Central Florida Health News April 2023

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 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 menufavorites 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.

THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION volume 13 | issue 1 | april 2023 FREE — TAKE ONE!

IT’S NEVER TOO LATE To Improve Your Health With Exercise

in Jacksonville. This is the

in the US, as well as

Healthy Seniors EDITION

FORGETFUL OR FATEFUL? When Memory Loss Becomes a Problem

COPING & RELIEF

Unchecked Stress Can Wreak Havoc on Health HEALTHY COOK

There’s No Better Time for Good Nutrition

Meet Your Providers…

K.S. Chandrasekhar, MD, FCC

…established his clinic over 20 years ago. He is well known in the community and trusted for his accurate diagnosis and compassionate care.

• 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

Ritu Aparajita, MD, RPVI

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.

Roan Cadavona, ARNP, FNP-C

…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

On the Cover

8 9 10

Pop Quiz!

and sustainable sourcing, local and seasonal produce, and global flavors and forms, all done within the steakhouse format showcasing cuts meat entrées with all the traditional steak dinners ordered daily, there are restaurants nationwide pushing the concept of the all-American steakhouse to new culinary heights, according to market research firm Packaged Facts in the brand new report 2017 Forecast: Culinary Trend Tracking Series. "The steakhouse is back and will capture our attention in 2017. Not that the classic restaurant style ever disappeared, but renewal

choice of sides. the model taking place in response to new sources of beef and new flavorful expressions of the concept that get chefs and diners excited," says David Sprinkle, research director, Packaged Facts. Today's steakhouse menus increasingly feature grass-fed cattle, locally raised animals, heritage varieties, meat butchered and dry aged in-house, and dishes that stem from the whole animal, not just the premium cuts. And that's just the meat. Creative side dishes in lieu of old standards, global and seasonal flavors, and wider menu selection also distinguish these new school operations.

the outside and juicylicious inside. The well-loved Jolly Spaghetti

favorite of both kids and kids-at-heart because its signature sweetstyle sauce, loaded with chunky slices of savory ham, ground meat, and hotdog. Other classic menufavorites include the juicy and cheesy Jolly Hotdog, and the Peach Mango Pie, which made with real Philippine sweet mangoes and flaky golden brown crust.

See Moreover, new menu categories (such as flatbreads) and service elements freshen the concept. About the Report 2017 Forecast: Culinary Trend Tracking Series offers an outlook on the culinary trends—the foods, dishes, ingredients and flavors—that Packaged Facts expects to grow in popularity in 2017. Rockville, MD When comes to American cuisine, there are few things more iconic than steakhouses. The slabs of marbled meat, the sizzling grills, the oozing butter, and the dripping bravado, maybe even cowboy hat or two for ambiance—it's enough to make even fictional steakophile Ron Swanson misty-eyed. Yet

Chefs and consumers both want their meat taste delicious and feel good about its’ consumption, too. This new breed of steakhouse broadcasts its mission to support local ranchers, factor in sustainability and animal welfare, and create a dining experience that showcases culinary flair, not just grill master's skill cooking steak to the requested doneness. These operations are also designed to be more inclusive, more of a great place for all kinds of people to dine well, not just traditionminded men on expense accounts. As result, the modern steakhouse is increasingly similar to other modern restaurants with focus on distinctive 2017 forecast: Steakhouses beef up menus with new twists on American classics See STEAKHOUSE page 11 Healthy Seniors EDITION

Much of the focus on dental health is aimed at kids — getting the basics down, creating good oral hygiene habits, braces, and so on. However, aging affects dental health in significant ways, as well. Take our quiz and see how aging can affect your oral health.

Stress Can Wreak Havoc on Physical Health

Stress affects everyone on a daily basis. Some types of stress motivate people to do what needs to be done every day. Then there are times when stress causes us discomfort, unhappiness, and even chronic health conditions. Central Florida Health Care’s Julie Dicanio, APRN, explains how stress can affect various aspects of a person’s health.

Forgetful or Fateful?

Among the greatest concerns people have as they age is the fear of memory loss, but it’s important to know there’s a difference between normal forgetfulness and memory lapses that are cause for concern.

Aryn Harrison Bush, co-director of the USF Optimal Aging & Brain Health Research Laboratory, discusses age-related changes in cognitive function and how to know when it’s time to talk to a doctor.

IT’S NEVER TOO LATE To Improve Your Health With Exercise COPING & RELIEF Unchecked Stress Can Wreak Havoc on Health HEALTHY COOK There’s No Better Time for Good Nutrition

Departments & Columns

16 CALENDAR 18 HEALTHY COOK 19 HEART NEWS 21 MEDICAL ADVICE 23 HEALTH COMMUNITY 23 EDITOR’S DOSE

FORGETFUL OR FATEFUL? When Memory Loss Becomes a Problem 4 PUBLISHER’S LETTER 5 PCMA LETTER 6 BODY, MIND & SPIRIT 14 HEALTHY AGING

Kollagunta Chandrasekhar, MD, FACC Cardiologist

Ritu Aparajita, Vascular Surgeon MD RPVI

Roan Cadavona, ARNP FNP-C Nurse Practitioner

A Call to Action: Help Us Celebrate Nurses

NELSON KIRKLAND, PUBLISHER nelson@centralfloridamediagroup.com

If you’ve been following the news at any point in the past 10 years or so, you know that Florida is facing a grim reality when it comes to health care. According to a Florida Hospital Association report, the state is looking at a shortage of nearly 60,000 nurses by the year 2035. Needless to say, nurses are in short supply.

I don’t need to tell you how important nurses are to the integrity of our healthcare system. Granted, a deep appreciation for nurses was instilled in me at an early age. My mom was a nurse for the Polk County Health Department for many years, and I remember well the dedication and selflessness of her job. As I grew into an adult, I recognized those same traits in other nurses, regardless of facility or specialty. They really are a special class of their own.

That’s why we want your help marking National Nurses Month in May. We want our next edition of Central Florida Health News to celebrate the hardworking people who care for us day in and day out. We’d love to hear your stories of gratitude and feature them in the magazine. If a nurse has touched your life or you know one who works tirelessly to go above and beyond, we want to hear it. Send an email to Managing Editor Jessica McDonald at Jessica@CentralFloridaMediaGroup.com and tell us your story!

Let’s make sure our nurses know they are valued. Thanks for reading, and God bless. HN

PUBLISHER

Nelson Kirkland

MANAGING EDITOR

Jessica McDonald

ACCOUNT EXECUTIVE

Cinda Shelby

DIGITAL DIRECTOR

Tyler DiGiovine

CONTRIBUTING WRITERS

Erika Aldrich, Teresa Schiffer, Carol Corley, Dr. Joy Jackson, Jennifer Goodson, LMHC

CONTRIBUTING COLUMNISTS

Ritu Aparajita, MD; Daniel Smith, OD

CONTRIBUTING ARTIST

Dawn Lewandowski

DELIVERY

DLS Distribution

POLK COUNTY MEDICAL ASSOCIATION

4315 Highland Park Blvd, Suite B

Lakeland, Florida 33813

863-644-4051

2023 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

You Never Outgrow a Healthy Lifestyle

Florida has long been known as an ideal place for seniors. Great weather, no state income tax, and an abundance of top healthcare resources make the Sunshine State more than ideal.

In this Senior Health edition of Central Florida Health News, we address issues that may be more relevant to our aging population. After all, the Polk County Medical Association wants to help make your golden years even brighter! Exercise is important regardless of your age, but it’s especially crucial for seniors. This is because regular exercise can help control diabetes, increase flexibility and stamina, and even improve balance. How much exercise is enough? What type is recommended?

In our Edition Feature, BayCare’s Dr.

JACKIE COURTNEY

Executive Director

4315 Highland Park Blvd Suite B

Lakeland, Florida 33813

Sincerely,

James J. Booker, MD

James J. Booker, MD Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association

Robert Atkins and Watson Clinic’s Dr. Jason Saylor answer these questions and offer some simple guidelines for physical activity.

Inside, we also talk to Dr. Aryn Harrison Bush, a research professor and codirector of the USF Optimal Aging & Brain Health Research Laboratory, to learn more the difference between occasional forgetfulness and memory lapses that could indicate more significant health problems.

Don’t forget to read the Community Health Feature in which we talk with Central Florida Health Care’s Julie Dicanio, APRN, about the best ways to mitigate the effect stress has on our health. 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.

It’s Time for Spring Cleaning!

by JENNIFER GOODSON, MA, LMHC

It is closet cleaning week for me. I know, I know, ugh! I am one of those procrastinators when it comes to opening that door of the small dark hole at the end of the hallway; I do not greet it with a smile or exuberant motivation. The happy dance is not happening. But who does, right? Between you and me, I have all kinds of things in this one closet, which I dread the most. Do you have one of those?

Mine comes with a massive box of miscellaneous items I have just thrown in there over time because I wanted to avoid dealing with them.

Yes, I have let them pile on each other one at a time. Oh, and the thing is, I did not give care when I did it. I always said to myself that I would deal with it later. Do you know what I mean?

Spring cleaning has me thinking about how much our lives look like uncleaned closets. How many of us pile one thing onto another and say we will deal with it later?

How many substantial miscellaneous boxes do we have that contain so many issues we have yet to deal with because we are afraid or want to ignore them? Ever notice that soon our messy box becomes so full of undealt matters that we become overwhelmed and decide to bury that box even further into the back of the closet?

Ever notice that we shut the closet door with

a quiet push to not disturb what is within? Ever see how we walk around the other side of the room to avoid the closet door – as if somehow it will vanish into thin air? Ever notice how we hide behind our schedules so that we become too busy to remind ourselves it’s time to clean?

We are not always willing to dig in our messy box and pull out things that need re-evaluation or dismissal. At times, we feel it is best left hidden. Until one day, we blow a gasket and need someone to help us. I’ve been there... about to BLOW!

Sometimes, we cannot wait until our closets become filled with messy boxes. It is better to deal with and heal when the situation is fresh; for us to move forward and become a better us. It is not always easy to deal with the matters that cause us pain, but it is best for us and those who love us. It is not a comfortable choice, but it is better than waiting until the last minute to clean up a mess.

It feels good to begin pulling those items out of the messy box. Examine the hows, whys, and why-nots. Decluttering is an act of letting go… simplifying our lives.

How Do We Spring Clean Our Body, Mind, and Spirit?

Decluttering Needs Assistance

It’s a good idea to have someone with us to help

us do the walk-through of removal – removal of hidden things that have pulled us into a dark hole. Whether the walk-through is with a friend, a spouse, a minister, or a professional, when in partnership with another, we can find strength, boldness, and willingness to examine and let go.

Simplifying and Letting Go

Evaluate your circle of influence through social media and relationships, and void yourself of distractions and excuses.

Examine the Balance – Mind, Body, and Spirit

When these three do not align with one another, we are out of balance, and chaos has full rein. Meditation, prayer, mindfulness, deep breathing, healthy eating, and exercise can decrease response to stress and anxiety. Each day, set 10 – 15 minutes for self-reflection, rejuvenation, connection with gratefulness, and speaking words of affirmation.

Prepare for the Journey of Healing and Self-Discovery

Goals must be practical and realistic to achieve balance and healing. Start with small goals, then reach for the stars as you feel stronger and more confident!

Spring cleaning can be enriching for your life and those around you.

Happy cleaning! Now, back to my closets. HN

ABOUT THE AUTHOR: Jennifer Goodson, MA, LMHC, is a licensed mental health counselor with offices in Winter Haven. She holds a Master of Arts in Clinical Mental Health Counseling from Regent University in Virginia Beach, Virginia. For more information, visit www.pathwaycounselingservice.com.

Get $2,100 a year to help pay for essentials like eligible groceries, rent and utilities

The Healthy Options allowance* can help you pay for the things you need to be your healthiest. These include rent or mortgage, utilities, bathroom safety devices, healthy food, over-the-counter health items and more. Each month, a Healthy Options allowance of $175 is loaded onto a prepaid card. Unspent money rolls over to the next month. To pay for purchases, just swipe it at the register at participating stores.

New for 2023—one card for plan allowances

The Healthy Options allowance will automatically be loaded to the new Humana Spending Account Card, so you only have one card to keep track of for allowances included in your plan.

Call a licensed Humana sales agent

FRANCISCO ACOSTA

863-276-1979 (TTY: 711)

8 a.m. – 5 p.m.

FACOSTA5@HUMANA.COM

* Allowance amounts cannot be combined with other benefit allowances, used to purchase Medicare-covered prescriptions or converted to cash. Limitations and restrictions may apply.

Humana is a Coordinated Care HMO SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in this Humana plan depends on contract renewal. Applicable to Humana Gold Plus SNP-DE H1036-231 (HMO D-SNP). At Humana, it is important you are treated fairly. Humana Inc. and its subsidiaries comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender, gender identity, ancestry, ethnicity, marital status, religion or language. English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 877-320-1235 (TTY: 711). Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 877-320-1235 (TTY: 711) 繁體中文 (Chinese): 注意：如果您使用繁體中文

援助服務

877-320-1235 （聽障專線：711）。

，您可以免費獲得語言

A more human way to healthcare™

POP QUIZ!

Forever Smiles: Learn How Aging Can Affect Oral Health

Alarge part of the focus on dental health is aimed at dental health in our early years—getting the basics down, creating good oral hygiene habits, braces, and so on. No doubt, it’s important to start kids on the right foot with dental health so those good habits will carry on into adulthood. However, aging affects dental health in significant ways, as well. Take our quiz and see how aging can affect your oral health.

1. True or false? Studies have found that approximately 18% of adults over the age of 65 have untreated cavities and 68% have periodontitis.

2. Which systemic disease commonly found in seniors has been found to increase the occurrence and development of periodontitis, or gum disease, by 86%?

A. Diabetes C. Dementia

B. Arthritis D. Cancer

3. True or false? Certain prescription drugs can have an effect on oral health, and approximately 90% of adults older than 65 take at least one prescription medication a month with 30 percent taking eight or more on a daily basis.

4. Prescription and/or over-the-counter medications can lead to medication errors, drug interactions, or adverse drug reactions that can impact oral health. Which of the following are common medications that can cause issues with dental health?

A. Medications used to manage urinary frequency and incontinence, antidepressants, and diuretics can cause xerostomia — or dry mouth.

B. Calcium channel blockers (medications used to lower blood pressure), antiseizure drugs, and immunosuppressants can cause gingival overgrowth — or an overgrowth of gum tissue around the teeth — and gum inflammation.

C. NSAIDs like ibuprofen and aspirin, hypoglycemic agents, beta-blockers, and immunosuppressive agents can cause mucositis — or inflammation of the mucous membrane that

lines the inside of the mouth, and ulcerated sores.

D. All of the above

5. True or false? Xerostomia, or dry mouth, which can lead to tooth and root cavities and sore gums and mouth, affects 30% of adults older than 65 and up to 40% of adults older than 80. It is usually a result of medications, but xerostomia can also be caused by diabetes, Alzheimer’s disease, or Parkinson’s disease.

6. Which of the following health conditions can make good oral health practices difficult for the elderly?

A. Dementia and Alzheimer’s disease

B. Adults with physical limitations or loss of mobility caused by conditions like osteoarthritis and rheumatoid arthritis

C. Adults with age-related visual impairment, such as cataracts, glaucoma, or presbyopia

D. All of the above

7. True or false? People with chronic diseases such as arthritis, diabetes, heart diseases, and chronic obstructive pulmonary disease (COPD) may be more likely to develop gum disease, also called periodontal disease, but they are less likely to get dental care than adults without these chronic conditions.

8. Which of the following is your best resource for discussing your concerns about your oral health?

A. The Internet C. Your dentist

5.

4.

3.

2. A. Diabetes. Both Type 1 and Type 2 diabetes can increase the risk of periodontal disease.

1. True. Older adults can have a high rate of cavities, and they need to be concerned about periodontal disease, also called gum disease..

B. Friends and family ANSWERS:

compiled by ERIKA ALDRICH / Information provided by the American Dental Association, the Centers for Disease Control and Prevention, and the National Library of Medicine

Stress Can Wreak Havoc on Physical Health

by TERESA SCHIFFER sponsored by Central Florida Health Care

Stress affects everyone on a daily basis. Some types of stress motivate people to do what needs to be done every day. Then there are times when stress causes us discomfort, unhappiness, and even chronic health conditions.

Julie Dicanio, APRN, works in the Behavioral Health Clinic at Central Florida Health Care. We talked with her to learn more about how stress can affect people and what causes it.

“A lot of people have depression, anxiety, or both, and it could be anything – grief, a move, relationship issues, or health problems,” Dicanio explains.

“(At Central Florida Health Care), it’s a little easier for us because we have their primary care person in the same building. So if their anxiety is making their diabetes symptoms worse – everything affects everything – we can help each other work with the whole person.”

Stress alone can cause a number of physical symptoms, but it can also contribute to many serious health conditions.

“Some people will have panic attacks,” she says, “other people are always on high alert if they have PTSD from something that happened. That could be from being in the military, a sexual assault, or a car accident. Then they

sometimes have somatic symptoms, like headaches, ulcers, or problems eating and sleeping. Of course, that can make other issues worse, like high blood pressure and heart disease.”

The effects of stress on a person’s well-being can vary from one individual to another, and it can affect a wide range of systems in the body. Stress can cause weight gain, weakened immunity, heart problems, sexual dysfunctions, and more. Left unchecked, stress can lead to chronic health conditions.

It’s often impossible to entirely eliminate the sources of stress, but there are ways to manage stress to minimize the impact on one’s health.

“We try to teach them coping skills and how to manage their stress with things they like to do, whether it’s journaling, blogging, talking to a friend, or coming to therapy,” Dicanio says of how the clinic helps patients deal with stress. “They may need to try some medications to see if that helps.”

When patients visit Central Florida Health Care with chronic health issues, Dicanio and the other medical professionals work together to create a complete picture of an individual’s lifestyle and medical profile. The healthcare team strives to help the patient get their stress

and well-being under control by offering various stress-management techniques, such as therapy, medication, nutrition counseling, and exercise recommendations. There are so many ways that stress can affect a person physically, but it can still be a challenge to pinpoint exactly which symptoms are caused by stress and which are the result of a purely physical condition. When patients visit the clinic with health complaints, Dicanio and other staff members go through a process to determine what issues are caused by an underlying physical problem and what may be stress-related.

“Everybody seems to respond to stress differently,” she explains. “So when people come in, we usually ask if they’ve seen their doctor and if they’ve had blood work done. Maybe their potassium is low, we might check their thyroid, their vitamin D might be low. We try to rule out that stuff first, and then we try to get their cortisol level down.”

The key to finding a stress management strategy that works for you is to find an activity or method of stress reduction that you enjoy. Whether it’s a creative outlet, physical activity, or social interaction, your enjoyment will make it easier to sustain for true stress relief.

FORGETFUL OR FATEFUL?

What’s Normal And When You Should See a Doctor

by TERESA SCHIFFER

F

orgetting a name or where you put something is a fairly normal, if annoying, part of life. As you age, these memory slips can occur more often. After all, changes happen throughout the body, including the brain. However, occasional forgetfulness isn’t the same as having cognitive impairment or dementia.

“If you think of aging on a continuum, you have these normal, age-related changes,” explains Dr. Aryn Harrison Bush, a research professor and codirector of the USF Optimal Aging & Brain Health Research Laboratory who works with progressive neurological conditions.

“One of the things I hear the most often is, ‘That word, or that name is on the tip of my tongue. I’m having difficulty with proper nouns,’ things like that. Those complaints are typically – not always – considered normal, age-related changes.”

Some degree of forgetfulness is a natural part of the aging process. As we get older, we start having difficulty encoding and retrieving information in our memory. Changes in our sleep cycle patterns will also impact memory as we age.

When Is It a Problem?

Beyond the ordinary decline in memory associated with aging, there are degrees of impairment that can indicate more serious issues.

“Mild cognitive impairment is when something has changed,” Bush says. “There’s been a decline that could be in an area of memory, or it could be in an area of language and memory is relatively spared. There’s a significant change or decline in one or more cognitive functions that’s noticeable, but not to the extent of dementia.”

Such an impairment can cause frustration, but it generally does not have a major, negative impact on day-to-day functioning. Nonetheless, experiencing even mild cognitive impairment indicates a visit to the doctor for screening is in order.

“Dementia is where one or more cognitive domains are affected and negatively impacting daily functioning,” she says.

“With dementia, one key differentiating factor is that in clinical diagnosis, this is something

Bush

that will progress or worsen over time,” Bush clarifies. “With mild cognitive impairment, it really depends on what is causing it, what is the etiology of that impairment. Some etiologies are reversible, some are not and are progressive. So mild cognitive impairment could be due to a progressive neurological condition, like Alzheimer’s disease, and in that case we would expect it to progress, but it could also be due to an infection, or it could be due to poor sleep, or undiagnosed sleep apnea, for example.”

It is often family members who notice the reduction in an individual’s abilities and bring it to the attention of healthcare providers. She urges all healthy seniors to get baseline cognitive and memory screening during annual exams. This gives physicians a point from which to note any progression of decline. Noting the types of changes and their magnitude helps healthcare providers assess to what degree a condition may be worsening and provide clues as to what could be causing any impairment.

There are at least 50 different causes of dementia, some of which are reversible while others are not. The term “dementia” is used to describe a number of symptoms that tend to occur together and progress in a certain pattern, but it does not indicate the cause of the symptoms. Alzheimer’s disease is the most common cause of dementia.

It can be very difficult to differentiate between types of dementia, and Alzheimer’s disease itself is further classified into a few subcategories. It is also possible to be affected by Alzheimer’s and vascular dementia simultaneously.

While people are far more aware nowadays of the issues associated with dementia and Alzheimer’s disease than in decades past, many are still unfamiliar with the current understanding of how the choices we make throughout our lives can affect our chances of developing these conditions.

“Be aware of what can increase or reduce your risk. Take action,” Bush cautions. “And if symptoms do emerge, at the first sign of symptoms that seem to be progressing, be evaluated by a healthcare professional to discuss these concerns because early intervention is key.”

Bush is currently involved with the PACT (Preventing Alzheimer’s with Cognitive

Training) study being conducted by USF in conjunction with several other institutions. This study examines whether computerized brain training exercises can reduce the risk of cognitive impairment and dementia such as Alzheimer’s disease.

The PACT study is recruiting volunteers aged 65 and older with no signs of cognitive impairment or dementia. Those interested in the study may participate in initial testing at the USF Tampa or St. Petersburg campuses or at Reliance Medical Centers in Lakeland or Winter Haven.

For more information on the PACT study, go to pactstudy.org, or call 813-974-6703. HN

Demystifying the Eyedrop Aisle

Many eye disorders can be treated effectively with eye drops and products found over the counter at the local pharmacy and grocery stores. But with so many options on the shelves, finding the right product for your needs can be overwhelming and confusing. Your eye doctor can provide you with specific recommendations based on your symptoms, but this article may serve as a quick guide to help you navigate the eye drop aisle more knowledgeably. Most eye drops will fall into one of three general categories, which we will examine in turn: lubricants, allergy relievers, and redness reducers.

Ocular (eye) lubricants, or artificial tears, account for the majority of the eye drops on the shelves. They are the most frequently recommended type of eye drop, and they typically are the first treatment option for patients with dry eye syndrome. While all artificial tears aim to do the same thing— moisturize and lubricate the eye’s surface—there are some points of difference among products. For example, while most artificial tears have added preservatives to reduce spoilage, some are formulated to be preservative-free.

Preservative Free Artificial tears are ideal for individuals with sensitivities to preservatives or those who need to use the tears more than 4 or 5 times a day. These drops will be clearly marked as “preservative-free” and come in small, individual-use plastic vials rather than a traditional bottle. Some popular examples are Refresh Optive and Soothe PF. Gel-based tears are formulated to be more adhering and are an excellent choice for those with more severe dry eyes. The added thickness provides a more protective coating to the surface of the eye and offers longer-lasting relief to those with more significant dryness or irritation. Systane Gel is a popular choice, and Refresh Celluvisc is an excellent preservative-free alternative. Lipid-based artificial tears are targeted for those who may also have eyelid oil gland dysfunction. These are formulated with additional oils to restore what may be deficient in the tear film, resulting in better quality tears and improved comfort. A popular example of such a drop is Retaine.

Allergy relief eye drops are another commonly recommended type of product. Eye allergies (especially here in Florida!) can lead to significant redness, itchiness, puffiness, and discomfort. Products such as Pataday and Zaditor are antihistamines that combat the body’s response to allergens and effectively treat most mild to moderate eye allergies. While many products may promise itchiness relief, it is best to look for active ingredients like olopatadine and ketotifen to ensure you are really getting an antihistamine eye drop.

Redness relievers should be approached with caution. These drops function by constricting the blood vessels on

NEVER TOO LATE

Doctors

Weigh In on the Importance of Exercise for Older Adults

by TERESA SCHIFFER

Physical activity is recommended for every age group, and as we age it becomes even more important to keep our bodies moving. There are many benefits associated with exercising on a regular basis, including better diabetes control, increased flexibility and stamina, and improved balance, coordination, and cognition.

“Ideally, seniors should be getting either 30 minutes, five days per week, of moderately intense aerobic exercise or a minimum of 20 minutes, three days per week, of vigorous aerobic activity,” says Watson Clinic’s Dr. Jason Saylor, a board-certified family medicine physician practicing in Lakeland.

“I also recommend 10 minutes of static stretching on the days of aerobic exercise to help improve range of motion and limit the chance of injury.”

Saylor also emphasized the importance of balance exercises in seniors’ routines, saying about 10 minutes at least two days a week is ideal.

Outside of formal physical therapy, consistent physical exercise is the only way to improve balance, which can be greatly affected by conditions like arthritis, neuropathy, and generalized loss of muscle strength. Tai chi and yoga workouts are popular options for improving balance that can be pursued through local classes or at home.

participant. Vigorous activity indicates an elevated heart rate and breathing, plus sweating, and should be engaged in for at least 25 minutes at a time, three days a week.

Dr. Robert Atkins with BayCare’s Family Medicine Residency Program advises talking with your primary care provider before starting a new workout regimen, and he offers tips on gauging whether an activity is vigorous enough to produce health benefits.

“A good rule of thumb is doing activity at a pace that allows you to carry on a conversation with your exercise buddy,” Atkins says. “This is a great starting place and your family physician can guide you to increase your intensity as you improve.”

To reap the maximum rewards of exercise, Saylor advises seniors to be sure they are getting each of four different types of fitness: aerobics, muscle strengthening, flexibility, and balance. Walking, swimming, or using a stationary bicycle are enjoyable aerobic activities, but even the movement involved in doing household chores can count toward aerobic activity. For strength training, simply holding soup cans while doing squats and curls can be beneficial.

A moderate degree of exercise requires at least 30 minutes of exertion, five days per week, and is at a level of intensity sufficient to raise the heart rate and breathing of the

CONTINUED ON PAGE 20

It’s good to remember that physical activity doesn’t require a gym membership or expensive equipment. A walk around the neighborhood, dancing with the grandkids, or doing yoga workouts with video instruction are effective ways to practice daily fitness without any financial investment. The CONTINUED ON PAGE 20

NANCY ULM

DANIEL SMITH, O.D.

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West and Central Florida. CarePlus is an HMO SNP plan with a Medicare contract and a contract with the Florida Medicaid Program. Enrollment in CarePlus depends on contract renewal. This plan is available to anyone receiving both Medicare and Medicaid: Qualified Medicare Beneficiaries (QMB/QMB+), Specified Low-Income Medicare Beneficiaries (SLMB/SLMB+), Qualifying Individuals (QI), Qualified Disabled and Working Individuals (QDWI) and other Full Benefit Dual Eligibles (FBDE). No amounts on the CareEssentials Card can be used to purchase Medicare-covered prescriptions or services, nor can it be converted to cash.Important: At CarePlus, it is important you are treated fairly. CarePlus Health Plans, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, ancestry, ethnicity, sex, sexual orientation, gender, gender identity, disability, age, marital status, religion, or language in their programs and activities, including in admission or access to, or treatment or employment in, their programs and activities. The following department has been designated to handle inquiries regarding CarePlus’ non-discrimination policies: Member Services, PO Box 277810, Miramar, FL 33027, 1-800-794-5907 (TTY: 711). Auxiliary aids and services, free of charge, are available to you. 1-800-794-5907 (TTY: 711). CarePlus provides free auxiliary aids and services, such as qualified sign language interpreters, video remote interpretation, and written information in other formats to people with disabilities when such auxiliary aids and services are necessary to ensure an equal opportunity to participate. This information is available for free in other languages. Please call our Member Services number at 1-800-794-5907. Hours of operation: October 1 - March 31, 7 days a week, 8 a.m. to 8 p.m. April 1 - September 30, Monday - Friday, 8 a.m. to 8 p.m. You may leave a voicemail after hours, Saturdays, Sundays, and holidays and we will return your call within one business day. Español (Spanish): Esta información está disponible de forma gratuita en otros idiomas. Favor de llamar a Servicios para Afiliados al número que aparece anteriormente. Kreyòl Ayisyen (French Creole): Enfòmasyon sa a disponib gratis nan lòt lang. Tanpri rele nimewo Sèvis pou Manm nou yo ki nan lis anwo an. H1019_MKBNDMFNPRcareneedsplus2023_M

Recurring Online Events

AdventHealth Brain Health Music Therapy Program

Join board-certified music therapists every Tuesday 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/5044155114. Please email ORL.MDC@ AdventHealth.com if you have any questions.

AdventHealth Maturing Minds Fit Minds Program

Every second and fourth Thursday at 1 p.m. seniors can participate in a program designed to improve their quality of life through stimulation-therapy combined with meaningful social interaction and a sophisticated cognitive improvement program. This is a virtual meeting accessible through Zoom at https://us02web.zoom.us/j/3876883694#success. For more information, please email orl.mdc@ adventhealth.com.

AdventHealth Maturing Minds Functionally Fit Program

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 at 11 a.m. The link to join is https:// us02web.zoom.us/j/3876883694. For more information, please email ORL.MDC@AdventHealth. com.

AdventHealth Maturing Minds Program Virtual 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/3876883694, or email ORL. MDC@AdventHealth.com for more information.

Alzheimer’s Association Caregiver Support Group

The Alzheimer’s Association offers support groups led by peers or professionals at a variety of times and locations in the area. All meetings are facilitated by trained individuals. There are virtual and in-person options available. You can find the right support group for you by visiting www.alz. org/help-support/community/support-groups.

Bariatrics Pre-Op Class

On the second Saturday of each month from 11 a.m. – 12 p.m. bariatric patients can prepare for their upcoming surgery online with Zoom or in person at Lakeland Regional Health Medical Center (Mulaney Auditorium), located at 1324 Lakeland Hills Blvd in Lakeland. Sign up for the free class online at www.eventbrite.com, search for “Bariatrics Pre-Op Class.”

Diabetes Support Group Virtual

On the second Monday of each month, BayCare Health System 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.

Get Active Walking Group

A weekly walking group sponsored by Lakeland Regional Health that meets every Thursday at 8 a.m. at Lake Hollingsworth in Lakeland. Walkers meet up next to the bleachers that are adjacent to the parking lot. Get active and improve your health by committing to a weekly walk!

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.

Events and Fundraisers

January 10 – April 11 – Healthy Eating Every Day! Workshop

This is a free 14-week workshop sponsored by Senior Connection Center and presented at United Methodist Temple, 2700 S Florida Ave in Lakeland, every Tuesday from 2 – 3 p.m. You must be age 60 or over to attend and living in Polk or Hillsborough County. To register, please call Christina Nowell at (813) 676-5568.

April 3 – Maternity Center Orientation 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 7 – 8:30 p.m. and is sponsored by St. Joseph’s Women’s Hospital. For more information, please visit www. baycare.org/events or call 855-269-4777.

compiled by TERESA SCHIFFER

April 4 – Breastfeeding Support Group Virtual

From 10 – 11 a.m. breastfeeding mothers can get together online to support each other and talk with certified breastfeeding consultants for free. Sponsored by BayCare Health System. For more information, please call 855-269-4777 or visit www. baycare.org/events.

April 6 – Total Joint Replacement

This free class is for patients who have a total joint replacement surgery scheduled, plus one guest per patient. All attendees must wear a face mask over their nose and mouth at all times while inside the building. The class will be held from 10:30 –11:30 a.m. at Winter Haven Hospital – Wellness Conference Room, 200 Ave F NE in Winter Haven. For more information, please call 855-269-4777, or go online to register at www.baycare.org/events.

April 6 – FREE Community Lecture – Managing Low Back Pain

Jalen Banks, DC, with Watson Clinic Chiropractic Medicine will be discussing the potential causes of low back pain, as well as the most effective and conservative treatments used to manage it, such as decompression. The lecture will begin at 6 p.m. and take place at Watson Clinic Center for Specialized Rehabilitation, located at 2190 E CR 540A in Lakeland. To RSVP, please call (863) 904-4663.

April 10 – Forget Me Not Pregnancy and Infant Loss Support Group

Families and individuals who have experienced the loss of a child through miscarriage, ectopic pregnancy, stillbirth, or early infant death can gather with others to explore their grief while honoring their loss by learning how to strengthen communication with loved ones and engage in self-care activities. The meeting takes place from 1 – 2 p.m. at Winter Haven Women’s Hospital, Classroom C, 101 Ave O SE, in Winter Haven. It is a free meeting. You can register online at www.baycare.org/events.

April 18 – Boot Camp for New Dads Virtual

BayCare Health Systems is offering a virtual class just for expectant fathers, taught by a certified facilitator. Access to a camera and microphone is encouraged but not required. The $25 course will cover fatherhood, life changes, relationship changes, and hands-on experience. Previous participants will be involved with their own infants to offer their personal wisdom. You will receive course materials by mail before the class. This class will be held from 6:30 – 8 p.m. You can get more information by calling 855-269-4777, or go to www.baycare.org/events to register online.

April 20 – Supporting Motherhood & More Virtual

St. Joseph’s Women’s Hospital is sponsoring this free virtual gathering of women who experience unexpected and difficult emotions during their pregnancies and the first year of motherhood. The group meets from 7 – 8 p.m. For more information, please call 855-269-4777 or go to www.baycare.org/events to register.

April 27 – 29 –

Caregiver Forum

This is a three-day, two-night opportunity for caregivers to gather and learn together at Mission Inn Resort, located at 10400 CR 48 in Howey-in-the-Hills, organized by Share the Care, Inc., a non-profit group that provides services and support for Central Florida’s family caregivers. If you’d like to register or get more information, please go to www.helpforcaregivers.org.

April 28 – Swan Derby

The Swan Derby is Lakeland’s annual “Derby Style” event that benefits the Lakeland Volunteers in Medicine (LVIM). Don your best derby hat to come out and enjoy the thrill of the competition, live music, great food, and a wonderful social event on lovely Lake Mirror, at the Frances Langford Promenade in Downtown Lakeland. The excitement takes place from 5:30 – 9 p.m. You can find more information at www.lvim.net/swan-derby/.

April 29 – 2023

March of Dimes March for Babies

Watson Clinic is a proud sponsor of this important fundraiser for the March of Dimes. Through research, programs, and advocacy, March of Dimes is working to create a world where every mother and baby is healthy regardless of wealth, race, gender, or geography. Help give all babies a fighting chance by signing up at www.bit.ly/42b7PHh to take part in the event that will begin at 9 a.m. on the lawn of First Presbyterian Church, 175 Lake Hollingsworth Dr in Lakeland.

April 30 – Let’s

Talk Puberty for Boys

St. Joseph’s Children’s Hospital is sponsoring this informative session for boys ages 10 to 13 to help them understand the physical and emotional changes of puberty, the male reproductive system, and ways to maintain a healthy body during the first half of the class. The second half will give an overview of the female changes of puberty, female reproductive system, and a discussion of conception and abstinence. This course is $35 and will be held from 1 – 3:30 p.m. at St. Joseph’s Hospital-North – Garden Classroom A, 4211 Van Dyke Rd in Lutz. For more information, please call 855269-4777 or visit www.baycare.org/events.

No Better Time For Good Nutrition

by CAROL CORLEY

At all of life’s stages, it is important to keep our bodies healthy by making smart food choices. But perhaps that’s even more critical for seniors in order to make up for a few decades of fun and carelessness.

Eating healthy means giving up empty calories except for the occasional treat and focusing on lean protein, colorful fruits and vegetables, and whole grains, which can include barley, bulgur, quinoa, brown rice, even oatmeal and popcorn. The National Institute of Health warns to avoid added sugars, saturated fats, and sodium.

Any major change in diet should involve a discussion with your physician, since health conditions can dictate choices. Some conditions that seniors should be mindful of include hyponatremia, diabetes, high blood pressure, heart disease, stroke, osteoporosis, and even dementia, which could further affect food needs.

Older adults generally need fewer calories due to cutting down on activities. But those who are very physically active through sports and exercise would need more calories than their sedentary neighbor. Much of dietary information for older adults is controversial. For example, studies show eating red meat can lead to cardiovascular disease, as Cleveland Clinic reports. However, an Australian study notes a diet rich in red meat helps preserve the health of older people.

According to the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, recent research shows moderately high protein intake is necessary for maintaining nitrogen balance and offsetting age-related lower energy and impaired insulin action.

To help with the decision-making, the USDA has put out My Plate, which replaces the old food pyramid. In My Plate, half the plate should be fruits and vegetables, half the plate should be grains and protein, and dairy is extra. Protein would include meat, poultry, fish, egg, cooked beans, peanut butter, nuts and seeds. Adult women at all ages are recommended to consume 5-6 ounces of protein per day, and adult men up to age 60 should have 6-7 ounces, and half an ounce less once over the age of 60. The National Institute on Aging recommends a Mediterranean-style eating plan that emphasizes vegetables, fruits, nuts, seeds, legumes, whole grains, fish and seafood, poultry, eggs, dairy, and healthy fats like olive oil and avocados. So how can we navigate the difficult waters of food planning for the older crowd while still enjoying our meals? Let’s start with a healthy, tasty, easy-to-prepare entrée like roasted salmon, with colorful roasted vegetables as a side and maybe a dessert. Our choice uses almond milk, which has slightly less protein but contains Vitamin D and works for people who are lactose intolerant.

Lemon-Herb Roasted Salmon

(Adapted from foodnetwork.com)

Ingredients:

Salmon filets, 4 skinless

Dill and parsley, 1 tablespoon each chopped fresh

Lemon, 3/4

Butter, 1-1/2 tablespoon unsalted cut into 4 pieces

Olive oil for foil

Salt and pepper to taste

Directions:

Using a rimmed baking sheet, line with foil and brush with olive oil. Place salmon filets on the sheet, spaced evenly. Sprinkle with salt and pepper and bake about 8-12 minutes in an oven preheated to 450 F until opaque and slightly firm to touch. You don’t want to overcook. Remove and plate filets, topped each with a pat of butter and sprinkle with lemon juice, herbs, and salt and pepper to taste. Serve hot or at room temperature. Leftovers can be tasty cold.

Meet Our Doctor

When to Seek Help for Spider, Varicose Veins

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 Edinburgh, UK (MRCS Ed) and completed her Basic Surgical Training in England soon after her medical school.

Spider Veins vs. Varicose Veins

Colorful Roasted Sheet-Pan Vegetables

(Adapted from eatingwell.com)

Ingredients:

Butternut squash, 3 cups cubed

Broccoli florets, 4 cups halved

Bell peppers, 2 each red and green, cut into squares

Red Onion, 1 large, cut into bite-sized pieces

Olive oil, 3 tablespoons extra virgin, divided

Herbes de Provence or Italian seasoning, 2-1/2 teaspoons

Balsamic vinegar, best quality, 1 tablespoon

Salt and pepper to taste

Directions:

In a large bowl with 1 tablespoon olive oil, toss squash then spread on a largerimmed baking sheet. Then toss broccoli, bell peppers and onion in flavorings in the same bowl, including the remaining olive oil. Add squash back into the bowl and toss all together. Spread vegetables on 2 largerimmed baking sheets and roast until tender and browned in spots — oven 425 F for 17-20 minutes. Drizzle with vinegar when finished. Vegetables can be refrigerated for up to 3 days.

Easy Chocolate Avocado Pudding

(Adapted from makingthymeforhealth.com)

Ingredients:

Cocoa powder, 4-1/2 tablespoons

Avocados, 2 ripe, pits removed

Almond milk, 1/2 cup or more if needed

Maple syrup, 4 tablespoons pure

Vanilla extract, 1 teaspoon pure Hemp seeds, 1 tablespoon if desired

Directions: Process all ingredients together in a food processor and blend until smooth. Taste to see if you prefer more chocolate or more sweetness. Transfer to an airtight container for storing and refrigerate for up to 4 days. Serve chilled with whipped cream (coconut recommended) and favorite toppings.

VDr. Aparajita is the co-author of more than two dozen journal articles, publications and oral presentations, including topics such as endovascular treatment for thrombosis, aortic aneurysm repair, stroke, peripheral artery disease and other vascular conditions.

Additional posts and volunteer work include a teaching position at Hofstra Northwell School of Medicine and as a Member of the Public and Professional Outreach Committee as well as the International Relations Committee at the Society for Vascular Surgery (SVS).

aricose veins are superficial veins that appear knotty and — unless pain ful, achy, or inflamed — may not need to be treated. Varicose veins usually become more apparent with age and are the price humans pay for standing erect, as opposed to monkeys who walk on all four legs. Spider veins appear at the surface of the skin and look like a spider’s web. They are painless and harmless unless their appearance concerns you.

Dr. Aparajita was recently nominated for the American Medical Association (AMA) Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.

RITU APARAJITA, MD, MRCS (Ed), MBBS

Specialty: Vascular & Endovascular Surgery

Joining KSC Cardiology November 9, 2020

Any adult who stands on their feet for most of the day is at risk, and spider veins tend to run in families. Obese people and women with multiple children also commonly get them. With varicose veins, poorly functioning valves allow blood to pool in the lower leg and cause symptoms. These include itching, swelling, burning, leg heaviness or tiredness, or skin discoloration. Symptoms typically worsen throughout the day. Sometimes, varicose veins clot and become painful, hot, hard, and discolored. Managing the appearance of spider veins and varicose veins or preventing them from getting worse is possible. A range of treatments can remove spider veins or reduce their appearance.

Below are a few tips for vein management:

• Keep a healthy weight

• Wear compression stockings to relieve symptoms such as aching or swelling.

• Elevate the legs

• Keep moving and get regular exercise and remember to walk around every 30 minutes.

Make a doctor’s appointment if you have these symptoms:

• Large varicose veins in the thighs, legs, and/or ankles

• Swelling in legs or ankles

• Skin changes around the lower legs and ankles, especially tight or darkening skin

• Leg cramps or spasms

• Painful, open sores on ankles or legs

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).

Healthy Aging

CONTINUED FROM PAGE 14

the eye’s surface, giving the eye a whiter appearance. While these drops serve a unique purpose, it is important to realize that the benefit is only cosmetic. They do nothing to address the actual cause of the eye redness. Generally, it is more appropriate to treat the redness at its underlying source rather than mask the problem. Furthermore, many of these products have been found to cause a “rebound redness” when the drop is no longer used. This can lead to dependency and overuse, leading to further problems and chronically red eyes.

While there are hundreds of products out there, and not all fall neatly into one of these categories, hopefully, this guide has provided some insight into the various types of eye drops available today.

The eye doctors at Eye Specialists of Mid-Florida would be happy to answer any further questions and give specific guidance tailored to your needs. Call 800-282-3937 to schedule an appointment or visit us online at EYESFL.COM.

Never Too Late

CONTINUED FROM PAGE 14

important thing is to just do it – be active on a regular basis in whatever way is most appealing to you.

Saylor says some older individuals don’t get enough exercise because of a lack of motivation.

“Specific obstacles I see seniors face are difficulty finding others with whom to exercise regularly, their swimming pool is closed for the season, the traffic around them makes it too busy to walk, it’s too hot outside, etc. Ultimately, you can always find a reason not to exercise. I want my patients to understand the proven benefits of regular exercise and harness it to improve not only their longevity, but also the quality of their daily lives.”

Regular physical activity can help seniors maintain their independence and well-being by improving their strength, mobility, and flexibility, which will thereby reduce the risk of falls and other injuries. Exercise has also been shown to slow the progression of many age-related conditions, plus it improves cognition, executive functioning, and mental health.

Even for those seniors who have never exercised, there is a notable improvement in longevity if they begin this journey in their 70s and 80s.

“Even for those seniors who have never exercised, there is a notable improvement in longevity if they begin this journey in their 70s and 80s,” Saylor says.

“It’s never too late to find a program that works.” HN

Our doctors care about you and your well-being and can prescribe medical marijuana in cases where it may benefit your overall health. To schedule your consultation, call or go on-line.

When it comes to weight loss, you shouldn’t have to do it on your own. For expert care from a medical weight loss specialist, call us or request an appointment online.

We look forward to meeting you for all your primary care, weight loss and medical marijuana needs at our beautiful Winter Haven or Riverview locations.

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. Daniel Smith is an optometrist who practices at the Clermont location for Eye Specialists of Mid-Florida. Dr. Smith is currently accepting new patients, and his optical staff is always ready to assist with new eyewear purchases.

— Dr. Jason Saylor, Watson Clinic

Atkins Saylor

Proactive Measures Can Help Prevent Falls

by DR. JOY JACKSON

Aperil of aging is the increased risk of falls. Falls are the No. 1 cause of injury and injury-related death among seniors ages 65 and older. The statistics are equally dire in Polk County: Falls are the leading cause of unintentional fatal injury among seniors ages 65 and older.

In particular, seniors with dementia are four to five times more likely to fall compared to seniors without dementia.

So why are seniors with dementia at higher risk for falls?

Dementia can impair a person’s capacity to think, make decisions, remember, and perform their daily activities. It can impair a person’s visual perception and their coordination.

Dementia can even cause a change in senses like sight, sound, and touch. An individual with dementia could forget to use their cane while walking. They could misjudge where the stairs are or have poor balance.

Prevention

Understanding why people with dementia are prone to falls is key to preventing it. Clutter. An important strategy in reducing falls caused by dementia is making a person’s

environment fall-proof. Decluttering the home has been shown to help in reducing falls. The home should be inspected for loose rugs and carpets that could cause a fall. Tripping hazards like electrical cords should be moved out of the path that an individual might walk in the home. Keeping the furniture arrangement simple could also help reduce falls. Walkways should be clear of clutter inside and outside the home.

Light. Since dementia can affect visual perception, the home should be well lit so that there are no dark areas. Plugging in night-lights or leaving lamps on could help an individual avoid a fall when they get up in the middle of the night to go to the bathroom. Using contrasting colors for furniture versus the floor and the walls could help someone who struggles with their vision. Safety equipment. Being proactive about safety equipment can also help reduce the risk of falls. Footwear should have good grip and fit properly. If necessary, a person might need an assistive device to help them get around. These assistive devices could be a cane or a walker for balance. If needed, there could be changes made to the home such as handrails for stairways, raised toilet seats, or grab bars for

the bathroom.

Daily schedule. Routine and organization can compensate for the progression of cognitive decline. A daily schedule of tasks could be posted in a single location. Reminders of where items are could be posted all over the home. Commonly used items like medications and glasses could be kept within arm’s reach, perhaps at a bedside table. These tips could help with confusion and potential wandering that could lead to falls. A cellphone should be kept on the person at all times and fall alert bracelets could be used in an emergency. Activity. Staying physically and mentally active is another important tool to help reduce the risk of falls. Depending on a medical professional’s advice, there are fall-prevention exercises that can increase stability, coordination, and balance. Exercises that work out the brain like art therapy, music therapy, and even doing puzzles and playing games can decrease the effects of dementia. Socializing with other people can help slow down symptoms of dementia.

Being proactive about the dangers seniors with dementia can face is the best way to help them navigate their reality.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 DOH-Polk on Twitter at twitter.com/FLHealthPolk.

for the Cure”

Online Silent Auction

April 14 - April 21, 2023

Cocktail Party & Live Auction

Friday, April 21, 2023 | 5:30 pm

Nora Mayo Hall

500 Third Street NW in Winter Haven

Scramble Golf Tournament

Saturday, April 22, 2023 | 9:00 am

Country Club of Winter Haven 4200 Country Club Road South

Since inception in 2010, the Lewis Family Cancer Fund “Swing for the Cure” fundraising efforts have raised over $668,909 to provide support to local & regional oncology facilities.

All proceeds from the 2023 events will go to support the Winter Haven Hospital Cassidy Cancer Center

New Partnerships & The Latest Offerings

JESSICA McDONALD, EDITOR jessica@centralfloridamediagroup.com

Spring is a time of new beginnings, and that’s exactly what we’re doing here at Central Florida Health News. Even when the grass is green and the sun is shining, change is still inevitable.

For years, this publication and its readers were blessed to read the advice and perspective of Winter Haven licensed mental health counselor Mary Joye. Her columns were both insightful and thought-provoking, and they often touched on the issues and sentiments affecting us all.

As she takes time for new ventures, we wish her well and thank her for her commitment.

You’ll notice a new name on this month’s Body, Mind & Spirit column on page 6. I’d like you to help me welcome Jennifer Goodson, a licensed mental health counselor with offices in Winter Haven. We’re excited to be working with her, and we have high hopes for our collaboration.

Continuing the theme of new beginnings, I invite you to visit the newest section of the Health News website: CentralFloridaHealthNews.com/area-news.

We know the importance of getting news quick, fast, and in a hurry. That’s why we’ve decided to share the latest local health news directly to this page as we get it. You won’t get our in-depth reporting like you do in our monthly magazines, but you’ll be in the know now. We’ll still be reporting great stories, and those articles will still be on the website as well as in our publication. The only difference is that now, you’ll get all the news that didn’t fit in print.

It’s just one more way we’re keeping the needs of the reader in mind. Cheers to new partnerships and expanded offerings! HN

Zooming in on health in your community.

Breaking Ground in Frostproof

In a nod to its roots, Central Florida Health Care broke ground on its new health center in the heart of downtown Frostproof on March 1. It was in 1972 that Central Florida Health Care opened its first health center with just one doctor and one nurse in Frostproof to provide health care for agriculture workers. The new building will sit adjacent to the existing health center, and that current space will expand the parking lot. Services at the facility will include medical, dental, pediatrics, and ob-gyn. It will also include a drive-thru pharmacy.

“I put my heart into saving yours.”

It’s not just an ID badge. It’s a badge of honor.

At Winter Haven Hospital, we give you compassionate, highquality care in a comfortable atmosphere. Our Bostick Heart Center focuses on providing a full continuum of cardiac care to the communities of central Florida. You’ll get cutting-edge heart care at our center, which can now meet the growing demand for minimally invasive procedures that include transcatheter aortic valve replacement (TAVR) and WATCHMAN™. And our state-of-the-art catheterization labs and intensive care units use the latest technologies. At Winter Haven Hospital, we make sure you’ll receive the extraordinary heart care you deserve. Learn more: WinterHavenHeart.org