE POINTS

This means your risk is high for having prediabetes now. Please make an appointment with your health care provider soon.

HOW CAN I GET TESTED FOR PREDIABETES?

Individual or group health insurance: See your health care provider. If you don’t have a provider, ask your insurance company about providers who take your insurance. Deductibles and copays may apply.

Medicaid: See your health care provider. If you don’t have a provider, contact a state Medicaid office or contact your local health department.

Medicare: See your health care provider. Medicare will pay the cost of testing if the provider has a reason for testing. If you don’t have a provider, contact your local health department. No insurance: Contact your local health department for more information about where you could be tested or call your local health clinic.

CS232302A
www.cdc.gov/diabetes
LAKEHEALTHYLIVING.COM // 67 LOVING THYSELF 68 NO NEGATIVE THOUGHTS ALLOWED 70 WORTH // MINDSET IND

WORTH LOVING

THYSELF

QUIET YOUR INNER CRITIC AND UNDERSTAND YOU ARE GOOD JUST THE WAY YOU ARE.

The results are in, and they are extremely concerning. According to the Confident Coalition, created by Kappa Delta Sorority, 90 percent of all women want to change at least one aspect of their physical appearance. In addition, Dove Research says only 4 percent of women around the world consider themselves beautiful. It appears that lifestyle trends and the media have done a great job planting the selfdoubt seed in every less-than-perfect individual across the globe, and every trait or behavior outside their command is considered a flaw — a defect that needs “fixing.”

If you fall into that 90 percent who want to change at least one undesirable trait, take a step back and think why. Do you feel inferior to current beauty standards? Do you want to impress a special someone or make others like you? Either way, you are off on the wrong foot. When change is dictated by external factors other than the individual’s own will to change, it becomes a burden. In other words, if you are trying to modify your appearance or behavior to meet someone else’s criteria, you are setting yourself up for failure.

Change is a good thing, even when it leads to learning from your mistakes. However, you cannot wait for the transition to be completed in order to love yourself. Sure, you will feel better and more confident once you have achieved a positive outcome, like losing those 15 pounds or kicking a bad habit, but viewing your attempt as something to be over with will drain your motivation.

68 // HL // APRIL 2014
MIND M
Photo illustrator: Anthony Casto

Inste that vers W ever extra earn alwa the p an a d e achie for the contra happ

Instead, think of it as a personal upgrade. Each day that you focus on your goal is a step toward a better version of yourself.

When you do not love yourself, no change will ever be enough. While you might think that losing extra weight or refreshing your wardrobe will earn you much-needed self-esteem, things are not always that simple. Obsessing over your flaws to the point you cannot appreciate your strong traits and enjoy life means that no matter how much you achieve, your mind will always be on the lookout for the next shortcoming that needs fixing. On the contrary, if you already feel good about yourself, any change can be welcomed as an improvement without your happiness depending on it.

Another i often have a ske

than others. W

Another important thing to keep in mind is people often have a skewed self-image. This means you tend to be a less objective — and often far harsher — judge of yourself than others. While other people may see delicious curves on your body, all you can see is extra weight. This self-induced distortion of reality can lead to extreme measures, such as crash diets that can damage your health or unnecessary cosmetic interventions. In not-so-rare cases, it can also spark feelings of unhappiness, self-hatred, and depression.

distortion of re crash diets th cosmetic inter of un

Perfection spo on the in a constant stru

flaws and lo too. Leave the na most out of the lif

Perfection is the ultimate illusion because everyone has weak spots. Some people manage to conceal them by focusing on their positive characteristics, while others linger in a constant struggle for change. Amazingly, if you can accept your flaws and love yourself unconditionally, others will love you, too. Leave the nagging and self-loathing behind and make the most out of the life you’re living.

LAKEHEALTHYLIVING.COM // 69

MINDSET

NO NEGATIVE THOUGHTS

ALLOWED

FOCUSING ON THE POSITIVE CAN LEAD TO BETTER OUTCOMES AND A HEALTHIER LIFE.

Everyone knows the phrases “the power of positive thinking” or “think positive” that have become mantras in the business world or among self-help gurus. Most people understand that thinking positively indeed creates a better mood, more energy, more confidence, and is contagious. People who have a positive attitude seem to have better luck than people who have more negative outlooks. It is believed that those who keep their thoughts and attitudes positive have more positive things happen to them. They do well while interviewing for jobs, they tend to become more successful, and they seem to be happier overall. Others seem to be drawn to these types of people. But is there really power in positive thinking?

According to the Mayo Clinic, researchers continue to explore the effects of optimism on people’s health. Some benefits that positive thinking may provide include:

• Increased life span

• Lower levels of depression

• Lower levels of distress

• Greater resistance to the common cold

• Better psychological and physical well-being

• Reduced risk of death from cardiovascular disease

• Better coping skills during hardships and times of stress

Additionally, when people think positively, they tend to be more successful and have confidence in themselves. When people are more successful, they are happier. And when people are happier, they are able to cope with stress more effectively than someone who thinks negatively.

When people are less stressed, it does affect their health. Studies show that people who are less stressed have a stronger immune system, are less likely to have a heart attack or heart disease, are expected to live a longer life, are less likely to become depressed, and have a better overall well-being.

To embrace a more positive worldview, the best place to start is with

self-talk. Self-talk is all the random, endless flow of thoughts that run through the mind throughout the day. Typically, these thoughts can be positive or negative in nature. While much self-talk is rationale, sometimes it can come from a negative space created by insecurities and a lack of information.

If you are unhappy with any aspect in your life, whether it’s a job or personal relationship, work on fixing it and drown out the negative self-talk by responding with affirmations of what is good about you and the situation. Always shoot for a positive spin and embrace humor to lighten the mood. In addition, work on having a healthier lifestyle since exercise can affect mood in a positive way, and be sure to surround yourself with people who also think positively.

Positive thinking may not be a groundbreaking cure to disease, or a guarantee for success, but it can make life a little easier, happier, healthier, and more successful.

70 // HL // APRIL 2014
MIND Sources: “Positive thinking: Reduce stress by eliminating negative self-talk.” Mayo Clinic. www.mayoclinic.org/positive-thinkin g/ART-20043950 (Accessed Feb. 25, 2014)
LAKEHEALTHYLIVING.COM // 71
ACME
IF YOU ARE UNHAPPY WITH ANY ASPECT IN YOUR LIFE, WHETHER IT‛S A JOB OR PERSONAL RELATIONSHIP, WORK ON FIXING IT…

Allergies are nothing to sneeze at.

Now it’s possible to say goodbye to them for good!

Allergies can dramatically impact your life, and avoiding the triggers, such as pollen, mold, pets, and dust can be difficult, if not impossible. Medications designed to alleviate symptoms provide only short-term relief and can come with a host of unpleasant side-effects, such as sleepiness, grogginess, elevated blood pressure and susceptibility to infection. And while allergy medicines may address symptoms, they do nothing to alleviate the underlying allergies themselves.

More than relief – a longterm cure for allergies

Immunotherapy is different. It works by introducing tiny amounts of allergens into your system, enabling your body to accept these allergens as normal, so your immune system will stop attacking them, causing symptoms. Traditionally, immunotherapy has been delivered as painful and inconvenient allergy shots at a doctor’s office 1-2 times a week. But now there’s a breakthrough treatment that can eliminate the pain, hassle and expensive co-payments associated with shots.

Sublingual immunotherapy is an advanced, all-natural, drug-free treatment for allergies. It is taken daily at home by placing a few drops of serum under the tongue. That’s it – no shots, no pills, and monitoring by your doctor is required just once every 12 weeks. Other than a very rare chance of a serious negative reaction to the allergens in the serum, sublingual immunotherapy is completely safe and without side effects. Testing for allergens using this therapy requires no needles, is painless and takes only 30 minutes. Because it contains no drugs, it is suitable for all ages.

The eye doctor who ventured into allergy relief

Mark Vocci, M.D., a Board-certified ophthalmologist with Lake Eye Associates, now treats patients using sublingual immunology. “I became interested in allergy drops because so many of my patients come to me with eye distress or complications due to allergies,” says Dr. Vocci. “I decided this safe, breakthrough treatment should be included in my list of offerings to all patients suffering allergy symptoms.”

Over time, the body can adapt so well to the allergens introduced by the serum that it stops having allergic reactions altogether. Typically this takes about four years but for many, it is worth the wait. Says Dr. Vocci, “Taking the serum is safe, easy, convenient, painless and holistic. Eventually most patients are actually cured of allergies. This is the future of allergy treatment. I’m thrilled to provide testing and treatment to patients.”

“I decided this safe, breakthrough treatment should be included in my list of offerings to all patients suffering allergy symptoms.”
— Mark Vocci, M.D. Accepting new patients! TAVARES |LEESBURG |THE VILLAGES 352-750-2020 www.LakeEye.com
d thi

My passions are being a dad, a husband, and a cardiologist. I enjoy the interaction with my patients and their families. I always strive to treat my patients exactly how I would want a physician to treat my mom or dad.

1149 Main Street, The Villages 352.674.2080
www.heartofthevillages.com
I am the Heart of the Villages
352.742.6809 2445 Lane Park Road, Tavares, FL 32778 cornerstonehospice.org seriousillness.org/cornerstone Lic. #5019096 "It's about Living!" Oaks Professional Center (North of Bealls on Hwy. 441) 8575 NE 138th Lane, Ste. 105 352.364.0064 or Toll Free 866.324.5330 www.DrPisano.com Imagine Yourself with a new smile! Lic # 20578096Lic # 20576096 Interim Healthcare of Leesburg, LLC. 9738 US Hwy 441, Suite 103 Leesburg, FL 34788 352.326.0400 www.interimhealthcare.com/leesburg Interim Healthcare of Ocala, LLC 2010 NE 14th Street, Bldg. 100 Ocala, FL 34470 352.351.5040 www.interimhealthcare.com/ocala • Private Duty • Nursing • Personal Care • Homemaking • Senior Care • Companion • Respite Care • Therapy Home Care You Trust Sometimes the most powerful medicine in the world is the simple comfort of home
FAITHFUL // PEACE// MENCOURAGEMENT SPIRIT HEALTHY SPIRITUALITY 76 IN PERFECT HARMONY 78 HUGE THUNDERCLAPS OVERHEAD 80

SPIRIT

FAITHFUL

HEALTHY SPIRITUALITY

THERE SEEMS TO BE A CLEAR CONNECTION BETWEEN A PERSON’S SPIRITUAL BELIEFS AND HIS OR HER OVERALL HEALTH.

The idea there is a mind-body connection is no longer a controversial subject, but positive thinking alone is not necessarily the key to a longer, more productive life. Medical science has become more open to the idea there is a soul-body connection, and the person with spiritual well-being is also likely to have physical well-being.

Several observational studies have hinted that people who have regular spiritual practices tend to live longer. One study in particular involving 1,700 older adults showed those who attended church regularly were half as likely to produce the chemical interleukin-6, which is associated with an increased incidence of disease.

Practicing a faith provides emotional and social support through fellowship. Social interaction and a strong support system are vital elements in maintaining a positive attitude and helping to cope with stressful situations. Having a spiritual commitment also tends to enhance recovery from illness or surgery. A study of heart transplant patients showed that those who participated regularly in religious activities and said their beliefs were important tended to comply more closely with follow-up treatment protocols. They also had improved physical functioning a year

after the surgery and had less anxiety and fewer health worries compared to those with no spiritual leanings. Religious or spiritual beliefs also tend to mitigate self-destructive behaviors. One of the states noted for having some of the oldest residents

medical practitioners, such as managed care powerhouse Kaiser Permanente, Dr. Dean Ornish, Dr. Mehmet Oz, and the founder of the Physicians Committee for Responsible Medicine, Dr. Neal Barnard.

Non-Christian spiritual beliefs can be just as beneficial to physical health.

is Utah; this state also has one of the largest populations of Mormons. People of the Mormon faith do not smoke cigarettes, nor do they drink alcoholic beverages or caffeinated beverages such as coffee, tea, or colas. Similarly, the Seventh Day Adventists have been observed over a long period to have significantly lower rates of cancer and heart disease compared to nonAdventists. The Seventh Day Adventists are ovo-lacto vegetarians and also avoid tobacco and alcohol usage. Many of the dietary habits that Adventists have practiced for more than a century are now being endorsed by mainstream

Okinawa, Japan, has the highest percentage of centenarians in the world. A 25-year study of Okinawans concluded that a combination of diet, physical activity, spiritual beliefs that fostered a sense of well-being, and strong family ties and social networks were the foundational blocks for this incredibly vigorous population. Okinawa has a mix of spiritual beliefs. Buddhism, Shinto, Christianity, and a form of animism or nature worship are all part of this culture.

Finally, those who hold spiritual beliefs tend to have a strong sense of purpose and believe their life has meaning. These two factors create an

76 // HL // APRIL 2014
SOURCE: The role of spirituality in health care,” by Christina M. Puchalski, M.D., MS. National Center for Biotechnology Inform ation. www.ncbi.nlm.nih.gov/pmc/articles/PMC1305900; “Word of wisdom.” mormon.lds.net/ mormon-beliefs/word-of-wisdom; “Adventist health study.” Loma Linda University. www.llu.edu/info/legacy/appendixc; “The Secret of Life.” The Boston Globe. www.okicent.org/news/boston_globe.html
…those who hold spiritual beliefs tend to have a strong sense of purpose and believe their life has meaning.

unshakable will to live. In his book, Man’s Search For Meaning, Viktor Frankl observed that those people who had a sense of purpose or reasons for living that were larger than their own existence were the ones who were better able to withstand the brutalities of life in a Nazi concentration camp. Every day, they awoke committed to survive that day so that one day they could achieve their life’s purpose, and they had a sense of gratitude at the end of the day because they had survived. Can spirituality be counterproductive?

In certain circumstances, it can hinder rather than help physical well-being. Medical doctors who practice holistic or compassionate care have noted that individuals whose worldview includes a punitive God, one who sends illness and adversity as a way to punish past misdeeds, or who believe that their present circumstances are “karma,” may actually embrace their illness rather than work toward wellness. In these situations, medical practitioners often refer the patient to a priest, minister,

rabbi, or other religious leader who is of the same faith as that of the patient but whose worldview is more optimistic. In this way, the patient’s religious views are respected, but gently challenged so that the patient feels less like a victim and more like a co-creator.

In many cases, spirituality plays a major role in the way people face chronic illness, suffering, and loss. Given the many health benefits that maintaining an active spiritual life appears to provide, it may not hurt to take a leap of faith occasionally.

LAKEHEALTHYLIVING.COM // 77

PEACE IN PERFECT HARMONY

Stress has become so common in modern life that many people accept it as a matter of default. The unfortunate result is decreased personal and business satisfaction, as well as threats to physical health. You do not need to keep swallowing this bitter pill. You can use meditation to live smarter and better. Whether you are new to it or have been at it for years, these meditation tips can give you more results that are positive.

Break the mold.

Meditation techniques tend to be relatively cookie-cutter. Listening to calming music while being conscious of your breathing, for example, is a recommendation found in just about every meditation resource. Such a uniform approach is problematic because each person is distinct and has unique experiences, tastes, skills, and knowledge. Individual circumstances, physical statuses, and philosophies are also highly varied. In this light, what works for someone else might not work at all for you. If the smell of freshly washed clothes calms you rather than the aroma of essential oils, that is fine. Just accept yourself and make your meditation methods your own. It is important to understand that a grasp of meditative principles is much more important than the precise methodology.

Pencil it in.

Even irregular meditation can have significant benefits. When you meditate, you are teaching your mind and body to function in a particular way. It takes time for your brain to get used to doing it and for you to become physically comfortable with the process.

Scheduling a regular time for meditation ensures meditative practice becomes a habit, which will make it easier and more natural.

Keep in mind that the time you schedule does not have to be huge, especially if you are new to the practice. Even taking a single minute at the start of each day or during your work break is a step in the right direction. You can always increase the time you meditate as you go along. Additionally, there is no “right” or “wrong” time to meditate. Do it whenever you can commit to it.

Scheduling other times for planning can be especially helpful as you try to find a consistent time for meditation. People often worry about other things when they take time to meditate. If you know you have other time already marked off to handle those things and think about them, it is a little easier for you to move them out of your focus and concentrate on something else.

Stop expecting.

This might seem a little counterintuitive, but all too often people give up on meditation because they expect it to provide certain benefits almost on demand.

They expect they will feel a specific way or think particular thoughts, and they feel disappointed or cheated if they don’t. Meditation is not about getting to a predefined point or getting into a niche. It is about taking a journey and learning along the way, about simply becoming aware of and comfortable in the moment. The more you toss away your preconceived notions about what should happen, the more surprising, fulfilling, and enlightening your meditation sessions can be.

Invest in your comfort.

The mind and the body are inextricably connected. If you are physically uncomfortable in some way when you try to meditate, you simply will not be able to relax as much or be truly free in your thoughts. Whether it is buying an extra cushion for your couch, closing the blinds, or opting to sprawl in your bed instead of sitting in a chair, do what it takes to get yourself physically ready.

Meditation can have incredible benefits if you do it properly. If you want to get started, or would like to get more out of your sessions, things like setting aside your expectations and preserving time for meditation on your calendar can go a long way. Remember, meditation is always a process. There is always room to move forward, so don’t judge yourself for where you are now. Just be, accept, and enjoy.

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MAKE MEDITATION A PART OF YOUR LIFE TO ACHIEVE MENTAL CLARITY AND TRANQUILITY.
SPIRIT

People use meditation for various health problems, such as anxiety, pain, depression, stress, insomnia, and physical or emotional symptoms that may be associated with chronic illnesses and their treatment.

use e m di editation on for v i arious such as stress, insomnia a , and nd phy ph sical or emotional l symptoms that at may y be associated with chronic illnesses and their treatment

SOURCE: nccam.nih.gov/health/meditation/overview.htm

SOURCE: n : ccaam.nih.gov/heaalth/meditation/overview.htm

LAKEHEALTHYLIVING.COM // 79
LAKEHEALTHYLIV N INGG.COM M

MENCOURAGEM

HUGE THUNDERCLAPS OVERHEAD

You hear the thunder and know the storm is coming. Oh, I am not talking about a rainstorm, a tornado, or a hurricane. No, this is something far more dangerous than the forces of creation. It is the silence once all the air has been sucked out of the room after your wife asks, “Honey, do I look like I have lost weight?” Just so there is clarity, sometimes the following variations are used: “Do I look fat?”, “Does this (shirt, pair of pants, etc.) make me look fat?”, “Does this make my butt look big?”, or “I think I’ve gained some weight. What do you think?” Those are ominous words and it doesn’t matter how they are framed.

As the next few seconds tick away, you realize there is no possible way to answer the question and remain unscathed. What is a fellow to do in a moment like this? How can we cope with pressures like that?

At that very moment, we

men wish for the shifting tectonic plates of the Earth to move and cause an earthquake that will swallow us whole. We hope that the opening of a sinkhole — much like the one that swallowed up a million dollars’ worth of Corvettes — would be a grand solution to our dilemma. But the world has stopped spinning and is awaiting your response.

Modern day “manwisdom” has offered all kinds of coping devices for moments like this. You can always play it safe with one of the old-school strategies by saying something similar to “Sweetheart, were you saying something? The ball game on TV is too loud.” Of course, there is the always appreciated man-grunt of “huh?” However, the problem with these solutions is the question always comes again, and sometimes with even more clarity and intensity. These are not recommended strategies! Admit it now; there is no safe or right answer. This is a trick question that is

harder to answer than “could God create a rock that is too big for Him to lift?” When you answer her question, you will only make her angry, insult her, or persuade her that you are a liar.

Gentlemen, we need to know this is nothing new. These loaded questions always preclude a “safe” answer. It is actually the same thing as standing in the lobby of a dog rescue and having someone ask, “Have you quit kicking your dog lately?” This type of question has been around so long it actually has a name. It is called Morton’s Fork. Here is how a Morton’s Fork question works: You are presented with two alternatives, A and B. If you rush in and foolishly choose A, then something bad happens. If you choose B, a similar or identical bad thing happens — but for a different reason.

Now that I think I know how these questions work, I may have a solution: Just don’t answer the question!

There is another coping strategy I will offer you here — and it is not for the faint of heart. Pick an answer and get the pain over with. This is from the yank-the-bandageoff-quickly school of medicine. It may hurt — and hurt badly for a little while — but then life will go on.

From now on, when I am cornered with one of these impossible questions, I am going to smile as sweetly as my face can smile and say in the most loving way I can muster, “I love you!” … or “Did you know it is raining outside? I think I heard thunder.”

RICHARD

BURGUET, B.A., M-Div., has been ordained in the Presbyterian Church in America for more than 30 years. He has served churches in South Carolina, Mississippi, Maryland, and Georgia. Richard is pastor of New Hope Presbyterian in Eustis and is co-author of Covenants Disciples Workbook. New Hope is at 19535 Eustis Airport Road and on the web at www.newhopepca.com.

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“DO THESE PANTS MAKE ME LOOK FAT?”
SPIRIT
A LITTLE
UHH? A LITTLE

Your partners for life

Samuel J. Goss, D.O., FACC, is one of our invasive cardiologists at Cardiovascular Associates of Lake County. He specializes in cardiovascular disease, and performs various procedures in the diagnosing and treatment of heart disease, such as Diagnostic Catheterizations, Nuclear Stress Testing, Cardiac P.E.T. and Echo-cardiography. He is one of 6 cardiologists on our staff performing Targeted Endovenous Therapy, a radio-frequency ablation procedure for the treatment of varicose veins.

As one of the oldest and most experienced private cardiology practices in Central Florida, at Cardiovascular Associates of Lake County, we are dedicated to bringing innovation in cardiovascular care to our patients. Since 1992, we have been your partners for life.

1879 Nightingale Lane, Suite A-1 and C-1, Tavares • 352.742.1171 LRMC Medical Plaza, 705 Doctors Court, Leesburg • 352.323.5700 CVALakeCounty.com
$1500 value Ext 673 Board Certified in Gastroenterology and Internal Medicine. 352.242.1665 www.slgdocs.com CLERMONT • LEESBURG • OCOEE - SCREENING COLONOSCOPY - HEARTBURN/ACID REFLUX - DIARRHEA/CONSTIPATION - IRRITABLE BOWEL SYNDROME - LIVER DISEASE - RECTAL BLEEDING - HEMORRHOIDS - PEPTIC ULCER DISEASE - LIVER CIRRHOSIS - HEPATITIS - PANCREATITIS Rajab Abu Khadrah, MD, FACG Khalid Maqsood, MD, FACP, FACG SPECIALIZING IN THE DIAGNOSIS AND TREATMENT OF DIGESTIVE SYSTEM DISORDERS INCLUDING: EXPRESS CARE DONE EXCEPTIONALLY! (352)431-3743 11a.m.–8p.m. Monday–Friday (Weekends Coming Soon!) 501 W. North Blvd., Leesburg FL 34748 • Joint Pain • Fractures • Workers Comp. • Vehicle Accidents • Cough/Cold/Flu • Headaches/Ear Aches • Sore Throats • Physicals for School, Sports, Employment or DOT Central Florida EXPRESSCARE NOWOPEN! We offer the following services: (ages 3 and up)
STAYCATION VS. VACATION 84 THE ROAD HOME 86 RECREATION // OWN FINANCE

RECREATION FINANCE

STAYCATION VS. VACATION

WRITERS: THOMAS FROSS AND ROBERT FROSS

With summer around the corner, many Americans are pulling out glossy brochures and starting to plan a wellearned break. Family vacations are a wonderful way to relax and build memories together, but they can quickly become expensive. To trim costs, many Americans are turning to “staycations,” which have the added benefits of reducing travel stress and encouraging you to explore your hometown.

It’s easy to let the pressure to make a vacation memorable become a hefty travel bill that can derail your finances. Though you may start with good intentions to save money by cooking your own meals and forgoing souvenirs, it’s easy to get caught up in the vacation spirit and go over budget.

Part of being financially astute is grasping the impact of vacations on your finances and setting limits for yourself. Many Americans rely on their credit cards to fund their travels, but it’s a serious mistake to go into debt on vacation. The burden of

credit card fees and high interest rates could linger long after the happy memories have faded. Savvy planning combined with a clear understanding of the costs involved can help prevent a vacation from becoming a strain on your family budget.

Here are some vacation planning tips that can help save you money:

Plan ahead.

Making vacation plans well in advance can help you find savings through hotel or resort discounts and cheaper airfare. If you typically vacation in the same area, take advantage of the best rates by booking your stay a year ahead. If you don’t have that much time on your side, you can use the Internet to research the best deals and set up price alerts for airfare and hotels.

Start a vacation fund.

Create a separate vacation savings account and build a monthly contribution into your budget. It’s important to have a general idea of the total cost

of your vacation so you can plan accurately. It’s also wise to build in a cost buffer since total expenses often exceed estimates. A financial adviser can help you develop a savings plan for important financial milestones, celebrations, or big family vacations.

Develop a meal plan.

One of your biggest outlays on vacation can be food. Three meals a day, plus drinks and snacks, can quickly add up, and planning meals in advance can save you a bundle. A little Internet sleuthing can unearth local gems, making your meals out more enjoyable. It can also help you avoid high-priced tourist traps. In addition, take advantage of hotel breakfasts and simple lunches to bring down meal expenses, while leaving enough for a dinner splurge.

Be transportation savvy.

A great way to trim hotel expenses is to look for accommodations outside the main drag or to consider

alternatives like apartment rentals. However, you should think carefully about how you plan to get around. The money saved on an out-of-the-way hotel could easily evaporate if transportation becomes expensive or time-consuming.

Trim costs with a ‘staycation’

If your budget just doesn’t permit a vacation this year, you can still enjoy some time off with a staycation. Staycations take the fun of a vacation and bring it home. By staying home, you can save money that would have been spent on airfare or lodging and instead support the local economy by learning to experience your area in a new way.

Here are some tips to make your staycation extraordinary:

• Find new ways to have fun. One of the best parts of a staycation can be finding activities you can easily enjoy again on the weekends, making your life at home more exciting year-round.

• Enjoy Florida’s world-

84 // HL // APRIL 2014
BEFORE BOOKING THAT SUMMER VACATION TO FIJI, SEE WHAT TRULY FITS INTO YOUR BUDGET.
SOURCE: Securities and advisory services offered through SII Investments, Inc., member FINRA, SIPC and a Registered Investment Advisor. Fross and Fross Wealth Management and SII Investments, Inc. are separate companies. SII does not provide tax or legal advice.

• Enjoy Florida’s worldclass attractions.

One of the many benefits of living in Central Florida is we have amazing activities in our own backyard. If you have had your fill of theme parks, consider a sunrise hot air balloon ride or a visit to the Harry P. Leu Botanical Gardens in Orlando.

Culture-lovers can check out the region’s many art museums or take in a show at a local

community theater. If you’re the adventurous type, you could take a ride in a vintage biplane or enjoy a deep-sea fishing expedition.

• Break out of your routine. The secret to a memorable staycation is to think like a tourist and explore your community. Break your routine and think about how you can do vacation things nearer to home. If one of your favorite things

to do on vacation is relax poolside with a good book and a cold drink, look into nearby hotels with oneday pool memberships. You can have the experience of lounging in the sun without the unpleasant cost of having booked an expensive room. Or rent bikes for the day and treat yourself to dinner at a new restaurant. Consider coming up with a theme for your staycation that can make your time

off more fun and unusual. Whether you are vacationing in an exotic locale or enjoying a relaxing staycation, advanced planning and some savvy financial choices can help ensure you enjoy your holiday while sticking to your financial plan.

LAKEHEALTHYLIVING.COM // 85
The
$1,415. SOURCE: www.bls.gov/spotlight/2010/travel/pdf/travel.pdf
average family vacation costs
ROBERT AND THOMAS FROSS founded Fross & Fross Wealth Management with the shared vision of creating a truly world-class experience for their clients. Specializing in offering comprehensive financial planning to high net-worth retirees, Fross & Fross manages over $300 million in assets and maintains a stellar reputation of professionalism and experience throughout The Villages.

FINANCE

OWN

THE ROAD HOME

TAKE TIME TO CONSIDER THESE KEY FINANCIAL TIPS TO SAVE FOR YOUR FIRST HOME.

The dream of homeownership can feel more like a nightmare if you are struggling to save enough money for a down payment. However, if you sort out the money side of things you could soon be sleeping soundly under your very own roof.

You can expect to put down at least 10 to 20 percent of the sale price on your first home or condominium. Following the sub-prime mortgage meltdown, lenders are more cautious with mortgage applications and with any luck, borrowers have learned some lessons about risky home loans. Of course, socking away $10,000, $20,000, or more is not easy.

Here are some keys to opening the door to homeownership:

DETERMINE HOW MUCH YOU WILL NEED AND WHEN YOU WILL NEED IT.

Every journey needs a roadmap. Seeing this in black and white will help motivate you and allow you to track your progress toward your goal.

SET A DEADLINE.

This can push you to find ways to save you may not have considered.

CREATE A SEPARATE SAVINGS ACCOUNT FOR YOUR DOWN PAYMENT.

This will help you avoid the temptation to

tap into your down-payment savings and use that money for other things.

MAKE YOUR SAVINGS CONTRIBUTIONS AUTOMATIC. Once you have determined how much you need to save each month, have that money automatically transferred to your down payment savings account every week or two, or have it directly deposited from your paycheck.

sacrificing other things. Make an effort to reduce major monthly expenses like auto loans or credit card payments. Not only will this free up more cash to save, it will improve your debt-to-income ratio, an important factor in calculating your mortgage rates.

HERE ARE A FEW SIMPLE WAYS TO REDUCE COSTS:

MAKE

HIGHER CONTRIBUTIONS TO A TRADITIONAL IRA.

Traditional IRAs that let you invest in pretax dollars can provide an oftenoverlooked benefit for first-time homebuyers, who can withdraw up to $10,000 for first-time homebuyer expenses (including the down payment). First-time homebuyers are not required to pay the usual 10 percent early withdrawal penalty assessed for IRA withdrawals prior to age 59 1/2. Roth IRAs provide a similar benefit but with more complicated rules. If you do use your IRA to help fund your down payment, you must be efficient, however. The withdrawal has to be used within 120 days of the acquisition date of the home. If you cannot use the money for some reason, you can redeposit it and it will be treated like a rollover.

PARE DOWN LARGE MONTHLY EXPENSES. Saving for your down payment may mean

• If you have a membership (to a gym, book club, etc.) and do not use it regularly, cancel it. You can buy inexpensive apps or DVDs for home workouts and borrow books from the library.

• Cut out those specialty coffees. Bring your favorite coffee from home.

• Use coupons.

• Take your lunch to work.

• Ask for a reduced rate on your credit card. Pay it off each month.

• Rent movies.

• Read magazines online.

• Look for no-fee checking accounts.

• Pay car insurance semi-annually or annually to lower costs.

• If you smoke, stop. You will save more than money.

• Sign up for free customer reward programs.

• Make a shopping list.

• Invite friends over instead of meeting at a restaurant.

• Your local dollar store can be a great place to buy staple items.

• Purchase cards, wrapping paper, and gifts for the following year after the holiday at half price.

• Buy generic or house brand products.

• Buy clothing that can be mixed and matched to create different looks.

SOURCE: “Annual Savings Survey Reveals That Only Half of Americans Have Good Savings Habits and Think They are Adequately Prepa red for Their Financial Future.” Consumer Federation of America. www.consumerfed.org/news/644 (Accessed Jan. 20, 2014) [Securities and advisory services offered through SII Investments, Inc., member FINRA, SIPC and a Registered Investment Advisor. Fross and Fross Wealth Management and SII Investments, Inc. are separate companies. SII does n ot provide tax or legal advice.]

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WRITERS: THOMAS RUGGIE, CHFC, CFP

If you are making the transition from renter to homeowner for the first time, you will want to look at a number of things that will affect you financially. What type of mortgage is best? That may depend on whether you expect your finances to change over the next several years, how long you are planning to live in the home, and whether you are comfortable with a changing mortgage payment.

What is the total cost of homeownership? You will want to figure if there are any additional expenses you

may not have factored into your monthly budget. For example, if your utilities have been covered in your rent, you may want to ask your real estate broker to help you get information from the seller on how much he or she pays annually for heat and electricity.

In addition, you might have to budget for homeowner association or condominium association dues. Of course, you will also have to set money aside for property taxes and homeowner’s insurance, and it does make sense to

begin saving for home repairs.

Owning a home is an important part of the American dream. Like many life goals, it is achievable with good financial planning.

THOMAS H. RUGGIE, CHFC, CFP is the founder of Ruggie Wealth Management. With more than $425 million in assets under management, he has been ranked among the nation’s 50 Fastest Growing RIA Firms , the Top 100 Wealth Managers, Top 100 Independent Advisors, Top 40 Most Influential Advisors, and again, as one of Barron’s Top 1,000 Advisors. truggie@ruggiewealth.com

LAKEHEALTHYLIVING.COM // 87

just a touch away

Digitize your life. Visit the Apple or Android app store today and download the Healthy Living online magazine app for your mobile device. For the best in enhanced magazine entertainment, join us online for the media experience of a lifetime.

Bark in the Park (April 5)

Enjoy this 5K/10K run with or without a dog. Bring the entire family to enjoy food, games, and music! Accompany your dog to an obedience class, visit with some shelter animals, learn how to care for your dog, and even get your doggie a massage. The event will benefit three Minneola schools and other local events for needy families. Free admission. Location: 315 Madison Ave., Minneola.

Information: 352.394.7444 or kiwanisofminneola.org

Spring Bluebird Blitz (April 5)

The Florida Bluebird Society’s annual Spring Bluebird Blitz is a fun way to monitor bluebirds across the state. Join the rangers from Lake County Parks and Trails to help count how many of these beautiful birds live at PEAR Park in Leesburg. From 8 to 10a.m.

Information: 352.253.4950

Open Up and Say AHHH... (April 6)

Join Waterman Wellness for a special presentation by Dr. Michael Freedman, who will talk about detection and treatments for oral, head, and neck cancer. Light refreshments will be provided. Call to reserve a space in the free screening.

Information: 352.253.3635

Finding Dora Drawdy Cocktail Fare & Fashion Show (April 12)

Mount Dora’s original “diva” Dora Drawdy is honored with this fundraiser that assists Lake County women with mammogram screenings for breast cancer. Starts at 4p.m. at Lakeside Inn. Tickets: $20.

Information: 352.735.1191

5 5 6 12 12

Spring Fling 5K (April 12)

Held at Palmora Park, this annual event presented by the Leesburg Regional Medical Center Wellness Center includes a 5K run, fitness walk, and a kids fun run event. Online preregistration is $20 (day-of registration opens at 6:30a.m. and is $25). Door prizes and gift certificates will be randomly awarded. T-shirts will be given to the first 200 preregistered participants (adult sizes only).

Information: www.itsyourrace.com or 352.323.5640

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akersmediagroup.com
android apple
352.787.4112
Calendar

Golf for Education (April 14)

The ever-popular tournament will be held at RedTail Golf Club. Event registration begins at 11:30a.m. with a shotgun start at 12:30p.m. Entry fee is $75 per player and includes greens fees, cart, tee bags, range balls, a pre-tournament lunch, prizes, and a post-tournament awards celebration.

Information: 352.669.3511

Nourish Your Digestive System (April 28)

Having more fiber in your diet helps lower blood cholesterol, prevents constipation, and may help prevent cancer. Find out if you are shortchanging yourself and learn how to use fiber to improve your digestive health. Also, learn how consuming fruits, vegetables, whole grains, nuts, probiotics, and prebiotics can help our bacteria stay within a healthy balance. From 1 to 2:30p.m. at Lady Lake Public Library.

Information: http://lldigestive.eventbrite.com

South Lake Dragon Boat Festival (May 2–3)

Two days of fun for the entire family. Friday, enjoy food and entertainment. Saturday is the dragon boat race, vendors, family fun zones, and a health fair. Event is free to spectators. Make sure to bring lawn chairs. Proceeds benefit New Beginnings of Lake County and other local charities.

Information: 352.617.8788

The Clermont Challenge 5K/10K/ Slalom Longboard Races (May 3)

Pro/Am longboard racing returns to Lake Louisa State Park. The challenge will host over 150 Pro/Am skateboarders from across the nation to compete. The morning features 5K and 10K distance longboard races and lunchtime will include a longboard dance and freestyle contest. Starting at 1:30p.m., pro skater Keith Hollien will host a dual “Head to Head” hybrid slalom race. Proceeds benefit The Ian Tilmann Foundation Inc. and the Helmet for a Promise program, which provides a free helmets to skaters who promise to wear them whenever they skate.

Information: 813.215.9950

Christopher J. Johnson, DO, FACOS

Dr. Johnson relocated to Clermont FL in 2002. In January 2004 along with Dr. Florin they established Mid Fl Surgical Associates and began providing surgical care to Lake, Sumter and West Orange counties.

with Dr. Florin established Mid Fl Surgical Associates and care to Lake, Sumter and West counties.

Dr. Johnson specializes in general surgery with interest in minimally invasive robotic procedures, and robotic single site surgery. He was the first surgeon to perform a robotic procedure in South Lake County. He also serves as a proctor for Robotic Training. He remains a strong supporter in minimally invasive procedures and stays abreast of the latest techniques. Robotic procedures are the most current technology available in general surgery today. Dr. Johnsons interest are colorectal, bowel, biliary, and hernia surgeries. Aditionally, he provides care for patients with breast and endocrine disease.

invasive and robotic single site surgery. He was the rst surgeon to a robotic in South He remains a supporter in invasive and stays abreast of the available in surgery today. Dr. Johnsons interest are colorectal, bowel, biliary, care for

Dr. Johnson is active in the community. He has served as chief of staff at South Lake Hospital for the past several years and previously served as chief of surgery. He is a member or the Florida Medical Association, the American Osteopathic Association and Lake Sumter Medical Society. He is board certified by the American Osteopathic Board of Surgery and is a fellow of the American College of Osteopathic Surgeons.

Dr. Johnson is active in community. He has served as chief of served as chief of surgery. He is a member or the Florida Medical Association, Association and Lake Sumter Medical He is board certified g y and is a fellow of the A nd is a of f Osteopathic Surgeons.

He is married and have three children. He

as soccer and snowboarding

He is married to Ann Johnson and they have three children. He enjoys family time, attending sporting events and outdoor activities such as soccer and snowboarding.

18004 Seaver A

1804 Oakley Seaver Dr. Suite A

Clermont, FL 34711

P 352.243.2622 Fax 352.243.6277

LAKEHEALTHYLIVING.COM // 89
14 2 28 3

A FAIR SHARE

Lake Ear, Nose, and Throat & Facial Plastic Surgery held a wellness fair at its location in The Villages. Drs. Dino Madonna, S. Dwight Vaught, and Michael Freedman gave seminars on sinuplasty, hearing loss, weight and nutrition management, and facial rejuvenation. They also provided hearing screenings and vein and varicose screenings. Attendees enjoyed finger foods and beverages, as well as drawings for massages and facials.

PHOTOGRAPHER: RON VANDEVANDER 1. Dr. Michael Freedman, Dr. Dino Madonna, and Dr. S. Dwight Vaught 2. Megan Gilliam and Tom Galinski 3. Gayla O’Connor, Kiersten Ballou, and Grace Lartigue 4. Mindy Pollitt 5. Savannah and Stacey Townsend 6. Katie Pollitt 7. Lenni Vanderpool and Rachael Lietz
Community 1 2 34 5 6 7 8
8. Chelsey Hartenstein and Dr. S. Dwight Vaught
Invasive
Dr. Paraiso’s number one priority is patient care, and he treats his patients with compassion, empathy, and knowledge. He takes pride in seeing his patients live active and enjoyable lives. Specializing in Minimally Invasive Spine Surgery for: • Spinal Stenosis • Herniated Discs • Failed Laser Spine Surgery • Back & Leg Pain Clinical Assistant Professor University of Florida Department of Orthopedics - Spine Surgery Published Author and Minimally Invasive Spine Surgery Instructor/Health Grades® Five Star Recipient Board-Certified & Fellowship Trained OCALA MEDICAL PARK 1500 SE Magnolia Extension Suite 104 Ocala, FL 34471 THE VILLAGES 920 Rolling Acres Rd. Suite 208 Lady Lake, FL 32159 352-873-7770 • f 352-873-7704 www.centralfloridaspine.com Now servicing The Villages Regional Hospital
Minimally
Spine Surgery

LEAVING A LEGACY

Project Legacy held its second annual Appreciation Dinner at Harbor Hills Country Club. The organization helps fund community projects that benefit area youth. The dinner was a way to thank partners and individuals who have donated money to the organization. Attendees had an opportunity to network, enjoy a nice dinner, and listen to the stories of children who are benefiting from Project Legacy’s hard work.

92 // HL // APRIL 2014
Community
PHOTOGRAPHER: RON VANDEVANDER 1. Curtisia Lyons, Kashla Acosta, Jacarria West, Richard Hampton, and Pastor Sidney Brock 2. Jennifer and Peyton Grinnell 3. Grace Hellmann and Nancy Bell Boneillo 4. Merideth Brock and Allison Nave 5. Kay Wilson 6. Rosanne Brandeburg 7. Christina Pizzimenti
1 234 5 6 8 7
8. Beth Bender, Tom Bender, and Jeremy Reynolds

WORLD-CLASS SHOULDER SURGERY WITHOUT THE DRIVE

WE GET IT. You live in a small town, so you think you need to drive to a big city to get the care you need. But did you know TriCounty Orthopaedic Center is home to some of the nation’s leading orthopaedic surgeons, including shoulder replacement specialist Dr. Isaac L. Mitchell? Dr. Mitchell is in the top 2½% of shoulder replacement surgeons nationwide. He’s the go-to shoulder surgeon for several physicians—and not just in the local area. He develops new surgical instruments and trains other surgeons for two international shoulder implant companies. Last year, he and his team performed the region’s first-ever LIVE reverse shoulder replacement for a National Medical Association video. Although his training is big-city (he completed his residency in Orthopaedic Surgery at Johns Hopkins University School of Medicine), Dr. Mitchell prefers the small-town life. Just like you. The next time you need an orthopaedic surgeon, save your gas money. Get world-class care right here at home.

Our specialties include:

You’re in good hands with Dr. Mitchell. Call today to schedule your appointment.

ORTHOPAEDICS

Center

• Total Joint Replacement • Non-Surgical Back Evaluation • Osteoporosis Evaluation • Sports Medicine • Foot & Ankle Surgery • Trauma & Fracture Management • Arthroscopic Surgery
J. Mandume Kerina, MD • Isaac L. Mitchell, MD • Claudia L. Thomas, MD • Cedric J. Tankson, MD • John T. Williams, Jr., MD • Alfred J. Cook, Jr., MD Compassionate Specialized Care by Board Certified Fellowship-Trained Surgeons 701 Medical Plaza Dr., Leesburg • 352-326-8115 | Summit Medical Park, 765 Highway 466, Lady Lake • 352-753-9105
for
Advanced Joint Replacement Surgery
Isaac L. Mitchell, MD Shoulder Replacement Specialist Fellowship-Trained. Board Certified.

TIME TO CELEBRATE

Beacon College held its Celebratory Dinner at Mission Inn Resort and Club in recognition of the inauguration of Dr. George J. Hagerty as the college’s third president and the college’s 25th anniversary. The event recognized individuals who have made a positive impact on the college, as well as introduced Dr. Hagerty as the new president. Former White House Press Secretary Marlin Fitzwater and State Rep. Alan Hays were among the evening’s guests.

PHOTOGRAPHER: MORGAN ELLIS 1. Susan Ward, Carrie Santaw, and Dr. Shelly Chandler 2. Tarmara Snyder and Chris Hall 3. State Rep. Alan Hays and Marlin FItzwater 4. Richard, Noi, and Sally Williams 5. Tamara Snyder, Keri Phillips, Dr. George Hagerty, Donna Martin, and Chelsea Eubank 6. Dr. Vincent and Mrs. Ziccolella 7. Paula and Peter Trematerra
1 3 4 5 678 2
8. Carol and Jim Fallon
Community

Tired of just making a living?

MAKE
There’s strength in advertising. Find your healthy balance by getting your business in front of over 100,000 readers every month. Call today or visit our website 352.787.4112 // LakeHealthyLiving.com ! A www.lakehealthyliving.com // www.akersmediagroup.com SOURCE: The Media Audit 2013 Ranker report, Adults age 18+ (Cume Persons)

Things you should know…

…WHEN TRAVELING ABROAD

The day has arrived for your big trip abroad. You board the plane and take off toward your much-anticipated destination. However, just like in “Home Alone” when Kate suddenly realizes the family mistakenly left Kevin behind while flying to Paris, it is a really bad feeling to land overseas and realize you forgot your bottle of Malarone for malaria as the first Anopheles mosquito nips at your neck at dusk. Here are five things you should know to help you have a happy and healthy trip as you depart to see the world.

obtained all my vaccination records. I go through the CDC recommendations with him before each trip to make sure I am current with my tetanus shots, yellow fever vaccinations, etc.

3. TRAVEL MEDICATIONS

1. PLAN

Failing to plan is equivalent to planning to fail. Just as you do for Santa every December, make a written list of everything you will need before your trip. This is not a problem for you right-brainers (compulsive, attention to detail) out there. However, the left-brainers (creative, artistic) could be in trouble if they don’t do this. For example, my personal list includes travel documents, clothes, health-related details (such as vaccinations, prophylactic medications, analgesics, and antibiotics), photo equipment, and other miscellaneous items.

There are two ways to go about taking care of the health-related part of your trip. The first way requires going to the Centers for Disease Control and Prevention (CDC) website, locating the country where you will be travelling, and then following their recommendations. The second way (and this is what I do) is to find a doctor that you trust and who has an interest in travel medicine. I have an infectious disease physician in New York whom I have used since 2000 who keeps very good records on my vaccinations. I also currently go to an internist in The Villages who has

Vaccinations provide humoral immunity (antibodies that fight foreign proteins that can get into your system). However, what if you are exposed to an infectious agent (a bug) for which you have not been vaccinated? An example of this is an unhappy experience I had while in Madurai, India. I ate dinner at a local restaurant and by 3a.m. the following morning, I had the worst diarrhea of my life, and I had to drive 10 hours in a van to the next destination that day. Fortunately, I always travel with antibiotics that cover the most common pathogens (such as E. coli, salmonella, shigella). I immediately took my first dose of azithromycin and was completely better within 24 hours.

4. MALARIA PREVENTION

If your trip will be to a malaria zone, as many of mine have been, it is essential you take prophylactic

medication to prevent an infection. Malaria is an infectious disease caused by bites from an Anopheles mosquito, which acts as a vector (a bug that carries an infectious agent). The first thing you should do when traveling in one of these zones is to take a drug as detailed in the CDC recommendations. I have always taken Malarone because I have found I do not have side effects to this drug, and it is as (or more) effective than other drugs currently in use. The medication should be started two days before your trip and is continued for five days after you get home.

Avoiding the bite of an Anopheles mosquito is one of the most important means of preventing malaria in the first place. These mosquitos bite at two times of the day: dusk and dawn. You should avoid wearing shorts and going without socks when in a malaria zone. I spray or roll on 30 percent DEET, especially on my neck and ears during these times of day.

These tips can get you started on the right foot as you embark on your big adventure. Happy travels!

98 // HL // APRIL 2014
WRITER: DR. MARK ROTHSCHILD // ILLUSTRATOR: ANTHONY CASTO DR. MARK ROTHSCHILD is a cardiologist at Heart of The Villages in Spanish Springs. He is also a photographer and photojournalist with contributions to Healthy Living and Style magazines. His travels are documented on his website: markrothschildphoto.com. 2. VACCINATIONS 5. MOSQUITO BITES
MARK ILLUSTRATOR: obtained throug with him sure I am shots, ye
nt an in eventaninf
3. TRAVE Vaccin immunity
Samuel P. Martin - MD, FACS Vascular Surgery/Phlebologist Founder and Medical Director Vascular Specialist Daniel L. Arnold - MD FACS Board Certified General Surgery Vascular Specialist Hugo V. Hart - MD, FACS Board Certified General Surgery Vascular Specialist We specialize in the non-surgical treatment of Varicose Veins • Spider Veins • Skin Changes • Venous Ulcers Tired, achy, heavy-feeling legs • Leg cramps • Swollen ankles legslove your again Serving Central Florida for over 12 years! ALL DOCTORS ARE MEMBERS OF THE AMERICAN COLLEGE OF PHLEBOLOGY MOST INSURANCES ACCEPTED INCLUDING MEDICARE Six Central Florida locations including Orlando, Kissimmee, Lake Mary, The Villages – GOLF CART FRIENDLY, Waterford Lakes and Davenport 1.877.244.8558 www.BestVeinTreatment.com Q: What can happen if vein disease is left untreated? A: When malfunctioning veins are left untreated, they can cause many different problems: - Inflammation - Darkening of the skin above the ankles - lymphatic issues - ulcers - bulging or varicose veins - spider veins Years of experience and specialty training, combined with a sole focus on venous and lymphatic problems gives Vascular Vein Centers an unmatched expertise. ASK THEDoc Daniel L. Arnold, MD, FACS Skin ChangesVenous Ulcers Varicose Veins Spider Veins Extracranial Cerebrovascular Peripheral Arterial Peripheral Venous eling • Leg cramp

LET MAKOplasty® ROBOTIC SURGERY TAKE YOU FURTHER.

Knee pain shouldn’t slow you down or keep you off your game. If you are one of the millions of Americans who suffer from painful early to mid-stage osteoarthritis of the knee, MAKOplasty Robotic Knee Surgery may be an option for you. Available only in Lake County at Florida Hospital Waterman, this innovative procedure is less invasive than traditional knee replacement, and allows patients to get back to their life quicker and with less pain. Visit FHWatermanOrtho.com for more information or to sign-up for a free upcoming educational seminar.

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Things you should know… …WHEN TRAVELING ABROAD

2min
pages 114-115

WORLD-CLASS SHOULDER SURGERY WITHOUT THE DRIVE

1min
pages 109-112

just a touch away

4min
pages 104-108

FINANCE OWN

3min
pages 102-103

RECREATION FINANCE STAYCATION VS. VACATION

3min
pages 100-101

Your partners for life

0
pages 97-99

MENCOURAGEM HUGE THUNDERCLAPS OVERHEAD

2min
page 96

PEACE IN PERFECT HARMONY

3min
pages 94-95

SPIRIT FAITHFUL

3min
pages 92-93

Allergies are nothing to sneeze at.

1min
pages 88-91

ALLOWED

1min
pages 86-87

WORTH LOVING

2min
pages 84-85

CDC Prediabetes Screening Test

1min
pages 81-83

INSIDE DISSECTING COSMECEUTICALS

5min
pages 78-80

EAT FIT/NOT FAT

1min
pages 76-77

SHAPE BODY

3min
pages 72-75

EXCELLENCE a tradition of

2min
pages 66-71

YOURCHANCE TOHELP

1min
page 64

THE RIDE ACROSS USA TEAM

1min
pages 63-64

SEEINGAMERICA

2min
page 63

FROM SEA TO SHINING SEA

1min
pages 62-63

The future of eye care is here.

0
pages 60-61

EXPLORE THE GREAT BEYOND

1min
pages 57-59

DIG YOURSELF OUT OF DEBT

1min
page 57

CREATE A WORK OF ART

1min
page 56

Zzzzz 350 45.3

0
page 55

LOOK GOOD, FEEL GOOD

1min
pages 54-55

PUR excellence

3min
pages 52-53

The future of orthopedic surgery

0
page 51

Ultrasound

1min
pages 48-50

what docare?you

3min
pages 46-47

steps

3min
pages 44-45

be your best

3min
pages 42-43

Silicone Sheath

2min
pages 40-41

Tom Behan

0
page 39

Put your heart in it

1min
page 38

The Knee Replacement Nature Envisioned

0
page 34

SO, EXACTLY HOW MUCH WEIGHT HAS TRACI LOST?

1min
pages 32-33

FEEDING HER FEEL INGS

1min
pages 30-31

THE NEW TRACI

3min
page 29

THE OLD TRACI A YEAR OF HISTORIC FEATS

1min
page 28

WEIGHT’ OVER!

1min
pages 27-28

DON’T LET JOINT PAIN KEEP YOU FROM THE LIFE YOU DESERVE

0
pages 22-25

SUCCEEDING IN SOBRIETY

1min
pages 20-21

Let us help you get back in the game Let us help you get back in the game

2min
pages 17-19

MAKING A DIFFERENCE

0
page 16

We Love to See You

1min
pages 15-16

Matters Local philanthropy / Food for thought / Staying healthy

0
page 14

Medical mysteries BITE YOUR TONGUE

2min
pages 12-13

A STORY OF SUCCESS

1min
pages 10-11

CONTE

1min
pages 7-8

LOOK GOOD, FEEL GOOD

1min
pages 1-6
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