Health Matters - Winter 2010

HEALTH MATTERS The East County Observer • DECEMBER 2010

COVER STORY: Lakewood welcomes chief nursing officer / 2

Connie Brown, 67, holds the record for the most NYC Marathons run by a woman. Her husband, Matt, 76, is a former World Champion sprinter. / 4

2 Health Matters www.YourObserver.com

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LAKEWOOD RANCH — From the time she was 5 years old, Linda Antes knew she wanted to be a nurse.

And a trip to the hospital to have her tonsils out only solidified her decision.

“I was so impressed by the nurses,” Antes remembers. “They seemed like angels. They were so smart and competent.”

Antes spent much of her childhood playing hospital with her sisters and friends before eventually becoming a candy striper before attending nursing school.

Now, Antes is bringLinda Antes ing more than 30 years of nursing expertise to the Lakewood Ranch Medical Center as the hospital’s new chief nursing officer. Antes assumed her new position Nov. 15.

“I’ve always been impressed with Lakewood Ranch, and this is just a wonderful opportunity for me,” Antes says. “I live in University Place, and my grandson was born at Lakewood Ranch — it just felt like a natural fit.”

As the new chief nursing officer, is responsible for the hospital’s overall nursing care and delivery as well as anyone within a nursing role.

“I want to create an environment where nurses are practicing at a high level,” Antes says. “Nurses are integral to the patient experience. Patients are with nurses 24/7, and you trust them to protect you, help you improve your health, get better and achieve your goals.

University Place resident Linda Antes is Lakewood Ranch Medical Center’s new chief nursing officer.

“My job’s to nurse the nurses,” she says.

“I try to get involved in patient care. I love patient care. I’m very clinically hands-on.”

Growing up in New York, Antes had her heart set on working in the medical profession.

“I used to play hospital all of the time,” Antes says with a smile.

Antes worked as a candy striper before attending D’Youville College in Buffalo, N.Y., where she earned her bachelor’s degree in nursing while working as a nurse’s assistant. Antes later received her master’s degree in nursing from the University of Pittsburgh.

Upon graduation, Antes took a job in medical surgery and critical care before going on to teach nursing. In addition, Antes has served as the director of staff development, director of critical care and a clinical nurse specialist, among other roles.

Most recently, Antes worked as director of emergency and critical care services for Manatee Memorial Hospital.

“I enjoy the people and the chance to make a difference and have an impact on patient care,” Antes says.

In the next few months, Antes plans to do an assessment to help identify opportunities for the hospital’s nursing staff to learn.

“Lakewood Ranch has a wonderful reputation not only with patients, but within the community and with its nurses,” Antes says. “It really is a destination hospital. It’s a place where patients want to be patients, and nurses want to work.”

When she’s not hard at work, Antes enjoys entertaining, going to the beach, shopping, decorating and spending time with her husband of 40 years, Paul, her three daughters and her 10-month-old grandson.

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Health Matters

3

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It’s All in the Hips

The hip arthroscopy procedure can, in some cases, eliminate pain or even correct previously untreatable hip conditions.

By Pam Eubanks | News Editor MANATEE COUNTY — One East County surgeon is introducing a new procedure that can alleviate — or even eliminate — hip pain.

Dr. Daniel Lamar, an orthopedic surgeon with Coastal Orthopedics and Sports Medicine, is finding success with hip arthroscopy.

“We’ve been doing it in most joints of the body for a long time, most commonly the shoulder Dr. Daniel Lamar and knee,” Lamar says of arthroscopic procedures. “Traditionally, the hip has been difficult to assess with the scope because of its location and bony constraints.”

Arthroscopic technology allows surgeons to use a camera and fiber-optic instruments to view and repair the interior of joints.

Physicians can use smaller incisions, which results in less muscle damage, reduced chances of injury to muscles, nerves or blood vessels and a quicker recovery.

Lamar says working on the hip joint — the ball and socket of the hip — requires an intimate understanding of the anatomy. Hip arthroscopy technologies have been developing over the last decade and now have reached a maturity at which the procedure can provide relief for previously untreatable conditions. In some cases, the surgery may be able to correct problems that would have developed into arthritis or other complica-

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4 Health Matters www.YourObserver.com

DECEMBER 2010

cover story

Going the Distance

Meadows resident Connie Brown has run 33 consecutive New York City Marathons, while her husband, Matt, is a former World Champion sprinter.

By Jen Blanco | Associate Editor

Jen Blanco

Meadows residents Matt Brown, 76, and Connie Brown, 67, met and fell in love partly because of their mutual love of running. has developed a passion for distance running while becoming one of the NYC Marathon’s most famous “streakers” — a title she assumed after completing 15 NYC Marathons.

“This year, I finally convinced her to be proud of what she’s done,” Matt Brown says.

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A world champion sprinter in his own right, Matt Brown knows a thing or two about running himself. The 76-year-old ran track in high school and college before taking a break from the sport.

But by age 40, Matt Brown was ready to get back into the starting blocks. He began competing nationally in the Senior Olympics before competing internationally for the United States.

“I always enjoyed sprinting, so it was easy for me to get back into the sport,” Matt Brown says.

And it was on the track at Sarasota High School where Matt and Connie Brown met for the first time.

Connie Brown has always been athletic, but it wasn’t until she began teaching physical education in her home state of New York in the 1970s that she began incorporating aerobics into her daily routine.

“I always believed that if I was going to make my students do it, then I should do it myself,” Connie Brown says.

Shortly thereafter, Connie Brown met some distance runners in her community and before she new it she was training for her first New York City Marathon. Even today, she remembers every detail.

“My mother had just passed away. …

I was in the chute heading toward the

After teaching for 15 years, Connie Brown moved to Sarasota in 1981 and started working in real estate. But that didn’t stop her from running. She joined the Manasota Track Club and continued training.

Then in 1994, Connie Brown’s life changed forever. She went to Sarasota to meet up with some of her training partners; and it was there that she met Matt Brown, who happened to be training for the World Championships in Finland.

“I thought, ‘Who is that guy with the starting blocks?’” Connie Brown remembers. “It wasn’t until later that I found out Matt was a champion sprinter.”

The two struck up a friendship over their mutual love of running, and over time their friendship and running partnership blossomed into romance. The two married in 2001.

Eventually, Connie Brown convinced her husband to run his first marathon — which happened to be a NYC Marathon.

“I started running marathons too, which I never liked,” says Matt Brown, who competed in his last Senior Olympics in 1999. “But it was the only time, I could be with her. I never got to enjoy marathon (running). When you run on a track, you’re never far from your car.”

“He’s a sprinter, so for him to do 26 miles is a little different,” Connie Brown says. “He’s just happy to be done.”

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Now, nearly 120 marathons later, Connie Brown is still going strong. She and her husband continue to run at least three times a week, and not even Connie Brown’s battle with non-Hodgkin’s lymphoma or Matt Brown’s hip replacement surgery have kept the two from doing what they love.

Connie Brown runs at least one marathon a year, and some years she has been known to run up to four.

“I told her she can’t quit now,” Matt Brown says.

But it isn’t the records that keep Connie Brown going. Rather it’s her love for the sport and the thrill that comes from realizing she’s an inspiration to others.

“She has this picture in her mind about older women,” Matt Brown says. “She loves it when young people come up and ask her about her running.”

“Running has always been good to me,” Connie Brown says. “I just feel thankful that after all these years I can still run. I’m proud that I can still do it, and that my body has held up all these miles.

“It’s still so fun for me,” she says. “As long as I’m able to I’m going to run.”

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THE MEADOWS — As a cold wind pierces through the November air, Meadows resident Connie Brown digs in her heels and weaves her way through the streets of New York City.

Five hours and seven minutes and 26.2 miles later, Brown strides across the finish line — a gigantic smile across her face. She is quickly greeted by her husband, Matt, who lovingly embraces his wife before asking the one question that is now on nearly every spectator’s mind.

“Does anything hurt,” Matt Brown says.

Connie Brown is quick to respond.

“My cheeks hurt,” she says.

But it’s not the chill in the air that has left Connie Brown’s cheeks rosy and strained.

“It’s from smiling,” Matt Brown says.

At 67 years old, Connie Brown knows that most people her age wouldn’t even attempt to run a marathon.

“Finishing — at our age that’s the goal,” Connie Brown says.

“It’s a joke about what hurts, but it’s the truth,” Matt Brown says. “What amazes me is that she doesn’t suffer. She runs within herself. She runs hard, but she doesn’t exert herself.”

On Nov. 7, Connie Brown completed her 33rd consecutive New York City Marathon, extending her record for the most NYC Marathons run by a woman.

Connie Brown completed her first NYC Marathon in 1977, and since then, she

finish line, and I was (hit with) this overwhelming feeling,” Connie Brown says.

“Tears started running down my face. I had finished.”

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6 Health Matters www.YourObserver.com

DECEMBER 2010

mind over matter

Brain Training Youthful Again Home Health Care is launching a new division in January to tackle memory loss and other memory-related issues.

By Pam Eubanks | News Editor SARASOTA — Whether training for a triathlon, marathon or other competition, an athlete is constantly looking to reach his or her peak level of physical fitness.

But the concept is one Nicci Kobritz, president of Youthful Aging Home Health

Further study The Alzheimer’s Association and National Institute of Health both are studying the impact of exercise, a Mediterranean diet and brain training as tools to fight memory loss, Kobritz says.

By the numbers Research now shows: • 13% of people over 65 years old have Alzheimer’s disease.

• 50% of people over 85 years old have Alzheimer’s disease.

• 20% of people over 70 years old have mild cognitive impairment, the precursor to Alzheimer’s disease.

• 23% of the population over 65 years old have memory loss without a diagnosis of dementia.

Care, says also should be applied to your brain. Studies now show a link between exercise and brain health, particularly in regard to preventing memory loss and Alzheimer’s disease.

“Researchers are starting to look at lifestyle behaviors and preventing and slowing down memory loss and also strengthening memory,” Kobritz says. “(They are) looking at lifestyle behavior because there is no cure for Alzheimer’s disease and it has reached epic proportions.”

After a year of research and development, Kobritz’s company in January will launch its new division, Scienza Memory for Life. The program will partner individuals looking for improved brain function with neurologist Dr. Gregory Hanes to create a highly personalized health and brain-training plan that recognizes risk factors for memory issues, physical fitness and nutrition to helping reverse and prevent memory loss.

“It’s a much more aggressive rehab program for our clients and the public,” Kobritz says. “Memory and mobility are what gives one greater independence. We found we needed to focus a lot more on memory than we had been. Your brain runs the show.”

Studies show a combination of strength training and cardiovascular exercise — three times a week of weight lifting and 30 minutes at least four times a week for cardio — can reduce the risk of developing Alzheimer’s disease by 40%, decreases

We offer the

Nicci Kobritz, president of Youthful Aging Home Health Care, says her company recognizes a need to focus more of its work on memory. depression as effectively as using antidepressants, lowers the risk of stroke by 27% and reduces high blood pressure by 40%, Kobritz says.

Improving cardiovascular strength also helps improve both circulation to the brain and helps prevent strokes, which can cause brain cell damage and dementia. Exercise also releases powerful neurochemicals that help the cells within the brain transmit information correctly.

And in addition to exercise’s connection to brain health, Kobritz says treating the brain as a muscle is proving vital as well.

Challenging the brain with activities such as crossword puzzles, which are good for long-term thinking, and Sudoku, which is good for complex thinking, helps, but more is needed to utilize the brain’s full potential.

Computer-based brain-training programs such as those by Dakim, PositScience and Brain Age, force the brain to use all its thinking parts and consequently stimulate and improve communication between brain

Pam Eubanks

cells. The results are comparable to learning a foreign language, Kobritz says.

“These training programs improve concentration and listening skills, retention and recall, speeds up processing of information and strengthens the brain’s ability to create strong memories,” she says. “But before any of this can work, it’s important your chronic health conditions (such as diabetes) are under control.”

Exercise, she says, plays a critical role in stabilizing health conditions, as does eating more healthfully. A Mediterranean diet, high in fruits, vegetables and whole grains and low in saturated fats, also lowers blood pressure and cholesterol, improves blood sugar and blood sugar control and helps with weight control, Kobritz says.

Although studies indicated exercising the body and brain is proving to be an effective way to fight dementia and memory loss, there is no proof that starting such training regimens before a patient experience memory loss will delay its onset, she says.

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nutrition

7

Health Matters

Rules of normal eating:

Food for Thought MANATEE COUNTY — Karen Koenig grew up in the 1950s and ‘60s, when dieting was the “in” thing to do.

“I was a chronic dieter (most of my life),” The Meadows resident said.

But then, in the 1980s she read a book that put her eating habits into perspective.

The issue of chronic dieting and eating disorders such as bulimia now are issues Koenig tackles full force Karen Koenig through her counseling practice, and as an author of books such as “Nice Girls Finish Fat,” “The Rules of Normal Eating,” and “The Psychology of Eating.” Koenig, an eating coach, said you can’t treat weight gain or unhealthy eating behaviors but instead must resolve the underlying issues that cause them.

“The psychology of eating is a term you don’t hear often,” Koenig says. “I call it the ‘why’ and ‘how,’ not the ‘what’ of eating. It’s the behavioral, psychological, psychosocial aspects of eating.”

Koenig said the concept is two-fold.

People first must examine the reasons behind over- or under-eating. Are you struggling with stress or having trouble balancing work and play?

Instead of addressing those issues, many people focus on food as a coping mechanism. The high-fat, high-sugar foods that seem soothing in times of anxiety trigger a dopamine response in the brain.

“They do sort of take that edge off,” Koenig says. “It’s a distraction from feelings.”

To become a normal eater, a person must learn skills such as being able to balance work and play, knowing what your needs are and asserting them, setting boundaries, delegating and problem solving, for example.

Second, Koenig says individuals who are not in touch with their feelings often look at food as a reward or use it — or dieting — an obsession to distract them from emotions of disappointment, confusion, guilt, anxiety, loneliness, guilt, anxiety, shame and helplessness.

“At the bottom is helplessness, because it (is behind) a lot of feelings,” she says.

“People don’t recognize it. They get angry.”

People struggling with food issues also must deal with their beliefs because they

Three groups of eaters: • People who automatically adjust how much they eat because they understand their appetite. As individuals age, their bodies need fewer calories to sustain weight. These people may count calories but rather simply know when they are hungry and eat accordingly.

• People who start eating more or don’t want to give up eating the same amount of food when their metabolism slows down or their body requires less food than it once did.

• People who struggle with over-or under-eating their entire lives.

impact behavior as well, Koenig says. For example, when you promise yourself to eat healthily over the holidays and then eat a few too many pieces of cheesecake or sugar cookies, many people simply throw their hands up, give up and dig in. It’s the same reason people sign up for the gym in January with great visions of losing weight, but by March have already returned to old habits.

“It’s all or nothing to begin with,” Koenig said.

Such irrational beliefs, whether they seem significant or not, must be adjusted before an individual can be successful in develop-

How to become a normal eater: • Recognize and resolve underlying conflicts of which you may not even be aware.

• Understand how your beliefs produce feelings and behavior.

• Learn new life skills to cope with stress and anxiety. ing normal eating habits, Koenig said.

For more information about Koenig or the psychology of eating, visit www.eatingnormal.com.

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48835

By Pam Eubanks | News Editor

The way a person thinks can affect his or her eating habits.

• Eat when you are hungry.

• Chose foods that will satisfy you.

• Eat with awareness and enjoyment.

• Stop eating when you are full or satisfied.

Our Highly Qualified Physicians are Here to Serve YOU at Lakewood Ranch

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Bradenton, FL 34202

8

Health Matters

DECEMBER 2010

www.YourObserver.com

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