OCTOBER 2019
Sara P.
Simmons, MD Orthopedic Surgeon at Coastal Orthopedics World Class Surgeon and Athlete
Also in this Issue: Dining In: Diabetes Tasty Recipes for all ■ News from the Breast Cancer Fight ■ Health: Impossible and Beyond - new kinds of Protein ■ Happening this Month: First Watch Marathon ■ and lots more… ■
OCTOBER 2019
contents in this issue
Editor and Publisher Louise M. Bruderle Email: westcoastwoman@comcast.net
October is Women’s Health Month
Contributing Writer Carol Darling
Since it’s Breast Cancer Awareness Month, we have some of the latest news on the disease especially articles that address the issues of genetic testing and beast density that we hope you’ll find informative. Plus, the Making Strides Sarasota-Manatee Walk is on Saturday, October 19, at Nathan Benderson Park and starts at 9 a.m. You can walk as an individual or as part of a team. Teams can be comprised of friends, families, neighbors, classmates, and coworkers. Organizations or businesses can also coordinate and sponsor teams of walkers. Full details on
Contributing Photographer Evelyn England Art Director/Graphic Designer Kimberly Carmell Assistant to the Publisher Mimi Gato West Coast Woman is published monthly (12 times annually) by LMB Media, Inc., Louise Bruderle, President. All contents of this publication are copyrighted and may not be reproduced. No part may be reproduced without the written permission of the publisher. Unsolicited manuscripts, photographs and artwork are welcome, but return cannot be guaranteed.
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Want Some Fries with that Plant-Based Protein Patty? Sales have sky rocketed… Just don’t call it “fake meat”
HOW TO REACH US: Email: westcoastwoman@comcast.net
Sure, we all know eating too much meat is not good for your health. And now more of us know it’s also bad for the environment to eat meat since so much goes into producing meat (energy, grain, water, land). Still others have moved away from meat for personal reasons such as the concern for animal rights.
Here are our columns: n
Out & About: includes
fundraisers, concerts, art exhibits, lectures, dance, poetry, shows & performances, theatre, film, seasonal events and more. n
Datebook: club meetings,
women’s clubs, networking and consumer-oriented lectures. n
What’s so stunning about the intense interest in plantbased protein is that, according to The National Restaurant Association’s 2019 What’s Hot report, is that 95% of the people who bought a plant-based burger this past year were meat eaters. Find out more about this trend towards meat alternatives on
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Mind/Body Calendar: health and
wellness events, support groups, health lectures, seminars and screenings. n
Tasty, Healthy and not just for those with Diabetes
You’re News: job announcements,
appointments and promotions, board news, business news and real estate news.
Here are some recipes that are great if you have diabetes, but they’re so tasty anyone will enjoy them (and get their healthy benefits)
WCW
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Y EARS
WCW Mailing Address: P.O. Box 819 Sarasota, FL 34230 email: westcoastwoman@comcast.net web site: www.westcoastwoman.com
west coast
departments 4 editor’s letter 7 out & about 9 happening this month: First Watch Sarasota Half Marathon, Relay & 10K 12 you’re news 14 breast cancer awareness month: Here’s Some of the Latest News… 16 your health: The Beginner’s Guide to Dermal Fillers
18 west coast woman: Dr. Sara Simmons, an orthopedist with Coastal Orthopedics
26 health feature: Plant-based Protein Takes on Meat, Part 1
20 focus on the arts: Sarasota Orchestra
30 your money: How’s your Financial Fitness?
21 women’s health: news from 21st Century Oncology 22 your health: The Renewal Point 25 datebook
28 women’s health: Craniosacral Therapy 32 travel news: Interesting Travel Facts & Figures 34 dining in: Diabetes Recipes that everyone will like
WOMAN on the cover: Dr. Sara Simmons, an orthopedist with Coastal Orthopedics.
Photos by: Evelyn England
OCTOBER 2019
WEST COAST WOMAN 3
out about At the Van Wezel
The Long Run Plays the Music of the Eagles Oct.12 The Long Run, an Eagles Tribute Band, features six performers who will bring a night of Eagles classics. Based out of Florida, the band tours all over the country, bringing the Eagles unique sound everywhere they go. Held on Saturday, October 12, 7 p.m. at Venice Performing Arts Center, 1 Indian Avenue, Venice. Tickets: (941)-218-3779.
Manatee Village Historical Park’s Tombstone Tours
The 1850 Manatee Burying Grounds is the oldest public cemetery in Manatee County
Manatee Village Historical Park offers guided walking tours of the 1850 Manatee Burying Grounds. Experience the historic grounds by torchlight, led by a costumed interpreter. Docents will describe the history of the Burying Grounds, personal histories of those buried there, and why the tombstones look the way they do. The 1850 Manatee Burying Grounds is the oldest public cemetery in Manatee County. Tours take place on the following dates. Gates open at 6:30pm; tours begin at 6:45pm and conclude by 8pm.
Friday, October 11 Saturday, October 12 Friday, October 18 Saturday, October 19
Presentation of tour in Church (rather than cemetery) at 5:30pm on Thursday, October 24. Tickets: $20. Purchase at www.manateevillage.org/events or call Manatee Village staff at (941) 749-7165.
Third Annual Boomer Conference Nov. 1 at Olli The third annual Boomer Conference, featuring speakers and networking sessions that offer strategies on retirement is on November 1. Keynote speaker Marianne Oehser, a certified retirement coach and author of “Your Happiness Portfolio for Retirement: It’s Not About the Money,” will challenge audiences to rethink their retirement expectations. Presenters and panelists include Robert Fulton, whose presentation “What’s Next,” will touch on letting go and refocusing; Judith Levine, whose presentation, “Retirement: Marianne Oehser
Adolescence 2.0 (Without the Acne!),” will examine the pitfalls and pluses of finding a new identity; and Sandra Moulin, whose presentation, “Stage Fright,” explores confronting the unknown. The event is onNov. 1, 8:30 a.m.-1:30 p.m,. on the Ringing College Museum Campus. To register, call 941-309-5111, or visit www.OlliatRinglingCollege.org.
Comedian of the Year Sebastian Maniscalco is back with the You Bother Me tour, which is coming to the Van Wezel on November 30. Touted as ‘the comedian’s comedian” by People, Maniscalco finds himself “at the vanguard of a live comedy revolution” according to Pollstar. And the man “NBC Nightly News” called “comedy’s new superstar” is showing no signs of stopping as he revealed the new tour during a visit to CBS’ “The Talk” today. Also at the VW, Roy Orbison & Buddy Holly: The Rock ’N’ Roll Dream Tour featuring the award-winning rock and roll legends. Accompanied by a live band and back-up singers, this cutting-edge, multi-media holographic performance with remastered audio will transport audiences back in time for an evening of Roy Orbison and Buddy Holly’s greatest hits. The performance comes to the Van Wezel on November 4. Tickets: visit VanWezel.org.
Buckaroo Bike Rodeo! All children (up to age 12) are invited to take part in the Buckaroo Bike Rodeo on Oct. 19, 10am-noon at Dallas White Park, 5900 Greenwood Ave., North Port. Riders can test their bike riding skills at various stations such as “ZigZag”, “Stop on a Dime”, and “Figure 8” earning points that can be redeemed for prizes. The top scoring riders will be eligible to enter raffles for one of three free bikes in the age groups of 5-7, 8-9, 10-12. There will also be a Bike Safety Check station and Helmet Fittings/Giveaways provided by the Friends of the Legacy Trail. Children need to bring a helmet, bike, and a parent/guardian. Special appearances by “Sparky” from the North Port Fire Department and “Scoopie” from Culver’s. Info: (941) 468-2486.
It’s the Green Pumpkin!” The 10th Anniversary Tour de North Port Registration is now open for the 10th Annual Tour de North Port, “It’s the Green Pumpkin!” on October 20. The Tour de North Port is not a race but an organized bicycle ride where cyclists follow either a 15, 35, or 65-mile route through North Port that highlights the city’s parks and pine flatwoods settings. Starting from Imagine School Upper Campus (2757 Sycamore St.) at 8 a.m., the ride includes a breakfast provided by FirstWatch at 7a..m., a catered lunch, desserts from Pielicious Bake Shoppe, rest stops with homemade snacks, and mobile Support And Gear provided by Louie’s Bicycle and Real Bikes Venice. Register at www.peoplefortrees.com, $45 until October 18, $50 at the door. The first 400 registrants receive a ride t-shirt, goodie bag, and sunglasses. Info: 941-468-2486 or email treelady12001@yahoo.com.
Designing Women Salon Series is Back!
Learn more about interesting topics from Sarasota leaders and experts as you contribute to the grant pool that supports local arts and human services through these interesting sessions at Designing Women Boutique. Seating is limited. • October 24 - 11:30 am (Lunch and Learn) “Designing Women: Women Designing (Museums)” By: Anne Marie Russell, executive director of the Sarasota Museum of Art To purchase tickets, visit: designingwomenboutiquesrq. org/events.
The Tennis Ball: to benefit Boys & Girls Clubs of Sarasota County Oct. 16 The 2019 Tennis Ball: A Grand Slam Event is on October 16 at Marie Selby Botanical Gardens. Proceeds support the Boys & Girls Clubs of Sarasota County. The evening will entertain 250 to 300 guests and feature a curated selection of food and drinks by Michael’s on the Bay, and a live and silent auction. The Tennis Ball kicks off the Annual Joey Gratton Tennis Championship on October 18-20 at Longboat Key Club Tennis Gardens. Tickets: www.bgcsarasota.com.
Attention Publicists:
Please make sure you send us your season schedules very soon. WCW’s specials arts issue are coming up in November and December. Send your season schedules to westcoastwoman@comcast.net. Space fills us fast, so don’t delay!
• Deadline for November is Oct. 5 • Send your events to:
westcoastwoman @ comcast.net OCTOBER 2019
WEST COAST WOMAN 7
happening this month
First Watch Sarasota
Half Marathon, Relay & 10K Set for Oct. 19-20
New this year: 5K race and local Girls on the Run charity partnership
after-school fitness and life skills programs,” said Nicole Bostick, Senior Brand Marketing Manager for Life Time. “Hosting the event in October will also bring added benefits to participants and Sarasota’s economy with more hotel and transportation availability, competitive pricing and the added influx of runners and participants who come to visit and race at a typically slower time of year.”
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he 14th Annual First Watch Sarasota Half Marathon, Relay & 10K, is expanding its course offerings for the October 20th fall race. These include a first-ever run 5K downtown race on October 19th and new local charity partnership with Girls on the Run Greater Tampa Bay and its Sarasota and Manatee County school programs. It is produced by Life Time Events.
Weekend Race Festival: First-Ever Run through Downtown Having evolved into a weekend race festival, scheduled for October 19-20, the new 5K course, starting at 7 a.m. on October 19, will start/finish near Five Points Park and Fit2Run in downtown Sarasota. The 5K is open to runners, walkers and push-rim wheelchairs. Strollers will also be allowed, starting at the back of the starting line corral. The addition of the Saturday 5K race is expected to draw at least 750 additional participants to the estimated 2,500 half marathon, relay and 10K total, bringing a significant economic boost to hoteliers, restaurants and retail stores during the slower fall season. According to a 2016 economic impact report, the First Watch Sarasota Half Marathon & Relay brought more than $3.4 million and generated over 1,300 hotel nights when it was only a one day event. Since then, Life Time has also added a 10K (2017) and now 5K to the event offerings.
Half Marathon, Relay & 10K course
The half marathon, relay and 10K starts
at 6:30 a.m. on Sunday, October 20. All participants will start/finish at Van Wezel and embark along a waterfront route, including the John Ringling Bridge, around St. Armand’s Circle before heading toward downtown Sarasota. Half marathon and relay participants will then continue up Tamiami Trail where they will turn onto Indian Beach Drive and connect to Bay Shore Road to run the second half of the course through the scenic waterfront neighborhood before turning around to return to Van Wezel. All athletes will finish along Sarasota Bay. The half marathon, relay and 10K courses are open to runners and walkers with a four-hour course limit. Push-rim wheelchairs and strollers will only be permitted on the 5K course on Saturday.
Every Runner Counts: Girls on the Run Greater Tampa Bay Partnership
As part of its newly formed partnership with Girls on the Run Greater Tampa Bay (GOTR), Life Time will be making a per registration donation to GOTR to help grow and support the non-profit organization’s Sarasota and Manatee County after-school fitness and life
skills training programs. In addition, every person registering will have the opportunity to round up or make an additional donation to the GOTR program, with all proceeds benefitting Sarasota and Manatee County participants.
About Girls on the Run Greater Tampa Bay
Currently, the after-school program includes more than 60+ locations, spanning from Venice to North Tampa. Each 10-week session, offered in the spring and fall of every year, includes transformational physical activity and positive youth development skills to more 600 girls in third through eighth grades. The program has proven to bring long lasting positive mental and social skill benefits to 97 percent of the participants by unleashing confidence through accomplishment while establishing a lifetime appreciation of health and fitness. “Life Time is very excited about the opportunity to grow the multi-distance fall race into a weekend festival and help support Girls on the Run Greater Tampa Bay, one of the region’s most important
Registration, Perks and Post-Race Party
Registration for the all races can be made at www.runsarasota.com and will remain open through race day mornings for both the 5K (October 19) and half marathon, relay or 10K (October 20). Finishers of all races will receive a special dolphin inspired finisher medal, technical t-shirt, on-course aid station support First Watch Sarasota and awards Half Marathon, ceremony. produced by The 5K particiLife Time. pants will receive a post-race First Watch continental breakfast along with an invitation to join Half Marathon, Relay & 10K finishers on Sunday for the signature First Watch breakfast buffet, including on-site griddle cooked pancakes and new for 2019, First Watch’s signature A.M. Superfoods Bowls, along with fresh muffins, fruit and other treats. Participants from all four race distances who are 21 years or older will also have access to the bayside beer garden with a wrist band and live music on Sunday. The First Watch Sunday Breakfast is open to all 5K, half marathon, relay and 10K finishers (only) with a visible finisher’s medal for entry.
OCTOBER 2019
WEST COAST WOMAN 9
BREAST CANCER AWARENESS MONTH Here’s Some of the Latest News…
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nowing the facts about breast cancer treatment and prevention is crucial in reducing your risk. However, there are a number of misconceptions about the disease that can make it difficult to separate fact from fiction. Here are four myths regarding the most common cancer in U.S. women: MYTH: No one in my family has cancer so I’m not at risk. FACT: Less than 10% of breast cancers are linked to genetics or linked to genes that you get from your family. So just because no one in your family has breast cancer does not mean you cannot get it. In fact, more than 90% of breast cancers are not linked to any family history whatsoever. Learn more about the risk factors that makes someone a candidate for genetic testing. MYTH: Sugar causes breast cancer. FACT: Simple carbohydrates are not good for anyone, sugar does not cause breast cancer or any other cancer in particular, therefore, there’s no reason to completely eliminate sugar from your diet. The American Cancer Society recommends that women eat mostly vegetables, fruits, and whole grains and to cut back on eating red meats, processed meat and sweets. MYTH: There’s nothing I can do about reducing the risk of breast cancer. FACT: Actually exercise, maintaining good body weight and limiting the intake of alcohol all have been linked to decreased risk of breast cancer. In fact, even just a few alcoholic drinks a week is linked with an increased risk of breast cancer in women. It’s recommended consuming less than three drinks a week for women to help lower their risk. Many studies have also found that physical activity has been associated with a reduced risk of breast cancer. It’s recommended that adults engage in at least 150 minutes of moderate-intensity aerobic physical activity every week. MYTH: Early detection of breast cancer won’t change my prognosis. FACT: Early detection is critical. When the cancer is discovered at a later stage, the chances of a cure are much less achievable. It does make a difference to get your mammograms on time as recommended to help catch the disease at an early stage. The U.S. Preventive Services Task Force suggests women begin regular mammograms at age 50. The American Cancer Society recommends starting these tests at age 45.
BRCA1/2 Genetic Testing Recommendations Still Leave Issues Unresolved The U.S. Preventive Services Task Force (USPSTF) has released a new Recommendation Statement for BRCA1/2 evaluation, urging the medical community to widen the param-
eters used to assess BRCA1 and BRCA2 mutation risks and increase the use of genetic counseling and testing for those with the highest risk. While the changes are beneficial, the recommendations still fail to address many persisting problems in the modern world of genetic testing, according to a new JAMA editorial co-authored by Susan Domchek, MD, executive director of the Basser Center for BRCA at the Abramson Cancer Center at the University of Pennsylvania. “Genetic testing is an area of medicine that is progressing very quickly, which means providers need to be nimble in order to keep up,” Domchek says. “The medical community needs to consider what genetic health data is truly helpful to a patient, strive to test those who may be genetically predisposed to an increased risk of cancer, and work to educate patients and providers on how to correctly and effectively use their test results to make better healthcare decisions.” Mutations in BRCA1 and BRCA2 have been linked to significantly increased risks of breast, ovarian, prostate, and pancreatic cancers, and there are many commercially available tests that can reliably show whether someone has a BRCA1 and/or BRCA2 mutation. Domchek, and co-author Mark Robson, MD, a medical oncologist and chief of Breast Medicine Service at Memorial Sloan Kettering Cancer Center, write that one important point not included in the new recommendations is the link between genetic testing and treatment plans. BRCA1/2 status can impact surgical decision making for patients newly diagnosed with early stage breast cancer and influence treatment plans for certain advanced cancers, such as metastatic breast cancer. The USPSTF does not include newly diagnosed breast or ovarian cancer patients or advanced cancer patients in its recommendations. Previous genetic tests analyzed a few specific genes at a time, but there are now tests that can sequence up to 80 genes at once. While that sounds like invaluable innovation, there are a plethora of genetic mutations with weak, questionable, or no links to cancer at all. Positive results for those types of mutations could create fear or distract from real genetic indicators like changes to BRCA1/2 genes. Additionally, the direct-to-consumer multi-panel tests one can do at home – such as those offered by companies like 23andMe – further remove people from genetic specialists trained to educate and evaluate how results may be more or less meaningful given an individual’s health, history, and family history. “We should think of genetic testing like the internet,” Domchek says. “It’s a tool, full of information, but there’s nuance in making sense of that information and determining how to act on it.” The authors say the two main changes to those recommendations are certainly valuable. “The statement adds those who have previously been diagnosed with breast or ovarian cancer, but are now cancer free, to the list of those who should undergo careful genetic risk-assessment, which is a positive addition as finding a BRCA1/2 mutation in these patients could directly impact their medical care and have implications for their relatives. It also more explicitly includes ancestry as a risk factor,” Domchek says. The new recommendation urges more broad ancestry knowledge to be used when considering genetic testing, not just family history of cancer. Certain populations, specifically those with Ashkenazi Jewish heritage, have a higher prevalence of BRCA1/2 mutations. Domchek notes that many individuals at the
highest risk of having a BRCA1 or BRCA2 mutation do not undergo genetic testing. In addition, racial and socioeconomic disparities in the uptake of genetic testing remain. “It’s the duty of all health care professionals to help our patients effectively employ genetic testing,” Domchek says. “These updates are a positive step forward, but we need to continue advancing BRCA-related research and ensure that those at the highest risk have access to testing.”
SOURCE: Penn Medicine
Dense breasts and cancer risk: What women need to know Regular breast cancer screenings are an important part of cancer prevention, but dense breast tissue can make it difficult to detect cancer with a mammogram. Dense breast tissue can make it difficult to detect breast cancer with a mammogram. Density is not related to breast firmness, but to the way the tissue appears on a mammogram. Dense breasts have less fatty tissue, which appears dark on a mammogram, and more glandular tissue, which appears white. Dense breasts make it harder for mammograms to detect cancer, because cancer also appears white.
Several epidemiologic studies have shown that dense breasts also impose a higher risk of breast cancer. It’s estimated that about half of women who get mammograms have dense breasts. For most women, breasts become less dense with age. In February 2019, a federal law passed requiring all mammography providers to notify patients if they have dense breasts and to tell them that breast density can hide cancer on a mammogram. The law also instructs mammography providers to advise patients to consult with their doctors. Thirty states already have similar laws, but the federal legislation will standardize the requirement and the notification’s wording throughout the country. Regular mammograms are still the best way to find breast cancer early. In the U.S., an annual screening mammogram is recommended for
women 40 or older. “That is the only test that has been shown to decrease the mortality of breast cancer,” says Marion Scoggins, M.D., associate professor of Diagnostic Radiology-Breast Imaging. Most centers now use digital mammography, rather than film, because radiologists can fine-tune the digital electronic images so that tiny abnormalities stand out better. A more recent improvement is 3D mammography, called tomosynthesis. The procedure is the same as for 2D mammography, but tomosynthesis improves detection of breast cancer with fewer false positives. “We’ve been educating our patients at MD Anderson about the availability of tomosynthesis for many years. Tomosynthesis is really a better mammogram for all women, and it does not require a doctor’s order,” Scoggins says. If a woman’s breast tissue is dense on mammography, a breast ultrasound is the most common test recommended in addition to a mammogram. Ultrasound is an inexpensive test that does not expose a woman to radiation. A breast MRI currently is recommended only for women at high risk. Until further data become available, there is not sufficient scientific evidence to recommend MRI screening for average-risk women. SOURCE: The University of Texas MD Anderson Cancer Center
Low-Fat diet Reduces Risk of Dying from Breast Cancer in Postmenopausal Women Women who followed a balanced diet that was low in fat and included daily servings of fruits, vegetables, and whole grains had a 21% lower risk of death from breast cancer than women who ate a normal diet that was higher in fat and animal products, according to a study by the American Society of Clinical Oncology (ASCO). The results are notable because they come from the Women’s Health Initiative study, a large and rigorous study involving nearly 49,000 postmenopausal women, over two decades, from 40 centers across the U.S. All participants were women between the ages of 50 and 79, with no history of
continued on next page 14 WEST COAST WOMAN
OCTOBER 2019
awareness continued
previous breast cancer. Between 1993 and 1998, the women were randomly assigned to one of two dietary groups. One group was assigned to a normal diet. This diet had about 32% of their calories from fat. The low-fat group had a target of 20% or less of calories from fat. According to the researchers, the women in the low-fat group did not quite achieve the target of 20%-or-less of calories from fat, but they did manage to reduce intake to around 25%. Members of this group lost 3 percent of their body weight on an average. This group of women adhered to a low-fat diet for about 8.5 years. Both groups were followed for an average of nearly 20 years. The women in the low-fat group who developed breast cancer had a lower risk of death overall and death from breast cancer than the women who developed the disease and followed their regular diets. Nigel Brockton, Vice President, Research at AICR says, “This study provides welcome data to help us formulate the best evidence-based lifestyle advice for women following a diagnosis of breast cancer. The improvements reported for both overall and breast cancer-specific survival strongly suggest that eating a diet high in fruits, vegetables and whole grains and low in fat can significantly impact their survival.” Maintaining a healthy weight is an important part of cancer prevention. Obesity has been linked to several types of cancer, including breast, colorectal, esophageal, kidney, thyroid and pancreatic cancer.
JACR Study: Dense Breast
Reporting Laws Increase Breast Density Awareness The Journal of the American College of Radiology (JACR) and the nonprofits, Are You Dense, Inc. and Are You Dense Advocacy, Inc. announced study results showing that dense breast reporting laws in the United States significantly increase breast density awareness as well as prompt conversations between women and their healthcare providers about supplemental screening. Furthermore, the study shows that nearly 90% of women surveyed, regardless of the state’s law status, completely or mostly agree that they would prefer to know their breast tissue type than not know. “Women and their physicians should talk about the woman’s breast density and its impact on breast cancer screening and
diagnosis. At the American College of Radiology’s urging, inclusion of breast density information in mammography reports to physicians began long ago based on the ACR’s BI-RADS classification system. In states without legislation, women may not automatically receive density information but should be aware that it is generally available in the mammography report. This information is helpful for both radiologists and referring providers as they discuss density status with their patients,” said Dana Smetherman, MD, FACR, and chair of the American College of Radiology (ACR) Breast Imaging Commission. Study results also show that women from states where density reporting laws have been in place longer are more likely to know their own density type and to report that their provider talked to them about supplemental screening. “These study results confirm that women who participate in mammography screening want this important breast health information, and that the mammogram results letter leads to further conversations between them and their physicians about breast screening,” states lead study author Nancy M. Cappello, Ph.D, founder of Are You Dense, Inc. and Are You Dense Advocacy, Inc. and the inspiration behind the first density reporting law in the United States, which has led to 36 state laws. “This is particularly important as it shows that these laws, despite how they’re written, promote informed patient-provider shared decision making.” Study co-author Christoph Lee, MD, MS, Professor of Radiology and Health Services at the University of Washington School of Medicine states, “The results from this national survey suggest that density reporting laws are associated with improved awareness of breast density and is associated with greater engagement between women and their providers. This type of engagement is important for more personalized, risk-based screening efforts.” Learn more about breast density and its relationship to breast cancer risk and legislative efforts across the U.S. at areyoudense.org and areyoudenseadvocacy. org. You can also visit www.mammographysaveslives.org and download the ACR Breast Density Brochure.
Survey says: Women want less mammogram callbacks Four in five women agree that access to mammograms that offer better detection and lower their chances of being called back for more testing is important (81% and 82%, respectively), according to new survey findings released by the Society for Women’s Health Research (SWHR). A staggering 47 percent of women report being recalled for further testing at some point after receiving abnormal mammogram results, which triggers feelings of fear, stress and sadness. In addition to wanting access to 3D mammograms, women overwhelmingly
believe that the 3D mammography exam should be covered by insurance (88%). Two-thirds (67%) would consider switching insurance companies for superior technology like 3D mammograms. “Our mission is to use this research to spark a dialogue about what women really want when it comes to mammography – a perspective that, unfortunately, is all too often missing from the conversation about breast cancer screening and prevention,” said Phyllis Greenberger, MSW, President & CEO, Society for Women’s Health Research. Although more than three-quarters (78%) strongly believe mammograms are important, nearly half (46%) fail to make it an annual occurrence, as guidelines from the American Cancer Society and others consistently recommend. Among the barriers to scheduling a mammogram, women cite high cost and lack of insurance as the most significant. Women also report that they must factor non-medical costs, such as those for travel or childcare into the time and effort it takes to get a mammogram. More than half (64%) of the women surveyed lack an adequate understanding of the benefits of mammography. In addition, two-thirds (68%) of women are unaware or do not believe that the Affordable Care Act requires that Medicare and commercial health insurance cover preventative services like mammography at no cost sharing to the patient. The study also reveals that health care providers can play a critical role in motivating women to schedule mammograms. Fifty-six percent of women say their provider’s recommendation is the most significant factor in scheduling a mammogram.For more information about the latest SWHR study, visit SWHR.org.
Making Strides SarasotaManatee Walk is on Oct. 19
at 9 am and the 1 mile begins 9:15 am, after the 5k walkers have passed through the start line. Participants all walk together, but the event is not a race. Stop whenever you want or need to. You absolutely do not need to complete the entire walk if you are unable. If you are unable to complete the walk by 10:30 am, you will be transported back to the finish line. There are 3 water stops along the route and there will be food trucks on site.
FOR SURVIVORS & THRIVERS The Survivor & Thriver area is a special area for survivors, thrivers and the caregivers attending with them. Reserved parking is on the island at Nathan Benderson Park. Access the parking lot from Cattleman Road. Upon arrival, have your Survivor & Thriver Parking Pass on your dash to indicate to the lot attendant in which area you are to park. Parking passes will be included in the Survivor & Thriver Brunch invitation. Survivors & Thrivers and a guest are invited to a post-walk brunch hosted by Metro Diner. The brunch starts at 10 am and is on the island at Nathan Benderson Park. RSVP is required. Email lucy.fox@ cancer.org.
Who can participate in Making Strides events? Anyone! You can walk as an individual or as part of a team. Teams can be comprised of friends, families, neighbors, classmates, and coworkers. Organizations or businesses can also coordinate and sponsor teams of walkers.
Registration / Check-in
Making Strides Against Breast Cancer is on Saturday, October , at Nathan Benderson Park and starts at 9 a.m. Parking for the walk is on the island at Nathan Benderson Park. Access the parking lot from Cattleman Road. In the event the on site lot fills, overflow parking will be in the lot near Dillard’s at UTC Mall. Shuttles run from 8 am til 11 am.
Walk Info
There are two distance options for the walk, 5k and 1 mile. The 5k walk begins
All event participants, including children, need to register for the walk. If you do not register online prior to the event, visit the Registration area upon arrival. All participants must check-in on walk day. Check-in begins at 7 am. Sign up online for easy check-in the day of the walk. Please visit the Survivor Check-In area to receive your Survivor Shirt and Swag.
EVENT CONTACT To learn more about the Making Strides of Sarasota-Manatee, call 1-800-2272345. Your local American Cancer Society office contact is Bethany Lynch at SarasotaManateeFLStrides@cancer.org or call (941) 328-3756.
OCTOBER 2019
WEST COAST WOMAN 15
Sara P.
Simmons, MD Orthopedic Surgeon at Coastal Orthopedics World Class Surgeon and Athlete
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ince 2012 Dr. Sara Simmons is one of two orthopedic surgeons with a specialty in hand and wrist surgery at the 45 year-old Coastal Orthopedics of Bradenton and Lakewood Ranch that employs 19 orthopedic surgeons and pain management physicians. She also serves on the Nathan Benderson Park Sports Medicine Team and was the lead liaison with the national group’s physicians during the world championships.
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eople of all ages develop medical problems with their joints due to an injury or routine wear and tear. Surgery is recommended after non-surgical options have been exhausted. Since 2012 Dr. Sara Simmons is one of two orthopedic surgeons with a specialty in hand and wrist surgery at the 45 year-old Coastal Orthopedics of Bradenton and Lakewood Ranch that employs 19 orthopedic surgeons and pain management physicians. She also serves on the Nathan Benderson Park Sports Medicine Team and was the lead liaison with the national group’s physicians during the world championships. “I don’t remember a time that I didn’t want to be a doctor. I was always encouraged to be independent and professional— both characteristics are still a big part of my life. I had exposure to the medical field working in a lab in college and then at the New York City Medical Examiner’s Office. I’m motivated to make a difference in people’s lives by managing responsibility as a doctor and being the best person I can be as a wife and mother. I think I strike a good balance between compassion and expectations by making patients comfortable with me and their diagnosis,” she says. Dr. Arthur Valadie, Physician President of the practice, says, “Sara Simmons is a woman with a broad set of skills, interests, and achievements. Many of her accomplishments would stand on their own, but to be a multi-sport athlete at Harvard, a previous member of a U.S. national team, a practicing surgeon, and a great mother and wife, all while being a great person is truly remarkable. I’m not sure how she does it all, but she finds a way and does it with a contagious sense of humor.” With a personable demeanor, Dr. Simmons sees about 40 patients three days a week and performs 10 to 20 surgeries two days a week. Carpal tunnel, trigger finger, and arthritis are frequent conditions where she considers non-surgical options and surgery. Her day-to-day challenges are management of the volume of patients, stress, and time for her family. Insurance is her major frustration—patients who have no insurance, insurance companies, poor coverage, and pre-certification requirements. Dr. Simmons says her journey to medical school took a circuitous route. She earned a Bachelor’s degree in biology from Harvard University, worked in the orthopedic gene therapy lab for the Harvard Center for Molecular Orthopedics, and was a forensic biologist for the New York City Office of the Chief Medical Examiner. She was also a three-time member of the USA National Rowing Team traveling to Finland, Scotland, Taiwan, Lucerne, and France and a Gold Medalist at the U.S. Olympic Festival in 1995. When she was 29, her father encouraged her to have a life plan by the time she turned 30. She began medical school at 30 after the department chair of her Master’s program encouraged her to consider a medical school in Israel. What seemed like an adventure was met with skepticism by her Jewish father. However, she describes her time in Israel as amazing and a great cultural experience. She did her Doctor of Medicine at Sackler School of Medicine in Tel Aviv, residency at John Peter Smith Hospital in Fort Worth, Texas, internship in general surgery at Brigham and Wom-
en’s Hospital in Boston, and a Combined Hand Surgery Fellowship at Tufts Medical Center/New England Baptist Hospital. She is Board certified by the American Board of Orthopaedic Surgery. Dr. Simmons admits that it’s not easy being a woman in orthopedics, but didn’t feel discrimination in her orthopedic residency as the only woman in the class. She says going into orthopedics was a risk due to the long hard hours and being physically demanding. Early on just picking up a scalpel weighed heavily on her. Despite it all she says she loves what she does, feels privileged to do it, and thanks her patients for trusting her with their care. A 2018 article titled “Women still a rarity in high-paying surgical specialties” states, “But it’s in orthopedic surgery, the surgery specialty with the least number of women, where the differences are most stark. Women make up just 5 percent of the active physicians in orthopedic surgery, according to a 2015 report from the Association of American Medical Colleges. The percentage is likely to rise, but only marginally, with data showing that about 14 percent of orthopedic residents are women.” A number of reasons deter women from entering orthopedics, but two 2018 articles state that chief among them is the fact that women don’t see anyone who looks like them practicing and the lack of strong mentorship in medical school or earlier. However, in Dr. Simmons case, she had an orthopedic surgeon father (who she describes as an old school doctor who, at 80 years old, still practices two days a week) and a nurturing professor mentor. “From the day she was born, Sara has been an exciting bundle of energy, intellect and enthusiasm for every new challenge. These gifts, in combination with exceptional athletic talents, results in a remarkable individual. She took these abilities to Harvard where she played three varsity sports including captaincy of the Women’s crew and an intercollegiate championship. From there she stroked the USA light-weight women’s crew to a gold medal in Finland,” says her father, Dr. Barry P. Simmons, Chief Emeritus Division of Hand/Upper Extremity Service, Department of Orthopedic Surgery, Brigham and Women’s Hospital of Harvard Medical School. “It’s no surprise that she chose to pursue the challenges of becoming an orthopedic surgeon. Through all of this, her most important role as the middle of three equally-talented sisters has been her commitment to them and her family. As her parents, it’s been a delight to be along for the ride.” In addition to Dr. Simmons’ father being an orthopedic surgeon, her Canadian-born mother was a landscape architect. Her older sister is a veterinary pathologist and her younger sister is a Ph.D. in Public Health. Dr. Simmons is married to Gur Mitzafon, an Israeli who she met while in medical school and is a hotel owner on Lido Beach. They have two children--Shai who is nine years old and Rafi who is five years old. Dr. Simmons is grateful that her husband does all the cooking, fixes breakfast and lunch for the children, and takes them to school and doctor appointments. In her leisure time she spends time with her family, runs, does yoga, and travels.
STORY: IMAGES:
Carol Darling Evelyn England
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focus on the arts
Celebrate 60 Years of Music Education Members of the Youth Orchestras and their families kicked off the 60th anniversary season with a retreat in early
Alyson Rozier with members of the Youth Philharmonic
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ttend a youth concert, and you will be blown away by how amazing every single ensemble sounds,” says Alyson Rozier, Sarasota Orchestra’s Director of Education. “But you will be more blown away that they are amazing people. When I look at this next generation, I see people who will eventually take over leadership roles and be a positive influence on this world.” Rozier’s optimism comes from a front-row seat for the several education programs Sarasota Orchestra has been offering for decades. Anyone who knows the organization just for its professional orchestra—an ensemble of distinctive artistic excellence for a city of Sarasota’s size— has only scratched the surface of the Orchestra’s offerings, many rooted in its educational mission. This season, the Orchestra commemorates the 60th anniversary of the Sarasota Youth Orchestras. An astounding 10,000 young people have participated in SYO since its founding. “We’re celebrating everything that the Sarasota Youth Orchestras have accomplished and everybody who made the program what it is today,” says Rozier. Along with the students, parents, and educators involved in SYO, Rozier also credits a strong base of philanthropic support for ensuring kids are never turned away because of an inability to pay. Each year, up to 60 percent of the orchestras’ 320 to 350 members receive scholarship assistance. “We are thankful for the donors who make sure that students have access to scholarship funds to be able to participate in the Youth Orchestras,” says Rozier. While SYO alumni perform in most of the nation’s major
orchestra’s today, Rozier estimates just 30 percent of the program’s alumni go on to careers in music. Program alumni are concertmasters, composers, and conductors—as well as award-winning scientists, non-profit leaders, and local entrepreneurs and business-owners. Rozier adds that this milestone year is also about the future of the SYO. As Sarasota Orchestra moves toward its vision for a new music center and dedicated concert hall—the Orchestra’s home for the next 100 years and beyond—she imagines an education program with the space to positively transform even more young lives. “We are completely out of space at the Beatrice Friedman Symphony Center, and we physically cannot invite more kids into parts of the program,” Rozier says. “As we’re celebrating the Youth Orchestras’ 60-year evolution, we imagine having a building that allows education programs to run potentially seven days a week. Think of the variety of classes and activities we could add—all things our community so desperately wants us to do.” The 2019-2020 season marks another big year in the Orchestra’s other education programs. This month, more than 9,000 local fourth and fifth-graders attended Young Persons’ Concerts presented at the Van Wezel and North Port Performing Arts Center by the professional orchestra, which gave many of these youngsters their first exposure to classical music. The 56th annual Sarasota Music Festival, a premier teaching and performance festival that showcases classical music’s top educators and emerging stars, will return in June, followed by the 43rd Summer Music Camp in July. Cultivating tomorrow’s professional musicians is only a fraction of the impact of Sarasota Orchestra’s education programs. Rozier’s greatest hope is that music becomes a lifelong interest and asset for those who have participated in SYO and the other programs. Perhaps a surgeon takes a few minutes of serenity in the familiar finger patterns of his or her violin scales. Maybe a stay-at-home parent’s afternoon is uplifted by listening to a symphony performed years ago with Youth Orchestra friends. The most important lesson is that music enhances the quality of life and empowers individuals to find fulfillment, regardless of where their life journeys take them. Contributor: Sara Stovall
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Sarasota Orchestra invites you to join in celebrating 60 years of enriching lives through music education! Meet the students and alumni of the Sarasota Youth Orchestras and share the joy of music throughout the anniversary year at these events:
Youth Orchestra Concerts ––––––––––––––––––––––––––––––––––––––––––––––––––––––– The eight SYO ensembles display their talents onstage during these free concerts at the Riverview High School Performing Arts Center. Youth Philharmonic, Youth Symphony, and Symphonic Winds perform at 7 p.m. on November 18, 2019, and February 10, 2020 Five string orchestras perform at 6:30 p.m. on November 19, 2019, and February 11, 2020 Year-End Showcase: April 18, 2020, 11 a.m. and 2 p.m.
The Edward and Ida Wilkof Young Artists Concerto Competition: Finals and Reception ––––––––––––––––––––––––––––––––––––––––––––––––––––––– Young musicians from across the region compete for the opportunity to perform as soloists in a concert with the professional Sarasota Orchestra. November 10, 2019 – 2 p.m. – Holley Hall
Youth Orchestra Alumni Performance ––––––––––––––––––––––––––––––––––––––––––––––––––––––– December 21, 2019 – 1 p.m. – Riverview High School Performing Arts Center
Thrill of a Lifetime ––––––––––––––––––––––––––––––––––––––––––––––––––––––– Share in this “Thrill of a Lifetime” for the members of the Youth Philharmonic as they perform side-by-side with some of the professional musicians of Sarasota Orchestra. This special performance is a ticketed event. February 29, 2020 – 7:30 p.m. Riverview High School Performing Arts Center Tickets: $15, available through the Sarasota Orchestra Box Office: (941) 953-3434
health feature
Want Some Fries with that Plant-Based
Protein Patty?
Sales have sky rocketed… Just don’t call it “fake meat”
S
ure, we all know eating too much meat is not good for your health. And now more of us know it’s also bad for the environment to eat meat since so much goes into producing meat (energy, grain, water, land). Still others have moved away from meat for personal reasons such as the concern for animal rights. What’s so stunning about the intense interest in plant-based protein is that, according to The National Restaurant Association’s 2019 What’s Hot report, is that 95% of the people who bought a plant-based burger this past year were meat eaters. Digging deeper, their What’s Hot report shows that a lot of omnivores are choosing alternative proteins they believe are better for their health and the Earth. Stores can’t always keep them in stock and just this past August, a KFC in Atlanta sold out its Beyond Meat version of fried “chicken” in just hours. Beyond Meat, specifically their Beyond Meatball Marinara, is also headed to Subway in over 600 restaurants. (Participating locations include Jackson, Mississippi; South BendElkhart, Indiana; Fresno-Visalia, California; Louisville, Kentucky; Harrisburg, Pennsylvania, and Halifax, Nova Scotia in Canada. Check Beyond Meats’ website for availability) A few months ago I tried to get Beyond Meat at Whole Foods in downtown Sarasota. The store employee who escorted me to the right place (I had no idea where to look - I would have probably been stuck in tofuland) said they “sell out right away.” It was a beyond reach of Beyond Meat moment. I tried at an odd hour on another day and finally got some. Impossible Foods, on the other hand, is an apt name since it was impossible to get in supermarkets. Their products have
only been available in restaurants, but they have just entered supermarkets. We’ll have more on Impossible Foods in the November issue. Friends — some vegan and some carnivore — BOTH rave about both products. The meat eaters like the novelty and how it—to them—tastes like meat. Whereas vegans like it because it fits their vision of food politics and yeah, it doesn’t taste bad at all. That’s about all those two camps agree on — the taste. I posted on Facebook asking for comments and it got a little testy at times. So we will stay away from using “fake meat” to describe it, but only you can tell if you’ll like it or not.
Locally, your best bet is to find them at Whole Foods. Supposedly, they are in over 35,000 “outlets” including stores, restaurants, businesses and even schools. This fall, Beyond Meat introduced an update to their flagship meat-free product, the Beyond Burger. This “now even meatier” version offers improvements over their first burger, which came out in 2016. First, it has more “marbling,” mimicking the natural fat layers of ground beef. That
Beyond Meat Beyond Meat has been selling its Beyond Burger and other products at supermarket chains including Giant, Safeway, Whole Foods, Natural Grocers and Kroger brands Harris Teeter and Mariano’s.
Customers lined up at a KFC in Atlanta to be among the first to try Beyond Fried Chicken, a plant-based product made in partnership with Beyond Meat.
marbling is made possible with coconut oil and cocoa butter. To make the burger act more like real meat during cooking they added an apple extract to help the food turn from red to brown as it cooks. Beet juice extract gives the look of “bleeding.” Lastly, the burger brand added a protein-rich blend of ingredients to the patties to give them a more “fibrous” appearance and make them a source of complete proteins, which is an important step for vegans looking to get protein from this food. But at the end of the day, these burgers are still highly processed foods and generally get a thumbs-down from nutritionists and dietitians alike.“I definitely
think it’s a better alternative to so many out there,” said Jayne Williams, integrative health and nutrition coach. “As with anything processed, I go to a rating scale: good, better, best. This would definitely fit into the ‘better’ category. While being processed, it doesn’t contain any soy or gluten, which gives it a thumbs-up.” She added, “It does contain some ‘shelf stabilizers,’ which in my opinion aren’t the absolute healthiest, and for those who have severe autoimmune [conditions], I would be cautious. ‘Best’ would clearly be making your own, but in our fast-paced world, this is surely a win.” “The typical American diet focuses primarily on animal-based proteins like poultry and red meat and is a contributor to chronic inflammation, which is at the root of most health conditions including heart disease, diabetes, autoimmune diseases, joint issues, and brain health,” said Carolyn Williams, PhD, RD, author of “Meals That Heal: 100+ Everyday Anti-Inflammatory Recipes in 30 Minutes or Less.” “Looking for ways to substitute more fish and plant-based proteins, like these burgers, is really something we should all be doing — even meat eaters.” Here is nutrition experts consider factors of these faux-meat burger alternatives. Meatless “meat” burgers aren’t inherently healthier because of their meat-free status.Their nutrition profile may have some value — Beyond Burger has no cholesterol and less saturated fat than beef — but fat, calories, and other numbers may be as high (or higher) as regular patties, especially when they’re used to make a burger. “My main concern is the questionably high sodium content of these veggie-based alternatives, which can rank up to five times the amount of a regular burger patty,” said Rachel Fine, RD, owner of To The Pointe Nutrition, a nutrition counseling firm in NYC. “Impossible Burgers are largely made with coconut oil, which supplies a significant amount of saturated fat,” Fine said. “The American Heart Association advises that we be wary before choosing coconut oil due to its high saturated fat content.” continued on next page
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health feature continued Unlike black bean and quinoa-based veggie burgers, the Beyond Burger and Impossible Burger have a collection of ingredients that are designed to do one thing: mimic meat. They aren’t providing the natural vitamins and minerals that some pre-made burgers with actual vegetables do. “A burger made with lean beef has around the same calories, fat, and saturated fat as a Beyond Burger — maybe even a little less — so don’t feel pressure to give up real burgers altogether. Just look for other ways to substitute protein from beans, soy, and nuts in place of meat and poultry.” Some may reason that eating small amounts of real meat is probably OK, but make the bulk of your diet plant-based.
Beyond Meat Italian Meatballs
Tips from WCW Readers
Beyond Elote Burger
“Use a cast iron pan” “My favorite way to cook them is in the air fryer. (As I don’t have a grill) 10 min 390-400, flip halfway in between.”
Comments from Readers: “I found them rubbery and they tasted odd and they were not pleasant...I tried Beyond Burgers and I even found gluten-free buns and was all excited about the experience. It wasn’t life-changing are good and with all the chemicals and things I don’t think I’ll be adding it to my vegetarian diet.” “I love the Beyond Meat products and use them instead of meat, especially beef or pork. I’m not quite a vegetarian yet but working towards it.” “Love Beyond Meat....I made meatloaf out of the new plant-based ground meat. Really like the products and they are always trying to improve on them. adjusted a meatloaf recipe. Crushed ritz crackers, Mexican cheese, ranch seasoning, 1 egg, ketchup and few teaspoons of steak sauce.” “I love them. I can make meatless meatball hoagies!” “I have tried Beyond Burgers and sausage. Fixed sausage and peppers and the burgers like beef. I haven’t eaten beef or pork in several years. I think these substitutes taste great, save on carbon footprint and good for people whose metabolism doesn’t process meat well.”
Here are some recipes for Beyond Meat products. Find more info and recipes at www.beyondmeat.com/ products/
BEYOND MEAT ITALIAN MEATBALLS Ingredients 1 lb. Beyond Beef 1-1/2 TBSP bread crumb 1/2 tsp Chopped garlic 1 TBSP Chopped onion 1 tsp Chopped basil
Tuscan Style Beyond Sausage Pasta 2 tsp Chopped parsley 2-1/2 tbsp of Parmesan cheese 1/2 tsp Italian Seasoning Pinch of black pepper Pinch of Kosher salt 23 oz Italian Sauce with Mushrooms Directions In a large bowl, add Beyond Beef, bread crumb, parsley, basil, onion, garlic, and Parmesan Cheese Mix thoroughly and roll into golf-sized balls @ 1 oz each. Set aside. Heat olive oil in a large skillet over medium-high heat. Add the meatballs and cook until brown on all sides. When the meatballs have developed a nice crust, remove them from the skillet. Clean the skillet to put it back on the stovetop over medium heat. Pour marinara into the skillet. Bring sauce to simmer then add the meatballs back to the skillet. Cover the skillet with a lid and simmer meatballs for up to an hour Serve with your favorite pasta
TUSCAN STYLE BEYOND SAUSAGE PASTA Ingredients 1 package Beyond Sausage Hot Italian (4 total), sliced and cooked 8 oz plant-based Linguine pasta 1 tbsp olive oil
1 tbsp earth balance plantbased butter 3 cloves garlic, minced 1 cup grape or cherry tomatoes 8 cranks freshly ground pepper 1/2 tsp salt
skillet. Toss until the pasta is coated in the sauce and everything is combined. Toss with shredded Parmesan, plus add a bit of Parmesan to the top of each bowl. Once the tomatoes begin to break down, add the spinach and stir it into the tomatoes until it is about halfway wilted.
BEYOND ELOTE BURGER
1/2 tsp dried basil 1 15 oz. can cannellini beans 4 oz baby spinach 3 oz shredded Parmesan Directions Fill a large pot with water and place over high heat to bring it to a boil. Once boiling, add the pasta and cook according to the package directions (boil 7-10 mins). Drain the pasta in a colander. While waiting for the water to boil, mince the garlic. Heat the olive oil and butter in a large skillet over medium-low heat. Add the garlic and sauté for about a minute, or until it has softened and become fragrant. Add Beyond Sausage Hot Italian slices and sear for 2-3 minutes per side. Add the tomatoes, salt, pepper, and basil. Sauté the tomatoes until the skins burst and the tomatoes begin to release their juices. It’s important to not have the heat under the skillet too high or the garlic may burn before the tomatoes break down. You want the garlic to brown and caramelize a bit, but not burn. Once the tomatoes begin to break down, add the spinach and stir it into the tomatoes until it’s about halfway wilted. Rinse and drain the can of cannellini beans. Add the beans to the skillet and stir until they’re heated through. The tomato juices will have created a thick sauce-like mixture on the bottom of the skillet at this point. Taste the mixture and add a bit more salt if needed. It should be slightly on the salty side in order to properly flavor the pasta. Add the cooked and drained pasta to the
Ingredients: 1 package Beyond Burger Patties 1 avocado, halved and sliced Butter lettuce Plant-based Buns Plant-based Elote Ingredients: 2 corn on the cob, kernels removed 2 tablespoons mayonnaise 2 tablespoons sour cream 1/2 tablespoon olive oil 1/2 lime zested and juiced 2 teaspoons chili powder 1/4 cup finely chopped cilantro Kosher salt 1/2 cup shredded Parmesan cheese Elote Instructions: Grill corn until all sides are charred. Cut grilled corn kernels from cobs. In a small bowl, mix together mayonnaise, sour cream, olive oil, lime zest and juice, chili powder, cilantro, and Parmesan. Add corn kernels and stir, seasoning generously with kosher salt. Burger Instructions: Grill Beyond Burger patties on a lightly oiled, heated gas grill. Grill on medium-high for 3 minutes on one side. Flip and grill for another 3-4 minutes. Top the bottom bun with lettuce leaf followed by Beyond Burger, sliced avocado, and the Mexican street corn mixture. Place top bun on.
Part Two will look at Impossible Foods and their line of products that will now be in stores as well as restaurants.
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Craniosacral Therapy Can Be Life Changing
CST treats the whole body physically, physiologically, mentally, emotionally and energetically
Clients come to me because they are in physical pain such as neck, back, pain and TMJ as well as for chronic headaches and migraines.
Pain and stress caused by shortened Fascia
Fascia (strong connective tissue) encases all our muscles, organs, brain and spinal cord. Whenever fascia shortens any place in the body, the entire network of fascia creates an increased tension affecting the functioning of our physical body as well as our organs, our brain and spinal cord. Our body is the history of every major trauma we have experienced physically and emotionally beginning with birth issues, falls, head trauma, car accidents, childhood abuse issues, death, divorce and other emotional issues. Our body tries to minimize each trauma by shortening
fascia to isolate the energy coming into the body from that trauma. Shortened fascia results in pain, loss of mobility and range of motion, organs becoming less efficient and with parts of the brain and spinal cord becoming stressed. To keep the brain functioning, the body transfers some of your functional work play energy (7:00 AM-10:00 PM) to the brain resulting in less energy to make it through each day. As we age, the accumulation of all the tightened fascia, from every major trauma in life, begins to restrict every aspect of our body’s functions resulting in pain, loss of mobility, mis-functioning organs, loss of energy, as well as our brain losing some its sharpness.
and the heart. With the release of fascial diaphragm restriction, the client immediately starts breathing deeply and energy is restored to the pericardium and the heart. Shoulder blades that are cemented to the body also restricts how much the rib cage can open and thereby also restricting depth of breath. Without proper breathing, your cells do not get enough oxygen. Everyone, especially people suffering from bronchitis, asthma and COPD as well as shallow breathing can benefit when the fascial stress is released.
How Craniosacral Therapy Works
Just as the body physically gets stressed from physical and emotional trauma, the functioning of the brain is also affected by fascial stress. For our brains to remain healthy, we need dynamic production of craniosacral fluid which performs the important function of bringing nourishment to all the cells in the brain and spinal cord as well as cleansing all the metabolic wastes given off by those same cells. Once the craniosacral fluid cleanses these metabolic wastes, efficient drainage of these metabolic wastes into the lymph system is absolutely necessary. Research has shown, that at night, craniosacral fluid cleanses amyloid plaques from the brain. If the drainage is inefficient, then the brain is being bathed in a toxic slurry. How does 15 or 20 years of your brain being bathed in a toxic slurry affect you: senile dementia, Parkinson’s, Alzheimer’s and other brain dysfunctions? A Craniosacral Therapist, who has received training in working with the brain, can reverse that stress on the brain that eventually can result in those brain dysfunctions. As we all know, the proper functioning of the body is dependent on a healthy functioning brain.
The Craniosacral Therapist creates a safe place, with gentle holding techniques, that engages your body’s ability to self correct, reorganize and heal itself with the release of some of that tightened fascia during each session. As the Craniosacral Therapist engages your body, you will feel fascia releasing. As the fascia releases, pain begins to decrease, range of motion and mobility improve, organs begin functioning better and with less stress on the brain feels, it returns the energy it borrowed at the time of each trauma resulting in an immediate increase in your energy levels. Rarely does anyone leave from my first session not feeling better.
Short Leg Syndrome
Eighty-five percent of my clients have one of their legs pulled up 1/2 to 1 by shortened fascia. The tension from short leg syndrome on the sacrum (5 fused vertebrae at bottom of the spine) is transferred up
Testimonials from Clients
■ “On a recent vacation to Siesta Key, I re-injured my back. I found Terry online. I can say with complete joy that was the best decision I made in the history of my back pain. I have sought many modalities and visit a CST regularly and never have I had such a healing in my entire body. After 3 sessions, I made a 16-hour drive home with no pain or discomfort in my entire body. Unbelievable. My body has a sense of moving freely and that is completely new. I’m so grateful to Terry for his knowledge, for his sensitivity to my needs and his kind generosity in healing my body. I will see him when I return next year.” —Caroline M.
■ “I am a snowbird who spends 7 months in Sarasota. I have had back problems for 25 years. Terry’s techniques have led to a great deal of release and relief in areas that have been problematic. I have been seeing him over the years when my body says ”it’s time”. Usually after a few sessions, I can tell a huge difference.” —Lana S. ■ “I was introduced to Terry and Craniosacral Therapy by a Neuromuscular massage therapist who thought I needed higher level of care. I found Terry to be
Specialized Training to work with Brain Dysfunctions
The physical stress in bodies caused by shortened fascia (connective tissue) shuts down energy flows to certain organs. Short leg syndrome by ½ to 1 in (where one leg is pulled up by shortened fascia) shuts down energy flow to the spleen (an important part of your immune system) and the small and large intestine. With the release of that shortened fascia, energy returns to these organs.
the dural tube that encases the spinal cord into the lower and upper back, the neck, the cranium and the brain. Headaches, migraines, TMJ and neck problems can originate from the fascial stress in the sacrum. Releasing this sacral stress increases energy in the bladder, sex organs, kidneys and the chakras as well as releasing major stress in the upper part of the body.
Cause of Shallow Breathing
A great majority of the clients who come to me for various problems are also shallow breathers. Fascial stress in the diaphragm restricts the depth of breathing by restricting energy flow to the lungs, the pericardium
kind, empathetic and he genuinely seemed to take an interest in my challenges. I have a mild Chiari malformation (part of the brain protrudes and puts pressure on the spinal cord) I had been experiencing verImmediate Relief Beginning with the First Session: tigo, extreme pain in my neck combined ■ Shallow Breathing ■ Chronic Pain: Sciatic, Back, with a limited range of motion (I could not Neck and TMJ ■ Digestive and Constipation Issues turn my neck right or left) I tried both traadvanced■ craniosacral therapy Migraines, Foggy Brain and ■ Leaky Gut and Autoimmune Problems ditional and holistic modalities including Lack of Concentration chiropractic and acupuncture with limited ■ Chronic Fatigue, Fibromyalgia and Depression ■ Sight and Eye Problems success. So I did not have lofty expectations ■ Concussions, Brain and Spinal Cord Health (unrealistic) going into my first session, but ■ Asthma, Bronchitis, COPD ■ Mobility and Energy Issues for Seniors was pleasantly surprised in the immediate difference I experienced in my entire body. SOURCE: There was less pain in my back and ■ Terrence Grywinski of Advanced Craniosacral Therapy, shoulders, but also in my diaphragm and B.A., B.ED., LMT #MA 6049. Terry has specialized in Craniosacral rib cage area. I was able to breathe more Therapy since 1994 when he began his training at the Upledgdeeply, felt more limber and overall more er Institute. Described by his teachers, clients and colleagues relaxed. With additional sessions, Terry as a “gifted healer”, Terry’s intuitive sense and healing energy provides immediate and lasting relief from injury, pain, mobility was able to relieve the burning sensation issues as well as dysfunctions of the body and the brain. Part in my shoulders that would radiate into of Terry’s ongoing education, he has completed 4 craniosacral my lower neck and down my arms which brain and peripheral nervous system classes which had been plaguing me for a long time and enables him to work at causing numbness in my extremities. I have a cellular level and with been impressed by his intuitive nature and brain dysfunctions. his ability to listen to my body and focus in Call 941-321-8757 on specific issues and pain points. The therTerrence Grywinski for more information, apist who referred me to him was right…he of Advanced Google Craniosacral is a gifted healer.” —Nicole M. Craniosacral Therapy, advanced craniosacral therapy B.A., B.ED., LMT #MA 6049 Therapy Sarasota.
What conditions does CranioSacral Therapy address?
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OCTOBER 2019
travel news Love Stats and Facts about Travel? The Fastest and Slowest Airports to Exit Worldwide Worldwide, travelers’ median time from a plane’s arrival until they are on their way is 23 minutes after domestic flights and 38 minutes – a 65% increase – after international flights. Blacklane, a global chauffeur and airport concierge service, completed the first worldwide “seat-to-seat” analysis of travel time. The company compared when guests left airplane seats (flights’ arrival times) to the times guests entered its chauffeured vehicles since August. The data comprised hundreds of thousands of flights at hundreds of airports around the world. The findings reveal: Blacklane’s research includes the total time for travelers to exit aircraft, gather luggage, clear customs and immigration, and walk to vehicles with chauffeurs. The data do not take into account nationality, priority status, age, or checked vs. carry-on luggage. Ten of the 11 fastest airports in the world for international arriving passengers are in Europe. First is Luxembourg, where arriving international travelers need a median time of 15.5 minutes to get from the airplane into a chauffeured vehicle. Rotterdam closely follows at 16 minutes. Many of the fastest airports are a major city’s secondary airport – or smaller. Milan’s second- and third largest airports, Bergamo and Linate, take just over 20 minutes for passengers to reach vehicles. London City is London’s fifth-largest airport. Shanghai Hongqiao International Airport handles 40% less passenger traffic than Shanghai Pudong International Airport. A couple of important factors for their short exit times are the smaller sizes of planes and airport terminals. A major factor in Europe is that E.U. airports typically group E.U. and U.K. citizens together through immigration control. Many assign more immigration officers
and deploy new technology, like electronic passport scans and biometric readers, to speed these travelers through. Conversely, five countries’ largest cities have the world’s slowest airports for arriving international travelers. Tokyo, Santiago, Dubai, Buenos Aires and Mexico City all take at least 52 minutes as a median time for passengers to get to their vehicles. The slowest airport is Kansai International Airports serving Osaka. This is perhaps due in part to having the longest airport terminal in the world at 1.1 miles. In the U.S., New York LaGuardia and Phoenix Sky Harbor got arriving travelers through the quickest and are the only two with a median time under 30 minutes. LaGuardia’s international traffic comes from Canada, simplifying the immigration process for arriving travelers. On the other side, major hubs and tourist destinations are the slowest airports for international flyers entering the U.S. Four take 50 minutes or longer. Two of these top 10 take notably longer than their smaller neighbors. San Francisco’s median time is 45 minutes, compared with 31 for San Jose. Newark is 45 minutes, compared to LaGuardia’s 27. JFK’s median international exit time is 41 minutes Columbus, Ohio, has the fastest median time for arriving domestic travelers to exit, at 12 minutes. California has four airports among the fastest: San Jose, Burbank, Oakland and John Wayne (in Santa Ana). Texas also has
New York JFK is the only U.S. airport on the top 20 list and it comes in 13th place at 41 minutes. A higher volume of international passengers does not necessarily mean a longer exit time. For example, Frankfurt had 61.8 million international passengers and Munich had 36.5 million, but Frankfurt passengers took only three minutes longer to exit. These airports also handle a varying percentage of international travelers who connect through a hub versus arriving at their final destinations. — SOURCE: (blacklane.com)
four: San Antonio, Austin and both Dallas airports. All of these get travelers into the car in under a 20-minute median timeframe. Both San Jose and Austin rank on the top 10 lists for both international and domestic arrivals, with San Jose placing third and second, respectively. The slowest airports for domestic arrivals include six that were also among the slowest for international arrivals. However, the slowest airport for domestic arrivals – Charlotte – was one of the fastest for international arrivals. In fact, arriving international passengers in Charlotte need only four more minutes than domestic arriving passengers (36 minutes vs. 32 minutes) to board their chauffeured vehicle. Las Vegas also made the list for fastest international (35 minutes) and slowest domestic (27 minutes) exit times. Among the ranking of the 20 busiest international airports in 2018, European airports were the most efficient at getting travelers on their way. The continent had nine of the 12 fastest airports, including the top two, Munich and Frankfurt.
Best Value Beach Destinations for 2019
Vrbo, a booking site, released its list of destinations where seaside summer fun can be had for less, based on its vacation rental demand data. Domestically, great deals can be found in popular seaside destinations like Myrtle Beach, while multiple playas bonitas in Spain topped the international list. To get the list, Vrbo looked at the most popular international and domestic beach destinations for travelers in 2018, pulling the average daily rates paid for vacation rentals to identify the places where travelers got the most value. Vrbo’s top value beach destinations: Domestic (average price/night/person/USD) 1. Myrtle Beach, S.C. - $54 2. Harrison County, Miss. - $55 3. Corpus Christi & Port Aransas, Tex. - $60 4. Cocoa Beach & Cape Canaveral, Fla. - $60
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5. South Padre Island, Tex. - $62 International (average price/night/person/USD) 1. Alicante, Spain - $43 2. Santa Cruz de Tenerife, Spain - $44 3. Las Palmas, Spain - $46 4. Palermo, Italy - $48 5. Limon, Costa Rica - $49 Vrbo also ranked its most popular beach destinations from coast to coast. Three Hawaiian Islands were among the top choice for travelers on the West Coast, while Florida ranked with just as many for the East Coast. Vrbo’s most popular beach destinations: West Coast (average price/night/person/USD) 1. Orange County, Calif. - $83 2. Hawaii, Hawaii - $85 3. San Diego, Calif. - $90 4. Kauai, Hawaii - $105
5. Maui, Hawaii - $107 East Coast (average price/night/person/USD) 1. Myrtle Beach, S.C. - $54 2. Panama City Beach, Fla. - $63 3. Gulf Shores, Ala. - $69 4. Fort Walton Beach, Fla. - $77 5. Miramar & Rosemary Beach, Fla. - $86 In 1995, Vrbo introduced a new way for people to travel together, pairing homeowners with families and friends looking for places to stay. They have properties in 190 countries around the world such as cabins, condos, beach houses and every kind of space in between. Vrbo is part of HomeAway and the Expedia Group family of brands and offers homeowners and property managers exposure to over 750 million visits to Expedia Group sites each month. To learn more, visit www.vrbo.com.
Santa Fe Ranks High
Over the past year, Santa Fe County, New Mexico, has been a bustling tourist destination, with double-digit lodgers tax increases, increases in social media engagement and increases in web traffic. Additionally, the Santa Fe area was recently rated a Top 14 U.S. Travel Destination for 2019 by Forbes Magazine. “People are coming to the Santa Fe area in record numbers,” said Katherine Miller, County Manager. “Tourism to the area has seen double digit increases over last year, and that’s largely because of the incredible cultural and outdoor recreation offerings available to visitors. In the 1980s and 1990s, we had a heyday for tourism, as everyone had howling coyotes and southwestern décor. Today’s increases are with younger travelers flocking to Santa Fe for experiential tourism, cultural travel, and outdoor adventures.” Compared to Fiscal Year 2017, Santa Fe County’s lodgers’ tax was up by over 23 percent in Fiscal Year 2018, and unique visitor web traffic to santafenmtrue.com has increased by 27 percent from 2017 to 2018. Social media has shown significant success as well, with 27 percent growth on Facebook. Visitors to the Santa Fe area can not only enjoy the world-class art for which Santa Fe is widely known (designated as an UNESCO City of Crafts and Folk Art as well as a City of Design), but also immersion into culture with visits to explore ancient pathways to ruins of northern New Mexico’s ancestral Pueblo people; Discovering National Monuments, National Historical Parks, and famous landmarks, museums and trading posts. Additionally, active travelers will find a vast array of outdoor adventures, including hiking, biking, skiing, horseback riding, backpacking, fishing, golfing, and off-roading. For more information on Santa Fe County, visit santafenmtrue.com.
dining in
Tasty, Healthy and not just for those with Diabetes
H
ere are some recipes that are great if you have diabetes, but they’re so tasty anyone will enjoy them (and get their healthy benefits):
F Salmon with Pea Puree T Pink salmon is doled out on a gorgeous green bed of pea puree in this elegant dish. If you are preparing the dish for a party, you can make the fish and the pea puree a day ahead of time and reheat them before serving. Find this recipe and more in the second edition of The Mediterranean Diabetes Cookbook.
1/4 tsp. ground cumin 1/4 tsp. turmeric 1/4 tsp. ground allspice 1/4 tsp. ground coriander 1 lb fresh sweet peas 2 lemon (juiced)
1/2 cup low sodium vegetable broth 1/4 tsp. salt black pepper to taste 1 tsp. olive oil 1 lb salmon fillet (cut into 4 equal pieces) 1 lemon (quartered)
Preheat the oven to 425˚ Combine the peas, the juice of 1 lemon, the vegetable stock, salt, and pepper in a blender. Puree until smooth. Grease a baking dish with the olive oil. Place the salmon in the dish and turn to coat with the oil. Sprinkle each piece with the seasoning mix and the remaining juice of 1 lemon. Bake for 15 to 20 minutes, or until the salmon is cooked through. Pour the puree on a serving platter. Place the salmon on top. Garnish with lemon wedges. Prep time: 10 min. Cook time 20 min. Servings: 4. Serving size: 1 piece salmon with 1/2 cup puree.
Did you Know?
Over 30 million children and adults in the United States have diabetes. 84.1 million American adults have prediabetes, and 90 percent of them don’t know they have it. 7.2 million Americans have undiagnosed diabetes. 13.2 percent of all African Americans aged 20 years or older have diabetes. 12.1 percent of Hispanic/Latino adults in the United States have diagnosed diabetes.
F Avocado Tuna Salad T This makes a fast and easy lunch or dinner. You can purchase pico de gallo in the produce section or at the deli counter in most grocery stores. Tuna flavorseal pouches (6.4 oz., packed in water) 2 pico de gallo 1/2 cup 1 medium avocado (cut in half) Remove the pit from the avocado. Use a spoon to scoop out the insides of the avocado and place it in a medium bowl. Mash the avocado with a fork or potato masher. Add the pico de gallo and mix well. Add the tuna to the bowl and mix well. Serve the tuna salad with your choice of whole-wheat crackers, whole-wheat pitas or lettuce wraps. Prep time: 5 min. Servings: 5 Serving size: 1/2 cup. Nutrition Facts (per serving): Calories 130. Total Fat 5g. Saturated Fat 1g. Cholesterol 30mg. Sodium 410mg. Total Carbohydrate 4g. Dietary Fiber 3g. Total Sugars 1g. Protein 18g. Potassium 410mg.
F Smoky Shrimp Tostadas T with Chipotle Mango Slaw
Nowadays, you can really find all sorts of Mexican ingredients all over the U.S. One thing I have noticed is that the flour tortilla has truly taken over, and many people have forgotten about the corn tortilla. Corn tortillas have a great flavor and are that much healthier than flour tortillas. One flour tortilla has 110 calories whereas one corn tortilla has just 50 calories! And of course, who can go wrong with shrimp, mango, and chipotle!
F Barbecued Rosemary Chicken T Try this classic recipe that’s been spiced up with some fresh rosemary to make a diabetes-friendly dish that’s bursting with flavor. To take full advantage of the late-summer fresh produce harvest, pair with sautéed asparagus, peppers and mushroom. 2 tsp. olive oil 1 tsp. lemon zest (grated) 1 T fresh lemon juice 1 clove medium garlic (minced) 1 T fresh rosemary (chopped) 1/8 tsp. salt 1/8 tsp. pepper
2 chicken breast halves (boneless, skinless, about 4 ounces each, all visible fat discarded) Nonstick cooking spray 3 T barbeque sauce (lowest sodium available) 1 T balsamic vinegar 1 tsp. honey
In a non-metallic bowl, stir together the oil, lemon zest, lemon juice, garlic, rosemary, salt, and pepper. Add the chicken, turning to coat. Cover and refrigerate for 30 minutes to 8 hours. If marinating for more than 30 minutes, turn several times. Lightly spray the grill rack with cooking spray. Preheat the 2 grill on medium heat. Grill the chicken for 4 to 5 minutes on each side, or until no longer pink in the center. (The internal temperature should reach at least 165 degrees F). Transfer to plates. Meanwhile, in a small saucepan, whisk together the barbecue sauce, vinegar, and honey. Cook over medium-low heat for 3 to 4 minutes, or until heated through, stirring occasionally. Spoon the mixture over the cooked chicken. Prep time: 30 min. Cook time10 min. Servings: 2. Serving size: 3 ounces chicken and 2 Tbsps sauce
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4 (6-inch) corn tortillas 3 Tbsp reduced-fat mayonnaise Grated zest and juice of 1 lime 1 tsp chopped chipotle chilies in adobo 1 tsp adobo sauce from the chipotles 1 tsp honey 1/2 tsp salt
1 (10-oz) bag coleslaw mix 1 ripe medium mango, cut into 1/2-inch chunks 1/2 cup cilantro leaves 1/2 lb wild, never frozen, medium shrimp, peeled and deveined (about 20 shrimp) 1 tsp chipotle chili powder 1 tsp olive oil
Heat a small nonstick skillet over medium heat. Add the tortillas, one at a time, and cook until lightly toasted and crisp, about 3 minutes on each side. Remove from the skillet and set aside. Whisk together the mayonnaise, lime zest, lime juice, chipotle chilies, adobo sauce, honey, and salt in a large bowl. Add the coleslaw, mango, and cilantro; toss to coat well. Sprinkle the shrimp with the chili powder. Heat the oil in a medium nonstick skillet over medium-high heat. Add the shrimp, in batches, and cook, turning occasionally, until just opaque in center, 2–3 minutes. Place the tortillas on each of 4 plates. Top each with one-fourth of the coleslaw mixture and one-fourth of the shrimp. Serve at once. Prep time: 5 min. Servings: 5. Serving size: 1/2 cup. Nutrition Facts (per serving): Calories 190. Calories from fat 45. Total fat 5.0 g. Cholesterol 60 mg. Sodium 460 mg. Potassium 450 mg. Total carbohydrate 29 g. Dietary fiber 5 g. Sugars 12 g. Protein 10 g. Phosphorus 190 mg. SOURCE: Latin Comfort Foods Made Healthy: More Than 100 Diabetes-Friendly Latin Favorites by Ingrid Hoffmann (American Diabetes Association, October 2018, ISBN: 978-1-580-40681-9, $21.95)