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 8 | November 2021
Organization Advocates for Youth With Type 1 Diabetes FREE— TAKE ONE!
Diabetes NUTRITION
TOUCHED BY TYPE 1 See JOLLIBEE page 15
ENROLL PAGE 12
THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION
EDITION
LET FOOD BE THY MEDICINE
Dieticians Can Help You Identify And Achieve Your Best Health
YOUR DIABETES CARE TEAM
How the Right Professionals Can Help You Take Control
POP QUIZ!
Is All That Caffeine Taking a Toll On Your Health, Well-Being?
PRSRT STD US POSTAGE
CentralFloridaHealthNews.com CentralFloridaHealthNews.com
WEST PALM BEACH,FL PERMIT NO. 4595
PAID
9 10 Care Team an Important Part of Diabetes Care
An estimated 34.2 million Americans are living with diabetes, a disease that can have an enormous impact on an individual’s health. Having the right people with the right knowledge in place on your care team is crucial to the management of diabetes.
There are many individual challenges when it comes to diet, including weight concerns, food allergies and medical conditions. With food playing such an important role in our health, it makes sense to consult an expert for the very best dietary advice for our individual needs. We speak with Watson Clinic registered dietician Nancy Ulm to learn more about how the right nutritionist can help you unlock your best health.
4 PUBLISHER’S LETTER 5 PCMA LETTER 6 MEDICAL ADVICE 10 HEART HEALTH 15 HEALTHY AGING 16 CALENDAR
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What’s Goin g On
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Entrées:
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 Filipin American comm ounity 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 s on the outsid ers waiting to have their e and juicylic own Jollibe ious inside. The e experience," said well-loved Jose Miñan Jolly Spaghetti is a a, Jollibee Foods Corpor favorite of both ation's Group kids and kids-at President for North -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 friendly warm vorites include service – 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 Foreca need it? st: Culinary Trend Trackin g Series. "The steakh 7 ouse is back capture our and will attenti the classic restaur on in 2017. Not that Rise Bisquits ant style ever peared, but disapa renewal of Donuts to open the model is taking place Chefs and in response consumers to new source in Coral Springs of beef and new both want their meat to s flavorful expres taste delicio and sustain sions of 11 the concept that us and to feel able good about its’ consum get chefs seasonal produ sourcing, local and diners excited ption, too. This and new breed of ce, and global ," says David steakh and forms, flavors Sprink search directo le, reall 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 up expansion in cuts ability and anima rs, facas entrées menus increas ingly feature with a choice of meat and create grass-fed cattle, a dining experi l welfare, Moreover, new of sides. the Southeast raised anima showcases culinar ence that menu catego ls, heritage varieti locally as flatbreads) ries (such y flair, not just 13 butchered and dry aged in-houes, meat master's skill at cookin and service a grill freshen the elements dishes that g se, steak concep and quested donen to the restem from t. the whole aniess. These mal, not just operations are also design the premiu About the Repo ed 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
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FOODSE RVICE IND USTRY NEW SPAPER ◆ $3 VOLUME 21 NUMBER 3 ◆ MARCH 2017
FLORIDA EDI TION
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2017 forecast:
FLORIDA’S
A diagnosis of type 1 diabetes is a major health NUTRITION concern for a child and EDITION their family. Central Florida healthcare advocate Elizabeth Forrest is helping diabetic children TOUCHED BY TYPE 1 thrive through a multifaceted organization that provides a number of opportunities for families to connect and learn how to best manage this disease. Read more about Forrest and her organization on page 14.
PAID
Let Food Be Thy Medicine
On the Cover
PRSRT STD US POSTAGE
2 | CFHN Caffeine plays a big role in the lives of many Americans, with coffee, tea, caffeinated soda, energy drinks, and energy shots being some people’s daily go-to drinks. However, few actually stop to consider how much caffeine they are consuming every day or how that caffeine can affect their health. Test your knowledge with our pop quiz and learn the effects it has on your well-being. WWW.TRN USA.COM
8 Pop Quiz!
WEST PALM BEACH,FL PERMIT NO. 4595
volum e 11 |
issue 8 | Novem
ber 2021
FREE — TAK
page 15
CONTENTS | November 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!
Diabetes
Organization Advo Youth With Type cates for 1 Diabetes
THE ENDO RSED PUBL ICATION OF POLK COUN TY MEDICAL THE ASSOCIATI ON
Dieticians Can THY MEDICINE Help And Achieve Your You Identify Best Health
LET FOOD BE
Is All That Caffe ine Toll On Your Healt Taking a h, Well-Being?
POP QUIZ!
S CARE TEAM How the Right Profe Can Help You Take ssionals Control
YOUR DIABETE
Centra CentralFlorid lFloridaHealt aHealthNews hNews.com .com
Departments & Columns 18 HEALTHY COOK 19 ADVENTHEALTH 20 BODY, MIND & SPIRIT 20 HEALTHY SKIN 21 EDITOR’S DOSE 22 ORTHOPAEDIC HEALTH
centralfloridahealthnews.com
Trust your hips and knees to the leader in joint replacements. When you have your hip or knee replacement procedure at a BayCare facility, you’re trusting a leader in Tampa Bay and West Central Florida. No health system or hospital does more hip and knee replacements than BayCare. That level of experience means clinical excellence, which is why 98 percent of our hip and knee replacement patients are up and walking within 24 hours of surgery.
For a physician referral: BayCareJointRepair.org or (844) 260-7155
21-1814446-1021
PUBLISHER’S NOTE
www.CentralFloridaHealthNews.com
Your Partner in Health Care
PUBLISHER Nelson Kirkland
MANAGING EDITOR
NELSON KIRKLAND, PUBLISHER
Jessica McDonald
nelson@centralfloridamediagroup.com
PROJECT MANAGER
H
ave you ever tried to find a doctor using just the internet? It’s not easy. Between wading through ads and inadvertently landing on sites that claim to rank or grade them, you barely know what listings are legit anymore. Add to that the frustration of finally deciding on a doctor you found online only to later find out they’ve changed practices or are no longer practicing, and the entire process becomes futile. We’ve been there. That’s why we are so proud to offer the Central Florida Physicians Directory & Medical Providers Guide alongside our December edition of Central Florida Health News. Each year, we go through the careful and meticulous process of verifying which doctors are still practicing, which have moved and which are new. We check the contact information with all the local practices to make sure we have the latest, most updated information. It’s no small feat.
4 | CFHN
It takes a lot of time, effort and — most importantly — collaboration with the Polk County Medical Association as well as the providers in our footprint. But the result is worth it. It is the most comprehensive database of physicians in our region, as well as an easy-to-use tool when a referral is needed. Physicians and healthcare providers are listed by specialty, eliminating the need for guesswork. It is published in a physical edition so you can keep it as a handy guide and even take it to your healthcare appointments when it’s time to get a referral. Plus, we put the digital edition online at wwwCentralFloridaHealthNews.com and Issuu. com. That’s more than 2,000 providers at your fingertips! Be sure to look for it next month. It’s our Christmas present to you, and it’s one we know can bring you good health! HN
David Kiessling
ACCOUNT EXECUTIVE Juanita Halter
DIGITAL ACCOUNT MANAGER Alexis Duncan
CONTRIBUTING WRITERS Erika Aldrich, Mary Joye, LMHC, Teresa Schiffer, Carol Corley, Dr. Joy Jackson, Pamela Palongue
CONTRIBUTING COLUMNISTS Ritu Aparajita, MD; Timothy Evans, MD; Dr. Alex Kennon, MD; Courtney Beaumont, O.D.
CONTRIBUTING ARTIST Dawn Lewandowski
DELIVERY DLS Distribution Published by Central Florida Media Group in cooperation with the Polk County Medical Association
56 Fourth Street Northwest, Suite 100 Winter Haven, Florida PHONE 863.248.7537 Copyright © 2021 Central Florida Media Group. ALL RIGHTS RESERVED. This issue of Central Florida Health News is a trademark of Central Florida Media Group. Reproduction or use in whole or in part of the contents of this magazine without written permission is prohibited. Central Florida Health News makes every effort to ensure the accuracy of content published. In the event of an error found herein however, neither the publishers or advertisers will be held responsible, nor do the publishers accept any liability for the accuracy of statements made by advertisers in advertising and promotional materials. Furthermore, the opinions and claims expressed in advertisements and promotional materials do not necessarily reflect those of the Polk County Medical Association or Central Florida Media Group and do not imply an endorsement.
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INTRODUCTION
PCMA LETTER
PCMA LETTER
Some of the benefits of a PCMA membership include the following:
A Lot to Be Thankful For 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
I
✱ Physician referrals
t’s easy to get wrapped up in the holidays! This time of year is packed with food, fun and family — especially this year as people start gathering once again thanks to COVID vaccines. Remember to be particularly grateful this Thanksgiving for your health and the health of your friends and family.
efforts of the group to help youth with type 1 diabetes.
November also happens to be Diabetes Awareness Month. Just over 10 percent of the U.S. population has diabetes. Central Florida Health News and the Polk County Medical Association know the importance of promoting diabetes awareness and nutrition education.
Don’t forget to test your knowledge with our Pop Quiz on caffeine! So many people swear by it, but do you know the various ways it can affect your health?
In this edition, we speak with Central Florida healthcare advocate Elizabeth Forrest about how she founded the nonprofit organization Touched by Type 1 and the various
✱ Medical malpractice discounts with The Doctors Company ✱ Ongoing relevant communication
Inside, you’ll also learn why registered dieticians aren’t just for people with prediabetes and diabetes. As it turns out, their experience and knowledge can be helpful for many others. Find out if you would benefit from their services.
✱ 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
Thank you for reading! We wish you a happy and healthy Thanksgiving! HN
✱ Physician and medicine advocacy at all legislative levels.
If you’d like more information about becoming a PCMA member or need to check your membership status for renewal, contact our Executive Director Jackie Courtney at (863) 644-4051 or email director@ polkcountydoctors.com.
Sincerely,
James J. Booker, MD James J. Booker, MD
Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association
CALLING ALL PHYSICIANS
Renew your 2021 Membership with Polk County Medical Association now! MEMBER BENEFITS
✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company ✱ Ongoing relevant communication ✱ Access to CME Programs ✱ Workers compensation insurance benefits ✱ Complimentary Socials/dinners
Interested in becoming a member? Join the leading professional association in Polk County for physicians.
MEMBER BENEFITS
✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications ✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide ✱ Physician and medicine advocacy at all legislative levels
director@ polkcounty doctors. com
Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813 centralfloridahealthnews.com
CFHN | 5
MEDICAL ADVICE
Take Steps to Protect Your Lungs by DR. JOY JACKSON
N
ovember is Lung Cancer Awareness Month, and the Department of Health in Polk County wants to share with you the importance of caring for your lungs, how Polk County is affected by lung cancer, and what factors pose significant risks to developing lung cancer. Our lungs play a vital role in our bodies, caring for them is critical for optimal health. Lungs work by extracting oxygen from the air and transferring it into our bloodstream to be used in many chemical processes throughout our bodies. When lungs are exposed to harmful particles or poisons many diseases can result, including lung cancer. Lung cancer occurs when cells start growing uncontrolled in the lungs. There are several causes that may contribute to the development of lung cancer, but cigarette smoking is the number one risk factor. According to the Centers for Disease Control and Prevention, 80 to 90 percent of lung cancer deaths in the United States are related to tobacco. In 2018, Polk County reported 603 residents
were diagnosed with lung cancer. The lung cancer incidence rates were higher in Polk County than in the state of Florida; about 60.1 out of every 100,000 people were diagnosed with lung cancer in Polk County. In Florida, that number is 55.9 people out of every 100,000. This means that in 2018, someone in Polk County was more likely to be diagnosed with lung cancer compared to the rest of the state. Although incidence rates have been dropping for several years, both county and statewide, there is still room for improvement.
and children. It is also associated with an increased risk of sudden infant death syndrome. Radon is a gas found naturally in rocks and dirt. It can become harmful when inhaled after being trapped in homes or other buildings. DOH-Polk offers no-cost radon testing kits. For more information, visit polk.flhealth.gov.
There are several ways poisons in tobacco smoke can impact lung health; they weaken the immune system, making it more difficult to kill cancer cells, and they can damage or change DNA, altering the normal growth and function of cells.
• Get your home tested for radon
Other risk factors for lung cancer include exposure to secondhand smoke, exposure to radon gas, and exposure to other substances such as asbestos, arsenic, and diesel exhaust. Secondhand smoke is known to increase the risk of respiratory infections, ear infections, and asthma attacks in infants
To reduce your risk of contracting lung cancer the CDC has several tips: • Don’t smoke • Avoid secondhand smoke • Beware of exposures to harmful substances DOH-Polk wishes you a happy and healthy holiday season, especially for your lungs. HN County and State Lung Cancer Incidence Rates Source: University of Miami (FL) Medical School, Florida Cancer Data System, via FL Health CHARTS
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.
6 | CFHN
centralfloridahealthnews.com
Gala The
SAVE THE DATES:
VIRTUAL AUCTION AND RAFFLE DRAWING
OCTOBER 29 - NOVEMBER 4, 2021 All proceeds will be utilized locally to establish an American Psychological Association accredited training program for Doctoral level clinical Psychologists in Winter Haven. Please join us for an exciting virtual experience at Polk County’s premier fundraising event, the Winter Haven Hospital Foundation Gala.
SPONSORSHIP OPPORTUNITIES Platinum: $10,000
(Customized dining experience for 12 guests, digital ad opportunity, post event recognition)
Gold: $5,000
(Customized dining experience for six (6) guests, digital listing opportunity, post event recognition)
Silver: $2,500
(Customized dining experience for three (3) guests, post event recognition)
Bronze: $1,500
(Customized dining experience for two (2) guests and post event recognition )
For more information call (863) 292-4138 or email whhfoundation@baycare.org.
FEATURE
Crash Course on Caffeine
POP QUIZ! compiled by ERIKA ALDRICH / Information provided by the FDA and the National Institutes of Health
1. How many milligrams (mg) of caffeine does the average 8-ounce cup of tea and 8-ounce cup coffee contain? A. Tea has 5-50 milligrams and coffee has 15 to 35 mg of caffeine B. Tea has 15-25 milligrams and coffee has 40 to 50 mg of caffeine C. Tea has 30-50 milligrams and coffee has 80 to 100 mg of caffeine D. Tea has 60-100 milligrams and coffee has 160 to 200 mg of caffeine 2. How much caffeine does the average 12-ounce can of caffeinated soda contain? A. Approximately 30 to 40 mg of caffeine B. Approximately 20 to 30 mg of caffeine C. Approximately 10 to 20 mg of caffeine D. A pproximately 5 to 10 mg of caffeine 3. How much caffeine do energy drinks and energy shots contain? A. Energy drinks contain 10 to 180 mg in a 16-oz. drink and energy shots contain 50 to 120 mg B. Energy drinks contain 30 to 200 mg in a 16-oz. drink and energy shots contain 80 to 160 mg C. Energy drinks contain 50 to 220 mg in a 16-oz. drink and energy shots contain 100 to 180 mg D. Energy drinks contain 70 to 240 mg in a 16-oz. drink and energy shots contain113 to 200 mg 4. True or false? If coffee or tea is labeled as “decaffeinated,” that means it contains no caffeine. 5. What is the FDA recommended maximum daily amount of caffeine
4. False. Decaffeinated beverages still contain some caffeine; decaf coffee typically has 2-15 mg in an 8-ounce cup. 5. B. 400 mg of caffeine a day. Your tolerance may be higher or lower. 6. D. All of the above. Sensitivity to caffeine can be affected by your sex, age, genetics, usual caffeine intake, medications, and more.
7. A. F1,200 mg. This makes caffeine in pill and powder form especially dangerous. 8. E. All of the above. 9. C. Nearly a third. Nearly one out of every three teenagers consumes energy drinks regularly. 10. True. Quitting caffeine all at once, or severely limiting your intake, can cause uncomfortable side effects like headaches, feeling jittery, or anxiety.
8 | CFHN
C
affeine plays a big role in the lives of many Americans, with coffee, tea, caffeinated soda, energy drinks, and energy shots being some people’s daily go-to drinks. However, few actually stop to consider how much caffeine they are consuming every day or how that caffeine can affect their health. Test your knowledge with our pop quiz and learn the effects it has on your well-being. for the average adult? A. 300 mg of caffeine a day B. 4 00 mg of caffeine a day C. 500 mg of caffeine a day D. 600 mg of caffeine a day 6. What might make someone more sensitive to caffeine? A. Certain health conditions and/or medications B. B eing pregnant C. No clear reason D. All of the above 7. At what amount has the FDA estimated caffeine to be toxic and could induce seizures when consumed rapidly, such as when caffeine is highly concentrated in a pill or powder form? A. 1,200 mg C. 1,800 mg B. 1,500 mg D. 2,000 mg 8. Which of the following is a sign that you consume too much caffeine? A. Insomnia B. Feeling jittery, anxious, and/or having a fast heart rate C. Upset stomach, nausea, digestive problems, and/or headache D. A feeling of unhappiness (dysphoria) E. All of the above 9. What amount of teenagers (ages 12 to 17) consume energy drinks regularly? A. About 10% C. Nearly a third B. About a quarter D. About 50% 10. T rue or false? It is recommended to cut down on caffeine slowly, as severely limiting intake or “going cold turkey” can cause unpleasant withdrawal symptoms like headache, anxiety, and nervousness; though it’s not believed to be dangerous.
ANSWERS: 1. C. Tea has 30-50 milligrams and coffee has 80 to 100 mg of caffeine. 2. A. Approximately 30 to 40 mg of caffeine. 3. D. Energy drinks contain 70 to 240 mg in a 16-oz. drink and energy shots contain113 to 200 mg.
PREVENTION
centralfloridahealthnews.com
COMMUNITY HEALTH
Care Team an Important Part of Diabetes Care by TERESA SCHIFFER sponsored by Central Florida Health Care
A
n estimated 34.2 million Americans are living with diabetes, a disease that can have an enormous impact on an individual’s health. In many cases, the development of type 2 diabetes can be prevented or at least controlled through appropriate dietary measures and increased physical activity levels. Some of the risk factors for a patient to develop type 2 diabetes include having a firstdegree relative with diabetes, being obese, having a sedentary lifestyle, or being part of a high-risk ethnic group such as AfricanAmerican, Hispanic, or Native American. Developing type 2 diabetes can lead to major health issues, including cardiovascular disease, diabetic retinopathy, neuropathy, kidney disease, hypertension and more. Central Florida Health Care has specialists on staff to help patients learn the risks of type 2 diabetes and how they can better care for their own health, including an inhouse optometrist who performs diabetic eye exams. Certified Diabetes Care and Education Specialist Dominiqua Lint is a certified family nurse practitioner who is passionate about patient care, wellness, and
Behavioral Health
Dental Health
Financial Assistance
Food Access
Walk-ins Welcome centralfloridahealthnews.com
preventive medicine. According to Lint, patients should be screened for diabetes if they are overweight (defined as having a BMI over 25), older than 45, have a first-degree relative with diabetes, are part of an at-risk ethnic group, have ever been diagnosed with gestational diabetes, or if they are having symptoms like frequent urination, yeast infections, constant hunger or thirst, or changes in vision. Once diagnosed with type 2 diabetes, it is important to make some lifestyle modifications, such as weight loss, increased physical activity, and close partnership with your primary care provider and a nutritionist. Limiting concentrated sweets and sugars as well as monitoring carbohydrates should become a primary dietary goal. “I’m proud to work with this organization,” Lint says, “because we have everything to treat patients in-house to eliminate any barriers that patients may have. We have a diabetes self-care education program, providers to help with the medication management and monitoring their A1C levels and sugars, and we have a registered dietician to help with Medical
OB/GYN
Pediatrics
the nutrition aspect.” Central Florida Health Care registered dietician Ron Lund advises patients to make sure they are getting at least 150 minutes per week of physical activity of moderate intensity. As for diet, he understands that a more personalized approach is the best way to help patients achieve their health goals, such as reducing carbohydrate and dietary fat consumption, limiting or avoiding sugary drinks, and considering lifelong eating approaches such as the Mediterranean Diet, the DASH (Dietary Approaches to Stop Hypertension) Diet or increased plant-based eating. “When it comes to the patient,” Lund explains, “I really like to get their story so I can better understand them and find out what their concerns are.” Ultimately, the person who will have the biggest impact on a patient’s health is the patient themself. The professionals at Central Florida Health Care have the tools and experience to empower patients to take control of their health through education, counseling and support. Pharmacy
Referrals
Vision
866.234.8534 CFHN | 9
FEATURE HEART NEWS
EDUCATION
Meet Our Doctor
Operative Management of Peripheral Arterial Disease
Dr. Aparajita is a fellowship-trained vascular surgeon and has been serving the Polk County community for the past 1 year. She earned her Bachelor of Medicine and Bachelor of Surgery (MBBS) degree at University 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 Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical in New Jersey. e’veCenter talked about what Peripheral Arterial DisDr. ease Aparajita is also a Membercolumns. of the RoyalNow, Collegelet’s of Surgeons is in previous look atof Edinburgh, UK (MRCS Ed) and completed her Basic Surgical Training in RITU APARAJITA, MD, RPVI some operative England soonpossible after her medical school. treatment options for KSC Cardiology Dr. Aparajita is the co-author of more than alone two dozen journal articles, PAD. When medical management has failed to publications and oral presentations, including topics such as improve symptoms, thethrombosis, possibleaortic treatment options include the following: endovascular treatment for aneurysm repair, stroke, peripheral artery disease and other vascular conditions. Additional posts and volunteer work include a teaching position at Hofstra Northwell School of Medicine and as a Member of the Public and In this procedure, a catheter is International threadedRelations through a blood vessel to the Professional Outreach Committee as well as the Committee at the Society for Vascular Surgery (SVS). on the tip of the catheter is inflated to affected artery. There, a small balloon Dr. Aparajita was recently nominated for the American Medical flatten the plaque into the artery wall and reopen the narrowing (stenosis) or Association (AMA) Inspiration Award that recognizes physicians who have contributed to the women in the medical blockage (occlusion) in achievements the artery ofwhile stretching the artery. A wire is used to profession.
Let Food Be Thy Medicine
W
1. Endovascular treatment with balloon angioplasty:
cross the blockage, and various modalities may be employed (either alone or in combination) like atherectomy (a procedure that utilizes a catheter with a sharp RITUremove APARAJITA, MD, MRCS (Ed), MBBS blade on the end toSpecialty: plaque from a blood vessel) suction thrombectomy Vascular & Endovascular Surgery (using a catheter to suck out fresh clot), thrombolytic infusion (clot-busting Joining KSC Cardiology November 9, 2020 medication given at the site of the clot). No cuts are made during this procedure, and it’s typically done in a cardiac catheterization lab. Your doctor may also insert a mesh tube (stent) in the artery to help keep it open. This is the same procedure doctors use to open heart arteries.
2. Surgical procedures (for example femoral popliteal bypass, femoral endarterectomy/patch angioplasty): Your doctor may create a path around the blocked artery using either a blood vessel from another part of your body or a synthetic vessel. This technique allows blood to bypass the blocked artery. This is typically performed in an operating room in the hospital.
3. Hybrid procedures (combination of endovascular and surgical procedures)
by PAMELA PALONGUE
A Dietician’s Guidance Can Help You Make the Best of Your Health
4. S upervised exercise program:
Your doctor likely will prescribe a supervised exercise training program to increase the distance you can walk pain-free. Regular exercise improves symptoms of PAD in a number of ways, including helping your body use oxygen more efficiently. This is useful in combination with the above procedures and only if you suffer from claudication alone.
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).
10 | CFHN
“Let food be thy medicine…”
I
t’s funny how the wise words of the ancient physician Hippocrates still ring true today, some 2,500 years later. Beyond the DNA we’re born with, the three great influencers of overall health are sleep, exercise and the nourishment we choose for ourselves. There are many individual challenges when it comes to diet, including weight concerns, food allergies and medical conditions. With food playing such an important role in our health, it makes sense to consult an expert for the very best dietary advice for our individual needs. Many people, particularly as they age, find themselves in the category of prediabetes. According to the Centers for Disease Control and Prevention, more than 1 in 3 people have prediabetes. Their doctors deliver the news, but what next? Who can help each individual identify the best foods for their specific medical circumstances? That’s where professionals like Nancy Ulm come in. Ulm is a Registered Dietician and a Certified Diabetes Care and Education Specialist at Watson Clinic.
Nancy Ulm
Ulm explains that individuals who are prediabetic have developed resistance to insulin, meaning the cells of the muscles, fat and liver are unable to use the glucose supplied by the bloodstream. This prompts the pancreas to make more insulin in order continued on page 22
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FEATURE EDITION
TOUCHED BY TYPE 1 ELIZABETH FORREST
Healthcare Advocate Fulfilling Dream of Helping Youth With Type 1 Diabetes by TERESA SCHIFFER
I
t can be overwhelming for both the parents and the child when a child is diagnosed with type 1 diabetes. Careful monitoring of the diet and signs of hypoglycemia (low blood sugar) become a primary daily concern, and the child is thrust into a world of frequent injections and potentially life-threatening symptoms. It’s difficult to envision the amount of stress the diagnosis can cause a family. For one Central Florida woman, that stress drove her to organize a nonprofit to raise awareness of and assistance for others affected by type 1 diabetes. Central Florida community healthcare advocate Elizabeth Forrest was just 10 years old when she was diagnosed in 1999. She recalls her initial reaction to the diagnosis, and how it ultimately affected her, saying, “When I was 10 years old and diagnosed with type 1 diabetes, I was a very shy child, so to add on this diagnosis, at first, made me even more reserved and shy. But fast-forward quite a bit, and it became a platform for me. At first, it was definitely very negatively impactful.” In the beginning, she needed insulin injections several times per day. Like many people, Forrest was scared of needles, so her parents administered the injections for her, visiting her during the school days throughout the rest of her elementary and middle school years. Eventually, she was given an insulin pump that delivers insulin periodically through a thin plastic tube from a reservoir that is
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carried in a pocket, on a belt or attached to the skin with adhesive. A summer visit to Camp Adam Fisher in South Carolina, a camp established in 1968 specifically for diabetic children, helped Forrest learn to cope with her condition in a supportive, educational environment while surrounded by her peers. The experience inspired her to become a voice for young people living with type 1 diabetes through social outreach programs. This was the genesis of what would become the Touched by Type 1 foundation. Before it became Touched by Type 1, Forrest’s outreach effort was a dance program called Dancing for Diabetes that she instituted for diabetic kids in Central Florida. It all started out with a dance recital fundraiser that Forrest put on in middle school with the help of her dance teacher Holley Ricker and encouragement from the administrators at Millennium Middle School in Seminole County. It was a small show that raised money to donate to local diabetes organizations. From that grew the free, weekly dance program, Dancing for Diabetes. By 2013, Forrest was offering not only the dance program, but outreach events, bowling events, golf tournaments, conferences, and support groups, so it was time to formalize her project as a 501(c)(3). In 2020, she rebranded the organization from Dancing for Diabetes to Touched by Type 1. centralfloridahealthnews.com
“We see the impact every day on those who have type 1 diabetes locally, but beyond that as well,” Forrest says of her foundation’s influence. “The kids’ and teens’ dance program is creating that safe and fun environment for kids to have fun but also connect with others who have diabetes, and it provides that networking opportunity for families to create those support groups together and those networks.” Touched by Type 1 also helps families get the information and resources they need to live their best lives despite the constraints of diabetes by connecting them with top health professionals. Forrest explains, “Our annual conference is held in the spring and that is pulling in diabetes experts from around the country that fly in and speak on different topics such as insulin accessibility, insurance, pregnancy, exercise, diabetes in school, every topic that you can think of that most people take for granted, but when you have type 1 diabetes, these become major topics in your life every day.” Another program offered by Touched
by Type 1 is called Type 1 at School. Forrest explains the concept, “Our organization provides free resources and materials to public, private, and charter school systems that have students with type 1 diabetes. We have nurse practitioners that have created the program that is available for anyone in education to reach out to us and obtain a digital copy of. It’s really educating the educators on type 1 diabetes because, for the most part, when school starts, teachers, bus drivers and administrators at a school get a list of which students have type 1 diabetes, but there’s really no education on what that means and how they can best care for their students with type 1.” The Type 1 at School program fills in those gaps so that school staff are more informed about how to manage student care, emergency situations, and have a better understanding of the devices used by students with type 1 diabetes. This instructional program has already spread from Central Florida to schools throughout the nation. Elizabeth Forrest and the volunteers at Touched by Type 1 are doing incredible work for the diabetic youth community not just locally, but nationwide now, as the COVID-19 pandemic prompted the organization to create more online engagement. All this because one shy young girl received a life-altering diagnosis more than 20 years ago and made it her personal mission to make sure that other kids like her would have the support and recognition they needed to thrive. HN
To Learn More About Touched by Type 1 Visit their YouTube channel, Touched by Type 1, or their website, www.touchedbytype1.org centralfloridahealthnews.com
HEALTHY AGING
Diabetes — the Leading Cause of Blindness
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ctober may be National Diabetes Month, but for me as an eye doctor, every month is diabetes month. Complications from diabetes are the leading cause of blindness in COURTNEY BEAUMONT, O.D. adults in the United States. For my patients who are diabetic, I am always on the lookout for bleeding inside the eye as well as internal swelling, which can occur without any symptoms! Without treatment, the bleeding and swelling will eventually cause irreversible vision loss. So that’s the bad news; the good news is that this does not have to be the path of everyone with diabetes.
So you’ve been diagnosed with diabetes, now what? Your primary care doctor (PCP) or endocrinologist will work with you to make adjustments to your diet and lifestyle to help stabilize your blood sugar levels. At your visits to your doctor, which may be as often as three months, your doctor will measure your A1c. The A1c is an average measurement of your blood sugar levels for the last 3 months. The A1c, along with your home blood glucose readings, allow you and your doctor to monitor the stability of your blood sugar. The A1c and your blood glucose readings are important numbers for you to know. Your doctor will also refer you to an optometrist, like me, for you to have a dilated eye exam.
The Diabetic Eye Exam
At your visit, we’ll discuss how well your blood sugar has been controlled; I’ll ask about your blood glucose levels, your last A1c, and how long you’ve been diagnosed with diabetes. It is important for me to know these details to assess your risk for retinopathy and vision loss. At this visit, I’ll examine your retina (the light-sensitive tissue that lines the inside of your eye) and assess whether there is any active bleeding which is also called retinopathy. After your exam, I’ll send your PCP a note with the results of your exam. If you have bleeding in your eye, I’ll assess the severity and together we’ll decide the next steps. If mild, we’ll work with your PCP to stabilize your blood sugar and I’ll see you back in 6 months or so. If more significant disease is found, we’ll follow up together more frequently and may consult a retinal specialist.
Managing Diabetes
Living with diabetes can be challenging! You’re juggling new medications and you’re making big changes to your lifestyle and your diet. Your care team; your primary care doctor, endocrinologist, nutritionist, and your optometrist; are all on your side to help you stabilize your blood sugar and continue a healthy life free of the complications of diabetes. This column is sponsored by Eye Specialists of Mid-Florida, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Courtney Beaumont, O.D. is a Board Certified Optometrist who practices at the Sebring location for Eye Specialists of Mid-Florida. She is currently accepting new patients. Please call 800-282-3937 or visit EYESFL.COM
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November 2021 | CALENDAR RECURRING ONLINE EVENTS
EVENTS AND FUNDRAISERS
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.
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.
November 1 – Supporting Motherhood and More Virtual First-time moms and seasoned pros with another on the way are invited to participate in this virtual support group to discuss the emotional changes and adjustments they are going through. Access to a camera and microphone is necessary. The free event will take place from 12 – 1 p.m. Sponsored by St. Joseph’s Women’s Hospital. You can find more information at www.baycare.org/events, or call 855269-4777.
Monthly Caregiver Support Group (Previously Met at Faith Assembly)
This monthly group meets to share advice and experiences, and encourage one another. The group meets at 1 p.m. on the third Thursday of each month using the Zoom online platform. The link to join the meeting is https:// us02web.zoom.us/j/89447209844. If you have any questions, please email ORL.MDC@AdventHealth.com.
Music Therapy Join board certified music therapists on the first Tuesday of every month at 11 a.m. The Maturing Minds Music Therapy group uses neurologic music therapy techniques to boost brain and behavior functions, such as memory, communication, attention, and movement. The meetings are taking place online using Zoom. The link for the recurring meeting is https://us02web.zoom.us/j/3876883694. Please email ORL.MDC@AdventHealth.com if you have any questions.
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November 2 – Ribbon Cutting for Trinity Medical Group Celebrate the Grand Opening of Trinity Medical Group’s newest location at 3035 Lakeland Hills Blvd in North Lakeland from 4 – 4:30 p.m. Trinity Medical Group is a family primary care practice that serves Polk County with physicians who are committed to continuous, comprehensive, compassionate care throughout every stage of life. Learn more about them at www.trinitymedgroup.com.
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compiled by TERESA SCHIFFER
November 6 – American Heart Association – Polk Heart Walk Digital Experience 2021 Support the research and outreach made possible by the American Heart Association by taking part in an event that will help make your own heart healthy and strong! You can walk anywhere you feel inspired. Learn more and register at www2.heart.org.
November 6 – Heroes 5K & Health Fair Central Florida Heroes (Veterans, Fire Fighters, Law Enforcement, and Healthcare Workers) will be honored at this fun, family-friendly event. The run/walk will begin at 7:30 a.m. in the parking lot of the Tom Fellows Community Center located at 207 North Blvd W in Davenport. Part of the proceeds will benefit a local organization that provides free swimming lessons to local children. Orlando Health will be on hand hosting a Health Fair. Sign up at www.runsignup.com/Race/FL/Davenport/CentralFloridaHeroes5K.
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November 6 – American Cancer Society Polk County Cattle Baron’s Bootlegger’s Ball Enjoy a night out at this unique, upscale event that will feature live entertainment, dinner, dancing, auctions, games, and special tributes to cancer survivors and those lost to the disease. Individual tickets are $100. The festivities will take place from 6 – 10 p.m. at Bunch Ranch, located at 4641 Hancock Ave SE in Lakeland. Find more information at www.acsserlk. ejoinme.org/MyEvents/2021PolkCountyCattleBaronsBall.
November 10 – Restorative Yoga Cancer Program Virtual This virtual event is taught by a registered yoga teacher and exercise specialist. It focuses on stress reduction programs that are specifically designed for patients undergoing cancer treatments to help improve quality of life during and after treatment. Access to a camera and microphone is encouraged but not required. St. Joseph’s Hospital sponsors this free event, held from 7:30 – 8:30 a.m. Register online at www.baycare.org/events, or call 855-269-4777 for more details.
November 17 – AWAKE Sleep Disorders Support Group Virtual Get answers to your questions about sleep disorders in this virtual support group for patients and caregivers. A microphone and camera is needed to attend a BayCare support group. This session will cover how sleep hygiene can improve sleep. It will be held from 6 – 7 p.m. and is sponsored by Mease Countryside Hospital. You can register online by visiting www.baycare.org/events, or call 855-269-4777 for more information.
November 18 - Bariatric Support Group Virtual St. Joseph’s Hospital - South sponsors this virtual support group for presurgical and postsurgical patients and their families. This session will include different recipes for new ideas for protein and will take place from 6 – 7 p.m. To learn more, please call 855-269-4777. You can register for this free event at www.baycare. org/events, search for “Bariatric Support Group.”
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HEALTHY COOK
A Feast Fit for Everyone by CAROL CORLEY
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any people consider Thanksgiving the most important holiday of the year because it’s a time when families get together and appreciate each other. It’s all about gratitude, with food at the center of the celebration. Although the first Thanksgiving reportedly took place in 1621, it actually became a national holiday just after Christmas in 1941. That’s when President F. D. Roosevelt signed a resolution declaring the fourth Thursday in November as our federal turkey day. Officially since 1989 under G.W. Bush, every president pardons a turkey. However, it is also reported that many presidents, starting with Abraham Lincoln, unofficially spared a bird. Thanksgiving is reportedly the biggest travel day of the year. With such a vital holiday, it’s important that everyone feels welcome and safe. But certain health conditions make celebrating this food holiday more of a challenge — like managing diabetes around all the carbohydrates that show up on the table. Creating a healthy Thanksgiving dinner starts with the turkey — a healthy protein if properly prepared and cooked. Other than the bird, people with diabetes can even have dessert, as long as they pay attention to the overall meal and budget for it. Moderation is key. My Plate recommendations from the USDA call for a plate to contain half nonstarchy vegetables, 1/4 carbohydrate foods, 1/4 protein foods. 18 | CFHN
Spinach Sautéed With Garlic (Adapted from diabeticgourmet.com) Ingredients: Raw spinach, 1 pound Tomato, 1 medium fresh Garlic, 2 cloves Olive oil, 2 tablespoons Directions: Sauté garlic and tomato in olive oil in a large pan, add washed and drained spinach and cook covered at low heat for 5 minutes, stirring occasionally. Add salt and pepper to taste. Cook uncovered 5 more minutes, stirring intermittently.
Turkey Roasted with Herbs (Adapted from eatingwell.com) Ingredients: Turkey, 12-15 pounds Herbs: rosemary, thyme, sage, each 1 tablespoon fresh or 1 teaspoon dried crushed Sprigs of fresh rosemary, fresh sage, tiny apples or pears Salt and pepper to taste Carrots, 3 medium, quartered Celery, 3 stalks cut into 2- 3-inch chunks Onions, 3 medium, quartered Water, 1 cup Olive oil, 1 tablespoon Directions: Take turkey from which neck and giblets have been removed, reserve neck bone, and rinse inside of the bird, patting dry with paper towels. Season turkey body cavity with rosemary, thyme, sage, salt and pepper. Fasten neck skin, tuck ends of drumsticks or tie securely to tail, twist wing tips under the back. Place turkey on a rack in a shallow roasting pan, breast-side up. Place the neck bone in the pan, arrange onions, carrots, and celery around the bird, brush with olive oil, sprinkle the bird’s exterior with herbs. Cover the turkey loosely with foil. In an oven preheated to 425F, roast the turkey for 30 minutes, then decrease the temperature to 325F and continue roasting for about 3 hours or until the meat thermometer registers 180F. About 45 minutes before the cooking is finished, remove foil wrap over turkey and loosen drumsticks so thighs cook appropriately. Cooking is complete when juices run clear and drumsticks move easily in sockets. Remove from the oven and place on a serving platter, rest for 20 minutes, garnish with sprigs of herbs and tiny fruit.
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ADVENTHEALTH
Roasted Broccoli with Lemon Pepper
Protect Your Joints and Help Your Golf Game
(Adapted from tasteofhome.com) Ingredients: Broccoli florets, about 12 cups Chopped almonds, 1/3 cup Lemon juice, 1/2 teaspoon Lemon zest, 2 teaspoons grated Olive oil, 2 tablespoons Salt and pepper to taste Directions: Whisk together oil, lemon juice, salt and pepper then drizzle over broccoli and toss. Place broccoli mixture into a baking pan 15x10x1. Roast for 10-15 minutes in an oven preheated to 450F. Place on a serving dish and sprinkle with almonds, lemon zest, a bit more pepper, and serve.
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Orthopedic care addresses a wide range of injuries and conditions. Some specific injuries and diseases our orthopedic specialists treat include: • Bicep tendonitis, frozen shoulder and shoulder separation • Dislocated hips, bursitis and tears in the tissues surrounding your hip, such as cartilage tears or labral tears • Foot and ankle conditions, such as fractures, sprains and Achilles tendinitis • Knee pain from osteoarthritis, tendinitis or rheumatoid arthritis • Nerve injury, arthritis or fractures that affect your hand and wrist • Orthopedic conditions in children, including scoliosis, leg length discrepancies and bone tumors • Repetitive motion injuries like bursitis or carpal tunnel syndrome • Tennis elbow and golfer’s elbow, as well as dislocations and fractures of the elbow joint
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any people injure themselves simply because they do not stretch. A survey showed that more than half of the golfers who warmed up for 10 minutes or more before golfing had fewer than half the injuries than those who did not warm up. Another cause of injuries is the fact that golf is a repetitive sport. For this reason alone, many strains occur with the shoulder, neck, back, ankles and other areas of the body. Because of the movement involved in a quick swing, the twisting motion of your spine, hips and knee, it’s very necessary to warm up those joints. Be sure to incorporate core strengthening and a good warm-up routine to avoid injury.
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Your orthopedic specialist has a full suite of options to help you heal if a sports injury does occur — everything from medications to the most minimally invasive surgery to other procedures. Some of the orthopedic treatments we offer include: • Arthroscopy • Casting and bandaging • Cortisone injections • Interventional pain management • Joint replacement implants or joint replacement surgery • Minimally invasive surgery • Physical therapy • Reconstructive surgery
Getting Back on the Links
For many people, golf is a relaxing hobby — something they can do to destress. But when the very hobby you choose for relaxation is causing you pain and injuries, it’s time to seek help from the whole-health experts. We’re here to help. Visit www.AdventHealthOrthoInstitute.com to learn more.
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HEALTHY SKIN
Diagnosis and Treatment of Shingles
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hingles is a contagious virus (varicella zoster) that results in a painful rash. The virus that causes the rash is one of nine known herpes viruses to infect humans. It is the same virus ALEX W. KENNON, MD, FAAD that causes chickenpox. After having chickenpox, typically as a child, the virus lies dormant in nerve tissue underneath the skin. Many years later it can reactivate. The cause for the virus’ reactivation is not yet known. When the virus leaves its dormant state, it results in shingles. Shingles can be spread from one person to another by touch, so it spreads quickly and easily. For people who have not been infected yet, it develops into chicken pox, while those who have already had it and become infected again will contract shingles. Shingles is most common in the elderly and people who are immunocompromised. Typically, people can only get shingles once, just as most people only get chicken pox once. Elderly people who have other chronic health issues, such as diabetes, are at a higher risk for complications due to shingles. Shingles first appears as a painful rash, typically on one side of the face or body. In some cases, the rash may be more widespread, making it appear more like chickenpox. The blisters typically scab over in 7 to 10 days, fully healing within 2 to 4 weeks. Other symptoms can include fever, headache, chills, or upset stomach. At the first sign of shingles, patients should immediately see their doctor. This virus can be treated with antiviral medicine, as well as pain medication and topical skinnumbing agents. Some doctors may also recommend home remedies to ease pain, such as cold compresses, oatmeal baths or calamine lotion. About 10 to 18 percent of people who contract shingles will experience postherpetic neuralgia (PHN), a long-term nerve pain complication that comes as a result of the virus. This results in pain in areas where the rash was that can last for months or even years. Older patients are more likely to develop PHN and have longer and more severe pain. Doctors recommend most patients ages 50 and older get the Shingrix vaccine, a two-dose series vaccine that is more than 90 percent effective at preventing shingles and PHN. If you have any questions about shingles, the doctors at Lakeside Dermatology can help.
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 fellowship-trained 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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PCMA LETTER
BODY, MIND & SPIRIT
Holistic Ways Gratitude Makes Life Better by MARY JOYE, LMHC
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e know Thanksgiving is a day to count our blessings; but what if we carried this concept into the other 364 days of the year? Being thankful has many more benefits than Thanksgiving dinner and left-over turkey sandwiches. Science has a lot to say about how gratitude and being appreciative is good for the body, mind and spirit. Improves Physical Well-being. Ongoing evidence-based studies are beginning to prove being grateful improves sleep, inflammation and cardiovascular function. A heartfelt thanks may save your life. Brain imaging has shown people who are grateful or keep gratitude journals are healthier overall by reducing the physiological toxicity of stress. For example, if you walk out the door late for work and have a flat tire, you might be angry. This releases stress hormones such as adrenaline and cortisol. However, if you become grateful this did not happen on the interstate going 70 miles per hour, you instantly become calmer, your heart beats slower and you release dopamine and feel-good chemicals, just by applying gratitude. Good for the Mind and Mankind. Various research on the origins of gratitude concur that we feel safer as a society when we are generous with gratitude, and it is reciprocated. Even chimpanzees do it. If we give or receive thoughtful gifts and express gratitude, we have more meaningful connections with others. The thought may count more than we think when it comes to gift giving and receiving. The trust hormone, oxytocin, is increased when we are grateful, and it is necessary for supportive social bonds. Thank you notes improve wellbeing for both the writer and the recipient. Optimism improves with gratitude, and you feel more fulfilled and less apt to complain or become anxious or depressed. Lifts Your Spirit. No matter what you believe
in, sincere gratitude is uplifting to you and everyone around you. A 2018 report from the John Templeton Foundation compiled research about the spiritual benefits of gratitude. It noted thankfulness begets the positive effects of patience, humility, and wisdom. Think of how you feel when you give a gift and the receiver does not express gratitude. Your spirit sinks because you feel unappreciated or rejected. Are you likely to want to give this person gifts in the future? Probably not. It is through our appreciation for one another that we enjoy more resilient, buoyant, and abundant lives in body, mind and spirit. Gratitude changes your attitude and there are therapeutic interventions to improve it. They are ones you already know but may not have tried. Keeping a gratitude journal of three things a day has been proven to rewire the brain and lead to positive life changes because you are looking for positive things that make you happier instead of focusing on negative ones. Expressing sincere gratitude to others has been found to produce connectedness and improve socialization. Politeness and common civility are also forms of gratitude. It may seem silly, but I tried a grand experiment when writing this. We are accustomed to giving orders to our phone with abrupt phrases such as, “Give me directions.” I asked my phone for directions, but I added “please” and “thank you.” The phone replied, “You’re welcome!” Wow! It was amazing to think that some programmer somewhere built in a happy voice with a kind exchange. Practicing gratitude is one of the simplest and most expedient ways to achieve long-lasting well-being. Thank you for reading! We are all grateful for you here at Central Florida Health News and hope you will enjoy a lovely holiday season. HN
ABOUT THE AUTHOR: Mary Joye, LMHC, PA, is a licensed mental health counselor with offices in Lakeland and Winter Haven. She holds a Master of Arts in Counseling from Trevecca Nazarene University in Nashville, Tennessee. For more information, visit winterhavencounseling.com.
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EDITOR’S DOSE
Stick it to the Flu
JESSICA McDONALD, EDITOR
jessica@centralfloridamediagroup.com
I
t’s been an odd couple of years, without a doubt. The pandemic certainly turned us upside down and inside out. As more people get their COVID-19 vaccinations, we can once again enjoy gathering with friends and family for the holidays. However, we’re in unfamiliar waters when it comes to practices we’ve never before doubted. The push for people to get their flu shot typically comes about this time every year. Last year, there was a marked decline in the number of flu cases reported. That was likely a result of people wearing masks and social distancing. While that seems like a good development, doctors across the nation are worried that flu season will be especially bad this year because so few people were exposed last year, meaning fewer people have natural immunity. What does all of this mean? Get your flu shot!
One of the most common misconceptions is that people don’t need to get a flu shot if they already have received their COVID vaccinations. Don’t fall for that! To be protected against both, you will need to get both vaccines. While influenza (flu) and COVID-19 are both contagious respiratory illnesses, they are caused by different viruses. COVID-19 is caused by infection with a coronavirus first identified in 2019, and flu is caused by infection with influenza viruses. Plus, according to the Centers for Disease Control and Prevention, it’s generally safe to get both vaccines at the same time — though they do recommend getting them in different arms. While we’re talking about this year’s flu shot, it’s good to note that the flu shot this year is designed to protect against four different flu viruses. So now there’s more reason than ever before to get a flu shot! HN
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ORTHOPAEDIC HEALTH
Let Food Be Thy Medicine, continued from page 10
Understanding Metastatic Bone Disease
to compensate. Eventually, it will not be able to keep up, resulting in elevated blood sugar levels. The good news is that while a person is in this prediabetic state, the condition can often be improved and even controlled by diet and lifestyle changes.
ancer is always a frightening diagnosis, and knowing that the disease can DR. TIMOTHY EVANS spread from one part of the body to others can be unsettling. Metastasis occurs when cancer cells from the original (primary) tumor break away and move to other parts of the body. When the cancer spreads from the primary tumor into bone tissue, it is known as bone metastasis. Bone metastasis is different from cancer that begins in a bone. Cancers that start off in bone tissue are composed of bone cells, whereas cancer that has metastasized to the bone is made of abnormal cells from the primary tumor site. For example, if lung cancer metastasizes to the bones, the resulting tumor in the bone tissue would be made of abnormal lung cells. While it is possible for any primary cancer to spread to bone, it is more common for certain types of cancer to spread there than others. The cancers that are most likely to metastasize to the bones are those originating in the breasts, kidneys, lungs, bladder, prostate, and thyroid. The bones that are most commonly affected are the upper arm and upper leg bones, the pelvis, rib cage, spine, and skull. When cancer does spread to bone tissue, the most common symptom is pain. It may not be constant or severe at first, and it could occur mainly at night or while resting. Over time, however, it can become consistently severe. Not all bone pain is the result of cancer though, so it is important to have it evaluated by your healthcare provider. Many times, a fracture is the first sign of bone metastasis. This happens because cancer weakens the bone. Bone metastasis can eat away at the bone, resulting in holes, called lytic lesions, that make the bone more fragile and weak. Certain types of cancers can also cause the bone to change hot it grows, resulting in thicker, but weaker bone called sclerotic lesions. Either of these two types of lesions can cause pain and fractures as well. Central Florida Orthopaedic Surgery Associates has a variety of options available to treat bone cancer, including medication, radiation and surgery. Bone cancer is rarely curable, but treatment can prevent the bone from breaking, allow the patient to walk without pain and assist in the control of the original tumor.
Not surprisingly, Ulm recommends a diet with lots of fresh fruits and non-starchy vegetables; lean meats such as beef, pork and chicken; and whole grains for a more balanced diet.
C
This column is sponsored by Central Florida Orthopaedic Surgery Associates, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Timothy Evans obtained his Bachelor of Science degree in Biology at the University of Central Florida and his Master of Science degree in Physiology from Georgetown University. He went on to attend medical school at Creighton University in Nebraska. He completed his orthopaedic surgery residency at Henry Ford Hospital in Detroit.
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“The fiber [from whole grains] slows the sugar release into the bloodstream,” Ulm says. This helps to naturally regulate the flow of blood sugar. For those who may be gluten intolerant to wheat products, Ulm suggests trying brown rice, gluten-free oats and quinoa as high-fiber alternatives. But individuals with diabetes or prediabetes aren’t the only ones who can benefit from the personalized expertise a registered dietician can offer. People with other types of dietary restrictions also may find their guidance to be particularly useful. Vegetarians fit into that category. Vegetarians typically struggle to incorporate much-needed protein into their diet. While Ulm says that beans and nuts are excellent ways to fill the gaps, she cautions that moderation is important. “Nuts can be high in fat, so moderation is the key to a healthy balance.” She also suggests meat alternatives like veggie burgers as another way to satisfy protein needs. One part of a diet that most people often overlook is fluid intake.“Water is important for the metabolism to work,” Ulm says. If the kidneys have to work overtime processing sugar, they can break down over time. She says two organs that are at risk of damage from insulin imbalances are the heart and kidneys. Water and unsweetened tea can help the kidneys do their job properly and filter waste from the body. Limiting sugar-sweetened beverages is a good idea, as is limiting real fruit juices to 4-6 ounces per day because of their high sugar levels. Another great way to achieve overall health naturally is through exercise. Obesity and even just being moderately overweight
can increase your chances of lapsing into a prediabetic state. Ulm recommends exercise as one of the healthiest things you can do to prevent not only diabetes but also many other conditions. Just the simple act of walking improves blood circulation, the lymphatic system, and may even help to reduce blood pressure. Sleep is an important consideration because it allows the body to recharge and heal from the stresses of the day. Food plays a role here, as well. Ulm says there are certain foods that can aid in sleep. “Small amounts of carbs with some protein and fiber can slow down the release of sugar into the bloodstream. Whole wheat toast with some peanut butter is a good snack or some fruit with a cheese stick.” It’s easy to fall prey to the many fad diets that gain traction, but Ulm says there is no “all or nothing” solution to good nutrition. You have to focus on the entire diet, and use moderation in your choices, even if something has been dubbed the latest superfood. The bottom line: We’re all different. We have different physiologies that metabolize food differently. We have different lifestyles, activity levels and tastes. There is no “one-size-fits-all” diet suitable for every person. That’s why consulting a nutritionist can be so crucial. A nutritionist can look at your unique circumstances and help you translate the science into a manageable plan that works for you. When it comes to selecting a nutritionist, be sure to get someone who has credentials. An RD, or Registered Dietician, certification will ensure that they’ve met certain educational standards. If you have a special dietary challenge such as diabetes, prediabetes, weight gain, food allergies or you’re a vegan, you may be able to find an RD who specializes in this area, although any RD will have knowledge of how to handle your particular dietary challenges. Your doctor or family health care clinic may be able to recommend someone, as well. Food is so integral to our health; it’s imperative to get it right. HN
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