Inspire Health September/October 2021

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s women, we are in a constant state of self-care. We take our skin routines and upkeep in order, but what about cancer prevention? Lumps and bumps can make their appearance in a common cancerous area, our breast. So how do we know what to look for, and when is it time to worry? These are common questions many women search the internet to find the answers to. Breast cysts are fluid-filled sacs that appear on the inside of the breast. These types of lumps are usually benign or noncancerous. Breast cysts are found in women under age 50. These bumps are movable, smooth and can vary in size. You might experience discharge and your breast may even feel tender. They often change size either before or after your menstrual cycle.

By Amber Arevalos

The Mayo Clinic states that treatment for these cysts need minimal intervention. If you choose to visit your physician you can expect to take a thorough history and physical exam that may include imaging testing. It may be a mammogram or breast ultrasound that they prescribe. These imaging tests are designed to view the inside of the breast. Physicians are unable to diagnose without these images. Most breast cysts will disappear on their own, and if they are bothersome, seek medical attention to find relief. The most common procedures are aspirations to drain the fluid-filled sack. In some rare cases, a doctor may recommend surgical intervention. Surgery is recommended only when the cyst is a frequent re-occurrence. These lumps are usually noncancerous and do not increase

If you experience a lump that does not feel like a cyst, it is time to contact your physician.

your risk of breast cancer. If the cysts form excessively, it may be difficult to detect if any bumps may feel or look different. If you experience a lump that does not feel like a cyst, it is time to contact your physician. Lumps to worry about are those growing in size, that never shrink or dissipate and may be painful. Feeling a lump anywhere on your body can be scary, especially as a woman and not knowing what it is. Take the time to learn how to give a self-test and be aware of the options you have. Your physician can educate you and provide information on how to prevent and relieve these breast cysts. Not all lumps and bumps are created equal. Learn what to feel for to know how to make the right treatment decisions.





issue 55 • 2 0 2 1



concierge health insurance services for the Hispanic market



Six Foods to Keep You Looking Youthful

Home Schooling: The Good, the Bad, and the Indifferent!



Exercises That Are Easier on Your Joints

Instant Pot Chicken Tikka Masala



Early Detection is Game Changer

Why Girls Trips Are Necessary


Breast Cancer Prevention


Allergy Immunotherapy and COVID-19 Vaccine



Costuming on a Budget


Sugar Free Carrot Cake Cupcakes Coping With the Death of a Pet




Options for a Peaceful Divorce





Flavored Water Recipes For Weight Loss § #inspirehealthmag


Yes to being part of the solution.

Jane Mendez, M.D., Chief of Breast Surgery

Let’s bring back the hugs. Let’s bring back the smiles. Let’s beat this pandemic together. If you have any questions or doubts related to the vaccine, visit for more information. INSPIRE HEALTH



• editor’s letter


This cover story of this issue of Inspire Health magazine profiles a rising visionary named Ariel Dominguez, CEO of HolaDoctor, a Miami based company that uses an online platform to provide low-cost health care for underserved Hispanics in the U.S. The company incorporates artificial intelligence, a culturally tailored outreach program and affordable health insurance products to improve the health and wellness of multicultural populations in the United States. Six foods to help keep you looking youthful is the subject of Donna Mavis’ article, and among these are alpha hydroxy acid, green tea and collagen. Juliane Morris explains exercises that are easy on the joints and improve range of motion, strength and balance. Dr. Aaron Dutruch’s informative article on osteoarthritis explains what it is, how to identify it and what to do about it once diagnosed. The star vegetable of the issue is the versatile, eyesight-improving carrot, always popular in cakes, muffins and children’s lunchboxes.

publisher GRANT MILLER executive editor MICHAEL MILLER director of advertising AMY DONNER marketing director KARINA HINTZ contributing writers OSCAR MUSIBAY CHRISTOPHER PEARSON GARY RUSE account executives GLORIA BURNS MILLER MYERS RICHARD NEIDORF FARA SAX DIANE SCHILLER GEORGIA TAIT production & design DENISE CEBRERO ISABEL VAVREK Cover Image by Denise Cebrero Photography

Enjoy the fall!

Inspire Health is intended for educational purposes only. Never substitute content contained in this publication for the advice of a health care professional. Jumpstart Publishing, LLC, and the publishers of Inspire Health neither endorse nor promote the products and services described herein. Readers should not use the information in Inspire Health for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. Always consult with a healthcare professional before starting any diet, exercise, or supplementation program before taking medications; and if experiencing or suspecting the onset of any health problems.



MICHAEL MILLER Executive Editor




natural beauty


Youthful By Donna Mavis

MANY INGREDIENTS IN MEDICINES AND BEAUTY PRODUCTS ARE SOURCED FROM PLANTS OR ANIMALS. FROM ANTI-AGING SERUMS TO SKIN-LIGHTENING LOTIONS, YOU MAY BE SURPRISED TO KNOW THAT SOME ANTIOXIDANTS AND COMPOUNDS IN YOUR FAVORITE MOISTURIZER ARE RIGHT THERE IN YOUR KITCHEN.  ALPHA HYDROXY ACID Alpha hydroxy acid is a common ingredient in chemical peels. Capable of cleansing, hydrating and firming the skin, it uses a combination of acids founds in foods to achieve these benefits. Foods that contain alpha hydroxy acid include citrus fruits, tomato juice, milk, yogurt, apples, pineapples, papaya and almonds.  RETINOL Retinol is a widely used substance in anti-aging products. It boosts collagen, which in turn helps reduce wrinkles, fine lines, acne, discoloration and dryness. As a derivative of vitamin A, it can be found in mackerel, salmon, and tuna as well as beef and lamb liver.



 GREEN TEA EXTRACT Green tea and its extract are filled with antioxidants that stimulate circulation and reduce inflammation. The most known benefit is the extract's ability to protect the skin against free radicals that can cause damage and accelerate aging.  VITAMIN C Vitamin C and collagen are two peas in a pod, with vitamin A encouraging the production of collagen. Green vegetables like broccoli, spinach and cabbage are high in vitamin C and easily incorporated into your diet.  COLLAGEN Collagen, as a skincare product, improves the elasticity and resilience of skin. Bone broth, animal meats, fish, dairy and eggs all help with collagen production. § #inspirehealthmag

 VITAMIN E Vitamin E is incredibly beneficial for both skin and hair. A moisturizing agent, this antioxidant can soften the skin and reduce the appearance of acne scars. Foods that are rich in vitamin E include seeds, nuts, green leafy veggies and vegetable oils.

You will be amazed at how many ingredients in the products on cosmetic shelves are present in everyday foods. In addition to using commercial solutions, enrich your diet with nutrient-dense items and ask your doctor to recommend oral supplements.




s t n i o J

EXERCISES THAT ARE EASIER ON YOUR When osteoarthritis jeopardizes your mobility, exercise can keep you moving.

By Juliane Morris

Ensuring that muscles and surrounding tissues are strong is essential to provide support for osteoarthritis. Without proper exercise, supporting muscles are weakened, creating more stress on joints. For people with arthritis and related joint pain and stiffness, gentle exercise improves strength and flexibility of the muscles around joints. Gentle exercise also helps with bone strength, improves balance, weight control, and can diminish joint pain and fatigue. These three exercises help with range of motion, strength, balance and a touch of aerobic benefit. Move gently with low impact, breathing slowly and deeply.


THE SEATED SIDE STRETCH Sit tall and comfortably positioned with your legs crossed. Tighten your core, checking that you are seated straight upright. Relax your face, jaw and shoulders. Raise one arm overhead and


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lean to the opposite side for a side body stretch and core muscle engagement practice. Hold for a count of six seconds, breathing in and out with each two second mark. Return to center and lower arm. Repeat on other side. Repeat the sequence twice.


THE UPRIGHT & OPEN Stand upright with your legs as far apart as comfortable, about one and a half wider than hip distance. Tighten your core. Raise your arms up, equally wide as your legs. Open the palms of your hands upward to the sky, turning your face slightly upward. Breath in and out slowly for a count of twelve seconds. Bring your hands together to your chest and legs together, recentering tall and upright. Repeat the sequence twice.


THE TALL TREE Standing tall and with your feet planted hip width apart, tighten your core and lift one foot, placing the bottom of it onto the inner calf area of the other leg, pressing against the tall and straight leg for stability. Then raise your arms above your head, joining your fingers while still tightening your core for balance exercise and muscle engagement. Hold for a count of four seconds. Repeat on the other side. Repeat the sequence twice.

ise also Gentle exerc one helps with b ves pro strength, im control, ight balance, we inish joint and can dim atigue. pain and f




for Breast Cancer is a Game Changer Breast cancer is still the #1 cancer among women in the US and the most common cancer in the world, with 2.3 million new cases diagnosed in 2020 (1). However, screening initiatives and advances in breast imaging over the last 40 years have been game changers. Imaging modalities have improved to the point that we are now able to detect breast cancer so early that it cannot be seen with the naked eye nor felt to the touch. This is what screening is, detecting a disease when it’s still too early to have symptoms. Thus, this is why screening for breast cancer is so important. The earlier we find it the better, as you will probably need less treatment to get rid of it and more likely to achieve a cure. The first thing you should ask yourself: am I at high risk to develop breast cancer? If ANY of the following applies to you, then you should start having the discussion with your primary care provider (starting at age 25 as an MRI might need to be done in addition to the annual mammogram): ● Have extremely dense breasts ● Have a personal history of breast cancer ● Received radiotherapy to the chest between ages 10 and 30 ● Have a strong family history of breast cancer, especially in the case of a first degree family (parent, brother, sister, or child) ● Have a genetic predisposition, as those with the BRCA gene, Ashkenazy Jew ascendance, Li Fraumeni, Bannayan-Riley-Ruvalcaba and Cowden’s syndromes or first degree relatives with any of these ● Have a calculated lifetime risk of breast cancer over 20% When should I start screening? At age 40, women in general should discuss possible benefits and complications of beginning breast cancer screening with their health

years. Breast Exams This is a bit controversial as there is no clear evidence that a breast exam by yourself or performed by your doctor might help detect a mass when you get screening images as you should. However, it is always recommended to be familiar with your breasts so that you can notice any changes. Do not be afraid! Start your screening today. Early detection often means less need for treatment and higher chances of a cure. Dr.Vangie Texidor, General Surgeon affiliated with (formally Westchester General Hospital)

provider. The American Cancer Society recommends women should have the choice to start screening annually between ages 40 to 44 and officially recommend starting annual mammograms from age 45 to 49. At age 50, you may choose between annual or biennial screening mammography. Those with a higher risk of developing breast cancer might want to consider continuing annual imaging while those with a lower risk to develop breast cancer could get imaging every two years. Screening should end when you are no longer expected to live for more than 10

1. Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 2021; 71:209. Vangie Texidor, MD, FACS, is the board-certified general surgeon at TM Surgical ( in Doral, FL, who practices evidence-based medicine providing patients with the most updated treatments available. She is affiliated with Keralty Hospital Miami, formerly known as Westchester General Hospital. Keralty Hospital Miami has served the greater South Florida community since 1967, with 125 beds and specialized services such as Emergency Medicine, Surgical Services, and Intensive Care Units. Keralty Hospital Miami is located at 2500 S.W. 75th Ave., Miami, Florida 33155. For more information, visit or contact Paola Rivas, Community Liaison at




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Osteoarthritis By Dr. Aaron Dutruch D.C.


Osteoarthritis is commonly described as “age related arthritis” but this is partly inaccurate. Although osteoarthritis is the most common type of arthritis seen in older patients, it could be better described as “wear and tear arthritis”, as it is the break down of the joints over time from over or improper use. It usually affects the weight bearing joints in the lower extremities, such as our lower back, hips, knees and ankles. What to look for: The symptoms of osteoarthritis range from minor to severe depending on how long the process is going on. In the beginning stage there is little to no pain and it’s hard to detect, but with imaging you can see the beginning of bone spurs around the joints. When most patients realize something is going on they are in the second stage of the condition, noting joint stiffness or pain after longer periods of rest, and noticing it gets better when they start to move around. During the third stage, there is a breakdown of the cartilage, and this causes more joint discomfort or pain, especially with activity (walking,



running, kneeling, etc.). In the fourth stage of osteoarthritis, the joint space is notably reduced, which causes an increase in the damage of the cartilage and even more severe pain with motion of the joints. What can help: The first stage of osteoarthritis begins without pain or much discomfort, but you can help to slow the breakdown of the joints by making sure you are engaging in proper biomechanics and safety. If you have a job or hobby that requires a lot of lifting, bending, kneeling or similar activity, be mindful of your posture and make sure you are wearing the proper equipment. For example, good shoes if you do a lot of walking and knee pads if you do a lot kneeling. These can absorb some of the impact of these activities. Stretching and exercise is also particularly important. If the muscles are tight or weak around the joints, they may not allow the joints to move the way they should and can increase pressures on the them.Yoga and Pilates are excellent ways to both stretch and strengthen the joints and their supporting structures. § #inspirehealthmag

Nutrition is also important regarding arthritis. The “itis” portion of “arthritis” means there is inflammation. Starting an anti-inflammatory diet such as the Mediterranean diet can be incredibly helpful in controlling the symptoms of inflammation, regardless of the stage of the condition. Some studies also show the use of ginger, garlic, turmeric and other natural supplements can help with overall inflammation and reduce joint pain. The takeaway is that although osteoarthritis is mostly seen in older adults, it really starts when we are younger.You can minimize the effects by being aware of your diet, exercising often, and generally taking care of the body you have. It’s never to late to start. Ask your primary care, chiropractor or physical therapist if you aren’t sure where to begin. We would love to help get you moving better. Dr. Aaron Dutruch D. C. received his BS in Kinesiology, Fitness and Human Performance from LSU and his Doctorate of Chiropractic from Texas Chiropractic College. He is proficient in Upper Cervical chiropractic care and is a certified FAKTR provider.

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CARROTS By Christian Dischler

Carrots can be inserted into almost any recipe that allows room for interpretation. It's the main component in soups, stir-fry, cake, gravy, salads, you name it!


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nown for their versatility as a healthy snack or an ingredient in a robust soup, carrots carry an abundance of health benefits parallel to their flavor profile. One of nature’s less polarizing vegetables, they are welcome additions to dinner plates and snack boxes worldwide. What makes this sweet veggie such a crucial part to a balanced diet? Simply put, carotenoids—phytonutrients first discovered in carrots and aptly named after them. Carotenoids can be found in a multitude of fruits and vegetables. They’re best categorized as the antioxidant rich phytonutrients that give certain plants their colors, and can be determined by which color they provide. In the case of carrots, beta-carotene gives them their vibrant orange color (and sometimes a rainbow of color). But aside from providing this world with a splash of vibrancy, carotenoids assist the human body with many functions and provide necessary health benefits. You’re likely familiar with carrots being responsible for helping with eyesight. Well, it’s not simply a rumor—there’s scientific validity to that statement. B-carotene helps counteract certain age-related eye diseases such as macular degeneration. Moreover, b-carotene is classified as a provitamin A carotenoid.

Meaning our bodies convert some of it to valuable vitamin A, which is also responsible for aiding eyesight and boosting the immune system. Even more impressive, carotenoid’s antioxidant properties are recognized for their cancer fighting abilities. B-carotene actively fight against harmful free radicals and are particularly strong in the prevention of breast cancer. Additionally, carotene gives our heart support by increasing our defenses against cardiovascular disease. Carrots also carry lutein, biotin, retinol and lycopene—making them resourceful in giving us healthier skin. All of this without even mentioning how the fiber content of a carrot comprises 10 percent of our daily intake, and works overtime to balance gut bacteria. It’s clear why this bright veggie is important to incorporate in your diet. And it’s easy! Carrots can be inserted into almost any recipe that allows room for interpretation. It’s the main component in soups, stir-fry, cake, gravy, salads, you name it. But remember that a lot of these health benefits require the help of a fat, in order to ensure total absorption and maximize potential. So splash a little olive oil in the pan, toss an avocado in the salad, or get crazy with a dollop of butter and a drizzle of cane syrup on your steamed carrots.



INGREDIENTS • 4 tbsp softened butter • 1/3 cup Truvia • 1 tbsp maple extract • 1/2 tsp Madagascar vanilla • 1/3 cup almond flour • 1/3 cup coconut flour • 1/4 cup shredded coconut • 2 tbsp whey protein powder • 1 tsp baking powder • 1 tsp cinnamon • 1/4 tsp ground ginger • 1/4 tsp salt • 3 large eggs • 2 tbsp heavy cream • 2 ounces finely grated carrot (about 1 medium) CREAM CHEESE FROSTING • 4 ounces butter softened • 4 ounces cream cheese, softened • 1/2 cup heavy cream, whipped to stiff peaks • 1/3 cup Swerve confectioners sugar • 1 tsp Madagascar vanilla INSTRUCTIONS  Preheat oven to 350 degrees and place the rack to the lower third of the oven. Line 9 cupcake pan with liners. Measure dry ingredients into a small bowl and whisk to break up any lumps. Finely grate the carrot.


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A healthier low carb sugar free carrot cake cupcake recipe with fluffy cream cheese frosting.  Method: In a stand mixer, blend softened butter, Truvia, maple and vanilla until light and fluffy. Add 1 egg and beat again until the mixture is thick, light and fluffy.  In a separate bowl, combine dry ingredients and add 1/3 to mixer and blend until well incorporated. Add another egg and mix until the batter is light and fluffy. Continue alternating the dry and wet ingredients, scraping the bowl after the dry additions and keeping the texture nice and light. Add the carrot and heavy cream at the very end. Mix well (The batter should be thick but easy to work with. If it's not, add 1-2 more tbsps of heavy cream, but work quickly.)  Immediately spoon the batter into the cupcake liners before it thickens up. Place into the oven and turn the oven to 400ºF and bake for 5 minutes to get the batter rising. Turn the oven back to 350 and bake for 20 minutes or until the tops are firm when lightly pressed with a finger, but still moist. Remove and let cool completely before frosting.  Cream Cheese Frosting: Whip the butter and cream cheese together with the vanilla and sweetener until it is very stiff. Fold the whipped cream into the cream cheese mixture 1/3 at a time. Frost the cupcakes and refrigerate or serve.




concierge health insurance services for the Hispanic market By Christohpher Pearson According to the most recent census, nearly one in five Hispanic Americans over the age of 65 have no health insurance, a troubling statistic that a Miami-based company called HolaDoctor is working hard to address. HolaDoctor was founded in 1999 with a mission is to improve the health and wellness of multicultural populations in the United States and has since become the nation’s largest Hispanic health digital destination through its website In 2015, HolaDoctor launched its health insurance brokerage operation, providing

the Hispanic audience in the United States and several Latin American countries with health insurance options at affordable prices. In 2017, Pan American Life Insurance Group, a 110 year-old company, acquired HolaDoctor and brought aboard a remarkable young visionary named Ariel Dominguez. By combining its proprietary technology including artificial intelligence, a culturally tailored outreach program and affordable health insurance products, Dominguez and his well-trained staff have developed an online platform to provide low-cost health care for underserved Hispanics in the U.S.

“Very simply, HolaDoctor is a concierge service providing easyto-understand and affordable healthcare options for Hispanics,” explains Dominguez. “There is so much information out there and it’s often confusing. After one 45-minute telephone call, HolaDoctor representatives can provide the best and most affordable health care options for a family or individual.” HolaDoctor’s wholly owned subsidiary, HolaInsurance, is the brokerage division, providing enrollment services to members in any of the major providers, including Blue Cross, Blue Shield, Humana, Aetna, United Healthcare, among many others. Dominguez explains that HolaDoctor’s Medicare Department caters to people 65 and older, while those under 65 are offered products from a wide range of health insurance carriers. A family of four can enroll in the company’s HolaGuard insurance program for as little as $20 per month, which provides up to $25,000 in general medical coverage and up to $50,000 in case of an accident or emergency. “HolaGuard is the perfect option for low-wage earners and undocumented immigrants. No Social Security number is required and it takes just minutes to enroll,” he says. HolaDoctor’s highly trained agents are licensed to sell in almost every state in the U.S. and include native speakers of many different Latin American countries to ensure every message is always on point. On top of the many health and wellness services provided by HolaDoctor, the company also has a separate division dedicated to technology development, a translation and cultural adaptation division, editors, web producers, multimedia journalists, and video and animation specialists focused on health and wellness, all of whom are well-versed in the U.S. market. “HolaDoctor has experienced rocket growth and we expect to enroll millions of Hispanics within the next three years. We didn’t fur-

lough a single employee due to the pandemic, but instead have been hiring in droves. We try to promote from within and take very good care of our team.”

For more information about HolaDoctor, please visit or call 877-846-5237.

It’s Never Too Late to Start a Career in Nursing

“During my first clinical rotation as a nursing student, I walked through those doors and I thought to myself: ‘Wow, this is what I’m supposed to do,’ ” said West Coast University (WCU) graduate Tatiana Costa. After starting at WCU, Costa was sure that nursing was the career path she wanted to pursue. But, like many students, she did not immediately come to this reCurtisha DeMarco alization. It wasn’t until after earning a bachelor’s degree in audio engineering and entertainment and years of working at a chiropractic office that Costa was inspired to step into her calling of becoming a nurse. “I never thought I could be a nurse. I just didn’t think I was smart enough. It wasn’t until my grandmother passed away that I told myself: ‘No, that’s it, I have to work in medicine,’ ” explained Costa. “It took me eight years from that moment to get here but when I found West Coast University, I made it a point to make nursing school happen.” The meaningful impact nurses have on the lives of patients is what drives many students like Costa and fellow WCU graduate Curtisha DeMarco to start nursing school. It’s also a reason why nursing ranks as the sixth most respected occupation in the world, according to the Varkey Foundation. “My dad had colon cancer and so I spent a lot of time in the hospital with him, and a lot of the interactions I had were with the nurses,” shared DeMarco. “That’s what made me want to go back to school to become a nurse.” Other students are attracted to the nursing field’s high demand, job security, competitive pay, and diversity of specialties. Nursing students have the freedom to concentrate on a particular area based on their interests, which was a strong determining factor for WCU graduate Brianna Diaz when she switched from medical school to nursing school. “I like that in nursing you can easily transition into different specialties, unlike in medical school where you usually have to pick one specialty and stick to it,” said Diaz. “Nurses are the leaders who connect everyone, which gives you a sense of accomplishment in what you’re doing.” Regardless of the driving factors that inspire students to pursue nursing, the field’s many attractive benefits have caused U.S. nursing school enrollments to surge in 2020 (AACN). For WCU, that means putting its student-centric approach into high gear and ensuring all students, including those who are switching careers, have an opportunity to succeed in nursing school. To accomplish this, WCU offers multiple starts throughout the year, with classes beginning every 10 weeks. Evening and weekend classes are available to prevent a student’s work schedule from getting in the way of students like Costa, DeMarco, and Diaz from achieving their dreams. “I chose WCU because of the flexibility in the times offered, ''

Tatiana Costa

shares Diaz, a full-time employee, mother, and student. “I needed it to be conducive to my work, family time, and life. WCU accommodates that.” At WCU, aspiring nurses can manage their other responsibilities while making the switch into nursing. Nursing programs can be completed at an accelerated pace, with associate degrees in as little as 20 months and bachelor’s degrees in 39

months. “They’re very accommodating and flexible at West Coast University,” said DeMarco. “If you feel like you don’t have the time for it, you do. West Coast will help you make the time for it and that’s what I really appreciate about the school.” WCU’s commitment to a student-centric approach extends far beyond its flexible and inclusive nursing programs. The university’s faculty and staff are supportive and invested in each student’s success. “One thing I do have to say is that I had some of the most amazing professors,” said Costa. “If I didn’t know something they would break it down. If I needed additional help outside of class, they would set up a meeting. They’re extremely available to help.” WCU Instructor Yanet Velazquez Marichal, DNP, APRN, FNP-BC adds, “I’ll call my students when we have not had a meeting in a while or I see their grade is not doing well and I tell them ‘let's talk’. The phone conversations make it more personal and relaxed.” With the support of WCU professors, flexible programs, and most importantly, a drive to make a difference in the lives of patients, aspiring nurses can achieve their dreams regardless of circumstance. “It doesn’t matter if you’re 40, 50, 60 or where you are in life, you can go back to school for anything and everything,” said DeMarco. “For me, the fact that the program was accelerated made it a lot easier for me to decide to go back.” On the other side of that decision to attend nursing school is a lifetime of a fulfilling career. “Knowing that there are people out there grateful to you for helping you on the worst day of their life really makes the job worthwhile,” said Diaz.

West Coast University is accredited by WASC Senior College of University Commission (WSCUC), a regional accreditation body recognized by the U.S. Department of Education (USDOE) and the Council on Higher Education Accreditation (CHEA). 1001 Marina Village Parkway, Suite 402 Alameda, CA 94501, (510) 748- 9001 / The Nursing Baccalaureate and Master’s Degree Programs at all campuses are accredited by the Commission on Collegiate Nursing Education (CCNE). 655 K Street, Suite 750, Washington DC 20001, (202) 877-6791, WCU offers career placement assistance but cannot guarantee employment. The opinion is the individual’s sole opinion and not necessarily representative of that of the school, any instructor, or any student. Due to the current COVID-19 outbreak, the University has moved most of the onground courses into a distance education modality. However, as soon as the COVID-19 circumstances change, students will be expected to return on campus to complete their program onsite in the regular learning modality as approved by WSCUC and outlined in the university catalog.






s a pet owner, nothing is more important than the happiness and comfort of your pet. We often spoil our fur babies throughout their lives. They become part of our family and our daily routine. We invest time, love, patience and ourselves to care and protect our pets; as if they are our children. But like all living beings in life, our pets’ lifespans aren’t forever. Losing a pet is never easy and can be one of life’s most challenging difficulties. Coping with this pain doesn’t have to be impossible. Here’s what to expect when searching for peace after loss. Grieving is the first phase we face when we lose our pets. Our heart feels broken, and we may feel like nothing can replace the feelings and emotion our pet has given us. The unconditional love a pet provides is difficult to replace, and may never be restored to its exact degree. It is a shared feeling amongst the family,



but it is also a necessity to heal fully. Sadness, loneliness, devastation, and emptiness are all normal feelings. Coping with the loss of a pet comes in time. It takes acceptance and patience with yourself. Losing your companion can be a big hurdle to overcome. Reaching out to a family member or loved one can be very therapeutic. There are also hotlines you can call designated to those who have lost their pet. Finding comfort within the family unit and leaving room for other members to discuss their feelings can also help with the healing process. The most crucial point is to remember your pet and the great things you shared. Continue to live your active lifestyle by sticking to the daily walks you use to take with your pet. Try new activities like swimming, aerobics, or even a sport exercise that keeps you positive. We will never forget our pet, but it is helpful to find ways to occupy all the time we devoted to our pet's care. § #inspirehealthmag

By Amber Arevalos

WITH THE LOSS OF A PET Take your time in getting a new pet. You may be tempted to try and fill that void with a new pet, but waiting until we are healed may ensure we can invest all that we gave our last pet. There is nothing that can replace your beloved pet. Your emotions and feelings should not be understated by others who do not understand. Keep in mind this is a process. The way you feel is common. You aren’t alone, will get through this and you will find peace.

T remehme most cru ber o cial po ur in thiny gs yopuet and tht is to shared e great .



mighty kids




omeschooling our children is becoming a more valid option to choose when deciding on your child's path to higher education. In the past, being home schooled was viewed as something strict religious believers chose, or by those who could handle the pressures of an in-group setting. Today's view has changed due to the curriculum and pace at which children are taught. Although these connotations are still prevalent, this article covers some pros and cons to homeschooling your children. Choosing to home school your children can have its challenges depending on circumstances. The number one concern is the time! Do you have the time to ensure your child is learning the correct curriculum as well as helping them with their homework and projects? If you choose to home school, you will now be a teacher, parent and friend.



The second concern for most parents is that their children might not get the social interactions that are key to learning specific interpersonal skills. Most home school systems follow an online or hybrid approach. Being around peers and in a social setting has its benefits to the development of your child. Motivation is a huge factor when choosing this option for your children. You will have to be patient more than from a parental standpoint, but from the perspective of a teacher and playground friend. Keeping your student on track and completing necessary work is on you and your child. Home schooling also has plenty of benefits to consider. Flexibility: You can teach your child at their own pace. You can adjust school times and create a schedule that best suits your child's learning style. § #inspirehealthmag

You are able to design the curriculum. If you wish to focus on the subjects your child excels at, you can develop a lecture around them while also dedicating a specific amount of time on challenging subjects. If you are religious, you can incorporate any spiritual teachings. Most schools have taken religion out of the curriculum. Learning from home allows for the child to be more involved in volunteering and community projects. The choice to home school can be a difficult one, but understanding what your child needs to succeed is critical. Will they thrive and learn beyond the classroom are all things we need to consider. Remember your role in the curriculum is crucial, and almost all that your child learns is up to you!



healthy mind

y r a s s e c Ne WHY GIRLS TRIPS ARE


By Julie Maddock

irl's trips are a powerful thing. They can make you feel happier, stronger, connected and appreciated. Even planning and anticipating the trip triggers euphoria—you crave the hours you'll spend laughing, talking, venting and unwinding with those who know you best. What we girls have known all along—that a weekend getaway with your best friends is good for your mental and physical health—is backed by science. According to an article by Harvard Health Publishing (Harvard Medical School), the health benefits of connecting with others can "relieve harmful levels of stress,

which can adversely affect coronary arteries, gut function, insulin regulation, and the immune system." The article also referenced a study that examined the data collected from more than 309,000 people, which found "that a lack of strong relationships increased the risk of premature death from all causes by 50%." Yikes! The message is clear: We need, deserve and thrive when we build and nurture strong connections to others. And a girl's trip is the perfect way to do that! The Mental Benefits Taking a vacation—even a short one—improves your mood, reduces stress and alleviates anxiety. Doing so

with close friends provides an extra dose of relaxation, laughter and new memories. When we're with our girl squad, we feel safe: they get us, we get them and there's no judgment. It's a free pass to be yourself and be accepted. This exchange provides a boost to our mental health and emotional well-being. Spending time with those we love increases oxytocin levels—that's the hormone responsible for making you feel happy and content. Your tribe speaks a special language: girl talk. It can lift a load from your shoulders, inspire you to think creatively and build your confidence. Your girls keep it real, helping you to see yourself—the good and the bad— realistically. And you end up burning scores of calories from laughing so hard you cry. By the end of the trip, you are so filled with happiness it is literally seeping from your pores. So, what are you waiting for? Pack your bags and gather up the girls—it's just what the doctor prescribed!

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Deirdre Nero

shares her journey with Alopecia Areata in honor of Awareness Month

During September, focus falls on an autoimmune disease called Alopecia Areata. My name is Deirdre Nero, and I serve as the Secretary of the Board of Directors and an Advocate for the National Alopecia Areata Foundation (NAAF). For those who have never heard of this disease, Alopecia Areata is an autoimmune disease that affects almost 7 million people in the US alone of all ages, races, and genders. It causes hair loss that can range from small round patches of hair loss, to total scalp hair loss, and even loss of all hair on the head, face, and body. Alopecia Areata can begin suddenly and rapidly progress. As for me, I began my journey with this disease over 23 years ago when I was 21 years old and found my first bald patch. Over the 23 years that followed I went from varying severity of patchy hair loss (Alopecia Areata), to total scalp hair loss (Alopecia Totalis), and finally to total loss of all my hair including my eyebrows, eyelashes, and even my nose hairs (Alopecia Universalis). All are forms of what we refer to collectively as “Alopecia Areata” (com-

Deirdre at a 2019 NAAF fundraiser night at Marlins Stadium with a young girl, also living with Alopecia Universalis.

Deirdre Nero with Eric Gros-Dubois and her family at the last larger fundraiser before the pandemic - a wine paired tasting dinner at Someone's Son restaurant in Dec 2019.

monly just called “Alopecia”). This year, I am writing this message for Inspire Health magazine in hopes of bringing more awareness to the disease, especially during September which is Alopecia Awareness Month. In these times of a pandemic, I have been unable to host the fundraising events I typically hold on an annual basis in the community in order to both raise awareness and funds for the disease. I was lucky enough to join with the Coral Gables Woman's Club (CGWC) in hosting our second annual “Gringo Bingo” night party in June at a beloved local restaurant, Clutch Burger, who hosts this monthly CGWC event. Despite COVID-19 related limitations, that event was a success and gathered people in the community for a night of bingo, food, music, and fun! With recent spikes, other fundraisers for NAAF scheduled for September and November have been put on hold; however, what cannot be put on hold are the needs of those suffering with Alopecia Areata. This disease grips a person’s self-esteem, self-image, and self-worth in its clutches and is emotionally painful for those affected

as well as their loved ones. Alopecia makes a person stand out physically and be visually different. For those navigating through difficult periods, such as one’s teenage years, it is extremely hard when at that age, many are judged by their looks. During a time when we are dealing with the pandemic and cannot congregate normally, those suffering with Alopecia can feel even more isolated. My hope is that this article will encourage readers to reach out and become better informed about this disease. If you would like to contribute to NAAF, the premiere patient foundation offering support, research, and advocacy for the disease, please visit –––––––––––––––––– Deirdre Nero is an Immigration Attorney in Coral Gables, FL and owner of NERO Immigration Law, PL. She has served as the Secretary of the Board of Directors of NAAF for the past 5 years, and as one of NAAF’s patient advocates and legislative liaisons since 2013. Deirdre is also the NAAF support group leader for South Florida. She can be contacted at




ontrary to common belief, genetics does not play as significant a role in breast cancer risk factors as does one’s lifestyle; indeed, according to the non-profit, According to BreastCancer. org, a non-profit helping educate women, only 5 to 10 percent of reported cases are inherited. In the general population, 12 to 13 percent of women will develop breast cancer, which comes out to one in eight. With these odds, it’s a good idea to assess your diet and lifestyle to determine your likelihood of developing the disease. The first proactive approach to preventing breast cancer is to perform a monthly self-exam. Stand in front of a mirror that gives you an adequate visual of your upper body. With your breasts uncovered, put your hands behind your neck. Note any abnormalities or differences in the shape of your breasts, as well as any changes in the areas around the nipples. This also includes the skin, be it around the nipples or the breasts in general, such as reddened or scaly patches. Then put your hands on your hips and flex your pectoral muscles, those that support the breasts. Do this standing upright then bend over to discern any changes.



PREVENTION By Mary Ann Podwall

The risk of breast cancer increases with your weight.

Go into the shower, turn on the tap then feel your breasts by working the fingers on the opposite hand into the opposing topmost part of the breast (right hand on left breast and vice-versa). You are checking for any nodules or lumps as you work your way down to the nipple. Perform this same method along the outer sides of each breast then underneath, always ending at the nipple. The water gives you increased sensitivity when it comes to noting any underlying changes in the tissue. If you are pre-menopausal, wait until a few days after your last period before performing this exam and report any abnormalities to your doctor. § #inspirehealthmag

A study by Johns Hopkins University in 2006 linked increased body fat with elevated estrogen levels in post-menopausal women. As far back as 1997, it was noted that older women with higher estrogen levels had a 15 percent greater likelihood of developing breast cancer than those with typical estrogen levels. As international obesity has become a symptom of our increasingly sedentary lives epidemiologists predict that breast cancer rates will increase as well. For example, the U.S. Centers for Disease Control & Prevention estimate that 40 percent of American women are obese, which translates to 18 million of them possibly developing breast cancer. In South Africa, the obesity levels are an alarming one in two for women, as reported by the BBC in 2004, which makes proper diet and exercise of paramount importance in the region.

As international obesity has become a symptom of our increasingly sedentary lives epidemiologists predict that breast cancer rates will increase as well.



Options for a PEACEFUL DIVORCE There was a time when people did not know what mediation was. It was confused with similar words, such as medication or meditation! As a Florida Supreme Court Certified Family and Civil Mediator, it is good to report that the mediation process is no longer unknown. It is very often one of the first questions a potential client may ask, looking for efficient and low impact solutions to family and other legal problems, even before anything has been filed in Court. The vision of advocating for people in difficult situations was the reason I wanted to become a lawyer, as early as in the eighth grade. My passion for representing people in Court has evolved into assisting people in solving their own issues in a more peaceful manner, whether through mediation or collaborative divorce. After many years of litigating and practicing in more traditional ways, it became clear that these processes are destructive to the participants and to their children. These methods are typically expensive, causing a drain of whatever resources the parties had. The mediation of a family matter, such as a dissolution of marriage, allows the participants to solve their own problems with the guidance of the mediator as a neutral professional. People can attend mediation at any time and may or may not be repre-

sented by attorneys. If attorneys were not present during the mediation conferences, advice from an attorney is always recommended, including for review of any proposed agreement and before signing an agreement. Through mediation, people can get to solutions quicker and with less cost than traditional methods. Mediation allows the parties an opportunity to explore areas of resolution in a structured and confidential setting with the goal of reaching a signed, written agreement that can be presented to the Court, on their own schedule and with privacy. If both parties want to settle their case, they will most likely be able to do so or at least make a lot of progress toward that goal. Other resolution options toward reaching an agreement are collaborative and cooperative divorces. A collaborative divorce process is typically begun before any lawsuit is filed. Collaborative divorce allows each of the parties to be supported by their own collaborative attorneys working as a team with a neutral financial professional and a neutral mental health professional to reach a settlement. In a cooperative divorce, people work toward an agreement through one or both of them represented by an attorney. When people learn that there are

Regina F. Zelonker, P.A.

Florida Supreme Court Certified Family and Circuit Civil Mediator Collaborative Divorce Attorney

“When Family Matters”

options that do not involve the more traditional “file and fight,” many are relieved and encouraged that they can achieve their resolution in a more peaceful and efficient manner for themselves and for their children. As Abraham Lincoln said, “Discourage litigation. Persuade your neighbors to compromise whenever you can.” For information, Regina F. Zelonker, Esq. can be reached at (305) 804-2450 and Virtual mediations and consultations are available. Two convenient locations: 8925 SW 148th Street – Suite 200, Miami, Florida 33176 2030 South Douglas Road, Suite 105, Coral Gables, Florida 33134


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BUDGET By Rebecca Gutnecht


he season for pop and color and pizazz is here. Hallows’ Eve is right around the corner, and it’s time to bring out your wild side. Instead of thinking of the holiday in simple terms of costuming, generate a new vibe of creating an alter ego. Step into a character, a personality, anyone you want to be for one night. Sure, a witch, vampire, or cat are great, but how about expanding your creative juices a smidge? Here are a few suggestions to boggle the mind. Picture a 1970’s hippie dressed in a long skirt, psychedelic colors and floral headband. Or a Marilyn Monroe lookalike: perfectly coiffed hair, red lips, white frilly dress and the iconic mole to match. Mad scientist? Get a little wild with a white trench coat, crazycolored hair, and a pair of glasses to complete the look. The point is to have fun, go all out and let yourself enjoy a night of mystery. Only problem? The budget is tight and there just isn't enough time to create an entire costume from scratch. The solution lies in your innate creativity! There’s no need for expensive outfits and time-consuming projects. Here's a secret: check out your local thrift stores to find affordable costume pieces. A plethora of outfits from various decades all combined into one store. You honestly


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never know what you will find. All of the above items from the characters listed could be in a thrift store. If you haven’t gone yet, give it a whirl. If you happen to be stuck on a particular item, online shopping is a great resource. Instead of buying a high-end pair of glasses at a fashion boutique, you can easily track down something similar online. As a last resort, your local craft store will do the job. Buttons, generic t-shirts, and assortments of materials are at your beck and call. Whatever you do, have fun and make Halloween your party!

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super food



By Christian Dischler


ith a flavor as delicious and it is elusive, the pomegranate has danced across the human palette for centuries. Originally from Northern India, these unassuming fruits are packed with nutrients beneficial to our health. Each pomegranate seed (called arils) contains high levels of antioxidants and phytochemicals. These nutrients provide an astronomical number of benefits. Ranging from anti-inflammatory properties, strengthening our blood cell counts, reducing protein buildup and calcification, dissolving gallstones or kidney stones, and restoring glucose levels to our liver. This tiny super food truly does it all. According to an aggregate study published in the National Library of Medicine (NLM), “in Ayurvedic medicine, the pomegranate was considered to be a whole pharmacy unto itself.” Its ability to help prevent breast cancer is more important than ever. In a year where 1 in 8 women will be diagnosed with breast cancer, it’s important to be aware of how to prevent the disease



before it’s too late. Pomegranates contain polyphenols, antioxidants and specifically phytochemicals called ellagitannins—which are recognized medically for their ability to downregulate estrogen responsive genes. This is important in the prevention of breast cancer, because “steroid hormones, particularly estrogens, are believed to play a central role in development of breast cancer.” By reducing this influx of harmful hormones, we reduce our risk of developing breast cancer. The ellagitannins contained in pomegranates actively regulate how these toxic hormones interact with our bodies, and help us manage their damage. Direct links have been drawn by medical studies, with the NLM stating that “several studies investigating the chemo preventative potential of pomegranate against breast cancer have highlighted the importance of antioxidant properties manifested in its components.” Furthermore, going on to recognize outright the “data suggest that intake of pomegranate may be a beneficial strategy for breast cancer

chemoprevention.” In short, pomegranates flush out the bad hormones and promote the good. Whether it’s the anti-estrogenic functionality of the pomegranate, or the antioxidant activity—there’s no reason to keep this super fruit out of your diet. Use it as a garnish on savory dishes like guacamole, or pick up a bottle of pomegranate juice to give yourself a boost midday. It will replenish your glucose levels and ensure your liver won’t need to pump cortisol into your blood to keep you going. However you choose to enjoy this remarkable fruit, your body will thank you for its restorative benefits and total wellness contributions to a cancer-free life.




Instant Pot CHICKEN TIKKA MASALA By Nellie Palmer The Instant Pot or pressure cooker prevails again with this incredible chicken tikka masala. This recipe is quick to make, and it’s perfect after a long day when you don’t want to work too hard in the kitchen but still want something tasty. What Is Chicken Tikka Masala? • A true chicken tikka masala has the yogurt marinated chicken cooked in a wood or charcoal fired tandoor until the meat is thoroughly charred. Since we’re doing this in the Instant Pot, to achieve that char flavor, use your grill to grill the meat until it’s charred, which should happen fairly quickly because of the yogurt marinade. • If garam masala isn’t available you can substitute it for one part cumin and 1/4 part allspice.

INGREDIENTS Chicken Tikka • 2 lb skinless and boneless chicken breast • 1 1/2 cups plain Greek yogurt • 3 tbsps freshly squeezed lemon juice • 1 tbsp garam masala • 1 tbsp ginger minced • 5 cloves garlic minced • 1 tsp salt Curry Sauce • 3 tbsps peanut oil • 2 large onion chopped • 5 cloves garlic minced • 1 tbsp ginger minced • 1 tsp turmeric • 2 tsps garam masala • 2 tsps ground coriander • 2 tsps ground cumin • 2 tsps chili powder • 14 oz fire roasted tomatoes



• 2 cups pureed tomato sauce • 1 1/2 cups half and half • 1 tsp pink Himalayan salt • 2 tbsps ghee • 3 tbsps fresh chopped cilantro DIRECTIONS  Combine all the chicken tikka ingredients together in a large bowl and mix thoroughly so that each piece of chicken is fully coated in the yogurt mixture. Cover with plastic wrap and refrigerate for at least 30 minutes, or up to 48 hours.  On a hot grill, char chicken on both sides without cooking through. Remove from grill and save remaining marinade.  Turn your Instant Pot to the saute setting. (See your manufacturer's guide for detailed instructions on how to use your Instant Pot.)  Add the peanut oil, onion, garlic, ginger, turmeric, garam masala, coriander, cumin and chili powder. Stir § #inspirehealthmag

and cook for 3 to 5 minutes, until the onion softens.  Add the fire roasted tomatoes, tomato sauce and stir. Add the chicken, including all the yogurt marinade and stir.  Close the lid (follow the manufacturer's guide for instructions on how to close the instant pot lid). Set the Instant Pot to the poultry setting and set the timer to 5 minutes.  Once the Instant Pot cycle is complete, wait until the natural release cycle is complete, about 10 minutes. Follow the manufacturer's guide for quick release. Carefully unlock and remove the lid from the Instant Pot.  Add the half and half, salt and butter and give it a good stir. The butter is added to smooth the sauce.  Garnish with cilantro and serve warm over cooked rice with naan or roti.


Mummy JALAPENO POPPERS By Nellie Palmer

EVERYONE LOVES JALAPENO POPPERS! DON’T LET YOUR HALLOWEEN CELEBRATION GO WITHOUT THESE MUMMIES! SIMPLE AND QUICK, BUT THEY WILL BE A HUGE HIT! INGREDIENTS • 12 Jalapeno peppers, halved and seeded • 1 package Philadelphia cream cheese • 1 bag, 16 oz, Mexican shredded cheese • 1 jar Tabasco jalapeno pepper jelly • 1 Pillsbury pie crust • 48 decorative edible eyes DIRECTIONS  Place jalapeno halves on a cookie sheet lined with parchment paper. Make sure all seeds have been removed. Leave the stem in tact.  Put a tablespoon of shredded cheese in each pepper half.

 Put a teaspoon of pepper jelly in each pepper half.  Top each pepper half with two teaspoons of cream cheese.  Place the pie crust on a bread mat or a piece of parchment paper. Using a pizza cutter or pastry cutter, slice pie crust into thin strips. Cut the strips into smaller four inch strips. Wrap the pie crust strips around the peppers in a mummy fashion, tucking the loose ends under the pepper.  Bake at 350° until pie crust strips are golden and cream cheese is bubbly. Makes 24 Poppers



healthy body


s s o L t h g i e W By Katharine Coggeshall


rinking more water is a great way to boost metabolism and facilitate weight loss. However, many people find it difficult to consume enough water throughout the day. One of the easiest ways to increase water consumption is by making it more flavorful without adding sugar or calories. Healthy flavored water recipes start with clean, filtered water. Filtration helps remove heavy metals and chemicals that may have snuck into your tap water and can interfere with your body's weight loss functions. With your clean water, you can add a variety of healthy flavors from herbs, spices, edible flowers, fruits and vegetables. Organic flavoring agents are best, as this will help you avoid pesticides and other harmful chemicals, but are not necessary. To give you some ideas from which to start, here are 15 flavored water recipes for weight loss. Combine your chosen flavor ingredients with your filtered water and leave for 8-24 hours before drinking. This gives the flavors time to meld together and infuse into the water.



You can make large batches in the evening and leave overnight to enjoy the next day. To get the best metabolism boosting benefits, and therefore weight loss benefits, start your day with a glass of water each morning. This should be consumed before breakfast, right after you wake up. This wakes up your metabolism and helps you feel fuller before eating. In fact, consuming water consistently before meals throughout the day will help you eat less overall. It is best to make water drinking a habit rather than waiting until you actually feel thirsty. This is because the body doesn't alert you to thirst until you have lost about 5% of your total body water. That means by waiting until you are thirsty to start drinking, you have already put your metabolism at a disadvantage. A better idea is to consistently drink water from the moment you wake up until the moment you finish your last meal. Avoiding water right before bed is very reasonable, as too much water late at night can keep you up. Drinking flavored water is a simple way to boost your metabolism daily and bolster your weight loss goals. § #inspirehealthmag

CITRUS: lemon slices, orange slices and fresh basil leaves. FALL SPICE: apple slices, a whole cinnamon stick, and a dash of nutmeg. SPRING FLING: a few springs of fresh lavender with fresh chamomile flowers. WARM AND COZY: a vanilla bean pod with a cardamom pod. BERRY: frozen blueberries and strawberries. SUMMER MIX: fresh cherries, pear slices, and cucumber. LIKE A MOJITO: fresh basil and lime slices. SPA WATER: fresh sage with cucumber slices. GARDEN: fresh rose petals with a vanilla bean pod. SPICE: a fresh fennel bulb with a few fresh cloves. ISLAND: pineapple with orange slices. CLASSIC: kiwi slices with strawberries. COOL: watermelon with cucumber slices. VEGGIE: fresh carrot with celery and ginger. HERB: fresh sage, rosemary, basil, and thyme.



“We’ve never been more glad we live at The Palace than right now.”

We first moved here for the luxury and the social life, we admit. But the care keeps getting better and better. Our vaccines are here already… the staff is so well-trained… all the safety programs are in place. And during this pandemic, the whole place keeps running like a well-oiled machine. We simply can’t imagine a place right now where someone our age could be safer or happier. And every day we tell our daughter — whose idea it was — we’re so glad you knew it was the right place for us.

If you are a senior, or just love one, call us at 305-445-7444 to schedule your safe and comfortable visit today.

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Luxury Living for Seniors

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