Issuu on Google+

healthy valley

MIAMI

ISSUE 3

April 2013

JACKSON’S CEO

CARLOS MIGOYA JUST WHAT THE DOCTOR ORDERED

U NEED ALL YO T W A BOU O N K O T

ELL C M E T S PY T HE R A

A PARENT’S GUIDE TO

SEASONAL ALLERGIES

SCAN THIS QR CODE TO VIEW ONLINE MAGAZINE

CHILDREN WITH

AUTISM WHAT TO DO? LET THE KIDS RUN!


Publisher Mauricio Portillo Editor in Chief Claudia Portillo Del Valle Marketing Director Arnaldo Del Valle Copy Editor Lora Incardona

Claudia Portillo

Editor in Chief

Website Director Healthy Media Graphic Design Healthy Media

Spring Forward Drawing inspiration from some of the most important people in my life, I have adopted the philosophy that “No matter what you see with your eyes, it’s what you don’t see, yet believe, that should keep you going.” I am a firm believer in the old adage that states, “Each season brings forth its own fruit.” Perhaps this is why I love spring. It gives us a sense of renewal and offers new opportunities not only to begin new projects but to continue working towards the ones we already have in progress. I understand that sometimes it seems so hard to take a break in our daily playby-play lives to stop and smell the roses, but take a good look around – it’s spring and the flowers are just starting to bloom. And while it may not last throughout the year, the memories of what we have seen should be enough to remind us that no matter the season we are going through, spring will always come back blooming the most beautiful bluebonnets and lilies as a result of what we have planted. This month, we bring to you Carlos Migoya, president and CEO of Jackson Health System. Read his story of how he achieved the seat of leadership of on of the largest public healthcare systems in the country and how he turned an ailing company into one that’s thriving. We have enhanced our magazine by being more creative and thorough while packing our pages with information you can act on, along with great interviews with our local physicians and health and lifestyle coaches. Sit down, relax and enjoy every bit of it as we keep working to help you achieve a lifestyle that will change and enhance your life permanently.

cportillo@healthyvalleyonline.com

Photography Gala Ricote Daniela Tosta Fabiola Peñaloza Contributing Writers Rodrigo Rodriguez, M.D. Elza Vasconcellos, M.D. Carolina Martinez, C.H.C. Ritu Goel, M.D. Lora Incardona, M.Ed. Miami Children’s Hospital Charlotte Libov Rubel Shelly Steve Stanley Frankie Ruiz Humberto Sotomayor Arnaldo Del Valle Social Media Director Faride Del Valle

hm 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.

Contact@HealthyMagazine.com 1430 S. Dixie Highway, Coral Gables, FL 33146 PH 305-395-4554 www.HealthyMagazine.com


ISSUE 3

WHAT’S

hm

April 2013

INSIDE HEALTHY KIDS 8. 10. 14. 16.

A PARENT’S GUIDE TO SEASONAL ALLERGIES IN CHILDREN AUTISM GAME ON! LET THE KIDS RUN!

HEALTHY BODY, MIND & SOUL 18. 20.

KEEPSAKES JACKSON’S CEO CARLOS MIGOYA JUST WHAT THE DOCTOR ORDERED

FITNES & BEAUTY 24. ENDERMOLOGY

ALTERNATIVE MEDICINE 28. 30.

STEM CELL THERAPY CURE YOUR ILLNESS WITH A TOUCH

EAT 32. 34.

CALORIC DENSITY PEPPER CRUSTED TUNA ON KIWI SAUCE

Contact@HealthyMagazine.com | 1430 S. Dixie Highway, Unit 315, Coral Gables, FL 33146 | PH 305-395-4554 | www.HealthyMagazine.com


healthy

Kids

hm

8.

A PARENT’S GUIDE TO SEASONAL ALLERGIES IN CHILDREN

10.

AUTISM

14.

GAME ON!

16.

LET THE KIDS RUN!


HM

HEALTHY KIDS

Seasonal allergies, sometimes known as “hay fever” or seasonal allergic rhinitis, are allergy symptoms that happen when certain seasons change. During the spring, you and your child may want to play outdoors and enjoy the start of warmer days and budding flowers but if your child is among the 50 million Americans who are allergic to “allergens” such as pollen or molds, going outside may not be so fun. Spring is the time when outdoor molds and trees, grasses and weeds release their spores and pollen into the air to fertilize other plants. Your child’s immune system is treating these air particles as attackers and, in order to defend against them, chemicals like histamine are released into the bloodstream, causing allergy symptoms. SIGNS YOUR CHILD MAY HAVE SEASONAL ALLERGIES The most common symptoms of seasonal allergies include a stuffy or runny nose, sneezing, itchy eyes and nose, sore throat, throat clearing and coughing that becomes more persistent at night. Other signs include the “allergic salute,” which is when your child constantly rubs his or her itchy nose upwards, leaving a crease in the lower part of the skin. Children with seasonal allergies sometimes have dark circles under their eyes due to nasal congestion.

By Miami Children’s Hospital

A Parent’s Guide to Seasonal Allergies in Children “Ah-choo!” If that reminds you of your child sneezing and wheezing through the springtime, here’s how you can help him or her overcome seasonal allergies.

It can be easy to mistake seasonal allergies for the common cold. The difference is how long symptoms last. A cold can last about a week but seasonal allergies can last for months at a time. Seasonal allergies, though not contagious, can be bothersome to live with. Children who have asthma or eczema or are exposed to second hand smoke, air pollution and/or pets are more prone to seasonal allergies. SEE YOUR PEDIATRICIAN If you suspect that your child suffers from allergies, see your pediatrician who can conduct one of the following allergy tests to properly diagnose your child’s condition: • Prick test – The forearm, upper arm or the back is pricked with a small amount of purified allergen. This test is for individual allergens and within 15 to 20 minutes the skin may become a little swollen and red indicating that your child has allergy. • Specific IgE/ImmunoCap – Blood test for individual allergens TREATING SEASONAL ALLERGIES Seasonal allergies can start at almost any time and there is no real cure them. Fortunately, there are treatments that can help you and your child breathe easier. Pollen can stick to clothing and hair so during allergy season keep your windows and doors closed to avoid the pollen that is released from plants. Don’t hang and dry clothing outside and have your child remove shoes, take a shower and change clothing after playing outside. Pollen levels all depend on the weather so knowing exactly when high or low pollen levels are in the air can help you monitor your child’s outdoor exposure. Warm temperatures and a light breeze help keep pollen in the air, giving people allergic reactions. Because the wind helps carry pollen to other plants, a day with little wind usually means low pollen days and high humidity or rain can wash pollen out of the air quickly. If limiting pollen exposure isn’t enough, your pediatrician can help prescribe the most fitting medicine for your child’s age and allergy symptoms. For more serious seasonal allergy cases, your child’s doctor may suggest a visit to an allergist or immunologist for allergy shots, known as immunotherapy. For more information on seasonal allergies, visit www.mch.com.

8

APRIL 2013


NOW OPEN in MIRAMAR & MIDTOWN: Pediatric Rehabilitation and Urgent Care Center

We are now just down the road… with the expertise and experience you trust. There’s only one healthcare system in South Florida exclusively for children, Miami Children’s Hospital. And now we bring you the best in pediatric care through our expanding network of conveniently located outpatient and urgent care centers. A world leader in pediatric care, right in your own backyard. www.mch.com/outpatientcenters

Outpatient Centers Miramar Outpatient Center Miramar Square 12246 Miramar Parkway 954-442-0809

Like us on Facebook

Follow us on Twitter

MCH-548 Ad_Healthy Miami Magazine_March_2013.indd 1

You Want The Best For Your Children.

Midtown Outpatient Center 3915 Biscayne Boulevard 786-624-6000

Palmetto Bay Outpatient Center 17615 SW 97th Avenue (Franjo Road) 786-268-1777

West Kendall Outpatient Center 13400 SW 120th Street, Suite 100 786-624-5363

Doral Outpatient Center 3601 NW 107th Avenue 786-624-3672

Miami Children’s Hospital is the only hospital in Florida with programs listed in all 10 subspecialty categories nationally ranked by U.S.News & World Report in its 2012-13 “Best Children’s Hospitals” rankings.

2/13/13 11:18 AM


HM

HEALTHY KIDS

AUTISM The following “red flags” may indicate that your child is at risk for an autism spectrum disorder. If your child exhibits any of the following, please don’t delay in asking your pediatrician or family doctor for an evaluation: •

• •

• •

No big smiles or other warm, joyful expressions by six months or thereafter No back-and-forth sharing of sounds, smiles or other facial expressions by nine months No babbling by 12 months No back-and-forth gestures such as pointing, showing, reaching or waving by 12 months No words by 16 months No meaningful, two-word phrases (not including imitating or repeating) by 24 months Any loss of speech, babbling or social skills at any age

10

APRIL 2013

By Elza Vasconcellos, M.D.

Having its onset in early childhood, usually before the age of 3, autism is a common brain disorder that affects one’s behavior and the ability to communicate and interact with others. An alarming number of children are affected by autism (1 in each 88). Although symptoms accompanying the different forms of autism vary and each child affected by an ailment included in the autism spectrum disorders (ASD) has his individual pattern of behavior, speech and communication, manifestations often overlap and there are certain symptoms that can signal the presence of such an ailment in its early stages.

CAUSES AND RISK FACTORS While there’s no clear answer on what causes autism, and the main triggers of these disorders aren’t fully known, it’s quite obvious that autism tends to run in families so scientists agree that genes play a very important role in the occurrence of the typical manifestations. However, genetic problems aren’t the only culprits behind autism. Being a physical condition linked with biological and chemical abnormalities of the brain, this disorder seems to be triggered by environmental factors as well. Air pollutants, viral infections, medical problems such as the Tourette syndrome or epilepsy, advanced parental age, the child’s sex, premature or difficult birth and complications during pregnancy seem to be involved in the development of ASD. Diet, poisoning with metals like mercury, digestive tract changes and the body’s inability to properly use minerals and vitamins are all suspected but not proven possible causes of autism

SYMPTOMS OF AUTISM AND POTENTIAL COMPLICATIONS Early diagnosis of autism is crucial for improving the child’s cognitive and social skills, as even if some people will still have difficulties with language and social integration as they mature, those with least severe problems and those who receive proper and timely treatment will eventually lead near-normal lives. Children affected by autism usually have problems in three areas of development mentioned before: language, social skills and behavior. For the first area, the typical signs are delayed speech, abnormal speaking rhythm or tone, illogical repetition of words or the loss of the ability to say previously learned words.


HM

HEALTHY KIDS nervous development of the child. Hearing evaluations, screening tests for autism, such as the M-CHAT test or the Autism Screening Questionnaire, a blood lead test, genetic tests meant to discover potential chromosome abnormalities as well as metabolic tests may be performed for diagnosing this condition. Also, specific screening tools like the Gilliam Autism Rating Scale, the Autism Diagnostic Observation Schedule (ADOS), the Autism Diagnostic Interview – Revised (ADI-R) or the Childhood Autism Rating Scale (CARS) can be used for testing the child’s abilities and cognitive development. Given the complexity of this condition, in most cases the child will be tested by a team of specialists that will evaluate not only his language and communication skills but also his thinking abilities and patterns, motor skills, speech and school performance and behavior.

TREATMENT ALTERNATIVES FOR AUTISM SPECTRUM DISORDERS Given the wide variety of symptoms and manifestations appearing in autism patients, finding the proper treatment scheme can be overwhelming but there are some treatment options that usually work in most patients. The goal of these therapies is to maximize the child’s ability to function and develop as normally as possible. The most common form of therapies for autism patients are applied behavior analysis (ABA), occupational therapy, speechlanguage therapy and sensory integration therapy. ABA is probably the most validated program shown to improve all areas of autism including cognitive areas. It is usually performed at home under the supervision of a behavioral psychologist and is far more effective when started at an earlier age.

In people with autism, the different brain areas fail in working together. Symptoms affecting social skills include the child’s failure to respond to his name, poor eye contact or the preference for individual activities that allow the child to retreat into his own world. Children suffering from autism appear not to hear the others at times, dislike holding and cuddling, are unaware of others’ feelings and rarely ask for help. Last, symptoms affecting behavior include repetitive movements, constant agitation, specific routines or rituals, increased sensitivity to touch, sound or light, fascination for details of objects and failure in understanding the “big picture” as well as failure in engaging in imitative games. Odd food preferences and activities that cause self-harm can also be signs of autism.

DIAGNOSIS OF AUTISM Given that there aren’t biological tests for autism, the diagnosis is usually based on specific criteria that evaluate the physical and

12

APRIL 2013

Educational therapies that focus on improving communication, behavior and social skills, concentrate on well-structured and complex education programs. TEACCH programs (Treatment and Education of Autistic and Related Communication Handicapped Children) that use pictures and other visual cues for helping children organize and structure their activities and environments in order to work independently are also useful in managing this condition. Family therapies focusing on teaching family members how to interact with their kids in order to minimize their problems and help them live normal lives, as well as support groups, can also help in improving the child’s social behavior, cognitive function and speaking and learning abilities. A social skills group led by psychologists may be helpful particularly for school age children. Diet changes, such as gluten-free and casein-free diets, seem to be effective in some children dealing with autism. Medications meant to temporary relieve certain symptoms can be helpful in keeping the disruptive symptoms under control. Medicines help in reducing anxiety, aggression, hyperactivity, irritability and impulsiveness, mood swings, sleep difficulties, compulsions, attention problems and outbursts. Still, keep in mind that regardless of the class of drugs used for controlling these manifestations – SSRIs, mood stabilizers, stimulants and so on – no medicine can treat the underlying cause of this condition.


HM

HEALTHY KIDS

Taking an exam is a lot like an athletic practice session. Imagine that you are at basketball practice. What is the first thing the coach does, divide the team in two and have you play a scrimmage game? Of course not. Your coach has you warm up to get your blood moving and your muscles warm before the more demanding and rigorous portion of practice. By the time practice is half through, you hardly notice how hard your body is working, that you’re sweating profusely and that your heart is pounding, but you feel good. As practice nears its end, you feel good about what you’ve accomplished and, although your body has demanded much of you, you do not really feel the strain because you started gradually and worked your way up to maximum potential. Taking an exam is actually just like that. As you enter the room and take your seat, remember to start off easy. Try to relax as you listen to your teacher’s instructions, and take a deep breath when you are told, “You may now begin.” Keep in mind that the test writers don’t expect you to know every single answer. They write the test so that the average student as well as the super bright student will be challenged, so don’t get discouraged.

Game On! By Lora Incardona

As I look at my calendar it shocks me that we are already in April. It is hard to believe that we have once again reached this inevitable season of state testing. Many students get anxious at the thought of having to prove themselves on paper, especially when they lack confidence in their knowledge. When expectations are high and the student is feeling pressure from parents or teachers, it’s no wonder that test anxiety rears its ugly head. The good news is that there are many strategies to defeat that menacing monster.

Just as an athlete doesn’t jump right into a game and play his hardest without first warming up, you shouldn’t jump right into answering every question right away. When you begin your exam, read each question with thought and answer only the questions that you are sure you know the answer to. Leave the tougher ones for later. As you make your way through the exam, you’ll see that your brain is warming up and thinking better. After you’ve answered all of the ‘easy’ questions, go back to the beginning of the test and re-read the questions you skipped. You’ll be surprised at how many more you can answer now that you’ve warmed up. Eventually, you will have to attempt every single question, even those that you feel clueless about, but do your best. The day before your exam, be sure to eat healthy foods, drink water and go to bed on time. An in the morning, before heading out to take your test, drink water and eat a healthy breakfast. After all, wouldn’t you do the same if you were playing in the NBA championship? ---------------------------------------------------------------------------------------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

14

APRIL 2013


AD PAGE


HM

healthy KIDS One definite sign of kids overdoing it with running is when they enter a boredom stage. A parent or coach can see signs of the child nearing that point when excuses start coming to the forefront and the running looks like something that they are sluggishly doing and the radiating excitement has diminished. One great way to judge if a child is overdoing it is to go a day or two without bringing up the activity to see if he or she asks about doing it without a reminder from dad, mom or a coach. I suggest combating the approach of boredom by making sure that the child isn’t doing all the running alone. Groups and teams are the best way to avoid reaching that point. The introduction of some of the popular mud-runs and obstacle races is also a way to stave off the boredom and doing too much. The events have pauses during the run that allow kids to recover a little and not to run to complete exhaustion. I am also a firm believer that giving a few goal races is a good way to keep kids from overdoing it in a way that is meaningless. A parent or coach should give kids rest after the race season passes to help them recharge their batteries.

By Frankie Ruiz As a greater number of adults continue to venture into more active lifestyles where fitness activities, such as running, are geared towards endurance training, the appeal for kids running will develop further. In fact, running has reached new heights in popularity for kids of all ages, so now the time is right to assess whether or not we should push our kids to run long distance. Here are some answers to questions that will help you decide if long distance running is right for your child. WHY SHOULD KIDS RUN? As it is for adults, the list of benefits of long distance running for kids is nearly infinite. I prefer to encourage kids to run by explaining one main benefit to the parents and eventually to the child – that running is the fundamental base for just about every other sport they will encounter. If I can have kids understand that by properly developing their aerobic capacity and that they can feel better through consistent training, they will excel at other sports and we will win over that misconception that running is a punishment. At a young age, running fast for a short period of time or in several bursts is extremely natural. What isn’t easy for them to understand is that they can sustain running longer if they train themselves to do so. The other benefit is an extension of the above point, which is that there is no better way to educate our children that they can be masters of what they want to achieve. The sport of running truly allows children to understand that they control how good they can be. This is not an easy concept to grasp if they play a team sport where the coach determines their playing time, often on the basis of size, physical maturity level and natural abilities. Running, if taught and trained properly, can be an incredibly useful tool for children that will yield tremendous long-term benefits in their lives. HOW MUCH RUNNING IS TOO MUCH FOR KIDS? I find that kids should be the ones to determine and communicate if they feel that they have been running or training “too much.” Kids often near that state of feeling like they are running or training too much when they have to be pushed excessively by their parents or coach. I prefer to let the child have that upper-hand and believe that they should have the power and confidence to tell their coach or parent when they have had too much.

16

APRIL 2013

The other factor to consider is the “training age” of the child or teen. Is this child new to athletics or has he or she participated in other sports. This will help determine how much can be handled without causing injury. DO I NEED TO BUY MY CHILD RUNNING SHOES? Absolutely! One important factor to address when worrying about overdoing it with too much running is that of injury prevention, and one of the better ways to avoid an injury is to ensure that your child is fitted properly for running shoes at a nearby specialty running store. The last reason you want your child to turn away from running is because of improper footwear; therefore, make the relatively small investment to properly outfit your child. IS MY CHILD A GIFTED RUNNER? I do believe that certain kids have physical attributes that allow them to be better runners than their peers; however, I feel that kids in general have natural endurance and with proper training they can develop that endurance further to help level the playing field. The problem arises when kids are inactive throughout their youngest years and don’t quite understand the concept of building endurance. These kids will eventually be the adults that erroneously give the excuse that they don’t run long distance because their bodies are built for short distance. SHOULD I ENTER MY CHILD IN A LOCAL RACE? If you want to get your child into official races, you should consider how prepared he or she is relative to the race distance. I would suggest starting off with one of the fun runs that are often attached to a larger hometown 5k road race as these tend to be less competitive and shorter distances. From that point you can search your area’s race calendar listings to identify a 5K race that seems fun and is positioned in the calendar during the cooler time of the year, which allows you to ensure that your child is ready to complete in it. Maybe consider running that race with your child. I also suggest that you do your best to encourage your child to be ready to run the entire race so to avoid the habit of walking, unless it’s really necessary. One last point about racing. Keep the amount of races to a small number, maybe 2 or 3 per year. I often see parents who take their child to too many events and by the time the child is in high school they don’t have an appetite for joining the cross country or track team. Make running a part of your child’s life as he or she grows older but don’t make racing a way of life at such a young age.


healthy

Body Mind & Soul

hm

16.

KEEPSAKES

20.

JACKSON’S CEO CARLOS MIGOYA

JUST WHAT THE DOCTOR ORDERED


HM

healthy SOUL

Keepsakes The late Mack Craig used to tell the story of a man he knew named Harry. Harry was an elderly gentleman when they got acquainted. His family had emigrated to the United States from Russia in the early twentieth century to escape the persecution being meted out to the Jewish population there.

Life ultimately reduces to those we have loved and who have loved us. And all of us want to feel good about what we’ve done with the time God gives us to spend on Planet Earth.

Harry enjoyed conversation and he came to trust Mack. One day he asked a favor. “I need somebody to go through my things with me,” he said. Their paths crossed with some frequency and the request was made again and again. Having put Harry off as long as he could about a task he didn’t really want to perform, Dr. Craig finally agreed to help. So he went to Harry’s place with a secret fear that he might be in for hours of sorting through countless keepsakes accumulated over more than eight decades of living. So he was taken aback when Harry brought out a single shoebox. In the box were the following items: a picture of Harry’s mother, his former wife’s death certificate, two picture postcards written to Harry by a cousin over 30 years before and two yellowed newspaper clippings about projects that involved work done by Harry’s building demolition company.

By Rubel Shelly

No gold or precious stones. No stock certificates. No award certificates or diplomas. Just simple mementos of life as Harry had experienced it. So what are you putting in your shoe box? Oh, maybe you don’t actually have one. Perhaps you use a desk drawer or scrapbook. Or maybe you’re just filing some things away in your heart. But you know what goes there. Though no one else would regard them as treasures, they are the keepsakes of your life. An old cigar box that I got from my Dad’s store has Santa letters from our children, hand-made birthday coupons from my son, a photo of my parents’ grave and a recent note from my daughter. They have no value to anyone else. But you don’t want to get me started on how important they are to me. Harry’s shoebox told the essential facts. Life ultimately reduces to those we have loved and who have loved us. And all of us want to feel good about what we’ve done with the time God gives us to spend on Planet Earth. It’s hard to value things properly when you’re caught up in the hustle and bustle of the daily grind. As you go about your duties this week, think about Harry. Let his story remind you what ultimately will matter most about your life.

Try always to let what matters most in a well-lived life matter most to you.

18

APRIL 2013


AD PAGE

healthy valley

MIAMI

1430 S. Dixie Highway, Unit 315, Coral Gables, FL 33146 | PH 305-395-4554 | www.HealthyMagazine.com


HM HV

HEALTHY healthy body

Jackson’s CEO

Carlos Migoya Just What the Doctor Ordered By Charlotte Libov

The typical path for the head of a healthcare system is rising up through the ranks, but this was not the case for Carlos Migoya. For Migoya, the opportunity to head Jackson Health System, the nation’s third largest public healthcare system, was not only atypical, it was unexpected. Migoya was a retired banker without any healthcare experience when he assumed the post of President and CEO of Jackson Health System. It turns out, though, that he was just what this financially ailing institution needed.

20

APRIL 2013


“I was a banker for 40 years and when I retired in 2009, I thought I wasn’t going to do anything but I quickly got tired of that,” he said. Indeed, retirement was not in Migoya’s future. Instead, he now oversees Jackson Health System, the largest healthcare system in South Florida and one of the largest in the country. When Migoya started with Jackson, the company was facing a $415 million deficit, so steep that the possibility of shutting down two of its five hospitals had been discussed. “I knew I did not want to be involved in the political forefront, but, at the same time, the situation was in pretty bad shape here and I thought turning around Jackson would be the biggest legacy I could leave,” said Migoya. Indeed, Migoya knows the importance of Jackson to the community because he’s rooted in Miami as well, having come here from Cuba at the age of 11. After graduating from Florida International University, he became a banker at Miami-based Southeast Banking Corp. He retired in 2009 from Wachovia where his leadership positions included regional president for North Carolina, CEO of the Atlantic and New York regions, and regional president for South Florida. Retirement was brief, though, because newly elected Miami Mayor Carlos Regalado tapped Migoya to become city manager and the former banker turned out to be the perfect choice. “I got my first experience in the public sector running the City of Miami, which I did for 10 months, and we had a similar percentagesized deficit there. We had an $80-million deficit on a $500-million budget, which was about 20 percent of the city’s budget, and we turned that around in 10 months,” Migoya said. As city manager, Migoya immediately assembled a stellar team, starting with COO Don Steigman who had served as senior vice president of Tenet Healthsystem Corp., one of the world’s largest healthcare delivery systems, and chief strategy officer Donn Szaro. Szaro, who had formerly been the chief healthcare partner for Ernst and Young, tragically passed away in spring 2012. The three had known each other from United Way. Dealing with the City of Miami’s budget crisis turned out to be perfect rehearsal for Jackson, but Migoya knew that reining in the health system’s spending would be painful, as layoffs were the prescription. Migoya was faced with cutting about 1,200 positions. While Jackson had faced layoffs under the prior administration, there was more opportunity to right-size the system and staff, but staff morale was skittish. “Jackson hadn’t had substantial layoffs for many years, even though patient volume had declined. We knew we had too many people, but instead of doing an across-the-board cut, we went to the managers and we told them ‘analyze every department and make cuts you know will work.’ Many times, when you do staff

reductions from the top down, they don’t get implemented very well, and so you get even more problems. We went from the bottom up. So that actually worked well,” he said. In addition, Migoya made sure that there was a lot of communication with the staff and made sure that those who were staying knew how much they were needed. “Reducing staff is not a pleasant thing to do—it never is. But we looked at it from a stand point of not focusing on the people that we had to let go but how we would survive with the 9,600 people remaining,” he said. In addition, he made sure that patient care remained untouched. “We wanted to make sure that patient safety was at the forefront, so the high standards that Jackson had was maintained and our ratios are better than in most of the country anyway,” stated Migoya. Although the hospital is now in the black, this does not mean that Migoya and his team’s challenges are over. The healthcare landscape is changing, belts that have already been tightened are bound for more clinching and large public health systems, like Jackson, are in for more squeezing, he notes. “We get 35 percent of our business from Medicaid patients, and the federal government and the State of Florida is looking to reduce Medicaid expenditures, so what we need to do is continue to make sure that we cater to Medicaid business but we also need to make sure that we become an attractive choice for Medicare as well as the commercial healthcare insurers,” he said. This means changing the perception that Jackson is only a public healthcare system, charged with serving the indigent. It is important to underscore the superior healthcare services that have given it a superior reputation in numerous areas, especially through its partnership with the University of Miami Miller School of Medicine. In fact, Jackson won accolades including the U.S. News & World Report ranking UM/Jackson Memorial #1 in MiamiFort Lauderdale for 2011-2012. The medical center is currently ranked #2. Ryder Trauma Center is the only trauma station in the nation chosen by the U.S. Army for military surgical training; Holtz Children’s Hospital is continually recognized as a leader in neonatal care; and more than half of the country’s multi-organ transplants are done at Jackson Memorial Hospital through the Miami Transplant Institute, a collaboration between Jackson and the University of Miami. “Jackson is still the largest health system in Miami-Dade County and the mission of Jackson is to make sure that we have the best quality of healthcare for all of our residents, whether they can afford it or not. That is our mission,” Migoya said, adding, “We are not a hospital for the poor and we are not a hospital for the rich; we are a hospital for everyone.”

HEALTHY MIAMI

21


AD PAGE


FITNESS &

Beauty

hm

24. ENDERMOLOGY


Alternative

medicine

hm 28.

STEM CELL THERAPY

30.

CURE YOUR ILLNESS WITH A TOUCH


HM

ALTERNATIVE

a successful option. The clear advantages for the use of autologous stem cells are many. Below we mention some of the most important: 1.

Rejection of transplanted cells, or graft-versus-host disease, is not present and for this reason donorrecipient matching is not necessary. 2. Using adult stem cells overcomes the ethical concerns raised by the use of human embryonic tissues. 3. Adult stem cells do not pose the risk of stem-cellinduced tumorigenic abnormal replication that has been reported in some cases with embryonic cells. 4. Self-harvested products do not bear the possible transfer of viral infections, drug induced disease or any other blood borne complication. Research around the world regarding the efficacy of Adult Autologous Stem Cells in the management of multiple health issues that affect our modern day population has led to a new and promising modality for the treatment of our patients.

By Rodrigo Rodriguez, M.D.

Harvesting stem cells from the same individual not only makes sense but has turned this form of therapy into a major tool. Chronic degenerative disease, the plague of our time, kills 68% of the industrialized world population and here is where stem cell therapy can deliver the most promising results.

STEM CELL

THERAPY

Most of the published scientific information draws attention to the importance of a favorable milieu for both the donor and recipient. Proper management of the recipient in a process called “Pre-Condition� can influence the survival and success of injected stem cells. Nutritional support and lack of toxins also enhance the ability of the stem cell enriched product to engraft.

STEM CELLS: A NATURAL GIFT THAT PROVIDES LIFE Stem Cells are one of the finest, most wonderful gifts of life, allowing our bodies to renew themselves all the time. Stem Cell based repair in the 21st century will offer new hope for patients world-wide who otherwise would suffer from the relentless progression of disease.

Transplanted cells show anti-inflammatory and immune modulatory activity, which can regulate the immune system as well as suppress abnormal immune reactions. They can also differentiate into different tissue phenotypes depending on the local biochemical signals.

Research and new techniques have made it possible to harvest stem cells for auto transplantation without inducing differentiation or loss of potency. These findings have opened vast possibilities for auto-grafting, also known as Adult Autologous Stem Cells. These are harvested from the same individual, processed and prepared to be re-administered, in most cases intravenously, back to the same patient. In this procedure, donor and recipient are the same person.

All of this research endorses once more the belief and philosophy that, for over three decades, has been the foundation of IBC Hospital and Health Center in the management of disease. An individual who has been properly nourished and sustained will have a better capacity to migrate from disease to healing to optimum health.

Autologous Stem Cells brought within clinical reach the advantages of this modality and many obstacles previously found were circumvented with self-harvested stems cells as

To learn more exciting information about Stem Cells and Stem Cell Research, go to www.healthymagazine.com.

> Rodrigo Rodriguez, M.D.

28

MARCH 2013

Dr. Rodrigo Rodriguez, Medical director and cofounder of International Bio Care Hospital and Medical Center, is an internationally acclaimed and widely respected physician with a succesful academic career, and many research papers, symposia and conferences in his curriculum. PH. 1-800-701-7345 dr.rodriguez@biocarehospital.com www.biocarehospital.com


HM

ALTERNATIVE

Cure Your Illness with a Touch By Humberto Sotomayor In today’s hectic world it’s hard to find time to unwind and relax. It is way too easy to get stressed out. It can become a domino effect, and the next thing you know you’re depressed and/or physically sick. This is where positive energy comes into play. The power of positive thinking can work wonders on the mind and body. For instance, if you want to change something about yourself, the chances of succeeding are slim to none if you focus on only the negative. On the flip side, if you fill your mind with positive thoughts, positive things will come your way. Reconnective Healing is like positive vibrations on steroids. Whether or not you personally believe in the comprehensive healing approach that transcends all rituals, the fact that it has healed over 75,000 people around the world simply cannot be denied. Reconnective Healing is a term coined by Dr. Eric Pearl after he realized that he had a healing ability that lay in his hands. Dr. Pearl was running a successful chiropractic center when he realized his special gift of healing people with no medicine, no surgery and the ability to cure illnesses without even touching the patient. Have you ever seen one of those TV shows where a pastor “heals” someone in the audience live on TV? They are masters of healing and masters of embracing positive vibrations. Along with embracing positive vibrations comes a new lifestyle. Once you experience positive vibrations and how good they make you feel, you will want to learn as much as you can about vibrations to really take it to the next level. A good way to start the experience is by eliminating negativity from your daily life.

30

APRIL 2013

A few ways to embrace positivity in your life include: 1. Expect nothing in return – Do good and do it from the heart. Don’t do something good and expect something in return. Often times when you do a good deed and expect nothing, you get something! It’s the positive vibrations and karma that are in play. 2. Meditate – You don’t have to go into full on meditation mode, but simply taking a few moments each day to relax your mind can work wonders. Ridding your mind of any negative thoughts gives you more room to fill it with positive ones! 3. Stay Focused – Stay focused on your new lifestyle of positivity. Don’t let other people’s negativity effect you. The truth is that everyone has this healing ability deep inside their soul. It’s just a matter of learning how to access it and then putting it into practice, healing people without even having to touch them. Dr. Pearl is an expert in the field of positive vibrations and according to several sources he has even helped people with cerebral palsy, cancer and epilepsy. His magnificent programs also teach people how to access their inner core and learn how to heal themselves. The Reconnection is a world class concept spear-headed by Dr. Pearl and is a global model with over 12 unique programs and mentorships. The power of truth can be amazing. I urge you to spend a minute or two to take a look at some of these interviews of real people at http://www.thereconnection.com/testimonials/. The healing powers of positive vibrations have been studied by scientists for hundreds of years and it is a fact that positive vibrations will help you mind, body and soul!


HEALTHY MIAMI is a free publication. It’s a community magazine with the purpose of providing information to improve and accomplish a healthier lifestyle. If you are interested in receiving this magazine at home, please fill out the enclosed questionnaire and mail it, along with a check for $25.75 to cover the yearly cost of shipping.

1SUBSCRIPTION YEAR

12 MAGAZINES

* The information you provide is confidential and HEALTHY MIAMI does not sell or share any information with 3rd parties.

Name Last Name Email

1/2 PAGE (NO BLEED) 7.5” x 4.75”

Address City State Zip Code Phone Number

Healthy Miami | 1430 South DIxie Hwy, suite 315 | Coral Gables, Fl 33146 | PH 305-395-4554


HM

NUTRITION

CALORIC

DENSITY By Carolina Martinez

Most of the time, we don’t realize the caloric value of what we are eating because we are often misled by sizes or portions. Watching out for the caloric density of our food is a good habit in order to keep us under real control. The caloric density of a food is the number of calories contained in 1 gram of that food. The trick is to eat low calorie-dense foods in higher amounts and high calorie-dense foods in lower ones. We know that vegetables, fruits, grains and lean meats are usually healthy food choices, thus must contain fewer calories per gram, but there are exceptions to every rule and this also applies in reverse: there are high caloric density foods that are actually healthy for us. Foods that are low in caloric density tend to be high in water and low in fat, for example, fruits, vegetables, low fat dairy products, clear soups and lean meat. You can have 50 grams of strawberries or a bite of a doughnut. This means that under the caloric density principle, you get to eat higher amounts of food that will be more filling. In general, researchers categorize foods by caloric density as follows: • Very Low Caloric Density = less than 0.6 • Low to Moderate Caloric Density = 0.6 to 1.5 • Moderate to High Caloric Density = 1.6 to 3.9 • Very High Caloric Density = 4.0 and up

32

APRIL 2013

Here are the caloric density values of some common foods so you can get an idea of which foods are better for you: •

• • • • • • •

Apple: 100 grams of apple contain 52 calories. This means that one gram of apple contains 0.52 calories. Therefore, the caloric density (CD) of an apple is 0.52. Green Beans: 0.35 Brown Rice: 1.2 Bacon: 5.56 Salami: 4.2 Cake with Chocolate Frosting: 3.79 Potato Chips: 5.31 (a baked potato, on the other hand, has a CD of 0.76) Spinach: 0.23

Nuts have a high caloric density because they are high in fat, but because they have nutrients that are good for us, they are still recommended in small portions. The same is true for oatmeal, avocado and dark chocolate. Also consider foods that are high in fiber and protein because they will keep you full longer. Eating smart, not eating less, may be the key to losing weight! ------------------------------------------------------------------------------------------------Carolina Martinez Certified Health Coach, Institute for Integrative Nutrition cmartinez@healthyvalleyonline.com


EAT

Healthy Fresh Local

hm

32.

CALORIC DENSITY

34.

PEPPER CRUSTED TUNA ON KIWI SAUCE


HM

RECIPE

Pepper

CRUSTED TUNA On Kiwi Sauce INGREDIENTS •

Tuna Fish

2. Pepper: White & Pink, Little of Black

Sea Salt

FOR THE SAUCE:

Photo: Fabiola Peñaloza www.Fabiolapenaloza.com

Kiwis

Sherry

Sugar

Sea Salt

By Arnaldo Del Valle

I always cook for the people I love: my family and my friends. This time I have this great opportunity to share all I have learned with the HEALTHY MIAMI MAGAZINE readers. First, I would like you to know that I simply enjoy cooking, I am not a professional, and that all my recipes have credits to someone or some restaurant. PEPPER CRUSTED TUNA ON KIWI SAUCE. I tried something similar at Romeos Café in Coral Gables, Miami.

INSTRUCTIONS Quantity in this particular recipe is not that important, with your sight and taste you can tell how much you need and the amount of spice you like.

THE FISH First, crush enough pepper to cover the piece of tuna fish you have selected. Put it in a long a plate as big as the fish is. Season the tuna fish with the salt, then roll it into the pepper. Preferably use a cast iron pan; if you don´t have one you can use your regular pan. The secret is to heat the pan enough before laying the tuna on it. You want the pepper to be burnt and the tuna to be medium well. If you leave it 1 minute on each side, you will get a medium well tuna.

FOR THE SAUCE Peel the two kiwis and cut it as fine as possible. Place it in a frying pan with enough sugar to cover it. Heat it for 4 minutes, and then add two shots of sherry. Let it simmer for 5 more minutes and rest for 10 to 15 minutes, then blend it. You will have a nice kiwi sauce. Cook with passion and love and you will find a therapy while cooking.

34

APRIL 2013


AD PAGE


CALENDAR

hm

COMMUNITY EVENTS APRIL 6

MAY 17 – 19

The English Center Health Fair 10:00am – 3:00pm The English Center, Miami

Level I/II Seminar: Reconnective Healing 9:30am – 6:30pm Presented by Eric Pearl and The Reconnection Teaching Team Hyatt Regency Miami 400 South East Second Ave., Miami Fee: $657 Presented in English. Simultaneous Interpretation in Spanish

APRIL 8 How Is Your Gut Feeling? 9:00am – 10:30am How nutrition applies to the special needs population Kendal Speech and Language Center For more information and to RSVP, call (305) 274-7883 APRIL 14 Prenatal Plus Yoga 11:00am – 4:00pm Miami’s Specialty Center for Pregnancy, Birth & Beyond For more information, call (305) 498-6722. MAY 16 Introduction to Reconnective Kids 5:30pm Presented by Joan Fowler & Cecilia Samms Hyatt Regency Miami 400 South East Second Ave., Miami For more information, contact Annette Diaz at annette@annettediaz.com or 305-720-8348, Beth Major at Miami2013seminar@gmail.com or 407-687-3238 or Tatiana Petrovich at tatianapetrovich@gmail.com. Introduction to Reconnective Animals 7:00pm Service and Therapy dogs welcome. Presented by Renee Coltson Hyatt Regency Miami 400 South East Second Ave., Miami For more information, contact Annette Diaz at annette@annettediaz.com or 305-720-8348, Beth Major at Miami2013seminar@gmail.com or 407-687-3238 or Tatiana Petrovich at tatianapetrovich@gmail.com. MAY 17 7:00pm The Essence of Healing Presented by Eric Pearl and The Reconnection Teaching Team Hyatt Regency Miami 400 South East Second Ave., Miami Fee: $18 Presented in English. Simultaneous Interpretation in Spanish

APRIL 18 Explore the New Frequencies of Healing: Heal Others, Heal Yourself 7:00pm Presented by Pat Atanas Aging Younger Anti Aging Clinic 7134 W. McNab Rd., Tamarac (Miami/Ft. Lauderdale) Suggested donation: $9 For more information, contact Stephanie Tippie at StephanieTippie@att.net or 954-718-2365. APRIL 20 Health & Wellness Fair 10:00am – 2:00pm Seraphim Adult Day Center, Miami For more information, call (305) 244-0971. Take Steps Walk 2013 4:00pm Sponsored by The Crohn’s & Colitis Foundation of America Tropical Park, Miami For more information, call (561) 218-2929. “Lawyers on the Run” 5K for all ages 7:00am Presented by City National Bank Tropical Park, Miami For more information, lawyersontherun.org/. APRIL 24 Alzheimer’s Association Memory Screening 1:00pm – 4:00pm Miami Jewish Health Systems, Miami For more information and to pre-registration, call Sarina Salama at (800) 272-3900. APRIL 27 Seitlin Corporate Warriors Challenge 7:00am Tropical Park, Miami This wellness event invites companies and their employees to get out of the office and onto the field to face-off. For more information, call (516) 558-3739


hm

EVENTS

University of Miami’s Week of Well-Being The University of Miami kicked off its Week of Well-Being with the help of Miami celebrity chef Michelle Bernstein. Chef Bernstein gave a healthy cooking demonstration on the Miller School campus and shared some great tips for the home chef as well as her recipes for creamy wheat berry risotto and crispy pan-sautéed yellowtail with a fennel-laced gazpacho sauce.

Golf Classic Benefits Transplant Foundation, Inc. The Erik Compton Golf Classic to benefit Transplant Foundation, Inc. took place at the beautiful Dearing Bay Yacht and Country Club on March 12. Thirtysix four-person teams and some of the game’s greatest players Rickie Fowler and Kyle Stanley participated. More than $100,000 was raised to help the foundation provide patient services, organ donor education and research regarding organ transplantation.

38

APRIL 2013


AD PAGE



Miami April 2013