Jacksonville Magazine's Your Health, Summer 2019 Issue

JACKSONVILLE MAGAZINE’S

YOURHEALTH Northeast Florida’s Definitive guide to Medical Care & Wellness SUMMER 2019

Vol. 5 No. 3

Glow GET THE

TIPS FOR HEALTHY SKIN AND BODY

EST. 2015

FREE

These physicians are among

THE BEST DOCTORS & PRACTICES In Northeast Florida

These and other physician profiles posted at JacksonvilleMag.com

Atlantic Eye Institute

Hughston Clinic Orthopaedics

Balanced Physician Care

Intracoastal Dermatology

Patrick L. Basile, M.D. Plastic Surgery & Wellness

The Jacksonville Center for Prosthodontics and Implant Dentistry

Brown Fertility

Jacksonville Dermatology Associates, PL

Cancer Specialists of North Florida Caven Dental Group

Jacksonville Hearing & Balance Institute/The Hearing Center

Center for Modern Aesthetic Medicine

Jacksonville Orthopaedic Institute

Clay Eye Physicians & Surgeons

Sina Kasraeian, MD, FACS

Dr. Clayman’s Plastic Surgery Center & Miracle Spa

Kasraeian Urology

Contemporary Plastic Surgery Contoura Facial Plastic Surgery

L.A. Quinn M.D. Larroc Dental Lazzara Orthodontics

Cosmetic & Reconstructive Surgery of the Face & Body

Martinez Dental Solutions

Doctors Lake Family Dental

Meymand Oral Maxillofacial Surgery

Dr. O’s ObtainHealth

Jeremy Mirabile, MD, ABAM, ABPM-ADM

ECCELLA Smiles

Minimally Invasive Vascular

endodontics | bartram park

Orthopaedic Associates of St. Augustine

FABEN Obstetrics & Gynecology First Coast Cardiovascular Institiute First Coast Pain

Corey Young Park, DMD ®

Pearson Facial Plastic Surgery

Florida Coast Pain & Spine Center

Pediatric Eye Consultants of North Florida

Florida Eye Specialists

Platock Dentistry

Florida Plastic Surgery Group

Quality Eye Care

Florida Retina Institute

Rainbow Pediatric Center

®

Fyzical Therapy & Balance Centers of Jacksonville

Harris L. Rittenberg, DMD

Rick K. Harrison, DMD, PA

Smile Stylist

R. David Heekin, MD, FACS / Heekin Clinic

Southside Dermatology & Laser Cosmetic Center

Henley & Kelly

Jackson C. Tan, MD, PhD, PT

Hidden Hills Family Dentistry

Terk Oncology

Hodges Family & Cosmetic Dentistry

Vanover Dentistry of Orange Park

®

Contents 18

FLORIDA’S FAILURE The Sunshine State ranked 27 in kids’ health and access to care.

We can do better.

25 FULL PLATE Breaking down the most popular diet trends served today

32 GIVING ANGELS THEIR WINGS More than 30 years ago, a group of friends started changing lives in Northeast Florida

40 OUT TO EAT Tips for choosing healthier options while dining out

46 IT’S NOT EASY BEING GREEN Algae and toxins are lurking within the St. Johns River

48 RAISE YOUR VOICE Using the arts to create awareness for coping with ALS and the personal grief it brings

46

COVER sponsor 10 THE EFFECT LIFESTYLE PRACTICE

Cover Sponsor

10

Local experts share their approach to glowing skin and a healthy body

about the cover: The staff of The Effect Lifestyle Practice, photographed by Agnes Lopez

The Effect Lifestyle Practice

10 The Effect Lifestyle Practice 4

YOURHEALTH

(904) 518-3721 effectlifestyle.com

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YOURHEALTH

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Welcome You are presently reading the latest issue of Jacksonville Magazine’s YourHealth, a quarterly publication devoted to health, wellness and medical care in northeast florida. is issue is mailed to subscribers as a complimentary bonus with their september Jacksonville Magazine.

Among its many feature articles is a story about the latest diet trends and another packed with tips for working out in the north florida heat. is issue—just like the previous editions of the magazine that debuted in 2015—is also packed with a variety of other stories, ranging from local news items to feature articles exploring topics relating to healthcare and fitness. our goal is to not just publish another magazine (Jacksonville Magazine has a bunch of those already), but to produce a real tool for northeast floridians, an easy-to-read guide that strives to present the latest news and information regarding health, specifically how it affects our corner of florida. Among the things we continually discover is that our region is blessed with an amazing abundance of wellness and healthy living resources—from delicious and healthy local food purveyors to yoga studios to cutting-edge medical centers.

JACKSONVILLE MAGAZINE’S

YOURHEALTH EDITORIAL: PUBLISHER / EDITOR-IN-CHIEF

JosePh White EDITOR

virginiA ChAmlee DIGITAL EDITOR

emilY bAileY INTERNS

CAseY CrAig, John neWsom, deAnnA PisACretA, CAmeron rogers, lAuren Willins, CAssidY hoPson

ART: CREATIVE DIRECTOR

Jennifer ComPton DESIGNER

heAther Kruse PHOTOGRAPHER

Agnes loPez

SALES: ASSOCIATE PUBLISHER / DIRECTOR OF SALES & MARKETING

AmY robertson SENIOR ACCOUNT EXECUTIVE

JessiCA lindsAY

of course, no one wants to get sick. And most of us wish to live a long and healthy existence. however, nature has a way of reminding us that life can be messy, painful and even unkind sometimes. bumps, bruises, breaks and worse are unavoidable. We all become ill, eat things maybe we shouldn’t, wake up with sore muscles and joints—that, as they say, is life. e good news is we live in a time and a place when available medical care is truly remarkable and life-saving.

ACCOUNTING / OFFICE MANAGER

WendY CAstro ADVERTISING COORDINATOR / 904TIX / SPECIAL EVENTS COORDINATOR

mAndY niesen

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reggie JollY SUBSCRIPTION REQUESTS / INQUIRIES

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JOSEPH WHITE Publisher/editor-in-Chief joe@jacksonvillemag.com

CONTACT: 1531 osCeolA street JACKsonville, fl 32204 E-MAIL

mAil@JACKsonvillemAg.Com WEBSITE

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Jacksonville Magazine’s YourHealth Volume 5 Issue 3 is published quarterly by White Publishing Company. All editorial contents ©2019.

All rights reserved. No part of this periodical may be reproduced without the written permission of the publisher. Neither the publisher nor advertisers will be held responsible for any errors found in the magazine. The publisher accepts no liability for the accuracy of statements made by the advertisers.

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YOURHEALTH

JACKSONVILLE MAGAZINE’S 2018-2019

TOP

DENTISTS

A Smile Resort Rod Zimmerman, DDS

Christopher M. Geric, DMD, PA Geric Endodontics

Sean M. Altenbach, DMD

Harbour Dental Care Kevin W. Snyder, DDS Christina Choe, DMD Liset Perez, DDS

Asap Dental Care Behzad Rajaei, DDS, MS Nadeem Ahmed, DMD

Rick K. Harrison, DMD, PA Asap Total Dental Care Yevah Cueto, DMD Cynthia Skigen, DMD Bartram Dental Center Jason D. Lewis, DDS, FAGD Royce Barlow, DMD Beaches Orthodontics Shreena Patel, DMD, MS Beaver Dental Care Zan Beaver, DMD The Carlson Group Richard Carlson, DMD Richard C. Caven, DMD Cavka Dental Center Aida Cavka, DMD

Dopazo Orthodontics Leandra Dopazo, DDS, MS ECCELLA Smiles W. Scott Wagner, DMD, LVIF endodontics | bartram park Daniella S. Peinado, DDS Family Smiles Dentistry Stephanie Mapp, DMD

Corey Young Park, DMD Parkway Prosthodontics Kathryn E. Ryan, DDS, MS

Henley & Kelly C.J. Henley, DMD

Gene R. Patch, DMD / Michael E. Patch, DDS

Hidden Hills Family Dentistry Paul Schloth, DMD

Platock Dentistry Leslie G. Platock, DDS

Hodges Family & Cosmetic Dentistry Blanca Martinez-Hoppe, DMD, PA

Ponte Vedra Premier Dental Michael C. Winter, DDS Kevin L. Neal, DDS Andrew W. Maples, DMD Brian W. Maples, DMD

Karen A. Hubbard, DDS The Jacksonville Center for Prosthondontics and Implant Dentistry William Gielincki Jr., DDS Noel Rodriguez, DMD, MS

Jeffrey S. Prieto, DDS Clive B. Rayner, DMD Harris L. Rittenberg, DMD

Jacksonville Dental Specialists Richard E. Aguila, DDS, MHS Matthew Nawrocki, DMD, MS

River Run Smiles Austin Fowler, DMD

Jacksonville Gentle Dentistry Holly Nadji, DMD, PA

Riverside Dental Michael Spencer, DDS Megan Moshea, DDS

Stephen D. Cochran, DMD Doctors Lake Family Dental Dayn C. Boitet, DDS Lauren Andreolas, DMD

Meymand Oral Maxillofacial Surgery Samira Meymand, DDS / MPH

Jacksonville Smile Center Matthew J. Henry, DDS, FAGD Joy Orthodontics Jessica T. Crews, DMD, MS Mitchell R. Levine, DMD, MS Larroc Dental Anthony R. Corral, DMD Lazzara Orthodontics John Lazzara, DDS

James L. Schumacher, DMD Barry P. Setzer, DDS Smile Stylist® Jason Olitsky, DMD, AAACD Flavio M. Soares, DDS Barry H. Stevens, DDS

Farnham Dentistry MacKenzie Farnham, DDS

Mandarin Dental Professionals Sam N. Hanania, DMD, FAGD Laura M. Weaver, DMD

Vanover Dentistry of Orange Park Michael D. Vanover, DDS

Fernandina Smiles Robert Friedman, DMD

Martinez Dental Solutions Jose M. Martinez, DMD, PA

Claudio H. Varella, DDS, MS Varella Endodontics, PLLC

Fishman Pediatric Dentistry Ross Fishman, DMD, MS

Medure Dental Jillian Medure, DMD

J. Christopher Williams, DMD, LVIF, FAGD

These & other professional profiles are posted at JacksonvilleMag.com

KellyIngram-Mitchell OWNER, MPT, CEAS

SKIN CARE

G O I N G FOR

THE GLOW Local experts at The Effect

Lifestyle Practice share their approach

to glowing skin and a healthy body

Despite the plethora of medical-grade treatments, gold-standard skincare products and high-dollar surgeries, there’s no real “one size fits all” approach to anti-aging.

One skincare product, for instance, won’t completely diminish the signs of sun damage or wrinkles. But when used in conjunction with cosmetic lasers, injectables, and other aesthetic services the desired result can be achieved. “Each person is unique and so is their skincare and nutrition goals and concerns,” says Kelly Ingram-Mitchell, MPT, CEAS, and owner of The Effect Lifestyle Practice.

“We like to educate our clients and customize a regimen specific to them.”

WE SPOKE WITH THE EXPERTS AT THE EFFECT, a Mandarin-area medical spa and fitness center, for the best way to target common skincare and nutrition concerns—from wrinkles to weight loss—and got an up-close look at their own skincare and nutrition routines.

SKIN CARE

HOW TO COMBAT SUN DAMAGE & HYPER-PIGMENTATION Our skin is almost constantly exposed to harmful ultraviolet rays which, over time, break down collagen and prematurely age the skin due to free radicals (the same culprits that turn an apple brown once it’s cut). UV damage is inevitable, particularly if you live in Florida, but there are measures one can take to help reduce the sun’s damaging effects—so skin looks healthy, supple and glowing.

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1. Protect. “The best way to start combatting sun damage is with prevention,” says Bri Harris, The Effect’s director of business development.

That means staying out of the sun, especially during peak hours of 10 AM to 2 PM, when possible. “One thing I always recommend is a good SPF moisturizer. Especially living in Florida, it is important to protect your skin at all times—not just when you are poolside or at the beach.” As Harris notes, not all sunscreens are created equal. When choosing an SPF, look for a broad-spectrum SPF 30 that provides both UVB and UVA protection.

3. Treat. IPL (Intense Pulse Light) laser treatments are the gold standard for sun damaged skin, and specifically designed to treat discoloration—including sun damage, age spots, brown spots, facial veins, freckles, broken blood vessels, and rosacea. To enhance the treatment further and to improve the overall skin texture, Harris recommends adding a Fraxel Skin Resurfacing laser or Microneedling treatment. “This not only provides an added benefit by combatting hyper-pigmentation, but it will assist in the reduction of fine lines and wrinkles, acne scars, and pore size.”

2. Prep. “The Effect offers a variety of skincare products that address sun-damaged skin, as well as laser treatments to achieve your best skin,” says Harris, who recommends adopting a skincare regimen that addresses pigment, to help prep the skin prior to undergoing a laser treatment. “Our Image Skincare Iluma line targets pigment issues, such as brown spots, age spots, and sun damage.”

4. Maintain. Post-laser treatment, The Effect staff recommends continuing to use a skincare regimen that focuses on pigment issues and incorporating an SPF into your daily routine.

Undergoing a monthly chemical peel (which has less down time than a laser and can be completed in the time it takes to grab lunch) or HydraFacial can elevate your skincare routine even further, and help maintain lasting results.

HYDRAFACIAL

101

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The Effect’s HydraFacial uses patented technology to cleanse, extract, and hydrate skin while infusing highly effective serums tailored to specific skin needs. This unique process helps improve the appearance of several skin concerns, including fine lines and wrinkles, skin firmness, texture, and pore congestion. It’s also gentle, non-invasive and almost immediately effective.

BRI’S DAILY SKINCARE ROUTINE

Image Skincare’s Ageless Cleanser

Image Skincare’s Vital C Serum

Image Iluma Intense Brightening Eye Cream

Sente’ Illumine’ Eye cream

Image Skincare’s Prevention+ SPF 32 daily matte moisturizer

Image Skincare’s daily tinted moisturizer oil-free SPF 30

“

I am in love with Image Skincare’s Ageless cleanser. I’ve been using it for years. It has glycolic acid which helps reduce fine lines and wrinkles and gently exfoliates the skin. I then apply my Vital C Serum, also by Image Skincare, that is very hydrating and smells like fresh-squeezed orange juice. Eyes are very important so I alternate between the Image Iluma Intense Brightening Eye Cream to address dark circles and puffiness and the Sente’ Illumine’ Eye cream. Both are amazing!

Lastly, I use the Image Prevention+ SPF 32 Daily Hydrating Moisturizer to lock it all in.

During the summer, when I want to look a little more tan, I mix in the Image Daily tinted oil-free SPF 30 moisturizer. The great thing about a tinted moisturizer is you can wear it in lieu of foundation and it smells divine.”

Bri Harris

DIRECTOR OF BUSINESS DEVELOPMENT

SKIN CARE

Checklist

for skin texture/scarring: A series of Fraxel laser treatments (3-5), to increase collage

A series of micro-needling treatments, to plump the skin PRFM and/or Juvederm filler, to add volume

Checklist for wrinkles and volume loss:

3 non-ablative laser resurfacing treatments, each performed one month apart Botox treatments, every 3 months Juvederm fillers or PRFM injections, every 9-12 months Monthly HydraFacials

HOW TO COMBAT WRINKLES/SKIN TEXTURE

There is no one-size-fits-all plan to improve skin texture and elasticity, due to a host of factors such as genetics, the environment and age. “The skin contains two essential proteins: collagen—which gives skin its structure—and elastin, which allows skin to stretch,” says The Effect’s vice president of Clinical Services, Tracy Beluscak. “As we age, the body produces less of these proteins which in turn thins the skin and results in fine lines, wrinkles and volume loss. This process is also increased due to external factors such as sun damage, smoking, poor nutrition and dehydration.” Still, there are a multitude of treatments that can assist in turning back the hands of time.

1. Treat. As Beluscak notes, The Effect offers several treatments that promote collagen and elastin production and result in smoother, firmer, more even-looking skin. “Non-ablative fractional laser treatments deliver heat deep into the dermis without causing damage to the surface of the skin. This promotes collagen production and cell turnover which reduces the appearance of fine lines and wrinkles, softens the appearance of scars and tightens skin.” Micro-needling— in which a hand-held device containing tiny needles creates microinjuries to the skin, causing an inflammatory response—is another option. “Like laser treatments, microneedling helps promote collagen production and assists in skin resurfacing. This, in turn, causes increased collagen production to assist in repair.” Platelet-Rich Fibrin Matrix (PRFM) is another high-tech procedure that improves volume loss—utilizing the client’s own platelets in common problem areas such as nasolabial folds, tear troughs, cheeks, frown lines, and perioral lines. The non-surgical treatment takes roughly 20 minutes to complete, using the patient’s own blood (placed into a sterile chamber and spun in a centrifuge to separate the platelets from the other blood cells) as an injectable. Think of it like a natural version of a filler—one that Beluscak says, “assists in replenishing lost volume by stimulating growth factors once injected into the face.” The secret to ensuring results with treatments like those listed above? Patience.

“Each of these procedures will require a series of treatments for maximum results,” says Beluscak.

2. Plump. Dermal fillers such as Juvederm are a common way to add volume back to the face. Juvederm uses hyaluronic acid, a substance naturally found in the human body, to plump the skin and results typically last 9-12 months. Another non-surgical option is Botox, a widely used, non-surgical injection that temporarily reduces or eliminates fine lines and wrinkles.

3. Maintain. Once a client has undergone a series of treatments it is imperative that she continues with a good home skin care regimen. That is the ‘homework’ that will continue to improve the health of their skin and lengthen the benefits of treatments performed in-clinic. Then, all that will be needed are maintenance treatments every 6-12 months.

“

My own skin care regime begins with good hydration and proper nutrition. Our skin is the largest organ on our body and it shows the outward signs of what we put into our bodies the most. I utilize intermittent fasting two days per week, which allows my body to rid itself of damaged cells and toxins. I am also on Bioidentical hormone replacement therapy, which has improved many troublesome symptoms associated with menopause. This—in conjunction with a series of 3 IPL/Fraxel facial treatments, Botox every 3 months, fillers as needed, monthly HydraFacials and good skin care products—have all had a positive effect on the youthful appearance of my face. Product-wise, in the morning, I use Ageless cleanser, Image Vital C antiaging serum, and Senté SPF. At night, I use Ageless cleanser, Senté’s dermal contour pressed serum, Senté’s Bio complete serum, and Ageless under eye treatment. Twice a week, I use the Glow and Go peel.”

Tacy Beluscak VP CLINICAL SERVICES

TRACY’S DAILY SKINCARE ROUTINE

AM

Image Skincare’s Ageless Cleanser

Image Skincare’s Vital C Serum

Senté’s bio complete serum

Senté’s dermal contour pressed serum

Senté Pollution Shield SPF 46 tinted

PM

Image Skincare’s stem cell neck lift

SKIN CARE

HOW TO GET THE GLOW FROM THE INSIDE, OUT “A weight loss strategy should be as unique as the individual,” says Kristen Parker, director of operations at The Effect. And because individuals are so different, adhering to a diet that works for someone else might not be beneficial. “There are so many factors that play into the chemistry and DNA of our bodies. What works for one person may not work for another. Generally speaking, there are certain foods that are nutritious and that all of our bodies need, just as there are foods that leave us in a nutritional deficit, that we should only eat in moderation. Fad diets almost always eliminate certain foods or food groups. They are not only extremely difficult to maintain, but can rob the body of essential nutrients. A more moderate approach—tailored to each individual’s life and body type—will yield a more permanent loss of weight and a healthier body.” For those looking to lose 10-20 pounds, The Effect recommends the following.

1. Fast. Patients who undergo The Effect’s weight loss program are advised to undertake a five-day, fasting-mimicking diet. “We use Prolon, which is a plant-based meal program that is scientifically developed and clinically tested to help remove damaged cells and tissues and improve health and wellness.”

Patients who undergo the program benefit via weight loss, stomach shrinkage, a general feeling of lightness, and a rested gut. “All of these are a great kick-start to a longer weight loss program. Along with this fast, our program offers appetite suppressants, body analysis and nutritional coaching tailored to the individual.”

Hormone testing, supplements and Methyl B12 can also be added.

2. Assess. Each weight-loss client at The Effect undergoes an assessment of his or her present state, a pharmaceutical review, systems review, hormonal assessment, and a metabolic analysis. Then, each receives weekly coaching based on the findings. “We focus on the physiology, behavior and habits—so it’s about weight loss, but also about wellness and anti-aging,” says Ingram-Mitchell.

3. Focus. In addition to nutritional training, The Effect’s services include group or individual fitness training. Among the wellness professionals on staff are a board-certified physician, board-certified nurse practitioner, nutritional consultant and licensed physical therapist.

A TAILORED APPROACH Despite what fad diets might lead consumers to believe, there is no one-size-fits-all approach to nutrition and diet. “That is the biggest issue with weight loss today,” notes owner Kelly Ingram-Mitchell. “Many places provide a single approach. Patients or practitioners might lose weight, but they will typically re-gain it.” The Effect takes a much more tailored approach. “It is so important to understand each person’s body chemistry—what systems are functioning at a high level and which are exhausted and need a reboot.”

KRISTEN’S DAILY SKINCARE ROUTINE

Image Vital C Anti-aging serum

Senté Dermal Contour Pressed Serum

Image Iluma intense brightening eye cream

Image Vital C hydrating water burst

“

I eat a mostly plant-based diet and practice intermittent fasting. My philosophy is 70/30—70 percent of what I eat is nutritionally beneficial and healthy and 30 percent includes the foods and beverages I love, that are not as nutritionally supportive. I also drink lots of water, which is beneficial for both diet and skin health. My daily skincare routine includes Image Vital C Anti-aging serum, Sente Dermal Contour Pressed Serum, Image Iluma intense brightening eye cream, Image Vital C hydrating water burst, Sente SPF 46 and a hyperpigmentation bleaching cream, which is compounded in our partner pharmacy.”

Kristen Parker DIRECTOR OF OPERATIONS

Senté Pollution Shield SPF 46 tinted

Sheer pink lip enhancement comlex

FLORIDA’S The Sunshine State ranked 27 in kids’ health and access to care

Failure

Florida fell to 40th for kids’ oral health and tied for 46th with the highest percentage of uninsured children

W

ith rearing a child in America costing an average $230,000—including housing, child care, education and food—out-of-pocket costs for health care are the stuff of nightmares for parents. In a study done by personal finance website WalletHub, every state and the District of Columbia were compared to see how the cost, quality, and access to children’s health care measured against each other. e results were put into three categories: kids’ health and access to health care; nutrition; physical activity and obesity; and oral health.

For kids’ health and access to health care, Vermont ranked first.

For nutrition, physical activity and obesity, North Dakota came out on top. And Iowa ranked first for kids’ oral health.

On the opposite side of things, Alaska ranked 51 for health and access to health care. Kentucky was 51 for kids’ nutrition, physical activity and obesity while Hawaii stood fifty first for oral health.

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YOURHEALTH

As for Florida, the results were not the ideal. Florida ranked 27 in health and access to health care, while it ended up 41 for nutrition, physical activity and obesity.

Finally, Florida fell to 40 for oral health and was tied for 46 with the highest percentage of uninsured children. is means that the number of kids who are healthy and have all their required vaccinations is low, and that children in Florida have below average access to healthy foods and physical activities in school.

“Keeping kids healthy is one of the most important things for parents,” says Jill Gonzalez, an analyst at WalletHub. “However, that’s easier said than done in some states. at’s why it’s important for parents to know where their state ranks, and how it compares to the others in terms of costs, quality and access to children’s healthcare.” • —Lauren Willins

ice Ju e ans Cle

.H. S .

D.A

Paleo

Full Plate BREAKING DOWN THE MOST POPULAR DIET TRENDS SERVED TODAY

BY JOHN NEWSOM

rom shunning carbs to subsisting solely on cabbage soup, diet fads run the gamut from the healthy to the downright wacky. “e thing about fad diets is they’re just that—fads. ey tend to come and go,” says Katie Kuykendall, a local nutrition educator. e most popular diets these days— Keto, Paleo—have a lot in common, though, focusing on whole foods rather than processed, and on nutrients rather than counting calories. On the following pages, you’ll find a run-down of the mostsearched diet plans of late, along with what each entails.

F

Keto

Fasting YOURHEALTH

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The Vegan Diet

v

All animal products are foregone in this diet, including eggs and dairy. Fruits, vegetables, grains, legumes, and fats from plant-based sources are encouraged and fried food, starches, and grains are acceptable. ere is a health component to the diet—as it often encourages a higher intake of fruits and vegetables—but there is also an ethical component, with many adherents extending the principles of veganism to products other than food. “In America we have something called the fiber gap. Fiber only comes from plants,” says Kuykendall, but she does couch that with a warning: “With veganism, you have to eat a lot more because you aren’t getting as many calories.” Stir-fried veggies and rice is a good example of a vegan meal.

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YOURHEALTH

The Mediterranean/D.A.S.H. Diet

v

is diet is based on the diet and cooking styles of the countries bordering the Mediterranean Sea— inhabitants of which have been found to have a reduced risk for cardiovascular disease. e diet encourages lots of fruits and veggies. Grains are included, but they must be whole grain and nuts, while spices, and fish are important components. Red meat is limited to a couple times a month. Fat is consumed, but typically in the form of olive oil. Lean dairy is okay, and so is a nightly glass of red wine. e D.A.S.H diet—short for Dietary Approaches to Stop Hypertension—is similar, but includes an even lower amount of sodium. “is diet has a lot of benefits for heart health, which is the number one killer in America,” notes Kuykendall. e Mediterranean style of eating is also high in fish and omega 3 fatty acids, which are largely missing from the American diet. A typical Mediterranean meal might be grilled salmon, a Greek salad, and roasted veggies.

YOURHEALTH

27

Juice Cleanses

v

Juice cleanses have become increasingly popular in recent years, with celebrities like Gwyneth Paltrow and Beyoncé shunning foods in flavor of liquids in an effort to slim down and improve digestive health.

Doctors and nutritionists don’t recommend making these cleanses a permanent way of life, but the idea of giving your intestines, stomach, and colon a break isn’t necessarily a horrible one. “I think juicing is awesome,” says Kuykendall. “e whole idea of juicing vegetables and fruits is that you’re getting concentrated nutrients from food.” She doesn’t advocate for extended juice cleanses though. “People think they need to do some sort of restrictive diet where they only consume juices to ‘cleanse’ their bodies, but our bodies are really good at doing that already. If we want to cleanse our bodies, we need to be supporting the systems that are cleansing our bodies already.” ere are myriad cleanses on the market, including those by Project Juice and BluePrint Cleanse.

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The Ketogenic Diet (Keto)

v

e ketogenic diet was actually developed to treat epileptic seizures in children and involves making fat the center of your diet. In fact, up to 90 percent of a person’s daily calorie intake comes from fat, and carbohydrates of almost all kinds are avoided. What’s the rationale? e human body normally runs on sugar, but when a person consumes that much fat, the liver begins converting fat into an alternative fuel source called ketone bodies. In studies, a high presence of ketone bodies has been shown to help children with epilepsy reduce the severity and frequency of seizures. Coincidentally, those on the study also found themselves losing weight. Not everyone is convinced it’s a miracle-worker, though.

“When I think about Keto, I think about how unsustainable it is,” says Kuykendall, who adds that carbohydrates are important for proper function of the body. For dinner, someone on Keto might eat a grass-fed steak, mushrooms cooked in olive oil, and half an avocado.

YOURHEALTH

e premise of the paleo diet—sometimes referred to as the “caveman diet”—is that humans should eat like the hunter-gatherers of yesteryear. In other words, stick to foods that can be killed or picked. Lean meat, fish, fruits, vegetables, nuts, and seeds are encouraged in the paleo diet, while starches such as legumes and potatoes, grains, dairy products, refined sugar and other processed foods are avoided. “I do see the value in getting nutrition from whole foods,” says Kuykendall. A great example of a paleo meal would be a tuna steak, roasted veggies, and fruit.

While not technically a paleo diet, Whole 30 (a meal plan in which the dieter cuts out all processed foods, sugar and dairy for 30 days) is strikingly similar to the paleo style of eating.

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The Paleo Diet

Intermittent Fasting

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While neither a diet, nor a cleanse, the principle of intermittent fasting is growing in popularity for both weight loss and other benefits touted by practitioners. e idea is that you choose a set amount of time each day in which you won’t eat—eating during an eight-hour period each day, then abstaining from food for the remaining 16 hours, for instance. e general idea behind the trend is that it gives one’s digestion a break and allows it to better handle food when you do eat. “It’s a lot less complicated than it’s made out to be,” says Kuykendall. “I think that a lot of us do it on a daily basis without thinking about it.” e benefits extend well beyond weight loss. According to research conducted by neuroscientist Mark Mattson (a researcher at Johns Hopkins), cutting energy intake by fasting several days a week might help the brain ward off neurodegenerative diseases like Alzheimer’s and Parkinson’s while at the same time improving memory and mood. Q

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Giving Angels Their Wings More than 30 years ago a group of friends and volunteers started changing and saving lives in Northeast Florida WORDS BY LAUREN WILLINS

“

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he measure of a society is found in how they treat their weakest and most helpless citizens.” e words of president Jimmy Carter, succinctly encompass the mission of Angelwood. Since 1993, Angelwood has been aiding children, adults, seniors, and families with intellectual and developmental disabilities providing support to more than 300 individuals and their families through a multitude of services, including summer day camp and residential group homes.

As executive director Diane Tuttle notes, “Many of the people Angelwood is privileged to serve have a lot of needs. In fact, most of the time, the first thing anyone sees is what they can’t do. Yet, I have become keenly aware of what is possible.”

What is possible, for the beneficiaries of Angelwood, is a life in which disability isn’t a hindrance. e organization offers residential housing, career opportunities, children’s care, and behavior analysis. Angelwood group homes provide 24-hour

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supervision in residential neighborhoods. Damara Farwell, the chief development officer of Angelwood, says the organization is dedicated to providing support. “We have six residential group homes,” says Farwell, who adds that each participant is provided individualized training to help with the activities of their daily lives. Behavioral services are also provided for those who need it. All appointments, nursing oversight, transportation, and outings are arranged by Angelwood staff. Families are offered residential respite for their children through temporary supervision and care at a residential group home setting where they continue to learn and grow. e bulk of the support for the organization’s work (more of which is detailed on the following pages) comes from individual donations and events put on throughout the year. e funds help provide individuals with the highest quality of services and a lifetime of care.

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yourhealth

Job Support Angelwood’s Supported Employment services are meant to help individuals get jobs.

Job-seekers are taught proper work attire and hygiene, resume writing, etiquette, and interviewing skills.

Job coaches continue to provide help once a job is obtained, providing additional training, problem solving, and co-worker and supervisor communication.

Bells of Angelwood Formed in 2017, the Bells of Angelwood is a performing arts initiative at the Career Development and Education Center. “It’s a music therapy program with Brooke’s Rehab,” explains Farwell. e eightperson ensemble performs a two-octave handbell set in both public and private concerts. Performers are able to develop musically and expand their artistic horizons.

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Summer Camp Angelwood kids can enjoy summer camp with their peers. Campers participate in arts and crafts, recreation, music, and special activity days. Providing a safe environment to develop social skills, the camp allows parents the ability to continue working when school is out and not have to worry about their children. “Parents can have adults day out,” says Farwell. “We can help with those who need assistance and give parents freedom.”

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Behavior Analysis Services

Holiday Kids Camp

Adult Day Training

Angelwood provides Board Certified Behavior Analysts and Board Certified Assistant Behavior Analysts that analyze and assess children and adults exhibiting challenging behaviors. Problem behaviors are identified and behavior plans based off the analysis developed. e plan includes interventions to reduce problem behaviors and ways to replace them with accepted ones. e services focus on functional skills, communication and social skills, and age appropriate behaviors.

Parents and caregivers are also trained on how to enforce the behavior plan appropriately.

Parents get off-time during the holidays while Angelwood kids and their siblings are supervised by staff. e children participate in arts and crafts and other activities. Parents can relax or get holiday shopping done as all school-age children are welcome to attend.

Located in the Career Development and Education Center, the Adult Day Training program teaches participants vocational skills. e hope is that they gain more independence and move towards employment. “It’s continued education tailored to everyone and their goals,” says Farwell. It can vary from residents picking out their own foods or jobs.

Participants also create a variety of art-based projects including handmade soaps, original works of art, beaded jewelry, notecards, and scarves.

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yourhealth

Angelwood Fundraising Events LEARN MORE ABOUT THESE EVENTS AT ANGELWOODJAX.ORG

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T

he Angelwood Gala is the group’s signature fundraising event of the year, held at the Sawgrass Marriott Resort. Along with dinner and dancing, the gala includes live and silent auctions and a display of products made by participants from Angelwood’s adult training programs. August 24.

he inaugural Taste of the Town takes place September 14 at the St. Johns Town Center and includes a tasting event from 25 participating restaurants, along with music and a silent auction. Diamonds Direct hosts a raffle.

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acksonville Clay Target Sports hosts the Sporting Clay Shoot on February 27, 2020. Breakfast, lunch and ammo are included.

n November 4, the Jacksonville Golf & Country Club hosts the Angelwood Golf Classic. In addition to a round of golf, tickets include lunch, contests and prizes, tee gifts and an awards ceremony.

Each of Jacksonville Magazine’s Great Chefs dinners features a non-profit partner beneficiciary.

In addition to money raised at the event, each partner organization recieves a complimentary profile in a Jacksonville Magazine publication.

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OUt To

Eat

Tips for choosing healthier Options while dining out

BY EMILY BAILEY

ating healthy isn’t always easy. Especially when dining out at a favorite restaurant. And while many such experiences used to be saved for special occasions, eating outside the home—or, these days, having the food delivered right to one’s door—has become the daily norm for many. So how do you watch what you eat when you’re not at the helm of the kitchen? Kerry Napoleon, a nutritionist with First Coast YMCA, offers a few tips on how to steer meals in healthier directions.

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Veggies are key

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apoleon says one of the simplest ways to eat healthier while dining out is to create a plate half full of vegetables. She explains a well-balanced meal is half vegetables, one fourth starch, and one fourth protein.

Vegetables boost the nutritional quotient of any meal. Even pizza. Napoleon admits she often eats pizza, but chooses one topped with veggies and adds a side salad. “You’re getting a meal where you have a starch, you have a protein, you have veggies—pizza has all the components that you need,” she says.

“You bump it up even more with a salad.”

Napoleon suggests taking the same route when heading to sandwich counters. “I think sandwiches can actually be one of the healthier meal options because you have your bread, you get your protein, and then you can fill it up with as many vegetables as you want. en, again, it becomes that all-in-one meal.”

A common issue? e half a plate balance is typically left behind when it comes to quick meals such as burgers or chicken fingers because more often than not french fries are the side—and Napoleon, along with other dietitians, doesn’t consider the potato a vegetable.

“Even though potatoes are root vegetables, they don’t fit the guidelines of what we consider to be a vegetable. Typically, vegetables are lower calorie and have more fiber. But potatoes are higher in carbohydrates and calories and are going to raise your blood sugar in a similar way to a starch or a grain,” Napoleon says. While sweet potatoes fall into the same category as other potatoes when it comes to carbs and calories, they don’t raise blood sugar as high. So while opting for carrots or broccoli might be the best, choosing sweet potatoes wouldn’t be the worst.

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Cool Beans J

acksonville’s dining scene is loaded with Southern food and barbecue, neither of which are known to be the healthiest of choices. But there are routes one can take to add nutritional value. Napoleon suggests opting for veggie plates or choosing a lean protein with a side of beans, such as black eyed peas or lima beans (but passing on baked beans, which are typically loaded with sugar and butter) and adding a portion of green vegetables like collard greens.

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Portion

Control doesn’ t

have to be

Out of

Control W

hile those ordering don’t often have the choice of how much food is on their plate, they do have the choice of how many plates they’re going to get. Avoid an overload by planning out the entire meal in advance. Choose either an appetizer or dessert as opposed to both, and those opting for dessert should choose a meal that leaves plenty of room. “I love dessert, so I’m not going to order pasta for dinner if I know that I’m going to order dessert. I’m going to order a salad with some sort of protein on it and then I’m going to indulge in the dessert. It’s about making those choices of what is it that you want.”

Another route is to consider an appetizer as the main course, which provides the option of a smaller portion. is works for protein rich dishes such as ahi tuna, chicken wings, or crab cakes, all of which can be accompanied by a side and made into a full meal.

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Chip Choirpay Ho

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ortion control easily goes out the window at Tex Mex joints, where patrons nosh on baskets of chips and salsa prior to their meals.

“My biggest rule at Mexican restaurants is to try and limit the number of baskets of chips depen-ding on how many people are at the table,” says Napoleon. “If there’s 12 of you don’t worry about it, but if it’s just two people try and keep it to one basket of chips. My other recommendation for Tex Mex is to always order à la cart.” This way the three tacos you ordered don’t come with rice and beans and guacamole and a chimichanga.

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Don’t Forget your

Vitamin Sea

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AGNES LOPEZ PHOTOGRAPHY

apoleon says choosing seafood, one of the leaner protein options, is one of the healthiest ways to round out a meal. She suggests choosing fruit of the sea two to five times a week. “e key with seafood is you have to get varied options. You can’t do five days of tuna and you don’t want to eat salmon five days in a row, so go for tuna, have shrimp, have salmon, have mahi-mahi. If you can get varied amounts of seafood in your diet it’s extremely healthy for you,” she says. Worried about mercury poisoning? Napoleon says there’s no cause for concern as long as fish such as tuna and mackerel are only eaten once or twice a week.

Seafood isn’t just good for the stomach, but for the heart and brain as well, being big components of both the Mediterranean diet and the MINd diet, which is all about preventing dementia and alzheimer’s. Q

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yourhealth

It’s not easy

being green Algae and toxins are lurking within the St. Johns River

BY LAUREN WILLINS

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lorida waters have been looking a little green lately. And it’s not because they’re preparing for St. Patrick’s Day. e color is often caused by blue-green algal blooms, or cyanobacteria, which occur when microscopic algae grow to high levels in oceans, rivers, and ponds. e blooms are fueled by excessive nutrients— nitrogen and phosphorus, among others—which come from sources such as fertilizers, septic tanks, wastewater

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effluent and reclaimed water, and that makes its way into the public waterways. “ese algae blooms are not friendly. ey can produce toxins, which kill fish and cause respiratory issues in people.

If it continues it can cause neurological problems,” says James Orth, executive director at the St. Johns Riverkeeper.

Orth advises avoiding the blooms, which he describes as looking like slick or scum-like green paint.

yourhealth Algae growth in Florida is not a new problem, but when Hurricane Irma hit, it skyrocketed the number and size of blue-green algal blooms. During the storm, a large amount of fresh water and nutrients were channeled—naturally and otherwise—into the state’s many waterways, which were then heated by the hot summer air. is abundance of water and nutrients led to mass growth across the St. Johns.

“Blooms block sunlight from reaching submerged aquatic vegetation,” says Orth. is prevents the vegetation from getting the sunlight needed to survive, in turn dwindling the supply of food for fish. But this isn’t the only way fish are impacted. “Algae consumes oxygen as it dies,” says Orth. “Without enough oxygen, fish start to die.” On top of that, the algae can also clog the gills of fish when it’s too thick.

“

ese algae blooms are not friendly. ey can produce toxins, which kill fish and cause respiratory issues in people.

If it continues it can cause neurological problems.

– James Orth, executive director at the St. Johns Riverkeeper

”

Research shows Florida won’t be rid of the blue-green blooms anytime soon. e environmental damage cost the state around $17.3 million in emergency funding last year alone. Out of that, more than $14 million was used to clean up areas impacted by the infamous red tide. But residents can prevent further growth by properly disposing of organic materials such as pet waste and leaves and reducing the use of fertilizer. “Fertilizer is the main contributor,” says Orth. “Cut back and eliminate the use of it.” And if homeowners have to fertilize, decrease the amount. “Use the minimal amount necessary for the size of the yard,” he advises. And keep an eye out for signs of a bloom. Any scum on the water that makes it look a different color might be a bloom. For more information visit floridadep.gov/AlgalBloom. Q YOURHEALTH

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Raise your voice Using the arts to create awareness for ALS

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BY CASSIDY HOPSON

ax native Aleia Asbey knows more than anyone how life-changing amyotrophic lateral sclerosis, or ALS, can be. By age 24, she had lost five family members to the disease. ALS, also known as Lou Gehrig’s disease, is a progressive neurodegenerative disease that causes patients to lose their ability to do everything from walking to eating. ALS is incurable and most people diagnosed with it pass away within two to five years of receiving a diagnosis. At this time, there is no known cause of the disease.

The pain ALS has had on Asbey has not destroyed her spirits, however. “A few years ago, I lost my fourth family member to ALS. It was hard for me to deal with so I went to see my school therapist who recommended that I start to write about what I had been going through,” she recalls. “Shortly after, I realized that turning my writing into film was the most therapeutic way for me to share my family’s story.”

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Her film, 4 Voices Unheard, covers nearly 40 years of experiences within her family. “You get to see how this very close-knit family dealt with the surprising oneby-one diagnosis of ALS,” says Asbey. “In this story, I am fighting to be the voice for my family and my hope is that this will bring so much more awareness to ALS and surpass the Ice Bucket Challenge.”

Asbey is one of five teens who have been selected to be part of an ALSO US initiative. ALSO US is a program designed to provide a creative outlet for teens who have a family member diagnosed with the disease.

“A program like this is a blessing because they want to help creators specifically who have dealt with ALS,” Asbey says. Sshe has been paired with filmmaker Jason Harvey to help create her script and bring her story to life. The film is still in production and a release date is yet to be set. For more information visit alsa.org. Q

yourhealth

From far left: Aleia Asby and her mother; all six siblings in a framed photo on display at their mother’s funeral. ALS has claimed the lives of four of them.; Aleia

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35 YPReIaNTrs IN

Your city pride.

Your dreams to ride.

Your hunger satisfied.

Your lovely bride.

Your

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YOURHEALTH Northeast Florida’s Definitive guide to Medical Care & Wellness SUMMER 2019

Vol. 5 No. 3

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All Month

All Month

Blue Jay Listening Room

Flow Studio Mobile Art & Crafts

Where every ticket is a backstage pass.

Shows this month include Matt Walker, Corey Kilgannon, Tennessee Redemption, Kaleigh Baker, Parker Millsap, Melodime, Nicholas Edward Williams and more.

Flow Studio is a mobile co-op of art and craft instructors that will come to guests’ homes or gathering places to teach a fun, hands-on creative project.

Blue Jay Listening Room

Locations Vary

tickets Vary

tickets Vary

9/12

9/14

9/14

DLC’s 30th Anniversary of Hope & Miracles

Bavarian FarmFest

Beaches Food and Wine Tour

The event includes a reflection of 30 years of miracles with those who have been served at DLC over the years, dinner and inspiration from advocate Pam Tebow.

Intuition is taking the traditional Oktoberfest celebration on a field trip to the farm, complete with even more games, activities, beers, handmade food, and four local bands.

Congaree and Penn

$25

All Month Paint Your Pet Create a painting of your furry friend!

With Gogh Create’s customizable approach any wannabe artist is provided with the instruction and resources to help you begin.

Locations vary

$35

Take a journey with your own personal sommelier. Guests will be guided to five different restaurants in Atlantic Beach and have the chance to learn about wine and food pairings all afternoon.

River Front Cafe

Royal Palm Village Wine & Tapas

$75

$55

10/17 -20 Guys & Dolls

-20 10/18 Daufuskie Island

The story of a con-man, Nathan Detroit, who makes a bet whether Sky Masterson, a gambler, can score a date with the uptight missionary Sarah Brown in order to get the money he needs to hide his famous crap game from the police.

Vibes & Tides

Douglas Anderson School of the Arts

$20

10/26 The Golden Age of Hollywood

Meet and taste the very best from award-winning chefs, tastemakers, winemakers and more. Gather with friends as you take an indulgent tour of an Island rich in history and southern culture.

Immerse yourself in the glamour and charm of Old Hollywood while enjoying an entertaining cocktail hour with dinner, full open bar, and dancing to follow.

Haig Point

The Tringali Barn

Prices Vary

$125

LOCAL TICKETS. ONE PLACE.

Fall Events 9/5 Tom Coughlin Jay Fund Day Celebration In honor of the 2nd Annual Tom Coughlin Jay Fund Day, guests can expect one free Happy Hour drink and the chance to play Jaguars/Tom Coughlin Trivia with raffle and trivia prizes.

Culhane’s Irish Pub Southside

9/9 KOCKTAILS FOR KATE Expect music, specialty handcrafted cocktails and extended happy hour pricing, complimentary hors d’oeuvres and a heaping dose of laughter and fun with friends.

Cowford Chophouse

$30

Elevate featuring Alexa von Tobel

Manifest Discovery Series: Compounding Gin In this hands on workshop each participant will get to formulate their own gin recipe and leave with a sample. light snacks will be provided.

Manifest Distilling

$30

$10

10/3

9/11

10/11

10/11

Aqua East GROM Fest

9th Annual Bridging the Gaps Charity Gala

An inspiring talk from sought-after financial expert and one of Fortune’s Most Powerful women, Alexa von Tobel.

All ages and skill levels are encouraged to join Aqua East surf shop in a full weekend of surfing, skateboarding and wakeboarding events for the whole family.

Hotel Palms

St. Augustine Beach

Starting at $45

Prices vary

The evening includes dinner and a live and silent auction to highlight an often forgotten population: seniors in need in the localcommunity.

TPC Sawgrass Clubhouse

$125

11/1

11/9

11/16

#CG Dinner Club One part cooking class, two parts cocktail party and 100% fun. This quarterly dining experience offers delicious, innovative, and artfully prepared cuisine in a fun, interactive environment.

4th Annual Beaches Tour of Homes

North Florida Floating Lanterns Festival

Don't miss this exclusive home tour and upgrade to VIP for a golf cart guided tour, VIP "after party" and exclusive access to well known historic Atlantic Beach residence.

Atlantic Beach Urban Farms

Beaches Town Center

Picture a beautiful lake filled with glowing lanterns gently floating across its shimmering waters. More than just pretty decorations, each water lantern will be adorned with personal messages of hope and thanks.

$65

Starting at $25

Beachwalk

$25

T I C k E T s O n s A l E n O w AT 9 0 4 T I X .CO M

Contents 6

KID STUFF Programs catering to the needs of local children

8

IN THE NEWS Health-related updates from organizations throughout Northeast Florida

12

HEALTHY HAPPENINGS Things to do in Northeast Florida that are good for mind, body and soul

14

PET HEALTH Programs and products benefiting furry friends

16

KEEP CALM AND WOOF ON Six ways to help your dog maintain calm behavior, even in uncomfortable situations

18

HEALING THROUGH ART MOCA Jacksonville and Art With a Heart in Healthcare present an exhibition of artwork created by pediatric patients of Wolfson Children’s Hospital

24 SEEN The Sulzbacher Beaches Health Center celebrates a healthy hero and Ronald McDonald House supporters raise $450,000

43 PICNIC PERFECT Outdoor dining recipes to feed a hungry crowd that are both healthy and delicious

48 WORKING UP A SWEAT Three tips for workout success in the Florida heat

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“CRUISING” AT CONGAREE AND PENN

Hop aboard for tractor-pulled wagon rides at Congaree and Penn Farm.

Enjoy fried chicken, biscuits, country ham, draft cider and more!

SEPTEMBER 20 • 5:45-8:45 PM TICKETS $75 @ 904TIX.COM

kid stuff

BABY SHARK, DOO DOO...

all Grown up Sulzbacher Village celebrated the opening of its Family Garden in May. The space was created as part of the Crawford Early Learning Center (CELC) to foster better relationships between parents and children who call Sulzbacher home.

“The garden is a place where each child has something they can call their own. They decide what they want to plant and each has their own set of gardening tools to help them tend the crops. Parents are encouraged to use the garden as an opportunity to share a healthy activity and spend time with their children,” says CELC director Christine Stephens. “When it’s time to harvest their bounty, the children will bring home the food they’ve grown for the whole family to enjoy. It’s a great learning and bonding experience for everyone.”

The project came to life with the help of Builder’s Care, who donated time and labor to build the fences and raised beds, and Berry Good Farms, which is sending staff and students every other week to help maintain the garden and to teach the kids how to care for it themselves. ♦ —John Newsom

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e Bolles School Sharks Swim Program has contributed $10,000 in a collaborative partnership with Boys & Girls Clubs of Northeast Florida and e City of Jacksonville to provide swim lessons for inner-city youth. e donation provides over 320 kids from the Jacksonville area the chance to splash and dive in a pool—with proper supervision and support to teach them necessary skills. e drive is aimed at decreasing the number of youth drownings in Duval County.

Once all the lessons have been attended the group will be treated with a trip to a water park to showoff their swimming talents. Don’t forget your goggles! ♦ —John Newsom

Kids are choosing hamburgers and hot dogs over shrimp and fish, a study by the American Academy of Pediatrics (AAP) shows. Due to the fear of mercury poisoning, parents are avoiding feeding their children fruits of the sea. However, adding fish to a developing diet has various health benefits. In addition to being protein dense with no saturated fat or sugar, many types of fish are high in vitamin D and calcium, and some are a rich source of omega-3 fatty acids.

Fish consumption can help alleviate ADHD symptoms and depression and decreases the risk of asthma and eczema. For those who worry the negatives can outweigh the benefits, the AAP says exposure to mercury in fish can be minimized or avoided by keeping fish consumption to no more than twice per week. ♦ —Lauren Willins

Go fish

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in the news.

By John Newsom, Deanna Pisacreta, cameron rogers, and lauren willins

good night, sleep tight America is becoming an insomniac. According to a study by Withings, a consumer electronics company, the average person in the U.S. goes to bed at 12:08 AM. And she wakes up at 7:41 AM— making the recommended seven to nine hours of sleep just a dream. Approximately 50 percent of us sleep less than that. Following in the steps of Philadelphia, New York, Los Angeles, and Miami, the average Jaxon doesn’t go to bed until 12:24 AM. However, Florida is the snore capital of the

FRESH START Florida Blue’s cafes, located in the health insurer’s headquarters here in Jax, have received a tasty makeover, thanks to a food service contract with FLIK Hospitality Group. The restaurants are now open to guests as well as staff and offer menus by Top Chef alum and local restaurateur Kenny Gilbert. Together with FLIK, Gilbert implemented whole ingredients and fresh produce into Florida Blue with a concept called Cafe Fresh. Each weekday the menu spotlights a different cuisine including Indian, Italian, Asian, Caribbean, and Latin—all linked to the vast workforce at Florida Blue. “As a company, we want people to achieve better health, and those people include our employees,” says Damian Monticello, Florida Blue’s senior director of hospitality services. “We also want to make sure the foodservice we’re putting forward is something that speaks to them. Kenny is in tune with what the local population is looking for here and in Miami as well as many of our other locations.” ♦

U.S., as we snore over five times a night with a duration of one hour and 12 minutes. So where should people go if they want the most sleep each night? According to the study, New Orleans has the best sleep quality in America. Must be all the bead throwing. And the bourbon. ♦

allied forces No longer will women have to choose between tampons or food. e Alliance for Period Supplies, a national program that helps those struggling to buy period products, has joined forces with Feeding Northeast Florida to provide supplies and assistance. “Now that we are an official partner in this program, we will ensure that people in North Florida will not have to go without these essential products anymore,” says Michael Neff, chief operating and strategy officer of Feeding Northeast Florida.

Period products will now be offered to agency partners and through direct mobile food distributions. Donations of new and unopened tampons, pads, and liners will also be accepted. feedingnefl.org ♦ 8

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in the news

ALL DRESSED UP

work in progress Twenty two weight loss surgery patients showed off their fit physiques in the Bariatric Fashion Show on June 20 at Memorial Hospital. Collectively, the group lost 3,000 pounds as a result of a multidisciplinary approach that highlights non-invasive treatments and only utilizes surgical procedures when necessary. The models were escorted by celebrities such as Jaguars ambassador and former defensive lineman Paul Frase, along with local physicians involved in their journey. “We are very proud of our bariatric patients, who inspire us to keep fighting for them. Their accomplishments are nothing short of a miracle and we are very excited to join in celebrating their achievements,” says Dr. Husain Abbas, robotic bariatric surgeon with Memorial Advanced Surgery. “We only give them a tool to help them kick-start their weight loss journey and get their health back.” ♦

Mayo Clinic announced a 140,000-square-foot integrated oncology facility will be added to its Florida campus here in Jax. Some of the latest developments in cancer treatment will be featured, such as proton beam therapy, a highly targeted form of radiotherapy ideal for people with tumors close to, or in, vital organs. "is facility will give us the ability to offer our patients the full spectrum of cancer treatment options, including chemotherapy, immunotherapy, CAR-T cell therapy (chimeric antigen receptor therapy T cell therapy), surgery, proton beam therapy, gamma knife radiosurgery and traditional radiotherapy," says Kent ielen, CEO of Mayo Clinic Florida.

“It will also give patients access to proton beam therapy clinical trials offered through our National Cancer Institute-designated comprehensive cancer center.” e building is expected to be completed in 2023. ♦

making change

Yogis are likely draw to mind a certain aesthetic—a free spirit in sandals, wearing yoga pants at all times, carrying a reusable bag of organic groceries... you know the look However, Yoga 4 Change and SuperFit Foods are partnering to bring the practice to altogether different groups— specifically, veterans, those involved in the carceral system, and those recovering from substance abuse. SuperFit Foods is sponsoring yoga classes offered by Yoga 4 Change, which will not only provide physical benefits to participants but can reduce stress, anxiety and blood pressure and increase mood. “For myself, partnering up with Y4C was a no brainer,” says Jared Graybeal, SuperFit Foods founder. “A lot of my behavior as a kid got me in trouble and eventually, incarcerated. A program like Y4C could have really helped me when I was young and we are excited to be a part of something like this for our community.” ♦

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in the news

in the neighborhood

Commitment conniption

Baptist Health announced plans to open Baptist HealthPlace at Nocatee, a new health and wellness center, in summer 2020. e center will provide a wide range of services including primary care, behavioral health, cardiology, otolaryngology (ENT), and OB/GYN. A YMCA will be a part of the facility, along with centers featuring Brooks Rehabilitation and Wolfson’s Children’s Rehabilitation. “Our vision is to create a convenient place for health and wellness that helps people to get well and stay healthy,” says Brett McClung, president and CEO of Baptist Health. e two-story, 83,000-squarefoot center will be located west of Nocatee Town Center, facing Nocatee Parkway. ♦

Exercise is needed to enjoy a healthy existance. But according to a study done by Dr. Tracy Alloway, an associate professor of psychology in the College of Arts and Sciences at the University of North Florida, people have trouble committing to exercise. Not a huge revelation there. But Alloway says that a person’s level of confidence impacts how they approach goals and challenges. To test that theory, the Impact of Physical Activity (IPA) scale was created to look at how positive and negative emotions reflect the commitment to exercise. Results showed that the more positive one felt about completing goals, the better mental health. “When people felt positively about exercising, this emotion was associated with an optimistic outlook,” says Alloway. “Conversely, negative moods associated with a lack of exercise were related to a pessimistic outlook and depressive tendencies.” e IPA can be used by fitness professionals to test how likely a client is to maintain an exercise program and improve a client’s resolve to commit. ♦

OFFICE SPACE Burnout is now recognized as an official medical diagnosis, according to the World Health Organization (WHO). It joins the ranks on problems related to employment and unemployment. According to WHO’s International Classification of Diseases handbook, people can be diagnosed with workplace “burnout” if they experience feelings of energy exhaustion and depletion. Increased mental distance from a job and lower professional efficiency can also be factors.

It’s important to note that the diagnosis is only for work environments and not other life issues. Sometimes being tired just means you’re tired. ♦ 10

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in the news

BRIGHT SIDE

in good company Crowley Maritime Corp. has been named one of the Healthiest Companies in America by Interactive Health for the sixth consecutive year. To ensure employees’ health, Jax-based Crowley provides regular weekly group fitness activities and community sports opportunities. Tiffany King, vice president in Crowley’s People Services group, believes this shows the firm’s commitment to better health. “Crowley employees continue to embrace wellness programs, resources and activities to lead healthy lives,” says King. “These results continue to demonstrate how Crowley’s commitment helps make livesbetter.” The maritime transportation and logistics business is one of 151 companies that received the recognition. “Investing in the health of your employees has farreaching implications across the organization,” says Bill Goldberg, president and CEO of Interactive Health. “A healthier workforce is one that is happier, more engaged and more productive.” ♦

Florida might be seeing a slight relief from the nationwide opioid crisis. Recently released data by the state Medical Examiners Commission found that overall drug-related deaths were down five percent and opioid-caused deaths were down 13 percent when compared to the same time in 2017.

In the past, authorities estimated the painkillers took the life of 17 Floridians daily. Still, the epidemic remains a concern. In April, Governor Ron DeSantis announced the creation of the Task Force on Opioid Drug Abuse, which aims to determine whether more state regulation is needed and find ways to reduce demand for the drugs. ♦

welcome aboard Wolfson Children’s Hospital and Nemours Children’s Specialty Care welcomes a new chair of surgery. Robert W. Letton, Jr., MD, is a board-certified pediatric surgeon and assumed the position in May. Dr. Letton previously was the medical director of the Pediatric Trauma Program at Children’s Hospital of Oklahoma. He is also the Albert H. Wilkinson, Jr., MD, Endowed Professor in Pediatric Surgery. “Dr. Letton not only brings his expertise in the field of pediatric surgery, but a strong drive to grow both Wolfson Children’s and Nemours, and train other pediatric surgeons to follow in his footsteps,” says Wolfson president Michael Aubin. ♦

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Summer

healthy happenings

First Coast Heart Walk

Night Nation Run

Sundays At Surfer Each Sunday morning Big Fish Power Yoga offers a free 60-minute Power Flow class on the top floor of Surfer e Bar in Jacksonville Beach. Beginners and experts alike are welcome to join the class that is not just about getting a good workout, but about connecting the community in a different way. Sundays, 10 AM, Surfer e Bar.

Night Nation Run Night Nation is the first running music festival in which DJs, selfie stations, and more are posted throughout a 5K course. e event closes out at main stage with a surprise guest DJ and a dance party for all the runners and race supporters. Night Nation is partnered with Stand Up to Cancer, and the money raised at the event goes directly to funding innovative cancer research. Tickets start at $30. September 7, 5:30 PM, TIAA Bank Field.

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Soul On Fire

SenioRITAs

Soul on Fire Retreat

2019 First Coast Heart Walk

SenioRITAs

is day-and-a-half beachfront gathering in St. Augustine is the opportunity to expand mental health and unplug from the buzz of everyday life. Participants will reconnect with themselves, set goals for the coming fall, and discover new creativity that helps benefit the mind, body, and soul. Tickets start at $150. September 20, 10 AM, Embassy Suites Oceanfront Resort.

is annual event is one of the American Heart Association’s top fundraisers to help those in a fight against heart disease and stroke, America’s #1 and #5 killers each year. Participants can run as an individual, or bring along friends and family and run as a team. While they do encourage participants to donate, it isn’t required. September 21, 8 AM, Metropolitan Park.

SenioRITA, named for “Research Is e Answer,” aims to raise money for breast cancer awareness. e largest charity tennis event in Jacksonville, the tourney is held at Sawgrass Country Club. All profits go to Mayo Clinic and Baptist Medical Center Beaches. Registration is $200 per team. October 18-20, Sawgrass Country Club.

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MORE AT JACKSONVILLEMAG.COM

pet health

by Laurens willins

AT YOUR SERVICE When one thinks of a service dog, most likely envision guide dogs for those with physical limitations. Most people forget about the other type of service dog: psychiatric service dogs, which help their owners deal with psychiatric disabilities, such Obsessive-Compulsive Disorder, and are often mistaken for emotional support animals (ESA).

“There’s a major difference in having a dog trained for public access,” says Wallace Scheurman, the owner of Scheurman’s K9 Academy. “Emotional Support Animals are not covered under the Americans with Disabilities Act.” According to Scheurman, service dogs are trained to help their handlers be comfortable and out in public. With the confusion regarding psychiatric service animals and emotional support animals, it’s important to understand the differences. When the dogs wear the vest, that means they should not be touched or spoken to. If one wants to ask about the dog they have to speak to its handler first.

Psychiatric service dogs are like other service dogs, and should be treated as such.♦

Two Tickets to Paradise Pet Paradise opened its first full-service veterinary hospital on July 1. The hospital, located on University Boulevard, provides a variety of medical procedures including internal medicine, pain management, and soft tissue surgeries. The facility is open seven days a week and offers transportation for pet patients from the adjacent Pet Paradise and other veterinary clinics. Dr. Michelle Delucia, a Jacksonville native with 15 years of experience in veterinary care, oversees the facility. “As we expand our footprint of pet care and amenities for our four-legged guests, we have recognized the need to offer additional veterinary services for the convenience of our clients,” says chief veterinary officer Jaime Pickett. “At our new full-service hospital, we will perform medical, surgical and dental services as well as administer our wellness plans continuing our commitment to quality and integrated pet health care.” ♦

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Pet Health

‘CAT’ASTROPHE Purebred cats might come with papers, but they also may bring a host of health issues. According to the American Wellness Center, purebreds tend to have more health problems due to breeding. For example, Siamese cats are prone to heart, respiratory, and eye problems, while a Maine Coon can have hip and elbow dysplasia. Norwegian Forest Cats are known to acquire heart problems and Bengals often have eye diseases and joint problems. It’s important to note that if a cat is a cross of two breeds, there’s greater risk of inheriting

diseases from both breeds. ♦

Healthy Pets, Healthy People Many people believe that adopting a pet can improve their lives. And, according to the Centers for Disease Control and Prevention, that’s actually true. Around 68 percent of U.S. households have a pet, and these pets can help their owners physically and mentally. Dogs are great for getting their owners out of the house and exercising, and offer a feeling of purpose for those dealing with depression. Pets can decrease blood pressure and cholesterol, as well as feelings of loneliness.

People who own a cat are 30% less likely to have a heart attack and 40% less likely to suffer a cardiovascular incident.

And it’s not just with dogs and cats. According to a study by Purdue, when autistic children had guinea pigs with them in a classroom setting, they were more social and interactive with their peers. And in a 2016 study, seniors who were given five crickets in a cage to look after became less depressed. ♦

Nailed it

The pitter patter of a dog’s nails on a wood or tiled flooris a distinct sound. Some enjoy the telltale click-click of a dog’s approach. And others can’t be bothered to cut their dog’s nails and put up with the noise. But according to the American Kennel Club, not cutting a dog’s nails could lead to health problems down the road. Some owners are afraid of cutting the nails too far and hurting their dogs, but it’s a necessary chore. Leaving the nails to grow out can splay the foot and decrease traction. The foot can become deformed and the tendons be injured. A good way to help dogs without worrying about cutting the nerve is to grind the nails. Dogs will make it known when it’s getting close to the nerve, so there’s no need to worry. Experts advise monitoring how long a dog’s nails are growing to prevent any issues. ♦ YOURHEALTH

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Keep calm and woof on 6 Ways to Help Your Dog Maintain Calm Behavior

S

In a survey* by Purina Pro Plan Veterinary Supplements, 62% of dog owners reported seeing regular anxious behaviors in their dogs, such as excessive barking,

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compulsive jumping and shaking or trembling. Yet 35% of owners surveyed believe their dogs’ personalities are among the primary causes of concerning behaviors.

“It’s important to talk to your veterinarian if your dog is displaying undesirable behaviors,” says Jason Gagne, DVM, director of veterinary technical communication for Pro Plan Veterinary Diets. “What might be perceived as a characteristic of a particular breed or part of a dog’s personality could really be an anxious behavior that needs attention.”

PHOTO COURTESY OF GETTY IMAGES

ummer can be a stressful time of year for dogs who experience anxious behaviors, with triggers like fireworks, thunderstorms, summer travel and more taking a toll on pets. While you may not be able to prevent your pet’s anxious behaviors entirely, there are ways to ease your dog’s apprehension and manage the behavior it can potentially cause.

yourhealth Gagne suggests pet owners take these steps to help keep furry friends comfortable and calm.

Start preparing early For stressful situations near your home, such as fireworks, help prepare your dog by exposing him or her to recorded firework or thunder sounds. Begin training several months in advance and gradually increase the volume while rewarding your dog for maintaining calm behavior.

Create a safe space Prepare a special area in your home where your dog can feel safe and secure during noisy instances. If crate trained, your dog may feel most secure there with a favorite toy to stay occupied. If not crate trained, put the bed in a quiet place during fireworks or thunderstorms, close the windows and play some music to help muffle sounds.

help dogs maintain calm behavior, like Pro Plan Veterinary Supplements Calming Care. is probiotic supplement, available through veterinarians, also helps dogs maintain positive cardiac activity during stressful events, promoting a positive emotional state. It may take up to six weeks to see results, so give yourself plenty of lead time.

Make your dog comfortable Giving your dog a special treat or favorite toy during a potentially upsetting event might help establish a positive association with these loud noises. Calming wraps may help for some dogs, too. Like swaddling for infants, these may help your dog feel secure during stressful situations.

Make car travel a positive experience If car rides bring out your dog’s anxious behaviors, get him or her used to the idea of car travel before summer road trips.

Use a crate or dog carrier that’s large enough for your dog to lay down comfortably. Use a reward such as a favorite treat or interactive toy to get him or her excited to get in the car and crate before taking a trip.

Stay Calm Pets look to their owners for reassurance, so showing them a calm, relaxed demeanor helps them understand there is no real danger.

For more information, visit Purina.com or speak to your veterinarian. Q

Consider a probiotic Pay your vet a visit to discuss your dog’s behavior and see if he or she could benefit from a probiotic that’s been shown to

*e survey data was collected by Relevation Research via an online survey from Aug. 15-19, 2018. Eight-hundred-twenty-six nationally representative dog owners qualified for and completed the survey.

Qualified participants were men and women age 18 and older, owned one or more dogs (age 13 months or older), were household members most responsible for taking the dog(s) to a veterinarian and had taken the dog(s) to a veterinarian in the past 12 months.

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Healing Through Art For the ninth year in a row, MOCA Jacksonville partnered with Art with a Heart in Healthcare (AWAHIH) for an exhibit featuring artwork created by pediatric patients of Wolfson Children’s Hospital. “is exhibition is a testimony to the healing power of art and a celebration of its growing momentum in the world of healthcare,” says MOCA Jacksonville director Caitlin Doherty.

Art with a Heart in Healthcare is a nonprofit organization that provides art experiences to enhance the healing process for patients and their families at Wolfson. Each patient is paired with an artist to bring out natural talents and promote self-confidence during their time at the hospital. For children especially, the goal of AWAHIH is distraction from the pain, self-expression, and healing.

For the 2019 exhibition, titled AnimalGamation, artists used their imaginations to combine characteristics of different animals. e resulting works showcase hybrids such as an “Elefly,” a butterfly-elephant combination. e budding artists used mixed media to create animals that represented who they were and who they wanted to be. e program is designed to make children feel better about being in the hospital, however parents also reap additional benefits from the program.

“To get my kid’s face to light up, that’s a huge deal to me,” one mother says, “It is so uplifting to see the goodness that comes from artwork.”

e exhibition will be on display at the MOCA Jacksonville Education Gallery through December 8. Q

Images courtesy of Art with a Heart in Healthcare and photographed by Laird

WORDS BY DEANNA PISACRETA

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AN ELEFLY

Hajar, Age 13 Acrylic and mixed media on canvas, 12x12 inches.

Hajar painted an elephant-butterfly combination for her contribution to Animal-Gamation. She picked an elephant as a representation of herself because they are intelligent and loyal, two traits Hajar says shes possesses herself. A butterfly’s growth from a caterpillar represents her own growth as an artist.

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PIGER

Antoinette “Annie”, Age 11 Acrylic and mixed media on canvas, 12x12 inches.

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“I’m sassy and I act older than my age.” Eleven-year-old Annie says that’s the one thing she wants viewers of her art to know about her. She designed this white tiger/polar bear mash-up because of her love of the water.

RAVEN RABBIT

Raven, Age 18 Acrylic and mixed media on canvas, 12x12 inches.

It is said that the sight of a single raven is a sign of good luck. Aside from sharing a name with the bird, Raven chose it to represent himself because of his ability to aect others in a positive way. He also included a rabbit because of their fearlessness; in the face of danger the rabbit charges forward with both feet.

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CHEEHORSE

Eliana, Age 7

Acrylic and mixed media on canvas, 12x12 inches.

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When playing soccer, “I am swift and focused just like a cheetah,” Eliana says when explaining why she chose a cheetah-seahorse combination for her painting.

According to her, she is also graceful and confident—just like a seahorse.

BEER

Jacob “Jake”, Age 14 Jake, a young artist who enjoys painting using the techniques he learned from watching Bob Ross videos, chose to design an amalgamation of a bee and a bear. He felt the bee was perfect for himself, as the mascot of the Yulee Hornets Middle and High School Jake is often referred to by his nickname “Buzz.” e bear is a symbol of his own strength and willpower. Since the beginning of his chemotherapy Jake has been confident that he will beat his illness.

Acrylic and mixed media on canvas, 12x12 inches.

SNOLFON

Ayden, Age 17 Ayden is an artist, musician, and Harry Potter lover. His Animal-Gamation is a mixture of a snail, wolf, and heron. e snail signifies his sensitive and protective nature; the wolf characterizes his perseverance and his loyalty to his friends; and the heron represents his determination, self-reliance, calm demeanor, and independence.

Acrylic and mixed media on canvas, 12x12 inches.

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Seas theDay e Sulzbacher Beaches Health Center celebrates a healthy hero PHOTOS BY HOLLY STASSBERGER OF HOL PHOTOGRAPHY

The Sulzbacher Beaches Health Center honored Jacksonville City Councilman Bill Gulliford with the “2019 Beaches Healthy Hero” award May 16. Presented as part of the Fiesta on the Beach fundraiser, Healthy Hero was created to honor individuals and organizations that show dedication to improving the health and well-being of the beaches community. According to Cindy Funkhouser, president and CEO of Sulzacher, “Not only has he [Gulliford] advocated for healthcare to become a dedicated part of the annual City budget but he took a strong leadership position on our city’s tragic opioid crisis and created a model program that is saving lives daily at the beach and throughout the city.” Q —LAUREN WILLINS

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Dinner is Served Ronald McDonald House supporters raise $450,000 PHOTOS BY LOVE-LUMI PHOTOGRAPHY

The Ronald McDonald House Charities of Jacksonville hosted its annual McGala May 18. Themed after the famous Supper Clubs of the 1940s, the McGala is the largest fundraising event for the organization, the local branch of a national collection of facilities that provides lodging, transportation, and meals to ill children and their families who visit hospitals for treatment. The Chris Thomas Band entertained as 500 guests enjoyed food and cocktails, finishing the night with a wine pull and live and silent auctions. A record $450,000 was raised to support the cause. “It was a beautiful night that exceeded all of our expectations.

Our supporters truly value the importance of caring for critically-ill children, which is evident in their support of our mission,” says executive director Diane Boyle. Q —LAUREN WILLINS

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Abigail

Akai

Alexis

Alexus

Ashanté

Ashley

Carlynn

Chanel

Jessie

Kate

Kayla

Kristina

Lauren

Madison

Makeeta

Michelle

Natavia

Queen Amina

Stephanie

Vanessa

The 2019 Jacksonville Magazine Fashion Project—themed “Superheroes“—lights up the runway the evening of Friday, October 11, 7-10 PM, inside the WJCT studios. Just as in past years, aspiring models paired with professional and novice designers from across Northeast Florida compete for the chance to be featured on the cover and inside the pages of an upcoming Jacksonville Magazine.

In addition to a two-part runway show, the event is highlighted by fine wine, craft cocktails and live music.

FRIDAY, OCTOBER 11 • 7-10 PM • WJCT STUDIOS, DOWNTOWN JAX

Tickets @ 904TIX.com

yourhealth

TOUGH GUYS 1. Store 5. Gave over 10. Juniper bush 15. Worker often vilified 19. Exchange fee 20. Sprightly 21. Leaf shape 22. Pot 23. Triggering: 2 wds.

25. Hurry: 4 wds.

27. More rich 28. Wanton looks 30. Sleep-inducer 31. Settle 32. Lachrymose 33. Town — 34. Venom 37. What’s what 38. Miniaturists 41. Uses a blue pencil 42. Seasons 43. Clergyman's residence 44. “—Fledermaus” 45. Old Roman historian 46. Doubly 47. French dynasty 48. Collapse 49. Pipe fitting 50. Manner of movement 51. Vishneva and Vreeland 53. Winchester 54. Erythema solare 56. Fill 57. Wool jacket 58. Intermittent: Hyph.

63. Vocalizes 66. Place of perfection 67. British dynasty 71. William — Harrison 72. Shop around 74. Cards 75. Baseball stat.

76. Routines 77. Gets better 78. Expressionless 80. Reach a high point 81. Yippee!

82. Box and booster 83. A-listers 84. Long suit 85. Watch a sports event 87. One of the Gibbs 88. Knowledgeable 89. Angry dispute 90. — -a-Dale 91. Frazier of basketball 92. Hindu religious retreat 94. Exotic 95. Shutter of a kind 99. Treat with contempt: 3 wds.

BY JAMES BARRICK

ACROSS

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© 2019 United Feature Syndicate, Dist. by Andrews McMeel Syndication 101. Goldbricking: 2 wds.

103. Hybrid animal 104. Filled 105. Facilitates 106. Morphology branch: Abbr.

107. Mimic 108. Long lock 109. A meter, cubed 110. Shots in tennis

1. Grammar text abbr.

2. Golden- — 3. Ceremony 4. Whole 5. The jackal, e.g.

6. Urged (with “on”) 7. Fashion brand 8. Kobold 9. Turned aside 10. Will or Ginger 11. Each

DOWN

12. Makes lace 13. Greek H 14. One with good recall 15. Communist council 16 Departed: 2 wds.

17. Thanks — —!

18. Curse 24. Apple desktops 26. Think 29. Greasy spoon sign 32. Agalite 33. Woody stems 34. Softens, in a way 35. Last word, sometimes 36. Animate 37. — accompli 38. Melonlike fruit 39. Lunar valley 40. Ceremonial dinner 42. Jazz variety 43. “— — La Mancha” 46. “— Bulba”

Turn to page ? for this month’s answers

47. Baby whale 48. Fanatic 50. Jute fabric 52. Desktop items 53. Means of control 55. Vulgarians 57. Pluvious 59. Freshen, in a way 60. False gods 61. Tidings 62. Verdon and Stefani 63. Blackens 64. Summary 65. For the most part: 3 wds.

68. Diviners 69. Hold forth 70. Cleared a lawn 72. Surpasses 73. Greatness anagram 74. Conservative 77. Leading 79. Mountain lake

80. Part of Iberia

82. Violin, for short

83. Shopaholic’s dream 84. Criminal

86. Remarkable thing

87. Window treatment 88. Portmanteau 90. Bitter —

91. Cracker

92. — -Tadema

93. Menu offering 94. Stake

95. Francisco — de Goya y Lucientes 96. Loudness unit 97. “— — first ...”

98. Newts

100. Kind of cry

102. Avena

C R O S S W O R D

Profiles of Leading Northeast Florida Practices, Physicians and Dentists

Brown Fertility— Conceiving Miracles Samuel E. Brown, MD • Rafael A. Cabrera, MD • Bruce I. Rose, MD, Ph.D. Lori Hollins, MD • Emily Opdycke, ARNP

Over the last 20 years, the providers at Brown Fertility have helped thousands of couples grow their families by providing them with the cuttingedge fertility treatments they need along with the compassionate care they deserve. After building the state’s most modern in-vitrofertilization (IVF) lab and partnering with one of the country’s most experienced embryologists, Brown Fertility boasts some of the highest pregnancy rates in the nation—up to 100 percent higher than the national average.

At the heart of Brown Fertility’s high success rates is a team of experienced providers. Dr. Samuel E. Brown, founder of Brown Fertility, is a nationally recognized leader in the field of reproductive medicine and is dually board certified in Reproductive Endocrinology and Infertility. He was the first reproductive surgeon in the state of Florida to pioneer minimally invasive robotic gynecological surgery for the treatment of infertility, and completed his fellowship at the renowned Jones Institute for Reproductive Medicine.

Dr. Rafael A. Cabrera is dually board certified in Reproductive Endocrinology and Infertility and also completed his fellowship at the prestigious Jones Institute. Together, Dr. Cabrera and Dr. Brown make up the only team of Jones Institute graduates practicing together in the state of Florida. A native of Puerto Rico, Dr. Cabrera is fluent in Spanish, and has been recognized as a “Best Doctor” by U.S. News & World Report.

Dr. Bruce I. Rose is dually board certified in Reproductive Endocrinology and Obstetrics and Gynecology. With over 30 years’ experience Dr. Rose, an MD/Ph.D., is an acknowledged leader within the field of Reproductive Endocrinology and is an experienced researcher with hundreds of publications and cases, including focus on IVM (In-Vitro Maturation).

Dr. Lori Hollins, the newest provider at Brown Fertility, is dually board certified in Reproductive Endocrinology and Obstetrics and Gynecology.

With over 20 years’ experience Dr. Hollins has worked in academic medicine and private practice and has conducted and published research on women’s health. She comes to Brown Fertility from the Cleveland Clinic and will undoubtedly enhance the practice.

Emily Opdycke, APRN is a board certified women’s health nurse practitioner with over a decade of experience. She received her nursing degree from the University of North Florida in 2003 where she graduated top 10 percent and earned a Master’s degree from the University of Cincinnati.

Exceptionally high success rates, experienced and compassionate providers, and state-of-theart technology are just some of the reasons why patients, both national and international, consistently chose Brown Fertility to help realize their dreams of parenthood.

Samuel E. Brown, MD Board CertifiCations :

Obstetrics & Gynecology Reproductive Endocrinology & Infertility fellowships :

Reproductive Endocrinology & Infertility, Jones Institute for Reproductive Medicine loCations :

8149 Point Meadows Way Jacksonville, FL 32256

14540 Old St. Augustine Rd. Bldg. 2, Suite 2497 Jacksonville, FL 32258 904.260.0352 Brownfertility.com

A D V E RT I S I N G F E AT U R E

Contoura Facial Plastic Surgery Dr. Roberto Garcia is the founder and principal of Contoura Facial Plastic Surgery. With two locations, St. Augustine and Ponte Vedra Beach, Contoura Facial Plastic Surgery is the premier center for facial plastic and reconstructive surgery in Northeast Florida.

As the developer of Contoura and Contoura Lift, Dr. Garcia has been a leader in providing his patients with the latest innovations in surgical and non-surgical anti-aging facial procedures. He has performed over 14,000 surgeries of the aging face, published nine scientific articles and written five books. His newest book, The Art of Facial Aesthetics, is widely recognized as an excellent resource for patients considering facial aesthetic procedures.

Dr. Garcia is a believer in specialization. As a Plastic Surgeon that specializes solely in the face, he recognizes the importance of seeking the advice of a physician that performs ONLY surgeries of the face. “There are many other medical specialties that perform facial procedures, but are not specialists in the face. Our practice has seen tremendous growth due to the realization in today’s society that a dedicated specialty of Facial Plastic Surgery exists to meet this growing demand,” says Dr. Garcia.

As a leader in his specialty, Dr. Garcia is excited about the growth of facial plastic surgery as an area of specialty in our community. It is indicative of a more knowledgeable and better informed patient population. Dr. Garcia is a strong advocate of patients doing their due diligence and being selective when considering having a facial procedure done on themselves or a family member.

Dr. Garcia is double board certified by the American Board of Facial Plastic and Reconstructive Surgery as well as the American Board of Otolaryngology/Head and Neck Surgery. He is also a Fellow of the American College of Surgeons.

For more information about Dr. Roberto Garcia and Contoura Facial Plastic Surgery, please call (904) 686-8020 or visit www.contoura.com. ®

Roberto E. Garcia, MD, FACS BOARD CERTIFICATIONS:

American Board of Facial Plastic and Reconstructive Surgery American Board of Otolaryngology/Head and Neck Surgery FELLOWSHIP:

American College of Surgeons 190 Florida A1A, Suite 1 Ponte Vedra Beach, FL 32082 904.686.8020 www.contoura.com

AD V E RTI SI NG FEATURE

Cosmetic & Reconstructive Surgery of the Face & Body Under the leadership of Dr. Michael J. Duffy, the Cosmetic and Reconstructive Surgery Center has grown into one of the leading Aesthetic surgery practices in Jacksonville as well as the surrounding areas of Ponte Vedra, Northeast Florida and South Georgia. Since 1993, Dr. Duffy has been practicing the art of plastic surgery and providing the highest quality cosmetic surgery in a friendly, private, boutique style setting. Teamed with highly trained personnel and state-of-the-art equipment, Dr. Duffy is the top choice in Jacksonville when it comes to cosmetic surgery. He and his dedicated team make every effort to explain all aspects of your treatment choices and strive to make your entire experience pleasant and comforting. In addition to making clients happy, patient safety is our most important goal. Our patients say, “How young and fabulous you look’ is Dr. Duffy’s business, and striving to achieve perfection is Dr. Duffy’s specialty.”

Dr. Duffy trained in Plastic and Reconstructive surgery at the prestigious Mayo Clinic in Rochester, MN. He is a member of many national surgical societies and is the recipient of the Plastic Surgery Educational Foundation Clinic Award. Dr. Duffy has made presentations at international and national symposiums on cosmetic plastic surgery and authored many articles on plastic surgery. He specializes in all aspects of plastic surgery for the face, breast and body.

Dr. Duffy's premier center for plastic surgery and beautiful skin also offers a top of the line Med Spa that is designed so that the soothing atmosphere of a spa environment complements your skin and body care treatments, which give you real results. Our Aestheticians are ready to cater to your Med Spa needs. We offer customized facials and peels, Micro Needling, Laser for fat reduction, cellulite and skin tightening, HydraFacial MD, Microblading, Massage and Lash extensions and several Physician grade skincare lines. Dr. Duffy also offers Botox, Dysport and a wide variety of Dermal Fillers, which he injects himself.

AD V E RTI SI NG FEATURE

Michael J. Duffy, MD Board CertifiCation :

American Board of Surgery; American Board of Plastic Surgery 6867 Belfort Oaks Place, Jacksonville, FL 32216 904.296.2008

JacksonvillePlasticSurgeryByduffy.com

facebook.com/duffymd instagram: @beautybyduffyjax

Our mission is to help you look great at every age. We offer a VIP Beauty Membership and patient financing. When only the best will do, Beauty by Duffy

L.A. Quinn M.D. Southeast Stem Cell

Dr Quinn’s integrative wellness practice focuses on combining the technology of cell medicine, its application and the dynamic role of hormones to restore and enhance normal function. “Health is much more than what it appears on the outside,” she says. “It begins at the cellular level and is influenced by what we eat, drink, do and think.”

Through cell medicine, there is a role in aging and treatment of disease to improve and support the natural healing process of the body. Dr. Quinn offers “stem cell” facelifts, laser resurfacing, PRP hair restoration, IV therapy and treatment of orthopedic joint pain. Dr. Quinn is a member of, and primary physician in, the exclusive Regenerative Medicine Advisors Physician Network, a group of focused regenerative medicine physicians aligned with Signature Biologics Labs. The lab was founded and is managed by Dr. Neil Riordan PA, PhD, one of the pioneer researchers in stem cell therapy, and is recognized as being 15 years ahead of similar labs and its products are FDA approved. Dr. Quinn and her practice are part of this national physician network that is leading the way with current research and top products. Signature Biologics is recognized and affiliated with the NFL Alumni for its more than 22,000 members.

RMA Network and Signature Biologics equally welcomed Dr. Quinn because of her background and extensive experience in regenerative medicine.

Linda Quinn, MD, FAARM,

ABAARM, MBA CERTIFICATIONS :

ACOG, American Academy of Anti-Aging and Regenerative Medicine

LOCATIONS :

410 Jacksonville Dr., Jacksonville Beach, FL 32250 904.595.5980

LAQuinnMD.com A D V E RT I S I NG FEATURE

Meymand Oral Maxillofacial Surgery

Dr. Samira “Sam” Meymand earned her Biology Degree at Texas A&M University and graduated from Baylor College of Dentistry with honors. She is an officer in the U.S. Navy who served 11 years on active duty, achieving the rank of Commander, and continues to serve in a reserve status. While on active duty, she established the first general practice dental clinic in Djibouti, Africa to serve our nation’s heroes at the “tip of the spear.” She was later selected for an Oral and Maxillofacial Surgery residency at the prestigious National Capital Consortium, Naval Hospital Bethesda. During her four-year residency, she provided critical surgery for wounded warriors returning from battle with facial trauma and other serious injuries. As a naval officer, she was deployed to South America aboard the USNS Comfort for Operation Smile, a humanitarian mission, where she performed facial surgeries and cleft palate repairs. Most recently, she deployed aboard the USS Harry S. Truman in support of Operation Inherent Resolve.

In addition to Dr. Meymand’s military involvement, she is on staff for oral surgery trauma at several hospitals throughout the Jacksonville area. She is a member of the American Association of Oral Maxillofacial Surgeons and the American Dental Association, she is Past President of Jacksonville Dental Society, and she co-founded the Jacksonville Women’s Dental Society. She is also a Board Certified Diplomate of the American Board of Oral and Maxillofacial Surgeons.

Dr. Samira Meymand, DDS/MPH BOARD CERTIFICATION: American Board of Oral and Maxillofacial Surgery

AWARDS: LeCroy Scholarship Oral Surgery Chief Resident Silver Scalpel Award Navy and Marine Corps

Dr. Meymand’s private practice in Mandarin, Meymand Oral Maxillofacial Surgery, is committed to providing comfortable patient care of the highest quality. Dr. Meymand offers the full scope of oral and maxillofacial surgical procedures, including, but not limited to, extractions, biopsies, sinus augmentation, and implants. Her practice also offers spa treatments such as Botox and Juvederm. For the comfort of her patients, she offers various levels of anesthetic and sedation surgery. In addition, her practice provides a LATEX-Free environment for all patients and offers preservative-free anesthetic for those with severe allergies or hypersensitivities upon request.

This approach offers a welcoming environment for patients who prefer a holistic approach to their treatment. Dr. Meymand’s staff is comprised of well trained professionals who are CPR Certified and trained assisting with intravenous (IV) sedation or outpatient general anesthesia. Her practice utilizes state-of-the-art, 3D CT technology for the diagnosis, planning and treatment of oral surgery. This technology enables the highest possible level of anatomical accuracy and patient care. This combination of comfort, expertise, and technology makes Meymand Oral Maxillofacial Surgery a top Jacksonville destination for oral and maxillofacial surgical procedures.

Dr. Meymand and her compassionate staff hope to see you soon at their conveniently located, state-of-the-art office in Mandarin. Please call (904) 886-2667 to make an appointment or visit www.meymandoms.com for more information.

Achievement Medal Navy and Marine Corps Commendation Medal (2 Stars) Meymand Oral

Maxillofacial Surgery 11571 San Jose Blvd.

Jacksonville, FL 32223 904.886.2667 www.meymandoms.com A DVE RTI S I N G FE ATU RE

Rainbow Pediatric Center

Prasanthi Reddy, MD, Medical Director • Heather Gardner, MD • Afton Turner, MD • Joseph Sadler, JR, MD Stephanie Carper, ARNP • Aimee Januska, ARNP • Meredith Jones, APRN • Shannon Miller, APRN Kristyn Pye, ARPN • Kaitlin Ray, ARPN • Jocelyn Bonfante, APRN • Abigail Wilcox, ARPN Rainbow Pediatric Center is a premier pediatric practice serving the needs of children and families for over the past 15 years.

RPC is a well-respected and nationally recognized medical home with a distinction in behavioral health. RPC is committed to providing pediatric care with a holistic approach. They use cutting edge technology and follow best clinical guidelines to provide early screening, early detection and most current treatments.

Always think outside the box, RPC has been recognized for innovative delivery of medical care to the children and families it

serves. Some of these include a nationally recognized asthma program, telemedicine for behavioral health and extensive, early screening of developmental delays.

RPC is known for its accessibility. They offer extended weekday hours, as well as weekend and holiday hours. Busy parents have 24-hour electronic access with the latest technology including patient portals, parent apps and telemedicine.

As Rainbow Pediatric Center expands, they are committed to maintaining the highest level of personalized care and growing relationships in a small practice setting.

LOCATIONS: Jacksonville 4788 Hodges Blvd., Suite B-108 Jacksonville Beach, FL 32224 Nocatee 101 Marketside Ave., Unit 405 Ponte Vedra, FL 32081 904.223.9100

rainbowpediatriccenter.com

A D V E RT I S I N G F E AT U R E

Jacksonville Dermatology Associates, PL At Jacksonville Dermatology Associates the focus is on your general medical dermatology needs, such as full skin examinations, screening for skin cancer, and preventative care. Patients of all ages with conditions involving skin, hair, and nails are welcome. After spending eight years training at the Mayo Clinic, Dr. Tricia Andrews opened her doors over ten years ago. The office merges modern, state-of-the-art dermatologic services with a warm, comfortable environment for the highest-quality patient care.

Dr. Rebekah Wilson joined the practice in 2014. She received her medical degree from Wake Forest School of Medicine and dermatology training from East Carolina University-Brody School of Medicine. Florence Donker, RN with more than 30 years of dermatology nursing experience adds invaluable experience to the clinical team and patient care.

Dr. Andrews and Dr. Wilson are board certified by the American Board of Dermatology. They enjoy the diversity of the practice and feel privileged to care for many multigenerational families. They would like to invite you to join their family of patients.

Tricia Andrews-Jenkins, MD ¡ Rebekah Wilson, MD BOARD CERTIFICATION : American Board of Dermatology

AFFILIATIONS : American Academy of Dermatology; Duval County Medical

Society; Jacksonville Dermatology Society; Florida Society of Dermatology & Dermatologic Surgery

8075 Gate Pkwy., W., Suite 201, Jacksonville, FL 32216 904.279.8202 ¡ JaxDermatology.com

Find us @ JacksonvilleMag.com • 904.389.3622

ASK US ABOUT SPECIAL ORDERS FOR THANK YOU NOTES, GREETING CARDS, WEDDING INVITATIONS, HISTORICAL MAPS, NEIGHBORHOOD PRINTS & MORE!

NINTH ANNUAL

A celebration of cocktails and culture. Join us for fantastic food, sophisticated libations and other luxurious indulgences.

TICKETS @ 904TIX.COM

COMING NOVEMBER 2019

Picnic Perfect Outdoor dining recipes to feed a hungry crowd PICNICS, PATIOS AND AL FRESCO CAFES come to mind when (slightly) cooler fall weather allows families and friends to enjoy meals in the great outdoors. As you seek recipes for outdoor entertaining and more in Northeast Florida, try keeping the options light and simple with dishes that can be created at a moment’s notice—and perhaps try an ingredient new to your cooking repetoire such as beets or za’atar seasoning.

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Ruby Beet Chicken Salad Skewers INGREDIENTS:

1 jar (16 oz.) Aunt Nellie’s Baby Whole Pickled Beets 2 large boneless, skinless chicken breast halves (about 1 lb.) ½ tsp. salt, plus additional, to taste, divided ½ tsp. pepper, plus additional, to taste, divided 4½ T. stone ground mustard, divided 1½ T. plus ⅓ c. orange marmalade, divided 2 T. minced fresh chives 1 large lemon, zest and juice (⅓ c. juice)

¼ c. olive oil 1 bag (9 oz.) leafy romaine lettuce pieces

⅓ c. chopped almonds, toasted ⅓ c. crumbled blue, feta or goat cheese PROCEDURE:

1. Heat oven to 375° F. Drain beets; set aside.

2. Season both sides of chicken with salt and pepper, to taste. In small bowl, combine 1½ tablespoons mustard and 1½ tablespoons marmalade. Brush mixture over chicken until completely coated. Bake chicken on rimmed baking sheet lined with aluminum foil about 20-25 minutes, or until juices run clear; set aside.

3. To make vinaigrette: In medium bowl, combine remaining mustard and marmalade, chives, lemon zest and juice, ½ teaspoon salt and ½ teaspoon pepper. Slowly pour in oil while whisking vigorously until completely combined.

4. Slice cooled chicken into 1-inch pieces. Onto each skewer, thread one beet, one piece of chicken and 4-5 pieces of lettuce; repeat two times for each skewer, adding one beet at ends. Repeat to make eight skewers. Place skewers on large serving platter.

5. Stir vinaigrette; drizzle lightly over skewers. Sprinkle with almonds and cheese. Serve with remaining vinaigrette.

PreP Time: 25 miNuTes Cook Time: 20 miNuTes serviNgs: 8 YOURHEALTH

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Middle Eastern-Inspired Bean Salad INGREDIENTS:

1 can (15 oz.) 3-or 4-bean salad ½ c. cherry or grape tomatoes, halved 1 small cucumber (4-5 inches long) cut in half lengthwise then thinly sliced crosswise 2 green onions, thinly sliced ½ c. chopped fresh parsley 2 T. chopped fresh mint 1 small clove garlic, minced

¼ tsp. crushed red pepper flakes DRESSING:

2 T. prepared hummus 1 T. fresh lemon juice

¼ -½ tsp. za’atar seasoning (a Middle Eastern spice blend typically consisting of dried oregano, thyme, sumac and sesame seeds) PROCEDURE:

1. Drain bean salad. Discard liquid.

Place salad in large bowl.

2. Add tomatoes, cucumbers, onions, parsley, mint, garlic and red pepper flakes to bowl. Toss to combine.

3. To make dressing: In bowl, combine hummus, lemon juice and za’atar seasoning.

4. Add dressing to salad just before serving; toss to combine well.

Serve immediately or chilled.

PREP TIME: 20 MINUTES SERVINGS: 6 Source: Seneca Foods

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yourhealth

Working up a Sweat 3 tips for workout success in the Florida heat

D

uring warm-weather months, fitness enthusiasts often take their exercise routines to the great outdoors. e spike in summer temperatures can make those tough workouts even more challenging. As you gear up for your summer workout routine, take care of your body with these tips from sports dietitian and marathon runner Natalie Rizzo.

1. Replenish What You Lose in Sweat After a strenuous sweat session in the summer heat, you need to replenish what’s lost if you want to rebuild and refuel muscles.

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“Water is great for straight hydration, but your body needs more after a tough workout, and proper recovery can make a difference in how well you can perform during your next one,” Rizzo says. “A tall glass of chocolate milk is one of my favorite ways to recover post-workout. It may not be the first thing you think to reach for after a long run, but the nutrients in low-fat chocolate milk are ideal for post-exercise recovery to ensure you get the most out of your fitness routine. And it tastes great.”

Rizzo’s recommendation not only aligns with many elite athletes’ go-to recovery drink, it’s also backed by science.

Research shows drinking milk after exercise could restore

yourhealth and maintain hydration better than other popular post-exercise beverages, including typical sports drinks, according to a study published in the British Journal of Nutrition. Plus, in addition to naturally occurring electrolytes, chocolate milk has a 3-to-1 carb-toprotein ratio proven to refuel muscles quickly.

2. Be Mindful of High Temperatures High temperatures don’t have to get in the way of your workout plan, but it’s important to consider the heat index and time of day when exercising outside. Temperatures typically peak during the middle of the day, so aim to work out in the morning or evening.

Also consider wearing a hat and staying in the shade as much as possible to keep cool. e high temperature causes your body to sweat more, leading to increased loss of important nutrients through the sweat. Learn your sweat rate by weighing yourself with minimal clothing before and after one hour of sweaty exercise. One pound of sweat loss equals 16 ounces of fluid loss. is can guide your fluid intake during your recovery and your next workout.

3. Shield Yourself from the Sun’s Rays Just because your fitness routine includes strenuous laps in a pool or a run through shady trails doesn’t mean you are protected from the sun. Apply sunscreen with SPF 30 or higher to your body before exercising outdoors, paying special attention to your face, neck and ears. If you’re going back out for another round of laps in the pool or around the track, reapply sunscreen 20-30 minutes before getting back to work.

While summer weather provides many opportunities for fresh air and fitness, it's important to combat the heat and recover effectively so you can continue to crush it all season long. Q Source: MilkPEP YOURHEALTH

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Put more living in your life today.

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JACKSONVILLE MAGAZINE’S

2018 CHAMP WEBB SIMPSON

THE PLAYERS CHAMPIONSHIP MARCH 12-17 TPC SAWGRASS PONTE VEDRA BEACH

• Northeast Florida’s favorite springtime tradition arrives early this year

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Your PLAYERS guide.

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