Look Who’s Joined BayCare Medical Group Robert Friedmeyer, MD Pediatrics 873 E. Bloomingdale Ave. Brandon (813) 643-8300
Flor Marie Sanchez, MD, FACP Hospitalist 3231 McMullen Booth Road Safety Harbor (727) 725-6526
Santosh Kamath, MD
Teeresa Sisodia, MD
Hospitalist 6901 Simmons Loop 4th floor Riverview (813) 302-8388
Family Medicine 900 Carillon Parkway Suite 308 St. Petersburg (727) 561-2600
Laura Mosher, MD, FACC, FSCAI
Stephanie Yanase, MD
Cardiology 6633 Forest Ave. Suite 300 New Port Richey (727) 724-8611
Hospitalist 6600 Madison St. New Port Richey (727) 815-7207
Learn about employment opportunities with BayCare Medical Group. Contact a recruiter at (813) 636-2009 or visit BMGPhysicians.org. BC1603729-0516
BayCareMedicalGroup.org
“ My patients need help. I see them struggling with losing weight and trying to change a lifetime of habits. I’d like to provide them with medical nutrition therapy, but my office is stretched to its limits. I have to find someone who can help them achieve their health goals.”
PUBLIX DIETITIAN SERVICES Help is here. Medical nutrition therapy services from licensed, registered dietitian nutritionists are now available at four convenient Publix locations across the Tampa Bay area. We can provide the nutrition component of care to help your patients manage their health outcomes. And provide important benefits to your patients, including behavior change counseling, individualized nutrition recommendations, and assistance with developing a realistic action plan. Visit publix.com/dietitianservices today for details about how Publix can serve as a valuable extension of your healthcare team.
Publix dietitian in Palm Harbor Anastasia Kyriakopoulos, RDN, LDN (727) 785-1526 Dietitian.1341@publix.com
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Contents
20
Relax and Recharge This Summer!
6
From the Publisher
8
Feature Show the Human Side of Your Practice Through Social Media
10
Feature How Top Doctors Can Stay in Shape & Injury Free
14
Feature Is Your Medical Practice's Social Media Policy Adequate?
16
Feature Practice Management in Private Practice is SO Much More Complex in 2016
18
Food for Thought Fuel your day with 5 energizing superfoods
Feeling stressed? Adding water to your summer plans may be one of the best remedies.
8
Show the Human Side of Your Practice Through Social Media Social media marketing goes beyond promoting your office from a sales standpoint.
20
Feature Relax and Recharge This Summer!
Advertisers BayCare Medical Group 2 HealthE Gourmet 13 The Meridian Club 21 JW Marriott 23 Okyanos Cell Therapy 5 PNC Bank 24 Point Grace 11 Publix 3 Suncoast Advisory Group 7
16
Practice Management in Private Practice is SO Much More Complex in 2016 4
18
Food for Thought Doctor’s Life Tampa Bay
Issue 3, 2016
The future of medicine is an option, today. Cell Therapy has emerged as a promising new option for the millions of patients who live with debilitating symptoms of chronic, degenerative conditions. Okyanos Cell Therapy utilizes adult stem cells from
CELL THERAPY
patients’ own body fat which have the ability to decrease inflammation and pain, repair damaged tissue, improve blood flow and modulate abnormal immune response. Our facility is built to and operated in accordance with U.S. Surgical Center standards, located in Freeport on Grand Bahama Island where we are
Request a complimentary consultation, or contact us to learn more about opportunities for physician collaboration. 855-OKYANOS (659-2667)
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fully licensed and regulated by the National Stem Cell Ethics Committee (NSEC) of The Bahamas.
www.okyanos.com | 855-OKYANOS (659-2667) | info@okyanos.com First Commercial Centre | East Mall Drive | PO Box F42476 | Freeport, GB, The Bahamas | 242.352.6520
From the Publisher
S
www.doctorslifetampabay.com
ummer is once again upon us and has already proven to be a scorcher. Sometimes as Floridians we take for granted that our state is majority surrounded by large beautiful bodies of water and pristine beaches. We hope everyone spends a little time this summer enjoying them. In this issue, we want to make sure your summer runs smoothly. We show you how to relax and recharge along with five energizing superfoods that make you feel your best all day. Dr. Nishin Tambay, a sports medicine specialist for professional athletes, provides his top tips to keep you in shape and injury free all summer long. Social media has proven to be a successful marketing tool for almost every business. However, in healthcare it needs to be used correctly to remain in compliance with HIPPA. We welcome back Dale Griffen R.N. and Vice President of The Go! Agency Online Marketing agency. Griffen expresses how you should use social media to show the human side in your practice, and Nick Hernandez will make sure you have an adequate social media policy that keeps your practice in compliance. Finally, Rochelle Glassman, CEO of United Physicians Services breaks down practice management in private practice for 2016. Have a great summer and as always, we hope you enjoy this issue and thank you for your readership.
TAMPA BAY
™
Tampa Headquarters 1208 East Kennedy Blvd. Tampa Fl, 33602 813-419-7788 Group Publisher Ed Suyak publisher@doctorslifetampabay.com
Be well,
Creative Director Rob Stainback
-Ed
Editorial Director Danielle Topper
Ed Suyak Group Publisher publisher@doctorslifetampabay.com
Associate Publisher CJ Cooper Advertising Account Executive Ryan O’Neil Contributing Writers Dale Griffen R.N. Dr. Nishin Tambay Nick Hernandez Rochelle Glassman Doctor’s Life Magazine, Tampa Bay is always seeking events, stories and remarkable physicians. Please email the publisher if you have an event, an editorial idea or you know of a doctor or dentist who may have done something extraordinary. We want your suggestions and feedback. publisher@doctorslifetampabay.com Doctor’s Life Magazine, Tampa Bay does not assume responsibility for the advertisements, nor any representation made therein, nor the quality or deliverability of the products themselves. Reproduction of articles and photographs, in whole or in part, contained herein is prohibited without expressed written consent of the publisher, with the exception of reprinting for news media use. Printed in the United States of America.
6
Doctor’s Life Tampa Bay
Issue 3, 2016
Serving PhySicianS for over 25 years and named among
THE BEsT Financial advisErs For docTors by medical economicS magazine for *
FivE yEars in a row, Rick O. Helbing cFP, chFc 941.375.7320
www.suncoastadvisorygroup.com *based on credentials, educational background, experience, size of the firm, minimum portfolio requirements and noteworthy professional achievements. See www.medicaleconomics.com.
Investment advice and advisory services offered through Suncoast Advisory Group, a Registered Investment Advisor
n a m u He Sid Show the
OF YOUR PRACTICE
Social Media THROUGH
By Dale Griffen, R.N., The Go! Agency Online Marketing
L
et’s face it. A trip to any medical professional’s office can be unpleasant for the patient, especially when it is their first appointment. There are usually many things going on in their mind, ranging from their current ailments to possible insurance issues. Meanwhile, patients are required to be open about everything to those who are trying to help them. Often times, the stress of an office visit can be significant and may leave them reluctant to return. How can you resolve the stress and tension of this situation? It may not be surprising to learn the answer is communication. But how exactly do you
8
reach out to your patients? Social media marketing goes beyond promoting your office from a sales standpoint. It allows medical professionals of any specialty to connect to their patients in a sincere and approachable light. By utilizing the tools of social media, you’ll be able to show your patients that you’re an office comprised of people that want to treat, heal, and help their customers in any way possible. To put it simply, it makes you social! Read on if you want to have a closer relationship with your patients in an innovative way.
Doctor’s Life Tampa Bay
Issue 3, 2016
Y
ou may or may not be surprised to learn a large majority of your patients are already on social media. There are over 1.5 billion people on Facebook alone — chances are you’ve treated a few of them. Every day, sometimes multiple times a day, social media users will check their feeds to see what their friends, families, and favorite pages are sending out into cyberspace. It has become a way to reach out to those important elements in your life. Are you in those news feeds? It’s a great opportunity to be in the forefront of their minds. Now, you may be wondering to yourself, what kind of things could a medical professional post on social media? It’s a fair question, and there are many unique and engaging answers! To become an interesting and comfortable presence in your patients’ lives, both on and off the computer screen, you’ll need a diverse mix of content to post. It is important not to be too sales-oriented in your content. That may end up backfiring on you. Instead, you’ll want to post things that are both relatable to your specialty and interesting to your patients to balance out promotional posts. Here are some of the most effective content ideas for medical professionals:
• Did you know that June is National Alzheimer’s and Brain Awareness Month, or that February is National Children’s Dental Health Month? Your patients might not know, but will be pleasantly surprised to see their physicians, dentists, and more promoting these great causes on their social media profiles. Trust me; there are a ton of these kinds of holidays, ranging from days, weeks, and whole months. You will definitely find some that are relevant to your practice. This will show that you and your office staff have a care and concern for these causes. It will show the authentic nature of those they come to for medical aid.
• There are other ways besides holidays to promote health issues. By utilizing social media’s handy hashtag tool, you’ll be able to show that you’re involved in a universal effort to thwart certain diseases, or to promote healthy living. After a post about Alzheimer’s awareness, you could put #Alzheimers or #EndAlz, and your post will show up everywhere these hashtags pop up. You can also promote things like #FitFriday or #HealthyRecipes, complete with a link to something helpful that promotes good health practices.
• Speaking of links, curated content will be your friend through your social media marketing. These are news posts, press releases, tips, and more interesting ideas that can benefit your client. This will show your patients you’re not just in it for the co-pay. Instead, you actually care about their well-being, and are offering them helpful resources to aid that goal. Be sure that the sources you use are reputable. Since you’re bringing your followers to a website that’s not your own, you may want to look around the page to be sure there is nothing offensive or controversial.
• Social media takes certain constraints away. You can make it so your Facebook, Twitter, and other pages are avenues that patients can use to contact the office. A quick response to a direct message can do wonders for your reliability and your patients’ trust in you. Having them bogged down by a ten minute wait time could result in them becoming frustrated. However, if you train your staff to promote social media platforms as a way to communicate, they will commend your practice for its convenience.
is a great tool for you to show yourself in a professional light. While you want to come off friendly, your patients might find solace in just the fact that you’re a reputable professional that is wellestablished in your field. By promoting your practice (and yourself) on LinkedIn, you’ll be able to receive an added benefit of social media— connections with colleagues. If you’re not already on this platform,
Doctor’s Life Tampa Bay
see just how many fellow medical professionals are. There are over a million! This is also a great way to share your knowledge. LinkedIn Groups offer you the ability to share articles you’ve written about the practice. Once again, here is another way to show you have a passion for caring for patients and the people that come to see you.
• 2016
is showing social media leaning towards video more and more. By creating fun and informative short videos offering original content like health and nutritional tips, you can show your patients (and followers) exactly who they’re coming in to see.
By having engaging content like above, you’ll also have a high probability of attracting new patients. Many people use the internet to research new prospects for many aspects of their lives, and their doctors aren’t any different. Facebook, Twitter, LinkedIn, and other social media platforms are great ways to show you in a positive and professional profile. Because of the importance of a good online presence, you may want to request your loyal patients to post helpful reviews, recommendations, and 5-star ratings. After all, people really value the opinion of their peers and this alone could do wonders for you. Social media isn’t just a way to see what your friends are up to, nor is it just a way to push products. It’s a way to organically reach out to your patients and show them a new side of your practice. So, what are you waiting for? It is important to get established on social media as soon as possible, and to post regularly, to stay on your followers’ news feeds. Many people think their practice may be too busy to strengthen their relationships with their patients. It’s understandable, the life of a medical professional and their staff is extremely hectic, and creating a strong social media presence takes time. Typically, at least an hour a day of content creation, site work, and scheduling is required. Often times marketers are busy with other aspects of the business, and something as important as your social media presence should not be put on the back-burner. By outsourcing it to a team of professionals, you’d be able to rest easy knowing that your patients are benefiting from a modern and familiar connection to those who they put in charge of their health. Be sure to contact us today, and we can guide you in the right direction with your social media marketing!
9
How Top Doctors Can Stay in Shape & Injury Free By Dr. Nishin Tambay
Nishin Tambay, M.D. knows a thing or two about preventing painful injuries. The sports medicine specialist spends his days treating both professional and recreational athletes at Orthopaedic Associates of West Florida. He is the team physician for the Toronto Blue Jays, and has also treated Wimbledon champions and numerous other famous names. However, he says the majority of the core advice he gives to professional athletes can apply to everyone, including busy physicians who double as weekend warriors.
“It doesn’t matter how advanced of an athlete you are, your body has to move in a certain sequence to produce results. You have to use the proper techniques when you exercise, or you are going to get hurt”, says Dr. Tambay. As a physician, you know that much of staying healthy, starts with prevention. That is the center point of Dr. Tambay’s approach. He focuses on a holistic approach to medicine. Here are his top tips for staying in shape this summer, and preventing injury. CONTINUED ON PAGE 12
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Doctor’s Life Tampa Bay
Issue 3, 2016
Ad
28
One Heart Magazine
www.heartbeatsaveslives.org
CONTINUED FROM PAGE 10
1. Seek out a fitness expert.
4. Warm-up and cool-down.
Anytime you are trying a new sport, you should make an effort to learn the proper techniques from a professional. “You need to understand the basic movements behind a tennis serve or a baseball bat swing. So many different body parts are coming together to create that movement, and if you aren’t doing it properly, eventually you’re going to tear or sprain something,” says Dr. Tambay.
All athletes need to stretch their muscles to release tension and prevent injury, before and after any kind of activity. Stretching also helps to relieve pain in muscles. A good tip is to use a foam roller after workouts to break up scar tissue and help the muscles recover. The roller can effective for your glues, IT band, as well as all of the muscles in the lower extremities.
5. Increase training gradually.
2. Hydrate. Follow the same advice that you would give your patients. Keeping muscles adequately hydrated is one of the most important ways to minimize cramps and prevent injury. A good rule of thumb is to drink eight 8 ounce glasses of water per day, but if you are participating in more than 45 minutes of highintensity activity you should also consider a low-sugar sports drink with electrolyte replacements.
6. Don’t be afraid to take a break.
3. Wear the proper equipment. Using the properly sized equipment for any sport is important, but you also want to think about wearing the proper shoes. You should not make shoes multi-task. The same pair you wear on the tennis court should not be used for running. You also want to pick shoes that fit your foot, whether you have flat feet or high arches.
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Besides learning the proper techniques, Dr. Tambay also recommends easing into a fitness routine, and understanding your own limits. “I work with a lot of tennis players who tell me they are playing in three competitive leagues a week. That may be alright for some people, but for others it is a recipe for disaster. You have to be realistic about how much exercise is appropriate for you. If you aren’t sure, talk with your doctor.”
Physicians have a hard time slowing down, but when it comes to working out, not slowing down can do more harm to your body than good. Taking a break between exercise sessions allows your muscles to recover and hydrate, avoiding major injuries.
Doctor’s Life Tampa Bay
Issue 3, 2016
Is Your Medical Practice's Social Media Policy Adequate?
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Doctor’s Life Tampa Bay
B
By Nick Hernandez
y now every physician should be aware of the benefits that can be bestowed upon their practice as a result of social media. Indeed many practices are engaging in one or more social media platforms on a regular basis. Moreover, staff members are most definitely active in social media, and probably use it while at work. Physicians and practice managers must be smart about training employees on what they should and should not share online. Staff in your practice could incur liability on behalf of your practice as a result of their comments on social media. Because of the confidentiality rules in HIPAA, staff training is important. You should constantly remind employees that they are representatives of the practice. Issue 3, 2016
You should also have some sort of social media policy in place. Here are a few key items your policy should include:
1. Guidelines and expectations. Your policy should set clear expectations for how team members (as representatives of your practice) must conduct themselves online. Your policy should clearly state that there will be no posting of protected health information (PHI) and that employees are not allowed to use social media in work areas near patients. Be specific in training your employees and inform them to avoid identifying patients in any way on social media — this includes names, unique characteristics, etc. Some practices do not allow Issue 3, 2016
employees to use social media for personal reasons on work time. While that is fine as a policy, it does not circumvent the need to appropriately train your staff. Moreover, it can be hard to police. It is advisable to discourage team members from participating with patients on various websites. If they do engage patients on social media, they certainly should not be discussing patient-related matters. Lastly, someone (most likely the practice administrator) should be designated as the spokesperson responsible for answering questions about your practice on social media.
2. Penalties and consequences. Penalties for data breaches increased under the American Recovery and Reinvestment Act so your policy should make it clear to employees about the consequences of their actions on social media sites. An individual claiming they did not know they violated HIPAA is subject to a minimum of $100 per violation. A HIPAA violation due to reasonable cause and not due to willful Doctor’s Life Tampa Bay
neglect carries a minimum fine of $1,000 per violation. A HIPAA violation that is due to willful neglect (but corrected in short order) is subject to a minimum of $10,000 per violation. Lastly, a HIPAA violation that is due to willful neglect and not corrected carries a minimum fine of $50,000 per violation. The maximum fine for each of these four categories is $50,000 per violation.
3. Explanations of rules and regulations. The social media policy should outline what is illegal, what is considered confidential information of the practice, and what is protected health information. It’s not enough to have a social media policy — employers should put in just as much time and effort in training their employees on the ins and outs of the policy. Make it a separate document from the employee handbook.
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Practice Management in Private Practice is SO Much More Complex in 2016 By Rochelle Glassman
Many small private practices are struggling to stay in business, many of those entrepreneur physicians are looking at their options (joining a hospital as an employed physician, joining a larger either single specialty or multi-specialty group as an employee or a minority partner) as they struggle to maintain and increase revenue streams and have some sort of worklife balance and future financial security. It is very difficult for entrepreneur physicians to give up total control and therefore none of these options are real considerations.
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M
any small to medium sized practices don’t realize that the practice is a business and therefore these practices are not managed like a business. Historically the physician’s wife has managed a small practice or they have promoted the medical records clerk or other clinical or administrative staff who have been loyal to the practice. Many practices generate well over a million dollars a year in revenue and do not have a seasoned and experienced practice manager who understands profit and loss, budgets, key performance indicators (“KPI’s”) the highly complex compliance environment that we work in, the changes in reimbursement from fee for service to paid-on-performance and management of payer contracts. Small to medium sized practice managers have to wear many hats and have a large menu of responsibilities from human resources, accounts payable, overseeing either an outside billing company or an inhouse billing department, overseeing the front and back office operations, ordering of supplies, management of the practice management and electronic medical record systems (EMR”), health plan and hospital credentialing, payroll and patient complaints. To add to this extensive menu of responsibilities there is a huge shift in how the insurance companies and government health plans are paying for services moving from fee-for service payment methodology to paid-on-performance. The practices Doctor’s Life Tampa Bay
electronic health records now have to be organized to allow for the reporting requirements for Health Effectiveness Data and Information Set (“HEDIS) this includes the Accountable Care Organization (“ACO”) that include 33 quality measures. Medicare will no longer continue to increase reimbursement on a fee-for-service basis and the only way to ensure future increases in reimbursement is through the Merit Based Payment Systems (“MIPS”). Don’t think these programs will be eliminated if there is a change in government because they will not, so get on board. 2016 I the first performance year for MIPS and if you meet the performance measures you will receive a 4% increase in reimbursement and if you don’t you will receive up to a 4% penalty which nobody can afford. The best way to increase revenue and stay financially solid is to hire a manger that not only understands where healthcare is going, but can get you there. It is critical that you prepare budgets and manage expenses. It is important to review additional revenue generating services that can substantially increase revenue in dollars and bonuses through HEDIS and MIPS programs, patient compliance and satisfaction all of which will be reported to the health plans and you will receive bonuses for. Examples on how to increase revenue with no additional financial investment; Use your EMR as a tap to switch on the gushing flow of water as you recall patients who have not been seen within 90 days for chronic illness. Not only will Issue 3, 2016
that generate revenue but it will assist in meeting HEDIS requirements. Add services to your practice; for family practice, internal medicine and geriatric care you can add a weight loss program and for those patients with a BMI>30 there is no out of pocket expense/financial responsibility for the patient (co-payment or deductible). The patients are seen every week for 1 month, visit every other week for 2-6 months and if the patient loses 7lbs they can stay on the program. 120 patients per month on this program generates at least an additional $150,000 per year not including fee-forservice medications and supplements With a small one time cost for a Retinavue Machine you can screen in the practice for Diabetic Retinopathy which effects 80% of those patients that have suffered with diabetes for 15 years. 80% of patients are not complaint with Diabetic Retinopathy screening. Diabetic Retinopathy can be screened in the office by a medical assistant taking a picture of the retina, downloading the image on to a data port and sending it electronically to an ophthalmologist to read. The reimbursement for a 5-minute service performed by a medical assistant after the ophthalmologist has been paid is around $115.00. Issue 3, 2016
Marketing is also key to the success of your practice. Historically when you opened your practice and became a provider for the health plans that you are contracted with, you opened your doors and the phones rang and patients just showed up. Healthcare has changed and it has become a consumer driven industry. Patients have realized that they have choices. Many patients look on line at your patient reviews before they schedule an appointment to see you. If your reviews indicate that the patient has to wait 3 weeks to be seen, or your staff was rude, or they were left waiting in the waiting room for 1 hour before they were seen, you can guarantee that your new patient volume will go down. Managing social media and having outstanding customer service is key to growing and maintaining your practice. It is important to have an interactive webpage that no only allows for you market the services that your practice provides and share your qualifications, but allows for the patient to easily schedule, reschedule or cancel an appointment, review their medical records and pay for services provided. Reporting is also key to the success of your practice. Reports do not lie and they clearly give you a clear and precise view of where you are. It is important to meet Doctor’s Life Tampa Bay
with your office manager weekly but no less than monthly to go over your accounts receivable and accounts payable reports. You should have your finger on the pulse with cash flow. Any payment not made by a primary payer within 60days you should be asking for reports on what actions have been taken to receive payment. Often times physicians are working hard and not getting paid. Systems need to be in place for every function in the practice and policies and procedures written, implemented and managed for all job tasks in the office, from registering a patient to collecting payment. It is imperative to your growing practice that you hire an experienced practice manager and have an integrated team of clinical and administrative professionals that can keep your practice at the forefront. The physician owner needs to stay engaged with the manager and not abdicate the responsibilities of the business that you own to the manager. It is your responsibility as the business owner to make sure that your staff is taking care of your business. There is only one way to run a private practice and that is the right way.
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Food for Thought
Fuel your day
with 5 energizing superfoods With groggy eyes and slow movements, you peel yourself out of bed each day. Between the morning and afternoon slumps, you long for the energy of your youth. Does this sound familiar? Then you'll be glad to know about five superfoods that can help energize you from the inside out, so you can feel your best all day.
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s a registered dietician, nutrition expert at On Target Living, and author of the newly released cookbook "Target To Table: Delicious & Healthy Meals One Superfood at a Time," Kristen Johnson understands that food plays a big role in health and wellness, and believes there's no such thing as anti-aging only aging well. Here are the five energizing superfoods Johnson recommends to fuel your body the healthy way.
1. Ancient grains "Ancient grains have remained virtually untouched and unchanged for thousands of years compared to modern wheat or corn that's been bred for higher yield and drought resistance," says Johnson. Ancient grains are extremely high in protein, fiber and minerals. Johnson notes these grains can be helpful in managing inflammation and are a great source of energizing B vitamins for the brain and body. Doctor’s Life Tampa Bay
Ancient grains include spelt, quinoa, chia, amaranth, buckwheat, wheat berries, kamut, freekah, bulgur, barley, sorghum, teff, millet, oats, wild rice and farro. These grains can be used to make hot dishes similar to oatmeal, or can be cooked and used in salads and entrees.
2. Omega-3 fats "Mitochondria are the powerhouses of the human cell, meaning they supply the body with energy. The better you feed the mitochondria, the healthier and better performing the cell will be," explains Johnson. "Cell membranes must be permeable to allow the cell to be fed and allow 'fuel' for the mitochondria. The omega-3 fats EPA & DHA found in fish and algae are a great way to make the cell soft and permeable. This will help to fuel the body and improve energy and stamina." Our bodies cannot make omega-3 fats naturally, and therefore they must come from food or supplements, notes Johnson. Issue 3, 2016
"Because fresh, cold-water, wild-caught fish is not always available, I often recommend a high-quality supplement like Nordic Naturals orange-flavored Arctic Cod Liver Oil," says Johnson. Cod liver oil has naturally occurring vitamin D that is needed to absorb calcium, an important factor for bone health. Nordic Naturals Arctic Cod Liver Oil is a great source of the omega-3s EPA and DHA that help contributes to a healthy heart and brain, hormonal balance, and a healthy immune response. Simply take 1 tablespoon daily or add to your smoothies or salad dressings.
3. Spirulina and chlorella "Spirulina and chlorella are fresh-water algae that are super high in chlorophyll, which is extremely energizing for the body," says Johnson. "Because spirulina and chlorella are cell-builders, they also help to build the immune system and can help prevent you from getting sick." Issue 3, 2016
Spirulina and chlorella are also very cleansing and detoxifying, which helps improve digestion. Because both are high in protein, they are also great for vegans. Swallow (don't chew) the tablets with water 15-20 minutes prior to eating. Aim for 10-20 tablets a day.
4. Cacao Cacao is the raw, unprocessed form of chocolate. It is high in magnesium, manganese, zinc, and iron. Johnson notes that cacao has many potential health benefits, including supporting brain and heart health, mood, healthy body weight, and energy. Cacao can also enhance relaxation and promote a better night's sleep. Because it is high in magnesium, it has also been shown to help build muscle and aid in muscle recovery. Cacao also contains more antioxidants than red wine, green tea and blueberries. Cacao nibs are easy to consume and can be mixed in oatmeal, smoothies or Doctor’s Life Tampa Bay
trail mix. You can also blend cacao nibs or cacao powder with coconut or almond milk and a little bit of honey in a blender for a healthy version of chocolate milk or hot chocolate.
5. Coconut "Coconuts contain a healthy saturated fat high in lauric, capric, and caprylic acids, which have antiviral and antifungal properties and help contribute to healthy digestion," says Johnson. "Coconuts also contain medium-chain fatty acids (MCTs) that can enhance energy and metabolism." Coconut water, coconut milk and shredded coconut are all great options to add to your diet. Using virgin coconut oil is also a great way to sneak in more coconut when cooking, baking, or snacking. Simply use it in place of oil in cooking and butter in baking. It's great for spreading on bread and for making popcorn, too.
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Relax and Recharge this
SUMMER!
Feeling stressed? M Adding water to your summer plans may be one of the best remedies.
ore than four in five Americans say being around water relaxes them, and 72 percent feel healthier after spending time on the water, according to a 2015 Discover Boating survey by Wakefield Research. With everyone working longer hours, the need to take vacation time is greater than ever. Four in 10 Americans are not using their vacation time, according to Project: Time
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Doctor’s Life Tampa Bay
Off's 2015 research by GFK Public Affairs. One easy solution is to get out on the water and go boating. It not only benefits overall well-being, it's also extremely accessible here in Florida or where ever you travel. In fact, millions of Americans go boating each year on more than 15 million boats in the U.S., according to the National Marine Manufacturers Association. CONTINUED ON PAGE 22
Issue 3, 2016
Imagine a private island with a spectacular two-mile, white sand beach and the only footprints are yours. Such a place really exists. Just 13 beachfront units and several private rental homes. No cars, no crowds, no hassles. It will win your heart.
Elegant cuisine and as much or as little as you want to do. Daily Snorkeling Trips Bone, Reef, Deep Sea Fishing Off-Island Excursions New Spa Services
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CONTINUED FROM PAGE 20
"Today's technology can make it difficult to fully disconnect and relax, which is why boating offers a unique solution," says Carl Blackwell, president of Discover Boating. "Surrounded by water, fresh air and your favorite people make a boat one of the rare places where you can focus on each other, forget about daily distractions and enjoy the outdoors." Whether on vacation or staycation, there are fun, stress-free ways to get on the water. These insider tips can help anyone get started in fishing, wake surfing, sailing, personal watercraft and cruising this summer.
Take a class. Sign up for a boating lesson to hone those powerboating, sailing or watersports skills by mastering the basics while having fun along the way. Popular options around the U.S. include boating classes, on-water training courses, watersports camps, youth boating programs and more.
Join a club. Find a boat club near you for a hassle-free and cost-sharing way to access a versatile fleet of boats. Simply pay a monthly fee and book your time online. Most boat clubs take care of docking, cleaning, and maintenance, with members responsible for fuel. Plus, most offer extensive boater education courses as part of the membership.
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Share the fun.
Rent a boat.
Charter a trip.
Share the fun and the budget. Fractional ownership programs are similar to boat clubs offering shared access to boats paired with maintenance and education, with a few subtle differences an annual fee versus monthly dues and assignment of members to a particular boat, similar to a property timeshare instead of a fleet of boats.
Rental options are available on most waterways and provide hourly or daily access to a variety of boat types. Rental outfitters provide tutorials on operating a boat, share safety instructions and offer suggestions on destinations. Another rental option new to market are peer-to-peer rentals, allowing you to rent someone else's boat, which usually includes insurance and captains for hire to help you set sail.
Explore new waters and experience the boating lifestyle by chartering a boat trip with family or friends. Chartering offers options bareboat (with no captain) or crewed (with captain and crew) for a few days or weeks long. Pick your preferences and chart your course.
Find your way on the water by using Discover Boating's get on the water interactive tool, just enter your zip code to find rentals, boat clubs and more close to home. If you're curious about owning a boat, whether new or previously owned, take the next step and research all your options on DiscoverBoating.com.
Doctor’s Life Tampa Bay
Issue 3, 2016
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