Central Florida Health News August 2021 by Central Florida Media Group

largest largest Asian Asian restaurant restaurant company, company, is is now now open open in in Jacksonville. Jacksonville. This This is is the the 36th 36th store store in in the the US, US, as as well well as as the first in the state and the first in the state and Southeast Southeast US. US. It It opened opened to the public to the public on on March March 18, 18, 2017. 2017. Jacksonville Jacksonville ii ss tt h h ee m mo o ss tt populous populous city city in in the the Sunshine Sunshine State, State, as well as home as well as home to to the the largest largest FilipinoFilipinoAmerican American community community in in Florida. Florida. The The longlongawaited arrival awaited arrival of of Jollibee Jollibee in in the the city city has has

get get to to try try Jollibee's Jollibee's signature signature menu menu items items such such as as the the world world famous famous Chickenjoy. Chickenjoy. This This dish dish is is delicately delicately breaded to be crispylicious breaded to be crispylicious on on the the outside outside and and juicylicious juicylicious inside. The well-loved inside. The well-loved Jolly Jolly Spaghetti Spaghetti is is aa favorite favorite of of both both kids kids and and kids-at-heart kids-at-heart because because of of its its signature signature sweetsweetstyle style sauce, sauce, loaded loaded with with chunky chunky slices slices of of savory savory ham, ham, ground ground meat, meat, and hotdog. and hotdog. Other Other classic classic menu menu fafavorites include vorites include the the juicy juicy and and cheesy cheesy Jolly Jolly Hotdog, Hotdog, and and the the Peach Peach Mango Mango Pie, Pie, which which is is made made with with real real Philippine Philippine sweet sweet manmangoes and a flaky goes and a flaky golden golden brown brown crust. crust.

tude tude of of excited excited Jollibee Jollibee patrons patrons waitwaiting ing to to get get their their hands hands on on their their Jollibee Jollibee favorites, favorites, but but also also first-timers first-timers waiting waiting to have their own Jollibee to have their own Jollibee experiexperience," ence," said said Jose Jose Miñana, Miñana, Jollibee Jollibee Foods Foods Corporation's Corporation's Group Group President President for North America. for North America. "There's "There's no no greater greater joy joy for for us us than than serving serving the the needs needs and and tastes tastes of of Jollibee Jollibee fans fans in in the the community. community. At At Jollibee, Jollibee, we we aim aim to to bring bring families families together together for for happy happy moments moments over over great great tasting tasting food food with with superior value, served with superior value, served with warm warm and and friendly friendly service service –– our our own own brand brand of joy." of joy." The The brand brand has has become become aa symbol symbol of of nostalgia nostalgia and and warm warm childhood childhood memmemories ories for for many many overseas overseas Filipinos Filipinos in in the the U.S. U.S. To To many, many, Jollibee Jollibee is is the the go-to go-to restaurant restaurant of of Filipinos Filipinos for for both both special special

volume 11 | issue 5 | August 2021

MAKE IT OK!

POP QUIZ

Anxious or Stressed? We’ve Got Answers

FREE— TAKE ONE!

Mental Health

Peace River Center Campaign Combats Stigma See See JOLLIBEE JOLLIBEE page page 15 15

ENROLL PAGE 12

THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION

EDITION

MISSION POSSIBLE

Homeless Outreach Center Cares for Body & Mind

HEALTH CARE ...STAT!

Urgent Care Clinics Ease Burden on Emergency Rooms

CARE FOR ALL

Identifying Barriers to Mental Health Care for Minorities

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Considering everything we have been through over the past 18 months, the importance of mental health has come to the forefront of our national attention. A significant portion of the population faces greater challenges in accessing mental health services. Learn about the barriers minorities face in their quest for mental health care.

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Jacksonville, Jackson FL -- After ville, FL After much much anticipation and ipation and excitement, Jollibeeanticlargest Asianexcitement, Jollibee the largest Asian restaur restaurant compa ,, the ant company, now open ny, is open in now is in Jackso Jacksonville. nville. This This is 36th store is the store in the 36th in the the US, US, as as well as the first first in the in the state well as and Southeast US.the state and Southe ast US. It It opened opened to the the public to public on March 18, 2017.on March 18, 2017. Jacksonville Jackso nville h ee m ii ss tt h mo o ss tt populous city populo us city in in the Sunshi Sunshine State, the ne State, as well well as as as home home to the largest largest Filipin to the FilipinooAmerican comm Americ an community in Florida Florida. The unity in . The longlongawaite d arriva awaite d arriva ll of of Jollibee in the Jollibee in the city city has has

been the the talk been talk of of the the town town since since 2016. With the openin With the opening, Floridi2016. "As Jollibe Jollibee debuts "As get to ans will to try e debuts in get will try Jollibee g, Floridians in Florida Florida, we anticipate seeing 's signatu anticip signature menu , we ate seeing not items suchJollibee's not only items re menu such as as the tude of multithe world of excited tude excited Jollibe only aa multiworld famou Chickenjoy. Jollibee patron waitChicke ing to njoy. This This dish is famouss to get ing get their their hands e patronss waitdelicately bread ed to dish is delicat on their bread their Jollibee ely favorites, but hands on Jollibee ed to be be crispy favorit crispy liciou es, but also also first-tim first-timers on the liciou ss the outsid on outside and to have waiting have their to their own Jollibeers waiting juicylicious inside. The e and juicylic inside. ence," said own Jollibe experiee experi ence," The well-lo well-loved ious said Jose Jose Miñan Miñan ved Jolly Spaghe a, Jollibe Spaghetti tti is Foods Corpor is aa favorite favorite of both Jolly Foods Corporation's ation's Groupa, Jollibeee of kids and kids-at President for North kids-at-heart both kids and North Americ Group Preside for -heart becaus because a. "There's nt of its greater joy America. its signatu of no greate signature sweet-e no r joy for us than"There's re sweetserving the needs and for us than style sauce, servin needs sauce, loaded style g the tastes of Jollibe and tastes loaded with with the comm fans in chunky slices community. of Jollibe ee fans the in chunky slices of of savory unity. At At Jollibee savory Jollibee, we bring aim , we ham, ground bring familie to families togeth aim to ham, ground meat, er for happy meat, moments overs together mome and hotdog hotdog. Other and nts over great tastingfor happy . food with superior value,great tasting food superi classic menuOther classic or value, served served with with menu faand friendl with warm warm friendly service and vorites include favorites y service –– our include the the our own own brand of joy." brand joy." of juicy and juicy and cheesy The brand Jolly Hotdo cheesy brand has becom The Jolly Hotdo g, g, and symbol of nostalgia and has becom ee aa symbo the Peach nostalg Peach Mango and the l of ia and warm warm childho Mango Pie, Pie, childhood od which is made ories for memwhich ories for memmany overse is made with many with real real overseas as Filipinos the U.S. Philippine sweet U.S. To the in Philipp To many, many, Jollibee Filipinos in ine sweet manJollibee is the go-to restaurant of goes and restaur and aa flaky mangoes ant of Filipin Filipinos for is the go-to golden os for both both special brown crust. flaky golden special brown crust.

STEAKHOUS HOUSE page E page 11 11

Jollibee's U. S. with first Fl expansion continues orida locatio n opening

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FLORIDA EDI TION FLORID A’S FOO DSERVI CE INDUST RY NEW SPAPER ◆ ◆ $3 VOLUME 2017 forec 21 NUMBER ast: ◆ MAR 3 ◆ CH 2017

Peace River Center is working diligently to overcome the stigma EDITION surrounding mental MAKE IT OK! illness with a number of POP QUIZ community outreach programs, including the Make It OK campaign and Club Success. These programs aim to educate the public while providing necessary services to individuals in need of mental health care. Read more on page 14.

4 PUBLISHER’S LETTER 5 PCMA LETTER 6 PHYSICAL WELLNESS 6 MEDICAL ADVICE 11 HEALTHY SKIN 15 HEALTHY AGING 16 HEALTHY COOK

PAID PAID

Founded in 1977, The Mission of Winter Haven is a faith-based, nondenominational shelter for the homeless, providing daycare, meals, showers, clothing, hygiene, enrichment classes, prayer and mental health counseling. We speak with Executive Director David Berry and counselor Nakita Scott about their work.

On the Cover

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Identifying Barriers to Mental Health Care for Minorities

s New s and hl

2019 un -S

2 | CFHN There’s no denying that we live in a stressful world, but stress and anxiety can develop into something much more serious. As the importance of mental health becomes more evident, the toll stress and anxiety can take becomes clearer. Take our pop quiz and learn to recognize stress, anxiety and general anxiety disorder to help yourself and your loved ones.

Hi g

8 9 10 18 Pop Quiz!

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Departments & Columns 17 20 21 22 22 23

issue 5 | Augus

Peace River Cent Campaign Com er bats

t 2021

FREE — TAK

Mental Health

See JOLLI JOLLIBEE See page 15 BEE page 15

CONTENTS | August 2021 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!

Anxious or Stres sed? We’ve Got Answ ers

Stigma

THE ENDO RSED PUBL ICATION OF POLK COUN TY MEDICAL THE ASSOCIATI ON

Homeless Outre SIBLE ach Center Cares for Body & Mind

MISSION POS

Urgent Care ClinicE ...STAT! Burden on Emer s Ease gency Rooms

HEALTH CAR

Identifying Barri Health Care for ers to Mental Minorities

CARE FOR ALL

Centra CentralFlorid lFloridaHealt aHealthNews hNews.com .com

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AN EMERGENCY IS STILL AN EMERGENCY. EVEN DURING THIS EMERGENCY. Don’t let COVID-19 stop you from getting emergency treatment. Even during a pandemic, you still need to be treated immediately if you have an emergency. Debating whether or not to risk going to an emergency room during a heart attack, stroke or other health emergency—waiting even a few extra minutes—could be harmful. That’s why in all BayCare hospital emergency rooms, patients who have symptoms of COVID-19 are screened and treated in a separate area. This helps keep emergency room patients and our team members safe. So if it’s an emergency, don’t wait. For more information: BayCareEmergencyCare.org

20-1320452-1220

PUBLISHER’S NOTE

www.CentralFloridaHealthNews.com

Fight the Stigma

PUBLISHER Nelson Kirkland

NELSON KIRKLAND, PUBLISHER

MANAGING EDITOR

nelson@centralfloridamediagroup.com

Jessica McDonald

PROJECT MANAGER

iscussions about mental health have come a long way over the past five to 10 years. Slowly but surely, it’s becoming more commonplace to talk about mental health issues and concerns. There’s still work to be done, though. An estimated 1 in 5 adults in the U.S. experience mental illness each year. Unfortunately, only half of those affected seek treatment. With so many people affected by mental illness, there’s a good chance you or someone you know is struggling. The stigma associated with mental health illnesses can prove to be a barrier to care. That’s why it’s so important to openly discuss mental health and make sure there is no shame associated with any illness. So, what can you do to increase awareness and acceptance? • Educate yourself! One of the first things you realize once you start reading about various illnesses is how common they are! If you know someone who is struggling, make an effort to learn about their condition. Your increased familiarity will 4 | CFHN

David Kiessling help you not only be a good resource but also help you be more supportive. • Advocate! Teach others what you have learned to make sure those who suffer from mental illness face less bias. • Accept and Respect! One of the best ways you can change how people are treated is to pay the most attention to your own actions and speech. Treat people according to who they are instead of what their illness is. Depression, anxiety, mood disorders and other illnesses don’t define a person. You may even be surprised to find that individuals with disorders may even compensate in ways you never would have otherwise recognized. Don’t forget that there are numerous resources available in our community to help. The Florida Department of Health Polk County offers services, as do Central Florida Health Care and Peace River Center, among others. Take care of yourself and others. Thanks for reading Central Florida Health News! HN

ACCOUNT EXECUTIVE Juanita Halter

MARKETING DIRECTOR & DIGITAL SPECIALIST Morgan Driggers

CONTRIBUTING WRITERS Erika Aldrich, Mary Joye, LMHC, Teresa Schiffer, Carol Corley, Dr. Joy Jackson, Paul Catala

CONTRIBUTING COLUMNISTS Joe Koloc, MSPT, MBA; Ritu Aparajita, MD; Timothy Evans, MD; Dr. Alex Kennon, MD; Rodolfo Fernandez, MD; Tincy Thomas, OD

CONTRIBUTING ARTIST Dawn Lewandowski

DELIVERY DLS Distribution Published by Central Florida Media Group in cooperation with the Polk County Medical Association

56 Fourth Street Northwest, Suite 100 Winter Haven, Florida PHONE 863.248.7537 Copyright © 2021 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.

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INTRODUCTION

PCMA LETTER

Prioritizing Mental Health POLK COUNTY MEDICAL ASSOCIATION 4315 Highland Park Blvd, Suite B Lakeland, Florida 33813 863-644-4051

2021 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 — — — — — —

JACKIE COURTNEY

f there has been one topic that has been pushed to the forefront during the pandemic, it’s mental health. And for good reason! Mental health is important, and far too often it doesn’t get the attention it deserves. That’s why Central Florida Health News sets aside each August to highlight initiatives and keep you updated. Peace River Center is one of many mental healthcare providers in our area. Its wide variety of services and outreach programs have long helped many in our community adjust, adapt and overcome. In this edition, we talk to Ileana Kniss, director of community relations and development for Peace River Center, about the Make It OK campaign that targets stigma.

Some of the benefits of a PCMA membership include the following: ✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company

Inside, you can also learn how The Mission of Winter Haven offers necessities and mental health counseling to the homeless and disadvantaged. Executive Director Dave Berry and counselor Nakita Scott explain how the organization reaches and helps so many people.

✱ 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

Our coverage continues with a Pop Quiz on stress and anxiety. Do you know the difference? You may want to think again!

✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide

Lastly, in a look at changing medical trends, we evaluate the shift from emergency rooms to urgent care clinics and the effects of that change. HN

✱ 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.

Sincerely,

James J. Booker, MD James J. Booker, MD

Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association

CALLING ALL PHYSICIANS

Renew your 2021 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

Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813 centralfloridahealthnews.com

CFHN | 5

PHYSICAL WELLNESS

Herniated Disks in the Lower Back

his is the last of our threepart back pain series. So far, we have talked about sciatica pain and pelvic and tailbone JOE KOLOC, MSPT, MBA pain. We saved what is probably the most debilitating lower back pain of all for last — the herniated disk. This injury usually requires medical care, X-rays, MRIs, time off from work, pain pills, injections and possibly a permanent change in a person’s ability to get back to their normal routine. I can speak from experience; tooth pain and pain from a herniated disk are about the worst pain anyone can suffer. A herniated, slipped or protruding disk are all ways of saying that a disk has been at least partially ruptured, causing the contents of the inside of the disk to press outward. This can cause a bulge on a nerve root exiting under the bulge. It is characterized by numbness, aching, tingling or weakness that does not go away with ice, hot packs, stretches or massage. If you experience a loss of bladder or bowel function, see your healthcare provider right away as this can be serious. This injury typically happens when a heavy load is lifted from the ground while bending at the wast and not the knees or hips. A herniated disk can cause permanent changes in the way the back works, causing a “weak link.” It can cause pain down one or both legs that comes and goes and never really heals. Now the GOOD NEWS: The New England Journal of Medicine has printed a study of a herniated disk in the neck that made a full, 100% recovery! The body can heal itself but only under the best of circumstances where everything goes right. This starts with figuring out what decreases the pain. If you can do something to make it worse, you can do something to make it better, right? This usually is going to involve some kind of traction or inversion table or other way of decompressing the disk. The key to treating a herniated disk is getting help quickly. Removing the pressure from the nerve tissue and pressing the disk material back so it takes the pressure off the torn disk cartilage is critical. Progressions from rest to flexibility and core strengthening exercises and eventually returning to normal activity is the final step. The best cure is prevention, though, so lift with your legs and not your back. This column is sponsored by Core Rehabilitation, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. Bio: Joe Koloc is a lifelong resident of Lake Wales who has degrees in Physical Therapy from the University of Central Florida and an MBA from Webber International University. He opened Core Rehabilitation in 2013 and has 25 years of clinical experience as a specialist in shoulder and back pain.

6 | CFHN

MEDICAL ADVICE

Vaccines Are Critical for Polk Students by DR. JOY JACKSON

he first day of school for Polk County Public Schools is August 10. The Florida Department of Health in Polk County wants to emphasize the importance of your child being ready to go back to school with all the required and recommended immunizations. Typically, students receive most of their immunizations before starting kindergarten and before seventh grade, but this schedule may look different for your child. To see if your child is up to date on his or her immunizations you can go to flshots.com. Why Should Your Child Be Immunized? Immunizations train our immune systems to recognize and combat diseases such as measles, polio and whooping cough. These are some of the typical vaccinations children must have to protect themselves, and the people around them. In addition to these vaccines, we are also recommending children ages 12 and older get the Pfizer-BioNTech COVID-19 vaccine before returning to school this year. Currently, the Pfizer vaccine is the only vaccine approved for use in individuals younger than 18. We have made substantial progress in reaching population immunity due to the three vaccines available to adults 18 and older, but we still have work to do. COVID-19 is still a concern for everyone, and proper measures should be taken. Our most powerful tool in combating COVID-19 is vaccinations. People who are not vaccinated should continue to use mitigation techniques including self-quarantine, wearing a mask and social distancing. Everyone, regardless of vaccination status should continue to wash their hands often, cough and sneeze into the elbow or a tissue, clean and disinfect frequently touched surfaces, and monitor their health daily. Benefits of Vaccination We know that this pandemic has impacted parents with school-aged children in a particularly difficult way. Many students were required to quarantine during the past school year after being in close contact with a positive COVID-19 case. Keeping your children safe was a top priority for both FDOH-Polk and Polk County Public Schools. We now have a COVID-19 vaccine available for children ages 12 and older that can protect your child from severe illness and decrease the likelihood of transmission. Getting your child vaccinated will provide more flexibility in the event they are exposed at school or elsewhere. The Centers for Disease Control and Prevention recommendations state that someone who is fully vaccinated is not required to quarantine if they are not showing any symptoms. They must simply monitor for symptoms and be cautious of their encounters with high-risk people in the 14 days after their exposure. This is a drastic change from the required 10-day quarantine implemented in Polk County Public Schools during the Spring 2021 semester. If you are still debating whether you or your child should be vaccinated, please reach out to the Department of Health in Polk County or speak with your family doctor. For questions related to the COVID vaccine, please call our COVID Information Center at 863-519-7911. HN

Vaccination Sites We offer testing at the following fixed sites. We offer all three COVID vaccines: Moderna (2 dose series) and Johnson & Johnson (one dose) – for those who are 18 years of age and older; and Pfizer (2 dose series) – for those who are 12 years of age and older:

Mondays: Lakeland DOH Clinic 3241 Lakeland Hills Blvd. • Lakeland, FL, 33805 11 a.m. – 6 p.m. • No appointment necessary

Wednesdays: Auburndale Testing and Vaccination Center 245 E. Lake Ave. • Auburndale, FL, 33823 11 a.m. to 6 p.m. • No appointment necessary

Thursdays: Specialty Care Clinic 1255 Brice Blvd. • Bartow, FL, 33830 11 a.m. – 6 p.m. • No appointment necessary

Fridays: Haines City DOH Clinic

1700 Baker Ave. E • Haines City, FL, 33844 11 a.m. to 6 p.m. • No appointment necessary Please note that we offer COVID testing at the following location: Auburndale Testing & Vaccination Center • 245 E. Lake Ave. • Auburndale Monday – Thursday: 8 a.m. – 5 p.m. • Friday: 8 a.m. – 4 p.m. If there are any homebound individuals needing a vaccine, please call 863-519-7910.

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.

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6TH ANNUAL

the Supporting the Winter Haven Women’s Hospital Neonatal Intensive Care Unit (NICU) and Winter Haven Hospital Patients

All proceeds from the 2021 events will go to support the Winter Haven Women’s Hospital Neonatal Intensive Care Unit (NICU).

A Golf and Tennis Event at Country Club of Winter Haven Presented by:

Legacy Sponsor:

THANK YOU SPONSORS AND TEAMS The Cassidy Family

Fore the Love Sponsors:

John & Tracy Scheck | Mike & Janine Mahalak

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FEATURE PREVENTION

POP QUIZ!

compiled by ERIKA ALDRICH / Information provided by: The American Psychological Association and the National Council for Mental Wellbeing

8. D. 31 percent. Nearly a third of all Americans will experience an anxiety disorder in the course of their lives. 9. C. A combination of psychotherapy and medication. Mental health therapists can help anxiety sufferers choose the right combination of therapies. 10. C. See a mental health therapist. Anxiety disorders require greater attention and care than average stress or short-term anxiety.

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4. E. All of the above. There are many physical, mental, and emotional symptoms of stress and anxiety. 5. True. Stress and anxiety can exacerbate and/or be the root cause of many injuries and physical and mental illnesses and conditions. 6. E. All of the above. There are many coping mechanisms for dealing with stress and/or short-term anxiety. 7. True. Anxiety disorders are the most common type of mental illness and can be disruptive to a person’s normal life.

here’s no denying that we live in a stressful world, but stress and anxiety can develop into something much more serious. As the importance of mental health becomes more evident, the toll stress and anxiety can take becomes clearer. Stress, anxiety and generalized anxiety disorder are prevalent mental health concerns that can easily affect your quality of life. Take our pop quiz and learn to recognize stress, anxiety and general anxiety disorder to help yourself and your loved ones.

6. Which of the following is/are a coping mechanism for stress and short-term anxiety? A. Physical activity B. A nutritious and varied diet C. Good sleep hygiene D. Relaxation training and meditation E. All of the above 7. T rue or false? Long-term anxiety can be an anxiety disorder, such as generalized anxiety disorder, which is defined as excessive, hard-to-control worry occurring most days over six months accompanied by the physical symptoms of anxiety. 8. Which of the following is an estimate of how many Americans will experience an anxiety disorder in their lifetimes? A. 1 percent C. 21 percent B. 11 percent D. 31 percent 9. Which of the following is a treatment for anxiety disorders such as generalized anxiety disorder? A. Psychotherapy, like cognitive behavioral therapy and exposure therapy. B. Medication C. A combination of psychotherapy and medication. D. None of the above. 10. What should you do if you think you have an anxiety disorder like generalized anxiety disorder? A. Try to relax. B. Drink less caffeine. C. See a mental health therapist. D. Avoid all stress and anxiety triggers. ANSWERS: 1. True. In the U.S., 40 million adults suffer from anxiety disorders like generalized anxiety disorder, panic disorder, phobias, social anxiety, obsessive-compulsive disorder and post-traumatic stress disorder (PTSD), making them the most common type of mental illness. 2. B. 36.9 percent. Only just over a third of those who suffer from anxiety disorders get treatment. 3. B. Stress is caused by external forces, and anxiety is caused by internal forces, oftentimes without reason.

Identifying Stress and Anxiety in Your Life

1. True or false? Anxiety disorders are the most common type of mental illness in the United States, affecting 40 million adults each year. 2. Approximately how many people living with anxiety disorders in the U.S. get treatment? A. 12.4 percent C. 57.5 percent B. 36.9 percent D. 75.2 percent 3. Which of the following is the difference between stress and anxiety? A. Stress is short-term, and anxiety is long-term. B. Stress is the result of external causes, while anxiety is the result of internal causes and is characterized by a “persistent feeling of apprehension or dread” in situations that are not actually threatening. C. Stress is not dangerous to your health, while anxiety is. D. The emotional and physical symptoms of stress and anxiety are completely different. 4. Which of the following is/are possible signs and symptoms of stress and anxiety? A. Uneasiness, irritability, anger and/or tension B. Headaches, muscle pain and/or high blood pressure C. Fatigue and/or loss of sleep D. Digestive troubles E. All of the above 5. True or false? Stress and anxiety affect all systems of the body including the musculoskeletal, respiratory, cardiovascular, endocrine, gastrointestinal, nervous, and reproductive systems.

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COMMUNITY HEALTH

Identifying Barriers To Mental Health Care for Minorities by MATT COBBLE sponsored by Central Florida Health Care

onsidering everything we have been through over the past 18 months, the importance of mental health has come to the forefront of our national attention. Yet even in this climate of widespread acceptance by the general public, a significant portion of the population faces greater challenges in accessing mental health services. “Minorities face many difficulties compared to what we consider ‘mainstream’ patients,” said Dr. Ingrid Atiles, licensed clinical psychologist and Director of Behavioral Health for Central Florida Health Care. (Atiles specified that “minority” is a broad umbrella term encompassing individuals of various identities. For the purposes of this discussion, Atiles clarified she was speaking specifically of ethnic minorities.) In the Latinx community, for example, Atiles says the stigma surrounding the topic of mental health is quite strong. “Behavioral health is perceived as not being a problem, so many of those who would consider reaching out are discriminated against from within the community,” Atiles says. This results in strong peer pressure, keeping potential patients from contacting providers.

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Other barriers minorities face when it comes to behavioral health include cost, insurance coverage, access to care and transportation. Providers at Central Florida Health Care do not deny services to anyone who comes to their clinic, regardless of their insurance coverage. In the era of COVID-19, teletherapy services have been on the rise. In many cases, this means individuals are able to interact with behavioral health providers from the privacy of their own homes. Atiles explains that unfortunately, this area also shows a disparity between white patients and ethnic minority patients. “This population has less access to teletherapy services because they have less access to technology and wifi,” she says. Even for face-to-face services, Latinx patients often run into difficulty accessing transportation. “Driving without a license makes getting to the clinic a risk,” Atiles explains. “This keeps many Latinx customers from accessing care, even if they’re otherwise willing.” To make matters worse, even if a Latinx patient were to look past the myriad risks and go to the clinic to seek behavioral health services, Medical

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they face still another barrier to treatment — a language barrier. “We [Central Florida Health Care] are developing programs to serve migrant and underserved populations,” Atiles says. For those patients who may be concerned about seeking treatment due to the potential of getting in trouble for either their legal or immigration status, Atiles offers reassurance. “Doctor/patient confidentiality prevents us from revealing private patient information, except in cases where we believe the patient may be a danger to themselves or others.” She encourages individuals, regardless of their ethnic background, to consider their mental health. “Much of the lack of treatment of behavioral health conditions stems from a lack of knowledge or awareness. No one has ever said to these patients, ‘I think you may be depressed.’ ” To this end, Central Florida Health Care is integrating behavioral health into its primary care health services. Primary care providers can screen their patients for mental health issues, regardless of the issue that brought them into the clinic. These patients can then be referred to a mental health provider if an issue is found. Pharmacy

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FEATURE OUTREACH

MISSION POSSIBLE Homeless Outreach Center Cares For Body & Mind story and photos by PAUL CATALA

NAKITA SCOTT AND DAVID BERRY

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ason Garland says he stops in at The Mission of Winter Haven daily just to get the basic necessities not found on the streets, namely food and a shower. As he relaxes on a couch inside, Garland reflects on how his life has been enhanced through the care and generosity of others. It’s through the goodness of others that concern Garland and hundreds of others every week find safety in the walls of what was originally a home built in 1916. Founded in 1977, The Mission of Winter Haven, 180 E. Central Ave., is a faith-based, nondenominational shelter for the homeless, providing daycare, meals, showers, clothing, hygiene, enrichment classes, prayer and mental health counseling to those of any age who seek them. Everything The Mission offers makes a tremendous difference in Garland’s and others’ abilities to cope with the day-to-day rigors of eking out a living or in some cases, a life. “Not only do they have showers and food, but it’s a place you can come and vent,” says Garland, 43, a cook and handyman originally from Greenville, South Carolina. “Here, they take time to understand what you’re going through, and I’m very appreciative.” It’s that ability to make an impact and make changes in the lives of those whose fortunes are on the downslide that motivates David Berry. Since 2005, he’s been serving those in need from the rooms of The Mission, first as a volunteer serving meals, then as a youth pastor and associate director from 2005 to 2007, then as the facility’s full-time executive director since 2007.

Under the guidance of former Executive Director Pastor Tom Beauregard, who died in 2018, Berry has taken the rod and staff and guided The Mission and along with its mission: “To provide an immediate response of food, support services and a day center for homeless individuals and all in need; by way of Faith, Community and Helps.” Along the way, Berry has seen his share of the down and destitute come through The Mission doors and has also seen some of those same folks leave with positive outlooks and better lives ahead. He works with a paid staff of five, as well as about 15 volunteers and members from approximately 200 churches across Polk, to provide meals, a food pantry, showers, changes of clothing and support services. With an operating budget of about $400,000 per year via financial donations, The Mission provides about 200 meals per day, 25 families with groceries and 300 to 400 individuals with assistance — children, teenagers, siblings, single parents, grandparents, low-income residents, the elderly and the homeless, of which there are currently about 135 since January. Open daily from 9 a.m. to 4 p.m., there are no overnight services or accommodations at The Mission for its clients, which Berry refers to as “neighbors.” “Anyone can walk in and we ask what they need help with. There are all these layers of life. Sometimes, people aren’t able to get a job with no Social Security card, ID or they’re just mentally unstable. And by working with them on a day-to-day routine, we’re also able to address them on a spiritual basis,” says Berry, 46, who lives in Winter Haven with his sons Caleb, 12, Jayden, 13, and wife Arlene, The Mission’s

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HEALTHY SKIN

Learn How to Spot, Treat Rosacea

R JASON GARLAND AND DAVID BERRY administrative director since 2005. “We evaluate them for their needs, and if they need more professional counseling, we refer them upstairs.” “Upstairs” at The Mission is where Nakita Scott is found. Scott is the clinical director for Grace Counseling Services of Winter Haven. Housed on The Mission’s second floor, Scott – a former counselor with the Polk County School District’s Hearth Project — is credentialed through insurance companies, doctors’ offices and social services organizations to provide mental health counseling. Along with three counselors, she personally visits with about 13 clients per week, 30 or more total in the office. Scott says at The Mission, she’s able to meet with clients without restrictions or requirements, giving them the ability to discuss personal issues more directly and freely. Among the mental conditions addressed at Grace are grief and loss; relationship issues; spirituality and faith concerns; anxiety, worry and fear; depression; substance abuse and addiction; trauma; parenting; and low self-esteem and/or low self-confidence. Some of the counseling strategies employed by Grace’s counselors are prayer, scripture, Bible study, forgiveness, gratitude, personal identity in Christ, selflove and acceptance and ethical values and behaviors “It depends on their clinical needs, but we’re about meeting the clients where they’re at in life, with no restrictions or requirements,” says Scott, a licensed Christian therapist. Part of getting healthier in mind and body is accomplished through a daily schedule at The Mission, where Panera Bread and Publix Super Markets provide breakfast from 9 to 11 a.m. and lunch is served daily from 11:45 a.m. to 1 p.m.

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Besides access to food, those visiting The Mission have access to a computer to check for email, search for work or get tutoring. They also can attend art therapy classes and small support groups for emotional needs or advice. As for the future, Berry says there are always new and enhanced programs at the doorstep of The Mission. Among those: • Making stronger case management programs through counseling services • Utilizing college interns to assist with operations and support beginning in August • Starting an occupational therapy program in 2022 • Future plans to expand the current Mission home “These are provided to help the homeless and other individuals to learn to transition back into the workplace, to help move them from just being limited in what they can do to becoming self-sufficient,” says Berry. The Central Avenue location is the fourth Winter Haven site of The Mission since 2000, following the use of Beauregard’s home, Rotary Park and the Hill building on Third Street. At the end of the day, Berry, his staff, volunteers and most importantly, the “neighbors” of The Mission say its most important function is to get folks healthy physically and spiritually, get them back on their feet pounding the pavement for work and making them functioning, useful citizens and neighbors. “Hopefully, it helps someone avoid going down the same roads I have,” adds Garland. “I’ve been down those roads,” he says, saying it often seems like people don’t care. “But here,” he says, “these people do care.” HN

osacea is a fairly common dermatological condition that can affect anyone of any age. It is ALEX W. KENNON, MD, a chronic condition with no known FAAD cure, but advances in medical technology have made it possible to treat and control the symptoms. You can recognize rosacea primarily by the presence of a facial redness that resembles a sunburn or blushing but does not go away, or by a characteristic skin thickening, especially on the nose. Rosacea may also cause small, solid, red bumps or pimples that may burn or sting, facial swelling (edema), prominently visible blood vessels on the face, eye irritation, dry facial skin, or a burning or stinging sensation on the face. Sometimes, in rare cases, symptoms of rosacea can appear on other body parts, such as the scalp, ears, neck or chest. It is not known what causes rosacea, though there may be a genetic component, as it tends to run in families. People with fair skin seem to be at a higher risk, as are those of northern or eastern European descent. The condition is more commonly diagnosed in women, but tends to affect men more severely. Men are often affected by the skin-thickening aspect of the disease, which can cause the nose to become swollen and bumpy. Many people who suffer from rosacea experience decreased self-confidence and self-esteem because of it. There are a variety of oral and topical medications available to treat symptoms. Once the symptoms have been brought under control, anti-inflammatory therapy can be used to maintain remission. In some cases, a laser or other medical device may be utilized to remove visible blood vessels or excess skin tissue. A physician can best advise the patient what type of lifestyle changes and skincare routines may help prevent future flare-ups. A gentle daily skincare routine is recommended to help reduce the incidence of flare-ups. We suggest using a mild, non-abrasive cleanser and soft cloths followed by rinsing with lukewarm water and blotting the face dry. Rosacea is just one of many skin conditions we treat at Lakeside Dermatology. Reach out to us today to learn how we can help you. 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.

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FEATURE EDITION

MAKE IT OK! Peace River Center Campaign Aims to Fight Stigma Associated With Mental Illness by TERESA SCHIFFER 14 | CFHN

ith one in five people experiencing a mental health issue at some point in their lives, it is vitally important that as a society we remove the stigma associated with mental illness in order to encourage those affected by these conditions to seek the treatment they need. Peace River Center is on the frontline of this battle, working tirelessly to provide the public with the services, care and education necessary to help people struggling with mental health difficulties. To this end, Peace River Center has a number of programs and campaigns operating to provide resources for anyone who either needs care or is interested in supporting the organization’s goals. One such project is the Make It OK campaign. Ileana Kniss, director of community relations and development for Peace River Center, recently spoke with us about this outreach effort. “The Make It OK campaign is an effort for us to help reduce the stigma that surrounds mental illness. It’s a campaign to reduce stigma by increasing understanding and creating a conversation about mental illness,” Kniss explains. “A lot of times, we have a stigma because of stereotypes, because

it’s something we really don’t know about. So we’re just trying to talk about what is mental illness, what is mental health. The three main pillars for Make It OK are to learn, share and talk about mental illness.” The reason this stigma needs to be addressed is because it can be a major obstacle to someone getting care when they need it. They may not want to be diagnosed, so they will avoid talking about the problems they are having out of fear of having others look at them in a negative light. However, mental illnesses are diagnosable and treatable diseases, and we need to recognize that fact and encourage people to reach out in times of distress. Peace River Center is offering engaging 30-minute presentations to discuss these issues with anyone who is interested in learning more. They can send a representative to any workplace or community center, or a virtual presentation can be arranged. You can schedule a presentation by visiting www.peacerivercenter.org/makeitok. The Make It OK campaign is an ongoing effort. The website includes other helpful information, centralfloridahealthnews.com

The Make It OK campaign is an effort for us to help reduce the stigma that surrounds mental illness. It’s a campaign to reduce stigma by increasing understanding and creating a conversation about mental illness. — Ileana Kniss, director of community relations and development for Peace River Center such as ideas for what to say and what not to say to individuals who are experiencing mental health problems. Another project that Peace River Center has is Club Success. Kniss elaborates on this program, “Club Success is a place for members – we call them members, not clients because they come willingly – to learn how to integrate back into the community. It helps individuals find a place of belonging. They come, and what they do is called a ‘work order day,’ so they have activities every day that they choose, whether it’s being in the kitchen and learning how to cook, or doing all kinds of different things that people take for granted.” A new Club Success recently opened in Haines City earlier this month. The criteria for acceptance into Club Success is that you must have a diagnosed mental illness and be willing to engage in work opportunities. Peace River Center’s Club Success program serves individuals in Polk, Hardee and Highlands counties. If you are interested in participating in this unique program that is certified by Clubhouse International, call the Peace River Center Access to Care line at (863) 248-3311. Finally, there is the Christmas in July project. “Christmas in July is something that we’ve been doing for a couple of years now to try to help our clients. About 95 percent of our clients live at or below the poverty level, so when you consider the fact that after expenses and medication and such, they don’t have a lot of extra income for extra things. Sometimes it’s as simple as writing journals, undergarments, bed sheets, or just household items, so this allows us to help them with those needs.” Peace River Center receives funding for very specific programming, and it does not allow for additional expenses. In the Children’s Services program, for example, many of the kids need coping mechanisms. Therapists who work with children will help them to develop some coping tools to use, such as a balloon filled with gel to squeeze. Additionally, art therapy is a great tool for individuals suffering from anxiety or depression. As a nonprofit, Peace River Center is unable to provide the supplies for these projects, but they are well used and appreciated in therapy by Club Success members, psychosocial rehab clients and others. If you would like to contribute to Christmas in July, there are drop-off locations at the Community Relations office at 1933 E. Edgewood Drive, Suite #101, and at the Peace River Center Thrift Shoppe, 2934 S. Florida Avenue, both in Lakeland. You can also purchase and send a gift directly through the Peace River Center Amazon Wish List. The direct link for that Wish List is https://smile.amazon.com/hz/wishlist/ls/3VOFDLBYSVRYM/ ref=hz_ls_biz_ex. HN centralfloridahealthnews.com

HEALTHY AGING

August Is Children’s Eye Health/Safety Month

hildren require clear and comfortable vision TINCY THOMAS, O.D. to be successful in school and extracurricular activities. They use their eyes for everything from reading, writing, throwing a ball, using computers, and watching TV. As children advance in school, the demand for clear vision increases because they spend more time reading and learning. Thus, any vision problems should be addressed at an early age to help prevent visual and learning problems. There are many signs of difficulty with vision that may be more complicated than blurry vision alone. Children may: • Avoid reading • Rub their eyes • Have trouble learning • Experience headaches • Notice that letters float on the page • Have trouble focusing • Experience double or blurry vision Many different conditions can cause the above complaints, including: • Nearsightedness/Farsightedness/Astigmatism • Amblyopia (Lazy/Underdeveloped Eye) • Strabismus (Eye turns) • Eye Focusing Disorders • Eye Teaming Disorders • Eye Tracking Disorders • Eye-Hand Coordination Disorders • Visual Perception Disorders Luckily, many of these visual problems can be corrected with glasses, contact lenses, patching, or vision therapy if these conditions are diagnosed early. Many parents assume that they do not have any visual problems when a child passes their school screening. However, school screenings usually only test distance vision, and may not assess other aspects of the eyes, including near vision, eye teaming, eye focusing, and eye health through dilation. All of these pieces of an eye examination are necessary to ensure that a child has the proper vision to learn appropriately. In addition, children’s eyes are constantly changing and developing, and they may not even notice when problems have started. Visual problems have even been misdiagnosed as learning disabilities and attention deficits. Therefore, if no issues have been noted sooner, the first time a comprehensive eye exam should be completed is at six months of age and continued yearly from age three, unless recommended more frequently by your eye doctor. At Eye Specialists of Mid-Florida, we strive for excellent care for children and adults of all ages. Please get in touch with me with any questions or concerns. To schedule an eye exam appointment for your child or yourself at any of our eight convenient locations, call us at 800-282-3937 or visit us online at EYESFL.COM. 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. Dr. Tincy Thomas is a board-certified optometrist who sees patients at the Lakeland-Highlands location for Eye Specialists of Mid-Florida. She specializes in primary care optometry, contact lenses, dry eye disease, and pediatric eye care.

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HEALTHY COOK

Fruit Salad With Flair Is Perfect for Summer by CAROL CORLEY

hen you sit down to lunch or dinner, your eyes should feast on the food first. Studies have shown that the prettier a dish looks, the better it seems to taste. What better way to sit down to a pretty meal than to have a fruit salad. First, it is colorful, and second, it contains fiber, vitamins and minerals, enzymes, and water. Plus, it tends to be low in calories. Fortunately in Florida, we have lots of wonderful fruits to choose from — starting with berries, which come in so many colors. Berries and citrus are considered by many as the powerhouse of fruits. That would include oranges, grapefruits, lemons and limes in addition to our many berries. Also wonderful in fruit salads are watermelon, apple, guava, dragon fruit, kiwi. Many people like to add banana, and a small chopped banana is good for bones. Whatever mix you choose, you should make sure the fruits are fresh. Also, acidic dressings can help keep the fruits from turning brown. To make the fruit salad a bit unique, you can add chopped nuts, figs, avocados, coconut, mint leaves, raisins, and even chopped greens, hearts of palm, and sliced water chestnuts. You can make the fruit extra special by using a melon baller. One potential concern of a fruit salad is that it can be high in sugars, so anyone concerned about that should discuss the diet with their doctor. We usually think of a fruit salad as a dessert, but it can also be a breakfast, lunch or dinner. A fun way to make it for breakfast is to add vanilla yogurt and a sprinkling of your favorite crunchy dry cereal. To make it a lunch or dinner, you can add boiled shrimp or cubed or shredded chicken breast.

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Colorful Dragon Fruit Salad (Adapted from mindovermunch.com) Ingredients: Dragon fruit balls, 1 cup Watermelon balls, 1 cup Cantaloupe balls, 1 cup Blueberries, 1 cup Kiwi, 2/3 cup Mint leaves, 2 tablespoons fresh chopped Pomegranate seeds, sprinkling Lime, 1 juice and zest Salt to taste if desired Directions: Toss all fruit with fresh mint, lime juice and zest, and salt if desired. Decorate with a few fresh intact mint leaves for interest.

Summer Fruits Salad (Adapted from foodandwine.com) Ingredients: Blueberries, 2 cups Seedless grapes, 1 cup Kiwi fruit, 3 peeled and sliced Strawberries, 2 cups hulled and sliced Pineapple, 2 cups cubed Oranges, 2 peeled and sectioned

Bananas, 3 sliced Orange juice, 2/3 cup Grated orange zest, 1/2 teaspoon Lemon juice, 1/3 cup Lemon zest, 1/2 cup Brown sugar, 1/2 cup packed Vanilla extract, 1-1/2 teaspoon Directions: Over medium-high heat in a saucepan, boil orange juice, lemon juice, brown sugar, zests to a boil, reduce to medium low and simmer until slightly thickened. Remove from heat, then stir in vanilla extract, and cool. In a large clear glass bowl, layer washed fruits in your order of preference. Pour cooled sauce over fruit, cover, refrigerate prior to serving.

Chicken, Shrimp, and Fruit Salad (Adapted from hsph.harvard.edu) Ingredients: Chicken breast, 1 boneless and skinless Shrimp, 14 medium Granny Smith apple, 1 cup peeled and diced Red and green grapes, 1 cup each seedless cut in half Orange, 1 large or 2 medium, segmented and each segment cut in half Garlic, 1 tablespoon fried Shallots, 1/2 cup fried Peanuts, 5 tablespoons roasted, unsalted, chopped Salt to taste Sugar, 1 teaspoon Lemon or lime juice, 2 tablespoons Cilantro leaves, 2 tablespoons Serrano Chilies, 2-3 if desired

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ADVENTHEALTH

Reducing Your Health Risks With Vaccines

Directions: Prepare the chicken breast by cutting into long thin strips, placing in a frying pan to which water and a pinch of salt had been added. Simmer until chicken is done, remove from water and save water; shred chicken.

accines are one of the best ways to reduce your risk of illness and the spread of disease. Serious research has gone into making vaccines that are safe, efficient and effective for all ages. RODOLFO FERNANDEZ, MD,

Bring chicken water back to a simmer and gently add shrimp, peeled and deveined. Poach 2-3 minutes until just cooked through. Drain. Dice shrimp and combine with shredded chicken and peanuts. Set aside. Meanwhile, mix 1 teaspoon salt, sugar, lemon or lime juice in a small bowl. If chilies are desired, cut into very fine rounds. Now combine the fruit with chicken and shrimp in a large bowl, add juice mix, season with salt and pepper, add half the fried garlic and shallots and toss. Place in a serving bowl and sprinkle remaining shallots, garlic, cilantro leaves, and chilies (if desired).

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Adults and children need vaccines to reduce health risks. The types needed may depend on your age, health history or where you work and travel. From birth, timely vaccination helps provide immunity before children are exposed to potentially life-threatening diseases.

How Can Vaccines Help Me?

• Be less likely to pass on infections to your close contacts • Not miss work or school because of sick time • Prevent serious complications and even death from certain infections • Reduce your risk of getting sick when traveling • Save money on medical costs from illness • Spend more time enjoying life • Stay healthy and active • Take care of your family • Worry less about your risk for infections

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Who Needs Vaccines?

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How Do Vaccines Work?

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Vaccines tell your own immune system how to prevent certain kinds of diseases. A vaccine uses a tiny amount of substance that lets your body build up antibodies and other defenses to a virus or bacteria. This helps to prevent or lessen the severity of many types of diseases caused by infection. A vaccine is most often done with an injection by a small needle into your arm. Some vaccines work in one shot. Others need to be done in two or more shots over a period of time.

What Vaccines Do I Need?

There are various vaccines that help protect adults from serious diseases. These include vaccines to prevent shingles, HPV, meningitis and pneumonia. Other vaccines are important for everyone. These include vaccines for tetanus, the flu and COVID-19.

It’s Not Too Late

If you’re worried that you have missed some vaccines, it’s not too late. Your primary care provider can make sure you easily get up to date on the shots that are right for you. Schedule an appointment today at CentralFloridaPrimaryCare.com or call 407599-6111.

We’re here to do the same.

This column is sponsored by Advent Health, and the opinions expressed herein may not reflect those of CFHN or of its advertisers.

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FEATURE MEDICAL TRENDS

DECISION TIME: URGENT CARE OR ER?

Urgent Care Facilities Help to Ease the Burden on Emergency Rooms by TERESA SCHIFFER

hen patients are experiencing a medical emergency, whether it’s a serious injury or symptoms of severe illness, it’s important for them to get the right care. While an emergency room may be first to come to mind, sometimes a situation isn’t quite an emergency but still warrants immediate attention. This is why urgent care clinics are popping up throughout the country. While it’s hard to accurately assess current average trends for urgent care facilities due to the COVID-19 crisis, it is correct to say that the popularity and usage of these clinics has been on the rise for the past several years. From 2013 to 2019, the number of urgent care centers in the U.S. grew from about 6,100 to more than 9,600. By 2019, they were averaging about 30 visits per day each. April of 2020 was the lowest month on record for visits to urgent care facilities, most likely due to the general quarantines caused by the coronavirus pandemic, with an average of 17.8 visits per day. By June of that year, visits had risen to 33.3 visits per day, with COVID-19 being the most common cause for patients to visit an urgent care center. Here in Central Florida, Polk County has seen

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massive growth in healthcare services in recent years, with a number of expansions to established institutions. For example, Watson Clinic has established two urgent care centers in Lakeland. Jarett Gregory, DO, is a physician at Watson Clinic Urgent Care South, which is located on Frontage Road in South Lakeland near the Oakbridge Shopping Center. “Urgent care has a wide definition across the country,” Gregory explains. “Watson Clinic has created, basically, an ER alternative. An urgent care center like Watson Clinic’s has a number of ancillary services, like CAT scans, X-rays, ultrasound, full laboratory services. That’s not always the case if you go somewhere else in the country. But for us in Lakeland and Central Florida, Urgent Care is your ER alternative, which is time-efficient care at a reduced cost without sacrificing the quality or integrity of the care you’ll receive.” This means that unlike many other urgent care facilities nationwide, Watson Clinic Urgent Care South is able to handle complaints such as chest pains, broken bones and lacerations. These types of conditions would normally be directed to an emergency room. COVID screening and testing can also be conducted at the Watson Clinic Urgent Care centers. By taking these types of patients, urgent care facilities are able centralfloridahealthnews.com

couraged by their primary care physicians and other healthcare providers to make use of urgent care clinics whenever possible for minor emergencies.

to relieve some of the burden from ERs, where roughly one-third of the patients are non-urgent.

Which One Is Right for You? So how does a patient determine whether they should go to an urgent care center or an emergency room? For one thing, time of day makes a difference. While some urgent care clinics are open 24 hours, not all are. The urgent care centers that are operated by Watson Clinic are open and available seven days a week from 8 a.m. to 6 p.m. Furthermore, if a person has sustained a massive injury, such as in a car accident, or if they are being transported by ambulance, the ER would be the appropriate destination. Other cases that should be directed to an emergency room immediately include those in which the patient’s vital signs are unstable, a broken bone is exposed, or the patient has sustained massive head trauma or a significant loss of blood.

Most insurance carriers, as well as Medicaid for pediatric patients, cover visits to an urgent care center. In addition, the cost of treatment at an urgent care clinic is much lower than being treated in an emergency room of a hospital, making this option far more viable for those individuals without any form of medical insurance. JARETT GREGORY, DO

Given the level of high-tech equipment at the Watson Clinic urgent care centers, they are currently being somewhat underutilized and could handle more volume than they are getting right now. Although Watson Clinic has done an outstanding job of informing the public of the existence of these facilities, patients should also be en-

Gregory describes the Watson Clinic Urgent Care South, summing up how it can benefit Polk County residents as well as visitors to the area, “If we can get people to have that knowledge that they can use it when they need it, it would help them to save those already stretched healthcare dollars.” HN

GENERAL ORTHOPAEDIC SURGERY l Total Joint Arthroplasty l Robotic Hip & Knee Replacement l Complex Hip & Knee Reconstruction l Musculoskeletal Oncology l Tendon & Ligament Injuries l Cancer of the Bones

l Fractures & Dislocations l Tumor Excision l Sports Injuries l Amputations l Congenital Disorders

Dr. Timothy J. Evans, M.D. • University of Central Florida Bachelor of Science degree in Biology • Georgetown University, Master of Science degree in Physiology - top in his class • Creighton University Medical School • Henry Ford Hospital, orthopaedic surgery residency • Moffitt Cancer Center, training in orthopaedic oncology, complex bone & joint reconstruction & innovative treatments for metastatic disease of the bones

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CFHN | 19

August 2021 | CALENDAR compiled by TERESA SCHIFFER

RECURRING ONLINE EVENTS

EVENTS AND FUNDRAISERS

Bariatric Support Group Virtual

August 3 – Breastfeeding Support Group Virtual

St. Anthony’s Hospital sponsors this virtual support group for presurgical and postsurgical patients and their families. This session will take place on the fourth Tuesday of each month from 5 – 6 p.m. To learn more, please call 855-269-4777. You can register for this free event at baycare.org/events, search for “Bariatric Support Group.”

St. Joseph’s Women’s Hospital sponsors this support group that is exclusively for breastfeeding mothers. It takes place from 10 – 11 a.m. If you need more information, please call 855-269-4777. You can register online by visiting baycare.org/events and searching for “Breastfeeding Support Group.”

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.

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.

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.

Ostomy 2-1-1

August 3 – Talking Metabolic and Bariatric Surgery with Dr. Joseph Chebli From 12 – 1 p.m. at Campisi Family Auditorium at Lakeland Regional Health North Campus/Hollis Cancer Center, located at 3535 Lakeland Hills Blvd in Lakeland, Dr. Joseph Chebli will be giving a free presentation discussing different surgical options that are available for those who need to lose a significant amount of weight to resolve various health issues. You can register for this event by visiting eventbrite.com and searching for “Talking Metabolic and Bariatric Surgery with Dr. Joseph Chebli.”

August 3, 10, 17, 24, 31 – Introduction to Foundational Chiropractic Learn about natural solutions to common secondary conditions, such as headaches and migraines, with Dr. Brett Berner at Foundation Chiropractic, located at 16541 Pointe Village Dr, Suite 207, in Lutz, from 6 – 6:30 p.m. every Tuesday in August. Seating is limited, so please RSVP to this event by calling or texting “INTRO” to (813) 578-LUTZ (5889).

August 4 – Ritmo Yoga This weekly class is presented with the goal of helping anyone who is interested in improving their health and wellness discover their inner potential through yoga. All ages, body shapes, and levels are welcome. Yoga instructor Evelyn Pena leads Shine Again Yoga on Mondays from 5:30 – 6:30 p.m. and Ritmo Yoga on Wednesdays from 6 – 7 p.m. at Ultimate Dance Center, located at 2980 Lakeland Highlands Rd in Lakeland. The fee is $10 for adults and $5 for children. Classes are offered in English and Spanish. For more information, please call (305) 834-5021 or email love4youyoga@gmail.com.

August 5 – Nursing Career Fair

Ostomy 2-1-1 is a nonprofit organization that provides information and support to individuals and their families who are living with an ostomy bag. Their website, ostomy211.org, provides a wealth of resources to find online support groups, ostomy supplies, and answers to all your questions.

Our communities are in need of more healthcare nursing professionals, so join Your Favorite Healthcare Recruiter in Central Florida and get interviewed on the spot! The career fair will take place from 11 a.m. – 5 p.m. at 7003 Presidents Dr in Orlando. Those who RSVP early will receive a free gift card! Please visit eventbrite.com and search for “Nursing Career Fair.”

YMCA Central Florida

August 31 – Maternity Center Orientation Virtual

Get your exercise in at home with these fun and invigorating videos brought to you by the Virtual YMCA Wellness Center at ymca360.org. There are videos for adults and seniors, as well as for children, including activities such as yoga, boot camp, pilates, and stationary cycling. Stay healthy and active in the safety of your own home.

Prepare for delivery at BayCare by attending a virtual tour of the Mease Countryside Hospital. This is a free class for expectant mothers. One support person may also attend. The class will take place from 7 – 9 p.m. For more information, please call 855-269-4777.

20 | CFHN

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EDITOR’S DOSE

Customized Medical Office Space and Executive Suites Ready for Available Lease

GUESS WHAT’S BACK? JESSICA McDONALD, EDITOR

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Contact Meghan Young | 863.354.5017

all is my favorite time of the year, because who can resist apple cider and slightly cooler temperatures? But this fall is going to be special because Central Florida Media Group is resuming its in-person Health Expos! For years, we have enjoyed bringing healthcare service providers together with the community at International Market World in Auburndale. From entertainment to drawings and live demonstrations, we really went all out to make sure the event was a hit for everyone. Last year, as the world hunkered down during the pandemic, we took those expos online and created a virtual event. While we were happy to keep it going, there’s nothing quite like the face-to-face experience. Now that public health concerns have eased a bit and life is, dare we say, getting back to normal, we’re ready to get the party started again! (PS — You’re invited!) The Expo will resume in September, and details will be solidified as we get closer. Keep an eye on CentralFloridaHealthExpo.com for registration information, a list of companies and organizations that will be in attendance and more! Don’t miss this chance to get valuable information and free screenings. If you have any questions, contact Morgan@CentralFloridaMediaGroup. com. We can’t wait to see everyone again! HN

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CFHN | 21

ORTHOPAEDIC HEALTH

PCMA LETTER

BODY, MIND & SPIRIT

What Is Musculoskeletal Oncology?

Respect the Wisdom of Our Elders

usculoskeletal oncology is a branch of orthopedic surgery that specializes in diagnosing DR. TIMOTHY EVANS and treating tumors that occur in the body’s bone or connective soft tissues, including muscle, fat, fibrous tissue, nerve and blood vessels. When these tumors are malignant or cancerous, they are referred to as “sarcomas.” Although these types of tumors are relatively rare, they can metastasize or spread to other parts of the body. Benign tumors and sarcomas can arise from skeletal muscle, fibrous tissue, fat, tendon, nerve or blood vessels. There are many types of tumors that can occur in the bones that are benign, or not cancerous, and not life-threatening. Sometimes, certain diseases of bone can also mimic bone tumors. In most cases, these benign tumors are asymptomatic and do not even cause any pain or problems. However, some benign tumors can cause damage by weakening or destroying bone or changing into bone cancer. Benign tumors that occur in the soft tissue of the extremities rarely spread and may or may not need to be surgically removed. A bone cancer, or sarcoma, will often cause aching pain or a noticeable lump. Soft-tissue sarcomas can be painless. Sarcomas are usually treated with a combination of surgery, radiation and chemotherapy. When sarcomas spread, it is most commonly to the lungs or the lymph nodes. If a tumor is suspected to be cancerous, there are several methods that can be used to make a diagnosis. X-rays can provide some information. A computed tomography scan, or CT scan, can help determine whether any sarcoma has spread to the lungs or other organs. We can also use CT to guide a needle for a biopsy of a mass that is suspected to have spread. Magnetic resonance imaging, or MRI, can reveal the extent of a bone or soft tissue tumor. A PET/CT scan combines nuclear medicine images with CT images to show anatomical structures and cancerous areas in one image, allowing us to find cancer that has spread far from the original tumor site. If you have been experiencing bone pain, easily broken bones, unexplained swelling or tenderness in an area, excessive fatigue, or unintended weight loss, we strongly recommend being checked by a qualified physician. Although cancer of the bones and soft tissues surrounding the bones is rare, it can be deadly. The best chance of a successful outcome is to catch it early and begin any necessary treatment as soon as possible. This column is sponsored by Central Florida Orthopaedic Surgery Associates, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Timothy Evans obtained his Bachelor of Science degree in Biology at the University of Central Florida and his Master of Science degree in Physiology from Georgetown University. He went on to attend medical school at Creighton University in Nebraska. He completed his orthopaedic surgery residency at Henry Ford Hospital in Detroit.

22 | CFHN

by MARY JOYE, LMHC

ike it or not, we are all aging and it can affect our mental health depending on how we go about living our lives. Erik Erikson, a well-known pioneer in developmental psychology, mapped out the stages and ages of life and what needs to occur in succession to be psychologically healthy. From age 45 to 65, “Generativity vs. Stagnation” is the stage when it is important to generate a happy work/life balance, and this includes giving back to society to feel purposeful and happier. The last stage is “Integrity vs. Despair” from age 65 to a person’s passing. In this latter phase, people take inventory of their lives and think about things they wish they had done or didn’t do. If regrets are profound, good mental health may be impaired and despair can set in, but there is hope if everyone learns to value our aging population. Ageism is a huge problem in our fast-paced society because few take the time to value or listen to the wisdom of the elderly. If we did, we would learn a lot about avoiding mental health issues as we age. Many older people feel overlooked or dismissed and some call them “honey” or “sweetie” as if they are children. Children may be society’s future, but the elderly give us a firsthand look into history so we are better equipped to circumvent negative events repeating themselves. In days past or in different cultures, elders are revered for their sage advice and societal contributions. When elders are treated as insignificant citizens, mental health issues can become crucial. During COVID-19 we witnessed the helplessness

and loneliness imposed on senior citizens, and though necessary, it took a toll on us all. Loneliness is one major elder mental health concern and it is serious because of a steep rise in suicide rates in that demographic. According to a Harvard longitudinal study, loneliness leads to an early demise, surprisingly more so than drinking alcohol or smoking cigarettes. Here are some other mental health concerns of the elderly compiled from reliable sources: 1. Memory impairment 2. Loss of independence 3. Lack of money or forced to retire 4. Death of a spouse 5. Dying Alone 6. Declining health 7. Inability to drive 8. Injury 9. Loss of living in their own home 10. Being cared for by strangers The above have one common thread, and that is fear. Every item on the list produces it. The golden years seem to have lost their luster in the way our society considers the elderly a burden to be warehoused or brushed aside. If you are younger or middle-aged, you may think old people have outlived their usefulness, but they have much to offer. Experimental daycare centers put children together with elders, and it improves the mental health of both groups. Respecting our wise elders is good for everyone and keeps them feeling purposeful and powerful.

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

HEART NEWS

Meet Our Doctor

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 n aneurysm a “weakening” or “dilatation” in a Hospital in NewisYork, she completed her fellowship training in Vascular Surgery Newark Beth Medical 15,000 Center and St. Barnabas part of anat artery. An Israel estimated people die Medical Center in New Jersey. of Dr. ruptured abdominal aortic aneurysm (AAA) evAparajita is also a Member of the Royal College of Surgeons of ery yearEdinburgh, in the UK US.(MRCS About 200,000 new of AAA arein RITU APARAJITA, MD, RPVI Ed) and completed hercases Basic Surgical Training England soon after her medical diagnosed every year. Most school. of these are diagnosed by KSC Cardiology Dr. Aparajita is the co-author of more than two dozen journal articles, tests that are done for unrelated reasons. publications and oral presentations, including topics such as treatment for thrombosis, aneurysm Theendovascular aorta is the main artery inaortic your body repair, thatstroke, carries blood from the heart peripheral artery disease and other vascular conditions. to everywhere else. There are branches, or smaller arteries, that arise off the Additional posts and volunteer work include a teaching position at aorta and supply your organs, legsandand Hofstra Northwell School of Medicine as abrain. MemberAneurysms of the Public and can occur in those branch arteries,Professional too. Outreach Committee as well as the International Relations Committee at the Society for Vascular Surgery (SVS). TheDr.main danger with an aneurysm it enlarging Aparajita was recently nominated for theisAmerican Medical and bursting, which is a Association (AMA) Inspiration Award thatinrecognizes uniformly fatal event if not treated time. Anphysicians aneurysm also contains large who have contributed to the achievements of women in the medical amounts of thrombus, or clot, and can shoot it off to the organ it supplies and profession.

Abdominal Aortic Aneurysm

A Roan Cadavona,

Ritu Aparajita,

Kollagunta Chandrasekhar,

Cynthia Wolford,

Nurse Practitioner

Vascular Surgeon

Cardiologist

Family Nurse Practitioner

ARNP, FNP-C

MD, RPVI

MD, FACC

ARNP, FNP-C, CHFN

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

cause a loss in circulation.

RITU APARAJITA, MD, MRCS (Ed), MBBS Specialty: Vascular & Endovascular Surgery

Joining KSC Cardiology November 9, 2020

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.

Cynthia Wolford, ARNP, FNP-C, CHFN

…is known for her passion to educate patients about Cardiovascular Disease. With additional heart failure certifications, she promptly identifies areas of concern, prescribing medications or lifestyle modifications to treat parients in all stages of heart failure. • Board certified Family Nurse Practitioner • Member of Staff for BayCare Winter Haven Hospital

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

Who Can Have AAA?

They are more common in men of caucasian ethnicity, in smokers and with advanced age. Other associated factors are high blood pressure, high cholesterol levels and lung issues (COPD). Frequently, it runs in families. Rarely, it is seen in patients who have connective tissue disorders.

How Is AAA Diagnosed?

If your doctor suspects you of having an abdominal aortic aneurysm, they will refer you for a simple ultrasound test. Based on the size and extent of the aneurysm, your doctor may refer you to a vascular surgeon.

Symptoms of AAA

A leaking aneurysm will lead to abdominal and back pain, dizziness and loss of consciousness. 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).

centralfloridahealthnews.com

CFHN | 23

August is National Immunization Awareness Month. Get peace of mind knowing your family is up to date.

Vaccines are a key component of good health for all ages — not just school-age kids! See your primary care provider and your child’s pediatrician to make sure your family is current on all needed immunizations to protect them from the following avoidable illnesses. Avoidable Diseases

Children

Adults

Tetanus, diphtheria and pertussis

Hepatitis A and B

Haemophilus influenza type b

Influenza

Measles, mumps and rubella

Chickenpox

Pneumococcal infections

Polio

Rotavirus

Meningitis

HPV

Shingles

To make an appointment with a trusted primary care provider near you, call 407-599-6111 or visit CentralFloridaPrimaryCare.com.

21-AHMG-07349

The AdventHealth Clean & Safe Assurance badge means we maintain the highest possible standard of cleanliness for the safety of our patients and visitors.

Central Florida Health News August 2021

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HEART HEALTH

HEALTHY COOK

HEALTHY AGING

EDITOR’S DOSE

ADVENT HEALTH

HEALTHY SKIN