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MAY 2018

ART OF HEALING Local hospitals Orlando Health and Florida Hospital both utilize artistic endeavors to help their patients fight cancer. SEE PAGES 14-15

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MAY 2018

Courtesy photo

Dr. Nichole Lighthall researches neural compensation in the human brain.

How to be a ‘super senior’ Dr. Nichole Lighthall will give a presentation on healthy brain aging on May 22.  HARRY SAYER BLACK TIE REPORTER

M

any believe growing old inevitably means eventually suffering from degenerative brain diseases such as Alzheimer’s or dementia. Dr. Nichole Lighthall, an assistant professor of psychology at the University of Central Florida, doesn’t believe that has to be the case.  “We often have a very negative view of brain aging,” Lighthall said. “But truly, there’s only (less than) 10% of people over 65 who are living with dementia. That’s a statistic that people have a misconception of where they think they’re all going to have horrible memory losses. There’s going to be changes, but it doesn’t mean

you’re not going to live a very cognitively healthy life up until your final days.” Lighthall will host a presentation about brain aging at the One Senior Place resource center Tuesday, May 22. Titled “The Healthy Aging Brain: Facts and Fiction,” the talk will take a deep dive into how the human mind can be maintained — and improved — even as people enter their twilight years.  NEURAL COMPENSATION

Lighthall’s presentation will tackle three topics. The first two are on staying both physically and emotionally healthy and fit to promote healthy aging and the overrated effects brain-training games have on memory.   The last topic — one Lighthall is keen to delve into at the talk — is the neural compensation. This

IF YOU GO THE HEALTHY AGING BRAIN: FACTS AND FICTION WHEN: 10 a.m. Tuesday, May 22 WHERE: One Senior Place, 715 Douglas Ave., Altamonte Springs COST: Free INFORMATION: oneseniorplace.com/event/ healthy-aging-brainfacts-fiction Learning & Longevity Research Network: sciences. ucf.edu/psychology/llrn/

is the idea that the brain is constantly adapting to internal and external cues and can positively adapt to changes associated with aging. “There are patterns of change you can expect after a stroke if you engage in (cognitive or behavioral) rehabilitation activities. … Even if it’s not a brain in decline, it’s just the kind of conditions that change in your life — (such as) going from full-time work to retirement — that’s a pretty major change in your everyday experience that change the way you’re engaging your brain. The brain will shift its neural network power towards the environment that it’s in.” The professor notes the human brain is a complex, connected web of neurons. More importantly, there is a difference following brain damage between the actual neurons dying and the connections between those neurons being disconnected. In time,

she said those neurons can be reconnected, leading to increased functionality. “We don’t tremendously increase the number of neurons in our brains as we age,” she said. “What builds over our lifespan is the connections. And that is something that can always change in a positive direction.” The level of connection growth is dependent on how engaged a brain is with its environment and how much it experiences novelty and challenge, Lighthall said. In other words, your brain’s health becomes a battle between stagnation and challenging yourself — how you choose to spend your time.  “It can be social engagement, cognitive engagement, physical engagement; anything that brings on some sort of novelty can spur change,” Lighthall said. “Novelty can mean doing an experience you’ve never had before, but it can also mean challenging yourself in a domain where you’re already good at the thing. There’s an optimal level you want to be where we enrich our lives in some way.” Lighthall’s area of research interest is in high-functioning people who are clearly benefiting from neural compensation, a group she sometimes refers to as “super seniors.”  “(They’re) what we all want to be,” she said. “These kind of community presentations like the one at One Senior Place often attract those kinds of seniors. These are people who are retired, they may be in their 70s, 80s, etc., and they’re going to drive to a community center to do a learning activity of their own volition. They’re the cream of the crop.” However, Lighthall notes ‘super seniors’ aren’t rare — nor do they defy the odds. Rather, many people have the capacity to grow their neural connections and do so through mental and physical health, having a healthy social networks and consistent medical care.  The May 22 presentation is one of several community events connected to the Learning & Longevity Research Network, a group founded in 2016 by Lighthall consisting of UCF faculty that conducts research to improve emotional, cognitive and physical health in aging. 


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MAY 2018

Two cancer centers set to open this summer STEVEN RYZEWSKI SENIOR SPORTS EDITOR

The Orlando Health UF Cancer Center soon will see its first patients at two new facilities that figure to be game-changers for cancer treatment in Southwest and West Orange County, respectively. First, a cancer center will open at Dr. P. Phillips Hospital and will serve its first patients July 30. Less than a month later, the first patients will be seen at the newly relocated UF Health Cancer Center at Health Central in Ocoee. The facility is relocating from its current location on Blackwood Avenue to the main Health Central campus just across West Colonial Drive. In addition to the ease of connectivity that will come with the relocation, Brian Wetzel, Orlando Health UF Health Cancer Center chief operating officer, said he and his team are excited about a healthy increase in square footage at the Health Central location. “We’re tucked back behind medical offices there (at the Blackwood Avenue location) — not very visible from (State Road) 50 — and in spite of that, we’ve served (more than) 3,000 patients to date,” Wetzel said. “What we’re doing across the street, in comparison, is all of those same components will be in place, but we’re moving into a 30,000-square-foot location.” The new facility on Health Central’s main campus will have more than just added square footage, too. The facility will be able to provide a Computed Tomography scan, so patients at the Ocoee facility no longer will have to travel to downtown Orlando for the test. Joining the linear accelerator available for radiation therapy that is already present in Ocoee will be an MRI-guided linear accelerator that images the patient while delivering the dose to track the tumor and

The openings of a new facility in Dr. Phillips in July and a relocated facility at Health Central in Ocoee in August represent another step forward in cancer treatment at the local level.

The UF Health Cancer Center’s new location at Health Central Hospital will open in August.

cease application if a minuscule movement — heavy breathing, for example — takes the targeted tumor out of a healthy range. Although Wetzel added not every patient will be best served by this particular new technology, he said it is a feather in the cap of the facility to have it available. “It’s a really exciting technology that won’t be available anywhere else in Central Florida,” Wetzel said. “We’re so happy and thankful we’re going to bring that to the West Orange community.” While the changes at Health Central in Ocoee are rooted in a relocation, the changes at Dr. P. Phillips Hospital are an addition. “We don’t currently have a regional (cancer) care center at Dr. Phillips,” Wetzel said. “When we open up in full, our center will have all of those same components that we have at the Health Central location.” The one difference between the two local facilities will be the MRI-guided linear accelerator — while Dr. Phillips will have a regular linear accelerator, the MRI-guided version will only be

located at Health Central. At the heart of both projects is a desire by Orlando Health to continue to increase the availability and proximity of its cancer care offerings. Where, less than a decade ago, patients had no choice but to commute regularly to downtown Orlando for treatment, Orlando Health is proud to be diversifying and

Courtesy

localizing its offerings. “Not a lot of folks, unless you’ve been through it or cared for somebody who had cancer, fully appreciate how many visits are required,” Wetzel said. “The better a job that we do as a cancer program in making our services as convenient as possible, the better outcomes we’re seeing with our patients.”

Dr. P. Phillips Hospital will celebrate the opening of its cancer center July 30.


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Observer Publisher / Dawn Willis, dwillis@ OrangeObserver.com Executive Editor / Michael Eng, meng@OrangeObserver.com Design Editor / Jessica Eng, jeng@OrangeObserver.com Senior Sports Editor / Steven Ryzewski, sryzewski@OrangeObserver.com Community Editor / Amy Quesinberry, amyq@OrangeObserver.com News Editor / Gabby Baquero, gbaquero@OrangeObserver.com

1 in 5 Americans will develop skin cancer.

Black Tie Editor / Danielle Hendrix, dhendrix@OrangeObserver.com Associate Editors / Tim Freed, tfreed@OrangeObserver.com; Troy Herring, therring@OrangeObserver.com Black Tie Reporter / Harry Sayer, hsayer@OrangeObserver.com Staff Writer / Eric Gutierrez, egutierrez@OrangeObserver.com Advertising Executives / Michelle Gentry, mgentry@OrangeObserver.com; Cyndi Gustafson, advertising@OrangeObserver.com; Laura Rubio, lrubio@OrangeObserver.com Creative Services / Tony Trotti, ttrotti@OrangeObserver.com Customer Service Representatives / Allison Brunelle, abrunelle@OrangeObserver. com; Janice Carrion, jcarrion@OrangeObserver.com; Katie Rehm, krehm@ OrangeObserver.com

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Night shift Sue McGlinchey works as a night nanny to help parents and their need for sleep.

Presented by

Edith Gendron, Chief of Operations Informative workshops designed to: Provide information on services, increase understanding of the complexities of Alzheimer’s disease and other forms of dementia and increase the confidence of caregivers through strategic skill building.

HARRY SAYER BLACK TIE REPORTER

By 10 p.m., most people have wrapped up work for the day and are ready for a good night’s sleep. For MetroWest resident Sue McGlinchey, though,  10 p.m.  is when her shift begins.  McGlinchey founded Tender Care Newborn Services of Orlando, a newborn care company, three years ago. She serves as a newborn specialist, also known as a night nanny, for families across Central Florida. 

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NIGHT NANNY DUTY

The first year of a child’s life can be one of the loudest — full of crying and frequent attempts to put the baby back to bed — and often results in neither the child nor the parents getting much sleep. McGlinchey looks to help with that. Her schedule starts at  10 p.m.  and typically wraps at  6 a.m.  In that eight-hour span, McGlinchey touches base with the family and then keeps watch over the newborn throughout the night. She feeds the child (provided he or she isn’t breastfeeding), handles diaper changes and makes sure he or she is slowly rocked back to sleep.  “It works out well for me; I don’t have any children and can just come home in the mornings,” McGlinchey said. “One of my requirements is a place to rest; I don’t stay up all night. If the baby’s sleeping well, I’ll take a nap at work, a light sleep waiting for the next feed. Depending on how the night went shows how much sleep I’ll need the next day.”

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NEWBORN TIPS On top of overnight care, McGlinchey does consulting work and sleep training for new families looking to take care of their children. Some of her tips include: n Managing negative sleep association. McGlinchey believes it’s good to rock your baby to sleep in the first few weeks. But consistent rocking can prove to be a problem over time. “Rocking your baby to sleep every night is wonderful in the beginning but if you create that as a pattern, you’ll be doing it for the first year and it takes longer and longer as the baby gets older.” She recommends occasionally rocking newborns to sleep to avoid the creating a dependence instead. n Eating schedules. “If a mom lets a baby sleep for long stretches during the day, the baby’s going to be up more at night,” McGlinchey said. Instead of snacking every hour, she recommends the baby be fed every two hours for better growth.

McGlinchey picked up a few techniques after spending more than 15 years as a professional nanny and taking advanced newborn-care classes. She’s a firm believer in the “Fourth Tri-

“I try (to) work myself out of a job as soon as possible. This isn’t about staying on as long as I can for security, 268537

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it’s teaching the family everything that I know and helping the family sleep well.” — Sue McGlinchey


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Think You Know Everything About Your Medications? Nine Things Your Pharmacist Does NOT Want You Doing by Carol Lemerond, ARNP, Florida Blue Nurse Practitioner

mester” method, where the baby is properly swaddled and surrounded by white noise to create a more peaceful, womb-like experience. First-time parents also learn a variety of advice — such as proper swaddling techniques, healthy sleep routines, feeding schedules — from the newborn specialist. “One thing I’ve learned in the last three years is that every family and every baby is unique,” McGlinchey said. “There’s not a perfect cutout where you do the same thing for every baby. … You have to be flexible to what the family’s needs and wants are.” McGlinchey, who receives business through the internet and word-of-mouth, said she has taken care of more than 20 families in the three years since she started Tender Care. The time she spends with a family can range from 24 days to 12 weeks between three to seven days each week, although she occasionally works with two families simultaneously. There have been instances where she has moved in with new

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families for 24/7 care, as well. In those cases, McGlinchey’s husband takes care of their MetroWest home while she spends sometimes up to nine weeks away. “We try to nail down (the amount of time),” she said. “I need a start and an end date before I move on to the next family. Basically, I try (to) work myself out of a job as soon as possible. This isn’t about staying on as long as I can for security, it’s teaching the family everything that I know and helping the family sleep well.”

2. Don’t forget to tell your doctor and pharmacist what vitamins and overthe-counter drugs you take. Vitamins and common over-the-counter drugs like ibuprofen can affect your body’s systems and how well your body absorbs your medication. 3. Don’t skip doses. Take your medication as prescribed or it may not work. Some medications have to build up in your body before they take effect, and others need to be taken at the same time every day. 4. Don’t split pills unless your doctor or pharmacist has told you to. Some medications are less effective if you split them. Certain medications have special coatings that help them work in your body longer. If you break the coating, they may not work as they’re supposed to. 5. Don’t wait until you’re out to get refills. Make sure to get your refills before your medications run out so you won’t miss a dose. You may consider signing up for mail order. It won’t cost extra to have them delivered to your home, unless you ask for urgent delivery.

6. Don’t forget to ask your pharmacist questions. Your pharmacist is an expert on medications and how they interact with each other. Take advantage of their expertise and ask any questions you have about your drugs. 7. Don’t forget to ask for 90-day refills. Switching from a 30-day supply to a 90-day supply can make it easier to never miss a dose and will often save you money. 8. Don’t keep any medications in your car (including EpiPens and inhalers). Heat and frost can change or inactivate your medications. If you need to carry medications for emergencies, carry them with you in a purse or bag. 9. Don’t leave medications in the reach of children or pets. Be especially careful what you put in the trash. Your pets could get into your trash and ingest medicine. To find an authorized disposal site for medicine, call the DEA Office of Diversion Control’s Registration Call Center at 1-800-882-9539. Carol Lemerond is a nurse practitioner at the Florida Blue Centers in Winter Park Village and inside the Clermont Wal-Mart, where she teaches free health and wellness classes that are open to the public in addition to providing health coaching.

(352) 242-6800 Clermont (321) 441-2020 Winter Park www.FloridaBlue.com

Health Observed allows brands and businesses to connect directly with the Observer’s readership — and participate in the conversation — by creating engaging content on the Observer’s digital publishing platform. For more on Health Observed, email us at kohara@yourobserver.com.

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Harry Sayer

As a local night nanny, Sue McGlinchey’s workday usually begins at 10 p.m.

1. Don’t share your medications. You may think you are helping out a friend when you lend your medications to another in need, but you could be risking your own life and theirs. Your medications are prescribed to you and may not be appropriate for someone else. Instead, help them find resources to get the meds they need by calling 211.


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HEALTH MATTERS

LEARN TAI CHI TAI CHI UNDER THE TREES WHEN: 8 a.m. Thursdays through June 21 WHERE: Oakland Nature Preserve, 747 Machete Trail, Oakland COST: $75 for the entire eight-week session WEBSITE: oaklandnaturepreserve.org/ tai-chi MAITLAND SENIOR CENTER WHEN: 9 a.m. Tuesdays WHERE: Maitland Senior Center, 345 S. Maitland Ave., Maitland COST: $10 per month to the teacher. DETAILS: Wear a white shirt, black pants and comfortable shoes. PHONE: (407) 5396251 WAH LUM KUNG FU & TAI CHI OF NORTH ORLANDO ADDRESS: 7113 Forest City Road, Orlando PHONE: (407) 2988186 WEBSITE: wahlumnorthorlando.com DETAILS: Participants in the school’s tai chi class will learn powerbreathing techniques, basic tai chi hand movements and stances to improve balance and motor control. Sifu George Kee is the instructor and has been training since 1983 under Grandmaster Pui Chan. WINTER GARDEN WHEN: 9 a.m. Tuesdays and Thursdays. The next session begins June 5. WHERE: Jessie Brock Community Center, 310 N. Dillard St., Winter Garden COST: $50 for residents and $55 for nonresidents per month WEBSITE: returntogoodhealth.20fr.com.

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MAY 2018

Meditation in motion Whether you learn to practice tai chi under the trees or in a dojo, the physical and mental-health benefits are included either way. DANIELLE HENDRIX BLACK TIE EDITOR

Dr. David Orman plays many roles — natural medicine expert, teacher of natural health, marathoner, anti-aging supplement developer and martial artist. And for the next few Thursday mornings at Oakland Nature Preserve, the Ocoee resident is sharing his 15 years of expertise of tai chi with anyone willing to join him. “Tai Chi Under the Trees” is one of the newest programs ONP is offering to its members and guests. The current eight-week class takes participants under the preserve’s tree canopy, where Orman spends an hour teaching the art of self development using tai chi. The first class took place May 3. “David called me, and it was something I had been thinking about, how much I would love to get another type of exercise program available for our visitors to come out and join us,” ONP Marketing Director Jennifer Hunt said. “So when David called me it just was like, ‘Wow!’ It just seemed like a perfect fit for the setting or the kind of feeling we were trying to get out here.” THE ART OF TAI CHI

Mayo Clinic calls tai chi “a gentle way to fight stress,” and it also has been called “meditation in motion.” The martial art began as a way to develop self defense but over time evolved into a slowerpaced form of exercise now used primarily for stress reduction. “It actually is a combat art, and it started off as a combat art,” Orman said. “It’s the purpose or the intention behind it: You can teach it as a self-defense method or you can teach it as a self-development method, and I prefer the latter.” The art of tai chi — short for tàijíquán — began in China hun-

Danielle Hendrix

Dr. David Orman said he loves sharing his knowlege of tai chi with his students.

TAI CHI HEALTH BENEFITS n Increases flexibility n Helps improve and maintain balance n Improves muscle strength and conditioning n Helps boost heart health n Lowers stress, anxiety and depression n Helps improve focus n Helps maintain good posture n Increases aerobic capacity n Regulates respiratory system

dreds of years ago, as early as the 17th century. However, it was first introduced to the United States in 1939. Since then, tai chi classes in America have become popular in hospitals, clinics and senior centers because of the form’s reputation for health and gentle exercise. Tai chi involves a self-paced system of gentle physical exercise and stretching, during which

each posture flows seamlessly into the next. It is low impact and puts minimal stress on muscles and joints, and health benefits include increased flexibility and balance, decreased stress and anxiety and improved aerobic capacity. Although it involves breathing techniques, much like yoga, it is different in that it requires constant movement. “I would describe it as a cousin to yoga, so to speak,” Orman said. “I don’t know much about yoga, but the little I do know is they utilize breath and more static postures, while we are more (about) breath and movement. There are more similarities (than not), and I think the end goal is very similar.” ‘DOC WELLNESS’

Orman first began practicing martial arts when he was nearly 20 years old, beginning first with the “hard styles” like karate, which involve brute force and energy exertion. But a few years later Orman found himself in San Diego, California, to learn acupunc-

ture and Oriental medicine. His focus on and passion for natural health have caught on over time as he devotes himself to healing and advising people on natural medicine and overall wellbeing. In fact, he is also known as “Doc Wellness,” a nickname earned from his alternative-medicine blog as well as more than 17,000 Twitter followers and Facebook fans. San Diego is where Orman first was introduced to tai chi. He trained heavily in California for a time, and after moving to Ocoee, he picked it back up. “Teaching is my passion,” he said. Hunt was one of the participants in the first Tai Chi Under the Trees class. “Before I started it seemed a little intimidating, but once we began, it seemed like a perfect flow,” she said. “So the way David is working it step by step definitely relaxed me in the process, and I feel like this is something I could definitely do. I found it to be very calm. I’m really looking forward to doing this.”


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The ART of healing Orlando Health UF Health Cancer Center uses art as a tool for encouraging wellness. TIM FREED | ASSOCIATE EDITOR

A

rt not only heal can the soul. It also can help the body. Local hospitals are using art to bring health

and wellness to patients, and it’s all backed by science. The Orlando Health UF Health Cancer Center puts this into practice every day with its Arts in Medicine program.

“They come to us as cancer patients, but they leave as artists. It’s remarkable what they can make.” — Valerie Kelley

Artist in Residence Valerie Kelley and other instructors go to the cancer center and teach 13 different media of art to patients and their families. The art takes place everywhere, from the bedsides of patients to the waiting rooms. The list of positive benefits art brings to patients and their families runs on and on, Kelley said. “Patients have reported less stress, anxiety and pain when making art,” Kelley said. “Our program is based on evidence-based research that artmaking affects the body physiologically. It reduces cortisol, which is the stress hormone, and it also releases endorphins, which blocks pain. It also decreases stress and helps with relaxation response.” “There’s so many things that it does,” Kelley said. “It induces a flow state where they just get into the painting and they lose time and their treatment’s over already. They get into this flow state, and they forget why they’re here.” The art program first started in 2004 and provides a creative experience through the integrated medicine department. Music is a part of that department as well, along with tai chi and yoga. Unlike art therapy — which targets specific goals in conjunction

Courtesy photos

Top: This piece was worked on by 231 people at the cancer center — their names are leaves on the tree. Patients and families at the Orlando Health UF Health Cancer Center are creating beautiful art through a unique program.


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MAY 2018

Courtesy

Former cancer patient Julie Cressler joined a “survivorship choir,” part of Florida Hospital’s Integrative and Creative Arts Therapy Program.

FLORIDA HOSPITAL LAUNCHES NEW PROGRAM

with psychoanalysis — the Arts in Medicine program simply looks to share the scientifically proven benefits of art with everyone in the center, Kelley said. “We try to enhance the overall well-being of patients,” Kelley said. “We do not connect the art with any type of therapeutic goals. We do get to work with a lot more people because of that — we just make art with everyone. “They can come and learn anything they want to learn about art,” she said. “And if there’s something they want to learn about art, we’ll buy those supplies, and I’ll find a teaching artist. … It’s an opportunity for creative expression.” The cancer center sees 3,600 people every year, and more than 400 pieces of art hang on the walls. Kelley said she hangs more than a hundred pieces of patient artwork twice a year outside the hospital as well — once in Orlando City Hall and again in the CityArts Factory gallery in Orlando. Beautiful art has come from the hallways of the Orlando Health UF Health Cancer Center, from stunning self-portraits to gorgeous collages.

“The quality of art in our program is absolutely astounding, because the professional artists are coming in and giving a fine art lesson,” Kelley said. “They come to us as cancer patients, but they leave as artists. It’s remarkable what they can make.” The cancer center is always looking for volunteers who can teach art, Kelley said. The program is almost half funded by philanthropy, so financial support is also appreciated, she said. The benefits of art at the cancer center go far beyond the relief of pain and stress, Kelley said. “It really gives them an amazing opportunity to be in control of something, because this cancer deal happened to them,” she said. “A diagnosis of cancer is just a very overwhelming situation, so making art during their cancer has been a great way for them to focus on something that they can do to help with their wellness.”

Florida Hospital recently launched a comprehensive music and art therapy program devoted to cancer patients and their caregivers. Songwriting and art help the patients express their emotional pain, while playing musical instruments helps them focus and serves as a distraction from physical pain. Former cancer patient Julie Cressler joined a “survivorship choir” through the program. At one point her radiation treatment made it hard for her to breathe – but today, Cressler rehearses weekly and performs for patients at the hospital. “You won’t hear this from a lot of people, but cancer has given me some gifts, and one of them is the friends I’ve made in the survivorship choir,” Cressler wrote in a statement. “There’s something about singing in harmony with my group; I feel there are some endorphins that get me to the next day.” The Integrative and Creative Arts Therapy Program is funded, in part, by community support.

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Bridging the gaps An Ocoee woman is leading a local organization aimed at connecting health and wellness resources in Central Florida. AMY QUESINBERRY COMMUNITY EDITOR

A local health and wellness enthusiast has started a new platform for health and wellness professionals, practitioners and service and product providers to network with corporate professionals and give all a sustainable support system. Annette Gayle, of Ocoee, is chapter president of the newly formed Health and Wellness Network of Commerce Corporation for Orange County. She calls herself a “carepreneur” — a full-time caregiver and fulltime entrepreneur — because she takes care of her aunt, who has dementia, and also maintains a business. Her goal with the HWNCCOC is to create an environment for different health and wellness sectors to complement and benefit from one another — connecting a shoe vendor with a reflexologist, for example. The website, hwncc.com, will provide calendar listings for upcoming meetings and events for anyone wanting to get involved in the organization and help improve the health of the community. A CHANGE IN LIFESTYLE

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Gayle’s aunt and uncle developed dementia about six years ago; her uncle died of the disease in 2015. “I prayed for God to lead me to something that would help me help my aunt and, therefore, myself as her caregiver,” Gayle said. “Little did I know that the solution would end up helping my family generationally.” After much research, Gayle changed their eating habits, adapting the ketogenic diet, and discovered an all-natural Nrf2 activator that combines five herbs that produce millions of antioxidants that reduce oxidated stress in the body by up to 40% in 30 days, she said.

Courtesy

“Oxidated stress is related to almost every illness. This is really inflammation, when our bodies are overwhelmed by free radicals, all the things in the environment, it’s in our air, our food, it’s everywhere.” — Annette Gayle

“The significance of that is the oxidated stress is related to almost every illness,” Gayle said. “This is really inflammation, when our bodies are overwhelmed by free radicals, all the things in the environment, it’s in our air, our food, it’s everywhere.” She explains the all-natural activator. “Each cell in our body has a powerful dormant protein called Nrf2, unable to move or operate until it is released by an Nrf2 activator,” she said. “As we age or if our body is overcome by mal-


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407.297.0080 For All Your Growing Needs! Ginny Guyton, MD, FAAP • Denise Serafin, MD, FAAP • Marc Feldman, MD • Larissa Negron, MD • Amber Eastwood, ARNP • Maryann Dunn, ARNP • Ana Souto,CPNP •

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A prelaunch of the network of commerce will take place at 6:30 p.m. Thursday, May 31, in the Microsoft store at Mall at Millenia, 4200 Conroy Road, Orlando. The community is invited to learn about this organization and meet other people interested in connecting health and wellness resources. The official launch is at 6:30 p.m. Thursday, June 28, in the same location. The cost is $20 for nonmembers. The founder, Orly Amor will be in attendance. The first 100 members will receive a discounted membership of $100. For information, visit annettegayle.com or hwncc. com. You also can contact the president of the local chapter at (407) 706-3567 or annette@annettegayle.com.

function and disease, it results in cell damage. This damage is known as oxidative stress. … Oxidative stress and the associated free radical damage is linked to the progression of hundreds of diseases and aging symptoms. … When Nrf2 is activated in the

nucleus, it turns on the production of antioxidant enzymes, (which are) are powerful enough to neutralize up to one million free radicals per second, every second.” Gayle used these activators in her family for about two years before deciding to become an independent distributor. She said she has seen the improvements in her 82-yearold aunt, who, after three years is still able to help with chores, take care of herself and remain at home. She said her aunt’s inflammation level was 0.8%, about the level of a 5-year-old. “It’s a quality of life that I was not able to provide for my uncle,” she said. “I do want to emphasize that we  don’t claim to cure, treat or mitigate disease,” Gayle said. “My aunt still has dementia; however, her quality of life is amazing. And because her quality of life is amazing, as her caregiver, mine is as well.” Besides continuing to care for her aunt, her focus is on educating the public about healthy lifestyle changes and the benefits of Nrf2. “My hope is that teaching others what I have learned will encourage them to also become educated advocates for their own health and that of their families,” Gayle said.

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MAY 2018

Seeing the light Coherence Wellness in Winter Garden offers Low-Level Laser Therapy to help treat a number of conditions. ERIC GUTIERREZ STAFF WRITER

Whether it’s coping with mental-health afflictions or giving up harmful addictions, Elizabeth Palmer, of Coherence Wellness, believes in a holistic approach to treating patients. “I started to see the need for a holistic or integrative health model,” Palmer said. “I’ve been in private practice before and really had seen some deficits in the way that I could treat people.” Palmer has a dual-master’s degree in public health and clinical social work and a background as a clinical social worker. She started Coherence Wellness — located at 213 S. Dillard St., Suite 310, Winter Garden — to address the deficits she saw when it comes to treatment. “What I offer is an integrative mental-health model,” Palmer said. “My intake includes questions about what’s going on with a person emotionally (and) what’s going on physically. I incorporate aspects of nutrition, vitamins, supplements, (and) I look at hormone levels.” The use of Low-Level Laser Therapy, or LLLT, is another innovative approach to mentalhealth services offered at Coherence Wellness. In practice, LLLT works similar to acupuncture, but it uses a laser device instead of needles. “It’s laser acupuncture.” Palmer said. “The wavelength of light can penetrate the skin similarly to a needle, so we don’t have to do this invasive treatment. We can use the light wavelengths —

IF YOU GO

COHERENCE WELLNESS 213 S. Dillard St., Suite 310, Winter Garden PHONE: (407) 654-6402 WEBSITE: coherencewellness.com

Eric Gutierrez

Elizabeth Palmer, of Coherence Wellness, practices a holistic approach to treating her patients. On her desk is the laser device she uses for her Low-Level Laser Therapy treatments.

We can use the light wavelengths — which penetrate the skin — and have a similar effect (to an acupuncture needle). It’s noninvasive, doesn’t hurt (and it’s) quick. … You’re stimulating the same acupuncture points, but instead of using a needle, you’re using a light.” — Elizabeth Palmer, Coherence Wellness

which penetrate the skin — and have a similar effect (to an acupuncture needle). It’s noninvasive, doesn’t hurt (and it’s) quick. … You’re stimulating the same acupuncture points, but instead of using a needle, you’re using a light.” Palmer added the laser device she uses is FDA approved. “There’s a lot of new research about the benefits of light,” Palmer said. “There are variations in the wavelength and the power of the laser, but it’s considered a ‘cold laser.’ So, it’s not something that can burn the skin — it just penetrates the skin.” Coherence Wellness offers LLLT to help with acute or chronic pain, weight management and smoking cessation, according to its website. Palmer said LLLT works by

triggering “feel-good” chemicals in the brain and by stimulating the body. “It stimulates the body’s natural endorphins and neurotransmitters,” Palmer said. “It can give us a boost and provide the natural endorphins — those feel-good chemicals that are released (that produce) that runner’s high — it’s a way to stimulate the body’s natural positive responses.” LLLT also can be used in neurorehabilitation treatments for those who have suffered from a stroke, heart attack or traumatic brain injury, according to an article published on the National Center for Biotechnology Information website.

WHAT IS LOW-LASER LIGHT THERAPY? LLLT is similar to acupuncture but uses a laser device instead of needles to stimulate natural endorphins and neurotransmitters. Coherence Wellness uses the technology to treat acute or chronic pain, smoking cessation and weight management.


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MAY 2018

Breathe easy TROY HERRING ASSOCIATE EDITOR

Asthma is often one of the more mocked chronic diseases in popular culture, but it has a range of effects on more people than some folks realize. In the United States alone, about 13% of children and 14% of adults have had asthma at some point in their lives, according to a 2016 report by the Centers for Disease Control and Prevention. About 8% of the country’s population currently deal with asthma, the report said. In Florida, where asthma is triggered by factors such as heat and humidity, 18% of children under age 18 experience asthma. Of those, 60% currently still have it, according to a 2006-2010 report on childhood asthma by the Florida Department of Health. Based on those numbers, it’s one of the most common ailments treated by therapists such as Bruce Brown, of Nemours Children’s Hospital in Orlando.

“The bulk of our practice in pulmonology is asthma,” said Brown, who has 35 years of experience as a respiratory therapist. “We see kids with neurologic disorders, kids on ventilators, kids with genetic disorders, but I would say the No. 1 population of patients that we see have asthma. We’re close to 5,000 patients a year, and that’s going to grow.” But what exactly is asthma, and what causes it? Asthma itself is a lung disease, in which the airways can be easily inflamed and swollen by different triggers — including things such as weather, dust or strong scents. “There are multiple triggers that can make asthma worse; everyone is a little bit different as far as what triggers their asthma, what triggers their attacks,” Brown said. “Allergies is one, and then colds and flu will set asthma off — they’re big asthma triggers. They’ll need more medication or treatment.” These triggers especially affect children more than adults when

It’s Asthma Awareness Month, which means it’s the perfect time to brush up on warning signs and treatment options.

considering the fact that when kids are young, their bodies are still developing and can be extrasensitive to different things. That’s why Brown said many children have issues with dealing with asthma at home and at school — the two places where children spend most of their time. There, triggers such as dust mites and cleaning chemicals can easily set off an asthma attack. Although asthma itself is a hereditary disease, which tends to be found in mothers more often than in fathers, it also has been shown to be more prevalent in the black and Hispanic communities. Compared to white children, black children are 4.5 times more likely to take visits to the emergency room because of asthma and seven times more likely to die from it. In Hispanic children, the rate is 2.1 and 2 times higher than white children. “There are some ethnicities with asthma that are resistant to certain medication — ethnicity

plays a role in the treatment and management of asthma,” Brown said. “Some of it may be access to health care. The CDC and everyone talks about it, but reaching out to populations — making sure that we are educating and teaching — is important.” Educating is a real focus for professionals such as Brown, because keeping people informed is the best way to ensure those who suffer from asthma are treating it properly. That knowledge also includes understanding the medicinal aspects of keeping asthma under control. For the kids Brown and the others in the Division of Pulmonary and Sleep Medicine see, an asthma action plan is dictated. The plan tells children what to do daily to keep their asthma

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in check — such as utilizing their meter dose inhalers and knowing their triggers so they can avoid them. By taking those steps kids and adults alike can live their lives in a normal fashion, Brown said. “The ultimate goal is that everyone has normal lung function and can do anything they want to do,” Brown said. “Asthma can be controlled. It’s a disease, but it can be controlled.”

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Sometimes, less is more DR. NANCY RUDNER

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t’s no secret. Health care is a maze more complex than Houdini’s traps. Too many providers, too many drugs, too many pieces — it can be a mess. Sometimes, less is really more. So for help navigating the system and streamlining your care, who are you going to call? To help you navigate the “care non-system,” you, your family, your primarycare provider, health plan or a private-care manager can coordinate care or grow the confusion. You and your fam-

ily members can be your best advocates and guides. The learning curve is steep, but you can be your best advocate and keep the patient (you) in the center. It helps to keep the information organized. You can start with a notebook to keep track of your notes, questions and appointments. You can ask each provider for copies of test results and notes from your visits. Bring a trusted friend or family member who won’t get stage fright to go with you so you have an extra pair of ears. And you can make your wishes known. Everyone is unique in how far down the treatment road they want to go. Depending on your needs, your primary-care provider can be a tremendous help for learning which specialists you need and for coordinating all the information. The patient portal can be a central online

depository for test results and consults notes and could link your outpatient and in hospital care. The linked information is one step toward coordinating, and possibly streamlining, your care. Managed-care health plans have care managers that can also help. The health plan might assign a care coordinator to help you through the maze and attempt to create some efficiencies. Typically that happens after a hospitalization or after bills with certain diagnoses have been filed. You also can call your health plan and ask for a care coordinator. They can be especially helpful, finding where to get tests, procedures and consults in the health plan network

for the lowest costs to you. Sometimes the cost of a test — such as an MRI — can vary widely depending on where you have it done. The pharmacist can be an ally for your medications. It helps to use only one pharmacy and to ask the pharmacist to review all your medications so he or she can watch out for duplications, such as many drugs with different names treating the same problems, and drug-drug interactions. It can be hard to keep medications straight and to avoid interactions among drugs when you are taking more than five. Online resources to learn of possible complications of medications include drugs.com and The Beers List (tinyurl.com/BeersRx2017),

which identifies drugs to be avoided or used with great caution in seniors. Often, less is more. The “polys” — polypharmacy, poly-providers and polydiagnoses — can create poly- confusion, but you can orchestrate your care for more harmony and alignment with what you want. You are in charge. Dr. Nancy Rudner, a local workplace nurse coach with HealthAction.biz, helps individuals, employees and organization understand health, make healthy choices easier and achieve their health goals. Send your questions to Nancy@HealthAction.biz.

You can call your health plan and ask for a care coordinator. They can be especially helpful, finding where to get tests, procedures and consults in the health plan network for the lowest costs to you.

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MAY 2018

THURSDAY, MAY 17

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3:30 p.m. Thursday, May 17, June 21 and July 19, at Calvary Assembly, 1199 Clay St., Winter Park. Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 227-7669.

FRIDAY, MAY 18

MORNING MIND AND BODY 10:30 a.m. Friday, May 18, at the Southwest Branch LIbrary, 7255 Della Drive, Orlando. Experience the health benefits and rejuvenation of yoga-based stretches and relaxation exercises. This is a gentle stretching program with emphasis on an array of body and breathing exercises to promote better well-being and relaxation. No prior yoga experience is needed. All fitness levels are welcome. Exercises can be done with the help of a chair if needed or preferred, otherwise please bring a mat or large towel, water, and wear loose or comfortable clothing. (407) 835-7323.

SATURDAY, MAY 19

MAITLAND PUBLIC LIBRARY’S 5K RUN AND WALK 7:30 a.m. Saturday, May 19, at Quinn Strong Park, 207-247 Ventris Ave. W., Maitland. Participants will receive a themed T-shirt; all finishers will receive medals. To register, visit MaitlandPublicLibrary5KRunWalk. itsyourrace.com.

TUESDAY, MAY 22

DOCTOR WHO? 10 a.m. Tuesday, May 22, at the Winter Park Public Library, 460 E. New England Ave., Winter Park. Investigate your doctor, dentist and/ or living facility with free websites. Find out where your doctor studied, if there are any lawsuits, if your dentist is properly licensed, and also see ratings and inspection reports for assisted-living facilities and nursing homes. This class is free, but enrollment is required. (407) 623-3300, Ext. 3.

MONDAY, JUNE 4

MOOGA 9 a.m. Monday, June 4, at the Winter Park Public Library, 460 E. New England Ave., Winter Park. Get a MOOve on with bovineinspired family yoga provided by the Dairy Council of Florida. All ages. (407) 623-3300.

WEDNESDAY, MAY 23

BEHAVIOR BASICS: PREVENTING & MANAGING CHALLENGING BEHAVIORS 4 to 6 p.m. Wednesday, May 23, at Christ the King Preschool, 4962 S. Apopka-Vineland Road, Orlando. This presentation will cover the research-based techniques that have been proven effective for teaching children with ASD positive behaviors and building new skills, such as communication, following directions, self-help and independence skills, using principles of ABA. Participants will learn how behavior problems should be defined and understood, and develop skills for looking at problem behaviors from a functional, behavioral perspective.

FRIDAY , MAY 25

ORANGE COUNTY CLERK OF COURTS MENTAL HEALTH & WELLNESS LUNCH & LEARN Noon to 2 p.m. Friday, May 25, at the Orlando County Courthouse, Jury Room, 425 N. Orange Ave., Orlando. This event will feature mental-health presentations, wellness screenings, giveaways and in-person meet-and-greets with Central Florida health vendors to raise awareness and reduce the stigma surrounding mental health. A light lunch will be provided as part of this “lunch and learn”

event. There will also be gifts for the first 50 people to register. Register at bit.ly/2wuPNFa.

WEDNESDAY, MAY 30

HEALING ARTS SERIES 10:15 a.m. Wednesday, May 30, at the Southwest Branch Library, 7255 Della Drive, Orlando. Do you have a favorite quote made by a famous person or your grandmother? Take these words of wisdom and turn them into a work of art. This is part of the Healing Arts Series at Southwest Library. All supplies provided. No painting or art experience needed. For ages 18 and older. Registration required. (407) 835-7323.

THURSDAY, JUNE 7

SELF-DEFENSE BASICS 2 p.m. Thursday, June 7, at the Winter Park Public Library, 460 E. New England Ave., Winter Park. This class, for students in fifth through seventh grades, teaches self-defense strategies and techniques from the Florida Muay Thai School of Winter Park. The class is free, and enrollment is required. (407) 623-3300.

SATURDAY, JUNE 9

TAKE A HIKE WITH THE OAKLAND NATURE PRESERVE 2 p.m. Saturday, June 9, at Oakland Nature Preserve, 747 Machete Trail, Oakland. This walk takes place the second Saturday of each month. (407) 905-0054.

MONDAY, JUNE 11

AARP DRIVER SAFETY PROGRAM 5 to 8 p.m. to 3 p.m. Monday, June 11, and Tuesday, June 12, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 227-7669. STORIES AND STRETCHES 10:30 a.m. Monday, June 11, at the Southwest Branch Library, 7255 Della Drive, Orlando. Calling all little yogis and wiggleworms. Join the library for a special movement storytime focusing on motor development that is filled with stories, songs and fun! Ages 2 to 5. (407) 835-7323.

WEDNESDAY, JUNE 13

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3:30 p.m. Wednesday, June 13 and Aug. 8, at the Maitland Senior Center, 345 S. Maitland Ave., Maitland. Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 227-7669.

MONDAY, JUNE 18

YOGA AND REIKI 6:30 p.m. Monday, June 18, at the Southwest Branch Library, 7255 Della Drive, Orlando. Learn how simple postures in yoga and the healing powers of Reiki can change your health, add joy and longevity, and make a positive difference in all aspects of your life. Ages 8 and older. (407) 835-7323.

FRIDAY, JULY 6

BABYSITTING BASICS 10 a.m. to 3 p.m. Friday, July 6, at the Winter Park Public Library, 460 E. New England Ave., Winter Park. First aid and CPR training will be provided by the Winter Park Fire Department. Students in fifth through 12th grades will receive official certification upon completion of this training session. Lunch will be served. Please indicate any food allergies on your registration. The class is free, and enrollment is required. (407) 623-3300.

THURSDAY, JULY 26

POSITIVE AGING WORKSHOP 10:30 a.m. Thursday, July 26, at the Winter Garden Branch Library, 805 E. Plant St,, Winter Garden. Join Christina Frates, founder of New Horizons Senior Services, for information on a variety of topics concerning seniors and safety. Learn about each step in the aging journey, including the importance of the law and how it may affect you, senior housing options, resources that are available that will make it possible to stay in your own home, obtaining durable medical equipment and much more. Attendees will receive a free workbook with information and space for note-taking. Register online at ocls.info or call (407) 835-7323.

CLASSES & GROUPS

ALZHEIMER’S & DEMENTIA SUPPORT 6 p.m. the second Tuesday of the month, in the second-floor conference room at Health Central Hospital, 10000 W. Colonial Drive, Ocoee. For more, call (407) 8431910.


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MEMORIAL DAY SERVICE Monday, May 28, 2018 • 11 a.m. Glen Haven Memorial Park 2300 Temple Drive Winter Park, FL 32789 (407) 647-1100

275174

“We Remember Them”


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OrangeObserver.com

MAY 2018

Eat your fist and other tips for a healthy diet Have you ever had a doctor tell you to eat your fist? If you want to avoid becoming the one out of every three Americans who is obese, that’s what you should do . . . sort of.

adults are obese. Over time, obesity can lead to a host of other health problems, such as diabetes or heart disease. Following a proper diet is critical to combating obesity, Montesdeoca says.

Dr. Holger Montesdeoca, a primary care physician, says when you eat, the carbohydrates portion of the meal – whether it comes from whole grains, potatoes or fruits – should be about the size of a closed fist. That’s just one of the tips that Dr. Montesdeoca gives to patients who are battling the bulge.

Dr. Montesdeoca suggests your diet should consist of at least 40 percent carbohydrates, 30 to 40 percent protein, and about 10 to 20 percent fat. He recommends getting these from foods such as avocados, chicken, vegetables and whole grains.

“There are many things we can do to prevent and treat obesity,” he said. “At WellMed, we focus on educating our patients about a proper diet during each visit.”

In addition to a proper diet, Dr. Montesdeoca recommends engaging in regular activity for 20 to 30 minutes a day at least three to four times per week. This will boost your metabolism and help your body burn excess fat.

According to the Centers for Disease Control and Prevention, more than one-third of American

“By helping you maintain a healthy weight, we can also help you avoid more serious complications.”

WellMed at Southwest Orlando 5979 Vineland Road, Ste 208 • Orlando, Fl 32819 (407) 351-1235

Holger F. Montesdeoca, MD is a Board Certified Internal Medicine physician for WellMed at Southwest Orlando. He earned his medical degree at Universidad Catolica de Santiago de Guayaquil in Guayaquil, Ecuador. He completed his residency at Lincoln Medical and Mental Health Center in Bronx, New York.

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