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 3 | June 2021
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THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION
Men’s Health EDITION
PROSTATE CANCER Why Early Detection Improves Survival Rates
Learn What Migraine Is ... and Isn’t
POP QUIZ!
When Silence Isn’t Golden, Is It Tinnitus?
HEALTHY COOK
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14 Tip-Top Shape at Any Age
For the average man, the body is in its best physical shape in the early to mid-20s. By 30, muscle strength starts to decrease. By 40, reaction time starts to slow. And at 50, bones become brittle. We talked to physical therapy doctors and athletic trainers at Bond Clinic to learn how men can stay healthy over the decades.
More Than Just a Headache
June is Migraine and Headache Awareness Month, and we’re shedding some light on migraine. Even though 39 million Americans suffer from the condition, it is still often misunderstood. Learn why migraine is so much more than just a headache.
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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
See JOLLIBEE
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 crispy also first-tim liciou on the outsid ers waiting to have their e and juicylic s own Jollibe ious inside. The ence," well-loved said Jose Miñan e experiJolly Spaghetti is a a, Jollibee Foods Corpor favorite of both ation's Group kids and kids-at Preside for North nt -heart becaus America. "There e of its signatu greater joy 's 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 friendly service vorites include – our own brand the 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.
STEAKHOUS E page 11
Jollibee's U. S. with first Fl expansion continues orida locatio n opening
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 Forecast: Culina need it? Trend Trackin ry 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 get us and to feel able good about its’ consum seasonal produ sourcing, local and chefs and diners excited ption, too. This new breed of ce, and global ," says David steakh and forms, flavors Sprinkle, research directo all done within mission to suppo ouse broadcasts its Del Taco spices r, Packaged house format the steakrt local ranche Facts. 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 l welfare, grass-fed cattle, a dining Moreover, new of sides. the Southeast raised anima experience locally showcases culinar menu catego ls, heritag that as flatbreads) ries (such y flair, not just es, meat 13 butchered and dry agede varieti 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 operat are also designed the premiu ions About the Repo m cuts. And that's just more of a great to be more inclusive, the meat. rt Creative side 2017 Forec dishes in lieu people to dine place for all kinds of ast: Culin of old standa ary Trend Advertisers Tracking Series 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
PAID
2 | CFHN One way your hearing could be disrupted is through the onset of tinnitus, a condition where the sufferer hears a phantom sound such as ringing or other noises in one or both ears. For some people, tinnitus is a mild annoyance; for others, it interferes with daily life. Take our quiz to learn the ins and outs of tinnitus. Prostate cancer is among ATTIP-ANYTOP SHAPE AGE the most common types of cancer found in men. AMORHEAEDAC THAN JUST HE However, while approximately one in eight men POP QUIZ! will be diagnosed with HEALTHY COOK prostate cancer in their lifetimes, the five- and 10-year survival rates are 98 percent. BayCare Media Group’s Dr. Kenneth Essig explains why a timely diagnosis is so important to a favorable outcome. Read more on page 10.
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CONTENTS | June 2021 For more photos from this edition, follow us on Facebook. Scan the QR code here with your smart device.
ENROLL PA GE 12
E ONE!
Men’s Health
Learn What Migraine Is ... and Isn’t
THE ENDO RSED PUBL ICATION OF POLK COUN TY MEDICAL THE ASSOCIATI ON
EDITION PROSTATE CANC Why Early Dete ER ction Improves Surv ival Rates
When Silence Isn’t Golden, Is It Tinni tus?
Smoothie?
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ADVENT HEALTH HEALTH COMMUNITY EDITOR’S DOSE CALENDAR BODY, MIND & SPIRIT PHYSICAL WELLNESS
CALLING ALL PHYSICIANS Renew your 2021 Membership with Polk County Medical Association now! MEMBER BENEFITS
✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications ✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide ✱ Physician and medicine advocacy at all legislative levels
director@ polkcounty doctors. com
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Keeping You Healthy and Safe Schedule your appointment today: Primary Care
Specialists
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Cardiac Electrophysiology 200 Ave. F N.E. Suite 9118 Winter Haven, FL 33881 (863) 292-4004
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 Winter Haven 7599 Cypress Gardens Blvd. Winter Haven, FL 33884 (863) 324-4725 Florida State University College of Medicine Family Medicine Residency at Winter Haven Hospital 1201 First St. S., Suite 100A Winter Haven, FL 33880 (863) 280-6080 21-1421451-0321
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 Hematology-Oncology 200 Ave. F N.E. Winter Haven, FL 33881 (863) 292-4670 Structural Heart and Valve Program 200 Ave. F N.E. Suite 9118 Winter Haven, FL 33881 (863) 292-4004
We’ve enhanced our safety measures to protect your health. We’re screening everyone for fever and COVID-19 symptoms prior to entering our offices. All doctors, team members and patients are required to wear masks and we’re sanitizing our offices throughout the day.
Urology 7599 Cypress Gardens Blvd. Winter Haven, FL 33884 (863) 845-2688
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PUBLISHER’S NOTE
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Steps Toward Normalcy
PUBLISHER Nelson Kirkland
MANAGING EDITOR
NELSON KIRKLAND, PUBLISHER
Jessica McDonald
nelson@centralfloridamediagroup.com
PROJECT MANAGER
I
David Kiessling
n the past couple of months, we have been reflecting on what life was like during this time last year as the COVID-19 pandemic set in. It was uncertain and tough times for sure.
he discussed vaccination details and dispelled some of the common myths and misinformation. You can find that interview at CentralFloridaHealthNews.com/ fact-from-fiction/.
Now, as businesses reopen, mask requirements are scaled back and events once again hold the promise of face-to-face interaction, there’s a collective momentum to get back on track.
According to guidelines from the Centers for Disease Control and Prevention, fully vaccinated people can resume activities without wearing a mask and without social distancing, except where laws, rules, or workplace regulations state otherwise. Just bear in mind that you are not considered fully vaccinated until you are two weeks out from a single-dose vaccine or two weeks out from the date you received the second dose.
We’ve marveled at our ability to adapt, prided ourselves on the various ways we’ve coped, and we’ve learned a lot about ourselves over the course of the past year. I believe it was the U.S. Marines that coined the phrase, “Improvise, Adapt and Overcome.” I like that phrase. Life is changing once again, but this time they are welcome changes! Vaccinations have been key in reducing the number of COVID cases. Central Florida Health News has been a proponent of the vaccinations while 100% respecting everyone’s right to choose what is right for them. The science behind them is solid, but if you have any remaining doubts, I encourage you to read our February interview with Dr. Daniel Haight in which 4 | CFHN
ACCOUNT EXECUTIVE Juanita Halter
MARKETING DIRECTOR & DIGITAL SPECIALIST Morgan Driggers
CONTRIBUTING WRITERS Erika Aldrich, Mary Joye, LMHC, Tim Craig, Teresa Schiffer, Carol Corley, Dr. Joy Jackson, Paul Catala
CONTRIBUTING COLUMNISTS William Corkins, OD; Kollagunta Chandrasekhar, MD; Shiva Seetahal, MD; Joe Koloc, MSPT, MBA
CONTRIBUTING ARTIST Dawn Lewandowski
DELIVERY
Even though it’s tempting, we still must be cautious: Keep an eye out for symptoms, and if you have a weakened immune system you should talk with your doctor about what’s right for you.
Published by Central Florida Media Group in cooperation with the Polk County Medical Association
I have previously compared these developments as steps back toward normalcy, and I stand by that today. With the blessing of the Good Lord above, we are coming out the other side of this. That calls for some celebration! Cheers, and thank you for reading Central Florida Health News! HN
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Copyright © 2021 Central Florida Media Group. ALL RIGHTS RESERVED. This issue of Central Florida Health News is a trademark of Central Florida Media Group. Reproduction or use in whole or in part of the contents of this magazine without written permission is prohibited. Central Florida Health News makes every effort to ensure the accuracy of content published. In the event of an error found herein however, neither the publishers or advertisers will be held responsible, nor do the publishers accept any liability for the accuracy of statements made by advertisers in advertising and promotional materials. Furthermore, the opinions and claims expressed in advertisements and promotional materials do not necessarily reflect those of the Polk County Medical Association or Central Florida Media Group and do not imply an endorsement.
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PCMA LETTER
HEALTH COMMUNITY
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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
For the Men In Our Lives
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
J
une is National Men’s Health Month, when we set out to educate about health issues that are specific to men and to champion all the ways men can monitor their health and wellness over the years. This edition is packed with insight and advice from local medical practitioners, so don’t miss these nuggets of knowledge! The topic of men’s health is almost always associated with prostate cancer. For this edition, we spoke with BayCare Medical Group’s Dr. Kenneth Essig, who is a urologist with experience treating prostate cancer. Essig hammers home the benefits of early detection because when prostate cancer is diagnosed early, he says it is extremely treatable and has high survival rates. Read more about our talk with Essig inside.
— — — — — —
JACKIE COURTNEY Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813 6 | CFHN
Sincerely,
James J. Booker, MD James J. Booker, MD
Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association
We also spoke with a physical therapist and athletic trainers at Bond Clinic about the best ways men can take care of their changing health needs as they age. Check out the feature inside to learn what advice they shared with us. June is also Migraine and Headache Awareness Month, and while the cause may not be as popular as others, we’re working to boost awareness of migraine and we break it all down for you inside.
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
Lastly, remember to challenge yourself with our Pop Quiz on tinnitus and fill up your planner with events from our calendar!
✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications
Now, let’s kick off summer the right way … the healthy way! Stay safe! HN
✱ 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.
centralfloridahealthnews.com
FEATURE PREVENTION
POP QUIZ!
Resources: Information provided by mayoclinic.org / compiled by ERIKA ALDRICH
7. E. There are many risk factors for developing tinnitus. 8. True. Protecting your hearing and making healthy choices can reduce the risk of tinnitus. 9. E. See your doctor if your tinnitus disrupts your life, causes anxiety or depression, or is accompanied by other ailments.
centralfloridahealthnews.com
and go. 4. A. Damage to your cochlea is the usual cause of tinnitus. 5. E. There are many conditions or situations that can lead to tinnitus. 6. True. Pretty much any situation that can damage your hearing could also lead to tinnitus.
O
ur hearing is an important part of our five senses, but we don’t often think about it until something goes awry. One way your hearing could be disrupted is through the onset of tinnitus, a condition where the sufferer hears a phantom sound such as ringing or other noises in one or both ears that is not caused by an external source. For some people, tinnitus is a mild annoyance; for others, it interferes with daily life. Take our quiz to learn the ins and outs of tinnitus, how to protect your hearing, and when to see a doctor.
E. All of the above 6. True or False? Loud noise exposure, such as from heavy equipment, chain saws, firearms, listening to music through headphones too loud or working in any loud environment, puts you at risk for developing tinnitus later in life. 7. Which of the following are other risk factors for developing tinnitus? A. Age. The cochlea in the ear are more likely to be damaged the older you get and as the number of functioning nerve fibers in your ears declines. B. Sex. Men are more likely to develop tinnitus. C. Alcohol and tobacco use. Both alcohol and tobacco increase your risk of developing tinnitus. D. Health issues. Those suffering from obesity, cardiovascular problems, high blood pressure, a history of arthritis, or head injury are more likely to develop tinnitus. E. All of the above 8. T rue or false? Using hearing protection, turning down the volume, taking care of your cardiovascular health, and limiting alcohol, caffeine, and nicotine can decrease your risk of developing tinnitus. 9. When should you see your doctor if you suspect tinnitus? A. If tinnitus disrupts your daily life. B. If tinnitus develops after an upper respiratory infection, like a cold, and it lasts longer than a week. C. You also have hearing loss or dizziness with your symptoms. D. The tinnitus has led to experiencing anxiety or depression. E. All of the above ANSWERS: 1. True. Tinnitus affects around one in five people, especially as we age. 2. E. All of the above. While tinnitus is usually described as a ringing sound, other phantom noises can include buzzing, clicking, roaring, hissing, humming, and whooshing. 3. False. Tinnitus can occur all the time or the sound can come
When Silence Isn’t Golden, Is Tinnitus the Problem?
1. T rue or false? Tinnitus affects 15% to 20% of people, and it’s especially common in older adults. 2. In addition to ringing, what other “phantom noises” can tinnitus sufferers hear? A. Buzzing and clicking B. Roaring C. Hissing and humming D. A rhythmic pulsing or whooshing sound E. All of the above 3. T rue or false? Tinnitus is present at all times. 4. Why do tinnitus sufferers hear phantom sounds others cannot? A. The small, delicate hair cells in your inner ear (cochlea) that move and send electrical signals along the nerve from your ear to your brain when your ear receives sound waves become bent or broken, and this sends fake electrical impulses to the brain, which the brain interprets as noise. B. The auditory signals being sent to the brain get crossed. C. The phantom sounds are caused by blood moving through veins around the ear. D. None of the above 5. Though the cause of tinnitus isn’t always clear, which of the following are the most common causes? A. Hearing loss B. Ear infection or ear canal blockage that changes the pressure in your ear. C. Head or neck injuries that affect the inner ear nerves or brain function linked to hearing. D. Certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and certain antibiotics, cancer drugs, diuretics, antimalarial drugs and antidepressants.
CFHN | 7
MEDICAL ADVICE
Rising Temps a Reminder of the Importance of Drowning Prevention by DR. JOY JACKSON
A
s the hot Florida summer months begin, friends and families make their way to the water to cool off this time of year. Whether it be the backyard pool, a local lake, or the ocean, swimming and boating are two of the most popular summer activities for people living in or visiting Florida. Although these activities can be a fun way to enjoy the summer months, it’s also important to take precautions and practice good safety measures around the water. Drowning is the leading cause of death in children ages 1 through 4. Florida also has the highest rate of child drownings under the age of 5 in the nation. Polk County’s child drowning fatality rate remains higher than the state average with approximately 14 drowning deaths in 2019. In 2020, water safety became a top priority of Polk County when residents saw a 100 percent increase in drowning incidents; Polk County is currently second in the state of Florida for most drowning incidents. With more than 500 lakes in Polk County, our residents spend a significant amount of time in and around the water. Because many are so comfortable near the water, it is easy to develop a false sense of security. It is very important for all Florida residents to be aware of water safety tips to keep a fun family outing safe for everyone. Supervision Drowning is a silent and deadly killer. It can
occur within the small amount of time it takes an adult to check their phone, read a page in a magazine, or run inside for a towel. With the majority of drownings in Polk occurring in residential swimming pools, actively watching children while in the pool is the first line of defense against a drowning accident. Take children with you if the phone should ring or if you should need something from inside the house. Designate one adult to watch the children while they are in the pool; this adult should be 100 percent distractionfree, which means no socializing with other adults, no chores, and no talking/texting on their cell phone. Children should never be in the pool area unaccompanied by an adult. Swimming Lessons The American Academy of Pediatrics recommends that children ages 4 and older learn to swim to prevent drowning. Encourage children, adolescents, and adults to learn to swim. However, remember that swimming lessons are not a substitute for supervision! For information about swimming lessons offered in the Polk County area, visit the Department of Health in Polk County’s website at polk.floridahealth.gov. CPR Certification Learn CPR for youth and adults, especially if you own a pool. It only takes four to six minutes without oxygen to cause lasting brain damage. Valuable life-saving seconds can be lost waiting for EMS to arrive before
beginning CPR. In the case of an emergency, it is critical to have a phone nearby to dial 911. Reaching or throwing aids should also be readily available around the pool. Barriers Having a barrier between the house and pool could help to reduce the instances of drowning accidents by 50 to 80 percent. Examples of barriers include child-proof locks on all doors, a four-sided fence (at least 5 feet tall) separating the pool from the house, gates with self-latching/self-closing mechanisms, and door alarms. Boating Safety When boating, make sure that all passengers are fitted with appropriately-sized life jackets. Obey all signs while on the water and keep a close eye out for other boaters and swimmers. In addition to this, remember that drinking alcohol while boating will impair one’s judgment and reaction times. Drinking while boating is considered drinking and driving. Swimming can be a great way to enjoy Florida’s natural scenery and escape the summer heat. It is our responsibility to ensure the safety of our children, and of ourselves, when in and around the water. For more information related to drowning prevention and resources, visit polk.floridahealth.gov or waterprooffl.com.
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.
8 | CFHN
centralfloridahealthnews.com
DON’T MISS OUT ON SWIM LESSONS Type of Lesson
Cost of Lesson or Group
Membership
City of Haines City Janet J. Smith Aquatic Center - 1900 N 10th Street • Haines City, 33844 • 863-421-3700 • http://hainescity.com/179/Swim-Lessons • American Red Cross • Ages 6 months to 14 years • Beginner through advanced
• Monday-Thursday, two week sessions • May – August • No special needs lessons offered
$40 per session • 30 min classes * Class space is limited due to COVID-19 precautions
None Required
City of Haines City Lake Eva Aquatics Center - 555 Ledwith Ave • Haines City, 33844 • 863-421-3700 • http://hainescity.com/179/Swim-Lessons • American Red Cross • Ages 6 months to 14 years • Beginner through advanced
• Monday-Thursday, two week sessions • May – August • No special needs lessons offered
$40 per session • 30 min classes * Class space is limited due to COVID-19 precautions
None Required
City of Lakeland Gandy Pool - 404 Imperial Blvd • Lakeland 33803 • 863-834-3157 • https://www.lakelandgov.net/parkrec/what-to-do/play/aquatics • American Red Cross • Ages 6 months to 14 years
• Beginner through advanced
Four sessions of swimming lessons June through August. • Call for details
None Required
City of Winter Haven Rowdy Gaines Pool - 210 Cypress Gardens Blvd • Winter Haven 33880 • 863-291-5656 • http://www.mywinterhaven.com/aquatics • American Red Cross • Ages 6 months to 14 years • Beginner through advanced
• Special needs lessons ARE offered • Morning and evening sessions • Monday through Friday, two weeks
$35 resident of Winter Haven $44 nonresident of Winter Haven
None Required
City of Winter Haven Winter Haven Rec and Cultural Center (WHRCC) 801 Avenue T NE • Winter Haven • 863-291-5675 • http://www.mywinterhaven.com/whrcc.htm • American Red Cross Levels 1-3 • Special needs lessons ARE offered • Class levels are subject to change based on • M orning sessions, Monday-Friday participants weeks
$35 resident of Winter Haven for two $44 nonresident of Winter Haven
None Required
Fontaine Gills Family YMCA - 2125 Sleepy Hill Road • Lakeland 33810 • 863-859-7769 • http://www.ymcawcf.org/join-the-ymca/fontaine-gills-family-y/ • YMCA Progressive Swim Program • Parent & Child (6 months – 3 years) • Preschool (Ages 3 – 5 years) • Youth (Ages 5-12 Years)
• Adult Private Swim Lessons $30/$60 member • (30-minute lessons) • Swim Team (Ages 5 – 18 years) $35/$70 Nonmember• (45-minute lessons) • Synchronized Swim Team (Ages 6 – 18 years) 4-week session *Fee assistance available
None Required for swim lessons
Lake Wales Family YMCA - 1001 Burns Ave • Lake Wales 33853 • 863-676-9441 • http://www.lakewalesymca.org/lake-walesprograms/aquatics/swimlessons/ • YMCA Progressive Swim Program • Parent & Child (6 months – 3 years)
• Preschool (Ages 3 – 5 years) • Youth (Ages 5-12 years)
$30/$60 Member • (30-minute lessons) $35/$70 Non-member (45-minute lessons) 4 weeks session
None Required for swim lessons
Lakeland Family YMCA - 3620 Cleveland Heights Blvd • Lakeland 33803 • 863-644-3528 • http://www.ymcawcf.org/join-the-ymca/lakeland-family-ymca/ • YMCA Progressive Swim Program • Parent & Child (6 months – 3 years) • Preschool (Ages 3 – 5 years) • Youth (Ages 5-12 years)
• Adult • Private Swim Lessons • Swim Team (Ages 5 – 18 years) • Synchronized Swim Team (Ages 6 – 18 years)
$30/$60 Member • (30 min lessons) $35/$70 Non-member (45-minute lessons) 4-week session *Fee assistance available
None Required for swim lessons
Off the Wall Adventures - 2055 Shepherd Road • Lakeland 33811 • 863-709-9253 • http://www.offthewalladventures.com/swimming/ • American Red Cross • Ages 6 years to adult
• Private Lessons Offered 5 30-minute classes • No special needs lessons offered
$150 in advance or $35/class/week
None Required
Semper Fish Aquatics - Daniel Gay – Certified ISR Instructor • 4940 Maple Drive • Lakeland, FL 33810 • 863-272-8304 • SemperFishAquatics.com • ISR Survival Swim Lessons Ages 6 months – 6 • Most students fully skilled in 6 weeks years All lessons are 1-on-1 • Please call for availability • 10 minutes/day, 5 days a week • Special needs lessons ARE Offered
Morning Lessons: $85 per week Evening Lessons: $100 per week $15 Refresher and Maintenance lessons ISR Fees: $105new students $35 returning students Tuition assistance available – call for details
None Required
Swim Dynamic - 5825 Brannen Road S • Lakeland, 33813 • 863-808-0189 • https://swimdynamiclakeland.com/swim lessons • Swim America Program Ages 6 months to • No special needs lessons offered Adult Private Lessons Only • Call for questions
$225, Ages 1 – 15 • 5 days for 20-30 min $160 - $320, Continuing Lessons, Ages 115, individual lessons, 30 min
None Required
*For more information or to find private lessons in your area please visit Abby Grace’s Hope, Inc. directory at watersafetyandsurvival.org/swim-lessondirectory.html
centralfloridahealthnews.com
CFHN | 9
FEATURE EDITION
WHY DETECTION IS KEY
DR. KENNETH ESSIG
Prostate Cancer Very Treatable If Diagnosed Early by TERESA SCHIFFER
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P
rostate cancer is among the most common types of cancer found in men (second only to non-melanoma skin cancer), and the second-leading cause of cancer death among men in the U.S., claiming over 34,000 lives each year nationwide. Though this may seem grim, it’s not as bad as it seems; While approximately one in eight men will be diagnosed with prostate cancer in their lifetimes, the five- and 10-year survival rates are 98 percent. Most prostate cancers are diagnosed at the local or regional stage, when the disease is found only in the prostate and possibly other nearby organs. When this is the case, the fiveyear survival rate is almost 100 percent. The disease rarely occurs in individuals younger than 40, with about 60 percent of prostate cancer cases diagnosed in patients age 65 and older. Dr. Kenneth Essig is a board-certified urologist with BayCare Medical Group who frequently treats patients diagnosed with prostate cancer. “Prostate cancer, when diagnosed early, is very
treatable,” Essig explains. The key is knowing what your risk is in order to receive a timely diagnosis that will result in a favorable outcome. “Family history is probably the most significant risk factor, and some genetic predispositions favor a diagnosis of prostate cancer,” Essig says. “Those are the strongest links to a likelihood of prostate cancer.” Because having a father, brother, or uncle with prostate cancer indicates a greater probability of an individual also being affected, it is advisable to have genetic screening performed to assess the potential risk of developing the disease. However, men can have an increased risk without having had any close relatives diagnosed with prostate cancer. “Even without that family history,” Essig explains, “if you have a genetic variant, then you could be predisposed to not only having prostate cancer, but you could also have a more aggressive form.” It is rare for men younger than 40 to develop centralfloridahealthnews.com
prostate cancer, but the risk does increase with age. “In general, as we get older, our risk increases. So every decade of life it increases more and more,” he says. “Once we get into our 60s and 70s, that’s when we see more people presenting for treatment of prostate cancer.” There are not really any physical signs or symptoms of prostate cancer that men should watch out for, either. The best way to catch prostate cancer early is with a PSA (prostatespecific antigen) blood test performed annually. It is recommended that men get a prostate exam every year from the age of 50 up to 70. This age bracket is suggested because the prevalence of prostate cancer in men younger than 50 is quite low, and the disease tends to have a very slow progression, so beyond the age of 70 it is unlikely to have a serious impact on lifespan or quality of life. Some men do have trouble urinating due to an enlarged prostate, but this does not necessarily indicate that cancer is the cause. In these cases, it is up to the individual to follow up with a urologist for an examination to rule out the possibility of prostate cancer and receive appropriate treatment. If a PSA blood test shows that there is a possibility of cancer being present, a biopsy is performed to confirm whether or not this is the case. Sometimes, there is cause to avoid doing a biopsy, in which case an MRI or a more sophisticated form of PSA test may be administered. Ultimately though, a biopsy is the only way to definitively determine whether a patient has prostate cancer. Once a patient has been diagnosed with prostate cancer, the first primary treatment is to simply keep a close eye on the results of subsequent exams. If there are no major changes detected, then it is unlikely the patient will need further treatment. This is sufficient for well over half of those diagnosed with prostate cancer. For the minority who do need additional therapy, radiation or surgery is generally prescribed. “The prevalence of prostate cancer is very high,” says Essig. “There are many, many men who are walking around now who have a small area of prostate cancer in their bodies, and that will be there for 10, 20, 30 years, and they’ll never even know it. It just happens to be there and it doesn’t pose a threat to their lives. Prostate cancer is not synonymous with a death sentence or disability in the majority of people who have it. It is a very common thing to have prostate cancer – it is a less common thing to have it affect your life.” HN centralfloridahealthnews.com
HEART NEWS
Understanding Valvular Heart Disease
T
he heart has four valves that keep blood flowing in the correct direction. These valves are the mitral valve, tricuspid valve, pulmonary valve and aortic valve. Each valve has flaps (cusps or leaflets) that open and close once during each heartbeat. Sometimes, the valves do not open or close properly. If a valve doesn’t fully open or close, blood flow is reduced or blocked. If a valve does not close well and blood can flow in both directions, it is called regurgitation and may also need treatment. Aortic Stenosis: The aortic valve is the valve between the left ventricle and the aorta. The heart pumps blood into the body through this valve. When this valve becomes narrowed (stenosis) and flow is restricted, pressure builds up in the left ventricle and left atrium. With time, this will get worse. With medications, symptoms can be controlled, but ultimately this valve will need to be replaced. Historically, rheumatic fever was the most common cause of aortic valve stenosis. However, with antibiotics, rheumatic fever has become very rare. These days, some people have aortic stenosis because congenitally the valve is malformed with only two leaflets (bicuspid) instead of the normal three. With time this valve gets stenotic. However, the most common reason now is age-related. With age, calcium and scarring damage the valve and narrow it. About 20% of older Americans develop aortic stenosis. Symptoms don’t develop until the patient is 70-80 years old, and often patients can be asymptomatic for awhile. As the aortic valve opening is narrowed, the heart has to work harder to pump enough blood into the aorta and the body. The extra work of the heart can cause the left ventricle to thicken and enlarge. Eventually the strain can cause a weakened heart muscle and can ultimately lead to heart failure and other serious problems. Most often, patients may have a heart murmur that is heard by their doctor. An echocardiogram may determine if, indeed, the aortic valve is thickened and narrowed. The valve narrowing may be classified as mild, moderate or severe. If severe, a determination will have to be made if it is symptomatic. Sometimes patients may not be symptomatic but, since they are not active, may be masking their symptoms. In these patients, it may be necessary to unmask any
symptoms by stress testing. Untreated or undiagnosed, the heart KOLLAGUNTA SEKHAR, M.D. function may also start KSC CARDIOLOGY to decline. Symptoms are chest pain, shortness of breath or passing out. Once symptomatic, it is critical that surgery be planned as quickly as possible. The risk of dying once symptomatic goes up. Surgical aortic valve replacement (SAVR) has been the standard for a long time. The valve can be replaced with a mechanical valve or with a biological (made of tissue) valve. The former lasts longer but requires lifelong anticoagulation, with Coumadin. Since a lot of patients with aortic stenosis now are older and more frail with other conditions, open surgery has been risky. Many patients have bad lung disease, cancer and/or poor exercise capacity. Most of these patients would not have been candidates for surgery. Now we have technology that permits this valve to be replaced percutaneously, like a stent. The TAVR approach (Transcatheter Aortic Valve Replacement) delivers a fully collapsible replacement valve to the valve site through a catheter. The new valve is placed inside the diseased one. Originally, it was done only in patients at high risk. Now it is approved for severe stenosis in patients with moderate and even low risk. Since this is a catheter-based technique, it is done by a combination of interventional cardiologists and cardiac surgeons. Usually, in most hospitals, the case is discussed by a team of interventional cardiologists, surgeons, and other cardiologists detailing risk and why the patient is too high a risk for open surgery. A CT scan is done to assess vascular anatomy and the size of the valve to be placed. A heart catheterization is also done to assess any blockages present, too. Since this is done like a complex stent procedure, the patient usually can go home in 24-48 hrs. So in summary, patients with high or prohibitive risk for surgery can be looked at for possible TAVR. In patients who are not high risk, if younger than 65 years, surgical replacement would be recommended. If over 65, a decision can be made based on risk factors.
This column is sponsored by KSC Cardiology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Kollagunta Chandrasekhar, better known as Dr. Sekhar (pronounced Shaker) has been practicing cardiology in Winter Haven for 25 years. Dr. Sekhar is the Chief of Staff at Bay Care Winter Haven Hospital as well as the Director of the Heart Function Clinic and the Cardiac Rehabilitation program at Bay Care Winter Haven Hospital and the Chairman of Cardiology at Advent Hospital in Lake Wales. He is a member of the Heart Failure Society of America, the American Heart Association, the American College of Physicians, and the American Society of Nuclear Cardiology. To schedule an appointment, please call (863) 508-1101.
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FEATURE WELLNESS
TIP-TOP SHAPE AT ANY AGE Proper Focus and Mindset Can Help Men Stay Fit and Healthy Over the Decades by PAUL CATALA
F
or the average man, the body is in its best physical shape in the early to mid-20s.
But time can take a toll by age 30, when muscle strength starts to decrease by as much as 3 percent to 8 percent every 10 years. By age 40, reaction time starts to slow. At age 50, bones become brittle. The good news is that proper focus and mindset can help men of any age maintain and even further develop a stronger body and mind. That’s the consensus of three staff members at Winter Haven’s Bond Clinic we spoke with for this special edition on men’s health Dr. Carrie Goddin, Bond Clinic’s director of physical therapy and rehabilitation department, says one of the most important aspects of physical health as men age is maintaining flexibility. Flexibility begins to decrease in men after age 40, so she says developing proper warmup and stretching techniques early and maintaining those are key ways to keep up regular fitness routines. “When you’re a young athlete, everyone tells you to stretch and you say ‘okay,’ and you do it for about 30 seconds and that’s it. But as you get older that gets much more important,” says
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DR. CARRIE GODDIN
Goddin, who has a doctorate degree in physical therapy from the University of Central Florida. “You need to ease into things and include good posture and core stability so you don’t overextend and injure yourself.” Nicholas Olgee, a certified athletic trainer at Bond Clinic and trainer for the Florida Tropics professional soccer team, explains that as men age, they lose 1.5 percent of maximum physicality per year by age 35. He says a man should be able to maintain and counterbalance all aspects of physical training and exercise and not “overdevelop” one area. “Ideally, you can listen to your body,” Olgee says. “You can’t expect increases forever and ever, but you should be able to maintain posture reinforced movements. Things get harder to do, and you want to make things easier on yourself.” As for flexibility, they reiterate that flexibility helps prevent everyday injuries. According to Texas Health Resources, one of the largest nonprofit health systems in the United States, flexibility helps men avoid muscle and disk strains from turning over or getting out of bed; shoulder strains from lifting; backaches from going from seated centralfloridahealthnews.com
to standing; and pain from bending down to pick something up. Lifestyle changes are also important. Gene Estep, athletic trainer coordinator at Bond Clinic who received a bachelor’s degree in athletic training from the University of South Florida College of Sports Medicine, encourages men to evaluate negative physical influences as a way to stay on track physically. “Reduce as many negative vices in your life as you can,” he says. “For example, (alcohol) drinking affects hydration and you can easily cramp when trying to get fit and it also slows down the healing process for injuries. Try to reduce the negative things. You don’t have to quit them 100 percent, but moderation is the key.” All three experts say proper nutrition is key to avoiding health issues later in life, as well as being able to sustain regular workout schedules. For example, in their 20s, a lot of men’s diets include takeout, processed foods and fatty protein sources such as hamburgers and chicken wings. When men are young and their metabolism is high, the physical impact of bad diets is less. However, as men age, they need to focus more on eating food loaded with key nutrients, including fruits, vegetables, whole grains and beans. “And also maintaining hydration is so key, especially if you’re active. You need to replace electrolytes. Just staying hydrated is probably one of the most important things to do,” Goddin says. Additionally, once men enter their 50s and beyond, the psychological component plays a role in motivation in developing structured, regular fitness routines. Goddin says all men need to change their mindsets on exercise as they age. “You can’t expect to do what you did at 25, but that doesn’t mean you’re limited and have to sit on the couch all day,” Goddin says, noting that she knows 60- and 70-year-old men who are still powerlifting weights. “It’s important how you approach exercise as you age. It doesn’t mean you can’t be active and enjoy the things you enjoy; you might need a little more guidance now, that’s all.” Olgee adds that doing a variety of fitness training helps with motivation by avoiding redundancy. Of course, a proper frame of mind and focus is also key to maintaining and improving physicality as men age. Estep says staying on top of regularly scheduled health screenings for men becomes more important after age 50 and getting regular exams is crucial. “I just wouldn’t be embarrassed over anything, like low testosterone or prostate issues,” he says. “A majority of men end up going through those things; they aren’t a particular problem. But with men, it’s kind of an embarrassment thing and you just need to get over that hurdle and get it done.” Goddin emphasizes the importance of staying positive and not getting discouraged if you’re slowing down. “A lot of times you try something and you hurt yourself, and you’re not able to perform the way you expect you can, and a lot times people stop whatever training they’re doing. It’s okay if you used to run 10 miles all the time and now you can just do two,” she says. “Just ease into it. Don’t be embarrassed, just work on your goals and it will get better and better. Stay active, that’s the best advice I can give. Don’t give up.” HN centralfloridahealthnews.com
HEALTHY AGING
‘ Doc, I Was Told I Have Granulated Eyelids’
O
nce in a while, a patient will tell me that a previous doctor told them they had “granulated eyelids.” What does that mean? What they are describing is a medical condition called blepharitis. Most of the time, blepharitis is caused by the staphylococcus bacteria that normally live on our skin. The WILLIAM CORKINS, O.D. bacteria are there continually, and we never get rid of them no matter how many showers you take or whatever antibacterial soap you use. To prove my point, what happens if you try to use the same towel over and over again after your shower for two weeks? The smell would be horrendous even after a few days. Why does your towel smell? Whenever you dry yourself off, some of the staff bacteria is removed from your skin onto the towel. The wet towel you hang up to dry is a great medium for the staff bacteria to grow; this is what you smell. What you are essentially doing is culturing yourself! When we wash our face, what do we do? We lather up our washcloth, slam our eyes shut, so we do not get soap in them, and wash our face. Consequently, the margins of our lids never get a good scrubbing. What happens with time is the staph bacteria count will increase at our lid margins. The margin of the lids is where we find our lashes which are embedded into the skin by its follicle. The follicle is a nice warm moist area, and the staff bacteria migrate down the base of the eyelashes and thrive in the follicles of the lashes; this occurs in both the upper and lower lid lashes. When I examine the patient with the microscope, I do not see the bacteria because they are too small to be seen with our normal examining microscope, but what I do see is flaking at the bottom of the lashes. The bacteria produce toxins or poisons that ooze from the follicle up the lash and form a circular hardened flake around the base of the lashes. We call them collarets. I see many patients with low-grade blepharitis, and most of them are not having any problems. As the infection continues to become worse, issues start to arise from the toxins produced. The lid margins become red and inflamed. The patient complains of red, itchy lids. The toxins will fall into the eye, causing inflammation of the conjunctiva and cornea, the clear window of the eye. When this happens, the patient complains of red eyes, blurry vision, foreign body sensation, light sensitivity, and pain. To treat the infection, I use a combination of steroid/antibiotic drops or ointment. The steroid is for the inflammation, and the antibiotic is to kill the staph bacteria. The drops or ointments do a fantastic job in getting the condition under control, but it will come back with time once the patient stops the medication. The most crucial part of treating the staff blepharitis is having the patient clean and scrub the margins of both the upper and lower lids. I usually have the patient scrub both the upper and lower lids with an over-the-counter lid scrub called Ocusoft Plus every night before they go to bed. Once they work through a box of these lid scrubs, I then tell them to make sure they scrub both the upper and lower lid margins at least once a week forever; otherwise, the infection will return. This scrub is especially important in diabetic and immunocompromised patients since they tend to get more infections than a person with a healthy immune system. Another reason to keep the infection under control is to prevent a secondary condition called trichiasis. With chronic infection and inflammation of the lid margins, the follicle becomes altered, causing the lashes to grow in different directions. Often, the lash grows in toward the eye, causing the lash to rub the conjunctiva and cornea, causing a lot of discomfort. The treatment for this to remove the lash, but after five or six weeks, the lash grows back along with the discomfort. Attempts to destroy the follicle can be taken, which may or may not cure the problem. My point here is to never get to his advanced condition. Another less common blepharitis is seborrheic blepharitis. This patient usually has a bad problem with dandruff in the scalp area, and dandruff can present in the lid lashes as well. The treatment for this is a steroid ointment and treatment for dandruff. Lastly, there is a type of blepharitis usually seen in the elderly that the Demodex Folliculorum Mite causes; this parasite can live on humans. I treat this with tea tree oil. You will not have to worry about getting blepharitis if you pay attention to how you wash your face. Remember, the eyelid margins need exceptional scrubbing! If you are having issues and would like to schedule an appointment for this or a routine visit, please call us at 800-282-3937. Dr. William Corkins is an optometrist who practices at the Lakeland-Highlands, Sebring, and Winter Haven locations for Eye Specialists of Mid-Florida and is accepting new patients at this time.
CFHN | 15
HEALTHY COOK
Fresh & Fast: Did Somebody Say Smoothie? by CAROL CORLEY
W
hen I want to start my day off on the right foot with a super healthy breakfast, I choose a smoothie.
oatmeal, Greek yogurt, pure vanilla flavoring, sometimes turmeric (you don’t even notice it’s in there).
My freezer is full of blackberries, blueberries, raspberries, strawberries, peaches, and even bananas without the skin. That way, whatever my taste cries out for at the moment, there is something to satisfy it. Many people add vegetables such as spinach and beets, nuts, seeds or cocoa powder. Others add peanut butter or almond butter.
The secret to a good smoothie is to use the freshest ingredients possible (fresh before freezing) and a high-quality blender. Also, you may need to pour in a little liquid with the first ingredients, to keep the blades moving smoothly. Ice always goes in last, and the smoothie really tastes better if you don’t need it.
If the smoothie is too thick, you can adjust it with milk. If it is too thin because you have too much fresh fruit and not enough frozen, you can add ice cubes. Personally, I find the taste watery with ice cubes, so I like most of my fruit to be frozen. Smoothies are an easy way to increase your consumption of fruits and vegetables, which may reduce inflammation and improve your digestion. They contain fiber, and the yogurt helps supply a healthy gut bacteria community. People with underlying health conditions, of course, need to consult a physician before making a big change. So, what could be easier? A powerful blender, a couple of handfuls of frozen or fresh fruit, and optional extras. For me, that includes whey protein, uncooked
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Smoothies are not only easy to make, but you can have your breakfast on the go — just pop it in a travel cup. And who says smoothies have to be for breakfast? They are also good for lunch, and even dinner, if you have your big meal at noon one day. Some people say a smoothie relaxes them — milk has tryptophan, bananas have melatonin, serotonin, and magnesium, honey is considered a sleep aid and flaxseed helps to regulate serotonin, according to restonic.com. And clean-up is a breeze. Put some warm water in the blender, a squirt of dish soap, run the blender for a few seconds, rinse, let it dry. A smoothie can be as simple or as complicated as you want to make it. Let’s look at some options.
Personal Smoothie (Original recipe) Ingredients: Blackberries, 1/2 cup frozen Raspberries, 1/2 cup frozen Pear, 1/2 cup frozen chunks Banana, 1 small or 1/2 large, fresh Greek yogurt, 1/2 cup Vanilla, pure, 1/4 teaspoon Oatmeal, 1 tablespoon uncooked Whey protein, 1 small scoop Turmeric, 1/4 teaspoon Honey or maple syrup for sweetener, as needed Milk, 1 tablespoon or more as needed if mixture too thick Directions: A handful at a time, put frozen fruit and banana in a blender with a little milk and pulse until mixed. Add remaining ingredients, continuing to pulse. Once well mixed by pulsing, increase blender speed to puree, then liquify. During the blending, if the mixture is too thick for drinking, you can add a tablespoon of hot water. If it’s too thin at the end because the fruit was fresh, add ice. Once you are satisfied, pour into the glass and enjoy.
Tropical Smoothie Bowl (Adapted from goodhousekeeping.com) Ingredients: Banana, 1 sliced and frozen Mango, 1 cup frozen chunks Pineapple, 1 cup frozen chunks Almond milk, 1 cup Directions: Place all ingredients in a blender, pulse until smooth but still thick. Add more liquid if needed. Pour into 2 bowls and top with pieces of favorite fruit, shredded coconut or chopped nuts.
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ADVENTHEALTH
Peanut Butter Banana Smoothie (Adapted from allrecipes.com) Ingredients: Bananas, 2 in chunks Peanut butter, 1/2 cup Honey, to taste Milk, 2 cups (can use almond milk) Greek yogurt, if desired Cocoa powder, if desired Cinnamon, if desired Ice cubes, 1-1/2 cup if needed Directions: Place all ingredients except ice in a blender and blend until smooth. Add ice at the end if needed for thickness.
Spinach and Mango Smoothie (Adapted from bluediamond.com) Ingredients: Mango, 1/2 frozen, sliced Spinach, 1 handful fresh Matcha, 1-2 teaspoons Banana, 1/2 frozen Almond milk, 3/4 cup Ice cubes, few pieces Extras as desired — goji berries, almond butter, cocoa Directions: Place mango, spinach, matcha and banana in a blender and blend until smooth. Add almond milk gradually while blending, and add ice as needed for thickness. At the end, blend in your extras of choice.
Understanding Hernias
J
une is Hernia Awareness Month and to help educate you on what a hernia is, how they can be avoided and how they’re treated, we spoke with board-certified general surgeon Shiva Seetahal, MD. SHIVA SEETAHAL, M.D. Dr. Seetahal specializes in procedures that treat gastrointestinal conditions, hernias, and endocrine disorders, and provides care for the body, mind, and spirit to support his patients’ overall well-being
What is a Hernia? “A hernia is a condition which happens when there is a break in the abdominal wall covering,” explains Dr. Seetahal. “The most common types are inguinal (groin hernias), ventral (abdominal wall) and hiatal (when your stomach moves up into the chest). Many times, an exact cause cannot be identified, however, heavy lifting, pregnancy, straining on the toilet or coughing can cause a hernia. Conditions such as obesity, smoking and poorly controlled diabetes will make this condition worse and should be corrected before elective hernia surgery. This is a major reason our comprehensive team approach to hernia care is so successful.
Your joints were made to lift you up. Treatment for Hernias
HEALTH COMMUNITY
Winter Haven Kidney Care Center (ARC Dialysis)
Ribbon-Cutting Ceremony April 20, 2021
“Once a hernia becomes painful and is affecting your everyday life, you’ll most likely need surgery to repair it,” says Dr. Seetahal. “There are a variety of surgical techniques which are individualized based on the patient. Size of the hernia, occupation of the patient, previous surgery just to name a few. Open laparoscopic, or robotic procedures are all available to our patients and it is best to discuss all these options with your surgeon. Additionally, certain types of hernias can be performed with different types of anesthesia which can be discussed as well with your anesthesia provider. Almost all hernias are repaired with mesh to reduce the recurrence rate to less than 2%. Remember, hernias are a disruption of the covering of the abdominal wall. Just like anything that needs to be repaired surgeons need tools and materials to “fix the break.” Unfortunately, most of the commercials on media do not explain the many advantages of hernia mesh. It is best to once again discuss these options with your surgeon.
Choose AdventHealth for Your Hernia Surgery The world-class team of award-winning surgeons at AdventHealth are dedicated to your whole health and quick recovery. Our surgeons have hundreds of hours of advanced training with the newest surgical procedures and equipment to heal you in the most effective and least invasive way possible. We’re here to do the same. To speak with one of our experts about hernia concerns or to schedule your Your joints allow you to do incredible things, but they’re vulnerable to hernia surgery, please visit AHCentralFloridaSurgery.com or call 407-543-4670. damage, inflammation and wear-and-tear. Trust your knees and hips to
the specialized orthopedic experts of AdventHealth Heart of Florida and AdventHealth Lake Wales — providing individualized care for even the 21-ORTHO-02043
most complex conditions to get you back in motion, fast.
IncredibleOrtho.com
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FEATURE AWARENESS
MORE THAN JUST A HEADACHE Do You Know What Migraine Really Is? by TIM CRAIG
“I
t kind of feels like a vice grip on my head, almost similar to feeling like your head’s being stabbed.”
Amy Beatty is describing what her typical migraine feels like. Beatty, from Winter Haven, has been getting migraines since she was 16. Now, the librarian and mother of two recognizes when a migraine is around the corner. “For me, when I start to get visual disturbances, like colors or bright lights in my field of vision, I know there is going to be pain within the next couple hours,” she says. “Sometimes the trigger is that there’s an extra amount of energy about a day before and I feel like I’m moving really fast.” Beatty is one of 39 million Americans — and over a billion worldwide — who suffer from migraines. June is National Migraine and Headache Awareness Month, but still, migraine is an often-misunderstood condition that is the third-most-prevalent illness in the world.
Migraine or Headache: What’s the Difference? Headaches are classified into two main groups: primary, which refers to independent conditions that cause pain in the head, and secondary, which occur as a result of another condition. Primary headaches include tension headaches. Secondary headaches
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are ones that come as a part of another condition, like a sleeping disorder or inflammation. A migraine is typically thought of as a severe headache, but headaches are only one symptom of migraine. A migraine is a neurological condition that involves nerve pathways and chemicals. Changes in brain activity affect blood in the brain and surrounding tissues, causing a range of symptoms including nausea, sensitivity to light, dizziness, and extreme fatigue. Other more disruptive symptoms include visual disturbances, cognitive impairment, muscle weakness, and transient aphasia (difficulty communicating, verbalizing and finding words). A migraine usually affects one side of the head (though not always), and according to the American Migraine Foundation, there are four distinct phases to a migraine. Again, because each individual’s experience is unique, not everyone experiences every phase. 1. Prodrome — Also known as “pre-headache,” this phase can last several hours or can even last several days. Symptoms in this phase include fatigue, sensitivity to light and sound, nausea, frequent yawning and frequent urination. 2. Aura — An estimated one-third of people experience this phase, during which people can experience blurry vision, episodic vision loss, flashing or
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“zig-zag” lights. These symptoms last anywhere from five minutes to an hour. 3. Headache — This phase is distinguished by severe or debilitating pain on one or both sides of the head that can last from several hours to several days. Along with the pain, other symptoms in this phase include anxiety; hypersensitivity to light, sounds, and smells; nausea and vomiting. 4. Postdrome — Also called “migraine hangover,” this phase follows the period of pain and can last 24 to 48 hours. It’s characterized by fatigue, body aches, dizziness and difficulty concentrating. For some people, postdrome can be just as debilitating as Phase 3.
Migraine Triggers Triggers range from environmental to hormonal to behavioral. Some environmental behaviors include bright lights, weather changes, particularly changes in barometric pressure and hotter temperatures. Behavioral triggers can include alcohol — particularly red wine — caffeine, cheese, processed meats and dehydration. Hormonal changes include fluctuations in estrogen levels, which could explain why migraines disproportionately affect women. Identifying triggers is the single, most important step in treating migraines. Once identified, the triggers can be avoided or minimized to decrease the number and severity of migraine episodes. Doctors can provide resources, and there are a number of websites and social media groups for migraineurs that help in sharing coping advice.
Treatment There are a variety of treatments for migraines, but they usually fall into two categories: abortives, which help relieve pain once a migraine has started, and preventives. Relief medications work best when taken at the first sign of an oncoming migraine. These include over-the-counter or prescription pain relievers; triptans, which are prescription drugs that block pain pathways in the brain; and other med-
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EDITOR’S DOSE
ications focused on lessening the effects of nausea, light and sound sensitivity. Preventive medications are aimed at reducing how often patients get a migraine and how long they last. These include blood pressure-lowering medication, beta-blockers, anticonvulsants, antidepressants, Botox injections, and once-a-month monoclonal antibody injections. For patients with migraines that do not respond well to medications or therapies, an alternative option is neurostimulation. Many doctors recommend biofeedback, which includes muscle relaxation and abdominal breathing techniques that have been proven to reduce headaches and improve the quality of life for migraineurs. Many times, this treatment is paired with preventive medication.
Migraine and Dementia Findings from a 2020 study published in the Journal of Headache and Pain supported the hypothesis that migraines are a midlife risk factor for dementia later in life, based on the higher rate of dementia in individuals with a hospital-based diagnosis of migraine with aura. The study also noted that further study should be conducted, particularly among populations with less severe migraine cases.
Coping Together It’s important that family and friends understand the importance of their role in the support network. Understanding the condition and not downplaying migraine or its symptoms help the migraineur get the treatment and accommodations they may need. Beatty says that in a family, an active migraine episode affects all parts of family life. Making sure the family knows what is happening and can adapt is key. “Believe me, I would much rather be doing the daily family routines than have a migraine,” she says. “It’s important that the person who is suffering from the migraine does not feel that additional stress.” HN
When Hope Triumphs Over Pain
JESSICA McDONALD, EDITOR
jessica@centralfloridamediagroup.com
I
don’t typically talk about myself in this column space, but June is special for me. As awareness months go, Migraine and Headache Awareness Month is near and dear to my heart. As someone who has struggled with migraine for more than 20 years, promoting understanding and awareness is important on both a professional and personal level. I’ve never been able to adequately describe the pain of migraine to those who don’t experience it. It’s a pain that makes you wish you could cease to exist until it stops; it’s a pain so bad you have to remind yourself to breathe. My journey has taken me through some of the darkest times of my life. I tried the medications the doctors prescribed and prayed for relief as the years passed. Eventually, I had tried all the medications, therapies, contraptions and techniques the doctors had in their toolboxes, yet still there was no relief. I learned that the worst blow wasn’t that I’d run out of medications. No. The most devastating setback was when I ran out of doctors. Multiple specialists bowed out, holding up their hands and saying they had tried everything they could. Where do you turn when the people you look to lose hope? My migraines grew in intensity and frequency and were labeled intractable and chronic. I struggled to work, seeking accommodations like working from home, moving my workstation to low-light areas and using cubicle shades that only slightly blocked me from the fluorescent lights. The only comfort to be had was a bed in a cold, dark, silent room, isolated from my family and friends. At my worst point in 2018, I fostered hope for the first time in my journey. I’d come across a doctor in a different state who had a high rate of success with neuromodulation. Their treatment involved implanting a small stimulator that sends electrical impulses through leads to nerves in the supraorbital and occipital regions. The impulses block pain signals from reaching the brain. I took a leap of faith, and I’ve never once looked back. That surgery restored my faith, my hope and my life. I still get migraines; my daily pain ranges from nonexistent to a Level 1 or 2 (on a scale of 1 to 10), which — for me — is a godsend. I get the debilitating migraines two to three times a month, a definite improvement over the five per week I had been experiencing. The difference is that now I can adjust the pulse sensations to bring the pain to more tolerable levels, making it so the abortive medicines actually help the pain. This means when I do go down, it’s only for a day as opposed to three or more days. I share my journey with you to expand awareness of migraine and the havoc it can wreak and to pass on the hope. When I had lost hope, a doctor told me he would hold out hope for me until I could lift my head again. For anyone suffering from migraines, don’t give up. It may take a lot of trial and error, but the end result could restore your life. HN
CFHN | 19
June 2021 | CALENDAR 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 boot camp style workout video during the COVID-19 pandemic. Little or no workout equipment is required for these energetic routines. You can access them anytime on their app or online at allfitorlando.com/freehomeworkout.
AdventHealth Coronavirus Resource Hub Get up-to-date information about the novel coronavirus (COVID-19) including risk factors, symptoms, history, and treatment. You can also sign up to receive news alerts via text or email regarding current developments. Blogs, videos, and links to other resources makes this website a valuable tool for staying informed on this ongoing medical crisis. Make adventhealth.com/coronavirus-resource-hub the first place you go for coronavirus facts.
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/lifelong learning. The goal is to slow or prevent cognitive decline and improve quality of life. This class takes place on the second and fourth Tuesdays of each month from 10:30 – 11:30 a.m. The Zoom link is https://us02web.zoom.us/j/3876883694. Before the class, please download and print class materials from BrainFlexWellness. com. If you have any other questions, please email ORL.MDC@ AdventHealth.com.
Caregiver Support Group – Weekly This group meets every Monday at 11 a.m. to discuss caregiver concerns and provide fellowship and support for one another. Meetings are currently taking place online using the Zoom platform. You can join the recurring meeting using this link: https://us02web.zoom. us/j/86739398714, or email ORL.MDC@AdventHealth.com for more information.
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 (Previously Met at Faith Assembly)
This monthly group meets to share advice and experiences, and encourage one another. The group meets at 1 p.m. on the third Thursday of each month using the Zoom online platform. The link to join the meeting is https://us02web.zoom.us/j/89447209844. If you have any questions, please email ORL.MDC@AdventHealth.com.
Music Therapy Join board-certified music therapists on the first Tuesday of every month at 11 a.m. The Maturing Minds Music Therapy group uses neurologic music therapy techniques to boost brain and behavior functions, such as memory, communication, attention, and movement. The meetings are taking place online using Zoom. The link for the recurring meeting is https://us02web.zoom.us/j/3876883694. Please email ORL.MDC@AdventHealth.com if you have any questions.
Ostomy 2-1-1 Ostomy 2-1-1 is a nonprofit organization that provides information and support to individuals and their families who are living with an ostomy bag. Their website, ostomy211.org, provides a wealth of resources to find online support groups, ostomy supplies, and answers to all your questions.
Watson Clinic’s “Health E-News” If you are a patient at Watson Clinic or are in need of becoming one, you’ll want to stay informed about what services are being offered and upcoming events at their various Central Florida locations. You can sign up for their free monthly newsletter at www.watsonclinic.com/about-us/health-e-news.html.
YMCA Central Florida Get your exercise in at home with these fun and invigorating videos brought to you by the Virtual YMCA Wellness Center at ymca360.org. There are videos for adults and seniors, as well as for children, including activities such as yoga, boot camp, pilates, and stationary cycling. Stay healthy and active in the safety of your own home.
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EVENTS AND FUNDRAISERS June 1 – 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 855-269-4777. You can register online by visiting baycare.org/events and searching for “Breastfeeding Support Group.”
June 5 – FOREVER AMOR Ambitiously Fit Event This is a FREE monthly event taking place on the first Saturday of every month at 1255 E Main St in Bartow. Get your fit on with Forever Amor and Abundant Believers Church (ABC) and Prime Era Performance (PEP). The Forever Amor movement and clothing line spread awareness to mental health issues through community outreach events such as this. Water, nutritional material, resources for mental health wellness, and more will be provided. Fun for the whole family, all ages welcome! Show up with athletic or running shoes, a sweat towel, and a yoga mat (optional) and be ready to sweat! To learn more, please visit foreveramor.com.
June 16 – AWAKE Sleep Disorders Support Group Virtual This is a presentation by BayCareHealth System to discuss sleep disorders with specialists and to give patients and caregivers a chance to connect and network. It will take place from 6 – 7 p.m. For more information or to register, please call 855-269-4777 or visit baycare.org/events.
June 21 – Men’s Health Day Men ages 18 and older are invited to the 4th Annual Premier Men’s Health Day at Premier Community HealthCare Group, located at 14027 5th St in Dade City. This is a free event that will feature free health screenings, community resources, and more. You can find more information on their Facebook page, facebook.com/PremierCommunityHealthCare/.
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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
…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
CFHN | 21
PHYSICAL WELLNESS
Lower Back Pain and Sciatica: Where to Start
L
ower back pain and sciatica can be a life-changing event. There can be a lot of reasons JOE KOLOC, MSPT, MBA for back pain but some popular ones that we hear about are things like stenosis, degenerative disc disease, alignment issues or good old-fashioned back strain. It makes sense that these injuries happen for different reasons Arthritis in your joints generally causes stenosis. You might be getting immobile and not keeping the discs moving and healthy or you might have bent over and lifted something incorrectly, injuring the disc and straining a muscle. The point here is that a specific injury requires a specific treatment. Knowing WHAT the right treatment is can be REALLY confusing. Do you go see a doctor, a chiropractor, massage or physical therapist? Do you just put ice or heat on it and take some Tylenol? What happens if it doesn’t get better? An important point here: It makes a difference if this is an old injury that you’ve had before or if it’s a first-time injury. If you are having numbness or you notice bowel or bladder changes, you should seek medical help immediately at an urgent care or ER. Less severe injuries can still be serious, but it’s likely that you can recover with conservative care. You should always start off with RICE for a new injury. RICE stands for Rest, Ice, Compression (Ace Wrap) and Elevation. This can work for any minor injury with swelling and pain, especially the Elevation part. After about the first day, you should do some gentle stretches like a knee-tochest stretch for your back and start walking. If you have a history of back surgery or injuries, you want to limit how much time you wait before seeing a professional if you don’t feel better after a day or two. This professional should do a thorough examination of your back. This might include tests for the nerve function, mobility, strength, and palpation of the injury. The treatment should address as many of the clinical findings as possible to offer a fuller recovery. The goals with conservative care are to make sure you heal naturally without surgery, injections or a lot of painkillers if possible. Staying active, healthy and using good body mechanics and sitting postures are critical. To learn more about our Free Back Pain and Sciatica Workshop, go to https://bit.ly/2QfoJVi 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
PCMA LETTER
BODY, MIND & SPIRIT
Big Boys Do Cry by MARY JOYE, LMHC
M
en’s mental health statistics are of great concern, and culture may be the culprit. Many boys are shamed if they express emotion, and they learn to repress sadness and enthusiastic joy that produces tears. The first thing a newborn baby boy or girl does is cry. but toddlers often hear, “Big boys don’t cry.” Lacking an outlet for expression, children can develop into repressed or emotionally unavailable men. The strong, silent types may not be as resilient as they appear. An estimated 75% of the suicides in the United States are men. One factor is they choose more lethal methods than women and are stealthier about it. Few suspect a man is thinking about ending his life because of his conditioned ability to hide emotions. If you know a man who seems detached or withdrawn, the most important thing is to socialize with him, even if they are resistant. Let them know you care, and it will reduce dangerous isolation, especially after major negative life events. We lose 22 combat veterans a day to suicide. Divorced men in the U.S. take their lives at a rate of 10 per day. Though no marriage is perfect, it buffers men from loneliness, as does having children and close extended family. Men who have never married have a 70% higher death rate and varied research concurs women’s nurturing instincts assure their husbands get yearly checkups and eat healthier diets. It is significant to note that men see their occupations as a large component of their identities. If they lose their careers, they silently but miserably suffer feelings of worthlessness and hopelessness. Men in rural areas are more at risk because of isolation. The loss of manufacturing and agriculture
jobs that have literally been farmed out has caused a rise in men’s mental health issues. This is exacerbated by men who choose to self-medicate and numb their feelings with substances. Addiction for men is at a rate of 3 to 1 to women and another factor for potential early demise. It is imperative that we teach young men to show their feelings without shaming them or stigmatizing seeking mental health help. This is a long-overlooked social issue as men seek treatment far less than women. They are encultured to be the fixers and providers, and admitting they need help in any area of their life can cause them to feel emasculated. How many jokes have we heard about men not stopping to ask for directions? It’s funny but indicative of a serious underlying cause. It’s time to direct attention to the men in our lives, or if you’re a man, to yourself. William Shatner, age 90, who portrayed the virile Captain Kirk, was on 60 Minutes Australia. He lamented about his fear of dying alone, and his willingness to share how to cope with it was enlightening. • Be with friends and family. • Do something for someone else. • Get connected with friends through work and common interests such as sports. Shatner remembered a Valentine’s Day in his childhood when no one sent him a card but himself. He fought back tears as he related a story of decades past but looked like he was beamed back by Scotty to that time. His adult fear was directly influenced by his childhood, and if Captain Kirk can cry, so can you. It takes more bravery to show emotions than to hide them and it is essential to men’s well-being. Big boys do cry and laugh, too!
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
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CFHN | 23
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