Central Florida Health News August 2022

Page 1

largest Asian restaurant company, is now open in Jacksonville. This is the 36th store in the US, as well as the first in the state and Southeast US. It opened to the public on March 18, 2017. Jacksonville is the most populous city in the Sunshine State, as well as home to the largest FilipinoAmerican community in Florida. The longawaited arrival of Jollibee in the city has

get to try Jollibee's signature menu items such as the world famous Chickenjoy. This dish is delicately breaded to be crispylicious on the outside and juicylicious inside. The well-loved Jolly Spaghetti is a favorite of both kids and kids-at-heart because of its signature sweetstyle sauce, loaded with chunky slices of savory ham, ground meat, and hotdog. Other classic menu favorites include the juicy and cheesy Jolly Hotdog, and the Peach Mango Pie, which is made with real Philippine sweet mangoes and a flaky golden brown crust.

tude of excited Jollibee patrons waiting to get their hands on their Jollibee favorites, but also first-timers waiting to have their own Jollibee experience," said Jose Miñana, Jollibee Foods Corporation's Group President for North America. "There's no greater joy for us than serving the needs and tastes of Jollibee fans in the community. At Jollibee, we aim to bring families together for happy moments over great tasting food with superior value, served with warm and friendly service – our own brand of joy." The brand has become a symbol of nostalgia and warm childhood memories for many overseas Filipinos in the U.S. To many, Jollibee is the go-to restaurant of Filipinos for both special

volume 12 | issue 5 | august 2022


See JOLLIBEE page 15



Mental Health



New 988 Mental Health Hotline Launches


Initiative Aims to Improve Access, Help for Farmers


Balanced Diet Safer Than Supplements

Would You Recognize The Symptoms of PTSD?






Ease Into Routines for A Smoother Transition


CONTENTS | August 2022 For more photos from this edition, follow us on Facebook. Scan the QR code here with your smart device.

Access the 2022 Central Florida Physicians Directory online!

Roan Cadavona,

Ritu Aparajita,

Kollagunta Chandrasekhar,

Nurse Practitioner

Vascular Surgeon





Meet Your Providers… K.S. Chandrasekhar, MD, FCC

…established his clinic over 20 years ago. He is well known in the community and trusted for his accurate diagnosis and compassionate care. • Board certified in Cardiovascular Disease and Internal Medicine • Executive Director the Heart Function Clinic, Low Risk Chest Pain Center and the Cardiac Rehabilitation Program for BayCare Winter Haven Hospital • President of Medical Staff for BayCare Winter Haven Hospital • Chairman of Cardiology for Lake Wales Medical Center • Clinical Associate Professor, FSU College of Medicine

Ritu Aparajita, MD, RPVI A Vascular and Endovascular Surgeon who earned her MBBS at University of Delhi, India. She then completed a research fellowship at Columbia University Medical Center and a residency in general surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. She’s co-authored more than two dozen journal articles. She was recently nominated for the American Medical Association Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.

Roan Cadavona, ARNP, FNP-C

…brings a high level of education and experience in Cardiac Catheterization, Electrophysiology and working in the Cardiovascular Progressive Care unit. He serves a vital role in providing patients with optimal cardiovascular care through counselling and screening, as well as disease prevention and management strategies. • Board certified Family Nurse Practitioner • Member of Staff for BayCare Winter Haven Hospital


Cultivating Hope


Pop Quiz!


Ease Into Routines to Beat the Back-to-School Blues

10 14

As mental health has taken center stage in public discourse in the past decade, the concerns of specific populations have been recognized and addressed. One group of people just now starting to benefit from the drive for better mental health care is farmers. For the agriculture community, access to mental health care can be too far away and too difficult to get. That’s something the newly launched Farmer Stress Awareness Initiative hopes to change.

PTSD is something that has been discussed more often recently. But what exactly is PTSD? Mental health diagnoses require observation by a highly educated healthcare professional, and the misuse of medical terminology can muddy the water, minimizing those who suffer from PTSD and possibly affecting whether an individual seeks treatment or not. Take our quiz on PTSD and get the facts on this critical mental health issue.

As summer wanes and the school bell starts to beckon, this is a good time to start instituting good habits to facilitate the transition from the laid-back vacation days into the more hectic school year. Yadira Torres, PsyD, a licensed psychologist at Central Florida Health Care, offers some advice for parents who are seeking to start the school year on a positive note.

The Number to Know: 988 On July 16, the Federal Communications Commission designated “98-8” as a simple, three-digit mental health hotline that can be called or texted to make it easier for people experiencing a crisis to get help. The National Suicide Prevention Lifeline’s traditional 10-digit toll-free number that has served the nation for the past two decades will still work, but now it will be able to address general mental health issues.

Need a Mood Boost? The U.S. market for dietary supplements was $50 billion in 2020, and according to a report by Grand View Research, Inc., it is expected to bloom to $71.3 billion by 2028. Increasingly, people seem to be turning to dietary supplements to care for their mental as well as their physical wellbeing, but, according to a registered dietician in Lakeland, there is little scientific evidence to say that the benefits outweigh the possible dangers.

Departments & Columns 4 PUBLISHER’S


2 | CFHN






Renew your Membership with Polk County Medical Association now! MEMBER BENEFITS

✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company ✱ Ongoing relevant communication ✱ Access to CME Programs ✱ Workers compensation insurance benefits ✱ Complimentary Socials/dinners


Interested in becoming a member? Join the leading professional association in Polk County for physicians.


✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications ✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide ✱ Physician and medicine advocacy at all legislative levels

director@ polkcounty doctors. com

CFHN | 3



Make Time for Mental Health

PUBLISHER Nelson Kirkland


NELSON KIRKLAND, PUBLISHER nelson@centralfloridamediagroup.com

Jessica McDonald


ental health seems to be the latest buzzword, especially since the pandemic. Thankfully, the increased discussion about a topic once considered taboo has gone a long way toward fighting the stigma that has long been associated with it. We spend a lot of time checking up on those we love and watching to make sure they’re in the right headspace. But many of us end up putting our own mental health on the backburner. But now may be the perfect time to check in with yourself. Mental health is closely connected to other aspects of our lives, meaning ignoring one aspect can start a domino effect. Consider the relationship between mental health and the following: • Physical Health: Mental health can be an invisible but important factor in your physical health. Poor mental health can present as physical pain, low energy, and fatigue. • Healthier Relationships: The way you treat and think about yourself strongly influences the types of relationships you foster in your life. The higher regard you have for yourself, the better chance you will demand the same respect from people in your life. • Quality of Life: While chronic anxiety and stress can lead to fatigue and cardiovascular complications, they also take a toll on your quality of life. Learning to manage them can help you take control of your life and lead to a better quality of life. I hope you enjoyed this edition of Central Florida Health News, and I hope it serves to further break down the stigma associated with mental health and mental illness. With something so crucial, it’s important to take care of yourself and each other. HN


ACCOUNT EXECUTIVES Juanita Halter, Cinda Shelby

CONTRIBUTING WRITERS Erika Aldrich, Mary Joye, LMHC, Teresa Schiffer, Carol Corley, Dr. Joy Jackson, Julie Gmitter, Tim Craig

CONTRIBUTING COLUMNISTS Ritu Aparajita, MD; Dr. Alex Kennon, MD; Tincy Thomas, OD


DELIVERY DLS Distribution Published by Central Florida Media Group in cooperation with the Polk County Medical Association

Retirement Planning College Savings Plans Financial Planning

John Scheck

Portfolio Management Director Senior Vice President Branch Manager 1101 1st St S, Ste 201 Winter Haven, FL 33880 +1 863 291-8306 john.scheck@morganstanley.com © 2016 Morgan Stanley Smith Barney LLC. Member SIPC. CRC1596726


56 Fourth Street Northwest, Suite 100 Winter Haven, Florida PHONE 863.248.7537 Copyright © 2022 Central Florida Media Group. ALL RIGHTS RESERVED. This issue of Central Florida Health News is a trademark of Central Florida Media Group. Reproduction or use in whole or in part of the contents of this magazine without written permission is prohibited. Central Florida Health News makes every effort to ensure the accuracy of content published. In the event of an error found herein however, neither the publishers or advertisers will be held responsible, nor do the publishers accept any liability for the accuracy of statements made by advertisers in advertising and promotional materials. Furthermore, the opinions and claims expressed in advertisements and promotional materials do not necessarily reflect those of the Polk County Medical Association or Central Florida Media Group and do not imply an endorsement.





MENTAL HEALTH: BRIDGING THE GAP POLK COUNTY MEDICAL ASSOCIATION 4315 Highland Park Blvd, Suite B Lakeland, Florida 33813 863-644-4051







id you know that roughly 20 percent of Americans — or about 50 million people — suffer from mental illness? Furthermore, according to Mental Health America, more than 27 million of those are untreated. While those figures account for only mental illness, the conditions often spill over into other areas of health and lifestyle. For example, people with mental illness have an increased risk of cardiovascular and metabolic diseases and are twice as likely to drop out of school. The conditions commonly have a ripple effect, which is why it’s so important to make sure access to mental health care continues to improve. As we continue to chip away at the stigma surrounding mental illness, the needs of specific groups are identified and targeted. In this edition of Central Florida Health News, you can learn more about the

— — — — — —

JACKIE COURTNEY Executive Director 4315 Highland Park Blvd Suite B Lakeland, Florida 33813


James J. Booker, MD

Farmer Stress Awareness Initiative that was recently launched by the Florida Department of Agriculture and Consumer Services to reach those in the agriculture community who struggle with access and proximity to mental health care. On a national level, the National Suicide Prevention Lifeline just introduced “988” to make it easier for those who are suffering or care for someone who is suffering to get help. We spoke with local mental healthcare professionals to learn their thoughts on the new number and how it can be beneficial. As this is the time of year when local students are heading back to school, we’ve got some tips on how parents and kids can ease into the school year with fewer bumps along the way. Thank you for reading. HN

Some of the benefits of a PCMA membership include the following: ✱ Physician referrals ✱ Medical malpractice discounts with The Doctors Company ✱ Ongoing relevant communication ✱ Access to CME Programs ✱ Workers compensation insurance benefits ✱ Complimentary Socials/ dinners ✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications ✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide ✱ Physician and medicine advocacy at all legislative levels.

If you’d like more information about becoming a PCMA member or need to check your membership status for renewal, contact our Executive Director Jackie Courtney at (863) 644-4051 or email director@ polkcountydoctors.com.

James J. Booker, MD


Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association

CFHN | 5


CULTIVATING HOPE Initiative Hopes to Improve Access, Assistance for Farmers by JULIE GMITTER


s mental health has taken center stage in public discourse in the past couple of years, the concerns of specific populations have been recognized and addressed. The visibility of our healthcare providers and first responders during the pandemic brought increased awareness of their sacrifices and struggles. Veterans and minorities, too, are starting to benefit from the increased awareness and care options. One group of people just now starting to benefit from the drive for better mental health care is farmers. For the agriculture community, access to mental health care can be too far away and too difficult to get. That’s something the newly launched Farmer Stress Awareness Initiative hopes to change. The Florida Department of Agriculture and Consumer Services, which is partnering with the University of Florida Institute of Food and Agricultural Sciences, received a $500,000 grant to implement the initiative to train public school agriculture teachers, Florida 211, 4-H, Future Farmers of America members, and others to recognize the signs of farm stress in their communities and families. Many Floridians may not be familiar with the 211 networks. Currently, there are 242 “211” networks existing in the United States, providing coverage for approximately 96% of the country. Catherine Rea is Vice President of 211 Heart of Florida United Way in Orlando, which is a part of the national 211 network. In the state of Florida, there are 12 such contact centers that provide coverage for all of

Florida. These centers host monthly meetings and collaborate on local and state projects together through the Florida Alliance of Information and Referral Systems. “Unfortunately, access has been an issue,” says Clara Reynolds, president and CEO of the Crisis Center of Tampa Bay. “I am so grateful to the Commissioner for recognizing that this is indeed an issue we need to address, all of us as a network. Florida Agriculture Commissioner Agriculture Nikki Fried hosted the launch of the Farmer Stress Awareness Initiative at Plant City’s Wish Farms in early June. “The pressures of keeping our food supply strong when so many factors are outside of a farmer’s control, like supply chain issues, unfair foreign trade practices, invasive pests, and the weather, result in Florida’s agricultural community experiencing tremendous stress,” Fried says. “Unfortunately, these communities are too often forgotten when it comes to mental health care resources and access. That must change, and thanks to our partnership with the USDA and the great work being done by Florida organizations, we are tackling this issue head-on.” Resources, like shelter and other basic needs, in addition to financial assistance and mental health or crisis intervention, will be provided to those in need. Rea was on hand representing Heart of Florida CONTINUED ON PAGE 20

6 | CFHN



CarePlus offers plans for your needs.

CareFree (HMO) Plan $145 back every month on your Medicare Part B premium – that’s $1,740 a year back in your pocket! $0 copay for primary care physician office visits and $20 copay for specialist office visits $0 copay for prescription drugs (Tier 1 and 2)1 – even during the gap

Call me to enroll today

813-240-4252 (TTY: 711) Sylvia Velez

Licensed CarePlus Sales Agent SVelez1@careplus-hp.com


$125 daily copay for hospital stay days 1 to 4 $0 copay for for routine dental coverage, including dentures2



From a preferred cost-share retail or mail-order pharmacy. 2One set of complete or partial dentures every five years. Hillsborough, Pasco, and Pinellas counties. CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal. Referrals and/or authorization may be required for certain specialists. Every year, Medicare evaluates plans based on a 5-star rating system. CarePlus Health Plans, Inc. complies with applicable Federal Civil Rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender, gender identity, ancestry, marital status, or religion in their programs and activities, including in admission or access to, or treatment or employment in, their programs and activities. Any inquiries regarding CarePlus’ non-discrimination policies and/or to file a complaint, also known as a grievance, please contact Member Services at 1-800-794-5907 (TTY: 711). From October 1 – March 31, we are open 7 days a week, 8 a.m. to 8 p.m. From April 1 – September 30, we are open Monday - Friday, 8 a.m. to 8 p.m. You may always leave a voicemail after hours, Saturdays, Sundays, and holidays and we will return your call within one business day. Espanol (Spanish): Esta información está disponible de forma gratuita en otros idiomas. Favor de llamar a Servicios para Afiliados al número que aparece anteriormente. Kreyol Ayisyen (French Creole): Enfomasyon sa a disponib gratis nan lot lang. Tanpri rele nimewo Sevis pou Manm nou yo ki nan lis anwo an. H1019_MKBNDMFNPRtampa1040022022_M 1



9. F. All of the above 10. E. All of the above. You must experience all of the different types of symptoms to be diagnosed with PTSD. 11. True. PTSD can be mitigated with proper diagnosis and mental health treatment.

8 | CFHN

11. True or false? Getting diagnosed by a psychiatrist or psychologist and getting effective mental health treatment after PTSD symptoms develop can be critical to reducing symptoms and improving function.

4. True. PTSD symptoms can appear after months or even years after the traumatic event.. True. PTSD symptoms are broken into four distinct categories. E. All of the above. C. All of the above E. All of the above.

compiled by ERIKA ALDRICH / Resources: Information provided by the National Institute of Mental Health and the Mayo Clinic.

B. Avoiding thoughts or feelings related to the traumatic event C. All of the above D. None of the above 8. Which of the following are arousal and reactivity symptoms of PTSD? A. Being easily startled or frightened and/or always being on guard for danger B. Self-destructive behavior, such as drinking too much or driving too fast C. Trouble sleeping and/or concentrating D. Irritability, angry outbursts, or aggressive behavior and/or overwhelming guilt or shame E. All of the above 9. Which of the following are cognition and mood symptoms of PTSD? A. Trouble remembering key features of the traumatic event B. Negative thoughts about oneself or the world and/ or hopelessness about the future C. Distorted feelings like guilt or blame D. Loss of interest in enjoyable activities E. Difficulty in relationships, in feeling positive emotions, and/or feeling emotionally numb F. All of the above 10. Which of the following criteria must you experience to be diagnosed with PTSD? A. At least one re-experiencing symptom B. At least one avoidance symptom C. At least two arousal and reactivity symptoms D. At least two cognition and mood symptoms E. All of the above

5. 6 7. 8.


s the important topic of mental health continues to be in the spotlight—and rightly so—the term PTSD is used a lot. But what exactly is PTSD? Mental health diagnoses require observation by a highly educated healthcare professional, and the misuse of medical terminology can muddy the water, minimizing those who suffer from PTSD and possibly affecting whether an individual seeks treatment or not. Take our quiz on PTSD and get the facts on this critical mental health issue.

1. What does PTSD stand for? A. Partial Trauma Seizure Disease B. P re-Tachycardia Syndrome Debilitation C. Post-Traumatic Stress Disorder D. None of the above 2. Which of the following is the definition of PTSD? A. A response to repeated trauma. B. A mental health condition that’s triggered by a terrifying event — either experiencing it or witnessing it—which can cause people to feel stressed or frightened, even when they are not in danger. C. Feeling stressed out all the time. D. A strong feeling of impending doom. 3. True or false? PTSD symptoms can last for months or even years and interfere with your day-to-day functioning. 4. True or false? Post-traumatic stress disorder symptoms may start within one month of a traumatic event, but sometimes symptoms may not appear until years after the event. 5. True or false? Symptoms of PTSD include a variety of different types of symptoms. 6. Which of the following are re-experiencing symptoms of PTSD? A. Flashbacks—reliving the trauma over and over, including physical symptoms like a racing heart or sweating. B. Bad dreams C. Severe emotional distress or physical reactions to something that reminds you of the traumatic event D. Frightening thoughts E. All of the above 7. Which of the following are avoidance symptoms of PTSD? A. Avoiding places, activities, or people that remind you of the traumatic event.

ANSWERS: 1. C. Post-Traumatic Stress Disorder. It is a condition that develops after (post) a traumatic incident. 2. B. A mental health condition that’s triggered by a terrifying event — either experiencing it or witnessing it. 3. True. PTSD symptoms generally last for a long-term duration and cause significant upheaval to the sufferer’s life.

Would You Recognize the Symptoms of PTSD?



Ease Into Routines to Beat the Back-to-School Blues by TERESA SCHIFFER sponsored by Central Florida Health Care


s summer wanes and the school bell starts to beckon, this is a good time to start instituting good habits to facilitate the transition from the laid-back vacation days into the more hectic school year. Yadira Torres, PsyD, one of the dedicated YADIRA TORRES, PSYD licensed psychologists at Central Florida Health Care, works frequently with children and parents to help families deal with various types of stress in a healthy manner. Dr. Torres has worked in Polk County schools, and she has some advice for parents who are seeking to start the school year on a positive note. “Taking the next few weeks to prep the kids is one of the best ways we can help them for the beginning of the school year,” Dr. Torres recommends. “By that, I mean starting to establish routines.” It’s common for a family’s regular routines to become more relaxed during the summer break from school, with many children being allowed to stay up later at night. Easing back

Behavioral Health

Dental Health

Financial Assistance

“During the later portion of summer, we want to start reintroducing nighttime routines and morning routines,” Dr. Torres explains. Moving the bedtime up by 30 minutes to an hour each week is a good way to ease back into the regular routine. All electronics should be shut off at least half an hour before bedtime. It’s a good idea, especially for teens, to put cell phones and tablets in another room to charge, so kids aren’t distracted by the devices as they are settling down to sleep. The amount of sleep children need to feel adequately refreshed varies by age, with younger kids needing about eight to 10 hours each night, while teens require less sleep, usually about seven to nine hours. Caffeinated beverages or foods should be avoided for at least two hours before bedtime. Planning ahead can reduce morning stress on the whole family. Determine what time everyone needs to walk out the door and allow an hour to an hour and a half for getting up and ready each morning. Parents may wish to wake up a few minutes before the kids in order to reduce chaos by setting out breakfast and

Food Access

Walk-ins Welcome centralfloridahealthnews.com

into their school year schedules during the last few weeks of their vacation can help minimize the stress and anxiety that often accompanies those first days of school.




doing their own hygiene tasks first. School bags should be packed and placed near the door the night before for an easy grab and go. In addition to the normal stressors of going back to school that we’ve all experienced, kids now can have a host of concerns about school that were not issues in previous decades. Navigating these worries can be challenging. “We know that there can be a lot of anxiety going back this particular school year, given current events that have taken place,” acknowledges Dr. Torres. “Talk to kids about how they can help themselves feel safe, teach kids how to do deep breathing, and limit the amount of media they watch associated with current events.” How parents respond to media reports on violence and other frightening topics has a major influence on the children, and parents need to discuss these issues with kids in a manner that helps reduce their anxiety. “Allow kids a space to ask questions,” advocates Dr. Torres for handling these difficult subjects. “When we talk to kids about sensitive topics, stick to the facts of it and try to stay as neutral as possible because kids will oftentimes feed off of how we react to things. Trying our hardest, as adults, to keep things as neutral as possible definitely helps kids.” Pharmacy



866.234.8534 CFHN | 9


THE NUMBER TO KNOW: 988 Suicide Prevention Hotline Adopts Simple Three-Digit Number by TERESA SCHIFFER


t’s a sad fact that suicide is one of the leading causes of death in the U.S. Although rates have declined in recent years, as of 2020 (the most recent year for which data is available from the CDC), suicide was within the top 10 causes of death for every age group between 10 and 64 years old. More than 45,900 Americans took their own lives in 2020. Suicide prevention is complex, as there are so many factors that can play a role in an individual’s decision to end their life, and these factors can vary greatly from person to person. Any step that we can take as a society to help lessen the suffering both leading to and caused by suicide is a move in the right direction. On July 16, the Federal Communications Commission designated “9-8-8” as a simple, threedigit mental health hotline that can be called or texted to make it easier for people experiencing a crisis to get help. The National Suicide Prevention Lifeline’s traditional 10-digit toll-free number that has served the nation for the past two decades will still work, but now it will be able to address general mental health issues. It was in 2001 that the Substance Abuse and Mental Health Services Administration (SAMHSA) first established 1-800-273-TALK (8255) as a nationwide phone number that could be

10 | CFHN

used at any time to contact a local crisis center. The new number will make it simpler to reach a compassionate, qualified person who wants to help in times of difficulty. Anyone can call or text the number at any time, day or night, and reach a trained crisis counselor. People who are not in crisis themselves but who are concerned about someone they care about are also encouraged to call 988 to receive support. The original toll-free number will continue to function, with calls from 988 being routed to the same network of more than 200 crisis centers currently serving the National Suicide Prevention Lifeline. There is an option for veterans, active service members, National Guard and Reserve members, and those who support them to press “1” after dialing 988 to be connected directly to the Veterans Crisis Lifeline. Local mental health professionals are pleased with the potential for the new system to improve access to care. Many people who may need immediate crisis care hesitate to reach out for assistance due to a fear of being involuntarily committed to a mental health facility. Licensed Mental Health Counselor Mary Joye, who works as a solutionfocused therapist in Winter Haven and Lakeland, understands the pain and trepidation a person can experience when they need help but don’t centralfloridahealthnews.com

know where to turn. “So many people, particularly in Florida where there is a fear of immediately being Baker Acted for mentioning the word suicide, will be greatly alleviated by a hotline person who is trained to understand the imminent danger of a person taking their life and ideation,” Joye explains. “Being handcuffed or restrained when someone is suicidal and putting them in lockdown for three days is many times more traumatizing than whatever it is that led them up to wanting to take their life.” The National Suicide Hotline Designation Act of 2020 established “988” as a universal phone number for the express purpose of providing mental health and crisis support with the goal of preventing suicide. The FCC then adopted rules requiring all phone companies and text message providers to route all calls and text messages to 988 to the 988 Suicide and Crisis Lifeline. Establishing this centralized point of contact for those needing help reflects the commitment of the FCC to saving lives by connecting those in need with the appropriate intervention services. Dr. Joy Jackson, director of the Florida Department of Health in Polk County, expresses her endorsement of the update, saying, “It’s great to see the nation coming together to make changes that will impact our communities on a local level. The 988 Suicide and Crisis Lifeline will make a huge difference in caring for the mental health of our residents.” Jackson says she thinks the 988 Suicide and Crisis Lifeline will directly impact the lives of residents. “Mental health is an incredibly important indicator of the overall health of a community,” she says, “and we look forward to seeing the positive effects.” Candace Barnes, chief operating officer of Peace River Center, emphasizes that the new system will not impact the locally operated crisis line currently managed by Peace River. “Peace River Center’s crisis hotline will still be in existence and give access to our local mobile response team 24/7,” Barnes says. “Peace River Center’s line has been expanded to include text at 863-204-3443, and chat via a computer browser (www.PeaceRiverCenter. org/chat).” HN centralfloridahealthnews.com



Four Forms of Free Therapy by MARY JOYE, LMHC


ising costs. Lower happiness. Covid chaos. A looming war. Shooters. Protests. Crime. Suicide deaths are greater than traffic accident fatalities. Is it any wonder people are seeking mental health help in record numbers? However, the demand for therapy has risen and the supply of therapists cannot meet it. The stigma to seek help has decreased, but with fewer therapists practicing in person, waiting for help can be an impediment to care. The White House issued a statement on the mental health crisis: “We must dramatically expand the supply, diversity, and cultural competency of our mental health and substance use disorder workforce — from psychiatrists to psychologists, peers to paraprofessionals — and increase both opportunity and incentive for them to practice in areas of highest need.” Getting this care from the White House to your house is complex and costly. It takes years to train mental health professionals, and the crisis is serious. If you are in crisis, call 911 or the new 988 suicide prevention hotline. The current Lifeline phone number is and will remain 1-800-273-8255. If you are not in crisis there are three major ways to improve mental health until you can talk to a professional. 1. Nature: Nature nurtures us. Look for metaphors you find in it, and apply them to your life. I was recently at Yellowstone National Park not long after the flood. The canyons were overwhelmed with snow melt and heavy rains, yet the water found a way to recede, and the animals sought higher, safer ground by using their instincts. Finding the path of least resistance, going with the flow, and adapting to events are what we can do as humans. Emotional flooding is what happens when people are under mental stress. Talk therapy does not always immediately relieve intense feelings of emotional pain. Therapists help you listen to yourself and seek solutions but getting out in nature is where you are better able to listen to yourself. Get to a peaceful place where water and sky meet. Green and blue spaces are great for head space. Though counterintuitive, people surrounded by nature and who see fewer people each day

have a greater sense of well-being than those in big cities. Concrete structures and loud city noises cause feelings of isolation, irritability, and anxiety. Many cities have incorporated green spaces and community gardens as studies have proven spending time in nature makes us kinder and happier. 2. Exercise: Exercise releases feel-good chemicals such as dopamine, endorphins, and serotonin and decreases stress hormones of cortisol and adrenaline. A sense of well-being remains long after the exercise is over. Cardio for 15 minutes at least 3 days a week is a good place to start. Play three or four of your favorite songs and dance around your living room or walk outside with headphones. That is 15 to 20 minutes of exercise! 3. Fun Is the Antidote for Fear: Fear and anxiety create stress hormones, which can be debilitating. Fun releases dopamine, which can be liberating. Simply watching funny shows instead of the fear-filled news can reduce stress. 4. Process Positively: Toxic positivity is a valid catchphrase because the theory in practice does not allow a person to embrace or process pain, trauma, or grief in a cathartic way. Socialization can help if you can speak with a trusted, wise friend or mentor. If you do not have one, you can be your own therapist. Wonderful and horrible things happen simultaneously in life. Our brains focus on negative events to keep us on the lookout for them in the future. The problem is when you focus on only the negative, or conversely, only the positive, processing is not comprehensive. You cannot circumvent negative events or thoughts with positive thinking alone. You must process it with time, embracing the hurt and taking note of what you can be grateful for during a struggle. Having empathy for yourself (not self-pity) and finding the lessons learned will help. Finding small things to be grateful for in times of need can also help you lessen the pain. What things help you to process your thoughts? Find the path of least resistance and become conscious of your subconscious and your mental health will improve. Meditation, yoga, journaling, self-care, traveling, having fun, playing sports and other mindful activities are forms of mental health self-help. Do what makes you the happiest! HN

ABOUT THE AUTHOR: Mary Joye, LMHC, PA, is a licensed mental health counselor with offices in Lakeland and Winter Haven. She holds a Master of Arts in Counseling from Trevecca Nazarene University in Nashville, Tennessee. For more information, visit winterhavencounseling. com.

CFHN | 11

12 | CFHN



CFHN | 13



Supplements Make Big Claims About Mental Health, but Diet Is Much More Effective by TIM CRAIG


he U.S. market for dietary supplements was $50 billion in 2020, and according to a report by Grand View Research, Inc., it is expected to bloom to $71.3 billion by 2028. Part of this increase may be attributed to a post-pandemic focus on personal and mental wellbeing. Increasingly, people seem to be turning to dietary supplements to care for their mental as well as their physical wellbeing, but, according to a registered dietician in Lakeland, there is little scientific evidence to say that the benefits outweigh the possible dangers. “There is a lot of evidence that dietary supplements help in nutrient deficiency,” says Watson Clinic’s Nancy Ulm, RD, CDE. “There is less evidence about their usefulness in preventing or treating other diseases or the benefits of supplements in mental health.” Part of the lack of evidence about dietary supplements as related to mental health is related to oversight — the Food and Drug Administration FDA does not approve dietary supplements for safety and effectiveness before they are marketed, which means there may not be any evidence of the supplements’ usefulness in doing what it says it does. “There is no regulatory agency that makes sure that labels match what’s in the bottle,” says Ulm. “There is a risk of getting less, or more, or even ingredients that are not listed on the label, and this can be unsafe.” Getting too much of certain vitamins and minerals can have unforeseen consequences. In addition, some supplements may interact with medications or pose risks for people with certain medical conditions, she says. Ulm notes that the National Institutes of Health has fact sheets and an online dietary supplement label database that

14 | CFHN


allows people to look up ingredients and information on dosage, health claims, and cautions. You can view the database at ods.od.nih.gov/factsheets/list-all/ Dietary interventions — not supplements — are the best, scientifically-researched way to support your mental health, according to Ulm. “The studies show that diets that include a variety of fruits, vegetables, legumes, nuts, whole grains, and fish can improve mood and reduce depression and anxiety,” she says. “Avoiding processed foods, high-fat foods, and refined foods is also associated with a reduced risk of depression. Physical activity has also been shown to improve mood, quality of life, and reduce anxiety and depression.” There has been an association of depression with decreased consumption of foods with Omega-3 Fatty Acids (tuna, salmon, sardines, anchovies, ground flaxseed, chia seeds, walnuts, and canola centralfloridahealthnews.com

oil). Likewise, eating a diet of foods rich in vitamin B has been shown to improve mental health. These foods include fish, lean pork or beef, poultry, eggs, whole grains, and nuts. According to Ulm, research has shown that insufficient intake of vitamin B-12 may be linked to depression. “B12 levels can be tested to see if you have a deficiency. B-12 supplements can interact with certain medications, however.” There is little to no evidence that popular “mood booster” supplements like St. John’s Wort, N-acetylcysteine, and melatonin, are effective. In fact, they can be counterproductive. “St. John’s Wort has not been shown to be consistently effective for depression and can decrease the effectiveness of many prescription medications; likewise, when mixed with certain antidepressants, it can have dangerous and life-threatening consequences,” says Ulm. “There is little evidence for N-acetylcysteine and not enough research on the effects of melatonin to recommend their use as a mental health supplement.” For people interested in possibly taking supplements, Ulm has two pieces of advice: First, become an informed consumer and learn about the potential benefits and risks supplements may post. Second, speak to your healthcare provider about the products of interest and decide together what might be best. “Remember, it is possible to get all the nutrients you need by eating a variety of healthy foods,” she says. “Consume a healthy diet that includes a variety of fruits, vegetables, legumes, nuts, whole grains, and fish. Avoid processed foods, high-fat foods, and refined foods, and include regular physical activity as part of your lifestyle.” HN

Your Lakeside Dermatology Providers… General Dermatology

• Mohs Micrographic Surgery • Skin Cancer Screening • Skin Cancer Evaluation and Treatment • Photo Dynamic Therapy (PDT) Hi g

s New s and hl


un -S

Cosmetic Dermatology Sebring Location

• Botox / Dysport • Fillers • Sculptra • Lip Enhancement • Micro-Needling with PRP


Dr. Alex W. Kennen, MD

Board Certified Dermatologist & Mohs Surgeon

Dr. Michael J. Rogers, MD

Board Certified Dermatologist

Barbara Ross, ARNP-C Dr. Brooke Rogers, DNP, FNP-C 400 Ave, K SE • Suite 3 • WINTER HAVEN

(863) 293-SKIN

727 US Hwy 27S • SEBRING

(863) 385-7183




August Is Children’s Eye Health/Safety Month



hildren require clear and comfortable vision to be successful in school and extracurricular activities. They use their eyes for everything from reading, writing, throwing a ball, using computers, and watching TV. As children advance in school, the demand for clear vision increases because they spend more time reading and learning. Thus, any vision problems should be addressed at an early age to help prevent visual and learning problems. There are many signs of difficulty with vision that may be more complicated than blurry vision alone. Children may: · Avoid reading · Have trouble learning · Notice that letters float on the page · Experience double or blurry vision · Rub their eyes · Experience headaches · Have trouble focusing Many different conditions can cause the above complaints, including: · Nearsightedness/Farsightedness/Astigmatism · Strabismus (Eye turns) · Amblyopia (Lazy/Underdeveloped Eye) · Eye Focusing Disorders · Eye Teaming Disorders · Eye Tracking Disorders · Eye-Hand Coordination Disorders · Visual Perception Disorders Luckily, many of these visual problems can be corrected with glasses, contact lenses, patching, or vision therapy if these conditions are diagnosed early. Many parents assume that they do not have any visual problems when a child passes their school screening. However, school screenings usually only test distance vision, and may not assess other aspects of the eyes, including near vision, eye teaming, eye focusing, and eye health through dilation. All of these pieces of an eye examination are necessary to ensure that a child has the proper vision to learn appropriately. In addition, children’s eyes are constantly changing and developing, and they may not even notice when problems have started. Visual problems have even been misdiagnosed as learning disabilities and attention deficits. Therefore, if no issues have been noted sooner, the first time a comprehensive eye exam should be completed is at six months of age and continued yearly from age three, unless recommended more frequently by your eye doctor. At Eye Specialists of Mid-Florida, we strive for excellent care for children and adults of all ages. Please get in touch with me with any questions or concerns. To schedule an eye exam appointment for your child or yourself at any of our eight convenient locations, call us at 800-282-3937 or visit us online at EYESFL.COM.

This column is sponsored by Eye Specialists of Mid-Florida, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. Bio: Dr. Tincy Thomas is a board-certified optometrist who sees patients at the Lakeland-Highlands location for Eye Specialists of Mid-Florida. She specializes in primary care optometry, contact lenses, dry eye disease, and pediatric eye care.

CFHN | 15

August 2022 | CALENDAR compiled by TERESA SCHIFFER

RECURRING ONLINE EVENTS Caregiver Support Group – Weekly This group meets every Monday at 11 a.m. to discuss caregiver concerns and provide fellowship and support for one another. Meetings are currently taking place online using the Zoom platform. You can join the recurring meeting using this link: https://us02web.zoom.us/j/86739398714, or email ORL. MDC@AdventHealth.com for more information.

Diabetes Support Group Virtual On the second Monday of each month, St. Anthony’s Hospital hosts a virtual support group for diabetics from 12 – 1 p.m., led by a certified diabetes care and education specialist. Educational information is provided, followed by an open discussion. Access to a microphone and camera is required to attend this free online meeting. For more information, please call 855-269-4777 or go to www.baycare.org/events.

Monthly Caregiver Support Group (Previously Met at Faith Assembly)

This monthly group meets to share advice and experiences, and encourage one another. The group meets at 1 p.m. on the third Thursday of each month using the Zoom online platform. The link to join the meeting is https://us02web.zoom. us/j/89447209844. If you have any questions, please email ORL.MDC@AdventHealth.com.

EVENTS AND FUNDRAISERS August 1 – The Neuroscience of Stress and Wellness Series by Dr. Safia Debar 2022 This free series will take place on the first Monday of each month from 7 – 8 p.m. through December, 2022. Dr. Safia Debar has developed an innovative, holistic approach to health that emphasizes the role of the brain in overall well-being. She utilizes the latest scientific findings on the effects of positive psychology, stress management, mindfulness, and neuroplasticity to help people learn to better manage their minds with the goal of leading more fulfilling and healthy lives. You can learn more about Dr. Debar’s work at www.rqwellness.com, and register for the online seminars she offers by searching for “The Neuroscience of Stress and Wellness Series by Dr. Safia Debar 2022” at www.eventbrite.com.

August 2 – Maternity Center Orientation Virtual Prepare for delivery at BayCare by attending a virtual tour of the Maternity Center. This is a free class for expectant mothers. One support person may also attend. The class will take place from 5:30 – 7 p.m. and is sponsored by St. Joseph’s Women’s Hospital. For more information, please visit www. baycare.org/events or call 855-269-4777.

August 2 – Bariatric Support Group This is an in-person support group for presurgical and postsurgical bariatric patients and family members that provides a chance for group members to network with and provide support to each other. All participants must wear a mask covering their nose and mouth while inside the building. The meeting will be held from 4 – 5 p.m. at Mease Dunedin Hospital Physicians Office Building, located at 646 Virginia St in Dunedin. You can register online at www.baycare.org/events, or call 855-269-4777 if you need more information.

16 | CFHN

August 4 – Let’s Celebrate World Breastfeeding Week This latch party is an in-person event for breastfeeding mothers only, held at Morton Plant Hospital, Powell Pavilion, Community Room, 303 Pinellas St in Clearwater, from 10 a.m. – 12 p.m., and sponsored by Mease Countryside Hospital and Morton Plant Hospital. Everyone must wear a face mask over their nose and mouth at all times. To register, please visit www.baycare.org/ events, or call 855-269-4777 for more information.

August 4, 11 & 18 – Pregnancy and Childbirth Education Classes Watson Clinic patients who are expecting can attend this 3-part class to prepare themselves for the miracle of childbirth, as taught by a licensed registered nurse. The cost is $50 per couple and includes a workbook, coupons, and educational materials. The class takes place from 6:30 – 8:30 p.m. on three consecutive Thursdays. If you have any questions, please call (863) 3939475. You can register easily online at www.watsonclinic.com/events/.

August 9 – Life After Childbirth If you are currently pregnant, or have delivered a child within the last year, this in-person support group can help you learn how to handle the challenges and adjustments that come along with having a new baby. Please bring your own diapering supplies, and be prepared to wear a face mask that covers your nose and face throughout your visit. This group will meet from 10 a.m. – 12 p.m. at Mease Countryside Hospital, Entel Education Center Room 1 & 2, 3231 McMullen Booth Rd in Safety Harbor. You can register online by visiting www. baycare.org/events, or call 855-269-4777 for more information.

August 9 – Youth Focused Suicide Prevention QPR Training This is an online event presented by the Council on Substance Abuse which will describe how to use the QPR (Question. Persuade. Refer.) technique to identify the warning signs of suicide and how to provide support and assistance to young people who may be at risk of suicidal behaviors. The course will be presented from 11 a.m. – 1 p.m. Sign up for this valuable, informative session by going to www.eventbrite.com and searching for “Youth Focused Suicide Prevention QPR Training.”

August 13 and 23 – Boot Camp for New Dads Virtual BayCare Health Systems is offering a virtual class just for expectant fathers, taught by a certified facilitator. Access to a camera and microphone is encouraged but not required. The $25 course will cover fatherhood, life changes, relationship changes, and hands-on experience. Previous participants will be involved with their own infants to offer their personal wisdom. You will receive course materials by mail before the class. This class will be held from 10 – 11:30 a.m. on Saturday, August 13, and 6:30 – 8 p.m. on Tuesday, August 23. You can get more information by calling 855-269-4777, or go to www. baycare.org/events to register online.

August 15 – Stroke Support Group This group is open to stroke survivors and caregivers. Participants will have to go through a security screening before entry to the building and wear a face mask over their nose and mouth during their visit. Topics for discussion will be determined by the needs of the group. Registration is not required to attend this meeting, which will be held from 4 – 5 p.m. at St. Anthony’s Hospital, Auditorium, 1200 7th Ave N in Saint Petersburg. For more information, please visit www.baycare.org/events or call 855-269-4777.

August 20 – Let’s Kick Asthma 3rd Annual Benefit Gala Put on your dancin’ shoes for this “Great Gatsby” themed event, presented by the Let’s Kick Asthma! Foundation. Entertainment will include a talent showcase, live music, a catered dinner, and more. Tickets are $100, with proceeds supporting treatment for asthmatic patients in Central Florida. The good times get going at 5:30 p.m. at Rosen Centre Hotel, located at 9840 International Dr in Orlando. For questions or concerns you may have, you can email letskickasthma2013@gmail.com. Tickets can be purchased going to www. eventbrite.com and searching for “Let’s Kick Asthma 3rd Annual Benefit Gala.”


you have theYOU power today to change tomorrow HAVE THE POWER TODAY TO CHANGE TOMORROW

We Are On A Mission To Help The Helpless Best Way To Make A Difference In The Lives Of Others

We are on a MissionDONATE to HelpTO the Helpless Best Way To Make A Difference In The Lives Of Others





A VOLUNTEER will help provide food, clothing,BECOME education, senior care and employment services PSD Southern District Headquarters Volunteer

Our Food Distribution has provided food for also with Food Distribution, Companion Services, and our Thrift PSD Southern District Headquarters Volunteer over 8500 in Amalie Arena during Tampa Bay Lighting games Shop at 6013 Cypress Gardens Blvd., Winter Haven families!


in Amalie Arena during Tampa Bay Lighting games

also with Food Distribution, Companion Services, and our Thrift Shop at 6013 Cypress Gardens Blvd., Winter Haven Our Food Distribution has provided food for over 8500 families!


Code to visit

FLORIDAPROGICALSITE.ORG OR Contact Brenda Martin-Williams at 863-213-4020 Brenda@floridaprodigalsite.org OR Contact Brenda Martin-Williams at 863-213-4020 Brenda@floridaprogicalsite.org



Think Outside the Lunchbox by CAROL CORLEY


s we breeze toward the end of a fun, relaxing summer, it’s time to start thinking of school for the little ones again — and how to fill those lunchboxes. The trick is to think quick, healthy, and something kids won’t trade for that peanut-butter-and-jelly sandwich a friend brought. Yes, PB&J can be good, but maybe not desirable every day. So what can parents pack that children will eat and is easy to prepare? How about charcuterie focused on healthy items instead of processed meats? Even children can help with this, so they can make sure to have what they will enjoy eating. Try crackers or a mini-bagel with slices of cheese and meats without nitrates, hard-cooked eggs, maybe add a small container of nuts, some apple or orange slices, maybe berries, vegetables like carrots, cherry tomatoes, raw broccoli, cucumber slices, celery with peanut butter. Kids will also enjoy pita pockets with a healthy filling, and turkey pinwheels. And, of course, there are the old standards: egg salad or tuna salad sandwiches. And maybe a container of yogurt low in sugar. Of course, with perishables, it is important to have a small cooler bag with an ice pack to keep the food safe if it can’t be refrigerated. All recipes used here can be cooked the night before and kept refrigerated. It will be important to have containers that can keep foods appropriately chilled until eaten. Most youngsters like chicken nuggets, so we can start with that. All these recipes can be adapted for gluten-free options.

18 | CFHN

Chicken Nuggets (Adapted from foodnetwork.com) Ingredients: Chicken breasts, 2 cut into small pieces Eggs, 2 Flour, 1 cup all-purpose (or gluten-free option) Breadcrumbs, 2 cups seasoned as desired (or GF option) Salt and pepper to taste Water, 2 tablespoons Olive oil for frying

Directions: Mix together the flour and salt and pepper in a small plastic bag. Mix the eggs with water in a separate bowl and then add breadcrumbs. Shake the chicken pieces in the bag to coat then dip in the egg-breadcrumb mixture. Put about 2-inches of olive oil in a large skillet and heat over a medium-high setting until a few breadcrumbs sizzle immediately when dropped in. Fry the chicken a couple of minutes per side, taking care that they are cooked through. Drain on a paper towel. They can be chilled overnight to be packed in a school lunch container with an ice pack.

Lunchbox Quesadilla (Adapted from wholefoodsmarket.com) Ingredients: Tortilla, 1 large, corn or wheat Bell pepper, chopped Spinach leaves, 3/4-cup chopped Other vegetables, chopped, if desired Cheese of choice, 1/4 cup shredded Salsa, 1/4 cup if desired Olive-oil cooking spray for pan Directions: Cook bell pepper and any other hard vegetables for 3 minutes in a large skillet over medium heat, skillet to be treated with cooking spray. Add spinach and cook until spinach wilts and vegetables are soft. Push vegetables to one side of the skillet and place tortilla on the other side. Sprinkle cheese over half, spoon vegetables on top of cheese, and fold tortilla over to make a half-moon. Cook until browned on the bottom, then flip and cook until the other side is browned. Cool on a cutting board, cut into 3 wedges, and refrigerate. Bring to room temperature for lunchtime and use salsa for dipping.


Macaroni Salad With Vegetables (Adapted from delish.com) Ingredients: For the pasta: Elbow pasta, 3/4 pound cooked Celery, 1 stalk chopped Red bell pepper, 1 chopped Black olives, 1/4 cup sliced Carrot, 1 medium diced Parsley, freshly chopped for garnish Add in as desired: broccoli, pimento peppers, tuna, hard-cooked eggs, crisp chopped bacon For the dressing: Mayonnaise, 1 cup Red wine vinegar, 2 tablespoons Sugar, 1-1/4 teaspoon Salt and pepper to taste Directions: Mix together all pasta ingredients. Mix together dressing ingredients, then pour over pasta. Garnish with parsley before placing in a chilled lunch container.

Flourless Peanut Butter Thumbprints (Adapted from tasteofhome.com) Ingredients: Peanut butter, 2 cups Nutella, 1 cup Sugar, 1 cup Packed brown sugar, 1 cup Eggs, 2 large Vanilla, 2 teaspoons fresh extract Coarse sea salt Directions: Beat together peanut butter and sugars until light and fluffy, then beat in eggs and vanilla. Using a teaspoon, make round balls with the dough and place 2-inches apart on parchment-lined baking sheets. Bake in an oven preheated to 350F for about 7-9 minutes, then cool for 5 minutes on pans. To add the Nutella, press an indentation in the center of each cookie and fill each with 1/2-teaspoon of Nutella, then sprinkle with coarse sea salt. Cool completely on wire racks.

Customized Medical Office Space and Executive Suites Ready for Available Lease

.0 2 N E V HA R E T N I W

Contact Meghan Young | 863.354.5017


HEART Meet Our Doctor NEWS

Dr. Aparajita is a fellowship-trained vascular surgeon and has been serving the Polk County community for the past 1 year. She earned her Bachelor of Medicine and Bachelor of Surgery (MBBS) degree at University of Delhi, India. She then completed a research fellowship in vascular surgery at Columbia University Medical Center in New York and a residency in General Surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. Dr. Aparajita is also a Member of the Royal College of Surgeons of Edinburgh, UK (MRCS Ed) and completed her Basic Surgical Training in RITU APARAJITA, MD, RPVI England soon after her medical school. KSC Cardiology Dr. Aparajita is the co-author of more than two dozen journal articles, publications oral presentations, topics need such to asundergo arteriovenous fistula ast month,andI talked about why a including patient might endovascular treatment for thrombosis, aortic aneurysm repair, stroke, surgery. This month, let’s take a look at how AV fistulas and grafts are formed. peripheral artery disease and other vascular conditions. Before surgery, the surgeon perform a vessel mapping test. Additional postsAVandfistula volunteer work include a teaching may position at Hofstra mapping Northwell School Medicine and as a Member the Public and Vessel usesofDoppler ultrasound toofevaluate blood vessels that the surgeon Professional Committee as well Ultrasound as the International may use to Outreach make the AV fistula. usesRelations a device, called a transducer, that Committee at the Society for Vascular Surgery (SVS). bounces safe, painless sound waves off organs to create an image of their structure. A Dr. Aparajita was recently nominated for the American Medical specially trained performs procedure in a healthcare provider’s office, Association (AMA) technician Inspiration Award that the recognizes physicians have contributed thea achievements of women in interprets the medical the images. The patient does anwho outpatient center,toor hospital. A radiologist profession. not need anesthesia for this procedure. A Doppler ultrasound shows how much and

How Are AV Fistulas and Grafts Formed?


how quickly blood flows through arteries and veins so the surgeon can select the best blood vessels RITU to use. APARAJITA, MD, MRCS (Ed), MBBS A surgeon performs AV fistula surgery&inEndovascular an outpatient Surgery center or a hospital. The Specialty: Vascular vascular access procedure may require an overnight stay in the however, many Joining KSC Cardiology Novemberhospital; 9, 2020 patients go home afterward. A healthcare provider uses local anesthesia to numb the area where the surgeon creates the AV fistula. An AV fistula frequently requires two to three months to develop, or mature, before the patient can use it for hemodialysis. If an AV fistula fails to mature after surgery, the surgeon must repeat the procedure. At the start of a hemodialysis session, a health care provider or the patient inserts two needles into the vascular access. One needle carries blood from the body to the dialyzer. The other carries filtered blood AV Fistula in Forearm back to the body. To tell the needles apart, the needle that carries blood away from the body is called the arterial needle. The needle that carries blood back to the body is called the venous needle. Some patients prefer to insert their own needles into the vascular access, which requires training to learn how to prevent infection and protect the vascular access. No matter who inserts the needles, the patient should know how to take care of the needle insertion area to prevent infection. If an AV fistula does not mature, an AV graft is the second choice for long-lasting vascular access.

What is an arteriovenous graft? An AV graft is a looped, plastic tube that connects an artery to a vein. A vascular surgeon performs AV graft surgery, much like AV fistula surgery, in an outpatient center or a hospital. As with AV fistula surgery, the patient may need to stay overnight in the hospital, although many patients can go home after the procedure. AV Graft in A health care provider uses local Forearm anesthesia to numb the area where the surgeon creates the AV graft. A patient can usually use an AV graft two to three weeks after the surgery. An AV graft is more likely than an AV fistula to have problems with infection and clotting. Repeated blood clots can block the flow of blood through the graft. However, a well-cared-for graft can last several years. For more information go to kidney.org/atoz/content/hemodialysis This column is sponsored by KSC Cardiology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. BIO: Dr. Aparajita is a fellowship-trained vascular and endovascular surgeon. She is a co-author of 20+ journal articles and publications and was recently nominated for an Inspiration Award by the American Medical Association (AMA).

CFHN | 19


Cultivating Hope CONTINUED FROM PAGE 6

For Brighter Skin, Choose Microdermabrasion


United Way 211 and their Florida 211 partners.


ooking for more youthful, fresh, glowing skin? If you don’t MD, FAAD have time to let your face recover from a more invasive procedure but still want a more even skin tone and revitalization, then microdermabrasion might be the treatment for you. This procedure, performed by a dermatologist in the office, is less harsh on the skin than a dermabrasion treatment. However, you can still get great results to incorporate into your skincare and aging routine.

What Is It? Microdermabrasion involves using tiny crystals to exfoliate the skin, penetrating deeper than an over-the-counter exfoliating treatment or mask you would do at home. It’s fairly gentle, doesn’t require downtime or extensive recovery, and doesn’t take anesthetics or other medicine to accomplish or treat. Unlike the harsher dermabrasion, microdermabrasion is safe for all skin types and skin tones. Your dermatologist will be able to recommend the treatment that’s right for you.

What Does It Do? After several treatments, patients may see a more even skin tone, radiant skin, and smoother texture. Dermatologists also may recommend incorporating microdermabrasion treatments into a skin treatment routine to enhance the effects of other anti-aging products. Microdermabrasion can help these products penetrate deeper, having a more prominent effect.

What Are the Side Effects? Microdermabrasion treatments are perfect for the patient on the go who doesn’t have downtime to let their face recover after a harsher treatment. After microdermabrasion, the skin may be pink for 24 hours, but quickly returns to a normal coloration. After the procedure, use moisturizer and broad-spectrum sunscreen to speed up the healing process and prevent any damage to your new skin. This treatment is a great way to combat aging, but since it is just for aesthetics, it’s typically not covered by insurance policies. Check with your dermatologist to see if this procedure is right for you and your skin. This column is sponsored by Lakeside Dermatology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers. Dr. Alex W. Kennon, MD, FAAD, is a board-certified dermatologist who is fellowship-trained in Mohs micrographic surgery. He received his undergraduate and medical degrees from Florida State University and completed his dermatology residency at Medical College of Georgia at Augusta University. Lakeside Dermatology has offices in Sebring and Winter Haven.

“If we can help alleviate a crisis financially,” Rea says, “oftentimes we can alleviate the crisis itself. Especially after the pandemic, which has caused a large increase in mental health crises, as well as financial crises across our entire country, has also hit our farming communities and workers especially hard.” Rea and Heart of Florida United Way 211 were approached to develop the texting portion of the initiative, which is now available statewide. It will connect people to get connected easily to their appropriate local 211 for available resources. Anyone in need should reach out for assistance by texting FARMFL to 898211. This texting service is available 24 hours a day/7 days a week and offers the same benefits as placing a call to 211. Farmers in need can then text their ZIP code to 898211. “We offer texting, live texting in real time to our specialists, with realtime conversations and resources,” Rea says. “You’ll get the same assistance and care as if you call 211, but through text.” So how exactly will this initiative help farmers? Help could come in the way of utility assistance, for example, to cover costs preventing disconnection of electricity to a home/farm, or financial assistance needed to procure childcare over the summer months when children are home from school and may need to be cared for during the day so their parent(s) can get work done. The program also will help to stabilize struggling farmers dealing with food insecurity by way of food banks. Rental assistance programs, and low-income or noincome behavioral health counseling are also available. Florida 211’s maintain the most comprehensive databases of available community resources to connect people to the programs themselves. Rea points out that the most beneficial outcome of this initiative will be the ease of accessibility for community resources. “Sometimes people in need aren’t even aware that 211 exists and is ready to assist. Everything can be confidential, can be anonymous and is very easy to use. Just by raising awareness, like FDACS did with promoting this campaign, people can easily get the word out there and hopefully get connected to the services they may need.” HN

Professionally licensed, Locally Owned, Managed, and Bonded

• Landscaping • Yard Spraying • Irrigation • Sod • Lawn Care • Pest Service $50 Referral fee for contacts leading to Yard Spray or Pest Control agreements.

863-439-6550 20 | CFHN


Lawn Care


Inventory Needed $100 Referral fee for contacts leading to a management agreement with Home Owners associations, Condominium associations, or Rentals management.

We want to manage your property, HOA, or Association. Call today for a free no obligation quote.

Dundee Office Managed, Davenport Kissimmee Office Locally 24 Office Hour Availability 28609 Hwy 27 121 Webb Drive 359 Cypress Parkway Dundee, FL 33838 Suite 205 Kissimmee, FL 34759 Phone: 863-439-6550 Fax: 863-292-0846 863-439-6550 Davenport, FL 33837 407-241-4054 www.GarissonPropertyServices.com 863-353-2558 GarrisonPropertyServices.com


MEDICAL ADVICE Zooming in on health in your community.

Lakeland Fire Department Recognizes Citizen Hero photos provided by LAKELAND FIRE DEPARTMENT

Don’t Forget the Back-to-School Immunizations by DR. JOY JACKSON


Lakeland Fire Chief Doug Riley recognized a local citizen whose brave actions helped rescue a victim trapped within a burning vehicle. Glenn Chancey sprang into action while at work to perform an extraordinary act – assisting another in a time of need. He received an official Certificate of Recognition from LFD on July 13. On June 2, Chancey was working at Publix warehouse when he heard a loud vehicle crash. Immediately he left in his spotter truck onto US-92, where he observed two collided vehicles. One was upside-down with severe damage, and a bystander was helping the victim out of the vehicle. The other vehicle was upright, also heavily damaged, and on fire. Chancey used a fire extinguisher and noticed an unconscious victim was still in the vehicle. He then used the fire extinguisher to try to break the driver’s side rear window. Chancey and another bystander repeatedly attempted to break the window while on the phone with 911 but were unsuccessful. Thankfully, the victim gained enough consciousness to unbuckle himself and unlock the door. With the fire growing, Chancey and the bystander ran to the passenger side rear door and safely pulled the individual from the burning vehicle.


he first day of school for Polk County Public School students is August 10. Between supplies, schedules, and after-school programs, there is much to remember – and don’t forget your child’s vaccines! Vaccines play an important role in keeping children safe from disease, especially in settings where they are around lots of people and can be exposed to thousands of germs daily. Vaccines can provide protection from diseases like measles, polio, and whooping cough. The spread of these diseases once posed a great threat to public health, but they are now controlled through immunization. Vaccines train our immune systems to recognize and combat the diseases they target. Babies are born with immune systems that can fight most germs we encounter, but there are some germs that can lead to serious disease and even death that our immune systems may have a more difficult time combating. According to the World Health Organization, vaccines prevent 3.5-5 million deaths every year, vaccines are a huge advantage to public health. Be sure to discuss which vaccines are recommended for your child by speaking to their pediatrician. In addition to the regularly scheduled vaccines, we recommend asking about the HPV vaccine, the COVID-19 vaccine, and the flu vaccine for your child. If your child does not have a pediatrician, contact your local health department to schedule an appointment. You can schedule a back-to-school vaccine appointment at the Florida Department of Health in Polk County by calling 863-519-7911. HN

ABOUT THE AUTHOR: Dr. Joy Jackson, an internal medicine physician, serves the community as director of the Florida department of Health in Polk County (DOH-Polk). For more information about DOH-Polk, visit mypolkhealth.org. Follow DOH-Polk on Twitter at twitter.com/FLHealthPolk.

CFHN | 21


Anxiety Survival Tips


n a world where multitasking is not only encouraged but also considered a prized skill and long to-do lists come with bragging rights, it’s important to pump the breaks once in a while. You are the guardian of your own mental health. Nobody else is going to do this for you, so make it your top priority. One way to do that is by practicing regular selfcare. Along with the usual recommendations of getting enough sleep and eating a healthy and balanced diet, here are some tips I have found to be particularly useful. Fair disclosure: Do as I say, not as I do. Just like everyone else, I’m a work in progress. Anxiety is a lifelong companion for me regardless of the years I’ve been consciously



fighting it. I know these tips are much more easily said than done. • Do not disturb. This setting on your phone can be your best friend. When you leave work or get done running around doing chores, you need to decompress. You can’t do that if your phone chirps every couple of minutes with new demands on your time. Pick a time when you will put your phone on Do Not Disturb … and stick to it. Here’s a bonus tip: You can tailor your settings so the Do Not Disturb function will also hide the badges that indicate unread messages and notifications on the app icons. That’s a big win if you’re someone who is haunted by the red numbers.

• Sunday Funday. Don’t let all the unknowns of the week steal your Sunday. Take 10 minutes to write out what you have to do in the coming week. That way, you know what you are facing, you can mentally prepare, and you aren’t expecting any surprises. That alone can help ease your mind. • Be present. I know, I know … this one is a little like saying, “Just be happy,” but hear me out. When you are spending time doing something you love, make a point of enjoying it. The deadline and task list get enough of your time as it is. Don’t let them steal even more. Maybe most importantly, give yourself a break. HN


AUGUST 11, 2022


6:00 PM - Cocktails | 6:30 PM - Dinner


22 | CFHN








Heartland throughout








2,000 Hardee

Counties. One of our greatest needs continues to be for quality








We currently have a network of over 200 foster homes but our goal is to identify at least 50 more foster families to continue to meet the needs of the children coming into care. children




Start your journey and join one of our

3-Week Hybrid





(863) 519-8900 x 289

SATURDAYS Starting: Saturday, Aug 27 TIME: 10AM-3PM

TUES + THURS Starting: Tuesday, Sept 27 TIME: 6PM-8PM New classes begin every month.

Keeping You Healthy and Safe

Schedule your appointment today. Primary Care Auburndale 2028 U.S. Highway 92 W. Auburndale, FL 33823 (863) 965-9327 Bartow 2250 Osprey Blvd., Suite 102 Bartow, FL 33830 (863) 533-1448 Haines City 36245 U.S. Highway 27 Haines City, FL 33844 (863) 421-9801 Lakeland 619 Midflorida Drive, Suite 1 Lakeland, FL 33813 (863) 701-7188 22-2134312-0422

Plant City 1601 W. Timberlane Drive Suite 300 Plant City, FL 33566 (813) 754-4611 Winter Haven 400 Ave. K S.E., Suite 11 Winter Haven, FL 33880 (863) 294-4404 7599 Cypress Gardens Blvd. Winter Haven, FL 33884 (863) 324-4725 1201 First St. S., Suite 100A Winter Haven, FL 33880 (863) 280-6080

We’ve enhanced our safety measures to protect your health. We’re screening everyone for COVID-19 symptoms before entering our offices. All doctors, team members and patients are required to wear masks and we’re sanitizing our offices throughout the day.

To make an appointment: BMGPolkCounty.org