12.11.14 West Orange Times & Observer Health Matters

Health Matters Times WEST ORANGE

DECEMER 2014

A WHOLE

NEW YOU With every new year comes new goals.

Inside, we offer tips on changes that can improve your body, diet and finances. 8-12

SLEEP DISORDERS Waking up tired?

You may have a sleep disorder. 16

MEET THE DOC

Dr. Debbie Andree to oversee FSU’s pediatrics program. 14

BODY AND SOLE

Pick the right shoe for your new running routine. 18

Health Matters | December 2014

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+Health

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+ Orlando Health, MCRG partner for purchase

A Florida LLC created

by Orlando Health and Medical Center Radiology Group subsidiaries has purchased Boston Diagnostic Imaging. OHRI LLC closed on the transaction and assumed operations of the five centers Dec.2.

“Central Florida physicians and patients now have the best of both worlds,” said Dr. Wayne Jenkins, president of Orlando Health Physician Partners. “They have access to high-quality inpatient imaging services by MCRG at Orlando Health facilities and top-notch outpatient imaging services by MCRG at five convenient locations throughout our community.”

The purchase furthers the goals of Orlando Health and MCRG of outpatient development and expanding their respective geographic footprints into some areas not currently served by either organization. Boston Diagnostic Imaging is a network of five outpatient imaging centers, including two in Ocoee, one in Altamonte Springs, one in downtown Orlando and one in Sanford.

OHRI LLC will oversee all operational, clinical and fiscal responsibilities of the centers, as well as determine their strategic direction. Currently, the centers provide a variety of outpatient imaging services, including digital mammography, PET scans, an open MRI and much more.

Orlando Health is a $1.9 billion not-for-profit health care organization and a community-based network of physician practices, hospitals and care centers throughout Central Florida.

It is one of Central Florida’s largest employers, with more than 15,000 employees

and nearly 3,000 physicians supporting its philosophy of providing high-quality care and service that revolves around patients’ needs.

MCRG is one of Central Florida’s largest radiology groups with nearly 40 physicians. The practice offers both general and specialized radiology services including angio-interventional radiology, neuroradiology, and trauma and emergency radiology.

+ Hospital seeks vendors for fair

Health Central Hospital is partnering with West Oaks Mall to host a health and wellness fair from 10 a.m. to 5 p.m. Jan. 24, 2015, and organizers are seeking vendors.

Those interested should contact Brandis Burney, brandis.burney@ healthcentral.org or (407) 296-1496.

+ CHC receives 2014 Davies Award Community Health Centers Inc. was named a 2014 HIMSS Community Health Organization Davies Award of Excellence winner,

+ Serenades plants awareness reminders To recognize November as National Alzheimer’s Disease Awareness Month and National Caregiver Month, Serenades by Sonata, a memory care assisted-living community in Winter Garden, planted the symbolic Alzheimer’s purple flowers throughout the property to support the efforts of the Alzheimer’s Association.

the Healthcare Information Management Systems Society announced.

Davies Community Health Organization Award recipients are federally qualified community health centers that have demonstrated significant sustainable improvement of patient outcomes through the utilization of electronic health records and information technology while achieving return on investment.

Community Health Centers Inc. will be recognized at the 2015 Annual HIMSS Conference & Exhibition, which takes place April 12 to 16, 2015, in Chicago.

Times WEST ORANGE

720 S. Dillard St., Winter Garden FL 34787 (407) 656-2121; WOTimes.com Publisher / Dawn Willis, dwillis@wotimes.com Executive Editor / Michael Eng, meng@wotimes.com Community Editor / Amy Quesinberry Rhode, aqrhode@wotimes.com Design Editor / Jess Eng, jeng@yourobserver.com Sports Editor / Steven Ryzewski, sryzewski@wotimes.com Staff Writer / Zak Kerr, zkerr@wotimes.com Advertising Executive / Cyndi Gustafson, cgustafson@wotimes.com Creative Services / Laine Richardson, lrichardson@wotimes.com Office Manager / Sales / Rose Blankenship, rblankenship@wotimes.com

December 2014 | Health Matters

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Health Matters | December 2014

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When the ‘most wonderful time of the year’ … isn’t

BY AMY QUESINBERRY RHODE | COMMUNITY EDITOR

For some, the holiday season is painful and can trigger bouts with depression.

When Andy Williams’ Christmas tune, “It’s the Most Wonderful Time of the Year,” comes on the radio, Julie Wolf wants to change the station.

If life is good, then the song is great, the licensed mental health counselor said, but for people who are JULIE WOLF grieving, it can be a painful reminder of what they have lost. It doesn’t matter if the loss is the death of a loved one or unemployment or a divorce — grief is very individual.

Christmas is just a few

weeks away, and Wolf acknowledges it isn’t a happy holiday for everyone.

She is the founder and owner of Hope Counseling Clinic, which offers Christian counseling in Winter Garden, and said her office gets busier during this time of the year.

“We see an increase, specifically during (November and December), of clients dealing with depression, divorce and/ or marital issues,” she said.

“The focus on being with family magnifies the grief experienced by those who have lost family members or have conflictual family relationships.”

It can be a lonely time for people, she said.

“Don’t give yourself a timeline as to when you think Hope Counseling Clinic provides you should ‘be over it,’” she Christian counseling for individu- said. “Expect the first year of als, couples, families and groups. holidays to be very difficult and plan ahead as to how you ADDRESS: 410 N. Dillard St., No. want to spend them. When 103, Winter Garden. it comes to the day of the PHONE: (407) 654-5700 event/holiday, some people EMAIL: info@hopecounsel.com find comfort in holding onto traditions, talking about their loved one and reminiscing.

“They feel isolated,” Wolf Others find it more comforting said. “Even when they are to do something completely with others, often they feel new and different, such as like they don’t fit in or belong. traveling to a new place or Often they are navigating starting a new tradition.” a new role (single parent, Wolf said those grieving widow, etc.), and this feels should take the pressure off very unfamiliar and foreign to themselves, relax their exthem.” pectations and communicate There are five steps in the clearly to others how they can grieving process: shock/dehelp and show support. nial, anger, depression/deep “Most people that care sadness, guilt/bargaining and about you want to help, they acceptance. But there is no just may not be sure how,” “one size fits all” approach to she said. grieving, Wolf said.

LOCAL RESOURCE

HOW TO HELP Wolf also shared some general tips to keep in mind when grieving: • Be aware of triggers, such as special dates, anniversaries, birthdays, holidays, places or certain people.

• Make a plan to prepare for triggers.

• Let your feelings out by talking, journaling, writing, drawing, painting, playing or listening to music or praying.

• Take care of yourself physically by giving yourself time to eat, sleep and exercise.

• Ask for help. People want to help, but they don’t want to intrude. Let others know your needs.

• Give yourself time to actively remember the person who is gone.

• Name your loss; you can’t grieve what you don’t acknowledge.

• Be patient with yourself.

• Actively seek God through reading the Psalms, going on nature walks and listening to music.

• Give yourself permission to laugh, have a good time and even to love again.

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December 2014 | Health Matters

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Health Matters | December 2014

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RISING RATES Consumers who purchased health insurance under the Affordable Care Act will see a 5% increase in their premiums in the new year.

Many consumers who purchased health insurance under the Affordable Care Act likely will see increases in their premiums for 2015.

According to a report from the U.S. Department of Health & Human Services, premiums will rise by an average of 5%. However, the department also said consumers will have additional options in the new year.

The department expects to see a 25% increase in issuers participating in the ACA Marketplace in 2015. More than 90% of consumers will be able to choose from three or more issuers — up from 74% in 2014. Consumers can choose from an average of 40 health plans in their county for 2015 coverage — up from 30 in 2014.

Nearly eight in 10 current Marketplace consumers can find coverage in the 2015 Marketplace for $100 or less, taking into account any applicable tax credits. In 2014, 85% of consumers who selected a Marketplace plan received financial assistance.

The department’s December report showed that premiums for the second-lowest cost, or “benchmark,” silver plan held stable for 2015 coverage, with a 2% increase on average before tax credits in 35 states. Some consumers will be eligible for tax credits to help with the cost of monthly premiums.

The open enrollment for health insurance under the ACA opened Nov. 15. The last date to enroll for coverage beginning Jan. 1, 2015,

is Dec. 15, while the open enrollment period continues through Feb. 15.

Coverage for all 2014 Marketplace plans will end Dec. 31.

2014 AT A GLANCE Florida had the highest 2014 enrollment among states using HealthCare. gov and the fourth-highest percentage of eligible people using that Marketplace to purchase health insurance.

With 983,775 people signing up for coverage, Florida trailed only California in the number of people selecting a qualified health plan during the 2014 open enrollment period. In addition to those enrolling in QHPs, 180,479 Florida residents qualified for Medicaid or the Children’s

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PREMIUM RANGE AVERAGE PREMIUM AGE 2014 2015 2014 2015 22 $135-357 $158-428 $258.87 $291.80 32 $206-422 $226-507 $309.65 $350.49 42 $231-472 $253-568 $346.78 $392.58 52 $340-622 $373-836 $456.95 $578.36 62 $500-1,023 $549-1,231 $751.31 $851.28 Note: Premiums apply to non-smoker, non-parent, non-pregnant one-person households without health coverage from an employer, Medicaid/CHIP or Medicare. Rates are from healthcare.gov and include tax credits. Deductibles and other conditions of coverage vary.

Health Insurance Program.

Florida is not participating in the Medicaid expansion, but many who explored buying private insurance learned they qualified for Medicaid based on the current eligibility criteria.

Although the figures vary among sources, Florida’s

uninsured rates in 2013 and mid-2014 were among the highest in the U.S. Gallup put the figures at 22.1% in 2013 and 18.9% in mid2014. A survey by the Commonwealth Fund showed the rates as 30% in 2013 and 26% in mid-2014.

— Michael Eng

December 2014 | Health Matters

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Health Matters | December 2014

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Heather Makin said a “light bulb moment” triggered her dramatic lifestyle change.

A WHOLE NEW YOU Winter Garden resident Heather Makin has lost 60 pounds since beginning her nutrition and fitness regimen. And she’s not done yet.

BY STEVEN RYZEWSKI | SPORTS EDITOR Heather Makin could simply call it a day.

The wife of Winter Garden Commissioner Kent Makin and mother of two teenage boys was weighing in just south of 250 pounds about 18 months ago.

Today, she is hovering right around 185 pounds — more

than 60 pounds lighter.

It has been an inspiring, life-altering transformation and, although Makin said she is proud of how far she has come, what’s most important to the Winter Garden wife and mother is that she continues.

“Where I’m at right now,

it’s like, I could stop here and people would say, ‘Oh, you’ve done great,’” Makin said. “But I don’t feel like I’m done yet — I’m not done.”

LIGHT BULB MOMENT Makin, 44, attempted to battle her weight before, but sustained success had eluded her.

The trigger for this most

recent endeavor — one that has seen remarkable, sustained success — came about innocently enough.

The preschool Makin works at in Lake County decided to have a weight-loss contest for its employees, a “Biggest Loser”-esque competition, about 18 months ago.

Heather recalls dreading the initial weigh-in at the

Fitness is always a journey. It’s not something where you can lose all the weight and then stop — you have to continue. This is a lifetime journey now.

— Gina Vigeant, owner, Winter Garden Fitness

competition’s onset.

“I just remember looking at the scale and I’m like, ‘I don’t want to stand on that thing — I have not stood on a scale in two years,’” Makin said.

Because she had not weighed herself in so long, Heather was taken aback when the scale read 248 and said she cried after her co-worker had left the room.

Soon after, Makin went to see her doctor, a visit that, as it turns out, was a lifechanging one.

“They say you have that ‘light bulb moment,’” Makin said. “(My doctor) said, ‘You’re not the worst I’ve ever seen. … But you’re not getting any younger.

December 2014 | Health Matters Heather, these numbers are not good.’ That day, for whatever reason, I looked down at the number and all I could think about was, ‘This is not good. You’re in your 40s now, Heather.’”

Makin’s attempts to combat her weight in the past, in general, had to do with her appearance. This time, though, her motive was different.

“I said, ‘You know what, this is not about how I look; my husband loves me regardless,’” Makin said.

“It wasn’t even about the outward, physical looks anymore. It was about, ‘OK, you’re miserable, you feel terrible, this is not healthy, you’re not happy.’ And I said, ‘I’ve had enough.’”

That moment stuck, and Gina Vigeant, the owner of Winter Garden Fitness who has worked with Makin predating and throughout her transformation, said the success Heather experienced by focusing on her health wasn’t unusual.

“When it comes to your health, that hits home a lot more,” Vigeant said. “Everybody has different (appearance-based) motives … all those are kind of short-term motives. But I think whenever it comes to health, it’s something that’s a long-

FAD DIETS

We’re all familiar with them. Atkins? Paleo? Kale?

Whatever it may be, Registered dietitian and licensed nutritionist Dr. Kaye-Ann Taylor has a piece of advice for readers considering any of these — ask yourself if it is something you can see yourself doing permanently.

“If it looks like something that you can do for the rest of your life, and it provides a variety of nutrients and a variety of food, then that’s something we can look at it,” Taylor said.

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term commitment, and it’s something (people) want to continue so that they have a quality of life.”

STARTING SMALL

Makin didn’t tell anyone at first that she was embarking on another weight-loss plan.

In fact, at first, she didn’t change a whole lot.

Makin said she started by simply cutting her portions, not changing what she was eating. When that simple change reaped a loss of 10 pounds over about a month, she decided to take another small, focused step — cutting out sweet tea and soda.

Another 10 pounds disappeared from the scale, and, after that, Makin did a pair of cleanses, along with a progressive fitness regimen. When 30 more pounds came off, she got excited.

“I thought, ‘Wow, OK, maybe we’re on to something,’” Makin said.

The small steps were key, and they extended into her approach to working out. At first, Makin said she simply started going for walks. Over time, she gave Zumba and spinning classes a try and found she enjoyed them.

Gradually, the walks turned into short jogs — now, they’re usually three-mile runs.

The success she is having took time, and Makin believes taking a long view and pacing herself was crucial.

“I feel like overeating is an addiction, and it’s emotionally triggered,” Makin said. “If (the transformation) happens overnight, I don’t think it’s realistic.

Because you don’t instantly just get over something.

You don’t instantly heal — it takes time.”

Vigeant said the changes are sticking for Makin because the journey she is on has transcended all aspects of her life.

“She lives it every single day,” Vigeant said. “She’s a mother, she’s a wife, she works full-time.

It’s finding the time.

It’s staying on track.”

CONTINUED ON PAGE 10

WHERE TO BEGIN?

The New Year is looming and not only do you want to diet, but also, you want to get in shape.

So where do you start?

It’s a simple enough question but can be tough to answer.

Luis Rodriguez, owner and head trainer at Windermere Strength on Winter GardenVineland Road, has some suggestions.

“The first thing is getting a solid grasp on what exactly they want,” said Rodriguez, who has more than 15 years of experience. “Clearly defining that goal and clearly visualizing that goal (so) we can have something solid to go back to when the challenges start coming.”

Rodriguez said individuals have to articulate what their expectations are and the end game for their training.

“From there, we go down the road of planning and committing — how much time do you have?” Rodriguez said.

“How much are you willing to commit to? Here’s what it’s going to take to get what you want. Can you do that? Is that realistic for your day?”

Rodriguez said those who would start an exercise regimen need to make an honest assessment of how much time they can dedicate to fitness each week, be specific about when they will work out and then follow through.

That way, if you start to fall off the plan, you can go about diagnosing the problem and ask yourself whether your goals or level of commitment have changed.

While there are plenty of kinds of fitness to choose from — and it is important to find something you like — Rodriguez also advocates work-

ing one element of fitness into your routine no matter what your goals are.

“Strength training, in itself, is absolutely mandatory for almost all of us,” Rodriguez said.

“It really is. One, to overcome dysfunctional movements and movement patterns — if you’re sitting all day long, if you’re driving a lot. We’ve got to re-strengthen the body.”

Many people looking to begin or refocus their physicalfitness lifestyle will look to personal trainers, CrossFit or other types of group training.

Rodriguez, whose facility offers group, small-group and

and educated themselves in lots of different areas.”

Rodriguez suggests looking for word-of-mouth referrals or online testimonials.

You also should find out which kind of training you like best — whether one-on-one or in a group setting.

“Some people are actually more motivated in group atmospheres,” Rodriguez said.

“Someone might get better results because they have all their friends and people they’re meeting, and it’s not as great if they’re (training) one-on-one.”

Rodriguez acknowledges

Strength training, in itself, is absolutely mandatory for almost all of us.

one-on-one training options, said examining which services and trainers fit your goals, budget and personality is key.

“You want to find someone who is highly educated and this is their career — (someone) who has gone out and knows how to deal with every type of person,” Rodriguez said. “If you’re sedentary, and you’re going to the gym, a cheerleader is going to just push you, push you, push you … and some people will get great results. But your money is going to be best spent with someone who has worked with lots of different people

that professional help and coaching may not fit into everyone’s budget, but his advice for those who go it alone is similar to those seeking a coach — do your homework.

Rodriguez said to seek out any of many avenues, from books to online video tutorials, to craft a fitness plan.

He suggests consulting literature from the National Strength and Conditioning Association and recommends getting educated as though you were going to become a personal trainer, yourself, for the best results.

— Steven Ryzewski

A WORD ON WARM-UPS Most people know that it’s a good idea to stretch and warm up before a workout, but many might be doing so in a way that is counterproductive.

Luis Rodriguez, owner and head trainer at Windermere Strength, said active movements — not the traditional static stretching many people would think of — is the way to go.

“As far as warming up and preparing yourself for exercise, you want to do movements — not static stretching,” Rodriguez said. “Static stretching has very little benefit when it comes to elongating muscle. If anything, it actually has the adverse effect.”

Rodriguez suggests, among other things, walking lunges, body-weight squats, push-ups, arm circle and running in place to get prepped for a good workout.

Health Matters | December 2014

10 WOTimes.com CONTINUED FROM PAGE 9

SUPPORT SYSTEM

Although she kept her ambitions a secret at first, Makin did let her husband and sons in on her plan.

Kent Makin joined her on her crusade, deciding he could stand to lose a few pounds, as well, and her boys, ages 17 and 12, embraced the meal changes at dinner time. Currently, Kent has lost 55 pounds, as well, and Heather said having her family involved has been another key to success.

“That’s kind of what has encouraged me, too — having a spouse who is behind me all the way,” Makin said. “This has been a family thing.”

Additionally, Makin credits Vigeant’s enthusiasm and support over the years, especially during times when her motivation or belief wavered. Makin said it would always be Vigeant who reminded her just how far she had already come.

“She’s just an encourager, and I can’t say enough about her,” Makin said.

LIFELONG JOURNEY

Makin still encounters rough weeks, plateaus and doubts.

The holiday season, for instance, is notorious for wreaking havoc on waistlines across the country.

The difference for Makin this time around and going forward is that she feels mentally tough enough to continue along the path she has laid out for herself — even with the occasional setback.

“Maybe it’s because I’ve come so far, and I’ve worked through so much mental anguish getting where I am, but I’m just like, ‘OK, either you’re going to keep making excuses, Heather, or you’re going to keep walking this out,’” Makin said. “I’m still battling this — this is still a battle.”

The transformation the Winter Garden woman has experienced has been so profound that she has even taken a different outlook.

Adding to Heather’s motivation is her belief that she is not just doing it for her-

BABY STEPS ARE KEY

Dr. Kaye-Ann Taylor’s phone starts ringing a little more this time of year — and soon it will be ringing off the hook.

That’s because Taylor is a registered dietitian/licensed nutritionist based out of Nutrition and Exercise “Works” in Orlando. And, as the holiday season goes TAYLOR into full effect and the New Year looms, people are starting to consider making some changes to their physical appearance.

“It usually gets pretty busy

by January,” Taylor said. “I think most people are in what I call the ‘pre-contemplative self or her immediate loved ones: Her transformation has become a way for her to inspire others.

“I knew that I wanted (my transformation) to be a testimony to encourage others,” Makin said. “It’s not just about my goal.”

It’s a philosophy her

stage’ in December.”

For readers who may be looking toward 2015 as an opportunity to shed some pounds, Taylor has a few bits of advice that center on taking their new dietary changes in stride and setting focused, measurable goals.

“Most people, when they make that decision, it’s an all-or-nothing phenomena,” Taylor said.

“By the time you get to the middle of February, everyone is so worn out, and things just start to wane away.”

Taylor said it has been her experience that many people pledge themselves to going

friend and trainer seconds.

“Fitness is always a journey,” Vigeant said. “It’s not something where you can lose all the weight and then stop — you have to continue. This is a lifetime journey now.”

Makin is excited to press onward and continue her

to the gym seven days a week and making drastic changes to their diet overnight. It has been her experience that these changes are risky.

“We start off (with) small changes and very specific goals and very specific deadlines,” Taylor says. “If you can make it cumulative, then you can get better results.

“I think the biggest mistake is trying to tackle everything all at one time.”

What those specific changes are will vary from person to person, but Taylor suggests looking at one’s diet and identifying something obvious and starting there.

“If nothing else sticks — small steps, baby steps,” she said.

— Steven Ryzewski journey into 2015 and beyond — and said she will embrace wherever it takes her next.

“I am who I am; that’s the way God made me,” Makin said. “Wherever I end up, that’s where Heather should be — and that’s just fine.”

December 2014 | Health Matters

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Health Matters | December 2014

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Money Matters

A healthy lifestyle includes more than nutrition and exercise. Use these tips to jumpstart your family’s financial health in 2015.

As you prepare for a healthier new you in 2015, keep in mind that that includes more than just diet and exercise.

Often overlooked, a person’s financial health also contributes to his or her wellbeing. Whether you’re a highschooler about to graduate or a 60-year-old with plans to retire soon, now is the perfect time to evaluate your finances and set some goals, said Ray Duenas, a financial adviser with the Ocoee-based Stewardship Advisory Group.

Duenas is West Orange’s Endorsed Local Provider for author, radio host and motivational speaker Dave Ramsey. Through Ramsey’s programs, Duenas has helped many local residents eliminate debt, meet financial

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Jan. 29:

THE $300 CHALLENGE

Financial adviser Ray Duenas said a good way to jumpstart savings is by taking his $300 Challenge.

Duenas challenges West Orange residents to save $300 per month in 2015.

By taking a look at existing spending habits, most people should be able to find easy ways to carve that amount out fairly easily, he said.

goals and save for retirement.

“I love to teach these principles,” he said. “Your age really doesn’t matter. For a young kid, we can teach them to save $50 or $100 per month. For those in the middle (of their lives), it’s not over at all. There’s still incredible hope.”

The key, Duenas said, is simple.

“You have to be intentional,” he said. “You have to create a budget, and you have to be intentional about that budget. I love the saying, ‘Without a goal, you are sure to miss your mark.’

“It’s a lot like working out,” Duenas said. “You need a plan, a routine, and a coach can definitely help keep you motivated.”

When Duenas meets with a new client, he first works to ascertain his or her long-term goals. Those may include saving for a child’s college tuition, paying off a home or retirement. From there, he helps draft a plan to help the client achieve those goals.

That plan often includes an evaluation of the client’s

spending habits, which can result in some eye-opening revelations.

“Often, you’ll see that your money is not going to needs but, rather, wants,” he said.

Next, Duenas helps the client create a written budget that will help keep spending focused. Duenas said a budget doesn’t have to be complex; it just has to be thorough. Start a budget by writing your monthly income at the top of the page.

Then, subtract all basic costs — rent/mortgage, food, utilities.

Ramsey suggests every client begin his or her financial transformation by squirreling away a $1,000 starter emergency fund. That extra money will help clients stay on budget even if a small emergency — such as car trouble — arises.

The second step is to eliminate all debts (credit card, student loans, etc.) other than your home. After subtracting your basic costs from your monthly budget,

throw as much remaining money toward those — focusing first on the smallest debt.

Once those debts are cleared, Ramsey suggests creating a full emergency fund, which should be three to six months worth of expenses.

From there, he advises to invest 15% of your income into Roth IRAs and pre-tax retirement plans.

The last steps include college funding and paying off the mortgage early.

— Michael Eng

The Bucket List All about your new year resolutions for 2015!

Like to advertise in this special section?

Ad submission deadline is Jan. 22. Publish date Jan. 29.

For more information contact 407-656-2121 or Cyndi Gustafson advertising@wotimes.com

DAVE RAMSEY’S SEVEN BABY STEPS 1. $1,000 emergency fund 2. Pay off all debt with the debt snowball 3. Three to six months of expenses in savings 4. Invest 15% of income into Roth IRAs and pre-tax retirement plans 5. College funding 6. Pay off your home early 7. Build wealth and give

December 2014 | Health Matters

WOTimes.com 13

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Health Matters | December 2014

14 WOTimes.com

MEET THE DOC: Dr. Debbie Andree The Community Health Centers doctor recently was named clerkship director at FSU College of Medicine. She will oversee the college’s pediatrics program.

BY ZAK KERR | STAFF WRITER How did your appointment as clerkship director for pediatrics come about?

I’ve been on staff there for several years and worked for a long time with the dean of Florida State University College of Medicine. The outgoing director, Dr. Jung, had expressed interest in me for the position in a teaching regard. They thought of me for the appointed position because of my past work in a teacher’s role. I’ve been on faculty with them since December 2004 as an outpatient pediatric clerkship preceptor for third-, fourth- and first-year students.

Could you detail respon-

sibilities you have in this position?

I hold weekly meetings with third-year pediatric clerkship students in the college of medicine and discuss their patient cases that they’ve had during the week.

I also assign each pediatric student to a faculty preceptor for four weeks and then two weeks in the hospital.

I also schedule lectures for another class, called doctoring, on average once every two months.

What interests you about being clerkship director?

I like the part of the enthusiasm of the medical students and watching them

$

discover the marriage of the first two years of their didactics when it meets with the hands-on practice and art of medicine. It’s kind of like rediscovering it for myself.

What other roles and positions do you currently hold?

I am associate medical director and chief of pediatrics at Community Health Centers, I am a general pediatrician at Community Health Centers, and I’m a faculty preceptor for Florida Hospital Family Residency Program and pediatric residency preceptor for Arnold

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When did you know you wanted to pursue a career in medicine and why?

I was around 11 years old, and I had read a book about Clara Barton, and then I came home and told my dad

I wanted to work in medicine. I didn’t know being a physician was an option for a girl. My father mentioned that was a possibility, and I thought, “Yeah, I could be a doctor. I really like the idea of helping people.”

Where were you born and raised?

I was born in Illinois, and I grew up in a very rural area of northern Wisconsin.

What brought you to Florida?

My parents moved when I was in high school for their respective careers.

What is your educational background?

I like the part of the enthusiasm of the medical students and watching them discover the marriage of the first two years of their didactics when it meets with the hands-on practice and art of medicine.

December 2014 | Health Matters

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Dr. Debbie Andree recently became clerkship director of pediatrics at FSU College of Medicine.

I did undergrad, graduating with a bachelor’s degree in nursing from UF, and then I have a doctorate in medicine from the University of Miami School of Medicine.

Have you received honors or awards in your field?

In 2002, I was named Resident of the Year for Orlando Regional Healthcare. For Community Health Centers, I received the Signature of Excellence Award in 2007 and the Above and Beyond Award in 2008 and 2011. I also got the FSU College of Medicine Faculty Mission Award in 2008, as well as the Gold Award from the Bureau of Immunization for vaccination rates from 2009 to 2013.

What do you like to do away from work?

In 2000, I co-founded the Reach Out and Read Literacy Program in Orlando. I like to

spend time with my husband and three children, visit national parks, ride horses, water ski, wakeboard and read.

What goals do you have for your future in medicine?

I’d like to continue to grow and expand pediatric services at Community Health Centers, as far as hours of availability. I’d like to continue to be involved with research at a patient-centered level. I would like to continue to grow the pediatric faculty at the college of medicine as class size grows.

At Community Health Centers, we’re working with Centers for Disease Control now in a pilot study looking at vaccines and bar codes, because in everyone’s doctors’ office now, everything’s entered manually. When you go to shop at other places, bar codes can scan products quickly. We’re looking at that bar code system with vaccines.

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16 WOTimes.com COMMON SLEEP DISORDERS • Sleep apnea is the most common sleep disorder diagnosis, in which breathing patterns are interrupted during sleep.

It can occur as many as several hundred times a night, causing a shortage of oxygen and resulting in poor sleeping quality. It occurs in four out of every 100 men and two out of every 100 women.

Patients diagnosed with sleep apnea might be recommended for mouthpieces, sleep masks or nasal prongs attached to a machine with a fan, melatonin and other sleepaid pharmaceutical pills or, as a last resort, oral maxillary surgery to widen the wind pipe.

• Narcolepsy (sleep attacks) is an irresistible urge to fall asleep at any time of the day. Brief paralysis can occur upon falling asleep.

This condition makes driving an automobile unsafe.

• Nocturnal Myoclonus (restless leg syndrome) is the twitching, sudden jerking movements or a “creepy crawly” feeling of the lower extremities during sleep. Sleep apnea could be a factor in the development of this condition.

• Parasomnia is the medical term for sleepwalking but also includes sleep talking, night terrors, recurrent nightmares and other related activities while sleeping.

• Insomnia is a pattern of persistent difficulty falling asleep or waking earlier than normal.

• Gastroesophageal reflux (heartburn) can result in insomnia or poor sleep quality.

RESTED DEVELOPMENT The Orlando Health Sleep Medicine Center at Health Central Hospital, in Ocoee, has board-certified sleep physicians, accredited sleep technicians and staff to diagnose and treat a patient’s sleep disorder.

BY AMY QUESINBERRY RHODE | COMMUNITY EDITOR So, I have this friend who has sleep apnea and has to wear this goofy mask on her face every night so she doesn’t die. … OK, it’s actually me. I always thought this problem was for older, larger men — sorry, big fellas. But, even medium-sized women in their 40s can have it, too.

About seven years ago, I was constantly tired — exhausted, really. I was tired when I woke up, I was tired all day at work, and I was so tired when I got home from work that I had to take a little power nap before I fixed dinner for the kids.

These naps were entertaining to my son and daughter; they giggled whenever I would gasp and snort awake as they played nearby.

I thought I was getting enough sleep every night, but my mind was tricking me. Although I didn’t recall waking up in the middle of the night, the truth is that I was doing so many times — every time I stopped breathing. And I had headaches every morning.

When I was tired of being tired, I went to Health Central for an overnight sleep study. I put on my pajamas and went to bed in a cozy little room. Wires were stuck to my head and attached to a machine that monitored my brain waves, breathing patterns and oxygen levels throughout the night. In the morning, I went home.

I was diagnosed with mild

obstructive sleep apnea — I have a narrow throat airspace — and was told I needed a CPAP (continuous positive airway pressure) machine with all its hoses and buttons and filters. Basically, this little sleep partner — though obnoxious and unattractive — keeps my airway open and keeps me alive. Luckily, I don’t have to wear the gas-masklooking device; I just have what is called a nasal pillow.

Many people complain that it’s hard to sleep with the equipment on, and I agree. But through the years, I’ve altered my sleep position and have gotten used to this new way of sleeping. But that’s really the point: I’m sleeping. And I’m waking up refreshed after a good night of solid sleep.

I try to keep a lighthearted attitude about my condition, yet it is a serious matter, and there can be repercussions to ignoring the symptoms.

You don’t hear many stories of young people dying because of sleep apnea, but it does happen. Kelly Fitzpatrick, the Orlando Sentinel’s nightlife columnist, died in her sleep in September 2011. She was 36. Her family suspects sleep apnea might have been a contributing factor.

Do I want to wear this thing for the rest of my life?

No, but if I want a long “rest of my life,” I will keep it on.

Sweet dreams!

SYMPTOMS Sleep disorders are usually easy to treat.

However, if left untreated they can increase your related health risks.

You might recognize some of the symptoms of sleep disorders: • Snoring • Waking up feeling tired • Falling asleep during the day • Having high blood pressure • Stopping breathing or gasping for air during sleep • Having a neck size larger than 17 inches or being overweight

Health Matters | December 2014

Having trouble sleeping?

The Orlando Health Sleep Medicine Center at Health Central Hospital, in Ocoee, has boardcertified sleep physicians, accredited sleep technicians and staff to evaluate a patient’s sleep disorder and develop a program tailored to his or her individual needs, from diagnosis and treatment to follow-up.

Four private rooms have state-of-the-art equipment to diagnose sleep disorders, including sleep apnea, insomnia, restless leg syndrome, parasomnia and narcolepsy.

To schedule an appointment, call (321) 842-5430 or go to healthcentral. org/outpatient-services/ sleep-center/.

Health Central offers a CPAP Support Group that includes guest speakers, interaction with other CPAP users, a Q&A with a registered sleep technician, presentation of new masks and opportunities for mask fitting. The group meets from 6-7 p.m. on the third Thursday of every month.

RSVP by calling (321) 842-5430.

December 2014 | Health Matters

WOTimes.com 17

It’s all about the energy Reiki masters channel energy, or “chi,” to promote self-healing in their patients.

BY AMY QUESINBERRY RHODE | COMMUNITY EDITOR People practicing yoga and Indian medicine use the word “prana” when describing a person’s energy flow.

Those who take part in acupuncture and traditional Chinese medicine call it “chi.”

Those participating in reiki, the Japanese technique for stress reduction, relaxation and healing, call it “ki.”

Robin Corbin Reiki is an ancient hand technique originating in Tibet more than 2,000 years ago and even referred to in 2,500-year-old Sanskrit writings. The word “reiki” means universal life force energy or God energy.

Robin Corbin, of Windermere, has been a certified reiki master since 2008 and

has owned her own business, Shema Yoga & Healing Arts, since 2009. “(Reiki is basically) balancing out the energy, whether it’s emotional or mental,” she said. “Sometimes, you just get out of balance.”

With reiki, there is no manipulation of the body when transferring energy in a client, she said.

“You can lay hands on, but you don’t have to, and the energy goes where it’s needed,” she said. “Your body has the ability to heal itself and knows what it needs.”

The reiki master is “just a channel for that energy that comes from God or whatever your concept that is your creator,” Corbin said.

“It’s not my energy; it’s not something I’m giving. It’s

that ‘prana,’ that ‘chi.’ I’m just the channel that it comes through.”

Sessions can last anywhere from 30 to 90 minutes.

“It’s pretty much a headto-toe thing; you’re going from the top of the head to the bottom of the feet,” Corbin said. “And maybe start face up and then flip over and concentrate on those areas on the back.

If (clients) have some concerns, I will spend more time there.”

How does she know where to concentrate her efforts?

“The energy feels different, maybe my hands feel hotter or pricklier,” she said. “It feels like a pulsation, so I would feel that sensation in my hands if that part of the body needs more energy.”

Corbin was a yoga teacher

when she opened Shema, and she was doing some reiki. She read about the practice and found it interesting, so she went through the process of becoming a certified reiki master.

“You go through three atunements: Reiki 1 and 2 and Reiki Master,” Corbin said. “You have to absorb all that you learn, practice what you learn and then move ahead when you feel comfortable with what you’ve learned.”

For more information or to schedule an appointment with Corbin, call (407) 9474995 or email her at robin@ shema888.com. She no longer has a facility, but she will meet clients where it is convenient for them. Her rates are as follows: $75 for 60 minutes and $90 for 90 minutes.

BENEFITS Adapts to the

natural needs of the receiver Promotes natural self-healing Heals holistically Strengthens lifeforce energy Balance energies in the body Balances the organs and glands and their functions Strengthens the immune system Relieves pain Clears toxins Reduces stress Encourages relaxation Releases blocked and suppressed feelings Promotes creativity Strengthens intuition Enhances personal awareness Enhances meditation

Health Matters | December 2014

18 WOTimes.com

BODY & SOLE

UPPER: The area that wraps over the foot. The upper can be made of leather or a synthetic material and can be combined with mesh to reduce weight.

TOE GUARD: The extra rubber material on the front of the shoe for toe drag protection.

If often wraps from the outside to the upper.

TOE CAP: The top piece above the toe guard for additional toe drag.

VAMP: Part of the toe box area, it is where the upper bends.

This area is flexible, breathable and often perforated.

EYELETS: The top eyelet is considered the most important because it is the one that locks laces intact.

Picking a good pair of athletic shoes isn’t as simple as choosing the style you like the most. Shape, size, feel, gait and shoe parts all affect health and mobility.

Although many consumers are more concerned with the look and feel of their shoes than proper fitting and function, selecting the pair of shoes that best matches the feet is paramount to avoid injuries and move better.

That is why Jerry Pegram, owner of Tri & Run of West Orange, does not leave fittings to his customers.

“That’s kind of our specialty — to properly fit people’s shoes,” Pegram said. “That’s up to us, as far as fitting people in shoes. The first thing we like to do is get people’s feet measured. That’s the No. 1 priority.”

The fitting process at Tri & Run begins with a measurement of foot length and width, as well as arch length.

Body types and how feet strike the ground are also important factors, Pegram said.

“Some people are heavyheel strikers; some people are more mid-foot,” he said. “Pretty much all shoes have good crash pads in the heel, at least more of your traditional shoes. But then, you have people that bring in their worn shoes, and they’re not even worn at all in the heel, but they’ve got a lot of excessive wear in the front.”

Some shoppers favor the most affordable shoes, but paying for quality shoes up front is a smarter investment both fiscally and salubriously,

Pegram said.

“I think, in the running shoe industry, there’s kind of a breaking point with technical shoes,” he said. “The average price 10 years ago used to be $90. Now, the average price is more like $115 or $120 for a good technical shoe. You can certainly find running shoes out there for $70 or $80, but a lot of them are not going to have the same kind of bells and whistles as a good technical shoe would have. We see that every day: Somebody comes in and they’ve been running, and their feet are hurting. They show us their shoes and they’ve got some $50 or $60 shoes with some wear, and it’s just not the right shoe for them.”

Having the wrong shoes can lead to serious injuries, starting with the feet and going all of the way up the legs and back, Pegram said.

“If the shoe’s not fitted properly, our biggest injury that we see is plantar fasciitis, and that’s an injury to the tendons in the arch, tendons attached to the heel and to the metatarsals,” he said. “Because we do a lot of doctors’ referrals, we see it more in their non-runners than anything, people just not wearing the right shoe to work in. We get a lot of doctors’ referrals for patients who need inserts, too.”

— Zak Kerr

HEEL RAKE: The curved shape the back of the heel. The more curved, the less slippage and better fit.

HEEL COUNTER: Usually a plastic or composite material that stiffens and reinforces the heel area. A stiffened heel improves fit and stability.

ACHILLES NOTCH: Found in the back of the shoe collar, this area protects the achilles tendon and prevents irritation.

FLEXGROOVES: Areas in the forefront of the outsole that allow the forefoot to flex when walking and running.

SHANK: Located under the midfoot or arch area of the shoe for support, the shank is often made of thermal plastic urethane. Some shoes use a shank plate to reduce weight and retain rigidity.

MIDSOLE: Providing knees with more comfort, the midsole is a shoe’s predominant cushion support. With the softer section sandwiched between the outside and upper, the midsole can consist of several densities and materials, including ethyl vinyl acetate and polyurethane.

December 2014 | Health Matters

FIT TO PRINT

Why the ‘Average Joe’ should strength-train We live in a society that training will help a person expects everything to be recruit more muscle mass extremely fast. Instant behind each repetition. messages, text messages, This has some interestInternet, email, cell phones ing implications. Say you’ve and streaming video all have worked on gaining strength increased the rate that inforfor a while now and you go mation can be passed along on a run. Your weight has to others and has played a remained the same from huge role in shortenthe time before you ing our expectations were strength trained that results will be and after you strength delivered quickly. trained with no changAnd although I’m all es in lean body mass. about delivering reIt should be easier sults in the quickest for you to carry your and most efficient own weight while runway, sometimes, it’s ning now that you are good to take a step stronger, because the Eric Hardek back and do things forces placed on your the right way. body now demand a smaller I see people all the time percentage of your overall destroying themselves runstrength to remain upright ning sprint after sprint and and moving forward. mile after mile to lean down Training for strength can their bodies. And although increase your movement they are expending tons of economy. If you can now calories and pushing themrun longer distances at the selves to their max, the prob- same speed or run the same lem is that they need to exdistance at a faster pace, you pand the size of their engines. can burn more calories during The reason they see minimal exercise. Therefore, strength results and where many gym- training can help you lose goers fail is because they fail weight. to ever train strength.

Picture the person that Now, when I say “strength,” hasn’t ever focused on I am talking about a weight training for strength as a that can be lifted through a blank canvas. Now bring out full range of motion for only the potential of that canvas. one repetition. There are Use strength as a launch tons of ways to gain strength, board to increase your runincluding lifting moderate ning pace. weights at high velocities, Sources: “Cardiovascular, lifting light weights for speed, metabolic, and hormonal and plyometric exercises. parameters in professional However, in my experience, tennis players,” by Konig, D., nothing will increase your M. Huonker, A. Schmid, M. strength more than actuHalle, A. Berg and J. Keul; “Inally lifting something that is fluence of exercise and trainheavy. To get stronger, lifting ing on motor unit activation,” heavy weight is a must. Now,

by Sale, D.G. I am not talking about repEric Hardek, a Winter Garping a weight out for 10 and den resident, is the director considering it “strength.” I of strength and conditioning am talking about doing lifting at Top Select Volleyball Academy. He holds a bachelor’s a weight for three, two or degree in exercise science maybe even one repetition. from Miami University (Ohio) Strength training increases and a master’s degree in a person’s ability to recruit exercise science from Florida more motor units during volState University. For more, untary contractions. A motor subscribe to his fitness blog, unit is the motor neuron and EricHardekFitness.weebly. the muscle fibers that it innervates. Essentially, strength com.

WOTimes.com 19

Health+Fitness

CALENDAR

To publicize your event in our Health Calendar, please send by mail: 720 S. Dillard St. Winter Garden, FL 34787; or by email: news@wotimes.com. Photos are welcome.

THURSDAY, DEC. 11 Belly Dance for Life — 7 to 8:30 p.m. Thursday, Dec. 11, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. This program is designed to incorporate technique, cardio fitness and weight training while learning belly dance. Must be age 18 or older. The entire course is $50 for residents; $55 for non-residents. (407) 656-4155.

Kidney Smart - Kidney Education Class — 9 to 11 a.m. Thursday, Dec. 11, at Health Centra Hospital’s Bradford Room, 10000 W. Colonial Drive, Ocoee. Learn from expert educators about kidney function and causes of kidney disease; diet; nutrition and medications; diabetes and hypertension management, treatment options and more. 1 (888) 6954363 or visit KidneySmart. org/Class.

SATURDAY, DEC. 13

SATURDAY, DEC. 13 Santa’s Foot Pursuit 5K — 5:30 p.m. Saturday, Dec. 13, at Tri & Run of West Orange, 56 W. Plant St., Winter Garden. Run with Santa and support the Winter Garden Police Athletic League’s Holiday Gifts for Kids program.

This program provides holiday gifts, clothing and food for children of Winter Garden families. For more information, visit trinrun.com.

line Jones — 12:30 to 2:30 p.m. Monday, Dec. 15, at Winter Park Civic Center, 1050 W. Morse Blvd., Winter Park. The holiday gathering will include a special performance by Jacqueline Jones, a stroke survivor and professional singer of jazz, rhythm and blues, and contemporary music. Free.

(888) 942-9355.

Shape Up 4 Seniors — 2 to 3:30 p.m. Saturday, Dec. 13, at the Windermere Library, 530 Main St. Join Shape Up 4 Seniors, LLC for a fun, interactive health program and take part in a demonstration of Zumba Gold, a modified lower-intensity fitness class.

For more information, visit shapeup4seniors.com or call (407) 835-7498.

SATURDAY, JAN. 24

MONDAY, DEC. 15

ONGOING

Orlando Stroke Survivors to Celebrate Gift of Recovery with Famed Singer Jacque-

AARP Driver Safety Program — 9 a.m. to noon on select dates at the Health Central

Health and Wellness Expo — 10 a.m. to 5 p.m. Saturday, Jan. 24, 2015, at the West Oaks Mall, 9401 W. Colonial Drive, Ocoee. Event is sponsored by Health Central Hospital and the West Oaks Mall.

Interested vendors should contact Brandis Burney, brandis.burney@healthcentral. org or (407) 296-1496.

Park auditorium, 411 N. Dillard St., Winter Garden. Cost for the two-day class is $12 for AARP members (must bring membership card) and $14 for non-members. For additional information and to register for the class, call AARP, 1-888-227-7669.

Cardiac Rehabilitation Program — Mondays, Wednesdays and Fridays (by appointment) at Health Central Hospital, 10000 W. Colonial Drive, Ocoee. Cardiac patients, such as those who have suffered heart attack, those with stable angina and those who have had open-heart surgery, are encouraged to participate in this program. A physician’s referral is required. Joyce McIlroy, (407) 296-1599.

Chair Exercise Classes — 8 to 9 a.m. Wednesdays, at the Tom Ison Center, 1701 Adair St., Ocoee. Get your day started with a low-impact chair exercise, sponsored by Health Central Hospital and free for all seniors. (407) 6564155.

Chair Yoga — 9 to 10 a.m.

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

Seniors can experience the many health benefits of yoga at no cost. The routine is safe and gentle with low-impact stretching and breathing exercises. (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.

Diabetes Education Classes — Health Central Hospital’s Diabetes Center instructors are trained in the latest diabetes treatments. Attendees must have a physician’s referral and call to reserve a spot in each class. (407) 296-1447.

Gentle Yoga — 7:15 to 8:15 p.m. Tuesdays, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. This four-week session is great for beginners and involves stretching, strengthening exercises, breathing techniques and relaxing meditation. Ages 16 and up are welcome. The cost is $6 per class for residents; $7 for non-residents. For the entire session, $20 for residents; $20 for non-residents. (407) 656-4155.

Medicare Insurance Counseling — the third Monday of each month, in the Health Central Bradford Room, 10000 W. Colonial Drive, Ocoee. The Florida Department of Elder Affairs’ SHINE program is available at no cost. Diana Chin, (407) 5141823.

Systema — 7 to 8:30 p.m.

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

This Russian Martial Art focuses on self-defense methods, greater strength and endurance, patience and working with others. (407) 656-4155.

Tai Chi — 9 to 10 a.m. Tuesdays and Thursdays, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. For more, visit returntogoodhealth.20fr. com.

Weight Watchers — weigh-in begins at 5:30 p.m. Mondays, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. There are tremendous benefits to losing weight, and Weight Watchers can show you how to do it and keep the weight off. (407) 656-4155.

Health Matters | December 2014

20 WOTimes.com

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