ISSUE 6 August 2013
CATARACT AND YOUR EYES
THINGS TAKE TIME
THE MOHS EFFECTIVE TREATMENT FOR SKIN CANCER Alysa Herman, M.D.
Lorena Martin BRINGING THE WONDERS OF CRYOTHERAPY TO ALL
INCREASED WORLD CLASS MEDICAL CARE OPTIONS AVAILABLE AT FIU HEALTH
What is NORMAL Blood Pressure? SCAN THIS QR CODE TO VIEW ONLINE MAGAZINE
INSIDE HEALTHY KIDS 8. 10. 12.
HANDLE A SPIRITED CHILD BY CHANGING YOUR VOCABULARY GROWING PAINS ARE YOU READY?
HEALTHY BODY, MIND & SOUL 14. 16. 18. 20. 24. 26.
WORTHWHILE THINGS TAKE TIME THE MOHS EFFECTIVE TREATMENT FOR SKIN CANCER INCREASED WORLD CLASS MEDICAL CARE OPTIONS AVAILABLE AT FIU HEALTH FIU HEALTH TRAVEL MEDICINE PROGRAM CATARACT AND YOUR EYES WHAT IS NORMAL BLOOD PRESSURE?
FITNES & BEAUTY 28. 30. 32. 34.
BOOST YOUR MOOD NATURALLY BRINGING THE WONDERS OF CRYOTHERAPY TO ALL SLEEP AND WEIGHT LOSS TOP 10 PLACES I LOVE TO RUN IN MIAMI
Contact@HealthyMagazine.com | 1430 S. Dixie Highway, Unit 315, Coral Gables, FL 33146 | PH 305-395-4554 | www.HealthyMagazine.com
Publisher Mauricio Portillo Editor in Chief Claudia Portillo Del Valle Marketing Director Arnaldo Del Valle Copy Editor Lora Incardona
Editor in Chief
Website Director Healthy Media Graphic Design Healthy Media
August is here, and for those of us with kids, this last month of summer means that school’s about to start, along with the hustle and bustle that come along with it. For parents who are already incredibly busy, this can lead to a load of unhealthy stress that hinders us from working at our maximum productivity level. What I’ve learned to do during theses intense moments is to take a step back, relax and start counting all the wonderful things that my family has been blessed with over the years. This helps change my attitude and state of mind, leading to a more productive, relaxed and enjoyable day. Speaking of stress, how is your blood pressure? Not sure? Then you’ll definitely want to read this month’s article. We’ve also included some articles for parents with “spirited children” and children who are going back to school. With this said, August remains a busy month of traveling and fun in the sun, so be sure to read the articles on skin and travel health. So, enjoy this last month of summer and the beautiful evenings that remain.
Photography Gala Ricote Kiko Ricote Daniela Tosta Fabiola Peñaloza Contributing Writers Dr. Alysa Herman Virgilio Sanchez, Jr. M.D. Ritu Goel, M.D. Lora Incardona, M.Ed. Charlotte Libov Andreea Macoveiciuc Maria Luisa Salcines Rubel Shelly Steve Stanley Frankie Ruiz Social Media Director Faride Del Valle
Summer may soon be gone, but our efforts to be healthy—mind, body and soul—should never fade.
healthy magazine is a free monthly publication. All contents are protected by copyright and may not be reproduced without written consent from the publisher. The material in this magazine is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments. healthy magazine and its contributors accept no responsibility for inaccuracies, and the advertiser is solely responsible for ad content and holds publisher harmless from any error.
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HANDLE A SPIRITED CHILD BY CHANGING YOUR VOCABULARY
ARE YOU READY?
Handle a Spirited Child by Changing
Your Vocabulary by Maria Luisa Salcines
ome children are easygoing and accept rules most of the time without any kind of a struggle. Then there are the children that will challenge everything they are asked to do. These children are usually described as “difficult” or “strong-willed.” These children are more perceptive than the average child. They are more sensitive to their environment, more intense and uncomfortable with change. Spirited children are more prone to tantrums and blow-ups. Bedtime, mealtime and eating out in restaurants are more of a challenge with children of this temperament. Temperament has a lot to do with how your child reacts to the world around him. Children are born with their own temperament but that doesn’t mean that temperament is rigid and cannot be changed. Parents can learn how to manage their child’s temperament by learning to understand why the child is acting up. In her book Raising a Spirited Child, Mary Sheedy Kurcinka, M.A. explains that
parents often fall into a trap of labeling their children with negative words. She believes that by redesigning the negative labels, we can begin to see our children in a different light. When parents label their child as aggressive, disruptive or explosive, it is hard for the child to build a healthy sense of self-esteem. Not only will the child be victim of these labels but the parents will also feel the pain. Parents of spirited children often feel overwhelmed and frustrated when they can’t handle their child. They love their child but they also feel guilty about the anger they feel towards the child who is always demanding their attention. These parents often fear they are not doing a good job parenting. It’s easy, even for parents with a positive attitude to get caught giving their children negative labels. Kurcinka points out that by merely changing our vocabulary we can alter how we and others perceive our children.
d o o G els lab
For example, instead of saying that a child is demanding, you can say that he holds high standards. When a child is stubborn, you can describe him as assertive. When he’s nosy, you can think of him as curious. When he’s picky and doesn’t want to eat, describe him as being selective.
By changing the labels we place on our children when we are disciplining them, we can also give our children the opportunity to change their behavior. Good labels are contagious and as your vocabulary changes so will your perspective. When parents learn to appreciate the intensity in a child’s behavior as a quality that needs direction, they will notice that their child’s attitude will also change and his behavior will improve. Research done by Kate Caules at Iona College and Bonnie Tyler at the University of Maryland shows that there is a strong link between a child’s positive self-image and his willingness to cooperate. By creating positive images, we can help our children make the behavior changes that will actually turn the misbehavior into acceptable actions. Spirited children grow up to be spirited adults who can contribute great things to our world.
Maria Luisa Salcines
is a freelance writer, and certified parent educator with The International Network for Children and Families in Redirecting Children’s Behavior and Redirecting for a Cooperative Classroom. Follow her on Twitter @PowerOfFamily or contact her at her Web site at www.redirectingchildrenrgv.org.
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4/2/13 10:13 AM
Growing PAINS WHAT ARE GROWING PAINS? Growing pains usually do not require the attention from a physician, although they do hurt, and usually occur in children between the ages of 3 and 5 years, and again between 8 and 12 years of age. A common myth is that growing pains are caused by growing bones and their joints, but the truth is that growing pains are mostly a result of the normal daily activities of children in their age range. The pain is often a result of overworked muscles in the legs, primarily the calves and the front of the thighs. It is common for these types of pains to begin right before bedtime or after the child falls sleep, resulting in the child waking up in pain, usually in the legs, although growing pains can be felt in other parts of the body as well. As a child’s body develops, the muscles can only take so much “fun.” After reaching their limit, the muscles become overworked, overwhelmed and broken-down. This is the normal process of how muscles are built. When people go to the gym and has an intense workout, they actually leave the gym with damaged tissues and muscles from working them out. Protein molecules in the body will then rejuvenate, restore and build new muscle tissue in place of the damaged muscle tissue. For a child, this can be a painful process, which is why it has been dubbed with the name “growing pains.” HOW TO REDUCE GROWING PAINS?
By Steve Stanley
It’s 11:00 at night and all of a sudden you hear your child crying, louder and louder. When you go to your child’s room, you’re told how much their body is aching and that their legs really hurt. What could it be? Growing pains.
Fortunately, over the counter medications, such as ibuprofen and acetaminophen, can help lower the amount of pain that is felt while your child is going through this period; however, it is strongly recommended to only take pain medication when the pain is very bad. Even though it will give temporary relief from the problem, taking a medication like ibuprofen too frequently can cause serious stomach problems, such as ulcers, and other health issues. It is not recommended for children to take aspirin because in some cases it has been linked to the development of Reye’s Syndrome. A couple of all-natural methods of pain relief include leg stretches and heating pads. Before popping an Advil, try using a heating pad where the pain is felt. Often times the heat will make the legs feel better. If you notice that your child has a fever or that their legs are swollen, red or puffy, see a doctor immediately.
Before classes start, get together all of the school supplies that you will probably need throughout the year. Although it’s true that some schools do have specific supply lists, if you don’t have one yet, you still have a pretty good idea of what’s required so you can get started. Put all the supplies in front of you and decide what you’re likely to need that first day of classes and decide on the type of book bag you’ll need for the day. You’ll want one that’s easy to carry, easy to open and allows you to quickly find what you’re looking for. Now, this bag is not necessarily the one you’ll use all school year because it’s only the first day, so you don’t have to take all you’re supplies with you, just the basics. Keep in mind, though, that depending on your grade level, you may be taking home some textbooks that first day. Being uncomfortable with what you’re wearing usually adds stress to anyone’s day. That’s why it’s important to have a comfortable school wardrobe. When you’re uncomfortable with the way you look or how your clothes fit, that’s all you can think about, but that’s not what you By Lora Incardona
Are You Ready?
Summer vacation is at its end. School, and all the responsibilities that go along with it, is calling our names. Are you ready? It’s exciting to walk into a store and see all those new, bright colored school supplies just waiting for you—new folders, spirals, pencils and pens, rulers, markers and more. It’s a shopping spree that there’s no getting out of. But it takes more than new supplies to get ready for school. Many students become anxious at the start of a new school year. Maybe they are uncomfortable with change. Maybe they’re going to a new school. Maybe they have fear of the unknown, e.g. teacher, schedule, classmates. If this sounds like you, then here’s what I suggest: get as organized as possible and have a school wardrobe that you’re very comfortable wearing.
should be thinking about in school. You should be focused on what your teachers are telling you. If you like T-shirts, wear them. If you like long sleeves, wear those. Avoid clothes that take your attention away from the lesson. Keep in mind, though, that you must work within your school’s dress code and your parents’ rules. Also, don’t forget about your footwear. It’s often challenging to move easily through the hallways at the start of a new school year because people don’t know where they’re going. This is no time to be fighting with your footwear, so make sure that you can actually walk well and safely in your shoes. After some time, you may decide to reorganize your folders for better use or that you need a sweater or second shirt to easily throw on for that one classroom that’s extra cold. It’s completely natural to re-evaluate and make adjustments. So as the year progresses, take the time to make any adjustments that may reduce the stress of your school day and allow you to stay focused, because there’s nothing more basic to learning than being ready. --------------------------------------------------------------------Lora Incardona has been a public school teacher since 1993 and holds master degrees in bilingual education and educational leadership. Her book, Lora the Study Coach’s Easy Study Manual, education articles and blog can be found at http://LoraTheStudyCoach.com.
To learn more about Lora the Study Coach. visit http://lorathestudycoach.com
TIME By Rubel shelly
Even though our intellects know better, something about human beings continues to make us suckers to the idea of a quick fix. So entrepreneurial hucksters regularly come along with ideas (i.e., schemes) that garner millions. Then they move on—without leaving a forwarding address.
he American obsession with weight and appearance seems to make us particularly susceptible to claims about products that promise fitness without effort, weight loss without sweat. One company made big money selling anti-cellulite sneakers. Others tout electrical muscle stimulation and weightloss water. People love to think they’ve found an easy way to worthwhile goals. Doctors and fitness experts tell us that healthy eating combined with regular exercise is the best way to slim down. One requires self-discipline and the other work. Who wants to pay the price of either, if there is a no-strain, no-pain alternative? And who doesn’t want to think there must be an easier way? In other contexts, it is the person who deceives himself into thinking he can continue to drink after a couple of DUIs and a divorce. It is the one who tells herself that an “innocent flirtation” at the office means nothing. It is parents who refuse to take their child’s brush with the law seriously. It is a family trying to get all that it wants with credit cards instead of saving. It is the person who won’t
2013 2013 AUGUST 14 14AUGUST
own up to responsibility and apologize for betraying a confidence and hurting a friend. Want to know why counseling hasn’t worked—and won’t work—for many troubled marriages? It turns up areas of the relationship that need work over time. But immature and selfish people want a quick fix. Want to know why so many companies fail? It will take too much hard work over too long a period of time to correct problems, replace incompetent people, repay debt and penetrate new markets. Lacking a quick fix, there is bankruptcy. Want to know why once-thriving churches die? Somebody gets hooked on the notion that spirituality is a new program or gimmick rather than a fruit-bearing experience by the gentle presence of the Holy Spirit. So members go churchhopping again.
One of the virtues that gets too little attention these days is persistence. Not stubbornness. Not pig-headedness and inflexibility. But perseverance over time in pursuit of a noble and worthwhile goal. It is interesting to me that the Bible places perseverance midway between suffering and character. There’s just no shortcut from the former to the latter. “So let’s not get tired of doing what is good. At just the right time we will reap a harvest of blessing if we don’t give up” (Galatians 6:9 NLT).
Body Mind & Soul
WORTHWHILE THINGS TAKE TIME
THE MOHS EFFECTIVE TREATMENT FOR SKIN CANCER
INCREASED WORLD CLASS MEDICAL CARE OPTIONS
AVAILABLE AT FIU HEALTH
FIU HEALTH TRAVEL MEDICINE PROGRAM
CATARACT AND YOUR EYES
WHAT IS NORMAL BLOOD PRESSURE?
FITNESS & BEAUTY
The Mohs Effective Treatment for Skin Cancer Defining Mohs surgery and its role as a treatment for skin cancer By Dr. Alysa Herman
It’s summertime and almost every magazine and TV news program has a report on the harmful effects of the sun’s UV radiation and its role in the development of skin cancer.
We learn about the latest products for sun protection, the most effective sunscreen ingredients, and techniques on how to best protect ourselves. But what if you saw your Dermatologist recently, had a skin biopsy, and just found out you have a skin cancer? What if you have one of the 3.5 million skin cancers that will be diagnosed this year in the US? Now your question is no longer about prevention but how to treat your skin cancer. What are the best treatments currently available for skin cancer and what is Mohs surgery? Living in South Florida, many of us know someone who has had Mohs surgery. We may have heard the term ‘Mohs’ but are not really sure what it means. Is it mole surgery? Is MOHS an acronym which stands for a multi-word medical procedure because it is often (although incorrectly) capitalized? These are several commonly asked questions when people first hear the term Mohs surgery. Mohs is not a word that has a definition because it is actually someone’s last name. That someone is Dr. Frederick E. Mohs who developed this specialized technique of skin cancer surgery in the 1930’s. Using a microscope, we can evaluate a specimen of skin that contains skin cancer, see the growth pattern of the tumor within the skin, and examine all of the margins to make sure all of the skin cancer is removed. The procedure most commonly occurs in an outpatient setting, typically in a Dermatologist’s or Mohs surgeon’s office, the office will have a licensed laboratory where the skin cancer specimens are processed, and the entire surgery is performed using local anesthesia. To begin the Mohs procedure, the area of skin containing the skin cancer is numbed using local anesthesia. The Mohs surgeon then uses
a scalpel to remove the visible tumor plus a small margin of surrounding normal skin (commonly referred to as a ‘Mohs layer’). The goal is to have taken enough of a specimen that the tumor is completely removed and all the margins (both width and depth) are clear. The removed skin sample is then brought to the in-office laboratory where it is oriented and mapped so that it corresponds to the same anatomic orientation on the patient. This is a critical step of the procedure because it enables tumor cells seen under the microscope to be precisely correlated with the exact location on the patient’s surgical site. Depending on the size of the skin specimen, it takes approximately 1545 minutes to process and convert the skin sample into pathology slides. The Mohs surgeon then reads the pathology slides looking for any presence of tumor. The use of the microscope is the most important component of the procedure because: 1) individual tumor cells are so small that they are not visible to the naked eye and 2) skin cancers grow with extensions or ‘roots’ so the microscope assists with tracking out the unique growth pattern of each skin cancer tumor. If any tumor is noted, the Mohs map is marked in the area corresponding to the same area on the patient. The Mohs surgeon then returns to the patient, adds more local anesthetic if necessary, and takes another Mohs layer only in the area where tumor remains. In this manner, this technique removes all of the abnormal tissue and spares as much normal skin as possible. This process will be repeated until no further tumor is observed under the microscope and what we call ‘clear margins’ are obtained. It is because of this methodical examination of the surgical margins, that Mohs surgery offers cure rates up to 99% for the treatment of basal cell carcinoma and squamous cell carcinoma, the two most common forms of skin cancer. There are currently no other available treatment options for any type of skin cancer that provide these impressively high cure rates.
2) SIZE (greater than 1 cm on the face or 2 cm on the body). 3) RECURRENCE (was treated by another method but has come back). 4) AGGRESSIVE PATHOLOGY or RAPIDLY GROWING OR ILL-DEFINED BORDERS. Once your skin cancer has been removed using Mohs surgery, a discussion is had between you and your Mohs surgeon on how best to stitch close the wound or if it is best to allow the wound to heal by itself. Your surgeon will also discuss any restrictions with respect to medications you can take and if you may resume exercise. Again, since this procedure is performed using local anesthesia, most patients are bandaged and return to work and their normal daily routine immediately after surgery.
So, how do you know if your skin cancer needs Mohs surgery? There are many effective treatments for skin cancer: electrodessication and curettage (a “scraping and burning” procedure); topical creams; surgical excision; Mohs surgery; radiation; and in very advanced cases, an oral medication. The most common indications for treating a skin cancer using Mohs surgery are: 1)
It is important to discuss with your doctor which treatment would be most appropriate for the type of skin cancer you have. Please see your Dermatologist regularly and remember, if diagnosed early and treated promptly, most forms of skin cancer are easily treated and curable. For more information about skin cancer and treatment using Mohs surgery, two excellent patient-friendly websites are www.skincancermohssurgery.org and www.skincancer.org
LOCATION ON THE HEAD AND NECK (particularly nose, ear, eyelid and lip, areas that have important functions and are cosmetically sensitive where you want to preserve as much normal skin as possible).
Dr. Alysa Herman is a Skin Cancer Specialist and a fellowship-trained Mohs surgeon To know more or request a consultation, call (305) 444-4979 or visit www.dralysaherman.com
Increased World Class Medical Care Options
Available at FIU Health
When a person gets sick the goal is simple—to get better quickly. Unfortunately, finding the time for a doctor’s visit can be difficult due to a limited availability of appointments or lack of a relationship with a primary care physician. Thanks to FIU Health, it’s now a lot easier to access world class medical care in our community. Since 2012, FIU Health has provided coordinated access to some of South Florida’s top specialists and providers at leading hospitals and healthcare affiliates, including Baptist Health South Florida, Broward Health, Cleveland Clinic of Florida, Jackson Health System, Leon Medical Center, Memorial Healthcare System, Mercy Hospital, Miami Children’s Hospital and Mount Sinai Medical Center. FIU Health also includes many of the nationally-renowned medical faculty from FIU’s Herbert Wertheim College of Medicine. FIU Health offers a wide range of professional and convenient multi-specialty medical services at its two Faculty Group Practice locations, one in west Miami-Dade on the university’s Modesto A. Maidique Campus and the other on the campus of Broward Health Medical Center. “Because many people can’t always get to see a physician, sometimes symptoms go untreated or patients seek care at the emergency room for non-emergency related illnesses,” says Fernando Valverde, MD, Chief Executive Officer of the FIU HealthCare Network, the entity that manages the practice. “Our Faculty Group Practice is a medical home where patients can easily schedule appointments to see our trusted, board certified primary care physicians and specialists.”
Among the growing number of specialties available to patients 13 years and older at the Miami location are cardiology, dermatology, endocrinology, gastroenterology, gynecologic oncology, gynecology, pain management, pulmonology, psychiatry (child and adult) and rheumatology. Primary care services, including routine physicals and well-care visits, preventive health screenings and disease management, are provided by internal and family medicine physicians. Additional on-site radiology, diagnostic testing (EKGs, X-rays and ultrasound) and laboratory services means that patients can have most of their medical needs taken care of in one convenient location. Same day appointments, evening hours and complimentary parking are also available, and most medical insurance plans are accepted. FIU Health plans to expand its scope and services to include a 100,000-square foot ambulatory care center with outpatient surgery and diagnostic imaging services, scheduled to open in late 2014. FIU Health also will include an integrated system of services provided by faculty from FIUâ€™s College of Nursing and Health Sciences, Robert Stempel College of Public Health and College of Arts and Sciences. If convenience and easy access to medical care are important to you, call 305-FIUDOCS/305-348-3627 today to make an appointment with a physician at the FIU Health Faculty Group Practice.
FIU Health Faculty Group Practice 885 SW 109th Avenue, PG-5 Ste. 131, Miami, FL 33199 | Ph. 305-FIU-DOCS (305-348-3627) Visit us online at health.fiu.edu or via your smart phone or other mobile device at health.fiu.com/m/
FIU Health Travel Medicine Program
Stay Healthy No Matter Where Your Travels May Take You Every year, Americans make more than 400 million trips to other countries. An increasing number of these trips are to developing and third world countries. According to the Centers for Disease Control and Prevention (CDC), 30-60% of these travelers (more than 15 million people) become ill as a result of their trips. With an increased interest in adventure travel, international destinations and ecotourism, more patients return from vacations with presentations of possible exotic disease that are beyond the scope of a primary care or emergency physician’s daily practice; however, many of the illnesses encountered could be avoided with adequate pre-travel education and preparation, along with a visit to a travel medicine professional before leaving home. “A consultation with a travel medicine professional should be near the top of a trip planning to-do list, especially when exotic or tropical locales are being considered,” says Jorge Fleisher, MD, an Infectious Disease specialist who is head of FIU Health’s Travel Medicine Program. The program is offered at the Faculty Group Practice on the university’s Modesto Maidique Campus and provides comprehensive pre- and post-travel health services for individuals and groups. The program’s clinical staff includes registered nurses with special training and expertise in travel medicine who work very closely with Dr. Fleisher in all aspects of patient care. Through computerized access to extensive travel health databases and the utilization of guidelines from the CDC, the
staff provides consultations that are customized according to the traveler’s destination, itinerary, planned activities and individual medical history. Each traveler receives a personalized information packet that includes an official immunization record, the health risks and requirements for the specific countries on the itinerary, consular information and general travel health advice. The Travel Medicine Program also provides prophylactic and precautionary vaccines and medications for diseases that travelers may be exposed to in foreign countries, such as yellow fever, Japanese encephalitis, typhoid and polio, as well as other routine vaccinations for non-travelers. Services are offered on a fee-for-service basis because most health insurance plans do not cover the pre-travel visit or vaccinations. Dr. Fleisher suggests that consultations be scheduled as far as possible in advance of international travel, ideally at least six to eight weeks, as some vaccines are given as a series and need defined time spacing. Earlier appointments will allow adequate time to fully administer vaccines and begin any preventive medications that may be required. “Although we can provide a great deal of help and advice, travelers should always be aware of any medical limitations that they may have and understand the risks involved with travel,” says Fleisher. “As long as they take all the necessary precautions and follow good health guidelines, their trip should be a pleasant, enjoyable one.”
For more information on the Travel Medicine Program or to make an appointment, please call 305-FIU-DOCS (348-3627).
FIU Health Faculty Group Practice 885 SW 109th Avenue, PG-5 Ste. 131 Miami, FL 33199 Ph. 305-FIU-DOCS (305-348-3627) www.health.fiu.edu
PABLO J. ACEBAL, M.D.
BRAIN • Brain tumor • Head injuries • Cerebral bleeds • Trigeminal neuralgia CERVICAL • Neck pain • Herniated disc • Cervical stenosis • Vertebral fractures
Board Certified in Neurosurgery Doctor of Medicine Albert Einstein College of Medicine of Yeshiva University, New York, NY General Surgery Internship Montefiore Hospital Medical Center, New York, NY Neurological Surgery Residency University of Puerto Rico, San Juan, PR Spinal Neurosurgery Fellowship University of Miami/Jackson Memorial Hospital, Miami, FL 11760 SW 40th St., Suite 511 Miami, FL 33175
Ph. 305-220-2455 Fax 305-220-2448
THORACIC • Mid-back pain • Thoracic stenosis • Vertebral fractures
LUMBAR • Low-back pain, sciatica • Herniated disc • Lumbar stenosis • Vertebral fractures
www.thecnsgroup.net SERVICES • MINIMALLY INVASIVE SURGERY • MICRODISCECTOMY • LAMINECTOMY • INTERVENTIONAL PAIN MEDICINE AND PM&R • SPINE REHAB • PHYSICAL THERAPY • CRANIOTOMY (BRAIN TUMOR, HEMORRHAGE, OTHER) • CYBERKNIFE RADIOSURGERY • CARPAL TUNNEL RELEASE • PERIPHERAL NERVE SURGERY • KYPHOPLASTY (VERTEBRAL FRACTURES)
ALLAN M. JORGE, M.D.
Board Eligible in Neurosurgery Doctor of Medicine University of Chicago, Chicago, IL General Surgery Internship Northwestern University, Chicago, IL Neurosurgery Internship Northwestern University, Chicago, IL Neurosurgery Chief Resident and Instructor Northwestern University, Chicago, IL Spine Fellowship in Adult and Pediatric Degenerative Spine Northwestern University, Chicago, IL 6705 Red Road Suite 522 Coral Gables, FL 33143
Ph. 786-517-8650 Fax 786-517-8657
GEORGE C. IBARS, M.D.
LLOYD I. MALINER, M.D.
DANIEL R. MARIN, M.D.
Board Certified in Neurosurgery
Board Certified in Neurosurgery
Board Certified PM&R and Interventional Pain Medicine
Doctor of Medicine Medical College of Pennsylvania, Philadelphia, PA General Surgery Internship Abington Memorial Hospital, Abington, PA General Surgery Residency Abington Memorial Hospital, Abington, PA Neurology Residency Tulane Medical Center, New Orleans, LA Neurosurgery Residency University of Miami/Jackson Memorial Hospital, Miami, FL Hospital
Doctor of Medicine Union College in Schenectady, NY General Surgery Internship Medical College of Hampton Roads in Norfolk, VA Neurosurgery Training University of North Carolina at Chapel Hill Neurosurgery Residency Hershey Medical Center of the Penn State University in Hershey, PA
Doctor of Medicine University of Miami Miller School of Medicine, Miami, FL General Surgery Internship St. Raphael / Yale Hospital Program New Haven, Connecticut Physical Medicine & Rehabilitation Residency Emory University, Atlanta, GA Interventional Pain Medicine Fellowship Emory University, Atlanta, GA
301 NW 84th Ave., Suite 206 Plantation, FL 33324
6200 SW 72nd St., Suite 403 South Miami, FL 33143
Ph. 954-862-7099 Fax 954-862-7296
Ph. 305-370-3439 Fax 305-430-6006
6200 SW 72nd St., Suite 403 South Miami, FL 33143
Ph. 305-740-8036 Fax 305-740-8137
ANTONIO R. PRATS, M.D.
MICHAEL E. GOMEZ, M.D.
JOSEPH A. TRAINA, M.D.
Board Certified in Neurosurgery
Board Eligible in Neurosurgery
Board Certified in Neurosurgery
Doctor of Medicine University of Miami, Miami, FL General Surgery Residency Emory University, Atlanta, GA Cerebrovascular Fellowship Emory University, Atlanta, GA Neurosurgery Chief Resident Emory University, Atlanta, GA
Doctor of Medicine Tulane University School of Medicine University of Miami Bachelor of Science in Chemistry, minor in Biology and Art HistoryCum Laude General Surgery Internship Parkland Hospital/University of Texas Southwestern Department of General Surgery Neurosurgery Residency Parkland Hospital/University of Texas Southwestern Department of Neurological Surgery
Doctor of Medicine University of Miami, Miami, FL General Surgery Internship West Virginia University, Morgantown, WV General Surgery Residency West Virginia University, Morgantown, WV Neurosurgery Fellowship University of Vienna, Vienna, Austria
3661 S Miami Ave., Suite 401 Miami, FL 33133
Ph. 305-854-4334 Fax 305-854-6966
777 E 25th St., Suite 409 Hialeah, FL 33013
Ph. 786-456-4152 Fax 786-456-4153
6200 SW 72nd St., Suite 403 South Miami, FL 33143
Ph. 305-740-8036 Fax 305-740-8137
CATARACT AND YOUR EYES CATARACTS: Cataracts affect over 20 million Americans age 40 and older and is the leading cause of blindness in the world. As we age, the lens of the eye can become clouded, impairing vision. These opacities in the normally transparent lens are called cataracts. More than half of people over the age 65 have some degree of cataracts.
SYMPTOMS MAY INCLUDE • Blurry vision, especially in bright light • Cloudiness on the eye lens • Requiring more light for reading • Getting tired when reading • Seeing halos, particularly in sunlight • Difficulty judging distances or steps • Loss of night vision TREATMENT OPTIONS FOR CATARACTS Surgery is the most common treatment for removing cataracts. This surgery is generally very safe and most people notice an improvement in vision almost immediately after surgery. COMPLEMENTARY TREATMENT AND PREVENTION TIPS • Have regular eye exams to help detect problems early. • Stay on top of your health. If you have elevated glucose levels in your blood or diabetes, for example, you are at a higher risk of cataract and retinal disease. If you have diabetes, you need to have a regular eye examination once a year. • Wear sunglasses to protect your eyes in bright sunlight. Ultraviolet light may contribute to the development of cataracts. • Eat a healthy wholefood diet. Antioxidants found in colorful fruits, vegetables and spices are good for your overall health, including your eyes. Consider taking a good quality wholefood multivitamin/herb/mineral complex daily. • Don’t smoke, limit excessive alcohol, sugar and fried oil consumption and increase exercise. Always consult your healthcare professional or eye care specialist for any questions concerning the health of your eyes.
Call MCCI We’ll send you an information package and arrange a private tour of your nearest MCCI location
1-888-670-MCCI (6224) by Virgilio Sanchez, Jr. M.D.
WHAT IS NORMAL
BLOOD PRESSURE? By Ritu Goel, M.D.
Blood pressure is the pressure that is exerted by the blood on the walls of the blood vessels when the heart muscle contracts and pumps blood to be supplied to the whole body. There are two types of blood pressure readings: a systolic reading (upper) and a diastolic reading (lower).
THE SYSTOLIC PRESSURE It is the pressure exerted during the contraction of heart, when the blood is pushed from the heart to be supplied to the rest of the body. It is the maximum pressure of blood present in a blood vessel.
THE DIASTOLIC PRESSURE It is the pressure that is measured just before the contraction of the heart, when it is resting between two beats. It is the minimum pressure of blood present in a blood vessel. Medilexicon medical dictionary describes blood pressure as “The pressure or tension of the blood within the systemic arteries maintained by the contraction of the left ventricle, the resistance of the arterioles and capillaries, the elasticity of the arterial walls, as well as the viscosity and volume of the blood; expressed as relative to the ambient atmospheric pressure.”
HOW IS BLOOD PRESSURE MEASURED? The procedure of measuring blood pressure is painless, simple and straightforward. The blood pressure measuring instrument is known as the sphygmomanometer, which has a pressure gauge that is attached to an inflatable cuff. Blood pressure measurement provides important information regarding the condition of the heart and blood vessels to your physician. During the procedure the patient is either seated or lying down in a relaxed environ-
ment. Around the patient’s upper arm a cuff is wrapped and inflated. The physician puts a stethoscope on an artery in the arm and listens to the sound of the pulse. The pressure off the cuff is released gradually. The fist sound of pulse that is heard is the reading of the systolic blood pressure. The sound of pulse faints gradually and the moment it is no longer heard is the reading of the diastolic blood pressure.
WHAT IS CONSIDERED A NORMAL BLOOD PRESSURE READING? A normal blood pressure reading is in the range of 90-119 mmHg systolic and 60-79 mmHg diastolic. A systolic blood pressure reading in the range of 120-139 implies that you suffer from pre-hypertension or borderline hypertension. A systolic blood pressure reading of 140 or more implies that you suffer from hypertension. A diastolic blood pressure reading in the range of 80-89 indicates that you suffer from pre-hypertension or borderline high blood pressure. A diastolic blood pressure reading of 90 or more indicates that you suffer from hypertension. Individuals having both pre-hypertension and hypertension are at an increased risk of developing heart disease.
HOW FREQUENTLY SHOULD BLOOD PRESSURE MEASURED? If your blood pressure is in the normal range, have it measured again in 2 years; if you have pre-hypertension, have it measured every year or more frequently, as suggested by your physician and if you have hypertension, take your physician’s advise, as high blood pressure requires treatment.
28. BOOST YOUR MOOD NATURALLY 30.
BRINGING THE WONDERS OF CRYOTHERAPY TO ALL
SLEEP AND WEIGHT LOSS
TOP 10 PLACES I LOVE TO RUN IN MIAMI
FITNESS & BEAUTY
Foods, herbs, essential oils, physical activities, sunlight, restful sleep, music and social interactions can all act as natural mood boosters, so it’s not always necessary to rely on invasive medications when you can benefit from these risk-free mood enhancers.
By Andreea Macoveiciuc
With today’s stressful lifestyle, depression, anxiety, nervousness, iritability and mood swings in general, can affect all of us to a certain point. Whether you’re suffering from a more severe mood disorder or you just feel restless, nervous or out of sorts whenever an unfortunate or unpredicted event happens, you should know that there are several natural solutions that you can use as an alternative to mood disorder medication. While drugs and medical treatments can improve one’s mood and relieve the symptoms of mood disorders, the natural solutions recommended below can provide much of the same results but without the potential side effects of medications. Natural remedies are less invasive, thus better choices in the long run, the risk of becoming addicted to such products or treatments being very reduced. Mood boosting drugs, on the other hand, can cause addictions and can alter the body’s chemical balance, as they are often loaded with more or less unnecesary chemical ingredients. If you want to gain control of your emotions and overcome mood swings without putting your health at risk, take a look at the suggestions below. FOODS AND HERBS THAT CAN ENHANCE MOOD Perhaps the easiest solution for controlling your mood swings and achieving relief from nervousness, negative thinking and depression is to make some changes in your diet and eat more of the foods that can act as natural mood boosters. Such foods are fruits and vegetables with high contents of vitamin D and magnesium and foods rich in omega-3, selenium and vitamins in the B family. Spinach, lettuce, salmon, kidney beans, chicken breast, crab, eggs, nuts and seeds, low fat dairy products, lean turkey and beef, seafood, and legumes are great choices for boosting your mood naturally.
Chocolate is also a very good solution for keeping depressive and negative thoughts away, but it’s preferable not to rely on chocolate each time you feel anxious, nervous or irritated. As for herbs, valerian and lavender are probably the most renowned mood enhancers. However, besides increasing the consumption of these foods, you should also pay attention to the foods known to alter the brain’s chemical balance and increase the risks of developing mood disorders. As a general rule, highly processed foods, products rich in saturated fats, alcoholic drinks and beverages containing high amounts of caffeine should be consumed in very low amounts or completely avoided by those people dealing with frequent mood swings and depression, panic or anxiety episodes. ALTERNATIVE SOLUTIONS FOR BOOSTING YOUR MOOD NATURALLY Although a healthy diet can do wonders to prevent mood swings, as it acts directly from the inside balancing the body’s internal environment and ensuring healthy functioning of the nervous system, foods aren’t the only solutions when it comes to naturally enhancing one’s mood. You can also rely on physical activities, from walking and running to weight lifting, dancing or boxing; absolutely any form of exercise that burns calories, accelerates the heart rate and enhances the blood flow to your brain can be a great substitute for mood disorder medications. Physical activities increase the production of endorphins in the brain. These “feel good” chemicals are able to boost one’s mood and induce a general feeling of well-being. Exposure to daylight, fresh air, good social relationships, restful sleep, direct communication of your feelings and even a pet’s company can do wonders for people dealing with mood swings or mood disorders.
FITNESS & BEAUTY
BRINGING THE WONDERS OF CRYOTHERAPY TO ALL
Lorena Martin By Charlotte Libov
The Miami area is dotted with spas, but once you enter “Ageless Cocoons” you find yourself in a spa unlike any other. First, you’re already relaxed, because you arrive at this spa having already unwound thanks to a leisurely drive past the glittering aqua waters of Biscayne Bay. But second, it is only at “Ageless Cocoons,” that you will find timeless therapies wedded to space-age technologies that bring you the latest in both healing and rejuvenation. “This is my baby,” says Martin, gesturing at the Cyrosauna, which is a sleek, gleaming structure that looks like it’s about to lift off from a launching pad. Also, despite “sauna” in the name, when you step into in, you experience the opposite. Instead of being enveloped in heat, you are instantly chilled by a blast of cold gasses.
Chilly therapy for health and beauty...
In just three minutes, this treatment causes a huge endorphin explosion working to notoriously improve a variety of conditions including depression, fibromialgya, stress, insomnia and rheumatism, as well as muscle, back and joint pain, and sport injuries
Developed 20 years ago by a group of Polish scientists as a means of physical therapy, Cryotherapy today is utilized by elite athletes. Here, Martin’s clients range from not only Lebron James, but also several members of the Miami Heat, along with other celebrities who use Cryotherapy as a way to health and youth. Loosing from 500 to 800 hundred calories. It also speeds up the metabolism, increases libido, promotes faster muscle growth, and promises a loss of 500 to 800 calories. This is an invigorating experience. In just three minutes, this treatment causes a huge endorphin explosion working to notoriously improve a variety of conditions including depression, fibromialgya, stress, insomnia and rheumatism, as well as muscle, back and joint pain, and sport injuries,” says Martin. Not only that, but in that very brief time, the blast of cold nitrogen that Cryotherapy delivers also stimulates the immune system, and boosts the body’s functioning. Not only that, but it’s also very effective at reducing cellulite, reducing varicose veins and renewing and rejuvenating the skin cells of the entire body, she says.
away the dead cells and debris of years, and leave skin looking more vibrant. •
Therapeutic Massage and Relaxation on the Biomat, which is embedded with amethyst channels to offer the crystals remarkable power, which enhances the effects of massage.
Radio Frequency, which is a noninvasive healing treatment aimed at reducing fine lines, wrinkles and cellulite.
Lorena’s desire to open a spa that would help her clients regain health and balance, in addition to relaxation and rejuvenation, comes naturally. Born in Guadalajara, Mexico, she was living in Beverly Hills when her best friend was in an accident. Devoted to her friend’s recuperation, Lorena accompanied her to school, where her friend was studying to become an esthetician. “I had to wait for her, so I decided take some classes as well,” she recalls. She earned her esthetician’s degree, but her career took a backseat while she was busy raising her four children. In the meantime, she moved to Florida, and eventually fell in love with Key Biscayne, where she settled. “I decided to resume my career, but I wanted to do something different,” she said. So she set off to find the most advanced rejuvenation techniques. “I spent two months traveling to Italy, Russia and Germany, and it was in Europe that I found the cocoons, and so I brought them here,” she said.
Jet Clear Facials, which gentle pressure-washing to the skin to rinse
Since opening her spa just 18 months ago, “Ageless Cocoons” has been featured
The spa offers 11 different treatments, built around specialized equipment, which ranges from the sleek space-age looking Cryosauna to a Biomat embedded with amethyst and infrared rays, all dedicated to making clients feel better and look younger. In addition to the Cryotherapy, Ageless Cocoons offers a menu of treatments built around the following procedures: •
Thalaxotherapy, which slims and detoxifies.
Salt Cocoon Halotherapy, which provides intense healing based on prolonged exposure to the microclimate of caves, salt mines and grottoes, and helps skin problems like dermatitis and psoriasis.
on CNN, Envision and Talmud, and she has also given magazine and newspaper interviews. The spa had been featured in the Miami Herald twice. Dr. Mahomet Oz endorsed the benefits of Cryotherapy on his popular TV show. In the episode built around the technology, he had a staff member demonstrate the Cryosauna, and then discussed how it can help people with certain types of debilitating pain and degeneration caused by inflammation. “When you cool the joint, you have less swelling. It also affects the nerves because when the nerves get cold, they stop sensing pain,’ Dr. Oz said. He also notes that, while this type of therapy may seem extreme to people in the U.S., it is commonly used in Europe. “I think it’s a sensible thing to try out if you’re having a lot of pain,” he concludes. In keeping with the claim that the “Ageless Cocoon” treatments offer a “fountain of youth,” Lorena is her best advertisement. At 53, she looks a decade younger, and certainly not old enough to be the mother of four. For this, Lorena credits not only her spa treatments, but also a lifetime of yoga coupled with kayaking and paddle boarding for her youthful figure as well. “I’m not a gym kind of girl,” she says. With her long, wavy blonde hair, green eyes, and bronze skin, it’s easy to imagine her as a mermaid, which is exactly what her husband, Paul, a former “Mr. America,” thought when he met Lorena on the beach at Key Biscayne. “He travels around the world speaking about the Law of Attraction, and so he believes he was able to attract exactly what he sought, a woman who would love the sea as much as he does,” says Lorena. In fact, it was her husband’s insistence that she indeed his “Mermaid of the Sea,” helped to win her over. With the success of “Ageless Cocoons,” Lorena now finds herself a busy businesswoman. A second spa is soon to open in Doral, and there are plans to open one in Homestead as well. In fact, it’s easy to envision a string “Ageless Cocoons” opening everywhere. But when asked if Lorena envisions herself atop an empire, she shakes her head and says, “I don’t want to be the head of an empire, I just want to help people and enjoy my life.”
FITNESS & BEAUTY
Weight Loss by Andreea Macoveiciuc
hrelin and leptin are the two main hormones that influence the amount of calories burned while sleeping. Ghrelin causes the hunger sensation and is produced in higher amounts in sleep-deprived people, while leptin curbs appetite and it’s produced in lower amounts in sleep-deprived persons. Sleeping less than 7 hours per night alters these hormonal levels, causing you to overeat and gain unnecessary weight. Sleep deprivation is known to cause irritability, mood swings, fatigue and concentration problems as well as to alter one’s work productivity. But these aren’t the only effects of the lack of sleep: not getting enough rest on a regular basis also interferes with one’s metabolism, slowing it down and affecting the digestive function.
Ghrelin and leptin are the two main hormones that influence the amount of calories burned while sleeping. Ghrelin causes the hunger sensation and is produced in higher amounts in sleepdeprived people, while leptin curbs appetite and it’s produced in lower amounts in sleep-deprived persons. Sleeping less than 7 hours per night alters these hormonal levels, causing you to overeat and gain unnecessary weight. According to studies, sleeping less than 4 hours per night increases the risk of obesity with 70%, when this unhealthy sleeping hygiene is continued for long term, and getting only 6 hours of sleep per night, on a regular basis, increases the risk of weight gain and excessive appetite, as it slows down the metabolism. LINK BETWEEN SLEEP AND METABOLIC RATE As you probably know, the faster one’s metabolic rate is, the faster foods are processed and broken down to nutrients after reaching inside the digestive tract. When foods are metabolized, energy is released, and a faster metabolism means a more effective conversion of foods into energy. On the other hand, a slower metabolism means that some of the eaten foods aren’t used for energy purposes, as the body doesn’t need such high amounts of energy, so they’re deposited as fats in the layers of adipose tissue. In simpler words, all foods that aren’t used for immediate energy needs are stored as fats, so it’s quite obvious that a faster metabolism is needed for preventing the accumulation of these fats. People who continuously skip sleep hours are more likely to grab unhealthy snacks during the day and drink an exaggerated amount of coffee or other energizing drinks, as they need quick sources of energy to combat the sleepiness. In the long run, this habit sends your body into a chronic state of stress, which causes an increased production of cortisol, the so-called stress hormone. Also, insulin secretion is stimulated, so all the mechanisms that contribute to weight gain and fat storage are turned on.
Then, keep in mind that your body also burns calories when you sleep. During the sleeping hours, the body recharges its energy reservoirs and all tissues and organs recover, calories being burned throughout all these processes. If you have a regular sleeping schedule, your body’s internal clock is well set and your sleep metabolism is less likely to be altered, so your organism efficiently burns a specific amount of calories during the night. But when you skip the sleep hours, your body no longer burns those calories, so the less you sleep, the less you burn, during the night as well as during the day. SPEEDING UP THE SLEEP METABOLISM Fortunately, the metabolic rate can be accelerated through various methods and one of these includes sleeping an adequate number of hours per night. Studies have shown that going to bed before 12 pm and sleeping 7-8 hours per night ensures a healthy functioning of the human organism, keeping hormonal levels well balanced and maintaining a healthy digestion and metabolic rate. Also, sleeping in a cooler room seems to help in burning some extra calories, researchers say. According to a study taken by scientists at the National Institute of Health Clinical Center, sleeping in a colder environment increases the metabolic rate and speeds up the calorie burning process, leading to a 7% more effective sleep metabolism. As a conclusion, if you’re trying to lose some pounds but don’t really feel like working out to burn those extra calories, you can start by adjusting your sleeping schedule and turning down the temperature in your bedroom before going to sleep. If you find it difficult to change your resting program overnight, try taking a hot bath or shower before bedtime, or listening to some relaxing music. Also, avoid falling asleep in front of your PC or TV, eating 3 hours before bed and having caffeinated beverages after 12 pm. These simple changes can help in adjusting your sleeping schedule and getting a more restful sleep, as well as in burning more calories overnight.
to Run in Miami
By Frankie Ruiz Miami is not viewed by many as the most runner friendly city. It’s true that we do lack the plentiful running areas that many other US cities offer; however, I have found during my 25 plus years of running here that there are some locations that I can’t imagine not running through. I like to tell people that the best way to fall in love (again) with your city is to run on its floors. The views from the ground are so different than from a slow moving car in traffic, not to mention that there are distinct sounds and scents that you don’t get with your windows rolled up and the AC cranked to high. Some of the spots I list below provide different experiences at different times of the day or year so try to experience them at various times. One other thing that I must mention is that I encourage you to be as relentless as possible and continue looking for new favorite spots. Your tastes as a runner can evolve and finding new favorite spots can help keep you excited. I like Miami but I LOVE to RUN MIAMI. 1. HARDPACKED SANDS OF SOUTH BEACH www.mapmyrun.com/routes/view/28112768 By far my favorite route! Running any distance from 22nd Street south all the way past 1st Street to Government Cut. These hard-packed sands provide the best viewing stage for all that is Miami and its beaches. On Sunday and Friday afternoons you’ll be able to see the giant ships pulling out of port, so I try to time my runs during these times. The footing is just the way I like it, with some cushion for my stride and some resistance for strength building. This run is good in the mornings or afternoons, although in the afternoons you may have to dodge some of the beachgoers going home. The best part of this run is that after you’re done you can go for swim! 2. TAMIAMI TRAIL LEVEES www.mapmyrun.com/routes/view/28112610 I head out to this gravel road that sits atop the levee that contains the seemingly endless River of Grass of the Everglades when I want to decompress and just run without any worldly distractions. Except for the occasional bird or even deer crossing your path, this is a very peaceful stress-free setting. The ground can get a little uneven at times but overall you can set a nice pace on this path. I enjoy this run just as the sun starts to set and in the summer this can be quite the colorful spectacle in the sky after those famous Miami thunderstorms. You can park along the canal road and just run north for miles on end. There aren’t any bathrooms or water fountains so make sure you bring
your own support. You also have the option of the trail that runs south on the south side of Tamiami Trail. Be on the lookout for some Alligators too! 3. MIAMI BEACH WOODEN BOARDWALK www.mapmyrun.com/routes/view/28112408 The boardwalk is one of my favorite spots because of the perfect blend of the ocean breeze and the elevated views of the ocean. It is here where, regardless of the time of year, that you will have to meander around tourists and the locals, which gives you that feeling that you are on vacation. The footing is pretty good because the wood absorbs the impact of each stride. I usually park on 22nd Street and start the boardwalk north up through 47th Street but starting from the north heading south is also a good way to run it. There are a few spots where you might even stop to wet your head from a hotel or public shower if the day is too warm. 4. OLETA STATE PARK www.mapmyrun.com/routes/view/28112276 When I want to completely shock my legs and give them a totally different workout, I hit the park’s network of over 15 miles of multi-use trails for some long runs. When running of the weekend, be careful with the mountain bikers because this is a favorite spot for them as well. One neat aspect that I like is that the trails actually have some change in elevation with some man-made dredging. There is also a nice canopy of foliage, although the State is working on removing much of the invasive exotic species that provide most of the shade
so the park will be entering a sort of balding soon. Keep in mind that there is a park charge per vehicle for entry. Best kept secret: The bathrooms located in the campground about midway through. 5. VENETIAN CAUSEWAY www.mapmyrun.com/routes/view/28112150 This place blows me away every single time I run it. There are 360-degree views from the bridges connecting the man-made islands that make the mileage just fly by. The sites of the multi-million-dollar homes and the yachts driving by can certainly help the mind wander. Be careful, though, because these sidewalks and bike lanes do get crowded at times due to their narrowness. Also, be prepared to take a mandatory break if the drawbridges go up to let a boat pass through. Best kept secret: Take a side route on De Lido Island (the largest of the island chain along the causeway) to see some of the most amazing and expensive homes along the water. 6. TROPICAL PARK TRACK AND FIELD STADIUM www.mapmyrun.com/routes/view/28111940 7. OLD CUTLER ROAD www.mapmyrun.com/routes/view/28111588 8. TROPICAL PARK www.mapmyrun.com/routes/view/28111588 9. BRICKELL AVENUE AND BRICKELL KEY www.mapmyrun.com/routes/view/28111470 10. SOUTH BAYSHORE DRIVE & RICKENBACKER CAUSEWAY www.mapmyrun.com/routes/view/28111250
Healthy Fresh Local
BENEDICT INGREDIENTS 4 organic eggs 2 tbsp white wine vinegar 4 slices of Ezekiel Bread 8 slices smoked salmon chopped chives
For Hollandaise Sauce 2 tsp freshly squeezed lemon juice 2 tsp white wine vinegar 3 egg yolks 100g I cant believe its not butter Salt and pepper to taste By Claudia Portillo
FIRST PREPARE THE HOLLANDAISE SAUCE. Put the lemon juice and vinegar in a double-boiler over simmering water, then add the egg yolks and whisk until frothy. Continue whisking until the mixture thickens. Slowly add the butter, whisking constantly until thick. Season with salt and pepper and keep warm. While the eggs are being poached, lightly toast the ezekiel bread with olive oil, then place some salmon on each piece.
POACH THE EGGS. In a large pan, bring water to a boil and add the vinegar. Reduce the heat to a gently simmer and stir the water to create a gentle whirlpool. Carefully slide in the eggs one at a time. Simmer for about 4 minutes, then remove with a slotted spoon and place on salmon toast. Finally, spoon some Hollandaise sauce over each egg and sprinkle with chives.
Better Breathers Club Meeting
Alzheimer’s Support Group Coral Gables
4:00pm – 5:00pm
Leeza’s Place at Memorial Hospital
City of Coral Gables Parks & Rec. Dept., Youth Rm.
2261 N. University Dr., Pembroke Pines
405 University Dr., Coral Gables
For more information, call 954-524-4657.
For more information, call 305-674-2121, ext. 54461.
Back to School Bash & Health Fair
Alzheimer’s Support Group
11:00am – 2:00pm
Joe Celestin Center
Mount Sinai Medical Center
1525 NW 135 St., Miami
4300 Alton Rd., Miami Beach For more information, call 305-674-2121, ext. 54461.
World Breastfeeding Week Stroller Walk 4:00pm
Baptist Hospital 8900 North Kendall Dr.,Kendall
Youth & Recovery with Nar-Ateen
For more information, call 786-596-1960.
7:00pm Kendall Community Church of God
8795 SW 112th St., Miami For more information, call 305-256-4247.
Weight Management Discussion 4:00pm – 6:00pm
Free Amplified Phones for Senior Citizens
Hosted by Claire Katz, MD
10:30am – 11:30am
Renaissance Ft. Lauderdale-Plantation
Deaf Service Center of Palm Beach County
1230 S. Pine Island Rd.
3111 S. Dixie Hwy., Ste. 237, West Palm Beach
For more information, call 954-472-2252.
For more information, call 561-802-3353.
Health Talk on Spine Health
Weekly Farmers Market
6:00pm – 7:00pm
8:00 am – 3:00pm
Cleveland Clinic, Jagelman Conference Center
Cleveland Clinic, Jagelman Conference Center
2950 Cleveland Clinic Blvd., Weston
2950 Cleveland Clinic Blvd., Weston
For more information, call 3025-673-7300.
For more information, call 954-659-5000.