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Health Matters: East County 2.20.20

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EAST COUNTY

Health Matters Observer

FEBRUARY 2020

RENOVATE YOUR LIFE Spring cleaning doesn’t need to be just for your house. It’s important to revamp yourself, too. PAGE 2

PRACTICING EVERYDAY SKILLS

TECH USE

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SMH upgrades rehab facility.

Minimize your kids’ screen time for their health.

PICTURE OF HEALTH

Small changes can make a big difference.

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FEBRUARY, 2020

SPRING CLEAN YOUR HEALTH

“Visualization is huge. If we don’t take that mindful moment, you could be forgetting your vision and letting life take over.” — Elizabeth Player, a Marie Kondocertified organizing consultant

Out with the old and in with the new for these healthy habits. Nat Kaemmerer

NAT KAEMMERER

McClung teaches a restorative yoga class from 5:30-6:45 p.m. Wednesdays that’s geared toward letting you be in your body and letting go of the day.

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t’s time to sort out your habits. If, as Marie Kondo would say, something isn’t sparking joy, then dump it. Typically, “spring cleaning” conjures up images of boxes full of old, useless stuff and beating the dust out of the rugs. But while you’re at it, why not clean out where you have to live 24/7 — your body? Take note of some of these lifestyle changes as the weather gets warmer and the days longer. Spring cleaning could be your second chance at that failed New Year’s resolution — except this time, you’ll stick to it. Elizabeth Player, a certified KonMari consultant who owns Energetic Organizing and assists clients in the

Tampa and Sarasota areas, recommends visualizing your goals in a concrete way to keep them at the forefront of your mind. “If we don’t take that mindful moment, you could be forgetting your vision and letting life take over,” Player said. If your goal of eating healthy, exercising more or having a regular sleep schedule is out in the world instead of just in your mind, it’s harder to give up on it. Player recommends writing it down or creating a vision board. GO OUTSIDE

Being outside is free, and in the Sunshine State, vitamin D is abundant.

“Nature grounds us, and natural sunlight is very important,” Player said. “When I work with clients, one of the first things we do is open up all the blinds.” If you’re feeling stagnant as we head into spring, taking yourself outside to move in the sunshine could boost your mood twofold: Movement releases endorphins, which act as analgesics to dull your sense of pain and could give you a feeling of euphoria, and sunlight usually correlates with a higher level of serotonin, the brain chemical that makes us feel more calm and in a better mood. “Taking a daily, 30-minute beach walk changes my perspective on anything and everything,”

Longboat Key-based yoga teacher Debby McClung said in an email. For Player, a connection to nature begins in her backyard, which leads to a small lake with plenty of birds, and she loves walking, feeding the birds and connecting with the animals. “It’s very grounding to be close to nature,” Player said. GET MOVING

Want to get your endorphins flowing? Just start moving. If you’re not an active person already, and if the thought of the gym makes you sweat before you even step through the door, then start small. Even clearing a space in your house to flop down a yoga

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Even traditional spring cleaning can provide a bodily refresher to launch you into a new season. As you’re up and cleaning, you’ll be working up a sweat and getting your heart rate up. “When we move items, we move energy,” Player said. And moving your items around can bring you a boost of energy. When you’re up and moving, your body is releasing endorphins — so you can get a mini runner’s high from tidying up. Vacuuming, dusting, mopping and sorting through your belongings are all great ways to get on your feet. “[Cleaning] gets you active,” Player said. “One of the biggest things my clients say when they hire me is that it’s hanging over them; they don’t want to do anything; they feel overwhelmed; they don’t know where to start. When you clear the clutter, it clears up that space, so you can enjoy family and enjoy home without feeling like you should be doing other things.” Cleaning also stirs up a lot of junk that’s been hanging around in your house all winter and gives you the chance to clear it out and start fresh. Dust, pet and human dander, mold and mildew (which Florida homes are especially susceptible to) might be piled up in your home and waiting to exacerbate seasonal allergies. A thorough deep cleaning could lead to breathing easier at home, literally.

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mat and get some stretching in will help you clear the clutter in your mind. “As long as it’s somewhere you can feel tranquil, it will make you feel better to get into your practice,” Player said. “Any time you can make even the smallest space a sanctuary, it helps your mental and emotional state.” As the weather gets warmer, the beach gets even more tantalizing. And as it happens, it can be the perfect workout studio for running, yoga or body weight strength workouts. Player uses fitness app Asana Rebel because its range of yoga-based workouts can be done anywhere, anytime. There are ways to get strong without the gym, too. Use resistance bands to strengthen your lower body, or try a body weight workout that can be done anywhere. Examples include burpees, planks, squat jumps, jumping jacks or lunges — all of which get your heart rate up and can be done in the sunshine. BUILD ROUTINES

Now is your chance to become one of those morning people you’ve heard so much about. Start a simple morning routine for yourself. If you’re hitting snooze half a dozen times, challenge yourself to get up by the third snooze. Once you’ve mastered that, actually start getting up on first alarm. “First thing I do [in the morning] is open up my blinds and say, ‘Good morning, morning!’” Player said. Don’t think about on what’s going to stress you out that day right when you wake up. Although it might feel like what you “should” do to keep yourself on the right track, immediate stress is not a good foundation on

“Fresh foods clear out the old and make way for new healthy habits that allow us to feel lighter.” — Debby McClung, Longboat Key yoga teacher

which to build your day. Instead, start your day with just a few minutes of positive thought. “When your day begins with words of encouragement, kindness, loving thoughts for yourself and others, the stress has a lighter feeling,” McClung said. As the day closes, start cutting out blue light from devices earlier and earlier, and get into a routine of calm breathing and thinking. Letting go of the day’s stress makes way for another day. EAT CLEAN

Of course, food is fuel, and we all know we should be eating more fresh, healthy food. Although you might be enjoying that quick cheeseburger you grabbed on the

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way to work in the moment, the processed meat, cheese and bread aren’t doing anything great for you in the long run. “When we go shopping, the rainbow of hydrating foods have such a way of luring us in,” McClung said. This spring, give in to the temptation of the rainbow, and give your body the natural nutrients it craves with a produce-packed grocery list. Tomatoes, strawberries, spinach, peas, oranges, kale, cucumbers, carrots and broccoli are all in season right now and can be found at various stands at the Sarasota and Lakewood Ranch weekend farmers markets. “Fresh foods clear out the old and make way for new healthy habits that allow us to feel lighter,” McClung said. Try literally cleaning out your fridge and pantry to spring-clean those not-so-healthy foods — like those packed with extra sugar — out of your diet. Refresh your home with farmers market fruits and veggies. A walk in the morning plus fresh food plus sunshine equals a home run for bodily spring cleaning.

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Photos by Brendan Lavell

A putting green sits in the Rehabilitation Pavilion’s “mobility garden.” Patients can also use the mobility garden for gardening and practicing opening and closing a mailbox.

Physical therapist Dr. Julia Figueroa (right) points out the objective of a Hocoma Lokomat-based game to stroke patient Ronald Serres. In this game, Serres must walk a certain speed to collect coins before a CPU opponent.

Rediscovering independence Sarasota Memorial Hospital’s Rehabilitation Pavilion has everything from mailboxes to groceries to help patients relearn everyday activities.

BRENDAN LAVELL STAFF WRITER

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aining your everyday life back after a brain injury, amputation, broken hip or something similar is usually difficult and often requires intensive rehabilitation. So what better way to regain the abilities needed for everyday life than by practicing the usual tasks that make up an average day? That’s the main concept behind Sarasota Memorial Hospital’s 74,000-square-foot Rehabilitation Pavilion. Opened in April 2017, the building has a 54-bed

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inpatient rehabilitation facility, where patients stay an average of 10-14 days as they regain skills needed to go about their lives. Perhaps the most important accomplishment of the facility is bringing all the care that rehab patients need under one roof. Professionals from physical and occupational therapists to psychologists, nurses and speech pathologists work together to guide patients through the recovery process, said Dr. Alexander Bajorek, the medical director of Rehabilitation Services. “Every aspect of a patient’s life, from when they wake up in the

morning to when they go to bed, is specifically addressed from a medical standpoint [and] a psychosocial standpoint,” Bajorek said. “And through that team coordination, we get them to an independent level.” Also, the facility is attached to the main hospital, so medically complex rehab patients who need access to their providers can get attention easily. And in the event that urgent medical help is required, it’s a short commute. Before the Rehabilitation Pavilion opened, SMH had a similar program, but it was confined to the ninth and 10th floors of

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another hospital building. This meant smaller bedrooms that were not private, smaller hallways and less specialized and advanced equipment and machinery. At the Rehabilitation Pavilion, each bedroom is its own private apartment, and there’s space in each room for patients to host a family member overnight. In fact, Bajorek said some guests say it’s like staying in a hotel. Each apartment, like just about everything in the facility, is designed to help inpatient guests practice the skills they will need to rediscover their independence. For example, every unit

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“Awash with natural light and colors, the walls are adorned with nature-inspired works by local artists. Each corridor has alcoves with built-in benches and motivational quotes from Theodore Roosevelt, Maya Angelou, Walt Disney, Jon Bon Jovi and others.” — Sarasota Memorial Hospital

has a full kitchen where patients can learn to cook for themselves again, and SMH staff can help with tasks including getting dressed in the morning. “The best neuro-recovery and neuroplasticity occurs when the movement or something that you’re teaching a patient is meaningful and functional,” Bajorek said. “So I could tell you to do 100 bicep curls, and your brain will think it’s basically meaningless. But if I teach you to take a spoon and put it in your mouth and eat, one of the most functionally meaningful things to any patient, your neuro-recovery will be much quicker and much more meaningful.” This strategy extends far outside the patients’ apartments. Where did you think they get the food with which they learn to cook? Patients can go to the grocery aisle and practice grabbing items from different shelves. They can climb in and out of a miniature half-car that can be adjusted by height to simulate anything from a sedan to a pickup truck. There’s a set of stairs leading to a doorway, so they can try entering and exiting their house. The stairs are higher than regulation, so patients who live in hous-

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es that were built before more recent codes went into effect are prepared. Outside in the mobility garden, there’s a mailbox, a hose for people who want to practice gardening and even a small putting green — because this is Florida, after all. When it comes to therapy, Director of Rehabilitation Services Laura Magnusson said hundreds of hours of research were poured into making sure the facility had research-backed equipment that will improve patients’ outcomes. This includes the Bioness Vector, a track on the ceiling of a hallway that can reduce how much weight patients feel as they are walking, complete with visual markers on the floor that show how far they’ve traveled. There’s also the Hocoma Lokomat, which is a similar device that can also emphasize weight on one side or the other. Roland Serres has been using the Lokomat after a stroke that has affected him on the left side. SMH uses the device to test his speed, range of motion and hip/ knee extension. It also comes with a screen that the patient uses to play games with the objective of hitting specific speed or distance goals. Although he admitted to being tired quickly, Serres is able to walk at least 800 meters with the help of the Lokomat, as opposed to about five or 10 steps on his own. The Rehabilitation Pavilion itself and the SMH team that operates it gives patients access to a wide array of experts who create a plan to help them and a built-in support system of staff members and other patients. What better way is there for patients to regain their lives than by practicing everyday life?

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SCREEN TIME Under age 2: None Ages 2-5: Less than an hour Ages 6+: Find a consistent limit that’s appropriate for your child, but ensure it doesn’t replace time for sleep or physical activity.

Kids’ screen time leaves lasting mark Local physicians explain how excessive technology use can negatively impact children.

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become the way to communicate with one another. But what impact does hours of screen time have on children? Spending hours staring at a screen can cause negative impacts on a child’s physical, mental and social emotional health. The American Academy of Pediatrics recommends children younger than 18 months to 2 years old avoid digital media use, and for children 2 to 5 years old, screen time should be limited to one hour per day. “Technology is not a bad thing if used appropriately,” said Kerry Gaylord, the director of child development for the Early Learning Coalition of Manatee County. Early Learning Coalition provides and coordinates the services of school readiness programs to help children develop needed skills to achieve educational success, support parents as their child’s teacher and improve the quality of services in the community. Dr. Jose Tavarez with First Physicians Group in Lakewood Ranch said one problem with too much screen time is the effect on brain development. “The development the brain is supposed to go through is different; it’s slower,” Tavarez said. “We do know [that for] some kids, when they have excessive screen

time, speech could be delayed, and social skills could be delayed.” Pam Parmenter, the director of early learning for the coalition, said a child’s development benefits from the ability to manipulate real items, such as blocks, that will help develop a sense of spatial relationship, which will in turn assist when trying to understand math, science and engineering. Technology usage also impedes children’s ability to develop social and emotional skills necessary to develop relationships with others. “You’re not really interacting with people when doing it virtually versus learning the nuances of social and emotional cues and developments,” Gaylord said. Kids spending less time outdoors and more time inside using digital devices also causes issues for a child’s physical health. “The kids, instead of playing outside, jumping around, they’re sitting in front of a screen,” Tavarez said. “Passive screen time is really dangerous.” Dr. Ashley Masuga, a Lakewood Ranch optometric physician, said children spending more time inside on devices rather than outside increases the chances of developing myopia, commonly known as nearsightedness, the inability to see far away.

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Masuga said technology usage causes dryness of the eye because people “probably blink 50% less” when staring at screens. Other impacts include eye irritation and eye strain. “I think it’s really important to limit use,” Masuga said. “If you tell children it’s potentially harmful to their eyes, I think children will listen to you, and you can create minimal time.” The blue light coming from screens can affect children’s sleep patterns as well. Looking at screens within two hours before going to sleep causes children to have difficulty falling asleep and staying asleep, Tavarez said. A lack of sleep can then affect a child while at school because the child might not be able to stay awake during class or might not be as focused. He suggests setting up screenfree times and making screenfree zones in the home, such as in the child’s bedroom and the kitchen and dining area. Tavarez stresses that meal times should be technology-free to promote family interactions. Masuga said eye doctors recommend taking several visual breaks when using technology. “We recommend for every 20 minutes on a device, take 20 seconds off the device looking 20 feet away,” she said. “It allows the eye to actually have breaks, and that can really help in reducing some of [the impacts] as well.” If parents want to introduce digital media to their youngsters, Gaylord, Parmenter and Tavarez suggest ensuring parents are involved in the media usage. “If I were to sit down, and ideally, you’d want to sit down with an educational-type program or tool, with a child shoulder-to-shoulder,

I’m now interacting with them,” Gaylord said. “That in itself is what lends to teaching them those social skills and emotional skills in helping to scaffold that type of development and bonding.” Tavarez said parents have to be what he calls “media mentors” to their children by sitting with them and explaining what they’re watching. Stopping the video to talk about the concepts being introduced allows for an opportunity to deepen a child’s thought process, analysis, creative thinking and problem solving, Parmenter said.

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Sometimes parents use technology as a way to keep children from being bored or to distract them, so parents can complete tasks around the home, such as washing dishes, making dinner or doing laundry, but Gaylord and Parmenter said common household chores can also be used as a time to learn, have fun and stay away from technology. “Children don’t become problem solvers by leaving them alone,” Parmenter said.

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“The goal is to sweat out harmful toxins in the body, and Blufit Manager Tina Trieu said people can burn anywhere from 200-600 calories in a 55-minute session.”

Brynn Mechem

The infrared therapy pods can reach temperatures as hot as 158 degrees Fahrenheit.

Infrared saunas a hot way to release toxins Our reporter tests out an infrared sauna to see if there are health benefits. BRYNN MECHEM STAFF WRITER

Journalism is a strange profession. Some days you’re working until 11 p.m. covering a meeting where the list of public speakers seems never-ending. Some days you take photos of turtles on the beach. And some days you find yourself basically naked in a contraption designed to make you sweat and questioning if you somehow

fell into Dante’s sixth circle of hell— you know, the one where heretics are condemned to eternity in flaming tombs. Said contraption was an infrared therapy pod at Sarasota’s Blufit Recovery & Nutrition, which has been offering the service since 2017. The pod heats a person with infrared lights that heat the body from within, unlike a traditional sauna, which heats from the surrounding air. The goal is to sweat out harmful toxins in the body, and Blufit Manager Tina Trieu said people can burn anywhere from 200-600 calories in a 55-minute session.

The treatment is also said to improve circulation, reduce inflammation, boost digestion and improve sleep. Some studies have examined the use of infrared saunas in treatment for certain health issues, such as high blood pressure, or to promote muscle recovery with promising results. Further, a study from the Journal of the American College of Cardiology found that repeated thermal therapy improves heart functionality in patients with coronary risk factors. Trieu, however, said the biggest benefit is the detoxification.

“If you don’t detox your body, toxins from smoking, drinking, sugar, fried food, etc., will stay in your body,” Trieu said. Gulp. Aside from not smoking, I’m not doing my body many favors. The idea of using a sauna as a detoxification method has drawn controversy throughout the medical field. A study published in the Journal of Environmental and Public Health said sweat can release some toxins from the body, but doctors generally say it is the job of the kidneys and liver, not sweat, to release toxins. Before I got in, Trieu explained the pod would have a massage for my upper body and legs, a stressreducing blue light above my head, a vibrating panel on my middle section that is said to reduce fat and cellulite, and, of course, the infrared light. This pod is a sauna on health-centric steroids. After ensuring that I didn’t have disqualifying circumstances — such as a pregnancy, a pacemaker or osteoporosis — I was led to a room and asked to strip down. Then it was time to sweat. Before I tell you about my experience, let me share some facts about myself: I’m always cold. I keep a blanket under my desk at the office. I wear fleece pajamas to bed … in Florida. For 15 years I was a softball catcher in the muggy Missouri humidity. In layman’s term, it takes a lot for me to sweat. This pod was hot.

I don’t mean it was Florida in August hot. I mean I sweat more than I have in my entire life. The ironic part? My machine was set on 131 degrees Fahrenheit. The maximum temperature is 158. But it was also relaxing. I love having an excuse to not check my phone for an hour during the business day. I love lying around and doing nothing, especially when I’m getting paid. Although I enjoyed the relaxation, I’m unsure of the detox benefits. In the waiting room, however, I ran into Sarasota resident Jennifer Lajeunesse, who has used Blufit’s infrared pods to do an annual detox since 2018. She does 10 sessions in the month of January each year as part of a 21-day detox and then receives the treatment periodically throughout the year. “It’s great because not only do you get the infrared benefits, but it also vibrates and massages you,” she said. “It’s a good way to cleanse the body and feel refreshed.” I didn’t feel exceptionally cleansed of toxins when I left the pod — maybe I need to do more treatments — but I did feel refreshed. My heart rate had increased, I had taken a muchneeded relaxation break, and my skin even had a nice glow. That evening I fell asleep quickly, though I did wake up feeling like I’d been stranded in the desert for a week. So if you give this therapy a try, keep a bottle of water handy.

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Accidentally shot in the chest with a hollow-point bullet, Alexander was a first-year Coast Guardsman when he survived thanks to the 70 units of blood he received. A graduate of Sarasota Military Academy, he was nearly a 3-gallon platelet donor before his injury. Since February 2019, Alexander has been paying it forward by continuing to donate platelets.


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Trade fad diets for simple lifestyle changes

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Carol Shabe said she enjoys eating out with friends and has found that planning ahead helps her stick with her healthy lifestyle. She looks at restaurant menus before she goes to make sure they have appropriate options or items that can be modified. If she wants a dessert, she shares one with a friend, opting to have a spoonful or two rather than a whole piece.

PAM EUBANKS SENIOR EDITOR

University Park Country Club’s Carol Shabe has no idea how many calories she consumes each day, but she knows she eats plenty of food. Her healthy choices — salads topped with fresh vegetables and homemade vinaigrettes instead of fatty, premade salad dressings, for example, have allowed her to keep off more than 100 pounds she dropped seven years ago. At 5 feet, 3 inches, she weighed about 250 pounds. Now she hovers between 115 and 119 pounds. “It’s satisfying to lose the weight,” Shabe said. “I want it to continue to work. I was ready for it.” Shabe said she struggled with her weight her entire life. She was a “chubby” kid in an Italian family and loved to eat. She and her husband, Jack, could split a pound of pasta for dinner and think nothing of it. However, in 2011, at her doctor’s recommendation, Shabe began meeting with Boca Raton dietician and nutritionist Linda Filenbaum, who talked with her about heathy food choices and portion control. “She was wonderful,” Shabe

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said. “It just clicked for me. She was very encouraging.” She liked that Filenbaum did not recommend any particular diet but instead coached her on making healthy food choices, using appropriate portions and modifying recipes. Shabe reduced her intake of less healthy carbohydrates, such as pasta and rice, to a half cup per serving and now has virtually eliminated them from her diet simply to keep herself from overindulging. She portions proteins, such as chicken or fish, to about 4 ounces. When cooking, she uses less fats. Instead of sauteing onions in mounds of butter or olive oil, Shabe browns them in low-sodium chicken or vegetable broth. She tops salads with balsamic vinegar or other vinegar-based

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HEALTH MATTERS

YourObserver.com

Pam Eubanks

University Park Country Club resident Carol Shabe has kept off more than 100 pounds through healthy eating, portion control and exercise.

“

delicious. I do like to eat a lot of things, [but] I choose the right thing now.” At the time she was losing weight, Shabe also started going to the gym to exercise, mostly as a way for something social to do. She got hooked on it and has continued to go almost daily since moving to University Park in summer 2016. It was then she took up tennis, which she had not played in 25 years. “I play tennis every day, and I go to the gym every day,” Shabe said. “It sets up my morning, and in the afternoon I can visit with friends. She had tried various diets over the years but now believes instead of dieting, one should focus on lifestyle changes. Shabe said she likes her new way of living, and it is not a hardship for her. “I feel like I’m in control of my life,” she said. “I feel like I’m in control of what I’m doing with myself. I love it.”

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homemade dressing rather than a premade one. She and Filenbaum would talk about recipes and the food journal Shabe kept at the time. Shabe enjoyed it. She loved to cook and found the art of modifying recipes to be a creative outlet of sorts. Before, she might have eaten a half pound of pasta topped with shrimp and cheese or meatloaf with rice for dinner. “I would eat typical food, comfort food,” Shabe said. “I would eat too much of it.” Now a normal day’s breakfast consists of oatmeal with a quarter-cup of fruit, six almonds and two spoonfuls of yogurt. Lunches typically are large salads topped with chicken or fish, fresh vegetables and a homemade salad dressing, and dinner might be a piece of salmon with two steamed vegetables on the side. “I cook differently — that’s what I like about this,” Shabe said. “It’s amazing to me. It tastes

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12

HEALTH MATTERS

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YourObserver.com

FEBRUARY, 2020

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SUNDAY, MARCH 1

TAKE STOCK IN CHILDREN 10K/5K Take Stock in Children of Manatee County’s annual 10K/5K will start and finish at Lakewood Ranch Main Street. The 10K and 5K are scheduled to begin at 8 a.m. and 8:05 a.m., and a kids fun run starts at 7:30 a.m. The post-race party will feature food, entertainment, raffles, age group awards and kids’ activities. For information, visit TakeStockInChildren.org.

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THURSDAY, FEB. 20

MANATEE COUNTY SENIOR WELLNESS EXPO Runs from 9:30 a.m. to 1 p.m. at the Lakewood Ranch YMCA, 5100 Lakewood Ranch Blvd., Lakewood Ranch. The event will feature a Frank Sinatra impersonator and wellness expo with guest speakers on health, finance, housing, home health care, hearing, dental and new technology. Seating is limited. For information and to make reservations, call 251-7057.

CONTACT THE MEMBERSHIP SALES DEPARTMENT FOR MORE INFORMATION 941.378.5957 or 941.371.6000 ext. 234

BE HEART SMART February is Heart Month, and HealthConnection celebrates with an interactive presentation led be the cardiac team at Sarasota Memorial Health Care System. The event is free to attend, and audience questions are encouraged. Presentation is from 10-11:30 a.m. at SMH, 1700 S. Tamiami Trail, Sarasota. For information and to RSVP, call 917-7011, or email HealthConnection@SMH.com.

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MONDAY, MARCH 16

BRAIN HEALTH MATTERS! The Brain Health Initiative, an effort to promote brain health and complete a decades-long study of brain health, is educating the public with a lecture series. Hear from Dr. Uma Naidoo, a psychiatry instructor at Harvard Medical School and the director of Nutritional and Lifestyle Psychiatry at Massachusetts General Hospital, on the integration of food, mental health and medicine. Time and location are to be announced. For information, visit BrainHealthInitiative.org/events.

SUNDAY, APRIL 5

SARASOTA YOGA FESTIVAL From 10 a.m. to 6 p.m., instructors will hold 30-minute yoga sessions at Payne Park, 2050 Adams Lane, Sarasota. There will also be food and health-focused vendors, as well as live music. The event is free, and donations will go toward the Sarasota Memorial Healthcare Foundation. Visit FloridaYogaFestivals.com for more information.

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