Central Florida Health News September 2022

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 12 | issue 6 | september 2022 — TAKE ONE!

TRAINING THE FUTURE

Center for Nursing Excellence Takes Aim at Nurse Shortage

BEAT THE HEAT School Guidelines Keep Student-Athletes Safe

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 menufavorites 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.

SUICIDE PREVENTION

Youth in Health

EDITION

Learn the Signs

To Save a Life

HEALTHY COOK

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

Think Grills Are Just for Meat? You’re Mi’steakin’

See JOLLIBEE

Ritu Aparajita, Vascular Surgeon MD RPVI

Kollagunta Chandrasekhar, MD, FACC Cardiologist

Meet Your Providers…

• Board certified in Cardiovascular Disease and Internal Medicine

• Executive Director the Heart Function Clinic, Low Risk Chest Pain Center and the Cardiac Rehabilitation Program for BayCare Winter Haven Hospital

• President of Medical Staff for BayCare Winter Haven Hospital

• Chairman of Cardiology for Lake Wales Medical Center

• Clinical Associate Professor, FSU College of Medicine

Ritu Aparajita, MD, RPVI

A Vascular and Endovascular Surgeon who earned her MBBS at University of Delhi, India. She then completed a research fellowship at Columbia University Medical Center and a residency in general surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. She’s co-authored more than two dozen journal articles. She was recently nominated for the American Medical Association Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.

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

up

Pop Quiz!

with

twists

American classics

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 menufavorites include the juicy and cheesy Jolly Hotdog, and the Peach Mango Pie, which is made with real Philippine sweet mangoes and flaky golden brown crust. See JOLLIBEE and sustainable sourcing, local and seasonal produce, and global flavors and forms, all done within the steakhouse format showcasing cuts of meat as entrées with choice sides. Moreover, new menu categories (such as flatbreads) and service elements freshen the concept. About the Report 2017 Forecast: Culinary Trend Tracking Series offers an outlook on the culinary trends—the foods, dishes, ingredients and flavors—that Packaged Facts expects to grow in popularity in 2017. Rockville, MD When it comes to American cuisine, there are few things more iconic than steakhouses. The slabs of marbled meat, the sizzling grills, the oozing butter, and the dripping bravado, maybe even cowboy hat or two for ambiance—it's enough make even fictional steakophile Ron Swanson

back and will capture our attention in 2017. Not that the classic restaurant style ever disappeared, but a renewal of the model taking place in response to new sources of beef and new flavorful expressions of the concept that get chefs and diners excited," says David Sprinkle, reBEAT THE HEAT School Guidelines Keep Student-Athletes Safe

CentralFloridaHealthNews.com ENROLL PAGE 12 THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION volume 12 issue | september 2022 — TAKE ONE! Ap petizer s: Entrées: Advertisers Directory 2 Appell Pie Calendar Events 10 Classified Ads 14 What’s Going On 3 Analysis:Catering industry revenues on the rise 4 “Big Data” — Doesyourrestaurantneedit? 7 RiseBisquitsDonuts to open in Coral Springs 11 Del Taco spices up expansion in the Southeast 13 STD US PAID WEST BEACH,FL PERMIT 4595 WWW.TRNUSA.COM VOLUME 21 NUMBER MARCH 2017 FLORIDA’S FOODSERVICE INDUSTRY NEWSPAPER  ◆ $3 FLORIDA EDITION Jollibee's U.S. expansion continues with first Florida location opening Jacksonville, FL After much anticipation and excitement, Jollibee, the largest Asian restaurant company, now open 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 "As Jollibee debuts in Florida, we anticipate seeing not only multitude 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

As children gear up for the return to school, it’s important to make sure we send them with one of the most important supplies: healthy eyes. Children’s eyes change quickly, so it’s important to watch for small problems to catch them before they become bigger problems. Take our quiz on children’s eye health and set your child up to have a school year that looks bright.

Learn the Signs to Help Prevent Suicide

September is National Suicide Prevention Month. Striving to foster honest, open communication about this difficult subject is the first step toward reducing the stigma associated with suicide and other mental health issues. Central Florida Health News talked with Central Florida Health Care’s Ruth Delva, a Licensed Clinical Social Worker, about warning signs to watch for.

Training the Future

A new learning environment, new equipment, and a new partnership are anticipated to be the perfect prescription for producing highly skilled nurses. Avon Park’s South Florida State College recently unveiled its new, state-of-the-art facility — the AdventHealth Sebring Center for Nursing Excellence. The center was installed on campus primarily to help attract more students into nursing and help curb a national nursing shortage.

Beat the Heat

8 9 10 14 16 CALENDAR 18 HEALTHY COOK 19 HEART NEWS 20 HEALTHY SKIN

21 MEDICAL ADVICE

21 HEALTH COMMUNITY

23 BODY, MIND & SPIRIT

23 EDITOR’S

DOSE

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

Access the 2022 Central Florida Physicians Directory online!

Roan Cadavona, ARNP FNP-C Nurse Practitioner

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.

In Honor of the Good Guys

NELSON KIRKLAND, PUBLISHER nelson@centralfloridamediagroup.com

Sometimes the smallest, seemingly most mundane details of a story are what stick with you. That was the case when I read this edition’s feature on protecting young athletes from the heat. It wasn’t so much the story as it was a passing mention of something I feel needs to be emphasized. The article describes the various protocols that are in place to monitor and treat student-athletes. The individuals who ensure that those safety measures are in place? The coaches — yes, team personnel — sure. But did you know there are local physicians who volunteer to watch over the athletes at games and address any concerns?

I’m always amazed that more people aren’t aware of the amazing dedication of these local physicians who take the time to ensure the safety and health of kids while balancing their own hectic schedules.

I was once one of those youths sweating it out on the field. I played prep and collegiate football, and injuries are a part of the game. I broke a finger more than once, but I was fortunate to never suffer a significant injury. I remember one Friday night while suited up for the Kathleen Red Devils, I accidentally stuck my hand in an opponent’s face mask and came away with a nasty slice across my hand. We taped it up, rubbed some dirt on it (just kidding), and I kept playing. The team physician at the time was Dr. Franklin Bertram, who just recently passed away this year. After the game, he scrubbed that wound out with a brush and proceeded to sew me up. As bad as that hurt, the good doctor took care of me … and all in a volunteer capacity. I’ve never forgotten. I still have the scar on my hand today, and will forever be a fan of the good guys like Dr.Bertram. It really does take a village. We’re here to salute and support that village.

HN

PUBLISHER

Nelson Kirkland

MANAGING EDITOR

Jessica McDonald

PROJECT MANAGER

David Kiessling

ACCOUNT EXECUTIVES

Juanita Halter, Cinda Shelby

CONTRIBUTING WRITERS

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

CONTRIBUTING COLUMNISTS

Ritu Aparajita, MD; Alex Kennon, MD; David Loewy, MD

CONTRIBUTING PHOTOGRAPHER

Paul Catala

CONTRIBUTING ARTIST

Dawn Lewandowski

MS. KAIA

POLK COUNTY MEDICAL ASSOCIATION

4315 Highland Park Blvd, Suite B

Lakeland, Florida 33813

863-644-4051

2022 OFFICERS

JAMES J. BOOKER, MD President

GEORGE LYLE, MD Secretary

STUART PATTERSON, MD Treasurer

BOARD OF TRUSTEES

RALPH NOBO, JR., MD, Chair

GEORGE LYLE, MD

STUART PATTERSON, MD

GARY SCHEMMER, MD

SERGIO SEOANE, MD

ARVIND SONI, MD

ADDRESSING THE NEEDS OF THE FUTURE TODAY

If it seems like the landscape of health care is constantly evolving, you’re right! Physicians, educators, trainers, and planners are hard at work year after year improving processes, creating opportunities for advancement, and preparing future healthcare providers to meet the population’s changing needs.

That’s why the Polk County Medical Association enjoys this particular edition of Central Florida Health News so much. It highlights the impressive progress, educational partnerships, and professional collaborations in our area that are all part of a greater plan to solidify Central Florida’s place among the best of the best in health care.

In this edition, we introduce you to the two interns in the inaugural

JACKIE COURTNEY

Executive Director

4315 Highland Park Blvd Suite B

Lakeland, Florida 33813

Sincerely,

James J. Booker, MD

James J. Booker, MD Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association

Florida State University/Winter Haven Hospital Doctoral Psychology Internship Program. The program was born out of a need for increased mental health services in Polk County. You can learn more about the program on page 6.

We also share with you South Florida State College’s recently unveiled Center for Nursing Excellence, which was launched primarily to draw more students into the nursing profession and help ease the nursing shortage. Read more about the center on page 10.

As the fall winds down and school sports kick into high gear, don’t miss our feature on page 14 that explains how schools and coaches protect student-athletes from extreme heat during practices and games. HN

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

✱ Physician referrals

✱ Medical malpractice discounts with The Doctors Company

✱ Ongoing relevant communication

✱ Access to CME Programs

✱ Workers compensation insurance benefits

✱ Complimentary Socials/ dinners

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

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

✱ Physician and medicine advocacy at all legislative levels.

If you’d like more information about becoming a PCMA member or need to check your membership status for renewal, contact our Executive Director Jackie Courtney at (863) 644-4051 or email director@ polkcountydoctors.com.

CRUCIAL PARTNERSHIP

Winter Haven Hospital’s First FSU Psychology Interns Help to Expand Care to the Underserved Area

story and photos by PAUL CATALA

Ever since Shelby Mathias was a child, she’s felt compelled to help and provide support for those around her. “Showing compassion to those experiencing adversity was instilled in me by my mother,” she says. Losing her mother at a young age further magnified her desire to provide mental health support for those dealing with difficult life issues. The 26-year-old earned her bachelor’s degree in psychological science from Ball State University. At Nova Southeastern University, she received her master’s degree in clinical psychology and is working toward her doctoral degree there.

One of her peers, 27-year-old Joseph Velasquez, says his desire to go on to help those with mental health issues has steadily grown since getting his bachelor’s degrees in psychology and forensic science from Palm Beach Atlantic University in 2016. He is pursuing his doctoral degree at the Hawaii School of Professional Psychology at Chaminade University in Honolulu.

The two students are the first FSU College of Medicine psychology interns to join Winter Haven Hospital as part of an American Psychological Associationaccredited Doctoral Psychology Internship Program. The internship program was based on a 2018 Polk County Community Health Needs Assessment highlighting the need for mental health services in Polk County, especially in Winter Haven and the eastern part of the county. Until recently, Winter Haven had only three psychologists, who provided important assessment and treatment services to improve the mental health of residents. The internship program is a collaboration between the Winter Haven Hospital Foundation and Centerstone, a health system focused on providing mental health and substance use disorder treatments.

Joel Thomas, president and CEO of the Winter Haven Hospital Foundation, also helped initiate the internship program.

Across the U.S., the average mental health provider-to-resident ratio is about 1:310.

In Florida, it’s closer to 1:670, according to a 2021 Polk Vision Report. Polk County is even further behind, with a 1:1,190 ratio.

To help level those patient-doctor imbalances, the Winter Haven Hospital Foundation has developed a multipronged approach to addressing that need with the internship program at Winter Haven Hospital, including a hospital-based telepsychology program, a clinical training program for Florida Institute of Technology’s third- and fourthyear doctoral psychology students and a mobile medical clinic.

Dr. Shannon Smith, Licensed Clinical Psychologist and Director of Psychology Training, says she and her colleagues went through more than 150 applications from prospective interns before selecting the two inaugural internship students to start this summer.

Smith says teaming with Centerstone Consortium, a nationally accredited internship organization focused on training psychologists, helped the hospital to establish the internship program. She says the doctorate students are working in a variety of settings by providing individual and group psychotherapy, behavioral health consultations, and conducting neurocognitive and psychological evaluations for concerns such as Autism Spectrum Disorder, ADHD, and dementia.

“There were no clinical psychology training programs in Polk County,” says Smith, who is in her second year at Winter Haven Hospital. “Our goal of having this program is to attract psychologists to the area. If we train them here, we hope they’ll stay here to serve the needs of Polk County.”

CarePlus

$145 back every month on your Medicare Part B premium –that’s $1,740 a year back in your pocket!

$0 copay for primary care physician office visits and $20 copay for specialist office visits

$0 copay for prescription drugs (Tier 1 and 2)1 – even during the gap

$125 daily copay for hospital stay days 1 to 4

$0 copay for for routine dental coverage, including dentures2 PLUS

1From a preferred cost-share retail or mail-order pharmacy. 2One set of complete or partial dentures every five years. Hillsborough, Pasco, and Pinellas counties. CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal. Referrals and/or authorization may be required for certain specialists. Every year, Medicare evaluates plans based on a 5-star rating system. CarePlus Health Plans, Inc. complies with applicable Federal Civil Rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender, gender identity, ancestry, marital status, or religion in their programs and activities, including in admission or access to, or treatment or employment in, their programs and activities. Any inquiries regarding CarePlus’ non-discrimination policies and/or to file a complaint, also known as a grievance, please contact Member Services at 1-800-794-5907 (TTY: 711). From October 1 – March 31, we are open 7 days a week, 8 a.m. to 8 p.m. From April 1 – September 30, we are open Monday - Friday, 8 a.m. to 8 p.m. You may always leave a voicemail after hours, Saturdays, Sundays, and holidays and we will return your call within one business day. Espanol (Spanish): Esta información está disponible de forma gratuita en otros idiomas. Favor de llamar a Servicios para Afiliados al número que aparece anteriormente. Kreyol Ayisyen (French Creole): Enfomasyon sa a disponib gratis nan lot lang. Tanpri rele nimewo Sevis pou Manm nou yo ki nan lis anwo an. H1019_MKBNDMFNPRtampa1040022022_M

POP QUIZ!

Eyesight Is an Important Part Of Your Child’s Back-to-School Kit

As children gear up for backto-school, it’s important to make sure we send them with one of the most important supplies: healthy eyes. Children’s eyes change quickly, so it’s important to watch for small problems to catch them before they become bigger problems. Take our quiz on children’s eye health and set your child up to have a school year that looks bright.

1. True or false? Paying attention to your child’s eye health starts at birth and continues with vision checkups (at a minimum) at 6 months, 3 years, and before first grade.

2. Which of the following are issues to watch concerning a toddler’s vision?

A. Misalignment, or one eye that looks straight ahead while the other eye turns inward, outward, upward, or downward

B. Damage from measles in unvaccinated children

C. Eye damage from chemical burns from cleaning products

D. All of the above

3. Fill in the blank: Farsightedness is when ____________; and nearsightedness is when ____________.

A. A person sees distant objects clearly, but near vision is blurry; close-up objects look clear but distant objects are blurry.

B. A person sees close-up objects clearly, but distant objects are blurry; distant objects look clear, but near vision is blurry.

4. Because eye problems can develop in childhood, which of the following are symptoms of eye problems in childhood?

A. Poor vision, blurry or double vision, difficulty paying attention, and/or focusing problems

B. Jerky eye movements

C. Crossed eyes

D. Cataracts

E. All of the above

5. Not all eye problems that can develop in adolescence are obvious. Which of the following are not-soobvious signs of childhood vision problems?

A. Sudden loss of interest in activities that require eye use, which may be most apparent as poor school performance and/or not wanting to go to school

B. Losing their place when reading and/or difficulty when reading and writing

C. Turning the head to look at something in front of them

D. Headaches or eye pain

E. All of the above

6. True or false? Vision problems in children can cause learning disabilities.

7. True or false? “Near work” activities—or those that require the eye to focus on something close by, including screen time—may be connected to both nearsightedness and digital eye strain.

8. Which of the following are ways that parents and guardians can help children limit digital eye strain?

A. Limiting screen time, especially at night and before bed

B. Teach children to follow the 20-20-20 rule: Look up from the screen every 20 minutes and focus at least 20 feet away for 20 seconds.

C. Mix “near work” activities like screen time and video game play with “far work” activities such as playing sports or playing outdoors.

D. All of the above

9. True or false? Photos can help diagnose children’s eye problems and save their sight. Problems or abnormalities can be seen when a camera flash reveals a white, yellow, or black reflection in one or both eyes rather than the usual red eye reflection.

10. Which of the following is NOT an eye care professional responsible for helping you and your child with eye health?

A. Ophthalmologist

B. Optometrist

C. Ornithologist

D. Optician

see close-up

Farsightedness is when a person can see far-away objects better than those close-up, and nearsightedness is when a

All of the above.

3.

2.

1. True. An eye exam is part of a newborn’s exam, and simple eye exams should be a part of regular pediatric well

ANSWERS:

visits.

person can

objects better than those that are far away.

4. E. All of the above.

5. E. All of the above.

6 False.

Vision problems like poor vision, lazy eye, and jerky eye movements do not cause learning disabilities.

7. True. “Near work” activities have been connected with eye strain and nearsightedness.

8. D. All of the above.

9. True.

10. C. An Ornithologist is a person who studies or is an expert on birds.

compiled by ERIKA ALDRICH / Resources: Information provided by The American Academy of Ophthalmology and WebMD.

Learn the Signs to Help Prevent Suicide

by TERESA SCHIFFER sponsored by Central Florida Health Care

Every 11 minutes, someone in the United States dies by their own hand. Scary, isn’t it? Suicide is within the top 10 leading causes of death for every demographic between the ages of 10 to 64. Even scarier is the fact that an estimated 12.2 million American adults seriously considered suicide in 2020, according to the CDC, with 1.2 million individuals attempting to take their own lives and 45,979 of those people tragically succeeding in the effort.

September is National Suicide Prevention Month. Striving to foster honest, open communication about this difficult subject is the first step toward reducing the stigma associated with suicide and other mental health issues.

Ruth Delva, Licensed Clinical Social Worker at Central Florida Health Care, weighs in on how we can support ourselves and those in our lives who may be experiencing mental health challenges and how to recognize individuals at risk of harming themselves.

“It can really affect anybody at any time,” Delva reminds us. “Usually, we’ll see more suicidal ideations, or plans, or intent to harm themselves with people who have depression

or any kind of mental health disorders.”

She goes on to describe some of the warning signs she has noticed in her patients in the past.

“Any dramatic mood changes, having depression or any kind of mental health disorders, having prior suicidal attempts or engaged in any form of self-harm, those abusing substances or alcohol, exposure to any kind of family or friends who have already committed suicide, those are some warning signs,” she explains. “Feeling hopeless, feeling agitated, especially someone who has chronic illnesses, in debilitating pain constantly feeling agitated or lacking sleep, having no hope, or feeling like they can’t get anything done. Those are different warning signs that I would typically see in patients that come to me for talk therapy.”

It can be frightening to see someone you know or love exhibiting these types of symptoms, so it’s important to know how to respond to someone in need, especially if they seem to be in crisis. Do not hesitate to call for help in any situation where you believe a person is at serious risk of hurting themselves or someone else.

“If you feel like that person is in imminent danger of causing harm to themselves or others, the very first thing you should do is call 911 because you don’t want to be around a person who is saying, ‘I am suicidal,’ and they already have a gun or knife or something else that can cause harm and actually commit suicide in front of you,” Delva advises. “Call 911, get law enforcement involved to come in, do their assessment, and transport them to a local receiving hospital in order for them to be taken care of and seen by professionals.”

In a less dire situation, one in which you or someone else is having thoughts of suicide but without a plan or real intent to do harm, it is still wise to consult with a therapist or other mental health care worker. You can reach out to the professionals at Central Florida Health Care or contact the 988 Suicide & Crisis Lifeline. The 988 Suicide & Crisis Lifeline is free to use and available 24 hours a day, every day of the year, to anyone who is in distress, crisis, or is concerned about someone they care about. Simply call or text “9-8-8” to reach a trained counselor any time of the day or night. Please, if you or someone you know is struggling, don’t wait – tomorrow may be too late.

TRAINING THE FUTURE

South Florida State College’s New Center For Nursing Excellence Takes Aim At Nurse Shortage

by PAUL CATALA

photos provided by ADVENTHEALTH

The combination of a new learning environment, updated labs and equipment, and a partnership with area hospitals is what’s anticipated to be the perfect prescription for producing highly skilled nurses.

Avon Park’s South Florida State College recently welcomed guests, dignitaries, and visitors to highlight the latest nursing medical technology in a new stateof-the-art facility on the SFSC campus.

Called the AdventHealth Sebring Center for Nursing Excellence at South Florida State College, the new center was primarily installed on campus to help attract more students into nursing and help curb a national nursing shortage. According to a March 2022 survey by staffing firm Incredible Health, more than onethird of nurses surveyed say it’s likely they will leave their jobs by the end of 2022, and 44 percent cited job burnout and high-stress workplaces as reasons for wanting to quit.

It’s survey results such as those that partly led to SFSC and AdventHealth Sebring to share resources in an effort to get more students motivated to become nurses and help fill increasing nursing vacancies.

AdventHealth Sebring already had a long history with SFSC to develop and train future nurses, including having funded a position for nursing faculty starting in August 2018.

As nursing numbers decline across the United States, the center plans to provide $10,000 in scholarship funds to pay for nursing student tuition, fees, and books

for those enrolled in the program. Those students will perform their clinical studies at the AdventHealth Sebring, Wauchula, and Lake Placid hospitals. Upon graduation, those students also will be offered a nursing position at one of the AdventHealth hospitals where they trained.

The primary purpose of the new center is to train students to become future Licensed Practical Nurses and Registered Nurses through a two-year nursing program.

SFSC President Thomas Leitzel opened the center’s ribbon-cutting ceremony, citing the occasion as a day “to celebrate the field of nursing.” Joining him was Randy Surber, president and CEO of AdventHealth Sebring, Lake Placid and Wauchula; AdventHealth Sebring Chief Nursing Officer Elsie Graves; and Tami Cullens, chair of the SFSC District Board of Trustees.

Joining the presenters were nursing students, college faculty, medical professionals, and members of the business community.

Surber said the new nursing facility was for the “betterment”’ of the communities it serves.

Graves calls the new center “a dream come true” before introducing AdventHealth nurses, staff, and SFSC leaders in attendance.

“This facility will allow us to educate and develop high caliber nurses to fill the nursing void many healthcare facilities are currently facing,’’ she says.

The Center for Nursing Excellence consists of a large classroom and a simulation laboratory, named the Clinical Immersion Center, where students will attend classes and do clinical work. That will be in addition to clinical work through partnerships at AdventHealth Sebring, AdventHealth Wauchula, and AdventHealth Lake Placid hospitals.

The CIC lab was recently upgraded through a grant of legislative funding applied for and received by the college. It gives the nursing students new, state-of-art equipment to use in addition to access to the same kind of simulation equipment being used prior to the center’s unveiling.

Following the ribbon cutting from the hall leading from the lobby, guests were able to visit the new Center for Nursing Excellence and meet students and instructors.

In the CIC lab, about 30 nursing students and staff greeted guests who got to see the latest learning tools, which included lifelike dummies in various rooms: a mother in labor, a toddler, a child, adults, and the elderly. With them, nursing students will be able to get experience using basic vitals monitors showing airflow, blood pressure, pulse rates, and other vital stats.

“It’s a way to give them hands-on experience without using an actual live patient. They’ll learn to deal with different conditions and illnesses,” Graves says.

And that will be one of the most important components of the center, says Erika Coggins of Lake Placid.

Coggins, 32, has been an SFSC student on and off for about 10 years and plans to graduate as a Licensed Practical Nurse in August. The laboratory open house was her first time seeing the new Center for Nursing Excellence, and she called what she saw “awesome” in terms of preparing her for an LPN career and eventually a career as a Registered Nurse.

“It’s really great to have this because it’s going to help us transition from the lab to an actual clinical experience. I feel like this is going to help me prepare for my future RN career in nursing,” says Coggins, who hopes someday to work in surgery or in the emergency room.

That’s one of the primary goals for the Center for Nursing Excellence: to develop leaders in medicine to help broaden support during this widespread nurse shortage.

“The demand in healthcare services continues to grow, but we can’t grow without you – the college. You are the ticket to the future,” Surber says. HN

photo by PAUL CATALA

Protect Your Vision as You Age

While aging is a fact of life that one cannot escape, there are specific measures that can be taken to ensure the best possible vision as you age. The following lifestyle modifications can help delay or prevent certain eye diseases.

Regular Eye Examinations

One of the most important things you can do is schedule yearly eye examinations. During a dilated eye exam, your eye doctor carefully checks for eye diseases such as macular degeneration, glaucoma, and diabetic retinopathy. Early detection and treatment of these diseases may help prevent vision loss. Also, during an eye exam, manifestations of systemic diseases such as high blood pressure and some types of cancer can be detected.

Healthy Diet

Eating a healthy diet may help prevent certain eye diseases. Choose dark green and brightly colored fruits and vegetables to obtain the most antioxidants. Omega-3 fatty acids may also help protect your eyes against diseases such as dryness and macular degeneration. Omega-3s can be found in cold-water fish such as salmon, tuna, sardines, and mackerel. A good quality fish oil supplement or a vegetarian supplement containing black currant seed oil or flaxseed oil may be a helpful addition to your diet.

Quit Smoking

Smoking can promote eye disease by damaging blood vessels and reducing the blood flow to the eyes and increasing the amount of toxins your eyes absorb. This elevates the risk for diabetic and hypertensive retinopathy, as well as macular degeneration.

Tobacco smoke also increases aging changes to the skin around your eyes and contributes to Dry Eye Disease symptoms. If you smoke, ask your doctor about a program to help you quit. Refraining from tobacco products is one of the most important modifiable ways to decrease your risk of developing a multitude of diseases.

UV Protection

You can also help protect your eyes by avoiding prolonged exposure to ultraviolet (UV) rays and high-energy blue light. Wear good quality UV-blocking sunglasses while outdoors. Wearing a wide-brimmed hat can add extra protection. New lens coatings are available that reduce the amount of high-energy blue light emitted from electronic devices. Studies have not yet conclusively shown harm from this blue light, but the lens coatings’ low cost could be a prudent investment.

Exercise and Weight Control

These are the other major modifiable lifestyle choices that can decrease your risk of developing disease.

Maintaining a healthy diet and limiting caloric intake help decrease the risk of diabetes, heart disease, cancer, and many other diseases. Regular exercise, in addition, helps to control weight and can decrease the chance of high blood pressure, heart and lung disease, and others. Being in general good health also helps decrease many eye diseases.

Being proactive and modifying risk factors and behaviors that we have control over can help maintain our health and vision into our golden years and help keep those years more enjoyable.

Our doctors at Eye Specialists of Mid-Florida offer personalized eye care of the highest quality. To schedule an appointment or learn more about our services, please visit our website, EYESFL.com, or call us at 800-282-3937.

BEAT THE HEAT ON THE FIELD

School Guidelines, Practices Keep Student Athletes Safe

by TERESA SCHIFFER

The temperatures in Central Florida can soar uncomfortably high, as any native can attest. For kids who have grown up here, it may be tempting to take that heat in stride. Unfortunately, high heat can have potentially life-threatening effects. As school athletics ramp up and the kids resume practices under the sun, it’s more important than ever to know how to keep them safe and hydrated.

According to the National Federation of State High School Associations, exertional heat stroke is the leading cause of preventable death in high school athletes, occurring primarily during summer months. During intense exercise, heat production increases in the body by as much as 15 percent to 20 percent, which can result in the body’s core temperature rising one to two degrees Fahrenheit every five minutes until the heat is dissipated.

Dr. Salvador Montenegro, a Sports Medicine specialist with Watson Clinic in Lakeland, says that while there are multiple existing guidelines depending on the various sports, one of the most fundamental priorities should be hydration.

“In general, start fluid intake 24 hours before an exercise event,” Montenegro says. “Fluid replacement is a vital component and must be addressed in a diligent manner.”

He recommends athletes drink 16 to 20 ounces of fluid within two hours of starting an activity, another 6 to 10 ounces 15 minutes before exercising, then 4 to 6 ounces every 10 to 15 minutes during activity. If it is possible to take weight measurements before and after the exercise, athletes can ensure they take in 16 to 20 ounces of fluid post-workout for every pound they drop during the activity.

Dan Talbot, Director of Athletics for Polk County Public Schools, explains how coaches and student-athletes strive to prevent dehydration on the field. State law requires that certain protocols be

CONTINUED ON PAGE 22

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: David Loewy, M.D., is a board-certified ophthalmologist who performs Cataract Surgeries, LASIK, and Laser Surgeries and sees patients at the Haines City and Winter Haven locations for Eye Specialists of Mid-Florida.

DR. DAVID LOEWY

Online Silent Auction:

OCTOBER 28 - NOVEMBER 3, 2022

The Gala:

THURSDAY, NOVEMBER 3, 2022

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 at Polk County’s premier fundraising event, the Winter Haven Hospital Foundation Gala. This year’s Gala event will feature live music by Atlanta-based “Rhythm Nation”, four-course gourmet dinner, exquisite wines and open bar, and exciting live auction filled with incredible trips and experiences.

September 2022 | CALENDAR

RECURRING ONLINE EVENTS

AdventHealth Brain Health Music Therapy Program

Join board-certified music therapists every Tuesday 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/5044155114. Please email ORL.MDC@AdventHealth.com if you have any questions.

AdventHealth Maturing Minds Fit Minds Program

Every second and fourth Thursday at 1 p.m. seniors can participate in a program designed to improve their quality of life through stimulation therapy combined with meaningful social interaction and a sophisticated cognitive improvement program. This is a virtual meeting accessible through Zoom at https://us02web. zoom.us/j/3876883694#success. For more information, please email orl.mdc@adventhealth.com.

AdventHealth Maturing Minds Functionally Fit Program

Virtual Exercise

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.

AdventHealth Maturing Minds Program Virtual 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/3876883694, or email ORL.MDC@AdventHealth. com for more information.

Breastfeeding Support Group

Thursdays from 10 a.m. – 12 p.m. breastfeeding mothers can get together to support each other and talk with certified breastfeeding consultants for free at Morton Plant Hospital – Powell Pavilion – Community Room, located at 303 Pinellas St in Clearwater. For more information, please call 855-269-4777 or visit www.baycare. org/events.

COVID Testing

From 8 a.m. – 6 p.m., 7 days a week, COVID-19 testing is available at the RP Funding Center, located at 701 W Lime St in Lakeland for individuals age 1 year and older. There is no out-of-pocket cost, but if you have insurance, please provide that information at the time of testing. No symptoms are necessary to be tested. PCR and Swab Rapid Antigen tests are available. For more information, please go to www.nomihealth.com/covid-test-locations/.

Diabetes Support Group Virtual

On the second Monday of each month, St. Anthony’s Hospital hosts a virtual support group for diabetics from 12 – 1 p.m., led by a certified diabetes care and education specialist. Educational information is provided, followed by an open discussion. Access to a microphone and camera is required to attend this free online meeting. For more information, please call 855-269-4777 or go to www.baycare.org/ events.

Get Active Walking Group

This weekly walking group sponsored by Lakeland Regional Health meets every Thursday at 8 a.m. at Lake Hollingsworth in Lakeland. Walkers meet up next to the bleachers that are adjacent to the parking lot. Get active and improve your health by committing to a weekly walk!

Restorative Yoga Cancer Program Virtual

This stress reduction yoga program is designed to help cancer patients cope with their treatments and improve their quality of life. Learn techniques such as regulated breathing, visual imagery, meditation, and various stretching poses to improve balance, flexibility, and strength. The class is taught by a registered yoga teacher and exercise specialist. Microphone and camera access is encouraged but not required. The free lessons will take place from 7:30 – 8:15 a.m. every Wednesday. Register online at www.baycare.org/events or call 855-269-4777 for more information.

EVENTS AND FUNDRAISERS

September 1 – Supporting Motherhood & More Virtual

A support group for women who are experiencing unexpected and difficult emotions related to their pregnancy and postpartum. Participants must have access to a camera and microphone in order to participate in this virtual program. The group meets online from 7 – 8 p.m. You can learn more and register for this free event that is sponsored by St. Joseph’s Women’s Hospital by visiting www.baycare.org/events.

September 6 – Life After Childbirth

If you are currently pregnant or have delivered a child within the last year, this in-person support group can help you learn how to handle the challenges and adjustments that come along with having a new baby. Please bring your own diapering supplies, and be prepared to wear a face mask that covers your nose and face throughout your visit. This group will meet from 10 a.m. – 12 p.m. at Mease Countryside Hospital, Entel Education Center Room 1 & 2, 3231 McMullen Booth Rd in Safety Harbor. You can register online by visiting www. baycare.org/events, or call 855-269-4777 for more information.

September 6

and 24 – Boot Camp for New Dads Virtual

BayCare Health Systems is offering a virtual class just for expectant fathers, taught by a certified facilitator. Access to a camera and microphone is encouraged but not required. The $25 course will cover fatherhood, life changes, relationship changes, and hands-on experience. Previous participants will be involved with their own infants to offer their personal wisdom. You will receive course materials by mail before the class. This class will be held from 10 – 11:30 a.m. on Saturday, September 24, and 6:30 – 8 p.m. on Tuesday, September 6. You can get more information by calling 855-269-4777, or go to www.baycare.org/events to register online.

September 13 – Infant Massage and Other Tools to Care for Your Newborn Virtual

In this free online class, a NICU physical therapist will teach expectant mothers the basics of sleep safety for newborns, how to swaddle their baby, prevention of flat head, and how to perform infant massage. This class will take place from 1 – 2 p.m. To register, please visit www.baycare.org/events, or call 855-269-4777 for more information.

September 19 – Stroke Support Group

This group is open to stroke survivors and caregivers. Participants will have to go through a security screening before entry to the building and wear a face mask over their nose and mouth during their visit. Topics for discussion will be determined by the needs of the group. Registration is not required to attend this meeting, which will be held from 4 – 5 p.m. at St. Anthony’s Hospital, Auditorium, 1200 7th Ave N in Saint Petersburg. For more information, please visit www.baycare. org/events or call 855-269-4777.

September 20 – Active Living Every Day

This free 12-week program is designed for adults age 60 and over who have been living a relatively sedentary life. The group meets every Tuesday from 2 – 3 p.m. from September 20 through December 13 (no class on November 22) at United Methodist Temple, 2700 S Florida Ave in Lakeland, to aid participants in building a healthier lifestyle one step at a time. To register, please call Christina Nowell at (813) 676-5568, or you can find more details online at www.seniorconnectioncenter.org.

September 22 – Infant and Child CPR

Be prepared to save a life by learning how to correctly perform CPR and choking rescue methods on infants and children, as recommended by the American Heart Association Guidelines. This vital course will be taught at South Florida Baptist Hospital – Community Room, located at 301 N Alexander St in Plant City. The cost is $25. For more information please call 855-269-4777 or go online to register at www.baycare.org/events.

September 22 – Bariatric Support Group Virtual

Access to a microphone and camera is necessary to attend this BayCare virtual support group for presurgical and postsurgical bariatric patients and their family members. It is free and will take place from 6 – 7 p.m. Sponsored by St. Joseph’s Hospital – South. For more information, please call 855-269-4777 or visit www.baycare.org/events.

September 24 –

Leading Edge Take Heart 5k

Help Leading Edge Physical Therapy and Take Heart to make an impact globally by taking part in this annual fundraiser to support educational and entrepreneurial opportunities for widows and orphans in rural Kenya. This event is set for 7:30 – 10 a.m. and begins at First Presbyterian Church, 175 Lake Hollingsworth Dr, Lakeland. You can sign up and learn more at www.runsignup.com/LETH5K, or call (863) 529-8011.

September 25 –

Let’s Talk Puberty for Girls

St. Joseph’s Children’s Hospital is sponsoring this informative session for girls ages 9 to 13 to help them understand the physical and emotional changes they will experience during puberty, with a presentation on the reproductive system, the menstrual cycle, and staying healthy. There is an optional overview of the male reproductive system followed by a discussion about conception and abstinence at the end. This course is $35 and will be held from 1 – 5 p.m. at St. Joseph’s Women’s Hospital – Medical Office Building – 4th Floor – Classroom 3, located at 4321 N MacDill Ave in Tampa. For more information, please call 855269-4777 or visit www.baycare.org/events.

September 28 – Maternity

Virtual

Center Orientation

Prepare for delivery at BayCare by attending a virtual tour of the Maternity Center. This is a free class for expectant mothers. One support person may also attend. The class will take place from 7 – 8:30 p.m. and is sponsored by Mease Countryside Hospital. For more information, please visit www.baycare.org/ events or call 855-269-4777.

September 30

–

Meals on Wheels of Polk County

15th Annual Silent Auction and Dinner Fundraiser

Enjoy live music by B-Haven, dinner from Longhorn Steakhouse and Olive Garden, and take part in raffles and silent auctions, all while supporting the valuable mission of Meals on Wheels of Polk County to provide hot, nutritious meals and meaningful daily contact to the many homebound residents of Polk County and surrounding areas. Tickets to attend this event are $50. The fun and excitement will take place at Nora Mayo Hall, 500 3rd St NW in Winter Haven and start at 6 p.m. Learn more and purchase tickets online at www.mealsonwheelspolk.com.

compiled by TERESA SCHIFFER

Grills Are for More Than Just Meat

by CAROL CORLEY

Wth Labor Day just ahead, some of us will be planning a party, and the grill will be center stage. That usually means thick steak, ribs, or pork chops. But don’t forget that vegetables can be the star attraction, too! Even fruit and special desserts can be prepared on the grill. This month we’re looking at alternative options for your grill. There are two kinds of grilling — direct and indirect. While both work for vegetables, we will focus on direct.

The best choices for vegetable grilling are corn, zucchini, carrots, asparagus, portobello mushrooms, bell peppers of all colors, onions, eggplant, artichokes, cauliflower, and broccoli.

The best fruits for grilling include peaches, melons, pineapple, pears, avocado, bananas, and figs.

Grilling can be a bit of a challenge. First, vegetables and fruits should be cut into smaller pieces so more surface area touches the grill. Vegetables should be marinated or the grill brushed with olive oil. Fruit can go directly on the grill. Skewers help small pieces manage the grill without falling through. If you are using wooden skewers, soak them in water for half an hour first.

In general, the denser the food, the longer it will take to cook: About 3 minutes for fruit, 5-7 minutes for less dense vegetables, 15-20 minutes for corn in a husk, and some sources call for 35-40 minutes for a halved large onion.

Grilled vegetables can also benefit from a sauce, and Food & Wine suggests sauces like green goddess, a vinaigrette, a walnut dressing, perhaps pesto or aioli, or something made with yogurt. A yogurt-mint sauce would be easy to whip up using Greek yogurt, some chopped mint, garlic, salt and pepper, and a bit of extra virgin olive oil, and whip. So let’s start with a little bit of everything.

Grilled Mixed Vegetables

(Adapted from delish.com)

Ingredients:

Zucchini and yellow squash, 1 each cut into 1-inch half moons

Baby bella mushrooms, 10-oz cleaned and halved Red onion, 1 large cut into wedges Lemons, 2 medium cut into eighths

Garlic, 1 clove minced

Directions:

Chopped thyme, oregano and rosemary, 1 teaspoon mixed

Olive oil, 3 tablespoons

Salt and pepper to taste

Red pepper flakes, if desired

Using skewers (soak if wooden), thread with zucchini, squash, mushrooms, onions, lemon pieces, alternating. Whisk together olive oil and flavorings and brush over skewers, then season with salt and pepper to taste. Grill, turning periodically, for about 12-14 minutes on the grill preheated to medium-high. Serve immediately.

Grilled Corn on the Cob

(Adapted from allrecipes.com)

Ingredients: Corn, 6 ears

Butter, 6 tablespoons softened Salt and pepper to taste

Directions:

First, peel back the husks and remove silk. Place 1 tablespoon butter, along with salt and pepper to taste, on each piece of corn, close the husks, and wrap tightly individually in aluminum foil. Place on outdoor grill preheated to high and grate oiled. Cook, turning occasionally, about 30 minutes, or until tender. The grilled corn is best eaten immediately, but leftovers can be refrigerated in a ziplock bag and reheated in a 350F oven until warmed.

Grilled Fruit Ice Cream Sundaes

(Adapted from readyseteat.com)

Ingredients:

Peach, 1 large, pitted, and cut into wedges

Pineapple, 1 fresh, peeled, cored, and cut into 3/4-inch rings

Strawberries, 4 large, fresh, tops removed, and cut into halves

Raspberries, 8 fresh

Banana, 1 medium, peeled, cut in half lengthwise and crosswise

Brown sugar, 4 tablespoons firmly packed

Butter, 3 tablespoons melted

Cinnamon, 1/4 teaspoon ground

Balsamic vinegar, 1 tablespoon

French vanilla ice cream, 3 cups

Caramel and/or chocolate syrup, as desired

Walnuts, finely chopped, as desired

Cooking spray for grill

Whipping cream or dairy topping of choice

Grilled Fruit Ice Cream Sundaes, continued

Directions:

Preheat grill for medium-low heat and spray grate and 8x8-inch piece of aluminum foil with cooking spray. Stir together melted butter with 3 tablespoons of brown sugar and cinnamon then brush banana, peaches, and pineapple with the mixture. Brush other fruits with balsamic vinegar and roll in the remaining tablespoon of brown sugar. On the grill, place banana, peaches, and pineapple and remove once grill marks develop. Keep warm. Place foil on the grill and add strawberries and raspberries, for 2 minutes on each side or until hot. Once fruits are ready, build a sundae with ice cream, fruits, syrup drizzle, then whipping cream. Top with chopped walnuts or nuts of choice, if desired.

Foil Pack Chocolate

Marshmallow Banana

(Adapted from delish.com)

Ingredients:

Banana, 1 large, peeled, slit lengthwise 3/4 way through

Chocolate chips, 1 handful large Mini marshmallows, 1 handful large

Directions:

Take a piece of aluminum foil, place banana on it, and gently spread it apart. Fill with chocolate chips and marshmallows, wrap tightly in foil, and place over a hot grill for about 5 minutes. Remove from the grill and serve immediately.

HEART NEWS

Meet Our Doctor

Dr. Aparajita is a fellowship-trained vascular surgeon and has been serving the Polk County community for the past 1 year. She earned her Bachelor of Medicine and Bachelor of Surgery (MBBS) degree at University of Delhi, India. She then completed a research fellowship in vascular surgery at Columbia University Medical Center in New York and a residency in General Surgery at Staten Island University 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.

Risk Factors for Peripheral Arterial Disease

Dr. Aparajita is also a Member of the Royal College of Surgeons of Edinburgh, UK (MRCS Ed) and completed her Basic Surgical Training in England soon after her medical school.

SDr. Aparajita is the co-author of more than two dozen journal articles, publications and oral presentations, including topics such as endovascular treatment for thrombosis, aortic aneurysm repair, stroke, peripheral artery disease and other vascular conditions.

RITU APARAJITA, MD, RPVI KSC Cardiology

Additional posts and volunteer work include a teaching position at Hofstra Northwell School of Medicine and as a Member of the Public and Professional Outreach Committee as well as the International Relations Committee at the Society for Vascular Surgery (SVS).

Dr. Aparajita was recently nominated for the American Medical Association (AMA) Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.

eptember is Peripheral Arterial Disease awareness month. PAD is a chronic condition affecting 20 million people in the U.S. If left untreated, it can result in unnecessary limb amputations. This has been seen disproportionately in people from minority communities. It involves a buildup of plaque in the arteries— much like how your kitchen sink builds up and gets clogged over time—due to a variety of reasons, primarily smoking, high cholesterol, high blood pressure, obesity, increased age, and diabetes. The buildup can lead to narrowing or complete occlusion of the arteries and a reduction in the amount of blood getting to the feet.

RITU APARAJITA, MD, MRCS (Ed), MBBS

Specialty: Vascular & Endovascular Surgery

Joining KSC Cardiology November 9, 2020

Symptoms: It may start as claudication, pain in your calves after walking a certain distance that goes away on stopping and comes back after walking a certain distance. Claudication typically follows a more benign course in that only 25% of patients will progress to limb loss in five years. Compare this with the more aggressive “chronic limb-threatening ischemia CLTI” (formerly called critical limb ischemia), which has a limb loss rate of 50-75% in five years. CLTI consists of pain in the foot or toes even when not walking (at rest), gangrene, wounds, or ulcers. CLTI needs treatment to restore “inline” blood flow to the foot urgently.

Diagnosis is usually made by a physical examination by your vascular surgeon combined with ankle-brachial indices, a non-invasive vascular lab test consisting mostly of ultrasound or, in very select cases, a CT scan with contrast. Treatment consists of risk-factor modification and changing your lifestyle along with medications for claudication. Recommended changes to your lifestyle would include stopping smoking, losing weight, maintaining optimum sugar levels (if diabetic), good control of blood pressure, watching what you eat to keep cholesterol under control and getting some exercise in the form of walking for 30 minutes at least three times a week.

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).

Crucial Partnership

CONTINUED FROM PAGE 6

Seborrheic Dermatitis: A Complicated Name for a Common Condition

ALEX W.

Seborrheic dermatitis is a common skin condition that causes red, scaly, itchy patches of skin on the scalp and other areas of the body. According to the National Library of Medicine, about 3 to 10 people out of 100 are affected by this chronic condition. It’s more common in men than in women, and it is seen more often in Caucasians. While seborrheic dermatitis is commonly seen in adults 30 to 60 years old, it’s also seen in babies, where the condition is referred to as cradle cap.

The disease can occur in many different spots on the body, most commonly seen on the scalp, sides of the nose, and the upper back, i.e. places that have a concentrated amount of sebaceous (oil-producing) glands. It’s likely caused by an excess of Malassezia yeast, which lives on the skin’s surface. Overgrowth leads to an immune system reaction, which can cause inflammation and skin changes like excess oil production and flakes.

When seborrheic dermatitis occurs in infants, it causes crusty, scaly patches on the scalp or a rash on the bottom that can be confused with diaper rash. Babies often outgrow the condition on their own, but older patients typically experience it in young adulthood. Flare-ups throughout the years are common for adults with seborrheic dermatitis, and the condition requires regulation and self-care to handle and prevent. Bouts of scaling are commonly seen in the wintertime and during periods of stress, but lack of sleep can also contribute to the problem.

Treatment for seborrheic dermatitis on the skin and face can include washing with a gentle zinc cleanser (containing 2 percent zinc pyrithione) and following up with a light moisturizer. Dermatologists might prescribe a topical antifungal cream for affected areas or a medicated shampoo for the scalp. They also might suggest beginning with an over-the-counter option for dandruff shampoo.

While the condition is fairly common, it requires a skilled dermatologist to correctly diagnose, as many other conditions can mimic it. If you have concerns about the health of your skin or scalp, talk with a dermatologist for peace of mind and solutions.

Funding for the program comes from the Winter Haven Hospital Foundation, which obtains funding through community donors and county government funds. He says through the funding, interns receive a biweekly stipend that covers basic living expenses, health insurance, free Friday lunches, and weekly breakfasts.

The foundation also funds continuing education programs, such as a national health conference at Northwestern University in Chicago in July. where Mathias presented her research.

“That (funding) allows me to further my education which, in turn, advances my career. That would be difficult to do without the support of the hospital foundation,” says Mathias, who applied to 22 doctoral internship sites across the country from November to December 2021 before matching with Winter Haven.

The interns also receive a stipend and health benefits as part of the program.

“One of the big benefits of this training program is psychology’s integration with family medicine,” says Smith. “Family medical doctors are the largest prescribers of mental health-related medications. Therefore, this integration helps the interns and physicians to learn from each other and improve the care of their patients.”

Working toward that goal keeps the interns busy.

Since beginning the internship, Mathias and Velasquez say their 40-hour work weeks are full. In addition to working in primary care, the students also conduct neuropsychological assessments with Dr. Jeffrey Reddout, Winter Haven Hospital neuropsychologist, on patients with dementia, TBIs, strokes, and other neurocognitive conditions. They also work in the primary care clinic providing assessment and treatment services.

The two doctoral students say they are encouraged as they proceed through their internships.

“I feel supported and valued because my supervisors invest in me both personally and professionally,” says Mathias, who particularly enjoys providing trauma-informed, person-centered psychotherapy and being a consultant to address psychological aspects of health and wellness in primary care. “They respect my time, encourage a healthy work-life balance, and help meet my individual training goals.”

Velasquez says he’d like to one day start an interdisciplinary healthy changes clinic, which would include a pharmacist, family medicine resident and interns.

“Mental health is not a separate aspect of one’s life experiences,” he says. “Mental health plays an integral part of physical, mental, and spiritual wellbeing. I think this program will help future practitioners to better recognize, practice, and address mental health illnesses. HN

KENNON, MD, FAAD

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.

MEDICAL ADVICE

Zooming in on health in your community.

Breast Cancer Awareness

When it comes to breast cancer, early detection is key! Central Florida Health Care is working hard to get the word out and make mammograms easy and accessible. They recently partnered with AdventHealth in Frostproof to provide dozens of mammograms for patients on the 3D Mobile Mammography Bus.

Prevention Strategies and Treatment of Rabies

by DR. JOY JACKSON

September 28 is World Rabies Day, a day dedicated to raise awareness about rabies and enhance prevention and control efforts worldwide. Rabies is a potentially life-threatening disease that affects the central nervous system. By using prevention strategies and providing treatment early, death due to rabies is preventable!

Who is at risk for rabies?

Rabies is primarily transmitted through bites from rabid animals. You are at risk of contracting the rabies virus after encountering wild or unfamiliar animals, especially if you have been bitten or scratched by the animal.

What should I do after an animal bite or scratch?

After an encounter with a wild or unfamiliar animal, you should immediately wash your wound with soap and water, then make plans to see your health care provider to evaluate your risk for rabies and whether you should begin rabies treatment.

Why should I get my pet vaccinated against rabies?

All animals are at risk for rabies, vaccination helps prevent rabies in animals and in humans. Pets should visit their veterinarian regularly. Rabies vaccines should be kept up to date for cats, ferrets, and dogs.

What can I do to reduce the spread of rabies?

You can help prevent the spread of rabies by always reporting animal bites, especially by wild or unfamiliar animals. You should always avoid contact with wildlife. The rabies status of unfamiliar animals is unknown, and if possible, should be determined after an encounter.

Knowing and monitoring behavioral cues can be useful to avoid animal bites. Children should avoid being around pets while your pet is eating, and they should not hold the pet’s bones or toys.

How is the Florida Department of Health in Polk County involved in rabies prevention?

AdventHealth DeLand opened a skilled nursing unit within the hospital designed to help patients successfully transition home from the hospital. The 12-bed Transitional Care Unit (TCU) provides services and amenities including physical, occupational and speech therapy, a gymnasium, and a dining room. The DeLand TCU is the only one of its kind in AdventHealth’s Central Florida Division. The TCU, which will eventually expand to 18 beds, occupies the space that formerly held the birth care unit.

The Florida Department of Health in Polk County works closely with Polk County Sheriff’s Office Animal Services to investigate animal bites and dangerous dog cases. We ensure that animal bite victims are evaluated for rabies post-exposure prophylaxis initiation and provide support and training on the risks of rabies infection.

To learn more about rabies prevention, cdc.gov/rabies.

ABOUT THE AUTHOR: Dr. Joy Jackson,

Beat the Heat

CONTINUED FROM PAGE 14

followed in order to protect these young athletes from heat illnesses. The first thing that coaches and athletes do when gearing up for a new season of practices and games is a process of heat acclimatization, Talbot says. This involves gradually getting used to the temperatures by limiting the amount of activity time during the first practices outside, and gradually increasing that amount until reaching a defined limit. Football players, in particular, start their practices without their heavy protective gear on, adding pieces during subsequent practices until they are practicing fully suited up.

The heat acclimatization period lasts throughout the first 14 practices. During this time, student-athletes may not participate in more than six consecutive days of practice. Any student who enters into the training while the rest of the team is in the acclimatization period still must begin his or her process at the beginning and continue for the first 14 days of their participation. In addition, Talbot says student-athletes are discouraged from engaging in any other physical activities in the time between practice sessions.

Talbot explains that coaches and other personnel are the first line of defense in protecting student-athletes, and during games, local physicians volunteer to be present on the sidelines to help out if needed. They watch for students exhibiting any signs of heat illness, including such symptoms as fatigue, headaches, cramps, swelling of hands or feet, lightheadedness, or nausea. Since games take place at night, the risk of heat illness is significantly decreased, but daytime practices can be a different story.

Talbot describes what coaches are watching for when their students practice in the heat.

“It really starts with performance,” he says. “If a student-athlete is not really performing at a level they previously had, if there’s dizziness, a kid’s not feeling well, profuse sweating, those are usually the first signs.”

If an athlete is exhibiting signs of heat exhaustion, it is imperative that the student receive appropriate treatment immediately.

“Any athlete suspected of having severe heat illness requires immediate cooling,” Montenegro says. “The first hour is known as the ‘Golden Hour.’ Whole body immersion in cold water is key to treating severe heat illness. Fever-reducing medications should not be given. Mild symptoms are treated with fluid intake, rest in a cool area, massage, the stretching of cramping muscles, and elevation of swollen limbs. More severe cases should be transported to the hospital.”

Talbot confirms that Polk County schools follow this procedure, saying, “We have cold water tubs available, so if a student-athlete is showing signs of heat stress, we’re going to submerge him or her in that cold water immersion tub to cool them down. Once they’re submerged in the cold tub, we dump ice in there and then call 911 to transport them.”

Montenegro advises parents to keep a close eye on their young athletes and not to ignore any signs or symptoms of dehydration.

“Be prepared and always have a plan.” HN

Fall 2022 Health Expo Dates

October 14 • November 11 • December 9

International Market World 1052 US 92, Auburndale, FL 33823

WE’D LIKE TO WELCOME THESE NEW EVENT EXHIBITORS

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Nursing Trends Survey Helps to Bring Issue Into Focus

JESSICA McDONALD, EDITOR jessica@centralfloridamediagroup.com

In this edition, we’re taking a closer look at youth and the future, especially the future of health care. The topic is more important now than ever before. Our features on the inaugural FSU/Winter Haven Hospital psychology interns and the new Center for Nursing Excellence at South Florida State College follow just two of many ongoing efforts being executed to shore up nursing shortages and gaps in health care.

The recently released 2022 Trends in Nurse Staffing survey laid bare some pretty grim numbers, making clear the need to enact change. The study, which looks at the crisis from the perspective of hospital leadership, cites retirements, burnout, lack of resources, and opportunities away from the bedside as contributing factors. Also among the findings:

• More than 25% of hospital executives report having more than 100 RN openings, an increase from 2021, when 11% said they had 100 openings or more.

• 58% of those who responded anticipate having more than 25 RN openings this year.

• A higher percent of respondents this year say they are counting on new graduates, staffing agencies, and outside agencies in order to fill their positions.

• In addition, executives are turning to external advertising, sign-on bonuses, improved pay, and expanded internal recruitment in higher numbers than in years past.

• The consensus is that the effects of the strain that COVID-19 put on the nursing profession will continue to be seen for years to come.

All of this just makes the efforts to enhance education and bring more people to the field that much more important. We’ll be here every step of the way to cheer them on. HN

Skipped Generations: Seniors Raising Grandchildren

by MARY JOYE, LMHC

Most of us have heard of personality or physical traits skipping a generation in families. An example of this would be if a grandparent was an excellent self-taught musician and their grandchild has become one. The skill skipped a generation. A skippedgeneration family means something entirely different in terms of social psychology. A skipped-generation family is one with at least one grandparent raising a child in the absence of the middle-generation parent. This has become a more common occurrence. According to the Census Bureau, 39% of grandparents have been raising their grandchildren for more than five years. In the 1970s, only about 3% of households were skipped-generation ones. It can be simultaneously stressful and wonderful. The reasons are varied and usually evolve out of traumatic experiences, such as parents dying, being incarcerated, or addiction issues. Many parents lose custody of their children in some of these scenarios, and it is a good thing when a grandparent steps in to fill the caregiver role so the child does not have to be in foster care. Many states make it easier for grandparents to legally adopt their grandchildren, and in some cases, this gives both generations a sense of security.

However, there are caveats to skippedgeneration families. It is highly stressful for the grandparents, and this may take on many forms such as financial burden or physical limitations that come with aging. There is always the looming fear from both parties that the grandparents will not live long enough to raise their grandchild to an age of selfsufficiency. The grandchild may internalize this fear of the aging process. This type of family dynamic can result in the grandchild having to mature and assist the grandparent with things they would not have to do with a younger parent. This can cause emotional stress in both generations.

Behavioral problems can occur in youth,

and boys are particularly at risk for acting out from having an absent parent. Attachment and feelings of abandonment can be carried into adult relationships that cause anxiety and a constant need for attention, validation, or reassurance.

The good news is that grandparents can also get a sense of being needed and having a purpose, which is difficult to come by in old age due to retirement and ageism in society.

An elderly acquaintance, who does not wish to be named, is in his early 90s and has successfully raised his grandchild. He was cograndparenting with his wife until she passed away a decade ago. He remarked, “I think I am still alive because of my duty and responsibility for “Suzi.” She needs me and I want to be sure she becomes an adult with all she needs to live a happy life.” Suzi has an amazing rapport with her grandfather and was an adolescent when her grandmother passed away. She took on chores and learned how to care for her grandfather and herself. Her work ethic was as strong as her grandfather’s.

It is inspiring to see these skipped families and their dedication and appreciation for one another. Perhaps the skipped generation families can teach us all something about finding purpose and meaning. We all know history repeats itself, and many things in society today are like what was happening in the time of Baby Boomers. The wisdom of living in that time can help grandchildren learn about history from a first-hand witness. On a lighter note, flared and bell bottom jeans are making a comeback. Could the jeans be in the genes? Maybe or maybe not, but most research studies concur there are complex emotional needs within skippedgeneration families. Grandparents need more recognition and support as it really does take a village to raise our youth. If you are a grandparent or youth in need of help with your skipped-generation family, there are organizations and resources available. 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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