Health Matters: Sarasota 8.15.19 by The Observer Group Inc.

Health Matters Observer

AUGUST 2019

LANGUAGE Delay dementia with a bilingual brain. PAGE 2

ON THE

BRAIN

SKEETER PROBLEMS

LUNCHTIME

PAGE 5

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Help dealing with those nasty bites.

Keep kids motivated at school with a healthy lunch.

PICTURE OF HEATH

Create an exercise plan, and stick to it.

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HEALTH MATTERS

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AUGUST 2019

LEARN THE HEALTH

LANGUAGE Speaking more than one language can help improve cognitive function, delay dementia. BRYNN MECHEM STAFF WRITER

Photos by Bynn Mechem

Simona Bai teaches her students the proper endings for verbs in Italian.

A BRAIN WORKOUT FROM HOME The Duolingo app offers users the chance to learn more than 30 different languages, such as Spanish, French, Arabic, Swahili and even High Valyrian — a fictional language from “Game of Thrones.” Because it’s an app, users can learn from the comfort of their own home.

hen Chai Lawler was 20, she was working at a military facility in Taiwan. It was there that she met her first husband, James Murvine, who was serving in the Army. The two fell in love and decided to move to Chicago. The only problem? Lawler spoke minimal English. Growing up in Taiwan, Lawler spoke Mandarin Chinese and picked up a few English phrases throughout her life. Murvine, however, did not know any Mandarin Chinese. “I couldn’t even fight with him because I didn’t speak English,” Lawler said. However, upon her arrival in the U.S., Lawler took courses in English as a second language and spent countless hours watching TV to improve. After two years in the U.S., Lawler said she learned English well enough to argue. But that’s not the only benefit

Chai Lawler, who volunteer-teaches at Friendship Centers, writes out “How are you?” in Mandarin Chinese for her students.

she and other multilinguists get from learning more languages. HOW DOES THIS BENEFIT ME?

Nicci Kobritz, a geriatric specialist and the founder of Sarasota’s Center for Brain Health, said bilingual speakers can see a variety of benefits, such as increased attention spans, concentration, reasoning and problem-solving. One student at Intraespa Inter-

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cultural Learning Center, Brad Kaiser, said that since he began learning Spanish five years ago, he has seen his overall brain function improve. “I’m a firm believer that when you challenge your brain, it helps your creativity,” Kaiser said. “It helps connect patterns and thoughts and things that maybe would have escaped you before.” These improvements occur because learning a second language is a brain-training program that is neuroplasticitybased, Kobritz said. This means it focuses on strengthening the brain’s connections among neurons, which improves a person’s information recall and overall brain communication. Simona Bai, an Italian teacher with Adult & Community Enrichment at Suncoast Technical College, said she sees these improvements firsthand with her students, who she said are typically between 50 and 60 years old. “As people get older, the more difficult it is to memorize things,” Bai said. “But learning another language is very good for the memory. My students have all said their memory has improved after taking the class.” Another skill Bai said people can see improvement in is multitasking. She said this is because when learning another language,

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LEARNING THE LINGO Trying to learn a new language but can’t quite grasp it? Try some of these tips from local language teachers Chai Lawler and Simona Bai: Approach the language with a positive mind. Bai said her students often think picking up a new language will be like learning a new hobby but then get frustrated when they find it takes more effort. She said students should go into a lesson with an open mind, even when it gets tough. Know it’s a welcome environment. Lawler said language classes are welcoming because everyone is trying

said. “In April, I was better than March. In May, I was better than April. In June, I was better than May, and I think I’m almost getting back to normal.” DOES AGE MATTER?

Bai, who also teaches children, said that typically, kids pick up the language a little faster than adults. However, her adult students have more time to study. National Institutes of Health reports that one in five children nationwide speak a language other than English at home. Bilingual children, NIH research said, are better at multitasking and show a better memory than monolingual children. Although Kobritz said that the younger a person starts a neuroplasticity-based program, the better, older learners will still see all of the benefits.

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to learn. Don’t be afraid to try because it is better to do it in a learning environment than in the country of origin. Study up the day after a lesson. Bai said her students frequently wait too long after a lesson to review. If students review the day after a lesson, they have an easier time remembering the content. Utilize word puzzles and word games. Lawler said she often gives her students word puzzles to help them interact with the language in a fun way. Learn phrases that you frequently use. Lawler said she typically teaches her students common phrases before jumping into grammar.

Courtesy photo

you rely more heavily on your first language. In this way, learners are flipping back and forth from one language to another, which helps stimulate that part of the brain. Mike McKillip, 54, another Intraespa student, said this stimulation has helped his memory improve since he began learning Spanish in March. McKillip was injured while serving in the Marines during the Gulf War and ended up living on a heart pump for four years. He had a heart transplant in October 2017 and said the medication afterward caused his mind to become foggy and his memory to go bad. However, after beginning to learn Spanish, he said his memory is slowly coming back. “I could remember numbers I wasn’t able to remember; I remembered names of people I’d worked with years ago,” McKillip

Mike McKillip (left) was injured during his time as a Marine in the Gulf War. He said learning Spanish has helped bring back memories he lost following a heart transplant.

“Your body can change at any age, so there’s no cutoff in terms of age or improvement,” she said. In fact, various studies conducted at Penn State University from 2013 to 2016 show older learners are often better at prioritizing information and that the enhanced mental skills can protect them from problems associated with aging, such as Alzheimer’s disease and dementia. Furthermore, a 2015 study by the National Center for Biotechnology Information found that differences between monolingual and bilingual brains positively increase as a person ages. For example, bilinguists present symptoms of Alzheimer’s disease or dementia an average of four

to five years later than monolinguists, and older bilinguists are more efficient at resolving conflict than younger bilinguists. “We used to believe that when we were born, whatever brain cells we got, that’s what we had the rest of our lives,” Kobritz said. “We now know that that’s not true. We can affect change in the brain.” Although these changes can be largely helped by a brain-training program, Kobritz said they must be combined with other variables to be successful. She cited four to five days of exercise, eating a plant-based diet, sleeping seven to eight hours a night and managing stress levels as various pillars to a full brain-healthy lifestyle.

■ Friendship Centers Sarasota, 1888 Brother Geenen Way, offers Chinese and Italian classes from 10 a.m. to noon Thursdays. It is $4 for members and $7 for nonmembers per class. ■ Adult & Community Enrichment Classes at Suncoast Technical College, 4748 S. Beneva Road, offers Chinese, ESL, French, German, Japanese, Italian, American Sign Language and Spanish at various times throughout the week. Classes cost $100 to $200. Find a time that suits you by visiting www.campusce.net/ acesarasota. ■ Intraespa Intercultural Learning Center, 5899 Whitfield Ave., Suite 107, offers classes in English, Spanish, Russian, Italian, Portuguese and French. Classes range in variety of a 24-session course or a 12-session course for those who want to learn the basics before traveling. The 24-session course costs $1,080, and the 12-session course ranges from $400 to $500. Call 355-4452. ■ The Literacy Council of Sarasota offers ESL courses. The course can be taught as a class or with a one-on-one tutor. The classes are taught all over Sarasota County. Although the course is free, there is a one-time registration fee of $25. Call 955-0421.

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AUGUST 2019

Bathe yourself with nature Studies show that spending technologyless time outside will improve your mental health.

KRISTINE NICKEL

ver feel different, more connected to your surroundings, even more alive, while taking a stroll or a hike through a wooded area? If so, you have experienced the essence of what many people call tree-bathing. Yes, as the term implies, tree-bathing is the process of being immersed in a natural setting, literally bathing yourself with nature. And before you dismiss this as just another wacky trend, it’s worth taking a minute to learn more about the effects. You might be impressed. A study recently published in Scientific Reports, a mega journal by Nature Research, linked significant benefits to spending at least two hours per week outdoors in a natural setting, or tree-bathing. The report was based on a study of 20,000 peo-

ple in the U.K. and concluded that those choosing the outdoors had consistently higher levels of physical and mental health than those who did not. Although that might seem like a no-brainer, especially the higher physical well-being, the authors found more to it than, say, working out in a gym or on a treadmill at home. The report stated that exercising in nature is “more psychologically beneficial than in other locations.” The authors’ hypothesis suggests “a complex interaction between the two.” This study is supported by other similar research. It seems that going into nature actually changes the way your brain works. A walk in the wild, even if it’s an urban park, allows your senses to connect with a different set

of parameters: no technology, a reduction of stress and a preponderance to be “in the moment,” or present in your surroundings. University of Utah psychology professor David Strayer told the “Today Show,” “It’s a contrast between our modern, pluggedin, frenetic, on-the-go, connected-to-social-media, sleepingwith-your-phone-under-your pillow, modern world.” Being in nature rests and refreshes the area of the brain called the prefrontal cortex. Most neuroscientists will attest to the overwhelming importance of the prefrontal cortex. It’s the part of the brain that assists us with problemsolving, planning, decisionmaking and setting goals — all of the aspects that make up what is

OSCAR SCHERER STATE PARK, OSPREY Sitting between Sarasota and Venice, Oscar Scherer offers many trails, but you can’t beat the Lester Finley Trail. Located just beyond the entrance ranger station, the trail winds its way through a wooded area adjacent to South Creek. You can make a loop back to the entrance for about a 1-mile stretch or continue onto the picnic area and another trail tracing the creek further into the park.

described as executive function. Thus activities that allow this area some much-needed time off pay big dividends. In the Scientific Reports study, the threshold for attaining discernible benefits was two hours per week. Although that might seem like a large chunk of time, it didn’t matter how that time was divided up. Simply choosing a more treelined path in which to walk Fluffy or Fido 15 minutes per day would easily do the trick, as long as you leave the phone at home and focus more on your surroundings than the to-do list scrolling though your brain. Or incorporating tree-bathing into your exercise regimen could be as simple as starting with a commitment to being more mindful of your surroundings than the number of steps you have taken. Strayer reports that it only takes as few as three days to see and feel the benefits. For those of you who might need a little help in disconnecting from your busy brain, start by listening for bird calls or songs, observing the wind (or lack of it) or feeling your feet hit the ground. The more you can connect your senses to the surroundings, the more relaxed you and your brain will be.

MYAKKA RIVER STATE PARK For a quick fix of forest, try the Ranch House Road trail, about 2.5 miles into the park. It’s populated with old oak and pine trees, plus a lot of palmetto ground cover. Listen closely, and you’ll hear the rustling of trees or the screeching of birds on a hunt. Ranch House connects to a network of trails on the east side of the park, but it’s an easy mile walk up to the first trail and back to the main road. RED BUG SLOUGH PRESERVE Just between Clark and Proctor roads on Beneva is this 72-acre piece of nature in the middle of residential Sarasota. There are several miles of hiking trails through the preserve, and my experience is that you will have a wonderful sense of the outdoors only minutes from just about any spot in Sarasota.

Kristine Nickel is a marketing communications consultant. For more than 30 years, she has relieved her stress by writing features for publications across the country.

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manager, and Taylor Greenan, a community outreach specialist with Sarasota County Mosquito Management Services, the answer is yes, though their strategies aren’t much different from what Mom used to say. “The more you itch it, the worse it’s going to be,” Brennan said. “The more you itch, the more you’re going to aggravate, and if you scratch it to a point where you create an open wound, then you’re causing bigger problems with the possibility of infection.” Greenan said she typically recommends using a mild hand soap and water to clean and reduce the itch of the bite and also making sure there’s nothing that could cause infection.

Mitigating mosquitoes with Sarasota’s experts STEN SPINELLA STAFF WRITER

arasota County is home to more than 30 species of mosquitoes, and 13 of Florida’s 80-plus species of mosquitoes can carry dangerous diseases. Although there is no silver bullet

to keep mosquitoes from biting, Sarasota health officials identified several measures people can take to keep themselves and their neighbors as safe and comfortable as possible. WHAT TO DO ONCE YOU’RE BIT

Try as you might, but mosquito attacks are inevitable. Is there anything you can do to ease the pain — or the itch — once it has happened? According to Wade Brennan, Sarasota County Mosquito Management biologist and

Insect repellent is the most wellknown preventative measure people take to block mosquitoes. But not all repellents are equal. “We recommend you use an EPA-registered repellent,” Greenan said. “The reason why we recommend EPA-registered is that they are safe for use, and they’re effective.” The best repellents use one of four active ingredients: DEET, picaridin, oil of lemon eucalyptus and IR3535. Brennan said EPA-registered repellents are more effective than strategies like bug-repellent bracelets or lanterns. Steve Huard, spokesman for the Sarasota County Department of Health, said to put sunscreen on before repellent, so the sunscreen is more functional because it goes into your skin first. Brennan said putting repellent on before sunscreen could block the effectiveness of the repellent because it has been sealed.

Huard, Greenan and Brennan were adamant about eradicating unnecessary containers holding water. This is because, as Huard said, “Mosquitoes can breed in as little water as a beer bottle cap.” Possible such containers include planters, tires, pool covers, boat covers, buckets, birdbaths and pet bowls. “We are in a state where there’s tons of travel, international travel, on a regular basis, so we’re always worried about our container mosquito population that can transmit either Zika, dengue or chikungunya,” Brennan said. Huard and Brennan also mentioned seemingly small details to minimize risk, such as making sure windows have screens and being careful during sunset because that hour or two is the worst time for mosquito activity. The Florida Department of Health advises people to cover their skin with long-sleeved shirts and long pants. Clothing treated with permethrin, which is a mosquito-killing insecticide, will give you even better protection from the insects. People can buy permethrin-treated clothing at most retail outlets and on websites like Amazon. Brennan issued a final warning as to why it is vital that people are careful during the summer. “We are just starting to enter our normal West Nile virus season and St. Louis encephalitis season,” he said. “So it’s really important for people to take these precautions now more than ever. When it’s winter, spring, those are times when it’s always important, but now the risk blows up from here to November.”

AUGUST 2019

DEALING WITH NOSEE-UMS Steve Huard, spokesman for the Sarasota County Department of Health, said mosquito repellent doesn’t work as well with no-seeums, which are pesky sandflies that bite. “The best thing people can do is either get right with the fact that you have a lot of little buzzers around your head or just exit the environment that they’re in,” he said. According to Wade Brennan, Sarasota County Mosquito Management biologist and manager, though, there is a way to stop them: “Fans work great against no-seeums. They’re very weak fliers.”

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AUGUST 2019

WHAT’S IN

Figuring out what the best healthy foods to pack for your kids’ lunch can be tricky. Follow these tips for good nutrition.

“When these kids are eating [junk food], it actually takes nutrients out of their bodies in order to digest it.” — Bonnie London, registered dietitian

WHITNEY ELFSTROM STAFF WRITER

he school year is here, and free time is scarce. Between running your kids to and from school, soccer practice and dance lessons, driving them around town is a full-time job — on top of the job you might already have. But that doesn’t mean packing healthy school lunches should

fall to the side. After all, what goes into kids’ little mouths can either fuel them for the day filled with multiplication tables or cause a mid-afternoon crash. “[Early childhood] is an extremely important time where [kids] have developing brains,” said Bonnie London, of Sarasotabased London Wellness who has been a registered dietitian of 20 years. “They’re trying to focus at

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school and [have] energy.” It’s also an important time to establish a healthy relationship with their bodies and food, London said. One way to do this is not to take any major food options off the table but rather to introduce a variety of foods into kids’ day-today diets. The U.S. Department of Agriculture recommends that each day children should consume 2 cups of fruit, 2½ cups of vegetables, 6 ounces of grains, 5½ ounces of protein and 3 cups of dairy. London recommends that parents focus on filling kids’ lunches with vegetables, proteins and healthy fats with a little bit of fruit and dairy on the side. As for foods to stay away from? London suggests swapping milk or juice for water and staying clear of processed foods, such as Doritos or anything with high fructose corn syrup. “Things I would not want in my lunchbox are any [products] that I consider a food-like substance, like things in bags or convenience foods,” London said. “People think: ‘Oh, they’re kids. They can eat whatever they want.’ … [But] when these kids are eating [junk food], it actually takes nutrients out of their bodies in order to digest it.” London’s main lunchbox hack for parents is to come up with three go-to lunches and to keep the ingredients readily available to form an assembly line of easy,

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healthy meals. So what if your weeks are busy, your mornings are busier, and you don’t have the time to put extra thought into a packed lunch? London recommends using leftovers. Turn last night’s chicken into a wrap or quesadilla, or use taco meat to create a build your own nachos. Ryan Belak, a mother of two, packs her sons’ lunches every day. With her younger son off at day care and her older in school, she stays on top of what her kids are putting into their bodies. Belak said Brayden, 9, prefers his lunchbox to consist of salad with chicken or turkey, guacamole or hummus with chips, yogurt or cheese sticks, fruit, and carrots or celery sticks. Jackson, 3, is her picky child who prefers macaroni and cheese or pasta, yogurt and fruit. “I try and change it up a little bit to give them some variety,” Belak said. “They kind of get bored if I pack the same thing over and over. My 9-year-old loves to make his lunch. He actually wants to be a chef. So for him, he really takes the opportunity to make these really intricate lunches.” Engaging your children in the lunch-making process — whether it be coming up with recipes or putting everything together — is a good way to help kids make a connection with the healthy foods going into their bodies, London said.

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YourObserver.com

AUGUST 2019

A LUNCHBOX? VEGETABLES

GRAINS Pack brown rice or quinoa for a healthy serving of grains.

London said kids need about 1 cup of vegetables at lunch. Pack some leafy greens, broccoli, carrots or bell peppers.

FRUIT

PROTEIN

For a serving of fruit, try apples, blueberries, oranges, strawberries, pears or cucumbers.

London recommends 3 to 4 ounces of protein in a kid's lunch. Try chicken, buffalo mozzarella, salmon, hard-boiled eggs or Greek yogurt.

London recommends about 2 tablespoons of healthy fats at lunch, which could be avocado, sunflower butter, olives or nuts.

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AUGUST 2019

PROTECTING THE PEARLY WHITES

Photos by Ryan Kohn

Apollo Lirio started Underdog Custom Sports Mouthguard in 2018.

A Sarasota dentist’s mouthguard solution brings smiles to all of his customers. RYAN KOHN SPORTS REPORTER

very parent of an athlete knows the sound. “Pow” or “thwack” or “oof” — depending on the sport. They all mean the same thing: Someone just got hit. Hard. Dr. Apollo Lirio knows the aftermath of these sounds all too well. Lirio, a Sarasota dentist, runs SRQ Dentistry. Lirio said he often sees kids with broken teeth or a concussion in part because they use ill-fitting, store-bought mouthguards. In 2018, Lirio started Underdog Custom Mouthguards, a company designed to help kids play sports more safely. “I want better protection for kids in our community,” Lirio said. “Most injuries occur when learning a sport, whether from falling, diving into a base or taking a puck to the face. Ninety percent of [youth sports] injuries are to the front four teeth.” Why are store-bought mouthguards ineffective? Lirio compares the issue to running. If you run in flip-flops, your feet are going to hurt, and you are more likely to fall because the flip-flips do not stay on your feet. Running in sneakers provides the support and stability required for the activity. It’s the same for mouthguards. Lirio said store-bought mouthguards, especially ones marketed “ages 11 and up” or a similar slogan, stick out of the mouth and do

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not stay on your teeth unless you bite them. Each person’s arch, or U-shape, is different. If a mouthguard won’t stay on your child’s teeth, Lirio said, it can’t do its job. Many football mouthguards, for example, are sold with tethers to connect them to a face mask. This is only necessary because manufacturers know they won’t stay in the mouth, Lirio said. The bottom line: If a mouthguard doesn’t stay in place, it isn’t protecting anything. Underdog mouthguards don’t have this issue. To make an Underdog mouthguard, Lirio said he takes a mold of the athlete’s mouth, makes a

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HEALTH MATTERS

YourObserver.com

“They’re amazing. You don’t even feel like you are wearing a mouthguard, just that you have a little extra something on your gums and teeth.” — Kye Dixon, former Riverview High offensive lineman

model of their teeth from that mold then creates the mouthguard — with layers of ethylenevinyl acetate, an FDA-approved, BPA-free material — from around that model. He said his process ensures the

guard stays on the athlete’s upper teeth at all times, even when talking. This is safer and also allows the athlete to easily communicate with teammates, something that is harder to do when plastic is sloshing around your mouth or through a “pacifier”-style mouthguard, which blocks the front of your mouth and limits breathing. Lirio can also alter mouthguards based on an athlete’s sport and needs. Former Riverview High offensive lineman Kye Dixon, who will play for Jacksonville University in the fall, has used Lirio’s mouthguards for two years. When he began playing offensive line as a junior, his previous mouthguard made it nearly impossible for teammates to understand him. Since using an Underdog, he said there have been zero problems. “They’re amazing,” Dixon said. “You don’t even feel like you are wearing a mouthguard, just that you have a little extra something on your gums and teeth.” Lirio said his mouthguards are available to everyone, whether a dentist patient of his or not. A youth mouthguard costs $59, and an adult mouthguard costs $79. Although this is more expensive than store-bought mouthguards, which are typically $12 to $20, it is less expensive than other custom mouthguards, which can run up to $150, he said. Plus, it evens out in the end. Lirio said athletes can go through two or three storebought ones a season thanks to wear and tear from chewing, but his can last two years because having them stuck to the teeth reduces the frequency of chewing. Mouthguards are the last line of defense, Lirio said, so it’s important athletes have the protection they need.

SATURDAY, AUG. 17

HOMEOPATHIC MEDICINE AND YOU Learn about homeopathic medicine — the practice of medicine with a natural approach — Chinese herbs and vitamins and how they can support a healthy lifestyle. The event is from 11 a.m. to noon at The Empowerment Center SRQ, 1743 Fruitville Road, Sarasota. Cost is $10. Visit TheEmpowermentCenterSRQ.com.

SATURDAY, AUG. 24

YOGA WITH TIGERS Change up your yoga experience at Big Cat Habitat Gulf Coast Sanctuary, 7101 Palmer Blvd., Sarasota. Bring your own yoga mat, and surround yourself with the sounds of nature, tigers and other big cats (safely enclosed in their habitats). Check-in is at 8:45 a.m., and the class begins at 9:15 a.m. Refreshments and light snacks will be provided after the class. To register, visit facebook. com/events/455204815034881.

TUESDAY, AUG. 27

PRENATAL CHIROPRACTIC If you are pregnant, seeking pregnancy or recently gave birth, chiropractic care can help. A 6 p.m. presentation and 7 p.m. Q&A will teach benefits from preconception through the fourth trimester. Light snacks and drinks will be provided with an RSVP. The event is free and will be held at The Learning Cottage Preschool, 4965 Ringwood Meadow, Sarasota. Visit facebook.com/ events/417286839129322.

AUGUST 2019

clothing; water; and a portable chair or blanket are recommended. Meditation starts at 9 a.m. at Red Bug Slough Preserve, 5200 S. Beneva Road, Sarasota. Register at UFSarasotaExt.EventBrite.com.

SUNDAY, SEPT. 15

SARASOTA YOGA FESTIVAL From 10 a.m. to 7 p.m., 14 instructors will each hold 30-minute yoga sessions in various styles at Payne Park, 2050 Adams Lane, Sarasota. There will also be food vendor and health-focused market-style 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.

SATURDAY, SEPT. 21

FLIP FLOP WALK Face Autism Inc. is hosting a walk across Ringling Bridge to promote awareness for Autism at JD Hamel Park, 199 Bayfront Drive, Sarasota. Registration starts at 8 a.m., and the walk begins at 8:30. Register for $20 as an individual or as a team member at faceautism.org/flipflop-walk.

TUESDAY, SEPT. 10

MEDITATION IN THE PARKS Connect with yourself, and find peace within nature with a variety of methods. Comfortable, loose

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YourObserver.com

AUGUST 2019

Hopes for a healthier heart

ISAssociates NOW Sarasota Orthopedic Associates IS IS NOW SarasotaNOW Orthopedic

Sarasota Orthopedic IS NOW Associates Associates

EECP and prevention are two noninvasive ways to keep your heart beating properly.

IS NOW IS NOW

NATHALIE KAEMMERER STAFF WRITER

ou have chest pain. Breathing has been harder. Your doctor says you have angina — a symptom of a lack of blood flow to your heart. So you look into it. Medication helps, and so can surgeries to open the arteries like angioplasty or a bypass. Exercise is good, but it’s hard to walk more than a short time. “It’s because your heart muscle is not getting enough blood and oxygen, and that’s because you have a blocked or narrowed artery,” said Dr. Clayton Bredlau, a cardiologist at the Heart and Vascular Center of Sarasota. You should look into these — they’re proven to work. But there’s also a route that includes a heart therapy called enhanced external counterpulsation, which uses inflating cuffs to increase the return of blood to the heart. This therapy originated in China and has been common there since the 1960s; it began gaining usage in the U.S. in the 1990s. It’s not for everyone, Bredlau said, but for the right candidates, it can work wonders. For people whose medicine isn’t quite doing the trick or for those who aren’t candidates for heart surgery, rounds of EECP can mitigate symptoms and increase tolerance for exercise. EECP lowers the amount and frequency of medicine usage for those with angina, as well as the number of angina episodes, Bredlau said. A typical schedule would be five one-hour treatments a week for seven weeks. Medicare pays for the therapy once a year for qualifying patients, though the effects last for about two years. Surgery, like angioplasty or stents, is the typical route recommended by physicians, but it isn’t always right for everyone. “With complete blockages, it’s very, very hard to get a stent in because [it has often] been blocked for very long time,” Bredlau said.

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First, you have to find a clinic with the equipment, such as the Heart and Vascular Center of Sarasota. During the therapy, three sets of cuffs go around your lower legs near your calves and around the buttocks and upper thigh. The lower cuff starts inflating first, then the next and so on. The cuffs return blood to the heart during diastole — when it’s relaxed. This increases blood returned to the heart and increases the oxygen your heart has to use. As they deflate, the blood returns back from the heart. It’s not opening up your arteries in the same way angioplasty does, by using a small balloon in surgery to “inflate” the artery, but it’s forcing blood through them.

At the Heart and Vascular Center of Sarasota, the therapy creates natural heart artery bypasses by turning to collateral arteries to make them bigger, and it improves the heart health of patients by allowing more blood and oxygen to reach the heart muscle, Bredlau said. “[EECP] kind of simulates exercise,” Bredlau said. “It increases cardiac output two to three times the normal rate, so it’s kind of like you’re running.” That’s good news for people with congestive heart failure or refractory angina because it allows them to do more with less pain, which leads to a healthier heart. Exercise stress tests improve, and 85% of people who use the therapy see a reduction in their symptoms, Bredlau said. If you don’t have heart disease but want to create a healthy heart for your future, Dr. Mahfouz El Shahawy, a cardiologist at the Cardiovascular Center of Sarasota, reminds people that “an ounce of prevention is better than pounds of cure.” To prevent heart disease, especially if there’s a history in your family, you should stop smoking, drink less and exercise more — generally, live a healthy life. “You should concentrate more on cardiac prevention,” Shahawy said. “Exercise is your best pill.”

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HEALTH MATTERS

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HEALTH MATTERS AUGUST 2019 A POST MASSAGE MINDFULNESS EXPERIENCE THAT GIVES YOU MORE TIME ON THE TABLE

YourObserver.com

The Sarasota resident uses time at the gym to keep himself sharp at his job. STAFF WRITER

aphael Carlisi had an epiphany shortly after moving to Sarasota about a year ago: Most of the people he saw on the street were in great shape. “I said, ‘I definitely have to do something,’” Carlisi said. “I’ve always worked out with weights, but I felt like I needed to do something more to get that body fat down.” Now at 215 pounds with selfproclaimed 9% body fat, Carlisi said he’s satisfied with his level of fitness. But his time at the gym isn’t for purely physical benefits. There’s a feeling that Carlisi works to maintain through exercise — he calls it an edge. That edge can be a tricky thing for Carlisi to define. In any case, it’s a feeling of control and achievement that the 42-yearold car dealership finance manager has tried to maintain since he was 15. Carlisi, who was born in Ocala, started exercising in high school when he decided to pursue a career in law enforcement. He figured that staying in shape would give him a clarity and an advantage when trying out for the job. That particular career was

ABOUT RAPHAEL Age: 42 Residence: Sarasota Occupation: Finance manager Favorite gym: Around the Clock Fitness Favorite food: Grilled chicken or salmon Best advice: Create a plan you can stick to. Start off slowly, and ease up to a tougher schedule.

short lived. Carlisi left the force after only two years; a highspeed chase with a robbery suspect ended in a major crash that left him rattled. He entered the car industry soon after. There was one constant in Carlisi’s life during this time of change. He said he continued to exercise and stay in shape as a form of stress relief that has allowed him to achieve his goals faster and more efficiently. It’s been a productive form of escape for him ever since. “Fitness for me has always been more of a mental [benefit],” he said. “I saw the physical results and was satisfied. But mentally, for me, it was a relief. … I felt a lot more accomplished, and it gave me some-

Harry Sayer

Raphael Carlisi says he works to maintain a feeling of an edge through his exercise.

thing to look forward to it. I felt like I had goals.” There’s also the matter of making time for the gym, which is often no small thing. Carlisi aims to work out five days a week at the gym and typically averages around four days. He works out the basics, including chest, back, shoulders, biceps and legs, while making time for rest days and cardio. Although his position at the dealership allows him mem-

berships at a number of local gyms, he prefers Around The Clock Fitness for its “real” atmosphere. “I prefer [working out] in the mornings,” Carlisi said. “It gets your head right. You have all those good endorphins. You get to work, and you’re feeling positive.” He makes sure to fit some cardio with a view into his schedule, too. Carlisi runs the John Ringling Causeway early in the

morning once or twice every week to keep his head clear. Carlisi now focuses maintenance. He said he hopes to maintain his current level of fitness and keep his body fat low. The way he has done that is finding a routine and sticking to it where he started off with a few days of exercise and has slowly increased the amount since. “Find some type of motivation that’ll push you to do it,” Carlisi said. “Create a plan, and stick to it. And don’t go too hard off the bat. Create a twoor three-day obligation that you commit to. No matter how you feel, just push through it.” As for his diet, he keeps the protein high and the carbs low — grilled chicken and salmon are a priority — but makes sure to treat himself to some pizza or barbecue every week or two. More recently, he has taken up intermittent fasting, where he stops eating at 7 p.m. and only starts again at 1 or 2 p.m. the next day. “I do it at least five times a week,” he says. “The days I’m off, I’m going to eat breakfast and enjoy myself. It’s very hard to intermittent fast, especially when you’re working out and burning that much fuel. Your body craves you to stuff your face with food. … I’ve noticed a big difference.” It’s a tricky system full of moving parts and routines, but Carlisi keeps it all going to keep his edge.

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SarasotaSarasota North North 2855 University Parkway Parkway 2855 University Sarasota,Sarasota, FL 34243FL 34243 (941) 556-6400 (941) 556-6400

Sarasota Midtown Sarasota Midtown 1279 1279 S Tamiami Trail Trail S Tamiami Sarasota, FL 34239 Sarasota, FL 34239 (941)(941) 308-7600 308-7600

Sarasota Sarasota SouthSouth 4055 Clark 4055 Clark Rd Rd Sarasota, FL 34233 Sarasota, FL 34233 (941) 927-6200 (941) 927-6200

Offer valid for first-time guests only. Session times include a total of 10 minutes of time for consultation and dressing, which occurs pre and post-service. Additional taxes and fees many apply. Prices subject to change. Rates and services may vary by franchised location and session. Not all Massage Envy locations offer all services. For a specific list of services available or additional information about joining as a member, check with the specific location or see MassageEnvy.com. Each location is independently owned and operated. ©2019 Massage Envy Franchising, LLC. MM341087

HEALTH MATTERS

YourObserver.com

AUGUST 2019

What forhave you done your Y

Brain

ou go to your primary doctor for a yearly check-up, your dentist for your smile, your eye doctor to check your vision, and your gym for physical fitness. Well, what have you done for your brain lately?

lately?

down. They can’t stop thinking. Learning to decrease anxiety gives suffers hope as they take control of their lives. EEG neurofeedback targets the brainwaves responsible for emotions, decreasing anxiety and calming the mind. Depression was one of the earliest clinical applications of Neurofeedback and appears very promising not only in bringing relief from depression, but in modifying the underlying biological predisposition for becoming depressed.

Happier, healthier, positive and more productive lives is the Brain Wave Center’s mission to our community. The Brain Wave Center addresses many different types of issues related to the brain that affect our everyday lives. The Brain Wave Center focuses on the individual and creates customized neurofeedback based brain health programs. Highlighted here are three areas that the Brain Wave Center has been successfully helping to treat:

Trauma can cause anxiety due to extremely stressful events or series of events. Some people experience only limited benefit after trying various therapies and medication.

Neurofeedback trains the brain to produce a calm state as well as regulate stress response. In addition, the specific areas of the brain affected by trauma can be targeted. Frequently, the first signs of improvement is that a client sleeps better and reports reduced anxiety. Over time, other symptoms also improve.

Our brains affect many functions in our lives. From anxiety to increased athletic performance your brain plays a pinnacle role. Brain health may be the most important yet at times the most ignored and misunderstood area of health.

TRAUMA

ADHD, AUTISM & LEARNING DISORDERS

People with ADHD can be easily distracted, impulsive, and inattentive. It is not entirely a disease or a discipline problem, it’s a Brain Problem. Research indicates that some combination of medical and non-medical interventions represent the best-practice approach to managing ADHD. Others may meet the criteria for Autism Spectrum Disorder. Neurofeedback is a safe passive approach to brain training and is a powerful tool to help children have better lives.

ANXIETY & DEPRESSION

Anxiety sufferers are often overwhelmed, exhausted, and stressed out. Their brain seems to never quiet

The BRAIN WAVE CENTER

The Brain Wave Center’s mission is to contribute to our community by helping clients live happier, healthier, positive lives. We are research based and continuously seek out partners with differing opinions to develop multi-dimensional approaches.

Recently, we have joined together with Psychological Associates of Central Florida to provide comprehensive mental health treatment to children, families and adults and Resilient Retreat adding trauma care expertise. We have partnered with The EasterSeals of SWFL, The Haven, The Thinking Center and other charitable organizations to target kids with special needs and abilities that may not be able to afford the services they require. We are here to help you, call us for your free consultation and retrain your brain & enjoy life!

EXPERIENCE MATTERS Gregg Sledziewski Executive Director Since 2012, we’ve offered a variety of well researched and effective solutions for brain health.

Innovations in brain health for a better you!

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