09.28.17 Health Matters

Health Matters

Observer

SEPTEMBER 2017

THE MAN ISSUE Are beer bellies caused by beer? Why do men die earlier than women?

We answer these questions and more in our issue dedicated to men’s health.

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CONTACT US The West Orange Times & Observer and Windermere Observer are published once weekly, on Thursdays. The Winter Park/ Maitland Observer is published once weekly on Fridays. The Observer papers can also be found free in many commercial locations.

If you wish to subscribe to the West Orange Times, Windermere or Winter Park/Maitland Observers, call (407) 656-2121 or visit our offices at 720 S. Dillard St. in Winter Garden, FL. or 180 S. Knowles in Winter Park, FL.

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ORANGE COUNTY DOH CELEBRATES WORLD HEART DAY The Florida Department of Health in Orange County and the World Heart Federation celebrate the 18th annual World Heart Day, which raises awareness of cardiovascular disease and prevention, Friday, Sept. 29.

This year’s theme is “Share the Power” and emphasizes that the key to a healthy heart is to “know your heart, fuel your heart, move your heart and love your heart.”

“You are one heartbeat away from your last heartbeat,” said Dr. Kevin Sherin, health director and officer for the Florida Department of Health in Orange County. “Take steps today to improve your heart health and improve the heart health of a loved one or neighbor. The life you save may be your own.”

Cardiovascular diseases, including heart disease and stroke, are the leading cause of death in the United States and Florida. Each year, one in four Americans and one in three Floridians die from cardiovascular disease. About half of all Americans have at least one of these three risk factors for heart disease: high blood pressure, high cholesterol and smoking. All Americans are at risk for cardiovascular disease, but the non-Hispanic black community, particularly those in the southeastern United States, have a greater risk.

Nearly 44% of African-American men and 48% of AfricanAmerican women have some form of cardiovascular disease.

For more information, visit worldheartday.org, floridahealth.gov/stroke or flhealth. gov/heart.

AFTER IRMA, FLORIDA BLUE ANNOUNCES EXTENSIONS Florida Blue announced several short-term policy changes related to premium payments and claim filings to allow its members to focus on recovering from the impacts of Hurricane Irma.

In support of a Florida Office of Insurance Regulation emergency order, Florida Blue has implemented the following policy changes: n Premium due date extension. Members covered by an individual or family plan (not

covered through an employer plan) who had a premium due in September now have until Oct. 15 to make payments. n No policy cancellations. Until Oct. 15, policies for those covered by an individual or family plan will not be canceled or not renewed for non-payment.

Additionally, any individual or family plan member who missed making a September binder payment and was canceled may have their policy reinstated. Many employer plans are eligible for this payment extension as well. n Claim filing extension. The timeframe to file claims is extended through Dec. 3 for those covered by an individual or family plan. Additionally, these members will have extended time to respond to any request from Florida Blue for additional information in support of the claim. The extended timeframe also covers any appeals.

“In the wake of the hurricane, we know people want to be focused on taking care of their loved ones, homes and businesses,” said Pat Geraghty, CEO of Florida Blue.

“These extensions and policy changes are designed to give our customers one less thing to be worried about during this challenging time,” Members who have questions about their Florida Blue plans during Hurricane Irma recovery can contact the company by calling the toll free number on their member ID cards; online at floridablue. com; or by visiting a Florida Blue Center.

ORLANDO HEALTH PARTNERS WITH CARESPOT URGENT CARE Orlando Health announced a new partnership with CareSpot Urgent Care to provide the ability to connect patients to a broad spectrum of health care — from urgent to acute — within their own communities, close to home.

The partnership, which became effective Sept. 1, includes eight existing centers located in or on Altamonte Springs, Apopka, East Sand Lake Road, Kissimmee, Lake Mary, MetroWest, South Orange Avenue and Winter Springs, as well as all future centers.

The centers are being cobranded CareSpot Urgent Care | Orlando Health.

“Beginning with the opening of our first center in Orlando, our vision has been to improve how people experience health care by delivering excellent patient care and outstanding customer service with cutting edge technology,” said Eric Enderle, CareSpot Urgent Care CEO. “Our team is excited for the opportunity to be a part of future growth with Orlando Health.”

“This is an exciting time for our community,” Orlando Health President and CEO David Strong said. “The new CareSpot Urgent Care | Orlando Health centers will provide high-quality, convenient care for individuals suffering from an illness or injury that requires medical attention but may not warrant a trip to the emergency room. If a trip to the ER or a higher level of follow up care is warranted, that patient will have the option to make a seamless transition to the extensive medical resources provided by the Orlando Health network.”

CENTRA CARE OFFERS FREE SHOTS For the 16th year, Florida Hospital Centra Care and Get Healthy again will offer their Fast & Free Flu Shot events.

The community-focused organizations are making their annual healthy tradition a family affair with the addition of several family fun activities at each scheduled clinic. Each will feature face painting, games, giveaways, balloons and more.

“We want to do everything we can to encourage entire families to get vaccinated,” said Centra Care President & CEO Dr. Scott Brady. “The more people who get vaccinated, the less chance of a large flu outbreak. Vaccines are not only important in preventing the flu, they are also important in protecting those who are vulnerable to flu complications.

In Orange County, clinics will be held from 2 to 5 p.m.

Wednesday, Oct. 4, at Winter Garden Centra Care, 3005 Daniels Road, Winter Garden; and from 2 to 5 p.m. Monday, Oct. 9, at Colonial Town Centra Care, 630 N. Bumby Ave., Orlando.

For more information, visit centracare.org.

DR. STEVE MCELVEEN JOINS CENTER FOR SPECIALIZED SURGERY Florida Hospital Medical Group announced the addition of board-certified general surgeon Dr. Steve McElveen, to its team.

McElveen joins the Center for Specialized Surgery and is based in the practice’s Winter Garden location and with a second location in Apopka coming soon.

A board-certified general surgeon with more than 25 years of experience, he recently has relocated to Central Florida from AnMed Health Medical Center, where he has been serving as a general surgeon since 1996 — including a term as the hospital’s chief of staff.

A native of Hartsville, South Carolina, McElveen graduated from the University of South Carolina and earned his medical degree at the USC School of Medicine. He undertook his internship and residency training at Georgia Baptist Medical Center in Atlanta and Roanoke Memorial Hospital in Roanoke, Virginia, respectively.

McElveen provides residents of the Winter Garden and West Orange communities with expertise in a wide range of traditional and minimally invasive surgical procedures ranging from appendectomy to bowel resection, breast surgery, hernia repair, thyroid surgery and more.

“We are very pleased to welcome Dr. McElveen to Florida Hospital,” said Tim Cook, administrator of Florida Hospital Apopka.

“Dr. McElveen will be working in both Apopka and Winter Garden, allowing our patients from all over the West Orange community to receive many surgical services closer to home.”

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Is BEER to blame?

Do you rock the ‘dad bod’ — aka the beer belly? Guess what: It’s not only because of your favorite pint.

GABBY BAQUERO NEWS EDITOR

T

he real culprit behind the big, round bellies beer drinkers around the globe develop, especially in their later years, is actually calories, but binge-drinking beer certainly does not help, doctors warn.

A typical beer contains 150 calories, according to WebMD. So consuming several during a night out or a night in — depending on your preferred beer-drinking habits — can give you an extreme calorie overload.

Over time, the end result, particularly for men, is what some colloquially term the “dad bod” — an excess of fat in your midsection that causes a body figure prominently featuring a hard, fat belly that protrudes over your pants.

“It’s really not the beer that does it — it’s the fact that beer tends to have a lot of calories in it,” said Michael Seifert, a physician at UCF Health who specializes in both sports and internal medicine. “So if a guy eats just as many doughnuts in equivalent calories that he drank in beer, he would most likely still end up with the same body type. …

It’s really more a function of the caloric intake, and alcohol has a whole lot of calories.”

Although alcohol is not a sugar, it gets metabolized into sugar once consumed and then converted into fat if one’s body already has enough sugar and calories with which to work,

BEER CALORIE COUNTS (12-ounce serving) Budweiser 143 Bud Light 110 Busch 133 Busch Light 95 Guinness Draught 125 Foreign Extra Stout 176 Hamm’s 144 Colt 45 172 Corona Light 109 Corona Extra 148 Heineken 166 Heineken Light 99 Coors Original 148 Coors Light 102 Miller’s Genuine Draft 143 Miler Lite 96 Michelob 155 Michelob Light 113 Sierra Nevada Pale Ale 171 Source: Realbeer.com

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Seifert said. The more calories you consume — whether that’s through beer, sugary sodas or food — the more likely your body will convert the excess sugar into fat that goes straight to your tummy.

But why men are cursed with such an unsightly manifestation of their beer-drinking habit and excessive calorie intake actually boils down to hormones, Seifert said.

Although all men and women have a bit of both estrogen and testosterone in their blood, women comparatively have much more estrogen than testosterone.

And that balance is a big factor in fat-storage patterns, which remain similar between boys and girls at younger ages but tend to change once they reach puberty.

“If you consume more calories than you expend through physical activity and daily activities, then you’re going to end up storing fat,” he said. “And the reason why men store it in their bellies as opposed to the way that women store fat is more from hormones.

Women have more estrogen in their blood compared to men, and so, for reasons we’re not entirely sure of yet, the smaller amount of estrogen in men’s

blood causes the storage of fat in the abdomen while women store it in other places.”

Why the smaller amount of estrogen seems to positively correlate with different fat distribution patterns in men and women is still being studied by obesity researchers, so there’s no consensus regarding what estrogen has to with it.

But an observation that seems to add credence to the theory is that when the amount of estrogen in women’s blood decreases as they begin menopause, women start to develop more fat in their abdominal area, Seifert said.

Excluding the onset of menopause, women typically store their fat in their hips, buttocks and breasts. But the typical fat distribution pattern for men can create serious health risks if one’s belly fat gets out of hand, Seifert said, placing men at a higher risk for certain heart conditions.

“It’s riskier to have fat in your abdomen because you have a higher risk of developing diabetes, a higher risk of developing heart conditions, heart attacks, heart failure, cholesterol problems, strokes — those are the most common things that we see,” he said. “There’s certainly

a lot of bad things that can happen by having a lot of fat in your abdomen.”

Seifert advises that men who have what is known as in the medical industry as “central adiposity,” do all they can to control the number of calories they consume to avoid such health risks.

However, he emphasized studies show exercise alone is not an effective method to lose weight, using the example that a 20-minute run on a treadmill that burns 300 calories can be easily consumed once more throughout the day, which thwarts the calorie deficit needed to lose weight.

“Weight loss is hard; no matter how much weight you have to lose, whether it’s 10 pounds or 100,” he said. “And there’s a couple of reasons for that, but the biggest thing is that we live in a society with lots of calorie-dense foods. … A good quote I received during my medical training is, ‘There’s no way to outrun a bad diet.’ So you can exercise as much as you want, but if you’re still eating or drinking a lot of calories, you’re still going to gain weight.

Exercise is important for a lot of reasons independent of weight loss, but it’s not the primary way to lose weight.”

BELLY FAT FIGHTERS ALMONDS: Mayo Clinic ranks almonds as the No. 1 weight loss food due to the monounsaturated fats and protein it contains that promotes weight loss in the midsection.

LEAFY GREENS: Spinach, arugula and broccoli are all low in calories and filled with fiber, which helps one stay full longer and thus prevent overeating.

GREEN TEA: Drinking green tea daily can help with weight loss because of the catechins contained in the tea leaves, which, as revealed in a 2009 study published in the Journal of Nutrition, were found to result in greater abdominal fat loss in

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study participants who were compared to individuals consuming a control beverage with no catechins.

OATMEAL: A 12-week study conducted in 2008 at the Pennsylvania State University found that consuming whole grains results in greater fat loss in the abdominal area.

BERRIES: Strawberries, blackberries, raspberries and blueberries are all fruits that are high in fiber, which help people stay full longer and prevents overeating.

Source: Livestrong.com

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SEPTEMBER 2017

Living healthy or losing weight doesn’t only start at the gym — it also starts in the kitchen. A diet change might mean cutting back on sugars or not buying fast-food lunches every day, but typically the results are worth the extra effort, said Andre Martin Jr., a personal trainer at Garage Mama Fitness.

“It’s amazing how what you put in your body affects all phases of life,” he said.

One of his biggest pieces of advice for eating healthier is eating real foods, not processed foods.

“Our life is so much go, go, go, that it’s easy to go get your fast foods,” Martin said. “If you prepare your meals at home, you know exactly what you’re putting into your body. And if you eat real foods, your digestive system isn’t working as hard.”

And eating real foods means skipping out on all the snack aisles at the grocery store. “(The outside aisles) is where all the real food is,” Martin said.

“All the other stuff is the canned, bad stuff.”

But training the brain and body to get used to a new diet can be challenging, especially when there are no more snacks in the pantry. To combat the body’s desire to snack, Martin suggested turning to healthier options instead.

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“When you’re going to remove something from your diet, think about what you’re going to replace it with,” he said. “When you have that craving, what are you going to go to? It’s a habit, so you have to have something to fill that void. So when I have that craving for cake, maybe I’ll have a smoothie instead.”

The process of adjusting to a new diet can be uncomfortable for at least two weeks.

“When you’re trying to make a change, you have to do something different,” Martin said.

“You have to get comfortable with being uncomfortable for two to three weeks before your body will adapt. But the people who are consistent see the most results.”

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Eating healthier means no cheat days and beating the cravings.

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Real foods, real results

or two, Martin advised against it.

“Whatever (your diet) is, you’ve got to stick exactly to what it is,” he said. “You have to be disciplined. You can’t cut corners and think you’re going to get the results you want.”

For those worried that a dietary change means spending hours slaving in the kitchen making healthy meals, Martin said that meal preparation doesn’t need to be complex.

“I’ve found that cooking for yourself doesn’t take that long, and it’s a skill you should have anyway,” he said.

And when starting a new food diet, you also should think about increasing your intake of water.

In addition to having digestive and skin benefits, drinking more water helps keep hunger pangs at bay, Martin said.

“There are people who don’t even drink a single glass of water a day, so to go from that to sipping water all day long will make a difference,” he said.

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RECIPES AND TIPS TO EATING HEALTHIER

BREAKFAST Make a single serving of regular oatmeal (not the pre-packaged kind). Top it with a sliced banana, a few blueberries and a spoonful of peanut butter and honey.

“That’s my go-to, getready-every-morning meal,” personal trainer Andre Martin Jr. said.

FOR GRILLED ASPARAGUS: Place asparagus on a sheet of aluminum foil and season with salt, pepper and a drizzle of olive oil. Wrap the asparagus in the foil and cook on the grill for about six minutes.

(This recipe can also be used for corn on the cob).

SNACK TIME Combine one mango, one kiwi, a cup of pineapple, a handful of kale, one-and-one-half cups of either water or almond milk and a few ice cubes in a blender to make a tropical smoothie. Greek yogurt can also be added to the mixture for a creamier smoothie. Blend until smooth, pour into a glass and enjoy.

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ON CHOOSING MEATS: Chicken and fish are healthier than red meats, Martin said, because red meats take longer for the digestive system to process. When it comes to chicken, Martin suggested using tenderloins.

“You can do a lot with them,” he said “You can put them in salads, you can put them in soups, you can put them on the grill, you can put them in a crockpot.”

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Why do men die earlier than women?

Although statistics support the notion that men die younger, the question, which has no consensual answer, has intrigued scientists for years.

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For the past century of recorded data and perhaps beyond, men have consistently died earlier — at least five to seven years earlier — than women on a global average.

According to the Centers for Disease Control and Prevention’s National Center for Health Statistics, life expectancy for women in the U.S. is 81.2 years, compared to 76.4 for males — a difference of 4.8 years. And the trend is the same throughout the world.

The phenomenon is an oftstudied mystery that continues to plague the curious minds of scientists within the field of longevity research who, to this day, have no definitive answer.

Scientific literature on the issue proposes a combination

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The CDC reports that the top 10 leading causes of death in the United States are heart disease, cancer, chronic lower respiratory diseases, stroke, unintentional injuries, Alzheimer’s disease, diabetes, influenza and pneumonia, kidney disease and suicide. Combined, these causes accounted for 73.8% of all deaths in the USA in 2012.

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HEART DISEASE IN MEN Testosterone is linked to elevations of LDL cholesterol (bad) and declines in HDL cholesterol (good), placing men at a higher risk of hypertension, heart disease and stroke. Conversely, estrogen, which is found in higher quantities in women, is proven to lower LDL and increase HDL.

76.4 years

of reasons incorporating different scientific disciplines, but the majority of the hypotheses lie in the study of psychology and sociology. The lean toward these sciences makes sense because, according to systematic data collected by the World Health Organization from 1980 to the present, male life expectancy rates vary widely from country to country, indicating that the gender difference in mortality rates cannot be explained by biology alone.

According to the World Health Statistics 2014 report published by the World Health Organization, in 2012, Icelandic men enjoyed the longest life spans in the world, with a life expectancy of 81.2. After Iceland, life expectancies for men dropped to 80.7 years (Switzerland), 80.5 years (Australia) and 80.2 years in Israel,

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TIPS FOR MEN

FAST FACTS

1

In 2014, the average life expectancy rate for men in the U.S. was 76.4, compared to 81.2 for women.

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By age 100, women outnumber men eight to one.

Men are the victims of more than 92% of workplace deaths.

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Twenty-five percent more of newborn male babies die than female newborns.

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Women are 100% more likely to visit the doctor for annual exams and preventive services than men.

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In all developed countries and most undeveloped ones, women outlive men, sometimes by a margin of as much as 10 years.

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Women have outlived men at least since the 1500s, when the first reliable mortality data were kept.

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Sweden, the first country to collect data on death rates nationally, reported that between 1751 and 1790, the average life expectancy for men was 36.6 years for women and 33.7 years for men.

n Know your blood pressure — no matter what your age n Exercise vigorously every day to increase HDL levels n Go to the doctor for annual examinations n Get screened for coronary artery disease starting in your 20s n Minimize any tendencies to make reckless decisions n Do not ignore safety protocols at work

Central Florida. “In fact, married men tend to live longer than single men. And one of the reasons is just having a wife there to keep an eye on his health and encourage him to get to the doctor or to seek medical treatment. So married people do tend to live longer — especially married versus single men.”

In addition to a weaker social support system, substance abuse in men is purported to be a likely contributor to their higher mortality rates globally. According to the National Institute on Drug Abuse, men are more likely than women to use almost all types of illicit drugs and have a higher rate of alcoholism.

“Men are more likely to use almost all types of substances,” he said. “They’re also more likely to have ER visits and more likely to overdose. So they are more likely to use substances in general, pretty much all types of substances, but women are also just as likely to get addicted to substances as men. However, women have more health problems when they do become addicted and are more likely to suffer the negative consequences of them.”

Besides drug abuse, suicide rates are another highly suspected component fueling men’s higher death rates. American Foundation for Suicide Prevention reports that suicide is the 10th leading cause of death in the United States, and men are 3.5 times more likely to die via suicide than women. Mott, who helps individuals struggling with anxiety, depression and relationship issues, said the reason could involve the means of suicide used by men.

“When it comes to suicide rates between men and women, men are more likely to use lethal means, such as a gun, and women are more likely to use things like pills of some sort where you’re not as likely to succeed at times,” he said. “So, in terms of the suicide rate, it is men who tend to be more successful with that.”

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Singapore, New Zealand and Italy.

By comparison, the country with the highest life expectancy for women was Japan at 87 years, followed by Spain, Switzerland, Singapore and Italy, which all had female life expectancies of 85.1.

The statistics have compelled researchers to look for clues that could partially explain the longevity gender gap by paying attention to gender-specific behavior observed in men from multiple countries. Scientists have posited several reasons, including a general tendency in men to avoid medical care, take bigger risks, commit suicide, abuse drug substances, be employed in more hazardous occupations — such as law enforcement, construction, military and fire protection — and have weaker social connections.

“In terms of social support related to men and living longer, strong social support systems act as a protective factor,” said Dr. Parker Mott, of the Counseling and Psychological Services of

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HEART of the matter

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5 Myth-Busting Facts About Yoga Are you curious about yoga?

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• Your trial begins on the first day you Tip: Look for a studio that uses room temperaattend your first class ture for their classes. The reason is simple: you • You’ll have 7 consecutive days to get want to move well always and not be limited to in as much yoga as you’d like moving well when the temperature is right.

More men die from heart disease than from all cancers combined.

Are you paying attention to your heart health?

AMY QUESINBERRY COMMUNITY EDITOR

It’s a sobering fact that more men die from heart disease alone than all cancers combined.

But the good news is men can lower their risk of heart disease with some simple steps, including a heart-healthy diet, exercise and regular check-ups.

The Academy of Nutrition and Dietetics provides nutrition and lifestyle tips for a healthy heart.

YOU ARE WHAT YOU EAT

“Being overweight or obese, eating fatty foods, smoking cigarettes and being inactive put you at greater risk for heart disease,” the academy states. “Cholesterol levels and blood pressure are also important when considering risk factors.”

Consider these practices issued by the Academy of Nutrition and Dietetics.

Start by making smart food choices, including whole grains, fruits, vegetables, lean protein, low-fat or fat-free dairy prod-

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RISK FACTORS The following increase the chances of heart disease: n High LDL “bad” cholesterol (greater than 100 mg/dL) n High triglycerides (greater than 150 mg/dL) n Low HDL “good” cholesterol (less than 60 mg/dL) n High blood pressure (greater than 120/80)

ucts and heart-healthy fats. Limit caloric intake by filling up on high-fiber foods (whole grains, fruits and vegetables). Fiber can help you lose weight and keep the pounds off by filling you up faster and for longer.

The amount and kind of fat you eat makes a difference. Fat should make up 20% to 35% of your total calories, with only 10% coming from unhealthy, saturated fat, which is found in bacon, red meat, butter and ice cream.

Trans fats or partially hydrogenated oils should be avoided, too, as they can clog arteries and raise cholesterol levels. These fats are found in commercial baked goods and fried foods.

Unsaturated fat is the “good” fat and is found in olive oil, canola oil, avocadoes, walnuts and almonds. It helps cholester-

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In men, a 40-inch (or larger) waistline can be dangerous for health. Losing belly fat is important, with slow weight loss offering the best results.

But experts suggest not denying yourself everything at once.

Try gradually subtracting about 500 calories from your daily intake instead by eating more moderate portion sizes and limiting added sugars and fats. With even a 5% to 10% drop in weight, overall health improves.

Experts say to aim for at least 30 to 60 minutes of regular, aerobic exercise most days of the week. Simple activities, such as walking, jogging, biking and dancing, will make a difference.

Participate in strength training, such as weightlifting, at least two to three times per week.

THE ANNUAL CHECKUP

An annual checkup is crucial for men to keep their heart — and themselves — healthy, yet many do not make this important appointment. Why? The American Heart Association has published the top 10 reasons (read: excuses) why men put off a visit with their doctor — no doctor or insurance, time, financial constraints and others top the list.

These reasons don’t have much merit, and they could keep one from living a healthier, longer life. It’s easy to find a doctor by asking friends and family or going online. Insurance is available under the Affordable Care Act. Some serious diseases don’t have symptoms. It’s cheaper to spend money with a doctor than to spend it at a hospital.

These five foods have been proven to be good for lowering blood pressure, reducing cholesterol and preventing a heart attack.

13

Keeping you active on the Court, Field, and Track!

n Blueberries, fresh or frozen, are rich in inflammation-battling antioxidants, which combat inflammation in artery walls that can increase the risk of a heart attack. n Beets are good for releasing nitrites in the blood, which expand vessels and improve blood flow. This can help lower blood pressure and arterial stiffness in people with high blood pressure. n Nuts, such as almonds, walnuts and pecans, contain hearthealthy fats, protein and fiber. Try snacking on unsalted raw nuts, nut mixes and nut butters to improve heart health. n Fatty fish are rich in omega-3 fats, which can improve cardiac capacity during exercise.

This includes salmon, sardines, herring and canned light tuna. n Legumes, such as beans and lentils, are full of soluble fiber, which bind to cholesterol-laden bile acids and remove them from the body.

Source: MensHealth.com

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ol levels by raising “good” HDL cholesterol and lowering “bad” LDL cholesterol.

Omega-3 fatty-acids, a type of unsaturated fat, have been found to be helpful in preventing sudden death from heart attacks.

Fatty fish, such as salmon, mackerel, tuna and herring, contain two types of omega-3 fatty acids; flaxseeds and walnuts contain another healthy omega-3 fatty acid.

Eat less fatty meats and more plant-based foods, such as fruits and vegetables. They are low in calories and high in fiber and antioxidants — and are loaded with potassium — to can help keep blood pressure in check.

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SEPTEMBER 2017

PROSTATE CANCER EXPLAINED

It might be one of the most common cancers among American men, but prostate cancer is also one of the most curable.

DANIELLE HENDRIX STAFF WRITER

P

rostate cancer might be the third-leading cause of cancer death in American men, but for many the warning signs

go virtually undetectable — until diagnosis.

In fact, the American Cancer Society states prostate cancer might cause no signs or symptoms in its early stages.

But in 2017 alone, according to the ACS, there will have been about 161,360 new cases of prostate cancer in the United States.

Additionally, 26,730 will die from the disease.

The good news? It is one of the most curable cancers out there.

BY THE NUMBERS

161,360 New cases of prostate cancer in 2017

26,730

Deaths from prostate cancer in 2017

1 in 39

Will die of prostate cancer

1 in 7

Will be diagnosed with prostate cancer in his lifetime

66

Average age at time of diagnosis SOURCE: American Cancer Society

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RED FLAGS TESTICULAR VS. PROSTATE CANCER Anatomical differences aside, testicular cancer is also a curable one. The five-year survival rate lies around 97%, Dr. Alka Arora said. It occurs in the testes, and more than 90% of testicular cancers develop in germ cells, which make sperm.

According to the American Cancer Society, common risk factors of testicular cancer include: an undescended testicle, family history of testicular cancer, HIV infection, carcinoma in situ of the testicle and having previously had testicular cancer.

The main difference between the two, Arora said, is that prostate cancer is mainly found in men ages 65 and older. Testicular cancer is typically found in men between the ages of 20 to 35.

Additionally, prostate cancer also tends to be more prevalent in African-American men than in men of other races.

With testicular cancer, white men are four to five times more likely than African-American and Asian men to be diagnosed, according to ACS. “If you’re feeling a mass in the testis, whether painful or not, seek attention,” Arora said. “If you feel a mass in the testis, that is not normal. And, of course, if you have a history (of testicular cancer) yourself, you have a high risk of getting it in the other testis. Keep an eye on those things. But the good thing is that the survival rate is very good.”

“Prostate cancer is … very common, but the good thing is … the incident is high, but mortality is low,” said Dr. Alka Arora, a medical oncologist and hematologist at Orlando Health’s UF Health Cancer Center in Ocoee.

“There are so many (medical) advances, and if it’s caught early the majority of men with prostate cancer will not die from prostate cancer, but of other causes instead.”

PROSTATE CANCER 101

Prostate cancer, according to ACS, begins when cells in the prostate gland start to grow uncontrollably. The prostate is located below the bladder and in front of the rectum, and its size changes as men age.

Almost all prostate cancers are adenocarcinomas, which develop from the gland cells — in the case of prostate cancer, the cells that make the prostate fluid that is added to the semen.

Prostate cancer is mainly found in older men, with about six in 10 cases diagnosed at age 65 or older. Diagnosis before age 40 is rare, according to the ACS. “The majority of the cases are diagnosed at age more than 65, and 80% percent are (diagnosed) early in the game,” Arora said.

“Those can be treated by observation or surgery, where they don’t need a medical oncologist. …(The) five-year survival is very good, even when they have stage 4, as compared to lung cancer.”

According to Cancer Treatment Centers of America, 99% of all prostate cancers are adenocarcinomas. However, the ACS states there are also prostate cancers in the forms of sarcomas, small-cell carcinomas, neuroendocrine tumors and transitional-cell carcinomas.

Prostate cancer is typically diagnosed incidentally, Arora said. Upon diagnosis and depending on what stage it is caught in, the patient has multiple options for treatment.

“Any time you’re diagnosed with prostate cancer, they do a biopsy and give you a Gleason score,” Arora said. “The Gleason score tells us, ‘OK, you’re low, intermediate or high risk.’ Then we have cases where the life expectancy is really good, like someone who is diagnosed at 50 or something, where we can do things like radiation or surgery.”

On the Gleason scale, scores are calculated between 2 and 10,

According to Mayo Clinic, prostate cancer in its later stages can cause the following symptoms: n Blood in semen n Bone pain n Decreased force in the stream of urine n Discomfort in the pelvic area n Erectile dysfunction n Trouble urinating

with the latter being the highest risk possible. The higher your Gleason score is, the more likely it is that the cancer will grow and spread.

Arora said cases of prostate cancer in the early stages — when the risk is low and the patient has a good remaining life expectancy — are usually seen by urologists, rather than oncologists. The oncologists come into the picture if the cancer is high risk.

“We as oncologists get the cases late in the game. … They come to us and we can do chemotherapy, but now we have nicer, newer drugs that are available that are game changing,” Arora said.

And although prostate cancer is the third-leading cause of cancer death in American men, the outlook is fairly good. One man in seven will be diagnosed with prostate cancer in his lifetime, according to the ACS, but only one in 39 will die from it.

The five-year survival rate for most men with prostate cancer is nearly at 100%. Over 10 years, the survival rate hovers around 98%, and at 15 years survivorship it is 96%.

Warnings signs of prostate cancer can go undetected until caught incidentally, but early detection of any type of cancer is important, Arora said.

“If they have this cancer, not everybody needs to be treated immediately,” she said. “It depends on what the score is — whether they’re low, intermediate or high risk. Based on that we decide whether the person will benefit more from surgery or by radiation. Pros and cons are given in multidisciplinary teams we have.

“If caught on time, it’s curable,” she said. “(Patients) just have to be walked through that time, and once they’re done they have a pretty good survival rate.”

“If caught (in) time, it’s curable. (Patients) just have to be walked through that time, and once they’re done they have a pretty good survival rate.”

— Dr. Alka Arora

DID YOU KNOW? n Prostate cancer is the thirdleading cause of cancer death in American men, behind lung cancer and colorectal cancer. n Other than skin cancer, prostate cancer is the most common cancer in American men. n Prostate cancer occurs more often in African-American men and in Caribbean men of African ancestry than in men of other races. n Having a father or brother with prostate cancer more than doubles a man’s risk of developing prostate cancer.

SOURCE: American Cancer Society

SEPTEMBER 2017

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OrangeObserver.com

SEPTEMBER 2017

GET MILITARY FIT JEREMY’S ANYWHERE CHALLENGE

Jeremy Brassard is co-owner and lead trainer at Armor Crossfit in Ocoee. He also served in the United States Coast Guard and was a police officer for five years.

As someone who designs workouts each day for his athletes at Armor Crossfit, Jeremy Brassard knows a thing or two about designing a workout. This workout is specifically created for someone to do at home with minimal equipment.

STEVEN RYZEWSKI SENIOR SPORTS EDITOR

T

here are any of dozens of different options for fitness for a man or a woman these days.

Although we’re not here to say whether any one is better than the other, it might be helpful to look at how the different branches of our military and our law enforcement train service members and law-enforcement officers to be prepared for their job.

Jeremy Brassard, co-owner and lead trainer at Armor Crossfit in Ocoee, is a local fitness professional who was a service member in the U.S. Coast Guard and a police officer for five years.

“I loved basic training,” Brassard said. “It’s mixed modalities.

It’s generally, mostly bodyweight stuff. It’s trying to get most guys to where, no matter what branch of the military they’re in, they can perform their basic duties as best as possible.”

On the following page are his recommended moves that can be done at home, with minimal or no equipment, with an emphasis on body-weight exercises.

FIVE ROUNDS (for time) n 200-meter run n 20 pull-ups n 20 burpees or push-ups n 20 airsquats n 20 sit-ups TIPS: There is no rest incorporated into this workout, either between movements or between rounds, so Brassard said identifying a workable pace is key.

“Find something slower than your fastest pace — something you can maintain,” Brassard said.

He suggests keeping the time each time you do the workout, to reference your improvements.

JEREMY BRASSARD SERVICE: United States Coast Guard (four years) LAW ENFORCEMENT: Police officer in Mississippi and Alabama for five years FITNESS CERTIFICATIONS: Certified personal trainer (ISSA), certified CPR/AED, certified CrossFit Level 1 instructor, CrossFit Kids certified instructor and a USAW weightlifting coach FUN FACT: Jeremy played the role of “Indiana Jones” during the stunt show at Walt Disney World for four years.

ARMOR CROSSFIT 880 Maguire Road, Ocoee PHONE: (407) 614-8997 WEBSITE: armorcrossfit.com Steven Ryzewski

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AIR SQUATS

BURPEES

TIP: “Use good form and you’ve got to hit depth — you’ve got to get down below that hip crease.”

PROGRESSIONS: Air squats are a precursor to weighted back squats.

WHAT IS IT: “It’s like a push-up, kind of crossed with a jumping jack. You drop down, do a push-up, you stand up, jump and clap at the top.”

Why do it: “It’s conditioning — it’s a full-body movement that you do relatively quickly.”

TIP: “Don’t rush it.”

Sloppiness on this exercise can lead to injury.

SIT-UPS WHY DO IT: “Your core is 40%, roughly, of any pushing, pulling or lifting movement. If you can incorporate your core, everything you do will be better.”

MODIFICATIONS: For those who cannot do many sit-ups, Brassard suggests starting with leg raises (while lying down) or using a pad to shorten the range of motion until you are comfortable doing a full sit-up.

PUSH-UPS TIP: “Form is everything,” Brassard said.

“You’ll see people do push-ups where they kind of rock up and rock down.”

WHY DO IT: “(A pushup) hits your whole body if you do it correctly.”

Experience the difference…

17

SEPTEMBER 2017

RUNNING DO IT LIKE A SOLDIER: Although runners will work their way up to any of many distances, Brassard said the 1.5-mile run is the one that was timed and tested in basic training.

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SEPTEMBER 2017

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SEPTEMBER 2017

Hormonal harmony Issues associated with testosterone inefficiency include mood swings, fatigue, a decreased desire for sex and even infertility.

TROY HERRING ASSOCIATE EDITOR

As the body ages, so do many of the functions that help it to operate – one of them being testosterone.

Issues of low testosterone may be one of the most universally embarrassing topics for any man, but it happens.

Testosterone is the male steroid hormone that gives a male his masculine characteristics — such as developing male reproductive tissues, making the voice deeper and spurring facial hair growth and muscular development.

Many issues associated with testosterone inefficiency including mood swings, fatigue, a decreased desire for sex and even infertility.

That said, the effects of low testosterone range from person to person, and it makes it attractive for prescription-drug companies, said Dr. Jeffrey Brady, a urologist at Florida Urology Associates.

“Often, the symptoms are non-specific,” Brady said. “So, unfortunately, drug companies capitalize on that. They’ll say very common symptoms are fatigue, decreased energy, decreased libido — so a lot of the advertisements will say, ‘Are you fatigued?’ I don’t think I know any adult who is not fatigued, so I think most people have the symptoms, but most people probably do not have low testosterone.”

In general, men reach their peak level of testosterone in their teens and 20s, and although age does have an impact on the hormone, low testosterone actually can happen to any male at any age.

Brady said low testoster-

one also can be the symptom of some other medical issue, such as a prolactin-secreting tumor, which is a benign brain tumor that secretes prolactin and inhibits the production of testosterone. Other causes can range from diseases such as mumps to injuries to idiopathic conditions.

TESTING

Testing testosterone levels is basic — make a trip to the doctor’s office and get a simple blood test done. From there, a doctor can tell you if your issue is low testosterone or something more serious.

Before any medical procedures or prescriptions are suggested, Brady suggests a few easy steps that should be taken to help improve testosterone.

“You can do simple things like stop smoking, lose weight, do some exercise — the best type of exercise is lifting weights, because you’re using a lot of force — and have sleep apnea treated,” Brady said. “Those are some simple things that are not testicular abnormalities that affect testosterone production. Often, you can have your testosterone normalized, and (we do) not have to put them on lifelong testosterone therapy.”

SOLUTIONS

If those basic steps don’t work, and there is no other cause for lowered testosterone such as a prolactin-secreting tumor, then that is when doctors like Brady can step in and offer medical solutions.

“Often, the symptoms are non-specific … a lot of the advertisements will say, ‘Are you fatigued?’

I don’t think I know any adult who is not fatigued, so I think most people have the symptoms, but most people probably do not have low testosterone.”

— Dr. Jeffrey Brady, Florida Urology Associates.

Most of what Brady and other urologists can offer comes in the form of testosterone gel or cream that, depending on the medication, is rubbed onto a specific part of the body — such as the shoulder or armpit.

Because men normally have a small surge of testosterone in the morning, Brady has patients apply the cream or gel, which is absorbed through the skin and into blood veins, after a shower.

The medication then helps to normalize testosterone levels.

One risk with the gel/cream is possible transference to others — so if someone touched the spot where you placed the medication, then that exposure to the testosterone could cause usual changes associated with testosterone in the other person.

Another option is a regular injection.

“With injections, there are more peaks and valleys, because you’ll have a high level right after an injection and then it goes down — so you’ll have more of a low-testosterone feeling at the end of the cycle,” Brady said.

There are also testosterone pellets called Testopel, which are placed under the skin of the buttocks or lower back that dilute testosterone over the course of three to six months.

More times than not, it is a lifelong process for administering these different forms of testosterone therapy for people with legitimate cases of low testosterone.

While all of these options are available, they are also costly and long-term, so Brady said the best place to start if you think that you have low testosterone is your doctor’s office.

“Talk to your primary care doctor, say whatever symptoms you’re having, and that can be evaluated by a simple blood test,” Brady said. “And often, they’ll check other things, as well, to make sure there are not other medical conditions (that cause) those symptoms.”

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Vasectomy verdict:

Is the procedure right for you? immediate. The sperm that we produce — the process usually takes three months. After we do the procedure, you’re still fertile for around two, three, maybe four months. During that period (it’s) important that they use some other type of contraception just to make sure, until we tell them they are clear.”

A vasectomy is a contraceptive surgery that is typically an outpatient procedure. It is the severing of the tube that connects the testicles to the urethra and often is performed on men ranging from ages 25 to 49. It’s also the most common procedure performed by urologists every year, Hernandez said.

The surgery sometimes even must be performed more than once, he said, because the body sometimes heals itself and the tube reconnects.

TIM FREED ASSOCIATE EDITOR

What should you know before getting a vasectomy?

Before you become one of the 500,000 men each year who has the procedure, Dr. Eduardo Hernandez, of Florida Urology Associates — practicing at Florida Hospital in Winter Garden and Apopka — said there a few things to keep in mind.

“They need to be really sure that a vasectomy is what they want — it’s going to be permanent,” he said. “Another thing that we discuss is that it’s not

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SKIN DEEP

ing to cancer and yes, even From skincare and anti-aglearn about our largest organ. to tattoos, there is much

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ABOUT THE DOCTOR: Dr. Eduardo Hernandez attended the University of Puerto Rico before attending medical school at Bonce School of Medicine. He completed his urology residency at the University of Puerto Rico as well, and completed an endourology robotics fellowship at Celebration Hospital in Florida.

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“There’s always a chance the body will try to heal. … That’s just the body and the way things work,” he said.

Hernandez stressed patients should understand that the procedure is meant to last for a lifetime. Although the surgery can sometimes be reversed, there is only about a 50% chance based on how long ago the procedure was done and what method was used.

“Even though it is possible to reverse it, the reversal of the procedure is not always successful,” Hernandez said. “When we sit down with a patient and talk to them about a vasectomy, we always want them to have the idea in their minds that it is intended to be permanent. We always ask them if they already have children, how many and if they’re OK with that.”

SEPTEMBER 2017

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Email us at AdvertiseNow@OrangeObserver.com or Subscribe@OrangeObserver.com

407-355-0575 for an appointment

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The procedure is the most common performed by urologists every year.

As for side effects after the procedure, Hernandez said there are typically no noticeable ones.

Sexual performance shouldn’t change, he said.

There have been discussions of whether a vasectomy can lead to increased chances of prostate cancer, but that hasn’t been proven, Hernandez said.

“Nothing has been linked from vasectomies to prostate cancer or other types of cardiovascular disease like it was thought of in the past,” he said.

About 1% to 2% of patients might experience slight bleeding from the incision area and testicular pain that goes away on its own, but that is still rare.

Hernandez added that psychological side effects are even more rare and that patients don’t typically regret the procedure.

It all comes from having good communication prior to the procedure to ensure a vasectomy is right for the patient, Hernandez said.

“It’s something that people have to have clear in their minds before they say ‘yes’ or ‘no’ to the procedure,” Hernandez said.

“They need to have all the information.”

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HEALTH MATTERS

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OrangeObserver.com

SEPTEMBER 2017

ADVERTORIAL

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SPECIALIZING IN

HEALTH MATTERS

HEALTH CALENDAR

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OrangeObserver.com

SEPTEMBER 2017

THURSDAY, SEPT. 28

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3 p.m. Thursday, Sept.

28, and Friday, Sept. 29; and 9 a.m. Wednesday, Nov. 8, and Thursday, Nov. 9, at Health Central Park, 411 N. Dillard St., Winter Garden. Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 227-7669.

WEDNESDAY, OCT. 4

AROMATHERAPY 11 a.m. Wednesday, Oct. 4, at the Winter Park Public Library, 460 E. New England Ave., Winter Park. Learn the basics of the natural healing art in this threepart series. The event is free, but registration is required. For more information or to register, visit wppl.org or call (407) 623-3300, Ext. 3.

SUNDAY, OCT. 8

COMMUNITY YOGA 3 p.m. Sunday, Oct. 8 and Dec. 3, at the West Oaks Branch Library, 1821 E. Silver Star Road, Ocoee.

Yoga is a great way to improve the health of your body and mind. Studies show that regular yoga practice can strengthen muscles, improve bone density, increase cardiovascular health and reduce stress. Class will be one hour long. Children 12 and younger must be accompanied by an adult. Free. (407) 8357323.

TUESDAY, OCT. 10

HEALTH INSURANCE MARKETPLACE: WHAT YOU NEED TO KNOW FOR OPEN ENROLLMENT 11 a.m. Tuesday, Oct. 10; and 6:30 p.m. Thursday, Oct. 19, at the West Oaks Branch Library, 1821 E. Silver Star Road, Ocoee.

Confused about the health insurance marketplace? Certified navigators are offering information sessions to help individuals and families gain a better understanding. For more information, visit coveringcfl.net or call 1 (877) 564-5031.

THURSDAY, OCT. 12

AUTISM SPECTRUM SUPPORT GROUPS 6:30 to 8 p.m. Thursday, Oct. 12, in the smart classrooms of the Barnes Learning Center at St. Luke’s United Methodist Church, 4851 S. Apopka-Vineland Road.

There are two helpful support groups designed for parents of children/teens and parents of adults/soon-to-be adults on the

SUNDAY, OCT. 15 autism spectrum. Share challenges, ideas, concerns, success stories and fellowship. A trained facilitator offers a brief topical lesson at each support group.

Email care@st.lukes.org or call (407) 876-4991, Ext. 262, to register to attend.

MONDAY, OCT. 16

STORIES AND STRETCHES 10:30 a.m. Monday, Oct. 16 and Nov. 13, 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) 8357323.

CANCER SUPPORT GROUP 6:30 to 8 p.m. Thursday, Oct. 19, in the Attic (second floor) of Building C at St. Luke’s United Methodist Church, 4851 S. Apopka-Vineland Road, Orlando.

This support group is for cancer fighters, survivors, caregivers and spouses/partners. Meetings include a time of sharing, spiritual and emotional support, as well as a different topic each month related to the key challenges associated with cancer.

A guest speaker will present on “Yoga for Cancer Patients,” including breathing and meditation exercises. Email care@st.lukes. org or call (407) 876-4991, Ext. 262, to register to attend.

MONDAY, OCT. 23

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3 p.m. Wednesday, Oct. 18 and Nov. 15, 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.

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3 p.m. Monday, Oct. 23, and Tuesday, Oct. 24; and 9 a.m.

Monday, Nov. 20, and Tuesday, Nov. 21, at 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.

THURSDAY, OCT. 19

THURSDAY, NOV. 2

WEDNESDAY, OCT. 18

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3 p.m. Thursday, Oct. 19, Nov. 16 and Dec. 21, 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.

CARING FOR CAREGIVERS SUMMIT 9 a.m. to 2 p.m. Thursday, Nov. 2, at the Winter Park Community Center, 721 W. New England Ave., Winter Park. This event will be a day of caregiver support, guidance and assistance to strengthen your caregiver toolkit. Attend presentations from experts in

SWING DANCE SUNDAY 2 p.m. Sunday, Oct. 15, at the Winter Park Public Library, 460 E. New England Ave., Winter Park.

Swing into the library to learn this fun, highenergy dance, introducing footwork, lead-and-follow technique and swing’s signature style. No experience, special skills or partners are needed.

Bring shoes with smooth soles and your enthusiasm. Water and light snacks will be available to keep you hydrated and your energy up. Registration not required. (407) 623-3300, Ext. 4. senior health and meet local providers of services and programs for seniors. Free. For more, visit bit.ly/2hq3Hhe.

TUESDAY, NOV. 7

INTRODUCTION TO PILATES FOR ADULTS 2 p.m. Tuesday, Nov. 7 and Nov. 21, at the West Oaks Branch Library, 1821 E. Silver Star Road, Ocoee. Exercise your way to fitness in this introduction to Pilates class. Comfortable exercise or loose-fitting clothing required; yoga mats encouraged. Registration recommended. Register online at ocls.info/nextchapter or by calling (407) 835-7323.

HEALTH MATTERS

OrangeObserver.com

CLASSES & GROUPS

18+ OPEN GYM VOLLEYBALL 7:30 p.m. Tuesdays and 7 p.m.

Wednesdays at Jim Beech Recreation Center, 1820 A.D. Mims Road, Ocoee. This program is offered year-round and offers the community a great way to have fun and exercise at the same time. Cost is $2.50 per day or $25 annually (Ocoee residents) $4.50 per day or $40 annually (non-residents). For more, visit ocoee.org.

50+ FITNESS AEROBICS CLASSES 10:45 a.m. Mondays and Wednesdays at St. Luke’s United Methodist Church, 4851 S. Apopka-Vineland Road, Orlando.

Exercise mats are provided. Cost is $2. For more information, email to fit4ever40f@cfl.rr.com or visit st.lukes.org.

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) 843-1910.

BRAZILIAN BODY BARRE 7:15 to 8:30 p.m. Thursdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. This program is designed to incorporate technique, cardio fitness and weight training. All levels are welcome; no coordination required. Cost is $8 per resident and $10 per non-resident per class; or $25 per resident and $30 per nonresident per four-week session.

For more, call (407) 656-4155.

CHILDBIRTH EDUCATIONAL CLASS Held weekly in Health Central Hospital’s Gleason Room, 10000 W. Colonial Drive, Ocoee. These classes are designed to prepare expectant parents for the childbirth experience. Participants are encouraged to bring at least two pillows, a blanket, a coach, a drink and a snack. Registration is required, and classes are free for Healthy Start and MomCare participants. Visit healthystartorange.org to register.

HEALTH CENTRAL WALKERS 8:30 a.m. daily, at the West Oaks Mall, 9401 W. Colonial Drive, No. 728, Ocoee. Walkers meet at the

FREE 0% CONSULTATION INCLUDING

food court entrance. Put on a pair of walking shoes and join friends and neighbors for a brisk stroll.

The group also hosts a monthly breakfast. Attendees are asked to bring at least one canned food donation for Second Harvest Food Bank. Donations may be dropped off at the Community Relations department, fourth floor, Health Central Hospital, 10000 W. Colonial Drive, Ocoee.

SYSTEMA 7 to 8:30 p.m. Mondays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

The next session begins Oct. 2.

This Russian martial art focuses on self-defense methods, greater strength and endurance. Cost is $15 per class; or $45 for residents and $55 for non-residents per month. For more, call (407) 656-4155.

MOMS RUN THIS TOWN The Central Florida chapter of this women’s running club invites local women to get together to run/walk/jog and socialize. All skill levels are welcome. To join the group or for more information, visit facebook.com/groups/ centralflorida.mrtt, email mrttcentralfl@gmail.com or visitmomsrunthistown.com/centralfl.

TAI CHI 9 a.m. Tuesdays and Thursdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. The next session begins Oct. 3. Cost is $50 for residents and $55 for non-residents per month. For more information, visit returntogoodhealth.20fr. com.

PILATES 6 p.m. Tuesdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. For ages 16 and older. Cost is $8 for residents and $10 for non-residents per class, or $30 for residents and $36 for non-residents per four-week session. For more information, call (407) 656-4155.

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WEIGHT WATCHERS 5:30 p.m. Mondays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. Weight Watchers is a great way to lose weight and help keep weight off.

For more, call (407) 656-4155.

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SEPTEMBER 2017

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YOGA 7:15 p.m. Tuesdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. Great for beginners or anyone that wants to learn the basics of yoga.

Yoga involves stretching and strengthening exercises, breathing techniques and relaxing meditation. Next four-week session begins Oct. 3. Cost is $6 per resident or $7 per non-resident per class; or $20 per resident and $24 per non-resident per four-week session. For more, call (407) 656-4155.

ZUMBA 7 to 8 p.m. Mondays and Wednesdays and 9 to 10 a.m.

Saturdays, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

Move your hips and exercise in disguise. This is an exciting, dance-fitness class that features exotic rhythms set to highenergy international beats. Cost is $5 for residents and $6 for non-resident per class. Children 12 years and younger may attend if supervised by an adult. Cost is $3 per child. For more, call (407) 656-4155.

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Give your child a beautiful smile that will benefit them for a lifetime.

HEALTH MATTERS

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OrangeObserver.com

SEPTEMBER 2017

71

%

of emergency department visits are unnecessary*

You don’t have to be part of the 71%

There’s Something New, Something Better in Health Care

Most of the time, you’re much better off choosing a quicker, easier alternative to the emergency room. GuideWell Emergency Doctors has three Orlando locations, care for all ages and no appointments needed. From fevers to fractures, we have everything onsite so treatment can be started in minutes, not hours.

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