Central Florida Health News

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

The Quintessential Essential Workers

Respiratory therapist Hubert Decilian explains why now, more than ever those in his field are in high demand as the medical community continues to battle the rising tide of COVID-19 patients. They are a vital part of any clinical team, and their special training makes them especially important in the fight against the novel coronavirus.

The First Step

Starting a new fitness routine and workout schedule can be daunting! Where should you begin? How hard should you push yourself? How do you keep the momentum going? We visited Anytime Fitness in Lake Wales to talk to a beginner, a personal trainer and the gym manager to get some advice.

POP QUIZ!

Everyone wants to look their best, and most agree that signs of aging are a leading factor in that battle. Signs of aging can include wrinkles, fine lines, dark spots, dry skin, and more. Luckily, you can fight these changes without expensive or invasive procedures. Take our Pop Quiz to explore proven ways to prevent the signs of aging and look your best.

On the Cover

As people seek more affordable and less invasive ways to fight the signs of aging, thread lifts have become more popular. Ashley Newman of Ageless Aesthetics and Wellness Clinic in Lakeland talks about the procedure and its benefits. Story, page 10

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

Health, Fitness, and the Pursuit of Both

What an interesting year 2020 has turned out to be! We’ve dealt with our fair share of surprises this year while still working to maintain some semblance of normalcy.

This is the annual Fitness and Beauty edition of Central Florida Health News, and inside you can find insight into facelift alternatives, skin care, fitness and trends in health care.

First up, we take a deep dive into thread lifts, a procedure that uses temporary sutures to lift saggy skin. Ashley Newman of Ageless Aesthetics & Wellness in Lakeland explains how the cost and simplicity of the procedure make it more appealing for those who want to revive their look without the more invasive, traditional plastic surgery.

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

Then we hit the gym to talk about fitness for beginners. After all, aren’t we all beginners at some point? We talk with the manager, a personal trainer and a client at Anytime Fitness in Lake Wales to learn how to get started and how to keep up the momentum.

Inside, we also introduce you to respiratory therapist Hubert Decilian, who explains that those in his specialty have faced increased demand in recent years. Now, COVID-19 is shining a spotlight on these essential workers.

Don’t forget to test your knowledge of skin care to prevent signs of aging! The Pop Quiz offers something for everyone, regardless of your age!

On behalf of the Polk County Medical Association, I wish you a happy and safe holiday season. 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.

A Fresh Look for the Holidays

NELSON KIRKLAND, PUBLISHER nelson@centralfloridamediagroup.com

For 10 years, we’ve proudly brought you the Central Florida Health News every month. The stories of strength and courage we highlight in these pages mirror the experiences of all of us — young, old, ailing and healthy. Our dedication to the people of our region and the healthcare community has never changed. What else hasn’t changed? Our look. You’ve probably noticed that this month’s edition looks different. Maybe you couldn’t quite put your finger on it, or maybe you’ve already flipped through and wondered what we’re up to.

Simply put, we decided the Fitness & Beauty edition was the right time for our own facelift. These are some of the changes we’ve incorporated into our new design:

Updated fonts. We changed our fonts to update our look and be more modern.

Incorporation of white space. There have been multiple studies on the effect text presentation can have on readers. Packed pages crammed from margin to margin can be displeasing to the eye and mind, plus it can make our great stories difficult to read. Human brains crave order, and we’re helping to create that by opening up our margins and “airing out” the pages for a contemporary yet comfortable feel with improved readability.

New headers. The headers on each page are now more consistent and coded by type of content — columns get a green header, internal columns get an orange header, and regular departments get a yellow header. (Bonus points if you noticed these colors are the main colors of the Central Florida Media Group logo, carrying our branding throughout the magazine.)

Different typefaces. Going forward, columns are printed in a serif typeface to distinguish them from other content.

Design themes. Feature articles now can be easily recognized by their dominant photos that extend past margins and “clipped” corner borders. Different design theory. All these changes reflect a move to the current aesthetic of “flat” design — which is the limited use of fades, shadows and effects — resulting in a cleaner, more professional look.

We hope you enjoy the new look as much as we do! And don’t forget to check out the 2021 Central Florida Physicians Directory alongside this edition of Central Florida Health News. Have a happy and safe holiday season! HN

PUBLISHER

Nelson Kirkland

MANAGING EDITOR

Jessica McDonald

PROJECT MANAGER

David Kiessling

ACCOUNT EXECUTIVE

Juanita Halter

MARKETING DIRECTOR & DIGITAL SPECIALIST

Morgan Driggers

CONTRIBUTING WRITERS

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

CONTRIBUTING COLUMNISTS

Daniel Welch, MD , Kollagunta Chandrasekhar, MD

CONTRIBUTING PHOTOGRAPHER

Calvin Knight

CONTRIBUTING ARTISTS

Dawn Lewandowski

DELIVERY

DLS Distribution

Be Mindful of COVID This Holiday Season

by DR. JOY JACKSON

As we enter the holiday season, it is important that we keep health at the forefront this year. With COVID-19 still prevalent in Polk County and across the state and country, we want to encourage residents to remain mindful of keeping themselves and their loved ones safe and healthy. Do not forget to take the necessary steps to prioritize your health this holiday season.

There is nothing joyous about getting sick over the holidays. This is one gift you don’t want to share this season. The Centers for Disease Control and Prevention (CDC) has provided recommended guidelines for staying safe and healthy this holiday season. Recommendations include:

• Limit travel this holiday season.

• Limit in-person holiday celebrations to those who live in your own household. Consider celebrating virtually with those who live outside the home.

• Shop online for the holidays rather than in person as much as possible.

• Host holiday gatherings outdoors rather than indoor to help reduce spread.

• Wear masks when going out in public.

• Practice social distance as much as possible.

• Continue to wash hands with soap and water for at least 20 seconds.

• Clean and disinfect surfaces regularly.

• Stay home if you are sick or not feeling well.

It is also an important time of year to prioritize getting a flu vaccine. According to the CDC, the flu and COVID-19 are both contagious respiratory illnesses. They both can cause mild to severe illness and some serious outcomes can result in hospitalization or death. While there is currently not a vaccine widely available for COVID-19, there is a flu vaccine. Protect yourself and your loved ones today by getting your flu vaccine to reduce your risks for illness.

The flu vaccine is recommended for all individuals 6 months of age and older on a yearly basis. It is safe and effective and remains a person’s best defense against getting the flu. Those who prioritize getting the flu shot early helps decrease their risk of getting the flu.

The flu shot is widely available in many locations including doctor’s offices, clinics, pharmacies, schools as well as the health department. While it may be tempting not to take the flu seriously, influenza remains a leading cause of vaccinepreventable deaths in the United States.

Make a choice to start the holiday season off right by practicing good health behaviors. Don’t let COVID-19 or seasonal illnesses take the fun out of the holidays. Be proactive and take these simple steps to minimize the risk of getting sick this season. For more information on the CDC’s recommended guidance for the holidays, visit cdc.gov/coronavirus.

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 DOHPolk, visit mypolkhealth.org. Follow DOH-Polk on Twitter at twitter.com/ FLHealthPolk.

December 2020 | CALENDAR

Understanding Cataract Surgery

Cataracts are the most treatable form of blindness worldwide. Millions of cataract surgeries are performed each year, restoring patients to functional visual status.

Cataract surgery was once the most common surgical procedure performed in the United States until about 6-11 years ago when intraocular anti-VEGF injections were developed to treat macular degeneration. This has quickly surpassed cataract surgery in the total number of procedures done and continues to multiply.

Over the past 40-50 years, cataract surgery has significantly advanced from surgery performed with loops and multiple silk stitches with leaky incisions requiring patients to lay in bed with sandbags for a week after surgery use aphakic spectacles, which limited side vision making driving unsafe. Most cataract surgeries can now be done with micro-incision surgery using foldable lens implants with no shots, no stitches, and no patches after surgery. Frequently, patients have better vision without glasses after cataract surgery than they have had for many years prior.

Multiple lens implant choices are available as upgrades, including implants for correcting astigmatism and bifocal lens implants. These implants are considered add-on procedures and are not covered by Medicare or insurance companies.

We are fortunate to have laser-assisted cataract surgery available in our area. Laser procedures soften the cataract and make several of the incisions needed for surgery with a laser, making them more precise as well as making the surgery gentler on the eye with quicker vision recovery. Patients experience only 10-15 minutes of surgery time and a 2-3 hour outpatient surgery center visit.

New England Journal of Medicine study published in the early 2000s found that medical risk with cataract surgery was unchanged whether the patient had a systemic workup with EKG and blood work or not unless the patient had an MI, stroke, or other major heart, lung, brain or vascular procedure within three months, which would require a medical clearance for surgery. Since the vast majority of cataract surgeries can be performed under topical and intraocular anesthesia with IV sedation and monitored anesthesia care, patients’ systemic medications, including blood thinners, rarely need to be stopped. With IV sedatives, the anesthesiologist can keep nearly all patients comfortable and steady for outpatient surgery under the microscope. Rarely, general anesthesia is needed.

Cataract surgery has come a long way. With all the advanced choices now available for cataract surgery, discussion with the patient and family is important in determining the best course of action.

To schedule a consultation to discuss cataract surgery at our Winter Haven or Sebring locations, call 800-282-EYES (3937). The ophthalmologists at Eye Specialists of Mid-Florida would love to help restore your vision. Call us or visit us online EYESFL.COM for more information.

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 Welch received his B.S. at Ashland College and his Doctor of Optometry Degree and Internship at the University of Florida. He is Board Certified in the State of Florida, the American Board of Ophthalmology, and the American Board of Eye Surgeons.

Active Kids 2.0

Keep the kids healthy and moving with these free, daily activity videos. Simply clear an area appropriate for movement for the children and search for Active Kids 2.0 on YouTube. A new 30-minute video is posted each weekday at 9 a.m. Past videos are also available.

All Fit Orlando

All Fit Orlando is a gym offering a free 12-week boot camp style workout video during the COVID-19 pandemic. Little or no workout equipment is required for these energetic routines. You can access them anytime on their app or online at allfitorlando.com/freehomeworkout.

American Public Health Association Webinars

Learn about a variety of health topics in the free webinars offered by the American Public Health Association (APHA) at apha.org/events-and-meetings/webinars. They cover a wide range of issues in healthcare and public wellness on a regular basis and also offer exclusive content to members of APHA.

AdventHealth Coronavirus Resource Hub

Get up-to-date information about the novel coronavirus (COVID-19) including risk factors, symptoms, history, and treatment. You can also sign up to receive news alerts via text or email regarding current developments. Blogs, videos, and links to other resources makes this website a valuable tool for staying informed on this ongoing medical crisis. Make adventhealth.com/coronavirus-resource-hub the first place you go for coronavirus facts.

BayCare HealthChat

BayCare Health offers informative, free podcasts on a variety of healthcare topics, hosted by the talented doctors and medical professionals of BayCare. Topics cover everything from aging, to cancer, to children’s health, emergencies, healthy eating, and much more. You can find BayCare HealthChat online at baycare.doctorpodcasting.com.

BrainFlex Wellness Club

This “body, mind, and spirit” approach to aging well is geared towards seniors looking to stay sharp and fit as they age. The class incorporates four key concepts: exercise/meditation, social connections, interactive nutrition education, and brain training/life-long learning. The goal is to slow or prevent cognitive decline and improve quality of life. This class takes place on the second and fourth Tuesdays of each month from 10:30 – 11:30 a.m. The Zoom link is https://us02web. zoom.us/j/3876883694. Before the class, please download and print class materials from BrainFlexWellness.com. If you have any other questions, please email ORL.MDC@AdventHealth.com.

Caregiver Support Group –Weekly

This group meets every Monday at 11 a.m. to discuss caregiver concerns and provide fellowship and support for one another. Meetings are currently taking place online using the Zoom platform. You can join the recurring meeting using this link: https://us02web.zoom. us/j/86739398714, or email ORL.MDC@ AdventHealth.com for more information.

DR. DANIEL WELCH Board Certified Cataract Surgeon

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

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.

Watson Clinic’s “Health E-News”

If you are a patient at Watson Clinic or are in need of becoming one, you’ll want to stay informed about what services are being offered and upcoming events at their various Central Florida locations. You can sign up for their free monthly newsletter at watsonclinic.com/aboutus/health-e-news.html.

YMCA Central Florida

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, bootcamp, pilates, and stationary cycling. Stay healthy and active in the safety of your own home.

EVENTS AND FUNDRAISERS

November

25 – December 29

December Virtual Central Florida Health Expo

This month-long event will be available online throughout December at centralfloridamediagroup.com/virtual-health-expo. Lots of healthcare companies and health services will be together in one virtual location to interact safely with the community. You can even win prizes from visiting the medical professionals’ booths!

December 7 –

Medicare Curbside Consultation

Receive practical advice about Medicare and Medicare Advantage health plans from a licensed agent at this free event from the safety and comfort of your own vehicle while practicing social distancing. Pull up to WellMed of Plant City Parking Lot, located at 507 W Alexander St in Plant City (across the street from Plant City High School) between the hours of 9 – 11 a.m. If you have any questions, you can reach out to Josh Lopez at (813) 754-3504.

December 12 –

Sonny’s BBQ Blood Drive

Save a life by donating blood between the hours of 12 – 6 p.m. at Sonny’s BBQ, located at 3611 US 98 N in Lakeland, or between 12 – 5 p.m. at their 5910 S Florida Ave location in Lakeland. Each donor will receive a coupon for a FREE pulled pork sandwich, a $10 e-gift card, and Oneblood fleece blanket as a thank you. For more information on the importance of donating blood, please visit oneblood.org

December 12 –

Virtual Walk to END EPILEPSY FL 2020

– Tampa

Walk where you are, raise funds online, and attend fun virtual celebrations to connect, celebrate, and make a difference in the lives of those affected by epilepsy! Join a team or form your own, make a donation, sponsor the event, or volunteer by going to walktoendepilepsy.org. The festivities will begin at 10 a.m. via Zoom.

UPLIFTING EXPERIENCE

Thread Lifts Offer Less Invasive, More Affordable Option for Facial Rejuvenation

by TIM CRAIG

While thread lifts have been around in the U.S. since the 1990s, advances in technique and technology have steadily made them more popular, widespread, and increasingly local.

Ashley Newman, the founder of Ageless Aesthetics and Wellness Clinic in Lakeland, has been doing the thread lift procedure for about two years, and she says her patients opt for it based on two main factors: the ease of the procedure and the cost in comparison to invasive, surgical facelifts.

“People really love the minimal downtime and the ease and quickness of the procedure,” Newman says, “and cost is definitely a factor.”

A thread lift is a procedure that uses temporary sutures to produce a subtle but visible lift in the skin. Instead of removing the patient’s loose facial skin surgically, the procedure simply suspends it by stitching up portions of it. This effectively pulls the skin back slightly, lifting and tightening the face. The effects of the thread lift last between 18 months to two years, says Newman.

“Because we’re not cutting off the skin, we only need to use a local anesthetic,” says Newman. “The patient only feels the pressure as we insert the needle and the threads needed for the procedure.

“This also cuts down on recovery time,” she added. “I’ve had patients do it on an extended lunch break and even go back to work later that day. There is some tenderness on the insertion point, but usually Tylenol takes care of the discomfort.”

There is a combination of threads that can be used for the procedure. One, Polydioxanone (PDO), dissolves in the skin in six to 12 months. What makes this thread unique is that it promotes a surge of production of collagen, which helps to keep our skin strong, voluminous and supple.

The second, Polycaprolactone (PCL), is stronger and more complex than the PDO. The thread takes longer to dissolve, but that also means the effects of the thread lift last longer.

“That’s why when I do the procedure, I like to use a combination of both threads,” says Newman. “I think it gives my patients the best of both worlds.”

The thread lift costs more than a Botox treatment, but it typically lasts longer. It also costs significantly less than a surgical facelift, with a quicker recovery time.

Newman, native of Lakeland, didn’t initially see herself in aesthetic medicine when she started as a nurse tech 14 years ago. She worked her way up through the ranks, earning her bachelor’s degree in nursing from USF and

her master’s as an Advanced Registered Nurse Practitioner from Florida Southern in 2016.

“I had no intention of doing this,” she says. “I was internal medicine all the way.”

Yet a chance meeting with another nurse practitioner who had her own aesthetic medicine practice in Tampa opened a new door toward the opportunity.

“She asked if I wanted to come work with her as she expanded her practice,” says Newman. “As a new nurse practitioner, it isn’t common to automatically get into aesthetic medicine and I took the opportunity.”

She worked in that Tampa office for about two years before opening her own practice in Lakeland in 2018, eventually settling into her current location on Schoolhouse Road.

When Newman first came across thread lifts, she knew it was something she wanted to bring to her practice and to the people of Lakeland. “When I heard about it, I thought, ‘Okay, I need to know more about this,’ ” she says. “I was able to be trained in St. Petersburg and was able to incorporate it in my practice almost right away.”

One of the easiest ways to see the effects of a thread lift is to visit Ageless Aesthetics and Wellness. Dori Nunez, hired as the office’s receptionist in February, had the procedure done about a year ago.

“I had spent a lot of time and money on Botox, but was looking for something else,” says Nunez. “The procedure seemed more cost effective in the long run and it really helps holding the eyebrows and eye area,” she says. The whole procedure, she said, was relatively easy, quick and painless. The anesthetic is the only slight pain she felt.

“You feel pressure and pulling as the threads go through, but you’re numb and it doesn’t really bother you,” she says. “Afterward, I just used a Band-Aid, and other than some slight irritation everything was good.”

As for the results, no one really noticed — and that was exactly the effect she was looking for.

“I didn’t want anyone saying, ‘Hey, did you get some work done,’ ” she says. “It was subtle at first, but actually got better as time passed. A few months into it, as the body continues to heal and produce the collagen, it got better and better.”

It’s that long-lasting sense of satisfaction that Newman appreciates about her work. “I enjoy helping people as they deal with how they look,” she says. “People see how good the results are, and how it takes years off of their face and they look refreshed. That’s why we do what we do.” HN

There’s More to Beauty Than What’s in the Eye of the Beholder

by MARY JOYE, LMHC

Globally and locally, we have spent almost a year wearing masks in public places. We cannot see the full expression and do not know if someone is smiling, frowning, showing disdain or acceptance, as these are usually done with the lower part of our face. We had to rely on the eyes of the other person to see if there were upper smile lines or furrowed brows. Many people choose to wear masks that reflect their personality. This has been a powerful way to communicate our inner being, and it was better than nothing. As we come out of survival mode and uncover our faces, it is important to note that we learned a subliminal message: We need full face and body language to create healthier communication skills and to feel attractive and connected again. There truly is so much more to beauty than being in the eye of the beholder. Confidence is the number one thing people find attractive about one another and all our physical senses are involved in detecting it. Prettiness doesn’t always lead to happiness as you can see from celebrities who suffer the same losses and self-consciousness as the rest of us. A myriad of scientific research agrees that attractiveness comes from more than what we see. Hearing vocal inflection and tone is important as most of us find a lower and softer voice more soothing, sensual, and attractive.

Our mirror neurons are subconsciously gathering what we see from another’s action. If someone looks at us with what we detect as distrust, whether they appear attractive or not, may cause us to distrust them. Conversely, if we are looked at with sincerity, we feel more comfortable and

attracted to that person. Olfactory senses create pheromone and hormone reactivity to attractiveness, too. The nose knows even if we are not aware of it! When we touch someone, we pick up signals such as tension, excitement, or comfort. But there is still more to it than that.

Our emotions are involved with what we find attractive. Much more than looks, the saying, “beauty is as beauty does” is true. The more kind and more open a person is with us, the more they create a sense of safety in relationships. There is only one warning to instant attraction; It may be re-enactment of early unhealthy relationships. If you have had a series of bad relationships and they were built on “love at first sight” feelings, your feelings may be lying to you. For example, if one of your parents was narcissistic you may find yourself involved with narcissists in all your relationships, and this can lead to loneliness instead of happiness no matter how attractive they may have seemed to you at first.

You can override your emotions by changing your thinking about attractiveness. Think or write down ten qualities you wish to find in an ideal mate. When you do this, they are almost always your qualities. You are attracted to someone who is most like you!

As we remove the masks and see each other again, look inward to see how you can convey confidence with posture and good thoughts about yourself. Focus on your good qualities. Without comparison to anyone else, you will find that beauty is much more about confident projection than physical perfection. HN

Demand for Respiratory Therapists On Rise Amid COVID-19

by TERESA SCHIFFER

THE QUINTESSENTIAL ESSENTIAL WORKERS

Inhale…exhale…

Many of us take the ease of breathing for granted. We breathe in and out all day and night, rarely giving the life-sustaining act a second thought. All that changes when we come down with sinus congestion or a respiratory infection that leaves us struggling for breath. Now imagine that instead of a simple cold or allergy attack, you have a more serious condition, such as asthma, emphysema or COVID-19. Suddenly, breathing becomes a struggle for survival.

Respiratory therapists are a vital member of the clinical team that delivers the treatments to help ease your suffering and promote your recovery. Hubert Decilian is one such professional who could be on your treatment team. Decilian is a registered respiratory therapist at Winter Haven Hospital and also teaches students in the Respiratory Care

program at Polk State College.

Respiratory therapists are an integral part of a medical team. They act as life-support specialists and are trained to provide a wide variety of diagnostic and therapeutic services for patients who are struggling with lung or heart disorders. Respiratory therapists help their patients by administering appropriate medications through mist, dry powder, or inhalers, by assisting with lung exercises, intubating patients as needed, and much more.

Demand for respiratory therapists has been on the rise in recent years due to an increased prevalence of respiratory illnesses. They are especially sought-after in these days of COVID-19 because respiratory therapists are specifically trained in the use of mechanical ventilation – a critical component of care for severe cases of coronavirus.

HUBERT DECILIAN Respiratory Therapist

“COVID has put a spotlight on our field,” Decilian says. “It has emphasized how very important we are because we monitor patients, we adjust, and we can liberate patients off of mechanical ventilations and life-support machines. So yes, COVID has helped bring attention to the need for respiratory therapists, but we were in high demand prior to COVID, too.”

The continuing COVID-19 crisis in the U.S. presents a number of challenges for healthcare providers. New research is coming out almost daily regarding how the virus spreads, how it enters the body, and what effects the disease has on various systems within the body. Physicians, nurses, and therapists have to stay well-informed and be able to adapt quickly to new protocols in order to provide patients with the best possible medical care.

“COVID is a respiratory disease. It causes very intense pneumonia. It’s right up our alley,” Decilian explains. “It’s caused us to really think outside the box and use all of our respiratory tools and our understanding of everything that goes along with the lungs and any ailments that affect them – how to ventilate correctly, how to adjust, and how to monitor those patients who do need respiratory assistance.”

Decilian graduated from Polk State College in 2015 and worked as a hemodialysis technician before becoming a respiratory therapist. He wears several hats as a respiratory therapist, including clinical instructor with BayCare. Having the opportunity to mold the minds of young medical workers is one aspect of Decilian’s position that he takes very seriously.

“Do your homework,” is Decilian’s advice to medical students who are undecided on what field of study to pursue in depth.

“Shadow all fields, all positions, because the medical field isn’t about just nurses and doctors. There are all types of disciplines. Catch your niche, and to catch your niche you need to survey every aspect of the medical field.”

Just as the ability to breathe is a fundamental necessity for maintaining life, the respiratory therapists that treat patients with breathing problems are an irreplaceable part of the clinical team. Though the Respiratory Care program experienced some disruptions this year due to COVID-19 and the necessary quarantine and social distancing guidelines, Polk State College has quickly adapted to continue providing students with the education and workforce training they need.

Polk State students are learning about the cardiovascular and pulmonary systems online, in addition to how to properly ventilate and oxygenate patients. The training the students are receiving right now is going to serve them well as they move from the classroom into the real world setting where they will be faced with the immediate demands of handling a pandemic. This is a momentous time to enter the medical field as a respiratory therapist.

“We, as respiratory therapists, hold a spot just as elusive as a doctor, or a nurse, or a physical therapist, or any other clinical team member. We’re part of a whole, and without us, there is an empty hole. With us included, we, as a whole, can help patients that come in with anything to leave with an improved quality of life. Respiratory therapists are as important as any other member of the clinical team.” HN

THE FIRST STEP

Right Mindset, Guidance Can Keep a New Exercise Program From Being Intimidating

by PAUL CATALA | photos by CALVIN KNIGHT

When Nancy Hogan first walked through the doors of the local fitness center, she was just beginning to build the momentum to finally get on a regular exercise routine.

The retired school teacher, who lives in Lake Wales, says she was a bit intimidated and overwhelmed by the equipment and stations. That’s not an uncommon experience for those beginning a regular fitness routine or getting back to one after a long period of inactivity.

According to the U.S. Department of Health & Human Services, less than 5 percent of adults participate in 30 minutes of physical activity each day and only one in three adults gets the recommended amount of physical activity each week. Overall, 28 percent of Americans, or 80.2 million people, ages 6 and older are physically inactive.

Hogan, 64, no longer wanted to be among those groups, so she joined Anytime Fitness in Lake Wales, a franchise of 24-hour health and fitness clubs headquartered in Woodbury, Minn. One of her goals was to strengthen her right leg, which she says has iliotibial band problems. She says getting back into an exercise routine hasn’t been difficult as long as she keeps the right mindset and has guidance from personal trainer Jacob Relation.

“I find Jacob to be pretty awesome. He takes you from where you’re at and sets goals for you and is very encouraging,” she says. “I’m already walking better and have much better mobility; those were my goals. Exercise makes you feel healthier mentally and emotionally.”

Nancy Hogan runs through her workout routine with the guidance of personal trainer Jacob Relation at Anytime Fitness in Lake Wales.

For folks who haven’t been as physically active as they’d like to be or those just getting into physical fitness on a regular basis, the staff members at the Lake Wales Anytime Fitness say getting back into the groove isn’t difficult – it just takes a bit of commitment.

Kelly O’Neil, Anytime Fitness club manager who’s been with the company for seven years, says the staff strives to get to know new clients on both a personal and fitness level. The client is taken on a tour of the facility to find out if the gym has the equipment and staff on hand to help reach their goals.

“Beginner or not, we want to make anyone feel welcome here,” says O’Neil, 30, who has a background in dance and conditioning.

Once someone decides to join, O’Neil says a movement and strength assessment is given with the guidance of a mentorcoach. Additionally, goals are set, exercise education is discussed, and a nutrition plan is formed. She explains that the purpose is to set up a feasible and attainable workout.

“It all helps us find out how the member moves and maybe what are some of the limitations they may have,” O’Neil says. The idea is to ease their anxiety and give them more knowledge and understanding.”

To do that, Anytime Fitness staff, mentors and trainers work to make getting into fitness a less intimidating or daunting experience.

Relation, who’s been with the fitness company for two years, says when he first meets a client, he works to get the person’s “numbers” – weight, height, strength assessment, flexibility – to set

goals. He says that shows where a person needs to improve

“Their goal is to gain some knowledge about the facility and feel comfortable with the exercise equipment,” Relation explains. “We’re just here to guide you in the right direction and give you a place to move forward.”

According to Addicted to Success, an online empowering and inspirational motivational organization, there are many factors that can lead to discouragement and shelved workout goals.

Some of them include:

• A plan wasn’t in place

• Goals weren’t set

• Time wasn’t taken to get to know the exercise equipment

• Physical conditioning levels weren’t accurately measured

• Exercise was abandoned when instant results weren’t attained

O’Neil and Relation say those issues are addressed when someone comes in to start a regular fitness routine.

According to Anytime Fitness, the company suggests new clients explore the online Coach Care Connect first, which has healthy recipes, targeted workouts, and advice for those beginning or advancing in fitness. Second, clients should establish reasonable goals that encourage healthy habits. Lastly, new clients should start small by committing to a minimum amount of days to go to the gym, with three to four days per week suggested.

O’Neil says Anytime Fitness follows all guidelines established by health officials to fight the spread of COVID-19. In addition, some exercise classes such as Silver Sneakers have been carried live online.

O’Neil says overall, she and her staff hope anyone who might be hesitant to get back to a regular fitness routine feel reassured that there is guidance and encouragement available.

“The most satisfying part of my job is watching a new member take that first step to a healthier lifestyle,” she says. “Someone might feel like they’re not succeeding but they need the mentality to keep pushing and it can be done. The goal is for someone to walk away with a good program in place that will allow that person to meet their (fitness and conditioning) goals.”. HN

Treatments That Help Lower Cholesterol

Last month I discussed the role of lipids in atherosclerosis. This month, I’ll talk about treatment. For patients at high risk or those who have had a cardiovascular event (prior heart attack, stroke, stent, bypass, etc.), pharmacological treatment may be needed.

Cholesterol production and accumulation in the body involves three processes. First, intake from food in the intestine; second, production in the liver; and third, cholesterol removal from the arterial wall. All three of these can be targeted.

The dietary intake can be impacted by bile acid sequestrants (old treatments) or by Ezetimibe. This works by decreasing absorption.

The liver synthesis is the most important target at this time. This involves a long pathway using a substrate called Acetyl CoA, which ultimately is converted to cholesterol. The enzyme most important in this pathway is targeted by statins. These are very effective and are proven to reduce heart disease and stroke. There are many statins and physicians can use any of them depending on the patient. However, some patients cannot tolerate these. For these patients, there are now a few options. First is a drug called bempedoic acid. This is a pro-drug, converted to an active form that blocks Acetyl CoA formation. Since it acts at a level before where statins act, side effects are not seen. This can be added to Ezetimibe to block both sources.

Finally, cholesterol removal. The LDL binds to receptors which help clearing. This process is prevented by PCSK9, produced by the liver. PPCSK9 inhibitors are now available, which can block PCSK9. These are highly effective and injected every two weeks. This makes it easier to take rather than to be taking a pill every day.

Even more exciting is a new agent which works with RNA. This works on liver cells to increase the uptake of LDL into the cell. After the first injection, a repeat injection is given in 3 months. Subsequent injections are every 6 months.

In summary, treat risk factors with diet and exercise. In high-risk patients and in patients with prior vascular or heart disease, high intensity statins are first choice to lower LDL by 50 percent. In patients who can’t achieve this and in those who cannot tolerate statins, other agents as described can be used. It is better to try and prevent rather than intervene after problems happen.

This column is sponsored by KSC Cardiology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Kollagunta Chandrasekhar, better known as Dr. Sekhar (pronounced Shaker) has been practicing cardiology in Winter Haven for 25 years. Dr. Sekhar is the Chief of Staff at Bay Care Winter Haven Hospital as well as the Director of the Heart Function Clinic and the Cardiac Rehabilitation program at Bay Care Winter Haven Hospital and the Chairman of Cardiology at Advent Hospital in Lake Wales. He is a member of the Heart Failure Society of America, the American Heart Association, the American College of Physicians, and the American Society of Nuclear Cardiology. To schedule an appointment, please call (863) 508-1101.

KOLLAGUNTA SEKHAR, MD KSC Cardiology

by CAROL CORLEY

As we approach the holiday season, we usually expect that temptation will cause us to add a few pounds and maybe challenge our cholesterol levels. Usually we feel the pleasure is worth the pain, and we are confident we will fix it with our New Year’s resolutions

But holiday eating doesn’t have to be that way. It is very possible to have a lovely holiday season, enjoy treats and special foods, and be smart about it.

One way to enjoy healthy holiday foods is with the eyes — beauty and color are every bit as important as taste in appreciating foods. Maybe moreso, since the way food looks is what tempts us to try it. We can add color and flavor with fruits and vegetables, whole grains, nuts, eggs, and seeds. Another option is to enjoy the forbidden but in small quantities. We don’t need a 12-ounce steak when a 6-ounce filet can be equally satisfying.

Appetizers can help cut down on overeating because you can spend time enjoying the foods. For instance, opting for stuffed mushrooms instead of potato skins can help keep portion size, fats, and calories down while still satisfying.

And while planning snacks and meals, it’s fun to think of ways to make them healthy and still interesting. HN

Nutty Stuffed Mushrooms

(Adapted from tasteofhome.com)

Ingredients:

Fresh mushrooms, 18-20 large

Butter, 3 tablespoons

Onion, 1 medium, chopped

Bread crumbs, 1/4 cup dry

Pecans, 1/4 cup finely chopped

Parmesan cheese, 3-1/2 tablespoons grated

Basil, 1/4 teaspoon dried

Salt and pepper to taste

Directions:

Separate stems from mushrooms, finely chop stems, put caps to the side. Heat butter over medium heat in a large skillet. Add chopped mushroom stems and onion and saute about 5 minutes, until liquid has evaporated. Remove from heat and set aside.

Combine remaining ingredients and add to mushroom mixture. Stuff into mushroom caps and bake uncovered in an oven preheated to 400F. Caps should be baked until tender, about 15 minutes, in a greased baking pan. Serve warm.

Peanut, Shrimp, and Broccoli Rolls

(Adapted from cookinglight.com)

Ingredients:

Broccoli slaw, 1-1/2 cup (packaged or home made)

Cilantro leaves, 1/4 cup torn

Green onions, 1/4 cup or to taste, diagonally sliced

Hot water

Rice paper sheets, 4 8-inch round

Shrimp, 4 oz cooked, peeled, deveined, tails removed

Peanut sauce, 2 tablespoons (bottled)

Water, 1 tablespoon

Directions:

Combine first 3 ingredients.

Take rice paper sheets — place 1 in a large shallow dish filled with hot water to 1 inch depth. Let sit until soft, about 30 seconds. Gently place sheet on flat surface, place about 1/4 of shrimp on half of sheet, add 1/2 cup broccoli slaw mixture on top of shrimp, fold in sides of rice paper sheet, roll up tightly, press to seal seam. Place roll seam-side down on serving platter. Repeat with remaining rice-paper sheets.

Mix peanut sauce and 1 tablespoon water in a bowl. Serve with rolls.

Chocolate Pom Poms

(Adapted from delish.com)

Ingredients:

Pomegranate seeds, 1-1/4 cup

Chocolate chips, 1/2 cup semisweet, melted

Directions:

Take a mini muffin tin, line each cup, add 2 teaspoons melted chocolate into each cup, top with a sprinkle of pomegranate seeds, and drizzle with more chocolate. Refrigerate at least 20 minutes, then unwrap and serve.

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, MRCS (Ed), MBBS

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

Roan Cadavona, ARNP, FNP-C Nurse Practitioner

Ritu Aparajita, MD, MRCS (Ed), MBBS Vascular Surgeon

Kollagunta Chandrasekhar, MD, FACC Cardiologist

Cynthia Wolford, ARNP, FNP-C, CHFN Family Nurse Practitioner

POP QUIZ!

Learn How to Fight the Signs of Aging

Everyone wants to look their best, and most agree that signs of aging are a leading factor in that battle. Signs of aging can include wrinkles, fine lines, dark spots, dry skin, and more. Luckily, you can fight these changes without expensive or invasive procedures like Botox or cosmetic surgery. Take our Pop Quiz to explore proven ways to prevent the signs of aging and look your best.

compiled by

1. Which of the following habits should be avoided because they intensify signs of aging?

A. Drinking alcohol

B. Smoking

C. Exercising

D. Tanning, both in tanning beds and tanning under the sun

2. True or false?

Daily exercise is good for your health and helps to keep your skin looking youthful.

3. True or false?

Your diet can play a large role in fighting signs of aging.

4. Which foods should you eat if you want to protect your skin from signs of aging?

A. Foods high in vitamin C and other vitamins, like fruits and vegetables

B. Foods rich in healthy fats, like avocados, fish, olive oil, tree nuts, and coconut oil

C. Foods high in healthy protein, like fish, poultry, and other lean meats

D. Foods full of antioxidants like fish, poultry, fruits and vegetables, whole grains, and nuts

E. Fermented foods, like kimchi, sauerkraut, tempeh, and other probiotic-rich foods

F. All of the above

5. True or false?

One of the best ways to keep your skin looking as youthful as possible is to stay hydrated by drinking enough water.

6. Which foods should you avoid to protect the youthful appearance of your skin?

A. Unhealthy fats like trans fats and saturated fats

B. Salt

C. Sugar

D. All of the above

7. True or False?

Not getting enough sleep can lead to dark circles under your eyes and older-looking skin because skin cells regenerate while you are sleeping.

8. Which of the following is NOT another tip for sleeping to fight signs of aging?

A. Sleep on a silk pillowcase to fall asleep faster

B. Sleep with your feet elevated on a pillow

C. Sleep on your back to avoid wrinkles from your cheek being constantly pressed against the pillow

D. None of the above

9. True or false?

Not managing stress can lead to signs of aging in your skin.

10. Which of the following should be included in your skincare regimen to fight signs of aging?

A. Using a daily moisturizer and sunscreen (or a combination product)

B. Washing your skin before bed

C. Exfoliating your skin gently (find out the best option for your skin from a dermatologist)

D. Use a night cream with retinoids

E. All of the above

11. True or false?

Seeing your dermatologist regularly is the best option for getting the advice and recommendations for products and procedures for your skin to combat signs of aging.

11. True.

10. E. All of the above. Moisturizing, using sunscreen, exfoliating, washing your face, and using products with retinoids are all important steps in fighting signs of aging.

9. True. Stress causes the release of hormones that have a negative affect on your skin and your overall health.

aging.

8. B.

7. True. Not getting enough sleep can negatively affect your skin, making signs of aging worse or more pronounced.

6. D. All of the above. Salt, sugar, and unhealthy fats are all bad for your skin just like they are bad for your overall health.

5. True. Skin needs to be hydrated to look its best; it is recommended you drink between 13 and 16 cups of water a day. Water is the best option for hydrating and avoiding additional salt, sugar, and caffeine.

3. True. Your diet can either help or hurt in the fight to combat signs of aging.

2. True. Exercise is good for both your skin and your overall health.

. Drinking alcohol, smoking, and tanning all take a toll on your skin. Exercise, however, is good for fighting signs of aging!

ANSWERS: 1.

4. F. All of the above. A diet rich in vitamins, antioxidants, healthy fats, lean protein, and even fermented foods is good for both your skin and your overall health.

Sleep with your feet elevated on a pillow. Using a silk pillowcase and sleeping on your back can both fight signs of

A dermatologist is going to know the cutting-edge science behind fighting signs of aging.

ERIKA ALDRICH / information from Health.com

DECEMBER 2020

Hot Off the Press

EVENT DETAILS

REGISTRATION

Month-long event

Begin your online virtual health expo experience at centralfloridamediagroup.com/virtual-health-expo/

FREE to register and sign up to be entered into our drawing for a $25 gift card.

EVENT EXHIBITORS

Care Plus specializes in Medicare Advantage HMO Plans to meet the different healthcare needs of their members. Visit their virtual booth for more details and to learn how to receive your free prize.

Ambetter by Sunshine Health

Sunshine Health, a wholly owned subsidiary of Centene Corporation, is among the largest healthcare plans in Florida. Visit their virtual booth for more details.

Check out our virtual booth to see our live zoom dates to chat with us one on one and learn more about Staywell Long-Term Care. Our zoom dates include December 5th, 9th, 13th & 19th from 1-2pm. Visit our booth to access our zoom link.

While the Polk HealthCare Plan is not insurance, it provides a way for qualifying individuals to get healthcare. There is access to primary care and specialty care physicians, urgent care centers and five area hospitals. Visit our virtual booth for more details.

Better Living for Seniors

Consists of public, private and volunteer agencies and individuals who provide services to seniors in Polk County. Visit their virtual booth for more details and to learn how to receive a free drink tumbler.

Central Florida Media Group offers professional content marketing, niche advertising, website development, SEO, social media management, publicity, blogs, videography and more. Visit our virtual booth for more details.

FOR MORE EVENT DETAILS, VISIT CENTRALFLORIDAMEDIAGROUP.COM/VIRTUAL-HEALTH-EXPO/ OR CONTACT US AT MORGAN@CENTRALFLORIDAMEDIAGROUP.COM

863-248-7537 EXT. 11

IF YOU WOULD LIKE TO BE A PART OF THE CENTRAL FLORIDA VIRTUAL HEALTH EXPO REGISTER ONLINE AT CENTRALFLORIDAMEDIAGROUP.COM/CENTRAL-FLORIDA-HEALTH-2020-2021/

The holidays are finally upon us! While the year has been challenging and filled with unknowns, I’m sure I’m not the only one excited to celebrate the holidays safely! The smell of turkey, mashed potatoes and … fresh magazines hot off the press?

Yes! December marks the annual publication of the Central Florida Physicians & Medical Providers Guide! It comes out once a year and it’s the region’s most comprehensive database for local specialists and advanced-degree healthcare providers.

As its title suggests, we hope the directory helps you Navigate to Better Health. All the information you need is at your fingertips and all in one place. When I say all the

JESSICA McDONALD, EDITOR jessica@centralfloridamediagroup.com

information, I really mean all the information. The 2021 directory is packed with more than 2,350 listings of doctors and other providers ready to help you achieve your best possible health.

This holiday season as I make note of all I am grateful for, I’m especially thankful for the amazing team here at Central Florida Media Group, the phenomenal liaison editors, dedicated database editors and the Health Heroes themselves. After all, without them, nothing is possible.

I’d also like to thank our advertisers and supporters in the community for their continued support. Together we can make a difference, and every year you help to make that possible HN

Your heart is the only muscle that never rests.

And neither do we.

In an average lifetime, your heart can beat three billion times without ever pausing to rest. AdventHealth’s expert cardiologists are inspired by this incredible powerhouse to strive forward, steadily innovate and stay in rhythm with treatments and technologies to help you feel whole. Find a physician in your neighborhood who’s right for your heart. Because when your heart has the right care, it can do incredible things.

HeartsAre Incredible.com