Healthy Living June 2013

Just turn your head & cough

for our first ever

MEN’S GUIDE TO LIVING HEALTHY

An unflinching look at everything a man needs to know (but sometimes avoids) about his health.

plus

EATING RIGHT

Local teacher Traci Oliver is on a mission to good nutrition

and ow

BECOMING CROSSFIT

Leesburg Regional Medical Center Leesburg Regional Medical Center

LET’S PLAY PICKLEBALL

Premier Surgical Center

Dr.Vinay GUTTI

Dr. Vinay Gutti is a boardcertified ophthalmologist who practices comprehensive eye care at Eyemax Vision Center in Tavares. He specializes in cataract, corneal, and refractive (LASIK) surgery.

Dr. Gutti believes in personalized, patient-centered care, and his motto is to treat all of his patients as if they were family members.

Dr. Gutti grew up in the central Pennsylvania town of State College where Penn State University is located. He had the opportunity to spend time on the East Coast, Midwest, and West Coast during his extensive training. Dr. Gutti’s clinical interests focus on cataract surgery and premium lens implantation including Crystalens HD, Alcon Toric IOL, ReStor IOL, and Tecnis Multifocal IOL.

He also has surgical expertise in advanced corneal transplantation techniques, specifically femtosecond laser-enabled keratoplasty (laserassisted corneal transplant) and Descemet’s stripping endothelial keratoplasty (DSEK), where he is able

to preserve most of a patient’s own cornea while only transplanting the inner layer called the endothelium.

Dr. Gutti performs a majority of his operations in Tavares at the worldclass Premier Surgical Center, which offers him the latest surgical equipment and technology so he can achieve optimal visual results for his patients.

Dr. Gutti has published his research in numerous peer-reviewed journals and has authored chapters in highly respected ophthalmic textbooks. He has traveled nationally to present his research at prestigious academic meetings.

In his free time, Dr. Gutti enjoys spending time with his wife and daughter and playing golf at many of Central Florida’s beautiful golf courses.

2146 VINDALE RD., TAVARES, FL 32778 352.401.1919

SCREENING FRIDAYS

A ONE-ON-ONE CONSULTATION WITH ONE OF OUR SPECIALISTS

June 2013

The men’s guide to living healthy

Being healthy doesn’t mean successfully dodging the doctor, leaving bacon off your double cheeseburger, and drinking only half of a six pack. It means making smart decisions about your health for a better you on the inside, as well as on the outside. At times, it seems as if men’s health goes totally unnoticed, but here at “Healthy Living” magazine, we have decided to shine a spotlight on all the men’s health topics we feel are important so you can live a longer and happier life.

WRITERS: SHEMIR WILES AND JAMES COMBS

‘B’ STRONG

Lake County orthopedic surgeon John Cowin attended the Boston Marathon to watch his daughter run and raise money for cancer research. When two bombs exploded, the doctor did not flee the scene to seek safety. Instead, he immediately tended to several injured persons, becoming an unsung hero on this dark, tragic day.

WRITER: JAMES COMBS

WEIGHING IN ON TRACI

What’s the skinny on Traci Oliver? Since last checking in on her two months ago, Traci has continued staying the course by successfully junking the junk food that used to prove irresistible. She realizes the most important component of her lifestyle change involves faithfully sticking to a healthy nutrition plan.

WRITER: JAMES COMBS

ON THE COVER

CONCEPT: JAMIE MARK

PHOTOSHOP: JOSH CLARK

MODEL: MATT KOLOZSVARY, HEAD COACH AND OWNER OF CROSSFIT UNMATCHED, TAVARES

IN EVERY ISSUE

10 PUBLISHER’S CORNER

12 HEALTH MATTERS

20 HEALTHY INSPIRATION

22 MEDICAL MYSTERIES

80 CALENDAR

84 COMMUNITY

90 HEALTHY VIEWS

HEALTHYBODY

SHAPE

54 GLUTES: WHIP YOUR BUTT INTO SHAPE

Take a crack at these fanny-firming exercises.

WRITER: TRACY DRAPER

EAT FIT/NOT FAT

58 DOMINO’S PIZZA

Eat pizza the right way at this popular chain.

WRITER: TABATHA ARCARO-ORTIZ, M.S., R.D., L.D/N.

INSIDE

60 MUSIC IN MEDICINE

The benefits of healing harmonies.

WRITER: RICHARD T. BOSSHARDT, M.D., FACS

LOOK

62 ACHIEVE A FLAWLESS FAUX GLOW

Get a sun-kissed tan without the skin damage.

WRITER: RUTH ANN BYRD

HEALTHYMIND

DISORDER 66 UNDERSTANDING SCHIZOPHRENIA

Know the signs and symptoms of this debilitating disease.

WRITER: ANTHONY LEWIS

ADDICTION 68 CAUGHT IN CYBERSPACE

Using the Internet too much might indicate a bigger problem.

HEALTHYSPIRIT

INNERVENTION

72 THERE IS MORE TO COME God never gives you more than you can handle.

handle.

WRITER: GAYLE TEERMAN

MENCOURAGEMENT 74 HONORING THY FATHER

Show your dad a bit of gratitude this Father’s Day.

WRITER: RICHARD BURGUET

HEALTHYFINANCE

CONSERVE 78

ASK DAVE

To spend or not to spend?

WRITER: DAVE RAMSEY

RESOURCEFUL 79 .COM COUPON CRAZE Bank a fortune with these convenient deals.

COM a

STEVEN C. LMHC, ICADC

WRITER: STEVEN C. VANGELDER, DR.AD, LMHC, CAP, ICADC

Publisher’s corner

KENDRA AKERS publisher/editor-in-chief kendra@akersmediagroup.com

DOUG AKERS vice president doug@akersmediagroup.com

MY FATHERLY MENTORS

It’s June, the month to celebrate all of the wonderful men in my life… and there are many. Immediately, I have my wonderful husband, Doug; my two very handsome and loving sons, Michael and Matthew; my dad, Jerry; and my two four-legged sons, Myles and Mason. They all mean so very much to me. To say that I am blessed to have them in my life is an understatement.

While I could go on and on about the men I mentioned above, I would like to tell you about two other extraordinary men in my life. I will start with Mike Stegall, aka The Hammer. I met Mike in 2004 at a business expo; he was there representing my competitor. He came over to my booth and introduced himself. Mike was handsome, polite, and boy, was he a smooth talker! I knew he was there to check out the competition — certainly not to make friends. But I couldn’t help but be drawn to his animated personality. At that moment, I had no idea Mike would become one of the most important men in my life. Eventually I left the company I was working for and joined forces with Mike. I can honestly say it was one of the greatest decisions of my life. Mike mentored me. He taught me all the tricks of the trade, and we became best buddies — completely inseparable.

At the same time I met Mike, I met my other partner Tim McRae, aka Timbo. I can remember my first impression of Tim being that he exuded integrity and was a complete southern gentleman. My relationship with Tim didn’t develop as quickly as it did with Mike, perhaps due to the fact Tim was my immediate supervisor and when Tim is working, he is all business. However, our relationship eventually evolved, and he became extremely important to me, especially after I gained a best friend in his daughter Jenny. The more time I spent with the McRae family, the more our lives became intertwined.

After the years passed and time made us much closer, our jobs began to change. We were facing the possibility of no longer working together. The thought of separation was devastating because we weren’t just coworkers anymore. We had become family.

Desperate to hold the “family” together, my husband and I decided to start our own company and created the concept of Healthy Living magazine. After a couple of discussions with Mike and Tim, they felt it was a great idea and jumped on board.

Since the start of Akers Media in July 2008 and the launch of Healthy Living magazine in October 2008, I don’t let a day go by without acknowledging my blessings and the trust and friendship I share with these two men. They believed in me, trusted me, and placed their faith and livelihood in my hands and Doug’s. Both of them took enormous pay cuts, rolled up their sleeves, and got to work. And still to this day, they have been the driving force behind our very successful company.

Mike and Tim, I want to thank you for believing in me, loving me, and always being there for me. You have lifted me up many times over the last seven years. You are both my beacon in the night and my ray of sunshine every day. I consider you both fathers to me. I love you dearly.

JAMIE EZRA MARK chief creative officer jamie@akersmediagroup.com

EDITORIAL // DESIGN

TINA MORRISON editorial/community relations director tina@akersmediagroup.com

MARY ANN D ESANTIS editor-at-large maryann@akersmediagroup.com

SHEMIR WILES copy editor/writer shemir@akersmediagroup.com

JAMES COMBS staff writer james@akersmediagroup.com

HEATHER TOOTLE office manager heather@akersmediagroup.com

contributing writers

TABATHA ARCARO-ORTIZ

RICK BOSSHARDT

RICHARD BURGUET

RUTH ANN BYRD

TRACY DRAPER

MARY EDWARDS

FRED HILTON

DAVE RAMSEY

GAYLE TEERMAN

STEVEN C. VANGELDER

STEVEN J. CODRARO associate creative director steve@akersmediagroup.com

CIERRA CHAPPELL production manager cierra@akersmediagroup.com

JOSH CLARK senior designer/advertising josh@akersmediagroup.com

ANTHONY CASTO senior designer/editorial anthony@akersmediagroup.com

CALEB WAYNE JENSEN graphic designer caleb@akersmediagroup.com

FRED LOPEZ chief photographer fred@akersmediagroup.com

contributing photographers SHAENA CHASTAIN STARK BRUMLEY-MARTIN

SALES // MARKETING TIM MCRAE vice president of sales and marketing tim@akersmediagroup.com

MIKE STEGALL senior marketing representative mike@akersmediagroup.com

LORI STRONG marketing representative lori@akersmediagroup.com

HEIDI RESSLER marketing representative heidi@akersmediagroup.com

TERRI GORDON sales coordinator terri@akersmediagroup.com

DISTRIBUTION SCOTT HEGG distribution manager scott.hegg@akersmediagroup.com

ra Happy Father’s

Happy Father’s Day to all the dads out there.

Kendra Akers publisher

Comments or questions for our publisher? Please email kendra@akersmediagroup.com. Our goal is to provide you with the best quality publication, so your feedback is vital.

We help you yourbecome best self.

“I had eyelid surgery, and I feel younger and more attractive. Dr. Bosshardt and Dr. Marzek know how to make their patients look good without making them look artificial. I retained my natural look. Both doctors are focused on the entire health of their patients and are dedicated to the safety of their patients. The staff is equally caring and kind. From my initial contact to follow-up care, I was extremely impressed with my overall experience.”

— Sharon Shear, Clermont

Richard T. Bosshardt,

M.D., FACS and Peter A. Marzek, M.D., FACS

1879 Nightingale Lane, Suite A-2 | Tavares, FL 32778 Call 352.742.0079 for a cosmetic consultation. www.bosshardtandmarzek.com

KEEP YOUR HEAD ABOVE WATER

Summer is in full swing and few things can relieve that unbearable humidity like taking a relaxing dip in the pool. Of course, those of you with children should take safety precautions to avoid an accidental drowning. Remember, drowning is the second-leading cause of injuryrelated deaths among children under the age of 15, according to the U.S. Centers for Disease Control and Prevention. Here are a few tips provided by the American Red Cross.

• Make sure children are supervised at all times when he/she is swimming.

• Consider enclosing the pool completely with a 4-foot-high fence or barrier with a self-closing gate.

• Keep basic lifesaving equipment by the pool such as poles, ropes, and personal flotation devices.

• Keep toys away from the pool when not in use because they attract young children to the pool.

• Establish and reinforce firm rules such as “no diving,” “no running,” and “always swim with a buddy.”

• Consider having your family members take water safety, first aid, and CPR courses. ■

FAST FACTS:

Drowning deaths: Between 2007 and 2009, an average of 390 children ages 0–14 drowned each year in the U.S.

Keep yourself grounded: Roughly 58 percent of fatalities occur in in-ground pools.

Where Florida ranks: In Florida, the number of drowning deaths among children ages 5 and under is more than double the national average.

Sources: http://www.cpsc.gov/en/Newsroom/News-Releases/2012/New-CPSC-Data-ShowChild-Drownings-In-Pools-and-Spas-Still-A-Leading-Cause-of-Death/; http://www.doh.state. fl.us/family/childhealth/childreport/hi/hi7/drown.html

ARE YOU FASTER THAN A CELEBRITY?

Famous celebrities who have completed triathlons:

Actress/Singer Jennifer Lopez (Time — 2:23:38)

Actor Matthew McConaughey (Time — 1:43:48)

Television Host Chris Harrison (Time — 2:03:45)

Actress Teri Hatcher (Time — 2:06:50)

Actor Mario Lopez (Time — 2:03:17)

Source: http://www.menshealth.com/

fitness/triathlon/celebrity-triathletes

OFFICE WORKOUTS: IT’S NOT A STRETCH

June is National Employee Wellness Month. With that said, here are some important tips provided by the Mayo Clinic that you can integrate into your workday to stay fit and trim.

• Walk or bike to work. If that is impractical, then park your vehicle at the far end of the parking lot.

• Try standing more often because you will burn more calories than sitting. Consider standing while talking on the phone, or better yet, use a standing workstation. If you need to ask a coworker something, walk to his or her desk instead of calling on the phone.

• Instead of eating donuts in the lounge, walk around the office or engage in gentle stretching.

• Encourage your coworkers to quit spending their lunch hour going out to eat and organize a lunchtime walking group. This way, you can burn calories while getting to know your coworkers on a more personal level.

• Consider sitting on a stability ball instead of in a traditional office chair. This will help improve your balance and core muscles.

Triple threat

Competing in triathlons is an adrenaline-pumping way to get in shape and improve your health. The 26th annual Central Florida Triathlon Series will be held June 8th at Waterfront Park in Clermont.

Competitors will swim a .25mile course in Lake Minneola, bike for 10 miles around Lake Minneola, and then run a 3.1-mile course through the residential streets of Clermont and segments of the South Lake Trail. This popular event begins at 7:30a.m. and concludes with an awards ceremony.

For more information, call Sommer Sports at 352.394.1320.

We Love to See You

“When my dentist of over 40 years decided to retire, I was feeling anxious about going to someone new. However, when I went to Dr. Adam Barr’s office, everyone was so warm, caring, and professional that I was able to feel at ease. Dr. Barr really takes the time to explain to his patients what they can expect, and he is very passionate about his job. I would not hesitate to recommend him to others.”

— Kay Ikeler

Health in Lake County

In March, the University of Wisconsin and the Robert Wood Johnson Foundation released the fourth annual County Health Rankings and Roadmaps study. This report serves as a snapshot of the health of individuals across counties in each state.

In Lake County, there are areas of progress and continuing opportunity. For example, the rate of adults who smoke has decreased from 21 percent in 2010 to 16 percent in 2013. This is due, in part, to the expanding outreach of the Lake County Health Department’s tobacco cessation program. Of course, challenges remain for the larger community since the number of primary care providers has decreased over the past four years while the number of children living in poverty has increased.

The Lake County Health Department is collaborating with community partners to implement plans to address these issues, as well as other areas. “We will continue our work with community partners to improve the health of residents in Lake County,” says Donna Gregory, administrator of the Lake County Department of Health. ■

A LEG UP ON POIS N

Remember your pet when it comes to poison prevention. According to the American Society for the Prevention of Cruelty to Animals, the top 10 pet toxins of 2012 were as follows:

• Prescription human medications

• Insecticides

• Over-the-counter human medications

• Veterinary products and medications

• Household products

• People food

• Chocolate

• Plants

• Rodenticides

• Lawn and garden products

BEAR-Y CHARITABLE

When a person loses a loved one, sometimes photos and memories are not enough to get through the grieving process. They need something tangible to hold onto and provide comfort.

That is where Ella Sweigard of Tavares comes in. She creates handcrafted teddy bears as part of Cornerstone Hospice’s Bear in Mind program. The bears are constructed completely out of memory material (garments, ties, accessories, etc.) provided by the family for their special bear. Sweigard hand stitches the 18-inch bears, which is difficult and time-consuming, but well worth the effort.

“The giveback is upstairs,” says Sweigard, a hair stylist by trade who has suffered the loss of several family members. “I know the bears add to the quality of life for the family that is grieving. The smiles I receive from patients’ families when they receive this huggable token of their loved one is my reward.”

Anyone interested in becoming a Bear in Mind volunteer can call 1.888.728.6234. ■

Make No Bones About It.

The BioPro® Living Hip Stem Horizontal Platform Support Ho

Comprehensive Care:

People from all over the United States and countries around the world have come to Dr. Vrej Manoogian for total knee and hip replacement. He designed “The Living Hip”, a unique hip prosthesis that is unmatched in its ability to imitate the natural functions of the hip joint. The direct anterior approach, combined with “The Living Hip” prosthesis, has provided a revolutionary treatment for patients with hip arthritis. Since opening his Mount Dora-(near Orlando, Florida) based practice in 2001, Dr. Manoogian has paid meticulous attention to the proper alignment and ligament balancing for his total knee replacements, giving his patients outstanding results. Dr. Manoogian is boardcertified and fellowship-trained.

14 healthy foods for diabetics

In 2011, 25.8 million children and adults in the United States had diabetes, according to the American Diabetes Association. If not properly managed, the disease can lead to blindness, limb amputation, neuropathy, high blood pressure, and heart disease. Fortunately, South Lake Hospital offers a diabetes class that helps participants understand how medication, nutrition, exercise, and blood-sugar monitoring plays an important role in properly managing this disease. The one-day class also helps attendees assume responsibility for limiting the risks of complications associated with diabetes.

The next class will be held July 31st at the National Training Center. Spouses and guests are welcome. For more information, call 352.241.7109.

14. Beans

13. Dairy

12. Salmon

11. Tuna

10. Barley

9. Oats

8. Berries

7. Dates

6. Greens

5. Lentils

4. Flaxseed

3. Walnuts

2. Peanut butter

1. Dark chocolate

DR. FRANK BONO

DR. JAMES RONZO

FIT FOR CROSSFIT

Clint Lowery, 45, is not your typical vacationer who enjoys lying in the sun and soaking up rays. When he travels to various destinations, he would much rather push himself to the limits by waterskiing, snow skiing, and hiking. Fortunately for him, he never has to worry whether he is fit enough to enjoy these challenging activities.

Two years ago, Clint discovered CrossFit, a popular, high-intensity fitness program that combines cardio, gymnastics, and weightlifting movements for a powerful whole body workout. Today, he helps others ‘shape’ their lives through this fitness program. He and his wife, Maci, are instructors and operate Sweat Factory CrossFit in Minneola.

“CrossFit is a well-rounded workout program and helps you become fit and functional for everything in life,” says Clint, a resident of Clermont and paramedic for Lake Emergency Medical Services. “Clients are tired by the end of a workout, but at the same time, they feel like they’ve accomplished something significant. We scale the exercises to an individual’s ability.”

His 12-year-old stepdaughter, Victoria Hattabaugh, has been hooked by this fitness craze. Each day after school, she is at Sweat Factory CrossFit practicing rope-climbing and pullups before heading to gymnastics practice. In June, she will compete in a CrossFit competition.

“Some of our clients watch her perform certain moves and say, ‘I wish I could do that,’” Clint says.

However, Clint’s 17-year-old son, Corbin, has yet to be bitten by the CrossFit bug. Corbin is an honor roll student whose only means of physical activity is competing on his high school bowling team. “He’s more of a computer kid,” Clint admits.

Clint, who follows the Paleo diet, eats whole fruits, lean meats, whole grains, and vegetables. He eats five or six times a day. He allows himself one cheat day each week.

Advice for anyone considering CrossFit:

“The hardest step is taking the first step to get there. If you can get through the first day and make it to the second day, you will have confidence that you can follow through. It takes discipline.”

Some CrossFit exercises

Clint performs:

• 40-meter runs

• Overhead squats

• Hand-release pushups

• Pullups

• 1.5-mile tempo run

• Kettlebell snatches

• Wall ball

• Situps

Medical mysteri

BRRRR!

FEAR YOUR POPSICLE!

We Americans firmly believe in warning each other about possible danger. For years, we have been told of the terrible damage that smoking can do to our bodies. At restaurants and in grocery stores, we are bombarded with warnings that tell us if we don’t cook certain foods correctly, nasty things might happen to our innards. My bottle of scotch has a warning on it that says, more or less, “If you drink too much of this, you better not even think about driving a motor vehicle, and you are going to feel real crappy tomorrow.”

Any day now, I expect to get ready to take a chomp out of my Klondike bar or orange Popsicle and look down and see something that says, “If you eat this product too rapidly, you are likely to experience an icky, piercing sensation inside your head that is commonly known as a ‘brain freeze.’”

Most of us have experienced a brain freeze, which is also known as an icecream headache, cold-stimulus headache, or in more technical terms, sphenopalatine ganglioneuralgia. Simply said, it is “a kind of short-term headache typically linked to the rapid consumption of ice-cream, ice pops, or very cold drinks,” according to Medical News Today.

At one time, a brain freeze was attributed to abrupt temperature changes in the sinuses. Researchers at Harvard Medical School debunked that theory by looking at cerebral blood flow among

people who quickly consumed cold food or drinks. The result of the study, according to Toronto’s The Globe and Mail, was that “ice-cream headaches are caused by rapid dilation of a cerebral artery, which floods the brain with blood.”

When something cold touches the roof of your mouth, there is an increased flow of blood to the area to warm it up.

In the Harvard study, Dr. Jorge Serrador and his team found that the sensation of a brain freeze seems to be caused by a dramatic and sudden increase in blood flow through the brain’s anterior cerebral artery. The best way to avoid brain freeze is a common-sense one — don’t eat so fast.

Dr. Serrador and his team think that local changes in blood flow could be the cause of other types of headaches, including migraines. Further studies might identify medications that could help migraines and other serious headaches by preventing or reversing widening of blood vessels.

And I will be glad to help the good folks from Harvard in any further studies if they’ll buy the Klondike bars and orange Popsicles.

WRITER: FRED HILTON // PHOTO ILLUSTRATOR: ANTHONY CASTO

FRED HILTON spent 36 years as the chief public relations officer/spokesman for James Madison University in Virginia and 10 years prior as a reporter and editor for The Roanoke Times in Roanoke, Virginia. He is now happily retired in The Villages with his interior designer wife, Leta, their Cadillac Escalade golf cart, and their dog, Paris. (Yes, that makes her Paris Hilton).

Are you‘Men’opausal?

One day you’re a real hotdog,

and then suddenly you become a tired, old weenie. Men, welcome to andropause, the male version of menopause.

When we think of testosterone, images of bulging muscles and masculinity come to mind. Many do not realize, however, that andropause causes a reduction in a man’s testosterone level, which can lead to erectile dysfunction and numerous other problems. Beginning in their early 30s, men can experience a 1 to 3 percent reduction of testosterone each year, depending, of course, on exercise, diet, and rest.

Common symptoms may include fatigue, inability to concentrate, weight gain, loss of muscle tone, lack of motivation, depression, and loss of sexual interest.

In the past, doctors have been reluctant to help patients with low testosterone levels

because they considered it a normal part of the aging process. In recent years, however, doctors’ awareness has begun to change. New developments in dosing have made testosterone therapy readily available to the aging population.

Leading the way is STARx Pharmacy in Leesburg. For Pharmacist Bill Gray and his dedicated team, the cornerstone of successful outcomes entails working together with both doctors and patients to create personalized medication solutions… because every body is unique. This can help relieve many of the unwanted symptoms listed above.

STARx Pharmacy is the only pharmacy in Florida offering two unique delivery forms for hormones. Both can be mixed with single or multiple hormones for convenient dosing and both avoid the first-pass effect on the liver, helping to optimize results. The first is their true sublingual tablets, which

Q& A

are easy to use and dissolve in less than a minute under the tongue. The pharmacy also compounds ExtendaGel, a clear, odorless gel that is spread onto the skin usually once a day to help men maintain healthy and consistent hormone levels. They also compound hormones in other convenient dosage forms — including oral capsules and troches, transdermal creams and gels, and injectables — to meet the needs of each individual patient.

Men, if you think you may be experiencing symptoms of andropause, do not write it off to old age. You can get your sex life, energy level, and overall quality of life back in order. There are options available, and STARx is an incredible resource to discuss your compounding needs in detail, provide consultation, and answer any questions you or your doctor may have.

For more information, visit www. starxpharmacy.com or call 352.323.9555.

with Bill Gray, R.Ph Senior Pharmacist

How can STARx Pharmacy help me battle andropause?

This unique pharmacy does not prescribe to a onedose-fits-all system. With a doctor’s prescription, STARx can compound medication that you won’t find at drug stores or grocery stores. For instance, a dosage of 100 milligrams may be too high for someone, but a dosage of 25 milligrams is too low. So STARx can compound that medication in 75 milligrams. STARx follows all federal and state rules and regulations and utilizes a system of checks and balances along with on-going testing to ensure proper dosage for each individual patient.

Can andropause affect men similar to how menopause affects women?

It certainly can in some cases, but not in all cases.

Does testosterone cause prostate cancer?

No. However, you should monitor your estradiol levels while using it. The estradiol level could be the culprit in aggravating the prostrate and possibly causing cancer.

Will testosterone help prevent osteoporosis and osteopenia?

Yes, it certainly helps build stronger bones.

I used to golf and play tennis three to four times a week. Now, I’m lucky to do either activity once every two weeks. Will testosterone help me become motivated again?

Absolutely, especially if you raise your levels, monitor your estradiol level, eat a balanced diet, and receive a good night’s sleep. In addition, do not forget to have your dehydroepiandrosterone (DHEA) balanced also.

Where is DHEA produced?

It is a precursor to testosterone and produced by the adrenal glands. Its level typically starts dropping in men and women in their mid-40s. Low levels are associated with fatigue, low energy, and the aging process.

Gentlemen — young and old, fit and not-so-fit — welcome to Healthy Living’s inaugural men’s health guide. Our goal is to inspire you, the men of Lake and Sumter counties, to become more health-conscious. Sprinkled with a dose of good humor, we have set out to tell you all you need to know about men’s health from head to prostate. So, get comfortable and get ready to learn some useful information to get you at least thinking about the path to wellness.

WRITERS: SHEMIR WILES AND JAMES COMBS PHOTOGRAPHY: FRED LOPEZ

Everything you need to know about being healthy, man!

Healthy Living’s TOP 15

MEN’S HEALTH IDOLS

From celebrities and athletes to famous health “gurus” and hometown heroes, these men represent and promote what it means to be healthy.

know? did you

Before you sit down to read this issue, Dr. Jeffery Glover of Glover Chiropractic Clinic in Leesburg cautions that sitting on your wallet could produce numbness, burning, and tingling in your lower back and legs. The cause? Pressure on a little-known muscle called the piriformis. “It’s a muscle under the gluteus maximus, and what happens is the wallet pushes up on that muscle and causes it to spasm, triggering inflammation of the sciatic nerve root,” Dr. Glover says. To fix it, he suggests stretching to relax the muscle. Also, don’t forget to move your wallet to the front of your pants.

21.5

THE PERCENTAGE OF MEN 18 YEARS AND OVER WHO CURRENTLY SMOKE.

31.2

THE PERCENTAGE OF MEN 18 YEARS AND OVER WHO HAD 5 OR MORE DRINKS IN 1 DAY AT LEAST ONCE IN THE PAST YEAR.

18.9THE PERCENTAGE OF MEN UNDER 65 WITHOUT HEALTH INSURANCE.

1. Dr. Mehmet Oz

2. B.E. Thompson

3. Tony Horton

4. Michael Phelps

5. Jim Miller

6. Matthew McConaughey

7. Max Wettstein

8. Tony Gonzalez

9. David Beckham

10. Dwayne “The Rock” Johnson

11. Dr. Phil McGraw

12. Dr. Wayne Dyer

13. Deepak Chopra

14. Jared Fogle from Subway

15. Richard Simmons

Nom, Nom, NO!

A greasy cheeseburger would taste good right about now, and nothing quite goes with Sunday night football like pizza and wings. Bet you never thought about how all that fat, cholesterol, and salt could be setting you up to fall victim to the number one killer of men — heart disease.

Yes, I hate to be the bearer of bad news but greasy, salty, deep-fried foods are not part of a heart-healthy diet. (I can just hear those groans of sheer disappointment.) In addition to diet, other factors such as stress, excessive drinking, and smoking can also increase your chances of developing heart disease. However, even if you’ve been practicing bad habits for decades, it’s never too late to make a lifestyle change so you can make sure you’re around for the next 30 or so Super Bowls.

70-89%

THE PERCENT OF SUDDEN CARDIAC EVENTS THAT OCCUR IN MEN.

DOCTOR WHO!?

Tell a man the car is two weeks overdue for an oil change and you will never hear the end of it. But tell a man who has been whining about not feeling well for two weeks to go to the doctor and you could swear you just asked him to go on an eight-hour shopping trip while holding your purse. It’s an age-old phenomenon that has taken place since the first caveman caught the common cold: men avoiding the doctor.

50%

THE PERCENTAGE OF MEN WHO DIE SUDDENLY WITHOUT SYMPTOMS.

307,225

THE NUMBER OF MALE DEATHS CAUSED BY HEART DISEASE IN 2009.

SOURCE: CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)

WHY MEN SKIP THE DOCTOR

Ladies, you know what we are talking about. But men, if you think we are making this up to make you look bad, we have the American Academy of Family Physicians (AAFP) to back us up with its 2007 Men’s Health Study. After surveying 2,282 men and women across the country about their health behaviors, the AAFP found that more than half of all men surveyed had not seen their primary care physician for a physical exam within the past year. And while 92 percent of men said they wait only a few days before seeking medical attention, 29 percent of the men still admitted to waiting “as long as possible” before seeking help.

So why do men avoid seeking medical care like the bubonic plague? The trusty AAFP was able to dig up a few interesting answers.

• 7 percent of men said they avoid the doctor because they’re afraid of finding out something is wrong with them.

• 8 percent said they just plain don’t like doctors.

• 11 percent said they didn’t have health insurance, which prevents them from going to the doctor.

• 23 percent said they are healthy and don’t need to see the doctor.

• 36 percent said they don’t go to the doctor unless they’re extremely sick. (Like maybe a leg is getting ready to fall off from gangrene.)

As we talk at length about the importance of men’s health in this issue, please keep in mind that the major hurdle in improving men’s health is the men themselves. Yes, you — the one who refuses regular checkups, skips your recommended tests and health screenings, and makes doctor appointments only after your wife or mother badgers you to the point of exhaustion. Going to the doctor is not only about your personal well-being, it is also about having peace of mind in knowing that you’re in the best possible shape for your family.

Nothing strikes fear into the hearts of men more than hearing the snap of a fresh latex glove and the phrase, “Time for your prostate exam.”

While I’m sure you can think of a million things you would rather do than drop trou for your doctor, truth of the matter is having a prostate exam is a necessary part of living

a long and healthy life. Apart from nonmelanoma skin cancer, prostate cancer is the most common cancer and leading cause of cancer deaths among men of all races. But, it also preventable as long as you make it your business to always schedule an annual exam, no ifs, ands, or even butts about it.

TOP 5 EXCUSES MEN USE TO AVOID A PROSTATE EXAM

1. “I don’t need it because, let’s face it, we’re all gonna die from something.”

2. “Sorry, but exit-only.”

3. “Doc, we don’t know each other that well.”

4. “It makes me feel violated.”

KNOW THE STATE OF YOUR PROSTATE 1in 6

5. “I’m perfectly healthy, so it’s not necessary to poke around down there.”

THE NUMBER OF MEN WHO WILL BE DIAGNOSED WITH PROSTATE CANCER DURING HIS LIFETIME.

238,590

THE NUMBER OF NEW PROSTATE CANCER CASES THAT WILL BE DIAGNOSED THIS YEAR.

29,720

THE NUMBER OF MEN WHO WILL DIE FROM PROSTATE CANCER THIS YEAR.

WHAT DO YOU THINK IS THE MOST IMPORTANT MEN’S HEALTH ISSUE TODAY?

PORTANT SUE

if you are young, how are you to be

“Financial health because if you don’t consider it while you are young, how are you going to be ready to retire?”

— Tom Fross

BELOW THE BELT

“In at the same way we look at causes

“In five years, we’ll be looking at sugar the same way we look at cigarettes. Sugar causes a lot of health issues.”

— Doug Childers

—DougChilders

“Keeping a happy marriage.”

— Joe Ziler

No men’s health issue would be complete if we did not touch on one important issue every man on the planet cares (and thinks) about — sex. From sexual health to interesting facts about men and sex, we are putting the jokes aside to help you be a sexually healthy man.

“Heart disease, weight issues, and stress. Stress is probably number one.”

— Wade Boyette

WHAT SCARES YOU THE MOST ABOUT GOING TO THE DOCTOR?

“If they find something wrong, my wife will make me give up beer, cigars, and pizza.”

— Joe Ciceri

“A doctor might tell me something I don’t want to hear or tell me to do something I don’t want to do.”

— Drew Davis

“Needles. They miss my vein every time.”

— Mike Brashear

“I do not like the smell or atmosphere. The atmosphere is not very inviting.”

— Tim Kiley

“The white lab coat. Seeing a white lab coat makes me nervous. It makes my blood pressure rise.”

— Rob Wyatt

All men should take steps to lower their risk of STIs. You can:

• Be faithful and have sex with one uninfected partner who has had sex only with you.

• Use condoms correctly and every time you have sex.

• Know that certain birth control methods don’t protect against STIs.

• Talk with your sex partner(s) about STIs and using condoms before having sex.

• Get tested.

THE PERCENTAGE OF MEN WHO THINK ABOUT SEX SEVERAL TIMES A DAY.

About 15 to 20% of men describe some sort of sexual problem. The most common four are premature ejaculation, erectile dysfunction, low libido, and low testosterone.

15,000,000

THE NUMBER OF MEN IN THE UNITED STATES WHO ARE AFFECTED BY ERECTILE DYSFUNCTION.

ED is treatable thanks to a number of prescription drugs and treatments that are available. Be sure to talk to your doctor about your options.

GROOMING TIPS FOR THE MODERN MAN

Keeping up a fresh appearance is not just for the overtly metrosexual men of the world with their pampered baby faces and fancy designer duds. Even the rugged, good ol’ boys shouldn’t shy away from at least keeping a nicely trimmed beard, lest you want to conjure up images of Grizzly Adams. Therefore, Healthy Living shares five tips that will get you looking good and feeling even better.

SHAVE IT OFF: While many men may feel like nothing screams machismo like a full-on beard, I’m sure many women will agree there’s nothing attractive about a man walking around looking like a singer from ZZ Top. And while some stubble can be a chick magnet, to gain that sexy fuzz you have to first start with a nice, clean shave.

To shave properly, men should first thoroughly wet the beard. Then, make sure to shave in the direction that the hairs lie and avoid repeating strokes. Most importantly, keep the skin relaxed and moisturize afterward. Also, don’t forget to trim those nose hairs and eyebrows.

A KISSABLE KISSER: No one wants to make out with a raisin, which is why lip care is so important, even for men. Because lips do not contain oil glands, they tend to dry out very easily. For some, the dryness can be worse during certain seasons or if the person is a frequent lip licker. To curb chapped lips, try keeping the air moist in your home or office with a humidifier. Also, avoid wetting your lips and use lip balm that contains sunscreen.

FUNKY FEET: Just because they stay hidden in socks and shoes most of the time doesn’t mean your feet should be neglected. In addition to

warding off tinea fungus that can cause athlete’s foot and nail fungus, make it a priority to add pedicures (and manicures) to your grooming routine. And no, running some water over your feet and trimming your toenails with scissors won’t cut it. Make an appointment at a nail salon. You might think it’s girly, but your wife will gladly thank you for it.

A HAIRY SITUATION: While some body hair is acceptable, excessive body hair is a big no-no. Waxing and shaving are great options to tame unruly hair on places like your back, chest, and even armpits. But if keeping up with a weekly maintenance routine is proving to be a bear, laser hair removal can also be an option, albeit a pricier one.

FACE TIME: How do you think George Clooney still manages to turn heads at 52? More than likely, he has a great skin care routine for his face. The first step to keeping a youthful appearance is having a cleanser perfect for your skin type. (And please, don’t use the soap you use to wash your body to wash your face.) Follow up with a toner to clean and tighten pores and a moisturizing cream with sunscreen and you will be ready for your own paparazzi.

When bad snacks go good

As you sit back cheering on your favorite team, you may not realize that between the pizza, chips, and beer, you are consuming calories faster than your team can score. Put down the bag of Doritos and try these healthy alternatives. And with any luck, you will come out more victorious than the other team.

• As tasty as it is, a traditional seven-layer dip could contain as much as 700 calories. Make it healthier by using Greek yogurt instead of sour cream, Laughing Cow cheese in place of cream cheese, black beans instead of refried beans, and homemade guacamole over storebought brands. Also use freshly chopped lettuce, vegetables, and 1/3 cup of reducedfat shredded cheddar cheese on top.

• You know those fried buffalo wings you ordered? One pack has nearly 1,700 calories. Instead, bake boneless chicken breast strips. Also, use low-fat ranch dressing instead of full-fat blue cheese dressing. Six strips will be less than 300 calories.

• Instead of a plate of greasy 500-calorie french fries, try getting your fry fix by using sweet potatoes. Also, bake them instead of frying them. Just drizzle your fries with olive oil and pepper and toss in the oven until they are crispy.

DRINK

LIKE A MAN think like a lady

• Thinking of grabbing a meatball sub before the game? Well, wait a minute. A six-inch meatball sub can contain as much as 750 calories. The better choice would be to make your own meatballs using lean ground turkey and tomato sauce.

• Eat those spicy chili cheese nachos and you will take in more than 1,000 calories. Instead, consider making warm turkey chili using lean ground turkey, red kidney beans, green pepper, onion, and celery. Toss it into a crockpot for two hours and then garnish it with diced onion, a few baked tortilla chips, and a tablespoon of low-fat sour cream or cheddar cheese.

Bon appétit!

Per doctor’s orders (or your wife’s insistent nagging), you have finally decided to lose that beer belly, yet the thought of holding a dainty “light” beer with the guys may not seem like the most macho thing on the planet. Plus, you don’t want the guys ribbing you about “watching your girlish figure.” Don’t fret! There are a number of manly low-calorie beers on the market that won’t ruin your reputation and will keep your calorie count in check. Here is a list of the top five beers under 150 calories:

Rolling Rock: Inside that cool green bottle lies an extra premium pale lager that is only 132 calories. And the flavor? Distinct, fullbodied, and refreshing. So don’t be afraid to make this your new go-to brew and show your friends just how you roll.

Guinness Draught: Yes, there is a regular beer on the market that is both low in calories and full of flavor. At 125 calories (for 12 ounces, not a pint), this dry stout won’t set you back on your journey to becoming as fit as an Irish fiddle.

Budweiser Select: If you’re a loyal Bud drinker, try this light lager-style beer. It’s only 99 calories and boasts a full flavor that Bud men will love without the guilt.

Michelob Ultra: Considered the first light beer on the market, Michelob Ultra is only 95 calories. For those looking for a citrusy taste, the light golden pale lager might hit the spot. However, if you love the flavor of malt, the 95-calorie Michelob Ultra Amber is where it’s at.

Miller 64: Also known as MGD 64, this ultra-light beer comes in at an impressive 64 calories per 12 ounces. With the tagline, “Brewed for the Better You”, how could you not incorporate this into your new, healthier lifestyle? It will make both your doc and your doting spouse happy.

LAKE EAR NOSE THROAT & FACIAL PLASTIC SURGERY

Q&A

By providing quality, comprehensive care that is tailored to the unique needs and desires of each patient, our accomplished board-certified physicians, physician assistants, and doctors of audiology can effectively diagnose and treat individuals who come to our offices looking for answers and solutions.

Q: Should I have Botox or fillers?

A: It depends. If the wrinkles are secondary to facial expression and animation, Botox is the answer. If the lines are present when the face is relaxed, fillers such as Restylane or Juvederm will do the trick. Sometimes you may need both. Every treatment should be tailored to the needs of the individual. Having realistic expectations of what can be achieved is important. Sometimes laser or surgery is the optimal treatment. Come in for a Face 2 Face consultation and we can decide together. Check us out at face2facefl.com

Dr. Dino Madonna

Q: I’ve had sinus problems for a long time and have heard about a balloon dilation procedure that is less invasive than traditional sinus surgery. Can you tell me more about that?

A: Balloon sinus dilatation is similar to balloon angioplasty for the sinuses. Balloons are inserted into the sinus openings and then inflated, thereby opening the sinuses without the removal of bone or tissue like traditional sinus surgery. It is much less invasive than traditional surgery with little or no downtime. There is also no packing and it can be done in the office, avoiding the need to go to the hospital and undergo general anesthesia. Balloon sinus dilatation comes with five-year results that show significant improvement in patients’ sinus symptoms.

cedure that is less re inserted removal of surgery , tion comes ms.

The team at Lake Ear, Nose, Throat & Facial Plastic Surgery is dedicated to being an advocate for your health and giving you an experience that is convenient and comfortable. Our health care professionals believe that patient care is of the utmost priority.

Dr. Michael A. Freedman

STRONG

Lake County surgeon John Cowin was a spectator at the Boston Marathon when tragedy struck, but he quickly became a shining light during moments of profound darkness and despair.

WRITER: JAMES COMBS PHOTOGRAPHY: FRED LOPEZ

Thousands of spectators lined the streets, shouting words of encouragement and motivation to the Boston Marathon participants. Their loud cheers helped propel competitors to the finish line. Then, without warning, lives were forever changed. Boom!

Ten seconds elapsed. Boom!

The festive atmosphere quickly transformed into Boston’s darkest day. These weren’t congratulatory explosions; they were acts of terror carried out by a couple of callous individuals. Death, mayhem, and chaos spread like wildfire. As smoke rose in the air, the event became a terrifying scene of severed limbs and shattered glass. A mother cried out in agony as she clung to the body of her lifeless 8-year-old boy. The sounds of screams filled the air as people ran in all directions, trying to flee the gruesome scene. Paramedics loaded countless blood-soaked bodies into ambulances.

But on this day of pain and heartache, horror gave way to hope thanks to the bravery of a Lake County surgeon. Unconcerned about his own safety, Dr. John Cowin rushed toward the rising cloud of smoke and helped treat several injured spectators.

Forty-five minutes after the second explosion, Dr. Cowin sat covered in blood. Assuming he was injured, a Boston firefighter approached him and asked if he needed an ambulance. But he was fine; there was others needing assistance.

A heroic first responder

Dr. Cowin, an orthopedic surgeon with Florida Musculoskeletal Institute, and his wife, Anna, a former state senator, attended the Boston Marathon to support their 38-yearold daughter, Lynda Nijensohn. A breast cancer survivor, Lynda competed in the event as part of the Dana Farber Marathon Challenge team to raise money for cancer research. She has run in the marathon for three consecutive years and raised $68,000.

“Lynda was in the last group of runners, which includes people in wheelchairs, other cancer survivors, handicapped runners, and blind racers with guides,” Dr. Cowin says. “It is really inspirational to watch them compete.”

But their personal triumphs would be overshadowed when two bombs exploded within seconds of each other, ultimately killing three people and injuring more than 140. Dr. Cowin and his wife were directly across the street from where the second bomb detonated. His instincts as a physician and his character as a human being kicked in as he pushed down a barrier so he could cross the street and help treat the wounded.

He first tended to a man whose leg had been blown off at the mid-thigh. Dr. Cowin helped wrap a tourniquet around the man’s leg to control the bleeding. “At this point I did not think this could be real,” he said. “I spent three years in the Air Force,

and it reminded me of the emergency medical drills we used to perform. I was trying to help people who were injured the worst.”

Once the man’s bleeding was under control, he came to the assistance of another man whose foot had been blown off. Dr. Cowin took off his belt and wrapped it around the man’s wound. Lying next to the man was his 3-year-old son who suffered from shrapnel injuries to his head, the same bloodied child who was featured on a recent cover of Time magazine.

“I picked the child up and checked him over thoroughly,” he says. “Four days later, I received a phone call from the man’s sister-in-law thanking me for what I did and informing me that they have my belt.”

What Dr. Cowin witnessed next was a heartbreaking moment that will forever be etched in his memory. Denise Martin of Massachusetts was lying on the ground crying hysterically and hugging her 8-year-old son, Richard, who was tragically killed.

“The paramedics were getting ready to cover his body, and his mother looked at them and said, ‘Please let me just spend one more minute with him.’ The mother suffered a brain injury, but all she could think about was her son. It was very difficult to see something like that.”

He also attempted to help Lingzi Lu, a 23-year-old Chinese woman who was attending graduate school at Boston University. She had vomited, so Dr. Cowin attempted to clear her airway while paramedics used an Ambu bag — a squeezable bag with a face mask — to help her breathe.

“Unfortunately, she suffered devastating injuries, and I knew she was not going to make it,” he says in a somber voice. “However, her friend suffered from shrapnel into the abdomen, and people were using tablecloths from the restaurant where they were eating to help bandage her wound. I also laid her down, so she would not go into shock. She ended up living.”

Where is everyone?

Meanwhile, Dr. Cowin’s daughter, Lynda, had completed 25.5 miles when she learned that the race had been cancelled. After hearing about the bombings, she became increasingly worried. She knew her parents were waiting at the finish line, which is also where her husband, Zev, and children, Mariana, 7, and Jed, 5, were. They had planned to cross the finish line together holding hands.

With her cellphone battery dead, Lynda felt scared and alone. She walked to a nearby tent where medical personnel were passing out plastic garbage bags to keep runners warm. Four blocks ahead, she spotted a group of runners, but she was afraid if she walked there, Zev would have a difficult time finding her in a large crowd.

“I had a tremendous amount of guilt for bringing my family into harm’s way,” says Lynda, who resides in Wayland, Massachusetts. “There were three women who tried to calm me, offering me their phones and comforts. I tried texting and calling my mom and Zev. I could not get through. Two of the women tried repeatedly to send my texts.”

In recent years, Lynda has undergone seven surgeries, four months of chemotherapy, and six weeks of radiation. However, not knowing her family’s whereabouts or their conditions was every bit as nerve-racking as battling cancer.

“My mom always told me when I was a kid that if I ever got lost to go to the last place where we were together and stay put. So, this is what I did. Then, one of the women whose phone I had originally used came running toward me. She said that she had just heard from my mom and that the kids and Zev were safe. This was 45 minutes after the bombs went off. The stress of not knowing whether they were injured was over.”

Zev found Lynda three hours after the blasts, and the entire family reunited later that evening at the Marriot Hotel. She was not surprised to hear about the heroic efforts of her father. “I remember hearing a story about him saving a family from a burning car when he was completing his residency,” she says. “My dad has always been someone who rises to the occasion during bad situations. If not for people like him, I think there would have been more deaths at the Boston Marathon because people would have likely bled to death.”

Aftermath

Seeing the tragic events unfold up close and personal had a profound effect on Dr. Cowin. When he returned to Florida, he decided to share his story on Facebook, an online social network that he seldom uses.

“I felt like a big burden was taken off my shoulders when I did that,” he says. “The next morning I had about 220 friend requests, and I even heard from high school classmates whom I

haven’t talked to in 50 years. I also received calls from the Orlando Sentinel and Boston Globe.”

While his efforts have helped him receive national attention, Dr. Cowin has not allowed the publicity to go to his head. As a matter of fact, he would tell anyone who asks that he is not a hero.

“When you are in certain professions, such as healthcare or law enforcement, you learn to react to situations,” he says. “I reacted to the situation in Boston. That is who I am and what I do. I had a great deal of sympathy for all those people who were lying on the street and sidewalks in agonizing pain.”

However, rest assured, Dr. Cowin would never have any sympathy for the terrorists who masterminded the vicious attack.

“My daughter, as well as other runners, was in the Boston Marathon trying to raise money for charity and these whackos are trying to kill them. That is horrible,” he says. “Our ancestors came to this country to work hard, make an honest living, and fulfill their dreams. These guys come to this country and are educated here and then turn around and blow us up. I will never understand that.”

One thing he certainly understands, though, is that Americans should never allow themselves to be bullied by terror.

“I think there will be twice as many runners at next year’s Boston Marathon just to show terrorists that they are not going to scare us.”

To view more photos and read a poem written by Dr. Cowin’s daughter about why she will run again in next year’s marathon, please visit the Healthy Living online magazine at www.lakehealthyliving.com.

Dr. John Cowin oversees the well-being of a victim shortly after the Boston Marathon bombings. Amongst the sheer devastation and carnage, Cowin remained composed and went on to administer aid to several injured individuals.

LAKE EYE HAS EVERYTHING YOU NEED FOR A lifetime OF HEALTHY VISION.

With all you’ve go ing on, it’s easy to overlook v ision loss that g oes unnoticed or i g nored for

With all you’ve got going on, it’s easy to overlook having an annual eye exam – but vision loss that goes unnoticed or ignored for long can become permanent.

The great news is that protecting and restoring your vision starts with a call to your friendly neighborhood Lake Eye office. Our local board-certified doctors have decades of world-class experience helping thousands of patients enjoy clearer, healthier vision.

For most people, a new prescription is all that’s needed to see better, drive better and, thanks to our extensive selection of fashion eyewear, look current and stylish. Some discover they have the early stages of glaucoma, which can be arrested before it

causes more serious damage. And many folks, especially those 55 and over, find they have cataracts and didn’t even know it. Our LenSx ® refractive “bladeless” laser surgery not only rids patients of sight-impairing cataracts, our doctors can also correct vision – even astigmatism – in the same safe 30-minute procedure. In many cases, vision is restored so effectively that patients no longer need glasses, even at night.

As countless satisfied patients can attest, clearer, stronger, brighter vision not only allows you to work and play better, it makes everything more beautiful.

Don’t miss out on anything in your world. Call Lake Eye today.

BOARD-CERTIFIED OPHTHALMOLOGISTS (from left to right):

SCOT C. HOLMAN, MD

SCOTT R. WEHRLY, MD

SHELBY L. TERPSTRA, DO

MARK J. VOCCI, MD

weighing in on Traci

Since embarking on a lifestyle change in January, Traci Oliver has maintained laser-like focus, losing an average of 10 pounds each month. Lately, though, her focus has shifted to merely trying to survive the final weeks of school. For teachers such as Traci, this time of the year means preparing students for standardized testing, organizing end-of-the-year programs, and attending parent-teacher conferences.

Of course, this is not the only challenge she has faced. Traci was recently diagnosed with Hashimoto’s disease, a thyroid disease that is often accompanied with weight gain.

As a result, Traci only lost five pounds in the past month. On the surface, that may seem disappointing; however, one must take into consideration that her evening walks and gym visits have decreased because of her demanding career. She also had to change her diet

to offset the metabolic and hormonal changes associated with thyroid disease.

Without question, losing five pounds under these circumstances is not a disappointment, but rather a triumph. This begs the question: How did she achieve this?

Simple. She has faithfully stuck to the nutrition plan set forth by Lori Esarey, owner of Total Nutrition and Therapeutics. As a matter of fact, Traci has never once had a cheat meal since starting her journey. And she has completely avoided some of her trigger foods, such as chips and salsa, popcorn, and especially those darn cream horns.

“Being extremely busy can dictate how much you exercise, but one thing you can always control is what you eat,” she says. “That is true whether you are hospitalized or have family coming in from out of town. Although I have not been walking or getting to the gym as much, I haven’t

had any setbacks because I always eat right.”

Traci, who now weighs 254 pounds, has inspired some of her fellow teachers to begin their own lifestyle change. Several weeks ago, one of Traci’s wellness partners at school forgot to bring an afternoon snack. Traci generously offered to share hers. “I laid out peppers, hummus, and

low-sodium ham so we could fuel ourselves up.”

Her newfound dedication to nutrition brings a giant smile to Lori’s face. “As long as she continues eating right, then the scale is no longer a measure for success,” Lori says. “In the beginning she had fear and anxiety, but now she firmly believes she is going to reach all her goals.”

Breakfast: An AdvoCare Meal Replacement Shake.

Lunch: A four-ounce chicken breast and two cups of Brussels sprouts.

Dinner: A six-ounce grilled New York strip steak, a cup of asparagus, and baked okra with olive oil and pepper.

Snacks: Three cups of raw cauliflower, one-eighth of a cup of walnuts, a cup of chopped raw celery, and a Xymogen vanilla shake (two scoops).

Total calories: 1,277

WRITER: JAMES COMBS // PHOTOGRAPHER: FRED LOPEZ

If you were eating like Traci, here is what you would consume in a day:

“I lived with painful varicose veins in my legs for years. After moving to The Villages, I wanted to enjoy the active lifestyle offered there. Thankfully, I chose Comprehensive Vein Center because of its up-to-date technology and success with noninvasive treatments. P.A. Tom Tran and his assistants thoroughly explained the procedure to me. They assured that my leg would not throb or hurt anymore after a few visits. They were right, and I can dance and walk throughout The Villages pain free!”

—BARBARA MANFRA

That pain in your leg may be an indication of a deeper-rooted problem.

That pain in your may be an indication of a d t d bl eeper-roote pro em.

Fe moral dilemma

Connections matter

One reason my family and I love Lake County is because of its small-town charm coupled with the vitality and diversity of a larger city.

Here, we truly get the best of both worlds. We can enjoy a multitude of outdoor activities, professions, diverse cuisine, and our neighbors originate from different points across the nation and the globe. In fact, we all have a special story about how we came here or, as natives, why we have stayed. But what exactly has made our community thrive over the years?

I believe it has been about connections. What I discover when meeting new patients, friends, or colleagues is that if we listen closely enough, we all have something in common. We may know the same people or have shared similar experiences. But at the very least, we can find some way to empathize with each other. These connections are the foundation of our community and what has made us strong. Feeling connected has a huge impact on our mental and physical well-being, too.

If you think of the body as a community of organs and bones, it is easy to understand how connections matter. Take the superficial femoral and popliteal arteries, for example. These two arteries are in the pelvic area, which is constantly in motion. Our workouts and diet will affect our movement and the health of these arteries, demanding a delicate balance of nutrition, exercise, and attention when pain occurs.

What my “family” at ICE and I wish for you is connections that count. Let us take the time and interest in connecting with each other, our community and our health and, as a result, enjoy fulfilling lives.

Yours, Asad U. Qamar, MD

FACC, FCCP, FSGC, FACP, FSCAI Cardiologist

Superficial femoral and popliteal artery

The relationship between the arteries in the pelvis and thigh is a delicate and complicated one. One might say that disease in these arteries is the Achilles heel of physicians today. So what makes the superficial femoral and popliteal arteries the most commonly diseased arteries in the body?

Location, location, location. As its name indicates, the superficial femoral artery (SFA) travels alongside the femur supplying the thigh muscles with nutrient- and oxygenrich blood. The SFA connects to the popliteal artery at the end of the femur behind the knee, putting these two arteries in the part of the body that is almost constantly in motion. When you bike, walk, or even dip in and out of your car, the SFA and popliteal are constantly extending, contracting, compressing, and flexing, making it a delicate system to care for.

More than 50 percent of all peripheral artery disease (PAD) cases involve the SFA and popliteal artery. PAD is a condition in which sticky plaque made up of cholesterol, calcium,

and fibrous tissue causes the arteries in our extremities to harden, preventing blood from travelling freely. Meanwhile, the slow-flow of blood in the thigh region creates a scenario that makes it prone to a unique set of vascular diseases. Pain from this condition is most likely to be felt in the knee or calf, and it may radiate into the foot.

Disease in this area is most common in elderly patients, smokers, and those with diabetes and other cardiovascular diseases. Those with a family history of atherosclerosis (hardening of the arteries), high blood pressure, and high cholesterol levels are at high risk for developing issues, as well as people who are obese and people who are physically inactive.

But don’t leave it up to yourself to determine whether your knee or thigh pain is “superficial” or a deeper-rooted issue. Consult a local cardiovascular specialist, like those at ICE, and get answers.

Source: http://intl-radiographics.rsna.org/content/24/2/467. fullerectiledysfunctionyourchoices/ur029205.pdf

CASE STUDY

Back in circulation

All my life I have had good eating habits, gotten enough sleep, and worked until my late husband and I moved to Florida in 1995. We had five children and 15 grandchildren, and 8 great grandchildren whom I visit about once a year in New Jersey and Pennsylvania. I do crossword and cryptquotes every day, which helps me keep sharp. I stay engaged in what is going on in the world and stay physically active by walking. I had tingling and numbness in my calves and feet from the blockage in my legs and pelvis. Thankfully, Dr. Qamar found the problem in 2010. Dr. Qamar is a master in his profession. He cleared the blocked arteries and his amazing staff made me feel at ease. They deserve thanks. It’s a small word, but it means a lot. I turn 86 this month and thanks to him and my family, I have everything I need to enjoy a happy and active life.

The popliteal artery can be affected by a variety of pathologic conditions, the most common of which is atherosclerosis.

Affected patients are usually older, presenting with other risk factors for atherosclerosis, less acute symptoms, and disease at multiple levels.

“He cleared the blocked arteriesandhisamazing staff made me feel at ease.Theydeserve thanks. It’s asmallword, but it means a lot.”

— Irene Burlyo

The Limbstitute steps up operations this July

Save a limb. Save a life. It is a prescription written every day at the Limbstitute, the new specialized treatment center at 10435 S.E. 170th Place in Summerfield. And every day, for some lucky patient, miracle is the only description that seems worthy.

It starts out as something much less dramatic, perhaps a slight discoloration of the foot or leg. Maybe a little tingling or numbness occurs every now and again, even pain. Or, the symptom may be something much more insidious than any of those — nothing at all.

It is called critical limb ischemia — medical jargon for a severe obstruction of blood flow in one or more arteries in a limb. If left untreated, the lack of adequate blood flow can lead to amputation of the affected toe, foot, or leg. (Critical limb ischemia usually occurs first in a lower limb.) Examination by a trained cardiovascular specialist is the only way to detect the condition and reach a definitive diagnosis.

Until now, the diagnosis has been a grim one. Studies show that almost one of

every 200 Americans has had an amputation — 97 percent of those in a lower limb. To pile tragedy on top of tragedy, many of those amputations could have been averted with adequate treatment.

Enter world-renowned cardiologist Dr. Asad Qamar and the Limbstitute.

In a perfect fit of expertise meeting critical need, Dr. Qamar, founder and visionary behind the area’s Institute of Cardiovascular Excellence, focused his energies on creating a solution to the growing epidemic of limb loss.

According to Dr. Qamar, he says, “There is almost always something that can be done before resorting to amputation.” He should know. His team at ICE has intervened in hundreds of cases, restoring circulation and averting disaster. “We are able to restore blood flow in almost all patients,” he adds.

Even patients with multiple arterial blockages — up to now prime candidates for amputation — have reason for hope. “We can restore vascular anatomy from the aorta down to

the feet,” Dr. Qamar says. However, he quickly adds, “Not all blockages present with symptoms. Sometimes the ischemia is completely asymptomatic. And because prevention and early detection are key to the best outcomes, it’s important to see your family physician and podiatrist regularly.”

Dr. Qamar’s newest venture, the Limbstitute, gathers all of the specialized testing and treatment procedures for at-risk patients under one roof. It is a resource many doctors and their patients are glad to see come to the region.

Assessment is the first step at the Limbstitute, with a comprehensive medical history and non-invasive physical examination to determine the likelihood of the existence of a blockage.

There are many potential causes for an arterial blockage: heredity, injury, smoking, and diabetes. If a physical exam determines that a blocked artery is probable, the gold standard for ultimate diagnosis is angiography. Dye is injected into the femoral artery and a computer program follows the dye’s progress through

the arterial map to pinpoint a location.

Once a diagnosis is confirmed, the next step is removal of the blockage. A catheter is inserted into the artery to deliver a stent, a balloon, or sometimes, both to the affected area. When the blockage is removed and blood flow is restored, the result is often immediate and dramatic.

Recovery is the most time-consuming part of the treatment. The procedure itself usually only takes minutes to perform, but recovery will require about two hours. After that, a home health nurse will be assigned to keep a close eye on a patient’s progress. Follow-up care is important to monitor healing and be sure clots don’t return to the injured area.

The entire process, from detection of a problem to its ultimate resolution, should serve as one, huge warning sign to the potential presence of something far more sinister than the loss of a limb. In the great majority of cases, the presence of occluded arteries in a lower limb is indicative of developing blockages in the arteries of the heart.

of all peripheral artery disease (PAD) cases involve the SFA and popliteal artery.

Loss of life through a heart attack or pulmonary embolism is often the first and only warning a person may get that his or her arteries were in trouble. At least some good can come from the early warning trouble in a foot or leg. What a person does next can be a life or death decision.

“Regular cardiovascular checkups should become a part of every patient’s life after resolving a critical limb ischemia,” Dr. Qamar says. “Even when the outcome is 100 percent successful.”

Outcomes, of course, are what the Limbstitute is all about. After investing a mere afternoon with the doctors and specialists there, a patient’s foot or leg could be saved and an entire lifetime of healthy, happy activity could be restored. That is quite a bargain.

Save a limb. Save a life. Some may go so far as to describe the process as miraculous. But then, to Dr. Qamar and the other medical professionals at the Limbstitute, miracles are all in a day’s work.

For more information about the Limbstitute, watch for the grand opening details in July’s issue of The Villages edition of Lake & Sumter Style.

MMyrlene’s inherited attitude

What matters most to me as a phlebology sonographer at ICE is that all my patients feel like VIPs. I know how many kids and grandchildren they have, and I connect with them during their visit. This is important because I want to do more than just perform a job; I want to make patients feel comfortable, valued, and understood and listening inevitably leads to learning. One patient, Steven Dandreano, taught me a valuable lesson about attitude. We talked at length about homelessness and his passion for providing people with clothing and medications. Meanwhile, I learned that he has been dealing with many personal health issues, but he never complains. His attitude is remarkable, and he is a role model in that way.

Amanda’s gift of demeanor

Clearly, many medical procedures are not fun. But I do my best to create a calm and relaxing atmosphere for my patients. While my job is to manage the often-hectic patient schedules for the radiofrequency ablations, I take the time, greet my patients when they come in. I can tell right away if they need some reassurance, so when I assist Myrlene with the procedures, I take on other roles. I am a hand-holder, a back-rubber, and will get a wet cloth if I see my patient are distressed — just as I would for my mother, father, or grandparents. Also, I am determined to stay upbeat and positive like my favorite patient Betty Jo Jacobs. No matter how hectic things get in the office, she is friendly and calm. Her demeanor rubs off on me!

— Amanda Gavin Patient Coordinator in the Vein Clinic

— Myrlene Lucien-Heriveaux Registered Vascular Tech in the Vein Clinic

BODY

SHAPE // EAT FIT/NOT FAT // INSIDE // LOOK

BOODYSHAPE

GLUTES: WHIP YOUR BUTT INTO SHAPE

WRITER: TRACY DRAPER // PHOTOGRAPHER: FRED LOPEZ

There is no denying that the buns get maximum attention in this world of ours. But why all the fuss? Because our built-in seats do much more than give us something soft to rest our bodies on. They not only fill out our jeans, but they also propel us forward when we walk or run. Our glutes act as a counterbalance to our chests. They help us stand erect. They are our biggest muscle group and burn the most calories. Be kind to your behind and give it a little extra attention with the following exercises so you can get the most out of your derriere.

SINGLE-LEG GLUTE

1. Start in a quadruped position (on hands and knees) with your head and neck neutral, looking just in front of you. Both legs will remain at a 90-degree angle.

2. Contract the core and lift up one leg by squeezing your glutes. Foot is flexed with upper leg parallel to the floor.

3. Repeat 10 times per leg, alternating legs to build a total of three sets.

MUSCLE GROUPS TARGETED: gluteus maximus and hamstrings

Second position

TRAINER’S TIPS

• The hip is the only joint that moves.

• Lift slowly with controlled movements in both directions.

• Lower to elbows if you feel strain in your lower back.

Start position

DEAD LIFT

1. Stand tall with dumbbells in han

1. Stand tall with dumbbells in hand. Keep your knees straight but not locked.

2. Inhale and lower weights with control to mid-shin. Make sure your back is very straight and your hips counterbalance your chest like a seesaw.

2. Inhale and lower with c back is and yo seesaw

3. Exhale and stand slowly, squeezing your glutes and hips the entire way up.

3. Exhale and stand squeez entire up.

This is a more advanced exe the dumbbells for a few times before of lower back. Do 8–up to 3 sets

NOTE: This is a more advanced exercise; if you are a novice, do it minus the dumbbells for a few times before adding weight to ensure the protection of your lower back. Do 8–12 repetitions as you work your way up to 3 sets.

TRAINER’S TIPS

• your on your

• Keep your weight on your heels.

• Bend from the hip joint as a hinge, keeping back straight.

• Bend as a back

• after every to avoid to lower back

• Stand up completely straight after every repetition to avoid injury to the lower back.

MUSCLE GROUPS TARGETED: hamstrings, glutes, and lower back

Second position

HIP ABDUCTION

1. Stand tall with the band under the middle of each shoe; arms straight.

2. Keep hips square and knees facing forward; then shift weight to one foot, slowly lifting the other leg off the ground.

3. Lower leg slowly and return to start position.

4. Repeat 8–12 times as you not only work the outer hip but also improve your balance.

TRAINER’S TIPS

• Stand near a wall or chair for more help with balance.

• The only moving joint is the hip.

• Contract your core.

There are dozens of exercises for toning and taming these all-important gluteal muscles of ours. These three will give you a well-rounded start as you add them to your weekly workout. Keep in mind that proper form is imperative to your safety, as well as for the ideal results. Now get your buns busy!

Start position

Second position

MUSCLE GROUPS TARGETED:

TRACY DRAPER is an AFAA-certified personal trainer with over 12 years’ experience in personal fitness training. As a wife and mom, she discovered a few years ago that she could once again be an athlete, as well. In 2014, she is leading a team of cyclists on a cross-country ride. Visit www. RideAcrossUSA.com for more details.

gluteus medius,

EAT FIT/NOT FAT

DOMINO’S PIZZA

WRITER: TABATHA ARCARO-ORTIZ, M.S., R.D., L.D/N.

Who doesn’t love pizza?

While I am sure a few of you raised your hands, it is pretty well known that pizza is extraordinarily popular and enjoyed by most. Domino’s has an exciting menu and a fairly impressive website. You cannot only have your menu items analyzed for their nutritional quality, but you can also order the items right online! In addition to that, you can get full disclosure of ingredient listings, which can aid those with dangerous food allergies. Domino’s will also make your pizza with gluten-free dough! I was impressed by that yet disappointed they did not

offer whole-wheat crust for those who want more fiber and less refined grains in their diets.

From pizza, oven-baked sandwiches, and pasta bowls to salads and chicken wings, Domino’s aims to please with a varied menu. In looking specifically at the pizzas, you will have to choose between the different crust styles. Choosing thin crust, hand-tossed, deep dish, or Brooklyn-style will change the nutrient tally. Domino’s also makes a selection of artisan pizzas. The crusts on these pizzas are super thin with a chewy, soft top and a crispy bottom. So, can we fit pizza into our life without the guilt? Let’s take a look…

BE AWARE CALIFORNIA CHICKEN BACON RANCH

The California Chicken Bacon Ranch specialty pizza with the Brooklynstyle crust sounds indulgent — and it is. One slice (or 1/8 of the pizza) will run you 480 calories! Think carefully about how many slices you normally eat and you will see it adds up quickly. One slice is:

480 calories

280 calories from fat

32g fat

11.5g saturated fat

75mg cholesterol

1100mg sodium

28g carbohydrates

2g fiber

22g protein

No worries… other healthconscious items are available.

BETTER DOMINO’S PACIFIC VEGGIE THIN CRUST

It would be in your best interest to try the thin crust option. Domino’s Pacific Veggie Thin Crust pizza cuts the calories in half with one slice totaling:

230 calories

110 calories from fat

12.5g fat

5.5g saturated fat

30mg cholesterol

450mg sodium

20g carbohydrates

2g fiber

10g protein

That is a significant drop in calories and fat, but can we do even better and still enjoy it?

TABATHA ARCARO-ORTIZ received her bachelor’s degree in food science and human nutrition from the University of Florida and a master’s degree in nutrition and dietetics from Georgia State University. She is a clinical dietitian who has worked at Leesburg Regional Medical Center for the past 12 years. For nutritional counseling, please call 352.323.5641 to make an appointment with an LRMC outpatient dietitian or email Tabatha at tortiz@cfhalliance.org.

BEST TUSCAN SALAMI AND ROASTED VEGGIE ARTISAN

I have noticed many Italian/pizza restaurants are carrying artisan pizzas. While you may not have ordered it before because you didn’t know exactly what it was, it is worth your time. These extra thin crust pizzas can be very tasty. A slice of the Tuscan Salami and Roasted Veggie Artisan at Domino’s will cost you:

150 calories

60 calories from fat

6g fat

2g saturated fat

10mg cholesterol

280mg sodium

17g carbohydrates

1g fiber

5g protein

As with any meal, variety is the key to overall nutritional health. By choosing a lower calorie pizza, there is room for a small salad and a piece of fruit to round out your meal. Enjoy!

INSIDE

MUSIC IN MEDICINE

WRITER: RICHARD T. BOSSHARDT, M.D., FACS

In the 1991 movie The Doctor, actor William Hurt played the role of Dr. Jack MacKee, a surgeon who undergoes a transformative experience when he is diagnosed with cancer. In one early scene, he is shown in the operating room. Music is playing, and he grabs a nurse and starts dancing around with her. At the time, I had been in practice for two years. I viewed this scene and my first reaction was “this is too much.” It just didn’t come across as realistic. However, that reaction is a tad ironic in that I have loved having music in the operating room going back to my time in the Navy in the mid to late 1980s.

The therapeutic effects of music are undisputed. There is even an entire field of psychotherapy that has put music therapy on scientific grounds. Studies show music can benefit patients in lowering stress, relieving depression, stimulating intellectual function, treating learning disabilities, rehabilitating people with brain injury, and even benefiting those with dementia. One of the recommended ways to forestall intellectual deterioration with age and Alzheimer’s dementia is to take up a musical instrument. There is even an official Certification Board for Music Therapists that oversees training and licensure of music therapists and the American Music Therapy Association, which serves as a professional organization that supports people in the field. Clearly, music can benefit patients in innumerable ways. Can it benefit medical professionals? Yes, indeed.

I am a passionate advocate for music in surgery. I can’t speak for what happened in operating rooms before my time but it is my impression that music there really took off when the media for recording and playing music became more practical. I cannot imagine a turntable playing vinyl LPs in the corner of an operating room! X-rays are commonly taken in operating rooms for a number of reasons, so most operating rooms are lead-lined. This makes radio reception problematic.

My early music source was a small boom box that played cassette tapes. While simple, they had disadvantages of being limited to one tape at a time; there was no capability to shuffle songs, so you always heard them in the same order; and the acoustics were mediocre. When compact discs came out, playing multiple discs and shuffling songs became a reality, and the sound quality certainly went up.

The true paradigm shift occurred with MP3 players and the ultimate one was, of course, the iPod. Now you could carry your entire music library in the palm of your hand — the newer versions are the size of a pack of matches — and play songs in any order. Plug one into a good quality amplifier with decent speakers and voilà, concert quality sound.

Speaking for myself, I could not imagine operating without music. There are two sides to the issue, and both can cite studies and data to support their position. I find music to be soothing; it helps me focus, and it relieves much of the stress inherent in

performing surgery. I do feel some factors must be considered. My taste in music is pretty eclectic and the crew in the operating room usually responds favorably to it. Some surgeons like rap or heavy metal and play it loud. I have heard complaints from some nursing staff that this is unpleasant. I believe the volume should allow for normal conversation. There are certainly times when music is inappropriate. I ask for the music to be turned down or shut off when I need to listen for blood circulation in the surgical field. I usually turn off any music when patients are going to sleep to provide a quiet, calm ambiance for them. This also allows the anesthesiologist to listen for breath sounds when they put their breathing tube into the windpipe. The same applies to waking up.

Some issues do arise when music is introduced into the operating room. One is who gets to decide what gets played? I have always felt the surgeon should decide since he or she has the central role in the whole undertaking and it is in the patient’s best interest for the surgeon to be relaxed, focused, and yes, happy. Of course, one could argue that I am biased, and I would have to allow that this is possible. A case can be made for the anesthesiologist to be the arbiter of music in the OR. One can even argue for the nurses. After all, it is in everyone’s interest to keep the nurses happy. A democratic solution might be to rotate who gets to decide. Fortunately, I have seen almost no conflicts in this area.

Although no two surgical procedures are identical, most procedures have intervals

Music involves using the entire brain. A 10-year study, tracking more than 25,000 students, shows that music-making students achieve higher marks in standardized tests than those who had no music involvement. Music also reduces blood pressure, speeds post-stroke recovery, helps with chronic headaches, improves memory and has the ability, some say, to heal the soul. SOURCE: http://www.emedexpert.com/tips/music.shtml

when what is being done is fairly routine and repetitive. I feel music allows the surgeon to relax and get through these parts of an operation so it goes more quickly, smoothly, and pleasantly. Properly chosen music relaxes the operating room staff, as well.

I have done a number of surgical mission trips overseas. Operating in a foreign operating room in a developing country can be surreal and stressful. Things that we take for granted, such as proper anesthesia delivery, electricity, suction, cautery, and more, are often absent or available erratically. Couple those with cultural differences, language barriers and jet lag, the stress levels sky rocket. Having familiar music can be crucial in relaxing and settling the surgical team.

What about the patient having surgery? How does music affect them? I have seen some studies out of Europe that have shown when patients are given their choice of music and fitted with headphones during surgery, they require less anesthesia for the same procedure. This is routinely done in some medical centers.

And dancing? Well, I have not grabbed a nurse to swing her (or him) around in the operating room. I do recall, however, that at the end of a successful mission trip to Venezuela, I was finishing my final case on the last day when someone down the hall turned up the music and an honest-togoodness conga line of doctors, nurses, and other staff snaked in one door of my room and out the other!

RICK BOSSHARDT, M.D., graduated from the University of Miami School of Medicine in 1978. He founded Bosshardt & Marzek Plastic Surgery Associates, Lake County’s first practice to provide full-time cosmetic and reconstructive plastic surgery services, in 1989.

LOOK

ACHIEVE A FLAWLESS FAUX GLOW

WRITER: RUTH ANN BYRD

The United States Department of Health and Human Services and the World Health Organization’s (WHO) International Agency of Research on Cancer

SOURCE: http://www.aad.org/media-resources/stats-and-facts/prevention-and-care/indoor-tanning#.UZKWtrWkpXw

panel has declared ultraviolet (UV) radiation from the sun and artifi cial sources as a known carcinogens (cancer-causing substances).

Longing for a golden glow without spending hours in the sun? If you answered yes, then today’s new sunless tanners are for you. Hooray! They have come a long way, baby! Gone are the days when sunless tanners meant your skin would be the same color as a carrot.

Topical sunless tanners are abundantly available for home use in most retail stores and online with prices ranging from below $5 to over $50. They come in many forms, including lotions, powders, sprays, and wipes. Depending on the strength of tanning ingredients used, some products slowly build color, requiring daily application, while others last a few days after only one application. Professionally applied spray tans use much stronger preparations and usually result in a more evenly applied and longer-lasting application. These can be applied with equipment similar to airbrushes, or by having clients stand in a booth where they are misted from all sides at once. Expect to pay between $25 and $50 per session.

All sunless tanning agents contain one or more three key ingredients to promote coloring of the skin — bronzers, dihydroxyacetone (DHA), and erythrulose. These work their magic on the outermost layer of the skin, which is made up of dead skin cells. Here is the breakdown of how they work:

BRONZERS have dyes that temporarily stain the skin and can be washed off with soap and water. These take effect immediately upon application. The downside is they can rub off on your clothing.

DIHYDROXYACETONE (DHA) is a sugar-based chemical derived from sugar cane. DHA interacts with the amino acids in dead skin cells, causing them to darken gradually over several hours. This darkening peaks in about 24 hours and lasts around five to seven days, slowly fading as your dead skin cells slough off.

ERYTHRULOSE, also sugar-based, is a compound that works the same as DHA but takes up to three days to achieve full color development. Because of the longer “brewing time” required with erythrulose, it is not used alone but is sometimes combined with DHA to obtain what manufacturers claim is a longer-lasting and more natural appearing tan.

NOTE: While the U.S. Food and Drug Administration (FDA) has determined the ingredients used in sunless tanners to be safe for external use, they are not approved for contact with the eyes and mucous membranes where they could potentially penetrate into the deeper tissues of the body.

For best results, follow these steps to achieve a beautiful, even-toned tan:

Shave or waxunwanted hair the day before application. This gives the skin a day to heal and will help avoid potential skin irritation.

Thoroughlyexfoliate your skin immediately before treatment, paying special attention to hands, elbows, knees, ankles,

and heels. Excess dead skin cells may “soak up” extra color.

Apply the product evenly to clean, dry skin. No moisturizers allowed at this point!

Protect your hands and fingernails by wearing gloves. You can always apply a little tanner to the backs of your hands with a Q-tip afterward. Thoroughly remove any product from fingertips and palms. Gently wipe off your elbows, knees, ankles, and heels with a dry cloth to prevent excess darkening of these areas.

When using spray-on tanning products, always wear a mask and goggles to avoid contact with your eyes, nose, and mouth. Do not inhale the spray. Protect your hair with a shower cap or towel. For home use, these sprays are best used in the shower where you can easily rinse away any overspray. Apply the product to your face using a gloved hand instead of using direct spray.

Immediately afterward, you must avoid showering, swimming, and excess sweating for several hours, so plan accordingly.

For best results with color retention, you must prevent exfoliation. Losing those dead skin cells means losing your color. Avoid body scrubs, chlorinated pools, and products containing exfoliating agents such as alphahydroxy acids.

Enjoy your sunless tan but remember sunless tanning products do not provide protection from the sun’s harmful ultraviolet rays. Each day you should apply a sunscreen with SPF 30 or higher. Reapply sunscreen every two hours when outdoors and immediately after swimming or excess sweating.

RUTH ANN BYRD owner of Aesthetic Skin Solutions in The Villages, is a licensed aesthetician specializing in skin rejuvenation and clinical treatment of sun damage, rosacea, and acne. She is also licensed in electrolysis, laser hair removal, and permanent makeup. Ruth Ann is dedicated to helping individuals look their best by improving the health and appearance of their skin. She can be contacted at 352.874.3653.

DISORRED

UNDERSTANDING SCHIZOPHRENIA

Schizophrenia is one of society’s most debilitating mental illnesses, afflicting approximately one out of every 100 people. Although the severity of this condition varies, it can be devastating. Life is fundamentally and permanently altered for patients and families who are touched by it. Characterized by the bizarre, schizophrenia presents families with life-long challenges. However, it may be possible to mitigate these challenges through early detection. Like other mental illnesses, some people are at a higher risk. Individuals with a family history of schizophrenia are 10 times more likely to be affected than the general population. However, no one is immune; those without a genetic predisposition are just less likely to develop the illness. This being the case, knowing what to look for can help in two key areas — identifying the presence of schizophrenia and intervention at an early stage.

THE IMPORTANCE OF EARLY DETECTION

Research indicates that early intervention and prompt treatment of symptoms will increase the odds of a good prognosis. A window of opportunity seems to exist very early in the disease where intervention and treatment can lessen the severity of schizophrenia. Parents, especially with atrisk children, should become familiar with symptoms and seek medical attention if they arise.

It is terrifying when a young person exhibits symptoms of a severe mental health disorder. This may account for one reason many parents overlook early indications of chronic mental illness. Another reason, perhaps, is the nature of the symptoms themselves. At first glance, they may resemble common teenage idiosyncrasies; however, mild or innocuous early symptoms should not be disregarded. According to an in-depth report written by The New York Times, a long-term study showed over 40 percent of people with schizophrenia who developed the disease in young adulthood had reported psychotic symptoms by age 11.

EARLY WARNING SIGNS OF SCHIZOPHRENIA

Symptoms of schizophrenia usually emerge after puberty. Subtle changes are usually observed before unmistakable warnings such as hallucinations. They may gradually become more severe during what is known as the prodromal phase. During this period, a young person may exhibit mild behavioral, personality, or cognitive changes well before the first unambiguous psychosis. Because they emerge before the onset of an easily identifiable psychotic episode, early warning signs can be difficult for friends or loved ones to recognize. These changes do not appear overnight, although they may progress quickly through what has been called “a moment to moment march of psychological changes.” Armed with the right information, family and friends can identify early symptoms of schizophrenia.

Prodromal symptoms include:

• Anxiety

• Depression

• Social withdrawal or isolation

• Changes in appetite

• Inability to feel or express emotions

• Changes in sleep routine (too much or too little sleep)

• Decreased performance levels at school or work

• Changes in personal hygiene (may stop showering or brushing teeth)

• Abnormal expressions (looking happy or sad inappropriately)

• Blank, expressionless looks when talking or listening

• Changes in mood (aggression, increased irritability, apathy, passivity)

• Sudden suspicion of friends, family, or other entities, including government and/or law enforcement agencies

• Subtle hallucinations

• Hearing voices

• Paranoia

This is a partial list of potential symptoms. Some patients experience one, several, or none of the above. Others may exhibit symptoms not listed. Despite the fact that some are commonly present in other mental health disorders, these may be early indications of schizophrenia and thus warrant your attention.

WHAT TO DO

Speak to a physician or mental health worker if early symptoms emerge prior to the onset of a psychotic episode. Treatment

SOURCE: Long, Philip W., M.D. “Schizophrenia”. Internet Mental Health. Retrieved May 13, 2013, from http://www.mentalhealth.com/dis/p20-ps01.html; “Schizophrenia”. National Institute of Mental Health. Retrived May 13, 2013, from http://www.nimh.nih.gov/health/publications/schizophrenia/what-is-schizophrenia.shtml; “Schizophrenia In-Depth Report”.

‘The New York Times.’ Retrieved May 13, 2013, from http:// health.nytimes.com/health/guides/disease/schizophrenia/print.html; Edited by Addington, Jean, Francey Shona M., and Morrison, Anthony. “Working with People at High Risk of Developing Psychosis: A Treatment Handbook”. Sussex: John Wiley & Sons Ltd., 2006. Print

of mental illness is effective today; almost any patient can lead a life of satisfaction, happiness, and near-normalcy. The need for treatment, however, is paramount. Without medication and therapy, those afflicted with schizophrenia will not improve.

Any mental health disorder should be treated early, but with schizophrenia, it is even more important. A mounting body of evidence suggests delay may result in more frequent and more severe relapse into psychosis. Late treatment is also associated with a poorer response to treatment, as well a longer response time to that treatment.

If a young person exhibits clear, unmistakable signs of psychosis such as severe paranoia, delusions, or hallucinations, seek help immediately. Psychotic symptoms do not get better without treatment; they usually get worse. Patients may become completely disconnected from reality, requiring immediate hospitalization.

PROGNOSIS

Schizophrenia is no longer a life sentence of permanent isolation or institutionalization. Increased tolerance of medication makes the illness easier to treat and offers patients

the opportunity to enjoy a quality of life thought impossible in the past. What was once believed to be an untreatable, irreversible illness has been transformed by modern medicine.

Recognition and treatment of schizophrenia during the prodromal phase may reduce the long-term consequences of the disease. Especially if you have an at-risk child, stay vigilant and prepared to act if symptoms emerge. Doing so will not only benefit the entire family; it will benefit a young person who may be suffering from schizophrenia.

ADDICTION

CAUGHT IN CYBERSPACE

WRITER: STEVEN C. VANGELDER, DRAD, LMHC, CAP, ICADC

Internet addiction? Haven’t the psychobabblists come up with enough labels? Well, try these statistics on for size and compare them to the symptoms common to other addictions.

60% of Internet users say they use the Internet to “escape reality for a while.”

82% say they stay on the Internet longer than anticipated.

40% admit they are unable to stay away from the Internet for four days in a row.

More than 80% admit they conceal nonessential Internet use from family and friends.

6% of relationships suffer because of Internet use.

69% of U.S residents are regular users of the Internet. That number is estimated to increase by 25 percent every three months and 1 out of 8 people meet the criteria for Internet addiction.

While sharing common properties of addiction, there are unique properties of the Internet that separate it from other addictions. Perhaps the most alluring and unique aspect of the Internet is its anonymity. Other areas of uniqueness include ease of access, social acceptability (unlike with drugs or alcohol), affordability, separation from real-life, and freedom (such as realizing and exploring fantasies).

When it comes to men and women, Internet usage varies. Women prefer the Internet for social interaction and shopping. Social interactions women enjoy may include instant messaging, chat rooms, emailing, posting on social media sites, and texting. In my counseling practice, I have found texting to be the single most destructive activity with couples.

Women also love to shop, and when you can buy things and have them brought to your door without leaving your house, a shopping addiction can easily form and get out of control. Add the gambling nature of eBay and women can find themselves with a house full of objects and a depleted credit card. The smartphone

has also added an entirely new dimension to the frequency and volume of “logging on.”

Men’s preferential Internet uses are pornography, gambling, and gaming. Sixty-two percent of those meeting the criteria for Internet addiction log on to pornography websites on an average of four hours a week. About 70 percent of all Internet pornography is accessed during the workday, presumably by those who cannot refrain from logging in. The ease, availability, and anonymity of the Internet have taken pornography to an entirely new level. Nevertheless, 60 percent of men who download pornography say they would not go to a strip club, rent an adult video, or otherwise talk with strangers in sexually explicit ways.

Interactive games are also highly addictive as the user is allowed to be someone tough, smart, physically attractive, or even magical in the game. And male gambling may include virtual casinos where real or imaginary dollars may be won or lost. Day trading in stocks pretty much boils down to online gambling, and online

auctions on cars, tools, and other items are gambling with the prize being becoming the winning bidder.

Both men and women may fall into an area of compulsive Internet misuse referred to as cyber-relationships. This progressive phenomenon may get more powerful as the relationship develops, and for those who are married or with a significant other, the phenomenon is, again, unique. The relationship may begin simply with two people cyberchatting. Cyber-chatting may then develop into cyber-flirting, where the individuals may act a little bit naughty but believe it to be just fun. Beyond fun, this relationship may develop into what is referred to as a cyberaffair with ongoing intimate exchanges between the couple. Cyber-sex may then follow where the pair has progressed to exchanges of highly sexually explicit interaction.

Again, the Internet may place the users in a unique situation of denial and misunderstanding. Many people who engage in flirting or having affairs on the Internet truly believe what they are doing is “not really cheating”

because there is no face-to-face contact or physical touching. This sincere belief of innocence may persist until there are serious marital or relationship problems. Only then may the participants realize how out of control the relationship has become. Discovered cyberaffairs often lead to relationship tension, accuse/deny

confrontations, decreasing intimacy, loss of affection and sexual contact, and ongoing blame and resentment.

Since complete abstinence from computers and smartphones is not very feasible in today’s world, men and women are cautioned to be aware of the addictive nature of electronic technology, its

uniqueness, and its genderspecific traps. For those who fall victim to an Internet addiction, psychotherapy with an addiction professional who

SOURCE: http://www.helpguide.org/mental/ internet_cybersex_addiction.htm

understands the treatment of this phenomenon may be highly helpful in learning how to kick the destructive habit.

Internet addiction can also cause physical discomfort such as carpal tunnel syndrome, dry eyes, back and neck aches, severe headaches, sleep disturbances, and weight gain or loss.

DR. STEVEN C. VANGELDER, DRAD, LMHC, CAP, ICADC, is owner and lead therapist at the Adult Counseling & Psychotherapy of Lake County. With over 30 years of experience in behavioral health, Dr. VanGelder has worked in a variety of mental health centers and addiction treatment centers across the east coast. Office locations include Tavares and Lady Lake. For more information, visit www. adultcounseling.org

SPIRIT INNERVENTION R

THERE IS MORE TO COME

WRITER: GAYLE TEERMAN // PHOTOGRAPHER: FRED LOPEZ

Yes, there was more to come. I was very busy in the community and a member of the local SCORE chapter, as part of the Small Business Administration. Though we were all former small business owners or retired executives, we could still be in business. I was also active in other community organizations, which kept me busy — some weeks for more than 40 hours.

So, what is this all really about? It is about the fact that God had more for me to do. It all started last year on June 3rd. My wife, Mary, and I had a great Sunday dinner and a leisurely evening before going to bed at our usual time between 10 and 11 o’clock. However, I later awakened sometime during the night with severe stomach cramps. Not wanting to disturb Mary, I got up to go to the guest bathroom at the other end of the house. After spending much time there with no results, I decided to go back to bed but got only as far as the kitchen. I laid my head on the counter feeling as if I might pass out, which I did. I landed on the tile floor with my head leading the way. How long I lay there, I have no idea because Mary was asleep, and I didn’t hit anything that made noise to wake her.

When I awoke, I knew I was lying in a pool of something. I lay there a while thinking I had vomited. Then, as I came more to my senses, I decided to go back to bed. Again, not wanting to disturb Mary, I dosed off.

Sometime later, I heard Mary getting out of bed. I said to her to be careful in the kitchen because there was something on the floor. Well, she had a real shock when she saw a pool of blood. She quickly came in to check on me first; then it was a call to 911.

My memory is a little foggy about the next few days, but I remember going for X-rays and CAT scans, getting 11 stitches in my head, and finally going to ICU, where I spent the next four days. ICU is not a place I wanted to be with its bright lights 24 hours a day, doctors and nurses on the run, and people coming and going. There was not much rest during those four days and nights. Then a wonderful thing happened: someone came in and said, “We have a room for you.” So we were off to the fourth floor. When we arrived at my room, I thought I was in the Waldorf Astoria compared to ICU.

By now you may be wondering why all this happened. It happened because of my straining in the bathroom, which caused trauma to a nerve that when stressed will cause you to blackout. I later learned I had a bowel blockage after a section of my small intestine decided to take a vacation and not do its job for a while. With some encouragement from the medical staff, it began to work again with no surgery needed. My fall caused internal bleeding in my cranium. With medication, the bleeding stopped. Again, no surgery was needed. So after 10 days in the hospital and receiving some rehab, I was released to go home.

After a few days of resting, I began doing

the things I enjoy again and getting back to my usual activities, which included going to Lightning ball games. The rest of June and July were uneventful; however, during the last week of July, Mary and I flew to Michigan to visit relatives and friends. On July 28th, we traveled to eastern Michigan to spend a day with our family there. During dinner that evening, I started not feeling very well. My balance was off, so I went to bed. We had a flight scheduled from Detroit to Orlando the next morning. But by that morning, I still was not doing well, so our two daughters took us to the airport and returned our rental car. They tried to talk me into getting some medical help, but stubborn me, I thought it would be best to get back home. Father knows best.

I survived the flight, but it was a little tricky picking up the car at the parking garage. Nevertheless, I still insisted on driving home, which made Mary a little nervous. On Monday, I called the doctor, who said to go directly to the emergency room. When I arrived, I received a wheelchair and went directly to the admitting desk. At this point, I could not even sign my name. I just scratched something and Mary took over from there.

Back in the ER, they started with all the testing and getting me a room. The next morning, my surgeon, Dr. Hill, came in and explained to me what would be done. For the next week, I do not remember anything — the preparation, going to the operating room, or being in ICU for two days. A close friend who visited me in the hospital

told me later that I was very restless and continually attempting to get out of bed. However, there was an angel by my side trying to keep me calm the entire time — Mary. She was so calm and serene that to my friend she looked like an angel. Even now, she continues to be my angel, driving me wherever I need to go and tending to my needs.

The first thing I remember was going to a room where I underwent various treatments and preparation for a month of inpatient rehab at the hospital’s north campus, then outpatient care for three weeks. Afterward, I started to live a normal life again, though I could not drive until February.

Now what had been the cause of this problem? My cranium was bleeding again, but it was now on the other side of the brain from where it had originated. This

was very serious because after the surgery, it was determined that the new bleeding had joined with old blood and formed an organism that was sending tentacles into my brain for nourishment. Consequently, the blood and organism were crowding my brain. Dr. Hill and his assistant were able to clear out all of this. While in ICU after the surgery and after getting my brain into its normal place, I had a seizure, so I am now on medication. This was the reason for me not driving until February, after which I would need to be evaluated by the state. So where does “there is more to come” become a part of this whole thing? I was very calm throughout all the things that were happening. Was it the medication? No. God was holding my hand and saying, “There is one more surprise.” I am once more able to do the things God wants me to do in His church and the community.

God was not finished with me because “there is more to come.”

It is now March of 2013, and I was evaluated for driving in Orlando on February 6th. I passed all the testing. Then I successfully completed a oneand-a half-hour driving test throughout the city where I drove on and off I-4, downtown, through residential areas, on narrow streets, on busy streets, etc. I was approved with no restrictions, and after not being behind the wheel for six months, this was exciting for me. But, I was very calm as God was there. Now, I am getting into “there is more to come.”

GAYLE TEERMAN 84, graduated from Western Michigan University in 1960 with bachelor’s degrees in industrial technology and secondary education. He worked as a cost estimator for Ford Motor Company and later started his own business representing various manufacturing companies in sales and marketing. Today, the retired Leesburg resident serves as a SCORE mentor, helping to start and grow small businesses.

SPIRIT

MENCOURAGEM

HONORING THY FATHER

Father’s Day brings about lots of emotions in a man’s heart. Those who have had great fathers remember some of the special times they had with them with smiles on their faces. Those who had fathers who were hard and difficult have a whole other range of emotions. Johnny Cash expressed one sentiment about fathers and sons in his famous (or infamous) song A Boy Named Sue. Then there was the Harry Chapin number one song in 1974, The Cat’s in the Cradle. Neither of those two songs represents the ideal father but may reflect the reality in which many men grow up.

Honoring our fathers on Father’s Day is more than just an excuse to sell greeting cards on a “Hallmark holiday.” Actually, the whole concept of honoring our fathers has been around since the beginning of time. Back in 1812, the Grimm brothers may have been thinking about Father’s Day when they wrote the fable The Old Grandfather and His Grandson:

Once upon a time, there was a very, very old man. His eyes had grown dim, his ears deaf, and his knees shook. When he sat at the table, he could scarcely hold a spoon. He spilled soup on the tablecloth, and besides that, some of his soup would run back out of his mouth. His son and his son’s wife were disgusted with this, so finally they made the old grandfather sit in the corner behind the stove where they gave him his food in an earthenware bowl — and not enough at that. He sat there looking sadly at the table and his eyes grew moist. One day his shaking hands could not hold the bowl and it fell to the ground and broke. The young woman scolded him, but he said not a word. He only sobbed. Then for a few pennies, they bought him a wooden bowl and made him eat from it.

Once when they were all sitting there, the little grandson of four years pushed some pieces of wood together on the floor.

“What are you making?” asked his father.

“Oh, I’m making a little trough for you and mother to eat from when you’re old.”

The man and the woman looked at one another and then began to cry. They immediately brought the old grandfather to the table and always let him eat there from then on. And if he spilled a little, they didn’t say a thing.

Ouch! That hurts! What a great fable to bring home the idea that honoring our fathers (and grandfathers) is the right thing to do — no matter what. The Moral Law (aka The Ten Commandments) of the Old Testament tells us that honoring our parents is a way to please God and respect humanity. It is the fifth commandment: Honor your father and your mother, so that your days may be long in the land that the Lord your God is giving you (Exodus 20:12).

The whole point of Father’s Day is to honor our fathers and to recognize them for being the special men they are in our lives. I think it is ironic that the word used for honor in the Hebrew Bible is the word that means, “To make something heavy.” Honoring our fathers is not always easy — especially when they reach a certain age. The burden can be heavy indeed. The full intent of the Hebrew word means to add value or worth. We add value and worth to our fathers by encouraging them and thanking them for the good things in their lives.

Honoring our fathers on Father’s Day is a good thing. It is a good way to remind ourselves that our dads may not have been perfect, but they loved us nonetheless. Honestly, most of us owe our fathers immense gratitude for the years and years they sacrificed and provided for us and for the ways they taught us things we could only learn by example. For most of us, our fathers have been the source of security and protection. Even if our fathers failed in some of these things, honoring our fathers is the right thing to do all the time, not just when the calendar demands it.

Maybe your Father’s Day ought to be more than a greeting card, the gift of a new tie, or a subscription to Cigar Aficionado. Perhaps this year could be a renewed commitment to talk by phone every week or to see one another more frequently and remind him of just how “weighty” his influence has been in your life.

RICHARD BURGUET, B.A., M-Div., has been ordained in the Presbyterian Church in America for more than 30 years. He has served churches in South Carolina, Mississippi, Maryland, and Georgia. Richard is pastor of New Hope Presbyterian in Eustis and is co-author of Covenants Disciples Workbook. New Hope is at 19535 Eustis Airport Road and on the web at www.newhopepca.com.

WRITER: RICHARD BURGUET

It is easier for a father to have children than for children to have a real father. — Pope John XXIII

CONSERV

DON’T ASK FOR A MURPHY VISIT

WRITER: DAVE RAMSEY

Dear Dave,

Is there ever a time you should dip into emergency fund savings in order to pay off your home early?

—Eric

Dear Eric,

The only time I would advise this is when your emergency fund is too big and you have a very small amount left to pay on the house. Keep in mind that your emergency fund should be three-to-six months of expenses, not three to six months of income. Besides, paying off the house doesn’t fall into the category of an emergency. The fact that you have to pay for your house doesn’t catch anyone by surprise.

I understand it can be very tempting to throw a bunch of money at your house, get rid of the mortgage payments, and own it outright. But I would not drain my emergency fund to make it happen — even if it meant being completely debtfree sooner. Life happens, and the moment you write that big check and weaken your emergency fund, the central air conditioning unit will go out, the roof will spring a leak, or you will have major repair issues with a vehicle.

When you do things like that, you are just begging for Murphy to come visit. And that’s not my definition of financial peace!

—Dave

TOO MUCH FOR DATE NIGHT

Dear Dave,

My husband and I have a baby and are trying to live on a budget and pay off about $14,000 in debt. He wants to spend $100 a month for a date night, but I think this is too much under the circumstances. I am a stay-at-home mom right now and after taxes, he makes about $3,200 a month. What do you think?

—Ashley

Dear Ashley, You win on this one. If you would have told me you guys make $150,000 a year, then I would say he was being completely reasonable. But with your income and a lot of debt to boot, it sounds like he’s just looking for an outlet to spend some money. The good thing is you’re working together and beginning to take this personal finance thing seriously. You’re just a little bit apart on the particulars in this area.

I think you should back this amount down to $40 or $50 for now. That’s plenty for a reasonable dinner and perhaps a baby sitter for a couple of hours. If you have family or friends nearby, you might not have to figure baby-sitting expenses into the equation at all. Keep in mind, too, that going out on a date doesn’t have to mean spending money. Years ago when my wife and I were broke, we did tons of stuff that did not cost a dime. Picnics in the park or a pretty hike through the woods are great ways to spend time together while keeping the pocketbook in your pocket.

Be creative and make sure you find ways to have “us” time on a regular basis. But you’re right on this one, Ashley. You can go out and have plenty of fun together without spending a lot of money!

—Dave

Dave Ramsey is America’s trusted voice on money and business. He has authored four New York Times best-selling books: Financial Peace, More Than Enough, The Total Money Makeover, and EntreLeadership. More than six million listeners hear the Dave Ramsey Show each week on more than 500 radio stations. Follow Dave on Twitter at @DaveRamsey and on the web at www.daveramsey.com

DAVE RAMSEY is a personal money management expert, a national radio personality, and best-selling author of The Total Money Makeover. Ramsey earned his Bachelor of Science in Finance and Real Estate from the University of Tennessee. A frequent speaker around the country at large-scale live events, he has a nationally syndicated talk show, The Dave Ramsey Show.

.COM COUPON CRAZE

WRITER: MARY EDWARDS

As the Internet grows, we will find more and more companies building their businesses on the web. Almost every company that sells products or offers services has a place on the web. Therefore, we are finding more and more advertisements, coupons, and coupon codes on the web, as well. Consumers love the ease of shopping in the comfort of their own home, and since most companies offer shipping, there is no need to even head to the store to pick up items.

There are two types of online coupons. There are printable coupons that can be printed out and taken to a brick-and-mortar store; then there are coupon codes that can be found online and used during online shopping trips during the checkout process.

PRINTABLE COUPONS are found at many different online sites. Grocery, household product, and health and beauty coupons can be found at large coupon sites like Coupons.com and Redplum.com. Department stores and similar type store coupons can be found on company websites, or customers can sign up for loyalty programs to receive coupons by email. These coupons are then printed out and taken to the store to be redeemed. To maximize your savings, always pair your coupons with current in-store sales.

COUPON CODES are found at popular sites like Retailmenot.com or cash back sites like Shopathome.com and Ebates.com. These sites are very easy to use. Customers simply type in the name of the store they want to shop at and a list of coupon codes are provided. Coupon codes can be redeemed for things like free shipping, discounts, and more. Again, always try to stack these coupon codes with sales to get the most bang for your buck. Moreover, be sure to check the policy at different online stores since some stores will allow you to stack two coupon codes on top of each other (e.g., free shipping and $5 off).

If you are not comfortable using coupon codes online, many stores will allow you to call in your order and check out over the phone.

32% SOURCE:ofgroceryshoppersuseonlinedigitalcoupons. http://www.factbrowser.com/tags/coupons/

MARY EDWARDS is a wife and mother to four young children, a business owner, and a blogger. She strives to teach others how to save money and improve their budgets. Mary also enjoys sharing her knowledge in community outreach programs and coupon classes. Mary is the owner and author at www.couponersunited.com.

JUNE 2013

Hospice Ride for Angels

2

This 10th annual poker run starts at 10a.m. at Stormy Hill Harley Davidson, 2480 S. State Road 27, in Clermont and ends at 11:45a.m. at Minneola City Hall, 800 N. S.R. 27, in Minneola. Registration begins at 9:30a.m. $10 poker hand rider; $10 poker hand passenger; and $5 each additional hand. There will also be live music, a 50/50 raffle, and both a live and silent auction. Proceeds to benefit Mike Conley Hospice House in Clermont. Call 352.227.8007 or 407.304.2608 for additional information.

Don’t Let Diabetes Control You

4

You are invited to join Leesburg Regional Medical Center for this free community health talk about diabetes. Inhouse medical nutrition therapist Luisa Oliver-Cordero will engage the audience with her educational presentation. She will go into detail about living with diabetes and how to make sure your lifestyle is a reflection of you... not your diabetes. This event will take place at the Leesburg Community Building starting at 10a.m. Pre-registration is required. To reserve your spot, call 352.323.1000.

Calligraphy Classes (June 6–27)

6

Calligrapher Sandra Wright has been teaching calligraphy since 1984 and has a structured curriculum that ensures success for those willing to learn and practice. The class has two remaining sections: June 6th, 12th, and 13th will be uncial calligraphy and June 19th, 20th, 26th, and 27th will be formal italic calligraphy. Times are 2–4p.m. or 5:30–7:30p.m. Each of the sections costs $120; $90 for members. Call 352.483.2900 to register.

8

Bird & Butterfly Survey

Experienced bird-watching volunteers are invited to help conduct bird surveys at this restoration habitat. Birders must be able to identify most common birds by sight or sound and have their own binoculars and field guides. Volunteers participating in the butterfly survey should be able to identify most common species. This activity will include hiking approximately two miles on trails. The survey starts at 7a.m. and will last until 11 a.m. at The Pasture Reserve Lake Erie Road in Groveland. The cost is free. For more info, call 352.253.4950 or email parksandtrails@lakecountyfl.gov.

15

Scrub-Jay Hike

Go on this free hunt with park rangers for a chance to see Florida’s only endemic bird species, the Florida Scrub-Jay, as well as beautiful butterflies at Pine Forest Park, an ecologically diverse park in DeLand. The hike begins at 8a.m. Call 352.253.4950 or email parksandtrails@lakecountyfl.gov to register for this event.

Taste of the Caribbean & Jerk Festival

Experience the Caribbean during this daylong event for the whole family. There will be a jerk cook-off competition, face painting, a

kid’s zone, domino playing, a cricket demonstration, and much more. Attendees will also enjoy a live steel and reggae band, as well as gospel, jazz, country, chutney, and Latin calypso music. The festival will begin at noon at Waterfront Park, 330 Third St., in Clermont and is co-sponsored by the City of Clermont. Cost: $5 (children under 5 get in free). Proceeds will fund scholarships to area high school students. Call 352.241.7045 or visit www.caalc.org for more information.

Father’s Day Kayak Tours (June 15–16)

This special eco-tour includes kayak rental and a picnic lunch for dads and their children (moms can join, too). Paddle a portion of the Palatlakaha Blueway while enjoying the sights of nature. There will be baby osprey in their nests crying for their next meal, as well as many other birds and animals to see. This is a great way to celebrate Father’s Day. The tour starts at 9a.m. at Cypress Cove Marina, 12540 County Road 561, in Clermont. Cost: $45 adults/$25 children, including kayak rental. Call 352.406.0904 for more info.

22 Battle of the Branches Bowl-A-Thon

A fundraiser for Operation: Care 4 R Troops, join us at Break Point Alley in Tavares for an exciting afternoon of bowling, prizes, and seeing which branch of the military has the most supporters! There will be a 50/50 raffle (you don’t have to be present for to win), prizes for the branch with the most supporters, and much more. Sign up individually ($15) or as a four-person team ($50). Register online or donate toward a team online. Registration includes three games and shoe rental for each registrant. Call 386.215.5560 or visit www.care4rtroops.org for more information and to register.

24

ProSoccerKicks Soccer Camps (June 24–28)

Former professional soccer player Robbie Aristodemo will host half-day and full-day soccer camps at Montverde Academy’s soccer field. This camp is for children entering first through fifth grade. Camps also are available on different dates for players entering pre-4-K and also entering sixth through twelfth grade. Times: 8:30 to 11 a.m. for a full day or 8:30 a.m. to 2 p.m. for half of a day. Cost: $100 for half-day camp, $200 full-day camp. For additional information, call Robbie Aristodemo at 563.340.6347 or visit www.prosoccerkicks.com.

29

Gun Seminar and Self-Defense Session

Gun expert Darrin from Pats Pawn and Gun will host this seminar. Learn up-to-date information about firearms, concealedweapon permits, and Florida gun laws. Enter to win big prizes. Vendors and food will be available. All ages are welcome. The seminar begins at 11a.m. at Gator Harley-Davidson, 1745 U.S. 441, in Leesburg. Call 352.787.8050 or email gatorharleyevents@gmail.com for more info.

Our Patients Say It Best...

Bernadette McIntyre plays golf nearly three times a week. Within the past year, though, she often found herself limping from hole to hole.

“The pain was in the back of my heel, and it was extremely painful whenever I was standing,” she says. “I could barely walk on the golf course.”

Because Bernadette enjoyed a pleasant and successful visit to TriCounty Podiatry several years ago, she decided to go back. Dr. Felix Esarey diagnosed her with tendonitis and a bone spur in her left foot. “I was relieved when he found something that could be treated because I assumed it was just old-age arthritis,” Bernadette says.

Bernadette underwent six weeks of physical therapy, performing an array of foot exercises on the floor and using state-of-the-art equipment to strengthen her feet. She worked alongside both of Tri-County Podiatry’s dedicated physical therapists, Mike Palma and Keri Brooks.

Today, Bernadette enjoys playing golf pain-free.

“I am walking around like a new person. Both Mike and Keri were great to work with and are both extremely caring and considerate. I cannot say enough good things about them. They introduced me to some very beneficial exercises, and I perform them on a daily basis.”

From Left: Larry Erlinder, DPM; Michael Palma, PTA; Johnny Wu, DPM; Felix Esarey, DPM; Ivelisse Rosa, DPM; and Keri Brooks, RPT

ADVANCED PURCHASE

Bleacher ......................................$20

Infield (Bring own chair) ....................$35

VIP (Reserved Seating, w/ food & drink) ...$75

EVENT DAY PURCHASE

Based on Availability

Bleacher ......................................$45

Infield (Bring own chair) ....................$45

VIP (Reserved Seating, w/ food & drink) ...$75

STRAIGHT FROM THE HEART

The Florida Hospital Waterman Foundation’s fourth annual Celebration of Life gala was a huge success. In addition to a silent auction, live auction, and dinner, attendees also enjoyed a performance by Mark Eddie, who blends comedy with music. The event, which was held at Mission Inn Resort and Club, supports the Florida Hospital Waterman Heart Center.

1. Janice and Bert Epaillard

2. Gary Allen and Holly Andriolo

3. Chris and Leslie Hazen

4. Jon, Shirley, and Lou Radnothy

5. Lynda Comfort with Floriano and Niesa Putigna

6. Rick and Sally Bosshardt

7. Dan and Jessica Crunk with Fran and Michelle Crunk

PHOTOGRAPHER: CALEB WAYNE JENSEN

HOPE IN SIGHT

The King’s Ridge Women’s Club sponsored its annual Glitz and Glamour Charity Gala. The event, which was held inside King’s Ridge Clubhouse, featured a silent auction, cocktail hour, dinner, and dancing. Attendees enjoyed live music from the band Anita Drink. Proceeds supported New Vision for Independence, which helps children and adults in Lake and Sumter counties who suffer from low vision or blindness.

1. John and Tammy Ferrell

2. Joannne Hammel and Barbara Cordileone

3. Lynn Chinn and Victoria Watter

4. David Saucier

5. Randy Coole, Kaleigh LeBeau, Jill Towers, Jerry Runyan, and Derek Schaefer

6. Jane Haney, Shannon Dykes, and Julia Pallmeyer

7. Chantel Buck, Dianna Osgood, Judee Runell, Debbie Phillips, and Jane Mershon

PHOTOGRAPHER: STARK BRUMLEY-MARTIN

HOME, SWEET HOME

United Way of Lake and Sumter counties recently moved to a new location at 32644 Blossom Lane in Leesburg. Employees of the organization hosted a ribbon cutting and open house for the public. Light refreshments were served. United Way improves the quality of life for all individuals by leveraging resources, uniting agencies, and impacting community needs.

1. Nick Buchholz, Leslie Campione, and Cheryl Rumbley

2. Ashlynne Counts and Lori Humphrey

3. Nicki Rowe and Rebecca Teston

4. Connie Kolisnyk and Troy McNichols

5. Diane Culpepper, Chris De Libro, and Sue Cordova

6. Ashlynne Counts and Sue Cordova

7. David and Angela Wilkins with Sidney Brown

PHOTOGRAPHER: SHAENA CHASTAIN

HEALTHY VIEWS

Why Do You Need A SPECIALIST?

Little things can become big things, especially when it comes to joint pain. Many people live with shoulder pain for years, not realizing they may have tiny tears in the tendons surrounding the joint. With no warning, a simple thing like pulling a weed or swinging a golf club may result in a tear in the shoulder tendons.

“Repairing a complex tear is one of the more complex surgeries,” says Dr. Alfred J. Cook, who specializes in complex rotator cuff repairs and shoulder injuries. “At TriCounty Orthopaedics, we are on the cutting edge of new technologies, such as graph augmentation which reconstructs tendons. Not all surgeons have been trained to do these procedures.”

In addition to being a board-certified orthopaedic surgeon, Dr. Cook is fellowship-trained in Sports Medicine and Shoulder Surgery. Following his surgical residency at Northwestern University’s McGraw Medical Center, he chose to obtain an extra year of specialized training at Duke University’s School of Medicine, ranked among the nation’s Top 10 medical schools. EXPERTISE MATTERS.

Our specialties include:

• Total Joint Replacement

• Arthritis Evaluation

• Non-Surgical Back Evaluation

• Osteoporosis Evaluation

• Physical Therapy

• Diagnostic Radiology

• Sports Medicine

• Shoulder Surgery

• Foot & Ankle Surgery

• Trauma & Fracture Management

• Arthroscopic Surgery

J. Cook, Jr., MD

Cuff

MAKOPLASTY®

MAY BE RIGHT FOR YOU!

If you are one of the millions of Americans who suffer from painful early to mid-stage osteoarthritis of the knee, total knee replacement may NOT be your optimal treatment solution. Now available at Florida Hospital Waterman, MAKOplasty® Partial Knee Resurfacing is an innovative option that spares healthy bone and surrounding tissue, resulting in rapid relief from pain, rapid recovery, and rapid return to daily activities.

Osteoarthiritis shouldn’t slow you down. If you have knee pain or stiffness with activity and have not responded to anti-inflammatory medication or other treatments, you may be a good candidate for the MAKOplasty® procedure. Call 352.253.3388 for more information or to find a seminar near you.