largest Asian restaurant company, is now open in Jacksonville. This is the 36th store in the US, as well as the first in the state and Southeast US. It opened to the public on March 18, 2017. Jacksonville is the most populous city in the Sunshine State, as well as home to the largest FilipinoAmerican community in Florida. The longawaited arrival of Jollibee in the city has
get to try Jollibee's signature menu items such as the world famous Chickenjoy. This dish is delicately breaded to be crispylicious on the outside and juicylicious inside. The well-loved Jolly Spaghetti is a favorite of both kids and kids-at-heart because of its signature sweetstyle sauce, loaded with chunky slices of savory ham, ground meat, and hotdog. Other classic menu favorites include the juicy and cheesy Jolly Hotdog, and the Peach Mango Pie, which is made with real Philippine sweet mangoes and a flaky golden brown crust.
tude of excited Jollibee patrons waiting to get their hands on their Jollibee favorites, but also first-timers waiting to have their own Jollibee experience," said Jose Miñana, Jollibee Foods Corporation's Group President for North America. "There's no greater joy for us than serving the needs and tastes of Jollibee fans in the community. At Jollibee, we aim to bring families together for happy moments over great tasting food with superior value, served with warm and friendly service – our own brand of joy." The brand has become a symbol of nostalgia and warm childhood memories for many overseas Filipinos in the U.S. To many, Jollibee is the go-to restaurant of Filipinos for both special
volume 11 | issue 11 | february 2022
Heart
HEALTH EDITION
HEART DISEASE ACCOUNTS FOR 1 IN EVERY 4 DEATHS
Don’t Underestimate The Effects of Stress FREE— TAKE ONE!
See JOLLIBEE page 15
ENROLL PAGE 12
THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION
1:4 LISTEN TO YOUR HEART
The Importance of Advocating For Yourself As a Patient
GAME ON!
Polk Senior Games Return With Outdoor Activities
POP QUIZ!
Heart Attack or Panic Attack: Which Is It?
TEAMING UP FOR GOOD PEDIATRIC ORAL HEALTH
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CONTENTS | February 2022 For more photos from this edition, follow us on Facebook. Scan the QR code here with your smart device.
Ritu Aparajita,
Kollagunta Chandrasekhar,
Nurse Practitioner
Vascular Surgeon
Cardiologist
ARNP, FNP-C
MD, RPVI
K.S. Chandrasekhar, MD, FCC
…established his clinic over 20 years ago. He is well known in the community and trusted for his accurate diagnosis and compassionate care. • Board certified in Cardiovascular Disease and Internal Medicine • Executive Director the Heart Function Clinic, Low Risk Chest Pain Center and the Cardiac Rehabilitation Program for BayCare Winter Haven Hospital • President of Medical Staff for BayCare Winter Haven Hospital • Chairman of Cardiology for Lake Wales Medical Center • Clinical Associate Professor, FSU College of Medicine
Ritu Aparajita, MD, RPVI A Vascular and Endovascular Surgeon who earned her MBBS at University of Delhi, India. She then completed a research fellowship at Columbia University Medical Center and a residency in general surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. She’s co-authored more than two dozen journal articles. She was recently nominated for the American Medical Association Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.
…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
2 | CFHN
Jacksonville, FL - After much ipation and anticexcitement, Jollibee largest Asian restaurant compa , the now open in ny, is Jacksonville. This is the 36th store in the US, as well as the first in the state and Southeast US. It opened to the public on March 18, 2017. Jacksonville is the m ost populous city in the Sunshine State, as well as home to the largest FilipinoAmerican comm unity in Florida. The longawaite d arriva l of Jollibee in the city has
HEART DISEAS ACCOUNTS FORE 1 IN EVERY 4 DEATHS
Don’t Underest imate The Effects of Stress
page 15
STEAKHOUSE
page 11
been the talk of the town since 2016. With the openin "As Jollibee g, Floridi get to try debuts in Florida Jollibee's signatu ans will anticipate seeing , we items such re menu not only a as the world tude of excited multiJollibee patron famous Chickenjoy. ing to get their This dish is s waithands on their delicately bread ed to favorites, but Jollibee be also first-tim on the outside crispy liciou s ers waiting to have their and juicylic own Jollibe ious inside. The e experience," said well-loved Jose Miñan Jolly Spaghetti is a a, Jollibee Foods Corpor favorite of both ation's Group kids and kids-at Preside for North Americ nt -heart becaus a. "There's e of its signatu greater joy no for us than re sweetserving the needs and style sauce, loaded tastes with the community. of Jollibee fans in chunky slices of savory At Jollibee, we bring familie aim to ham, ground s together meat, for happy moments over and hotdog. great tasting Other food with superior value, classic menu served with faand warm friendl vorites include y service – our the own brand of joy." juicy and cheesy The brand has Jolly Hotdo g, become a symbo nostalgia and the Peach Mango and l of warm childho Pie, od memwhich is made ories for many with overseas Filipin the U.S. To many, Philippine sweet real os in Jollibee is the restaurant of goes and a flaky mango-to Filipinos for golden both special brown crust.
Jollibee's U. S. with first Fl expansion continues orida locatio n opening . 10
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THE ENDO RSED PUBL ICATION OF POLK COUN TY MEDICAL THE ASSOCIATI ON
LISTEN TO YOU
R HEART The Importanc e For Yourself As of Advocating a Patient GAME ON!
Polk Senior Game With Outdoor Activs Return ities
POP QUIZ!
Heart Attack or Attack: Which Panic Is It?
TEAMING UP FOR PEDIATRIC ORAL GOOD HEALTH
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Rockville, MD American cuisine - When it comes to , there are few more iconic things than slabs of marble steakhouses. The d grills, the oozing meat, the sizzling butter, and ping bravad o, maybe even the dripAnalysis: hat or two for a cowboy ambiance—i t's to make even Catering industry fictional steako enough Swanson mistyphile Ron revenues on eyed. Yet for all the traditional steak the rise ners ordered dindaily, there are restaurants 4 nationwide pushin g the concep all-American “Big Data” — t of the steakhouse to new culinary height Does your s, according to market research firm Packaged Facts restaurant in the brand new report 2017 Foreca need it? st: Culinary Trend Trackin g Series. "The steakh 7 ouse is back capture our and will attenti the classic restaur on in 2017. Not that Rise Bisquits ant style ever peared, but disapa renewal of Donuts to open the model is taking place Chefs and in response consumers to new source in Coral Springs of beef and new both want their meat to s flavorful expres taste delicio and sustain sions of 11 the concept that us and to feel able good about its’ consum get chefs seasonal produc sourcing, local and diners excited ption, too. This and new breed of e, and global ," says David steakh and forms, flavors Sprinkle, research directo all done within mission to suppor ouse broadcasts its Del Taco spices r, Packaged house format the steakFacts. t local ranche Today's steakh tor in sustain showcasing ouse menus up expansion in cuts ability and anima rs, facas entrées ingly feature increaswith a choice of meat and create grass-fed cattle, a dining experi l welfare, Moreover, new of sides. the Southeast raised anima locally showcases culinar ence that menu catego ls, heritag as flatbreads) ries (such y flair, not just s, meat 13 butchered and dry agede varietie master's skill and service a grill at cooking steak freshen the elements in-house, and dishes that concept. quested donen to the restem from the whole aniess. These mal, not just operations are also design the premiu About the Repor ed m cuts. And that's just more of a great to be more inclusive, the meat. t Creative side 2017 Forec dishes in lieu people to dine place for all kinds of ast: Culina of old standa Advertisers Tracking Series ry Trend well, not just rds, global and seasonal minded men traditionDirectory . offers an outloo flavors, and on expense culinary trends— ......2 a wider menu k on the selection also accounts. the As a result, distinguish dients and flavors foods, dishes, ingrethe modern these new school operat Appell Pie. steakhouse is increasingly ions. ................ expects to grow —that Packaged Facts similar to other .......2 restaurants in popularity modern with a focus in 2017. on distinctive Calendar Even See
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Heart disease accounts for one in every four deaths in the United States. With odds like that, it’s good to know that some contributing factors are within your control. Stress is one of those factors. Research shows that stress can have a seriously detrimental impact on your heart, which makes it all the more important to learn to manage stress in a healthy manner. Learn more on page 14.
issue 11 | febru
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Pop Quiz!
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Game On!
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Heart disease is the leading cause of death in the U.S., so it’s no wonder that a heart attack is a concern. While the most common symptoms of a heart attack are often recognizable, the symptoms of another common health condition—a panic attack—can easily be confused for those of a heart attack. Take our pop quiz and learn how to tell the difference between a heart attack and a panic attack.
Teaming Up for Good Pediatric Oral Health
Good oral health begins early, with proper pediatric dental care. Although the importance of healthy baby teeth isn’t often talked about, the fact of the matter is that cavities and oral infections in children can lead to serious problems. Poor oral health may cause problems eating that result in stunted growth, and there is the possibility that infections in the mouth can spread to the brain. That’s why good oral hygiene, nutrition, and regular dental checkups are crucial for kids.
This year marks the 29th year of the annual Polk Senior Games, the largest of the 20 local senior games held in Florida. Last year’s event had to be canceled due to the coronavirus pandemic, and some modifications have been made in order to safely bring the event back this year. While the events typically span from fishing to cribbage to sudoku tournaments, this year’s Polk Senior Games will include outdoor events only.
Listen to Your Heart
No one knows your body better than you. There may be times when something just doesn’t feel right, and even though you voiced your concern to your physician, you weren’t able to get the answers that put your mind at ease. As Roger Walker can tell you, this is no time to silently accept your fate and wait for “something” to happen.
Departments & Columns
4 PUBLISHER’S LETTER 11 HEALTHY SKIN 19 HEART HEALTH 5 PCMA LETTER 15 HEALTHY AGING 22 MEDICAL 6 BODY, MIND & 16 CALENDAR ADVICE SPIRIT 18 HEALTHY COOK 22 EDITOR’S DOSE
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CFHN | 3
PUBLISHER’S NOTE
Health Expos Are Live Again! NELSON KIRKLAND, PUBLISHER
A
While the pandemic forced us to move the expo to a virtual platform last year, we started 2022 off right with an in-person expo at International Market World in Auburndale on Friday, January 14. I know I speak for my entire team when I say it felt good to be back! The weather was beautiful, albeit a little chilly for my southern bones,
PUBLISHER Nelson Kirkland
MANAGING EDITOR
nelson@centralfloridamediagroup.com
t Central Florida Health News, we pride ourselves on not only telling your stories but also playing an active role in the healthcare community. One of the ways we do this is by hosting the Central Florida Health Expo, which is the area’s premier event for health-conscious adults.
www.CentralFloridaHealthNews.com
Jessica McDonald and we had an excellent turnout of expo participants, even though it was slightly fewer than what we had pre-Covid. We also limited it a bit so we could maintain social distancing. Our participants displayed and were ready to talk about their medical and healthcare products and services. We spoke with many visitors who say they are already planning to attend our future expos! Be sure to mark your calendars for future expos, planned for February 11 and March 11 from 9 a.m. to 2 p.m.at at International Market World. Thanks for reading, and we’ll see you at the next expo! HN
PROJECT MANAGER David Kiessling
ACCOUNT EXECUTIVE Juanita Halter
DIGITAL ACCOUNT MANAGER Alexis Duncan
CONTRIBUTING WRITERS Erika Aldrich, Mary Joye, LMHC, Teresa Schiffer, Carol Corley, Dr. Joy Jackson
CONTRIBUTING COLUMNISTS Ritu Aparajita, MD; Dr. Alex Kennon, MD; Terrance Hafner, 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 © 2022 Central Florida Media Group. ALL RIGHTS RESERVED. This issue of Central Florida Health News is a trademark of Central Florida Media Group. Reproduction or use in whole or in part of the contents of this magazine without written permission is prohibited. Central Florida Health News makes every effort to ensure the accuracy of content published. In the event of an error found herein however, neither the publishers or advertisers will be held responsible, nor do the publishers accept any liability for the accuracy of statements made by advertisers in advertising and promotional materials. Furthermore, the opinions and claims expressed in advertisements and promotional materials do not necessarily reflect those of the Polk County Medical Association or Central Florida Media Group and do not imply an endorsement.
4 | CFHN
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INTRODUCTION
PCMA LETTER
PCMA LETTER
POLK COUNTY MEDICAL ASSOCIATION 4315 Highland Park Blvd, Suite B Lakeland, Florida 33813 863-644-4051
Heart Health Month
2022 OFFICERS JAMES J. BOOKER, MD President
GEORGE LYLE, MD Secretary
STUART PATTERSON, MD Treasurer
BOARD OF TRUSTEES RALPH NOBO, JR., MD, Chair
GEORGE LYLE, MD STUART PATTERSON, MD GARY SCHEMMER, MD SERGIO SEOANE, MD ARVIND SONI, MD
H
eart disease is the leading cause of death in the United States — claiming an estimated 1 in 4 lives. So there’s a good chance that you or someone you know will be affected by heart disease. Thankfully, heart disease often can be avoided by taking certain actions that correlate with good heart health. Some of the most effective actions include exercising, eating right, refraining from smoking, and managing stress. February is the month we celebrate heart health and all things cardiovascular, so this edition is packed with useful information and tales of triumph over heart disease. We encourage you to read about Roger Walker’s diagnosis and the steps he took to advocate for himself as a patient. His persistence and commitment to his health emphasize the importance of speaking up when
— — — — — —
JACKIE COURTNEY Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813
Sincerely,
James J. Booker, MD James J. Booker, MD
centralfloridahealthnews.com
Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association
you feel something is “off” with your health. Inside you’ll also find an article about the many ways stress can negatively impact your heart health, and you can test your knowledge on the difference between the symptoms of a panic attack and a heart attack. Plus, this month’s Healthy Cook features delicious recipes that showcase foods known to promote good heart health. Don’t forget that the Polk Senior Games also kick off in February, and we’ve got the details in our preview. The Polk County Medical Association supports you in your heart health goals. We encourage you to work with your primary care provider and make this the year you put your heart first! 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.
CFHN | 5
PCMA LETTER
BODY, MIND & SPIRIT
How Childhood Relationships Affect Us as Adults by MARY JOYE, LMHC
W
e have all heard that what happens to us before the age of 6 has a profound effect on how we develop as adults. This applies to who we love and how we attach to others. It is no wonder we sometimes refer to our love interest as “baby.” How many love songs have been written with that reference? The answer is a lot, and it may have something to do with how art imitates life. Our infancy, though we don’t remember it, has much to do with our ability to trust and love as adults. A pioneer in attachment theory was UK psychologist John Bowlby (1907-1990), and his work holds up today. His research led him to develop four main phases of infant attachment: • Preattachment: 6 to 8 weeks. Natural reflexes such as crying and grasping, smiling, and touching develop. They do not experience attachment to any one person, but this may no longer be the case as research moves forward. • Attachment in the making: 6 weeks to 8 months. They begin building trust with selective caregivers. They will want only certain people to attend to their needs and can develop separation anxiety. • Clear-cut attachment phase: 6 months to 2 years. Their primary caregivers become “home base,” so they need to feel secure to
develop with a sense of safety. •F ormation of reciprocal relationships phase: 18 months to 2 years. Understanding social interaction, boundaries, and seeking safety within relationships. Another early researcher, Erik Erikson (19021994), noted that trust is formed from 0-2 years. It may seem impossible this could carry into adulthood trust issues, but it does if children are neglected or harmed from infancy. So, have you come a long way, baby? Let’s see. Bowlby also developed four main styles of attachment in children that can translate into adulthood relationships. They are: • Secure: This is self-explanatory and healthy and is the ideal attachment style. Though it will be painful if someone leaves this person or passes away, they survive and thrive because of being self-assured that loving relationships are always attainable because that was role-modeled to them. •A nxious-Preoccupied: This relational style is often how a codependent or someone who is clingy and needy might act. They are more concerned with others than themselves and may lack insight into their motives of being driven by a fear of abandonment. They have a more negative view of themselves and attempt to connect with others by people-
pleasing or seeking approval to attain a sense of self-worth. •D ismissive-Avoidant: When they feel people get too close to them, they may push them away and they have difficulty trusting others. They usually are from cold caregivers. They are unaccustomed and uncomfortable with displays of affection or deep connection. They can also be the person who will do anything for anyone but doesn’t allow others to do for them. They build prideful walls to reduce their feelings of vulnerability. •A voidant-Fearful: This is also known as the disorganized type of attachment style. They vacillate between getting close to someone, becoming fearful of the intimacy, and then withdrawing or detaching. They often come from an abusive background where love was given and then retracted. They reenact this, and it is very confusing for those who attempt to love them. You may recognize yourself in one of these styles. We all can have traits of them depending on different relationships in our lives. It is more than just calling someone your “baby.” The baby inside of you may be crying out for healing to feel secure and assured. HN
ABOUT THE AUTHOR: Mary Joye, LMHC, PA, is a licensed mental health counselor with offices in Lakeland and Winter Haven. She holds a Master of Arts in Counseling from Trevecca Nazarene University in Nashville, Tennessee. For more information, visit winterhavencounseling.com.
6 | CFHN
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A benefit for the Foundation’s new Polk County Mobile Medical Clinic Program
al u n n A 11th
Presented by: Anonymous
Friday, February 4 | 12pm Polk Sporting Clays 5000 Firetower Road | Haines City
Sponsorship Levels Auction and Raffle Sponsor $3,500
Award Sponsor $2,000
Check-in Sponsor $3,000
Equipment/Vehicle Sponsor $2,000
Reception Sponsor $2,750
Team Sponsor $1,200
Course Sponsor $2,500
Station Sponsor $250
To reserve a team or for sponsorship information: (863) 292-4138 | whhfoundation@baycare.org | WHHFoundation.org
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FEATURE PREVENTION
POP QUIZ!
compiled by ERIKA ALDRICH / Resources: Information provided by the Cleveland Clinic and Good Rx Health
8. B. All of the above. 9. True. 10. True.
8 | CFHN
5. D. All of the above. . 6 A. A heart attack is the result of restricted blood flow to the heart while a panic attack is an exaggerated fear response. 7. C. Heart attack symptoms do not come and go, and they rarely occur day after day.
H
eart disease is the leading cause of death in the U.S., so it’s no wonder that a heart attack—a result of coronary artery disease, which is one of the forms of heart disease—is a concern. While the most common symptoms of a heart attack are often recognizable, the symptoms of another common health condition—a panic attack—can easily be confused for those of a heart attack. Take our pop quiz and learn how to tell the difference between a heart attack and a panic attack.
symptoms created in the mind. C. The symptoms of a heart attack are real, and the symptoms of a panic attack are made up. D. None of the above 7. Which of the following is true concerning the difference in the duration of a heart attack versus a panic attack? A. For a heart attack, symptoms last a long time. For a panic attack, symptoms start and end quickly. B. For a heart attack, symptoms start and end quickly. For a panic attack, symptoms last a long time. C. For a heart attack, the symptoms last minutes to a couple of hours and are unlikely to happen day after day. For a panic attack, symptoms usually last about 10 minutes, but occur several times a day or for many days in a row. D. None of the above 8. Which of the following statements are true about who is most likely to suffer a heart attack or panic attack? (Choose all that apply) A. M en and older people are more likely to have heart attacks. B. Women and younger people are more likely to have panic attacks. C. A person who has a mental health condition, like anxiety, depression, or post-traumatic stress disorder, is more likely to have panic attacks than someone who does not. D. All of the above 9. T rue or false? Medical tests and procedures like ECGs, bloodwork, and echocardiograms can detect the reduced blood flow of a heart attack and identify damage to the heart while those same tests and procedures would be normal if the symptoms were caused by a panic attack. 10. True or false? In someone with heart disease or risk factors for heart disease, changes in blood flow caused by a panic attack, like an increased heart rate and blood pressure, could lead to a heart attack. ANSWERS: 1. True. 2. E. All of the above. 3. True. 4. A. and C. Stress and anxiety.
Heart Attack or Panic Attack: Which Is It?
1. True or false? Though a heart attack and a panic attack can feel very similar, they are very different medical conditions. 2. Which of the following symptoms can be experienced with both a heart attack and a panic attack? A. Chest pain or pressure, or pounding or racing heart B. S hortness of breath, lightheadedness, and sweating C. Nausea or vomiting D. A sense of impending doom — a strong feeling that something awful is about to happen E. All of above 3. True or false? Both heart attacks and panic attacks have some of the same risk factors. 4. Which of the following are risk factors shared by those who suffer heart attacks and those who suffer panic attacks? (Choose all that apply) A. Stress C. Anxiety B. A poor diet D. All of the above 5. Which of the following are differences between a heart attack and a panic attack? A. The cause of symptoms B. The duration (or how long symptoms last) C. Who is more likely to have one or the other D. All of the above 6. Which of the following describes the difference between a heart attack and a panic attack concerning how the cause of the symptoms, or what actually happens in your body to trigger an attack, are different? A. During a heart attack there isn’t enough blood flowing to your heart and this strains the heart muscle, which can lead to permanent damage; during a panic attack, sufferers are having an exaggerated response of intense fear to things in the environment that would not normally cause that kind of reaction. B. During a heart attack, chest pains and other symptoms are caused by physical symptoms, and during a panic attack, symptoms are caused by
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COMMUNITY HEALTH
Teaming Up for Good Pediatric Oral Health by TERESA SCHIFFER sponsored by Central Florida Health Care
G
ood oral health begins early, with proper pediatric dental care. Although the importance of healthy baby teeth isn’t often talked about, the fact of the matter is that cavities and oral infections in children can lead to serious problems. Poor oral health may cause problems eating that result in stunted growth, and there is the possibility that infections in the mouth can spread to the brain. That’s why good oral hygiene, nutrition, and regular dental checkups are crucial for kids. Unfortunately, there is so much sugar in our diets these days that it can be challenging to prevent cavities. Parents should monitor their children’s sugar intake and decrease it wherever possible. For example, many parents are aware of the detrimental effects of soft drinks on teeth but overlook the sugar content in fruit juices. Fruit is far more nutritious when consumed whole, and juices should be limited to just one or two cups per day. We recommend brushing twice a day — in the morning and before bed — and flossing
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cavities at all, and this is mainly due to the amount of sugar in their diet. However, if the parents have cavities, it is more likely that the child will have some as well, and this is due not just to diet, but also to the presence of certain bacteria in the mouth. As parents affectionately kiss their kids, they risk passing this bacteria on to the children.
Antony recommends that children visit their dentist every six months for cleaning and fluoride treatment, though an annual visit will suffice if they do not have any cavities. They should begin their visits as soon as they get their first teeth, or at age 1.
“The bacteria that causes the cavity can be easily transferred to the child’s mouth,” Antony explains. “Then, on top of that, if the oral hygiene is not good and the diet is not good, then it’s a perfect environment being created for the bacteria to cause cavities.” This bacteria thrives on carbohydrates, so a diet laden with sugar and other carbs, such as those found in bread, pasta, and other grain products, is likely to result in cavities.
Central Florida Health Care provides all the basic dental services that a child will need, including regular cleanings, fluoride treatments, space maintainers, extractions, fillings for cavities, and stainless steel crowns if necessary. Although parents are welcome to join their children in the examination room, it is suggested that they allow their kids to go in on their own once they are old enough to do so, generally about age 4 or 5. It is extremely rare for a child to have no
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at least once a day,” says Dr. Archana Antony, a general dentist who primarily treats children at Central Florida Health Care. Children should not use mouthwash until they are old enough to understand that it is not to be swallowed, usually by age 7 or 8. Warm salt water can be used as a rinse if a child has a painful tooth eruption.
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FEATURE SENIOR
Game On! Polk Senior Games Return This Year With Outdoor Activities by CATHERINE CERVONE
T
POLK SENIOR GAMES February 26 — March 12
Details and registration: polkseniorgames.org 10 | CFHN
his year marks the 29th year of the annual Polk Senior Games, the largest of the 20 local senior games held in Florida.
abundance of safety and concern for the participants and volunteers involved with the games in making this decision, Hopkins says.
Participants who are turning at least 50 years old in 2022 can participate in a variety of games from February 26 to March 12. Groups are divided by five-year age increments as well as by gender. The top finishers of each event will receive medals, just like in the Olympics. All participants go home with a commemorative T-shirt and the pride in knowing they’ve challenged their bodies and minds to do something great.
Though the indoor events aren’t being offered this year, Hopkins emphasized this as an opportunity to try something new. If the participant is able, this could be a great way to experience a new or different sport. The board hopes to be able to offer a full range of events in the 2023 games.
Last year’s event had to be canceled due to the coronavirus pandemic, and some modifications have been made in order to safely bring the event back this year. The board of directors in charge of planning the Polk Senior Games is placed in a difficult position having to make decisions six months before the games are set to take place, Duane Hopkins, the board’s first vice president, says. While the events typically span from fishing to cribbage to sudoku tournaments, this year’s Polk Senior Games will include outdoor events only. The board aimed to express an
The games, even in a smaller capacity, are a great way for seniors to exercise their minds and bodies and interact socially with their community, something that’s especially important as they age. The event typically sees about 2,500 participants, but this year, organizers hope to get about half those numbers. So many seniors were disappointed last year when the games had to be canceled, Hopkins says. The organization works to provide the games in an effort to help the community. “We offer events that are designed to satisfy the needs of seniors to get out … and be active physically centralfloridahealthnews.com
and mentally,” Hopkins says. With the registration rate proceeding as it is, it’s clear that many are thrilled for the games to be making a return. Presenting the event is no small task, and on a normal year takes more than 700 volunteers. “We’re just as concerned about [volunteers’] health as those who participate,” Hopkins says. Along with the volunteers, the games also couldn’t happen without the board of directors and the many gracious sponsors from all over the area. “It really becomes a community event,” he says, explaining that it brings the community together. “We have a lot of support to make the games happen.” Because organizers want to include as many participants as possible, entry fees are low and there is no Polk County residency requirement. This allows travelers to participate, as well as residents from all over Florida and those who may just be here for the winter. They regularly have participants from all over the state, and have even had a traveler from Europe! The absence of a residency requirement also increases diversity and helps foster community and friendship. “I’ve met some wonderful partners,” Hopkins says.
tennis
As far as events go, golf tends to be a
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popular choice. Pickleball is quickly becoming a crowd favorite, though. Hopkins mentions that he will be participating in the tennis event this year as he has for several years. While the more physically-demanding events might seem like they’d tend toward the younger ages, Hopkins says he is continually amazed by the many 90-year-olds who participate in the games. Two years ago, a 103-yearold participant competed in bowling, swimming, and several indoor activities. The event is free to attend as a guest. “Come and have some fun,” Hopkins says, urging those in attendance to protect themselves and spread out, wearing masks if they’re close to participants and volunteers. The Polk Senior Games is something special to celebrate. It provides a way for seniors to get out and exercise physically, mentally, and socially, Hopkins says. “I’m proud to be part of the games.” Frank Collins, president of the organization, says the participants and their camaraderie are a big part of what sets the games apart. “To me, what makes the Polk Senior Games so special is the people committed to supporting each other,” Collins says. “And that is now more important than ever.” HN
HEALTHY SKIN
You Have Options When It Comes to Acne Treatments
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cne is known to be common among teenagers, but it can affect individuals for years, even decades, after their teen years. It can be embarrassing enough to deal with acne when you’re in high school, but if you are still ALEX W. KENNON, MD, FAAD having breakouts while climbing the corporate ladder it can be downright disheartening. Fortunately, there are a wide variety of treatments available to control and prevent acne breakouts. Some are available over the counter, while others do require a prescription. The following medications are applied topically: • Salicylic acid helps remove the exterior layer of damaged skin and dissolves dead skin cells to prevent them from clogging your hair follicles. It can be found in many cleansers and lotions. • Azelaic acid, a natural acid that occurs in grains such as barley, rye, and wheat, kills microorganisms on the skin and will reduce swelling. • Retinoids are vitamin A derivatives available in such products as Retin-A®, Differin®, and Tazorac®. They help to prevent clogged pores and disintegrate blackheads and whiteheads. These types of medications are used on the entire affected area of skin to prevent the formation of new pimples. Many patients struggling to control their acne benefit greatly from retinoid therapy. • Dapsone is an antibacterial topical gel that is applied twice a day to control inflamed acne. • Benzoyl peroxide targets the bacteria on the surface of the skin which can exacerbate acne. It can be found as a wash or as a leave-on gel. Clearasil and Stridex contain benzoyl peroxide. Irritation that leads to dryness is a common side effect, so look for lower concentrations if you have sensitive skin. There are also several oral medications available that can be used to treat acne, including: • Tetracycline antibiotics such as doxycycline and minocycline are often an effective treatment for moderate to severe acne. • Oral contraceptives are sometimes recommended for patients whose acne breakouts are associated with their menstrual cycles. • Isotretinoin, sold under the brand names Claravis®, Sotret®, and Amnesteem®, is an oral retinoid used to treat very severe acne. This medication shrinks the size of oil glands, but it comes with some serious possible side effects, so it’s important to discuss this option thoroughly with your dermatologist before committing to it. Other acne treatments include chemical peels, laser therapy, and steroids. If you are tired of coping with embarrassing breakouts, call Lakeside Dermatology to schedule a consultation to learn more about your treatment options. 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
KNOW THE NUMBERS:
1 IN 4 Don’t Underestimate the Effects of Stress on Heart Health by TERESA SCHIFFER
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eart disease accounts for one in every four deaths in the United States. With odds like that, it’s good to know that some contributing factors are within your control. Stress is one of those factors. Everyone experiences stress at some point, and most of us are familiar with the physical symptoms it can cause: headaches, stomach pain, sleeplessness, depression, and more. Research shows that stress can have a seriously detrimental impact on your heart, which makes it all the more important to learn to manage stress in a healthy manner. Stress can be caused by any number of triggers. Some of these are obvious, such as being overworked, arguing with family members, or illness. Less obvious are the events in our lives that we look forward to that cause stress, things
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like getting married, buying a home, having a baby, or getting a promotion. These relatively joyous events can bring unanticipated stress. Whatever the cause, the body’s reaction to a stressful situation is pretty standard. Adrenaline and cortisol are released, and these hormones speed up your breathing and heart rate, increasing blood pressure. This is the class “fight or flight” response. This is your body’s way of protecting itself by preparing you to deal with a dangerous situation. Chronic stress occurs when you are in a constant state of stress for days or weeks at a time. Without time to recover, chronic stress can cause significant increases in blood pressure, blood sugar, cholesterol, and triglycerides. All of these factors are associated with an increased risk of heart disease. centralfloridahealthnews.com
In addition to the physical chain reaction that chronic stress can cause, the ways in which we manage stress can also contribute to poor health. Coping with stress by smoking, consuming alcohol, eating junk food, or engaging in other risky behaviors can add to the negative effects of stress on the body. In addition to the physical chain reaction that chronic stress can cause, the ways in which we manage stress can also contribute to poor health. Coping with stress by smoking, consuming alcohol, eating junk food, or engaging in other risky behaviors can add to the negative effects of stress on the body. Unmanaged stress can trigger a vicious cycle of unhealthy habits. Overeating because of stress can lead to becoming overweight, which places further stress on the heart. Add to this a lack of physical activity or not taking one’s prescribed medications properly, and more stress is added. Not sleeping properly can easily add even more stress. All of these factors can ultimately lead to an overly strained heart that is not receiving enough oxygen and arteries clogged with plaque deposits. Irregular heart rhythms, digestive problems, inflammation, chest pains, and other serious physical symptoms can easily develop. Left unchecked, these are the problems that can then contribute to heart disease and cardiac events. There are numerous ways to respond to stress that can help to diminish its negative impact on the body. It’s easy to recommend avoiding those situations that can cause stress, but often that is simply not realistic. We all have to deal with stress at some point. The key is to do so wisely. centralfloridahealthnews.com
One of the best things that we can do to combat stress is exercise. Adults should aim for at least 150 minutes of moderate-intensity exercise per week. This one approach has a multitude of benefits, including weight control, improved cholesterol levels, lower blood pressure, even a decreased incidence of anxiety and depression. Studies have shown that individuals who exercise regularly have a reduced physical response to stress. Cultivating healthy habits in general is a great way to reduce stress. Quit smoking, reduce your alcohol intake, and watch what you eat. Cut back on the refined sugars and processed foods, and increase the amount of fresh vegetables and fruit in your diet. Small, steady changes toward a healthier lifestyle will build up into an improved state of physical and mental health, making it easier to manage whatever curveballs life may throw at you. Finally, taking time for yourself and building healthy social connections will also help reduce the effects of stress. Make sure you have time to relax and tend to your own needs each day. Connect with your friends, family, and community. Don’t take for granted the value of healthy relationships. A strong support system provides comfort and encouragement and decreases the chance of engaging in various unhealthy behaviors. HN
HEALTHY AGING
Common Vision Problems
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here are many types of vision problems that can affect your eyesight. The focus of this topic will be on the four most common causes of blurred vision. TERRANCE HAFNER, OD Astigmatism Astigmatism is an uneven or irregular curvature of the cornea and/or lens of the eye. This results in blurred or distorted vision. Other symptoms of astigmatism include squinting, ghost images, headaches, and eye fatigue. It is estimated that 33% of the US population has some degree of astigmatism. In minor cases, treatment may not be required but can be beneficial. Moderate to severe astigmatism can be treated with glasses, contacts, or possibly surgery. Hyperopia (farsightedness) Farsightedness, medically known as hyperopia, refers to vision that is better at distance than it is at close range. Farsightedness occurs when the eyeball is shorter than normal and/or the Image focuses behind the retina. This results in the light focusing behind the retina rather than directly on it. If you are mildly farsighted and you are not having symptoms your eye care provider may not recommend correction. If you are moderately or severely farsighted you have several treatment options available including eyewear, contacts, and possibly surgery. It is estimated 5 to 10% of the U.S. population is farsighted. Myopia (nearsightedness) Nearsightedness, medically known as myopia, refers to vision that is clear at close range but blurry at distance. It generally occurs because the eyeball is too long. The Image you are looking at is focused in front of the retina and therefore it is blurry. It is estimated 30 to 40% of the adult population in the U.S. is nearsighted. Eyewear, contacts, and possibly surgery are also treatment options for this condition. Presbyopia Aging eyes, medically known as presbyopia is a condition in which the lens of the human eye loses its flexibility making it difficult to focus on objects up close. Distance vision may or may not be affected by this process. Presbyopia is an inevitable part of the aging process. It cannot be prevented by diet, lifestyle, or visual training. However, it is treatable with several types of corrective lenses. The lens types are progressives, bifocals, trifocals, and single vision. Multifocal contact lenses and monovision may be an option. The Eye Specialists of Mid-Florida, P.A. can help you find what works best for you. We want you to see your clearest, so you can perform your best, no matter what you are doing. Call us today at 800-282-3937 or visit us online at EYESFL.COM and schedule your appointment or visit any of our optical departments.
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. Hafner is a board-certified optometrist who practices at the Auburndale location for Eye Specialists of Mid-Florida and is accepting new patients.
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February 2022 | CALENDAR RECURRING ONLINE EVENTS
EVENTS AND FUNDRAISERS
BrainFlex Wellness Club
February 2 – Maternity Center Orientation Virtual
This “body, mind, and spirit” approach to aging well is geared toward seniors looking to stay sharp and fit as they age. The class incorporates four key concepts: exercise/ meditation, social connections, interactive nutrition education, and brain training/life-long learning. The goal is to slow or prevent cognitive decline and improve quality of life. This class takes place on the second and fourth Tuesdays of each month from 10:30 – 11:30 a.m. The Zoom link is https://us02web.zoom.us/j/3876883694. Before the class, please download and print class materials from www.BrainFlexWellness.com. If you have any other questions, please email ORL.MDC@AdventHealth.com.
Prepare for delivery at BayCare by attending a virtual tour of the Maternity Center. This is a free class for expectant mothers. One support person may also attend. The class will take place from 5:30 – 7 p.m. and 7:30 – 9 p.m. and is sponsored by St. Joseph’s Women’s Hospital. There will be several more sessions throughout February as well. For more information, please visit www.baycare.org/ events or call 855-269-4777.
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.
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February 2 and 9 – Restorative Yoga Cancer Program Virtual This is a stress reduction yoga program designed to help cancer patients cope with their treatments and improve their quality of life. Learn techniques such as regulated breathing, visual imagery, meditation, and various stretching poses to improve balance, flexibility, and strength. The class is taught by a registered yoga teacher and exercise specialist. Microphone and camera access is encouraged but not required. The free lessons will take place from 7:30 – 8:15 a.m. Register online at www.baycare.org/ events or call 855-269-4777 for more information.
February 3 – Supporting Motherhood and More Virtual First-time moms and seasoned pros with another on the way are invited to participate in this virtual support group to discuss the emotional changes and adjustments they are going through. Access to a camera and microphone is necessary. The free event will take place from 12 – 1 p.m. Several more sessions are scheduled throughout January. Sponsored by St. Joseph’s Women’s Hospital. You can find more information at www.baycare.org/events, or call 855-269-4777.
centralfloridahealthnews.com
compiled by TERESA SCHIFFER
February 4 – 2022 Winter Haven Hospital Foundation “Shooter Showdown” Sporting Clays Open Whether you’re a beginner or a seasoned pro, show off your shooting skills while raising funds to support the new Polk County Mobile Medical Clinic Program. The fun goes from 12 – 5 p.m. at Polk Sporting Clays, located at 5000 Firetower Rd in Haines City. Register online at https://secure.qgiv.com/for/202shoshowdow/. If you need more information, you can contact the Winter Haven Hospital Foundation at (863) 292-4138 or whhfoundation@baycare.org.
February 9 – Diabetes Education Empowerment Program (DEEP) Virtual This is a free 6-week class for adults who live or work in Pinellas, Pasco, Polk, or Hillsborough Counties that have diabetes, pre-diabetes, or are a caretaker of such an individual, and would like to learn how to take control of diabetes by improving self-management skills and avoiding complications. You must sign the consent form before participating, available by contacting GetHealthy@BayCare.org. The class meets weekly from 3 – 5 p.m. and is sponsored by BayCare Health System. For more information, please call 855-269-4777.
February 12 – Full Moon Howl This is one of Peace River Center’s Signature Events to raise funds for the non-profit organization. The invitation-only event will take place at Rocking H Ranch in South Lakeland, with a Clay Pigeon Invitational preceding the main event on Friday, February 11, at Golotko Ranch in Fort Meade. There will be hundreds of attendees invited, so keep an eye out for your invitation!
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February 12 – Gone Country for KidsPACK 2022
February 22 – Bariatric Support Group Virtual
Watson Clinic is a proud sponsor of this event benefiting homeless and/or food-insecure students throughout Polk County. Individual tickets are $75, and there will be auctions and raffles to register for. This event will be held from 6 – 10 p.m. at White Horse Ranch, 5718 Yates Rd in Lakeland. For more information, please go to www.kidspack.org/gone-country/.
Sponsored by St. Anthony’s Hospital, this free virtual meeting will take place from 5 – 6 p.m. A microphone and camera is needed to participate. The topic for this session is the relationship between sleep disorders and sleep. For more information, please call 855-269-4777.
February 13, 19, and 26 – BayCare HealthHub Farmer’s Market BayCare HealthHub is hosting a farmer’s market on the third and fourth Saturdays of each month. Local vendors will be offering fresh produce, hot food, and more, including fun activities for children. This takes place from 9 a.m. – 1 p.m. every third Saturday at BayCare HealthHub (Bloomingdale), located at 2470 Bloomingdale Ave in Valrico, every fourth Saturday at BayCare HealthHub (Land O’ Lakes), located at 18600 Fernview St in Land O Lakes, and the second Sunday of each month from 10 a.m. – 2 p.m. at BayCare HealthHub (Bardmoor), located at 8787 Bryan Dairy Rd in Largo. If you need more information, please call 855269-4777.
February 22 – Perinatal Bereavement Support Group Virtual This support group for families who have experienced the loss of a baby through miscarriage, ectopic pregnancy, stillbirth, or early infant death will help explore grief and strengthen communication with loved ones while honoring your loss and encouraging self-care. Access to a microphone and camera is necessary. It takes place from 6:30 – 7:30 p.m. and is sponsored by Winter Haven Women’s Hospital. For more information, please visit https:// baycare.org/services/maternity or call 855-269-4777.
February 26 – March 12 – 2022 Polk Senior Games An annual two-week series of Olympic-style sports and games for individuals age 50 years and over is an excellent opportunity to connect with others while making great memories! This year, only the outdoor events will be held, and protocols guided by the CDC and Polk County Health Department will be in place for everyone’s safety. Events include activities such as Archery, Fishing, Sporting Clays, Tennis, Walking, and much more. The fee to enter is $10 for the first event, $3 for each additional event up to a maximum of $28. Some events also require facility fees. Events will take place throughout Polk County. For complete details and to register, please visit www. polkseniorgames.org.
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HEALTHY COOK
Recipes From, and For, the Heart by CAROL CORLEY
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uard your heart. This is advice given to us in songs and poems, but who knew one of the best ways to guard your heart is through cookbooks?
While the songs and poems tell us to be careful what people we let close to our hearts, our cookbooks can help guide us in what foods to eat for best care. Foods like whole grains, fresh or frozen fruits and vegetables, low-fat protein sources, legumes, nuts, and fish rich in omega-3 fatty acids can be especially good for your heart. Cleveland Clinic recommends fish such as salmon, tuna, mackerel, trout, healthy nuts, berries, seeds, oats, legumes, green vegetables, and most fruits. They also advise that red wine can help improve HDL cholesterol, and dark chocolate with at least 70% cocoa can contribute to good heart health. We often hear that the Mediterranean diet is especially good for the heart, and some studies have shown the diet can cut the overall risk of heart disease by 40 percent, thanks to the emphasis on healthy fats and plant foods. Of course, no one should make a major change in diet without first consulting a physician. A good way to start eating for your heart could be to start with the basics: cut out salt and unhealthy fats. In planning a heart-healthy eating plan, we should start with breakfast. Foods like oats, healthy fruits, and nuts are recommended. The American Heart Association also considers eggs to be fine for your heart, especially for people who are not at high risk.
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Creamy, Crunchy Oatmeal (Adapted from health.clevelandclinic.org) Ingredients: Steel-cut dry oatmeal, 1/2 cup Water, enough to cover Vanilla, dash of pure extract Blueberries, 1/ cup fresh Raspberries, 1/4 cup fresh Walnuts, 2 tablespoons chopped Directions: Place dry oatmeal and water in a microwave-safe bowl, cook on high 2-1/2 to 3 minutes, add a dash of vanilla at the end and stir in. Top with fruit and walnuts. To increase health, interest, and energy level, decorate the plate with fresh fruits — bananas and berries.
Quick Bean and Tuna Salad (Adapted from mayoclinic.com) Ingredients: Tuna, 1 can water-packed, no-salt, drained and rinsed Cannellini beans, 1 can no-salt-added, drained and rinsed Dill pickles, about 2 tablespoons diced Red onion, 1 small and thinly sliced Parsley, 2-1/2 tablespoons finely chopped Olive oil, 2 tablespoons extra virgin Red wine vinegar, 2 tablespoons Black pepper to taste Baguette, 1 cup whole-grain, torn into bite-sized pieces Directions: While the broiler is preheating, combine 1 tablespoon of extra-virgin olive oil with beans, pickles, onion, vinegar and pepper. Place baguette pieces, brushed with the remaining oil, on a cookie sheet under the broiler until golden, about 1-2 minutes, turn then broil and additional 1-2 minutes. Fold broiled baguette pieces into the bean mixture, divide among 4 bowls, top with tuna, and sprinkle with parsley.
centralfloridahealthnews.com
Roasted Turkey Breast with Herbs
HEART NEWS
(Adapted from American Heart Association)
Ingredients: Turkey breast, 3-1/2 pounds, half without skin Lime juice, 2 tablespoons fresh Garlic cloves, 3 medium, chopped finely Oregano, 1 teaspoon dried Tarragon, 1/2 teaspoon dried Parsley, 1/4 cup fresh, finely chopped Olive oil, 2 tablespoons extra virgin Cooking spray of choice Salt and pepper to taste Red hot pepper sauce if desired Directions: Put turkey in a glass baking dish sprayed with cooking spray. Mix together all remaining ingredients. Create a pocket under the turkey breast skin and spread mixture under skin, being careful not to tear. Pull gently to cover any exposed meat. Refrigerate for about 10 hours tightly wrapped with plastic. When ready to cook, remove plastic wrap and put the turkey in the oven preheated to 325F for about 90 minutes or so. Meat thermometer in the thickest part of the turkey should register 170F. Allow the turkey to stand on a cutting board for about 15 minutes before slicing. Discard skin before serving.
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Meet Our Doctor
Hypertension & Vascular Disease
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 oftwo Delhi, India. She completed smoking a research cessafellowship n the previous issues, wethen addressed in vascular surgery at Columbia University Medical Center in New tion and the sugar control. In this York andimportance a residency in of General Surgery at Staten Islandedition, University her fellowship training in Vascular we willHospital look atin New the York, roleshe of completed hypertension in the prevention Surgery at Newark Beth Israel Medical Center and St. Barnabas of vascular disease and we can make lifestyle choices Medical Center in Newhow Jersey. that canDr.prevent delay the onset hypertension. Aparajitaor is also a Member of theofRoyal College of Surgeons of Edinburgh, UK and completed her Basic Surgical Training in RITU APARAJITA, MD, RPVI Hypertension, or(MRCS highEd) blood pressure, affects 50 million England soon after her medical school. KSC Cardiology Americans over 60 years of age every year. It is referred to Dr. Aparajita is the co-author of more than two dozen journal articles, as the “silent killer” not have symptoms. Manyas publications and as oralit does presentations, including topics such endovascular treatment for thrombosis, aorticblood aneurysm repair, stroke, people do not find out that they have high pressure until they have problems with peripheral artery disease and other vascular conditions. their heart, kidney, Hypertension been shown Additional posts or andbrain. volunteer work include a has teaching position at to increase the rates of Hofstra Northwell School of Medicine and as aheart Member of the Public kidney failure, coronary artery disease, failure, andandstrokes. One in three adults Outreach Committee as well as the International Relations has highProfessional blood pressure. Approximately half of all these patients use medications to Committee at the Society for Vascular Surgery (SVS). lower their blood pressure, only half of American these have their blood pressure under Dr. Aparajita was recently but nominated for the Medical control. Association (AMA) Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.
I
What is high blood pressure & what is its relation to vascular disease?
High blood pressure is a persistent abnormal elevation in the pressure within the arteries, which are RITU the blood vessels that deliver blood from the MBBS heart to the entire APARAJITA, MD, MRCS (Ed), body. The heart’s rhythmic pumping action (contraction) creates the upper systolic Specialty: Vascular & Endovascular Surgery pressure (normal isJoining 120 mmHg) and the resting pressure between two consecutive KSC Cardiology November 9, 2020 heartbeats is the lower diastolic pressure (normal is 80mmHg or lower).
What is a hypertensive crisis? This stage of high blood pressure requires urgent or emergent medical attention. If your blood pressure readings exceed 180 x 120 mmHg and is persistently elevated, seek medical attention immediately. If this is accompanied by signs of possible end-organ damage, such as chest pain, shortness of breath, back pain, numbness or weakness, change in vision, or difficulty speaking, it’s considered an emergency. Do not wait to see if your pressure comes down on its own; call 911 immediately.
Causes In 90-95% of cases, it’s not possible to figure out an exact cause of high blood pressure. There are, however, a number of factors that have been linked to high blood pressure, including: • Family history of high blood pressure. • Age: Incidence increases in men after age 35 and females after age 45. • Gender: Men are more likely to have high blood pressure than women. • Smoking: Those who smoke are at increased risk of having hypertension. • Race: Approximately 33% of African-Americans have high blood pressure compared to 25% of Caucasians. Secondary hypertension has an identifiable cause. One of the most important and correctable causes is the narrowing of arteries to the kidney, called renal artery stenosis. There are other, less common, causes like a tumor in your adrenal glands.
Prevention
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Here are some actions you can take to prevent hypertension: • Maintain a healthy weight (BMI less than 30). • Reduce the quantity of salt and saturated fats in your diet and eat more whole grains, fruits and green vegetables. • Increase your physical activity (30 minutes of exercise daily). • Eliminate tobacco use. • Limit alcohol consumption to no more than two drinks per day for men and one drink per day for women. • Build relaxation into your workday. 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).
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FEATURE PATIENT
LISTEN TO YOUR HEART Man’s Experience Underscores Importance of Advocating for Yourself as a Patient by TERESA SCHIFFER 20 | CFHN
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o one knows your body better than you. There may be times when something just doesn’t feel right, and even though you voiced your concern to your physician, you weren’t able to get the answers that put your mind at ease. As Roger Walker can tell you, this is no time to silently accept your fate and wait for “something” to happen. “I started to feel pressure on my chest when I was working outside in the yard cutting the grass or whatever,” Walker says. “It kind of came and went, came and went, no big deal. But then it became more frequent and longer-lasting. At that point, I went to my primary care physician and they did a bunch of tests.” The doctor ran a number of standard tests,
but the only thing that showed up was a heart murmur that Walker was not previously aware of. Other than that, no issues were found. He was then referred to a BayCare cardiologist. More tests were performed, but again, no problem was found. Two options were then presented to Walker: He could simply wait and see what happened, or he could undergo cardiac catheterization for a deeper analysis of what was happening inside his body. During this process, a thin, flexible, hollow tube (the catheter) is inserted into a blood vessel. The catheter is then threaded through the blood vessel into the aorta, where it can be used to check the pressure within the chambers of the heart and other diagnostic procedures. centralfloridahealthnews.com
At the end of the day, only you know what is normal for your body. When something feels “off,” talk to your primary care physician right away. Sometimes, the initial tests won’t reveal the underlying issue immediately. When this is the case, continue to request follow-up care and more testing. Be persistent when necessary. Don’t wait for a serious problem to emerge before taking action. By then, it could be too late. “Well, I’m 78 years old,” Walker told the doctors, “The problem’s not going away. I think we ought to do the heart cath.” On August 10, Walker, an avid golfer, underwent the cardiac catheterization procedure at BayCare’s Winter Haven Hospital. He was told that one of three scenarios was likely: they would find nothing, they would find something they could deal with right away by putting in a stent, or they would find a significant enough blockage to warrant open-heart surgery. When he awoke after the procedure, Walker was told that his right coronary artery was found to be 99 percent blocked, and a stent was put in place at that time in order to open up the artery. The timing could not have been any more fortuitous – the next day, all such procedures were halted due to the surge in Covid cases caused by the delta variant. This meant that the Outpatient Rehabilitation Center was also closed, so Walker would be unable to start rehab right away. Almost three months passed before Walker could begin heart rehab at BayCare. During that time, he stayed active by playing golf, doing yard work, going PHOTO BY JESSICA to TOYthe gym, and engaging centralfloridahealthnews.com
with his church and community. Walker recognizes the benefit his active lifestyle has had on his recovery. “I’m a very active person, so I stayed busty. I cut a few lawns, I played golf, I did a lot of different things with my church and the city. Right now, I’m a ranger at the golf course – I was up there for seven hours today. Because I was doing that, I was doing different things every day, I wasn’t sitting in my chair wasting away.” This helped mitigate the delay in starting his rehab. On November 5, Walker finally was able to start the first of 36 sessions with the wellness center. Rehab consists of three visits per week to the Outpatient Rehabilitation Center. During each hourlong visit, Walker is monitored as he works his body with different apparatuses. He describes a typical rehab session, “I do four different stations within that hour, and they’ve steadily been building up the amount of watts that they’re using and the amount of time that I’m using it. So when I started, each session was about six to eight minutes at PHOTO the lowest Now, on BY JESSICA level. TOY
one of the machines, I’m at 35 watts and I’m doing it for 11 minutes. So I do a warm-up drill, then I do the four apparatuses, and then I do a cooldown period. They take my blood pressure when I start, and then after the apparatuses and the rest time.” Now that he is roughly two-thirds of the way through the prescribed rehabilitation process, Walker is feeling a lot better and no longer experiencing the severe pressure in his chest that was caused by the blockage. “I’m fine,” Walker tells us. “I’m not having any issues at all.” At the end of the day, only you know what is normal for your body. When something feels “off,” talk to your primary care physician right away. Sometimes, the initial tests won’t reveal the underlying issue immediately. When this is the case, continue to request follow-up care and more testing. Be persistent when necessary. Don’t wait for a serious problem to emerge before taking action. By then, it could be too late. “You don’t need to wait until something happens,” Walker advises. “You need to be proactive.” HN CFHN | 21
EDITOR’S DOSE
MEDICAL ADVICE
Do You Know the Risk Factors?
Heart Health And Health Equity
JESSICA McDONALD, EDITOR
jessica@centralfloridamediagroup.com
W
e’ve spent a lot of time talking about heart disease in this edition. The term “heart disease” actually refers to a number of conditions, including coronary heart disease, peripheral vascular disease, and stroke.
by DR. JOY JACKSON
A
merican Heart Month reminds all of us to take care of our heart by raising awareness of risk factors for cardiovascular disease and educating us on the signs and symptoms of heart disease and stroke. In this article, we will discuss black/ white health disparities in cardiovascular risk factors and diseases in Polk County. Important risk factors that may lead to cardiovascular disease in some people include high blood pressure, diabetes mellitus, obesity, tobacco use, high cholesterol, and family history. Having several of these risk factors further increases the overall risk. Data on FLHealthCHARTS.gov shows that in Polk, blacks are 2.5 times as likely as whites to report being told they are diabetic and are twice as likely to visit an emergency room or to be admitted to the hospital due to diabetes. Whites are more likely to be overweight, but the rate of obesity is nearly equal between blacks and whites. In Polk, blacks are more likely to smoke than whites at a ratio of 1:0.7. Whites are slightly more likely to have health insurance in Polk, but blacks are more likely to report that they could not see a doctor in the past year due to cost. Stroke is another important result of cardiovascular disease. In Polk, whites are
more likely to report having had a stroke, while blacks are slightly more likely to be hospitalized from a stroke or die from a stroke. It is important for everyone to have an equal opportunity to make healthier choices that can minimize their risk of developing heart disease. Healthy choices you can make today include: 1. Eat healthily 2. Be active 3. Quit smoking and tobacco use 4. Stay on top of regular checkups Unfortunately, some of these recommendations may not be accessible to everyone. The Polk Health Department is involved in initiatives, such as participating in the Polk County Food Security Council, which aims to make these recommendations accessible to more Polk residents, in this case, access to healthy foods. Health equity acknowledges the existence of varying degrees of need and promotes providing different tools to overcome different obstacles. The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts. Health equity is a pillar in accomplishing this mission.
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.
22 | CFHN
A healthy lifestyle is important regardless of your gender, but did you know that women are at a higher risk of stroke than men? The prevalence of stroke in women is much higher than in men, but that doesn’t mean women are powerless over their fates. Understanding what increases the risk can help you make better decisions. So what puts women at a higher risk? • High blood pressure: Hypertension is the leading cause of stroke. High blood pressure puts additional strain on blood vessels, increasing the possibility of rupture. More than 2 in 5 women have blood pressure greater than or equal to 130/80 or are taking medicine to control their blood pressure, but only half of those women who struggle with it have it controlled. • Hormone medications: Whether it’s oral contraceptives or hormone replacement therapy, medications that control hormones can increase women’s risk, especially if combined with other risk factors. • Migraine: Migraine with aura is associated with the risk of ischemic stroke in women, especially if the individual smokes or uses birth control. • Pregnancy: High blood pressure during pregnancy can cause a stroke. As mentioned throughout this edition, a healthier lifestyle can help to mitigate your risks. Eating healthier, quitting smoking, lowering your blood pressure, and getting more exercise can all help you reduce your risk. HN centralfloridahealthnews.com
EVENT IS FREE TO THE PUBLIC
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THE SCREEN TIME BATTLE
2022 EXPO SEASON
JESSICA McDONALD, EDITOR
jessica@centralfloridamediagroup.com
• Friday, February 11th • Friday, March 11th 9 a.m. to 2 p.m. Central Florida Health Expo is now in its 9th successful year of bringing Health Care Companies and Health Services together with the community. We are a trusted resource to the customers we serve and are evolving to serve and connect during this time. Our Health Expo’s are held at International Market World in Auburndale, Florida. Our upcoming event dates are listed below as well as our exhibitor registration!
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CFHN | 23
Keeping You Healthy and Safe Schedule your appointment today. Primary Care
Specialists
Auburndale 2028 U.S. Highway 92 W. Auburndale, FL 33823 (863) 965-9327 Bartow 2250 Osprey Blvd., Suite 102 Bartow, FL 33830 (863) 533-1448 Haines City 36245 U.S. Highway 27 Haines City, FL 33844 (863) 421-9801 Lakeland 619 Midflorida Drive, Suite 1 Lakeland, FL 33813 (863) 701-7188
Cardiac Electrophysiology 200 Ave. F N.E., Suite 9118 Winter Haven, FL 33881 (863) 292-4004 Cardiovascular Surgery 200 Ave. F N.E., Suite 9118 Winter Haven, FL 33881 (863) 292-4004 General Surgery 2000 Osprey Blvd., Suite 205 Bartow, FL 33830 (863) 733-4390 1601 W. Timberlane Drive, Suite 100 Plant City, FL 33566 (813) 708-1312 Hematology-Oncology 1601 W. Timberlane Drive, Suite 100 Plant City, FL 33566 (813) 708-1312 200 Ave. F N.E. Winter Haven, FL 33881 (863) 292-4670 Obstetrics-Gynecology 1601 W. Timberlane Drive, Suite 400 Plant City, FL 33566 (813) 321-6677 Pediatric Hematology and Oncology 1417 Lakeland Hills Blvd. Lakeland, FL 33805 (813) 321-6820 Structural Heart and Valve Program 200 Ave. F N.E., Suite 9118 Winter Haven, FL 33881 (863) 292-4004 Urology 7599 Cypress Gardens Blvd. Winter Haven, FL 33884 (863) 845-2688
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We’ve enhanced our safety measures to protect your health. We’re screening everyone for COVID-19 symptoms before entering our offices. All doctors, team members and patients are required to wear masks and we’re sanitizing our offices throughout the day.
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