March 2014 Health Matters — Sarasota

Page 1

Health Matters Observer

MARCH 2014

YOGA:

RECIPE:

FITNESS:

PAGE 7

PAGE 8

PAGE 6

Aerial yoga takes fitness to new heights.

Roasted vegetable dish highlights the nutritious bounty of spring.

Businesses reap rewards of group fitness.

THE BUSINESS OF Offering obstetrics proves to be a good marketing strategy for hospitals. PAGES 2-3


Health Matters | March 2014

2 YourObserver.com

THE BUSINESS OF

BY PAM EUBANKS Twenty-five-year-old Amanda Goddard shifts her 2-month-old son, Kenny, in her arms, taking extra care not to pull on the cords attached to his nose and body that monitor his vital signs. At only 3 pounds, 10 ounces, Kenny has grown more than a pound since he was born two months premature. “I’ve stayed every single night,” Goddard says. “I haven’t left, except to eat, and I left twice for a doctor’s appointment. I’m very pleased (with my experience).” Goddard’s perspective is one administrators at Sarasota Memorial hope to replicate, in terms of creating a positive birthing experience for women. “Women are the deciders of care within the family,” says Dr. Kyle Garner, the hospital’s chief of obstetrics and gynecology. “This is the first hospital experience for most females. It’s a joyous occasion. They develop a relationship (with us when they give birth here). If they have a good experience, people are more likely to return.” At SMH, doctors deliver more than 3,000 babies annually. In fiscal year 2013, obstetrics, including neonatal intensive

Amanda Goddard holds her son, Kenny Chambers, who was born two months premature at 2 pounds, 8 ounces. Goddard and her son have stayed in a private room in Sarasota Memorial Hospital’s neonatal intensive care unit since Kenny was born. care and high-risk pregnancies, accounted for 12% of admissions into SMH. Of those admissions, about 50% were covered by Medicaid, which typically does not reimburse hospitals and doctors for the full cost of past care. In total, SMH lost more than $15 million on Medicaid cases last year, hospital spokeswoman Kim Savage said. Last year, Sarasota Memorial also absorbed the $1.5 million cost of its new OB hospitalist

program to offer on-site obstetrician services 24/7. Although the hospital does not consider the business of birth a “money maker,” SMH has dedicated three of six medical floors of its new $250 million, nine-floor Courtyard Tower, which opened in September, to mothers and babies. It boasts separate levels for labor and delivery, mother-baby recovery and neonatal intensive care. Each new space was designed

101

+ HOSPITALS OFFER NEONTAL SERVICES Sarasota Memorial Hospital is the only hospital in Sarasota to have an obstetrical unit and the only hospital in a four-county region to have a Level III neonatal intensive care unit in its obstetrical unit. In Manatee County, only Lakewood Ranch Medical Center and its sister hospital, Manatee Memorial, have obstetrical units. Both hospitals are equipped to delivery babies in emergency situations, with intensive care equipment on-site, although neither has a neonatal intensive care unit to which newborns can be admitted. Manatee Memorial is taking steps to develop a Level III intensive care nursery, which would make it only the second such facility in a four-county area; only Sarasota Memorial has such an existing unit. with process — workflow of physicians and nurses and patient visitors — in mind. The labor and delivery floor also is equipped with more tools for natural childbirth — birthing balls, large tubs and showers in which to labor. Pam Beitlich, director of women and children’s services for SMH, says the offerings are part of a larger strategy. “The community has asked for this kind of care,” Beitlich says. “By providing that care, we can elevate the quality of care in the region.”

Breastfeeding Crying is a late sign of hunger, so mothers should look for cues, such as their baby sucking on his fingers, fidgeting or frequently putting his hands to the mouth. Mothers should offer milk at least eight times in a 24-hour period.

Sleep Infants should sleep on their backs to decrease incidences of Sudden Infant Death Syndrome. The crib should be empty of blankets, pillows and bumper pads.

Baby skin care Keep skin care simple by using products with the least amount of ingredients. Parents shoud change diapers as soon as possible and can add a diaper cream or ointment to act as a barrier between the baby’s skin and irritants.

Solids Infants can start eating solid food between 4 and 6 months of age. The texture of your baby’s first foods should be extremely smooth — practically dripping off the spoon. If you prepare your own food, you should strain, puree or finely mash the food and then thin it with liquid, if necessary. Serve new foods one at a time for three to five days to make sure your child is not allergic.

Teething The gumming action of chewing provides counter pressure to relieve the aching pressure as your baby’s teeth come in. Bumpy rubber teething rings work well. You also can try offering a frozen, wet washcloth or frozen fruits, such as a banana, in a feeder mesh bag (to prevent large chunks from coming off and choking the child). You can run your finger along your baby’s gums or administer pediatrician-approved pain medication or ointments, as well. — Charlene Chirillo, childbirth education facilitator/ lactation support for Sarasota Memorial Hospital

Tomorrow’s medical care, today.

ENVISION

the possibilities.

GIVE TOday fOr TOmOrrOw.

“Southwest Florida’s Mobility Leader”

941 378.0797

135149

101Mobility.com/sarasota-FL

941.917.1286 | SmHF.ORG

135155

5975 Cattlemen Lane Sarasota, FL 34232

| AT | CRHE S|E AERDCUHC AT | IO PAT I E N T PAT C A RI E N T| C RAER SE A R NUC T EI OCNH N|O LTOEGCYH N|O LFA S CILITIES ED OC G IYL I T| I EFA


March 2014 | Health Matters

YourObserver.com 3

INSIDE THE SMH OBSTETRICAL UNIT

30

8

Number of private rooms in the mother-baby unit

Approximate percentage of babies born at SMH who are admitted into the neonatal intensive care unit

of oxes Vials? Tired of

33

Number of private rooms in the neonatal intensive care unit

$250 million Total cost of Sarasota Memorial’s new Courtyard Tower, at which three floors are dedicated to childbirth services

olution! Pill Boxes

and Vials?

by date & time

134701

ce & simplicity We have the solution!

• Medication organized by date & time • Convenience, confidence & simplicity

ions has never been easier. • No additional cost

details.Managing your medications has never been easier. Ask the pharmacist for details.

Siesta Key South Siesta Not all products available at all locations.Village Not responsible for typographical or printing errors.

5124errors. Ocean Blvd pographical or printing 941-349-1111

Key 6595 Midnight Pass Rd 941-349-4343

Call Us & we’ll do all the work!

Midtown Plaza Prices good 2/1/14 – 2/28/14 1281 S. Tamiami Trail – 2/28/14 Prices good 2/1/14 941-365-9116

941 - 822 - 0048 5643 Clark Rd. • Sarasota, Florida 34233 Next to Dunkin Donuts @ I-75, exit 205

• CROWNS • BRIDGES • EXTRACTIONS • IMPLANTS

FREE Consultation X - Rays & Exam D0150, D0330. Must Present to receive offer.

OB

BY THE NUMBERS

OPINION

Ceramic Crowns Crowns

475 575

$

$

D2751. Must Present to receive offer.

D2740. Must Present to receive offer.

OB

To see all childbirth-related classes available at SMH, visit babies.smh.com.

FREE SECOND

Deluxe Denture Complete Set

750

$ (reg. $1,500)

Single $375 D5110.

D5210. Must Present to receive offer. Extractions not included

OB

Rooms in the mother-baby unit include sofas that pull out into a bed.

We’re the stimulus package for your dental needs.

*May change based on complexity of case. Extractions not included. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment, examination, or treatment, that is performed as a result of and within 72 hours of responding to advertisement for the free, discounted fee, or reduced fee service, examination or treatment. First consult no charge. General Dentist Lic# 14423

134191

The neonatal intensive care unit has sound-proof sliding glass doors and sound-absorbing flooring.

OB

Light panels outside each room tell staff if family members are visiting in rooms.

CROWNS•BRIDGES•IMPLANTS•DENTURES•EXTRACTIONS• CROWNS•BRIDGES•IMPLANTS•DENTURES•EXTRACTIONS

The celebration classroom serves as the final stop for mothers, before they head to the discharge area.

CROWNS•BRIDGES•IMPLANTS•DENTURES•EXTRACTIONS• CROWNS•BRIDGES•IMPLANTS•DENTURES•EXTRACTIONS

In addition to infant CPR, baby basics and other classes, Sarasota Memorial Hospital also offers support classes for new moms. A breastfeeding support group meets from 2 to 3:30 p.m. Tuesdays on the second floor of the Waldemere Medical Plaza, 1921 Waldemere St., Sarasota. Mom and baby support groups also are offered. Moms with infants up to 6 months old meet from 11 a.m. to noon Wednesdays, while moms of infants 6 months old to 1 year meet from 12:30 to 1:30 p.m. Wednesdays. Both groups meet on the second floor of Waldemere Medical Plaza.

• CROWNS • BRIDGES • IMPLANTS •

• CROWNS • BRIDGES • IMPLANTS•


Health Matters | March 2014

4 YourObserver.com

+ Sarasota Orthopedic Associates team performs mission ®

+ Health

celebrating

35

REPORTS

YEARS

Richard’s has been pioneering the way natural and specialty foods are sold in Florida since 1979.

+ Roskamp Institute announces progress in Sci-Brain

Hand-selecting each item with our customer in mind - bringing great quality and great value together each and every day. Our smaller, locally-owned, intimate stores offer unparalleled customer service.

MarchisisNational National Nutrition come into March NutritionMonth, Month, come into Richard’s advantage extrasavings. savings. Richard’sand and take take advantage of extra

Redd Remedies

SAVE $3.00 Thyroid Strong $29.99, Richard’s Price $32.99 60 tabs

135822

Offer expires 3/31/14. No coupon needed. Discount taken at the register.

17 LOCATIONS TO SERVE YOU! RichardsFoodporium.com All Richard’s Foodporium® franchise locations are independently owned & operated.

BRAIN HEALTH LECTURE

Dr. Michael Mullan, president/CEO of the Roskamp Institute, announces a major development in the progress of Sci-Brain, its brain health system. After being in the program for six months, 30% of the clients have been re-evaluated. Sci-Brain is designed to reduce risk factors associated with Alzheimer’s disease and related dementias and to promote lifestyle choices associated with improving cognitive functioning by building brain reserve. The Sci-Brain program was under development for more than two years prior to its pilot phase, which was completed in March 2013, when clients were officially admitted to the program. Sci-Brain has since enrolled more than 30 clients. Each client received a comprehensive brain health assessment, including their individual Brain Reserve Index™ (BRI), personalized recommendations to improve brain fitness and lower risk factors associated with Alzheimer’s disease and, if desired, brain health coaching to turn those recommendations into measurable improvements. Eight-five percent of clients, who have been re-evaluated, so far have improved their BRI™ score by an average of 50%, and more than 70% now have BRI™ scores above 100, which is an indicator for reduced risk associated with Alzheimer’s disease and related dementias.

Dr. Andrew Moulton, spine surgeon, and Heather Maria, surgical coordinator, both of Sarasota Orthopedic Associates, 2750 Bahia Vista St., recently returned from a humanitarian mission in the Dominican Republic. Moulton traveled with his surgical team of 30 physicians and medical professionals to perform 24 spinal surgeries on children and to train Dominican Republic surgeons in performing these advanced surgical techniques. Moulton’s next mission will take place in April in Vietnam.

+ Concierge medical practice opens Dr. Steven Fineman has opened a concierge-style internal medical practice, Sarasota Personal Medicine, 1250 S. Tamiami Trail, Suite 202, Sarasta. Fineman will limit the number of patients at his Fineman practice and offer same-day appointments and inhome and hospital visits. “We are an internal medicine practice committed to providing a highly personalized approach to health care,” Fineman says. “With a limited number of patients, we can deliver exceptional service and extraordinary care, centered on the whole patient.” Fineman has practiced medicine in Sarasota for 10 years and is board certified in internal medicine and nephrology. For more information, visit sarasotapersonalmedicine.com.

It’s About Quality... It’s About Time

Join Us!!

Dr. Michael Hoffmann:

• Sedation Dentistry • Cosmetic Bonding • Dental Implants • Porcelain Veneers • Crowns • ZOOM!TM Whitening

Hoffmann, Cognitive Neurologist, is currently Medical Director of Sci-Brain and Director of the Stroke and Cognitive Neurology Programs at James A. Haley Veterans Hospital in Tampa. He is also currently a Professor of Neurology at the University of Central Florida as well as guest lecturer with University of Florida and University of South Florida (where he was formerly Interim Neurology Chair and Associate Dean). Dr. Hoffmann was Fellowship Trained as a Stroke and Cognitive Neurologist under JP Mohr, M.S., and M.D. at Columbia Presbyterian Medical Center in New York.

Dr. Kenneth Henson: A specialized form of dentistry uses sedation during dental procedures to relax a patient by eliminating pain, anxiety and discomforting sights, smells or sounds. It also allows for multiple procedures to be addressed at one time in “mega sessions.” Sedation dentistry requires specific training and equipment and has shown the same safety record as simple dental freezing injections.

Dr. Henson completed his cardiology fellowship at the University of Florida and was selected to a prestigious Interventional Cardiology fellowship at Georgetown University/Washington Hospital Center. His research there helped define the role of many devices and techniques used in clinical practice today. Dr. Henson pioneered the use of CT Coronary Angiography for early detection of coronary artery disease and opened the first Cardiac Pet Imaging facility in the state of Florida in 2005.

It’s about your comfort. It’s about your smile. It’s about time.

LONGBOAT KEY CLUB | ISLANDSIDE DINING ROOM| 361 LONGBOAT CLUB RD | LONGBOAT KEY, FL | 34228

Past President,Sarasota County Dental • Association Delegate, Florida Dental Association

Tickets are $20.00 and include a continental breakfast |For Reservations: Dee Newberry - 941-556-9900 or dee@scibrainhealth.com

135756

5602 Marquesas Cir, Ste 105 Sarasota, FL 34233 941-556-9900 www.scibrainhealth.com

Dr. John R. Pelton 3400 S. Tamaimi Trail, Suite 301 • Sarasota, FL 941 - 951 - 7711 www.DrJohnPelton.com

135839

• Diplomate, National Dental Board of Anesthesiology • Diplomate, International Congress of Oral Implantologists • Member American Dental Association,

FRIDAY, MARCH 21ST | 9:00 A.M.—11:30 A.M.


March 2014 | Health Matters

YourObserver.com 5

For people who provide care to elderly loved ones, finding time to fulfill other obligations may seem impossible, but local resources focus on the caregiver. BY AMANDA SEBASTIANO For professionals in the caregiving business, such as resident assistant Rosario Spires, taking care of the elderly brings enormous satisfaction. For some of the 20 patients Spires oversees at The Windsor of Lakewood Ranch who require assistance, Spires bathes them, brushes their hair and picks out their clothes. “We are a family here,” Spires says. “I look at them when they walk by me, and I think, ‘There goes my mom, there goes my dad.’” Spires remembers the difficulty of juggling family life and taking care of residents full time when she joined The Windsor’s staff in 2008, after recovering from an illness. For individuals less experienced than Spires who have taken on the role of caregiver for a loved one, or may in the future, the situation can seem impossible at times, says Paula Falk, director of the Senior Friendship Centers’ Caregiver Resource Center and Adult Day Service in Sarasota. Falk meets with first-time caregivers, most who have jobs and families and have assumed complete responsibility for their elderly parents’ well-being. She

Rosario Spires, a six-year resident assistant at The Windsor of Lakewood Ranch, loves working with her elderly patients — whom she calls her “mommas and papas.” She is pictured with Gerry Haller. also leads classes, such as Powerful Tools for Caregivers, which helps its participants care for loved ones without letting caregiving consume their lives. After more than 15 years of working with families to provide resources for providing care to their elderly loved ones, she swears by one exercise. She asks the new caregivers to draw a circle and write the name of the person for which they care

within that circle — an exercise Falk calls the circle of care. Branching out from that inner circle are other circles filled in with responsibilities, such as as banking, medical, transportation and other needs of the care receiver, and the names of which individuals will tend to those needs. The results are often the same. “If your name is written all over the necessities, then guess what? You’re in trouble,” Falk says. “When

135809

How to juggle caregiving and personal obligations

you begin as a caregiver, you may feeling vulnerable, individuals only be doing a couple of those closest to them should never things, but you keep adding more hesitate to discuss with them the and more tasks over time. You need problems they see, Falk says. to figure out a way to get your name “I live in the real world; I know out of all those circles.” people are private and resistant,” To provide quality Falk said. “I had a family care to loved ones while come in recently who was “There’s maintaining personal worried about the safety obligations, Falk of an elderly loved one. so much stresses brainstorming. The adult children were information so worried their parents Take time to talk with siblings, the care would be upset with them out there receiver and other asking for help) that about taking (for family members to they ignored obvious care of the discuss whether it’s problems.” time to start helping the The caretakers mean care receiver. receiver with certain more to the care receivers We also need than just someone who tasks. Having a plan — one that designates to take care of takes care of them. warning signs and plans “She’s the light of my the giver.” for how to respond to life,” The Windsor resident those signs — is crucial, Gerry Haller says, while — Paula Falk, Falk says. rubbing Spires’ back. “I Senior Friendship Once a loved one watch her run around this Centers requires care, put a place, and I just want to team together and go over and hug her. She divide the duties. works so hard.” Having a support system in The Senior Friendship Centers’ place creates a better chance Caregiver Resource Center offers for caregivers to maintain good a range of classes, which focus on relationships with their loved ones, bringing caregivers together to while getting them the proper care, share best practices, while providing Falk says. them with resources. The center, Also, for the working caregiver which has locations in Sarasota who wants their loved one to have and Venice, also lists schedules of social time and quality supervised support groups and other resources care, Falk suggests the Senior on its website, friendshipcenters. Friendship Centers’ program, The org. Living Room. The adult day service The Windsor of Lakewood invites caregivers to bring their Ranch also offers an Alzheimer’s loved ones to the facility, where disease support group and care assistants oversee activities, monthly discussions on age-related such as creating art and performing issues. For more information, visit cognitive games to keep the seniors’ legendseniorliving.com. minds active. At the end of the day, “There’s so much information out care receivers return home. there about taking care of the care Although most care receivers receiver,” Falk says. “We also need can feel a loss of control and dislike to take care of the giver.”


Health Matters | March 2014

6 YourObserver.com

Corporate wellness becomes a priority  The Founders Club

Area businesses demonstrate that a healthy workforce provides value to the workplace.  Grapevine Communications Then, depending on their baseline fitness level, teams receive two weekly personal training sessions at Studio South. The team also gets unlimited access to Studio South, including group classes. At the culmination of the event, the teams compete in a “Challenger” relay, which tests the skill and strength participants gained during the six weeks. Last year, Grapevine’s team lost more than 30 pounds combined. “It really is a great morale booster,” says Vest, who will participate for the second time. “It’s a team-building opportunity. And, for me, it was starting point to get healthier.” Massaro-Fain and Fain usually allow their employees to leave the office early to make the late-afternoon training sessions. “You can’t get more encouraging than your bosses handing you the opportunity to get fit on a silver platter,” says Miranda Spinner, public relations and media manager. “Anytime you feel better and healthier, your productivity goes up and carries into the workplace.”

“It can backfire to aim incentives like these at people who already exercise,” Gallagher says. “That’s why we incorporate the group fitness classes, which are less intimidating and more social.” Separate from the challenge, and new this year at The Founders Club, Gallagher is leading wellness events for club staff at no cost. In late February, she led a stress-reduction talk, sharing tips about maintaining worklife balance. She runs one-on-one health care investment sit-downs and offers personal tips about less obvious issues, such as posture. “Usually, business people have to take time away from work to manage their health,” Gallagher says. “This is an in-house way to improve employee well-being.”

COME

GROW WITH US! YEAR ROUND SATURDAY’S • 8AM-2PM • SOUTH PARKING LOT OF SCTI AT PROCTOR & BENEVA Shop local for your Fresh Produce, USDA grass-fed meats, Olive Oil & Fresh Baked Bread, Food & Ice Cream Trucks, Perry’s BBQ, Brooklyn Knish, Baked Goods, Beignets, Soy Candles & Soaps, Gourmet Pickles & Italian Olives, Potted herbs & Flowering plants.

LIVE MUSIC • CRAFT BAZAAR • LOTS OF PARKING PET FRIENDLY • KIDS CRAFT AREA Cooking demo at 9:30 with Michelle of Baja Boys Grill Gourmet Mexican Food Truck. “How to make Empanadas.”

Like us on Facebook

FOR INFORMATION & VENDOR INQUIRY GO TO WWW.CENTRALSARASOTAFARMERSMARKET.COM

135749

Four times a year, Grapevine Communications, a Lakewood Ranchbased advertising, marketing and public relations firm, holds a potluck for its roughly 18 employees. The first-quarter potlock, normally stocked with creamy, high-calorie casseroles, is dominated by low-fat foods. “When the Corporate Fitness Challenge comes along, everybody at the potluck will be eating fruits and vegetables,” says Gabriele Vest, Grapevine’s vice president of business development. For the second year, Grapevine owners Angela Massaro-Fain and John Fain will pay for some of their staff ($174 per person) to participate in the Corporate Fitness Challenge hosted by Studio South Fitness. This year, Grapevine’s five-woman team will compete against a dozen other businesses that enroll in a six-week fitness, nutrition and training regimen. On the first day of this year’s challenge — slated to begin later this month — the team will receive a functional movement screening from Studio South’s trainers.

Mon - Thurs 10am - 6 pm Fri 10 am - 5pm Sat 10 am - 3pm

Scrubs • Chef Wear • Shoes • Accessories Cherokee • Wonder Wink • Peaches • Landau • Timberland • KLOGS • Littmann • MDF • Nursemates • Uncommon Threads

We are always happy to do special orders. Group Discounts Available

like us on

941922 -1102 2112 Gulf Gate Drive • Sarasota, FL 34231

Gift Certificates Available

134192

Businesses typically measure performance using objective, easy-tograsp measures such as profit and market share. The daring ones might value success using slightly more subjective tools, such as customersatisfaction surveys. But area organizations say that wellness, a new, often intangible variable, has become a main determinant of business sustainability — and often proves to be an indicator of productivity. Learn how local organizations — representing vastly different business sectors — prove that health matters.

135114

BY JOSH SIEGEL

Jenny Gallagher is the unofficial spokesperson for people who belong to a golf club but don’t play golf. “It’s a larger group than you think,” says Gallagher, a resident and member at The Founders Club. “A lot of the ladies here don’t play golf, and people want other outdoor alternatives.” Last year, after pitching the idea to Hugh O’Donnell, the general manager at the club, Gallagher, who owns two wellness businesses, kicked off The Founders Club Fitness Challenge for golf club members. “It’s an incentive for people to be more active and social and to become more of a community,” Gallagher says. Throughout the month-long competition, which began Feb. 1, members earn stars based on their daily fitness activities, which can include anything from walking to participating in free group fitness classes at the club. Members give themselves stars on an honor system. The person who earns the most stars wins a one-hour massage, private tennis and golf lessons and yoga, cycling and Pilates sessions. Other challenges include inches lost and pounds lost competitions.


March 2014 | Health Matters

YourObserver.com 7

Aerial yoga takes

FLIGHT

FLYING PIGEON

The flying pigeon, or also known as the pigeon, works the body’s muscles. This position opens the quads, chest and shoulders. Unlike the floor yoga’s pigeon, which can put too much weight on the knee, the flying pigeon does not.

Although most yoga participants have found peace on the floor, many yoga-lovers and newcomers are taking their love for yoga to new heights. BY HARRIET SOKMENSUER

WHERE TO GO ReFlexArt — 6260 N. Lockwood Ridge Road, Sarasota; 3599642 Studio South Fitness — 711 S.

Osprey Ave., Sarasota; 365-4584

CircuSoul — 4141 S. Tamiami Trail, Sarasota; 467-5884

Aerial yoga, or flying yoga, is a relatively new form of yoga that has students holding poses in a hammock in the air. With their bodies off the ground, participants stretch and strengthen their muscles and skeletal systems without the weight of their bodies adding pressure to the movements. Owner and founder of Sarasota’s CircuSoul, Kerry Tice, says aerial yoga is a great way to work the entire body while having fun. “There’s not a system of the body aerial yoga doesn’t affect,” he says pointing out that with the support of the hammock, advanced poses such as the pigeon are more

accessible to beginner students. After an hour-long class, Tice says he sees a difference in his students. When a person is upside-down, the body’s blood pressure decreases, cardiac vascular wellness increases and the brain’s reticular activating system is affected, which helps with sleep cycles. He says students walk away less stressed, physically and mentally, and have more energy. There are three locations in Sarasota that offer aerial yoga, and Tice says the trend is growing steadily. “All of these health benefits are happening in the background while we’re having a great time,” Tice says.

MOSQUITO

Known also as the plow pose in floor yoga, the mosquito is an inverted pose that brings deep core awareness. In floor yoga, this pose can compress the neck vertebrae, however, with the hammock’s support, this pose is safer and more accessible to beginners than the traditional floor pose.

BIG CAT STRETCH

This pose gives you the freedom of movement by stretching out the stomach, hips and shoulders.

ONLINE: Visit YourObserver.com to see a video demonstration of aerial yoga.

REHAB • RECOVER • RETURN HOME

Bounce Back Rehab

Luxury Setting

Caring Staff

State-of-the-Art Equipment

CALL 941-355-6111 TODAY

A Not-for-Profit Skilled Nursing and Rehabilitation Facility accepting Medicare, Insurance and Private Pay Patients. Marketing@HawthorneVillageofSarasota.com • www.HawthorneVillageofSarasota.com License #SNF130471051 EOE

128287 135514

5381 Desoto Road, Sarasota, FL 34235 (Just East of Honore on Desoto Road)


Health Matters | March 2014

8 YourObserver.com

+Healthy dish

+ Smart choices can add up

zucchini

Zucchini comes in many varieties, but each kind has only 20 calories per cup, making zucchini a great choice for weight-loss, diabetic or cardiac eating plans. The vegetable is a great source of folate, which is important for cell division and DNA synthesis and preventing birth defects. It’s also a great source of Vitamin C, with 35% of the daily value in just one cup. Other nutritional benefits of zucchini include B vitamins, such as thiamin and B6, and potassium and manganese, which are essential for cellular function and electrolyte balance in the body, Mathis says.

QUINOA WITH ROASTED VEGETABLES

With the spring season comes the chance to feast on plenty of fresh fruits and vegetables grown in Florida. This recipe showcases that sentiment with ingredients that are flavorful, but low in calories, fat and sugar. “I am always on the lookout for recipes like this one with a variety of fresh, seasonal vegetables and loads of antioxidant nutrients,” says Pam Mathis, a registered dietician and a licensed wellness coach. “This one includes a high protein whole grain, as well, so it is a winner in my book.” The recipe also can easily be adapted to include tofu, beans or a meat. The inclusion of quinoa increases protein content, as well.

eggplant

A member of the nightshade family, eggplant contains powerful antioxidants called phenols, free-radical scavengers that can prevent cancer and heart disease by protecting the integrity of the cell. “It is a good source of a broad array of nutrients, including fiber, folate, potassium, manganese, vitamins C, K and B, phosphorous, copper and magnesium,” Mathis says. “It’s not particularly high in any one in particular, but it is a great source of valuable trace minerals that help the cells function more efficiently. Potassium and magnesium, as well as folate, are essential for healthy heart function.”

— Pam Mathis, MEd, RD, LD, CWC, is a registered dietitian/ nutritionist and wellness coach in Lakewood Ranch. She can be reached at (941) 907-3757.

INGREDIENTS:

FOR DRESSING:

1 small eggplant, peeled and diced into three-quarter-inch pieces 1 red pepper, diced 3 small zucchini, diced 2 small yellow squash, diced 1 8-ounce package of baby portabella mushrooms 1 8-ounce package of cherry tomatoes 1 red onion, peeled and diced into 1-inch pieces 2 garlic cloves, minced 1/3 cup olive oil 1 1/2 teaspoons kosher salt 1/2 teaspoon black pepper 2 cups quinoa

cup fresh lemon juice (about two lemons) 1/3 cup olive oil 1/2 teaspoon black pepper 1/2 teaspoon salt 1/3

TO ASSEMBLE

4 scallions, minced (optional) 1/4 cup pine nuts (optional) 3/4 pound feta cheese (optional) 15 fresh basil leaves (optional) INSTRUCTIONS: 1. Preheat oven to 425 degrees. 2. Toss vegetables with oil and

place on a baking sheet.

3. Roast vegetables for 40 minutes

or until brown, turning at least once with a spatula. 4. Cook quinoa according to package directions. Let sit for five minutes before transferring to a large bowl. 5. Add roasted vegetables to the quinoa, scraping all the liquid and seasonings from the roasting pan into the bowl. 6. For the dressing, combine lemon juice, olive oil, salt and pepper and pour on top of quinoa and vegetables. Cool to room temperature. 7. Add the optional ingredients. 8. Serve at room temperature.

Sarasota

tomato This fruit is high in vitamins C, A and K,

as well as beta carotenes, potassium and manganese. “Beta carotene is just one of several carotenoids that are very powerful antioxidants, preventing cell damage that can cause cancer and inflammation consistent with heart disease and diabetes,” Mathis says. Lutein, a common carotenoid that is abundant in tomatoes, is essential for eye health, arthritis and digestive conditions.

+ Fresh from Florida The following fruits and vegetables are in season from March through May.

Bell pepper Blueberry Cabbage Cauliflower

Celery Cucumber Eggplant Grapefruit

Orange Papaya Potato Radish

Snap bean Squash Sweet corn Tomato

Heart Attack...Stroke Are you at risk?

NOW OPEN IN SARASOTA

Call about our Research Study You may qualify if you: • Are taking cholesterol lowering medication • Have elevated triglycerides • Have heart disease or diabetes

Across from Sarasota Memorial Hospital

Compensation for time and travel may be available

Great Care With Convenience

Physical Exams and labwork provided at no charge (no medical insurance is necessary)

OPEN 7 DAYS A WEEK 8am - 8pm

Call 941-404-4387 Today for More Information

REDUCED FEES FOR SELF-PAY PATIENTS MOST INSURANCE ACCEPTED

www.SarasotaUrgentCare.net

Velella Research, Inc 5432 Bee Ridge Rd., Ste. 170 • Sarasota, FL 34233

velellaresearch.com

135733

4647 Manatee Ave W • (941) 745-5999 2 LAKEWOOD RANCH 9908 S.R. 64 E • (941) 747-8600 3 SARASOTA 6272 Lake Osprey Dr • (941) 907-2800 4 WEST SARASOTA 1435 S. Tamiami Trail • (941) 554-4301

135541

1 BRADENTON


March 2014 | Health Matters

YourObserver.com 9

Urgent Expansion EXPOSING EXPOSING Urgent-care facilities, which have grown in number nationally, are establishing a more significant presence in the area. BY DAVID CONWAY

When should I go to an urgent care center? The following ailments are generally treated at urgent-care centers: • Sprains, strains • Earaches and fractures • Bronchitis • Eye injuries • Sinus infections • Lacerations and • Skin rashes burns • Urinary • Colds and flu problems

through early detection

Health conditions like heart disease, stroke, cancer, abdominal aortic aneurysm (AAA) and many others usually show no symptoms until it’s too late. That’s why it’s important to detect them early. Dr. Eric Folkens greets visitors on opening day of his fourth urg ent care walk-in clinic, located on U.S. 41 in Sarasota.

seeing their primary physician. According to Sarasota Memorial Hospital’s website, patients are seen within 30 minutes of arrival at its four urgent-care centers. “I think the convenience aspect of it is why we’re able to open these places up,” Folkens said. “We definitely fill a need for people.” Folkens says urgent-care centers, typically open late into the evening and on weekends, offer a degree of convenience. The Sarasota-Manatee population might be particularly well tailored to facilitating a growth in urgent-care centers. Folkens said that if people are on vacation, new to town or unable to meet with their usual doctor, they are more likely to use urgent care. Between the influx of part-time residents and increased visitors during tourist season, urgent-care centers see a spike in activity. “The high influx of vacationers — yearround vacationers and snowbirds — is definitely big,” Folkens said. “Our volume almost doubles during these months out of the year.”

FOR SENIORS BY ACTIVE SENIORS

®

Senior Home Companions, Inc.SM

STROKE/CAROTID ULTRASOUND ...........$35 NEXT SCREENING

DATES AND LOCATIONS

MONDAY, March 17th

at Anna Maria Island Community Center 407 Magnolia Ave.

MONDAY, March 24th at Sarasota YMCA 1075 S. Euclid Ave.

Companionship & In-Home Care

OUR TESTS ARE ACCURATE

Since 1992

as we adhere to stringent protocol

A Safe and Reliable Source for Quality Care

(941) 924-0494 DAILY LIVING NEEDS

AND RELIABLE: Results are read by a Board Certified radiologist.

HOURLY • OVERNIGHT • 24 HOUR CARE

A Nurse Registry Providing: Personal Care and Homemaker/ Companion Services

ALL RESULTS & FILMS MAILED TO YOU IN 2 WEEKS

This test visualizes build-up of plaque in the carotid arteries that may lead to stroke.

ABDOMINAL AORTIC ANEURYSM (AAA) .....$35 95% of ruptured AAAs result in death. The majority of victims have no symptoms.

ARTERIAL DISEASE (PAD) TEST ...............$35

Ultrasound is used to detect poor circulation and blockages in the legs.

THYROID ULTRASOUND ...........$35 Scan to rule out cysts, nodules, goiters & tumors.

ABDOMINAL ULTRASOUND ...........$95 Helps identify cancers/disease of the liver, pancreas, kidneys, gallbladder and spleen.

HEART SCANECHOCARDIOGRAM ..$95 Screening to view wall motion, valves, enlargements, calcifications, stenosis, prolapse, blood clots, tumors & fluid around the heart.

Schedule individual tests or get all 6 ultrasounds & SAVE BIG!

CALL NOW!

1-888-667-7587 no prescriptions needed

Judith Cuppy, President

Bonded, Insured & Licensed in the State of Florida with the AHCA NR#30211323 & HSC 5023

135111

www.seniorhomecompanions.com

www.StrokeTesting.com

BLOOD TESTS LIVER, CHOLESTEROL, PSA & TSH are ALSO AVAILABLE

TE C O M P L EIO T N EVALUltA rasounds All Six U LY ON

$$ 169

179

134190

Eight years ago, Dr. Eric Folkens went to five different banks asking for a loan to open an urgent-care facility. Only one said yes — which was enough to get his dream off the ground. “It wasn’t easy to begin with,” Folkens said. “A lot of sleepless nights; a lot of debt.” Folkens pushed through the rough early days, and his preservation paid off. On March 1, he opened his fourth urgent-care clinic in the Sarasota-Manatee area, Sarasota Urgent Care Walk-In Clinic, located on U.S. 41 near Sarasota Memorial Hospital. Folkens’ growth over the past decade underscores a larger national trend that shows an increased interest in urgent-care facilities. There are roughly 9,000 urgent-care centers in the country, with about 600 new facilities opening each year, according to the Urgent Care Association of America. As the name suggests, these centers focus on immediate care for those who want to avoid the typical wait associated with an emergency room and who are willing to forego

STROKE


Health Matters | March 2014

10 YourObserver.com

Health + Fitness CA LEN DA R

CLASSES & SEMINARS Cost Considerations in Caring for a Person with Dementia Throughout the End of Life: What You Need to Know — takes place from 8 a.m. to noon Friday, March 14, at USF Sarasota-Manatee Selby Auditorium, 8350 N. Tamiami Trail, Sarasota. This program, presented by Pines Education Institute of the Pines of Sarasota, is for caregivers, friends and family members and anyone affected by issues of dementia. RSVP is required. Visit dementiacost.eventbrite.com, or call JoAnn at 365-0250, Ext. 1114. Wellness Empowerment — takes place from 3 to 4 p.m. Wednesday, March 19, at Center for Building Hope, 5481 Communications Parkway, Lakewood Ranch. Juliet Mathison will offer participants a variety of self-help methods to relieve stress and restore body/mind balance and harmony. Participants can learn safe, gentle methods to practice at home for reinforcement and enhanced well-being. Call 921-5539 to register. 5th Annual Victory Over Stroke — runs from 9 a.m. to 1 p.m. Thursday, March 20, at the H2U Cortez Center, 6670 Cortez Road W., Bradenton. This annual stroke educational event for Manatee County includes distinguished speakers, free health screenings, exhibitors and lunch. Space is limited; reservations are required. Call 1-88-359-3552.

Nutrition and Cancer — takes place from 11:45 a.m. to 12:45 p.m. Friday, March 28, at Lakewood Ranch Medical Center, 8330 Lakewood Ranch Blvd., Bradenton. Robin Shapiro presents information about how various foods can trigger an immune response that may not be obvious. Learn steps to take to possibly identify the specific food. Call 921-5539 to register for the program. Dr. Oz: ‘Women’s Health: Prevention of Cardiac Disease with Proper Nutrition’ — takes place at 2:15 p.m. Friday, March 28, at the Hyatt Regency, Sarasota, 1000 Blvd. of the Arts, Sarasota. The Sarasota Memorial Healthcare Foundation Presents OZ+YOU, a fundraising event featuring TV personality and host, Dr. Mehmet Oz. Oz will present “Women’s Health: Prevention of Cardiac Disease with Proper Nutrition.” Proceeds benefit Sarasota Memorial Health Care System’s Department of Cardiology. General-admission tickets cost $100; reserved tickets and sponsorship tables for a luncheon with Oz cost $250. Visit smhfoz.com or call 214-765-0064. Able Challengers Spring Symposium — takes place from 10 a.m. to 12:30 p.m. Saturday, April 12, at the Institute for Advanced Medicine, 5880 Rand Blvd., Sarasota. This symposium offers education and support for the physically challenged and includes vendors, speakers and demonstrations. The

First Watch Sarasota Half Marathon & Relay — begins at 7 a.m. Sunday, March 16, at the Van Wezel Performing Arts Hall, 777 N. Tamiami Trail. The race course will remain open for four hours (18 minute-mile pace) to accommodate walks, as well. Relay teams may enter, too, with one team member running approximately 6 miles and the other team member running approximately 7 miles. Entry price until race day is $105. To register, visit sarasotahalfmarathon.com.

event is free; no registration required. Call 917-4156.

EVENTS Spring Blood Drive — takes place at various times March 13 and 15 at Sarasota Memorial Hospital Waldemere Auditorium, 1921 Waldemere St., Sarasota; March 18 at the Institute for Advanced Medicine, 5880 Rand Blvd., Sarasota; and March 18 at the University Parkway Care Center, 5350 University Parkway, Sarasota. All donors will receive a free T-shirt, an entry into a drawing to win a new Kindle Fire HD, a wellness check, a cholesterol screening and the opportunity to earn a $25 restaurant gift card. Call 917-7986. Run to Remember Event Rally — runs from 5 to 7 p.m. Thursday, March 13, at Pines of Sarasota, 1501 N. Orange Ave. Enjoy chili and margaritas while learning more about the Pines Run to Remember with other participants. All proceeds benefit the Pines’ Alzheimer’s patients and education institute. For more information, call 356-0901. 5th Annual Life in the Son 5K/10K — takes place at 8 a.m. Saturday, March 22, at First Christian Church, 7601 Clark Road., Sarasota. Registration closes Wednesday, March 19. Entry fee for the 5K race costs $25; and the 10K costs $30. For information, visit fccsarasota.com. 6th Annual Robinson Preserve Twilight 5K Run/Walk and Kids Dashes — takes place at 6:45 p.m. Friday, March 28, at Robinson Preserve, 1704 99th St. W., Bradenton. Registration for the 5K Run/Walk is $30; and the Kids’ Fun Run is $10. Visit active.com for more information. Spring Expo: Embrace a Life of

Health & Wellness — takes place from 10 a.m. to 1 p.m. Saturday, March 29, at Lakewood Ranch Medical Center, 8330 Lakewood Ranch Blvd., Bradenton. This expo includes free screenings, evaluations and health information for all ages. Meet physicians, specialists and representatives of wellness-related businesses. Children also can meet Olaf at this event. Hosted by Lakewood Ranch Community Activities and Lakewood Ranch Medical Center. Call 757-1530. Sarasota 5K Color Vibe — takes place at 9 a.m. Saturday, April 19, at Premier Sports Campus, 5895 Post Blvd., Lakewood Ranch. Cost is $40 per person by March 31; price increases until day of registration, which is $50. Entry price includes official Color Vibe T-shirt, Color Vibe color pack and Color Vibe prize. Visit thecolorvibe.com/sarasota.php# for information. Run to Remember 5K for Alzheimer’s — takes place at 7:30 a.m. Saturday, April 26 at the John and Mable Ringling Museum of Art, 5401 Bay Shore Road. Race in a 5K or walk 1 mile for Alzheimer’s. The morning event includes a kids tent with clowns and healthy snacks. Check-in begins at 6:30 a.m. with the 5K starting at 7:30 a.m.; 1-mile walk begins at 7:40 a.m. To register, visit PinesRunToRemember.org. Pinwheel 5K Run & 5K Elite Fitness Challenge — takes place at 9:30 a.m. Saturday, April 26, at Nathan Benderson Park, 2500 N. Honore Ave., Sarasota. Registration closes Friday, April 18. Registration for the 5K or the 1-Mile Fun Run/Walk is $25. Visit active.com for more information.

Sarasota Memorial Urgent Care Center at Bee Ridge

Opens April 1 – No Foolin’! LOCATED NEAR : Center Gate Villa Rosa Colonial Oaks Laurel Oak Bent Tree Heritage Oaks

Our newest location provides urgent, non-emergency medical care conveniently close to home. Staffed by our board-certified emergency and family medicine physicians, you’ll receive the best care fast, with Sarasota Memorial’s advanced resources at your service.

Open 7 days a week, 8 am - 8 pm

Located on Bee Ridge Road at Center Gate Office Park 5590 Bee Ridge Road, Bldg. A, Sarasota, FL 34233

(941) 952-4950

No appointments are necessary. Most insurance plans are accepted and discounts are available for self-pay patients. Patients less than 3 months old cannot be treated at our Urgent Care Centers. They should be seen by their pediatrician or in the event of an emergency, be taken to the nearest ER.

135841

Visit www.smh.com/urgentcare for maps and directions.


March 2014 | Health Matters

YourObserver.com 11

+Picture of Health: RON NERI

BY NOLAN PETERSON

I

n June 2012, Ron Neri finally decided to see a doctor. His hip had been in pain for years, and, so, following the advice of one of his friends, the then 69-year-old had a doctor check it out. It turns out his left hip was “ bone on bone.” Arthritis had degraded the joint to the point that his left leg was about an inch shorter than his right one. The only solution, according to his doctor, was a hip replacement. “It was affecting my golf game,” Neri jokes. Hip replacements are usually major operations, but Neri was active within a few weeks. Neri credits his quick recovery to a fitness regimen he had started more than two years prior to the operation under the direction of his personal trainer, Bryan Lieberman, who is the personal training director at Crunch Southside on Bee Ridge Road and specializes in training people with disabilities. Lieberman’s training improved the condition of Neri’s hip, helped him drop

fountain of youth

Two years after his hip replacement operation, Ron Neri is still training with Bryan Lieberman and claims that he feels “better than ever.” “I went back to Bryan right after my rehab, and it just keeps getting better,” Neri says. “I recovered very quickly.” At 5 feet, 9 inches, Neri weighs 172 pounds — down from a high point of more than 200 pounds that he reached prior to his work with Lieberman. He also says that working out improved his cholesterol levels and other markers of health. “I don’t take any medication for cholesterol or blood pressure,” Neri says. “I credit it to the working out.”

AGE: 71 NEIGHBORHOOD: Silver Oak REGIMEN: Daily routine includes stretching and at-home workouts prescribed by his trainer, Bryan Lieberman. He also works out with Lieberman twice a week at Crunch Gym on Bee Ridge Road. The hour-long workouts focus on lowerbody and core strength, as well as flexibility. DIET: High in protein with lots of fruits and vegetables. He credits his diet for weight loss and improved energy and mood, although Neri admits that working out also allows him the flexibility to enjoy a cheat meal from time to time. “I’m Italian,” Neri says. “So, when I splurge, I like pasta.” FAVORITE WORKOUT: Neri prefers lower-body exercises such as squats over the core work that Lieberman makes him do. Outside of the gym, Neri’s favorite activity is golf.

weight and helped his health. And, although the workouts ultimately were not able to turn back the clock on the arthritis, Neri’s newfound strength, flexibility and health allowed him to bounce back and recover stronger than before. LOOKING GOOD, FEELING GOOD Lieberman says resistance training is able to “turn back the clock” on his clients’ aging, by correcting muscle imbalances and aches and pains born from years of sedentary careers or from injuries that never properly healed. Lieberman emphasizes the benefits of resistance training for the elderly, citing medical studies, which indicate that older people can double their muscular strength in as little as two weeks with a well-planned resistance training program. Neri credits his workouts with improving the arthritis in his back, negating the need for cholesterol and blood pressure medicine, as well as his quick recovery from the hip-replacement surgery. “It makes me feel younger,” Neri says. “It works for me.” Neri also explains that, due to his workouts, he was able to skip the typical conditioning period most hip-replacement patients have to go through in preparation for the surgery. “It made getting the hip replacement significantly easier,” Neri says. Neri also admits that the benefits of working out extend beyond the health of his muscles and joints. “It’s also mental,” Neri explains. “It makes you feel better; your mind is clearer. It makes you feel better all over.” OVERCOMING INERTIA Neri lives in Sarasota with his wife, Georgia, 71. They moved to the area in 2004 from Con-

necticut. Neri says he was athletic in high school, but, as an adult, fitness was an “on again, off again” endeavor. “You gotta get over the barrier,” Neri says. “If you do it for a couple of months, it becomes a habit. You won’t feel all the benefits the first time you do it, but if you have the patience, it’s worth it.” Neri says that enlisting the help of a personal trainer and including his wife in his workouts (she also works out at Crunch with a personal trainer) was the key to his success. “Having a trainer makes you go. You have an appointment to meet, and it keeps us accountable,” Neri says. “You dread going sometimes, but afterward you always feel better for having gone.”

PAIN RELIEF RELIEF

STRESS RELIEF

Now Offering Facials! 39

From tight shoulders to achy feet and everywhere in between, our low introductory offer makes today perfect for a pain-relieving, professional massage. Use this offer and schedule today.

$

SARASOTA SOUTH 4037 Clark Road Expo Center Near Moe's (941) 927-6200

INTRODUCTORY

1-hour massage session*

Healthy results. Twice the savings.

MassageEnvy.com · Convenient Hours · Franchises Available Open 7 Days: M-F 8am-10pm, Sat 9am-8pm, Sun 9am-8pm

*One-hour session consists of a 50-minute massage and time for consultation and dressing. Prices subject to change. Rates and services may vary by location and session. Additional local taxes and fees may apply. Each location is independently owned and operated. ©2013 Massage Envy Franchising, LLC. MM#20895

49

$

INTRODUCTORY

INTRODUCTORY

1-hour massage session* MassageEnvy.com Franchises Available. Convenient Hours. Open 7 Days: M-F 8am-10pm, Sat & Sun 9am - 8pm

SARASOTA NORTH

MIDTOWN

SARASOTA SOUTH

2855 University Parkway Between Publix & Panera Bread

1279 S. Tamiami Tr. Between Panera Bread & Davidson Drugs

4037 Clark Road Expo Center by Moe’s

(941) 308-7600

(941) 927-6200

*See clinic for details. Rates and services may vary by location and session. Each location is independently owned and operated. ©2013 Massage Envy Franchising, LLC. Y

MM#20895

135810

(941) 556-6400


Health Matters | March 2014

12 YourObserver.com

Patients in our area are choosing the

Orthopaedic Spine and Joint Center at Lakewood Ranch Medical Center. If you’ve been suffering with orthopedic problems, Lakewood Ranch offers a range of surgical and nonsurgical treatment options, including total joint replacement. Our hospital’s comprehensive approach to treatment brings together a team of surgeons who specialize in traumatic orthopedic injuries and sports medicine, along with orthopedic-trained nurses, therapists and technicians. A rehabilitation program centered on your special needs The Orthopaedic Spine and Joint Center is more than a surgery and rehabilitation program – it’s a culture of care that empowers patients with motivation and education. We are committed to getting you back to the activities you love as quickly as possible, with a high-quality program that’s tailored to your needs. Lakewood Ranch’s orthopedic program includes pre-op classes and presentations that help prepare you for your surgery. The day after surgery, you wear your own clothes and begin your personal rehab with specially trained therapists. Your family is encouraged to participate in your group activities and meals.

Spring Expo Embrace a Life of Health & Wellness Saturday, March 29 10 a.m. to 1 p.m. Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard Bradenton, FL 34202 Free screenings, evaluations and health info for all ages Meet physicians, specialists and wellness-related businesses Hosted by Lakewood Ranch Community Activities and Lakewood Ranch Medical Center

Then, before you know it … you’ll be on your way home.

Our goal is getting you there!

For more information or to schedule a tour of the center, please call 941.782.BONE (2663).

The Orthopaedic Spine and Joint Center at Lakewood Ranch 8330 Lakewood Ranch Boluevard Bradenton, FL 34202 www.lakewoodranchmedicalcenter.com

135128

Physicians are on the medical staff of Lakewood Ranch Medical Center, but, with limited exceptions, are independent practitioners who are not employees or agents of Lakewood Ranch Medical Center. The hospital shall not be liable for actions or treatments provided by physicians.


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.