TOP-RATED HEALTH CARE
IS CLOSER THAN YOU THINK
The ability to provide the best care possible puts Citrus Memorial in the top 5% in the nation in both cardiac and spine surgery. And, the skilled doctors, nurses and staff truly care about our patients from the moment they walk through the door. When staying close to home for surgery is important, choose Citrus Memorial.
502 W. HIGHLAND BLVD., INVERNESS, FL 34452 | 352.726.1551 | CitrusMH.com
Safe and effective evaluation and treatment for vascular conditions From varicose vein treatment, catheter placement and tumor eradication to uterine artery embolization and management of painful spinal compression fractures, the Board Certified Interventional Radiologists of CVH diagnose and treat a gamut of vascular and non-vascular diseases and disorders both in-office and at the region’s finest medical centers. Our advanced technologies and highly experienced and trained doctors and technologists provide the latest state-of-the-art procedures designed to support and restore health, enhance comfort and improve quality of life, usually without the risks and complications associated with traditional surgical techniques.
If you have a vascular, vertebral or other health concern, ask your doctor about what CVH can do for you.
BOARD CERTIFIED, VASCULAR AND INTERVENTIONAL FELLOWSHIP TRAINED RADIOLOGISTS
Rolando E. Prieto, MD David C. McKay, MD Caleb R. Rivera, MD Kareem I. Bohsali, MD John Scales, MD
(352) 671-4252 www.centerforvascularhealth.com Procedures performed at: Munroe Regional Medical Center (MRMC) and Ocala Regional Medical Center (ORMC) We contract with a wide range of networks, including Medicare, Medicaid, and file all claims with the exception of non-contracted HMOs.
Now your shoulder pain can be the one that got away. We’ll help you get back to reeling in the fun again.
We believe the best way to live life is to do more of what you love. Whether you have muscle, bone, joint or spine pain, we have experienced, specialty physicians dedicated to getting you back to what matters most. You get to choose who you see, so take the next step and schedule an appointment. From diagnosis to recovery, our team is with you every step of the way.
Take the next step, call 352-620-1900. We are Improving Lives - Every day. Gainesville | Ocala | Lake City | Alachua
TOI-Health.com
Choosing the Road to Recovery... Features • Private/Semi Private Rooms • Admissions 7 Days per Week • Therapy Up to 7 Days per Week
Our Services • • • • •
Physician Services Wound Care Services Inpatient Rehabilitation Services Outpatient Rehabilitation Services Pastoral Care Services
Our Programs • • • •
Short Term Rehabilitation Long Term Care Respite Care And many more!
Our Center
We are not only concerned for our resident’s health but their overall quality of life. Our features and amenities provide for our resident’s needs while also lending an important social dimension to their well being and lifestyle.
3930 E Silver Springs Blvd Ocala, FL 34470
352-236-2626
The American Cancer Society predicted
96,830 cases of colon cancer in 2014. Don’t become part of that statistic in 2015.
Improved Early Detection of Colon Cancer Full Spectrum Endoscopy® (Fuse®) is revolutionizing colonoscopy by providing a full 330º view of the colon, almost double the view of standard colonoscopes. A study recently published in The Lancet Oncology revealed that Fuse® found 69% more adenomas than standard colonoscopes.
DR. ANAND KESARI
Standard Colonoscope
Limited 170º Field of View
PREVENT COLON CANCER
Insist on Fuse® Colonoscopy.
FUSE® Colonoscope
Panoramic 330º Field of View
Dr. Anand Kesari of Gastro-Colon Clinic and OSSC is proud to be the front-runner in adopting this new technology. Fuse® has been shown to greatly reduce the numbers of pre-cancerous polyps missed by standard colonoscopes and doesn’t cost more. Fuse® colonoscopy is COVERED BY YOUR INSURANCE.
To schedule your Fuse® colonoscopy or if you have gastro problems, CALL (352) 237-1253 OCALA: 7535 SW 62ND CT.
OCALA (SHORES): 7578 SE MARICAMP RD., #102
THE VILLAGES: 805 E CR 466, #100
SUMTERVILLE: 1389 S US 301
SUMMERFIELD: 10435 SE 170TH PL.
WWW.GASTROCOLON.COM
DR. ANAND KESARI BOARD-CERTIFIED GASTROENTEROLOGIST
Minimally Invasive Spine Surgery
Dr. Paraiso’s No. 1 priority is patient care and he treats his patients with compassion, empathy and knowledge. He takes pride in seeing his patients live active and enjoyable lives. Specializing in Minimally Invasive Spine Surgery for • Spinal Stenosis • Failed Laser Spine Surgery • Herniated Discs • Back & Leg Pain Clinical Assistant Professor University of Florida Department of Orthopedics – Spine Surgery Published Author and Minimally Invasive Spine Surgery Instructor Board Certified & Fellowship Trained Health Grades® Five-Star Recipient
OCALA MEDICAL PARK / THE VILLAGES 1500 SE Magnolia Extension • Suite 104 • Ocala, FL 34471
352-873-7770 • f 352-873-7704 www.centralfloridaspine.com
Dr. Paraiso received his Bachelor of Science Degree from the University of Florida in Gainesville in 1995. He then obtained his medical degree from Kirksville College of Osteopathic Medicine in 1999. In 2004, Dr. Paraiso completed his internship and orthopaedic surgery residency at Michigan State University/Genesys Regional Medical Center in Grand Blanc, Michigan. He received further advanced spinal surgery training during a 12-month spine fellowship at the Florida Orthopaedic Institute’s Center for Spinal Disorders in Tampa, Florida. Dr. Paraiso was specialty trained in and practices minimally invasive spine surgery using tried and proven methods.
Do You Need To See A Provider* Today? Experience the ease & convenience of seeing a provider at one of our many locations:
1
Family Care Specialists 2415 SE 17th Street - Ocala | (352) 732-5365 1800 SE 17th Street - Ocala | (352) 351-4999 2300 SE 17th Street - Ocala | (352) 351-0120 8150 SW SR 200 - Ocala | (352) 861-1667 10696 SE US Highway 441 - Belleview | (352) 245-1111 Walk-Ins Welcomed at: 1111 NE 25th Avenue - Ocala | (352) 622-2221 4850 SE 110th Street - Belleview | (352) 233-2360 The practices above are affiliated with Ocala Regional Medical Center and West Marion Community Hospital.
Text ER to 23000 for *Based on availability, you may be seen by a Physician or Nurse Practitioner average ER wait time. Message & Data Rates May Apply. Terms & Conditions: www.texp.com Privacy Policy: www.HCANorthFlorida.com
For physical referral call 1-800-530-1188 | ocalahealthsystem.com
april 2 0 1 5
| vol. 3 no. 1
features livin’ large p26
The average American family has two children, but then, not everyone sets a number. The more the merrier for these local families, and after just a few conversations with these big broods, it’s easy to see how much joy they get from being part of a real-life Brady Bunch. BY KATIE MCPHERSON
thrifty tips for becoming a frugal family p32
There’s no “one-sizefits-all” plan to frugality. Saving money is personal.
The key is recognizing where you can cut corners and save without feeling the pain. Trust me, you can be more frugal without feeling deprived. BY CYNTHIA MCFARLAND
piecing together the puzzle p42
Autism is a big deal. With over 3 million people in the United States affected by the disorder and an alarming spike in its prevalence, scientists are scrambling for answers. BY LESLEY JONES
departments
11
HE ALT H Y
beat
TRENDS | NEWS | PEOPLE
BY LAUREL GILLUM, JOANN GUIDRY & BROCK SENG
12
Kids give it a “tri.”
14
Splurge this spring.
16
Business bites abound.
ON THE COVER
we’ve got the blues p36
“Good things come in small packages.” There isn’t a better way to describe blueberries. Those dark blue dynamos pack a powerful nutritional punch. They also deliver in a big way when it comes to good causes. BY CYNTHIA MCFARLAND
Blueberries photo by Fred Lopez. Photo illustration by Jason Fugate.
55
HE ALT H Y
body
NUTRITION | FITNESS | BEAUT Y
BY CEALIA ATHANASON, LAUREL GILLUM & K ATIE MCPHERSON
56
Makeover your meal plan.
58
Spring fashion finds.
61
HE ALT H Y
balance
MIND | SPIRIT | FINANCE
BY LAUREL GILLUM AND BROCK SENG
19
HE ALT H Y
dose
62
Double check your discounts.
INSIGHT | ADVICE | SOLUTIONS
BY LAUREL GILLUM, JOANN GUIDRY & BROCK SENG
20
All about acne.
22
Measles on the rise.
Correction: In our March 2015 issue of Healthy Living Magazine, we inadvertently imply on our Challenge page that you should use both ammonia and bleach to clean your counters. Mixing ammonia and bleach together can be extremely dangerous. It should have read “ammonia OR bleach.” We sincerely apologize for this error.
APRIL 2015
| healthylivingmagazines.com
7
ADVISORY
board HEALTHY LIVING MAGAZINE HAS BROUGHT TOGETHER A GROUP OF MEDICAL EXPERTS AND COMMUNITY LEADERS TO SERVE ON OUR ADVISORY BOARD AND SHARE THEIR EXPERTISE AND INSIGHT WITH OUR READERS.
CRAIG ACKERMAN
public information officer FLORIDA DEPARTMENT OF HEALTH IN MARION COUNT Y
GEORGE G. ANGELIADIS, ESQ.
THERESSA FOSTER
owner
WEST CENTRAL SOLUTIONS
SCOTT GRIFFIN
director of marketing
THE HOGAN LAW FIRM
ANNE BLACK
CARMEN M. HERNANDEZ
community relations coordinator
Health Education Program Manager
HPH HOSPICE IN CITRUS COUNT Y
FLORIDA DEPARTMENT OF HEALTH
ASHLEY CAUTHEN, M.D.
MICHAEL HOLLOWAY, M.D.
cosmetic and clinical dermatology MIDSTATE SKIN INSTITUTE
BONNIE CLARK, ED.D.
provost
SPRING HILL CAMPUS OF PASCO-HERNANDO COMMUNITY COLLEGE (PHCC)
SONDRA LLOYD CRANFORD, M. ED.
health education director CENTRAL FLORIDA INSTITUTE (CFI)
director of marketing and public relations
physiciandirected weight management and medical aesthetics LIFEST YLE SOLUTIONS MEDSPA
MARK JANK, M.D.
ophthalmology OCALA EYE
NAVINDERDEEP NIJHER, M.D.
plastic surgery OCALA PLASTIC SURGERY
CHRIS OKONKWO, M.D.
pediatrics
CHILDREN’S HEALTH OF OCALA
AMANDA OSTROM
marketing and communications manager
RADIOLOGY ASSOCIATES OF OCALA, P.A.
JAYANTI PANCHAL, M.D.
internal medicine and medical weight management
SUCCESS BY DESIGN
CARLA LOOPER
director of sales
FLORIDA INSURANCE BROKERS OF CENTRAL FLORIDA
DOROTHY PERNU, APR
director of marketing and communications
SEVEN RIVERS REGIONAL MEDICAL CENTER
PATRICIA CROWLEY, IOM
president/ceo
GREATER HERNANDO COUNT Y CHAMBER OF COMMERCE
8
healthylivingmagazines.com | APRIL 2015
SUZANNE SANTANGELO
director, marketing OCALA HEALTH
CITRUS MEMORIAL HEALTH SYSTEM
MONSTER TRANSMISSION & PERFORMANCE
partner
KATIE MYERS, APR
KATIE LUCAS
public information officer NATURE COAST EMS
CAROLYN REYES
senior solutions director
SUPERIOR RESIDENCES OF LECANTO
MEGHAN SHAY, CFRE
director of public relations and development THE CENTERS
SAM SHRIEVES
marketing president
CAPITAL CIT Y BANK FOR HERNANDO/PASCO
LYNN VAN METER
owner and ceo
FIDDLEHEAD MARKETING ADVERTISING PUBLIC RELATIONS
VINCE VANNI
owner
VINCE VANNI AND ASSOCIATES, PUBLIC RELATIONS AND MARKETING
DANIEL A. WELDON, DMD
implant and cosmetic dentistry WELDON GENERAL & COSMETIC DENTISTRY
JOSH WOOTEN
president/ceo
CITRUS COUNTY CHAMBER OF COMMERCE
Use Promo Code
SG679
MARION | CITRUS | HERNANDO
healthylivingmagazines.com / 352.732.0073
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melissa@healthylivingmagazines.com
associate editor
KATIE MCPHERSON contributing writers
JOANN GUIDRY LESLEY JONES BONNIE KRETCHIK CYNTHIA MCFARLAND CARLTON RESSE editorial assistant
BROCK SENG
editorial interns
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Solutions to Get Your Life Back
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Healthy Living Magazines, April 2015. Published monthly by Ocala Publications Inc. 1007 E. Fort King Street, Ocala, FL 34471. (352) 732-0073. All contents copyright 2015 by Ocala Publications Inc. All rights reserved. Nothing may be reprinted in whole or in part without written permission from the publisher. For back issues or advertising information, call (352) 732-0073. Return postage must accompany all unsolicited manuscripts and artwork if they are to be returned. Manuscripts are welcomed, but no responsibility can be assumed for unsolicited materials. “Promotional” and “Promotional Feature” denote a paid advertising feature. Publisher is not responsible for claims and content of advertisements. OCALA / MARION COUNTY
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APRIL 2015
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Your CHoiCe for reHabilitation iS
Better Than Ever Are You Ready?
New Expansion Now Open and Ready to Get You Back Home–Sooner
Physician directed. Medically monitored. Clinically Proven.
Fast , sustainable weight loss. You are so much more than your weight. You are the life of the party. You are a friend. You are a role model.
Are you ready to make a change in your life?
ENDOCRINE AND BARIATRIC CENTER OF OCALA
311 SE 29th Place • Ocala, FL, 34471 352-369-1411 You are ready. Call today. We’re proud to er the OPTIFAST program.
FDA approved medications utilized as needed.
Choosing the right hospital for rehabilitation after an accident, illness or injury is an important decision. Choose HealthSouth Rehabilitation Hospital of Ocala— you’ll see the difference, bringing you one step closer to being back home.
A Higher Level of Care®
Medical Director - Frank Ramharrack MD Specialist in Diabetes, Endocrinology, and Metabolism Serving Marion County since 1996!
2275 SW 22nd Lane • Ocala, FL 34471
Visit our website at: EndoBodyOcala.com
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» Flexible Hours » Personalized Therapy Treatments » Friendly, Knowledgeable Staff » 14 Years Experience » Massage Therapy On-Site » Sports Injury Specialist » School and Sport Physicals » Spinal Decompression
Dr. D.L. Swinson
Chiropractic Physician
Swinson Chiropractic 5481 SW 60th St #302, Ocala 10
Located on SR 200, 2 miles west of I-75. Directly across from Publix, Heath Brook Commons
healthylivingmagazines.com | APRIL 2015
Treating: Auto Injuries, Low Back and Neck Pain, Sciatica, Disc Problems, Numbness, Headaches
352-840-0444
CALL TODAY! Mention this ad for your FREE consultation We Accept Most Insurances
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HE ALT H Y
TRENDS | NEWS | PEOPLE
WHO cares? APR
7
Source: who.int
beat
More than 2 million deaths occur every year due to unsafe food consumption. With those statistics in mind, this year’s World Health Day, April 7, will focus on food safety around the world. More than 200 diseases, ranging from diarrhea to cancer, are caused by food-borne pathogens and improper preparation and storage. An increasing global market makes it possible for those conditions to easily cross borders. For consumers, the World Health Organization (WHO) encourages reading labels, familiarizing yourself with dangerous chemical agents that may be in crops and observing proper food handling. To check out the campaign and educate yourself on food safety, visit who.int.
APRIL 2015
| healthylivingmagazines.com
11
HE ALT H Y
beat good deeds
kids give it a tri T
he United Way of Citrus County has a healthy hit on its hands with the Citrus County Kids Triathlon. BY JOANN GUIDRY
Invite children, ages 5-15, out to a park. Then mix in swimming, biking, running and fun and you have the ingredients for the third annual Citrus County Kids Triathlon. Organized by the United Way of Citrus County, this year’s incarnation of the popular fundraiser is set for Saturday, May 9, at Whispering Pines Park in Inverness. All proceeds raised go directly to UWCC to support their community programs. “One of the United Way’s components is promoting healthy lifestyles,” says Linda VanAllen, a UWCC board member and the Kids Triathlon chairperson since its inception. “We thought a kids triathlon would be a great opportunity to encourage kids to get some outside physical activity and have fun at the same time.” The inaugural event in 2013 was very well received with 175 entries; last year’s event bettered that with 230 entries. Expectations are for an even larger turnout this year. “The kids get to compete at levels they can have fun with,” says VanAllen. “We give out trophies for the first three male and female finishers in each division’s age group. But everyone receives a T-shirt, a finisher’s medal and a gift bag.”
In the Junior Division (ages 5-8 in A & 9-10 in B), participants swim 75 meters in a pool, bike a mile and a quarter, and run half a mile. In the Senior Division (ages 11-12 in A & 13-15 in B), competitors swim 150 meters, bike three miles and run one mile. There is also a Tri4Fun Division open to all ages, in which kids and their family members participate at the Junior Division distances. But this division is all about just having fun with no timing or awards, although finisher’s medals are given to everyone. For children who don’t own a bike, the School Board of Citrus County and the Citrus County Sheriff’s Department provide bikes and helmets to use for the event. There are also scholarships for anyone who can’t afford the entry fees. And for those not interested in the triathlon, there is a Kids’ FunZone with a disc jockey playing music, face painting, raffles, games and activities for the whole family. “Without our wonderful sponsors and amazing volunteers, we just couldn’t put on this event,” says VanAllen. “It’s become a great community event.”
MAY
WANT TO KNOW MORE?
9
Citrus County Kids Triathlon Saturday, May 9 at Whispering Pines Park, Inverness. Register online at citruskidstri.com Contact DRC Sports at info@drcsports.com or (352) 637-2475 for more information.
12
healthylivingmagazines.com | APRIL 2015
Pre-Construction Pricing
SummerCrest
352.350.5263 9139 se 48th court road
ocala, fl 34480
DeltonaSummerCrest.com
HE ALT H Y
beat the lineup
springtime splurges S
pring is here, and summer is right around the corner, and whether that means sleepovers or outdoor adventures, kids are going to need (ok want) all the right products to tackle summer head on. But who says their new favorite product can’t be natural, safe or healthy at the same time?
Luna Star Naturals Makeup lunastarnaturals.com Luna Star makeup is all-natural and doesn’t include preservatives, artificial colors or any harmful ingredients. It’s the perfect first, subdued makeup. Produced in the United States and Canada, Luna Star Naturals is perfect for that dress-up or princess party.
BikeGlow
bikeglow.com Nighttime bike rides in the summer just got a whole lot safer. With BikeGlow, kids will be seen more than 500 feet away. The flexible, 10-foot long light tube connects to your child’s bike and varies between steady, flashing and slow flashing modes for increased visibility. Lightweight and waterproof, this system can easily withstand the elements and won’t slow you down.
LeapBand by LeapFrog
leapfrog.com/en-us/products/leapband LeapBand is an activity band made just for the little ones out there. Start by picking your favorite pet. Your job? To keep that pet healthy and happy. By participating in physical activity, your youngsters will earn points that can be traded in for their pet’s necessities. Oh, and the LeapBand can even sync with other LeapFrog games to earn additional rewards.
Neptune V2 Underwater MP3 Player
finisinc.com Neptune V2 is a waterproof MP3 player that produces highquality sound without the need for ear buds. The 4GB device enables swimmers to listen to music while lounging in the pool. Wear goggles? The Neptune V2 attaches securely to goggle straps so there is no interference with swimming.
Invite Bandz by Marked Private markedprivate.com Paper invitations are so 2014. It’s time to move into the modern day with Invite Bandz. Each bracelet band comes with a private code your guests will use to access your self-created, oneof-a-kind party page. Friends enter the code and RSVP to the party. After the party is over, the website is still active for friends to talk and share photos. How cool is that?
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healthylivingmagazines.com | APRIL 2015
Coursing Around
coursingaround.com Check out this book of 15 fun-filled outdoor activities that can all be done using sidewalk chalk. Just grab some chalk, find a place to draw out your obstacle course and get started. The courses help teach shapes, colors, numbers and letters while also allowing the child to get creative by adding their own little twists to the courses.
There is NO Reason to live in PAIN COMPASSION WITH QUALITY CARE Dr. Jollu brings a caring hand to pain management.
Treatment of Common Ailments such as Bunions, Hammertoes, Heel Pain, Fractures, Sprains, Athlete’s Foot, Neuromas, Tendonitis Ankle Arthroscopy • Laser Foot Surgery • Sports Related Injuries Children’s Foot Care • Custom Orthotics WE NOW HAVE DIGITAL XRAY ON PREMISES
Low Back Pain/ Sciatica • • •
Spinal Stenosis Failed Back Surgery Syndrome Disc Herniation Pain in Lumbar Thoracic & Cervical
Family Foot and Ankle is now located in South Pine Medical Park. We have on-site digital X-ray as well as 3-D scanning for custom orthotics and perform diabetic shoe fittings. In addition to our comprehensive conservative therapies, both doctors are on staff at all the hospitals and perform surgery on the foot and ankle as well.
Musculosketal Pain Disorders • • •
Fibromyalgia Carpel Tunnel Syndrome RSD
•
Shoulder Pain/Rotator Cuff Syndrome Golfer’s & Tennis Elbow Knee Joint Disorders
Joint Disorders • •
All major insurance accepted
NOW ACCEPTING NEW PATIENTS
COMPREHENSIVE PAIN MANAGEMENT & REHABILITATION 10238 SW86TH CIRCLE, STE. 300, OCALA please call to make appointment
(352) 873-1011
Dr. Noroozi
Dr. Amin
Sheila Noroozi, DPM, FACFAS Family Foot and Ankle, LLC Diplomate, American Board of Podiatric Surgery Board Certified in Foot & Ankle Surgery
2825 SE 3rd Ct. Ocala, FL 34471
352.867.0024
www.FamilyFootAnkle.org
CAN YOU IMAGINE A BRIGHTER FUTURE
GET ON THE FAST TRACK TO A NEW CAREER WITH CTAE With 23 exciting programs to choose from, including a medical laboratory track, and a convenient location that lets you complete your studies in the heart of picturesque Marion County, CTAE can provide you with the support, guidance and care you need to unlock endless new possibilities.
Apply During Application Fee Free Week and Save $10 Application Fees Waived April 13–17 Fall Term 2015 Deadline April 23 (Or Until Classes Are Filled)
Get the Career and Education You Need. CTAE.edu : 352.671.7200 1014 SW 7th Rd., Ocala, FL 34471 | /MyCTAE
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APRIL 2015
3/6/15 8:46 AM | healthylivingmagazines.com 15
HE ALT H Y
beat business bites the more the merrier
Florida Cancer Specialists & Research Institute recently announced that Imad El-Jassous, M.D., will begin seeing patients in Ocala, in addition to Leesburg and The Villages. In addition to bringing in a new physician, Florida Cancer Specialists is also improving and expanding their Ocala location by increasing the number of chemotherapy chairs, enlarging the waiting room and pharmacy areas, adding a new lab and doubling the number of exam rooms. Florida Cancer Specialists offers a full range of oncology and hematology services, including clinical research and the use of evidence-based medicine and proactive patient support services.
new in town Oak Hill Hospital recently named Cindy Poirier, BSN, MBA, to the position of director of women’s services. Poirier will oversee operations of the hospital’s new $13.7 million obstetrics unit, scheduled to open spring 2016. Coming to the hospital from Oklahoma University Medical Center where she served as director of women’s and newborn services, Poirier was no doubt the perfect candidate for this opening.
movin’ around Access Health Care Physicians, LLC recently announced that Michael Bryan Reynolds, DO, a board-certified family physician, has relocated his practice to 15120 County Line Road, Suite 101, in Spring Hill. Access Health Care is a multiservice medical practice consisting of over 130 health care providers and more than 650 employees in over 100 locations.
lookout, lady lake! Fred and Kari Schweitz, owners of Too Your Health Spa, are excited to announce the opening of the business’s fifth location in summer 2015. The new location will be south of The Villages on 441 in Lady Lake. The new 16,000-squarefoot spa and fitness center will feature weight training and strengthening, a pool, three racquetball courts, numerous group fitness classes and many more amenities that fans of Too Your Health Spa have grown to love over the years.
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healthylivingmagazines.com | APRIL 2015
go red! On February 7, workers at Regional Medical Center Bayonet Point were seen sporting all kinds of red in support of National Wear Red Day, which raises funds for research and creates awareness for heart disease in women. Even “Lucky,” the hospital’s therapy dog, went all out for the occasion!
at it again Each month, the crew at Monster Transmission, along with Chick-fil-A, hosts a cruise in featuring live music and entertainment, raffle tickets, great food, awesome cars and, even better, 100 percent of the proceeds benefits a different local charity each month. March’s event raised over $500 and benefited Joseph’s House, a Brooksville organization providing food and essentials to those in need.
trucks n’ dolls On January 19, five boxes of Hess trucks and a large bag of dolls found themselves a permanent home at Seven Rivers Regional Medical Center by way of several members of the Marine Corps League #819. As part of the hospital’s Toys For Tots program, they will be donated to children experiencing major injuries or illnesses in the emergency room.
a first for everything After a four hour-long procedure, the first minimally invasive esophagectomy in Marion County was performed at Ocala Regional Medical Center by Omeni Osian, M.D., a cardiothoracic surgeon, and Angel Caban, M.D., a general surgeon specializing in minimally invasive surgery, on a 74-year-old female patient diagnosed with esophageaal cancer. The surgery was performed to remove the lower two-thirds of the esophagus along with the upper part of the stomach and the surrounding lymph nodes. The esophagus is then “reshaped” and brought up into the chest or the neck and reconnected to the remaining portion of the esophagus. With services such as this now offered in Ocala, residents no longer need to travel to Tampa, Orlando, or Gainesville to receive care.
Call 352-436-1043 to advertise
a beautiful smile begins here
did you know? You can look younger and feel great? Neuromuscular Dentures can give you an “instant facelift,” helping to lift your facial muscles, improve your chewing function and restore your great smile! BEFORE
(352) 861-1500
Mary Beth Olson, beautiful smile by Dr. Chandra
for your smile evaluation
cosmetic | restorative | zoom! whitening | dentures | crowns | bridges sedation dentistry | veneers | periodontics | digital smile makeovers cosmetic fillings | implants | tmj disorder | botox | juvederm Photo by www.tammyportraitart.com
Call Sandy today at
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*Se Habla Español
APRIL 2015
Dr. Tina Chandra
| healthylivingmagazines.com
17
Experience matters.
The Society of Cardiovascular Patient Care measures how U.S. hospitals perform in three areas: Chest Pain, Atrial Fibrillation, and Heart Failure treatment. More than 1,000 hospitals have earned accreditation in one of these areas, but fewer than 50 have earned it in all three, with Munroe Regional Medical Center being one of only two in Florida. Because we’ve gone to such great lengths to achieve excellence, you can get the top-ranked heart care right here at home. To learn more about our services or to find a cardiologist, call our Health Resource Line at 800-575-3975.
Munroe Heart. Experience Matters. MunroeRegional.com
FAN Š BORTN66 / SHUTTERSTOCK.COM
HE ALT H Y
dose INSIGHT | ADVICE | SOLUTIONS
the misery of menopause
Source: nbcnews.com
Over 1,400 women were involved in a recent study that revealed, in most cases, hot flashes and night sweats last, on average, seven years. In extreme cases, they have been known to last even longer—14 years of menopause. Can you imagine? Women of Asian descent reported symptoms lasting an average of five years, Hispanic women nine years and African American women claim 10 years of misery. What treatment is right for you? Medications, natural therapies and lifestyle changes are all options. Ask your doctor for advice.
APRIL 2015
| healthylivingmagazines.com
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zap those zits Y
ou wake up and the middle of your forehead aches. You walk to the bathroom and see a giant red mark right between your eyes. You don’t remember getting bit by a bug or stung by a wasp, and then you see it, right in the middle, a white dot poking through the red. That’s when you realize: You’ve got a pimple.
what is acne?
ACNE IS USUALLY FOUND ON YOUR FACE, NECK, CHEST, BACK AND SHOULDER AREAS, AS THESE AREAS OF SKIN HAVE THE MOST SEBACEOUS (OIL) GLANDS. WHEN THE BODY PRODUCES AN EXCESS AMOUNT OF OIL AND DEAD SKIN CELLS, THE TWO CAN BUILD UP IN THE PORES. IF THE CLOGGED PORE BECOMES INFECTED WITH BACTERIA, INFLAMMATION RESULTS.
types of acne
• Whiteheads: Small and under the skin, whiteheads are pores impacted with oil and covered by skin layers.
• Pustules: Visible on the skin, pustules are red and filled with a yellowish, liquid pus like a blister.
• Blackheads: Visible on the skin, • Nobules: Visible on the skin, blackheads are pores impacted nobules are large, solid lesions with oil and exposed to air. due to infection of the tissue. • Papules: Visible on the skin, papules are small, pink bumps that are hard to the touch.
• Cysts: Visible on the skin, cysts are deep, painful and filled with pus.
what causes acne?
The exact cause of acne is unknown, but four things can lead to the growth of acne: oil production, dead skin cells, clogged pores and bacteria. Below are some common explanations for how these occur, leading to the growth of acne. Hormones: Hormonal changes cause the sebaceous glands to enlarge and produce more oil. Family history: Genetics are linked to acne. If both of your parents had acne, you’re likely to develop acne, too. Greasy, oily substances: Oily lotions, oily creams or exposure to grease, such as fry vats in kitchens, can cause acne. Friction on the skin: Cellphones, helmets, tight collars and more can all keep the skin from getting enough air, which can then cause pores to clog. Prescriptions: Steroids found in drugs such as topical treatments can cause hormone imbalances, leading to acne.
COMMON ACNE MYTHS:
20
YOU CAN GET ACNE FROM SWEATING.
EATING JUNK FOOD WILL MAKE YOU BREAK OUT.
WASHING YOUR FACE MORE FREQUENTLY PREVENTS BREAKOUTS.
False. Sweat alone cannot cause acne. You would need a combo of sweat, heat, friction and covered skin.
False. Eating unhealthy food does not cause acne, but high-oil food can increase oil production, which can lead to acne.
False. Over-washing your face can make acne worse due to dryness of the skin, which makes the body produce more oil to overcompensate.
healthylivingmagazines.com | APRIL 2015
DOCTOR © STOCKLITE, VINEGAR© RSASIMOTO; GIRL ©SZASZ-FABIAN JOZSEF/ SHUTTERSTOCK.COM
dose
Sources: webmd.com, womenshealthmag.com, mayoclinic.org, kidshealth.org, aad.org, medicalnewstoday.com, totalbeauty.com, dermalinstitute.com, healthyskinportal.com, about.com, everydayroots.com, mindbodygreen.com, Eric Schweiger, MD, New York Dermatologist
HE ALT H Y
natural treatments
According to MindBodyGreen, acne treatments, such as isotretinoin, sometimes cause severe side effects such as liver disease, severe depression and suicidal thoughts. Therefore, all-natural treatments may be safer. Try the following:
APPLE CIDER VINEGAR: Apple cider vinegar kills bacteria, balances the pH of your skin (making it harder for bacteria to live) and dries up excess oil.
CINNAMON AND HONEY: Cinnamon has antimicrobial properties, which stop bacteria from growing, and honey is a natural antibiotic, which kills any bacteria the cinnamon left behind.
TEA TREE OIL: Tea tree oil cuts through the extra oil and dead skin cells and unclogs the pores while also killing bacteria with its antibacterial properties.
PAPAYA: Raw papaya removes dead skin cells from the surface of the skin and helps reduce inflammation to prevent pus from forming.
EGG WHITES: Egg whites are full of proteins and vitamins to help rebuild skin cells and soak up any excess oil.
ALOE: Whether in gel form or fresh from the plant, aloe helps to heal existing acne, reducing the appearance of pimples.
GREEN TEA: When applied topically, green tea reduces oil production and protects against acne-causing bacteria.
teen acne vs. adult acne
According to The International Dermal Institute, 54 percent of women over the age of 25 have acne. You might be thinking this is past the normal age of acne, which is often associated with the teenage years, and you’re right. This is adult acne, and the two are entirely different.
TEEN ACNE:
ADULT ACNE:
• STARTS WITH PUBERTY WHEN THE OIL GLANDS START PRODUCING
• STARTS WITH BLOCKED PORES AND OVERACTIVE OIL GLANDS
• BREAKOUTS TYPICALLY OCCUR ON THE FOREHEAD, NOSE AND CHIN AREAS • USUALLY CAUSED BY THE HORMONAL FLUCTUATIONS COMMON DURING PUBERTY
• BREAKOUTS ARE MORE COMMON ON THE LOWER PART OF THE FACE, INCLUDING THE CHIN AND JAW LINE • RESPONDS WELL TO OVER-THE-COUNTER TREATMENT OPTIONS FOR ADULT ACNE
• MAY APPEAR AS BLACKHEADS, WHITEHEADS, PUSTULES OR CYSTS SCATTERED ACROSS THE FACE
• MAY BE DUE TO THE HORMONAL FLUCTUATIONS OF MENSTRUAL CYCLES, PREGNANCY OR MENOPAUSE; INCREASED STRESS AND CONSUMPTION OF HORMONEENRICHED PRODUCTS
• USUALLY RESPONDS WELL TO OVERTHE-COUNTER TREATMENT OPTIONS FOR TEENS
• MAY APPEAR AS BLACKHEADS, WHITEHEADS, PUSTULES AND CYSTS AROUND THE JAW LINE
WHEN TO SEE A DERMATOLOGIST If you’re experiencing acne that doesn’t go away with over-thecounter products, find yourself skipping friendly outings due to embarrassment or have acne scars, it’s time to see a dermatologist to find out more about medical acne remedies.
SUN EXPOSURE HELPS CLEAR UP ACNE.
APPLYING TOOTHPASTE TO A ZIT CLEARS IT UP.
POPPING PIMPLES MAKES THEM GO AWAY FASTER.
False. The sun does not “dry out” acne like acne-care products do and instead causes the skin to tan, “hiding” acne.
False. Toothpaste doesn’t “dry out” acne and instead can clog pores and cause skin irritation.
False. Popping pimples pushes bacteria further into the skin and can also cause acne scars on the face.
APRIL 2015
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dose VACCINE © SHERRY YATES YOUNG ; BABY ©HANNAMARIAH / SHUTTERSTOCK.COM
connection disconnection T BY JOANN GUIDRY
he 2015 measles outbreak in the United States has brought to the forefront the longheld misconception of the connection of the measles-mumps-rubella (MMR) vaccine to autism. This traces back to a study by British researcher Andrew Wakefield published in The Lancet in 1998. Wakefield’s study claimed that 12 children with neurodevelopment delays that he examined, including eight who had autism, had the measles virus in their guts. But the key here is that the study only implied a vague association between the MMR vaccine and developmental disorder. And, in fact, the original article, which was contributed to by 13 authors, stated that “we did not prove an association between [the] measles, mumps and rubella vaccine and the syndrome described.”
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But Wakefield’s vague comments to the media further pushed the belief that there was a definitive link between the MMR vaccine and autism. Celebrities such as Jenny McCarthy and Jim Carrey subsequently voiced their own beliefs in this unfounded connection. Many desperate parents of autistic children followed suit. And, out of fear, many parents began opting out of vaccinating their children. “In my practice, I have parents ask me about the MMR vaccine and autism. Some even bring up Jenny McCarthy,” says pediatrician Dr. Chris Okonkwo with Children’s Health of Ocala. “I tell them the scientific research shows no link and that the vaccine is safe. If parents are not willing to vaccinate their children, I refer them to another practice.” Since Wakefield’s study, every reputable medical research organization has conducted numerous studies involving hundreds of thousands of children. No link between the MMR vaccine and autism has been found. In 1968, the MMR vaccine was developed and first distributed in the
United States. By 2000, there was no continuous measles transmission for more than 12 months, which meant measles had been eliminated in the United States. But before the 2015 measles outbreak (170 cases in 17 states and Washington D.C. as of March 3), there was a much larger outbreak. In 2014, there were 644 measles cases in 27 states. Of that number, 383 occurred in unvaccinated Amish communities in Ohio. The remaining were connected to travel to and from the Philippines, which had experienced a large measles outbreak. According to the Centers for Disease Control and Prevention, 90 percent of those who aren’t vaccinated will get measles if exposed to the virus. A serious health complication in children who get measles includes swelling of the brain (encephalitis), which can cause permanent hearing loss and/or mental impairment. And between one and two of every 1,000 children who get the measles will die from the disease. The CDC recommends that all children get two doses of the MMR vaccine; first between 12 and 15 months and again between 4 and 6 years old.
Sources: cdc.gov, thedoctorwillseeyounow.com, webmd.com
HE ALT H Y
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APRIL 2015
| healthylivingmagazines.com
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Conveniently located in Ocala and Beverly Hills, Florida, 21st Century Oncology’s Ravi Sandrapaty, M.D., board-certified radiation oncologist, offers the latest advances in radiation therapy to treat cancer.
compassionate cancer care, close to home
D
r. Sandrapaty grew up in Orangeburg, South Carolina. After graduating valedictorian in a class of almost 500 and receiving numerous awards, including U.S. Presidential Scholar Finalist and National Merit Scholar, he enrolled in the University of Miami’s six-year accelerated combined BS/MD program. He then completed his internship at Santa Clara Valley Medical Center in California and residency in radiation oncology at University of Texas Medical Branch, where he became chief resident. He completed a fellowship in brachytherapy at Long Beach Memorial in California. He is certified by the American Board of Radiology and has been practicing locally for 12 years. He is on staff at five hospitals spanning Marion and Citrus Counties. He received the Patient’s Choice Award by Vitals.com and is a member of several organizations, including ACR, ASTRO, AMA, FMA and MCMS, and was also chosen to serve on the itemwriting committee for the American Board of Radiology’s certifying examinations. Dr. Sandrapaty offers a variety of innovative cancer treatment options in Marion and Citrus Counties, including IMRT, IGRT and SRS. At these locations, 21st Century Oncology has partnered with pioneers in HDR brachytherapy for prostate cancer. This standard of care has been adopted nationwide. Additionally, these centers were among the first
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healthylivingmagazines.com | APRIL 2015
to bring other state-of-the-art treatments to the community, including MammoSite®, SAVI®, CONTURA® and AccuBoost® for breast cancer. At 21st Century Oncology, the philosophy is to treat the whole patient, not just the cancer. Each patient receives specialized treatment, taking into consideration the type, stage and location of cancer as well as the patient’s general health and personal preferences. Radiation therapy may take as little as five days or up to nine weeks. The treatment takes only a few minutes, is performed at the patient’s convenience and has minimal side effects. Because sedation is not necessary, patients can drive to and from their treatment sessions and get back to their daily lives quickly. 21st Century Oncology takes pride in offering the best, personalized care to patients. Learn more by calling (352) 291-2495 (Ocala) or (352) 746-1100 (Beverly Hills) or by visiting www.21concologymarioncitrus.com.
21 ST CENTURY ONCOLOGY 3201 SW 33RD ROAD, OCALA, FL 34474 3406 N LECANTO HIGHWAY, SUITE A, BEVERLY HILLS, FL 34465
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R A L WRITTTEN BY KATIE MCPHERSON
LIVING LARGE
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THE DOBKOWSKI BUNCH
C
HRISTINE DOBKOWSKI IS THE MAYOR OF BELLEVIEW, BUT WHEN SHE’S OFF DUTY, SHE AND HER HUSBAND, BOB, STAY BUSY WITH THEIR 10 CHILDREN. LIKE OTHER FAMILIES WITH MORE CHILDREN THAN IS CONSIDERED NORMAL, THE DOBKOWSKIS ARE ALWAYS SHOOTING DOWN MISCONCEPTIONS. BEING IN THE PUBLIC EYE DOESN’T HELP.
“People think that we’re loaded. They always ask ‘how big is your house?’ People think we’re either really really rich or really really poor,” says Bob. “I think a common misconception is that we’re these super-organized people and things are done in a super-organized way, and they’re not. We’re just like everyone else,” Christine explains with a laugh. “I think the other misconception is that every child in the city belongs to you!” When asked about any organizational methods they have, the two share a little laugh. “We’re organized when it comes to getting the kids to public events and things like that, but as far as dinner…” “Whatever works that night,” Christine says. “I go to the grocery store almost every day after I decide what I’m making that night. We do have chore charts though, and everybody chips in and has a job to do.” Although many people wonder whether they have time for each of their children, Bob and Christine are both self-employed with flexible
Photo by John Jernigan
R
THE AVERAGE AMERICAN FAMILY HAS TWO CHILDREN, BUT THEN, NOT EVERYONE SETS A NUMBER. THE MORE THE MERRIER FOR THESE LOCAL FAMILIES, AND AFTER JUST A FEW CONVERSATIONS WITH THESE BIG BROODS, IT’S EASY TO SEE HOW MUCH JOY THEY GET FROM BEING PART OF A REAL-LIFE BRADY BUNCH. BUT WE HAD SOME QUESTIONS: HOW DO THEY GET EVERYTHING DONE WITH SO MANY LITTLE ONES, WHAT DO THEY HAVE TO SAY TO THEIR CRITICS AND WHAT ARE THEIR BEST TIPS FOR RAISING HAPPY, HEALTHY CHILDREN? WE’LL ALSO TAKE A LESSON OR TWO FROM THE FAMOUS FACES OF LARGE FAMILIES, MICHELLE AND JIM BOB DUGGAR—JUST HOW DO THEY KEEP UP WITH ALL 19 KIDS (AND COUNTING)?
BOB & CHRISTINE JULIAN, 21 NATASHA, 16 ROBERT, 15 KATERINA, 13 GEORGE, 11 JOHN, 10 MICHAEL, 8 NICODEMUS, 6 TATIANA, 5 MARKUS, 1 schedules in case of emergencies. Bob says their choices in schooling and occupations have made all the difference in being available for their kids. “We have 10 kids, but we probably spend more time with our kids than families with two because we homeschool. We’re with them all day,” he says. “I think we probably spend more time with our kids than most just because of the choices we’ve made as far as educating them. I don’t think if I was a bank president working 60 or 70 hours a week I would be able to spend so much time with them.” This family seems to agree with the old adage ‘it takes a village to raise a child,’ and they cite the generous support
APRIL 2015
IT TAKES A VILLAGE TO RAISE A CHILD.
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of relatives and family friends as a major reason they can accomplish everything they need to in a day, like getting every child to their practices and activities. Whether it’s picking someone up from Little League or dropping by the house with milkshakes, their friends help them make the days run smoothly. “We have great friends with large families that have given us a lot of guidance and help when it’s frustrating,” says
Bob. “We have a great support staff of friends and relatives that really make it happen. Otherwise, we’d be up the creek without the proverbial means of locomotion.” As for adding more members to the family, Bob says they practice natural family planning and, should they decide to have another child, will talk about it beforehand. But just like tonight’s dinner menu, they’ll cross that bridge when they get to it.
MEET THE MONIERS
JENNY & ERIC GRACE, 12 JEREMIAH, 12 DIMITRY, 10 ELIJAH, 10 SAMMY, 9
F
IVE CHILDREN MAY NOT BE THE LARGEST FAMILY AROUND, BUT THIS FAMILY IS FULL OF ENOUGH HEART FOR MANY, MANY MORE. ERIC AND JENNY HAVE THREE BIOLOGICAL CHILDREN AS WELL AS TWO CHILDREN WITH SPECIAL NEEDS ADOPTED INTERNATIONALLY FROM UKRAINE AND CHINA. HOW DID THEY BECOME INTERESTED IN ADOPTION? AS OTHER FAMILIES ALSO SAY, THE DECISION JUST CAME ABOUT NATURALLY.
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Photo by John Jernigan
ADOPTION IS NOT EASY, BUT IT CAN BE A HUGE BLESSING.
“It evolved over time,” Jenny explains. “We had our three biological boys kind of consecutively, and we enjoyed being parents so much that we wanted more children, so that’s when we jumped into the adoption arena.” Of course, any adoption comes with a long process of paperwork and tests and waiting. The family had to meet requirements for income, mental wellbeing and physical health. To adopt Grace from China, Eric and Jenny were required to take classes not only on parenting but on Chinese culture. The cost of adoption is steep as well, but the Moniers rose to the challenge with plenty of originality. “Jenny made jewelry,” Eric recalls. “We had a fundraiser at Easy Street in Ocala. The owner gave us all the proceeds for one night and has been involved with us ever since.” Sammy and Elijah collected donations as well, and after enough was collected, they shaved their hair into mohawks and dyed it pink in return. Needless to say, they were excited to gain a sister. “We put all four boys in one stinky room so she could have her own room,” says Sammy.
“Adoption is not easy, but it can be a huge blessing. It’s taught us love and acceptance in a way that our biological children don’t. I would encourage families to never say never to it,” says Jenny. One of the beauties of having five children is that, as expected, there is always something on the agenda. So how does a family with five children keep things rolling? Jenny keeps a color-coordinated calendar, each child with a color of their own, so she knows just who has a doctor’s appointment or friend’s birthday party each day. “We try not to take ourselves too seriously. Things aren’t always going to be perfect, so we just try to use humor as much as possible,” explains Jenny. They also use a marble system. When the kids do chores or volunteer to do something helpful, they can earn marbles to trade in for cash allowance later. It seems to work best when one kiddo starts earning marbles and Eric alerts the others their brother or sister is currently earning more marbles than they are. “There’s always something to do, and I don’t mean that in a bad way. There’s always a kid getting an award. Each one has a different personality, and just when you think you have them figured out, they do something else. I don’t think I’ll ever be old and lonely. There will be plenty of grandchildren, too,” Jenny says. Most of all, these parents love seeing how their children act as individuals and how they engage with each other. “We have basketball and grand prix race cars coming up. There’s always an activity each day, so there’s never a dull moment. And we get to see them interact with each other sometimes in surprising ways,” says Eric. “Yes, in really sweet and special ways,” says Jenny. “They keep me young.”
SMALLER FAMILIES ARE KIND OF MISSING OUT ON WHAT WE GET TO ENJOY EVERY DAY.
THE TAFELSKI TRIBE
N
EITHER ED NOR SANDI TAFELSKI CAME FROM A PARTICULARLY LARGE FAMILY.
“I grew up with a brother, and all my life I wished I had a lot more kids in my family because my parents divorced and it was my mom, my brother and I,” she recalls. Her husband just laughs. “Wish granted!” The two decided when they married they wanted six children and are happy to have ended up at eight. Of course, a family of this size is going
SANDI & ED MARISA, 41 RYAN, 37 LINDSEY, 35 BRITTON, 27 MCKENNA, 23 ESPRIT, 19 BRONSON, 14 BOSTON, 14
to attract attention, and not always the positive kind. “I’ve gotten comments like ‘oh you poor thing,’ and I just say ‘oh no, I’m very rich in love.’ I’ve gotten ‘I’m so glad it’s you and not me,’ and I say ‘I’m glad it’s me, too.’ I think the worst comment I’ve ever gotten was ‘I don’t believe you should be having all these children if you can’t take care of them,’” says Sandi of some common criticisms. “People may think ‘I could never love that many,’ but the truth is that love grows.” “I just love that being raised in a large family we’ve all always felt so loved and so wanted and kind of like we were their dream,” Mckenna adds. Son Britton also counters the peanut gallery by emphasizing the positive. “I get more people that are jealous of what we have just because my whole family is all
APRIL 2015
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friends,” he explains. “Smaller families are kind of missing out on what we get to enjoy every day.” As far as the sibling relationships go, this brother has an impressive résumé. “We’re about four years apart in the younger group, and I guess my job, being the oldest of the second group, was really being the enforcer of the house, to uphold discipline.” “And torture!” Mckenna adds before he can get away with too much. “Having twins was fun because we could sit around on the couches and get them to fight each other. They were the crash test dummies. We all have a great relationship, and we’re the closest knit family I can think of,” he says affectionately. Although their closeness could never be contested, many wonder how larger families operate logistically. Sandi left the workplace 11 years ago to dedicate herself at home, and twins Bronson and Boston are homeschooled in 8th grade today. When asked how they keep things moving around the house, Esprit recalls one specific method. “Chore cards! My mom would write down on 3x5 cards what to do, and we’d each get a pile on Mondays,” she says. Her parents taught her about hard work starting early. “When I was 12, I felt like I really wanted to buy stuff for myself, so I got a job and I mucked stalls for years for little things like buying books and going out to eat with friends. I have learned how to save and work for what I want,” she explains. Although some parents may set umbrella rules for their households, the Tafelski family has always been about serving each child individually. “We’ve got three decades of parenting going on over here. You start off with a lot of rules and expectations and you think you have to make these kids who they should be,” Sandi says. “You end up learning your job is to make these kids who they’re meant to be. It’s been really neat watching every person grow and learning who each person is. We’re not perfect, and we have a lot of apologies going on in our family all the time!” This particular family still has some growing to do, as Mckenna and husband, Matt, just welcomed their first baby. She’s still not sure how many children they’ll have themselves, but if she’s learned one thing, it’s to be unafraid of numbers.
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A FAMOUSLY
LARG R E RG FAMILY
WHEN YOU THINK OF BIG FAMILIES, YOU PROBABLY THINK OF THE DUGGARS FROM TLC’S 19 KIDS AND COUNTING. PARENTS MICHELLE AND JIM BOB ANSWERED SOME OF OUR QUESTIONS ABOUT THEIR FAMOUS SUPER-SIZED FAMILY AND BEING THE FACES OF BIG BROODS EVERYWHERE. OS: WHAT MADE YOU DECIDE TO DO A TV SHOW? BESIDES THE SHOW, WHAT DO YOU DO FOR A LIVING? JIM BOB: In 2002, I ran for U.S. Senate, and the day of the election, our family was walking into the voting precinct and a photographer took a picture. At the time, we had 13 children. We didn’t think much about it because there’s always media on the campaign trail. That night, I lost the election, but that picture ran in the New York Times the next day. There was a writer for Parents magazine who saw it and called Michelle to ask about doing a story for our family. After that article, a Discovery Health Channel exec contacted us to ask if they could do the story about the family. MICHELLE: I think the show came about as a result of curiosity people have about large families. We’re still learning, but as we’ve gone along, there have been many others who’ve encouraged us. Our hearts’ desire is to be a conduit for all the things people have shared with us along the way.
OS: HOW DO YOU HOMESCHOOL WITH KIDS OF SO MANY DIFFERENT AGES? M: My first was Josh, so at age 4, I jumped in and I would spend the others’ naptime teaching him phonics. As soon as they learn to read, I put good reading books in front of them; the more they read, the better they’ll be. I picked out a lot of biographies of good people and put them before my kids’ eyes. I use Accelerated Christian Education to teach lessons. They would go through 12 PACEs in each subject and take a test at the end of each year. We also wanted our kids to learn about music; a woman from our church offered to teach them piano.
Photo courtesy of TLC
OS: BESIDES BUYING IN BULK, WHAT DO YOU DO TO SAVE MONEY? JB: If we don’t have the money to buy something, [we] don’t buy it. We buy things used half-price or 10 cents on the dollar. We always buy used vehicles, and our boys have learned how to work on them. Michelle came up with the slogan ‘buy used and save the difference.’ Over the years, we’ve gone through a lot of couches, but we buy them used, too. Michelle and the girls all love going to the thrift stores and buying used clothing. Over the years, we’ve probably spent less on 19 children than some have spent on two or three.
Source: cia.gov
OS: HOW DO YOU MAKE TIME FOR YOUR RELATIONSHIP? M: Our priority really is to have a strong marriage. We have date nights every week. We usually trade out with a friend, or Grandma Duggar will come and babysit for us. I look forward to those date times of getting to sit and have a hot meal without wiping anyone’s face. Jim Bob can call and say ‘hey, wanna meet me for ice cream?’ And I say ‘sure, give me 20 minutes and I’ll meet you!’ I think having that excitement in our relationship is important. We go to marriage conferences. I think it’s important to look for ways to strengthen your marriage. There’s always the ability to encourage each other more and show more love and excitement.
Photo courtesy of TLC
OUR HEARTS’ DESIRE IS TO BE A CONDUIT FOR ALL THE THINGS PEOPLE HAVE SHARED WITH US ALONG THE WAY.
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OK, if you’re a family of six, dining out can put a major crimp in your spending. I get that. But if you’re single or there’s just two of you, it’s very possible to spend more money buying ingredients than just going to a restaurant. Not every day, of course, but you get the point. The truth is there’s no “one-size-fits-all” plan to frugality. Saving money is personal. The key is recognizing where you can cut corners and save without feeling the pain. Trust me, you can be more frugal without feeling deprived.
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RECEIPT © FOCAL POINT; MONITOR © TISHOMIR; LOCK © PENSIRI; HOUSE © VOODOODOT; BARCODES © PHOTKA / SHUTTERSTOCK.COM
For starters, you need to know where your money is going. If you don’t live on a strict budget—and honestly, most people don’t—you only have a vague idea of how you’re spending those hard-earned dollars. For a real wake-up call, take one entire month and write down everything you spend, whether it’s for gas, rent, groceries, insurance premiums, car payment, cat food or coffee. Don’t just estimate! Save receipts so you know actual costs. This exercise will open your eyes to where your money is going and let you better determine how you can trim a little here and there. For ideas on how to keep more cash in your pocket, read on. Even if you only adopt a few of these suggestions, every dollar adds up. Here’s to a more thrifty you!
_________________ _________________
G E N E R A L LY SPEAKING… _________________ _________________
1
START “NO-SPEND” WEEKENDS.
Select one weekend each month and make it a goal not to spend any money from Friday night until Monday morning. If you get everyone in the family involved, it can actually become a fun challenge instead of an exercise in deprivation. (It’s also a great way for kids to start learning about the reality of finances.) Add up what you didn’t spend and put it in your savings account. _____________________________
2
SAVE YOUR $1 BILLS.
One friend I know made it a point never to spend a dollar bill. If he got change back from a larger bill, he’d pull out the dollars from his wallet and put them in a jar. Every month, he’d take those to the bank to put in a savings account. He saved hundreds this way. You can do this with loose change, but dollars add up more quickly. _____________________________
3
CUT RETAIL SPENDING.
It’s become trendy to shop at consignment and thrift stores—and for good reason. You can find great deals on everything from clothes to furniture to accessories. Of course, there are things you want to buy new (Used underwear? No, thank you!), but you’ll find bargains galore on almost everything else. _____________________________
4
THINK SHORT TERM; SAVE LONG TERM.
It’s more realistic for most people to set weekly savings goals instead of yearly. Put just $20 aside each week and you’ll save $1,040 at the end of one year.
___________________ ___________________
IN THE HOME…
5
___________________ ___________________ DITCH THE BOTTLE.
Drinking water is a good thing. We could all do more of it, but it doesn’t have to be pricey. Americans spend nearly $12 billon annually on bottled water, or an average of $520 per family. If your tap water doesn’t taste good, invest in a filter. It’s a one-time cost that will save big over time. ______________________________
6 7 8
WATCH THAT THERMOSTAT.
To maximize energy savings, keep the thermostat setting at 68º or less in the winter and no lower than 78º during the summer. ______________________________ AIR DRY DISHES.
Even if you use a dishwasher, there’s no rule you have to use the heat-drying cycle, which uses 15 percent or more electricity than the air-dry cycle. ______________________________ BANISH SNACK-SIZE PURCHASES.
Don’t pay for convenience when you can quickly and easily make your own “snack-size” servings. Buy the large size pudding, applesauce, chips, pretzels, canned fruit, etc., and break them down into individual servings for lunches. ______________________________
9
GET COOKIN’.
Make plans with budget-conscious friends to cook together and share meals. There are plenty of suggestions online for forming a “freezer club.” (Just do an online search for “freezer meal club ideas.”) You and several friends cook an agreed-upon variety of meals, package and split them amongst yourselves to freeze ahead for the month. This plan saves time and money.
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____________________________________ ____________________________________
C U T C O S T S O N E AT I N G O U T…
____________________________________ ____________________________________
13
SKIP THE BEVERAGES.
The iced tea I ordered last weekend at a local restaurant cost $2.99. We’re talking simple sweet tea, nothing fancy, and I didn’t even get a refill. At those prices, a family of three or four will spend the price of one entrée just by ordering beverages… and not even alcoholic ones! Coffee, tea and soda are huge mark-ups for restaurants, so forego the drinks and just ask for water with lemon or lime. You’ll save cash and calories. ___________________________________
10
UNPLUG ELECTRICAL ITEMS WHEN NOT IN USE.
Studies show that as much as 10 percent of the energy used in your home annually is due to “phantom power consumption.” No, we’re not talking ghosts but rather the electricity wasted by all the electrical devices— from television to computer to coffee maker to cell phone charger—when not in use. Make this easier to do by putting them on surge protecting power strips and turning off the strip when you’re not using what’s plugged into it. ___________________________________
14
SHARE OR PACK IT UP.
Most restaurant portions are at least double (or even triple) standard portion sizes. Try sharing an entrée or ask your server to pack up half your entrée in a to-go container before it’s served. Voilà. Next day’s lunch is handled. Another few dollars saved. ___________________________________
15
DO WITH ONE LESS LATTE.
If you make a Starbucks stop every day, or even several times a week, try skipping one. Stash the dollars you’d spend on that drink in a jar and watch them add up over time. (Note: If a daily coffee shop stop makes you truly happy, feel free to ignore this advice and save your $4 somewhere else.)
__________________________ __________________________
CELEBRATING FAMILY & FRIENDS… __________________________ __________________________
16
GET CREATIVE.
11
HANG ‘EM UP.
Your clothes, that is. Only your refrigerator uses more electricity than your dryer. Trim your electric bill by using a clothesline and drying your clothes outside. No dryer sheet can substitute for that fresh, “dried-in-the-sunshine” smell. If you don’t have space for a clothesline, just set up a simple drying rack inside. Another bonus: Clothes last longer when you don’t use a dryer. _________________________
12
SKIP THE HOT WATER.
Do laundry with cold water unless you have a specific load that demands hot water.
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Entertainment doesn’t necessarily mean dinner and a movie. Get creative and look into local free activities, such as outdoor concerts or festivals. Another plus is that you can count some of these outings as exercise, as you’ll likely be walking. ___________________________________
17
MAKE A “GAME NIGHT” DATE.
You don’t need to go out on the town and spend money to have a blast. Recruit a handful of likeminded pals for a game night and potluck dinner at your place. Ask everyone to bring a dish to contribute to the meal and break out Pictionary, Taboo, Gestures, Cranium or similar games. You’ve probably forgotten how good it feels to laugh that much. ___________________________________
18
HOST KIDS’ PARTIES YOURSELF
Chuck E. Cheese and similar establishments are my own personal Guantanamo Bay. Lock me in
PLATTER © BIORAVEN : BALLOONS © HAPPY ART; BATTERY © GRAPHIXMANIA ; WHEEL © MARYNCHENKO OLEKSANDR ; PLUG © MICHAEL D BROWN; WALLET © BORISSHEVCHUK; CLOTHESLINE © ANEST/ SHUTTERSTOCK.COM
********
one of those places filled with kids on a sugar rush, turn up the volume and I’d spill all secret intel in no time. No torture necessary. But seriously, you can save big and have a much less crazed (not to mention less noisy) birthday party for your little darlings by hosting the party at home or at a local park. It will take a little more creativity than just turning them loose on the video games, but it’s sure to save bucks. ____________________________________
19
You don’t need to go out on the town and spend money to have a blast.
Recruit a handful of like-minded pals for a game night and potluck dinner at your place. ********
SHOP WISELY; SHOP EARLY.
Being thrifty doesn’t mean you never give gifts. It just means you revamp your shopping strategy. Instead of waiting to buy a present until shortly before a holiday or birthday, make a point of shopping year-round for the people you regularly buy for. This way you can take advantage of a great sale, even if your BFF’s birthday is months away. I keep a “gift store” in one dresser, stashing away all the items I buy ahead. I keep track of the “inventory” in a journal, jotting down what I’ve bought and who it’s for. When it’s birthday time, all I have to do is whip out the wrapping paper and ribbons. You’ll save money and stress; plus you’ll have thoughtful gifts instead of something you rush out to buy at the last minute.
___________________________________________________________________________ ___________________________________________________________________________
V E H I C L E - R E L AT E D S AV I N G S …
___________________________________________________________________________ ___________________________________________________________________________
20
KEEP DRIVING IT.
Before the recession, the average American bought a new car every three to five years. But with the average new car monthly loan payment running $452, according to Experian, it only makes sense to pay off your vehicle and keep driving it for several years before buying another. Your insurance will also be less with a vehicle that isn’t brand-new. ______________________
21
OPT FOR PRE-OWNED.
When you do need another vehicle, consider preowned instead of new. You’ll save thousands buying a low mileage, late model vehicle compared to this year’s model on the dealer’s lot. And if you absolutely must have that “new car” smell, there’s a spray for that.
22
STAY ON TOP OF MAINTENANCE.
That means regular oil changes, rotating tires and keeping them properly inflated and not ignoring that funny sound your car’s making. Mechanics will tell you many expensive repairs can be avoided (or the cost reduced) if car owners just paid attention to detail and routine maintenance.
23
REEXAMINE INSURANCE POLICIES.
Most insurance policies— from homeowners to auto to health— have opportunities for cost cutting. Do you really need collision coverage on that older vehicle? What is your deductible? Just raising your policy deductible will reduce the cost of your premium. Ask your agent about ways to trim dollars off your policies without jeopardizing protection. _______________________
24
COMPARE POLICIES.
The Internet makes it easy to compare insurance quotes in a matter of minutes. Doing so each year before you renew a policy can save money, sometimes more than you’d guess.
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Photo by Fred Lopez
By Cynthia McFarland
“GOOD THINGS COME IN SMALL PACKAGES.”
There isn’t a better way to describe blueberries. Those dark blue dynamos pack a powerful nutritional punch. They also deliver in a big way when it comes to good causes. That’s certainly the case at the Florida Blueberry Festival, taking place this year on April 11 and 12 in the town of Brooksville, which saw some 48,000 people at last year’s event. “We expect to grow at least 10 percent, so we’re expecting over 50,000 people to attend over the two days,” says Michael Heard, president, event and marketing
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coordinator of the Florida Blueberry Festival and also the festival’s founder. Title sponsors of the festival include the Florida Blueberry Growers Association, the City of Brooksville and Hernando County. The Florida Blueberry Growers Association has adopted Brooksville as their host city and home of their association. Two state roads in town are closed to traffic in order to provide the perfect downtown setting for the event. With a jam-packed weekend of art, kids’ activities, retail booths,
A Festival With Heart
music and, of course, plenty of blueberries, the festival promises down-home family fun, from comedy trick dog acts to magic shows and a whole lot more. But there’s more to this festival than just great fun and food. “We engage lots of charities, and our goal is to help them raise money. These charity groups help park cars at the event and keep the money raised while working the festival,” explains Heard. Festival parking is $5, and all proceeds directly benefit the participating charities. Last year, 10 different charities took part in this working partnership and contributions from their parking efforts totaled more than $37,000. Mark your calendar now for the second weekend of April. You don’t want to miss the Florida Blueberry Festival!
“The Florida Blueberry Festival has a new focus this year: the fight against childhood diabetes. We want to use the festival as a way to educate attendees about type 2 diabetes,” says Michael Heard, festival founder and president. “We are partnering with The Blueberry Family Foundation (BFHF) and Oak Hill Hospital in Hernando County in this endeavor.” A nonprofit, 501(c)(3) organization, BFHF (bbfamilyhealth.org) was established by blueberry-growing families as a way to give back. BFHF has a group of advisors whose far-reaching talents include medicine, research and agriculture. The organization’s mission is to improve the health of children and families by supporting research, education and wellness initiatives, with the ultimate goal of ending type 2 diabetes in children. Once considered an adult disease, type 2 diabetes is on the rise in children. According to the Centers for Disease Control and Prevention (CDC), one in three children born after the year 2000 will develop this form of diabetes. Obesity is the primary risk factor, and one out of three U.S. children now falls into the categories of overweight or obese. Unfortunately, over 70 percent of children who are at risk (and their parents) don’t see themselves as overweight or obese. As a result, they aren’t aware of the health
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: L A V I T S E F Y R R E FLORIDA BoLuUENB eed to Know
For example, one booth will be devoted to the theme of teaching children how to “Eat a Rainbow” so they can begin incorporating colorful fruits and vegetables into their daily diet, thus reaping the health benefits. Other areas will focus on the importance of physical play—dancing, jumping, running, clapping—to increase exercise.
What Can I Expect?
Be sure to check out the event schedule at festival entrances. The event will include the following: • • • •
85 artisan booths 120 retail booths Kid Zone Meet the “Wiggles Friends,” Dorothy the Dinosaur, Wags the Dog and Harry the Octopus • Zipline • Puppet shows • Fresh Florida blueberries and blueberry products for sale
Bring On The Berries!
In 2011, Americans consumed a whopping 853 million pounds of blueberries. Sure, they’re tasty, but blueberries are also considered a “super food”—and for good reason. Check out the many benefits of blueberries:
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20 food concessionaires Island Grove wine bar Beer truck Street entertainment Live music Blueberry theater Monster truck show Classic car show Friendly Kia 4K Give Away
am to 6pm April 12: 11 , y a d n u S 15 miles 8pm; tely 10 to : 10am to a 11 im l x ri ro p p A p , ,a aturday Brooksville When? S downtown c ri to is H Where? 01 5 at exit 3 west of I-7
What Y
• Contain cancer-fighting antioxidants, which consume dangerous free radicals. • Have anti-inflammatory properties • Help improve memory • Are rich in compounds that reduce bad cholesterol and promote cardiovascular health • Help fight urinary tract infections • Improve brain health • Are loaded with fiber so you feel full longer
• • • • • • • • •
• Are an excellent source of manganese, which supports bone development and converts carbohydrates to energy • A 1-cup serving provides almost 25 percent of daily vitamin C requirements • Contain just 80 calories per cup and virtually no fat
Sources: U.S. Highbush Blueberry Council, webmd.com, North American Blueberry Council, USDA
consequences. Even more worrisome is the fact that a child who is overweight or obese by age 5 has a nearly 100 percent chance of being overweight throughout his or her entire life. The statistics are disturbing. In the 1980s, type 2 diabetes accounted for less than 3 percent of new-onset diabetes in youth. Today, the number is 45 percent and rising. Type 2 diabetes develops twice as fast in children than adults, and complications are more severe for youth than adults. The life expectancy of youth living with type 2 diabetes is decreased by 15 years on average. Heard feels that it only makes sense for the Florida Blueberry Festival to help educate families. After all, blueberries are loaded with health benefits and most kids love them. “With festival attendance expected to be over 50,000, we feel this is a perfect venue to reach both parents and at-risk young children with a positive message of healthy eating,” says Heard. “We will also have a booth staffed by a certified diabetes educator and registered dietitian, which will provide fun and age-appropriate materials to both parents and children. Healthy eating is key for prevention, so the focus will be on families with young children.” Heard explains that the festival’s Kid Zone will feature fun, yet educational, games and activities designed to reach at-risk kids and families. Festival organizers believe that emphasizing “fun” rather than “health” will make these booths more appealing to kids.
Music Schedule
You’re welcome to bring chairs and blankets, as no seating is provided for concerts and other events.
SATURDAY CONCERTS
SUNDAY CONCERTS
, The 70 s Band
12 noon-1:30pm. The best music of the ‘70s
The Bearded Brothers
11am-12:30pm. Rock music… put a beard on it!
The Bob Hope Band
The Embry Brothers Band
The Black Honkeys
Little Texas
2-3:30pm. A high-energy rock and dance band that isn’t your grandparents’ Bob Hope Band 4-5:30pm. A wildly popular Tampa Bay-area band playing R&B, funk, soul and rock & roll
The US Stones
6-8pm. Enjoy hit after hit of the Rolling Stones’ classic tunes
1-2:30pm. Family harmonies and good, oldfashioned American rock and roll 3-4:30pm. Chart-topping rockin’ country band
NEED MORE INFORMATION?
floridablueberryfestival.com
are free le. and under 5 s id lso availab K , 5 to 17 $ arking is a p 6 d e th p u p o a Y ic , (18+) $8 ? Yes. Hand n? Adults ccessible a d e p p Admissio a ic $5 Hand Parking? e? Yes, if on a leash. m
o
Pets welc
BAKING with BLUEBERRIES
All recipes and photos provided courtesy of Taste of Home magazine. Find more great recipes at tasteofhome.com.
Blueberry-Stuffed French Toast Makes 8 servings
1 ½ cups fresh or frozen blueberries 3
tbsp sugar, divided
8
slices Italian bread (1 ¼ inches thick)
4
eggs
1
tsp grated orange peel
½
cup orange juice Dash salt
Sauce: ¼
cup orange juice
¼
cup water
3
tbsp sugar
1
tbsp cornstarch
1⁄₈
tsp salt
1 ½ cups orange sections 1
cup fresh or frozen blueberries
1⁄₃
cup sliced almonds, toasted
Preheat oven to 400°F. In a small bowl, toss blueberries with two tablespoons sugar. Cut a pocket horizontally in each slice of bread. Fill with blueberries. In a shallow bowl, whisk eggs, orange peel, orange juice, salt and remaining sugar. Dip both sides of bread in egg mixture, being careful to not squeeze out berries. Place in a greased 15x10x1inch baking pan. Bake 14-17 minutes or until golden brown, carefully turning once. Meanwhile, in a small saucepan, whisk the first five sauce ingredients until smooth. Bring to a boil, stirring constantly; cook and stir 1-2 minutes or until thickened. Reduce heat; stir in fruit, and heat through. Serve with French toast; sprinkle with almonds.
Note: To toast nuts, bake in a shallow pan in a 350°F oven for 5-10 minutes, or cook in a skillet over low heat until lightly browned, stirring occasionally.
APRIL 2015
more blueberry recipes
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Berry Berry Lemonade
Blueberry Chicken Salad
Makes 8 1-cup servings
Makes 4 servings
7 individual tea bags
4 cups cold water
2 cups fresh blueberries
3 cups boiling water
¾ cup thawed raspberry lemonade concentrate
2 cups cooked chicken breast, cubed
1 medium lemon, sliced
¾ cup chopped celery
½ cup fresh or frozen blueberries
ice cubes
½ cup sugar
½ cup diced sweet red pepper ½ cup thinly sliced green onions
Place tea bags in a 4-cup glass measuring cup. Add boiling water; steep 3-5 minutes, according to taste. Discard tea bags. Cool tea slightly. Place blueberries in a small food processor; process until puréed. In a large pitcher, combine tea and sugar, stirring to dissolve sugar. Stir in cold water, lemonade concentrate, lemon slices and blueberries. You can strain the tea or leave in the tasty bits of blueberry. Refrigerate until chilled. Serve over ice.
Fruit & Granola Crisp with Yogurt Makes 4 servings
¾ cup lemon yogurt (6 ounces) 3 tbsp mayonnaise ½ tsp salt Bibb lettuce leaves (optional)
Set aside a few blueberries for topping salad. In a large bowl, combine chicken, celery, red pepper, green onions and remaining blueberries. In a small bowl, mix yogurt, mayonnaise and salt. Add to chicken mixture; gently toss to coat. Refrigerate until serving. If desired, serve over lettuce. Top with reserved blueberries.
Divide the peaches and blueberries among four 8-oz ramekins. Top each with caramel and granola. Microwave, uncovered, on high for 1-2 minutes or until bubbly. Top each with a scoop of frozen yogurt.
3 cups fresh or frozen sliced peaches, thawed 1 cup fresh or frozen blueberries, thawed 4 tbsp hot caramel ice cream topping 4 tbsp granola without raisins 2 cups low-fat frozen yogurt
News, Talk and Sports for the Nature Coast Mike Reeves 6a-9a
Glenn Beck 9a-12n
Rush Limbaugh 12n-3p
Todd Schnitt 3p-6p
JBNewsRadio.com 40
healthylivingmagazines.com | APRIL 2015
Join Us To Celebrate The Blueberry Spring Harvest! Saturday, April 11th, 10 am - 8 pm & Sunday, April 12th, 10 am - 6 pm Downtown Brooksville, Florida / Hernando County
Are you interested in the HEALTH of YOUR CHILDREN? Come learn about the The Healthy Rainbow of Food!
KIEDMSE E T
COM
Wags the Dog!
Friends
Henry the Octopus!
Children 5 & Under
GET IN FREE!
Dorothy the Dinosaur!
For more information visit:
www.floridablueberryfestival.org
Florida has a BlueberryBrightFuture! Growers Association
City of Brooksville
BY
LESLEY JONES 42
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UTISM IS A BIG DEAL. WITH OVER 3 MILLION PEOPLE IN THE UNITED STATES AFFECTED BY THE DISORDER AND AN ALARMING SPIKE IN ITS PREVALENCE, SCIENTISTS ARE SCRAMBLING FOR ANSWERS. AUTISM SPECTRUM DISORDER, OR COMMONLY REFERRED TO AS ASD, IS A GROUP OF COMPLEX BRAIN DEVELOPMENT DISORDERS THAT CAN CAUSE SOCIAL DIFFICULTIES, COMMUNICATION LIMITATIONS AND REPETITIVE BEHAVIORS. ASD CAN ALSO CAUSE OTHER HEALTH THE HUMAN GENOME PROJECT AILMENTS, SUCH AS GASTROINTESTINAL PROBLEMS OR The project is an international effort to unlock the IRREGULAR SLEEP PATTERNS. genetic factors in human disease and other conditions
A
Because the autism spectrum encompasses a wide variety of brain development disorders, one case of autism may be completely different than another. The complexity and variation in the symptoms of each makes treatment a multifaceted process rather than a one-size-fits-all plan. The symptoms can be severe, moderate or almost undetectable. People with autism can have different levels of functionality. Some may develop some verbal skills, and others may not have any. The same also applies to intellectual ability. In fact, there are some cases where people with ASD have exceptional skills in music, math and art. Because each case is different, finding answers that can work for all autism patients can be difficult. However, recent research has provided breakthroughs on understanding the tendencies of the disorder. In addition, scientists are steadily developing new, promising therapy options to help improve the quality of life for those affected by it.
BREAKTHROUGHS IN UNDERSTANDING GENE MUTATIONS AND GENDER Although research has uncovered a number of rare gene mutations associated with the disorder, only a handful of them appear to be sufficient enough to cause autism on their own. Instead, researchers believe the combination of these linked
in order to find ways to pinpoint diagnosis, treatment and prevention. The project was completed in April 2003 and includes three billion base pairs in the human genome. Researchers still have questions as to how some complex disorders, like autism, can be reliably linked or prevented. Source: National Institutes of Health
gene mutations and environmental influences seem to play a role in the development of autism. However, recent research has provided possible insight into why autism varies so much in type and severity. Researchers from Columbia University’s College of Physicians and Surgeons in New York City analyzed hundreds of people with autism and sifted through about 1,000 genes to find out how gene mutations affect autism symptoms. They found that more damaging genetic mutations typically resulted in more severe symptoms. Autism patients who had little or no verbal skills usually had mutations in genes that are more active in the brain. They also discovered that the mutations also play a role in the gender difference in autism. Although autism is more common in males, females with ASD are more likely to have severe symptoms. The mutated genes in females tended to have a bigger role in the brain than the mutations in males. The researchers at Columbia University hope that by uncovering these clues, it will open the door for more
APRIL 2015
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innovative diagnostic and prognostic tools. Perhaps in the future these discoveries will personalize treatment for autism patients.
TIME AND IMPROVEMENT Can time really heal all? Canadian researchers think age could play a role in the improvement of children with autism. Canadian researchers tracked 421 children between the time they were diagnosed, between the ages of 2 and 4, until the age of 6. They gathered information on each child four times throughout the study to see how their symptoms and functioning had changed. They found that more than 10 percent of preschool-age children with autism saw an improvement in their symptoms by age 6, and 20 percent of them did better in everyday functioning. The research team at the Centre for Addiction and Mental Health in Toronto also noted that the earlier children were diagnosed, the more likely they would show improvement in everyday functioning. Researchers were not able to link the improvement of symptoms with the improvement of everyday functioning, however. Children who saw improvement in symptoms didn’t always see improvement in everyday functioning and vice versa. The connection between the two is still unclear, but these findings give hope to the healing power of time.
EARLY DETECTION = EARLY TREATMENT Currently, autism can’t be diagnosed reliably until a child is about 2 years old. However, The American Academy of Pediatrics (AAP) recommends that all children should be screened for developmental delays and disabilities during routine doctor check-ups at:
9 18 24 OR 30 MONTHS MONTHS MONTHS
IN�HOME INTERVENTION BREAKTHROUGHS Past research has indicated that early signs of autism include low social interest and decreased eye contact, according to Autism Speaks, the world’s leading autism science and advocacy organization. Therefore, numerous studies have recently been conducted to search for correcting the earliest symptoms and avoiding the development of autism. In many early intervention programs, therapists are called in to either provide service in the home or in a specialized center. However, scientists are creating paths for a new way of administering early intervention to at-risk children. From the development of effective home-based programs to video-feedback programs, scientists are making life-changing breakthroughs in the realm of autism.
PARENT-LED INTERVENTIONS Parents can significantly improve sensory, communication and social sensory abilities in at-risk 1 year olds, according to a pilot study conducted by the University of North Carolina at Chapel Hill. In the study, parents of at-risk infants participated in a six month home-based intervention program that focused on improving parental responsiveness and child development. The program, called Adaptive Responsive Teaching (ART), is based on a responsive teaching curriculum. Parents participating in the program were taught responsive strategies, such as imitating the child or following the child’s lead. The parents were also routinely coached to use these strategies throughout their daily routines. The specific set of strategies included in ART target “pivotal” behaviors that are known to improve development, such as engagement and social play, according to Autism Speaks. The findings indicate that the children in the ART program made significantly greater progress in receptive language, socialization and sensory hyporesponsiveness as compared to children receiving other early intervention services from their community. A larger study is now in the works, but the initial results are promising.
VIDEO FEEDBACK PROGRAM Technology has its ups in the autism world. For parents with children who are at risk, video technology is being tailored to help reduce the likelihood that their children will develop autism. A recent study conducted by the British Autism
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healthylivingmagazines.com | APRIL 2015
LOCAL RESOURCES Center for Autism and Related Disabilities (352) 273-0581 / CARD.UFL.EDU The Center for Autism and Related Disabilities (CARD), located in Gainesville, provides support and assistance to people with autism in the Marion, Citrus and Hernando County areas. The goal of the center is to unlock the potential of people with autism and related disabilities.
Arc Marion
GENDER: DOES IT MATTER? Autism is four to five times more common among boys than girls.
1 IN 41 BOYS ARE
1 IN 189 GIRLS ARE
DIAGNOSED WITH AUTISM IN DIAGNOSED WITH AUTISM IN THE UNITED STATES. THE UNITED STATES.
Source: cdc.gov
(352) 387-2210 / MCARC.COM Arc Marion, located in Ocala, creates work and leisure opportunities for people with intellectual and developmental disabilities so they can live their life to the fullest.
Outreach Autism Services Network (OASN)
(352) 462-0168 / OUTREACHAUTISMSERVICESNETWORK.ORG
OASN is a non-profit agency located in Ocala offering free autism services such as educational seminars, respite care, social skills classes, referrals, support meetings and events.
Citrus Autism Support Society (CASS) (352) 726-9242 / MBRYANT34450@YAHOO.COM
Study of Infant Siblings (BASIS) found that video-feedback programs could modify the development of autism-related behaviors and symptoms. The randomized trial included 54 infants who were considered to be high risk for autism because they had siblings with the disorder. The study found that using video feedback-based therapy helped parents understand and respond to their child’s communication style during their first year. The results indicate that there was an improvement in the social and communication behaviors in the infants whose parents received guidance with a video-feedback program called “Video Interaction for Promoting Positive Parenting” versus families who were not administered the program. Because the study was relatively small, definite connections between video feedback and the results can’t be made. However, the results are vital to future research on this method of intervention and at-risk infants. “Families participating in ‘baby sibs’ studies such as this continue to provide us with valuable insights into autism’s earliest beginnings and how we can best foster early development to improve outcomes,” says Andy Shih, senior vice president for scientific affairs of Autism Speaks.
CASS, located in Citrus County, is a social group that allows members to connect for support and encouragment. The group provides the lastest information on conferences, webinars, resources and helpful hints.
Community for Autism to Understand, Support & Educate (C.A.U.S.E.) (352) 346-1677 / CAUSE.ASD.GROUP@GMAIL.COM OR FACEBOOK.COM/CAUSEAUTISMGROUP
This group, based in Hernando County, comes together to support families and children with autism to create a greater awareness, understanding and tolerance.
The Inspire Foundation (352) 410-3332 / THEINSPIREFOUNDATIONFL.ORG Located in Hernando County, the Inspire Foundation’s mission is to provide instruments, supplies, teachers and a curriculum for children with special needs, including autism, to ensure that every child has the opportunity to explore their interest in music and the arts.
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AUTISM
There are plenty of downloadable apps that have proven to be effective forms of therapy or skill development for children with autism. Most of these apps are available on Apple platforms; some are even free of charge. For more information and access to a larger database of apps for ASD, visit autismspeaks.org/autism-apps.
Alpha Writer This app is based on the popular Montessori moveable alphabet. Children can learn to read and compose words, practice with phonetics and improve writing skills. AVAILABLE ON APPLE DEVICES / $4.99
AutiPlan Pictoplanner This app helps create more structure in daily routines and activities. It allows you to plan activities using pictograms and text, step up to receive notifications and utilizes text-to-speech to keep the focus on planned activities. AVAILABLE ON ANDROID AND APPLE DEVICES / FREE
Autism Learning Games: Camp Discovery Developed by the Center for Autism and Related Disorders (CARD), Camp Discovery has a variety of games that make learning skills fun for children with autism. AVAILABLE ON APPLE DEVICES / FREE
DEVELOPMENTAL READING FaceUp Children learn to associate objects, their names and pronunciations with this simple card-matching game. Familiar animals and objects give the learner visual stimulation while they learn and rewards correct matches to reinforce learning. AVAILABLE ON APPLE DEVICES / $1.99
Social Skill Builder lite Interactive videos teach everyday social skills, such as social thinking, language and behavior. AVAILABLE ON APPLE DEVICES / $2.99
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ANIMALS LOVE FRIENDSHIP is a book designed to educate children, families and others about autism. Using character descriptions related to animals, Ivonne D. Hernandez describes what it's like to love and raise a child with autism. She also reveals the virtues that, when lived to their fullest, can help people better relate to and understand the world of autism. The pages were beautifully illustrated by her teenage son, Eric J. Ruiz, who was diagnosed with autism at age 3. CHECK OUT ANIMALSLOVEFRIENDSHIP.COM FOR MORE INFORMATION.
ROBO-THERAPY? A research study conducted by the University of Southern California Viterbi integrates 21st-century technology into autism therapy. Researchers observed how children with ASD responded to humanoid robots that used an occupational therapy technique called graded cueing. Graded cueing molds behavior by providing increasingly targeted prompts to help build new skills or regain lost ones. Researchers divided a group of children who had ASD into two groups: an experimental group and a control group. The researchers then used the Nao robot to initiate a game of “copycat” that prompted the child to imitate 25 different arm poses. If the children in both the experimental and control group correctly imitated the pose, the robot responded by flashing its eyes green, nodding or saying “Good Job.” If the children in the control group failed to imitate the pose, the robot would repeat the same command over and over. However, children in the experimental groups were prompted in a variety of ways when they failed to imitate the robot correctly. The children who received varied commands after a failed imitation, the graded cueing feedback, showed improvement or maintained performance when playing the game. However the children who didn’t receive the graded cueing feedback worsened or maintained their performance. The results of the study suggest that the use of varied feedback was not only less frustrating to the participants but was actually more effective than unvaried feedback. What does this mean for the rest of the autism community? In the future, a socially assistive robot could be used to help provide useful feedback to children with autism. Research is pushing to make this a reality.
Sources: cdc.gov, autismspeaks.org, nlm.nih.gov, sciencedaily.com, webmd.com
APPS
BEVERLY HILLS 4089 N Lecanto Hwy 352.746.0057
DADE CITY 12301 US Hwy 301 S 352.521.7000
BROOKSVILLE 11373 Cortez Blvd 352.596.5505
DUNNELLON 11012 N Williams St (Inside Walmart) 352.465.5977
19438 Cortez Blvd 352.799.7047 13078 Cortez Blvd 352.596.8261 31807 Cortez Blvd 352.754.1100 CRYSTAL RIVER 723 NE Hwy 19 352.795.2416 6748 W Gulf to Lake Hwy 352.564.8300 1801 NW Hwy 19 #509 352.795.9792
11150 N Williams St #102 352.489.1120 HOLIDAY 1938 US 19 N 727.945.8272 HOMOSASSA 3756 S Suncoast Blvd 352.628.6822 9481 S Suncoast Blvd 352.621.7829 HUDSON 14106 US Hwy 19 727.819.9233 8925 SR 52 727.868.1075
INVERNESS 97 S Pine Ave 352.344.8996
NEW PORT RICHEY 7231 SR 54 727.375.1570
2639 E Gulf to Lake Hwy 352.637.0800
8745 SR 54 727.372.6255
LAND O’LAKES 2406 Land O’Lakes Blvd 813.949.8483 7852 Land O’Lakes Blvd 813.995.2544 LECANTO 1936 N Lecanto Hwy 352.527.0191
4218 US Hwy 19 727.845.7115 5308 Little Road 727.376.7171 6436 Massachusetts Ave 727.846.9700 8907 Mitchell Blvd 727.375.2726 11332 Ridge Rd 727.842.2771
SPRING HILL 4144 Mariner Blvd Unit No A 104 352.684.9565 5394 Spring Hill Dr 352.686.0992 14308 Spring Hill Dr 352.799.8878 11218 Spring Hill Dr 352.686.0910 TRINITY 9330 SR 54 727.846.0135 WESLEY CHAPEL 27709 SR 56 #102 813.406.4803
LUTZ 22826 SR 54 813.909.2270
PORT RICHEY 8629 US 19 N 727.845.4575
24726 SR 54 813.406.4919
9409 US Hwy 19 727.846.0888
1575 Land O’Lakes Blvd 813.949.3232
10089 US Hwy 19 N 727.863.3229
ZEPHYRHILLS 32801 Eiland Blvd 813.788.3456
10900 SR 54 727.376.1200
5406A Gall Blvd 813.782.1381
3927 Ridge Rd 727.847.4263
6512 Gall Blvd 813.788.9677
5425 Village Market 813.973.4118
eat fresh
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radiation oncology
DAVID P. BUSER , M.D., M.S.
D
r. David Buser graduated with a double major in biology and psychology from Washington University in St. Louis. He then earned a Masters of Science at the University of Illinois, performing neuroscience research, and his medical degree at Southern Illinois School of Medicine. After completing his first residency in obstetrics and gynecology, Dr. Buser practiced as a board-certified OB/GYN before experiencing a forearm injury that prevented him from delivering babies and performing surgery. He chose to pursue a second residency in radiation oncology at Duke University Medical Center and will be joining the Robert Boissoneault Oncology Institute in May. WHY IS RBOI AND OCALA THE RIGHT FIT FOR YOU? I searched far and wide
for an opportunity to join a radiation oncology practice that is physician owned and locally operated. Today, many cancer centers are owned by large corporations. I believe that this type of medicine fosters an impersonal relationship between physicians and patients. In contrast, RBOI is locally owned and focused on providing stateof-the-art cancer care to the residents of Ocala. The physician partners have successfully created a family atmosphere among patients, medical staff and employees. This is the practice that I hope to remain in for the rest of my professional career. Ocala and its neighboring communities represent a unique area of Florida that remains focused on preserving a family-oriented lifestyle, conducive to maintaining the strong personal value system and work ethic I was raised to believe in while growing up in the Midwest.
HOW WILL PATIENTS BENEFIT FROM YOUR ADDITION TO THE PRACTICE? Before becoming a radiation oncologist, I was intimately involved in caring for numerous cancer patients as an OB/GYN. My experience in two very
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distinct fields of medicine enables me to be a very strong patient advocate, reaching out to multiple medical subspecialties to achieve optimal results for my patients. Patient care requires open communication, compassion and collaboration with patients, their families and other physicians. I find that treating patients with cancer is one of the most human experiences a physician can have and one that is filled with sincerity, realism and honesty. Even though the cancer care journey requires difficult decisions, I consider it a privilege to help guide patients and families along this path.
David P. Buser, M.D., M.S. CertiďŹ cation/Associations: Member of American Society for Therapeutic Radiology and Oncology, American Society of Clinical Oncology, American College of Radiation Oncology and American College of Radiology
ROBERT BOISSONEAULT ONCOLOGY INSTITUTE 2020 SE 17th Street, Ocala (352) 732-0277 rboi.com
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skin care
DR. ASHLEY CAUTHEN WHAT CAN PEOPLE DO EARLY TO COMBAT FINE LINES? Hands down, the most
important thing to do is protect your skin with sunscreen. Sunscreen is the most effective “anti-aging” product on the market. Of course, at some point, those pesky fine lines start to appear (the age they start to appear depends on genetics and sun exposure), and typically, the first method we use to combat them is Botox. If you look in the mirror and have wrinkles while your face is in a neutral position, you would benefit from Botox.
WHAT WOULD YOU RECOMMEND AS FAR AS A SKINCARE ROUTINE FOR NORMAL SKIN? The three ingredients everyone
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should be using, regardless of age, are at least SPF 30 every day, a vitamin C serum and some type of retinoic acid. The one with the most scientific evidence behind it is prescriptionstrength tretinion. My favorite is Retin-A Micro.
FACIAL OILS ARE GAINING POPULARIT Y. ARE THERE ANY YOU RECOMMEND? You’re right! Facial oils are all the rage these days. I remember when my patients would cringe when I mentioned putting an oil on their face. We could do an entire article on this, but a few of my favorites are jojoba oil, rosehip oil, castor oil, hemp seed oil and tamanu oil.
Dr. Ashley Cauthen, Owner Certification/Education: 2008 graduate of Florida State University’s School of Medicine, dermatology residency completed in 2012 at the University of South Florida, Tampa. Board certified. Faculty member at the James A. Haley Veterans’ Hospital in Tampa.
MIDSTATE SKIN INSTITUTE 1630 SE 18th St. #400, Ocala (352) 512-0092 midstateskin.com
implant & cosmetic dentistry
DR. DANIEL WELDON WHAT ARE DENTAL IMPLANTS? A dental implant is a titanium replacement for the root of a tooth. Implants are the most natural way of replacing missing teeth and the best way to stabilize loose dentures. HOW CAN THEY BE USED TO REPLACE TEETH? Implants can be used to replace
a single tooth, multiple teeth, anchor down dentures or even replace existing teeth that are no longer functional. One of the best advantages of implants is they allow us to replace teeth without damaging adjacent teeth. Removable partial dentures can be replaced with implant-supported crowns that stay in the mouth once they are placed and function like real teeth.
HOW EXACTLY DO DENTAL IMPLANTS HELP WITH DENTURES? Implants can
be attached to an existing denture to securely anchor it into place or a new denture can be made to fit the implants if the current denture needs to be replaced. They can also be used to create a hybrid denture that does not come out and doesn’t cover the roof of the mouth. Dental implants can be used with an upper or lower denture and even with partial dentures. Implants have revolutionized denture wearers’ ability to chew and talk without worrying about their dentures moving around.
Dr. Daniel Weldon Certification/Education: Doctor of Dental Medicine from University of Florida; member of Florida Dental Association, American Dental Association, American Academy of Dental Sleep Medicine; president of the Marion County Dental Association; Fellow in the International Congress of Oral Impantologists
WELDON GENERAL & COSMETIC DENTISTRY 812 NE 25th Ave., Ocala (352) 622-3236 weldondentistry.com
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nursing education
KNOW
KATHRYN WHITSON , MSN, RN, NURSING FACULT Y TELL US A LITTLE ABOUT THE RASMUSSEN COLLEGE SCHOOL OF NURSING. Our
nursing courses are taught by an experienced faculty of nurses. Students have access to simulation experiences in nursing labs and real-world experience in a variety of clinical settings.
I NEED FLEXIBLE EDUCATION OPTIONS. IS RASMUSSEN COLLEGE FOR ME? With
no waiting list for qualified applicants, students can start sooner in a program where they will gain job-ready skills they can apply to their career right away. Four starting periods per year also allow students more opportunity for enrollment and year-round course work.
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JANICE SMITH
&
is regionally accredited by the Higher Learning Commission and a member of the North Central Association of Colleges and Schools. In addition, the Rasmussen College Associate Degree in Nursing program in Ocala is accredited by the Accreditation Commission for Education in Nursing (ACEN). The College’s Registered Nurse to Bachelor of Science (RN to BSN) degree program is also accredited by the Commission on Collegiate Nursing Education. Accreditation signifies our programs meet the highest standards for quality and integrity in nursing education and prepares professionals to improve health care in the United States.
JANICE: Families Come First has no admission or contract cancellation fees. Tailored care is a total focus with us, so we are delighted to offer free consultations. DEBI: It’s all about the love shown to clients and our community. Not many for-profit agencies sponsor a senior citizen’s singing group to entertain nursing and assisted living facilities.
WHAT ELSE SHOULD WE KNOW ABOUT FAMILIES COME FIRST?
healthylivingmagazines.com | APRIL 2015
Certification/Education: Bachelor of Science in nursing and Master of Science in nursing education from Florida State University; board member of Florida Board of Nursing; member of National League for Nursing, Florida Organization of Nurse Executives, Florida Nurses Association; past board member for Florida Center for Nursing
RASMUSSEN COLLEGE SCHOOL OF NURSING 2100 SW 22nd Place, Ocala (352) 291-8597 rasmussen.edu
DEBI SHIELDS approximately 80 caregivers and office staff in place.
HOW LONG HAVE YOU BEEN IN BUSINESS?
Kathryn Whitson, MSN, RN, Nursing Faculty
home care
WHAT MAKES FAMILIES COME FIRST DIFFERENT FROM OTHER HOME CARE AGENCIES?
JANICE: We are in our fifth year of business with a change in ownership 18 months ago. Families Come First has
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IS RASMUSSEN COLLEGE AN ACCREDITED INSTITUTION? Yes. Rasmussen College
JANICE: We provide extra help for clients who want to remain at home, including personal hygiene, medication reminders, light housekeeping, respite care, grocery shopping and companionship. DEBI: When you combine our services with caring and compassion, the client’s independence is preserved and quality of life is obtained. Wherever our clients call home is where Families Come First promotes comfort and well-being.
Janice Smith, General Manager Debi Shields, Marketing Manager Certification: A Bonded Nurse Registry licensed through the Agency for Healthcare Administration (AHCA); caregivers are bonded and certified with Level II AHCA. Lic # NR30211474.
FAMILIES COME FIRST, LLC 220 S Pine Ave., Inverness (352) 419-6508 familiescomefirst.net
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stem cell therapy for lung disease
DR. BURTON
FEINERMAN
, MD
S
tem cells may seem like they just recently appeared on the world stage, but they have been used in medical procedures for their regenerative properties for over 45 years. In 1968, when the first bone marrow transplant was performed, physicians most likely didn’t know that they’d usher in a new field of medicine. Dr. Burton Feinerman, Medical Director of the Lung Institute, is a pioneer of the stem cell world. He has been researching this treatment option and developing protocols for years. To advance his goal of improving the public’s understanding of stem cell therapy, he offered us some insight into this growing field of medicine. HOW DID YOU GET STARTED IN THE FIELD OF REGENERATIVE MEDICINE? About 10
years ago I first became interested in stem cells. While continuing my medical practice, I also began conducting hours upon hours of stem cell research and testing. Because intravenously delivered stem cells reach the lungs first, I noticed that treatments were particularly effective for patients with lung disease. I recognized a huge need for a company like the Lung Institute that could use stem cells to treat lung diseases like COPD, emphysema and pulmonary fibrosis.
WHAT MAKES STEM CELLS A BENEFICIAL OPTION FOR TREATMENT OF LUNG DISEASE? Stem cells offer an alternative
to current treatment options that often provide little to no results. For too long, patients have been limited to highly invasive procedures like lung transplants or lung reductions. Stem cell therapy provides them with a chance to feel better, stronger and healthier.
WHERE DO THE STEM CELLS COME FROM? Everyone has stem cells in their body. We treat patients with autologous stem cells, which means they are from the patient’s own bone marrow, fat tissue or blood. Using the patient’s stem cells effectively eliminates the risk of rejection.
WHAT MAKES STEM CELL THERAPY DIFFERENT FROM OTHER TREATMENTS? Stem
cells are natural healers. Instead of treating symptoms, stem cells target the disease; they can repair damaged tissue. The Lung Institute provides patients with an innovative treatment option. It’s a whole new ball game, and it gives people realistic hope to challenge the incurable.
Dr. Burton Feinerman, M.D. Certification/Education: Dr. Burton Feinerman, M.D., Medical Director of the Lung Institute, specializes in the field of regenerative medicine. His 60 years of experience started with his education at New York Medical College and an internship at the prestigious Mayo Clinic. Today, he treats those suffering from lung disease that seek an alternative option to help them breathe easier.
WHAT IS THE DIFFERENCE BET WEEN STEM CELL TREATMENT CENTERS? I
can’t speak to other providers, but over 600 patients have turned to the Lung Institute. We specialize in treating pulmonary conditions and are constantly developing new protocols. I believe that stem cell therapy is the future of medicine and gives patients a better chance for a normal lifestyle.
LUNG INSTITUTE 201 E Kennedy Blvd., Suite 425, Tampa (855) 978-5708 lunginstitute.com
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chiropractic care
DR. TIMOTHY T. TERLEP
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erlep Chiropractic uses the latest technology in spinal care to accurately assess and treat patients. Dr. Terlep believes chiropractic care should be used first when it comes to spinal problems. With multiple specialists on-site and 24/7 emergency care, Terlep Chiropractic is able to treat almost all types of spinal issues. HOW DOES SPINAL HEALTH RELATE TO OVERALL HEALTH? The spine itself is
present to protect the spinal cord and nerves that leave the cord to go out and control the body. Proper movement of all the spinal joints functions like priming or feeding a well or battery—if the movement is normal, nerve function can be normal. If the movement of spinal joints is abnormal, nerve function is altered and can then alter the function of the nervous system as a whole.
WHAT’S THE LATEST TECHNOLOGY USED IN CHIROPRACTIC CARE? The latest
assessment and treatment tool for healthy movement of the spine and its joint is Ultralign Instrumentation. Computer-guided technology assesses spinal motion and then incorporates digitized instrumentation to gently alter local spinal joint function. The advances in care and treatment of spinal disorders have dramatically improved outcomes for our patients when utilizing computer technologies.
WHY SHOULD I CONSIDER CHIROPRACTIC TREATMENT? Chiropractic care should
be sought as the first line and most conservative approach to the care and treatment of spinal dysfunctions. The efficacy of chiropractic care is well documented in literature, and we can always move up the ladder of more aggressive forms of care, but once more interventional types of care are
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used, it’s a bit more difficult to go down that same ladder.
HOW DOES YOUR PRACTICE DIFFER FROM OTHER CHIROPRACTIC OFFICES? Our
office incorporates the latest digital technologies to assess and treat spinal disorders and enhance the comfort of our patients. We also offer other types of care, such as nonoperative solutions to joint problems of the spine as well as the extremities. Our office also incorporates on-site orthopedic specialists, physical therapists, athletic trainers, massage therapists and others to provide comprehensive rehab care for most disorders of the musculoskeletal system, so we can readily incorporate a multi-specialty approach to an issue easily and quickly under one roof. For emergencies, same-day appointments are always available.
Dr. Timothy T. Terlep, Doctor of Chiropractic Certification/Associations: Doctoral degree from Palmer College of Chiropractic, postdoctoral studies in functional neurology, member for the Florida Chiropractic Association and American Chiropractic Association, member of the Hernando Chamber of Commerce
TERLEP CHIROPRACTIC 8466 Northcliffe Blvd., Springhill (352) 666-2222 drterlep.com
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nursing home & rehabilitation care
SHERI LEWIS , RN AMY DERBY , NHA
L
ocated in Lecanto, Life Care Center of Citrus County offers rehabilitation and skilled nursing services that keep patients and residents at their maximum levels of independence. With inpatient and outpatient options available, patients and residents are given the best care possible in a homelike atmosphere. Executive Director Amy Derby and Director of Nursing Sheri Lewis tell us why Life Care is one of the best nursing homes in the area. WHAT INSPIRES YOU TO PROVIDE QUALIT Y PATIENT CARE? SHERI: People are my passion, and I believe great patient care starts with putting patients first. When people become a part of the clinical team, we can expect better outcomes as well as greater patient satisfaction. AMY: I believe that dignity, respect and compassion are all integral parts of a patient care plan. Putting a smile on our residents’ faces inspires me beyond belief.
WHAT EXPERIENCE DO YOU BRING TO THE LECANTO COMMUNIT Y? SHERI: Having been an RN for more than 14 years in skilled nursing and rehabilitation, I’ve learned so much from our patients and residents. I strive to give them the very best service and care they deserve. AMY: My experience with Life Care started in my teens as a volunteer, and as an adult, I wanted to continue upholding the same compassionate care and dedication to service that I had always witnessed from the day I set foot in the care center.
WHY CHOOSE LIFE CARE FOR SKILLED NURSING?
care, we provide a number of personalized programs tailored to each patient’s unique recovery and healing goals. We offer a restorative nursing program, pain management, wound care and a host of specialized rehabilitation services designed to improve quality of life. I am proud to be a part of a team-oriented environment that puts the focus where it should be—on helping people and each other. AMY: We want to ensure that our patients have the most comfortable experience during the recovery process. They can enjoy a number of deluxe amenities, including transportation services, private suites and bathrooms, courtyards, flat-screen TVs with cable, Wi-Fi and fine dining. From outings and trips to events and celebrations—we do everything to keep our residents and patients feeling cared for.
SHERI: In addition to certified nursing
Sheri Lewis, RN, Director of Nursing Certification/Associations: LPN degree from The Health Institute of Louisville; ASN degree from Spencerian College; 14 years experience in long-term care
Amy Derby, NHA, Executive Director Certification/Associations: Licensed Nursing Home Administrator; 15 plus years experience in long-term care; member of Altrusa International
LIFE CARE CENTER OF CITRUS COUNTY Joint Commission accredited 3325 W Jerwayne Lane, Lecanto (352) 746-4434 lifecarecenterofcitruscounty.com
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mold removal
BENJE THOMAS WHAT ARE THE ADVERSE HEALTH EFFECTS FROM MOLD? One of the
challenges of diagnosing a mold allergy is that reactions are so varied from one person to another. Some people start having memory problems, while others may experience sudden changes in disposition, such as agitation, anger, panic or depression. Headaches are common but don’t affect everyone exposed to mold. Common symptoms include: coughing and wheezing, sinus problems and post-nasal drip, rashes and joint pain. What many people don’t realize is that mold can make you extremely sick or even kill you. According to the EPA, all molds have the potential to cause ill health.
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WHAT SHOULD I DO IF I DISCOVER MOLD IN MY HOME? Mold spores are
very difficult to destroy. The best way to reduce the problem is through smart preventive measures. When a mold breaks down, it disintegrates, and every little particle may contain mycotoxins that have the capability of making you very sick. Seek professional remediation. If you suspect a mold problem, you may want to consider hiring ServiceMaster Restore. Unless proper precautions are taken, undertaking black mold removal on your own can be almost as hazardous as doing nothing at all because spores will be stirred up and sent airborne during the cleaning process.
Benje Thomas, Owner ServiceMaster Restore is a certified mold remediator. All technicians are certified by the Institute of Inspection, Cleaning and Restoration Certification.
SERVICEMASTER RESTORE 275 NE US Hwy 19, Crystal River Marion: (352) 401-1966 Citrus: (352) 794-0270 Hernando: (352) 684-0131
dentistry
JULIO SANCHEZ DDS, FICOI ARE IMPLANTS RIGHT FOR ME? If you want a single tooth to replace a gap or a better fitting denture, implants are an option for almost everyone. Our team would simply need to make sure you have enough bone for the procedure. Unfortunately, just looking in your mouth is usually not enough to determine if implants will work for you. X-rays and/or CT scans are sometimes needed to make a final determination. DO I NEED NEW DENTURES? I recommend new dentures at least every 10 to 15 years. Not always do you have to wait until you have a problem to fix it. Relines are a great alternative.
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It allows your dentures to fit better but does not always keep it from moving.
WHY DO I NEED A CROWN? A tooth has five sides. When you are missing three or more sides, you may need to protect what is left with a crown to protect it while eating. A filling on a tooth may not give you enough strength when eating, and your tooth could break more, which could mean more treatment. It is important for every patient to ask questions. Only by knowing your options can you make the best decision for your dental health.
Julio Sanchez DDS, FICOI Certification/Education: Graduated from Marquette University as a Doctor of Dental Surgery in 1997; fellow in the International Congress of Oral Implantologists (ICOI) since 2011; current member of the Academy of General Dentistry; completed multiple mini residencies in orthodontics and pediatric dentistry; current participant in the master track program at the University of Florida School of Dentistry
DENTAL TEAM OF OCALA, WEST 8750 SW Hwy 200, Ocala (352) 840-7077
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WOMAN © BIKERIDERLONDON/SHUTTERSTOCK.COM
NUTRITION | FITNESS | BEAUT Y
nailed it! The trendsetters of spring have spoken, and word is out—glitter is back! So if you can find a subtle color that shimmers, your nails won’t go out of style anytime soon. Here are a few colors fashionistas swear will keep heads turning. Pale blues: Icy blue is the “it” color of the season. It’s both cool and edgy.
Source: cnn.com
Yellows: Get ready to rock it, whether you choose to go bright or with a pastel. Pretty pinks: Pair a perfectly pink mani with distressed denim for a cute combo. Whites: Wear it alone or as a creamy backdrop with your favorite nail art.
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get started
meal plan makeover W ith a little planning, you won’t be saying “what’s for dinner?” anymore.
Meal planning. Just hearing those two words might make you cringe. It sounds overwhelming, tedious and time consuming—especially with the busy lives most of us lead. But, planning your meals is actually healthier and saves time and money. And, it turns out it’s not as difficult as it seems. With a little well, planning, you can do it, too.
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Perhaps the hardest part of meal planning is just getting started. But keep reminding yourself that setting aside a little time to plan will save you valuable time in the end. Whether you’re planning for an entire month or just a week at a time, the first step is to get organized. So, grab your laptop, tablet or paper and pen, and put on your thinking cap. The Resourceful Gals blog suggests doing a few things before hitting the supermarket. First, make a list of all the meal favorites in your household and make sure to have options for breakfast, lunch and dinner. Next, make a grocery list of the ingredients you need for each meal. Dig through your pantry, freezer and refrigerator to see what you already have and make an inventory list. This is the tedious part, but you only have to do it once.
there’s an app for that
YOU CAN USE YOUR TRUSTY PEN AND PAD IF YOU PREFER, OR YOU CAN USE AN APP—AND IT’LL DO A LOT OF THE WORK FOR YOU. PEPPERPLATE IS A FREE APP THAT SYNCS ON ALL YOUR DEVICES. DOWNLOAD THE APP, CREATE AN ACCOUNT AND SIGN IN. THE APP ALLOWS YOU TO IMPORT RECIPES OF YOUR OWN OR BY URL. IT ORGANIZES YOUR RECIPES, CREATES SHOPPING LISTS AND LETS YOU ADD MEALS TO A CALENDAR. BESIDES HAVING A GREAT MEAL-PLANNING FUNCTION
COMPLETE WITH HEALTHY RECIPE SUGGESTIONS, THE COOK SMARTS APP EVEN HAS RESOURCES TO HELP YOU BECOME A BETTER COOK. YOU CAN ACCESS TUTORIALS, INSTRUCTIONS AND VIDEOS, ALONG WITH A DOWNLOADABLE AND PRINTABLE GROCERY LIST. AS AMAZING AS THIS APP IS, YOU DO HAVE TO PAY FOR IT. IT COSTS $6 TO $8 PER MONTH DEPENDING ON WHETHER YOU PAY YEARLY OR MONTHLY. BUT, ACCORDING TO LIFEHACKER. COM, MANY USERS SAY IT’S WELL WORTH THE COST.
LABEL © CUTE LITTLE THINGS ; WOMAN © DIEGO CERVO; DOOR © TOOCANIMAGES; CROCKPOT © KELLYNELSON ;LEFTOVERS © ZOEYTOJA ; PEN © NADIN3D ; PHONE © SERGEY FURTAEV; BAG © COPRID / SHUTTERSTOCK.COM;
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Sources: resourcefulgals.blogspot.com, thenaptownorganizer.com, simplebites.net, workingathomeschool.com, lifehacker.com, happymoneysaver.com Recipe and photo courtesy of happymoneysaver.com.
HE ALT H Y
COOKING AHEAD SO, WHETHER YOU USE AN APP OR NOT, YOU SHOULD HAVE AN INVENTORY AND GROCERY LIST BEFORE YOU SHOP. YOU JUST NEED TO DECIDE HOW FAR IN ADVANCE YOU WANT TO PLAN. JUST GRAB A CALENDAR AND ASSIGN MEALS TO EACH DAY FOR AS FAR AHEAD AS YOU’D LIKE.
no time to prep? no problem.
Need to avoid a whole day of cooking? Try tripling the recipe you cook for dinner each night. The Working At Homeschool blog says this was the easiest way to build up freezer stock. After cooking three times the amount of each meal for a week, you’ll already have a few weeks worth of meals in the freezer. Keep track of how many servings you should get from each meal and use your leftovers for lunches or re-freeze for future dinners—like a leftovers night once a week. Finally, don’t be afraid to mix it up a bit—prep when you have time, use the crockpot when you have no time and keep track of it all on your tablet or phone. The main trick to saving time and energy is planning it all out. You can get more meal ideas from the Healthy Living Magazine Pinterest board, Healthy Recipes. But, for now, we want to share this recipe from Karrie at the Happy Money Saver blog to help you get started:
NOT SURE WHICH MEALS TO PICK? THE SIMPLE BITES BLOG SAYS PLANNING EACH MEAL AROUND A THEME HELPS. THE BLOG SUGGESTS PLANNING A KID’S MEAL OPTION AND EVERYONE’S FAVORITE, BREAKFAST FOR DINNER. IT ALSO RECOMMENDS PLANNING SOMETHING QUICK AND EASY AS A BACKUP FOR BUSY DAYS. DON’T FORGET TO INCLUDE PLENTY OF EASY-TO-MAKE CROCKPOT MEALS, TOO. FOR SOME, SHOPPING AND COOKING AHEAD FOR A WEEK OR A MONTH WORKS WONDERFULLY. USE A FREE DAY, OR MAYBE A WEEKEND, TO SHOP, PREP AND COOK MEALS, AND THROW THEM IN THE FREEZER. BUT, FOR OTHERS, JUST KNOWING WHAT’S FOR DINNER IS ENOUGH.
HONEY LIME CHICKEN RECIPE Prep time: 10 mins Cook time: 25 mins Total time: 35 mins 4
chicken breasts, cut into strips
¼
cup honey
3
½
tsp garlic salt
tbsp lime juice
2
1
tbsp oil
tbsp soy sauce
2
1
20-oz can pineapple tidbits, keep the juice
tsp corn starch
Cut the chicken into strips or bite-sized pieces, and sprinkle with garlic salt. Heat oil in a skillet over med-high heat, and add chicken. Cook chicken until golden brown. Drain the pineapple, keeping the juices. Add 1⁄4 cup of the pineapple juice to the skillet. Cover, and simmer 6-8 minutes. Remove the chicken from the pan. Add honey, lime juice, soy sauce, cornstarch and remainder of pineapple juice to the pan. Bring to a boil, stirring constantly. Cook, and stir until thick and clear, about one minute. Add chicken and pineapple tidbits last, and heat through. Serve over hot rice; garnish with lime wedges or chow mein noodles.
, let cipe o a e r s t . i d it e th eez nd ad er bag r f To ol, a freez e. it co n size freez d lo gal abel an L APRIL 2015
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spring style
W
ith a change of season comes a change of fashion, so this spring, we’re talking accessories. Here are the newest products from a few of our favorite brands plus some tips on using them to give your darker winter wardrobe that joyful spring feeling.
jolly jewels Spring runways featured plenty of interesting twists on jewelry design. Asymmetrical earrings were all the rage, whether they were different lengths, sizes or colors. Choker necklaces are back from the ’90s, but this time, ditch the beads and stretch materials for silver and gold. A strong metallic choker will bring spring sass to any outfit. Necklaces and bracelets played with stone size using massive minerals to adorn the models, bringing a definitely earthy but modern feel to the season. Designer Rose Gonzales is gaining popularity among celebs with her boho chic style. Her hand-crafted bracelets (prices vary) are perfect if you’re going for that earthy rocker vibe (plus a little bit of sparkle). Color combos range from bold blacks and grays to bright or subdued hues. The beautiful colors will easily mix and match with all your spring favorites. You can find whatever you need at rosegonzales.com.
all about the obi
OBI© AMAZON.COM;
HE ALT H Y
You may not know what an obi belt is off the top of your head, but we promise you’ve seen them. Leather wraparound belts at the waist are perfect for the military and denim shirtdresses popular this spring. You can cinch them in for that perfect hourglass silhouette and tie them any way you please.
yes to comfort!
Praise be, comfortable shoes are back in style! Cool sneakers, ballet flats in fun prints and slide sandals (think Birkenstocks) are all back on the list. If you’re going for the babe-in-Birkenstocks aesthetic, be sure to style them up with a well-fitted top and plenty of accessories. Maybe a bold lip? Yeah, that can’t hurt.
THE HAPPIEST HANDBAGS
Sorial is all about classic neutrals and funky patterns in quality leather, just like the Nude Leather Crossbody ($268)
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and Python Embossed Leather Satchel with nude accents ($378), both available at shopsorial.com.
healthylivingmagazines.com healthyliving magazines.com | APRIL MARCH2015 2015
Ora Delphine’s
Harlowe Satchel ($365)
and Arden Satchel ($375) both come in an array of beautiful colors that will complete any look this season. See them for yourself at oradelphine.com.
And should you need to keep your beautiful new bag in better order, PurseN has all the organizers, cases and pouches you could ever need, like the Diva Make-Up Case ($102)
and Tiara Vacationer Jewelry Case ($54), both available at pursen.net.
Sources: harpersbazaar.com, style.com, pantone.com
WHEN YOU BOIL IT DOWN, SPRING FASHION IS ALL ABOUT ONE THING: COLOR AND FUN PATTERNS. THIS SEASON’S HAUTE COLOR COMBOS ARE ALL ABOUT COOL, SOFT SHADES ACCENTED WITH SPRING BRIGHTS AND BOLD HUES. WHAT BETTER WAY TO INCORPORATE SOME COLOR THAN A HANDBAG?
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For 25 years, we have been committed to creating an environment where our residents feel secure, cared for and loved. We would be honored to care for your loved ones in their time of need. Services Offered: In-House Psychiatrist Podiatrist Ophthalmologist Dermatologist Nurse Practitioner Organized Social Activities Church Services Daily Living Assistance
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HE ALT H Y
balance
© BLEND IMAGES / SHUTTERSTOCK.COM
MIND | SPIRIT | FINANCE
knock, knock!
Sources: huffingtonpost.com, mayoclinic.org
APRIL: a bleak month of 30 grim days and overdue taxes. Wrong! April is much more than a five-letter word, it’s also National Humor Month, so we expect you to be giggling, laughing, guffawing and tittering every day for the next few weeks! It seems even doctors are in agreement with this one. A recent study from the Mayo Clinic states laughter is the best medicine for stress relief—and that’s no joke!
APRIL 2015
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HE ALT H Y
balance
I
f you’re like most Americans, you’re probably paying too much for insurance. In fact, according to a study conducted by NerdWallet, most families overpay an average of $368 a year. Ready for a change? Here’s a handy list on how to save money on insurance—both homeowner’s and auto.
start saving
protecting your home
BUNDLE AND SAVE. When one
IS IT NEW? The newer the house you live in, the cheaper the insurance is going to be. Make sure to have the date your home was built while shopping for insurance.
SHOP AROUND. Not all agencies
UPGRADE YOUR HOME. Upgrading your home can bring in tremendous discounts on your homeowner’s policy. Check with your insurance agency to find out about discounts they offer for upgrades. Discounts may be offered for a new airconditioning unit, hot water heater, windproof roofing, shatterproof windows, security systems, deadbolt locks and fire alarms.
BEFORE WE DISCUSS THE DIFFERENT TYPES OF INSURANCE, CONSIDER THESE TIPS FIRST.
company handles both homeowner and automobile policies, there is usually a discount offered for bundling. Ask your agency before you start shopping around. are the same. Each one charges a different price for basically the same policy, so, before jumping into a plan, shop around and see who offers the most for the least amount of money. If you’ve been with the same insurance company for a long time, however, ask about a loyalty discount before jumping ship.
RAISE YOUR DEDUCTIBLE.
The higher the deductible, the lower the premium. Just be sure you can cover your deductible at any time in case of emergency.
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healthylivingmagazines.com | APRIL 2015
HOMEOWNER’S INSURANCE IS A MUST-HAVE WHEN YOU OWN YOUR OWN HOME, BUT PREMIUMS CAN BE HEFTY DEPENDING ON WHAT’S COVERED UNDER YOUR POLICY. HERE ARE SOME TIPS FOR SAVING A LITTLE DOUGH.
CHOP OUT THE UNNECESSARY. A lot of homeowner’s policies cover unnecessary or outdated items,
such as a boat even after you’ve sold the boat. Review what’s covered under your policy and cut out what you no longer have (and be sure to update your policy when circumstances change). SEEK OUT DISCOUNTS. Check with your agency to see what discounts they offer, such as being over the age of 55, being retired or going paperless. THE LAND DOESN’T COUNT. Don’t include the value of the land when deciding how much insurance you need. It’s not insured, and even in the case of a fire, the land isn’t going anywhere.
protecting your car
Sources: immartin.com, allstate.com, esurance.com, usnews.com, dallasnews.com, alliedinsurance.com, homes.yahoo.com, usa.gov, autohomeboat.com, iii.org, kbb.com, wikihow.com, quickanddirtytips.com
AUTO INSURANCE IS NEEDED IF YOU OWN A CAR, BUT AS WITH HOMEOWNER’S INSURANCE, PREMIUMS CAN SKYROCKET IF YOU’RE NOT AWARE OF WHAT YOU’RE PAYING FOR. FORTUNATELY, THERE ARE PLENTY OF WAYS TO LOWER THE COST.
Get your discounts. Ask your insurance company about discounts they offer. Here’s a list of what some of those might be: 1823
LOW MILEAGE DISCOUNT CLEAN DRIVING RECORD DISCOUNT
720
GOOD CREDIT SCORE DISCOUNT HIGH GPA DISCOUNT FOR STUDENTS
DISCOUNT FOR CERTAIN OCCUPATIONS, SUCH AS BEING A FIREFIGHTER OR DOCTOR
MARRIAGE/AGE DISCOUNT
MILITARY DISCOUNT
MULTIPLE CAR DISCOUNT
DISCOUNT FOR CAR ALARMS AND OTHER SAFETY FEATURES
DISCOUNT DEPENDING ON YOUR ZIP CODE (DETERMINES WHETHER YOU LIVE IN A HIGH CRIME AREA) AND WHERE YOUR CAR IS KEPT WHEN NOT IN USE (GARAGE VERSUS PARKED ON THE STREET)
ADD IN SAFET Y. The more safety features on the insured car, the cheaper the insurance is going to be. If your car has anti-lock brakes and power steering, mention them to your insurance agency. CONSIDER TELEMATICS. Some companies offer a GPS and/or sensor that can be installed in your car so they can monitor how, where and how much the car is being driven. Depending on the outcome, your costs may lower.
what is renter’s insurance?
JUST BECAUSE YOU DON’T OWN YOUR HOME DOESN’T MEAN YOU DON’T NEED INSURANCE. RENTER’S INSURANCE IS SOMETHING YOU NEED IF YOU RENT PROPERTY, AND HERE’S WHY: PERSONAL PROPERTY COVERAGE Everything you own is covered under theft, loss or destruction due to fire, storm or other perils.
LIABILITY COVERAGE If someone gets hurt inside your home and decides to sue you, liability coverage protects you.
TEMPORARY LIVING EXPENSES This covers a place for you to live temporarily while your home is rebuilt due to damage from flooding, fire or other disasters.
LANDLORD’S PROPERTY It extends past just your property and also covers the property you’re renting as well.
MEDICAL PAYMENTS If a guest or visitor is injured on your property, renter’s insurance covers some of the medical payments.
PROPERTY DAMAGE TO OTHERS Coverage follows you wherever you go, so if you accidentally damage someone’s property, it can help replace it.
INSURANCE RIDERS Renter’s insurance can cover expensive items like jewelry, antiques and more.
APRIL 2015
| healthylivingmagazines.com
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