largest Asian restaurant company, is now open in Jacksonville. This is the 36th store in the US, as well as the first in the state and Southeast US. It opened to the public on March 18, 2017. Jacksonville is the most populous city in the Sunshine State, as well as home to the largest FilipinoAmerican community in Florida. The longawaited arrival of Jollibee in the city has
get to try Jollibee's signature menu items such as the world famous Chickenjoy. This dish is delicately breaded to be crispylicious on the outside and juicylicious inside. The well-loved Jolly Spaghetti is a favorite of both kids and kids-at-heart because of its signature sweetstyle sauce, loaded with chunky slices of savory ham, ground meat, and hotdog. Other classic menu favorites include the juicy and cheesy Jolly Hotdog, and the Peach Mango Pie, which is made with real Philippine sweet mangoes and a flaky golden brown crust.
tude of excited Jollibee patrons waiting to get their hands on their Jollibee favorites, but also first-timers waiting to have their own Jollibee experience," said Jose Miñana, Jollibee Foods Corporation's Group President for North America. "There's no greater joy for us than serving the needs and tastes of Jollibee fans in the community. At Jollibee, we aim to bring families together for happy moments over great tasting food with superior value, served with warm and friendly service – our own brand of joy." The brand has become a symbol of nostalgia and warm childhood memories for many overseas Filipinos in the U.S. To many, Jollibee is the go-to restaurant of Filipinos for both special
volume 12 | issue 1 | april 2022
Healthy FREE— TAKE ONE!
SENIORS See JOLLIBEE page 15
ENROLL PAGE 12
THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION
WORD TO THE WISE
Octogenarian Shares His Tips for a Long, Healthy Life
EDITION
THE HOPE OF HOSPICE
Care When a Cure Is Not an Option
MINORITY HEALTH MONTH Acknowledging Disparities in Health Care Is the First Step
POLLENPALOOZA!
Your Survival Guide For Spring Allergies
POP QUIZ
Osteoporosis Can Sneak Up On You. Are You at Risk?
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…established his clinic over 20 years ago. He is well known in the community and trusted for his accurate diagnosis and compassionate care.
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• Board certified in Cardiovascular Disease and Internal Medicine • Executive Director the Heart Function Clinic, Low Risk Chest Pain Center and the Cardiac Rehabilitation Program for BayCare Winter Haven Hospital • President of Medical Staff for BayCare Winter Haven Hospital • Chairman of Cardiology for Lake Wales Medical Center • Clinical Associate Professor, FSU College of Medicine
A Vascular and Endovascular Surgeon who earned her MBBS at University of Delhi, India. She then completed a research fellowship at Columbia University Medical Center and a residency in general surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. She’s co-authored more than two dozen journal articles. She was recently nominated for the American Medical Association Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.
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…brings a high level of education and experience in Cardiac Catheterization, Electrophysiology and working in the Cardiovascular Progressive Care unit. He serves a vital role in providing patients with optimal cardiovascular care through counselling and screening, as well as disease prevention and management strategies. • Board certified Family Nurse Practitioner • Member of Staff for BayCare Winter Haven Hospital
6 9
14 20 8 HEALTHY AGING 18 LETTER 8 HEALTH COMMUNITY 21 5 PCMA LETTER 16 CALENDAR 22 6 BODY, MIND & SPIRIT 18 HEALTHY COOK 22 4 PUBLISHER’S
..............3
. . . . . . . . . . . . . . 14
ts . . . . . . . . . . . .
What’s Goin g On
Classified Ads. ..
. 10
page 11
See JOLLIBEE
been the talk of the town since 2016. With the openin "As Jollibee g, Floridi get to try debuts in Florida Jollibee's signatu ans will anticipate seeing , we items such re menu not only a as the world tude of excited multiJollibee patron famous Chickenjoy. ing to get their This dish is s waithands on their delicately bread ed to favorites, but Jollibee be also first-tim on the outside crispy liciou s ers waiting to have their and juicylic own Jollibe ious inside. The e experience," said well-loved Jose Miñan Jolly Spaghetti is a a, Foods Jollibe favorite of both Corporation's e kids Group Preside and kids-at for North nt -heart becaus America. "There e of its signatu greater joy 's no for us than re sweetserving the needs and style sauce, loaded tastes with the community. of Jollibee fans in chunky slices of savory At Jollibee, we bring familie aim to ham, ground s together meat, for happy moments over and hotdog. great tasting Other food with superior value, classic menu served with faand friendly warm vorites include service – our the own brand of joy." juicy and cheesy The brand has Jolly Hotdo g, become a symbo nostalgia and the Peach Mango and l of warm childho Pie, od memwhich is made ories for many with overseas Filipin the U.S. To many, Philippine sweet real os in Jollibee is the restaurant of goes and a flaky mango-to Filipinos for golden both special brown crust.
STEAKHOUSE
Jollibee's U. S. with first Fl expansion continues orida locatio n opening
Jacksonville, FL - After much ipation and anticexcitement, Jollibee largest Asian restaurant compa , the now open in ny, is Jacksonville. This is the 36th store in the US, as well as the first in the state and Southeast US. It opened to the public on March 18, 2017. Jacksonville is the m ost populous city in the Sunshine State, as well as home to the largest Filipin American comm ounity in Florida. The longawaite d arriva l of Jollibee in the city has
Appetizers:
Analysis: Catering industry revenues on the rise
Entrées:
PAID
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volum e 12 |
Healthy
issue 1 | april
2022
FREE — TAK
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Who doesn’t want to live a long, healthy, and happy life? There’s no one formula that fits every lifestyle, so Central Florida Health News asked Lakeland octogenarian athlete Gordon “Cork” Wilson to spill the beans on his secret to a long and healthy life. Read more, page 10 photo by MICHAEL WILSON
Steakhouse s beef up m new twists on en American clus with assics
2017 forecast:
FLORIDA EDI TION
On the Cover
Rockville, MD American cuisine - When it comes to , there are few more iconic things than slabs of marble steakhouses. The d grills, the oozing meat, the sizzling butter, and ping bravad o, maybe even the driphat or two for a cowboy ambiance—i t's to make even fictional steako enough Swanson mistyphile Ron eyed. Yet for all the traditional steak ners ordered dindaily, there are restaurants 4 nationwide pushin g the concep all-American “Big Data” — t of the steakhouse to new culinary height Does your s, according to market research firm Packaged Facts restaurant in the brand new report 2017 Foreca need it? st: Culinary Trend Trackin g Series. "The steakh 7 ouse is back capture our and will attenti the classic restaur on in 2017. Not that Rise Bisquits ant style ever peared, but disapa renewal of Donuts to open the model is taking place Chefs and in response consumers to new source in Coral Springs of beef and new both want their meat to s flavorful expres taste delicio and sustain the sions of 11 concept that us and to feel able good about its’ consum get chefs seasonal produc sourcing, local and diners excited ption, too. This and new breed of e, and global ," says David steakh and forms, flavors Sprink search directo le, reall done within mission to suppor ouse broadcasts its Del Taco spices r, Packaged house format the steakFacts. t local ranche Today's steakh tor in sustain showcasing ouse up expansion in cuts ability and anima rs, facas entrées menus increas ingly feature with a choice of meat and create grass-fed cattle, a dining experi l welfare, Moreover, new of sides. the Southeast raised anima showcases culinar ence that menu catego ls, heritage varietie locally as flatbreads) ries (such y flair, not just 13 butchered and dry aged in-hou s, meat master's skill at cookin and service a grill freshen the elements dishes that g se, steak concep and queste to the restem from t. d doneness. the whole animal, not just These operat are also design the premiu ions About the Repor ed m cuts. And that's just more of a great to be more inclusive, the meat. t Creative side 2017 Forec dishes in lieu people to dine place for all kinds of ast: Culina of old standa Advertisers Tracking Series ry Trend well, not just rds, global and seasonal minded men traditionDirectory . offers an outloo flavors, and on expense culinary trends— ......2 a wider menu k on the selection also accounts. the As a result, distinguish dients and flavors foods, dishes, ingrethe modern these new school operat Appell Pie. steakhouse is increasingly ions. ................ expects to grow —that Packaged Facts similar to other .......2 restaurants in moder popularity in n with a focus 2017. on distinctive Calendar Even See
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CONTENTS | April 2022 For more photos from this edition, follow us on Facebook. Scan the QR code here with your smart device.
ENROLL PA GE 12
E ONE!
SENIORS
THE ENDO RSED PUBL ICATION OF POLK COUN TY MEDICAL THE ASSOCIATI ON
EDITION
WISE Octogenarian Shar Tips for a Long es His , Healthy Life
WORD TO THE
Care When a Cure Is Not an Optio n
THE HOPE OF HOSPICE
Acknowledging TH Disparities in Healt Care Is the First h Step
MINORITY HEALTH MON
Osteoporosis Can On You. Are You Sneak Up at Risk?
POP QUIZ POLLENPALOOZ
Your Survival Guide For Spring Allerg ies
CentralFlorid aHealthNews .com
Pop Quiz!
Breaking a bone is scary enough for anyone, regardless of age. So imagine how frightening it can be to know that your bones aren’t nearly as strong as when you were younger! Unfortunately, that’s a reality for people who suffer from osteoporosis. The condition is often an underlying factor when seniors suffer broken bones. Take our quiz on osteoporosis and assess your risk of this dangerous disease.
Acknowledging Disparities in Health Care a Crucial First Step
April is National Minority Health Month, a time to recognize the disparities in health care received too often by minority populations in the U.S. and to work together toward solutions for these issues. Minority Health Month reminds us that for a healthier society as a whole, we need to ensure that everyone has access to the resources they need to be as healthy as possible. Central Florida Health Care APRN Leigh Barberet explains the importance of caring for underserved populations.
Pollenpalooza!
If there is any doubt that spring is here, those of us in Central Florida need to do little more than look outside. That yellow cast over cars, lawns, sidewalks, and driveways isn’t sunshine. It’s pollen. And for many people, it heralds the beginning of the annual battle with spring allergies. We spoke with two Bond Clinic physicians to find out the best ways for you and your child to manage spring allergies.
The Hope of Hospice
While many people are familiar with the term hospice, most don’t fully understand the broad range of care it includes. End-of-life decisions can be wrought with emotion and trepidation, and while hospice is there to tend to the physical needs of the patients, it’s also an invaluable service for grieving families.
Departments & Columns
HEART NEWS HEALTHY SKIN MEDICAL ADVICE EDITOR’S DOSE
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A!
CALLING ALL PHYSICIANS
Renew your Membership with Polk County Medical Association now! MEMBER BENEFITS
✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company ✱ Ongoing relevant communication ✱ Access to CME Programs ✱ Workers compensation insurance benefits ✱ Complimentary Socials/dinners
Interested in becoming a member? Join the leading professional association in Polk County for physicians.
MEMBER BENEFITS
✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications ✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide ✱ Physician and medicine advocacy at all legislative levels
director@ polkcounty doctors. com
Now accepting new patients!
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CFHN | 3
PUBLISHER’S NOTE
Share Your Appreciation For Nurses
www.CentralFloridaHealthNews.com
NELSON KIRKLAND, PUBLISHER
PROJECT MANAGER
nelson@centralfloridamediagroup.com
PUBLISHER
Nelson Kirkland
MANAGING EDITOR Jessica McDonald David Kiessling
L
ong ago, I heard a saying that struck a chord with me: “Nurse is just another word to describe a person strong enough to tolerate everything and soft enough to understand everyone.”
From my vantage point, nothing could be closer to the truth. My mother was a nurse for the Polk County Health Department for many years, and I was able to witness firsthand the impact she had. Now, I also may be a little biased because here at Central Florida Health News we have a special place in our hearts for all healthcare heroes. But biased or not, we’re in awe of the tireless work, care, and dedication our nurses exhibit every day. May 6-12 is National Nurses Week, and we’re continuing the celebration in our upcoming Nurses Appreciation Edition in May. Inside its pages, we’ll showcase the amazing people operating behind the scenes to heal and comfort. What’s more, we want YOU to share your own thoughts and gratitude with us so we can spread the word! Whether you are a thankful patient, an appreciative doctor with an amazing team, or a proud medical office administrator, we want to hear from you! Send an email to managing editor Jessica McDonald at Jessica@CentralFloridaMediaGroup.com and tell us your story. Help us send a clear message that our nurses are appreciated! As always, thank you for reading Central Florida Health News, and God bless! HN
ACCOUNT EXECUTIVE Juanita Halter
DIGITAL ACCOUNT MANAGER Alexis Duncan
CONTRIBUTING WRITERS
Erika Aldrich, Mary Joye, LMHC, Teresa Schiffer, Carol Corley, Dr. Joy Jackson, Sean Jarvis, Brenda Eggert Brader
CONTRIBUTING COLUMNISTS
Ritu Aparajita, MD; Dr. Alex Kennon, MD; William Corkins, OD
CONTRIBUTING PHOTOGRAPHER Michael Wilson
CONTRIBUTING ARTIST Dawn Lewandowski
DELIVERY
DLS Distribution Published by Central Florida Media Group in cooperation with the Polk County Medical Association
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MS. KAIA 4 | CFHN
Copyright © 2022 Central Florida Media Group. ALL RIGHTS RESERVED. This issue of Central Florida Health News is a trademark of Central Florida Media Group. Reproduction or use in whole or in part of the contents of this magazine without written permission is prohibited. Central Florida Health News makes every effort to ensure the accuracy of content published. In the event of an error found herein however, neither the publishers or advertisers will be held responsible, nor do the publishers accept any liability for the accuracy of statements made by advertisers in advertising and promotional materials. Furthermore, the opinions and claims expressed in advertisements and promotional materials do not necessarily reflect those of the Polk County Medical Association or Central Florida Media Group and do not imply an endorsement.
centralfloridahealthnews.com
INTRODUCTION
PCMA LETTER
PCMA LETTER
POLK COUNTY MEDICAL ASSOCIATION
Here’s to the Golden Years
4315 Highland Park Blvd, Suite B Lakeland, Florida 33813 863-644-4051
2022 OFFICERS JAMES J. BOOKER, MD President
GEORGE LYLE, MD Secretary
STUART PATTERSON, MD Treasurer
BOARD OF TRUSTEES RALPH NOBO, JR., MD, Chair
GEORGE LYLE, MD STUART PATTERSON, MD GARY SCHEMMER, MD SERGIO SEOANE, MD ARVIND SONI, MD
A
ging baby boomers are boosting the ranks of seniors across the country. Florida leads the nation with 20 percent of its population ages 65 or older. With all these seniors thriving around us, you’d think that we would know the secret to a long life. What we do know is that staying active and taking care of your body can go a long way toward happier and healthier golden years. And that’s exactly what Lakeland resident Gordon Wilson credits for his good health. Wilson turns 87 in April and is a fierce competitor in the Polk Senior Games. Learn more about him in our edition feature and find out what else he says has helped him grow old gracefully.
— — — — — —
JACKIE COURTNEY Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813
Sincerely,
James J. Booker, MD
This month’s Pop Quiz is especially pertinent to the senior population. Test your knowledge and learn the facts and figures about osteoporosis. Inside, you can also learn about hospice services. You may be surprised to learn all the ways hospice care can help not only the patient but also the grieving family. Finally, since spring is upon us and pollen has cast a pall over everything outdoors, check out our primer on spring allergies and the best ways to find relief. Bond clinic pediatrician Dr. Stephanie Phan and family medicine physician Dr. Cecilia Arango discuss some tactics to keep pollen outdoors so you are more comfortable indoors. HN
Some of the benefits of a PCMA membership include the following: ✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company ✱ Ongoing relevant communication ✱ Access to CME Programs ✱ Workers compensation insurance benefits ✱ Complimentary Socials/ dinners ✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications ✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide ✱ Physician and medicine advocacy at all legislative levels.
If you’d like more information about becoming a PCMA member or need to check your membership status for renewal, contact our Executive Director Jackie Courtney at (863) 644-4051 or email director@ polkcountydoctors.com.
James J. Booker, MD
centralfloridahealthnews.com
Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association
CFHN | 5
FEATURE PREVENTION
POP QUIZ!
9. True. 10. B. Having a physically demanding job does NOT increase your risk of osteoporosis, but the others do. 11. D. All of the above.
6 | CFHN
E. All of the above. True. As we age, our risk of developing osteoporosis increases. E. All of the above. D. All of the above. A. Eating a diet high in protein does NOT increase your risk of osteoporosis, but the others do.
compiled by ERIKA ALDRICH / information provided by THE MAYO CLINIC
4. 5. 6 7. 8.
B
reaking a bone is scary enough for anyone, regardless of age. So imagine how frightening it can be to know that your bones aren’t nearly as strong as when you were younger! Unfortunately, that’s a reality for people who suffer from osteoporosis. The condition is often an underlying factor when seniors suffer broken bones. Take our quiz on osteoporosis and assess your risk of this dangerous disease.
B. Too much thyroid hormone from an overactive thyroid can cause bone loss. C. Osteoporosis has been associated with overactive parathyroid and adrenal glands. D. All of the above 8. Which of the following is a dietary factor that does NOT increase your risk of developing osteoporosis? A. Eating a diet high in protein B. A lifelong lack of calcium C. Having an eating disorder that severely restricts food intake or leads to being underweight D. H aving gastrointestinal surgery as it limits the absorption of nutrients like calcium 9. T rue or false? Long-term use of oral or injected corticosteroid medications, use of medications to combat conditions like seizures, gastric reflux, cancer, and transplant rejection, and having medical conditions like Celiac disease, IBS, kidney or liver disease, cancer, and rheumatoid arthritis can all increase your risk of developing osteoporosis. 10. Which lifestyle choice does NOT contribute to your risk of developing osteoporosis? A. Having a sedentary lifestyle B. Having a physically demanding job C. Regular consumption of more than two alcoholic drinks per day D. Using tobacco 11. Which of the following are options for reducing your risk of developing osteoporosis? A. Getting enough calcium: 1,000 milligrams a day and then 1,200 milligrams a day for women older than 50 and men older than 70. B. Getting enough Vitamin D: at least 600 international units (IU) a day and then 800 IU after age 70. C. Getting daily exercise, especially when combining strength training, weight-bearing, and balance exercises D. All of the above ANSWERS: 1. True. Osteoporosis is when bones become weak and brittle. 2. C. The hip, wrist, and spine are the most common areas where bone fractures from osteoporosis occur. 3. True. There are usually no symptoms of the early bone loss of osteoporosis.
Osteoporosis Can Sneak Up On You. Are You at Risk?
1. True or false? Osteoporosis is when bones become weak and brittle due to bone loss because the creation of new bone doesn’t keep up with the loss of old bone. 2. Which of the bones below is NOT one of the most common places for an osteoporosis-related fracture to occur? A. Hip C. Femur B. Wrist D. Spine 3. True or false? Typically, there are no symptoms in the early stages of bone loss with osteoporosis. 4. Which of the following are symptoms of osteoporosis once the disease progresses and weakens bones? A. Back pain caused by a fractured or collapsed vertebra B. Loss of height over time C. A stooped posture D. A bone that breaks much more easily than expected E. All of the above 5. True or false? The older you get, the greater your risk of osteoporosis. 6. Along with age, what are other risk factors for developing osteoporosis? A. Sex. Women are much more likely to develop osteoporosis than men. B. Race. Those who are white or of Asian descent are at a greater risk of developing osteoporosis. C. Family history. Having a parent or sibling with osteoporosis increases your risk of developing osteoporosis. D. Body frame size. Both men and women with small body frames have a higher risk, most likely because they have a lower bone mass to draw from as they get older. E. All of the above 7. Hormones can also affect your risk for developing osteoporosis in which of the following ways? A. Lowered sex hormone levels, such as low estrogen or low testosterone, tend to weaken bone.
centralfloridahealthnews.com
PCMA LETTER
BODY, MIND & SPIRIT
What 60-Somethings Have to Say to 20-Somethings by MARY JOYE, LMHC
B
efore you think your elders have nothing important to impart, realize the babies of the ’50s and ’60s are now in their 60s. They lived through the Vietnam War and turbulent times. Women burned their bras while men grew their hair long. Many went to Woodstock and other events like it. This was the generation who told themselves to never trust anyone older than 30, and they are twice that age now. From the denim bell-bottoms of the ’70s to the tight white disco pants, glitz, and glam of the ’80s, today’s seniors have seen it all. This is not the grandparent who walked to school in the snow. (Although here in Florida, some did attend schools that didn’t have air conditioning.) I petitioned my 60-something friends and asked what they would say to a 20-something who asked for advice. The feedback would fill a year of issues, but here are some highlights. 1. Be more present in the present. When you find yourself in the company of your father, a beloved grandparent, or your much older brother, seize the opportunity to engage with them. We take family members for granted in many ways. We think we’ll always have time. It’s not true. Then it’s too late to get answers to questions about their lives, their loves, their experiences. Ask
something when you can, every chance you get. Even one question. And really listen to the answer. P.A. 2. Save some money every month — $50 to $100, and never touch it. When you are 60 to 65, decide what to do with all your extra cash. You will fondly remember that some old fool recommended you do this. M.P. 3. Don’t select the last sushi at the grocery store. D.L. 4. Forgive when you need to and move on; don’t harbor bitterness. F.B. 5. Tell those you love that you love them even though they might not love you in the same way. Never back down from a bully, even though you may take a beating. Enjoy the enjoyable. At the end of the day, if you can look at yourself in the mirror and say to your reflection, “I am proud of you,” then you have done well. Surround yourself with worthy companions for the journey. B.H. 6. Start saving now, even if you think you can’t. It will open more options for you later. Keep listening to young people, it will keep your spirit young. B.H. 7. B e yourself, and trust yourself. E.K.
8. Budget a monthly investment of 1% or more of your income and start building a dividendpaying portfolio. Reinvest dividends to achieve a compounding effect, and you will be a millionaire. C.P. 9. Take care of your body, and don’t live a life filled with stress. Eat healthy foods and exercise. This will help you age better and happier. L.T. 10. Don’t be hard on yourself. Learn from mistakes and move on. Cherish time with your loved ones. T.G. 11. Don’t worry about what others think. They are not paying as much attention as you think. To new parents, I would say the day your child is born, write down the whole experience and read them their birth story every year. And don’t make frivolous purchases, but save for retirement; the years fly by quickly! G.H. From these sages you hear recurring themes — save more money, spend more time and be present with those you love. This is the same thing we heard as 20-somethings, too, so there may be some wisdom in it. One last piece of advice: Have fun! We sure did! HN
ABOUT THE AUTHOR: Mary Joye, LMHC, PA, is a licensed mental health counselor with offices in Lakeland and Winter Haven. She holds a Master of Arts in Counseling from Trevecca Nazarene University in Nashville, Tennessee. For more information, visit winterhavencounseling.com.
centralfloridahealthnews.com
CFHN | 7
HEALTHY AGING
Doc, I Have Type II Diabetes. Will I Go Blind?
P
atients who present with a diabetes history are worried about their vision. If the patient has type II Diabetes Mellitus, the following is the discussion I have with the WILLIAM CORKINS, OD patient to simplify the pathophysiological process that occurs in a person with diabetes. When the patient with type II diabetes presents for an eye exam, I ask them what three problems they will have as time goes on. Most patients are not aware, so I tell them. The first is neuropathy, the second is kidney failure, and the third problem is retinopathy. Neuropathy is when you get numbness and tingling in your extremities, which is usually the first sign of diabetes. Next, your kidneys will start to fail, and lastly, you develop bleeding and leakage in the retina that can lead to blindness. I also ask them if they know that they can get rid of their type II diabetes. Most patients are not aware that they can do so. To simplify and understand the disease process, imagine I have a garden hose attached to a faucet stretched across the lawn to fill a bucket. Then, imagine I take an ice pick and punch holes in the hose, starting from the faucet and working the way across the yard to the end of the hose. If you compare the water flow when the hose has no holes to when I added the holes from the faucet to the end of the hose, you will notice a decrease in the flow. If I make enough holes, the water flow at the end will stop. This is what happens in diabetes. The hose represents our arteries that carry blood from our heart to our organs. Blood keeps our organs alive. Our arteries are made of muscle, and what happens in diabetes is the muscle wall breaks down, and blood starts to leak out of the wall of the arteries. The more leakage out of the wall, the more the blood flow thru the artery is decreased to the end organ it is feeding. If you decrease the blood flow enough, the tissue will die. That is why with a diabetic patient, you often will see their toes and legs being amputated. In the eye, blood flow to the retina is decreased. The retina is why we see. When the blood flow is decreased enough, the body senses this, and a chemical inside the eye is released. This chemical causes new blood vessels to form. The body thinks that if it grows new blood vessels, this will allow more blood to flow to the retina, keeping it alive. This is a smart defense mechanism, but here is the problem. The new blood vessels that form are extremely brittle. If you shake your head, the newly formed blood vessels can break. When they break, you have massive bleeding inside the eye. Eventually, the bleeding would stop, but the eye was filled with blood. As the blood is being reabsorbed, sticky bands that attach to the retina start to contract, which can cause the retina to detach, leading to blindness. When we have the above happen, this is called retinopathy, and we can treat it in two ways. First, we use anti-veg drugs that are injected into the globe. The anti-veg drugs stop the chemical released into the eye that causes new blood vessels to grow. If we can stop new blood vessels from growing and have regression of the blood vessels that have started to grow, there will be no brittle blood vessels to break. If no blood vessels break, there will be no massive hemorrhage and sticky strands. No hemorrhage (bleeding) or sticky strands means no retinal detachment. No retinal detachment means no blindness. Before the anti-veg injections, we would use a laser to treat the retinopathy. Using the laser to treat retinopathy sounds like an advanced treatment option, but in reality, it is a very archaic way of treatment. When we treat the retina with a laser, spots of laser light are placed onto the retina. The amount of spots applied is usually a lot. The laser spot used generates heat. The heated spot burns continued on page 15
8 | CFHN
HEALTH COMMUNITY
Feeding Minds photos provided by
WINTER HAVEN HOSPITAL W inter Ha v en H osp i t a l ’ s Community Benefit team helped Denison Middle School staff stock the school’s first food pantry in mid-March. It’s just one component of BayCare’s partnership with the nonprofit Feeding Tampa Bay. The “Feeding Minds” program places these pantries across four counties and is aimed at helping parents secure meals for their children and to help them thrive in school.
centralfloridahealthnews.com
COMMUNITY HEALTH
Acknowledging Disparities in Health Care a Crucial First Step by TERESA SCHIFFER sponsored by Central Florida Health Care
A
pril is National Minority Health Month, a time to recognize the disparities in health care received too often by minority populations in the U.S. and to work together toward solutions for these issues. Established in 1915 by Dr. Booker T. Washington, Minority Health Month reminds us that for a healthier society as a whole, we need to ensure that everyone has access to the resources they need to be as healthy as possible. Leigh Barberet is an APRN with Central Florida Health Care at the Dundee location. In the 20-plus years that she’s been in this position, she says she’s seen firsthand what it means to provide meaningful opportunities for health equity to underserved populations, such as the migrant community. “When we talk about disparities in health care, I’m not sure that everyone realizes how that affects our general population,” Barberet explains. She goes on to describe some of the serious consequences of this disparity for minority populations: “Rates of hypertension tend to be higher in Black Americans. They usually have earlier onset, and also lack treatment or suboptimal treatment, leading to higher rates of kidney disease, heart failure, and stroke. Hispanics tend to have a higher rate of diabetes and have tended to have poorer outcomes in the past. African-American women have disproportionately high rates of death from
Behavioral Health
Dental Health
Financial Assistance
Fortunately, there are people dedicated to resolving these disparities, one patient at a time. Central Florida Health Care acts as a safety net for individuals who might otherwise fall through the cracks of the standard healthcare system and not receive adequate, quality care. The sliding scale fee for uninsured patients is based on income, so patients can receive treatment without fear of being denied care due to a lack of financial resources. The Affordable Care Act and the Polk HealthCare Plan have been instrumental in getting many uninsured people health insurance coverage that they can truly benefit from. Central Florida Health Care has healthcare navigators on staff to help patients find plans they qualify for, making it possible for patients to then have access to specialists for additional treatment when necessary. These navigators often go out into the community to take health care to underserved populations directly. Being proactive in providing care is one way for healthcare professionals to help tackle these issues of inequity. Another effective tactic is to team up with other organizations committed to principles of service and equality. “We partner with Feeding Tampa Bay to address
Food Access
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pregnancy and childbirth. These issues have been impacted, historically, by a lack of care.”
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food disparities,” Barberet says. “There are what’s known as food deserts, so there is a big need for nutrition.” Feeding Tampa Bay conducts food drops at various locations throughout Central Florida to help provide nutrition to those in need. At the municipal level, simply adding more sidewalks and expanding parks is a tangible way to improve the health of the overall population. Getting outside and moving around more is an easy way to boost practically anyone’s physical fitness. Addressing these types of large-scale social problems can seem overwhelming at first, but it’s important to remember that this type of change is incremental and that many hands make light work. Barberet has some words of wisdom for how we can progress on the goal of providing sufficient, quality health care for all members of our society: “We have to acknowledge that there are disparities – that’s the first step. The ACA and Polk HealthCare Plan are things that have been done in policy at a government level that have led to real change in our communities. I would hope that as people become more aware, they will vote for these issues that are important. Be aware that keeping historically underserved people healthy leads to a healthier general population and a healthier environment.”
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866.234.8534 CFHN | 9
FEATURE EDITION
Lakeland Octogenarian Shares How Structure, Fitness Have Factored Into His Golden Years by TERESA SCHIFFER photos by MICHAEL WILSON
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ho doesn’t want to live a long, healthy, and happy life? There’s no one formula that fits every lifestyle, so Central Florida Health News asked Lakeland octogenarian athlete Gordon “Cork” Wilson to spill the beans on his secret to a long and healthy life. Wilson, who turns 87 in April, recently participated in the Polk Senior Games, an annual event that is open to anyone 50 and older. The Olympic-style competitions span two weeks at various locations throughout Polk County. Twenty athletic competitions were offered this year from February 26 through March 12, with gold, silver, and bronze medals awarded for each in various age brackets. Wilson participated in several of this year’s events. He had been playing tennis in the Polk Senior Games for several years, as well as doing the bench press and powerlifting a couple of times. This year he added some track and field events to his lineup. Wilson enjoys tennis and has been playing with other seniors in Lakeland for years. His tennis friends had suggested that he join them in the Polk Senior Games, and so began his involvement in the annual competitions. “For the last 20 years, I’ve been participating in gym activities, both aerobics classes and muscle conditioning, so I’m in pretty good shape physically,” Wilson says. “About three years ago, I got a gold medal in the bench press, and two years ago a silver medal in the bench press.” This year, Wilson competed in the 50-meter, 100-meter, and 200-meter track events, earning two gold medals and one silver. He also did the high jump and the long jump, scoring gold in both events for the upper 80s age bracket.
Word to the Wise
“It’s a pretty professionally run, very well organized and managed event,” Wilson says. “It’s fun to get involved with.” He was raised in a small town in Michigan, served for four years in the Navy, and attended Michigan Technological University for electrical engineering on the GI Bill. Wilson spent his career working in computer engineering, management, and systems programming. “During my career, it wasn’t a lot of physical work,” he recalls. “I wasn’t in that good of shape; I was overweight, not well muscle-
10 | CFHN
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developed. When I retired, I started getting involved in gyms – aerobics classes and muscle conditioning. I’ve been doing that for 20-some years.” Wilson retired at age 64, took a year off, then returned to working as a computer tech in a school district for about six years. He has been fully retired since 2006. He and his wife started coming to Florida each year as snowbirds, wintering in Lakeland from 2006 until 2016. Then about three years ago, they moved here permanently. Tobacco use is one unhealthy habit that Wilson always made sure to avoid. “When I was about 11 years old, my dad said, ‘If you’re going to smoke, smoke in front of me, don’t go out behind the barn.’ And I thought, ‘What’s the fun in that?’ I never smoked after that.” He does, however, drink a 6-ounce glass of red wine daily with dinner. When it comes to his health, Wilson believes in a proactive approach. He does his research to educate himself on his body and health, and he supplements his diet with appropriate vitamins and herbs. “I try to keep my weight under control,” he explains. “When I first retired, I was probably 20-25 pounds overweight. Now I’m pretty close to normal. My BMI is just a hair above 25, and I’m trying to get that down just a little bit now.” A BMI (body mass index) is considered normal and healthy when it is between 18.5 and 24.9. While Wilson isn’t one to tell other people how to live their lives, he doesn’t mind sharing his success with others hoping to be as happy and healthy well into their 80s. “If I were to give advice, I would say, ‘Get involved with a gym, a YMCA, something like that.’ I think it would have been good if I had gotten involved in the gym activities a lot earlier in my life, but better late than never.” Wilson believes that as someone ages, and centralfloridahealthnews.com
PHOTO PROVIDED
If I were to give advice, I would say, ‘Get involved with a gym, a YMCA, something like that.’ I think it would have been good if I had gotten involved in the gym activities a lot earlier in my life, but better late than never. — Gordon Wilson especially upon retiring, it’s important to have some structure in their life. “I think for someone that’s retired, to have a structured routine makes you feel part of the system, instead of floating,” he relates. “My wife and I have this routine, and it kind
of helps me. I know when I first retired, things were so unstructured that I didn’t feel comfortable. You kind of feel unplugged from society. Now, what we do is every Monday, Wednesday, and Friday, I play tennis in the morning. On Tuesdays and Thursdays, I go to the gym. That gives me structure.” HN CFHN | 11
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CFHN | 13
FEATURE SEASONAL
POLLENPALOOZA Your Spring Allergy Survival Guide by SEAN JARVIS
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f there is any doubt that spring is here, those of us in Central Florida need to do little more than look outside. That yellow cast over cars, lawns, sidewalks, and driveways isn’t sunshine. It’s pollen. And for many people, it heralds the beginning of the annual battle with spring allergies.
If you are one of the more than 50 million Americans who experience seasonal allergies, you are familiar with the sneezing, runny nose, and itchy eyes.
CECILIA ARANGO, MD
14 | CFHN
Different allergens are released at different times of the year and in different parts of the country. Therefore, you may have severe allergies in the spring but not in the fall. “During April to October, the most common allergens are pollen, weed, and grass,” says Dr. Cecilia Arango, a family medicine physician at Bond Clinic. “To know what kind of allergens you are susceptible to, an allergy test would need to be done. Some could be done by blood or by measuring skin reaction.”
According to Dr. Stephanie Phan, a pediatric specialist with Bond Clinic who works in the Davenport office, allergy symptoms occur when a person’s immune system treats pollen particles as foreign invaders and releases chemicals, such as histamine, causing allergy symptoms.
Limiting Exposure
This reaction can occur at any age, though typically doesn’t occur until at least 2 years of age.
Once you have figured out what you are allergic to, you can use this information to try and mitigate exposure.
What Triggers Seasonal Allergies?
“Keep your windows closed and stay indoors during times when the pollen count is high,” Phan explains. If your child is suffering from allergies, make sure to have them wash their hands, change their clothes, or take a shower after playing outdoors.
“Pollen from trees, plants, and grass are the most common culprits,” Phan says, “but other allergens include mold, dust, and dander.” STEPHANIE PHAN, DO
are released, they increase blood flow and cause inflammation. This triggers other chemicals to react, causing the sniffling, sneezing, coughing, and runny eyes that make up allergy sufferers’ symptoms.
For instance, as the weather warms, mold that grows in leaf piles can become airborne and trigger symptoms. Likewise, as histamines
“Washing bedding frequently and using an air filtration system in the home that reduces centralfloridahealthnews.com
airborne allergens may also help,” she says. If your allergies are to a particular tree or weed pollen, removing these plants from your landscaping will be beneficial. Arango suggests boosting your immune system with probiotics, vitamin C, and local honey. She also recommends a humidifier, mint scent, and a cold shower for additional relief.
Nasal Irrigation for Relief Sinus rinsing can help to remove dust, pollen, and allergens from your nasal passages. These irrigation devices are commonly called neti pots and are used with a saline or saltwater solution. “There is some evidence to support the use of nasal irrigation as a safe and effective way to help with allergies if performed correctly,” Phan says. “However, nasal irrigation does carry the risk for potential fatal infections if contaminated water or irrigation devices are used.” Therefore, it is essential to use distilled or sterile water. Phan cautions the importance of consulting your pediatrician if you are considering using a neti pot to help with a child’s allergies and adds that “very young children may not tolerate this technique.”
Arango says there are OTC medications like Zyrtec for children, Claritin for children, and Benadryl for children, although the last one might cause drowsiness. Whether it’s an OTC antihistamine, nasal spray, or both, keep track of what works and what doesn’t. Then, if you’re still suffering, it may be time to see an allergy specialist. While taking a pill every day for your allergies may not sound fun, it is safe to do so. “However, if symptoms do not improve on multiple medications or your child is requiring prolonged use of pharmacotherapy, then your pediatrician may recommend seeing an allergist to provide other treatment options such as immunotherapy,” Phan explains.
Immunotherapy for Seasonal Allergies Immunotherapy is a treatment for seasonal allergies that involves gradually introducing the allergen to your body. Your immune system will become less sensitive to the allergen through these incremental increases. This may cause the production of a “blocking” antibody, which will reduce symptoms.
Medication to Alleviate Symptoms
“Immunotherapy can be a very effective treatment option for a child and may reduce the need for daily medications and improve their overall quality of life,” Phan says.
According to Phan, “Both over-thecounter and prescription oral, nasal, and eye antihistamines, as well as steroid nasal sprays, are all effective options for treating seasonal allergies. Antihistamines and nasal corticosteroids are common treatments and safe to use in children.” To expand on this,
Before beginning immunotherapy treatment, the allergist will work with the patient to identify trigger factors that produce the allergic reactions. They also may run skin and blood tests to confirm which specific allergens affect you. HN
HEALTHY AGING
Will I Go Blind? continued from page 8 and destroys the retina. So what the laser is doing is destroying the retina. The idea is this. Remember, in diabetes mellitus, the blood flow to the retina is reduced. If we destroy the retina with the laser spots, we will reduce the amount of retina that needs blood to survive. Since we cannot get more blood to the retina, we destroy the amount of retina to equal the reduced blood flow. When we do this stops, the chemical that is released causes new blood vessels to grow. No new blood vessels mean no massive hemorrhage or sticky bands resulting in no blindness. What I have observed through the years when someone is being treated for their type II diabetes: The patient finds out their blood sugar is high. The patient looks at the doctor and says, “What are you going to do?” The doctor starts the patient on medication and schedules a follow-up visit. On follow-up, the patient’s blood sugar is still too high. Again, the patient looks at the doctor and says, “What are you going to do?” The doctor changes the medication and schedules a followup visit. On follow-up, the blood sugar is still not good. The patient looks at the doctor and says, “What are you going to do?“ The doctor adds a new medication and schedules a follow-up visit. What should happen is instead of the patient looking at the doctor and asking, “What are you going to do,” the doctor then needs to look at the patient and ask, “What are you going to do?” By losing weight, exercising, and eating correctly, you will see your blood sugar come down. If you are on medication, you will see the amount of medication decrease. If you keep on track, you will see your diabetes diagnosis go away. I typically see that patients will accept the numbness and tingling neuropathy. They will accept kidney failure and dialysis treatments. They will accept amputation of their toes and legs. But when they start to lose their vision and find out the treatment does not make them see better but only extends what vision they have a little longer, they begin to take the disease seriously. At this point, guess what? It is too late to turn things around. So do not back yourself into this corner. Take control. It will not be easy and requires a lifestyle change. Now you know how to get rid of your type ll diabetes. As the saying goes, JUST DO IT! If you are a diabetic patient and notice issues with your vision, call us at 800-282-3937 to schedule a diabetic eye exam. This column is sponsored by Eye Specialists of Mid-Florida, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. William Corkins is a board-certified optometrist who sees patients at the Haines City location for Eye Specialists of MidFlorida. He is accepting new patients at this time.
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CFHN | 15
April 2022 | CALENDAR RECURRING ONLINE EVENTS BrainFlex Wellness Club This “body, mind, and spirit” approach to aging well is geared towards seniors looking to stay sharp and fit as they age. The class incorporates four key concepts: exercise/meditation, social connections, interactive nutrition education, and brain training/life-long learning. The goal is to slow or prevent cognitive decline and improve quality of life. This class takes place on the second and fourth Tuesdays of each month from 10:30 – 11:30 a.m. The Zoom link is https://us02web.zoom.us/j/3876883694. Before the class, please download and print class materials from www.BrainFlexWellness.com. If you have any other questions, please email ORL.MDC@AdventHealth. com.
Caregiver Support Group – Weekly This group meets every Monday at 11 a.m. to discuss caregiver concerns and provide fellowship and support for one another. Meetings are currently taking place online using the Zoom platform. You can join the recurring meeting using this link: https://us02web.zoom.us/j/86739398714, or email ORL.MDC@AdventHealth.com for more information.
Diabetes Support Group Virtual On the second Monday of each month, St. Anthony’s Hospital hosts a virtual support group for diabetics from 12 – 1 p.m., led by a certified diabetes care and education specialist. Educational information is provided, followed by an open discussion. Access to a microphone and camera is required to attend this free online meeting. For more information, please call 855-269-4777 or go to www.baycare.org/events.
Functionally Fit – Virtual Exercise During this online class, participants are guided through a series of functional strength training exercises to improve cardiovascular fitness, mobility, motor control, and balance. Caregivers are encouraged to join in on the exercises. This workshop is delivered through Zoom teleconferencing platform and takes place every 3rd Thursday of the month from 2 – 3 p.m. The link to join is https://us02web. zoom.us/j/3876883694. For more information, please email ORL.MDC@AdventHealth.com.
Monthly Caregiver Support Group (Previously Met at Faith Assembly)
This monthly group meets to share advice and experiences, and encourage one another. The group meets at 1 p.m. on the third Thursday of each month using the Zoom online platform. The link to join the meeting is https:// us02web.zoom.us/j/89447209844. If you have any questions, please email ORL.MDC@AdventHealth.com.
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Music Therapy Join board certified music therapists on the first Tuesday of every month at 11 a.m. The Maturing Minds Music Therapy group uses neurologic music therapy techniques to boost brain and behavior functions, such as memory, communication, attention, and movement. The meetings are taking place online using Zoom. The link for the recurring meeting is https://us02web.zoom.us/j/3876883694. Please email ORL.MDC@AdventHealth.com if you have any questions.
Restorative Yoga Cancer Program Virtual This is a stress reduction yoga program designed to help cancer patients cope with their treatments and improve their quality of life. Learn techniques such as regulated breathing, visual imagery, meditation, and various stretching poses to improve balance, flexibility, and strength. The class is taught by a registered yoga teacher and exercise specialist. Microphone and camera access is encouraged but not required. The free lessons will take place from 7:30 – 8:15 a.m. every Wednesday. Register online at www.baycare.org/events or call 855-269-4777 for more information.
Supporting Motherhood & More Virtual A support group for women who are experiencing unexpected and difficult emotions related to their pregnancy and postpartum. Participants must have access to a camera and microphone in order to participate in this virtual program. The group meets online from 12 – 1 p.m.,with sessions scheduled for Monday, April 4, Thursday, April 14, and Monday, April 25. You can learn more and register for this free event that is sponsored by St. Joseph’s Women’s Hospital by visiting www.baycare.org/events.
EVENTS AND FUNDRAISERS April 4 – Heart for Winter Haven 7th Annual Golf Tournament Enjoy an exhilarating round of golf at The Country Club of Winter Haven, located at 4200 Country Club Rd S in Winter Haven while making a positive impact on the local community. Registration is at 7:30 a.m. Shotgun Start at 8:30 a.m. $700 per foursome or $175 per individual player. Post-event lunch is included, plus there will be a Raffle/Auction. Heart for Winter Haven is committed to alleviating all forms of poverty in the Winter Haven area. To register for this event or learn about sponsorship opportunities, please go to www.heart4wh.org/golf.
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compiled by TERESA SCHIFFER
April 4 – Maternity Center Orientation Virtual
April 9 – Make-A-Wish 11th Annual Walk for Wishes
April 26 – Perinatal Bereavement Support Group Virtual
Prepare for delivery at BayCare by attending a virtual tour of the Maternity Center. This is a free class for expectant mothers. One support person may also attend. The class will take place from 5:30 – 7 p.m. and is sponsored by St. Joseph’s Women’s Hospital. There will be several more sessions throughout April as well. For more information, please visit www. baycare.org/events or call 855-269-4777.
Walk for Wishes is a nationwide event benefiting the Make-A-Wish Foundation’s mission of granting life-changing wishes for children affected by critical illnesses. This local event is sponsored in part by Watson Clinic and will be held at Water Works Park, located at 1701 N Highland Ave in Tampa. Registration is at 8 a.m. If you would like more information, please reach out to Katie Alexander at (813) 288-2600, or email her at kalexander@sfla. wish.org.
This support group for families who have experienced the loss of a baby through miscarriage, ectopic pregnancy, stillbirth, or early infant death will help explore grief and strengthen communication with loved ones while honoring your loss and encouraging self-care. Access to a microphone and camera is necessary. It takes place from 6:30 – 7:30 p.m. and is sponsored by Winter Haven Women’s Hospital. For more information, please visit https://baycare.org/services/maternity or call 855-269-4777.
April 4 – Pregnancy and Beyond: Hypertension & Preeclampsia Virtual This is a free, informative virtual class only for expectant mothers. Learn about preeclampsia and its symptoms with the goal of protecting your health during and after pregnancy. Access to a microphone and camera is not required to attend this program, but it is encouraged. One support person may attend with the mother. This class will be held from 7 – 8:30 p.m. You can find more information and register online at www.baycare. org/events.
April 5 – Breastfeeding Support Group Virtual This is a group solely for breastfeeding mothers, to allow them a safe environment in which to support each other, assisted by certified breastfeeding consultants. Access to a camera and microphone is necessary. The free event will take place from 10 – 11 a.m. Sponsored by St. Joseph’s Women’s Hospital. You can find more information at www.baycare.org/events, or call 855-2694777.
April 8 – South Florida Baptist Hospital Children’s Classic Golf Tournament Show your support for an organization that is dedicated to benefiting local children’s activities, schools, and organizations by purchasing a Hole Sign for this SOLD OUT event taking place at The Club at Eaglebrooke in Lakeland! If you would like to get on the waiting list for registration, please call the South Florida Baptists Hospital Foundation at (813) 757-8478.
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April 10, 16, and 23 – BayCare HealthHub Farmer’s Market BayCare HealthHub is hosting a farmer’s market on the third and fourth Saturdays of each month. Local vendors will be offering fresh produce, hot food, and more, including fun activities for children. This takes place from 9 a.m. – 1 p.m. every third Saturday at BayCare HealthHub (Bloomingdale), located at 2470 Bloomingdale Ave in Valrico, every fourth Saturday at BayCare HealthHub (Land O’ Lakes), located at 18600 Fernview St in Land O Lakes, and the second Sunday of each month from 10 a.m. – 2 p.m. at BayCare HealthHub (Bardmoor), located at 8787 Bryan Dairy Rd in Largo. If you need more information, please call 855-269-4777.
April 22 – LVIM Lakeland Swan Derby 2022 Watson Clinic is a proud sponsor of the 15th Annual Swan Derby, the beloved “derby style” event that combines the excitement of a race with the hometown pride of watching a local sports competition in which 10 artistically hand-crafted swan paddle boats are piloted with panache to the finish line on scenic Lake Mirror in downtown Lakeland. The real reward is knowing that the proceeds will go to support the efforts of Lakeland Volunteers in Medicine. The fun happens from 5:30 – 9:30 p.m. For more information, please visit www. lvim.net/swan-derby/.
April 26 – Bariatric Support Group Virtual Sponsored by St. Anthony’s Hospital, this free virtual meeting will take place from 5 – 6 p.m. A microphone and camera are needed to participate. The topic for this session is the relationship between sleep disorders and sleep. For more information, please call 855269-4777.
April 28 – The Healthies Presented by Watson Clinic LLP Hosted by the Lakeland Chamber of Commerce, this Inaugural Healthcare Award Program will pay tribute to the many individuals, institutions, and programs that collectively have had such a significant impact on the healthcare community of Lakeland. The elegant affair will be taking place from 6 – 8:30 p.m. Tickets for individual attendees are $60. For more information or details on sponsorship opportunities, please call (863) 688-8551 ext. 230.
April 30 – 2022 March of Dimes: March for Babies Make a difference in the lives of babies born preterm and their families by participating in the March of Dimes: A Mother of a Movement event locally. Watson Clinic is supporting a team, and your company, family, or friends can, too. Just go to www.marchforbabies.org to find the event nearest you.
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HEALTHY COOK
Easy, Quick, and Healthy? Try the Microwave by CAROL CORLEY
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et’s face it, today’s seniors grew up cooking with a microwave oven. Patented in 1945, it was pretty much found in most kitchens in the mid1950s. So today, when looking for a meal that’s quick, easy, and healthy, chances are the microwave will be the first choice. A marvel of engineering, microwave ovens are generally safe to use and are useful for preparing small meals. Microwave cooking is considered healthy because foods tend to retain more nutrients since they aren’t cooked as long. Also, they shut off automatically, so there is no major risk of forgetting. The ovens aren’t without risk, though, as cooks can still be injured by scalding from super-heated water (over boiling point) and foods exploding because they’ve cooked too long. The United States Department of Agriculture reminds us that microwaves cook foods less evenly than conventional ovens, so it is important to use a food thermometer and check several places in the dish before pronouncing it done. Microwaves can be used for all meals — from breakfast to dinner and even dessert. Let’s start with breakfast. 18 | CFHN
Microwave Egg Frittata (Adapted from food.com) Ingredients: Eggs, 2 Evaporated milk, 1/4 cup Spinach leaves, 1/3 cup fresh, washed and dried, torn into bite-sized pieces with stems removed Tomato, 1-2 plum or chopped small tomato Turkey bacon or regular bacon, 2 slices precooked to crispy, diced Mozzarella cheese, 1/3 cup shredded Olive oil cooking spray Salt and pepper to taste
Directions: Spray a small microwave-safe bowl with cooking spray, put chopped spinach leaves into the bottom of the bowl. Add chopped tomato and pre-cooked bacon cut into small bits and top with cheese. Beat eggs and milk in a separate cup and pour over the food in the bowl. It’s OK if some of the bits float. Top with salt and pepper to taste. Microwave on high for 3 minutes or about 20 seconds after the center puffs up to be even with the rest. Eat it immediately after cooking for the best results.
Microwave Mac ’n Cheese for Lunch (Adapted from fitmencook.com)
Directions:
Ingredients: Goat cheese, 5 tablespoons crumbled Macaroni, 2 oz uncooked wheat or quinoa Greek yogurt, 1 tablespoon Garlic powder, 1 teaspoon Onion powder, 1/2 teaspoon Salt and pepper to taste Green onion finely chopped as garnish
Cook macaroni in a microwave-safe bowl in about 2 cups of water, adding a bit of salt. Place the plate on top and cook for about 5 minutes, then stir and cook for another 3 minutes. If fully cooked, take out most of the macaroni water, leaving about 1/8 cup in the bowl. Add Greek yogurt and goat cheese crumbles and stir, then top with garlic and onion powder and salt and pepper to taste. Before serving, top with garnish.
Microwave Chicken Curry (Adapted from oodnetwork.com)
Directions:
Ingredients: Chicken breasts, 4 cut into strips without bone or skin Olive oil, 3 tablespoons Indian curry paste, 2 tablespoons or to taste Basil and cilantro leaves, 1/2 bunch each chopped Coconut milk, 27 oz in cans Soy sauce, 2 tablespoons or to taste Salt and pepper to taste Paprika and thinly sliced scallion for garnish Steamed rice
Start with a large microwave-safe pot with a lid and mix together curry paste and oil, cooking on high for 3 minutes. Add chicken strips, stir, and microwave covered for 8 minutes. Add flavorings, stirring again, and microwave on medium for 4 minutes. Stir then cover and allow to rest for 4 minutes. Serve over steamed rice, and garnish with scallion and paprika.
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Meet Our Doctor
HEART NEWS
Dr. Aparajita is a fellowship-trained vascular surgeon and has been serving the Polk County community for the past 1 year. She earned her Bachelor of Medicine and Bachelor of Surgery (MBBS) degree at University of Delhi, India. She then completed a research fellowship in vascular surgery at Columbia University Medical Center in New York and a residency in General Surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. Dr. Aparajita is also a Member of the Royal College of Surgeons of • Riding a bicycle at a casual pace (slower than 10 miles journal Circulation. People Edinburgh, UK (MRCS Ed) and completed her Basic Surgical Training in RITU APARAJITA, MD, RPVI England soon after her medical school. per hour) who are the least physically fit KSC Cardiology Dr. Aparajita is the co-author of more than two dozen journal articles, • Water aerobics have a mortality risk 4.5 times publications and oral presentations, including topics such as • Ballroom dancing higher than fit people. endovascular treatment for thrombosis, aorticphysically aneurysm repair, stroke, peripheral artery disease and other vascular conditions. • Playing doubles tennis Additional posts and volunteer work include a teaching position at • Actively playing with children Hofstra Northwell School of Medicine and as a Member of the Public and Professional Outreach Committee as well as the International Relations • Mowing the lawn Committee at the Society for Vascular Surgery (SVS). • Gardening, raking, or batting leaves Dr. Aparajita was recently nominated for the American Medical activity is not just good for your veins and Associationactivities (AMA) InspirationPhysical Award that recognizes physicians Examples of vigorous-intensity aerobic arteries –ofjust about every part of your body can who have contributed to the achievements women in the medical that increase the heart rate, cause sweating and heavy benefit. According to the CDC, exercise also helps: profession.
The Role of Exercise in Vascular Disease Prevention
S
pring is such a lovely time! We hope everyone has gotten used to the time change for Daylight Savings Time. There are flowers everywhere and new green leaves on the trees and birds chirping. All the more reason for us to get out of our homes and get some exercise. This is the fifth part of the series focusing on lifestyle management for the prevention of vascular disease. In the previous four issues, we addressed smoking cessation, blood pressure regulation, weight management, and the importance of sugar control. Now, let’s look at the role of exercise in the prevention of vascular disease. Physical activity helps to burn calories, increase the heart rate and keep blood flowing at a healthy rate. A regular exercise routine may reduce the risk of stroke, which is the fourth-leading cause of death in America. Studies have also shown that patients with peripheral arterial disease may be successfully treated with supervised exercise therapy and possibly avoid interventions, which are risky and expensive. Regular physical exercise also decreases the growth rate of abdominal aortic aneurysms. The Centers for Disease Control and Prevention recommends 150 minutes of physical activity per week for adults ages 18-64. The activity can be a combination of moderate-intensity aerobics and strength training and should continue for at least 10 minutes at a time. Examples of moderate-intensity aerobic activities that increase the heart rate and cause sweating: • Walking briskly (about a mile in 15 minutes)
DID YOU KNOW?
breathing that limits talking: • Maintain healthy • Race walking, jogging, or running RITU APARAJITA, MD, weight MRCS (Ed), MBBS • Reduce the&risk of cardiovascular Specialty: Vascular Endovascular Surgerydisease; can • Hiking uphill or with a heavy backpack lower blood pressure and improve cholesterol • Riding a bicycle fast or riding hills more than 10 Joining mph KSC Cardiology November 9, 2020 levels • Swimming laps • Reduce the risk for type 2 diabetes; can control • Playing singles tennis glucose levels • Playing basketball, football, soccer, etc. • Reduce the risk of colon and breast cancer • Jumping rope • Strengthen bones and muscles - can increase or build muscle mass and strength; can slow the loss • Aerobic dancing of bone density that comes with age; can help • Heavy gardening with arthritis and other joint conditions Examples of twice-weekly muscle-strengthening • Keep thinking, learning, and judgment skills sharp activities: • Reduce the symptoms of depression and anxiety • S it-ups, push-ups • Improve the ability to complete daily activities and • Weightlifting prevent falls for older adults • Yoga • Increase the chances of living longer by reduc• Heavy gardening such as digging and shoveling ing the risk of dying from heart disease and some cancers. The lack of regular physical activity results in 250,000 deaths annually, according to a 2003 report in the medical
This column is sponsored by KSC Cardiology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Aparajita is a fellowship-trained vascular and endovascular surgeon. She is a co-author of 20+ journal articles and publications and was recently nominated for an Inspiration Award by the American Medical Association (AMA).
Chocolate Mug Cake
(Adapted from allrecipes.net)
Ingredients: Egg, 1 large Sugar, 1/4 cup Cocoa powder, 2 tablespoons plus 1/4 teaspoon unsweetened Butter, 2 tablespoons melted Vegetable oil, 1 tablespoon Vanilla extract, 1/8 teaspoon Shredded coconut, 1 tablespoon unsweetened Sliced almonds, 2 tablespoons toasted Chocolate chips, 2 tablespoons miniature semi-sweet Milk, 3 tablespoons Flour, 1/4 cup all-purpose Baking powder, 1/4 teaspoon Confectioner’s sugar, 1/4 teaspoon Salt, 1 pinch
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Directions: Whisk together until smooth the egg, sugar, salt, cocoa powder (2 tablespoons), butter, oil, vanilla, then stir in coconut, almonds, chocolate chips, and milk until well blended. In a small bowl, mix together flour and baking powder and pour evenly over batter, whisking until you can no longer see flour. Divide between 2 coffee cups, eliminating air bubbles by lightly tapping on a table. Microwave Mug Cakes one at a time, each on high for 45 seconds. Remove from the oven and let cook for 2-3 minutes. Cake will collapse after microwaving. Lightly dust with confectioner’s sugar and remaining unsweetened cocoa.
CFHN | 19
FEATURE PATIENT
THE HOPE OF HOSPICE Care When a Cure Is Not an Option by BRENDA EGGERT BRADER photos courtesy of VITAS Healthcare
20 | CFHN
W
hile many people are familiar with the term hospice, most don’t fully understand the broad range of care it includes. End-of-life decisions can be wrought with emotion and trepidation, and while hospice is there to tend to the physical needs of the patients, it’s also an invaluable service for grieving families. Hospice and palliative care programs provide pain management, symptom control, psychosocial support, and spiritual care to patients and their families when a cure is not possible. There are four hospice agencies that have contracts to offer care in Polk County: Compassionate Care Hospice, Cornerstone Hospice and Palliative Care, Good Shepherd Hospice, and VITAS Healthcare. Medicare provides the guidelines that all providers follow. Differences arise between for-profit businesses and nonprofit organizations. Nonprofit organizations have philanthropic areas and can make donations to those who need the care but can’t afford
it. The foundation can step in and pay those fees. “For most, hospice is a plan of care for people who are dealing with end-of-life issues,” says Garry Mac, vice president of hospice strategies for Cornerstone Hospice and Palliative Care. Hospice care is chosen when no curative care is prescribed and the patient is expected to live six months or less. Once a physician makes the recommendation for hospice, the goal of treatment changes to pain management and quality of life. “We work with you, and the doctor is never out of the picture,” Mac says. “Quality of life means something different to each person. It begins with what do you want to do, and how do you want it to work with you through the family.” Hospice care is received wherever “home” is for the patient, whether that is a nursing home, assisted living, or their home. centralfloridahealthnews.com
HEALTHY SKIN
Itchy Skin? It Could Be Psoriasis or Eczema
E
xperiencing a skin condition can be a little unnerving, especially if you’re not sure what it is. Psoriasis and eczema are two common skin conditions that can even ALEX W. KENNON, MD, FAAD be seen in children. While these diseases may present in similar ways, they’re actually quite different and have different triggers and causes.
For the Family Medicare pays up to 100 percent (if the patient is at Medicare age), but Medicare only pays for the care, not room and board. Otherwise, Medicaid and private health insurance — when applicable — pay the cost. Medicare’s guidelines are what all hospice providers follow when tailoring their care, said Marcela Restrepo, senior director of market development VITAS Healthcare in Midstate Florida, which covers Polk, Highlands, and Hardee counties. Each patient has a full hospice team consisting of a doctor, hospice nurse, social worker (who works with the patient and family to make sure affairs are in order, dealing with Medicaid and the payer source), a nondenominational chaplain, and a bereavement counselor (to help the family members deal with their grief). Hospice care is a 24-7 business that surrounds the family with care and support while making the patient as comfortable as possible. Nurses and other healthcare personnel work around the clock and stay in constant contact with doctors to address issues as they arise. Patients in hospice care are consulted as to what they wish to accomplish. Some request going out to meals, seeing a baseball or football game again, orJESSICA visiting someone special. PHOTO BY TOY centralfloridahealthnews.com
Grief support is a service all hospice organizations provide. “Grief counseling is provided during the service of the assigned patient and lasting at least 13 months past the month when the family lost the deceased member,” Restrepo says. “VITAS offers grief groups, including virtual support groups online.” “Kids grieve differently than adults,” Mac says. “Polk County Cornerstone Hospice offers a kids’ camp where children gather for games, sports, and crafts where they can discover, ‘Hey I am not alone.’ ” Palliative care is provided within the context of serious illness: chronic, progressive pulmonary disorders; renal disease; chronic heart failure; HIV/AIDS; progressive neurological conditions; cancer, etc. It supports a patient’s physical, emotional, and psychosocial needs, providing comfort and improving quality of life. All four hospice companies serving Polk also offer palliative care. Music, guitar players, singers, massage therapy, and other soothing activities are offered to the patient, Restrepo said. “A lot of volunteers provide the help like those making crafts or blankets for the patient. The nurse creates the schedule for the patients and will include any of the therapies.” HN TOY PHOTO BY JESSICA
Eczema This inflammatory skin condition affects more than 31 million Americans. The most common symptom is itchy skin, but it can also cause dry skin, rashes, blisters, skin infections, and scaly patches. There are seven different types of eczema that can affect anyone, from newborn babies to adults. The most common type, atopic dermatitis, is the result of an overactive immune system that irritates the skin barrier. Common treatments include moisturizers, antihistamines, corticosteroids, and topical steroid creams. Psoriasis This skin disease is a chronic disease with no cure, much like eczema. It tends to go through cycles during which it flares up then subsides or goes into remission. Psoriasis is thought to be caused by an overactive immune system speeding up skin cell regeneration. While skin cells typically grow and shed every 10 to 30 days, psoriasis causes skin cells to regenerate every three to four days. This causes a pile-up of cells on the surface of the skin, causing itching, burning, or stinging. It can also lead to the appearance of plaques and scales, commonly found on the elbows, knees, and scalp. Diagnosis There are many ways dermatologists can tell the difference between the two conditions. Typically, eczema is accompanied by intense itching, while itching as a symptom of psoriasis is milder. Eczema usually appears in the crooks of the knees and elbows, while psoriasis patches are more well-defined, thick, and scaly, and can appear on the knees and elbows as well as other parts of the body. If you are experiencing any itchy or irritated skin, your first step should be finding an experienced dermatologist. Call Lakeside Dermatology to schedule a consultation. This column is sponsored by Lakeside Dermatology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. Dr. Alex W. Kennon, MD, FAAD, is a board-certified dermatologist who is fellowshiptrained in Mohs micrographic surgery. He received his undergraduate and medical degrees from Florida State University and completed his dermatology residency at Medical College of Georgia at Augusta University. Lakeside Dermatology has offices in Sebring and Winter Haven.
CFHN | 21
EDITOR’S DOSE
MEDICAL ADVICE
Exercise Recommendations For Seniors
Minority Health Month
JESSICA McDONALD, EDITOR
jessica@centralfloridamediagroup.com
I
f there is one thing that is evident in this edition of Central Florida Health News, it’s the benefits of exercise—no matter what your age. For seniors, especially, it can play a big role in health and physical ability. The National Institute on Aging describes the importance of all four aspects of exercise — endurance, strength, balance, and flexibility. To understand better, let’s take a look at each.
by DR. JOY JACKSON
A
health disparity occurs when preventable disease, injury, or violence is more common in certain groups of people than in the general population. Public health plays an important role in addressing health disparities by bringing attention to them and working with communities to try to reduce them. An example of a significant health disparity in Polk is that a Black infant born in 2020 was two times more likely to die before their first birthday than a white infant. Health disparities can exist based on race or ethnicity, gender, education, income, disability, geographic location, and sexual orientation among other things. Local maternal child groups are working to combat this disparity. The role of public health in reducing health disparities involves several parts. The first two, education and empowerment, are closely related. When a health concern is more common in a certain group of people, one way to close this gap is to educate that group on ways to prevent and/or treat that health concern. Public health can also reduce health disparities by empowering people to care for their health. By connecting them to tools, and making sure they understand how to use them, public health gives that
group the power to care for their health. Public health also plays an important role by connecting people to resources that provide the health services they need. Assessing a community’s health to look for health disparities is a crucial step in attempting to deal with them. It’s important to know which specific groups are affected and how badly they are impacted. After a health disparity is identified, a plan is made and carried out. The last step in the cycle is evaluation, this shows whether the plans that were made and carried out during the assessment made a difference. This involves gathering information before and after the plan is used. Gathering health information about the community and speaking to community members both play a part in the evaluation. Every community member benefits when health disparities are addressed. The Florida Department of Health in Polk County works to protect, promote, and improve the health of all people in Florida, tackling health disparities in minorities is one step in accomplishing this mission. HN
ABOUT THE AUTHOR: Dr. Joy Jackson, an internal medicine physician, serves the community as director of the Florida department of Health in Polk County (DOH-Polk). For more information about DOH-Polk, visit mypolkhealth.org. Follow DOHPolk on Twitter at twitter.com/FLHealthPolk.
22 | CFHN
Endurance Exercises Endurance activities are what you would typically think of when you hear aerobics, including brisk walking or jogging, yard work, dancing, and swimming. These activities increase your breathing and heart rate. Doing these types of activities can improve your fitness and help you perform everyday tasks without getting winded. Be sure you warm up, cool down, and drink enough water. Strength Exercises Maintaining your muscle strength will help you easily perform everyday activities like climbing stairs, carrying items, and getting up from seated and reclining positions. Strength exercises can also help to prevent falls. Resistance bands, wall push-ups, and weights can help you build and maintain your strength. If you decide to use weights, be sure to start light and gradually increase the weight. Don’t forget your grip! Keep your grip strong and healthy by squeezing a tennis ball. Balance Exercises This is a particularly important category for seniors as it can help prevent falls. Some common activities that can help you improve your balance include Tai Chi, standing from a seated position, and walking heel-to-toe. Make sure you have a chair or other sturdy object nearby to hold on to! Flexibility Improved flexibility will make it easier to perform common tasks like tying your shoes, reaching for objects, and looking over your shoulder. Some of the most important stretches focus on the back, inner thigh, ankle, and back of the leg. It’s important to remember not to stretch so far it hurts! Learn more about exercise and other health recommendations for seniors from the National Institute on Aging website at nia.nih.gov. HN centralfloridahealthnews.com
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CFHN | 23
Classic Benefiting Polk State College Foundation Basketball & Volleyball Athletic Scholarships
JOHN R. ALEXANDER
Memorial
in partnership with
Clays
Presents
Classic
Polk State College is proud of all of its academic offerings and the wins achieved by its student athletes. Please help the Eagles continue to soar through your support of the John R. Alexander Memorial Clays Classic. Benefiting Polk State College Foundation Basketball & Volleyball Athletic Scholarships
Yes! I want to help Polk
State’s student athletes soar!
Register at foundation.polk.edu/clays
TEAM SPONSOR INVESTMENT $1,000
Name_______________________________________
Includes: Four (4) Shooters Ammunition (12 or 20 gauge) Breakfast Cart Steak Luncheon Recognition at Steak Luncheon Event Signage Corporate Sponsor Gift Individual Gifts
Address _________________________________________
INDIVIDUAL SHOOTER INVESTMENT $200 Includes: One (1) Shooter Ammunition (12 or 20 gauge) Breakfast Steak Luncheon Individual Gift
Company ____________________________________ ______________________________________________
APRIL15,2022
City/State/Zip_________________________________
Polk Sporting Clays
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5000 Firetower Road Haines City, FL 33844
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9:00 Am • BREAKFAST 10:00 AM • 50 TARGET� SPORTING CLAYS SHOOT •STEAK LUNCHEON (immediately following the shoot)
Special gifts & prizes!
SHOOTING STATION SPONSOR INVESTMENT $100
Team $1,000 Team name ________________________________________
Individual $200 Shooting Station $100 Supporting Sponsor: Title ______________________________ $_____________________
Payment: Corporate Gift or
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Please bill me. The amount enclosed is $______________ A check is enclosed (please make check
Includes: One professionally designed sign placed on one of the shooting stations to be displayed during the tournament.
SUPPORTING SPONSORS Can receive recognition with the following investments: • Steak Luncheon $1,000 • Clays $500 • Registration $250 • Ammunition $750 • Course $250 • Breakfast $500 • Refreshments $250 • Gifts $500 • Carts $500
sponsorships Please check one:
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