Inspired Tampa Bay - Fall 2015

inspired Tampa Bay the health and wellness magazine of Florida Hospital

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Breast CanCer

Myths Busted!

Heartburn or Heart attack? know the difference

the secret to

controlling Hunger

+

join the

pink army

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“When you have the choice BetWeen Being right and Being kind, just choose kind.”

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In ThIs Issue fall 2015 4-5 8-9 6

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LocaL update Find out about all the new developments at your local Florida Hospital.

heart attack or heartBurn?

It can be hard to tell the difference, so get it checked!

6 Breast cancer Myths Busted Myths about the disease abound.

Here’s the real deal.

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pack heaLthy!

Follow these 5 tips to make lunch a nutritious success for your family.

ignore 10 don’t your core Learn 3 key facts for maintaining fitness.

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protein, expLained A Florida Hospital expert fields key questions.

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fLorida hospitaL (844) 504-9378 | Fall 2015

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10/22/15 10:37 AM

24-hour access • wellness spa • fitness classes

For a

new you

The Wellness CenTer aT florida hospiTal zephyrhills Will help enhanCe mind, body and spiriT “It’s lIke a gym—but much, much

more.” that’s how Florida hospital Zephyrhills’ new, expanded cReatION health Wellness center is described by its director, casio Jones. how much more? start with the size: at 13,000 square feet, the new facility, scheduled to open in January, will be three times the size of the former wellness center. With that space, the new center will be able to offer many more classes and services to achieve its goals of helping you gain a healthier mind, body and spirit and improve your overall health and well-being. and if you join now, you can take advantage of discount pricing until the new center opens. you’ll get 24-hour access to the

ftness foor and all the exercise equipment including treadmills, elliptical machines, stationary bikes, free weights, weight machines and more. you will also receive a free ftness assessment and training session with one of the certifed ftness specialists. you can sign up for more than 30 group ftness classes such as spinning, Zumba and silver sneakers.

Want to be pampered? the Wellness spa offers massages, facials, manipedis, waxes and even couples massages. “We are taking the spa to the next level,” Jones says. “It’s designed as an environment to feel pampered so you can recharge.” a kid’s Zone is a safe place for your children to play while you work out, and

Special offer For inspired tampa bay readers bring this article with you when you join the cReatION health Wellness center, and you’ll get half off your enrollment fee and two free weeks of membership. call (813) 783-6123 for more information. you can change in the comfort of our new locker rooms with infrared saunas. “all of our staff members have a degree in exercise science,” Jones says, “and they have the skill set to provide a safe workout environment.

We also encourage a ‘just ask’ policy— need to change your workout? Just ask. Need advice? Just ask.” the hospital should not be seen only as a resource when you are sick. “It is also a place to go to when you are well, because it helps keep you well,” Jones added.

All of the images shown are renderings of what the new CREATION Health Wellness Center is expected to look like.

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fall 2015 | inspiredTampabay.Com

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Joint venture A speciAl center delivers rApid recovery joint replAcement surgery If you are In need of joInt

“pAtients hAve been going home the dAy After surgery.”

—gerAld "trey" AlexAnder, m.d.

The place for new hips and knees the florida Hospital Zephyrhills Bone and joint Center offers special features to help joint replacement patients: l an orthopedic care coordinator to assist you with all your care. l an all-inclusive, step-by-step patient guide to show you what to expect before, during and after surgery. l nurses, therapists and patient care technicians who specialize in joint-procedure care.

l Planned group activities to help get you on your feet sooner. l education for family and friends to serve as “coaches” in your recovery. l acute rehabilitation while you’re in the hospital. l outpatient therapy to continue rehab at home after discharge.

to fnd an orthopedic surgeon near your home, call (877) 534-3108.

replacement surgery, you want surgeons with experience. orthopedic surgeon Gerald “trey” alexander, M.d., and his colleagues at florida Hospital Zephyrhills Bone and joint Center certainly have experience. “Last year alone I did about 600 hips Gerald “Trey” Alexander, M.D. and knees,” he says. the Bone and joint Center, just one year old, was created “to ft the needs of our community,” he says. “our population is older, and we get many snowbirds in the winter.” “the ability of our team to specialize in this one area helps provide better overall care to our patients,” the doctor says. the team is currently emphasizing what he calls “rapid recovery” replacement surgery. “over the past month, patients have been going home the day after surgery,” alexander said. “our goal is to eventually discharge them within 24 hours.” He credits advances in anesthesia, pain control and surgical techniques for the earlier discharges, which reduce the time and expense of hospital care and allow faster recovery at home. the Center is the only facility in the area that offers MaKoplasty partial knee resurfacing for adults living with early-to-mid-stage osteoarthritis of the knee. using a surgeon-controlled robotic arm system and computer imaging, orthopedic surgeons at florida Hospital Zephyrhills can better preserve healthy tissues, which may result in a more natural feeling knee. “It increases accuracy to ensure that the components are placed in an optimal position,” alexander added.

But surgical excellence is the primary concern, and dr. alexander says that fewer than one percent of the Center’s replacements need revision. “our pain control scores are also excellent, and people leave the hospital with minimal to no pain,” he adds.

“We are all very happy to have started this Center in an area that has this need.” floridA hospitAl (844) 504-9378 | Fall 2015

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breast cancer myths, busted Misconceptions abound—Here’s tHe real deal the se days it seems you almost

need a medical degree to separate fact from fction when it comes to protecting yourself against breast cancer. From controversies over mammograms to questions about reducing one’s risk of the disease, it’s easy to be perplexed. but the truth isn’t really so elusive. here are six misleading statements you may have heard about breast cancer—corrected.

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“No one in my family had breast cancer, so I won't get it.”

“that’s a common mistake,” says charles cox, m.d., a Florida hospital surgical oncologist, one of the national pioneers of a breast cancer diagnostic technique called sentinel node biopsy. dr. cox also performs genetic research on the disease and trains physicians in china.

fall 2015 | inspiredtaMpabay.coM

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“There is so much press about the genetic risks of breast cancer that women fgure it is always genetically inherited.” Not so. More than 85 percent of women diagnosed with breast cancer have no family history of the disease, according to the American Cancer Society. But it’s having a frst-degree relative (mother, sister or daughter) with breast cancer that doubles your risk and having two frst-degree relatives increases your risk threefold.

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“A mammogram can actually cause breast cancer.”

False! When a mammogram is taken, the amount of radiation a woman receives is much too small to cause a malignancy.

In fact, it’s less than the amount you’re exposed to on a cross-country fight. “The benefts signifcantly outweigh the risks,” Dr. Cox says.

He suggests a baseline mammogram for most women between ages 35 and 40, then annual screenings from age 40 on. “I recommend that women with dense breasts or a history of benign cysts get 3-D mammography, which is available at Florida Hospital,” he adds. “Compared with conventional mammography, it provides almost a 45 percent improvement in cancer detection and a nearly 35 percent reduction in call-backs for more X-rays.”

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“A cancerous lump feels different from a benign lump.”

“That’s baloney,” Dr. Cox says. “It’s also a myth that if a lump is painful, it isn’t cancer.” It’s true that about 90 percent of cancerous masses are not painful, but some can cause pain, especially if they

grow beyond two centimeters. “There is no way for you to know if it is cancer until there is a biopsy,” he says. “Any lump needs to be evaluated carefully.”

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“Mammograms are the same wherever you go.”

Not so. “Some women go to different locations for their screenings, doctor visits and treatments, but they can’t be sure of quality and consistency,” says Vijay Ferris, M.D., a general surgeon with Florida Hospital. “Women should go to ACR-accredited breast centers like ours for higher-quality images and a more accurate diagnosis. We screen, perform biopsies, offer counseling—it’s a one-stop shop. Going to a dedicated breast center will give you better results.”

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“Breast cancer is preventable.”

There is no proven way for healthy women to prevent cancer, but you can reduce your risk. “The best thing to do is exercise,” Dr. Cox says. “A large study shows that walking just 30 minutes a day reduces the risk of breast cancer by 30 percent, and if you already had the disease your risk of recurrence is reduced by 70 percent.” He suggests sticking to a low-fat, high-fber diet to lower the risk of all types of cancer.

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“If I get breast cancer I will probably die from it.”

On the contrary, says Dr. Cox, “with early screening and detection, 90 percent of breast cancer patients survive.” So be sure to stay up-to-date with your mammograms and do your self exams, he advises.

Where to get your mAmmogrAm Call (855) 808-PINK (7465), to schedule a mammogram at one of these breast centers: Florida Hospital Carrollwood Imaging Center 7171 North Dale Mabry Hwy. Tampa, FL 33614 Florida Hospital North Pinellas Breast Center 1395 S. Pinellas Ave. Tarpon Springs, FL 34689 Florida Hospital Tampa Breast Care Center 3000 Medical Park Dr., Suite 100 Tampa, FL 33613 Florida Hospital Wesley Chapel Center for Women’s Health 2700 Healing Way, Suite 102 Wesley Chapel, FL 33544 Florida Hospital Zephyrhills The Simpson Breast Health Center 7050 Gall Blvd.

Zephyrhills, FL 33541

Join the Pink Army

The Florida Hospital Pink Army was created to increase awareness about early detection of breast cancer. The second most common form of cancer found in women, breast cancer is a formidable enemy, but it can be beaten. Join women across Tampa Bay as they get screened and learn more about the lifesaving benefts of annual mammograms and early detection—all while having a great time!

Find fun and informative breast cancer awareness events hosted in conjunction with Florida Hospital, and schedule your mammogram online when you visit JoinThePinkArmy.com or call (855) 808-PINK (7465). The most important part of the Pink Army is spreading a lifesaving message to those you love. florida hospital (844) 504-9378 | Fall 2015

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Don’t be controlleD by

incontinence New treatmeNts caN help you get back to the activities you eNjoy

common in people age 50 and older, the united states have especially women. it can also affect urinary incontinence. younger people, especially women who But that doesn’t make have just given birth. according to dr. it any less diffcult to live ferlita, there are three basic types of with. incontinence can urinary incontinence: stress, urge and have a devastating effect mixed. on quality of life. “it can With stress incontinence, the bladder John Ferlita, alter social behavior, is placed under stress by physical activity M.D., FACOG decrease the ability to such as coughing, laughing, sneezing or engage in normal physical activities and exertion. the most common cause of these impair intimacy,” says defects is childbearing, “iNcoNtiNeNce which can damage the John ferlita, M.d., a urogynecologist caN be improved tissues and the nerves that with florida or eveN cured.” support the pelvic foor.

Hospital urge incontinence is when —johN Ferlita, m.d.

Zephyrhills. “it the bladder has uncontrolled is no surprise that it can cause spasms and mixed incontinence is simply a a great deal of frustration, combination of the other two types. embarrassment and stress incontinence can be treated physical discomfort.” three ways. “Biofeedback, Kegel it doesn’t have to be exercises and behavioral training such as that way. “With proper minimizing fuid intake are of great value medical examination in early stress incontinence, particularly in and appropriate younger females,” says dr. ferlita. in more diagnosis, advanced cases, pessaries—removable incontinence can plastic devices that are placed in the be improved or vagina to support the pelvic foor—may even cured,” he help. finally, many patients are treated says. surgically, particularly when incontinence is urinary associated with prolapse. incontinence urge incontinence and overactive bladder is most can be treated with behavior modifcation, medication and in some cases with a Medtronic interstim neuromodular device.

With proper treatment, this condition can be improved or eliminated. Mixed incontinence may require a combination of therapies.

“You don’t have to live with these conditions,” dr. ferlita says. “they can be treated. Consider the frst step—evaluation by a specialist who manages this type of condition. You have nothing to lose, and very much to gain: a better quality of life.”

Millions of adults in

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To find a urogynecologist near you, call (877) 534-3108. fall 2015 | iNspiredtampabay.com

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be there November

l

December

l

JaNuary

Diabetes support Group This group can help you learn how to better manage and control your diabetes, reduce complications and improve your overall health.

Nov. 4, Dec. 2, Jan. 6: 3–4 p.m.

FHZ Wellness Center Conference Room For more information, call (813) 715-6683.

No R.S.V.P. needed.

Join us for a fun and interactive time featuring Bingo, food demonstrations and experts on heart topics.

Every Tuesday: 11:30 a.m.–12:30 p.m.

FHZ Wellness Center Conference Room For additional details, call (813) 779-6484.

No R.S.V.P. needed.

GettinG Down to the bare bones If you have questions about aching joints, arthritis, hip and knee pain, and available treatments for these issues, then you’ll want to attend this roundtable discussion with Dr. Gerald “Trey” Alexander, a board-certifed orthopedic surgeon. He will host this informal Q&A on the frst Wednesday of every month.

Nov. 4, Dec. 2, Jan. 6: 12:15–12:45 p.m.

FHZ Wellness Center Conference Room R.S.V.P. required by calling (877) 534-3108.

31st annual christmas tree liGhtinG Join us as we celebrate Christmas on the front lawn of Florida Hospital Zephyrhills. This family-friendly celebration includes visits with Santa, Christmas choirs, freworks, tree lighting and this year’s headliner, Jeremy Rosado, an American Idol star and recording artist.

Dec. 6: 12–6:30 p.m.

Florida Hospital Zephyrhills For more information, visit FHZeph.org. stroke support Group These meetings help stroke patients and their caregivers as they adjust to changes in their daily lives.

Nov. 19, Dec. 17, Jan. 21: 3–4 p.m.

FHZ Wellness Center Conference Room For more information, call (813) 788-0411, ext. 6154. floriDa hospital (844) 504-9378 | Fall 2015

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10/30/15 9:21 AM

Don’t ignore

your core

4

top workouts

3 key facts for maintaining fitness YOUR BODY’S CORE PLAYS a crucial role in your health, strength and agility. But if you’re like most people, there are things you may not know:

1 The core is where all your movement comes from. Daily activities such as raking the yard, picking up a child, lifting groceries—any movements of the extremities—start there. “People think the core is just the abs and back muscles,” says Jonathan Phillips, M.D., Florida Hospital sports medicine physician.

“They should think of it as the entire pelvic girdle: hamstrings, hip fexors, glutes, abdomen and back.”

2 A weak core could be causing your lower-back problems. If the muscles of your lower back, glutes and even hips are weak, you

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probably have poor posture.

This puts stress on your spine and related muscles, tendons and ligaments.

“Often back problems are from poor pelvic stabilization,” Dr. Phillips says. “The spine sits on the pelvis, and support comes from both the muscles and the skeleton.” Weak core muscles fail to support the spinal column properly, which puts stress on the nerves and leads to back pain.

3 Your regular workout is probably not working your core—unless it involves Pilates or a similar exercise.

Running doesn’t adequately work the core; nor does lifting weights, cardio-based workouts, most sports activities or even crunches alone. “Many people just focus on their abs, and don’t have a whole picture of what the core is,” says the doctor.

“If you don’t have a balanced approach to strengthening those muscles, you will have defcits that can cause injury.”

Fortunately, it’s easy to include core work in your ftness routine. Push-ups, standing squats, planks and balancing on one leg can work the core, as can: Holding a position, as is done in Pilates and in planks, in which the trunk is maintained in a straight, tight position for 10 to 30 seconds or more.

Stretching, which increases fexibility and actually strengthens muscles, helping them work in balance. “The hamstrings are especially important— keep them fexible to maintain proper pelvic function,” Dr. Phillips says.

Back extension exercises are also useful, but work with a personal trainer or ftness consultant to be sure you do them correctly.

The Harvard Medical School weighed in with its top exercise picks: Walking strengthens bones, heart and lungs; burns calories; helps lower blood pressure and cholesterol; and improves mood and outlook.

Weight training boosts muscle and bone strength and allows you to do more with less strain and pain.

SWimming offers a great cardiovascular workout; strengthens arm, leg and core muscles; and doesn’t overstress joints. tai chi is a Chinese martial art that can help build better balance, a stronger heart and a calmer mind. Research indicates that it may also enhance the immune response.

fall 2015 | inspiredtampabay.com

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Protein,

A FLoridA HospitAL expert FieLds Key questions

explained

What do dietary proteins do for the body? almost everything! they build muscles, bones and skin; they help make hemoglobin, the part of red blood cells that carries oxygen throughout the body too.

But beware: too much protein is too much of a good thing. Inspired Tampa Bay interviewed adriana Guzman Quiles, Florida hospital clinical dietitian, about this basic food building block: How much protein should we eat? “a healthy diet should have between 30 and 35 percent of its calories from protein. at least 30 percent of that protein should come from legumes (peas, beans and bean products such as tofu).”

Can a diet high in protein aid weight loss? “it can, but some studies have shown that weight loss from such diets isn’t sustained in the long run. protein can help make you feel

full so you’ll do less snacking, but emphasizing protein-rich foods to the exclusion of other foods is not recommended. an excess of protein can cause dehydration and kidney problems. For healthy weight loss, you need a reasonable balance of protein, healthy fats and carbohydrates.”

What are some protein-rich foods?

“Beans, seeds (including quinoa and pumpkin seeds) and nuts are rich in protein. eggs and dairy products such as cheese, milk and yogurt are also great. Meat is another protein source, but the protein in meat comes with saturated fat, and the american heart association recommends getting no more than 5 to 6 percent of your daily calories

from saturated fat. if you decide to have beef occasionally, make sure it’s labeled ‘extra lean.’ sirloin tips, top round roast and top sirloin steak fall in this category, according to the Usda. and watch serving sizes.”

I’m glad you mentioned serving sizes. What is a good guide? “one serving of lean meat is two to three ounces, or about the size of a computer mouse.”

Is it a good idea to eat protein after a workout? “defnitely. But you can also combine it with a carbohydrate— enjoying a peanut butter smoothie, for example.”

What are some other healthy, protein-rich snacks? “i recommend that my patients try cottage cheese with fruit, peanut butter on whole wheat toast, yogurt with nuts such as almonds, or fruit and cheese.”

FLoridA HospitAL (844) 504-9378 | Fall 2015

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10/7/15 3:14 PM

Heart attack— or heartburn?

It can be hard to tell the dIfference so get It checked

“a heart attack can present Itself In many dIfferent ways. you need to treat any chest paIn serIously.”

—alexander rosemurgy, m.d.

What We call heartburn has nothing to do With

your heart. it’s really acid refux, a common condition that develops when digestive acids fow out of the stomach, which is designed to handle acid, into the esophagus, which is not. the acid burns, and because the esophagus and heart are close neighbors, the resulting pain in the chest is often mistaken for heart pain. sometimes people think they are having a heart attack and rush to the emergency room. the opposite mistake is also made: People experiencing angina—heart pain—think it’s just acid indigestion and fail

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to rush to the emergency room. and that can be a big problem. doctors at Florida hospital see both kinds of situations in tampa bay, and it’s important for you to know what to do in the event of chest pain. in fact, it can make a life-ordeath difference. so if you’re having chest pain of any kind, don’t let embarrassment or uncertainty stop you. go to an emergency room and get checked out. in 2014, Florida hospital handled more than 200,000 emergency room visits in the tampa bay area. the er physicians in these hospitals are all board-certifed in

fall 2015 | InspIredtampabay.com

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Emergency Medicine, but even they have to do formal tests to make a formal diagnosis. The reason has to do with basic anatomy. The nerves in your chest are distributed in such a way that it is diffcult to determine where the pain is coming from, says Wenzel Tirheimer, M.D., Florida Hospital Medical Director at one of the largest Emergency Departments in Tampa Bay. Pain from many points of origin—including the appendix, the gallbladder and the rest of the gastrointestinal tract—may appear in different locations in different people and therefore can be hard to pin down without further testing.

“The symptoms of multiple medical problems are often related and overlap,” Dr. Tirheimer explains.

MANY KINDS OF CHEST PAIN There is a distinct diagnosis called noncardiac angina, or chest pain not due to heart problems. “This is a real identifable issue,” says Alexander Rosemurgy, M.D., a nationally recognized gastrointestinal surgeon specializing in minimally invasive and robotic surgery at Florida Hospital. It has other possible causes besides acid refux, such as esophageal spasm, pneumonia or some types of ulcers. But they can all feel like cardiac discomfort. “Even people who have had a heart attack often can’t distinguish the difference,” says Dr. Rosemurgy.

These two physicians in different felds

agree about the importance of getting chest pain checked out right away. “A heart attack can present itself in many different ways,” Dr. Rosemurgy says. “You need to treat any chest pain seriously.”

DON’T JUST WAIT That means calling 911 or having someone else drive you to an ER. “Go and be seen by a doctor rather than sitting home waiting and hoping,” Dr. Tirheimer says. “If it is a heart attack, the faster you’re treated, the better your odds of a full recovery.”

Conversely, learning that your pain is not heart-related will be a huge relief. “If I can tell a patient, ‘It seems more like your stomach or gallbladder, and not anything life-threatening,’ that’s a big reduction in their anxiety level,” Dr. Tirheimer says.

Once a heart problem is ruled out, doctors can fnd out what is causing the pain. Tests depend on the symptoms, health history, age and other factors.

Some patients are admitted to the hospital for observation and further testing, while others are sent home with follow-up instructions. But stay attuned to your symptoms. “If your frst doctor doesn’t see anything and you go home but feel worse, come back,” Dr. Tirheimer says. “Sometimes it isn’t until later that a disease declares itself.”

Your frst move with chest pain should be to seek immediate medical attention.

Says Dr. Rosemurgy: “It’s always better to be safe than sorry.”

Heart attack can be different in women As with men, the most common heart attack symptom in women is chest pain or discomfort. But, according to the American Heart Association, women are more likely than men to experience other symptoms, including: l shortness of breath l pressure or pain in the lower chest or upper abdomen l dizziness, lightheadedness or fainting l upper back pressure l nausea, cold sweat or vomiting l extreme fatigue.

Unfortunately, women often delay getting attention for themselves. In fact, the AHA also reports that 81 percent of women said they would call 911 for someone else showing heart-attack signs, while only 65 percent would call for themselves.

How to AvOID rEFlux If your chest discomfort turns out to be heartburn rather than a cardiac problem, that’s a relief, because heartburn is much less dangerous.

But it’s still troublesome, as reflux (GERD) can lead to esophageal cancer.

Try these simple steps to reduce the occurrence of acid reflux: l Avoid alcohol, cigarettes, aspirin/anti-inflammatories and citrus. l Raise the head of your bed about six inches; this lets gravity help keep your stomach acids down. l Don’t eat close to bedtime or late at night. l Try some over-the-counter antacids.

If symptoms persist, see your doctor.

Source: American Heart Association florida hospital (844) 504-9378 | FAll 2015

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11/4/15 2:05 PM

Pack healthy!

5 tips to make lunch a nutritious success for your family

For many parents, the hostess twinkie’s return

to the marketplace sparked a smile of nostalgia—and a frown of concern. we may recall that spongy treat from our own childhoods, but it’s not on our nutrition plan for our children—or ourselves, for that matter. But don’t despair: when it’s time to pack a lunch, for yourself or your family, a creative approach can put healthy eating on the midday agenda:

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MAKE IT FUN FOR KIDS. if children see a healthy lunch as something enjoyable, says megen erwine, a Florida hospital registered dietitian/nutritionist, they will be more apt to eat it. “kids get bored easily,” says erwine. “try approaching the same meal in different shapes or in different containers.” During the school year, perhaps your picky eater will enjoy selecting a special lunch box featuring a favorite superhero. trade in aluminum foil for small tupperware containers. as for the lunch itself, erwine suggests preparing food in fun shapes. “kids love bite-size items, so use cookie cutters to cut sandwiches,” she says. and make the lunch colorful, with bright fruits and veggies such as cherry tomatoes, grapes and carrot strips.

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BE A GOOD ROLE MODEL. the “do as i say, not as i do” model of parenthood is as obsolete as the 8-track. “Lunch is the most overlooked meal by most people i talk with—our busy lives make it problematic,” erwine says. “as adults we need to spend more time to create healthy lunches for ourselves.” and that doesn’t just mean eating more spinach. she suggests aiming to include foods from four food groups at each lunch: whole grains, veggies-and-fruits, dairy and protein. “try to include about 10 grams of fber and 15 grams of protein in adult lunches,” she says. “that should provide plenty of energy to sustain you all afternoon.”

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USE A GRADUAL APPROACH. Let’s face it: if kids reject a food at home, they’re sure as heck not going to eat it from a brown bag when they’re beyond your gaze at school. erwine recommends introducing an unfamiliar food at home several times, in small amounts,

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before adding it to a packed lunch. Don’t give up if a child discards a new food at frst. “research shows that kids need to be exposed to a new food up to 20 times before they even try it, let alone like it,” she says. “so consistency is important.”

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SEEK BALANCE. aim to include the four food groups as you pack a lunch, and emphasize fruits and veggies over meats and cheeses—the latter are nutritionally important, but tend to be overrepresented on our plates. “we forget that we need vegetables more often than just at dinner,” erwine says. make veggies more fun with healthy dips, like hummus or ranch dip made with Greek yogurt, to dip your carrots and celery.

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PROMOTE SMART SNACK FOODS. new government standards took effect in the 2014–15 school year for snack foods sold in school vending machines and a-lacarte cafeteria lines. Doughnuts, candy bars, high-fat chips and sugar-flled sodas are gone, while granola bars, light popcorn, low-fat chips and fruit cups are now favored. add foods from two specifc food groups, erwine suggests, such as celery with peanut butter or veggies with guacamole.

FALL 2015 | inspiredtampabay.com

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When you believe in a greater purpose to health care, you see things differently. Because health care isn’t only about illness and injury, or even medicine.

It’s about the human spirit.

Which is why for over a century, Florida Hospital has gone beyond symptoms and treatments, helping people live healthier, happier lives.

This is more than quality, expertise and compassion.

Discover the Florida Hospital difference at InspiredTampaBay.com

Florida Hospital

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|

Centra Care Urgent Care

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Locations Throughout Tampa Bay Florida Hospital Physician Group

10/21/15 10:05 AM

FLORIDA HOSPITAL ZEPHYRHILLS 7050 GALL BOULEVARD ZEPHYRHILLS, FLORIDA 33541

Discover the Florida Hospital difference at InspiredTampaBay.com Connerton Zephyrhills

FLORIDA HOSPITAL WEST FLORIDA REGION Florida Hospital proudly serves the Tampa Bay Region through a network of 6 hospitals, 4 Centra Care Urgent Care Centers and more than 45 Florida Hospital Physician Group practices.

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Tampa 275

Carrollwood

Florida Hospital Carrollwood

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