Our City Miramar: May 2023

TABLE OF CONTENTS

PUBLISHERS

Christy & Terry Jaillet publisher@ourcitymedia.com

MANAGING EDITOR

Christy Jaillet

ART DIRECTOR

Tom Rowe

GRAPHIC DESIGNER

Alana Brodie

ADVERTISING SALES MANAGER

Nancy Koval nancy@ourcitymedia.com

ACCOUNT EXECUTIVES

John Brodie, Denise Caligiuri, Adrienne Collins, Mariem Garcia, Carlos Medina, Kenny Rodgers, Silvia Silva

CONTRIBUTING WRITERS

Terry Jaillet, Dr. Robert Donoway, Jon Duka, Amelis Lopez, Wayne M. Messam, Dr. Isabel Suate

ADVERTISING INFO sales@ourcitymedia.com

VISIT US ONLINE ourcitymedia.com

954-306-1007

400 Sawgrass Corporate Parkway Suite 200C • Sunrise, FL 33325

GOT NEWS? EMAIL THE EDITOR! editor@ourcitymedia.com

Welcome to the Age of Artificial Intelligence

In the mid-15th century, German inventor Johannes Gutenberg invented the printing press. Over the next two centuries, his invention replaced the church’s near-monopoly on the written word. It led to an ever-increasing spread of knowledge, information, and understanding of history.

Similarly, the development of the steam engine kick-started the Industrial Revolution, changing how people lived forever. Economic growth accelerated, people migrated to cities, and goods became less expensive and standardized.

These breakthroughs were followed by the invention of the telephone in the late 19th century and air travel in the early 20th century. More recently, the development of the micro-computer, the Internet, and modern mobile phones have impacted every aspect of human life.

Each of these breakthroughs profoundly impacted the world and led to a democratization of sorts. The printing press allowed for the spread of information to the masses; The Industrial Revolution allowed people to choose vocations rather than inheriting them; And the telephone and air travel enabled people to communicate and meet with people anywhere in the world.

Artificial Intelligence is a similar watershed technology development that will reshape the world. Large language models like ChatGPT and Google’s Bard will soon be omnipresent. How they impact our world is exciting and daunting.

AI is already everywhere in our society. Students use it to “help” write term papers; forecasters use AI to predict hurricane tracks; software engineers use it to create websites; AI is used in healthcare to diagnose illnesses; and finance is used to detect fraud. Soon, any ask that utilizes a computer will likely be completed, at least in part, by communicating with an AI.

Each of the advancements in technology came with accompanying challenges. For example, there were sweatshops across London during the Industrial Revolution, airplanes were quickly turned into weapons of war, and the Internet was used to target people for nefarious purposes. However, each of these innovations has led to incredible growth in human prosperity, creativity, living conditions, and knowledge. We are confident that AI will do the same.

Say hello to your friendly chatbot for us!

Christy & Terry Jaillet

OUR CITY MEDIA PUBLISHERS

MAY 2

NAEMI's Mental Health Awareness Month Art Exhibition

Join us for the opening of a unique art exhibition that explores the positive impact that persons recovering from mental illnesses experience through art.

6:00 pm to 7:30 PM at the Southwest Regional Library in 16835 Sheridan St., Pembroke Pines. For more info, scan the QR Code.

MAY 6

Asian American & Pacific Islander Evening

Celebrate Asian American & Pacific Islander Month. The multicultural show will feature delicious & authentic Asian food, dance, and music. Hosted by Vice Mayor Yvette Colbourne, in association with Jinlu Arts, at the Shirley Branca Park, 6900 Miramar Parkway from 5:00 pm - 8:00 pm. For more info call 954-602-5151.

MAY 11

In-Person Job Fair

Looking for work opportunities or looking to switch careers/ positions? Sign up for this years FREE Job Fair! Vendors such as WSVN, Broward Sheriff's Office, Hardrock, Amazon, and more will be in attendance! Interviews on site! Hiring on the spot! Drawings on the hour for free iPads! Must be present to win. 10:00 am - 2:00 pm at the Miramar Cultural Center, 2400 Civic Center Place. www.miramarfl.gov/1885/Job-Fair

MAY 12

MAY 5-7

Vietnam Wall Memorial

Visitors are invited to view the “The Moving Wall,” a Vietnam Veterans Memorial Traveling Half-Size Replica, while it makes a stop in Coral Springs. The wall, which is a replica of the permanent memorial in Washington D.C. is being sponsored by the Veterans Coalition of Coral Springs. This marks the second time the Moving Wall will make its way to Coral Springs, as it was also here in 2015. The Moving Wall has been touring the country for more than 30 years.

It will be open for public viewing at the Tom Messenheimer Field in the Coral Springs Sportsplex, 2575 Sportsplex Dr. For info visit www.themovingwall.org

MAY 11

Spring Into Art & Music Event

Enjoy children’s artworks & music performances, puppies from Petland and join the Fantasy Theatre Factory in an interactive & fun dance factory show. The FREE event will take place at the Charles F. Dodge City Center at 7:00 pm. For more info call 954392-2122.

Shabba Ranks Live

Legendary Jamaican dancehall DJ Shabba Ranks has been instrumental in gaining prominence for reggae and reggae-influenced music. He was the first reggae artist to win back-to-back Grammy Awards. His string of hits throughout the 80’s and 90’s include: “Mr Loverman” “Housecall” (with Maxi Priest) “Slow And Sexy” (with Johnny Gill) “Trailer Load A Girls”, “The Jam” (with KRS One). Show starts at 8:00 pm at Miramar Cultural Center Theatre. Scan the QR Code for tickets and info.

Dr Alfonso Chie

May 2023 Calendar

MAY 13

Haitian Heritage Celebration & Art Exhibit

Join us at the City of Miramar’s annual Haitian Heritage Celebration! Enjoy food, drinks and dancing in celebration of Haiti’s independence and culture Hosted by Commissioner, Alexandra P. Davis. Art Exhibit, Cultural Presentations, Live Music & Entertainment. FREE Authentic Haitian Meal until supplies last. Bring your own Lawn Chairs and Blankets. 6:00 pm - 10:00 pm at Shirley Branca Park 6900 Miramar Parkway. For more info, scan the QR Code.

MAY 13

Mayor's Chess Challenge

Join Mayors, elected officials, and community leaders throughout Broward County in support of scholastic chess! The event will take place from 9:00 am - 11:00 am at Club Nineteen, Pembroke Lakes Golf Club, and is available for players of all ages and skill levels. For more info, call 954-392-2116.

MAY 20-21

MAY 29

Savor the Sounds Music Series

Savor the Sounds is a fusion of music and food trucks - the perfect way to get the family together for a relaxing, feelgood evening of good food and good music! Featuring music by different genres each month. 4:00 pm - 7:00 pm at the Charles F. Dodge City Center, 601 City Center Way. For info call, 954-392-2116.

MAY 14

Pop n’ Shop at Branca

The Miramar Pop n’ Shop event is hosted every 3rd Saturday of each month in Shirley Branca Park from 9 AM to 1 PM, in the heart of Historic Miramar - right in front of the location’s brand new Bandshell! This outdoor event provides our local vendors with opportunities to showcase their products while giving attendees a new way to shop! Enjoy food trucks and music as you explore. For more info, call 954-602-4780.

Haitian Compas Festival

One of the top 10 outdoor festivals in the United States, the Haitian Compas Festival is a staple in the Haitian Community. As the Haitian Compas Festival celebrates 25 years of music it's important to show appreciation to pioneers in the industry. Hosted at Bayfront Park in Downtown Miami. Kids under 12 are FREE. Tickets for the two-day festival are available at www.haitiancompasfestival.com.

MAY 29

35th Annual Memorial Day Classic

The 35th Annual Memorial Day Classic is starting its fourth decade as one of the most anticipated events in the United States! The race is officially the final race of the Southern running season and athletes from all over the state come to honor America’s fallen soldiers. Why not pay tribute this Memorial Day and join thousands as they take to the streets of United States of America for this special tribute and salute to our soldiers and front line workers! Race starts at 7:15 am at Weston Town Center. Scan the QR code to register.

Easter Eggstravaganza in Miramar Delights Young Egg Hunters

On Saturday, April 8th, Miramar welcomed the Easter Bunny who hopped into town. The field at Miramar Regional Park was adorned with over 45,000 Easter Eggs, and children with baskets eagerly filled them with candy. The kids had a blast collecting the treats and were filled with joy.

The event was organized by Miramar City Commissioner Maxwell B. Chambers and included a kid’s zone with bouncy castles, slides, and various other activities. Additionally, local youngsters displayed their singing and dancing skills in a talent show.

The kids had a great time playing with friends, getting their faces painted, and enjoying the beautiful South Florida spring weather. A delighted mother named Vida shared, “This is our first year here, and it’s a family event with something for everyone. We can’t wait for next year!”

■ SCHOOL NEWS

ENCOURAGING YOUNG CITIZENS TO VOTE: BROWARD COUNTY REGISTERS NEW VOTERS IN HIGH SCHOOLS

In April, Joe Scott, the Supervisor of Elections for Broward County, conducted a month-long voter registration campaign in high schools across the county. Officials from the Elections Office visited each high school and interacted with students in their classrooms, encouraging them to register to vote. During history, government, and civics classes, students were given forms and instructions on how to complete them correctly.

Although many students had already registered via the state of Florida’s driver’s license voter registration program, others took advantage of the opportunity to participate in future elections.

In a video released on Browardvotes.com, Scott said, “Helping young citizens vote for the first time is the most gratifying part of my job. Here in Florida, your sixteenth birthday is a significant milestone, not because you can obtain your driver’s license, but because you can register to vote.” While the students

who registered won't be able to vote until they turn 18, they will be automatically added to the voter register if they participated in the drive. Many of the students received a souvenir water bottle with the @browardvotes emblem.

“I was thrilled,” said Stoneman Douglas

Junior Jo. “I can't wait to vote in my first election when I turn 18. Hashtag adulting!”

Scott emphasized that becoming an active voter would have an impact on who our government leaders are at every level, from local to national. "I'll see you at the polls," he said.

SelfView™ is the fast , accurate, and confidential mental wellness assessment that you take privately.

Know

Your Body. Know Your Mind.

By Alex van Putten

Mental health is an integral part of our overall well-being. It refers to our emotional, psychological, and social well-being and influences how we think, feel, and act. Good mental health allows us to lead a happy and fulfilling life, while poor mental health can harm our body, appearance, enjoyment of life, work, and relationships.

Here are some of the personality traits that are associated with good mental health: Positive self-esteem means that you have a positive self-image and high self-esteem. You feel confident about yourself and your abilities and can recognize your strengths and weaknesses.

Emotional resilience allows you to cope with life's challenges and bounce back from setbacks. You can regulate your emotions, manage stress effectively, and maintain a positive outlook.

Healthy relationships are part of your life that lead to healthy and fulfilling relationships with family, friends, and colleagues. You can communicate effectively, resolve conflicts, and maintain meaningful connections with others.

Productivity implies that you function effectively in your daily life. You can focus on tasks, make decisions, and be creative and innovative.

Enjoyment of life is associated with a sense of purpose and joy. You can engage in activities that you are fulfilling, pursue

your interests, hobbies, and sports, and feel satisfied with your achievements.

It’s important to note that mental health is not static; everyone has unique mental health needs. It’s common for people to underestimate the impact underlying mental health issues, such as anxiety, can have on their overall well-being. Sometimes, people may not even be aware that they are experiencing symptoms of anxiety, depression, or other mental health challenges holding them back.

Therefore it’s essential to get a mental health checkup regularly to know the level of your emotional health, just like you get a blood test to understand your physical health. SelfView is accurate and used in top medical centers to support research. We are making it available to you for the first time. SelfView tests 24 aspects of mental health using artificial intelligence to arrive at a diagnostic report in about 10 minutes. It is state of the art; you can take it at home, so know it is private and confidential.

If you are not living your best life, find out if something is holding you back. SelfView is available for only $20 using the coupon code OURCITY with the QR code on this page or by visiting www.bit.ly/3o92Esa

Alex van Putten is the co-founder of PsycHealth, Inc., the owner of SelfView.

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THE MAKING OF A CHAMPION: A LOOK AT MIRAMAR HIGH SCHOOL’S NEW WEIGHT ROOM

stations to give the Patriots athletes a more efficient way to get “bigger, faster, and stronger,” according to Quarterback Kael Alexander. It is now an ideal place for athletes to show their commitment and willingness to work towards excellence.

Miramar High’s athletes use the weight room at every opportunity - between seasons, before or after classes. They are focused on becoming better – individually and as a team – and their efforts have earned the school numerous recognitions. Among the titles and wins this school year, Miramar High’s football team won the 2022 District Championship, made it to Regionals for the first time since 2013, and won the City of Miramar Mayor’s Cup. The cheerleading team also won their first state title in Miramar High history in February 2023, and the wrestling team made it to the Class 2A Boys Dual Team Championship.

The school also received an upgraded track. Track-and-field is a valuable sport for any high school as it not only promotes physical fitness and healthy competition, but it teaches valuable life skills, such as discipline, goal setting and perseverance.

ABOUT THE SMART PROGRAM

▸ The SMART bond program has invested about $1.4 billion in improving the quality of the BCPS educational experience, making a positive impact on the lives of our students and staff. To follow the progress at Miramar High and other schools throughout BCPS, visit bcpssmartfutures.com.

Miramar High School is committed to building champions in and out of the classroom. The school’s athletics program got a recent boost thanks to the Broward County Public Schools (BCPS) SMART Bond Program, which is investing millions in renovations at the school, including a recently completed weight room and track.

“The weight room was old. Half of the equipment didn’t work, but now it is completely different since the renovation," said Varsity Football Coach A.J. Scott. The renovations were completed as part of the SMART Program’s over $23 million dollar investment at Miramar High School. The school was one of 30 to receive a new state-of-the-art weight room thanks to the SMART Bond Program.

The SMART Bond Program focuses on improving the learning environment in the areas of Safety, Music & Art, Athletics, Renovation, and Technology (SMART) at school campuses throughout BCPS.

At Miramar High School, the goal was to turn the weight room into a space fit for champions. The investment provided the school with updated equipment, fresh paint, flooring, a new sound system, new mirrors, better lighting, and much more.

The weight room now has new lifting

In addition to the athletic improvements, the school is also getting fire alarms, fire sprinklers, roofing, restroom renovations, a new band room, an art room, and more.

Miramar High is a school of champions. Whether it’s working on their academics, on the field or in the weight room preparing for the next game, the road to success is paved with their commitment, effort and dedication.

FEELING STRESSED? LONELY? ANXIOUS? IT’S OK TO NOT BE OK!

DIAL 9-8-8

COUNTYWIDE INITIATIVE AIMS TO CREATE DIALOGUE AND PROVIDE RESOURCES TO ANYONE IN NEED

We all have one thing in common now- we’re all living in this new “normal”. Whether you are experiencing stress, loneliness, or anxiety, remember that we’re all in this together. It’s OK to not be OK. It’s essential to CARE for one another with respect; COMMUNICATE and listen without judgment and CONNECT those who need help with support services in our community. If you or someone you know needs help, dial 9 -8-8 today.

Mental health and well-being is different for everybody. When a person is experiencing challenges to their mental health, it is important that they have the help and support necessary to guide them through it. Mental health challenges can affect a person’s moods, behaviors, and even their cognitive functioning. The norm in some cultures may be to avoid talking about problems, feelings, or mental health concerns. While some individuals can have healthy coping mechanisms, many people often struggle to find proactive methods of dealing with emotional turmoil or unresolved trauma. For any stressful situation, this initiative encourages talking about the feelings you have, providing an open dialogue, and promoting the fact that it is OK to talk about feelings of stress, isolation, and anxiety.

United Way of Broward County partnered with the Broward Behavioral Health Coalition, and Department of Children and Families to prioritize mental health struggles in its county wide initiative that promotes “It’s OK to not be OK” and the newly created 9-8-8 hotline. The goal is to provide an outlet of support to the community facing challenges with mental health, or any feelings of stress, isolation, and anxiety. Thus, creating a space for dialogue and offering the very much-needed resources during difficult times by providing someone to talk to.

You might notice the “It’s OK to Not be OK” message around the community which directs people to call the 9-8-8 hotline for support. Please help us to share the message. Trained counselors provide callers with guidance and free resources that will help in most situations. United Way of Broward County’s Commission on Behavioral Health & Drug Prevention’s website, drugfreebroward.org, also provides a prevention resource center with tool kits that provide support for mental and behavioral health issues.

Are you feeling stressed, lonely, anxious or depressed? Or do you know someone who is feeling this way? It’s OK to not be OK. Support and Help are available. And, now more than ever, it is essential to come together and CARE for one another with respect; COMMUNICATE and listen without judgment and CONNECT those who need help with support services in our community. If you or someone you know needs help, please dial 988 today. #ItsOKtoNotbeOK

Fantastically Fast!

WORLD'S BEST TRACK & FIELD ATHLETES COME TO MIRAMAR

On April 8th, the 2023 Miramar Invitational Track Meet hosted incredible athletes, both men and women, who competed in several events, including the 100, 200, 400, and 800-meter dashes, hurdles, and long jump. The meet attracted athletes from all over the world, including Japan, and it's known for showcasing some of the most thrilling and fiercely competitive races of the outdoor track season.

One of the standout moments of the meet was when Sha'Carri Richardson, a native of Dallas, Texas, won the women's 100-meter dash with a blazing time of 10.57 seconds, which is the third-fastest time in world history. Richardson, who is loved by fans for her enthusiasm, celebrated her victory with her trademark energy.

Jamaican sprinter Oblique Seville was also inspired by Richardson's performance and ran an impressive 9.91-second wind-aided time in the

men's 100-meter dash. Both Richardson and Seville have their sights set on next year's Olympic Games in Paris.

Richardson's victory was a significant milestone in her sprinting career, as she was controversially suspended from the sport in 2021, just before the Tokyo Olympics, for testing positive for THC, the active ingredient in marijuana.

Although she has faced difficulties since her suspension, her first-place finish has boosted her chances of qualifying for this year's World Athletics Championships in Budapest.

The Miramar Invitational is a World Athletics Continental Tour Silver meeting. In other events, Abby Steiner of the USA won the women's 200m with a time of 22.23 seconds, while Christian Coleman of the USA won the men's 200m, edging out Letsile Tebogo of Botswana, with both runners stopping the clock at 20.00 seconds.

In the women's 400m, Shamier

Little of the USA took the win with a time of 50.73 seconds, beating world 200m champion Shericka Jackson of Jamaica, who finished third with a time of 51.64 seconds. Ajee Wilson of the USA dominated the women's 800m with a time of 2:02.95.

Ansin Sports Complex is a multi-sport complex located in Miramar. The track and field venue is one of only four Class 2 internationally certified tracks in the United States and hosts events throughout the year.

South Florida is Not Always BRIGHT SKIES & BEAUTIFUL BEACHES

South Florida is known for its beautiful beaches, vibrant nightlife, and warm weather year-round. However, our home is also no stranger to the devastating effects of hurricanes. Over the years, the region has been hit by numerous storms that have left a lasting impact.

The history of hurricanes in South Florida dates back centuries. Native American tribes who lived here long before European settlers arrived experienced the effects of hurricanes just as we do today. Unfortunately, there is limited information about these storms.

According to Edward N. Rappaport; Jose Fernandez-Partagas & Jack Beven of the National Oceanic and Atmospheric Administration, the first recorded tropical cyclone to affect the area that is now the state of Florida occurred in 1523, when two ships and their crews were lost along the western coastline. A total 159 hurricanes are known to have affected the state prior to 1900, destroying more than 100 boats and costing thousands of lives.

In 1935, a major hurricane hit South Florida, this time with catastrophic consequences. The storm, known as the Labor Day

Hurricane, had winds of over 185 miles per hour and caused massive storm surges that flooded much of the region. The hurricane caused over 400 deaths and left many communities in ruins.

In the decades that followed, South Florida continued to be hit by hurricanes, although the severity of these storms varied. In 1992, Hurricane Andrew made landfall just south of Miami, causing over $27 billion in damage and leaving over 250,000 residents without power. The storm was a wake-up call for many in the region, who realized that they needed to be better prepared for future storms. Building Codes were changed after the hurricane to ensure future structures would fare better.

In recent years, South Florida has been hit by several major hurricanes, including Hurricane Irma in 2017. The storm caused widespread flooding and left many residents without power for weeks. Although Broward County was largely spared from the worst of the storm, we still felt its effects. In the aftermath of the storm, many residents were left to deal with the damage to their homes and businesses.

Despite the many hurricanes that South Florida has experienced over the years, residents and officials have learned to be better prepared for these storms. Broward County has invested in infrastructure improvements, including flood control measures and stronger buildings, to help minimize the damage caused by hurricanes. The county also has a robust emergency management system in place, which helps to ensure that residents are informed and prepared for potential storms.

In a recent statement, Broward County Mayor Steve Geller emphasized the importance of being prepared for hurricanes. "We know that hurricanes are a part of life here in South Florida," he said. "That's why we need to make sure that we're doing everything we can to prepare for these storms and protect our residents."

South Florida has a long and storied history of hurricanes, with Broward County being no exception. We are now better prepared than ever to manage the impacts these storms can have. It is still incumbent on all of us to be prepared.

Weather the Storm WITH A ‘HURRICANE KIT’

Living in South Florida offers numerous advantages, from unparalleled weather to world-renowned beaches and a vibrant culture. However, along with the good comes the possibility of experiencing hurricanes.

Given the potential for storms, it's important to be prepared and think ahead. After a hurricane, you may need to survive on your own for several days, which means having your own food, water, and other supplies. This is where a disaster supplies kit comes in handy.

To create your kit, the Federal Emergency Management Agency recommends assembling a collection of basic items that your household may need in case of an emergency. You should store these items in one or two easy-to-carry containers, such as plastic bins or large duffel bags, and make sure they are stored inside air-tight plastic bags.

A BASIC EMERGENCY SUPPLY KIT SHOULD INCLUDE THE FOLLOWING RECOMMENDED ITEMS:

• Water (3 gallons per family member)

• Non-perishable food (3 days worth)

• Battery-powered cell phone charger

• NOAA Weather Radio with extra batteries

• Flashlight with extra batteries

• First Aid Kit

• Whistle

• Package of Surgical Masks (to filter out contaminated air)

• Plastic Sheeting and Duct Tape

• Moist Towelettes

• Garbage Bags

You may also want to consider adding these additional items to your kit:

• Prescription medications and glasses

• Infant formula, food, and diapers

• Pet food and extra water for your pets

• Copies of insurance documents, bank records, etc.

• Cash

• Sleeping bags or blankets

• A complete change of clothes for each family member

• Fire extinguisher

• Matches or a lighter

• Personal hygiene items

• Books, games, puzzles

By being prepared with a disaster supplies kit, you can ensure that you and your family are ready to weather any storm that may come your way.

Preparing Your Small Business FOR THE UNEXPECTED

As a business owner in South Florida, preparing for a hurricane is crucial to safeguard your employees, customers, and assets. With the frequency of hurricanes in the region, it's essential to have a comprehensive hurricane plan in place.

responsibilities to employees, and ensure that everyone understands the plan.

Here

are some steps that business owners can take to prepare for a hurricane:

1. SECURE YOUR BUILDING: Before a hurricane strikes, make sure that your building is secure. Cover windows and doors with shutters or plywood, and clear gutters and drains to prevent flooding. If necessary, consider reinforcing your building's roof and walls.

2. DEVELOP A HURRICANE PLAN: Develop a plan that outlines how your business will operate before, during, and after a hurricane. Identify critical business functions and the resources needed to continue operations. Assign tasks and

3. COMMUNICATE WITH EMPLOYEES AND CUSTOMERS: Keep employees and customers informed about your hurricane plan. Share information about the storm's progress, business closures, and reopening plans. Make sure that employees know whom to contact and how to stay in touch during and after the storm.

4. BACKUP CRITICAL DATA: Ensure that all critical data, including financial records, customer data, and business contracts, are backed up and stored in a secure off-site location.

5. HAVE AN EMERGENCY KIT: Keep an emergency kit on hand with essential supplies, such as water, non-perishable food, first aid supplies, and batteries.

6. REVIEW INSURANCE COVERAGE: Review your insurance coverage to ensure that your business is adequately covered for hurricane-related damages.

If a hurricane hits, follow your hurricane plan, and prioritize the safety of your employees and customers. After the storm, assess the damage to your building and assets, and document all losses. Contact your insurance company as soon as possible to file a claim.

Several resources are available to help businesses prepare for hurricanes. The Small Business Administration offers guidance on disaster preparedness and recovery, and the Federal Emergency Management Agency provides a Business Emergency Operations Center to support businesses during emergencies.

By taking the necessary steps to secure your building, develop a hurricane plan, communicate with employees and customers, backup critical data, have an emergency kit, and review your insurance coverage, you can help protect your business from the devastation of hurricanes.

CHILDREN AND FLAT FEET When Should I Worry?

By Dr. Michael M. Cohen, DPM, FACFAS

flat foot or fallen arch is referred to medically as pes planus. Foot and ankle specialists understand that flatfoot is a frequently encountered problem in children. In this condition, the foot collapses or loses the gentle curving arch on the inner side of the sole. A pediatric flatfoot is generally divided into 2 sub-groups. The first, a flexible flatfoot is characterized by a normal arch during non-weightbearing and a flattened arch while standing. The flexible flatfoot may be painful (symptomatic) or not painful (asymptomatic). The second of the subgroup is referred to as a rigid flatfoot which is characterized by a stiff flattened arch regardless of whether the child is weight-bearing or not. Such deformities include a congenital vertical talus, a tarsal coalition (a condition where the bones in the foot did not separate properly by childbirth), peroneal spastic flatfoot or traumatic causes. A flatfoot may exist as an isolated problem, or as part of a larger clinical entity. This may include genetically lax ligaments, neurologic or muscular problems, genetic syndromes, and other collagen vascular disorders such as rheumatoid arthritis.

Flexible flat feet are generally considered normal in young children as babies lack a normal arch. The arch subsequently forms fully between the ages of 7 and 10. A study published in a reputable medical journal evaluated 835 children, approximately half of which were boys and girls equally. Using a laser surface scanner, the children’s feet were measured carefully. The results indicated that the prevalence of flexible flatfoot in the group of 3-6-year old children was 44% but the prevalence of symptomatic (painful or pathological) flatfoot was less than 1%. Additionally, 13% of the children were overweight or obese. During adulthood, 15-25% of people may have flexible flatfeet. Most of these adults never develop symptoms. Adults with flexible flat feet likely inherited their condition due to the laxity of their ligaments.

Pediatricians and parents are often the first to recognize foot deformities in infants and children, but too often the problem may go unrecognized for a long period of time.

When a flatfoot is being evaluated, a foot and ankle specialist would include a thorough family history which involves a review of the medical conditions including a history of trauma or problems during childbirth. Investigating the progressive flatfoot in a child’s family often gives

Aa physician an idea how the condition will evolve. After this, a comprehensive physical exam should be conducted. The foot and ankle specialist will want to evaluate the foot for areas of tenderness and observe the child during gait (walking). There is a prominent bulge in the arch, a heel that leans to the outside resulting in toes that are easily visualized from behind and referred to as the "too many toes sign". Besides evaluating the foot, the child with a flat foot must be examined for possible contributing factors occurring above the level of the foot and ankle which would cause the foot to compensate by becoming flat. This would include the hip and knee, and lower leg. At times a leg length discrepancy may result in a flatfoot condition as well.

The flatfoot is often associated with a number of subjective symptoms which would include pain in the foot leg and knee as well as other postural complaints. Interestingly a flatfoot has been shown to have a direct relationship with medial compartment knee arthritis and bunion deformities later in life. Additionally, a study published in a pediatric journal indicated that a relationship between adolescent bunions and flat feet was 8 to 24 times greater than expected. The flatfoot can result in decreased endurance and voluntary withdrawal from physical activities. At times apparent may relate that the child is clumsy and prone to falling frequently. Children may find it difficult to climb or run and prefer not to participate in sports.

Imaging studies may include standing x-rays, CT scans or magnetic resonance imaging. This will help make a determination as to what the cause of the flatfoot deformity is, particularly if it is rigid. Additionally, a blood test can be ordered to rule out certain arthritic or inflammatory conditions if a larger clinical picture is suspected.

The nonpainful or asymptomatic flexible flatfoot may be physiologic or non-physiologic. Most flexible flat feet are physiologic, asymptomatic, and require no treatment. Physiologic flat feet follow a natural history of improvement over time. Periodic observation may be indicated to monitor for signs of progression. In these patient’s treatment is generally not indicated and patients often do very well.

The non-physiologic flatfoot is characterized by progression over time. The degree of deformity is much more severe in non-physiologic than in physiologic flexible flatfoot. The degree of

deformity is visibly much more evident causing the patient to compensate in several ways. Pain and symptoms resulting from flexible flat feet include discomfort on the inside of the foot pain, on the outside of the ankle, leg, and knee.

Initial treatment for the flatfoot deformity includes stretching exercises, orthotics, at times immobilization if the patient is limping, physical therapy to strengthen muscles and tendons which hold up the arch, and stretching exercises for the heel cord which is often very tight. Nonsteroidal anti-inflammatories may also be used, but not advised on a chronic basis. If there is a positive clinical response and symptoms improve the patient will just be monitored.

Lastly, when all non-surgical treatment options have been exhausted surgical intervention can be considered. This may be provided in a variety of ways depending on the diagnosis and degree of deformity. Surgical treatment may consist of tightening of the ligaments and lengthening of tendons, a technique referred to as arthroereisis which involves the insertion of a small metallic implant through a small incision between the joints of the foot to restore the arch, to more aggressive traditional treatments such as cutting and realigning bones, known as osteotomies, or fusing the bones in the hindfoot together to stabilize the very deformed unstable flatfoot. In conditions such as a tarsal coalition, the area involved in the coalition is cut away so the bones can move more freely on each other.

▸ Dr. Michael Cohen is a Board-Certified Foot and Ankle Surgeon and Diplomate of the American Board of Foot and Ankle Surgery. He is a Fellow of the American Board of Foot and Ankle Surgeons and Board Certified and Diplomat of the American Board of Podiatric Medicine. He practices with the Foot, Ankle and Leg Specialists of South Florida specializing in lower leg injuries and reconstructive surgery of the foot and ankle. The South Florida Institute of Sports Medicine in Weston is located at 1600 Town Center Blvd., Suite C, (954) 3895900 and in Pembroke Pines at 17842 NW 2nd Street, (954) 430-9901. The practice website is www.SOUTHFLORIDASPORTSMEDICINE.org.

OFFERING SAME DAY & EARLY MORNING APPOINTMENTS & CONSULTATIONS

NEW PATIENT $300 | FOLLOW UP (WITHOUT X-RAY) $100

SURGERY CONSULT $350 | X-RAYS $50 PER AREA | PRP $800

$800 INJECTIONS

$550

STEM CELLS $1200 | SHOCKWAVE (5 SESSIONS) $600 | INJECTIONS $100

ORTHOTICS $400 | CASTS $200 |

MEDICARE | BLUE CROSS | BRIGHT | UHC | CIGNA | AETNA | AMBETTER | TRICARE | WORKERS COMP | ACCIDENTS/LOPS

SIMPLY | SUNSHINE | OSCAR | MEMORIAL PHO

Dr. Carlo Messina | Dr. John Goodner | Dr. Michael Cohen Serving

MEDICARE | BLUE CROSS | BRIGHT | UHC | CIGNA | AETNA | AV MED AMBETTER | TRICARE | WORKERS COMP | ACCIDENTS/LOPS

SIMPLY | SUNSHINE | OSCAR | MEMORIAL PHO

NEW PATIENT $300 | FOLLOW UP (WITHOUT X-RAY) $100

SURGERY CONSULT $350 | X-RAYS $50 PER AREA | PRP

STEM CELLS $1200 | SHOCKWAVE (5 SESSIONS) $600 |

ORTHOTICS $400 | CASTS $200 | LACERATION REPAIR

Pet of the Month

Greetings From Your Chamber President!

By Patty Archer

We are so happy to have celebrated the 17th Annual A Sip of Wine, A Taste of Heaven festival with this community again after a very long pandemic pause. We welcomed nearly 1,000 attendees to the Miramar Amphitheater on March 18th to taste all the best flavors of the area.

Congratulations to our competition winners!

• Silver Platter Award

Memorial Hospital West Culinary Dept

• In Perfect Taste Award

Dynamic Cuisines

Meet Vanilla! She’s 4 months old a white German Shepherd. She loves to play around and loves being with people. Vanilla loves belly rubs and loves going on walks and meeting new people. She loves performing tricks for treats. The love I have for my puppy is endless!

• Decadent Ending Cleveland’s Old Fashioned Ice Cream

• People’s Choice

Chuy’s

Thank you again to our sponsors for making it possible! City of Miramar, Memorial Hospital West, Vera Cadillac Buick GMC, Waste Pro USA, City of Pembroke Pines, the Shops at Pembroke Gardens, Advantage PA Public Adjusters, Spacez by Laurel, and Indemnity Security & Investigations. Many other members and friends were crucial to this event’s success: Aerial Recon Media, Infinity Dreamspace, Flowers Unveiled, L&G Balloon Bundles, Phent Entertainment, Snapshot photobooths, CariDance International, Cigar Park and our band BG Live!

Save the date for next year’s event on March 16, 2024! Now and in the future, the Chamber is dedicated to being a Convener of Leaders, a Catalyst for positive change, and a Champion for a strong business community. For more information and our event calendar, visit www.miramarpembrokepines.org.

Yours in Service,

Patty Archer Chamber President