Central Florida Health News July 2021

largest largest Asian Asian restaurant restaurant company, company, is is now now open open in in Jacksonville.

Jacksonville. This This is is the the 36th 36th store store in in the the US, US, as as well well as as the first in the state and the first in the state and Southeast Southeast US. US. It It opened opened to the public to the public on on March March 18, 18, 2017.

2017.

Jacksonville Jacksonville ii ss tt h h ee m mo o ss tt populous populous city city in in the the Sunshine Sunshine State, State, as well as home as well as home to to the the largest largest FilipinoFilipinoAmerican American community community in in Florida.

Florida. The The longlongawaited arrival awaited arrival of of Jollibee Jollibee in in the the city city has has

get get to to try try Jollibee's Jollibee's signature signature menu menu items items such such as as the the world world famous famous Chickenjoy.

Chickenjoy. This This dish dish is is delicately delicately breaded to be crispylicious breaded to be crispylicious on on the the outside outside and and juicylicious juicylicious inside.

The well-loved inside. The well-loved Jolly Jolly Spaghetti Spaghetti is is aa favorite favorite of of both both kids kids and and kids-at-heart kids-at-heart because because of of its its signature signature sweetsweetstyle style sauce, sauce, loaded loaded with with chunky chunky slices slices of of savory savory ham, ham, ground ground meat, meat, and hotdog. and hotdog. Other Other classic classic menu menu fafavorites include vorites include the the juicy juicy and and cheesy cheesy Jolly Jolly Hotdog, Hotdog, and and the the Peach Peach Mango Mango Pie, Pie, which which is is made made with with real real Philippine Philippine sweet sweet manmangoes and a flaky goes and a flaky golden golden brown brown crust. crust.

tude tude of of excited excited Jollibee Jollibee patrons patrons waitwaiting ing to to get get their their hands hands on on their their Jollibee Jollibee favorites, favorites, but but also also first-timers first-timers waiting waiting to have their own Jollibee to have their own Jollibee experiexperience," ence," said said Jose Jose Miñana, Miñana, Jollibee Jollibee Foods Foods Corporation's Corporation's Group Group President President for North America. for North America. "There's "There's no no greater greater joy joy for for us us than than serving serving the the needs needs and and tastes tastes of of Jollibee Jollibee fans fans in in the the community. community. At At Jollibee, Jollibee, we we aim aim to to bring bring families families together together for for happy happy moments moments over over great great tasting tasting food food with with superior value, served with superior value, served with warm warm and and friendly friendly service service –– our our own own brand brand of joy." of joy."

The The brand brand has has become become aa symbol symbol of of nostalgia nostalgia and and warm warm childhood childhood memmemories ories for for many many overseas overseas Filipinos Filipinos in in the the U.S. U.S. To To many, many, Jollibee Jollibee is is the the go-to go-to restaurant restaurant of of Filipinos Filipinos for for both both special special

volume 11 | issue 4 | July 2021

Skin Care

HOT TOPIC

Area Doctors Clear Up Summer Skin Care Myths

FREE­— TAKE ONE!

See See JOLLIBEE JOLLIBEE page page 15 15

ENROLL PAGE 12

THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION

EDITION

VITILIGO VIGILANCE

Protection Is Key During Florida’s Intense Summers

NEW CHIEF MEDICAL OFFICER

Winter Haven Hospital’s Davidyock Brings Optimism

POP QUIZ!

Which Supplements Are Safe to Take With Medication?

HEALTHY COOK

Recipes to Help You Beat the Heat

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CentralFloridaHealthNews.com CentralFloridaHealthNews.com

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PAID PAID

7 9 14 18 New Face at Winter Haven Hospital

There is a new Chief Medical Officer at BayCare’s Winter Haven Hospital.

Dr. John Davidyock recently joined the team and shares with us his views on how COVID-19 has affected the way health care is administered and his vision for Winter Haven Hospital going forward.

While summer poses an increased risk for everyone, it can be especially dangerous for individuals with vitiligo. During the summer months, vitiligo patches easily burn or scar since there isn’t any natural protection from the sun. This means skin protection efforts must be ramped up.

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14 What’s Goin g On . . . . . . . . ......3

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

Jacksonville, Jackson FL -- After ville, FL After much much anticipation and ipation and excitement, Jollibeeanticlargest Asianexcitement, Jollibee the largest Asian restaur restaurant compa ,, the ant company, now open ny, is open in now is in Jackso Jacksonville. nville. This This is 36th store is the store in the 36th in the the US, US, as as well as the first first in the in the state well as and Southeast US.the state and Southe ast US. It It opened opened to the the public to public on March 18, 2017.on March 18, 2017.

Jacksonville Jackso nville h ee m ii ss tt h mo o ss tt populous city populo us city in in the Sunshi Sunshine State, the ne State, as well well as as as home home to the largest largest Filipin to the FilipinooAmerican comm Americ an community in Florida Florida. The unity in . The longlongawaite d arriva awaite d arriva ll of of Jollibee in the Jollibee in the city city has has

See JOLLI JOLLIBEE See page 15 BEE page 15

been the the talk been talk of of the the town town since since 2016.

With the openin With the opening, Floridi2016.

"As Jollibe Jollibee debuts "As get to ans will to try e debuts in get will try Jollibee g, Floridians in Florida Florida, we anticipate seeing 's signatu anticip signature menu , we ate seeing not items suchJollibee's not only items re menu such as as the tude of multithe world of excited tude excited Jollibe only aa multiworld famou Chickenjoy.

Jollibee patron waitChicke ing to njoy. This This dish is famouss to get ing get their their hands e patronss waitdelicately bread ed to dish is delicat on their bread their Jollibee ely favorites, but hands on Jollibee ed to be be crispy favorit crispy liciou es, but also also first-tim first-timers on the liciou ss the outsid on outside and to have waiting have their to their own Jollibeers waiting juicylicious inside. The e and juicylic inside. ence," said own Jollibe experiee experi ence," The well-lo well-loved ious said Jose Jose Miñan Miñan ved Jolly Spaghe a, Jollibe Spaghetti tti is Foods Corpor is aa favorite favorite of both Jolly Foods Corporation's ation's Groupa, Jollibeee of kids and kids-at President for North kids-at-heart both kids and North Americ Group Preside for -heart becaus because a. "There's nt of its greater joy America. its signatu of no greate signature sweet-e no r joy for us than"There's re sweetserving the needs and for us than style sauce, servin needs sauce, loaded style g the tastes of Jollibe and tastes loaded with with the comm fans in chunky slices community. of Jollibe ee fans the in chunky slices of of savory unity. At At Jollibee savory Jollibee, we bring aim , we ham, ground bring familie to families togeth aim to ham, ground meat, er for happy meat, moments overs together mome and hotdog hotdog. Other and nts over great tastingfor happy . food with superior value,great tasting food superi classic menuOther classic or value, served served with with menu faand friendl with warm warm friendly service and vorites include favorites y service –– our include the the our own own brand of joy." brand joy." of juicy and juicy and cheesy The brand Jolly Hotdo cheesy brand has becom The Jolly Hotdo g, g, and symbol of nostalgia and has becom ee aa symbo the Peach nostalg Peach Mango and the l of ia and warm warm childho Mango Pie, Pie, childhood od which is made ories for memwhich ories for memmany overse is made with many with real real overseas as Filipinos the U.S. Philippine sweet U.S. To the in Philipp To many, many, Jollibee Filipinos in ine sweet manJollibee is the go-to restaurant of goes and restaur and aa flaky mangoes ant of Filipin Filipinos for is the go-to golden os for both both special brown crust. flaky golden special brown crust.

STEAKHOUS HOUSE page E page 11 11

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

With summer upon us, the sun is going to get intense! We talked to area physicians to clear up some common summer skin care myths. Find out what they recommend for optimal protection.

Read more on page 10.

Entrées:

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Appetizers:

FLORIDA EDI TION

On the Cover

PAID PAID

Vitiligo Vigilance

Steakhouse s beef up m new twists on en American clus with assics

Central Florida Health Care hopes to alleviate health and financial concerns by offering treatment for Hepatitis C, even to those patients without insurance. Nurse practitioner Linda Gellatly talks about the care that is available for those in need.

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

Help for Uninsured Individuals With Hepatitis C WWW.TRN USA.COM

July is Herbal/Prescription Interaction Awareness Month, and it’s time to talk about some common interactions between herbal supplements and prescriptions or over-the-counter medications.

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2 | CFHN

Pop Quiz!

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CONTENTS | July 2021 For more photos from this edition, follow us on Facebook. Scan the QR code here with your smart device.

volum e 11 |

Skin Care

17 19 20 21 22 22

issue 4 | July

2021

ENROLL PA GE 12

FREE — TAK

E ONE!

Area Doctors Clear Summer Skin Care Up Myths

HOT TOPIC

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

EDITION

Protection Is Key LANCE Florida’s Inten During se Summers

VITILIGO VIGI

Winter Haven HospICER Davidyock Bring ital’s s Optimism

NEW CHIEF MEDICAL OFF

Which Suppleme nts Safe to Take With Are Medication?

POP QUIZ!

HEALTHY COOK

Recipes to Help You Beat the Heat

Centra CentralFlorid lFloridaHealt aHealthNews hNews.com .com

Departments & Columns ADVENT HEALTH HEART NEWS CALENDAR EDITOR’S DOSE BODY, MIND & SPIRIT PHYSICAL WELLNESS

w w w. F L D S C C . c o m

centralfloridahealthnews.com

AN EMERGENCY IS STILL AN EMERGENCY. EVEN DURING THIS EMERGENCY. Don’t let COVID-19 stop you from getting emergency treatment.

Even during a pandemic, you still need to be treated immediately if you have an emergency.

Debating whether or not to risk going to an emergency room during a heart attack, stroke or other health emergency—waiting even a few extra minutes—could be harmful. That’s why in all BayCare hospital emergency rooms, patients who have symptoms of COVID-19 are screened and treated in a separate area. This helps keep emergency room patients and our team members safe. So if it’s an emergency, don’t wait. For more information: BayCareEmergencyCare.org

20-1320452-1220

PUBLISHER’S NOTE

www.CentralFloridaHealthNews.com

Children of the Sun

PUBLISHER Nelson Kirkland

NELSON KIRKLAND, PUBLISHER

MANAGING EDITOR

nelson@centralfloridamediagroup.com

Jessica McDonald

PROJECT MANAGER

T

David Kiessling

hey say hindsight is 20/20. I say it’s a shame that number doesn’t come with SPF.

Each July, Central Florida Health

For those of us who were kids or teenagers before the 1990s, summertime meant waking up and heading out the door for adventures in the sun every chance you had when you were not pushing a lawnmower or taking care of the latest chore. In short, we did not give a lot of thought to skin cancer. My bride of 33 years shared with me that she and her friends even used baby oil to just make sure they got the best the sun had to offer. It was a familiar cycle over summer break — burn, sting, peel, repeat.

healthcare partners in the com-

A good burn was almost like a status symbol for us. The people with the best burns and deepest tans were the ones we knew were having fun and loving the sun in the summers. Obviously, we were ignorant when it came to the dangers the sun posed, and we did not have the acute awareness that is so prevalent now.

According to the American Cancer Society, Florida has the second-highest number of melanoma cases in the nation.

4 | CFHN

News focuses on the topic of skin care. Year after year, our munity work with us to spread the word about skin cancer awareness

and

prevention.

You can find a particularly useful article we did online on the importance of checking your body for skin irregularities at CentralFloridaHealthNews.com/ Skintelligence.

In this edition, we delve into some common summer skincare myths and share what wisdom some local doctors have to fight the misinformation. Some

ACCOUNT EXECUTIVE Juanita Halter

MARKETING DIRECTOR & DIGITAL SPECIALIST Morgan Driggers

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

CONTRIBUTING COLUMNISTS Joe Koloc, MSPT, MBA; Edward Attaway, OD; Ritu Aparajita, MD; Andrew Teffeau, DO; Dr. Alex Kennon, MD

CONTRIBUTING ARTIST Dawn Lewandowski

DELIVERY DLS Distribution

of the myths we asked about are fairly well-accepted, so be sure to check out our edition feature

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

inside to get the full scoop.

I know most of us live in Florida for the convenience and entertainment that the beautiful, sunny weather affords. Central Florida Health News just wants to make sure you and your skin enjoy the summer.

Have a healthy and happy July, and thanks for reading! HN

56 Fourth Street Northwest, Suite 100 Winter Haven, Florida PHONE 863.248.7537 Copyright © 2021 Central Florida Media Group. ALL RIGHTS RESERVED. This issue of Central Florida Health News is a trademark of Central Florida Media Group. Reproduction or use in whole or in part of the contents of this magazine without written permission is prohibited. Central Florida Health News makes every effort to ensure the accuracy of content published. In the event of an error found herein however, neither the publishers or advertisers will be held responsible, nor do the publishers accept any liability for the accuracy of statements made by advertisers in advertising and promotional materials. Furthermore, the opinions and claims expressed in advertisements and promotional materials do not necessarily reflect those of the Polk County Medical Association or Central Florida Media Group and do not imply an endorsement.

centralfloridahealthnews.com

MEDICAL ADVICE

S

by DR. JOY JACKSON ABOUT THE AUTHOR: Dr. Joy Jackson, an internal medicine physician, serves the community as director of the Florida department of Health in Polk County (DOH-Polk). For more information about DOH-Polk, visit mypolkhealth.org. Follow DOHPolk on Twitter at twitter.com/FLHealthPolk.

Tail Bone & Pelvic Pain?

• Do you have pain in your back that doesn’t show up on x rays?

CALL OR • Does sleeping or sitting with TEXT US your weight on one side help?

TODAY All of these things to learn can be signs of more! misalignment.

• Does sitting make your pain worse?

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continued on page 19

General Dermatology

• Have you been treated for back pain but still hurt?

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diagnosed with melanoma in 2017 and more than 8,000 died from it.

Spending time outdoors is encouraged during the summer months, but it’s important to take precautions. This summer, it is important for individuals to protect their skin from ultraviolet rays and lower the risk of developing skin cancer. Here are some helpful steps to follow: • Stay in the shade or indoors during midday hours.

• Wear clothing that covers the arms and legs.

•W ear a hat or visor to protect the face, ears, and head.

• Wear sunglasses while outdoors to block UVA and UVB rays.

• Avoid tanning beds.

• Apply sunscreen when outdoors for an extended period of time.

Remember that a change in skin is the most common sign of skin cancer. A simple way to remember the signs of melanoma is to remember the A-B-C-D-Es of melanoma:

Hi g

Skip the Burn This Summer

ummer is a perfect time of year to enjoy Florida’s great outdoors and spend more time outside. Whether time spent outdoors is for work or for play, it is a good time to remember the importance of protecting skin from the harsh rays of the sun.

Practicing sun safety measures can help prevent skin cancer in those who spend time outdoors. Skin cancer is the most common type of cancer in the United States. It is defined as a cancer that forms in the tissues of the skin.

Nearly 5 million people in the U.S. are treated for skin cancer each year.

Melanoma is the deadliest type of skin cancer, which is caused by exposure to ultraviolet (UV) light. Although melanomas account for only a small percentage of skin cancer, they are more likely than other types of skin cancer to spread to other parts of the body.

According to the Centers for Disease Control and Prevention (CDC), melanoma causes the most deaths among all types of skin cancer. The incidence rate for melanoma has also increased over time. The most recent data for the United States, provided by the CDC, shows that nearly 85,700 people were

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CFHN | 5

INTRODUCTION

PCMA LETTER

PCMA LETTER

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

2021 OFFICERS JAMES J. BOOKER, MD President

GEORGE LYLE, MD Secretary

STUART PATTERSON, MD Treasurer

BOARD OF TRUSTEES RALPH NOBO, JR., MD, Chair

GEORGE LYLE, MD STUART PATTERSON, MD GARY SCHEMMER, MD SERGIO SEOANE, MD ARVIND SONI, MD — — — — — —

JACKIE COURTNEY Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813 6 | CFHN

Summer Is the Season to Be Smart About Skin A

h, summer in Florida! The weather is gorgeous, the kids are out of school, the pool is inviting and beaches are the place to be. But fun in the sun comes with responsibilities, too. This month’s Central Florida Health News is our annual Skin Care Edition, and it’s packed cover to cover with tips and tricks for protecting your skin from the sun.

Johnson, founder of the Facebook vitiligo support group Beautifully Unblemished, shares her own experiences.

Some of the benefits of a PCMA membership include the following:

Also inside, we introduce you to Winter Haven Hospital’s new Chief Medical Officer, Dr. John Davidyock.

We spoke to Davidyock about his plans for the facility and the preparation he has garnered from past roles.

✱ Medical malpractice discounts with The Doctors Company

Inside, we debunk some of the most common skin care myths. We reached out to experts throughout the area and asked them to weigh in with the facts. Check it out, you may just be surprised at some of their recommendations.

Lastly, don’t forget to take our Pop Quiz! July is Herbal/Prescription Interaction Awareness Month, so test your knowledge and make sure you know which supplements are safe to take with your medications.

✱ Complimentary Socials/ dinners

Have a great month, and take care of your skin! HN

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

You’ll also find a feature on precautions individuals with vitiligo should take to protect their skin from the sun’s dangerous rays. Dermatologist Seth Forman discusses his preferred skin protection methods while Tonja Sincerely,

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

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

✱ Physician referrals

✱ Ongoing relevant communication ✱ Access to CME Programs ✱ Workers compensation insurance benefits

✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications

✱ 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.

centralfloridahealthnews.com

FEATURE PREVENTION

POP QUIZ!

compiled by ERIKA ALDRICH / Resources: Information provided by the American Academy of Family Physicians, the Mayo Clinic.

7. E. All of the above. Those taking antidepressant or antipsychotic medications should always check with their doctor and pharmacist before also taking an herbal supplement.

8. D. All of the above. Danshen, or red sage, has negative interactions with many prescription medications.

9. D. All of the above. Stop taking the herbal supplement, contact your doctor, and go to an emergency room for serious complications if you think your herbal supplement is interacting negatively with your medications.

centralfloridahealthnews.com

4. A. Echinacea. Echinacea, taken for a boost to the immune system, can negatively interact with some chemotherapy agents.

5. True. Coenzyme Q10 can decrease the effectiveness of the many blood thinners/ anticoagulants and/or lower blood pressure.

6. B. Goldenseal and St. John’s wort. Because there are so many interactions with prescription and over-the-counter medications, it is recommended that neither Goldenseal nor St. John’s wort be taken with any other medication, either prescription or over-the-counter medications.

J

uly is Herbal/Prescription Interaction Awareness Month, and it’s time to talk about some common interactions between herbal supplements and prescriptions or over-the-counter medications. Most people will take at least one prescription medication in their lives, and some estimates maintain that about 70 percent of those age 60 and older take at least one herbal medication in the form of pills, oils, teas and more.

Some interactions disrupt the effects of certain medications, making them ineffective or even more potent. Other interactions can be life-threatening. Take our pop quiz to educate yourself on the possible interactions between your overthe-counter or prescription medications and herbal supplements.

1. Signs you are experiencing an interaction between your prescription medications and herbal supplements include which of the following?

A. Rapid heartbeat B. Changes in blood pressure C. Feeling “off” or ill D. All of the above 2.

Which of the following common herbal supplements can increase bleeding risk for those on blood thinners/anticoagulants, like Clopidogrel, Warfarin or an aspirin regimen?

A. Chamomile, cranberry, evening primrose B. Garlic, ginger, gingko biloba, ginseng, & green tea C. Saw palmetto D. All of the above 3. Fish oil, commonly taken for the omega-3s that fight inflammation and may help prevent heart disease and reduce declines in brain function, can cause problematic interactions with which of the following medications?

A. Birth control pills B. Blood thinners and hypertension medication C. Xenical (treats obesity) D. All of the above 4. If you are taking chemotherapy agents, which herbal supplement should you avoid because it could negatively interact with the medications?

A. Echinacea B. Gingko Biloba C. Chamomile D. Turmeric 5. True or false?

Coenzyme Q10, an antioxidant people take to

help high blood pressure, heart issues, and more, can decrease the effectiveness of the blood thinner/ anticoagulant Warfarin (Jantoven) and/ or decrease your blood pressure if you also take a calcium channel blocker, like diltiazem (Cardizem, Tiazac, others).

6.

Which of the following herbal supplements are strongly recommended to be avoided in combination with most over-the-counter and prescription medications because there are so many negative interactions?

A. Ginseng and Valerian B. Goldenseal and St. John’s wort C. Cranberry and saw palmetto D. Garlic and curcumin 7. Which of the following herbal supplements has/ have been shown to cause interactions with antidepressant and antipsychotic medications?

A. Curcumin B. Echinacea C. St. John’s wort D. Ginseng (Asian) E. All of the above 8.

Danshen, or red sage, has which of the following negative interactions with prescription medications?

A. It significantly increases the bleeding risk for those on a blood thinner/ anticoagulant or aspirin.

B. It raises the risk of dangerously low blood pressure for those taking a calcium channel blocker.

C. It puts those taking Digoxin (Lanoxin)—used to treat a variety of heart conditions—at risk of irregular heartbeat (arrhythmia).

D. All of the above 9.

What should you do if you think you are experiencing a negative interaction between your herbal supplement and your prescription or over-the-counter medications?

A. Stop taking the herbal supplement B. Discuss it with your doctor C. Go to the ER if you think your interaction is serious or life-threatening D. All of the above ANSWERS: 1. D. TAll of the above. Most medication/herbal supplement interactions affect blood pressure or the heart, but interactions could present with many different side effects.

2. D. All of the above. Many herbal supplements have negative interactions with blood thinners/ anticoagulants and aspirin regimens.

3. D. All of the above. Fish oil may seem safe because it comes from a natural source, but it can interact with many prescription medications.

Which Supplements Are Safe to Take With Medications?

CFHN | 7

St. Joseph’s Children’s Hospital Foundation presents

Christmas In July

July 1–31 Your donation can give hope to the extraordinary kids at St. Joseph’s Children’s Hospital by providing ways for them to cope during their hospital stay.

Find out how you can help: StJosephsChristmas.org

21-1569601-0621

COMMUNITY CARE

Central Florida Health Care Helps Uninsured Patients With Hepatitis C

by MATT COBBLE

F

or many years, patients diagnosed with Hepatitis C had few options for treatment.

Before the mid-1990s, Hepatitis C could not be cured, only managed with monthly injections supported by daily doses of medication. Even when treatments began to hit the market in 1994, the cost of the medication was frequently prohibitively expensive.

Central Florida Health Care hopes to alleviate some of those concerns by offering treatment for Hepatitis C, even to those patients without insurance.

“It feels really nice to be able to do this for these patients who have had Hepatitis C for so many years but could never get treatment due to being uninsured,” says Linda Gellatly, ARNP. Gellatly is a nurse practitioner with Central Florida LINDA GELLATLY Health Care who works with infectious disease patients, specializing in hepatitis and human immunodeficiency virus (HIV).

“Uninsured patients with hepatitis C can be seen, paying only office fees, which follow

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Financial Assistance

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Walk-ins Welcome centralfloridahealthnews.com

a sliding scale, based on income guidelines.

Medications can be provided at no charge by drug manufacturers, again based on income qualifiers.”

This fact is especially noteworthy for patients without insurance, as the cost of the medication can range from $26,000 up to $86,000, depending on the formulation and manufacturer of the medication. Of the 90 patients Gellatly has treated in her time at Central Florida Health Care, 50 of them have been uninsured.

Hepatitis is a viral infection that causes inflammation of the liver, sometimes leading to serious liver damage, such as liver cirrhosis or liver cancer. Different strains of the virus cause different types of hepatitis, including: • Hepatitis A Virus (HAV), which is found in the blood and stool of infected people and is very contagious. Patients with hepatitis A are not typically hospitalized. The disease typically runs its course over weeks or months, with a relatively low mortality rate.

A vaccine for hepatitis A is available and alongside thorough hand-washing, serves as the best prevention.

• Hepatitis B Virus (HBV), which is incurable even though a vaccine exists. Hepatitis B is most frequently spread through blood or Medical

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Pediatrics

bodily fluids, such as injection drug use or sexual contact.

• Hepatitis C Virus (HCV), which is also most commonly transmitted through blood or bodily fluids. Hepatitis C is treatable, but no vaccine currently exists. Until recently, hepatitis C treatment required weekly injections and oral medications that many infected people were unable to take either due to other health problems or unacceptable side effects from the medication. Today, chronic HCV is usually curable with oral medications taken every day for two to six months.

The Centers for Disease Control and Prevention (CDC) recommends that every person 18 and older be screened for HCV at least once in their lifetime.Early treatment is the key to successfully curing HCV. Individuals with untreated hepatitis C can develop other types of liver disease, including cirrhosis, which is the number one cause of liver transplants in the United States.

But with proper treatment, cure rates are approximately 98 percent.

“Everyone can be treated,” Gellatly stressed, “regardless of their ability to pay.”

To learn more about Central Florida Health Care, visit CFHConline.org or call 866-234-8534.

Pharmacy

Referrals

Vision

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FEATURE EDITION

HOT TOPIC

Area Doctors Help Us Clear Up Common Summer Skin Care Myths

by TERESA SCHIFFER

S

ummer is officially here and it’s time to catch some rays! Here in Central Florida, we don’t really need to do much in order to get our daily dose of vitamin D from the sun, but many folks still enjoy heading out to the beach or hanging poolside to lounge and soak up some summer sun. Despite the pleasure of just taking it easy and working on that golden tan, it’s important to remember that sun damage can be a major health risk, so be smart and protect yourself. Some local physicians have offered to clarify some of the myths that commonly make the rounds at this time of year regarding protection against the harmful effects of sun exposure Myth 1: The higher the SPF, the better the protection.

It’s pretty well known by this point that we should all be wearing sunscreen on any exposed skin on a regular basis year-round, especially in Florida. Doctors generally recommend a minimum SPF (Sun Protection Factor) of 15, though many would increase that to an SPF

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30. The SPF indicates how much longer a person can tolerate the sun before becoming burned. For example, if you typically burn after 30 minutes, an SPF 15 would protect you for 15 times 30 minutes, or 450 minutes (7.5 hours). Of course, you would need to reapply protection several times within that time frame, but that’s basically how it works. So does that mean that the higher the SPF, the more you are protected?

“Yes, but the increased protection is only minimally more effective,” Dr. Andrea Hastings says. Hastings is a primary care physician with BayCare Medical Group who practices in Lakeland. She continues, “When applied in a sufficient amount, the amount of UVB radiation absorbed by SPF 15, 30, and 50 sunscreen products is 93, 97, and 98 percent, respectively.”

Since no sunscreen is going to provide 100 percent protection, the increase beyond SPF 30 or 50 is negligible.

Your level of protection can also be affected by centralfloridahealthnews.com

HEALTHY SKIN how you apply the sunscreen.

“Proper application is key to getting the desired SPF protection,” Lakeside Dermatology’s Dr. Alex Kennon says. “Studies have shown subjects only applied 25-75% of the amount required to achieve the rated SPF, thus decreasing the efficacy. It requires 1-1.5 ounces (2-3 tablespoons) of sunscreen to cover the average body to achieve the rated SPF.” Don’t forget to reapply! According to Kennon, you should reapply every two hours, or every 40 minutes if you are sweating or swimming.

Myth 2: You only need to wear sunscreen when you’re outside.

If you assume that you only need to apply sunscreen when you plan on being active outside, think again!

Board-certified dermatologist Dr. Pamela Sakalosky from Lakeland’s Watson Clinic Bella Vista Building clarifies this misconception, “Whether spending time inside or out, wearing sunscreen is one of the most important things you can do for your skin. The sun’s rays can pass through the glass windows of your home and car and cause premature aging and wrinkling of the skin.”

Myth 3: If your skin tans as opposed to burning, you don’t need to be concerned about skin cancer.

If you’re a real sun worshipper, you might not like this next one very much.

“Tan skin is damaged skin,” Kennon explains. He goes on to explain why tanning isn’t such a great idea, healthwise, “Tanning is a result of your skin’s attempt to protect itself from UV radiation and DNA damage, which can potentially lead to skin cancer. The melanin produced by tanning acts as an umbrella over the nucleus of cells trying to shield DNA from damage, but it is imperfect and some UV radiation does get through.”

Sakalosky agrees. “There is no such thing as a healthy tan.”

centralfloridahealthnews.com

Myth 4: Using a daily moisturizer with sunscreen in the morning offers ideal protection for your face.

Using a daily moisturizer with sunscreen on your face can provide some protection, but don’t be lulled into a false sense of safety if you just apply only in the morning and then go about your day. “A daily moisturizer with sunscreen is a good start,” Kennon says, “but you want to make sure it is at least SPF 30. Broad-brimmed hats, UPF (Ultraviolet Protection Factor) protective clothing, and makeup with sunscreen provide additional protection.” If makeup isn’t really your thing, be sure to reapply your protective moisturizer every couple of hours for maximum effectiveness.

Myth 5: You can’t use retinoids or retinol in the summer because they can cause sun sensitivity.

Retinols and retinoids have increased in popularity in recent years as means of preventing and reducing fine lines, wrinkles, and dull skin, but there are some precautions that should be minded.

“Retinols and retinoids can be continued in the summer as long as one is diligent about sun protection,” Sakalosky says. “Since retinol breaks down in sunlight and makes the skin more prone to sun damage, make sure you apply it at night and go heavy on the sunscreen the next day.”

The bottom line is, enjoy the summer sunshine, but be wise about it. Cover up when you can, and always use sunscreen, whether you plan on spending time outdoors or not.

Damage from ultraviolet radiation doesn’t go away, so protect yourself from burning and minimize tanning.

Skin cancer is nothing to scoff at, so any time you notice alterations in your skin, such as new growths or changes to existing moles, freckles, or birthmarks, contact your primary care physician or dermatologist to get it checked without delay. HN

Enjoy the Summer Wisely

I

n Central Florida, we are blessed ALEX W. KENNON, MD, with sunny days for about two-thirds FAAD of the year. With so much sunshine pouring down on us, it’s important to remember that too much of anything – including sunshine – can be bad for your health.

The biggest danger of too much sun exposure comes from the sun’s ultraviolet radiation. UV rays can damage the skin, causing an uncomfortable or even painful sunburn, and potentially leading to cancer. Damage from the sun accumulates over our entire lives and 1 in 5 Americans will develop skin cancer. It is always wise to take steps to protect your skin from harmful UV rays.

Clothing Get into the habit of protecting your skin from sun damage by preparing ahead of time. First of all, think about your clothing. Of course, clothes protect us from the sun’s rays, but some fabrics do this better than others. Cotton lets a lot of ultraviolet radiation pass through it, whereas polyester, nylon, and silk block or reflect UV rays much better. Clothing labeled with an Ultra Protection Factor (UPF) has been tested and rated for its ability to protect against UV radiation. A UPF of 50 blocks 98% of harmful UV radiation. Stretched-out fabrics offer less UV protection, so opt for something looser-fitting. In general, if you can see light through the fabric when holding it up to a light, it’s not effective at blocking UV rays.

Don’t Forget the Eyes, Ears, Nose and Lips Wearing a broad-brimmed hat will help keep the sun off of your face and neck, and sunglasses labeled “100% UV protection” are definitely helpful. Of course, don’t forget your sunscreen! Use a broad-spectrum, water-resistant sunscreen with a Sun Protection Factor of at least 30 on all exposed skin. Just as importantly, don’t forget to reapply every two hours that you are outside. In addition, a lip balm with an SPF of 15 or higher will help to protect your lips.

Enjoy the summertime, play outdoors, go to the beach, live your life to the fullest – just remember to take a few simple precautions to protect your health and your future.

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 MEDICAL PROFESSIONAL

NEW FACE AT WINTER HAVEN HOSPITAL Chief Medical Officer Brings Optimism, Drive to BayCare Facility

by TERESA SCHIFFER

B

ayCare’s Winter Haven Hospital welcomed new Chief Medical Officer Dr. John Davidyock on May 31. Davidyock is boardcertified in internal medicine and hails from eastern Pennsylvania, near Lehigh Valley in the Philadelphia region, where he had been practicing medicine for about 15 years. Three years ago, he made the choice to transplant his family from the North to sunny Central Florida, where he accepted a position as Associate Chief Medical Officer for the Central Florida Division at AdventHealth Orlando.

The decision to relocate to Florida probably came as a surprise to the doctor’s family, as throughout his life he had been quite attached to his hometown, intending to spend his career serving that community. Pennsylvania is where he attended medical school, did his residency, and even started a hospitalist company in 2007 when the concept was just beginning to be utilized within the medical community.

Davidyock saw an opportunity to take his career to the next level and broaden his reach when

14 | CFHN

he noticed the open position at AdventHealth Orlando. He recognized that Central Florida has a high demand for quality health care, and he seized the opportunity to provide his services.

“Every day is a learning experience, as long as you’re approaching every day with a positive attitude and eyes wide open to use the knowledge that you have to improve things,” Davidyock says regarding his previous experience.

He intends to bring that same attitude of inquisitive optimism to Winter Haven Hospital, where his goal is to provide each patient with the best possible medical care.

“I know that my parents and family members will always visit or reside in Florida, and I know that, as humans, we will all eventually have a need for a hospital. At that point in time, I want them to know that when they come to Winter Haven, they’re getting the best care that they can get, and not just because they’re related to the new CMO here, but because they’re treated that way regardless of who they are,” Davidyock says. centralfloridahealthnews.com

HEALTHY AGING

July is UV Safety Month

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DR. JOHN DAVIDYOCK

“It doesn’t matter who walks through the door. I don’t need to know you, because I know that you’re going to get the best care that’s possible here and be treated kindly, with compassion and the respect that we all deserve to be treated with.”

Although the COVID-19 pandemic made traveling back to Pennsylvania to visit family with his wife and two children virtually impossible, he acknowledges the major impact that the pandemic has had on the medical community.

“I think COVID has really brought to the forefront what it means to practice and be wise,” he says.

“We’ve recognized for years now that healthcare has shifted a lot from productivity to value and quality. I think that that shift has been an extremely important avenue of what we do because it allows physicians to really embrace that role and care for their patients efficiently with the highest quality and clinical expertise that they can.”

Davidyock says COVID pushed the medical community to new lengths.

“COVID has really come in hard and fast and pushed us to do things that we needed to do. I look at it as being wise.. … We need to be innovative, and we have to be agile.” HN centralfloridahealthnews.com

hen we think of summer, images of beachEDWARD ATTAWAY, O.D. es, theme parks, and outdoor sports and activities come to mind. While getting out of the house and doing things outside is generally considered healthy, there are risks involved, one of which is exposure to the dreaded UV light.

Ultraviolet (UV) light refers to the region of the electromagnetic spectrum between visible light and X-Rays with a wavelength between 10 and 400 nanometers. It is not visible to the human eye because it has a shorter wavelength and higher frequency than the light our brain perceives as images.

There are three main types of UV radiation. UV-A (320-400nm) has the longest wavelength and is the least harmful. UV-B (290-320nm) causes sunburn with prolonged exposure along with an increased risk of skin cancer and other cellular damage. UV-C (100-290nm) is extremely harmful but is absorbed by Earth’s atmosphere and does not pose a threat.

The eyes are particularly susceptible to the effects of UV light. Excessive exposure over a short period of time can cause photokeratitis, like a sunburn of the eye. Photokeratitis can be painful and causes red eyes, watering and foreign body sensation, or a gritty feeling. Fortunately, these symptoms are usually temporary and rarely cause permanent damage to the eyes.

More prolonged exposure to UV radiation increases the risks of eyelid skin cancers, cataracts, and macular degeneration. Therefore, when you spend time outdoors, wear quality sunglasses that offer UV protection and a hat or cap with a wide brim. Also, certain contact lenses can provide UV protection.

The American Optometric Association recommends sunglasses that: • Block out 99-100% of both UV-A and UV-B radiation • Screen out 75-90% of visible light • Have lenses that are perfectly matched in color and free of distortions and imperfection • Have lenses that are gray for proper color recognition • Are impact-resistant if used with potentially hazardous outdoor activities • Are mounted in a wraparound frame if you spend a lot of time outdoors One of the joys of living in Florida is being able to participate in outdoor activities year-round. Let’s all get outside and have fun, but don’t forget to take the proper precautions. All of our locations carry sunglasses available with prescription or without and you can visit any of our optical departments without an appointment. If you are due for an eye exam, call us at 800-282-3937 to schedule an appointment or visit our website, EYESFL.COM.

Dr. Attaway is an optometrist who practices at the Winter Haven location for Eye Specialists of Mid-Florida.

CFHN | 15

HEALTHY COOK

Keep Your Cool in the Kitchen

by CAROL CORLEY

W

hen summer’s heat and humidity strike our beautiful subtropical home, the last thing we want to do is heat up the kitchen. So how do we survive our challenging summers yet still remain healthy?

Yes, we can have salads, but they get old. How about cold watermelon soup? Or cucumber chicken? How about a spicy meat dish that cools from inside out?

Some foods are cooling — watermelon and other melons, cucumber, berries and summer fruits, bananas, avocados, coconut, lettuces. Some people feel spicy foods cool us.

I’m a bit skeptical but willing to give it a try.

As for meat and proteins, cold chicken strips, wraps, and cold sandwiches can be cooling, especially by adding slaw and cucumbers.

And dessert offers so many frozen choices that you will run out of summer before you run out of ideas.

Foods to avoid on a hot day are those that increase metabolism — spinach, brown rice and other whole grains, carrots, ginger, eggs, oatmeal, almonds. But in Florida, most of us have air-conditioning, so if you like a food, eat it.

Historically, and before air conditioning, old Florida served foods in the summer like large mouth bass and other fish, wild citrus, foods with Spanish influence like Garbanzo soup with dried chick peas, vegetables, and saffron. They also served wild game, beef, lamb, pork.

Native American foods included wild game and wild plants, and they included mollusks, fish, snails, shellfish, alligator, rattlesnake, turtles, maize, squash, beans, honey, persimmons, and much more, as noted by foodtimeline. org.

Here are a few cool dishes that are a bit easier to prepare.

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Cold Watermelon Soup (Adapted from food.com) Ingredients: Watermelon, 4-5 cups peeled and cubed Lime juice, 1/3 cup fresh Honey, 1 tablespoon Mint leaf, 1 tablespoon fresh, chopped fine Wine, 1/3 cup dry white Ginger root, 3/4-inch minced Jalapeno peppers, 1 halved, seeded, chopped, if desired Tabasco sauce to taste

Asian chili sauce, 2 tablespoons Lemon zest and lime zest, 1 teaspoon each finely grated Olive oil, 1/2 cup Directions: Combine basil, cilantro, garlic, fish and chili sauces and process in a small food processor until finely chopped. Add zests and oil and pulse until smooth. Rub the marinade on steaks and keep in the refrigerator for 24 hours. If you want it quicker, you can let it rest at room temperature for 30 minutes.

Grill steaks on a preheated grill at moderately high heat, turning occasionally. Cook until medium-rare, and let steaks rest for 5 minutes. Thinly slice across the grain and serve.

Directions:

Note that marinade can be made up to 3 days ahead and kept in the refrigerator. It can also be used with chicken or shrimp.

In a blender, combine all ingredients except tabasco sauce and process until smooth. Chill at least 4 hours covered. Serve in chilled bowls with tabasco sauce on the side.

Frozen Margarita Pie

Spicy Thai Steak (Adapted from foodandwine.com) Ingredients: Steak, 3 pounds skirt steaks cut into strips or steak of choice Basil leaves, 1/4 cup Cilantro leaves, 1/4 cup Garlic cloves, 6 peeled Asian fish sauce, 2 tablespoons

(Adapted from bonappetit.com) Ingredients: Butter, 6 tablespoons unsalted, melted Graham crackers, 10 Sugar, 3 tablespoons Salt, 1/2 teaspoon Heavy cream, 3/4 cup chilled Limes, 5, for 1/2 cup juice Sweetened condensed milk, 14 oz Tequila blanco, 3 tablespoons Directions: Add to food processor graham crackers, sugar, half the salt, and cooled melted butter. Process until the texture of wet sand. Place in a 9” pie pan,

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ADVENTHEALTH

Get Ahead of the Class: Making The Most of Your Child’s Back to School Physical

firmly pressing the bottom and sides.

Freeze at least 20 minutes.

Take limes, cut in half and juice, straining with a fine-mesh sieve. Add tequila, condensed milk, and remaining salt.

Whisk until smooth. Take heavy cream and whisk until stiff peaks form. In small quantities, fold the whipped cream into the lime juice mixture, and continue folding until no streaks remain. Taking the pie pan out of the freezer, pour in filling and gently spread. Zest some of the remaining lime over the pie.

S

ummertime feels a little bit different this year, and going back to school might feel different, too.

ANDREW TEFFEAU, DO While we may not know exactly what’s in store for the next school session, there’s no better time than the present to make sure your kids are ready by having their required physicals.

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Many schools ask parents to fill out and return health-related forms before school starts in the fall, most of which require a doctor’s signature. These forms may: • Allow the staff to give your child medication during the school day • Clear your child to play sports • Confirm that your child’s vaccinations are up to date

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If your child has missed his or her regular well visit or vaccination during the pandemic, now is the time to make sure they are up to date. Any child who is being enrolled in school for the first time in Florida must have proof that he or she has received a physical exam within the past year.

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It’s also important to bring along a list of the medications your child takes regularly. Just jot down the drug name, dosage and how often your child takes the medication. Be sure to let the doctor know if your child received other medical care in the last year.

Prepare for Immunizations

All school systems require certain immunizations in order for children to attend classes. Your child’s back-to-school physical is the ideal time to get up to date on those shots.

Request Prescription Refills

If your child needs the school office or school nurse to keep extra medication on hand, let your doctor know. These can include: • An emergency inhaler for asthma symptoms • An Epi-pen for severe allergic reactions • Insulin for Type 1 diabetes • Medication for attention deficit disorder

Nothing Is More Important Than You

All AdventHealth facilities are taking extra measures to keep you safe, including masks worn by visitors and staff, temperature checks, social distancing reminders, remote check-ins and frequent sanitizing.

For same and next day appointments, call 407-537-5516 or visit CentralFloridaBacktoSchool.com.

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CFHN | 17

FEATURE EDUCATION

DR. SETH FORMAN

VITILIGO VIGILANCE Protection Is Key During Florida’s Intense Summers

by PAUL CATALA

18 | CFHN

N

ot long after Tonja Johnson was diagnosed, she knew her days out in the direct summer sun were, for the most part, over.

In 2013, Johnson was living in Lakeland and working as a program manager for the Hillsborough County Department of Health. It was around that time that she learned she was one of the approximately 2-4 million Americans who have a disease called vitiligo.

Vitiligo occurs when pigment-producing melanocytes die or stop producing melanin. The disease results in a patchy loss of skin color and it can occur at any age.

It tends to progress over time, with larger areas of the skin losing pigment, resulting in patchy white spots.

Vitiligo can be caused by an autoimmune disorder, heredity or trauma to the skin.

During the intense, sunny summer months, vitiligo patches easily burn or scar since there isn’t any natural protection from the sun. That means Johnson and others with vitiligo must cover their skin and seek shade during the hottest, brightest days of our Florida summer.

Johnson has now lost more than 85 percent of her skin color and says she sunburns very easily. She must now closely monitor her sun exposure, especially during the summer months.

“Learning to adapt has been important,” she says.

“You really can’t do all the outdoor activities you normally do — theme parks, football games — you’re not able to do any of that,” says Johnson, who in 2017

TONJA JOHNSON

founded Beautifully Unblemished, a unique vitiligo support group that has connected people with vitiligo throughout the state.

“I wear a lot of protective clothing, sunscreen and try to avoid the direct sun as much as possible,” says Johnson. “I love the water, so I try to find the right time of day to go to the beaches. Early morning or evening is when I have to go. I’ve since gotten comfortable and know what I need to do during the summer. I work hard to avoid direct sunlight during those months.”

For Floridians with vitiligo, summer marks a season of special care, with an emphasis on regularly applying sunscreen, avoiding excessive tanning, wearing protective clothing and avoiding peak sun hours.

Those precautions are important ways to make the summer safe and fun for those with the skin condition, says Dr. Seth Forman, a dermatologist, vitiligo researcher and owner of the ForCare Medical Group in Tampa.

Forman says individuals with vitiligo slowly lose normal skin tone, “which is very disturbing to them.” He says the summer months make that loss unpredictable, losing little skin color some days, then much more on others.

Forman says the areas without pigmentation are more susceptible to sunburn and skin cancer during the summer.

To help protect the skin, Forman suggests using sun-

centralfloridahealthnews.com

screen with a Sun Protection Factor of at least 15. However, he says he prefers the protection that clothing can offer.

“I prefer protective clothing more than sunscreen, no matter what the issues are, for those with or without vitiligo,” says Forman, a graduate of the Medical College of Virginia in Richmond.

As for sunscreen, Forman recommends any type that protects against Ultraviolet A and Ultraviolet B sun radiation. UVA has a longer wavelength and is associated with skin aging; UVB has a shorter wavelength and is associated with skin burning.

“That’s why when you buy sunscreen, you have to make sure it’s broad-spectrum; that means it has the UVB protection and the UVA protection,” he says. “You need sunscreen with both, but I still think physical blockage (clothing) is best,” he says, saying some clothing is now manufactured with sun-protection factors woven in. He says this type of material is ideal to wear in the water because it dries quickly.

Forman says it’s also advisable for everyone, but particularly those with vitiligo, to stay out of the sun during the peak hours of 10 a.m. to 4 p.m.

Another factor to consider is cloud cover. Clouds don’t block any UV rays, so even if it’s cloudy or overcast, sunscreen is still a necessity.

Forman recommends that those with vitiligo who wear makeup use UV-blocking makeup, such as a high-quality concealer that is smudge-proof, sweatproof and moisture-resistant.

HEART NEWS Meet Our Doctor

Dr. Aparajita is a fellowship-trained vascular surgeon and has been serving the Polk County community for the past 1 year. She earned her Bachelor of Medicine and Bachelor of Surgery (MBBS) degree at University of Delhi, India. She then completed a research fellowship in vascular surgery at Columbia University Medical Center in New York and a residency in General Surgery at Staten Island University in New York, sheof completed herin fellowship training iabetesHospital affects millions people the U.S. It inisVascular one Surgery at Newark Beth Israel Medical Center and St. Barnabas of the most affecting the developed Medical common Center in Newdiseases Jersey. world and is strongly obesity factor.

It’s aof Dr. Aparajita is also linked a Membertoofthe the Royal College of Surgeons Edinburgh, UK (MRCS Ed) and completed her Basic Surgical Training in RITU APARAJITA, MD, RPVI chronic illness, and like HIV, people don’t die of diabetes but England soon after her medical school.

KSC Cardiology its complications.

More than 7 million people with diabetes Dr. Aparajita is the co-author of more than two dozen journal articles, publications presentations, including such as are undiagnosed, andand 1 in oral 3 American adults is at topics risk for developing type 2 diabetes endovascular treatment for thrombosis, aortic aneurysm repair, stroke, As always and is true for other conditions, prevention is better than cure. peripheral artery disease and other vascular conditions.

Additional posts and volunteer work include a teaching position at Diabetes involves having high sugar levels in your blood. That may either be due to: Hofstra Northwell School of Medicine and as a Member of the Public and 1. Deficiency of a hormone (chemical) called insulin leading to Type 1 diabetes (usually Professional Outreach Committee as well as the International Relations at the Society Vascular (SVS). onset Committee in childhood) andformay be Surgery related to the destruction of the pancreas due to Aparajita was recently nominated for the American Medical injury Dr. or disease.

Association (AMA) Inspiration Award that recognizes physicians 2. Insulinwhoresistance: Adequate amountsof of insulin present in the bloodstream have contributed to the achievements women in the are medical profession. but the body fails to utilize it and “uptake” the sugar (insulin resistance or type 2

The Dangers of Diabetes

D

diabetes).

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

Joining KSC Cardiology November 9, 2020

If sunburn does affect exposed areas of vitiligo, he says, all you can do is treat the burn and try not to do it again.

“Depending on the sunburn damage, you can take an over-thecounter pain reliever and use aloe,” he says. “But once you have a sunburn, you can’t reverse it. You just have to treat it supportively. The key is to provide sun protection, whether it be with sunscreen with SPF greater than 15, but I prefer protective clothing.

They’re both important.” HN

MEDICAL ADVICE, CONTINUED FROM PAGE 5

Skip the Burn This Summer • “A” Asymmetrical- Does the mole or spot have an irregular shape with two parts that look different?

• “B” Border- Is the border irregular or jagged?

• “C” Color- Is the color uneven?

• “D” Diameter- Is the mole or spot larger than the size of a pea?

• “E” Evolving- Has the mole or spot changed during the past few weeks or months?

It is important for all Florida residents to be educated about skin cancer and melanoma to prevent and protect themselves against the sun’s harmful rays. Following these simple prevention measures can help residents enjoy a safe and healthy summer as they play and work outdoors.

For more information about skin cancer, visit cdc.gov. centralfloridahealthnews.com

Having higher than normal levels of insulin in your circulating blood damages many organs.

• Kidneys have tiny blood vessels that get blocked due to diabetes and eventually the kidney loses function and may fail, leading to end-stage renal disease, which can place you on hemodialysis.

• Eyes: The retina has small blood vessels that can get blocked, leading to a loss of vision.

• Blood vessels leading to peripheral arterial disease. Diabetes damages the tiny arteries that feed oxygen and nutrients to the foot, leading to chronic pain, sores that may not heal and possible amputation of toes and, in some cases, the entire foot.

• Neuropathy: Nerves are damaged due to the blockage of blood vessels that supply oxygen to them, leading to a loss in sensation.

Diabetes can lead to delayed wound healing, and even a small cut in your foot can lead to the rapid onset of infection cellulitis, frank pus and osteomyelitis. This is made worse by existing peripheral arterial disease and lack of adequate blood flow to the foot for wounds to heal. People with diabetes also have a loss or decreased sensation to their feet (neuropathy) and this compounds the problem. They may not notice a cut or pain until much later and by that time, the infection may have spread rapidly.

Therefore it is imperative that all patients who have diabetes have their feet checked by a podiatrist (foot doctor) for routine surveillance as this has shown to prevent amputation rates.

For more information, visit the American Diabetes Association website at diabetes.org 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).

CFHN | 19

July 2021 | CALENDAR compiled by TERESA SCHIFFER

RECURRING ONLINE EVENTS 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 bootcamp-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.

Bariatric Support Group Virtual St. Anthony’s Hospital sponsors this virtual support group for presurgical and postsurgical patients and their families. This session will take place on the fourth Tuesday of each month from 5 – 6 p.m. To learn more, please call 855-269-4777.

You can register for this free event at baycare. org/events, search for “Bariatric Support Group.”

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

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

20 | CFHN

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

EVENTS AND FUNDRAISERS July 6 – Breastfeeding Support Group Virtual St. Joseph’s Women’s Hospital sponsors this support group that is exclusively for breastfeeding mothers. It takes place from 10 – 11:30 a.m.

If you need more information, please call 855269-4777. You can register online by visiting baycare.org/events and searching for “Breastfeeding Support Group.”

(Previously Met at Faith Assembly)

July 7 – Ritmo Yoga

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.

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

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.

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

July 15 – Colorectal Health This is an informational virtual event presented by Bartow Regional Medical Center. It will take place from 12 – 1 p.m. and is free. You will need a computer or mobile device with internet access to attend this event, but a camera and microphone are not necessary. For more information, please call 855-269-4777 or visit baycare.org/events.

July 27 – Perinatal Bereavement Support Group Virtual Learn strategies for self-care, exploring grief, and strengthening communication with loved ones after the loss of a baby. This virtual event is free and requires access to a microphone and camera. It is sponsored by Winter Haven Women’s Hospital and will take place from 6:30 – 7:30 p.m. For more information or to register, please visit baycare.org/events or call 855-2694777.

centralfloridahealthnews.com

EDITOR’S DOSE

TOO HOT TO HANDLE? JESSICA McDONALD, EDITOR

jessica@centralfloridamediagroup.com

I

n this edition, we’ve packed in a lot of information on how to protect your skin from the sun, but let’s not forget about what goes on inside your body when the temperatures soar. Heatstroke and dehydration are a very real threat when the temperatures rise in the summer.

Heat Exhaustion Symptoms When you’re out and about enjoying the outdoors, it’s important to watch for signs that your body may be overheating. Heatstroke can manifest with the following symptoms:

• Pale, clammy skin • Dizziness

• Heavy sweating • Muscle cramps

• Fast and weak pulse • Headache

• Fainting If you or anyone around you shows symptoms, it’s critical to act immediately to bring the body’s core temperature down. You can do this by moving to a cool place, loosening your clothing, applying

a cool, wet cloth to your body and sipping water. If symptoms continue for more than one hour, worsen or you are vomiting, it’s time to get medical help. If left untreated, heat exhaustion could lead to heatstroke, a potentially fatal condition that happens when your core body temperature hits 104 degrees Fahrenheit or higher.

Prevention Keep in mind that there are steps you can take to decrease your chances of experiencing heat exhaustion, including: •A voiding strenuous activity during the hottest part of the day • Staying hydrated •W earing loose-fitting and lightweight clothing • Allowing yourself to get acclimated to hot weather before working in it • Knowing your risk — Young children, individuals older than 65 and people taking certain medications are more susceptible to heat exhaustion.

• Monitor the weather — Keep an eye on the heat index, which takes into account temperature and humidity. The higher the humidity levels, the harder it is for your sweat to evaporate. As a result, your body loses its natural ability to cool itself.

If you know what signs to watch for and what to do when you spot danger, you’ll be better prepared to safely enjoy the summer! Now, go forth and make some memories! HN

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CFHN | 21

PHYSICAL WELLNESS

PCMA LETTER

BODY, MIND & SPIRIT

Understanding Tailbone and Pelvic Pain

W

e’ve all heard it: “This is a pain in the butt,” right?

As with most expressions, JOE KOLOC, MSPT, MBA fables and fairytales, that expression came from somewhere. Pain in your tailbone and pelvis can be very debilitating but different from other forms of back pain like sciatica or stenosis, which basically are inflammation or pinching of nerves and tissues. Pain in the tailbone, or SIJ (sacroiliac joint) is quite common and is usually a twist or malalignment.

The first thing to know is that this malalignment is usually at the pelvic bone on one side and the tailbone on the same or opposite side. The tailbone, or sacrum, isn’t really a moving joint. It has a ton of ligaments that support it and hold it in place, but this support system can be compromised by a fall, chronic leg crossing (sound familiar, ladies?) or just stepping off a curb one day. The problem is that something that’s not supposed to move has slipped out of alignment and it is pinching the joint’s surface, causing a lot of pain.

The next thing is to look for anything obvious like a curvature in your low back or one leg that looks or feels longer than another. This can cause a twist in the bones in your back or vertebrae as well as in the sacrum and pelvic joint. What makes it worse/better? Does sitting make it worse, walking make it better? Does crossing your leg relieve the pain? Does sleeping on only one side help? All these things can be a sign of something being out of alignment.

The treatment is a little trickier because it’s hard to assess and treat your own pelvis and back. A lot of our clients find ways of “popping” the joint back into place on their own, but if this is done too often, without a stabilizing program, it can cause extra wear and tear and arthritis. It is good to avoid quick movements and things that make the problem worse, or make it “pop.” Ice followed by heat can help, too. This is a tough one to treat on your own, and the best solution is to have your pelvis and tailbone checked by someone who specializes in sacroiliac joint dysfunction.

To learn more, go to https://vimeo.com/540781819 or text or call 863-322-0831.

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

Bio: Joe Koloc is a lifelong resident of Lake Wales who has degrees in Physical Therapy from the University of Central Florida and an MBA from Webber International University. He opened Core Rehabilitation in 2013 and has 25 years of clinical experience as a specialist in shoulder and back pain.

22 | CFHN

Clothing: The Skin We Choose

by MARY JOYE, LMHC

W

hat we put on our bodies as clothing is as important to how we care for our skin. Though many people enjoy being scantily clad in the privacy of their homes, most wouldn’t dare go out in what they wear around the house. How much skin we bare and what we choose to wear cause impressions of us far beyond the external.

Modesty throughout history has been considered a virtue but researchers discovered there is more than meets the eye when we appear in public. In 2011, Kurt Gray Ph.D., et al, experimented with photographs of one attractive young woman and one man. The first photos were headshots from the neck up, and the next two were the same photograph except they showed the woman in a bikini top and the man bare-chested. Those who saw only the headshots perceived the pair to have a “sense of agency” and a projection of confidence. When the bare skin was shown, the observers thought less about the subjects’ mental capacity and more about sexuality.

Gray reported this “moral typecasting” in “More than a Body: Mind Perception and the Nature of Objectification” for the Journal of Personality and Social Psychology: “If one focuses on a person’s body, one becomes simultaneously less inclined to attribute to that person a capacity for abstract thought and more inclined to attribute seething desires and feelings.”

As humans, since the very first fig leaf was donned, we innately can’t seem to help ourselves when we see exposed flesh.

On The Learning Channel (TLC) reality show “What Not to Wear,” participants are ambushed by a pair of expert image consultants. The subjects are turned in by secret videos sent from well-meaning friends or family concerned that the clothing choices are not portraying their loved one’s true self.

It is a style intervention make-over and very emotional. The process is psychologically significant because they are not only changing attire, but self-esteem. The experts discard the person’s old clothes and teach them how to dress well according to their individual personality and occupation. There is a progression of initial humiliation, resistance, shopping trips and the breakthrough comes when a hairstylist and make-up artist enters the scene. It is when their hair and faces are touched by compassionate professionals that the resistance gives way to appreciation and a rise in self-esteem occurs. They reveal the transformation at a party, and friends and family are amazed. It is therapy from the outside that has internal positive outcomes.

More than a makeover, it teaches a person to self-care and to dress for outward success and internal happiness.

Should we care what we wear? It all depends on how you feel about yourself and what you would like to convey to others about your personality. We dress not only for ourselves but how we would like others to see us.

Clothing is the second skin we choose to show off the person we are on the inside.

ABOUT THE AUTHOR: Mary Joye, LMHC, PA, is a licensed mental health counselor with offices in Lakeland and Winter Haven.

She holds a Master of Arts in Counseling from Trevecca Nazarene University in Nashville, Tennessee. For more information, visit winterhavencounseling.com.

centralfloridahealthnews.com

CALLING ALL PHYSICIANS! Renew your 2021 Membership with Polk County Medical Association now!

MEMBER BENEFITS ✱ ✱ ✱ ✱ ✱ ✱ ✱ ✱ ✱

Physician referrals Medical malpractice discounts with The Doctors Company Ongoing relevant communication Access to CME Programs Workers compensation insurance benefits Complimentary Socials/dinners Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide Physician and medicine advocacy at all legislative levels

director@polkcountydoctors.com Interested in becoming a member?

Join the leading professional association in Polk County for physicians.

Roan Cadavona,

Ritu Aparajita,

Kollagunta Chandrasekhar,

Cynthia Wolford,

Nurse Practitioner

Vascular Surgeon

Cardiologist

Family Nurse Practitioner

ARNP, FNP-C

MD, RPVI

MD, FACC

ARNP, FNP-C, CHFN

K.S. Chandrasekhar, MD, FCC

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

• Board certified in Cardiovascular Disease and Internal Medicine •E xecutive 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.

Cynthia Wolford, ARNP, FNP-C, CHFN

Contact Executive Director Jackie Courtney at (863) 644-4051.

…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

centralfloridahealthnews.com

CFHN | 23

Time to schedule back-to-school physicals!

Same- and Next-Day Appointments Available* It doesn’t seem possible, but it’s almost time for kids to go back to school.

Whether next year will include virtual classes, homeschooling or in-person learning, don’t forget to schedule back-to-school physicals. An annual school physical gives a pediatrician or family medicine provider the chance to address any concerns with your child’s physical and mental health and development.

Schedule an appointment at 407-537-5516 or visit CentralFloridaBacktoSchool.com to learn more.

21-AHMG-05798

* Varies by location