11_your_health_november

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NOVEMBER 2011

Working toward wellness Faced with cancer and diabetes, Phyllis Williams got busy‌ and better THE RIGHT GOALS Set yourself up for success

COOKS, TAKE 5

Make the kitchen a healthier place

JUST KICK BACK We all need to relax sometimes


“ ” TMH

IS MY

Hospital.

WHY PHYSICIANS CHOOSE TMH

I’m Dr. Donald Zorn. Since 1973, the Tallahassee Memorial Family Medicine Residency Program has graduated 312 physicians, with 189 staying in Florida and 102 here in Tallahassee. Today, the provision of well-trained physicians for the Tallahassee area remains our primary mission.

TMH has a longstanding commitment to quality patient care. Our graduates are trained for a variety of practice settings including rural family and urgent care medicine, emergency room care, hospitalist, academic and multi-specialty group practice. The TMH Family Medicine Residency Program upholds its tradition of providing quality medical education. As a result, the Big Bend will continue to benefit from a dynamic group of physicians to take care of its families…and that’s why TMH is my hospital.

— DONALD ZORN, MD DIRECTOR, TALLAHASSEE MEMORIAL FAMILY MEDICINE RESIDENCY PROGRAM

LEARN MORE AT TMH.ORG


this Issue

November On the cover

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A recovery well-earned Phyllis Williams found the strength to face her health challenges through family, a Wellness Works program and her own determination.

Plus…

08 10

What your body is saying Certain signs and symptoms deserve extra attention. A drink to your health Make festive libations as healthy as possible.

Also inside... 06 ESSENTIAL NUTRITION The news on cranberries gets better and better. 12 SMART FITNESS

24 Mind | Body | Soul Jan Verhagen, owner of Fitness Proaction, shares her insights on setting the right kinds of goals.

18 ALTHERNATIVE HEALTH Is it time to try a more natural approach to easing aching joints?

26 MAKE OVER Give your kitchen – and your cooking – a healthy makeover with these five items.

20 FUN FINDS Tuck one more thing into that big everyday handbag – a party-ready clutch.

28 MIND MATTERS The crazier life gets, the more we need to relax. Here are a few ways to do just that.

About the cover Phyllis Williams took control of her own health with the help of a Wellness Works program at her workplace, the Tallahassee Orthopedic Clinic. Photo by Long’s Photography, 339-5799, 702 W. Tharpe St.

IN EVERY ISSUE 4 EDITOR’S LETTER 30 AROUND TOWN

Tallahassee.com/Health November 2011 YOUR HEALTH

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editor’s LETTER

Recognizing, and overcoming, personal hurdles

W

e have two wonderful announcements for this month. First, we are officially in the digital world – you can connect with us online at www.tallahassee.com/health, where you’ll find searchable articles, great resource items and a flip-style electronic version of the magazine.

Second, we have launched a new feature in Your Health, a column called Mind | Body | Soul that taps into local experts and their knowledge of how to make life better. We wanted to highlight these women as both valuable local resources and as inspiration for what they do for others each day. This month you’ll meet Jan Verhagen of Fitness Proaction, a strong believer in self-care who shares tips on setting goals that can be met. Next month is Laura Reeves of Common Sense Practice.

277 N. Magnolia Drive Tallahassee, FL 32301 Call 850.599.2255 Fax 850.942.0185 PRESIDENT AND PUBLISHER

Patrick Dorsey 850.599.2124 tlh-publisher@tallahassee.com MARKETING AND NONDAILY MANAGER

Marjorie Schoelles 850.599.2232 mschoelles@tallahassee.com CONTRIBUTING WRITERS

Anne Marie Cummings Lisa Fingeroot Avery Hurt Kim MacQueen Elise Oberliesen Kathy Radford Meredith Russell Jan Verhagen

And speaking of mind and body, I came to realize two things this past month in my own fitness quest. I tend to keep promises to others far more than to myself. There is no problem with making it to meetings on time or early, but I allowed too many things to come between me and the next workout, pushing it back into the far reaches of the day, leading to giving up and feeling guilty until the next opportunity. The second, and most unwelcome, realization is that where stress once curbed my appetite, I now find myself looking to food for comfort and sometimes indulging. Yes, there were nights and weekends dedicated to finishing a book for publishing, plus a new-product launch to manage and other pressing business matters, but ultimately those French fries won. Argh. Now that I am more aware and have acknowledged the tendency, I’m going back to the mantra of progress over perfection. Let’s see if I can beat these November numbers! November numbers: weight, 168.1 pounds

BMI (body mass index), 26.5

body fat, 32.4 percent

October numbers: weight, 170 pounds

BMI (body mass index), 26.9

body fat, 33.8 percent

September numbers: weight, 173.2 pounds

BMI (body mass index), 27.1

body fat, 36.7 percent

CONTACT US EDITORIAL

Joni Branch 850.599.2255 ADVERTISING

Lisa Lazarus.Brown 850.599.2333 Tallahassee.com/Health

Marjorie Schoelles, Marketing and Non-Daily Manager

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YOUR HEALTH November 2011

Your Health Magazine is published 12 times a year by the Tallahassee Democrat at 277. N. Magnolia Drive, Tallahassee, FL 32301. No part of this magazine may be reproduced without the consent of the publisher. Your Health Magazine is not responsible for unsolicited manuscripts, photos and artwork.



Essential NUTRITION

Dr. Terri Camesano, shown here in a cranberry bog in Massachusetts, headed a 2010 study on cranberry juice. Special to Your Health

The news on cranberries gets even better

The little orbs appear to have benefits for the whole body by Anne Marie Cummings

M

ost women know that drinking cranberry juice helps to prevent and treat urinary tract infections. Consuming cranberries helps keep bacteria from sticking to bladder cells, the first step in the infection process.

Now women will be tickled pink to learn that the popular juice aids in preventing the adhesion of pathogenic bacteria to cells in other parts of the body as well. The responsible agent is still a mystery, but there are exciting new findings about the tangy antioxidant-rich red berry.

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YOUR HEALTH November 2011

Heart Disease Atherosclerosis is a condition in which fatty materials collect along the walls of heart arteries, resulting in a stroke or heart attack. In 2009, Joe Vinson, professor of chemistry at the University of Scranton (N.J.), conducted a 10- to 12-week study of atherosclerosis in hamsters since the lipid profiles in their plasma matches that of human beings. Researchers fed the first group of hamsters a normal diet, the second group of hamsters coconut oil and cholesterol, and


the third group coconut oil and cholesterol with cranberry juice (the human equivalent of three or four glasses a day). Vinson and his team discovered that the hamsters given the fatty diet with cranberry juice had significantly less atherosclerosis. Vinson’s advice is that people who are prone to any kind of heart disease consume at least three glasses of cranberry juice daily. “Cranberry juice does the same thing as aerobic exercise and some drugs like niacin,” he said.

Infections Staphylococcus Aureus (S. aureus) is a group of bacteria that can cause a number of infections, from minor skin rashes to serious bloodstream infections. Cranberry juice appeared to inhibit the formation of “biofilm,” or a thin surface, on which bacteria such as S. aureus can thrive in urine during a 2010 study by Terri Camesano, Ph.D., a professor of engineering at Worcester Polytechnic Institute in Massachusetts. Camesano also discovered that the effects of cranberry juice wear off 24 to 48 hours after drinking it. “It’s best to drink cranberry juice every day in order to have

the protective benefits,” she says. Camesano adds that Ocean Spray’s “Light” cranberry juice cocktail, which has less sugar than the standard juice cocktail, is equally effective.

Stomach Ulcers Helicobacter Pylori (H. pylori), is the bacteria responsible for stomach ulcers, in turn a leading cause for stomach cancer. A team of researchers in Israel, led by Dr. Itzhak Ofek, were funded independently and supported by The Cranberry Institute in Massachusetts. In a series of research projects conducted over the past decade at their laboratories in Tel Aviv, the researchers discovered that components in cranberry could interfere with the activity of H. pylori in the gut. They concluded that cranberry consumption could help maintain gut health and reduce the development of stomach ulcers. While cranberry-juice cocktail (at 25- to 30-percent cranberry content) is one of the most popular cranberry products, Martin Starr, science advisor of The Cranberry Institute, says 1/3 cup of sweetened dried cranberries, 1/4 cup of cranberry sauce or 1/4 cup of cranberries, fresh or frozen, deliver the same cranberry content. v

Cranberries may be good for your smile Recent studies published in the Journal of the American Dental Association and Critical Reviews in Food Science and Nutrition report that a component in cranberry juice, a high-molecular-weight nondialysable material, has the ability to reverse and inhibit the growth of oral bacteria responsible for dental plaque and periodontal disease. Said Dr. Walter Colón, of Periodontal Associates in Tallahassee, “I don’t believe

that it’s likely the cranberry will get into the deeper diseased pockets in the mouth … however, if it helps to prevent biofilm from forming, then it would be of great use for healthy patients.” Cranberry products to support healthy teeth and gums are starting to hit the market. Here’s the first: Cranberry Dental Floss by Radius, a floss coated with pure, unsweetened cranberry essence from Ocean Spray. According to Radius, www.radiustoothbrush. com, flossing deposits the essence on the gums to help break up plaque.

November 2011 YOUR HEALTH

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Feature

What is your body is telling you? And what those symptoms could mean for your health By Elise Oberliesen

D

oes it ever feel like it was only yesterday when you took your first job, gave birth, tied the knot (or untied it)? Life moves at lightning speed. Sometimes we forget to listen to our bodies or notice how quickly the hands of time affect our health. Is your body trying to tell you something? Take a look at what doctors say women may want to notice even when symptoms seem subtle.

bLEEDING Certainly, some changes are more attentiongetting. But with any major or “abrupt” changes that you notice in your body, take notice and seek medical attention, says Dr. Kathrine Lupo, M.D., OB GYN, with Capital Regional Women’s Health. “With any bleeding after menopause, you could have atrophy of vaginal tissues,” she says. It’s important to have tests to rule out other underlying health concerns, says Lupo. For some 8

YOUR HEALTH November 2011

women, bleeding may not be a serious concern. However, for others it could be a warning sign for cancer. “They can do an ultrasound or take a small [endometrial] tissue sample,” says Lupo. Either way, these tests will likely determine the cause of bleeding.

CHEST DISCOMFORT OR INDIGESTION When it comes to women and heart health, diagnosing the problem isn’t so cut and dry. That’s because womens’ symptoms, compared to mens,’ tend to present differently, says Dr. Afolabi Sangosanya, MD, CCDS , with Capital Regional Cardiology Associates. “For women with cardiovascular symptoms, they’re atypical,” he says. “We’re noticing the majority of women do not have chest pain. Some people may have a slight discomfort in the chest or heartburn-related symptoms.”


Indigestion is another symptom that women may easily “shrug off,” says Sangosanya. Reoccurring indigestion should not be ignored, he says. While abrupt changes like sharp pains may be obvious, listening to the body’s subtleties requires more self-awareness. However, awareness helps women take a more active role in their health. Remember, with heart attacks, each second matters. Seek medical attention if you think it could be a heart attack.

FATIGUE Would a daily nap hit the spot? If you feel drowsier than usual, then take notice. Consider keeping a journal to see a pattern. Watch for significant changes in energy levels, says Lupo. But keep in mind, as we add birthdays, it’s normal to feel less energetic, she says. A good rule of thumb — notice changes in day-today activities, says Sangosanya. “Maybe they’re a lot more short of breath with normal activities,” Sangosanya says. Consider grocery shopping. Does it feel slightly difficult to load groceries into the car? Or push a cart through the store?

TD-0000187129

And BE AWARE OF YOUR risk factors Your lifestyle and medical history say a lot about you. For example, do you have a lipid disorder? Well, what the heck is that? Simply, when bad cholesterol is high and good cholesterol is too low. “The risk factors that really matter, blood pressure, diabetes, high cholesterol, or if the patient is a smoker, lipid disorders, familial history,” Sangosanya says. Patients with these risk factors are generally more likely to develop cardiovascular disease, he says. But if that’s you, then don’t give up. Instead, start working with a specialist and ask for diagnostic tests. “Stress testing by far is a very good option,” Sangosanya says. Other options include treadmill stress tests, pharmacologic stress tests and those with imaging modalities. For example, ultrasound technology allows doctors to see the heart muscle in motion. Always listen to your gut. “Women should never be dissuaded to get a second opinion,” Sangosanya says. v


Feature

Here’s to a healthy twist on holiday drinks Festive concoctions – with alcohol or without – get a boost from fruits and veggies By Elise Oberliesen

W

hether alcoholic beverages hold health benefits is debatable, partly because overconsumption happens easier than many of us like to admit, and we know those health consequences are not picture-perfect. However, one thing is for sure. Pair the right ingredients into your drink mixers and avoid sugary concoctions, and you could easily boost the health score for any drink, with or without alcohol. Take lemons. The abundance of vitamin C in these citrus jewels may help boost immunity, according to some health experts. Whether it’s rum and Cokes or vodka tonics, next time you play the bartender role, remember to give a lemon a generous squeeze. Just one ounce of fresh lemon juice zings each drink with 17 mg of vitamin C, about 17 percent of the RDA. When Lisa Doxsee, owner of Doxsee’s Bartenders, shows up at a holiday party, she mixes holiday cheer with a twist of creativity. Her drinks more than tempt taste buds — Doxsee aims to dazzle guests’ eyes, too. “People like the colorful drinks,” she says. Traditional ice cubes can be B-O-R-I-N-G. Instead, Doxsee says to plan ahead. “You can freeze cranberries and drop them into the drinks,” she notes. Raspberries, blueberries and grapes also work great. Besides looking festive, fruit-laden beverages may help replenish the body with necessary nutrients, says New Leaf Assistant Produce Manager Jamake Cobian. When sipping a merry drink or two, you may not care much about tomorrow. But chances are that you will when the sun starts peeking through the blinds. “When you have fresh fruit floating in your drink, you have all the nutritional benefits to counterbalance the harmful effects from the alcohol,” Cobian says. “And you possibly may feel better the next day.” 10

YOUR HEALTH November 2011

Plus, fruit adds fiber. And it keeps your tummy feeling full, Doxsee says. Want a healthy, highfiber mixer? Try V8 Berry Fusion with vodka, she suggests. “Vegetable juices are lower in calories, and they’re loaded with antioxidants.” Here are more ideas for libations with a healthy twist.

SANGRIA: Cobian is a fan of his mother’s sangria recipe. Mom Maria Cobian adds punch to the mix by loading it up with plenty of fresh fruit. To make Maria’s sangria: Combine two bottles of red wine with one bottle of grape juice, then add sliced fresh fruits such as apples, lemons, limes, grapes and melons.

JUICE WITH SPARKLE: Creative concoctions require lots of blending and taste-testing. Combine regular juices with diet sodas to dampen the aftertaste of artificial sweeteners, or combine juices with calorie-free seltzer. “Canned limeade is pretty low in calories, and it’s nice and tart,” Doxsee says. GIN mixers: Are you a gin lover? Bet you’re getting tired of the ho-hum standby. Instead of saying, “one gin and diet tonic please,” dare to try something new. Spruce gin up with fresh lime juice topped off with a little lemon-lime soda or ginger ale on the rocks, Doxsee suggests. CRANBERRY JUICE: Known for its health benefits, you can’t go wrong with cranberry juice. For one, it’s thought to help prevent urinary tract infections, but now researchers want to better understand its bacterial fighting reputation against ulcers, according to the University of Maryland Medical Center. KIWI: Want a red and green delight loaded with Vitamin C? Drop in a few slices of Vitamin-Crich kiwi into Ocean Spray Light cranberrypomegranate juice and vodka, and you’ll have one tasty low-cal beverage. Sip, savor, enjoy. v


Capital Regional Women’ss Healt Health th th

welcomes

Kathrine Lupo, M.D. OB/GYN

Kathrine Lupo, M.D. has joined Michael Douso, M.D. at Capital Regional Women’s Health. Dr. Lupo graduated with her medical degree from the Penn State College of Medicine in Hershey, Pennsylvania and completed her residency at the Penn State Hershey Medical Center. New to North Florida, Dr. Lupo is looking forward to exploring all our great region has to offer, including kayaking, biking and gardening. Dr. Lupo is very excited to work with women in the Big Bend to improve their overall health.

Dr. Lupo provides a complete range of OB/GYN services, including: Gynecology Services:

Obstetrics Services:

t Annual Female Examination

t Pre-Pregnancy Planning

t Family Planning/Contraception Services

t Full Pregnancy Visits

t STD Testing

t 3-D Color Ultrasounds

t Treatment of pelvic pain

t Deliveries provided at Capital Regional Medical Center

Michael Douso, M.D. Kathrine Lupo, M.D.

850-877-5589 Most insurances accepted as well as cash payments. Same day appointments available.

2770 Capital Medical Blvd., Suite 110, Tallahassee, FL 32308 CapitalRegionalMedicalGroup.com TD-0000187126


smart fitness

Beyond the gym

A fitness aficionado offers five tips on achieving the maximum results from any exercise routine

1

Rise, shine and dine:

Eating breakfast is important because it kick-starts your metabolism and provides energy for you to use throughout your day. Starting the day with a balanced, healthy meal that includes carbohydrates, protein, vitamins and minerals provides a solid nutritional foundation. Plus, eating a healthy meal in the morning means you’re less likely to over-eat later in the day.

2

T

he journey to getting fit doesn’t end

when you step off the treadmill. The

decisions you make from the moment you

wake up until your head hits the pillow affect your health — and the success of your workouts. You can maximize exercise time with these five simple tips from avid cyclist Dr. John Heiss, director of sports and fitness for nutritional supplement-maker Herbalife. 12

YOUR HEALTH November 2011

Keep your body guessing: We all have

experienced a point in our exercise program in which we stop seeing results and start getting bored. Steer clear of the dreaded workout rut by continually reinvigorating your routine. Instead of heavy aerobic exercise or weight lifting, spend the week walking, swimming or biking. Join an intramural team or try new exercise classes like Pilates or Zumba. The key here is variety, ensuring you’re constantly targeting different muscles, moving in various ways, all while helping maintain workout motivation.

3

Bottoms up: Whether you are exercising in the gym or working in an office, it’s important to stay hydrated. Because hydration directly impacts athletic performance, it’s especially important to keep fluid levels topped off during exertion.


4 5

Pump up the jams:

Research has shown that listening to music during exercise can increase motivation, endurance and fight feelings of fatigue - all helping improve results. Before hitting the trails or the gym, create a playlist of your favorite songs to help push you a little farther.

too much water before bed, and try to develop a sleep routine consisting of eight to nine hours of uninterrupted, deep slumber. v — ara content

Hit the snooze button:

One frequently overlooked but crucial aspect of any workout program is sleep. While you sleep, your body is hard at work rebuilding muscle, getting faster and fitter. Sleep speeds recovery, which means you can work out harder for longer durations without overextending yourself. Avoid eating a heavy meal or drinking

You’re Invited to Our 5th Annual

HOLIDAY OPEN HOUSE

Thursday, December 1, 2011 ~ 4:30 to 8 p.m. Lite Refreshments ~ Door Prizes ENJOY DURING THE EVENING:

A “mineral” makeover for your face (Jane Iredale Mineral Makeup) and Mini Spa Treatments (LIMITED SPACE AVAILABLE) 20% off skin care products (PRE-ORDERS AVAILABLE) Also, receive a 20% off voucher for Botox® given by Kristen Snyder Costa, PA-C, a certified national trainer.

Ben J. Kirbo, M.D. ~ Laurence Z. Rosenberg, M.D. CERTIFIED BY THE AMERICAN BOARD OF PLASTIC SURGERY

A portion of proceeds from all sales will be given to PROGRESSIVE PEDIATRIC DEVELOPMENTAL CENTER

~

850.219.2000

2030 Fleischmann Rd. ~ Tallahassee, FL

FIND US ON FACEBOOK!

RSVP by November 25 online at www.se-plasticsurgery.com or call 850.219.2000. TD-0000186440


cover story

Working toward well...

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YOUR HEALTH November 2011


Hit with cancer and diabetes, Phyllis Williams came back with the help of family, the support of Wellness Works and the strength of her own determination BY KIM MACQUEEN

P

hyllis Williams is happy to tell you about her bouts with both cancer and diabetes, but she’d really rather talk about things that are a lot more important to her.

way,” she remembers. “It is scary, because I do have two daughters, and I just pray every day that I’ll be here to see them go on and be successful. I just try to stay as positive as I can.”

The first is singing. Since childhood, she’d always sung with her sisters and brothers in church. But it wasn’t until she’d beaten back breast cancer and cut her blood glucose level by two-thirds that she realized how happy it made her, how much she loves it. And she knows now that the trials she’s been through with her illnesses have made her a better singer.

One of the tools that helped the most turned out to be the Wellness Works program begun in 2009 through TOC. Phyllis and Laura both signed up for the program’s inaugural 90-day weightloss challenge of diet and exercise classes, and it changed Phyllis’ life.

“It’s made me more expressive,” she says, her eyes lighting up. Reserved almost to the point of shyness, Phyllis is also warm, funny and exceedingly easy to talk to. “Now it’s like I can’t wait to sing.” And then there’s family. If you ask Phyllis about how she dealt with her cancer diagnosis in 2007 at age 35, she at first describes her baffled, disbelieving reaction. Then she recounts how her sister, Laura, who works with her at Tallahassee Orthopedic Clinic, and her brother Kent supported her, how her husband Renard and friends at TOC helped her get educated and find tools to deal with both the cancer and the gestational diabetes she developed while she was pregnant, which never left. “At first, I couldn’t even say the word cancer. I was in denial,” she says now. “I thought my life was over. But I have positive people all around me, and they helped me learn, and they kept me in good spirits.” Now remission for two years, she says she can’t help but dread annual mammograms a bit, but calls a positive attitude absolutely key. “I ran into one young woman who was just angry (about her diagnosis). I couldn’t do it that

“I had never really worked out,” she remembers. “When we started that training, we were working out every day of the week. Then even when I got home, I would go walking with my children, doing some of everything.” She says she’s also learned “about the things I can eat to help those cells – antioxidants like strawberries, almonds, all the things you can eat to help avoid breast cancer.” TOC Human Resources Manager Bonnie Solomon, who runs the company’s Wellness Works program and nominated Phyllis for a citywide award earlier this year, says that “what was so phenomenal to me about Phyllis wasn’t really the weight loss, although she did trim down. But she also dropped her glucose levels from 373 to 128, and they reduced her medication. “That was impressive,” Bonnie says. “And ever since, she’s really stuck with it, been involved, and kept it down. To me, she’s just an inspiration.” v November 2011 YOUR HEALTH

15


The Wellness Works program Tallahassee Orthopedic Clinic started its Wellness Works program in 2009, as part of its mission to support its’ employees’ health. It’s one part of the community-wide Working Well nonprofit initiative run by a volunteer board led by Mary Barley, director of Corporate Wellness at Gold’s Gym and Women’s World. TOC’s program offers 90-day weightloss challenges and free onsite strength and conditioning classes taught by Human Resources manager Bonnie Solomon. Participants also take up collections to hire Zumba teachers and BootCamps To Go. TOC Wellness Works also enters teams in local fitness efforts like the recent Corporate Cup Challenge, where hundreds of team members descended on Tom Brown park to compete in running, biking, kayaking and strength events. Maybe the best part of TOC’s Wellness Works program, though, is how easy it makes working out for its employees. Classes are held just steps from the office right at 5 p.m., so parents can get in some fitness time before picking up the kids from day care. To learn more about Working Well, visit workingwellonline.com. 16

YOUR HEALTH November 2011


November 2011 YOUR HEALTH

17


ALTERNATIVE HEALTH

Ease aching joints It might be time to explore one or more natural approaches to reducing inflammation By Avery Hurt

W

hether you are feeling the twinges of arthritis or you just overdid it at the gym or on the bike path, sore and inflamed joints get your attention and demand some kind of response. Many of the traditional treatments are beginning to seem too risky for these relatively minor, but decidedly uncomfortable, ailments. Non-steroidal antiinflammatory drugs, or NSAIDs, long the treatment of choice for inflammation and pain due to arthritis and minor sports or overuse injuries, have been increasingly associated with an increased risk of gastrointestinal bleeding, heart attack and stroke. Fortunately there are many alternatives that take a more natural approach to easing discomfort and reducing inflammation. And some of them are even good for your heart, too.

From Pantry to Medicine Chest Several of the popular treatments for inflammation are based on substances you probably recognize more from your pantry than your medicine cabinet. Curcumin (found in tumeric), ginger and fish oil (those omega 3 fatty acids found in sardines and salmon) are all well-known for having an antiinflammatory effect, and there are many products on the market that offer these ingredients in pill or liquid form. According to Chris Terrell, CSCS, ND, merchandising manager at New Leaf Market in Tallahassee, the best-selling supplement for inflammation is a combination of glucosamine and chondroitin sulfate. Both substances are found naturally in and around cartilage. Studies on glucosamine and chondtroitin sulfate have been mixed; some show a benefit beyond placebo while others do not. According to a large study funded by the National Center for Complementary and Alternative Medicine, glucosamine and chondroitin were most helpful in people with moderate to 18

YOUR HEALTH November 2011

severe pain. Like the NCCAM study, most research on this combo has been on arthritis of the knee. However a study recently published in the online journal “Arthritis and Rheumatism” found chondroitin sulfate to be helpful for osteoarthritis of the hand. David Bellamy, MD, an orthopedic surgeon at the Tallahassee Orthopedic Clinic, points out that there has been no evidence that glucosamine or chondroitin actually rebuilds cartilage, as some supplement-makers claim. “It does seem to make a lot of people feel better,” Bellamy says. He knows of no problems with it. “Give it a try, and if it makes you feel better, great. If not, stop taking it,” Bellamy suggests. “The only thing it hurts is your wallet.” When it comes to protecting your wallet, be sure you get the most value for your dollar. Different manufacturers get their ingredients from different places, explains Terrell. “The quality of the raw material is very important,” Terrell says and recommends Country Life, Bluebonnet and Jarrow as particularly high-quality brands. While most of the supplements seem to be relatively safe – particularly the glucosamine and chondroitin preparations – Terrell recommends a few basic precautions. Always read and follow the instructions on the packaging and talk with your physician or dietician about any other medications or supplements you are taking. Blood thinners, particularly, can be a problem because several of these substances (fish oil and ginger, for example) can have a blood-thinning effect. v


No supplement needed When your inflammation and discomfort are due to a mild sports injury, such as a minor sprain or the overstressed joints of the weekend warrior, it may be possible to get relief without any supplements at all. The experts still recommend the RICE treatment:

R: rest. Give the affected area a few days off. Prop

knees on a pillow or if the injury is an elbow or shoulder, wear a sling.

I: ice. A good old fashioned ice pack can help prevent swelling. Apply the ice for 10 to 15 minutes at a time several times a day. A bag of frozen peas works just as well as a fancy ice pack and is much less expensive. Just be sure to wrap the bag of vegetables in a cloth before putting it on your skin. C: compression. Wrapping the injured area in an elastic bandage can keep swelling down. Just be sure not to wrap it too tightly. If you feel tingling or numbness or if the pain gets worse, remove the bandage immediately. E: elevation. As much as possible, keep the injured

area at or above the level of your heart. This will also minimize swelling.


fun finds

In a clutch

Save yourself time and headaches by tucking a fashionable little bag into that humongous, hold-everything purse

By Lisa Fingeroot

Here’s a bevy of clutches worth coveting from several local stores. From Dillard’s (Governor’s Square, 671-2000) come a Mary Frances Christmas tree clutch ($265) and a pumpkin ($280), plus two ruffled Kate Landry handbags in black ($75) and purple ($55). Divas & Devils House of Style (1300 N. Monroe St., 580-6662) was the source of the vintage black with gold stripe bag ($42). Find the gold ($118) and pink numbers at Cole Couture (1240 Thomasville Road, Suite 102, 553-3327). Photo Credit: Mike Ewen

E

veryone has that calm and well-organized friend who seems to effortlessly pull a box of tissues and a frozen casserole out of her purse at the mention of a funeral, but some of us have to really work at packing up the purse. 20

YOUR HEALTH November 2011

Complicating the chore is the dilemma of whether to choose the cute little number that perfectly accessorizes a carefully put-together outfit or the big shapeless blob that holds all the items needed to get through a whole day.


Learn more about our birthing options at CRMCFamilyCenter.com or call 850.325.3627 to schedule a tour today.

I Just Know

EVERY MOTHER’S JOURNEY BEGINS WITH A THOUSAND QUESTIONS. LUCKILY, WE HAVE THE ANSWERS. As a nurse and lactation consultant, I work one-on-one with new moms, helping answer questions about the proper care and feeding of their newborn. We incorporate the latest research and best practices into our maternity care program, guided by the American Academy of Pediatrics and the World Health Organization. At The Family Center, we understand that family-centered care is not just “nice,” it is necessary. The end result is a program that provides mothers with a safe, caring and progressive approach to childbirth. We wouldn’t have it any other way. — Molly Shakar, RN and Lactation Consultant Best Beginnings Lactation Services offered at The Family Center Capital Regional Medical Center

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The answer is to use both by packing the little clutch inside the larger bag, according to Tallahassee fashionistas who are also hardworking women on the go. “The daytime purse (has become) a substitute for a briefcase,” said Bridget Moats, manager of the Midtown/Thomasville Road Narcissus location. They now hold everything from calendars and day planners to iPods and iPads. “Literally everything you need to get you through the day is in your purse now.” But no one wants to be loaded down with all that stuff when social hour comes around, which is why those cute clutches are also included in the items packed up in the big bag. Plus, a clutch “really pulls the look together,” Moats added. “I sell really big and really little purses,” Divas & Devils House of Style owner Michelle Torregrosa said. “I feel like (clutch purses) have always been in style for going out. The big ones that you can fit your house into are your day purse.” Cole Couture owner Carrie McNeill agrees that a large day purse has pretty much become a working woman’s briefcase. She sells a lot of the large sturdy bags that hold everything but the kitchen sink and also sells a lot of smaller clutches that will fit inside those bags. Historically, the clutch purse has been known as an evening and big event handbag and most women can remember a very special clutch their grandmother or mother carried to big events, McNeill said while listening to the teary-eyed tale of a vintage evening clutch from 1966. That glittering bag is carefully wrapped and sits in a place of honor in my own closet because it is the one my

What goes where in bags big and small Some women are just plain perfect. You know — the ones who have the impeccable manicure and pedicure, their roots never show, and they know exactly where to find everything in their purse. They create peace and goodwill everywhere they go because they have everything the world needs right there in that well-organized purse. My purse is filled with used tissues, abandoned fast-food toys, old candy wrappers being used to hold previously chewed wads of gum, sunscreen last used in August, some earrings I don’t remember ever wearing and a crumpled Publix recipe card. No matter

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YOUR HEALTH November 2011

late grandmother used while escorting my mother, my aunt and me to a Broadway production of “Hello Dolly,” a dream night for any 5-year-old girl from South Georgia. McNeill and her own mother collect vintage clutch purses and are always on the lookout for those extraordinary ones that must have a thousand stories to tell. She likes to imagine the story of every clutch and think of “the fabulous things that might have been carried in them,” McNeill added. “You think about the stories that that little clutch could tell about some fabulous evening parties.” Just like the fashion change from briefcase to large purse, though, the clutch has been making some changes. For the upcoming season, McNeill is seeing lots of really bright colors like yellow and turquoise that can be toned down for day use and dressed up for evening use so they can go from lunch to dinner with very little effort. There also seems to be a larger variety in size than ever before. “There’s just more to choose from,” Moats said. “They’re not just for going out to a party. You can use them for day and going out to dinner with friends. They come in so many styles and colors and sizes.” Clutches can be flat, rectangular and manila -nvelope size or can be small and square and cell-phone size. They come with no straps, detachable shoulder straps or even wrist straps, and some are a real substitute for the wallet in that large day bag. v

how many pens I put in that bag, not one can ever be found. Help is available, though. For example, www.wikihow.com has a tutorial on what to pack in a purse, and www. getorganizedwizard.com has a lesson plan on what to take out. They both have suggestions to help even the messiest woman navigate her Bermuda Triangle of purses. Think about where you’re going and what you need every day and make a list or place all the items in one place to take stock of what you plan to pack. Before repacking, remove unused keys, old business cards, scraps of paper and, yes, used tissues. With a little cleaning, most women can pack up the day bag, but what goes in the fashion clutch when it’s time to socialize?

Tallahassee fashion mavens are pretty much in agreement on the five essential items. Ditch the wallet and place cash, credit or debit card, and identification in a pocket of the clutch Car keys Cell phone Mints or gum Some type of makeup like lipstick or lip gloss, mascara, powder and blusher or bronzer – depending on what you use. Those are the essentials, but the mavens also had a few other ideas like bobby pins, and hair ties, pursesize lotions and even a cab company business card so the phone number is easily accessible if you need a ride.


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Mind | Body | Soul

Getting the best goals Your approach to goal-making can help determine your success By Jan Verhagen

W

hile January may be the official start of the calendar year, many community activities launch their “new year” in the fall. This is a time to revisit what you have been doing, what you would like to do, see how things are working for you, and how they may not be working!

When starting in a new direction, it is vitally important to set some goals so that you can evaluate your progress. Physical fitness is no exception to this formula. We are often so busy helping everyone that touches our lives, that we rarely have time to apply our good advice to ourselves! So what would you tell your best friend about setting fitness goals for this “new year”? First of all, I’m sure that you would want them to be successful, right?

for Specific, Measureable, Action-oriented, Realistic and Timed. A goal of “I want to get fit” may be an approach-type goal, but who knows when you are there? It is very different to say, “I want to wear a dress one size smaller by December 25!” Another way to achieve your goals successfully is to break your long-term goal down into short- term, two-week increments. We are all motivated when we start seeing success, so why not plan for it? Small gains add up, even if it’s taking the stairs instead of the elevator, or working on some abdominal crunches during commercials. Do you want your best friend to feel motivated to achieve her new fitness goals immediately? Help her with her posture. Pulling that tummy in and

Given that goals may fall into two separate categories, can you guess which one you would recommend for your best friend? Would you prefer them to have an ”avoidance” goal or an “approach” goal? Avoidance implies that you are depriving yourself of something. For example, “I will not buy new clothes until I’m a size smaller!” – what you won’t do. On the other hand, an approach goal is more positive in nature, implying what you will do. Of course, one example is hiring a personal fitness trainer.

lifting that chest out while keeping your chin in

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YOUR HEALTH November 2011

will make you feel better right way. One of our toughest goals may be to think of ourselves as our best friend. Consider the benefits. You, too, can set SMART goals that will, when “approached” step by step, motivate you toward a new you. Now that’s a great reason to stand tall and take pride in yourself and your best friend! Jan Verhagen is the owner of Fitness Proaction, 1400 Village Square Blvd., Suite 17. To learn more, Contact Jan at jan@fitnessproaction.com. v


Jan Verhagen of Fitness Proaction, left, has been working with client Jackie Helton since March 2010 to improve Jackie’s health through “SMART” goals. Photo credit: Mike Ewen November 2011 YOUR HEALTH

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MAKE OVER

Cooks, take five

These five simple items – four tools and one ingredient – can make meals much healthier By Kathy Radford

S

ometimes there is wisdom in those old momisms: “starve a cold, feed a fever”; “always tell the truth”; “don’t go outside with wet hair.” These pieces of wisdom all have their place in keeping us healthy or focused on societal expectations. Let’s face it: All that advice is good. However, no truer words have ever been spoken than “you are what you eat.” Every day, science confirms what Mom already told us, so just about all of us seek to ensure better health through healthier eating. Sometimes, though, it is hard to come home after a long day and be sure we are cooking everything in as healthy a way as possible. Even so, it is important, and it can be easier than you think to keep the food you eat and serve nutritionally sound with these five simple tools that no health-conscious kitchen should be without:

A broiler pan: Cooking your chicken or small, lean steak under the broiler allows the fats to drip down into the bottom half of the pan. That keeps the fat away from the food so it is not sitting in grease as it cooks. Less fat in the food means less fat in the tummy and less fat on the hips.

A steamer: Area groceries and specialty markets stock plenty of organic vegetables, but they still see folks who boil them until all the nutrients end up in the water instead of the food. Steaming your veggies is the best option for a health-conscious cook. Add whatever herbs and spices you like as they steam, and those broccoli florets and carrots will be delicious.

A kitchen scale: As restaurant and fast food portions explode in size, it can be difficult to know exactly what a reasonable serving size is. And there are still lots of us around who feel it is necessary to clean 26

YOUR HEALTH November 2011

our plates. Truly, wasting is disappointing, so a kitchen scale can help the cook learn to cook and serve properly sized meals.

A food dehydrator: A dehydrator may seem like an unnecessary kitchen gadget at first glance, but it can be a great way to make healthy snacks. Any nutritionist will tell you that having healthy snacks between meals is a good idea. Snacking helps keep blood sugar levels on an even keel and helps keep you from being so hungry at dinnertime that you scarf down everything on your plate and head for seconds. The problem with many pre-packaged snacks, however, is that they can be full of chemicals, preservatives, added oils and fats, and who knows what else. With a food dehydrator, you can make your own trail mix and be able to pronounce every ingredient. A food dehydrator can take the boredom out of healthy snacks. Carrot sticks only go so far in my book.

Olive oil: Okay, so it’s not technically a tool, but olive oil is every cook’s best friend. Sometimes you need a bit of oil to cook with, right? You just do. Olive oil beats vegetable oil hands-down with its notransfat, no sodium, and no “bad cholesterol” great taste. v


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mind matters

Hurry up and relax! We all need techniques for letting go of stress, especially as the holidays approach By Meredith Russell associated with rest, recuperation and relaxation. The stress hormone cortisol, associated with fight, flight, and fear, goes down. People tend to have more cortisol than serotonin: massage reverses this imbalance.”

S

erenity now!! Remember that great “Seinfeld” episode where Jerry’s father repeatedly yells “Serenity now!” at the top of his lungs? As if saying it louder and more forcefully will bring bigger and better relaxation. While his methods may have been questionable, we can relate to the urgent need for de-stressing. Relaxation “is replenishment of your spent energy. Relaxation strategies reduce stress overall -- helps you to think more clearly, regulate body pain, normalize blood sugar and blood pressure, and minimize migraines,” explains Carol Ness, MSW, a therapist in Tallahassee. What could be more crucial as we roar into the holiday season?? There is increasing information available about how our brains work, so we now know scientifically proven ways to get immediate relief and relaxation. Any time, any place.

Touchy, Touchy “Massage is immediate” in creating a relaxation response, says George Kousaleos, founder and president of CORE Institute School of Massage Therapy in Tallahassee. “Massage immediately affects neurohormones that affect mood and stress. It increases serotonin in the body, 28

YOUR HEALTH November 2011

While we’d all love to have access to a massage therapist with the snap of our fingers, Kousaleos says you can also do it yourself. Here are the top areas to focus on to stimulate your relaxation response:

Hands: The webbing between the thumb and the index finger is a crucial massage relaxation point as well as a headache-relief point in traditional Chinese medicine.

Feet: Focus on the webbing below the big toe and second toe. Anywhere on your foot arches also will help.

Temple: “Try slow circular massage techniques on the temple region, just to the side of the forehead. This is good whether you do or when you don’t have a headache, to stimulate relaxation response,” says Kousaleos.

Neck: Massage the occipital ridge, which is the top of the neck at the base of the skull. “Seventy percent of stress headaches are caused from tightness in the tendons and muscles of the top of the neck.”

Eyes: Try anywhere on the bone just under the eyebrows.

Jaw: Use slow, circular strokes, slowly opening and closing the jaw. You may feel that one side needs more work than the other.


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Breathe, Just Breathe “Whether it’s different forms of hatha yoga or meditation, cultures throughout history have realized that slowing down the breathing process is one way to get into the relaxed state,” says Kousaleos. He recommends using long, slow, easy breaths. “ Use a number system: as you inhale, count to four, exhale counting slowly to six.” Try to exhale 50 percent longer than you inhale.

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Work that body … gently The good news is that you don’t need heavy or strenuous exercise to get a relaxation response. Gentle stretching can improve blood flow and increase overall relaxation. Kousaleos recommends regular, moderate exercise such as walking, stretching, or swimming 30 to 45 minutes per day. “Don’t push too hard,” he cautions, as overexertion can increase tension.

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There’s an app for that

While we’ve all had moments of techno-stress when we want to throw our smart phones across the room, our phones-computers-tablets actually can provide us with ways to relax. Sleep-related apps: There are a variety of apps to help you get to sleep, including apps where you can create your own sleep music or choose from a number of sleep sounds. Sleep Cycle Alarm Clock actually analyzes your sleep cycles and wakes you up at the most optimal time for you to feel refreshed and ready to tackle the day. Meditation apps: There are a variety of voice-guided apps,

but check the reviews as customers tend to prefer some voices over others. Yoga apps: There are great programs and videos that can walk you through anything from basic stretching to yoga positions.

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These are techniques you can use right away to relieve some stress, wherever you are. Whether it’s massaging your hand subtly under your desk, or deep breathing while on the phone with your teenage daughter, you are building a tool box to help you cope with whatever the season throws at you. v

November 2011 YOUR HEALTH

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AROUND TOWN

It’s a Jolly Holiday, Be Merry! Nov. 25-Dec. 31 The LeMoyne Center for the Visual Arts takes “It’s a Jolly Holiday, Be Merry” as the theme of its 47th Annual Holiday Show and Sale. Scores of artists will sell ornaments during this annual fundraiser, which has become a local tradition. Artwork in all price ranges and many media will be available. The show opens Thanksgiving Night for members, and then runs with extended hours until New Years Eve. Hours: 10 a.m.-8 p.m. Tuesday-Saturday; 1-5 p.m. Sunday. Members’ opening will be 6-9 p.m. Nov. 24. The gallery will be open until 9 p.m. Dec. 2 for First Friday. Admission: $2. LeMoyne Center for the Visual Arts, 125 N. Gadsden St. For more information, call Ann Kozeliski, 222-8800, or visit lemoyne.org.

Argentine Tango Society of Tallahassee, Tango Tuesdays

Tuesdays in November, 8:30-10:30 p.m. This weekly social dance sponsored by the Argentine Tango Society of Tallahassee aims to keep Argentine tango dance and culture alive in Tallahassee. Cost: free to Argentine Tango Society of Tallahassee members; donations requested from others. Fifth Avenue Tap Room, MANOR @ midtown, 1122 Thomasville Road. To learn more, call Hilda Gilchrist, 322-8688.

Better Breathers Club Fourth Oxygen Ball

Nov. 5, 6:30 p.m. Put on your dancing shoes for the Better Breathers’ fourth Oxygen Ball. This year’s event features “Dancing with the Local Stars,” in which professional dancers from Fred Astaire Dance Studios are paired up with local celebrities – three women and three men – for a night filled with ballroom dancing. The dancers will be judged by a professional panel and

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YOUR HEALTH November 2011

fans. The evening includes dinner, the ballroom competition, an open dance floor and a silent auction. Third Floor Ballroom at the University Center Club, Doak Campbell Stadium, Florida State University. For more information, contact Jennel Pendleton or Patty Ballantine at 386-2065.

‘Forget-Me-Not’ Walk and Festival Nov. 6, 1:30-4 p.m. Walk alone or as part of a team to help raise money for a good cause. All funds from this event will stay local to benefit The Alzheimer’s Project. The Forget-MeNot Walk and Festival also will include music, a cake walk, a bounce house, craft vendors, food and prizes. The Pilot Club of Tallahassee will be helping children to “protect their brain for life” as well as fitting and distributing a limited number of bicycle helmets for free. St. Paul’s United Methodist Church, 1700 N. Meridian Road. Registration, 1:30 p.m.; warm-up, 2 p.m.; Memory Walk, 2:30 p.m. For more information, to register or to volunteer, call 386-2778.

Silent Auction for Neighborhood Health Services and Epilepsy Association

Nov. 10, 6-10 p.m. Neighborhood Health Services and the Epilepsy Association of the Big Bend present “Health in the City,” a silent auction event featuring live music. Auction items include beach getaways, restaurant gift certificates, and tickets to Disney World, Busch Gardens and SeaWorld. Tickets are $25 each, and proceeds will benefit Neighborhood Health Services and the Epilepsy Association of the Big Bend. Monroe Street Conference Center, 2714 Graves Road. To buy tickets or find out more about this event, contact Myriah Harper at 222-1777 or eabbpe@ embarqmail.com.

23rd Art in Gadsden

Nov. 11, 6-9 p.m. The Gadsden Arts Center’s annual juried signature exhibition of fine art will showcase more than 100 artists living within 200 miles of Quincy. Considered the exhibition that began Gadsden Arts, this is the center’s most important annual tradition. The show opens Nov. 11 and runs

through Jan. 28. Hours: 10 a.m.-5 p.m. TuesdaySaturday. Closed holidays. Donation: $1; members and children admitted free. Gadsden Arts Center, 13 N. Madison St., Quincy. For more information, call 875-4866 or go to gadsdenart.org.

Big Bend Habitat for Humanity Festival of Trees

Nov. 17-19 Beautifully decorated and lit holiday trees of all sizes will be available during Habitat’s Festival of Trees fund-raiser. Individuals, schools, churches, civic organizations and businesses design and decorate trees that are then donated and put on display. The trees are sold to the highest bidder, with bidding continuing throughout the event. Admission to the open auction is free. That event takes place 11 a.m.-7 p.m. Nov. 18 and 19 at Kleman Plaza. The Preview Reception, which will be 7-9 p.m. Nov. 17 at the Mary Brogan Museum, costs $50. The reception offers the opportunity to buy early. For more information on the Festival of Trees, contact Marti Chumbler, 284-5355, mchumbler@ caritonfields.com, or go to bigbendhabitat.org.


PHYSICIAN PROFILES MICHELLE HOGGATT, MD

Gynecology and Gynecologic Surgery Dr. Hoggatt received her undergraduate degree in genetics from the Univ. of California at Berkeley and she received her Doctor of Medicine from the Medical Univ. of South Carolina, Charleston, SC. After completing her obstetrics and gynecology residency at Tulane Univ. Medical Center, Dr. Hoggatt began practicing obstetrics and gynecological medicine in Sacramento, CA. She relocated to Tallahassee and has been in a group practice specializing in gynecology and gynecological surgery. Dr. Hoggatt is a member of the AMA, Capital Medical Society and the American College of Obstetrics and Gynecology. Dr. Hoggatt uses her specialized skills in gynecological medicine to help educate her patients about the importance of managing the challenges of women’s health issues. Contact: 2009 Miccosukee Road., Tallahassee, 850.656.2128

LARRY L. HARPER, MD, FACS

ALFREDO A. PAREDES JR., MD

Plastic Surgery Dr. Alfredo Paredes, Jr. received both his undergraduate and medical degrees from Emory Univ. where he was a Woodruff Scholar. He completed his Plastic Surgery Residency at Emory University. Dr. Paredes is a Clinical Assistant Professor at the FSU School of Medicine. His special interests include cosmetic surgery, body contouring, breast augmentation and reconstructive surgery. Dr. Paredes is board certified by the American Board of Plastic Surgery and is also a member of the highly respected American Society of Plastic Surgeons. Contact: 2452 Mahan Dr., Suite 101, Tallahassee, 850.877.2126

ROBERT FRABLE, DO

Plastic Surgery Dr. Larry L. Harper graduated from Florida State University and received his medical degree from the University of Florida School of Medicine. Harper completed his general surgery residency at University of South Alabama Medical Center, followed by a plastic surgery residency at Vanderbilt University He is board certified by the American Board of Surgery and the American Board of Plastic Surgery.

Family Medicine Dr. Robert Frable is a board certified family practice physician established in Wakulla County for 24 years. Originally from Pennsylvania, he attended undergraduate school at Northeast Missouri State University and graduated from Kirksville College of Osteopathic Medicine. Family Pratice Residency was completed at the Kirksville College of Osteopathic Hospital in Kirksville, Missouri.

Contact: 2452 Mahan Dr., Suite 101, Tallahassee, 850.877.2126

Contact: Capital Regional Medical Group, 2832 Crawfordville Hwy., Crawfordville, 850.926.6363

RONALD G. WILLIS, DMD

General and Cosmetic Dentistry Dr. Ronald G. Willis Graduated from the Medical University of South Carolina. Dr. Willis specializes in Cosmetic Dentistry, TMJ/TMD Neuromuscular Dentistry, Neuromuscular Orthodontics, and Veneers. Dr. Willis has treated missing and discolored teeth. Many treatment options exist for his patients as well as finishing the frame around the teeth and face with Botox and Derma Fillers. Dr. Willis received an award for Best Dentist in 2003 & 2005 and Las Vegas Institute for Advanced Dental Studies Clinical Instructor of the year. Contact: Centre Point Dental Group, 2470 Care Dr., Tallahassee, 850.877.5151 or rwillisdmd@yahoo.com

AFOLABI SANGOSANYA, MD

Cadiology/Internal Medicine Dr. Sangosanya has joined Capital Regional Cardiology Associates. He earned his medical degree from New York University School of Medicine and completed his cardiovascular disease training at the University of MiamiJackson Memorial Medical Center. Dr. Sangosanya is board certified in cardiovascular diseases and internal medicine. He is also board eligible in clinical cardiac electrophysiology. Dr. Sangosanya is committed to providing accessible care to the Big Bend and provides same day appointments to patients. Contact: Capital Regional Cardiology Associates, 2770 Capital Medical Blvd, Ste 109, Tallahassee, 850.877.0216, CapitalRegionalMedicalGroup.com

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WHY PHYSICIANS CHOOSE TMH I’m Dr. Angie Cain. At Tallahassee Memorial, I participated in the TMH Family Medicine Residency Program. My experience there encouraged me to stay and practice in this community with confidence that our patients have access to the best possible care.

An example of this is the newly expanded Tallahassee Memorial Bariatric Center, the first of its kind in our area. The focus of the center is to provide treatment and long term management of obesity, services that are in high demand in our community. With the opening of this new center, TMH will help empower patients to participate in their treatment with a goal of improving overall health…and that is why TMH is my hospital.

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