Panache Vue' Tampa Bay Magazine June 2014

Tampa Bay June 2014

HAVE YOUR

“BITE”

CHECKED OUT WATER FITNESS BENEFITS NEVER IGNORE

Suspicious Skin Lesions

DR. PAUL DURYEA Putting Others Before Me

THE MAGIC OF BLOOD

ADOPT “THE DUDE”

PINPOINT WRINKLES With Collagen Induction Therapy

FED UP, BED DOWN

DOES SPENDING MONEY MAKE YOU HEALTHY?

www.PanacheVue.com

PANACHE VUE’

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DO YOU REALLY NEED BACK OR NECK SURGERY?

M

ore than 465,000 spinal fusions were performed in the United States in 2011. It is estimated that patients spent over $200 million on those surgeries. The United States leads the world in spinal fusions and surgeries. In fact, on average, up to 4 times more surgeries than any other nation, BUT DID ALL OF THESE PATIENTS REALLY NEED SURGERY??

As chiropractors in the Tampa Bay area for over 14 years, Dr. Carl Conforti and his team of doctors have been fighting to reduce those numbers and provide safe, surgery free options for patients who truly want to be well and avoid the pain shots and surgeries.

WHAT IS THE DRX9000?

The DRX9000 is a state of the art machine that allows us to perform spinal decompression in the comfort of our offices.

WHAT KIND OF CONDITIONS DO YOU TREAT WITH THE SPINAL DECOMPRESSION? The DRX9000 allows us to treat quite a few conditions. We have both neck and back decompression, so we treat for neck pain, sciatic DRX9000

Dr. Carl Conforti, D.C. Dr. Todd Bodanza, D.C. & Dr. Damien Rogers, D.C.

pain, lower back pain, auto injuries, sports injuries, bulging and herniated discs, and many other injuries.

HOW DO YOU DETERMINE IF SOMEONE IS A CANDIDATE FOR YOUR TREATMENT?

In our candidate assessment, we review MRI’s, x-rays, and we utilize our computerized spinal exam (EMG) to evaluate the problem. After reviewing all of the tests, we discuss medical history and the complexity of the issues.

ONCE YOU DETERMINE THAT SOMEONE IS A CANDIDATE WHAT CAN THEY EXPECT NEXT?

Once we have determined that someone is a candidate for the spinal decompressions treatment, we lay out a treatment plan and start treatment as soon as possible. Many times we can start the patient that same week, and sometimes that same day. With the treatment plan in mind, we start the spinal decompression and therapies to ensure optimal results.

DO THE TREATMENTS HURT?

No, not at all. In fact, many of our patients fall asleep during treatment. Others choose to read books and listen to music. It is actually a very

relaxing treatment.

WHAT IS YOUR SUCCESS RATE WITH THE TREATMENT?

As opposed to traditional surgery, which is about 50% success, our treatment process is successful over 80% of the time. Our careful attention to specific needs and our full in office treatment process allows our patients to be back enjoying their lives pain free and full of life!

COMPLIMENTARY CONSULTATION AND CANDIDATE ASSESSMENT (A $295 VALUE) In this consultation you will receive a consultation, exam, and x-rays (if necessary). Dr. Conforti and his team of doctors will explain their recommendations for your treatment plan and their plan to eliminate your pain, burning, restlessness, and altered nerve function! Call the office nearest you today to schedule your consultation.

Offer expires 07-15-14

THE PATIENT & ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR ANY PAYMENT OR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT WHICH IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE FREE, DISCOUNTED, OR REDUCED FEE, SERVICE, EXAMINATION OR TREATMENT.

WITH 3 TAMPA BAY AREA LOCATIONS TO SERVE YOU: Pinellas Conforti Chiropractic & Wellness 4040 Tampa Rd Oldsmar, FL 34677

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813.749.8331

PANACHE VUE’

Pasco Conforti’s Crossroads 1811 Healthcare Dr Trinity, FL 34655

727.376.9611

Hillsborough Benttree Clinic 10935 N. Dale Mabry Tampa, FL 33618

813.969.2225

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ST.PANACHE PETERSBURG VUE’ 3

JUNE 2014

FEATURES

22

20/DOES SPENDING MONEY MAKE YOU HEALTHY? 22/DR. PAUL DURYEA… Putting Others Before Me

28/WATER FITNESS BENEFITS

20

34

31/HOW DO I SUCCESSFULLY BALANCE WORK, FAMILY, AND EVERYTHING IN BETWEEN? 34/ANCHOR YOUR STYLE 4

PANACHE VUE’

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MODEL | DR. PAUL DURYEA PHOTOGRAPHER| LISA SIBLEY

Get to the Point!

Lecada

Summer Skin Rejuvenation with Collagen Induction Therapy

Take 20% off Your First Treatment

813.874.2332 | lecadatampa.com

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offer valid through June 30, 2014

PANACHE VUE’

5

DEPARTMENTS JUNE 2014

VOLUME 5, ISSUE 6 JUNE 2014 Publisher | Editor In Chief Nina Stanley Executive Art Director Shaun Drees Fashion Editor Dali Hernandez Photographer | Photo Editor Lisa Sibley

18

Media Consultants Tallia Keene Milinda O’Daniel Erica Turchin IT | Social Media Director Jason Longo

36 HEALTH & WELLNESS

02/Do You Really Need Back or Neck Surgery?

11/Have Your “Bite” Checked Out 15/Your Healthy Weight and Why Hormones Matter 17/Is The Summer Here Already?

18/Fed Up, Bed Down 26/Changing Prescribing Habits Is Hard To Do But It Can Save 30/Mammograms Still Warranted Despite Evidence Their Value Is Overrated

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38 32/Never Ignore Suspicious Skin Lesions 33/Giver of Tears 36/Cholesterol, Calcium and Vitamin D

FITNESS

19/Get a Red Hot Summer Sizzling Body at Suncoast Pilates

BEAUTY

08/The Magic of Blood 13/Pinpoint Wrinkles with Collagen Induction Therapy 16/Ask Andrew Ashton

TRAVEL & ADVENTURE

38/Good Times, No Worries on a Group Tour to Italy

Founder | CEO Nina Stanley CONTRIBUTING WRITERS Andrew Ashton Dr. Laurie De Luca Dr. Paul Duryea Valerie Kelley Dr. Cesar Lara Dr. Larry Lieberman Audrey Mabrey Dana Martinez Raye Toscano Patricia Welter Panache Vue’ Magazine PO Box 14033 Clearwater, FL 33766 Telephone: 727- 459-2361 Letters to the Editor: editor@panachevue.com Advertising Inquiries: advertising@panachevue.com www.PanacheVue.com Panache Vue’ Magazine is published by Panache Group. All rights reserved. Copyright 2008-2014.

Reproduction of or use of editorial, pictorial, digital, advertising or design content in any manner is strictly prohibited without written permission of the publisher.

Panache Vue’ Magazine is not responsible for statements made by advertisers and writers.

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BEAUTY

Raye Toscano R.T.(R) L.E.

Raye Toscano R.T.(R) L.E. is the coowner and Executive Spa Director of Red Bamboo Medi Spa. Northwood Plaza, 2516 C McMullen Booth Road, Clearwater, FL 33761 727-726-6100 www.RBMedispa.com

THE MAGIC OF BLOOD

I

t’s in the news everywhere you look!

The Vampire Face Lift, Vampire Breast Lift, the O-Spot Injection, PRP Joint Injections. What is it? How does it work? Will it help me?

We at Red Bamboo Medi Spa are very excited to be able to offer these revolutionary new treatments to our clients, all done with the expertise of Dr. Toscano who you’ve come to trust for Botox, Facial Fillers and SmartLipo.

The key to these exciting new treatments is already within you - Platelet Rich Plasma or PRP. Maybe you remember as a child skinning your knee. You formed a scab made up of your platelets. These clotting cells stopped the bleeding and sent out a call to attract stem cells to the area. Your amazing stem cells were able to form new blood vessels, new collagen and new skin. When the scab fell off, your new skin was shiny, pink and healthy. At Red Bamboo, we can now refresh and renew your face using YOUR OWN plate-

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PANACHE VUE’

lets and stem cells.

We draw a small tube of your own blood, spin it down and separate out the portion of your plasma that is rich in growth factors, stem cells and platelets – the Platelet Rich Plasma. After numbing your face with anesthetic cream, we use a Dermapen to create thousands of tiny micro-channels in your skin. Half of your PRP is massaged directly into the microchannels. The rest is injected directly into fine lines, wrinkles, acne scars, large pores, vertical lip lines, lax skin under the eyes or anywhere that thicker, smoother more youthful skin is desired.

The next day, you can wash your face, apply makeup and resume your normal activities. As the days and weeks pass, you’ll notice that your skin becomes smoother, tighter and more radiant. Your pores shrink, your wrinkles soften and your lax areas tighten. The improvement continues for months.

Remember that PRP is all YOU. No foreign substances are needed to achieve remarkable results.

And it’s not just your face that can benefit from Platelet Rich Plasma. PRP can be used to treat scars anywhere on the body, stretch marks, skin irregularities, vaccination marks, depressions or divots in the skin.

Orthopedists have been using PRP for years to treat bursitis, tendonitis, and arthritis. Tennis elbow, rotator cuff injuries, painful joints, damaged ligaments, even plantar fasciitis all respond very well to injections of PRP. Red Bamboo is now offering PRP injections of joints, ligaments, tendons and soft tissues.

And that’s not all. Ladies who have had breast augmentation know that nipples can lose sensitivity. A simple injection of PRP underneath the nipples can restore fullness and bring back lost sensation. Also, as ladies age, their breasts

tend to separate and drop leaving a flattened area where the cleavage should be.

A combination of dermal filler and PRP injected into the upper central portion of the breasts enhances the cleavage and provides a fuller lifted look in a procedure known as the Vampire Breast Lift.

Finally, the O-Spot Injection with PRP has dramatically improved the sex lives of many women by enhancing sensitivity, sexual response and muscle tone. Up to 25% of women have an orgasmic dysfunction, a persistent delay or absence of orgasm. For the O-Shot Injection, anesthetic cream is applied first so that the injections of PRP are quick and completely painless.

The success rate has been reported as being over 85%. A nice added benefit of this procedure is that many women with mild forms of incontinence find great improvement after the injection.

For PRP to be successful, it is important for your platelets to be in tip top shape.

Anticoagulants, especially aspirin, interfere with platelet function and must be avoided for at least 2 weeks before and after PRP. Dr. Toscano is one of the very few physicians in this area who has received training from and has been certified by Dr. Charles Runels, developer of the Vampire Face Lift, the Vampire Breast Lift and the O-Spot Injection.

Call us today at Red Bamboo Medi Spa for a complimentary consultation with Dr. Toscano to see what PRP can do for you. Also see our ad in this issue for $200 off a PRP Stem Cell Skin Rejuvenation, a Stem Cell Face Lift or an O-Shot.

The Tampa Bay Business Journal has named Red Bamboo Medi Spa one of the very top spas in the Tampa Bay Area two years in a row. There’s no need to travel far for the absolute best in aesthetics. It’s right here in Clearwater. Call Red Bamboo Medi Spa – 727-726-6100.

Dr. Andrew Ordon from THE DOCTORS presents the National Best Aesthetic Practice Award to Dr. and Mrs. Toscano and Red Bamboo.

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• STEM CELL CLEAVAGE ENHANCEMENT

• STEM CELL JOINT OR SOFT TISSUE INJECTION

• STEM CELL O SHOT®

See our article about these innovative procedures that will enhance your life! Call us now to book your appointment!

727.726.6100 | www.RBMediSpa.com Northwood Plaza, 2516 C McMullen Booth Road, Clearwater, FL 33761

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PANACHE VUE’

9

ICE SKATING Learn to Ice Skate • Birthday Parties Learn to Play Hockey Daily Public Skating BUY ONE GET ONE ADMISSION Exp. 07-14-14

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PANACHE VUE’

S K AT E T O B E C O O L .

HEALTH

HAVE YOUR “BITE” CHECKED OUT

A

Dr. Paul R. Duryea, DDS, MS

s Gene Audtry and more recently Aerosmith said I’m “back in the Saddle again!” It is wonderful to be back writing for Panache Vue Magazine. Disseminating accurate information on Orthodontics is really important. We have all heard the fake anecdotes about how Orthodontics is just for the “upper front teeth aka the “social six”. This is as far from the truth as it can get. I continually hear from patients, “I’m not concerned with my bite”, and my answer to that is “until you no longer have one”. One does not realize that without a reasonable bite eating can be very difficult. Depending on the problem we see patients that develop G.I. problems due to the inability to chew their food and get it ready for digestion. At certain times during a consult with certain types of problems I will ask the patient about how long they have had their G.I problem, without any questionnaire portion of their medical history asking about this potential problem. I usually get a look of “How did you know about that, I never told you”. Well it’s simple if we cannot chew our food properly the digestive process will be broken from the beginning.

So Orthodontics can be an integral part of total well being and help maintain good health. Do yourself a favor and have your bite checked out by an Orthodontist. It can lead to a major change in your life.

Let’s Get Something

Straight!

Dr. Paul R. Duryea, DDS, MS Practice Limited to Orthodontics

Schedule Your Complimentary Consultation Today!

We offer Metal • Gold Ceramic & Invisible Braces Preferred Provider for Invisalign

(727)785-8847• www.duryeaortho.com • 2595 Tampa Rd. • Suite l www.PanacheVue.com

• Palm Harbor

PANACHE VUE’

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CULTURE & ARTS

George Inness, Jr. (American, 1853-1926) Fishing Near Tarpon Springs, 1917 Oil on canvas, 16 ¼ x 24 1/8 in.

On loan from the Cici and Hyatt Brown Collection

AN ARTS LEGACY: GEORGE INNESS, JR. IN TARPON SPRINGS

On view May 4 - August 31

T

his exhibition on the legacy of George Inness, Jr. will include paintings from the Unitarian Universalist Church of Tarpon Springs.

Additional works from the private collection of Cici and Hyatt Brown include paintings of the Anclote River, Lake Tarpon, Spring Bayou and the Sponge Docks.

Few of these paintings have ever been exhibited in this area.

A companion show, The Legacy Continues, will present a sampling of works by fine artists who’ve made Tarpon Springs their home, including Kevin Grass, Elizabeth Indianos, Mitch Kolbe, Christopher M. Still and Joseph Weinzettle. Also on view is Historic Tarpon Springs, a collection of prints by Tarpon Springs architect Edward C. Hoffman, Jr.

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Otok Ben-Hvar in front of his Mt. Washington Flag

MYSTÈRES DE L’AQUARELLE: WORKS ON PAPER BY JACK BARRETT June 1 - August 31

Jack Barrett worked for 20 years as a well-known illustrator for the St. Petersburg Times. After retirement, he devoted 19 years to his own art style. His works came from a variety of sources, but were mostly fantasies from his vivid imagination with playful images executed through dynamic gestures and exuberant color. This exhibition of nine watercolors and collages demonstrate the masterful quality and vision of Jack Barrett’s art.

OTOK BEN-HVAR: PATRIOTIC FIRECRACKER ARTIST

June 14 (Flag Day) – August 24

Otok Ben-Hvar is a patriotic performance artist who creates art through the use of firecrackers. Join us for this exhibition of six of Ben-Hvar’s works, including a DNA self-portrait, a firecracker-inspired American flag, a three-dimensional national tree flag and three firecracker performance paintings.

600 Klosterman Road Tarpon Springs, FL 34689 727-712-5762 www.spcollege.edu/museum Spring Hours: Tuesday, Wednesday, Saturday 10 a.m. – 5 p.m.

Thursday 10 a.m. – 8 p.m.

Friday 10 a.m. – 4 p.m.

Sunday 1 – 5 p.m.

Closed Mondays and national holidays Admission: $6 adults $5 seniors Free to children, college students and active military Sunday admission free – suggested donation $5 Parking: free

BEAUTY

PINPOINT WRINKLES with Collagen Induction Therapy BY: VALERIE KELLEY

W

e go through quite a lot to get our skin to regenerate and rejuvenate collagen, from topical products to lasers to surgery and every cream imaginable. But new advancements in an age-old procedure make collagen stimulation easier than ever to achieve.

“Collagen Induction Therapy, or microneedling, is a very old technology that goes back to ancient times,” says Dana Martinez, owner of Lecada Medical Artistry in South Tampa. “What brings it into the 21st century is the fineness of the needles and ability to control the depth of penetration.”

Think of it like acupuncture, but for wrinkles and scars.

Although that may sound a little aggressive, it is actually much more gentle than you may think. This is because, unlike treatments like chemical peels and laser resurfacing, Collagen Induction Therapy does not harm the epidermis, the very top layer of skin.

As the small, handheld wand travels gently over the skin, it creates microscopic, pinpoint punctures into the dermis – the majority of which are simply pushing your pores open temporarily. This is perceived by the body as damage, which stimulates the release of growth factors that trigger the production of collagen and elastin. The human body reacts to any injury by initiating the healing process, but usually it will only heal as far as it must to keep you healthy – which is different to healing to a cosmetic level. By persistently triggering the healing process, you encourage your body to continue healing until the job is finished.

The treatment is not painful. Typically, it is the length of the needle used which determines whether or not a numbing agent is used prior to treatment. The length of the needles also determines the results gained.

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Essentially, the rule of thumb is longer the needle the better the results — although it’s not quite that simple as the depth of the skin in the area to be treated, its current condition, the area, the client’s lifestyle must all be taken into consideration.

“The therapist has complete control, choosing to lightly prick the top of the skin to help treat fine lines and wrinkles, allowing topical products to seep in better, or to go deeper to treat stubborn scars and stretch marks. As the skin heals, these small punctures form new collagen for healthier-looking, smoother skin,” says Martinez.

Vitamin serums, oils and preparations are applied immediately after C.I.T., as the micro-channels the needles have made into the skin allow for greater penetration and absorption of the products. This will significantly aid the success of the treatment. In fact, clinical studies have shown that the skin’s ability to soak up nutrients increases by a whopping 3000% for an hour after treatment.

Micro-needling is safe for all skin types and ethnicities. In addition to the many corrective benefits provided, C.I.T. is a natural and effective anti-aging treatment. When used in conjunction with injectables, such as Botox, it will improve the look of the skin while increasing the time necessary between injections. It works at the root of what is causing the skin to age, making it a long-term, healthpromoting skin treatment. While results vary, the new collagen produced by C.I.T. should last for years.

Further, C.I.T. treatments will help accelerate the results of your existing skincare program. Benefits of the treatment are maximized when combined with chemical peels or microdermabrasion. So, if you have not had success reducing the look of deep acne scars or wrinkles, C.I.T.

may be a good choice for you. Patients report visible signs of skin repair and rejuvenation, within weeks with continued improvement over 3-9 months.

Benefits of Medical Skin Needling: • Stimulates the production of collagen, tightening the skin • Reduces the appearance of crow’s feet and lip lines • Reduces the appearance of forehead lines and frown lines • Reduces the appearance of wrinkles, pigmentation and sun damage • Treats acne scars and chicken pock scars • Reduces the appearance of scarring and stretch marks • Reduces the appearance of enlarged pores • Helps with rosacea by strengthening the skin • Assists in the absorption of cosmetic products • Helps increase the absorption of hair growth products • Helps increase the absorption of cellulite and stretch mark creams • Improves skin tone and texture • Restores UV damaged skin • Results in a healthy, vibrant glow Contact Lecada Medical Artistry for a complimentary consultation to determine a customized treatment plan recommendation. When your skin is healthy, it will look its best and so will you.

The aestheticians at Lecada Medical Artistry can create a specially tailored skincare regimen for you to ensure your skin’s optimal health. Lecada is located at 3710 West Azeele Street in Tampa. Call 813-874-2332 to schedule your appointment.

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e d F a o n r o L i m v e y L S a t t a e d F a s o n r o L o i m v d e y Host a L Stan H to Help Fund Epilepsy Research nd to Help Fund Epilepsy Research All are to Foundation All proceeds proceeds are donated donated to the the Epilepsy Epilepsy Foundation All proceeds are donated to the Epilepsy Foundation

July 2 July 26th 6th

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Choose Choose aa location location and register your and register your Choose a location stand online stand online and register your stand onlinestand Make Make your your stand fun & creative fun & creative Make your stand fun & creative Tell Tell your your friends friends and family and and family and get get Tell your friends the word out the word out and family and get the word while out Have Have fun fun while supporting aa supporting Have fun while great cause great causea supporting great cause

Hosted Hosted by by Hosted by Hop pee

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PANACHE VUE’

•• • •• • •• •

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Epilepsy Epilepsy is is aa chronic chronic disorder that affects disorder that affects Epilepsy isall a chronic people of ages people of all ages disorder that affects people of all ages 360,000 360,000 people people in in Florida live with Florida live with 360,000 people in Epilepsy Epilepsy Florida live with Epilepsy Every Every two two minutes, minutes, another case of another case of Every two minutes, Epilepsy is diagnosed Epilepsy is diagnosed another case of Epilepsy is diagnosed Epilepsy Epilepsy has has no no cure cure and can affect anyone, and can affect anyone, Epilepsy has no cure anywhere at anywhere at anytime anytime and can affect anyone, anywhere at anytime

Don’t Don’t Give Give Up. Up. Give Give Back.

Back.

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HEALTH

César A. Lara, M.D.

YOUR HEALTHY WEIGHT and Why Hormones Matter

W

e live in an obesogenic society, where the daily consumption of our calories are much more than what our bodies need. And our choices of the types of food are heavily tilted towards processed carbohydrates like pasta, chips ,cookies and bread. The large portions we consume are laden with preservatives, pesticides, hormones and antibiotics which are used by large food manufacturers to increase their yields.

It’s no surprise that two thirds of our adult population and one third of our children are obese and overweight. Diabetes is being diagnosed now in younger individuals including children and the complications of the condition are at an all time high with cardiovascular problems, cancer, autoimmune diseases, strokes and dementia.

Excess weight is an inflammatory condition, where the fat cells produce inflammatory cytokenes which cause damage and disease to every organ, including our brain. This inflammatory nature is directly caused by the disruption of the hormonal balance necessary to maintain health.

The main culprit is the hormone Insulin. Through a mechanism called insulin resistance that disrupts our ability to heal and starves the systems of the body from getting the energy they need to function, instead storing it as fat.

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A cascade of other hormones add to the disruption and progression of disease. The most common being thyroid which is responsible for the metabolism and physical and mental energy producing functions of the body.The key laboratory test is the level of Free T3 and depending on its range, your energy and metabolism will be reflected. Low thyroid function causes weight gain; and insulin resistance decreases your body’s ability to make Free T3, which in turn facilitates the non ending loop of making more fat.

Another large culprit is cortisol, which is produced by our adrenal glands in response to physical or mental stress. Unfortunately, in our society we experience stress from the moment we awaken, we don’t generally appreciate the moments but instead are usually racing to achieve more. Elevated cortisol increases insulin resistance, makes us crave carbohydrates, which further increase insulin and hence makes more fat.

SHBG (Sex Hormone Binding globulin) is associated with health and longevity.

People with high levels enjoy healthier and longer lives, and those with low levels are generally sicker with cancers, diabetes, heart disease and live shorter lives. Insulin resistance decreases SHBG levels and when a person who has insulin resistance gets rid of it by releasing their excess weight and arriving at a healthy weight, their SBHG levels go up.

Testosterone and estrogen are equally important in both men and women in our ability to achieve and sustain optimal health.

They both directly decrease insulin resistance and adequate levels are necessary to decrease fat, especially abdominal fat which carries the highest cardiac risk due to its proximity

to the heart. They help improve cardiovascular function and decrease atherosclerosis.

They help build and maintain lean body mass (muscles) and are necessary for the health of our bones, our mental health and our overall sense of wellbeing. Both of these hormones are not only affected by obesity, but their decreasing levels or lack of them, as it occurs naturally during the midlife years, directly causes the body to be off balance and the formation of fat accelerates. This is evident by the battle of the abdominal bulge that is common in both sexes as we reach our fifties.

Indisputably, treating obesity is both complex and a chronic medical problem which means that once you are successful in releasing that excess weight and in reaching your healthy weight ; the potential to regain and accumulate sick fat cells persists. Hence the need to participate in a maintenance program with your Bariatric physician which cultivate that balance is paramount.

The journey may seem enormous but it starts with your ability to visualize the health you want and believe that you will succeed in achieving it. The beauty is that once you start, your energy will improve and the results will be easy to measure and will reinforce your beliefs as you realize the dreams of a healthy weight and optimal health.

César A. Lara, M.D. is Board Certified in Obesity Medicine as well as certified in Advanced Bioidentical Hormone Replacement Therapy by Worldlink Medical, the Academy for Preventative and Innovative Medicine. For more than 25 years, it has been Dr. Lara’s passion to become a positive force in America’s ever-growing obesity crisis…one patient at a time. Dr. Lara’s dream of helping men and women overcome diabetes, hypertension, high cholesterol, and other chronic conditions related to obesity was realized with the emergence of the César A. Lara, MD; Center for Weight Management as a premier weight loss center in Tampa Bay. A graduate of the University of Iowa, Carver College of Medicine, Dr. Lara is known for his strong personal faith and his generous contributions to the Tampa Bay community.

Dr. Lara regularly appears on television as a medical contributor to Brighthouse Network’s Bay News 9 en Español and WTSP-TV Studio 10. He frequently participates in corporate health fairs promoting an active lifestyle and healthy weight loss options. He is the founder of St. Michael’s Free Clinic and Weight Away Tampa Bay, charitable organizations that provide free medical treatment to those who cannot afford it. Call 727.446.3021 or visit www.bestmedicineforweightloss.com

PANACHE VUE’

15

BEAUTY

ASK ANDREW ASHTON LaPosh Salon

Andrew Ashton LaPosh Salon

Dear Andrew Ashton, I been noticing online when looking at photos of Summer trends for makeup, they are showing a lot of eye makeup that look really glossy. Is this a technique or a certain product I can use?

Teresa Tampa Dear Teresa, Yes, the glossy look of eye makeup is definitely huge this season. The looks were all over the runways for the spring/summer.

You can get this look by using a creme based shadow but instead try this technique. There’s a couple of different ways of applying. First you can use a silicone type product (something used as a winkle filler) and mix with you shadow to create a more creme based shadow and apply to eye lids. Although this can work I find the next technique will give you a much glossier look. Apply your desired shadow to the lash line area. Next use a clear lip gloss (the glossier the better) and apply to a qtip and work the shadow out to cover as much of the lid as desired. This is a great technique to achieve the glossy eye look.

Dear Andrew Ashton, Everyone is wearing braids. What do I need to know about the braid trend right now?

Haley Safety Harbor

Dear Haley, The braid trend has been going on a long time. The difference is the braids change and how they are placed on head. Right now braids are very loose and sometime very messy. I great technique to creating a messy but very cool looking braid. Rough dry your hair or let it dry naturally. Add a rePear Forming Paste to create a bit more texture to the hair. Section off hair ear to ear and clip out of the way. Take the back and braid very loosely and not perfect. Secure the bottom. Let the top down which you have clipped out of the way. Take small sections and loosely push the ends into the braid. Also, if you would like a bit more texture, braid small sections of the top and push those into the braid. Try not to use hairspray unless you really need to as you want the look to be messy and loose. And just have fun with the braids this summer.

class, elegance and luxury...

727.726.1600

Follow us on Facebook www.salonlaposh.com

16

PANACHE VUE’

2566 D McMullen Booth Road - Clearwater

HEALTH

IS THE SUMMER HERE ALREADY?

Larry & Debbie Lieberman, D.D.S.

I

t seems like we just celebrated ringing in the New Year. The older I get the faster the time goes. Summer plans that we were going to get to are here.

Everything we longed for at the beginning of the year has arrived- including the warm weather. Some of you will be participating in graduations or weddings, others will be heading out of town, and I hope most of us will be enjoying outdoor family activities.

As we anticipate all of the plans we have for the summer, I’d like to propose that it can be made easy knowing that your dental checklist has been pulled together for you. And yes, that does

sound like something a dentist would say! But seriously, with so many things to think about, it’s easy for the details to get away on you.

Here are a few things to check off your list... * Insurance Opportunities - Your dental insurance will likely expire December 31st. Call now to make the most of your benefits this year.

Summertime gives us an excellent opportunity to plan your treatment over the next six months. * Back To School- Book your hygiene visits for your kids now ... before school starts. And for college kids, ensure they see us before they end up too far away for care. * Recare - We’re learning more and more about how healthy gums equal a healthy body.

Have you had a recare appointment in the past six months? * Esthetics- Do you have dental work you’ve been putting off? Take advantage of the time off you may have this summer to get it done. Do you want to whiten, brighten, and shine up your smile for those summertime photos! Did you know we offer a quick, easy, affordable way to immediately change

and improve the appearance of your smile?

The SNAP-ON-SMILE offers a simple life changing solution for many patients of all ages enhancing everything from crooked and missing teeth to an alternative for those not eligible for implants. The snap-on appliance simply snaps in and out over natural teeth. It is made of a strong resin material that looks and feels great. It’s that simple. !

If you’re looking for something more- the summer is a good time to get started or make a plan for your dental treatment.

Give us a call at 727-785-8017 and receive a complimentary initial office visit at our office .

Now you can check dentistry off your to-do list, then get back to summertime fun!

This summer I look forward to spending time visiting my sons who are scattered throughout the country. I hope this summer allows you the time to visit and spend time with your family as well.

Wishing you a safe, wonderful summer, Dr. Larry Lieberman

SUMMER IS HERE

TANS FADE BUT A SMILE LASTS FOREVER Let us help you create a healthy, memorable smile.

-Debbie & Larry Lieberman

To complement our dental services, we now offer Botox and facial fillers!

Elaine F., Fitness Trainer, Guiness Book of Records champion

727.785.8017

PROVIDING DENTISTRY SINCE 1984

HIGH TECH DENTISTRY WITH A HUMAN TOUCH To read other patient stories and get more information go to

WWW.DENTIST-LIEBERMAN.COM 35691 US 19. N Palm Harbor, 34684 www.PanacheVue.com

PANACHE VUE’

17

HEALTH GET ME THAT. STAT!

Forty percent of new cases of anorexia are in girls between 15 and 19, according to the National Association of Anorexia Nervosa and Associated Disorders.

NUMBER CRUNCHER

A Dunkin’ Donuts chicken bacon ranch sandwich (100 grams) contains 660 calories, 243 from fat. It has 27 grams of total fat, or 42 percent of the recommended total fat intake for a 2,000-calorie daily diet.

It also contains 65 milligrams of cholesterol (22 percent); 1,620 milligrams of sodium (68 percent); 69 grams of total carbohydrates (23 percent); 3 grams of dietary fiber (12 percent); 6 grams of sugar; and 34 grams of protein.

COUNTS

1,800 -- Approximate number of lung transplants performed annually in the United States Source: National Heart, Lung and Blood Institute

MANIA OF THE WEEK

Aboulomania -- pathological indecisiveness

NEVER SAY DIET

FED UP, BED DOWN

BY SCOTT LAFEE

A

mericans are notoriously sleep-deprived. According to the National Health Interview Survey, nearly a third of U.S. adults say they get six hours or less of sleep each night. Experts recommend 7-8 hours for adults, 9-10 for teens and at least 10 for school-age children.

Carbohydrate-rich foods like bread, cereal, potatoes, bananas, eggs and warm milk are all supposed to help promote

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PANACHE VUE’

sleepiness. Whether they do or not is a matter of debate and probably individual response.

On the flip side, there are foods that probably shouldn’t be consumed close (within four hours) to bedtime. According to WebMD, here are some consumables to avoid: high-fat dishes, which rev up the digestive system and keep it working into the wee hours; foods and beverages containing caffeine (skip the hot cocoa); alcohol; spicy foods; meat (protein is harder to digest); and nicotine (it’s a stimulant).

BODY OF KNOWLEDGE

Fingernails grow at 0.02 inches per week, four times faster than toenails. This translates to 0.0028 inches in a day or 0.000119 inches per hour. The middle fingernail grows fastest; the thumb slowest.

The Major League Eating speed-eating record for sweet potato casserole is 8.62 pounds in 11 minutes, held by Sonya Thomas. There is no truth to the rumor that Thomas needed to be casser-rolled out of the building after her sweet potato victory.

OBSERVATION

“A hearty laugh is a good way to jog internally without having to go outdoors.”

-- Norman Cousins

LAST WORDS

“Nothing but death.” -- British author Jane Austen (1775-1817), when asked by her sister Cassandra if there was anything she wanted. Austen had been suffering from a debilitating illness for months. The cause of her death has been attributed to Addison’s disease, Hodgkin’s lymphoma, bovine tuberculosis and Brill-Zinsser disease, a form of typhus.

FITNESS

SUNCOAST P I L A T E S

GET A RED HOT SUMMER SIZZLING BODY AT SUNCOAST PILATES

BY PATRICIA WELTER

G

NORTH PINELLAS COUNTY’S FIRST AND PREMIER PILATES STUDIO Offering One-on-One, Duet and Group Pilates Equipment Training Mat Pilates Classes Barre Classes Authorized Balanced Body® Pilates Instructor Training Facility Listed under the PMA® Registry of Schools

727.772.6772

WWW.SUNCOASTPILATES.COM 34080 US Hwy 19 N. Palm Harbor PHOTOS COURTESY OF EXULTING IMAGES

www.PanacheVue.com

etting ready for summer?

Going to be spending more time outdoors, at the beach or going on vacation? Feeling not as fit as you would like to be? Pilates can sculpt and tone your body while increasing flexibility yet without adding bulk. Want a trimmer waistline, slimmer thighs and hips, flatter stomach, leaner toned arms, tighter buttocks and appear taller all at the same time?

By Patricia Welter, B.S. PMA®-CPT, Pilates is the ticket to a leaner, Lolita San Miguel Pilates Master™, meaner, empowered you. Leave enSecond Generation Pilates Teacher, ergized, your entire body worked, Balanced Body Faculty and strengthened and stretched.

Suncoast Pilates Owner Pilates has for a long time been the preferred workout for Hollywood stars, professional and Olympic athletes for cross training purposes and non-athletes throughout the world. Pilates is in the forefront of proven exercise regimens and not a fad. Pilates exercise (originally called Contrology) was created in the early 1900’s by Joseph Pilates, who was born in Germany and moved to the U.S. in 1926. Joe created his exercise system based on gymnastics and the physical culture found in Europe at the time. He invented and patented several pieces of equipment, all are which a part of the entire exercise system. To experience the entire exercise system, one performs exercise on all of the equipment he developed – the Universal Reformer, Cadillac / Tower, Chairs (there are multiple Chairs including Arm Chair, Wunda Chair), Pedi-Pole, Ladder Barrel, Step Barrel / Spine Corrector, Magic Circle and Mat. The equipment has springs, which offer resistance and assistance depending on the exercise to be performed.

Suncoast Pilates is a fully equipped Pilates studio, where a client will experience all of the equipment designed by Joe in his exercise regimen. To learn Pilates exercise, it is recommended to work with a trained, Certified, experienced Pilates instructor who has taken a minimum of 480 hours of training. Suncoast Pilates has some of the Tampa Bay area’s most highly training, experienced Pilates instructors. The studio has a variety of programs to fit your time, budget and needs. Private training is initially recommended. Suncoast Pilates offers Pilates instruction six days a week, from early morning through late evening. Suncoast is also a Pilates instructor training facility where Pilates instructors come from all over the world to become a Pilates instructor and for continuing education. If you have not yet tried Pilates, book a one -time reduced fee Intro session for $ 45 today. If you have gotten off track in your exercise regimen, get into the studio! Shape up your sizzling summer body today!

PANACHE VUE’

19

HEALTH

DOES SPENDING MONEY MAKE YOU HEALTHY? 20

PANACHE VUE’

WE CURRENTLY HAVE SICK CARE, NOT HEALTH CARE

Last year Americans spent $2.8 trillion on healthcare. That is around $8,000 per person. So does this mean that we are all healthy and living well?

Absolutely NOT! In fact, we lead the world in heart disease, obesity, and cancer.

Astonishingly, 5 out of 6 Americans will be diagnosed with either heart disease or cancer.

If we were spending the most money in healthcare and had the healthiest people, maybe it would be worth it. But we are spending the most money AND have the unhealthiest people. In a study by the Journal of the American Medical Association, of 37 different developed countries the United States ranked 37th (dead last) in terms of overall health of the population.

SO WHERE ARE WE SPENDING ALL OF THIS MONEY?

When we are sick or in pain, we go to the doctor. We get prescriptions to help cure and prevent illness and pain. What do we do when that medication has a side effect or no longer works? We go back and get more medications for the next side effect. Americans take up 5% of the world’s population, yet we consume 85% of the world’s medications. You would think that if drugs make you healthy then we would be the healthiest nation, and that is far from the truth. We had 1.1 million people die last year because of drugs and these are not street drugs like heroin or other illegal drugs. These are prescription drugs that were prescribed for the right condition, the right amount, the right time.

Prescriptions are not the only culprit,

a large amount of that money is spent in nursing homes and cancer treatment centers. We have so many sick and ailing people in our population that we are seeing more and more long-term nursing facilities. People may be living longer, but we are not living better.

TAKE CHARGE OF YOUR HEALTH

A lot of people believe that genetics are to blame for the disease we see in our society today, but only 2-5% of degenerative illnesses are actually caused by genetics.

So that leaves 95-98% of disease that is caused by lifestyle. The foods we eat, the drinks we drink, and the habits we live are the main cause of the increase in disease.

Our offices are focused on HEALTH care. We recognize that health is not just about what you eat and whether or not you exercise. Our offices implement maximized mind, maximized nutrition, maximized nerve supply, maximized oxygen and lean muscle. We personalize each care plan and work with our patients to establish health and wellness goals that create a healthy lifestyle that maximizes each patients’ quality of life.

BUT WHAT TRULY SETS US APART FROM ALL OTHER WELLNESS CLINICS It is our dedication to whole health well-

ness. Our patients are not just adjusted and sent on their way. We spend time focusing on spinal CORRECTION not just spinal alignment. By providing our patients with in office and at home stretching, strengthening, and lifestyle changes, our patients are the healthiest they can possibly be without introducing toxins. It is truly about balance and focus on health.

WHAT DOES CORRECTIVE CARE MEAN? If your spine and Central Nervous System are “abnormal,” there is a need for corrective chiropractic care. This type of care will restore “normal” spinal position and alignment. By properly restoring normal curves to the spine and aligning the vertebrae, it will eliminate interferences allowing your body to function and heal “normally.” This optimizes your chance to live at 100% of your body’s peak performance. A healthy spine will allow your body to express a normal body temperature, a normal blood pressure, and other measureable norms for the spine itself.

Much like braces straighten teeth, it is our aim to restore the proper alignment of your spine. Recent research allows us to now know the measurements and proper alignment of your spine. There is a normal body temperature, a normal blood pressure, and there are measureable norms for the spine. We take the necessary steps to restore the regions of abnormal alignment to nor-

Dr. Carl Conforti, D.C.

mal through whole health wellness.

Take the next step and allow your body to function at 100% of peak performance.

$27 NEW PATIENT EXAM

($295 value) Includes exam, x-rays (if necessary), and consultation with our team of doctors.

CHIRO OFFER EXPIRES 07-15-14.

THE PATIENT & ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR ANY PAYMENT OR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT WHICH IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE FREE, DISCOUNTED, OR REDUCED FEE, SERVICE, EXAMINATION OR TREATMENT.

WITH 6 TAMPA BAY AREA LOCATIONS TO SERVE YOU 4040 Tampa Road Oldsmar, FL 34677

813.818.7499

1811 Healthcare Drive Trinity, FL 34655

727.376.9611

10935 N Dale Mabry Tampa, FL 33618

813.969.2225

“The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease.” -Thomas Edison www.PanacheVue.com

2312 Crestover Lane Ste. #102 Wesley Chapel 33544

813.994.6111

2206 4th Street N. St. Petersburg, FL

727.822.6700

1502 S. MacDill Ave. Tampa, FL 33629

813-251-0246

Conforti

CHIROPRACTIC

AND WELLNESS CENTER, INC. www.confortichiropractic.com PANACHE VUE’

21

FEATURE

Dr. Paul Duryea

PUTTING OTHERS BEFORE ME PHOTOGRAPHY BY LISA SIBLEY

22

PANACHE VUE’

P

anache: When and why did you decide to become an orthodontist?

Paul: I attended the University of Detroit Dental School and had finished my undergraduate requirements in my 3rd year of training. Having this completed I decided that I would explore specialty options for after graduation. I had volunteered in the Orthodontic department and became interested in not only Orthodontics but the sub- specialty of surgical Orthodontics for the correction of Dentofacial deformities.

Panache: What one memory stands out to you the most early on in your career and one more recently?

Paul: The earliest memory that stands out was one of how this specialty could and does change people’s lives in a very positive way.

You can have a patient who has a very poor self image of themselves and is very withdrawn due to their smile, and once we correct their smile they “come out of their shell” and become happy outgoing individuals. My most recent memory actually is the same as my first.

The impact I can have on an individual is such a motivator to continually strive to improve my Orthodontic skills and knowledge.

Panache: What is unique about your practice compared to the competition?

Paul: I have a relatively small “boutique” practice. What I mean by that is I have only one location and I am the only Doctor in the practice. What this means is that I totally control and treat every patient. With a small dedicated and caring staff we pride ourselves on seeing our patients on time which allows them to plan their day around their appointments without a long wait to be seen. We see only a small number of patients daily which allows us to really get to know each and everyone on a personal basis.

Panache: Are you involved with any charities and do you do any non-profit work to give back?

Paul: The answer to those two questions is YES! My wife and I have been deeply involved with the Susan G. Komen for the cure foundation for many years and somewhat recently have turned our attention and giving to the Suncoast Hospice organization. We have done

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PANACHE VUE’

23

FEATURE 24

PANACHE VUE’

a fund raiser during Halloween in which we totally transform the outside of our residence into a Haunted graveyard. “The Mansion of the Macabre” and ask for donations for Hospice. This elaborate graveyard takes 4 weeks to assemble and is open only 2 nights during the Halloween season. We have been featured on ABC news two years in a row as one of the “Top 10 most Outrageous Halloween Homes across America” and on the Hallmark Channel.

I always strive to “give back” to my community with my Orthodontic talents and have treated many pro bono patients in my career. I support many school and private endeavors that my patients request thru contributions to these events.

Panache: What do you do to keep up with the latest in Orthodontic technology and trends?

Paul: I am constantly attending continuing education classes and subscribe to a literature review that allows me to read many articles that are being published. Doing this keeps me at the cutting edge of treatment options and technology. I am a member of numerous Orthodontic societies and also study clubs that allows for the sharing of ideas on complex mutli-disciplinary treatment plans for patients that have excep-

www.PanacheVue.com

tionally difficult problems.

Panache: What are your personal and professional mottos and how do you apply them to life and business?

Paul: The biggest Motto is “treat People as you would like to be treated” and always “treat my patients as I would my own family”, and last but not least “you can never overeducate someone”. All the above play a large role in not only my private life, but also professional life.

Panache: For those who have never been to an orthodontist but really should, what would be the most important advice you would give them?

Paul: Since my initial examination is at no charge there is no reason not to get an evaluation. There is never any pressure to start treatment but only an education on the problems that may exist. I have seen numerous patients that a restorative approach is a much wiser treatment plan and It is my duty to inform them of ALL of their options and if that approach is better I will recommend they seek out that alternative to Orthodontics.

Panache: You are considered to be one of the most successful orthodontists in

Tampa Bay. What do you contribute your success to?

Paul: By being me and doing the absolute best for all that I treat. I never like to give up on a treatment and will continue if necessary to achieve the best that is possible in all patients care.

Panache: Any new changes in your practice that you would like to share with our readers?

Paul: Staying current with advances in Orthodontics is a biggie for me. This is not new but a constant part of what makes my practice what it is.

Panache: What would you like to be remembered for most?

Paul: Boy that’s a difficult question. I guess wanting to be remembered as a person who feels it is so important in putting others before me. I have been very fortunate not only in my private life but also my professional life. From being married to my “best friend” for forty years and having the greatest kids and grandkids I could ever ask for. I will not and cannot change who I am, no more than a tiger can change its’ stripes. As I mentioned I am a very fortunate individual and I would not change anything for the world.

PANACHE VUE’

25

HEALTH

CHANGING PRESCRIBING HABITS Is Hard to Do, But It Can Save Billions

BY DAVID LIPSCHITZ

J

ust yesterday I saw a 70-year-old patient whom I diagnosed with high blood pressure. Like most physicians, I prescribed a generic drug called an ACE inhibitor as treatment. I did so because of information that this medication not only brings down high blood pressure but also reduces the risk of heart attacks and heart failure, major causes of death in older persons.

Recently, the National Institutes of Health began a new program to persuade physicians that a water pill, called hydrochlorothiazide, is the initial treatment of choice for hypertension. Despite a large study showing this water pill was as effective in lowering blood pressure and reducing the risk of heart attacks and heart failure as

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PANACHE VUE’

the more expensive medications, very few physicians have changed their prescribing habits. Currently, less than 20 percent of newly diagnosed high blood pressure patients are initially treated with hydrochlorothiazide that costs, on average, $36 to $96 annually. By contrast, the cost of an ACE inhibitor ranges from $90 to $468 annually.

Other commonly used medications are calcium channel blockers, beta blockers and variants of the ACE inhibitor called ARBs, all of which range in price from $240 to more than $700 annually.

There is one more wrinkle in the treatment of high blood pressure that I must mention. For many overweight patients with mildly elevated blood pressure, weight loss, exercise and restricting salt content can effectively bring the blood pressure into normal range.

As a physician who believes passionately that cost should always be a consideration in medication choice, I am forced to dwell on why I am so reluctant to change, particularly as I am fully aware of the results of the large study demonstrating the benefits of a water pill in treating hypertension. My choice is related to force of habit, a comfort level with the use of an ACE inhibitor and the fact that the medication is effective with few side effects. And yet, until more information

appears to the contrary, I must change my prescribing habits and recommend lifestyle changes first and, if necessary, initiate treatment of hypertension with a water pill.

Please remember, though, that an even more serious concern about high blood pressure is the fact that many patients with this disorder are either not treated at all or receive inadequate treatment. While patients with high blood pressure should be initially treated with hydrochlorothiazide, for many, the addition of another medication, such as a beta blocker or an ACE inhibitor, may be needed to bring the blood pressure down to the normal range.

Because such a large fraction of the population has high blood pressure, a minor adjustment in the habits of a physician can save billions. And this is one of many examples. Zocor to treat elevated cholesterol costs about $40 annually, and now that Lipitor is generic, its cost is coming down. And billions are spent each year on the prescription drug Crestor, which is only needed in a small fraction of patients for whom lowering cholesterol is extremely difficult.

There is an important lesson for you the consumer. It is absolutely critical that everyone become educated consumers of health care. The information available in our newspaper on almost a daily basis, on the Internet, from the media and newsletters provides a great deal of useful information that will allow you to ask your physician key questions about the proposed treatment plan. Always consider cost as well as effectiveness in choosing a medication, and always ask if strategies such as diet and exercise may have the same effect. Even if you are blessed with an insurance program that has a medication benefit, remember that the most expensive is not necessarily the most effective.

Though I have used high blood pressure as an example, there are many other common ailments where the expensive medication may not be more effective than the cheap over-the-counter and generic drugs. If our health system is to survive in the future and flourish, our health care choices must become more rational and appropriate. Consumer and physician education are the key to holding down costs while assuring the highest possible quality of care.

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PANACHE VUE’

27

HEALTH & FITNESS

WATER FITNESS

BENEFITS

T

he unique properties of water combine to offer one of the most effective environments for an exercise program. Water fitness is the great equalizer – participants of a wide range of skill and fitness levels can enjoy this low-impact, total body conditioning workout. With the addition of high-quality equipment, the benefits of a water workout are endless.

GETTING FIT: TOTAL BODY CONDITIONING

• Studies have shown convincingly that water workouts decrease body fat as effectively as land-based exercise programs.

• Without performing a single sit-up, a water workout tones and strengthens the abdominals as a result of maintaining a vertical posture against the water’s resistance.

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PANACHE VUE’

• Water offers a three-in-one workout for cardiovascular and muscular conditioning and enhanced flexibility. This timeefficient, total body conditioning workout results in increased strength and endurance, and improved biomechanics and balance.

• Low-impact aquatic workouts can prevent the injury, strain and re-injury common to many land-based exercise. Water supports 90 percent of the body’s weight – resulting in reduced stress on joints, muscles, tendon and ligaments.

• Water is a natural and instantly adjustable weight-training machine. Resistance is approximately four to 42 times greater in water than air. A workout can be as vigorous or light as desired by effectively utilizing the water’s resistance.

• Unlike most land activities, water provides resistance in all directions, so both sides of the muscle pair can be strength-

ened simultaneously. For example, an arm curl works both biceps and triceps, since there is resistance to the movement in both directions.

• An upright water workout can be more effective than swimming, because the body’s vertical position increases resistance 75 percent over swimming laps.

Water Fitness Benefits -- 2

FEELING GOOD: FITNESS FOR A LIFETIME

• A regular water fitness program can result in the permanent reduction of blood pressure. Water’s hydrostatic pressure helps the heart circulate blood, which accounts for lower blood pressure and heart rates during deep water exercise versus similar exertions on land.

• Practical daily movements such as walking, lifting and reaching can be incorpo-

• Buoyancy equipment, such as the patented AquaJogger® belt, suspend the body securely and comfortably, supporting the head and neck out of the water, so hair stays dry and glasses can be worn.

Water Fitness Benefits -- 3 • Especially beneficial to individuals with disabilities is the fact that water workouts offer a greater range of motion and freedom of movement than many land-based exercise.

LIQUID ASSETS: INJURY PREVENTION AND HEALING

• •

•

•

rated into a water fitness workout to enhance functionality. This can result in the ability to enjoy and perform the activities of daily life with greater energy and ease.

A water workout can be a social activity just like fitness walking or riding side-byside stationary bikes.

With access to an indoor pool, water exercise becomes a great year-round activity, as well as a safe workout option during inclement weather. It can also be an affordable alternative to at-home workouts which often involve more expensive equipment.

Water exercise is both exhilarating and therapeutic – reducing stress-related symptoms such as high blood pressure and muscle spasms. The water’s full body massage action provides a vigorous yet deeply relaxing workout that is usually pain free.

Water exercise involves all muscle groups, yet virtually eliminates muscle soreness – leaving the muscles relaxed instead of

www.PanacheVue.com

tight and sore.

WATER WALKING: NO SWIM SKILLS REQUIRED

• Water walking and running movements are simple to learn and require no swim skills, making deep water workouts accessible to virtually everyone – from those just beginning a workout program to those looking for a great cross-training option.

• Whether in peak condition or recovering from surgery, the water’s forgiving environment supports and offers a light or challenging workout according to the person’s need – for both fragile physical therapy clients and intense athletes.

• The water’s buoyancy helps even the uncoordinated land exerciser achieve a measure of grace with movements that are easy to learn. The fact that water obscures less than stellar bodies also makes this exercise appealing to the self-conscious.

• Water exercise demands the continual use of the abdominal and back muscles as well as the arms and legs in order to maintain erect body alignment and balance. This strengthening of the core abdominals and back can assist in managing and preventing back pain.

• Water exercise enables a person to preserve as much fitness and function as possible while rehabilitating an injury. Many people heal to over 100 percent of preinjury strength and may actually improve their fitness level. Some individuals who have committed to aquatic therapy found their recovery time is reduced by half.

• Heat is lost 25 times faster in water than air, allowing for longer and more comfortable workouts. This natural cooling of the body is particularly beneficial for people who tend to overheat during exercise, and in conditions such as pregnancy or multiple sclerosis, where maintaining a lower core body temperature is very important.

• The water’s pressure helps the heart circulate blood which accounts for lower blood pressure and heart rates during deep water exercise. As a result of this hydrostatic pressure, water exercise may be one of the best and safest activities for cardiac patients. It also helps reduce swelling, allowing many people with arthritis or injuries to exercise. n To find a retailer near you visit www.AquaJogger.com or call 1-800-922-9544.

AquaJogger® is a division of Excel Sports Science, Inc.

PANACHE VUE’

29

HEALTH

MAMMOGRAMS STILL WARRANTED Despite Evidence Their Value Is Overrated

BY DAVID LIPSCHITZ

E

very week, one of my patients tells me, “I hear I do not need to have a mammogram -- it causes more harm than good.� This impression comes from numerous studies, primarily from Europe, that have questioned the value of mammograms. The most radical proposal, published in The New England Journal of Medicine, recommends mammogram screening for breast cancer be abandoned.

This report, proposed by the Swiss Medical Board, examined the conclusions of a number of research studies demonstrating the value of mammograms. It determined the conclusions might be erroneous.

Based on its analysis, mammograms for breast cancer did not prolong life and often resulted in unnecessary surgery that led to a significant incidence of complications. At worst, the needless additional tests, biopsies and even therapy for cancer that would never cause harm may lead to increased

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PANACHE VUE’

mortality and greater suferring. Their report states that at best, mammograms may save one life for every 1,000 mammograms performed over a 10-year period.

Needless to say, this report has led to a storm of controversy in the medical community. Until now, studies have never suggested abandoning mammograms, although the United States Prevenatitive Services Task Force recommends beginning mammograms at age 50 and performing them every 2-3 years, rather than annually.

What does a mammogram look for?

An abnormality is identified in about 6-8 percent of women. In some cases, this abnormality is clearly benign, and in others, a finding may either diagnose a cancer or suspicious lesion that should be evaluated further or rescreened in 6 months.

In many women who have a suspicious lesion, additional more-detailed imaging studies and biopsies are performed.

Finally, and with a great deal of relief, most are told that no cancer was identified.

In some, a tiny cancer is identified, leading to surgery, and on occasion, radiotherapy and chemotherapy.

Then why this controversy? Opponents of mammograms have closely evaluated very large studies and are of the belief that many small cancers may resolve spontaneously and that treatment, therefore, is unnecessary.

False positives, unnecessary biopsies and anxiety are all worth it if early detection of a cancer prolongs life. If a woman

has an annual mammogram for 10 years, the chance of a false positive leading to further testing is almost 50 percent. And the earlier detection of cancer does not improve life expectancy or reduce breast cancer death.

No question the defenders of mammography disagree that the test does more harm than good and strongly believe that deaths from breast cancer have been dramatically reduced.

While this contreversy rages, and scientists have widely differeing opinions, it does seem reasonable that woman continue to have mammograms but be more attuned to the potential benefits and harm.

Perhaps an annual mammogram might be too frequent. If a mammogram is normal, there is little evidence to suggest delaying the next test for 24 months will identify more cancers than an annual test.

In women who have no significant risk factors for breast cancer, a test every three years might be adequate. But this should be limited to women who have no family history of breast cancer (mothers, sisters, aunts, grandmothers), have never had an abnormal mammogram or breast cancer, and have not taken oral contraceptives for 10 or more years. There are even genetic tests that can be performed to identify women who are at an increased risk of developing breast cancer.

The value of mammograms in women older than 75 is questionable. Most important medical organizations do not have firm recommendations for mammograms within this age group. For example, the American College of Physicians recommends mammograms every two years for women between the ages of 50 and 75 and is against mammograms in women either older or younger than these ages. In contrast, the American Cancer Society recommends a mammogram every one to two years beginning at age 40.

It does seem that in health nothing is absolutely certain. However, until much more information becomes available, please have a mammogram. If you are one of those unlucky few who have developed a cancer, I have no doubt that early detection will dramatically increase remission rates and that the test will have saved your life.

ASK AUDREY

“Balance gives vision and wisdom, which leads to peace and joy” -Audrey Mabrey

HOW DO I SUCCESSFULLY

Balance Work, Family, and Everything InBetween?

BY AUDREY MABREY

B

alance serves a purpose just like anything else in life. The difference is its purpose is far greater because once you obtain it you will begin to flow naturally like a river through every other aspect of your life. The reasoning behind this is balance teaches you to be kind to yourself, gives you clarity, as well as helps you feel calm and grounded. So how do you successfully balance work, family, and everything in-between?

Webster’s Dictionary describes balance as: A state in which different things occur in equal or proper amounts or have an equal amount of importance.

In order to decide what the proper amount of anything in your life is you must discover and then declare what you and your family value most. Does your spouse or significant other value family time over money? Do you value relaxation over being busy? Do your chil-

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dren value quality time over regular play time? If your values are different then you should work towards a compromise which is another form of balance. Just remember, the less you align your family’s schedule with everyone’s values, the more unsatisfied and stressed everyone will be.

Once you can define what your family’s values are then you can work towards planning your family’s schedule. This requires listening, communication, and joint decision making. Scheduling for me is organization at its finest. I carry around a planner as well as utilize my calendar on my phone. The best part is with technology today you can set up a google email account for you and your spouse which will enable both of you to see and edit the calendar. Think for a minute about successful people you know or have heard of. Do you believe they accomplish all they do without having a schedule? Better yet, do you believe they accomplish everything on their own? They don’t, it’s virtually impossible to be successful at meeting everyone’s needs in a balanced manner without a schedule or with an attitude of selfishness.

Now that your family is set with a schedule remind them to be present. I am constantly reminding myself to be present. Often times while I’m driving I catch myself thinking about everything imaginable. When I realize this, I look out into the sky for a moment and repeat the phrase Be Present. The last thing you want is to be thinking about paying bills while spending quality time with your children

or thinking about work while you are on a date with your spouse. Sticking with the idea of keeping a schedule reminds you there is a time and place for everything.

What you don’t want to do is be so rigid that you become inflexible.

In order to become satisfied balance should be applied to all areas of your life rather than solely work-family balance.

What this means is outside of work and family you must find balance with your mind, body, and spirit as well. This type of balance perpetuates health, knowledge and wisdom. This can be achieved as a family or on an individual level. Maybe you enjoy working out alone but have a family bible study every week. If your children are young you may need to assist them in developing a plan to meet their goals but it needs to be their goals, not yours. Remember, taking it easy never produces a champion and no matter what, your goal should be for you and your family to WIN! I wish you the best as you embark on your journey to achieving balance!

Warmest Regards, Audrey Mabrey If you have any questions regarding life, love, family, faith, or career please email me at AskAudrey30@outlook.com

In November of 2009 Audrey Mabrey was attacked by her estranged husband and nearly lost her life. Since then she has become an advocate and public speaker and travels around the world sharing her story in the hopes of raising awareness and inspiring others to believe in themselves.

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31

HEALTH

NEVER IGNORE SUSPICIOUS SKIN LESIONS

BY DAVID LIPSCHITZ

M

y teenage years could not have been more idyllic. I spent summers lazing at the swimming pool or on the beach. In those days, sun tanning was routine, and sunblock was hardly ever used. I remember always being beet red from the sun. My nose was often so severely affected that bleeding was not unusual. This behavior, so common in those days, is leading to an explosive epidemic of skin cancers today.

At age 50, it happened to me. I noticed a little sore on my nose that bled and would not heal. After a few months, I went to see a dermatologist, who shaved it off and sent it away for analysis. Sure enough, it was a skin cancer.

The doctor felt it was so small that no more treatment was needed. All was well for about a year, but then a little white bump developed in the scar. I had a recurrent cancer. I needed a special kind of op-

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eration called Mohs surgery. An expert at managing skin cancer, my dermatologist excised the tumor and examined it under the microscope. The purpose was to make sure that the cancer was completely removed. He had to cut out tissue five more times to remove the entire tumor, which had spread deeply into the nose.

On the following day, I had reconstructive surgery. This was the bad part, as it took about three hours. The plastic surgeon worked wonders: You have to look really hard to see that I’ve had major nasal surgery.

I had a squamous cell cancer, a type that spreads more rapidly and is more likely to recur than the more common basal cell cancer.

In retrospect, the physician who initially treated me did not take the cancer seriously enough. More aggressive removal the first time would have prevented the recurrence.

Fortunately, it is now many years later, and I am almost certainly cured. I do see a specialist regularly and have had 10 more small cancers removed over the years.

Skin cancer is the most common cancer in humans. Of these, the most frequent is basal cell cancer, which grows locally and is readily cured by surgery. Unfortunately, many individuals ignore lesions

on their face and wait until the tumor is very large before seeking help. When this happens, they may need major surgery in which a large portion of the face, nose or ears has to be removed. Squamous cancers are less common but curable, provided treatment is appropriate. The more sun you are exposed to over time, the greater the risk of these types of cancer.

The most serious skin cancer is melanoma. This is related more to severe sunburns than to total sun exposure. Fortunately, my numerous burns have not led to melanoma. My sister and mother were not so lucky. Both were diagnosed with small tumors.

The incidence of melanoma is markedly increasing, and since this type of tumor has often spread widely by the time of diagnosis, it often leads to fatalities.

Melanomas are treated by widely excising the tumor and, if possible, the lymph nodes that drain it. Often a skin graft is required.

It is important annual physical examinations include an evaluation of the skin to screen for cancer. Do not ignore a sore that does not heal or a mole that changes color, has developed recently, grows or bleeds.

Moles are particularly serious on hands, feet and genitalia. However, melanoma can occur anywhere.

The most important fact about skin cancer is that it is definitely preventable.

Sun exposure is bad for you and should be avoided. Ultraviolet light is the major cause of all skin cancers, including melanoma. Not only does sun exposure cause cancer, but it also contributes to wrinkles and to an array of skin blemishes that are often unsightly and occasionally premalignant.

So if you want to stay beautiful, avoid the sun, and wear a sun hat and longsleeved shirts on very hot summer days, and, of course, use sunblock liberally. If possible, avoid sun tanning. Tanning beds may be just as dangerous.

Remember too that a great deal of ultraviolet-light exposure occurs on hot cloudy summer days. Most importantly, do not allow your children or grandchildren out of the house without a hat and a complete covering of sunblock.

GIVER OF TEARS

BY SCOTT LAFEE

I

t seems sibling rivalries may begin before there are even siblings.

In a newly published paper, Harvard evolutionary biologist David Haig puts forth an extraordinarily creative hypothesis for why newborns and infants cry so much at night: It means mom is more likely to be continuously exhausted, not ovulating, and thus delaying the arrival of rivals.

To be sure, Haig isn’t actually suggesting the caterwauling cuties are consciously conspiring. Sometimes, maybe most times, they’re just hungry. But he told NPR, “It’s clear that babies can get enough milk even if they sleep through the night. The waking becomes a different issue ... I’m just suggesting that offspring have evolved to use waking up mothers and suckling more intensely

to delay the birth of another sibling.”

Haig posits that delaying pregnancy and the appearance of other offspring improves a newborn’s survival chances, particularly in tough times when food might be scarce.

He concedes that there’s really no way to test the hypotheses. Perhaps it’s just something to ponder at, say, 2 in the morning.

DOC TALK

BODY OF KNOWLEDGE

The Major League Eating speed-eating record for Chinese dumplings is 91 in eight minutes, held by Cookie Jarvis.

Warning: Most of these records are held by professional eaters; the rest by people who really should find something better to do.

The largest internal organ is the small intestine. The name derives from the fact its diameter is smaller than the large intestine’s.

But the small intestine is actually quite long: four times as long as the average adult is tall.

NUMBER CRUNCHER

A serving of Arby’s mozzarella sticks with marinara sauce (137 grams) contains 365 calories, 164 from fat. It has 18.3 grams of total fat, or 28 percent of the recommended total fat intake for a 2,000-calorie daily diet.

It also contains 42 milligrams of cholesterol (14 percent); 1,511 milligrams of sodium (63 percent); 31.6 grams of total carbohydrates (11 percent); 5 grams of sugar; 2.5 grams of dietary fiber; and 18.3 grams of protein.

Homonymous hemianopsia -- when a person loses the same field of vision in both eyes

PHOBIA OF THE WEEK

Koumpounophobia -- fear of buttons

NEVER SAY DIET

OBSERVATION

“Life is much too important a thing ever to talk seriously about it.” -- Oscar Wilde, in “Vera, or The Nihilists”

LAST WORDS

“Am I dying or is this my birthday?” -Lady Nancy Astor (1879-1964), upon briefly awakening to find her family surrounding her bed

“ADOPT ME!” THE DUDE

Yup, my name is the “ The DUDE”. I am a good natured guy, love to go to parties and hangout. I have super house manners, great with other dogs and people. You have to admit , my Bassett and Plott hound good looks are pretty unique. I am about 4 years old and 50 lbs of winning personality and I am looking for a forever buddy to chill out with.

We can be found at www. dunedindogs.com, and on Facebook (Dogeden Rescue). Ken Koenig is the founder and he can be reached at 813-205-0156 or kk@dunedindogs.com!

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PANACHE VUE’

33

HOUSE OF DALI 34

PANACHE VUE’

ANCHOR R

YOUR STYLE

ed, White and Blue are not just the colors of the American flag; they are one of the hottest fashion trends and as an avid boater and love for anything nautical-inspired these trend are here to stay.

New Englanders flock to the Cape, Martha’s Vineyard and Nantucket while New Yorker’s head to the Hamptons. Lucky for us we live in “Boater’s Paradise”, and stripes are not just for sailors.

Get in on the trend with these helpful suggestions.

CLOTHING Opt for fitted tanks in the popular colors and pair with denim jeans, striped skirts or shorts and white or navy pants.

Pair with any Nautical Accessories For work attire pair with a pencil skirt in Navy, Red, White, Burnt Orange, Green and or stripes.

Jackets in solid colors of Navy, Striped, White, and Green over a pencil skirt or fitted dress.

Nautical trends can be found at Zara, H&M and many other retailers.

BEAUTY For a Clean & flawless foundation opt for a tinted moisturizer. Some of my favorites are Chanel & Laura Mercier both with SPF.

HOME DÉCOR Decorating your home with seashore style is a great way to add some nautical charm.

White curtains allow plenty of sunshine to stream in, seashell shells, sailboats, sailboat wall art, and sand dollars are all great ways to add to your nautical scheme.

For more ideas visit http://www.pinterest. com/houseofdali/nautical/

BOLD RED LIPS ARE A MUST! Dewy rouged cheeks will complement your outfit and pull your look together.

Dali Hernandez is the Creative Director and head designer for House of Dali. She is also a Real Estate Agent operating in the Tampa Bay area.

Dali’s arrival to the fashion industry has been making numerous headlines; however designing is nothing new for this NY native. She recalls her childhood’s obsession with fashion magazines, and with the help of a pair of scissors, she would cut various designs to mix and match and ultimately transform her bedroom walls into the latest fashion show.

The days she went fabric shopping with her mother gave her an early perspective on quality variation and how the same design can be completely altered due to fabric choice.

Dali’s fashion line is for the woman who still maintains her social status and is not afraid to make a fashion statement. She feels that there shouldn’t really be a target age or group for her line, because she feels that women are sexy and edgy at any age.

Dali was featured on FOX13, What’s Hot Tampa Bay, Tampa Bay Pulse, Vocess International, Creative Loafing, tbttimes, St. Pete Times, Panache Vue, Remark Magazine, Libertine Magazine, Envie, and was Semi Finalist for “Fashion Star” NBC. Follow me Website: www.houseofdali.com Instagram: @houseofdali Facebook: www.facebook.com/dalifashiondesigner Pinterest: www.pinterest.com/houseofdali Twitter: twitter.com/HouseofDali E-mail: dali@panachevue.com

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PANACHE VUE’

35

HEALTH

CHOLESTEROL, CALCIUM AND VITAMIN D

BY CHARLYN FARGO

H

ere’s another reason to take that calcium and vitamin D supplement (or get a little bit of sunshine) -those bone building nutrients may also help your cholesterol levels.

A new analysis of data from the Women’s Health Initiative found that supplements of vitamin D and calcium might modestly improve cholesterol numbers.

Previous studies were inconclusive, according to Tufts University Health & Nutrition Letter (June 2014).

It’s always best to get most of your calcium through your diet and supplement to fill in the gaps, however, getting enough vitamin D from dietary sources alone can be challenging. A glass of milk provides 100 International Units and most other food sources are less. The recommended RDA for vitamin D for both men and women is 600 IU for ages 19 to 70 and 800 IU for ages 71 plus.

In the new study of supplemental vitamin D and calcium’s cholesterol effects, published in the journal “Menopause,” researchers looked at data on 576 participants over an average of six years.

Participants were randomly assigned to either 1,000 mg of calcium plus 400 IU of vitamin D supplements or a placebo. The original trial of the Women’s Health Initia-

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tive focused on fracture risk and colorectal cancer in postmenopausal women, rather than cholesterol levels. But a subset of the study group had lipid and vitamin D blood levels tested at baseline and years one, three and six.

Supplementation was association with an average 4.46 mg/dL decrease in unhealthy LDL cholesterol compared to the placebo group. Triglycerides also decreased in the supplement group, while healthy HDL cholesterol levels increased.

Every 38 percent increase in vitamin D levels in response to supplementation was association with a decline of 1.28 mg/dL in LDL cholesterol.

You can also boost your vitamin D levels with just a few minutes of sun exposure. Body fat acts like a storage battery for vitamin D. During periods of sunlight, vitamin D is stored in fatty tissue and then released when sunlight is gone. Our amazing bodies manage the vitamin D it makes itself, so we don’t have to worry about combining sun and supplements.

Information courtesy of the Tufts University Health & Nutrition Letter

Q AND A

Q: My friend says that spot-reducing exercises can’t really target fat at particular areas of the body. Is that true?

A: Exercises that focus on particular body parts can be very effective at strengthening the specific muscles involved and may lead to a more toned appearance, but they do not reduce the amount of fat in that particular area of the body. Depending on the specific muscle an exercise works, it can help you maintain good posture, thus reducing or avoiding lower back pain; promote better balance, thus reducing risk of falls; improve performance in sports, including cycling, tennis and golf; and improve your ability to keep up with life activities like climbing stairs, gardening or carrying suitcases and groceries. What’s more, research is looking at how exercising a muscle may activate signaling in cells that controls hormones involved in blood sugar control and other important health functions. Exercise does burn calories, so as long as you don’t make up for the extra calories burned by eating or drinking more, exercise should help reduce body fat over time. Individuals dif-

fer in where body fat tends to decrease first, and where it’s harder to reduce. For many men and post-menopausal women, fat around the waist is the most difficult to trim, while for other women, especially before menopause, the hips and thighs seem to be the last areas to lose excess fat.

Information courtesy of the American Institute for Cancer Research

RECIPE

Fire up the grill this weekend. Here’s a recipe for Grilled Chicken Thighs with Peach Lime Salsa from Cooking Light magazine (June 2014).

Grilled Chicken Thighs with Peach Lime Salsa • 3 tablespoons olive oil • 1 teaspoon ground cumin • 6 garlic cloves, minced • 6 (5-ounce) skinless bone-in chicken thighs, trimmed • 2 tablespoons finely chopped red onion • 1 tablespoon chopped fresh basil • 1 1/2 teaspoons chopped fresh mint • 1 1/2 teaspoons fresh lime juice • 1/2 teaspoon sugar • 2 ripe peaches (about 1/2 pound), peeled and chopped • 1 red or green jalapeno pepper, minced • 3/4 teaspoon salt, divided • 1/2 teaspoon freshly ground black pepper • Cooking spray • 6 lime wedges (optional) Place first 3 ingredients in a large bowl, stirring with a whisk. Add chicken; toss well to coat. Cover and refrigerate 1 hour.

To prepare salsa, combine onion and next 6 ingredients (through jalapeno); stir in 1/4 teaspoon salt. Let stand 1 hour. Preheat grill to medium-high heat. Remove chicken from marinade; discard marinade.

Let chicken stand at room temperature 30 minutes. Sprinkle chicken evenly with remaining 1/2 teaspoon salt and black pepper. Place chicken on grill rack coated with cooking spray; grill 6 minutes on each side or until done. Serve with salsa and lime wedges, if desired. Serves six (serving size: 1 thigh and about 1/3 cup salsa).

Per serving: 194 calories, 20 g protein, 5 g carbohydrate, 10.4 g fat, 110 mg cholesterol, 1 g fiber, 367 mg sodium.

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PANACHE VUE’

37

T R AV E L Travelers who visit Rome’s Trevi Fountain often throw in coins in the hope of a return visit. Photo courtesy of Glenda Winders.

GOOD TIMES, NO Worries on a Group Tour to Italy

BY GLENDA WINDERS

T

he typical response I get when people find out I went to Italy with a tour group is a wrinkled-up nose, a shake of the head and a dismissive “That wouldn’t be for me.” They imagine spending hours in a motor coach, moving to a new place every day and having to put their luggage in the hallway for a 5 a.m. pickup before heading out yet again -- and they’re right.

But in concentrating on the less attractive aspects of group travel, they forget that someone else makes hotel reservations, picks good restaurants and buys museum passes. Another positive is that the price of all these experiences is lower because the tour company gets group rates. And while there is a certain amount of mingling with fellow travelers, there’s also plenty of free time to pursue activities that aren’t on the schedule.

My adventure began when I saw a newspaper ad for “Classic Italy -- Rome, Florence and Venice” offered by Holiday Vacations. I rang up my travel buddy, Julie Kean, and she said, “Let’s go!”

The trip began when travelers from all over the country arrived in New York and met up with our tour guide, Sue McNamara. An overnight flight took us to Milan, where we were met by our Italian-speaking guide, Bruno Monteiro, and our genial coach driver, Ricardo. That’s when the fun really started.

As we drove through the countryside Monteiro gave us some background about the sights we were headed to see. He explained that the country was established just 153 years ago, which explains why

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people were known before then by the province from which they came -- Romans, Venetians and Florentines. He told us that although the country is small (850 miles long and 80 miles wide), it has been important historically because of its location at the intersection of major trade routes.

Before long we stopped at Sirmione in the province of Lombardy (named for a barbarian tribe that invaded in the sixth century), where we explored this lakeside resort town and toured Scaliger Castle. Then fortified by lunch at Ristorante Erica -- bruschetta, lasagna, pork scallopini, Italian bread and house-made hazelnut ice cream drizzled with chocolate -- we set off for Padua, where we would spend the next two nights.

This city, we learned during a walking tour with Monteiro, is most famous for being where St. Anthony -- to whom Catholics still pray for lost items -- lived and

worked. That being the case, most of the visitors here are pilgrims, but Padua is also known for its university, the second oldest in Italy, which was established in 1222.

(The oldest is the University of Bologna, founded in 1088.)

The next morning found us on a ferry headed for the magical city of Venice, which is actually situated on 118 islands connected by bridges and canals. As a group we toured the Doge’s Palace and learned about the area’s political history before crossing the Bridge of Sighs -- so named because that’s where condemned prisoners had their last look at the outside world -- and walking through the prison museum. Since Venice is famous for its glass, we took in a glassblowing demonstration and learned how mineral oxides create jewel-like colors as well as how to tap a piece lightly and listen to its tone to determine if it was handmade.

Visitors to Venice enjoy lunch within view of the Rialto Bridge. Photo courtesy of Glenda Winders.

We had the afternoon free, so Julie and I opted for a lunch of gelato and a long walk through several neighborhoods to the Guggenheim Museum. We rejoined our group just in time for a gondola ride and dinner at Taverna di Doges before getting back on the ferry and watching Venice recede into the mist behind us.

We spent the next day en route to Florence with a long stop in the city of Ferrara before crossing the Apennine Mountains.

“We are arriving in Florence and the sun is shining,” Monteiro said. “What else do we need? Nothing!”

Our hotel was centrally located on the Piazza Santa Maria Novella, so we could walk everywhere we wanted to go. And that’s what we did the next morning when we met our guide, Elvio Ancilotto, whose credentials identified him as a professor of Italian language and culture.

As we moved from the magnificent Santa Maria del Fiore, Florence’s cathedral, to the Santa Croce Church where Michelangelo, Galileo and Machiavelli are buried he explained that Florence was the birthplace of the Renaissance, pointing out architectural details along the way that supported his point.

At the Accademia Gallery we bypassed the long line of visitors waiting to get in because of arrangements previously made for our group. Inside, Ancilotto gave us what amounted to a short course in art history

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Emperor Nero’s bathtub is one of many antiquities on display at the Vatican Museums. Photo courtesy of Glenda Winders.

as we walked slowly past Michelangelo’s “Prisoners,” and by the time we arrived at the statue of David we knew how tall he was (17 1/2 feet), why he was depicted nude (Renaissance artists saw the human body as a celebration of proportion) and why one of his feet is connected with a tree stump (to give the statue balance).

Florence is as famous for leather and gold as Venice is for glass, so our next stop was at a showroom where Julie and others from our group were selected to model the coats and jewelry the company had on offer.

Once again we had the afternoon free, so some from our group set off along the Arno River toward the Ponte Vecchio (“old bridge”), the only one in the city not bombed by the Nazis during World War II. The stores along the bridge that once housed butcher shops today sell mostly jewelry and souvenirs. Others toured the Uffizi Gallery, home of Botticelli’s “Birth of Venus” and significant works by Titian, Raphael, Rembrandt and da Vinci.

Our trip to Rome the next day took us through Tuscany with a stop at San Gimignano, a well-preserved village from the Middle Ages where the families tried to outdo one another in building towers so that at one point there were 72. Two famous gelato stores are here, so Julie and I kept up our tradition of having some -- but not until we’d first eaten some panini at an outdoor cafe.

After dinner our first night in Rome Monteiro surprised us with an unscheduled walk that led to a lit-up St. Peter’s Square.

It was the perfect introduction before our tour the next morning with Filippo Tucci -- another knowledgeable and passionate guide who led us through art galleries, the Sistine Chapel and St. Peter’s Basilica.

When the organized tour was over, some from our group climbed up to the dome and cupola of St. Peter’s and later attended a Mass. Julie and I visited the house next to the Spanish Steps where English poet John Keats worked and died.

Tucci met us again the following day for a tour of the colosseum, the Roman Forum and Trevi Fountain, where we tossed in a coin in hope of a return visit. That night we ate dinner at LaTana dei Re, where opera singers serenaded us with various arias and ended up with “Arrividerce Roma.”

Next morning we had a last gelato at the airport and began the long flight home.

“Touring takes the stress out of traveling and leaves the best parts,” MacNamara said. “You’ve seen the highlights of classical Italy while at the same time relaxing and enjoying the group. You knew we’d take care of you.”

WHEN YOU GO

Several tour companies offer trips to Italy.

Mine was Holiday Vacations: www.holidayvacations.net.

PANACHE VUE’

39

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