Nov/Dec 2017

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{LIVING WELL}

Tu mmy Time

IMPORTANT FOR BABY DEVELOPMENT WORDS BY BETHANY LEGGETT

B

abies have many milestones, but one of their first will be their ability to lift and hold their heads as the muscles in the neck and shoulders strengthen. A way to help your child or grandchild build those muscles is through tummy time. Tummy time describes a designated amount of time when parents place infants on their stomachs so the children develops muscles from lifting their heads.

than always on their back. It also helps with proprioception, understanding their positioning, by pushing against a firm surface,” Wood-Katz says. “It is very important to provide different stimulation for your baby in the form of textures, sights, and sounds to promote development and provide extremely important emotional interaction.”

“Tummy time allows the baby to see the world from a different perspective than always on their back.”

“Tummy time can be done for one to five minutes several times per day at first and build up to an hour per day during waking hours by the end of three months,” says Kelly Hidalgo, a board-certified specialist in pediatric physical therapy with Southeast Georgia Health System. “It does not have to be done all at once. It all counts! The intent is to develop muscles in their back, neck, and trunk while meeting developmental milestones.” Tummy time can take place in a variety of ways. For instance, the parents can lay down and place the child on their chest or sit and place the child on their lap. Carrying the baby on his or her tummy also qualifies as does placing the infant on a changing , n n u D n atable, gr o M ,crib, sm a ipack-n-play, l l i W h a n n a H ,or r eyfloor. eP r e“However, k r aP h ar a Schang:e l d d i M ;n ayn u R w e ht t a M ,yns e l d oP k c a J , k c or B l l e h ct i M n h o J , h g u a n av aK b e lTips aC , kto cr emake M w e ht t a M , n os r e m m i J tn ar G :p oT ing table, floor, or chest make it easier for a parent There are many ways to see how tummy time is Tummy Time y e l k c u B aym e S :d er u t c iP t o N ;l a eV e i d d a M , l l esn oP y e n t i h W , n osn h o J h a jyT , ec n e pS y l i mE , l et aP k n e h a M :m ot t o B ;n e l i etS n ay R , n av i lenjoyable l u S ec n at s n oC , h t i m S i z n i L to be able to interact with the baby,” Hidalgo says. helping. For instance, infants will start to lift and hold their heads briefly or control their head movements Kelly Hidalgo, a board-cerTummy time can begin as soon as you bring the more. “Parents will also notice, with adequate tified specialist in pediatric infant home from the hospital with short sessions to tummy time, that the head shape will stay nice and physical therapy with Southbuild up muscles over time. “It should only happen round. Tummy time is an important part of altering east Georgia Health System, when the infant is awake and can be engaged,” positions for baby to prevent positional plagiocephgives helpful tips for parents says Dr. Melissa Wood-Katz, board-certified pediatrialy, deformation of the skull due to prolonged starting tummy time with their cian with Southeast Georgia Physician Associates-St. pressure and lack of changing positions throughout infants. Simons Pediatrics, a strategic affiliate of Southeast the day,” Wood-Katz says. • A rolled up receiving blanGeorgia Health System. “Tummy time should always be ylbe pesupervised,” ed gnirashe c eadds. lihw“Please secido v rnot es leave gnikthe nab lAafew nosigns itpethat cxea baby edivneeds orp more ot stummy i noistime sim ruo ,ket knorasmall Bunder ytowel tintheucan mm oC detinU tA placed chest and infant, even for a second, to grab your phone for a can be if the infant develops a flat portion on the upper arms to assist in lifting dquick raoBpicture. roinBaby uJ ru o foalways ssalcbehawake tnevand ele ehtback ecuofdthe orhead, tni oort positional duorp plagiocephaly, era ew ,yadasoT .evhead res e wupper seittrunk. inummoc eht rof should and alert during tummy time as well.” Wood-Katz mentions. Another sign is positional torti• When on someone’s lap, , l o o h c S h g i H k c i w s n u r B m o r f s tn e d u ts loroaotightness hcs hginih nside eetofhthe gieneck. fo p u edam one si dhand raocan b ebehT .sroon t c eri D f o collis, one “Babies placed Family members can become part of the process. can also have delayed milestones,” Hidalgo says. the baby’s bottom to help .raiseaygood looopportunity hcs lufssforecbonding cus a with ,stnyour edin-uts l“By la d na ,mbabies eht hshould si w e Wpushing .ymeupdon acarms A nnylGcalm dnand a ysteady medthe acbaby. A acirederF “This 3 months, be fant. Parents can talk, sing, and make faces to baby and lifting his or her head when on tummy.” • When carrying on the tummy, nestle the baby close to during this time,” Wood-Katz says, also mentioning your body. how older siblings can help and have special bondBabies getting fussy can be common when tummy • Toys can be dangled to ing moments with their new brother or sister. “Babies time first starts. “If they are engaged and enjoying encourage head lift. love faces, so caregiver or sibling at eye level works it, then continue until it is no longer fun or they tire • As the child gets older (4 to well,” Hidalgo adds. She also recommends tummy out. If they are unhappy, then it is best to break up 6 months) and stronger with time with a mirror, where babies can try to lift to see tummy time throughout the day with a total of 15 to pushing up, the baby can themselves, or dangling a favorite toy to encourage 20 minutes of tummy time daily,” Wood-Katz says. be encouraged to figure the children to lift their head. things out by reaching and Once the infant begins rolling over, around four learning to roll while playing. Several development benefits come from placing months, the baby will be more active and likely will infants on their stomachs. “Tummy time allows the not stay on tummy and will become more mobile, baby to see their world from a different perspective Wood-Katz says.

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Cooking is in the Carino blood. He has two younger brothers — Frank and Peter — and all the men of the Carino Family can cook. After their mother passed away when the boys were young, Carino learned how to cook from his grandmother. He watched how she created delicious meals without referencing recipes and learned to follow his heart — and his eyes — when it comes to cooking. “I would always ask her, ‘Grandmother, what are you making?’ And she would always respond, ‘Johnny Boy, I’m making a mess.’ And what she meant was that she would just open up her refrigerator and make something that she felt like that day for whatever reason. She put her feelings, her emotions into her cooking. And that’s what I learned to do … if I’m happy while I’m cooking for you, you’ll taste it in my food,” he says. He didn’t always plan to be a chef. His father was a captain in the New York City Fire Department, and Carino grew up going to the firehouse with his father and brothers, who also became firemen. Carino thought of joining in the family business until he found out he was claustrophobic and terrified of heights. “Still, I was a volunteer fireman in Texas for six years,” he says. Carino has proven he can stand the heat of the kitchen no matter whom he is cooking for — including for the men of the New York City Fire Department. “They won’t let you get away with anything,” he says. He knows how to do some heavy lifting — not just in the kitchen. Carino told his high school counselor that he wanted to be a professional bodybuilder. His plan included motivational speaking, creating protein powders, and more. “These are all things that people do now, but nobody was doing it back then,” he says. Carino ended up competing nationally in bodybuilding, proving his critics wrong.

Italian food is part of his heritage. Both sets of grandparents hail from Palermo, Sicily, and came through Ellis Island before establishing roots in New York. Carino believes his love of food can be traced through his Italian heritage — where food is celebrated as a way for families to come together every day. And he always has a bottle of Italian olive oil nearby to cook with. “I love all kinds of olive oils, but I always have Italian olive oil in the kitchen,” he says. Carino incorporated his family-style Johnny Carino approach into in his kitchen. Johnny Carino’s Photo by Italian restauBrooke Roberts rants. The chain of restaurants that share his name started in 1994, and he put a lot of his familial philosophy into the business. “A lot of me growing up was put into that business — the idea of families gathering together, sharing platters of Italian food, and passing it around,” he says. While he is no longer part of the business, he says the chain is in capable hands. Carino has now developed a meal delivery business, Fresh 2 You, in the Golden Isles. Carino has launched a home delivery service for clients in the Golden Isles. People can place orders with him online (freshtwoyou. com) from a select menu for as little as $11 per meal — a price point that puts him in the same league as home meal delivery kits — except he does the cooking, too. Just need to heat and eat, he says. Health is an important factor for the chef. Having had several health concerns through the years, Carino keeps nutrition as the center for his diet, which includes a lot of seafood, low fat, and no alcohol. In addition to cooking classes, he is working with a team from Southeast Georgia Health System on a project, Clean Your Plate, that pairs a doctor, nutritionist, registered dietitian, and chef together as a four-member approach to combating health concerns through diet.

Minulatas

CHEF JOHNNY CARINO’S

INGREDIENTS • 3/4 cup warm water (105 to 115 degrees) • 1 package dry yeast • 2 1/2 cups all-purpose flour • 1 teaspoon sugar • 1 tablespoon honey • 1/3 teaspoon sea salt • 3 tablespoons extra virgin olive oil • 1 pound Italian sausage, cooked and crumbled (chilled) • 2 egg yolks, beaten • 1 cup pitted Kalamata olives, chopped • sea salt • cracked black pepper • shredded mozzarella (optional)

DIRECTIONS 1. Pour 3/4 cup warm water into small bowl; stir in yeast. Let stand until yeast dissolves, about 5 minutes. 2. Brush large bowl lightly with olive oil. 3. Mix two cups flour, sugar, and salt in processor. Add yeast mixture, honey, and three tablespoons oil; process until dough forms a sticky ball. Transfer to lightly floured surface, and knead dough until smooth, adding more flour if dough is very sticky, for about 1 minute. Transfer to prepared bowl; turn dough in bowl to coat with oil. Cover bowl with plastic wrap and let dough rise in warm, draft-free area until doubled in volume, about one hour. 4. Punch down dough and roll into large triangle. Lightly brush egg yolk all over the dough. Place cooked sausage all around dough, cover it very well, and repeat with the olives. Sprinkle with sea salt and cracked black pepper. If you like, sprinkle shredded mozzarella all over olives and sausage. 5. Preheat oven to 375 degrees. Lightly coat the baking sheet with olive oil. 6. To make the rolls, start at the end and roll the entire triangle lengthwise. As you roll, try to keep as tight as you can. Roll from one end to the other, ending with a rolled log of dough. Using a sharp knife, cut the log into sections and place on the oiled baking pan. Press down on each one slightly, repeat until the sheet is full. 7. Bake in the oven, about 35 to 40 minutes, just until they are lightly golden brown. Remove from oven, allow to cool, and serve warm.

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