by Colleen D. Symanski, RN, Certified Diabetes Care and Education Specialist
Why Honey Doesn’t Spoil
Honey is unique among foods because it really doesn’t have an expiration date. Archaeological findings have shown that honey found in ancient tombs, over 3,000 years old, was still edible, demonstrating remarkable longevity. Listed below are the main reasons why honey does not spoil.
Low Moisture Content
• Honey has a very low water content, typically around 17%. This low moisture level makes it difficult for bacteria and fungi to grow.
• The water activity in honey is about 0.6, which is below the threshold (0.75) needed for most microorganisms to thrive.
High Acidity
• Honey is acidic, with a pH around 4. This acidity creates an environment that is hostile to many bacteria and pathogens.
• The presence of organic acids, such as gluconic acid, contributes to its antibacterial properties.
Natural Antimicrobial Properties
• Bees add enzymes to honey that produce hydrogen peroxide, a natural antiseptic. This further inhibits microbial growth.
• The combination of low moisture, high acidity, and natural preservatives makes honey resistant to spoilage.
Please note: Honey can ferment and spoil especially if exposed to moisture; and really should not be eaten or used to treat wounds. Honey should not be given to children under the age of 1 year.
The best way to store honey is to keep it in a cool dry place in an airtight container, preferably in a glass or high grade plastic container. Because of its high acid content it should not be stored in metal containers.
Thank you honey bees!
Thank you also to Apiarists -
Expanding Neurological Care at Cleveland Clinic Indian River Hospital
Meet Christopher Deline, MD, the new Site Director of the Neurological Institute at Cleveland Clinic Indian River Hospital See page 8
Heartbeat of the Treasure Coast is published by Indian River Publishers, Inc. (772) 473-6107, FAX (772) 242-9969. Every effort is made to provide dependable data; however, the publisher does not warrant that the data herein is complete or accurate. Any rates, special offers, etc. are subject to change by the individual advertisers and are not guaranteed by Indian River Publishers, Inc. The information contained in Heartbeat of the Treasure Coast is believed to be accurate, but in some instances, may represent opinion or judgment. The digest providers do not guarantee the accuracy or completeness of any of the information and shall not be liable for any loss or damage caused, directly or indirectly, by or from the information. All information should be considered a supplement to and not a substitute for the care provided by a licensed health care provider or any other appropriate expert. The appearance of advertising in this digest should in no way be interpreted as
endorsement by the digest providers or publisher.
Senior Resource Association Reduces Hunger and Improves the Health of Thousands of Seniors Every Year
Senior Resource Association’s (SRA) Meals on Wheels program urgently needs volunteer drivers to help deliver nutritious meals to local seniors.
During summer months, when many seasonal volunteers leave town, the program faces a critical shortage of drivers.
“Every day, hundreds of seniors in our community are waiting for the nourishment and reassurance that a meal delivery brings,” says Karen Deigl, SRA President and CEO. “We have the meals—we just need more helping hands to get them to the people who rely on them.”
Meals on Wheels routes take less than two hours to complete between 10 a.m. and 2 p.m., Monday through Friday. Volunteers can choose their day and frequency, delivering once a week, once a month, or multiple days per week.
Deliveries are mapped for efficiency, and a user-friendly smartphone app provides directions and delivery details. Volunteers receive hot and cold food storage bags, identification materials, and vehicle magnets to ensure smooth delivery. Background screenings are required.
“The need for meal support among seniors has never been greater,” says Deigl. “We’re grateful for our supporters, and now we need volunteers to help us get more meals to those who depend on them.”
To become a Meals on Wheels volunteer or to support SRA in another capacity, please call 772.569.0760 or email info@sramail.org.
772.569.0760
VERO BEACH: 694 14th Street
SEBASTIAN: 815 Davis Street
SeniorResourceAssociation.org
Heartbeat of Indian River County is a locally-owned publication.
OWNER/PUBLISHER
Cindy Bryant
DESIGN
Mike Renfro
EDITOR
Colleen D. Symanski, RN, CDCES
SPECIAL FEATURE WRITERS
Theresa Tolle, R.PH
Peggy Cunnigham, CEO
Alzheimers & Parkinsons Assoc. of I.R. Co.
For sponsor rates and information, Call (772) 473-6107 or Fax (772) 242-9969
Seek. Find. Win.
Find these 5 symbols hidden in this issue and 3 LUCKY random drawing winners will receive $10 GAS GIFT CARDS.
Email your results to cindy@indianriverpublishers.com
Are you a person who likes to make people feel noticed?
Then you know what a “SMILE” can do for someone, as well as yourself. It means you took time to observe them. It could be at the grocery store, in a bank teller line, picking up an order or even putting gasoline in our cars. Wherever people are at. A “SMILE” is a simple and cost-free gesture that benefits both the giver and receiver. You will feel better about yourself.
A “SMILE” represents kindness and acknowledgement. Especially if it is someone we don’t know. They could have been having a tough day, suffering from sadness or worthlessness. Your “SMILE” can make a difference.
Why do I speak of this subject a lot in my Welcome message? Well, if you watch people you can recognize it without speaking. Many people are sad and suffering inside themself.
Sharing your care and happiness with a “SMILE” is contagious so why not pass it along. You may be that person some time.
Expanding Neurological Care at Cleveland Clinic Indian River Hospital
Adults over the age of 65 make up a significant portion of Indian River County’s population. They are a key driver of the region’s growth and demand for high caliber neurological care.
Many common neurological conditions are age-related and can impact cognitive function, movement and overall health. These include stroke, dementia, epilepsy, migraine headaches, peripheral neuropathy and Parkinson’s disease, among others.
The highly skilled specialists at Cleveland Clinic Indian River Hospital care for many patients with these often debilitating diseases. Unfortunately, population growth along the Treasure Coast is outpacing the area’s physicians, including those providing neurological care.
According to Christopher Deline, MD, Site Director of the Neurological Institute at Cleveland Clinic Indian River Hospital, “The region has been underserved for several years, so there is no shortage of patients. That’s why Cleveland Clinic is focused on advancing the scope of neurological services available and expanding access to care.”
Fellowship-trained and board-certified in both neurology and vascular neurology, Dr. Deline provides a deep expertise in the diagnosis and treatment of neurological conditions with subspecialization in cerebrovascular disease. He joined Cleveland Clinic earlier this year and is tasked with leading efforts to improve accessibility and patient outcomes, and to enhance support for the community.
Comprehensive neurological care
Dr. Deline oversees a neurological team that, including himself, consists of seven physicians and two advanced practice providers (APPs). Together they offer a full spectrum of care – from inpatient and outpatient neurology to neuro-diagnostics, neuro-interventional procedures and advanced neurosurgery.
Vicente Coelho, MD, a fellowship-trained neurosurgeon, is among the newest additions to the multidisciplinary team. “Dr. Coelho brings extensive training and experience in complex spinal and brain procedures to our team,” says Dr. Deline.
Dr. Coelho specializes in minimally invasive and endoscopic spine surgery, spinal tumor removal, kyphoplasty to treat vertebral compression fractures, and brain tumor surgery. He completed fellowships in neurosurgery and spine oncology at The Ohio State University and in minimally invasive spine surgery at Rush University Medical Center.
Christopher Deline, MD, oversees a neurological team that offers a full spectrum of care – from inpatient and outpatient neurology to neuro-diagnostics, neurointerventional procedures and advanced neurosurgery.
Working alongside Dr. Coelho is fellowship-trained and board-certified neurosurgeon Juan Uribe Villa, MD, who has been with Cleveland Clinic Indian River Hospital for over five years. Dr. Uribe specializes in functional and stereotactic neurosurgery, caring for patients with brain tumors, epilepsy, movement disorders and spinal conditions. Both neurosurgeons use advanced, image-guided surgical technology to enhance surgical planning and accuracy when caring for patients with intracranial conditions.
As a vascular neurologist who specializes in stroke care, Dr. Deline collaborates closely with the team’s two interventional neurosurgeons. Farah Fourcand, MD, Director of the Stroke Center at Cleveland Clinic Indian River Hospital, and Ryan Dahlgren, MD, Medical Director of Neuro Endovascular Surgery, use endovascular techniques to treat ischemic strokes, aneurysms and cerebral vascular malformations. This form of minimally invasive surgery is performed with catheters and other devices inserted into blood vessels.
Neurologists Anton Lotman, MD, and Dalwyn Sealy, MD, round out the team of physicians. They provide nonsurgical care for a wide array of neurological conditions, from migraines and peripheral neuropathy to memory disorders. The pair also offers expert electromyography and nerve conduction diagnostic services for patients with peripheral nerve and myopathic disorders, including individuals experiencing neuropathic pain from “pinched nerves.”
continued on page 40
Ever Wonder What those
Medical/HealthCare Abbreviation
Provider Abbreviations Description
AC Licensed Acupuncturist
APRN Advanced Practice Registered Nurse (AKA NP)
CDCES Certified Diabetes Care Education Specialist
CNA Certified Nurse Assistant
CNM Certified Nurse Midwife
C.PED, L. Ped, O.S.T
Certified Pedorthist
DC Doctor of Chiropractic
DDS Doctor of Dental Surgery
DMD Doctor of Dental Medicine or Doctor of Medical Dentistry)
DO Doctor of Osteopathic Medicine
DPM Doctor of Podiatric Medicine
DPH Doctor of Public Health
EMT Emergency Medical Technician
ENT Ear, Nose and Throat specialist
HHA Home Health Aide
GP General Practitioner
GYN Gynecologist
LCSW Licensed Clinical Social Worker
LMSW Licensed Master Social Worker
LPN Licensed Practical Nurse
MA Medical Assistant
MD Medical Doctor (aka Doctor of Medicine )
M.D, F.A.C.S FACS is an MD and a Fellow,
American College of Surgeons
MSW Medical Social Worker
NA Naturopathic Physician
MT Massage Therapist
OB/GYN Obstetrician and Gynecologist
OD Doctor of Optometry
OT Occupational Therapist
OTA Occupational Therapy Assistant
P.A. Physician’s Assistant (aka P.A.C)
Abbreviations Stand for?
Medical/HealthCare Abbreviation
Provider Abbreviations Description
PharmD or PhD. Doctor of Pharmacy
Psy.D Doctor of Psychology
PT Physical Therapist
PTA Physical Therapy Assistant
R.D. Registered Dietician (aka RDNRegistered Dietitian Nutritionist)
RN Registered Nurse
RPh Registered Pharmacist
RPT Registered Phlebotomy Technician
R.T. Respiratory Therapist
ST Speech Therapist
SW Social Worker
In addition to degrees and other certifications doctors can belong to professional or medical associations in order to do their job. A doctor with a fellowship means they are dedicated to furthering their education, research or overall contribution to medicine. Such as:
• FAAEM - Fellow of the American Academy of Emergency Medicine
• FAAFP - Fellow of the American Academy of Family Physicians
• FACC - Fellow of the American College of Cardiology
• FACE - Fellow of the American College of Endocrinology
• FACP - Fellow of the American College of Physicians
• FACS - Fellow of the American College of Surgeons
• FAHA - Fellow of the American Heart Association
• FAPA - Fellow of the American Psychiatric Association
• FFR - Fellow Faculty of Radiologists
Note: Physicians and other providers may be Board Certified (BC) which is an active credential that helps physicians and specialists advanced care. There are many BC specialties.
2300 5th Avenue Suite 150 Vero Beach, FL 32960
772.563.0505
Peggy Cunningham, Executive Director
Driving and Dementia
Remember that feeling of independence when you got your first driver’s license? Making your own decisions, getting where you want to go, without asking for a ride? That autonomy becomes taken for granted – until cognitive issues interfere. The nuanced progression of memory loss, slowed reaction time, confusion, and poor judgment increases the risk of accidents, making it crucial to assess when it’s time to stop driving. Yet, it often seems that having an end-of-life discussion is easier than the end-of-driving discussion!
A few topics for families to consider:
• Whose voice will be the most successful in this conversation – spouse, child, friend, sibling, doctor, pastor, or police?
• Will insurance cover a driver who holds a diagnosis indicating dementia?
• What alternatives can be set up to preserve mobility and dignity, i.e., driving service, community transportation, schedule for relatives “driver of the day”.
Ultimately, the goal is to balance the dignity of your loved one, along with personal and community safety concerns. The caregiver tools to use are compassion, reassurance and, perhaps, a touch of humor!
As always, the Alzheimer & Parkinson Association of IRC is here to help. Don’t hesitate to call us at 772-563-0505 for guidance.
e Dangers of Polypharmacy
by eresa Tolle, R.PH, Owner Bay Street Pharmacy
Although it is a term that you perhaps have never heard, polypharmacy is a serious problem in today’s society. With the aging of America, along with changes to our healthcare system, polypharmacy is a bigger problem than ever. Polypharmacy is de ned as the continued use of ve or more prescription medications and many of our senior adults fall into this category. Taking ve or more prescription medications is not necessarily a serious problem, however, there are many factors that can cause it to be a problem.
One of the biggest factors is that today’s healthcare system has a big focus on seeing specialists and, unfortunately, this can cause the prescribing of duplicate or interacting prescription medications. If a primary care prescriber is appropriately coordinating and overseeing these visits to specialists, this may not happen, but o en this oversight is not in place.
Another factor that can lead to problems is receiving medications from numerous sources. An example of this is getting chronic medications through mail order, lling “acute” or short-term medications through a local pharmacy, receiving samples from a prescriber for a new condition and lling one prescription outside of your insurance bene t at another pharmacy because the cash price is better. In this scenario, which, unfortunately, I see o en as a pharmacist, the patient has received medications from 4 di erent sources, yet there is no one healthcare provider who has oversight over all of these medications.
Although the de nition of polypharmacy is the use of multiple prescription medications, another problem that can exist is drug interactions with non-prescription medications. Some supplements and over the counter medications have similar mechanisms of action to prescription medications and therefore could have a duplicate e ect. A few examples are the supplement red yeast rice which helps lower cholesterol but is very similar to the statin class of prescription medications. Taking both could lead to muscle spasms and even drug-drug or drug-food interactions. Another example would be taking a supplement such as CBD for anxiety along with any number of prescription medications. CBD can cause additive side e ects with certain prescription medications and/or combined with alcohol and needs to be closely evaluated when it is started. e bottom line is if a supplement is strong enough to help you, it might be strong enough to hurt you.
A recent study in American Family Physician, entitled “Polypharmacy: Evaluating Risks and Deprescribing” outlines some of the negative consequences such as decreased quality of life, increased mobility issues, increased use of the healthcare system due to side e ects and others. And, while we think of our elderly as being the primary demographic who experience polypharmacy, and that is true due to changes in their metabolic status and multiple disease states, there are others who also experience polypharmacy such as those who have a mental health or pain diagnosis. e study in American Family Physician also focused on a concept called “deprescribing”, which is a systematic process to identify and discontinue medications in instances in which existing or potential harms outweigh potential bene ts within the context of an individual patient’s care goals, current level of functioning, life expectancy, values, and preferences. Deprescribing can be a helpful tool in reducing risks associated with polypharmacy.
As a pharmacist I encourage my patients to take an active role in their healthcare. A few things that you can do to help decrease concerns about polypharmacy are:
•Keep an updated list of all of your medications, including any nonprescription supplements that you take routinely. Take this list with you to all appointments and keep a current copy on hand in case of emergency.
•Ensure that your healthcare provider has reviewed your medication list before prescribing any new medications.
•If possible, ll all of your prescriptions at one pharmacy. If that is not possible, ensure that the pharmacist has a list of all of the medications and
Continued on page 35 take an active role in their healthcare. A few things that you can do to help
Disabled American Veterans Chapter 32 Expands Services to Vero Beach
The Disabled American Veterans (DAV) Chapter 32 released a press announcement that we want to share with you. The DAV has a collaboration with the West Palm Beach VA, led by Director Corey Price and Assistant Director Zach Orr, and Valor Healthcare Clinic Administrator, Ms. Koleen Keeney. This partnership aims to provide free VA claims assistance to eligible veterans, helping them access tax-free compensation and benefits.
The new location is the CBOC, VA Clinic, 372 17th Street, Vero Beach, FL. Services are available on Mondays, Wednesdays, and Fridays from 8:00 AM to 4:30 PM. The clinic will be closed on all federal holidays.
This collaboration is a testament to the commitment of Valor Healthcare and West Palm Beach VA officials to the local veteran community in both Vero Beach and Sebastian. These officials have been instrumental in advocating for a new VA Specialty Clinic, which is expected to open in Vero Beach in 2025. The clinic will significantly enhance the quality of care for all local veterans, marking a major milestone in community support.
The Commander Rodney Deflumeri of DAV Chapter 32 stated “We are honored to work alongside Valor Healthcare and the West Palm Beach VA to bring these essential services to our veterans,” The (Free) VA Claims assistance and the upcoming VA Specialty Clinic is a game-changer for all our local community veterans. Providing multiple options for VA claims assistance improves accessibility and reduces wait times for veterans filing claims. This initiative also serves as an opportunity for veterans not enrolled in the VA to connect with its services.
Veterans can schedule appointments by calling 772-299-4623. While walk-in appointments will be accepted when possible, scheduled appointments will take priority.
From left to right: DAV Chapter 32’s DSO Joel Hansen, DSO Wes Bergenholtz, Commander Rodney Deflumeri and Assistant Director of WPB VAHCS Zach Orr.
Emergency Preparedness Checklist:
For You & For Your Pet
“If you aren’t prepared for emergencies then neither are your pets. Both you and your pets need a plan that includes supplies, important contact and evacuation information. Preparing for your needs and theirs will help you and your pets to stay together, healthy and safe.”
Communication/Contacts
Key contact information for family, friends, colleagues, neighbors
Out-of-state contact
Nearest hospital
Medical group or physician
Important Documents
Important documents in a waterproof container
Personal identification
Social Security Card
Passport
Medical card and health information
Insurance information
Photo of household members
Inventory of valuable household items
Supplies
Water and food (3 day supply)
Medicines (if needed)
First aid kit/supplies
Special items (hearing aids, eye glasses, contacts, diapers, baby formula/food, wheelchair, canes, walkers)
Flashlight and radio
Cash and small bills
Personal hygiene items
Communication/Contacts
Key contact information for family, friends, colleagues, neighbors who can help with pet if you are not home
Pet-sitter
Nearest veterinarian
Veterinarian outside of your area
24 Hour animal hospital
Important Documents
Important documents in a waterproof container
Pet identification
Pet license/registration
Microchip information
Vaccination documents (especially rabies)
Medical records
Detailed information about special health needs (medicine, feeding schedule)
Recent picture with owner
List of your pets hiding places
Supplies
Water and food (one week supply)
Medicines (if needed)
First aid kit/supplies
Carrier or cage for each pet
Leash and muzzle
Bedding
Comfort items: toys, blankets, treats
Sanitation items: paper towels, newspaper, plastic trash bags, household bleach
2300 5th Ave., Ste 150 Vero Beach, FL 32960
772.563.0505
alzpark.org
Jane Pauley inspires sold-out audience at Successful Aging Luncheon to benefit Alzheimer & Parkinson Association
Emmy award-winning journalist and bestselling author Jane Pauley inspired a sold-out audience at the sixth annual Successful Aging Luncheon, hosted by the Alzheimer & Parkinson Association of Indian River County on April 9 at the Vero Beach Museum of Art. The event raised critical funds to support the nonprofit’s 40+ local programs and services— making it the organization’s most successful luncheon yet. Pauley joined TV anchor and talk show host Faith Daniels for a heartfelt Q&A, sharing stories from her groundbreaking career and personal journey. Attorney and philanthropist John Moore energized the crowd during a spirited live auction and paddle raise, while Nancy Bryant delivered a moving testimonial about the support her family received during her husband’s battle with Parkinson’s. A VIP reception was held the evening before in a private beachside home for major sponsors and board members.
Jane Pauley and Peggy Cunningham
Many of the volunteers who worked so hard to make the luncheon a success
Jim Keenan, Erin Keenan, Julia Keenan, Mary Kate DeFilippo, Nicole Williams and Jules McKinney
Faith Daniels and Jane Pauley
John Moore, Auctioneer
Committee Members Julia Keenan, Marilee Kishner, Nancy Rosner, Becky Allen, Sandy Rolf, Dana Larsen, Beth Livers, Jeanne Guttman, Sue Tompkins
Nancy Bryant
•Tier system of stylists - a stylist for every guests schedule and/or budget.
•6000 sq ft facility hosting the most talented stylists in the Treasure Coast.
•All stylists are advance color and cutting specialists.
•Haircut, blow dry, and style starting at $5800
•Manicures, Gel Manicures, and Pedicures!
•Massage: Swedish, Therapeutic, Deep, Sport, Hot stone and more!
•Electrology! Permanent hair removal for all hair types.
•100% Guaranteed experience.
•Voted Florida’s Best Salon 2023 and 2024
•Voted Best Salon of the Treasure Coast for 2024/2025
Advanced Motion Therapeutic Celebrates 25 Years of Healing and
Wellness
in Indian River County
For over two decades, Advanced Motion Therapeutic has been a cornerstone in the local healthcare community, helping individuals from all walks of life recover, thrive, and regain independence through expert Physical, Occupational, and Massage Therapy services. As the Clinic celebrates its 25th anniversary in Indian River County, its impact on the community is a testament to its commitment to providing high-quality care and personalized treatment plans.
A Legacy of Excellence
Founded in 2000, Advanced Motion Therapeutic began as a small clinic with a big vision: to provide comprehensive therapeutic services that would support patients in their journey toward better health. What started as a modest practice has grown into one of the most trusted multidisciplinary therapy centers in the area.
Led by a dedicated team of highly skilled professionals, including Homer Zambigadis (Clinical Director), Maria Zambigadis (Administrator), Lyndsay Marone (Director of Operations) and their team of licensed Physical Therapists, Occupational Therapists, and Massage Therapists; Advanced Motion Therapeutic has gained a reputation for offering innovative treatments in a warm, welcoming environment. Over the years, the Clinic has expanded its services and clientele, establishing itself as an integral part of the local community. “We
are so grateful for the trust that our community has placed in us over the last 25 years,” says Homer Zambigadis, the clinic’s founder. “It’s been a privilege to be part of so many individuals’ journeys toward recovery. We look forward to continuing to provide exceptional care and support for years to come.
Comprehensive Services for All Ages
Advanced Motion Therapeutic offers a wide range of services designed to address a variety of physical and rehabilitative needs:
• Physical Therapy: Whether recovering from surgery, injury, or chronic conditions, the clinic provides individualized rehabilitation plans to help restore mobility, strength, and function. The team specializes in a variety of programs, from Anodyne Therapy, Vestibular Therapy, Graston Technique, musculoskeletal disorders and neurological rehabilitation.
• Occupational Therapy: Focused on improving daily functioning, Occupational Therapy at Advanced Motion Therapeutic empowers patients to regain independence by enhancing their ability to perform routine tasks. This includes therapies for cognitive and motor skills, lymphedema therapy, hand therapy and pediatric therapy.
• Massage Therapy: Offering therapeutic massage for pain relief, relaxation, and stress reduction, Advanced Motion Therapeutic integrates massage into many of their rehabilitation plans, promoting both physical healing and mental wellness.
Community-Centered Care
The Clinic’s success over the past 25 years has been grounded in its communitycentered philosophy. At the heart of Advanced Motion Therapeutic’s approach is a deep understanding of the unique needs of each patient. The team works closely with local physicians, schools, and nonprofit organizations to provide a holistic approach to healthcare that goes beyond simply treating the symptoms.
Patients often cite the Clinic’s compassionate, individualized care as a key factor in their positive recovery experiences. Whether it’s a young athlete recovering from an injury, an adult managing chronic pain, or a senior regaining mobility after surgery, the staff’s dedication to tailoring treatments to each patient’s specific goals has made a lasting impact.
Make a Date with a Friend and Attend!
Spend some quality and enjoyable time with a friend or a family member and at the same time benefit a local non-profit that supports women! How cool would that be? Well, the Woman’s Refuge of Vero Beach has two upcoming events. They are very welcoming and enthusiastic about serving the community for the last 27 years.
The Women’s Refuge offers a Christian live-in program for women, a biblical counseling center for individuals, marriages, and families, and support groups to heal the whole person. They also offer renewal weekends and more. Please visit their website at www.womensrefugevb.org/ for more information.
The first event is their 26th Annual Golf Tournament being held on Monday, September 22, 2025, at the Vero Beach Country Club. Be ready for a 9 AM Shot Gun start with a Scramble Format. Many valuable prizes include Foursome Flight Prizes, and give-away drawings. Delicious lunch and desirable raffles following the tournament. Book your reservation at www.womensrefugevb.org/ Golf_Tournament/
The second event is their 8th Annual Christmas Banquet scheduled for Saturday, December 13, 2025, at the Oak Harbor Club. The food is fabulous, and blessings abound! Lively music by Riptide. For more information contact the main office on 772.770.4424.
Sponsorships are available for all of their events and it’s easy to donate by visiting their website at womensrefugevb.org. I recommend you RSVP soon to attend either or both as these popular events fill up fast.
MYTH OR FACT?
by Colleen D. Symanski, RN, Certified Diabetes Care and Education Specialist
Feeding your dog table scraps is healthy. After all, if it’s good for you, it’s good for your pet.
This is actually a myth, while the basic ingredients may appear healthy they often contain food and herbs that are toxic for our dogs. Please resist this temptation. Often there are some herbs and spices as well as food choices that are good for us as people are not good for our dogs. Things that we make or buy prepared such as meatloaf, chicken soup, roasted chicken are often seasoned within ingredients that are toxic. That shared burger or piece of steak- think again! Even some fruits that may be eaten as a side or mixed in a salad.
Common ingredients in human food that are not healthy for our pets are:
• Onions, garlic, chives, leeks.
• Xylitol and artificial sweeteners. Often found in ice creams and other desserts.
• Nuts, especially macadamias.
• Chocolate, coffee, or other products with caffeine.
• Grapes, raisins, or avocados.
• Cooked bones and chicken skin that you may have left over from soups.
• Kale. Many mushrooms.
• High sodium foods.
• Pumpkin meant for pies and the like.
• Spices such as capsaicin, Marjoram, Allspice, Bay leaves, cloves, nutmeg, curry powder, vanilla extract, chili powder.
Please consult your veterinarian always. Listed below are spices and foods that are typically safe for your dog. This information does not replace the vet’s advice. Your dog may have other allergies and those need to be included in foods to avoid.
• Rosemary, basil, parsley, dill, sage, ginger, turmeric.
• Carrots, celery, sweet potatoes, green beans, broccoli- all preferably cooked.
• Plain cooked pumpkin, seedless watermelon.
There are several companies that make quality dog food. Consult with your vet and pet store regarding options. Also enjoy cooking for your pet safely!
Dominiqe Struzinski, a former physical therapist at Encompass Health Rehabilitation Hospital of Treasure Coast, recently found herself on the other side of care. After a motorcycle accident, Struzinski faced immense challenges. Her legs could barely bend or lift, as they were both in braces. Her pain levels were high and difficult to manage, and light sensitivity forced her to wear sunglasses constantly. Struzinski required a substantial amount of assistance.
Despite these hurdles, Struzinski’s goal was clear: to reduce the burden of care on her family and regain her independence. Through determination and the focused care of the Encompass Health Treasure Coast team, Struzinski became independent with self-care tasks, plus transferring and moving around her wheelchair. Today, she is walking with an assistive device. She has returned to work as a physical therapist and desires to help people recover the way the Encompass Health Treasure Coast staff assisted in her recovery.
Rehabilitation Hospital of the Treasure Coast
Dominiqe Struzinski
Sjögren’s Disease Support and Resources
The Heartbeat of the Treasure Coast has featured multiple articles on Sjogren’s disease, and we get feedback from people wanting to know more. We want to share valuable support and resources available to you.
Let’s recap. Sjögren’s disease is a long term autoimmune disease. It is not easy to diagnosis or treat for various reasons. It primarily affects the lacrimal and salivary glands causing dry mouth, dry eyes, as well as other organs. Such as the kidneys, lungs, and nervous system. It is most common in women.
According to sjogrens.org: “About half of the time Sjögren’s occurs alone, and the other half it occurs in the presence of another autoimmune connective tissue disease such as Rheumatoid Arthritis, Lupus, or Scleroderma. A challenge with Sjögren’s is that it can mimic other conditions and diseases, giving it a higher chance to be overlooked or misdiagnosed.”
When you have receive a Sjogren’s diagnosis , listed below are two resources to access so you do not have to search the vast world of the internet.
• https://sjogrens.org/ Their website has amazing resources and information. Such as understanding the disease, survival tips, group support, products that help and so much more. Please visit this website! There is so much information that they provide.
• Another resource is https://sjogrens.org/researchers-providers/clinicalpractice-guidelines. This is meant for health care providers but is also useful for individuals living with Sjogren’s. It will help you keep up to date with treatment guidance and communication with healthcare providers.
Sjogren’s is complicated and affects each person differently. What may not have worked in the past has the potential to be helpful now. There are new treatments and tips available. Don’t give up! Save this article so you have the best resources and support information for living with Sjogren’s. You can also search past publications for articles. Visit www.indianriverpublishers.com/issues/.
Finding Community & Care Through DayAway: A Lifeline for Seniors and Their Families
Caregivers often face overwhelming challenges in supporting loved ones who can no longer be left home alone safely. Senior Resource Association’s DayAway Adult Enrichment and Respite program provides a compassionate, structured environment where individuals thrive and caregivers find muchneeded relief.
Many participants start by attending just one or two days a week, but often increase their days once they experience the engaging activities and expert care provided by licensed professionals.
A Place to Belong
DayAway serves adults with physical and cognitive challenges, offering enriching activities such as art classes, pet therapy, live music, dancing, exercise, and memory-supportive games. Attendees also receive nutritious, plated hot meals approved by a registered dietitian to meet a third of their daily dietary needs.
92-year-old Louise delights in Bingo and brain-teasing puzzles as part of DayAway’s enriching activities.
For Barry and his wife Jeanne, DayAway was life-changing. After suffering a major stroke in 2013, Barry could no longer stay home alone while Jeanne worked. “Barry attends four days a week, surrounded by compassionate staff and engaging activities,” Jeanne says. “It gives me peace of mind knowing he’s safe and cared for.”
Machiko found DayAway through a recommendation from a lawyer after her husband, Bob, was diagnosed with dementia. “I didn’t know what to do, but when I called, everything changed. This place saved my life,” she shares. Now, Bob spends his weekdays at DayAway, enjoying structured activities while receiving specialized care from licensed professionals. “Once in a while, I peek in and see him exercising, and I know he’s in good hands.”
Cheryl, the daughter of 92-year-old Louise, saw her mother’s daily routine transformed by the program. “Before, she just sat in a recliner all day. Now, she attends five days a week, and she loves it. The staff is kind and patient, and she gets to do so much more than she would at home.”
A fun group exercise with a ball keeps attendees active, promoting both physical and mental well-being while reducing the risk of chronic diseases and enhancing overall quality of life.
A Trusted and Licensed Program
Betty and Michael engage in a lively tictac-toe match, sharpening their problemsolving skills and stimulating their minds.
DayAway is the only center in Indian River County licensed by the Agency for Health Care Administration. The staff includes licensed practical nurses (LPNs) and certified nursing assistants (CNAs) trained in Alzheimer’s and dementia care. Nurses regularly monitor medications, blood pressure, weight, and blood sugar levels when requested by a physician.
Participants may qualify for transportation via Community Coach, ensuring accessibility for those in need.
Join the DayAway Family
DayAway offers two locations: Vero Beach and Sebastian, operating Monday through Friday from 7:30 a.m. to 5:30 p.m.For more information or to schedule a tour, contact:
Vero Beach: 772.569.0760 ext. 113 | 694 14th Street, Vero Beach, FL 32960
Sebastian: 772.569.0760 ext. 310 | 815 Davis St., Sebastian, FL 32958
772.569.0760
VERO BEACH: 694 14th Street
SEBASTIAN: 815 Davis Street
by Colleen D. Symanski, RN, Certified Diabetes Care and Education Specialist
A Good Night’s Sleep is Powerful
I like the room cold you like the room warm. You prefer the TV off and I like the TV on. We both snore but claim the other one keeps us up. I like a dark room; you like the night lights on. A firm mattress is better for you. I sleep better on a softer mattress. I sleep through the night, but you are up and down (which wakes me). The dog spoons with me but encroaches on your side. We even had an imaginary middle of the bed boundary line. Sleep apnea and Parkinson’s disease are also reasons for separate beds or rooms.
In our younger years we shared the same bed for love and conversation. We shared nurturing our newborns. Sleeping together was a given! Years later, we started out in the same bedroom and quietly move to the couch or to a different bedroom. Is this normal? A research study done in 2023 found that one fifth of couples sleep separately every night. According to the better sleep council “On average, one in three Americans report their bed partner has a negative impact on their own sleep.” Women are more likely than men to be sensitive to temperature setting.
Sleeping separately is also referred to as “sleep divorce.” What an awful term for a growing practice of happy aging couples as well as young couples who embrace their own space. Sleeping in separate rooms does not indicate a problem in the relationship. It can actually help. Younger couples are opting for separate sleeping. Some are opting for a home with two separate on-suites.
A good night’s sleep is powerful. You might find that you have more energy for tomorrow’s activities! Also quality of sleep impacts mental and physical well-being. The National Sleep Foundation has great resources and education on sleep. Visit their website at: https://www.thensf.org/sleep-health-topics/. It is aptly named: “Welcome to the Sleep Learning Zone®. Explore articles on various facets of sleep health, gain useful tips for improving your sleep health, and stay up to date on the latest education around sleep.”
Sweet dreams and sleep well!
Online Medical Directory for Vero Beach and Sebastian
supplements that you take and that they are reviewing that list when lling a new prescription. Additionally, ensuring that your allergy information is up to
Visit from anywhere at anytime.
• Ask questions! e healthcare team is considered a “triad” of the patient, prescriber and pharmacist. It is important to utilize each team member to ensure the best possible outcomes. And, sometimes, it is appropriate to discontinue a medication when initiating a new one, or even when a new one is not indicated, because the bene ts are not worth the risks of side e ects, long
VeroBeach.com is a proud digital partner of Indian River Publishers, Inc.
• e federal government has some great resources to review and allow for you to plan visits with your healthcare professionals. Visit this website to learn more. https://order.nia.nih.gov/publication/talking-with-your-doctor-aguide-for-older-adults
Working together we can all make a di erence in patient outcomes and quality of life.
References: American Family Physician: https://www.aafp.org/pubs/afp/issues/2019/0701/p32.html
Talking with Your Doctor: A Guide for Older Adults https://order.nia.nih.gov/publication/talking-with-your-doctor-aguide-for-older-adults
Senior Bulletin Board
enior Bulletin Board is a community oriented monthly newsletter published nine times a year, October through June.
Each month the publication contains listings of activities available to Seniors throughout Indian River County. Copies are available the first of the month at over 90 locations.
“Life’s most persistent and urgent question is ‘What are you doing for others?”– Martin Luther King Jr.
It takes a village to raise a child, as the proverb goes. And sometimes, it takes a village to plan a wedding. This was true for the nuptials of Luisa and Tom, which were made possible thanks to numerous Vero Beach vendors who generously donated their time, talent, and resources. Their combined efforts ensured that the lovely couple had the wedding of their dreams, which was much deserved considering that Luisa, a sweet young woman, has terminal cancer and is currently on hospice with the Visiting Nurse Association (VNA).
Despite facing this challenge, Luisa wanted more than anything to marry the love of her life, Tom. Thanks to Project Wish, which grants wishes to VNA Hospice patients and is a VNA & Hospice Foundation-supported project, Luisa’s dream came true on a beautiful March afternoon. Two shifts of VNA volunteers helped with various aspects of the wedding, including setup, decoration, service, and clean-up, showcasing the incredible community support for Luisa and Tom.
The wedding was held at the Garden Club of Indian River County, which generously donated its venue. Elaine Koziel, a member of the club, secured the space. “The Garden Club of Indian River County is committed to giving back to the community and was eager to provide a beautiful venue for this special occasion,” she said.
Elaine learned about the wedding from her daughter, Amy Koziel, the owner of Glittering Gatherings event planning, who coordinated the wedding gratis and did a fantastic job. “The wish itself was inspiration alone for me (to participate),” said Amy. “It resonated with me deeply. I felt compelled to add a bit of sparkle to this memorable day. Being part of something so special filled my heart.”
By all accounts she did an incredible job. The VNA Director of Volunteer Programs and Hidden Treasures, Sara Bumgarner, said she could not have
pulled off the event without Amy. “She took a few of the bride’s inspiration pictures and made the most beautiful, magical wedding. She donated all of the decorations, linens, etcetera,” said Sara. Amy also worked alongside her mother, Elaine, to create beautiful table arrangements.
Amy was introduced to the event through her friend, Tricia Crocco, a former VNA & Hospice Foundation employee and current volunteer. Tricia, renowned for her scrumptious cakes, was eager to lend her skills. “Project Wish has always resonated with me,” Tricia shared. “It’s so moving to be able to provide a patient and their family with something that will give them a memory that can last forever. I couldn’t even imagine what some of them are going through, so I guess anytime I can bring a smile to a patient’s face, it’s worth it. This wish in particular was just a moving story.”
Local florist, Always in Bloom, donated many beautiful items to help make the day extra special, including the bride’s bouquet; the groom’s and best man’s boutonnieres; the flower girl’s petals; and the maid of honor’s bouquet. The florist’s owner, Gary Snow, said he was was happy to provide everything, having had a few personal experiences with VNA Hospice, including his brother-inlaw who recently utilized it for his end-of-life care. “I’m from Orlando, but I’ve been here 32 years, and I think that the VNA Hospice is one of the best I’ve ever seen. And it doesn’t matter if you have fifty cents or $5,000,000; they treat everybody equally.”
The food was catered by Pepper & Salt BBQ free of charge, thanks to owner John Chianis, who has personal experience with hospice care through his grandfather. “The kindness and compassion I witnessed were unforgettable,” he said. “I owe them for how well they cared for my family during a very difficult time.”
Even the DJ, Bryan Vitta, of his eponymous Bryan Vitta Entertainment contributed to the wedding by offering a significant discount after hearing
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VNA Hospice Care
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Luisa and Tom’s story. “I was moved and felt it was a humbling experience to help make this couple’s wish come true,” said Bryan.
Photographer Karina Kistler, a friend of the VNA Volunteer Coordinator, Jenna Manfredi, traveled from Orlando to donate her time and skills. “I love capturing the special moments of people’s lives,” she said. “It’s a joy to be part of such a meaningful day.”
VNA Chaplain Mac Burberry also played a significant role in the wedding, helping the couple attain their marriage license and serving as the ceremony officiant. “It was inspiring to witness how the community came together,” he said.
Annie McFadden, owner of M’s Sweets & Treats, donated an incredible dessert spread, filled with lots of delectable treats. “When I learned about the couple’s story, I felt compelled to contribute. It was a deeply moving experience to witness the love and support from our community,” she said.
If you’d like to learn more about VNA Hospice and other VNA programs and services, please visit www.vnatc.com.
*For privacy reasons, the couple asked to remain anonymous.
Holistic Care at
At Sunshine Physical Therapy Clinic, we offer more than just physical rehabilitation — we provide a path to holistic wellness! Acupuncture can be a beneficial complementary service to promote healing and recovery. Our acupuncture therapy utilizes both modern research and traditional medicine to give patients ultimate care.
Acupuncture has been shown to help with a wide range of conditions, including but not limited to:
• Chronic and Acute pain
• Post Surgical Care
• Neurological Disorders (Stroke, Dementia, and Parkinson’s Disorder)
• Headaches, Migraines, and TMJ
• Anxiety, Depression, and Stress Management
• Insomnia and Sleep Disturbances
• Digestive Disorders
• Respiratory Support and Asthma
• Immune Support for Allergies and Autoimmune Care
• Women’s Health
Leading our acupuncture program is Karli King, a Licensed Acupuncturist with a passion for integrative care and healing. Karli tailors each session to the individual needs of her patients, considering the whole person in her approach to treatment. When recommended, Karli includes supplemental services to enhance the benefits of acupuncture alone. These may include Ear Seeds/Auricular Acupuncture, Food therapy and Dietary Suggestions, and Acu-injections. Homeopathic injections can be used as an alternative route for alleviating pain. In addition to homeopathic injections, we offer B-12 injections to reduce levels of fatigue.
Whether you’re recovering from injury or managing long-term conditions, acupuncture may be a great route on your alternative healing journey.
Relief doesn’t have to wait and you shouldn’t either!
Call now to speak with Karli about your needs and schedule a consultation and ask her for our specials!
Karli King, Licensed Acupuncturist
Neurological Care
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A focus on growth
“We have an outstanding team at Indian River Hospital and are focused on growing it as we strive to complement existing services and address the underserved neurological needs of the community,” states Dr. Deline. “We hope to increase our team by one-third by the end of the year.”
As part of the recruitment effort to bring more neurologists and pain management specialists to the area, the hospital will soon welcome a new neurohospitalist to the team who will care for patients admitted for acute stroke management, seizures and other neurological emergencies. “Adding to our team will allow greater access to specialty care and the expansion of outpatient neurological services, including at our center in Sebastian,” says Dr. Deline.
Cleveland Clinic Indian River Hospital is advancing the scope of neurological services available and expanding access to care.
Improvements are also underway across Cleveland Clinic in Florida to ensure follow-up appointments within 7 to 14 days of a hospitalization, which is known to enhance patient outcomes and reduce readmission rates.
“People simply do better when we can guide them back into their day-to-day life following a hospitalization,” asserts Dr. Deline. “It’s a continuation of the healing process and helps improve their recovery.”
He notes that patients who experience a stroke for the first time typically do not have a neurologist they see regularly and some even lack a primary care provider.
“We want to make sure these patients are being followed up in a timely manner to help prevent future strokes and to manage complications that can arise,” he explains. “Post-stroke migraines, epilepsy and spasticity are some of the neurological complications that can arise following a stroke. We refer patients to appropriate specialists, such as cardiologists or sleep medicine physicians, so that they can get the follow-up care they need.”
Telestroke service
In addition to growing the local team of specialists to improve access to neurological services, Indian River Hospital is also broadening the use of teleneurology services pioneered by Cleveland Clinic’s Neurological Institute in Ohio. “Cleveland Clinic has long promoted telemedicine as a means to connect patients and providers with subspecialty care, well before the COVID-19 pandemic made it an essential tool,” reports Dr. Deline.
Launched in 2011, Cleveland Clinic’s Telestroke Program provides immediate neurological care for acute strokes supported by Cleveland-based physicians who subspecialize in stroke care. The program helps healthcare facilities inside and outside the Cleveland Clinic system, including Indian River Hospital, provide round-the-clock access to expert care for acute stroke management in the emergency department and in the hospital.
“Time to treatment is a critical factor that can determine if and how a patient recovers from a stroke,” says Dr. Deline. “This collaboration ensures our patients receive immediate neurological care for acute strokes in the Emergency Department, no matter the time of day or night, with response times of less than five minutes.”
Indian River Hospital is one of the highest consulting hospitals of the Telestroke Program across the Cleveland Clinic enterprise. “I work hand-inhand with the telestroke neurologists and with our inpatient team. It’s a very collaborative environment,” he notes.
Enhanced epilepsy care
Earlier this year Cleveland Clinic enhanced epilepsy care at Indian River Hospital with the addition of telemedicine-supported electroencephalograms (EEGs) for measuring a brain’s electrical activity. EEGs are used to diagnose and monitor various neurological conditions, particularly epilepsy and other seizure disorders.
The new service provides portable 20-minute EEGs, read within an hour by an epileptologist – a neurologist who specializes in the treatment of epilepsy – as well as 24-hour EEG recordings via a bedside epilepsy monitoring unit. Both are made possible through a collaboration with Cleveland Clinic’s Epilepsy Center in Ohio, a prominent epilepsy treatment center with subspecialty experience implementing tele-epilepsy care.
“This service elevates our standard of care to align with those set by the International League Against Epilepsy, a level of care patients typically receive at larger academic institutes,” adds Dr. Deline.
Cognitive memory disorder clinic
Later in 2025 Cleveland Clinic also plans to open a Cognitive Memory Disorder Clinic at Indian River HosDr. Deline and his team provide essential acute care for patients having neurological emergencies, such as acute strokes, epileptic seizures and disease flare-ups.
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pital, offering multidisciplinary care with neurologists, neuropsychologists and social workers. It will include a combination of onsite and telemedicine services in collaboration with a highly experienced clinical neuropsychologist based at Cleveland Clinic Weston Hospital.
“This will be the first cognitive disorder clinic of its kind in Vero Beach and a valuable resource for the region’s aging population,” says Dr. Deline.
An estimated 12.5% of Floridians 65 and older – nearly 580,000 people –have Alzheimer’s disease, the most common form of dementia. It is a progressive brain disorder that causes memory loss, confusion, and other cognitive decline. Vascular dementia, often associated with recurrent stroke, is the second most common type of dementia.
“Providing comprehensive care for patients with cognitive disorders requires a team approach,” says Dr. Deline. “Cleveland Clinic is working to support the Indian River community in every way possible, whether it’s in person or over a telemedicine platform.”
Collaboration with community neurologists
According to Dr. Deline, another way Cleveland Clinic’s Neurological Institute supports patients is by collaborating with community neurologists.
“Indian River Hospital provides essential acute care for patients having neurological emergencies, such as acute strokes, epileptic seizures and disease flare-ups, which allows our colleagues in the community to focus on their outpatient clinics,” says Dr. Deline. “Patients receive the immediate hospitalization and care they need with us and then return to the outpatient setting where they can continue follow up with their community neurologist.”
This continuity of care is fostered through seamless communication between hospital teams and community neurologists. It helps maintain longterm relationships and effective treatment plans for patients. “We ensure patients receive coordinated care during emergencies and follow-up treatments,” adds Dr. Deline.
Keep Your Mind Active with our Sponsor Name Scramble
A Healthier Me
Advanced Motion Therapeutic
AP Volunteers Year
Anton Lotman MD
Bay Street Pharmacy
CCIRH
Christopher Deline MD
Dalwyn Sealy MD
Disabled American Veterans
Driving and Dementia
Encompass Health Hospital
Farah Fourcand MD
Guide to Medical Services
Health Alerts
Honey Bees
Jane Pauley Luncheon AP Assoc
Juan Uribe Villa MD
Mark Orlando MD
Medical Abbreviations
Myth Fact
Neurological Institute CCIRH
Perkins Medical Supply
Pet Preparedness
Ryan Dahlgren MD
Senior Resource Assoc
Sjogrens Update
Sleep Power
SRA Community Care
SRA Meals on Wheels
Sunshine Physical Therapy
Theresa Tolle RPh
True Colors Salon Spa
Vicente Coelho MD
VNA Doing for Others
Walk to Remember
Womens Refuge
2300 5th Ave., Ste 150 Vero Beach, FL 32960
772.563.0505
alzpark.org
At the Heart of Our Mission: Connection
At the Alzheimer & Parkinson Association of Indian River County, connection is at the core of everything we do—and our volunteers make that possible.
In May, we celebrated these everyday heroes at a special appreciation event hosted by Northern Trust. Congratulations to our 2025 Volunteers of the Year:
• Sandy Rolf – for leading our Successful Aging Luncheon to record-breaking success.
• Kenny Borchers – for driving momentum as Walk to Remember chair.
We also recognized Chris Runge with an Honorable Mention for his uplifting weekly Tango sessions. Volunteers are vital to our mission, and we’re always looking for more helping hands. Ready to make a difference? Visit alzpark.org or call 772-563-0505 to get involved.
Board Chair Bill Penney, Honorable Mention Awardee Chris Runge, Volunteers of the Year Sandy Rolf and Kenny Borchers, and Executive Director Peggy Cunningham
Pilot Club of the Treasure Coast volunteers Ester Rymer, Linda Gust, Tammy Bursick, Betsy Root, and Sue Schadt
Seated: Kenny Borchers, standing, clockwise from left: Terry Tillman, Lisa Harvey, Kamryn Stambaugh, and Georgia Dieusener
Eileen O’Donnell, Peggy Cunningham, and Nancy Bryant.
Sue and John Tompkins
Susan Elliot and Lee Kinsey
Rick Springer and Charles Brashears
Mary Orticelli and Linda Wells
