Central Florida Health News July 2022

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 | july 2022

FREE­— TAKE ONE!

Skin Care See JOLLIBEE page 15

ENROLL PAGE 12

EDITION

ARE YOU SKIN SAVVY?

Protection, Detection Key To Skin Cancer Treatment THE ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION

SUN SAFETY

Fair to Dark, All Skin Needs UV Protection

A HEARTBEAT AWAY

Aortic Dissection Brings Clarity, New Way of Life

IS THERE A DOCTOR IN THE HOUSE?

Mitigating the Effects Of a Physician Shortage

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WEST PALM BEACH,FL PERMIT NO. 4595

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Ritu Aparajita,

Kollagunta Chandrasekhar,

Nurse Practitioner Vascular Surgeon Cardiologist

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

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.

Ritu Aparajita, MD, RPVI

…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

Roan Cadavona, ARNP, FNP-C

6

8 9 14 LETTER 5 PCMA LETTER 15 HEALTHY AGING

4 PUBLISHER’S

. 10

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. . . . . . . . . . . . . . 14

What’s Goin g On

Classified Ads. ..

Events . . . . . .......

Entrées:

HOUSE page 11

See JOLLIBEE

been the talk of the town since 2016.

With the openin "As Jollibee g, Floridi get to try debuts in Florida Jollibee's signatu ans will anticipate seeing , we items such re menu not only a as the world tude of excited multiJollibee patron famous Chickenjoy. ing to get their This dish is s waithands on their delicately bread ed to favorites, but Jollibee be also first-tim on the outside crispy liciou s ers waiting to have their and juicylic own Jollibe ious inside. The ence," well-loved said Jose Miñan e experiJolly Spaghetti is a a, Jollibee Foods Corpor favorite of both ation's Group kids and kids-at President for North -heart becaus America. "There e of its signatu greater joy 's no for us than re sweetserving the needs and style sauce, loaded tastes with the community. of Jollibee fans in chunky slices of savory At Jollibee, we bring familie aim to ham, ground s together meat, for happy moments over and hotdog. great tasting Other food with superior value, classic menu served fawith and friendly warm vorites include service – our the own brand of joy." juicy and cheesy The brand has Jolly Hotdo g, become a symbo nostalgia and the Peach Mango and l of warm childho Pie, od memwhich is made ories for many with overseas Filipin the U.S. To many, Philippine sweet real os in Jollibee is the restaurant of goes and a flaky mango-to Filipinos for golden both special brown crust.

See STEAK

Jollibee's U. S. with first Fl expansion continues orida locatio n opening

Jacksonville, FL - After much ipation and anticexcitement, Jollibee largest Asian restaurant compa , the now open in ny, is 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 m ost populous city in the Sunshine State, as well as home to the largest Filipin American comm ounity in Florida. The longawaite d arriva l of Jollibee in the city has

Appetizers:

Rockville, MD American cuisine - When it comes to , there are few more iconic things than slabs of marble steakhouses. The d grills, the oozing meat, the sizzling butter, and ping bravad o, maybe even the dripAnalysis: hat or two for a cowboy ambiance—i t's to make even Catering industry fictional steako enough Swanson mistyphile Ron revenues on eyed.

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volum e 12 |

Departments & Columns

16 CALENDAR 18 HEALTHY COOK 19 HEART NEWS 20 HEALTHY SKIN

issue 5 | july

2022

FREE — TAK

page 15

Access the 2022 Central Florida Physicians Directory online!

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Roan Cadavona, The intense summer sun’s rays can be particularly harmful to your skin. We talked with local healthcare professionals for insight on how to best protect yourself from the damaging effects of sun exposure and how to detect changes in your skin that could indicate cancer.

Read more, page 10.

Steakhouse s beef up m new twists on en American clus with assics

FLORIDA EDI TION

On the Cover

FLORIDA ’S FOODSE RVICE IND USTRY NEW SPAPER ◆ $3 VOLUME 21 2017 forecast: NUMBER 3 ◆ MARCH 2017

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

ENROLL PA GE 12

E ONE!

Skin Care

EDITION

SAVVY? Protection, Dete To Skin Cancer ction Key Treatment

ARE YOU SKIN

MD, FACC

THE ENDO RSED PUBL ICATION OF POLK COUN TY MEDICAL THE ASSOCIATI ON

A HEARTBEAT Aortic Dissection AWAY

Fair to Dark, All Needs UV Prote Skin ction

SUN SAFETY

Mitigating the Effects Of a Physician Shortage

IS THERE A DOC IN THE HOUSE? TOR

Clarity, New Way Brings of Life

CentralFlorid aHealthNews .com

Is There a Doctor in the House?

Florida is growing at a rapid pace, and Central Florida is particularly hot. According to the U.S. Census Bureau, Polk County is the fastestgrowing county in Florida and the seventh-fastest-growing in the nation. Combine that astronomical growth with an aging physician workforce, and the full scale of the state’s physician shortage becomes evident. Learn what the Florida Academy of Family Physicians and the Florida Medical Association hope will mitigate the effects.

Pop Quiz!

Summer is the time to ensure that you are protected from UV rays with the appropriate sunscreen. There are different types of sunscreens, and they each have advantages and disadvantages. Make sure you choose the correct sunscreen for your situation to get the full measure of protection.

Sun Safety

It is a common misconception that people who have dark skin don’t need to wear sunscreen because they will not burn. But as surprising as it may seem, every skin tone from fair to dark needs protection from the sun. Central Florida Health Care nurse practitioner Amelia Espinosa Villalobos explains.

A Heartbeat Away

Why does Longwood’s Roy Reid describe his aortic dissection as the best thing that has ever happened to him? We spoke with him to learn how the close call put his life, health, and priorities into a new perspective.

20 BODY, MIND &

22 MEDICAL ADVICE 22 EDITOR’S DOSE SPIRIT

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CALLING ALL PHYSICIANS

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

MEMBER BENEFITS

✱ 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

Interested in becoming a member?

Join the leading professional association in Polk County for physicians.

m u S m u S

r e m

r e m

director@ polkcounty doctors. com

OFF

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Auburndale 202 Magnolia Ave

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PUBLISHER’S NOTE

www.CentralFloridaHealthNews.com

If I Knew Then What I Know Now

PUBLISHER Nelson Kirkland

MANAGING EDITOR

NELSON KIRKLAND, PUBLISHER nelson@centralfloridamediagroup.com

Jessica McDonald

W

hen I was a kid, my family and I would drive up to the Florida Panhandle to visit my grandmother in Laguna Beach. The trip was as synonymous with summer as sparklers and bomb pops, and it was always the highlight of our summer. I remember sugar-white sand beaches and long walks down clay roads, not to mention a lot of fun with my cousins, aunts, and uncles.

I also remember the painful, nasty, deep red sunburns that my siblings and I would get. Sunscreen wasn’t exactly a household item at the time, only starting to really catch on in the 1990s. Today, doctors and researchers have a much better idea than they did 40-50 years ago about the damaging effects of the sun’s rays on the skin.

I’m 59 now and recently was diagnosed with skin cancer. After so many decades of enjoying the outdoors, it didn’t come as too much of a surprise. Thankfully, my dermatologist has me scheduled to undergo Mohs surgery, during which thin layers of cancerous skin are removed and examined until no trace of cancer remains.

I’m confident in the doctor and the procedure, and I’m grateful for the research that has led to such a treatment.

That said, what I’m going through is something we can now protect ourselves against. There are advanced sunscreens designed for a variety of activities and just about every type of skin. Protect your skin now, so you don’t face a similar diagnosis.

Inside this edition, you can learn about skin cancer prevention and detection, and you can learn about the various types of sunscreen in our Pop Quiz.

Thanks for reading Central Florida Health News, and God bless! HN

PROJECT MANAGER David Kiessling

ACCOUNT EXECUTIVES Juanita Halter, Cinda Shelby

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

CONTRIBUTING COLUMNISTS Ritu Aparajita, MD; Dr. Alex Kennon, MD; Damon Welch MD; Daniel Welch MD

CONTRIBUTING ARTIST Dawn Lewandowski

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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.

centralfloridahealthnews.com

INTRODUCTION

PCMA LETTER

PCMA LETTER

POLK COUNTY MEDICAL ASSOCIATION

THE SKINNY ON SUMMER SKIN CARE

4315 Highland Park Blvd, Suite B Lakeland, Florida 33813 863-644-4051

2022 OFFICERS JAMES J. BOOKER, MD President

GEORGE LYLE, MD Secretary

STUART PATTERSON, MD Treasurer

BOARD OF TRUSTEES RALPH NOBO, JR., MD, Chair

GEORGE LYLE, MD STUART PATTERSON, MD GARY SCHEMMER, MD SERGIO SEOANE, MD ARVIND SONI, MD

T

he lazy days of summer are officially in full swing, but now is not the time to let your guard down! The beautiful weather gives us the opportunity to get out and enjoy the outdoors, but as the saying goes, it’s important to enjoy it responsibly.

According to the American Cancer Society and the American Society of Clinical Oncologists, an estimated 3.4 million Americans will be diagnosed with skin cancer in 2022. Here in Florida, we have to be mindful of the sun’s powerful rays year-round and especially during the summer months.

In this edition of Health News, we talk with dermatologist Dr. Alex Kennon and primary care physician Dr. Toni Adams-Pecoraro to learn more about skin cancer and detection.

We also speak with Central Florida

— — — — — —

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

Sincerely,

James J. Booker, MD

Health Care nurse practitioner Amelia Espinosa Villalobos, who underscores why it’s important for people of every skin tone, light or dark, to take cautionary measures to protect their skin from the sun.

Inside you can also learn more about a growing physician shortage in Florida and what actions the Florida Academy of Family Physicians and Florida Medical Association hope will ease the situation.

Plus, don’t miss our interview with Longwood’s Roy Reid to learn more about how his extraordinarily close call during an aortic dissection ended up being the best thing that ever happened to him.

On behalf of the Polk County Medical Association, I hope you have a safe and sunburn-free summer. 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

centralfloridahealthnews.com

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

CFHN | 5

FEATURE CURRENT EVENTS

IS THERE A DOCTOR IN THE HOUSE? Healthcare Associations Look to Mitigate Impact of Physician Shortage

by ANNABEL ROCHA

F

lorida is growing at a rapid pace, and Central Florida is particularly hot. According to the U.S. Census Bureau, Polk County is the fastest-growing county in Florida and the seventh-fastest-growing in the nation. Combine that astronomical growth with an aging physician workforce, and the full scale of the state’s physician shortage becomes evident. In 2019, Florida was short nearly 4,000 doctors. That number is projected to increase to nearly 18,000 by 2035.

Dr. Noureen Akbar, a primary care physician in Orlando who is also a board member of the Florida Academy of Family Physicians, sees trouble brewing.

“There is a huge chance that this will become a crisis, because we’re already seeing that.”

A number of factors are exacerbating the already tenuous situation.

Dr. Doug Murphy, an OB-GYN at his own private practice in Ocala, is the president of the Florida Medical Association.

“The other things that are making physicians retire is a combination of burnout and just dissatisfaction with the amount of extra work that’s being heaped on them through hospitals, insurance companies, and electronic health records,” Murphy says.

In an attempt to solve the issue, FAFP and FMA have identified some solutions to reducing the shortage.

DR. NOUREEN AKBAR

Embracing telehealth and telemedicine, which allows long-distance patient-to-clinician contact, has proven to increase accessibility to patients and reduce administrative burden.

“Telehealth is here to stay, and we’ve shown during the pandemic that it can be helpful to allow us to see patients or talk to patients either during office hours or other more easily accessible times for patients,” Murphy explains.

DR. DOUG MURPHY

Akbar agrees, citing how telehealth allowed her to see her geriatric patients during the pandemic without putting them at-risk of infection by coming into the office.

She says that even low-income or elderly patients who may not have access to technology have been able to access telehealth through loaner tablets.

“There’s only a handful that we’ve had some difficulty with, mainly because they have some form of disability like they’re hearing-impaired or visually impaired,” she says.

“In those situations, we have to come up with mostly some form of home health scenario.”

FAFP and FMA say that relying on physician-led, teambased healthcare is also a way to aid the physician shortage and provide the most efficient care possible.

“It really streamlines the process,” Akbar says. She says that coming from a traditional practice, she experienced the burden placed on her and other physicians, leaving them feeling overwhelmed.

“We can’t see that many patients and on top of that take care of all their needs. But when you have a team-based care you can create a plan and those duties can be delegated according to the expertise of the team members. I have seen an amazing delivery of care now because of that.”

Murphy says it is important for physicians to lead. In some cases, he has seen an influx of responsibility placed on nurse practitioners and PAs to fulfill duties outside of their expertise. He stresses that while these healthcare professionals are intelligent and competent, their training is dramatically different than that of a physician. He points to over-ordering testing as an example.

“When we’re trying to make a diagnosis and we want to order testing, we shoot with a rifle as opposed to a shotgun. We narrow our target down to something very small and if we miss our target because we made an incorrect diagnosis, then we widen the scope of that surveillance net and try to get the diagnosis correct. We don’t order every test in the book,” he says.

While some patients think this is best, he says, it is expensive and spends time examining issues that a CONTINUED ON PAGE 15

6 | CFHN

centralfloridahealthnews.com

FEATURE PREVENTION

POP QUIZ! Which Type of Sunscreen Is Best Suited to You?

S

ummer is upon us, and that means it is time to ensure that you are protected from the sun’s damaging UV rays with the appropriate sunscreen. There are two different types of sunscreens, and they both have advantages and disadvantages. You want to make sure that you are choosing the correct sunscreen for your situation to get the sunscreen’s full measure of protection.

Take our quiz to test your knowledge so you are always protected when out in the sun.

compiled by ERIKA ALDRICH/ Resources: Information provided by the American Academy of Dermatology Association and Piedmont Healthcare 4.

5.

6 7.

8.

9.

10.

ANSWERS: 1. C. Plant 2. A. Chemical sunscreens absorb into the skin.

3. B. Physical sunscreens work like a shield.

True.

D. All of the above.

D. All of the above.

True.

E. All of the above.

True.

E. All of the above.

8 | CFHN

1. Which of the following is NOT one of the two types of sunscreens?

A. Chemical C. Plant B. Physical/Mineral D. None of the above 2.

Which of the following describes how chemical sunscreens work?

A. Chemical sunscreens absorb into the skin and work like a sponge, absorbing the sun’s rays with one or more of the following active ingredients: oxybenzone, avobenzone, octisalate, octocrylene, homosalate, and octinoxate.

B. Chemical sunscreens change the chemical composition of the skin, making it unable to be burned by the sun’s damaging UV rays.

C. Chemical sunscreens change the chemical composition of the sun’s UV rays, making them harmless.

D. N one of the above 3.

Which of the following describes how physical sunscreens work?

A. Physical sunscreens physically remove the damage the sun’s UV rays do to your skin.

B. Physical sunscreens work like a shield, sitting on the surface of your skin and deflecting the sun’s rays with active ingredients zinc oxide and/or titanium dioxide.

C. Physical sunscreens activate when you are physical, mixing with sweat to protect your skin.

D. N one of the above 4.

True or false?Any sunscreen you choose should protect against both UVA rays—or aging rays that can prematurely age your skin, causing wrinkles and age spots—and UVB rays—or burning rays—which are the primary cause of sunburn.

5. Physical sunscreens are best for which of the following applications?

A. I f you have sensitive skin B. If you want a sunscreen that is more moisturizing C. If you do not care about having a bit of white residue on your skin.

D. All of the above

6.

Chemical sunscreens are best for which of the following applications?

A. When you are swimming and need a water-resistant formulation B. When you are playing sports or sweat a lot during the day C. When you want a sunscreen that absorbs quickly into the skin.

D. All of the above 7. T rue or false?

There is no safe way to tan. Every time you tan, you damage your skin. As this damage builds, you speed up the aging of your skin and increase your risk for all types of skin cancer.

8.

Which of the following are features you should look for in your sunscreen, no matter whether you choose chemical or mineral sunscreen?

A. Broad spectrum (protects from both UVA and UVB rays) B. Fragrance-free and paraben-free C. N oncomedogenic (won’t clog pores) and oil-free D. H as an SPF of at least 30 or greater E. All of the above 9. T rue or false?

Sunscreen alone cannot fully protect you from the sun’s damaging UV rays.

10. How long should you wait to get hearing loss, even mild hearing loss, treated?

A. Be in the shade as often as possible B. Dress to protect yourself from the sun, including long sleeves, pants, and hats C. Use extra caution near water, snow, and sand as they reflect the sun’s UV rays D. Get vitamin D safely and avoid tanning and tanning beds E. All of the above

centralfloridahealthnews.com

COMMUNITY HEALTH

All Skin Needs UV Protection, Not Just Fair Skin

by TERESA SCHIFFER sponsored by Central Florida Health Care

I

t’s summertime in Florida, and those long summer days drench us in even more sunshine than we get throughout the rest of the year. Are you wearing sunscreen? If not, you definitely should be. Damage from the sun’s ultraviolet radiation adds up over the years, increasing the risk of dangerous skin cancers.

Melanin, the substance within the body that provides pigmentation to the skin and hair, is our body’s natural defense against UV rays, but there is a limit to how much protection that pigment provides. It is a common misconception that people who have dark skin don’t need to wear sunscreen because they will not burn. That is certainly not the case.

“The skin is the largest organ of the body. So even if you have dark skin, you can still have too much UV light and too much sun,” nurse practitioner Amelia Espinosa Villalobos explains.

“No matter what color of skin you have, you need to take precautions. Make sure you cover your skin and take care of it.”

Amelia Espinosa Villalobos is Central Florida Health Care’s newest nurse practitioner, having joined the clinic in May of this year, and she has some valuable advice regarding summer skincare. After working in internal medicine, urgent care, addictions medicine, and home

Behavioral Health

Dental Health

Financial Assistance

against UVB rays. Look for the “broad spectrum” designation on the product label to ensure that the sunscreen you choose does protect against both UVA and UVB radiation.

“A lot of people look at it as when people get dark, it’s enhancing the melanin in their skin,” she points out. “If someone is lighter-skinned, and they’re out in the sun, and their skin darkens, it’s, of course, because they’ve got that melanin. Take me, for example. I’m Spanish, and a majority of Spanish people easily tan and they don’t want to use sunscreen. Very often, I find a lot of people not wearing sunscreen whether they have dark skin or light skin.”

Invest in a formula that has at least an SPF of 30.

It’s okay to get a higher SPF product, but SPF 30 will filter out close to 97 percent of UVB rays, whereas an SPF 50 product protects against 98 percent of UVB radiation, and an SPF 100 provides 99 percent protection. No product can provide 100 percent protection from the damaging effects of ultraviolet radiation.

There are two types of ultraviolet radiation contained in the rays from the sun that make it through the Earth’s atmosphere to affect us.

A third type, UVC, is completely filtered out by the planet’s ozone layer. As for the other two, UVA and UVB rays are able to travel through the atmosphere to reach us, though some UVB rays are absorbed by the ozone layer. UVA rays have the longest wavelengths, followed by UVB, and then UVC rays have the shortest wavelengths.

No matter what SPF rating you choose to go with, it’s important to reapply the sunscreen throughout the day. If you are working indoors and not next to a window, you may not need to reapply. However, if you are getting sunshine throughout the day either through a window or by being outdoors, you should reapply sun protection at least every two hours. If you are swimming or sweating, then your sunscreen needs to be reapplied every forty to eighty minutes.

When shopping for sunscreen, look for verification that the product protects against both UVA and UVB light. SPF, which stands for “Sun Protection Factor,” actually only protects

Enjoy the summer, but please be safe, and if you have any concerns about your skin’s condition, Central Florida Health Care providers are ready to help.

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health care for several years, Villalobos is excited to join the Central Florida Health Care team and is looking forward to making a positive impact in the lives of patients.

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866.234.8534 CFHN | 9

FEATURE EDITION

ARE YOU SKIN SAVVY? Protection and Detection Are Key to Skin Cancer Treatment

by TERESA SCHIFFER

10 | CFHN

I

t’s summertime in Florida, and we don’t have to explain why it’s called “The Sunshine State.”

However, it bears repeating that skin cancer is surprisingly common, and that damage from the sun’s ultraviolet radiation is cumulative over one’s lifetime – it doesn’t go away and let you start with a clean slate every summer.

of at least 30. Apply sunscreen at least 15 minutes prior to heading outside, and then reapply at least every two hours. If you are sweating or in water at all, reapplication should be done every 40 minutes.

We talked with local healthcare professionals for insight on how we can best protect ourselves from the damaging effects of sun exposure here in sunny Central Florida. Dr. Alex Kennon of Lakeside Dermatology in Winter Haven provides some sound advice on Florida fashions that provide protection.

Kennon is a board-certified dermatologist who performed fellowship training in Mohs micrographic surgery. Mohs surgery is a very precise technique used primarily to remove lesions associated with skin cancer. This procedure allows the surgeon to remove cancerous tissue progressively, having it analyzed as the surgery proceeds, ultimately sparing nearly all surrounding unaffected tissue.

“As we live in Florida, becoming a vampire is impractical,” Kennon jokes, “but limiting exposure to the sun is key to preventing skin cancer. Make sure when you are outside to seek a shaded area.

Wear protective clothing with a UPF factor. A broad-brimmed hat and sunscreen are essential.”

Mohs micrographic surgery is most effective as a treatment for the two most common types of skin cancer — basal cell carcinomas and squamous cell carcinomas. Basal cell carcinoma is thought to affect nearly 20 percent of the American population at some point in their lives.

When choosing a sunscreen, look for one that provides broad-spectrum protection with an SPF

“Basal cell carcinoma typically looks like a pearly, often ulcerated or bleeding bump that will not go centralfloridahealthnews.com

burned by the sun.

Familiarizing yourself with the condition of your skin can help you notice symptoms of skin cancer early enough to receive effective treatment.

Be on the lookout for areas of skin that appear pink or red, exhibit peeling, are thickened or rough, or inexplicably bleed. Melanoma may be indicated if a lesion appears asymmetrical or irregular in shape, is very large, or changes in size, color, or shape over time.

“To better detect possible skin cancer,” Adams-Pecoraro says, “checking your skin often for any new lesions or changes is important.

You should also try to have a full-body skin check by your physician or dermatologist at least once a year.” HN

DR. ALEX KENNON

DR. TONI ADAMS-PECORARO

away,” Kennon describes. “Squamous cell carcinoma often appears as a red scaly spot, or might even look like a volcano (a very specific type of squamous cell called a Keratoacanthoma).”

Although there are a number of less common skin cancers, malignant melanoma is widely recognized as the deadliest form of skin cancer, according to Dr. Toni Adams-Pecoraro. Adams-Pecoraro specializes in family medicine in Auburndale through BayCare Medical Group, with a strong focus on preventive health care. “(Melanoma) is the most dangerous of the various skin cancers,” she explains. “It is the fifth-most-common cause of cancer in both women and men. Diagnosing melanoma early is very important in order to treat it quickly to avoid aggressive spreading.”

Kennon warns that skin cancer can affect any part of the body, “from the top of the scalp to the soles of the feet, and from the mouth to the genitalia. It is most common in areas that are chronically exposed to the sun, e.g. the face, ears, arms, and legs. Melanoma is more common on the backs of males and legs of females.”

Adams-Pecoraro warns that sometimes, melanoma can hide in areas that are more uncommon, such as the tissue of the mouth and nose, and on rare occasions under the nails.

In addition to sun exposure, other environmental factors can increase an individual’s risk of developing skin cancer, including exposure to ionizing radiation (such as that found in medical diagnostic tools like X-rays), exposure to arsenic or radon, and use of tanning beds. Smoking, some medications, chronic skin inflammation, and immunosuppression can also increase the risk of skin cancer.

Since not all skin cancers are a direct result of sun exposure, all demographics can be affected by the disease. However, individuals who have a fair skin complexion, red or blonde hair, blue or green eyes, or freckled skin have a higher risk of being affected by skin cancer. Other risk factors include advanced age, having more than 50 moles, a family or personal history of skin cancer, and skin that is easily centralfloridahealthnews.com

CFHN | 11

12 | CFHN

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centralfloridahealthnews.com

CFHN | 13

FEATURE PATIENT

REID BEFORE

REID AFTER

Man’s Aortic Dissection Brings Clarity, New Way of Life

by JULIE GMITTER

A HEARTBEAT AWAY O

n a seemingly normal night in 2019, Roy Reid and his wife were spending the night relaxing at home and watching movies on Netflix. His wife fell asleep, and he went to bed shortly after, only to be awoken by the worst chest pressure and pain he’d ever experienced.

It was 2 in the morning, and it felt like “someone was punching a hole through my chest and just squeezing the life out of my heart,” Reid says.

“I woke up my wife and told her to take me to the ER.” He suffered a stroke on the way to the emergency room in Altamonte Springs, where he was quickly diagnosed with an acute aortic dissection, which means his heart essentially exploded. Reid was then flown via helicopter to AdventHealth Orlando. The importance of arriving swiftly to the ER and subsequently AdventHealth Orlando is something that cannot be emphasized enough. Besides the quick arrival and knowledgeable doctors and nurses who made the diagnosis, Roy also credits the technology that was available at both facilities that enabled them to make the decisions and diagnosis that saved his life.

Dr. Kevin Accola, executive medical director of cardiovascular surgery at AdventHealth Orlando, underscores why speedy treatment is imperative.

“If patients are operated on in the first few hours, their chances are much better than if they are operated on in 12 or 24 hours.”

Reid, a resident of Longwood, then endured a six-hour surgery, followed by a week in a medically induced coma, one month in the hospital recovering, and six months out of work.

14 | CFHN

“While my family felt a sense of hope and opportunity, the situation was truly dire,” he says.

The prevailing belief was that if I did survive the surgery, I would likely need around-the-clock medical care for the rest of my life.” He did in fact survive the surgery, made a full mind and body recovery, and is so grateful for the entire cardiac team at AdventHealth Orlando that provided everything he needed along the way to recovery, from the high-tech ER tools and tech to unparalleled care and concern for his mental and physical well-being. The cardiac rehab team also made sure he understood the lifestyle changes that were required after the physical recovery. His family provided emotional and physical support to him during this time, as well.

“There is truly a certain kind of PSTD that comes with a life-changing trauma like this,” he says, explaining that he wouldn’t have been able to make it through without the AdventHealth team and his amazing and supportive family.

While the cardiologists do not know the cause of Reid’s aortic dissection, he did have enough risk factors working against him that combined for a perfect storm.

Prior to the “explosion,” Reid had no symptoms that indicated his health was in danger. He had no symptoms of cardiac issues, and while he did have slightly elevated blood pressure, it was never high enough to even require prescription medication. He struggled with sleep apnea and was admittedly a bit overweight, but none of these factors interfered with his daily life or were even a concern to him or any of his doctors at the time.

centralfloridahealthnews.com

Now, three years after the incident, surgery, and recovery, Reid has made big changes in his life —both mentally and physically.

“Roy Reid is an inspiration for everyone,” says Accola. “Anyone who is overcoming medical circumstances, the way he has approached this, I think is a lesson well-learned.”

These days, Reid participates in 5k runs. When he’s not participating in organized races, he does some type of cardio activity every day without fail. He’s also lost roughly 40 pounds, eats much healthier, and spends more quality time with each member of his family. He described what he calls “non-negotiables” in his day-to-day life now, spanning from diet to exercise and time management. He also takes allotted time to engage in activities such as reading, meditation, prayer, and of course, quality family time.

Reid, his wife of 30 years, and their four children sit down for a family lunch or dinner every Sunday. The bond they share is closer now than ever before.

“Everyone has adjusted in the wake of it,” Reid says. “We all made and continue to make conscious decisions now daily. We’re not promised any day.”

“Confronting your mortality gives insight into what matters most to you.

Love people, be grateful, and give generously. Be involved in things that will help make a difference. I wouldn’t wish this medical experience on anyone, but it’s the best thing that’s ever happened to me.” HN

Is There a Doctor in the House?

CONTINUED FROM PAGE 6

physician could have ruled out by asking questions.

Akbar and Murphy say that increasing the number of residency positions in the state is key to reducing Florida’s physician shortage. Medical students need this training to become fully qualified, and most physicians tend to stay where they complete their residency.

“I’m the prime example,” Akbar says. “I was not from Central Florida, but I came here, I liked it, formed a lot of connections and I ended up deciding to stay in the Orlando area and I think that’s something that a lot of residents do.”

In 2020, Congress approved one thousand new residency positions, but many say it is not enough to support the growing number of medical school enrollment and it does not ensure a sufficient increase to Florida directly.

Florida Trend reports that the state has 34.9 medical residents per 100,000 people, while New York has almost three times that amount.

Murphy explains that the large number of retirees in Florida makes access to physicians even more crucial.

“We probably need more physicians per capita than someplace that has a younger overall population,” he says.

In 2021, there were 7,608 residency and fellowship positions in Florida, and these are essential for producing the next generation of doctors as well as providing options to in-need patients.

“Those residents usually take care of low-income patients for little to no cost,” Akbar says, “and residents usually take care of a lot of Medicare and Medicaid patients so that helps reduce the shortage.” HN

centralfloridahealthnews.com

HEALTHY AGING

Reducing the Need For Glasses at the Time of Cataract Surgery

C

DAMON WELCH M.D. & DANIEL WELCH M.D.

ataract surgery is an extremely successful surgery. With cataract surgery, we have the ability to restore vision lost over time from the natural clouding of the lens, which occurs with age. In addition, special instruments allow us to measure the eye and lessen the dependence on glasses and contact lenses, even in patients who have had thick glasses and poor vision without correction before surgery.

In addition to standard lens implant surgery, which is covered by insurance, we offer various individualized surgical options to fit the needs of our patients.

For patients who want the best distance vision possible and don’t mind wearing reading glasses, we recommend our Custom Matched Lens or astigmatism correcting lens option. With our Custom Matched Lens option, we measure the corneal asphericity and match this to the appropriate lens to neutralize it. Asphericity is a focusing error that cannot be corrected by glasses or contact lenses. By offsetting it with the appropriately selected implant lens, vision can be corrected better.

This option gives patients the sharpest possible vision going from day to night. For appropriate patients, we have been using a new intraocular lens. This innovative design provides an extended range of vision. These lenses provide high-quality distance vision without glare or halos and an increased ability to see up close. Many patients find that they are able to read moderate size print without reading glasses.

With our custom-matched lens option, we can also correct low levels of astigmatism in a cost-effective manner. For patients with higher amounts of astigmatism, we recommend astigmatism correcting lens implant.

For patients who want to be less dependent on reading glasses, the most common surgical option we use is called Blended Vision. With this option, one eye’s vision is focused near for an arm’s-length focus, and the other eye is fine-tuned for far away distance vision. The goal is to get patients where they can do 80 to 90% of their daily activities without glasses. However, glasses will still be needed to read small print, read road signs, and drive at night.

Multifocal lenses are an alternative to Blended Vision. These lenses provide patients with the most spectacle independence. These lens implants split the light so that part of the light goes to distance, part to near and/or intermediate vision, and a portion of the light is lost due to the multifocal optics. These lens implants cause glare, halos, and spiderwebs that are particularly noticeable when driving at night. You are sacrificing some brightness and clarity of vision to gain independence from reading glasses. We offer and use these lenses on select motivated patients who understand their trade-offs.

We understand costs are a concern. We strive to offer patients the safest, most cost-effective surgical solutions that fit their lifestyles.

We are meticulous and take eye surgery very seriously; understanding patients will use their vision every minute they are awake for the rest of their lives.

We offer convenient surgery at our two Medicare-certified surgery centers in Winter Haven and Sebring, Florida. In addition, same-day surgeries are available throughout the week for those traveling from outside the area. So let us and our amazing team serve your eye care needs.

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: Daniel Welch, M.D. and Damon Welch, M.D. are both Board-Certified Ophthalmologists specializing in Cataract & Laser surgery at the Sebring and Winter Haven locations for Eye Specialists of Mid-Florida. Dr. Damon Welch also performs eyelid surgeries. To schedule an appointment, please call 800-282-3937 or visit us online at EYESFL.COM.

CFHN | 15

June 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)

July 11 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 6 – 8 p.m. on July 11 and 10 – 11:30 a.m. on July 23. You can get more information by calling 855-269-4777, or go to www.baycare.org/ events to register online.

July 14 – Infant Massage & Other Tools to Care for Your Newborn

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.

This free virtual class is only for expectant mothers, but a support person may attend with the mother. Participants need to have access to a camera and microphone. A physical therapist from the neonatal care unit (NICU) will give instructions on performing infant massage, swaddling, and other valuable tips. This class will be held from 1 – 2 p.m. and is sponsored by BayCare Health System. Please call 855-269-4777 or go to www.baycare.org/events/ for more information.

EVENTS AND FUNDRAISERS

July 18 – Diabetes Prevention Program Information Session

July 5 – Breastfeeding Support Group Virtual This is a group solely for breastfeeding mothers, to allow them a safe environment in which to support each other, assisted by certified breastfeeding consultants. Access to a camera and microphone is necessary. The free event will take place from 10 – 11 a.m. Sponsored by St. Joseph’s Women’s Hospital. You can find more information at www.baycare.org/ events/, or call 855-269-4777.

July 5, 12, 19 – Life After Childbirth This is an in-person support group for pregnant women and those who have delivered up to one year ago who may be experiencing challenges adjusting to life with a new baby. A lactation nurse will be present to provide advice. Everyone must wear a face mask over their nose and mouth at all times inside the building, regardless of COVID-19 vaccination status. The group meets from 10 a.m. – 12 p.m. at Mease Countryside Hospital – Entel Education Center Rooms 1 & 2, 3231 McMullen Booth Rd in Safety Harbor. Register online at www. baycare.org/events/.

July 6 – How to Build a Successful Functional Practice for Nurse Practitioners Tickets start at $99. This training involves weekly Zoom meetings on Wednesdays from 12:30 – 1:30 p.m. followed by oneon-one professional mentoring. You will receive instruction on implementing functional medical principles, appropriate use of various diagnostic tools, how to customize protocols for individual patients, plus pertinent business practices. If you are interested in taking advantage of this educational opportunity for professional growth within the medical community, please go to www.eventbrite.com and search for “How to Build a Successful Functional Practice for Nurse Practitioners.”

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July 7 – Prediabetes Education Workshop Virtual A free virtual event for those who have prediabetes will provide a detailed overview of various clinical aspects of the condition and strategies for lowering one’s risk of developing type 2 diabetes. There will be information on healthy behaviors and nutrition, plus ideas for goal-setting. Participants must have access to a camera and microphone. The workshop is scheduled for 9 – 11 a.m. For more information, you may call 855-269-4777 or go to www. baycare.org/events/ to learn how to access BayCare’s Virtual Events.

This is a new benefit covered by Medicare and many insurance plans. It is a CDC-led initiative that is effective at reducing the risk of type 2 diabetes through voluntary lifestyle changes. This Information Session will introduce participants to the year-long program. It will take place from 5:30 – 6:30 p.m. at Lakeland Regional Health Grasslands Campus, 3030 Harden Blvd in Lakeland. For additional information, please call (863) 284-1604 or email Gwen.Rogerson@myLRH.org.

July 18 – Pregnancy & Beyond Hypertension and Preeclampsia From 7 – 8:30 p.m., this free virtual class will teach expectant mothers about preeclampsia and the associated risks, plus tips on adopting a more hearthealthy lifestyle to reduce risk. Access to a microphone and camera is encouraged but not required for this class. It will take place from 7 – 8:30 p.m. and is sponsored by BayCare Health System. For more information, please call 855-269-4777 or go to www.baycare.org/events/.

July 21 – Breastfeeding Class Part 2: Key Points and Q&A Virtual This free online class is only for expectant mothers and one support person who have completed the Understanding Breastfeeding course offered by BayCare Health System. Access to a camera and microphones is encouraged but not required. A certified lactation nurse will lead the class in reviewing the key points of breastfeeding and then answer any questions. The virtual class will take place from 6:30 – 8 p.m. For more information, you can call 855-269-4777, or register online at www.baycare.org/events/.

July 28 – Bariatric Support Group This free virtual support group for pre- and postsurgical bariatric patients and their family members will be held from 6 – 7 p.m. and is sponsored by St. Joseph’s Hospital – South. Please call 855-269-4777 or visit www.baycare. org/events/ for information on accessing a BayCare Virtual Event.

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FOR MEDICARE BENEFICIARIES

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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

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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

HEALTHY COOK

Skin Care That Goes Straight to The Source

by CAROL CORLEY

I

t’s shopping day. You check your list: Honey, bananas, yogurt, avocado, carrots, olive oil, lemon juice, papaya, strawberries, and maybe turmeric. Looks like you are planning a healthy smoothie or an interesting dessert, but instead, you are buying ingredients to pamper your skin!

are an exfoliant thought to help prevent wrinkles and make skin firmer.

While eating these foods helps from the inside, many believe that topical applications also benefit the skin.

Honey is good at helping keep skin soft. With its antioxidant and antimicrobial abilities, it is useful to treat cuts, scrapes, and burns.

Some foods contain antioxidants, others are packed with moisturizing ingredients, and there are even some foods that refresh the skin by removing dead skin cells. Exposure to the sun, especially repeated sunburns, can cause damage to the skin.

• For a good moisturizer, mix together 1 tablespoon each honey and sunflower oil with 1/4 teaspoon of lemon juice. Massage into hands, elbows, and heels. Rinse off well after 10 minutes.

Because of our skin’s structure, the outer layers don’t get as much of the nutrients we eat as the inner layers. This is why topical applications can be a more efficient way to supply nutrients to the skin’s outer layers.

You can buy products to put on your skin, but there’s a good chance you’ll spend a pretty penny doing so. You may get more bang for your buck if you look inside your own refrigerator or cupboard.

Here are some recipes that incorporate good ingredients to get your skin glowing.

Avocado, with its monounsaturated fats, helps reduce inflammation and lock in moisture.

• Start with 1/2 cup fresh avocado, 1 teaspoon each honey and lavender flowers. Mix all together, apply to the face, leave on for 20 minutes, then rinse off.

Carrots have many beneficial ingredients for your skin, such as vitamins A, B, and C. Carrots

18 | CFHN

• Take a large peeled and pureed carrot, 3/4 tablespoon sweet almond oil, and 4 drops of jasmine essential oil. Blend, apply to your face, and leave it on for about 15 minutes, then rinse.

• Create a smoothing honey lip scrub for the perfect pout. Mix together 1 teaspoon each coconut oil, raw honey, with 2 tablespoons of raw sugar and a dash of lemon juice. Apply to lips in a gentle circular motion using a new soft toothbrush. Leave on for a few minutes then rinse off.

Olive oil is rich in vitamins K and E, which help prevent dark circles and protect from photoaging.

• A few drops on your skin can be used for nightly moisturizing.

Turmeric is believed to tighten skin and reduce inflammation.

• Mixed with flour and water to paste consistency, you can rub it on your skin, leave it a while, then rinse it off.

Vinegar is considered a good product to use to remove soap residue from hair and skin, and it also can help kill bacteria that cause dandruff.

centralfloridahealthnews.com

HEART NEWS Meet Our Doctor

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 England soon after her medical school.

Dr. Aparajita is the co-author of more than two dozen journal articles, publications and oral presentations, including topics such as endovascular treatment for thrombosis, aortic aneurysm repair, stroke, peripheral artery disease and other vascular conditions.

Additional posts and volunteer work include a teaching position at Hofstra Northwell School of Medicine and as a Member of the Public and Professional Outreach Committee as well as the International Relations Committee at the Society for Vascular Surgery (SVS).

Dr. Aparajita was recently nominated for the American Medical Association (AMA) Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.

Kidneys and Your Vascular Health

RITU APARAJITA, MD, RPVI KSC Cardiology

Y • Vinegar should be diluted to 1 tablespoon of vinegar to 1 cup of water.

Oats help regulate skin’s pH level and remove excess oil.

• Create a clarifying oat face mask by mixing 3 teaspoons of ground oats with 1/4 teaspoon apple cider, 1/4 tablespoon lemon juice and 1/2 tablespoon brown sugar. Once smooth, apply to the skin and leave on for about 10 minutes. Rinse off with warm water.

Blueberries help protect against free radicals.

• Create a blueberry face mask by mixing 1 tablespoon each of crushed ripe blueberries, lemon juice, and cucumber juice, then add 2 tablespoons each water and baking soda. Mix well, spread on the face, and allow to sit for 20 minutes. Rinse well.

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our kidneys remove excess water and waste products from your body.

When the kidneys start to lose function, it is most commonly due to advancing age, long-term effects of high blood pressure, diabetes, heart issues, or a combination of these factors. Sometimes, infections and diseases that are present from birth can affect kidney function.

Because we have two kidneys, mild loss in the function of one kidney can be compensated by the other one. However, when both kidneys start RITU APARAJITA, MD, MRCS (Ed), MBBS to fail, you haveSpecialty: to be started on dialysis with the help of a nephrologist, Vascular & Endovascular Surgery or kidney doctor.

Dialysis replaces someNovember of these functions Joining KSC Cardiology 9, 2020when your kidneys no longer work. There are two different types of dialysis — hemodialysis and peritoneal dialysis.

Hemodialysis is a procedure in which a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood.

To get your blood into the dialyzer, a vascular surgeon needs to make an access, or entrance, into your blood vessels. This is done with minor surgery, usually to your arm.

What is an arteriovenous fistula?

An AV fistula is a connection, made by a vascular surgeon, of an artery to a vein. Arteries carry blood from the heart to the body, while veins carry blood from the body back to the heart. Vascular surgeons specialize in blood vessel surgery. The surgeon usually places an AV fistula in the forearm or upper arm. An AV fistula causes extra pressure and extra blood to flow into the vein, making it grow large and strong. The larger vein provides easy, reliable access to blood vessels. Without this kind of access, regular hemodialysis sessions would not be possible. Untreated veins cannot withstand repeated needle insertions because they would collapse the way a straw collapses under strong suction.

Health care providers recommend an AV fistula over the other types because it provides good blood flow for dialysis, lasts longer than other types of access, and is less likely to get infected or cause blood clots than other types of access.

Contact Meghan Young | 863.354.5017 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).

centralfloridahealthnews.com

CFHN | 19

HEALTHY SKIN

PCMA LETTER

BODY, MIND & SPIRIT

Are You Suffering From Folliculitis?

The Importance of Appearance

F

by MARY JOYE, LMHC

olliculitis is a skin condition in which hair follicles become inflamed. However, it has a number of different causes. Sometimes it requires antibiot- ALEX W. KENNON, ics to heal, as these bumps can spread MD, FAAD and turn into non-healing crusty sores if left untreated. The condition isn’t life-threatening, but it can be irritating, itchy, and unsightly.

Who gets folliculitis?

This condition is most commonly caused by a bacterial infection in a collection of hair follicles. It can also come from fungal infections, viruses, or inflammation from ingrown hairs. Folliculitis can occur anywhere on the body where there is hair.

Anyone can develop it, but some conditions make a person more susceptible to getting it. These include having a medical condition that weakens your resistance to infection, like diabetes, chronic leukemia, or HIV/AIDS. Wearing tight clothing that traps sweat and damaging hair follicles while shaving may lead to folliculitis.

What are the types of folliculitis?

There are two main types of folliculitis: superficial and deep. Superficial folliculitis involves just part of the hair follicle. This includes a few types of the condition, including hot tub folliculitis, which comes from a hot tub that contains poorly regulated chemical levels. It also includes razor bumps caused by shaving improperly and causing irritation, and pityrosporum folliculitis, which is caused by a yeast infection.

Deep folliculitis involves the whole hair follicle and is typically more severe. This includes boils, which occur when hair follicles become deeply infected with staph bacteria.

Gram-negative folliculitis is another type of deep folliculitis, sometimes developing in patients receiving long-term antibiotic therapy for acne.

How do you prevent it?

Try to find the source of the irritation. Avoid wearing tight clothing, and always shave with care with a sharp blade.

Wash the skin with mild soap and water before shaving, use a liberal amount of shaving lotion, and be sure to moisturize afterward. Avoid going in hot tubs unless they’ve been properly sanitized. With these steps, you can avoid irritation and help prevent folliculitis.

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.

20 | CFHN

H

uman beings are the only animals that wear clothes. Nature provides other animals with the skin and fur they need to survive. Polar bears and penguins, in the harshest of environments, do not seek clothing. When we dress up domesticated animals in human clothes, it is usually an extension of the owner’s image.

Clothing is much more than something to cover exposed skin for survival. It is a statement of who we are or what we believe in, such as wearing a T-shirt with a message.

What we wear speaks volumes to others.

During the pandemic, many of us, including me, had designated “Zoom” shirts and did not wear shoes when conversing online.

The masks we chose when we went out made statements because the virus was keeping us from showing the skin we usually keep bare. Our faces need to be seen for understanding expression and communication through mirror neurons.

We were missing smiles and frowns along with the ability to hear clearly because masks muffle speech. Even though it was liberating to be only half-dressed, it was taking a chip out of our human connectivity. Now that we are going back out into the world with fewer restrictions, we are all adjusting to the transition of being groomed and fully dressed.

Clothes say something about you, but they also indicate how you feel about others.

Dawnn Karen, psychologist and author of Dress Your Best Life: Harness the Power of Clothes to Transform Your Life, says, “You can use clothing to mask how you feel, and you can use clothing to heal yourself…

Clothing is about more than what meets the eye or is visibly appealing.”

Gene Leedy, famed Winter Haven architect and founding member of the Sarasota School of Architecture, told me in interviews for the Leedy Lifetime Works tour (www. geneleedy.com) two stories about clothing that completely agree with science and social convention. “Clothes make the person.” When Leedy was a child in West Virginia, he saw an elegantly dressed man

in a trenchcoat and hat. He asked who this man was, and he discovered he was an architectural engineer. Leedy cited the man’s clothing as his first influence for a career choice. When asked about his impeccable attire of a camel blazer and Le Corbusier glasses, he said, “If you show up well dressed, it expresses you have made the effort to show the person you are meeting feel important and respected…I dress well to show respect to others.” Like Leedy’s designs, it was a well-constructed sentence about building self-esteem and being an example through clothing.

We have all heard the advice to dress for the career you want, not the one you have. It will change your demeanor, body language, and likely others’ impressions of you. When you are confident in your clothes, people notice and it leaves an impression. Knowing yourself and how you want others to see you is important. Even billionaire tech gurus who prefer hoodies and T-shirts occasionally dress in coat and tie for their shareholders, press conferences, or court.

During the worst days of COVID, an attorney I know posted on Facebook what he was wearing for a virtual court appearance. He had on a blue blazer and tie that would show on camera with baggy shorts and tube socks that would not be seen. It was a much-needed comedic break during COVID crisis mode, and I was doing the same thing. We could all relate, and it was socially acceptable, but not when back in the office.

Think about what you wear and what you want to portray and convey. We call attire “fashion statements.” Let your style be your calling card, even if it is unconventional.

Clothing choices can transform your identity and your future. Like Leedy, it may be a powerful influence on someone else.

Our external image projection is really about internal feelings about ourselves, which are way more than skin deep. 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.

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MEDICAL ADVICE

Play It Safe in The Summer Heat

by DR. JOY JACKSON

I

n Polk County, we can count on summers filled with sunshine.

Unfortunately, the sun can contribute to creating hot environments that can be dangerous for children and adults. Being aware of heatrelated illnesses is crucial to preventing them. They can happen suddenly and, in some cases, can lead to permanent disability or death.

It is never safe to leave a child unattended in a car. Even on mild or cloudy days, the temperature inside a vehicle can rise quickly and children are at the greatest risk for heat stroke. Having a routine can reduce the risk of forgetting a child in a car. When the child is not in the car, place an object in the child’s car seat, while buckling them in, place the object next to the driver’s seat. The object will remind the driver that a child is in the back seat.

Heat stroke is the most dangerous form of heat-related illness, body temperature rises rapidly because the body has lost its ability to control its temperature. This can happen in as little as 10 to 15 minutes and body temperature can reach 106 degrees!

Heat stroke is a concern for anyone in a hot environment, including adults spending time in the sun. To prevent heat stroke, avoid the hottest parts of the day, drink plenty of water, and be informed of the signs of heat stroke. If heat stroke is suspected, call 911 immediately, this condition can be fatal if treatment is delayed.

Signs that indicate heat stroke include: • Confusion, slurred speech, altered mental status • Loss of consciousness (passing out) • Hot, dry skin or profuse sweating • Seizures • A very high body temperature We can all play a role in enjoying a safe summer filled with sunshine.

Remember to always double-check your child’s car seat, keep cool, and drink plenty of water. 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.

22 | CFHN

Level Up for Florida Lakes JESSICA McDONALD, EDITOR

jessica@centralfloridamediagroup.com

I

f you grew up playing Frogger and Pitfall on Atari as I did, I have good news! You’re officially almost qualified to swim in Florida lakes! Alligators, snakes, turtles … you’re covered. I did say “almost,” though.

There are two things Atari didn’t address in a game: blue-green algae and brain-eating amoeba.

Blue-Green Algae: Blue-green algae are a type of bacteria that is common in Florida’s freshwater environments. According to the Polk County Health Department, a bloom occurs when the rapid growth of algae leads to an accumulation of cells that discolor water, often produce floating mats, and emit a foul odor.

Unfortunately, all the factors that can lead to bloom development — bright sunshine, warm water temperatures, still water, and excess nutrients — are everyday occurrences for Florida.

According to the Florida Health Department, blue-green algae can cause rashes, stomach cramps, nausea, diarrhea, and vomiting. At its worst, severe exposures can affect the liver and nervous system.

People and pets should not swim in contaminated areas.

Stay up to date on local lake conditions by visiting bit.ly/3QAwFdX Brain-Eating Amoeba: Even though this one sounds like it’s straight from a horror movie, it’s something to be mindful of if you swim in Florida lakes. Naegleria fowleri, an amoeba that thrives in warm waters, can enter the human body when water gets into the nasal and sinus passages. Once it migrates to the brain, it can cause a fatal infection. It’s worth noting that instances are extremely rare.

UF/IFAS says the amoeba lives in the sediments of warm water, so the best way to stay safe is to avoid stirring up the bottom of lakes and discouraging children from digging and playing in the shallow waters and shore of lakes.

The more you know, the safer you are! HN

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