The Health and Wellness Magazine of Florida Hospital
WIN TE R 2 018
5 TIPS FOR
WEIGHT LOSS
ELIMINATE
KNEE PAIN
UNDERSTAND YOUR RISK:
DIABETES
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Convenient Care
You Can Trust WE’VE ALL BEEN THERE: It’s the weekend and you’re running a fever or your child has a sore throat. Nothing serious enough for a trip to the emergency room, but something that can’t wait until Monday morning either. That’s why Florida Hospital has teamed up with your neighborhood Walgreens to provide expert treatment for minor illnesses and injuries, making it easier for you and your family to get the care you need, when you need it. Our goal is to help you feel better, faster.
EXPRESS CARE SERVICES Caring for adults and children over the age of 18 months.
Physicals & Wellness Visits
Vaccines
Illness, Aches & Pains
Minor Injuries
Skin Conditions
Medications & Treatments
Open 7 days a week in most locations Wide range of healthcare services Same day appointments Online scheduling Walk-ins welcome
Ages for specific services may vary.
Board certified nurse practitioners
Most insurance plans accepted
LOCATIONS
Continuum of care through the Florida Hospital Network
N OW OPEN Schedule an appointment or walk in today:
FHExpressCare.com FHWFD-10260
(844) 397-0018
ACROSS TAMPA BAY Northdale
Dunedin
West Hillsborough Ave
Largo
East Hillsborough Ave New Tampa Brandon
New Port Richey Land O’Lakes Palm Harbor
Clearwater St. Pete: 4th St. North
St. Pete: 49th St. North Madeira Beach Spring Hill
Florida Hospital Express Care at Walgreens is operated by Florida Hospital. The health care providers at Florida Hospital Express Care at Walgreens are employees of Florida Hospital Physician Group. The health care providers are not employees or agents of Walgreen Co. or any Walgreens subsidiary or affiliated company.
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It is health that is real wealth and not pieces of gold and silver.
—Mahatma Gandhi
WINTER 2018
IN THIS ISSUE
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4
SURVIVING A “WIDOWMAKER”
Johnny Figueredo credits first responders and his medical team.
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5 TIPS FOR WEIGHT LOSS Start these habits today and you’ll see results.
8
PREVENTING INJURIES Expert advice to help you stay active, not sidelined.
9
PHYSICAL THERAPY
PT benefits many conditions.
10
ALL ABOUT PAD
Learn to spot symptoms of peripheral artery disease.
14
16
12
6
DIABETES: YOUR RISK
Take control now to prevent this dangerous disease.
14
ACTIVE PREGNANCY How to exercise safely.
15
CLEAN-HANDED KIDS
Help children wash better.
16
KNEE REPLACEMENT
Get back to your life again.
19
18
CAREGIVERS’ GUIDE
Tips for supporting someone who has memory loss.
h
19
POWER FOOD
Bravo for cacao!
p.
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GETTING TO THE HEART OF THE MATTER
WINTER 2018 | INSPIREDTAMPABAY.COM
JOHNNY FIGUEREDO RECEIVED LIFESAVING CARE WHEN EVERY SECOND COUNTED.
THURSDAY, APRIL 13, 2017 was just another day at work for 50-year-old Johnny Figueredo, an optician with a local LensCrafters. He was in the middle of assisting a customer with her glasses when he was overcome with what he describes as a “hot swelling feeling” in his chest. He was also dizzy and finding it hard to catch his breath. Even though Johnny was in relatively
good health and watched what he ate, he recognized the symptoms of a heart attack and immediately stepped into the back to tell his supervisor that he needed help. “Not very long ago, my mother suffered a very serious, lifethreatening heart attack,” says Johnny. “In the back of my mind, I knew that’s what this was—I was having a heart attack.”
The importance of staying calm He asked for someone to call 911, and a nearby EMS team from a fire station was onsite within three minutes to evaluate Johnny. Throughout this process, he managed to keep himself calm, cool and collected. He even directed the ambulance driver to take him straight to Florida
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“TEAMWORK BETWEEN EMS, ER STAFF, PHYSICIANS AND NURSES CAN MEAN THE DIFFERENCE BETWEEN LIFE AND DEATH.” –James Smith, M.D., cardiologist, Florida Hospital Pepin Heart Institute
Timing, training and teamwork “It’s cases like Johnny’s when everything comes into play,” says Dr. Smith. “Timing, training and teamwork between EMS, emergency-room staff, physicians, nurses, critical medical staff— this collaboration can mean the difference between life and death.” An electrocardiogram (EKG) soon concluded that Johnny was suffering from the heart attack of all
OPPOSITE: Johnny Figueredo credits first responders and Florida Hospital physicians and staff for saving his life after a massive heart attack. ABOVE: Johnny with James Smith, M.D., the cardiologist who performed his lifesaving coronary angioplasty.
heart attacks—what is unlovingly referred to as a “widowmaker.”
Surviving a “Widowmaker” “A widowmaker is the term used to describe an occlusion of the left main or left anterior descending coronary artery,” explains Dr. Smith. “This artery supplies blood to the largest areas of the heart, and if these arteries are abruptly or completely occluded and aren’t opened quickly enough, it can cause a massive heart attack that often leads to sudden death.” Dr. Smith proceeded to perform a percutaneous coronary intervention, also known as coronary angioplasty. This involves the insertion of a stent (a small mesh tube used to treat narrow or weak arteries) to get the
blood flowing to the heart. Johnny never lost consciousness and the stent provided almost immediate relief, at which point Johnny sat up and began a conversation with Dr. Smith, a sign of his determination to not let a thing like a heart attack stand in the way of his being with his family or becoming a new grandfather. After a brief stay at Florida Hospital Pepin Heart Institute, Johnny returned home to his family and his job. He recently reunited with the EMS team to thank them for their part in saving his life. When he asked which one was the driver, whom he had thought of as Mario Andretti because of his fast, skillful driving, he was promptly introduced to Mario—the ambulance driver’s real first name.
FLORIDA HOSPITAL (844) 804-9378 | WINTER 2018
Hospital Pepin Heart Institute, where his mother had received lifesaving care. The EMS team was preparing to take Johnny to the closest hospital, but he had other plans. A change in direction that likely saved his life. During the ride, the EMS team worked to stabilize Johnny, putting him on oxygen, monitoring his heart rate and making him as comfortable as possible. “I distinctly remember talking to the team that was working on me, trying to hold it together, seeing the cars and buildings blur in the background as we whizzed down the street.” This was when the gravity of his situation hit Johnny. “My daughter, Vanesa, was graduating college the next weekend. I just talked to her the night before and I couldn’t wait to see her walk across the stage. I was determined to be there and see her receive her diploma.” The ambulance driver safely delivered Johnny to the emergency department at Florida Hospital Tampa in a record six minutes. It didn’t take long for the ER team to determine that Johnny was indeed having a heart attack. Within minutes, he was rushed to a cardiac catheterization lab within Florida Hospital Pepin Heart Institute, where cardiologist James Smith, M.D., was ready and waiting.
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PROTEIN-RICH SNACKS These snacks provide protein to help you feel full longer: • Cottage cheese with peaches and cinnamon • Hummus and carrots • A slice of string cheese and a piece of fruit • Peanut butter and an apple • A hard-boiled egg
SIMPLE WAYS TO MOVE MORE Even if you can’t work out every day, you can be more active. Some ideas: • Take the stairs
WINTER 2018 | INSPIREDTAMPABAY.COM
• Park your car in the back of the lot and walk • Take a walk with a colleague at lunchtime • Get up and move during commercial breaks of your favorite show • Take your children or your dog to the park and play • Join a social sports league
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5 TIPS TO START LOSING WEIGHT TRY THESE IDEAS TODAY, AND YOU’LL SOON BE ON YOUR WAY TO SUSTAINABLE WEIGHT LOSS.
S H E D D I N G E X C E S S pounds isn’t easy. If it were, 70 percent of the U.S. population wouldn’t be overweight or obese. Most experts agree that permanent, sustained weight loss takes slow, steady progress. Fortunately, even a small amount of weight loss can have positive effects on your health. If you’re struggling with how to begin, here are five tips for healthy weight loss that you can start using today.
1
2
3
Avoid sugary drinks
Eat lean protein
Food manufacturers sneak in added sugar to make foods taste better. When it comes to added sugar, the American Heart Association recommends that women have 25 grams or less and men 38 grams or less per day. Even healthy foods like yogurt may contain as many as 24 grams of added sugar. To avoid this pitfall, carefully read food labels and opt for unsweetened items. When needed, add fresh fruit or a little honey yourself to sweeten.
Instead of sweet, carbonated drinks, opt for water, coffee or green tea. Water is essential for normal bodily functions and helps you feel full longer. Coffee and green tea have no calories, and the caffeine and antioxidants may help speed up your metabolism, making them excellent choices as well. Just make sure to drink them with no added sugar or creamer, as these add lots of unnecessary calories and fat.
Lean protein, including chicken, fish and lean cuts of beef, can help you stay full longer and give you energy. If you don’t eat meat, choose highprotein vegetarian alternatives like beans and nuts.
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5
Stock up on healthy snacks
Exercise and weight train
Willpower is like a muscle. If you have to exercise your willpower all the time to stay away from tempting treats, it will get tired and eventually fail. The best way to avoid that is by not having temptations around in the first place. Even in the office where sweet treats abound, keep yourself prepared with healthy snacks and avoid the junk food.
Only 30 minutes of exercise a day can benefit your overall health. Weight training provides huge value by adding muscle, maintaining bone strength and speeding up metabolism, even after a workout is complete. For the full benefit, try to work with weights 2–3 times a week.
FLORIDA HOSPITAL (844) 804-9378 | WINTER 2018
Cut back on added sugar
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STEER CLEAR OF SPORTS INJURIES DON’T LET INJURY KEEP YOU FROM YOUR FITNESS GOALS. FOLLOW THESE TIPS TO STAY IN THE GAME. WITH THE NEW YEAR come new intentions to live a healthier lifestyle and exercise more. Some will greet the challenge with a little too much enthusiasm, taking up additional activity too quickly and risking injury. Ease into any exercise that’s new to you or that you haven’t done in a while (like that occasional ski trip). And if you’ve been inactive for an extended period or have health concerns, check with your physician before starting an exercise program. When you’re ready to go, give yourself the best chance of meeting your long-term fitness goals by avoiding injuries. Here are our expert tips:
Check your shoes Make sure your athletic shoes fit well and are in good shape. This can help prevent rolling an ankle or putting undue strain on your feet, knees, hips and back.
WINTER 2018 | INSPIREDTAMPABAY.COM
Warm up A 5- to 10-minute pre-exercise warm-up should include gentle stretching, as well as strengthening and cardiovascular exercises. While warming up, consider the physical demands of your upcoming activity. An example: Prepare for tennis or basketball by carefully stretching your Achilles tendon. Don’t be a “weekend warrior” Routine physical activity will build and maintain conditioning, allowing you to participate in any athletic pursuit with less risk of injury. Experts suggest at least a half hour of physical activity most days. Walking is one of the best all-around exercises you can do to stay in shape.
Take a break Rest for a day between games or workouts to allow muscles to recover and to prevent strains and injuries from overuse.
4 TRAPS
FOR UNWARY ATHLETES Be aware of these four common sports injuries, and seek medical advice if you notice symptoms. • Rotator cuff tears or impingements Caused by straining a cold muscle in a sudden overhead motion, such as a tennis serve. • Achilles tendon ruptures and tears Often seen in middle-aged athletes who haven’t stretched. These injuries can happen in any sport that involves running, especially with sudden acceleration as in tennis and basketball. • Sprains or strains of the medial collateral ligament This ligament straps the inside of the knee joint. Often triggered by a lack of strength or flexibility, this injury can occur when you’re pivoting in basketball or rotating suddenly, as a base runner in softball might. • Elbow tendonitis An inflammation of the tendons that extend from elbow to wrist. It’s caused by repeated movement, and can affect bowlers and racket-sport enthusiasts.
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PHYSICAL THERAPY: A PROBLEM SOLVER
PT has a wide range of medical uses and offers many important benefits for patients.
PT KEEPS PATIENTS MOVING PHYSICAL THERAPY CAN HELP REDUCE PAIN AND IMPROVE MOBILITY. also can help patients avoid surgery, manage pain without medication, improve balance and prevent falls. When arriving to a PT visit, patients can expect a physical exam to evaluate flexibility, joint strength and overall mobility. The physical therapist will diagnose the patient’s condition and provide a treatment plan, which may include regular visits to the PT office as well as athome exercises and management strategies. At the PT office, patients can expect to use weights, exercise
Reduces or eliminates pain and increases strength
Stroke
Strengthens areas weakened by stroke
Older patients
Improves balance and strength, preventing falls
Circulatory conditions
Increases stamina and overall wellness
Postsurgery
Builds strength, helping patients regain function
Neurological conditions
Helps with coordination, strength and balance
bands and other equipment. Heat or ice may be applied to injuries. The primary goals for PT are to improve strength, flexibility and range of motion. One of the biggest potential benefits it provides is improvement in overall quality of life. Following a physical therapist’s treatment plan takes commitment from patients. But those who stick to their personalized recommendations can expect important benefits, including reduced pain and fewer limitations on daily activities.
FLORIDA HOSPITAL (844) 804-9378 | WINTER 2018
IF YOU’VE EVER BROKEN a bone, strained your back or needed help regaining strength after an illness, chances are you’ve seen a physical therapist. Physical therapy (PT) is the medical specialty that uses physical methods, such as exercise, to treat injuries and rehabilitate patients after an illness, accident or surgery. A physical therapist can diagnose and manage mobility problems, help prevent or reduce physical symptoms, and get patients back to their normal daily routines again. PT
Accident or sports injury
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PERIPHERAL ARTERY DISEASE: ARE YOU AT RISK?
SYMPTOMS
TO WATCH FOR Some people with PAD may not experience any symptoms. For those who do, symptoms may include:
WINTER 2018 | INSPIREDTAMPABAY.COM
• Claudication—heaviness, tiredness or cramping in the leg that occurs during activity and resolves after the activity is stopped • Sores on toes, feet or legs that heal slowly or not at all • Pain in the legs or feet that wakes you up or prevents sleep • Color changes in the feet, particularly blueness • Poor nail growth or decreased hair growth on the legs • A lower temperature in one leg than the other
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THIS SERIOUS, SOMETIMES SYMPTOMLESS CONDITION INCREASES AN INDIVIDUAL’S RISK OF HEART ATTACK AND STROKE. P E R I P H E R A L ARTERY DISEASE (PAD) affects 1 in 20 Americans over the age of 50. It occurs when plaque, a fatty deposit, builds up in the arteries, restricting blood flow to your legs. These fatty deposits put the individual at a greater risk of heart attack and stroke. The problem is that buildup of plaque may not result in any detectable symptoms. That’s why it’s important to know not only the potential symptoms, but also the risk factors so you can talk with your doctor. When assessing your risk for PAD, your doctor will take a personal and family medical history. He or she also will perform a physical exam to check pulses, color and temperature
of the legs and feet, and may perform an ankle-brachial index. This test compares the blood pressure in your ankles with that in your arms. If PAD is suspected, your doctor also may order an ultrasound to try to identify the blocked artery. Treatment options for PAD include lifestyle changes, medication and surgery. Lifestyle changes that improve PAD include quitting smoking, improving cholesterol and blood glucose levels, eating a healthy diet, exercising and achieving or maintaining a healthy weight. Medical treatment may include prescriptions to reduce blood pressure and cholesterol, manage diabetes, or prevent the formation of
blood clots. In addition, surgery or other medical procedures may be used to unclog arteries. The best thing you can do to decrease your risk for peripheral arterial disease is to make those lifestyle changes now, if necessary, or to maintain your healthy lifestyle into the future. PAD is one of hundreds of conditions that develop in patients who have high cholesterol, are overweight, don’t exercise, have developed diabetes or smoke. Remedying these health issues will help reduce your risk of PAD and countless other conditions as you age. Why not start now? Your future self will thank you for it.
You have high blood pressure
You have diabetes You are a smoker or former smoker
You have a history of vascular disease
RISK
You are over the age of 50
FACTORS 50+
You may be at increased risk for PAD if any of the above are true.
You are AfricanAmerican FLORIDA HOSPITAL (844) 804-9378 | WINTER 2018
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PREVENTING DIABETES DO YOU HAVE PREDIABETES? FINDING OUT WILL HELP YOU AVOID DEVELOPING THE FULL-BLOWN DISEASE. PREDIABETES CAN LEAD to diabetes, which can cause serious
complications, including heart disease, stroke, kidney disease, blindness and amputations. Though prediabetes is a serious condition, many people who have it don’t know because they don’t experience any symptoms.
WINTER 2018 | INSPIREDTAMPABAY.COM
People with prediabetes and diabetes have a problem with the hormone insulin: Either their cells have become resistant to insulin or their pancreas doesn’t make enough of it. (In some patients, both conditions exist.) Insulin helps move glucose (sugar) from the bloodstream into the cells, where it’s needed for energy. When glucose can’t be processed the way it should be, it stays in the bloodstream. To prevent prediabetes from progressing to type 2 diabetes, it’s crucial to keep blood-sugar levels as close to normal as possible. Key ways to do this include exercise (30 to 60 minutes of moderate physical activity most days of the week) and a healthy diet (low in fat and high in fiber). Maintaining a healthy weight also is important, and patients who smoke should quit. If you have risk factors for prediabetes (see sidebar, “Are You at Risk?”) talk to your doctor about them. If needed, he or she can order a screening test to see whether you have prediabetes, and then recommend a plan to help you manage it and keep the disease from progressing.
ARE YOU AT RISK? You may have prediabetes if you: • Are 45 years of age or older • Are overweight • Have a family history of type 2 diabetes • Are physically active fewer than three times a week • Ever had gestational diabetes (pregnancy diabetes) or gave birth to a baby weighing more than 9 pounds
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TRUE
TRUE
Blindness is a common complication of poorly controlled diabetes.
person at risk for diabetes should A avoid eating nuts.
lmost everyone with diabetes has A some noticeable symptom.
FALSE
28+
million Americans have type 2 diabetes
7
FALSE TRUE
8
FALSE TRUE
9
A half hour a day of aerobic exercise, with moderate weight loss, can halve your risk of developing type 2 diabetes. TRUE
of diabetics don’t know they have the disease
24%
million Americans have prediabetes
84
FLORIDA HOSPITAL (844) 804-9378 | WINTER 2018
FH_Winter_2017_final.indd 13
TRUE
9. TRUE. An occasional indulgence is fine, doctors say, as long as it’s small and you control overall consumption of foods that cause levels of blood sugar to spike.
5 FALSE
8. FALSE. Studies suggest that a growing number of people actually have this “double diabetes.” Doctors say that when some type 1 diabetics become overweight, they develop type 2 as well.
2 6
7. FALSE. Cinnamon sugar may indeed elevate levels of glucose in the blood, but Pakistani researchers have found that cinnamon alone can actually reduce them.
4 ardiovascular disease is the leading C cause of death in people with diabetes.
6. TRUE. What used to be called adult-onset diabetes is now developing at younger ages because of the obesity epidemic.
TRUE
5. TRUE. One study showed that 30 minutes a day of moderate physical activity, such as walking, along with a 5 to 10 percent reduction in body weight, reduced the risk of type 2 diabetes by 58 percent.
3
4. FALSE. Some 30 to 50 percent of individuals with type 2 diabetes have no noticeable symptoms.
TRUE
3. FALSE. In fact, several studies have linked a diet that’s rich in nuts to a lower risk of diabetes.
TRUE
2. TRUE. Diabetic retinopathy, a degeneration of the blood vessels in the retina, is a leading cause of blindness in adults.
1
1. TRUE. Diabetes that is not properly controlled can result in high blood pressure and hardening of the arteries, which can lead to heart disease.
QUIZ ANSWERS
DIABETES:
HOW MUCH DO YOU KNOW?
When it comes to diabetes, knowledge is power. Take our quiz to learn more.
Mark each of these nine statements about type 2 diabetes “true” or “false,” then check your responses against the correct answers printed below. Type 2 diabetes is now a threat to children as well as adults. FALSE
innamon can raise blood sugar C levels. FALSE
I t’s impossible to have type 1 and type 2 diabetes at once. FALSE
I t can be OK for a person with diabetes to enjoy an occasional sweet treat, such as cookies or cake. FALSE
FALSE
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EXERCISE FOR A HEALTHY PREGNANCY
WINTER 2018 | INSPIREDTAMPABAY.COM
STAYING ACTIVE WHILE YOU’RE PREGNANT WILL HELP KEEP YOU AND YOUR BABY HEALTHY AND PREPARE YOUR BODY FOR THE DEMANDS OF LABOR. C O N G R A T U L A T I O N S ! You’re pregnant! This is a time for you to pamper and take good care of yourself. While you need plenty of rest and time to put your feet up, you also need to stay fit. Studies show that exercise during pregnancy benefits both you and your baby. Before starting any exercise regimen, even if you were very active before your pregnancy, consult your doctor. There are conditions during pregnancy that can make exercise unsafe even for the biggest fitness guru. Once your doctor gives the okay, you can stay active in almost any way you like. Aerobics, light weight lifting, walking, non-contact sports (think tennis and golf), yoga, swimming and stretching are all potential activities. Swimming is particularly beneficial as it relieves the growing pressure on your back and feet while allowing you to get a great cardiovascular workout.
While almost any activity is safe during pregnancy, a few precautions should be taken. Be sure to avoid overheating, particularly if you work out in hot weather. Drink lots of water and take frequent breaks. Also, be careful of anything that requires balance because your center of gravity will be shifting. Avoid becoming too out of breath. A good test is whether you can carry on a light conversation while working out. If you’re breathless, slow down. Be sure to slow down or stop if something doesn’t feel right, and contact your doctor if necessary. Staying active will help relieve some common pregnancy aches and pains and prepare you for the hard work of labor. It also will help you bounce back to a healthy lifestyle after your baby is born. TO LEARN MORE, GO TO INSPIREDBIRTHDAY.COM
5 WARNING SIGNS
If you experience any of these symptoms while exercising, stop immediately and contact your doctor: 1. Abdominal pain or contractions that don’t go away when you stop and drink water 2. Bleeding or having fluid leak from your vagina 3. Sudden swelling in your legs or ankles 4. Muscle weakness or difficulty walking 5. Chest pain
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MAKING CLEAN HANDS COOL KEEPING LITTLE HANDS CLEAN ISN’T ALWAYS EASY. USE OUR TIPS TO TEACH KIDS HEALTHY HAND-WASHING HABITS. WASHING UP isn’t hard to do,
though children may make it feel that way. Experts recommend cleaning hands for 20 seconds with warm water and soap. But how do you get little ones to stay at the sink that long? These ideas will help.
the dispenser. Still others may love a fun scent, like gingerbread, grape or bubblegum. Once the routine is established, you can always go back to using a more economical soap.
Make it inviting
Keep them washing
Equip bathroom and kitchen with a handy step stool if needed. Then make sure soap and a towel are within easy reach of child-sized arms. Paint the kids’ bathroom a color they love, or hang pictures of their favorite animals to make the space feel warm and welcoming.
To make sure kids spend enough time washing tops and bottoms of hands, as well as between fingers, have them sing the Happy Birthday song twice through at normal speed—it’s not a race! An egg timer can work, too.
Find their motivation
Children like structure. Routines help them understand what’s expected and then remember to do it. Especially when started at a young age, routines will continue long after your reminding has stopped. One example: Create a routine that everyone washes their hands first thing after returning home, whether it’s from school, work or playing at a friend’s house.
SHOULD YOU USE ANTIBACTERIAL SOAPS? According to the Centers for Disease Control, washing with plain soap and water reduces bacteria on hands by 82 percent and helps keep people from coming down with colds, flu and gastrointestinal illnesses. Is antibacterial soap even better? The Food and Drug Administration (FDA) says No, and has banned most of the antibacterial agents used in consumer soaps. Why? Because they haven’t been proven more effective than regular soap and there are questions about safety for both humans and the environment. You may still see antibacterial products on store shelves because a few antibacterial agents have not yet been banned—the FDA has given manufacturers another year to prove they’re more effective at protecting health than plain soap.
FLORIDA HOSPITAL (844) 804-9378 | WINTER 2018
Consider buying a liquid soap that caters to kids. Some children love foaming soaps; others are more motivated to wash if their favorite cartoon character is on
Rock those routines
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WHEN KNEES WEAR OUT KNEE-REPLACEMENT SURGERY IS A HIGHLY EFFECTIVE OPTION WHEN YOU CAN’T FIND RELIEF FROM THAT ACHING JOINT. MORE THAN 600,000 knee replacements
Academy of Orthopedic Surgeons. Most of the risks are the same as for any surgery, including developing blood clots, infection or nerve damage. Risks specific to knee replacement include allergy to the prosthesis and failure of the implantation, but these risks are extremely rare. After recovery, 90 percent of knee-replacement patients find relief from their symptoms. This can make a huge difference in a person’s mobility, lifestyle and general well-being. Surgery is the final option for resolving knee pain. But for patients who reach that point, the outcome is usually very favorable, making it well worth the recovery time and effort.
are performed each year in the U.S., and it’s considered one of the safest orthopedic procedures. Most knee replacements are performed on people with osteoarthritis, which is caused by wear and tear of joints. Over time and with use, the cartilage that protects joints can be worn away. This often causes severe pain that can’t be eased by medications, weight loss, exercise and physical therapy. For these patients, knee-replacement surgery can restore everyday use of the knee and improve quality of life. The surgery usually takes 1 to 2 hours. Most patients are up and walking with a walker on the day of surgery. Typically, patients are discharged from the hospital 1 to 5 days after surgery, depending on the individual. During the recovery period, patients work with a physical therapist to regain strength in the knee so they can return to their daily activities as soon as possible—usually in 8 to 12 weeks. Recovery to full strength takes 6 months to a year. Risks do exist, but complications occur in fewer than 2 percent of cases, according to the American
WHO CAN
BENEFIT? It may be time to consider knee-replacement surgery if: • Knee pain prevents normal daily activity
WINTER 2018 | INSPIREDTAMPABAY.COM
RECOVERY TIMELINE
• All other possibilities for relief, such as physical therapy, weight loss, medication and supplements, have been exhausted
HOSPITAL DISCHARGE:
RETURN TO NORMAL ACTIVITY:
RETURN TO FULL STRENGTH:
1 to 5 days after surgery
8 to 12 weeks
6 months to 1 year
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PARTIAL KNEE RESURFACING For some patients, partial knee resurfacing is a less invasive surgical option for knee pain that doesn’t respond to other treatments. Most often, the procedure is used in cases where arthritis is confined to a specific area of the knee. At Florida Hospital, specially trained surgeons use roboticassisted surgery to target only those areas of the knee damaged by osteoarthritis, resurfacing them without damaging ligaments or healthy bone and positioning implants more precisely. For surgeons, Mako robotic-arm assisted surgery provides increased accuracy. For patients, it means fewer complications, less recovery time, a more natural feeling in the knee, and near-normal movement after recovery.
FLORIDA HOSPITAL (844) 804-9378 | WINTER 2018
TO FIND AN ORTHOPEDIC SURGEON, CALL (844) 804-9378.
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Caring for a Loved One With
MEMORY LOSS
WINTER 2018 | INSPIREDTAMPABAY.COM
THESE TIPS WILL HELP YOU MEET THE CHALLENGE OF SUPPORTING SOMEONE WITH DEMENTIA. CARING FOR A LOVED ONE who is experiencing memory loss is challenging. Memory loss can cause changes in a person you know and love, making it even more difficult. Learning how to cope with the responsibilities of being a caregiver is vital for both you and your loved one. A number of conditions can cause memory loss. The most wellknown is dementia, which includes Alzheimer’s disease. These are progressive forms of memory loss and cognitive impairment for which there is no cure. Other potential causes of memory loss include certain medications or interactions between different medications, brain tumors, strokes and depression. Some of those conditions can be treated and the memory loss reversed if a diagnosis is made quickly. However, for many, memory loss is a progressive issue, and caregivers will be called on more and more for help. As you provide care, remember that your family member is experiencing a loss, and that he or
she is likely upset and frustrated. To start, learn as much as you can about the disease. This may help to ease anxiety and decrease fear of the unknown. A daily routine also helps reduce stress by setting shared expectations. Try to incorporate activities that both of you enjoy and can do together. Financial and legal matters may be difficult to discuss, but these are essential to address before memory loss becomes severe. Having a financial planner or lawyer present may help with these conversations. It’s important to care for yourself while you are a caregiver. Make sure you’re eating healthy foods like lean meats, vegetables and fruits, and getting 6 to 8 hours of sleep a night. Join a caregiver-support group where you can receive social support from others going through the same experiences. With the right network of medical providers, family, friends and support groups, you can provide the care your loved one needs when they need it the most.
5 TIPS FOR CAREGIVERS 1. Take a break. Find another family member or neighbor who can help out for a few hours and do something for yourself. 2. Eat healthy foods and exercise. Taking care of your physical state is important for maintaining your mental health and your ability to cope. 3. Find support. Go to a local in-person support meeting or find an online community. Ask your loved one’s provider for resources. 4. Forgive yourself. If you were impatient or weren’t able to provide the care you hoped, don’t dwell on it. 5. Ask for help and gratefully accept when it’s offered. You don’t have to do this all on your own.
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BRAVO FOR
COCOA!
NOT MANY FOODS CAN CLAIM TO BE BOTH DECADENT AND HEALTHY. DARK CHOCOLATE IS ONE OF THEM. CHOCOLATE’S POSITIVE press began in the days of the Aztec emperor Montezuma II, who called hot, frothy Aztec cocoa “the divine drink,” claiming that one cup enabled a man to walk for an entire day without food. Today, dark chocolate continues to generate news about its health benefits as science begins to unravel its mysteries.
POWER UP
9.5
Pounds of chocolate eaten by the average American each year
101
Billion dollars spent on chocolate worldwide each year
When selecting chocolate, check the ingredients. Choose products that list cocoa, or something that comes from it (like cocoa butter or cocoa powder), first. Avoid choices that list hydrogenated or partially hydrogenated oils—those contain unhealthy trans fat. Some chocolate is “Dutched” to cut bitterness, but that process also reduces antioxidants. To identify Dutched chocolate, look for “cocoa processed with alkali” on the ingredients list. Store chocolate in a cool, dark, dry place. It should be well wrapped in foil, as well as a paper over-wrapper. Kept like this, it can last up to a year. A telltale sour aroma will let you know if chocolate is spoiled. Grittiness and discoloration are other signs.
DID YOU KNOW? Research shows that it takes 200 mg of flavanols (one of the antioxidants in cocoa) a day to reap heart-health benefits. Flavanols don’t have to be reported on food labels, but some companies are making chocolate that meets the 200 mg standard and including that information on their wrappers. As you celebrate the health benefits of this tantalizing treat, keep in mind that it’s high in calories. Balance the extra calories and sugar by cutting them elsewhere.
4+
Years it takes for a cacao tree to produce its first beans
18%
Share of the world’s chocolate eaten by Americans annually
FLORIDA HOSPITAL (844) 804-9378 | WINTER 2018
Eating one ounce of dark chocolate (at least 70 percent pure cocoa) a day may help keep the doctor away. Let us count the ways. Dark chocolate is rich in antioxidants, which neutralize free radicals in the body that can damage cells. It also contains cocoa butter, which the liver converts to a healthy monounsaturated fat that lowers bad (LDL) cholesterol while raising good (HDL) cholesterol. Additionally, chocolate contains several anti-inflammatory compounds that help to reduce blood pressure. Though chocolate and hearts are forever linked in our minds thanks to Valentine’s Day, the health benefits of cocoa extend well beyond it. Studies have found that eating dark chocolate can reduce risk of some cancers, asthma, osteoporosis and type 2 diabetes. It also has been shown to improve concentration and decrease memory loss.
BUY | STORE
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Florida Hospital Hidden River Corporate Center Three 14055 Riveredge Drive, Suite 250 Tampa, FL 33637
RESS CARE AT WALGREENS
entered into a collaborative agreement to have Florida Hospital etail health clinics located within Walgreens stores across the nside Florida Hospital Tampa.
Walgreens Clinic Locations in Tampa Bay
OUR NETWORK OF CARE
HERNANDO
nts to experience the compassion and excellence of Inspired nuity of care from their initial clinic visit through referrals to our with a well-known and respected national brand like Walgreens
As a statewide health care system, Florida Hospital proudly serves the Tampa Bay region with a network of 6 Florida Hospitals, 6 Centra Care Urgent Care Centers, 15 Florida Hospital Express Care Clinics See Addresses & Map for Reference) at Walgreens, and more than 45 Florida Hospital Physician Group practices.
sician Group this summer, at which time they will be named will be flushed out and finalized over the coming months,
PA S C O
Connerton
Zephyrhills
o will be hired by FHPG.
Florida Hospital Carrollwood Connerton, Long Term Acute Care North Pinellas t the goal is to standardize across all locations. Tampa n consistent post-transition. Wesley Chapel Zephyrhills
Wesley Chapel
Central Pasco
ut FHPG Operations will communicate if a need for physicians who would like to volunteer.
North Pinellas Tampa Palm Harbor
275
Carrollwood
Florida Hospital Freestanding ER Central Pasco (Coming soon) Palm Harbor Centra Care, Florida Hospital Urgent Care
P I N E LLA S
Florida Hospital Physician Practices
H IL L S B O RO UG H
Florida Hospital Express Care Locations Tampa Bay
FH_Winter_2017_final.indd 20
275
FHWFR-10128 REV103117
Find a Physician: FloridaHospital.com (844) 804-9378
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