Inspired Tampa Bay: Fall 2016

The Health and Wellness Magazine of Florida Hospital

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FLORIDA HOSPITAL A LEGACY OF HEALTH & HEALING

Tampa Bay

BREAST CANCER AWARENESS & PREVENTION CONTROLLING CHOLESTEROL

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STEPS TO IMPROVE YOUR MEMORY

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Your biggest blessing deserves The Birth Day Experience SM.

Dream

Deliver Discover

From the time you dream of starting a family until the day you deliver, there are so many decisions to make. Let us help take the worry out of preparing for your delivery with The Birth Day Experience team.

Our birth advocates will help you make decisions and plan special touches to make the day more memorable. We’ll help you design a one-of-a-kind celebration for a once-in-a-lifetime event – your child’s one and only real Birth Day. SM

This is inspired obstetrical care.

InspiredBirthDay.com (844) 441-BABY

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A MEMBER OF ADVENTIST HEALTH SYSTEM

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“The secret of getting ahead is getting started.”

—MARK TWAIN

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IN THIS ISSUE FALL 2016

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FACING THE CHALLENGE Michelle Hall found the per fect partner against cancer.

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BACKPACK FACTS Get your child’s pack on track.

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CONTROLLING CHOLESTEROL

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BRAIN POWER

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MICROGREENS

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A LEGACY OF HEALTH & HEALING

6 steps to improve your memory.

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Keeping regular vaccinations is important.

CANCER 14 BREAST AWARENESS An ounce of prevention to keep breast cancer at bay.

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GOT HEARTBURN?

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BREATHE EASY

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SHEDDING LIGHT ON INFERTILITY

Festive fall foods can cause digestive ailments.

Get help for COPD.

It’s a common problem— and not hopeless.

Try these tiny, tasty titans of nutrition.

150 years of helping patients.

ON THE COVER: Chloe W. and her brother Ethan W. were both born at Florida Hospital Tampa. Chloe and Ethan participated in our 2nd Annual Bucs Babies Birthday Party in May 2016. Their mom Alicia said, “The Bucs Babies program is such an excellent event that helps bring together all the May babies born in Tampa Bay … we can’t wait to go next year!” Florida Hospital is the Exclusive Hospital of the Tampa Bay Buccaneers. PHOTO BY DANIEL W. BAKER

FLORIDA HOSPITAL (844) 804-9378 | FALL 2016

The new … and the tried and true.

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INOCULATIONS FOR ALL AGES

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FALL 2016 | INSPIREDTAMPABAY.COM

FACING THE

CHALLENGE MICHELLE HALL FINDS THE PERFECT PARTNER IN HER FIGHT TO PREVENT CANCER.

I N A U G U S T O F 2 0 1 2 , Michelle Hall received some bad news. Because of her family health history and a recurrence of ovarian cysts, her gynecologist recommended a genetic test. The test revealed she had the BRCA2 genetic mutation, making her five times more likely to contract breast cancer and up to 30 times more likely to develop ovarian cancer. “I was devastated, because I honestly hadn’t considered what might happen if the results came back positive,” says Michelle,

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“I knew beyond a doubt that he was the doctor to do whatever it was I decided on.”

Dr. Raj Ambay shares a smile with patient Michelle Hall.

In Dr. Ambay’s words, there’s a clear reflection of his passion for helping people, a passion Michelle noticed right away. “I met Dr. Ambay, and he shook my hand and said, ‘Tell me about you,’” Michelle recalls. “He sat with me for two hours, and we talked through all of my options. I wasn’t convinced of the procedure at that point, but I knew beyond a doubt that he was the doctor to do whatever it was I decided on.”

And how is Michelle now? “I’m thrilled with the outcome of the DIEP procedure; I could not be happier with what Dr. Ambay accomplished. His skill as a surgeon is incredible. I look normal, and I’m proud of the journey I’m on, instead of feeling like I’ve been half-beaten.”

Deep Inferior Epigastric Perforators (DIEP) flap reconstruction surgery involves taking tissue and fat from a woman’s stomach area and using it to create a breast, which is then transplanted into the chest (sometimes along with lymph nodes). This means that no foreign bodies are placed into the woman’s body. This procedure gives women the chance to feel better about their appearance after a lifealtering double mastectomy.

FLORIDA HOSPITAL (844) 804-9378 | FALL 2016

31. “At the time I had to come to terms with this devastating news, I had two young children. They were 8 and 9 then, and I was coping with a very real possibility that they’d watch me get very sick in their childhood, and that sealed the deal. There was no way I was going to expose them to that if I could prevent it.” It became clear to Michelle that she would need to have her ovaries removed and have a double mastectomy.

After the subsequent reconstruction of her breasts, things seemed to be turning around. But then, Michelle noticed something was wrong. She was diagnosed with Ehlers-Danlos Syndrome, which caused her own system to attack the tissue holding the implants in place. “Losing my breasts through a double mastectomy was hard enough, but to deal with that loss a second time was incredibly challenging,” says Michelle. “I spent many, many months in a very dark place.” But Hall found hope when she discovered Dr. Raj Ambay—one of only two doctors in Florida capable of performing the type of surgery she needed. Even better, she was able to have the procedure done close to home at Florida Hospital Wesley Chapel.

Michelle’s treatment to correct the second loss of her breasts is called Deep Inferior Epigastric Perforators (DIEP). “We’ve had patients who have told us they haven’t taken a picture for 10 years, they haven’t worn a bra in six years, they always stay in the back of the room,” Dr. Ambay says. “And all of a sudden, they have this procedure, and they’re not even the same person anymore; they are the new person, the person they were meant to be. And having the opportunity to participate in that, and watching them smile, it’s amazing.”

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BACKPACK AWARENESS DAY is September 21. It’s an important day to observe, especially if you have a school-age child. Out of the 79 million-plus kids who wear backpacks to school, more than half are hauling around an unsafe amount of weight. Doctors end up treating thousands of young students each year for problems related to backpack use. Here’s how to keep your child from becoming one of those statistics.

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Make sure your child’s pack has padding to help protect the back from sharp items or sharp corners. Be sure his or her shoulder straps are padded and wide. You’ll also want a waist belt, so the shoulders don’t have to handle all the weight.

Convince your child to carry only what’s absolutely necessary for the day, and leave the extras at home.

Doctors say that no child should be carrying a backpack heavier than 10 to 15 percent of his or her own weight.

The backpack should be the right size for your child’s age. Shoulder straps should fit snugly against the back.

The bottom of the backpack shouldn’t go lower than four inches below the waist.

FALL 2016 | INSPIREDTAMPABAY.COM

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The backpack should have individual compartments, so the weight can be spread around, with the heaviest items closest to the back and the lighter ones further toward the outer edge.

At the first sign of your child experiencing back or neck pain, stop and ask yourself, “Is it the backpack?” Talk to a doctor or occupational therapist. Find out more about Backpack Awareness Day at aota.org/conferenceevents/backpack-safety-awareness-day.

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Controlling

CHOLESTEROL SOME TRIED-AND-TRUE METHODS REMAIN THE SAME.

FOUR SIMPLE STEPS

How you can lower your risk of heart disease:

Make healthier food choices. Be sure to include more fruits and vegetables and eat less red meat by finding alternative protein choices such as fish and legumes. At webmd.com you can find a wealth of information, including heart-healthy recipes.

Exercise regularly. The link between an inactive lifestyle and heart problems is well documented.

Use it or lose it! Even walking every day can help make a big difference. Read the helpful article “9 Great Heart-Friendly Exercises” at everydayhealth.com.

Control your weight. Weight is another contributing factor for heart disease. Talk to your doctor about what your healthy weight is. The American Heart Association’s heart.org can provide important information about this topic.

Stop smoking. Smoking is a big risk factor for heart disease. Smokers should quit as soon as possible—and it’s better for their overall health as well. Create a plan to quit smoking at the great resource smokefree.gov.

FLORIDA HOSPITAL (844) 804-9378 | FALL 2016

THE WAYS WE MANAGE cholesterol are everchanging. Today, new research is giving doctors a more detailed understanding of the cholesterol in your blood, what it means and how it works. Now researchers are looking into the sub-particles of LDL (bad cholesterol) and HDL (good cholesterol) and their effect on your health. This will allow them to target treatments customized for specific patients.

Until these new treatments are available, here’s how you can manage your cholesterol numbers to help prevent heart disease, artery disease or stroke.

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BRAIN POWER 6 STEPS TO IMPROVE YOUR MEMORY.

We all have lapses in memory, and it’s common as we age. But that doesn’t mean there’s nothing you can do about it. Here are six ways to help.

EXERCISE

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Regular exercise promotes blood flow to the brain, and it can trigger brain chemicals that build and protect memory-holding neurons.

TRICKS Develop a device that will help you remember things based on letters. An example would be “Every Good Boy Does Fine,” used to help music students remember the notes on the treble clef (E, G, B, D, F).

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1 ASSOCIATION

REST

Try associating the thing you need to remember with something else.

For instance, if you’re trying to remember that your plumber’s name is Standridge, then picture him “standing on a ridge.”

Get enough sleep, because it helps retain memories.

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FALL 2016 | INSPIREDTAMPABAY.COM

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NUTRITION INTEREST

A diet rich in fresh fruit and raw vegetables as well as high in the B-12 vitamin like fish, meat, milk and eggs, can provide a strong physical basis for better memory.

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We remember what we care about, so try to cultivate an active interest in things you need to remember.

FIND A FLORIDA HOSPITAL PHYSICIAN AT (844) 804-9378 OR FLORIDAHOSPITAL.ORG

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MICROGREENS WITH MAX POTENTIAL THESE PLANTS CARRY A POWERFUL NUTRITIONAL PUNCH, DESPITE THEIR SIZE.

SINCE FARMERS BEGAN growing microgreens in the 1990s—arugula, cilantro, kale, radish leaves, cabbage, sunflowers and more—it’s become a trend. Microgreens are simply vegetables and herbs grown in soil and picked when they’re still immature, harvested within a week to 14 days of planting. These tiny titans pack a powerful nutritional punch.

The Power of Micro These 1- to 3-inch plants have a higher nutritional concentration than when they’re full grown, according to the Journal of Agricultural and Food Chemistry. A new study by the Journal found that microgreens have six to nine times the vitamins

and phytochemicals than the fullgrown plants. Red-cabbage micros are among the highest, with 40 times the amount of vitamin E and six times the vitamin C.

Buy, Store, Grow Typically, the greens with the most intense color are the most nutritious. They’re available at farmer’s markets and specialty groceries, but you shouldn’t hesitate to exercise your green thumb, as they’re very easy to grow. Just use a couple of inches of moist soil, scatter the seeds on top, cover with a thin layer of soil that you keep moist—then snip and eat them once they’re just a couple of inches in height.

RECIPE MICROGREEN SALAD SALAD INGREDIENTS: • 1 cup microgreens • 1 blood orange, peeled and cubed (or other citrus as available) • ½ avocado, peeled and cubed • ½ cup shredded carrot or radish • ¼ cup chopped walnuts VINAIGRETTE INGREDIENTS: • 1 tbsp olive oil • 1 tbsp lemon juice • 1 clove chopped garlic • Dash of salt and pepper

FLORIDA HOSPITAL (844) 804-9378 | FALL 2016

DIRECTIONS: Give your greens a light wash and air dry, being gentle. Place greens and salad ingredients in a bowl. Stir vinaigrette ingredients together in a small jar and pour over the salad. Enjoy!

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A LEGACY OF

HEALTH & HEALING The first health facility built by the Seventh-day Adventist Church in Battle Creek, Michigan.

2016 || INSPIREDTAMPABAY.COM INSPIREDTAMPABAY.COM FALL 2016

1866

1866

James and Ellen White formed the Health Reform Institute.

1876 - 1943 Dr. John Harvey Kellogg served as Medical Director of the Battle Creek Sanitarium.

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Celebrating 150 Years Imagine recovering from an illness while lying in a dark, stuffy room, with no sunlight or fresh air.

What if you had lung disease and the most widely accepted treatment involved inhaling smoke?

These seem like outrageous medical practices today, yet these were common treatments 150 years ago. Back then, health tonics were often made from substances that are now considered harmful or illegal, and treatments for conditions involved painful procedures that would be deemed inhumane today.

In 1866, when a small group of Christians opened the Health Reform Institute in Battle Creek, Michigan, they began pioneering health practices that altered society’s basic understanding of medicine and healthy living.

In sharp contrast to the seemingly barbaric medical practices of the day, they studied the biblical principles of creation and developed a different care model by teaching the benefits of daily physical exercise, rest, good hygiene, eating a healthy diet and getting fresh air. This approach helped communities avoid illness and live healthier lives.

These health care pioneers were members of the newly formed Seventh-day Adventist Church, and they dedicated themselves to continuing Christ’s ministry of healing the sick, in a

compassionate way, while pursuing innovative ways to make health care safer and more effective.

Their approach to caring for the whole person— addressing the physical, emotional and spiritual needs of a patient—and not just treating illness, was revolutionary at the time.

That first Adventist health care facility at Battle Creek attracted thousands of patients over the years including notable historic figures Henry Ford, Thomas Edison, Dale Carnegie and Amelia Earhart. Under the guidance of medical director Dr. John Harvey Kellogg, patients received innovative medical care, while also learning about healthy living through cooking, exercise classes and lectures on health and temperance. Kellogg was an advocate of a vegetarian lifestyle and would later become well-known, along with his brother W. K. Kellogg, for their invention of Kellogg’s® Corn Flakes®, a healthier choice for breakfast.

Florida Hospital is proud to be a member of the Adventist Health System. Our legacy of health and healing while continuing to explore new, innovative and inspired ways to care for our patients continues today—150 years later—as we celebrate this important chapter in our history. As we continue to expand our expertise, we remain true to our legacy, helping patients achieve health and wellness in every aspect of their lives.

Kellogg’s Cor

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Fresh air and exercise were a crucial part of health and healing for patients.

Battle Creek Sanitarium.

1900

1888 The innovative care was a departure from what was commonly practiced in that day.

FLORIDA HOSPITAL HOSPITAL (844) (844) 804-9378 804-9378 || FALL 2016 2016 FLORIDA

1884

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INOCULATIONS

FOR ALL AGES

FALL 2016 | INSPIREDTAMPABAY.COM

KEEPING VACCINATIONS CURRENT IS IMPORTANT FOR ADULTS AS WELL AS KIDS.

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IT’S TOO BAD THAT as grownups, we don’t have someone who can make us get the shots we need like when we were young. And that’s a real shame, because vaccines can go a long way in keeping you healthy. Here are four big vaccines adults shouldn’t miss.

Influenza In You might Y not think the n flflu is a big deal, but d according to a tthe Centers for Disease Control and Prevention (CDC), the disease sends upwards of 100,000 people to the hospital each year. This is why an annual flu shot is strongly recommended for adults over 65.

Pneumonia P The CDC T also reports a pneumonia p iis taking a heavy toll, h rresulting in about 18,000 deaths of older adults every year. So, vaccination is recommended for all adults over 65, and for younger adults who smoke or have asthma, or who have certain

long-term health conditions or a weakened immune system.

Shingles S Shingles is S caused by c vvaricella zostter, the virus tthat causes chickenc pox, and it can lead to a blistering rash.

Anyone who had chickenpox can develop shingles, but it’s more likely as we grow older, so adults 60 and older who have a history of chickenpox should get the shingles vaccine.

TetanusT DiphtheriaD Pertussis P Pertussis, P or whoopo iing cough, was nearly w eradicated in the U.S. thanks to vaccines—but it has returned in recent years, resulting in 48,000 adult cases in 2012.

Adults should get the booster (Tdap) every 10 years.

Visit cdc.gov/vaccines/adults to find an Adult Immunization Schedule and make sure you’re on track.

PROTECT

YOUR CHILD Talk to your physician about your child’s vaccine schedule.

Children need these regular vaccines: • Chickenpox (varicella) • Diphtheria, tetanus, and pertussis (DTaP) • Hepatitis A (HepA) • Hepatitis B (HepB) • Hib • Human papillomavirus (HPV) • Influenza • Measles, mumps, and rubella (MMR)

Measles vaccination prevented

15.6 million child deaths from 2000-2013

Vaccines can protect adults from

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deadly diseases

1 child dies every 20 seconds from vaccinepreventable diseases

Only about 2 in 10 U.S. adults are up-to-date on their whooping cough vaccination

FIND A FLORIDA HOSPITAL PHYSICIAN AND GET VACCINATED TODAY. (844) 804-9378 OR FLORIDAHOSPITAL.COM.

FLORIDA HOSPITAL (844) 804-9378 | FALL 2016

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FALL 2016 | INSPIREDTAMPABAY.COM

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BREAST CANCER AWARENESS & PREVENTION

AN OUNCE OF PREVENTION MAY HELP KEEP BREAST CANCER AT BAY. OCTOBER IS BREAST CANCER Awareness Month and there’s good news: Breast cancer is in decline and deaths have dropped dramatically in the past two decades—the result of continued improvements in cancer research, increased awareness and more women getting screened with mammograms. Government statistics show deaths dropped 34 percent between 1990 and 2011, and experts expect that the downward trend will continue. The American Cancer Society says this translates into more than 200,000 lives saved. Read on to learn more about how you can reduce your risk for breast cancer.

The Answer Could Be in Your Genes Understanding your risk for breast cancer may be found in your genes. BRCA1 and BRCA2 are human genes that produce tumor-suppressing proteins that help repair damaged DNA. When either one is mutated or altered, this damage may not be repaired properly, and cells can become more likely to develop cancer. Together, BRCA1 and BRCA2 mutations account for approximately 20–25 percent of hereditary breast cancers, and about 15 percent of ovarian cancers.

In addition, four newly pinpointed genes (TNRC9, FGFR2, MAP3K1 and LSP1) have been linked to a higher-than-average likelihood of developing breast cancer. No new tests have been developed as of yet, but researchers say that these findings could be hugely important in breast cancer research and diagnoses.

RESOURCES :

SCHEDULE A SCREENING MAMMOGRAM TODAY at (844) 804-9378 or FLORIDAHOSPITAL.COM.

• American Cancer Society (cancer.org) • National Cancer Institute (cancer.gov) • Breast Cancer Awareness Month (nationalbreastcancer.org) • Centers for Disease Control (cdc.org)

FLORIDA HOSPITAL (844) 804-9378 | FALL 2016

To reduce your risk for breast cancer: • Consume vitamin D and calcium, found in dairy products, fish (such as salmon and sardines), beans, almonds and tofu.

• Limit exposure to chlorinated tap water, automobile air pollution, detergents with whiteners and non-stick cookware.

• Walk briskly for 1.25 to 2.5 hours per week. This simple action can decrease risk by 18 percent!

• Maintain a healthy weight.

• Limit alcohol consumption.

• Know your family health history and share this information with your doctor.

• Get regular screening mammograms and follow your doctor’s recommendations.

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GOT HEARTBURN? FALL CAN BRING THE RETURN OF DIGESTIVE AILMENTS.

WITH FALL APPROACHING and football season about to kick off, it’s easy to overindulge at a tailgate or watch party.

And this can result in what may be familiar symptoms: burning behind your breastbone, chest pain while lying down or bending over, acidic burning in your throat, the feeling of food “sticking” in the middle of your chest or throat. We’re talking about heartburn, and the first step is a doctor visit—because heartburn can cause serious problems if left undiagnosed and untreated.

When Heartburn Becomes More Gastroesophageal reflux disease (GERD) occurs when stomach acid bubbles back up the esophagus, causing a burning sensation behind the breastbone. If these acids continue to burn the esophagus, it can create Barrett’s esophagus, which can lead to cancer.

But you may not have Barrett’s, and your treatment may involve over-the-counter medicines, prescription medications or in some cases surgical options. Talk with your doctor about the appropriate treatment option for your situation. Treating heartburn on your own for a prolonged period can simply mask the symptoms and lead to more serious problems. You can find help from a Florida Hospital physician at (844) 8049378 or FloridaHospital.com.

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Tailgating Tips Eating healthier doesn’t mean you have to skip the tailgate party altogether.

Rethink your burger. When you huddle up and get the grill lit, think about turkey burgers, which are less fattening and easier on your gut.

Everything’s better on a stick. Throw a penalty on the brats and instead put together tasty marinated chicken kebabs.

Push aside unhealthy sides.

Call an audible and swap out fattier sides for grilled corn on the cob, a three-bean salad or roasted vegetables.

Bottoms up. Score a touchdown and stay well hydrated by making sure you have plenty of water and sports drinks on hand.

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Breathe Easy COPD MAY TAKE YOUR BREATH AWAY, BUT YOUR DOCTOR CAN HELP. MOST OF US don’t think about breathing; we just do it. But close to 14 million Americans have a condition called chronic obstructive pulmonary disease (COPD) that makes breathing a struggle.

COPD is the fourth leading cause of death in the United States, resulting in some 120,000 lives lost each year.

If you’re having trouble breathing, or if you’re an ex-smoker who’s worried about the damage you’ve done, ask your doctor to test you. While COPD isn’t curable, the good news is that the disease is both preventable and treatable.

3 Ways to Improve COPD: 1. Stop smoking now. Anyone who smokes should stop as soon as possible. Your doctor can help with recommendations on acupuncture, hypnosis, support groups, nicotine replacement therapy and more.

2. Oxygen tanks. For those who do not get enough oxygen, using additional oxygen can be effective and beneficial in many cases. in a pulmonary rehabilitation program can be very helpful, including providing a support network of fellow COPD sufferers.

COPD BY THE NUMBERS

726,000

Hospitalizations caused by COPD in the U.S. each year

1.5 million 8 million Emergency-room visits caused by COPD in the U.S. each year

Doctor’s office visits caused by COPD in the U.S. each year

4,000

Cubic centimeters of lung capacity most of us have at age 25

25–60

Cubic centimeters of lung capacity a smoker can lose each year

FLORIDA HOSPITAL (844) 804-9378 | FALL 2016

3. Rehabilitation therapy. Regular exercise

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SHEDDING LIGHT ON INFERTILITY

FALL 2016 | INSPIREDTAMPABAY.COM

THE INABILITY TO BECOME PREGNANT IS A COMMON PROBLEM FOR MANY COUPLES … BUT IT’S NOT HOPELESS.

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INFERTILITY IS DEFINED by doctors as the inability to become pregnant after one year of trying (and for women over 35, the timeframe drops to six months).

There are many treatment options available for those struggling with infertility, so read on to learn more about the common causes and risk factors of infertility.

Common Causes Infertility can occur when there is interference with: • The man’s ability to produce healthy sperm that can fertilize the egg • The woman’s ability to produce healthy eggs that can be fertilized

• Unrestricted fallopian tubes so sperm can reach the egg • The fertilized egg being able to reach and implant in the uterus • A healthy embryo

Risk Factors for Infertility These specific risk factors increase the chances of reproductive difficulties.

MEN • • • •

Heavy alcohol use Drug use Smoking Environmental toxins such as pesticides and lead • Age, certain types of medications

or illnesses such as mumps, kidney disease or hormone problems

WOMEN • Smoking • Excessive alcohol use • Stress • Poor diet • Athletic training • Being over- or underweight • Age, along with health problems that can cause hormonal changes • Irregular periods or no menstrual periods • Endometriosis • Pelvic inflammatory disease • More than one miscarriage

INFERTILITY BY THE NUMBERS

12%

6%

The percentage of married women in the U.S. who are unable to become pregnant after one year of unprotected sex

The percentage of women in the U.S. (regardless of marital status) who have difficulty getting pregnant or carrying a pregnancy to term

The number of sexually active men under 45 who reported seeing a fertility doctor in their lifetime

The percentage of men who sought help and were diagnosed with a male-related fertility problem

NEED HELP? FIND A FLORIDA HOSPITAL PHYSICIAN at (844) 804-9378 or FLORIDAHOSPITAL.COM.

FLORIDA HOSPITAL (844) 804-9378 | FALL 2016

3.3–4.7 million

18%

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Florida Hospital Hidden River Corporate Center Three 14055 Riveredge Drive, Suite 250 Tampa, FL 33637

Florida Hospital Locations As a statewide health care system, Florida Hospital proudly serves the Tampa Bay region with a network of 6 Florida Hospitals, 4 Centra Care Urgent Care Centers, and more than 40 Florida Hospital Physician Group practices.

Connerton Zephyrhills

PASCO Wesley Chapel

North Pinellas

Tampa

Find a Physician: FloridaHospital.com (877) 231-3100

275

Carrollwood

PINELLAS 1

Florida Hospital Carrollwood

HIL LSBOROUG H

2 Florida Hospital Connerton, Long Term Acute Care

Tampa Bay

3 Florida Hospital North Pinellas 4 Florida Hospital Tampa

275

5 Florida Hospital Wesley Chapel

Centra Care - Florida Hospital Urgent Care Florida Hospital Physician Group

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