SARASOTA
Health Matters Observer
OCTOBER 2021
Your sleep choices affect more than you might realize — and weekend catch-ups won’t help. PAGE 2
MEAL PREP
Food delivery doesn’t always need to be your dinner backup.
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VIRTUAL CONNECTION
PHYSICIAN SPOTLIGHT
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SMH patients visit museum via robot.
Ophthalmologist talks lens tech advancements.
HEALTH MATTERS
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YourObserver.com
OCTOBER 2021
Sleep patterns and their consequences Sarasota doctor talks about the importance of sleep and how genetics play a factor. LIZ RAMOS STAFF WRITER
W
hile some people are used to staying up past midnight every night and sleeping in, others are in bed by 9 p.m. and wake early each morning ready to take on the day by 7 a.m. People have come to realize they’re either night owls or early birds, but what does that mean for their health? Dr. Tracy Gapin, who opened a health institute for men’s health and performance in Sarasota and has 20 years of experience in urology, has been studying the impacts of sleep on health, including knowing more about what it means to be a night owl or an early bird.
Gapin takes a systemsbased approach when helping patients, meaning he looks at various factors that impact health including nutrition, fitness, hormones and mindset. “What I have found is one of the most impactful parts of all is sleep,” Gapin said. “Sleep is when your body recovers and restores. “Sleep is intimately tied to hormone production as well. When we don’t have good quality sleep, hormones are affected, and that will cause elevated cortisol, which is our stress hormone. If cortisol is chronically elevated, it crushes all our other good ones.” THE IMPACT OF GENETICS
Gapin said genetics play a part in whether people are night owls or early birds because everyone has clock genes that impact the body’s internal circadian rhythm. Some clock genes are related to sleep duration, how long it takes to fall asleep, when you go to bed and the risk of narcolepsy.
“Those genetics will dictate how your body handles the circadian rhythm of sleep and awake cycles,” Gapin said. “Based on your genetics, some people will do better going to bed later and waking up later. Other people, based on your genetics, will do better going to bed earlier and waking up earlier.” A simple way to tell if you’re a night owl or early bird is by noticing when you’re at your highest level of performance. Do you find yourself being more awake and aware at night or in the morning? For example, Gapin said he tends to be sharper at night compared to the morning, so he considers himself a night owl. Although some might think they’re night owls because they stay up late, Gapin said that if they still wake up early daily, they’re not actually considered night owls. “The whole night owl concept is if you’re a night owl, that also means waking up late,” Gapin said. “If you have to be at work by 7 a.m., you
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can’t be a night owl. That’s not conducive for staying up late because you have to wake up early anyway.” The constant cycle of staying up late and waking up early can cause “social jet lag,” where people try to catch up on sleep over the weekend, but it never works, Gapin said. “You can’t trick your body to catch up on sleep on a weekend,” he said. “Your body still suffers the consequences of that poor sleep all throughout the week.” As a result, Gapin said it’s critical to tailor your lifestyle to what’s right for your body, which will ultimately optimize your sleep. QUALITY VS. QUANTITY
Depending on the person and their genetics, the minimum amount of sleep needed is
BEHAVIORS TO HELP SLEEP BETTER Dr. Tracy Gapin said sleep is one of the most important factors contributing to a person’s health. He provided a few ways to help you get a better quality of sleep each night: n Establish a routine. n Don’t eat within four hours of bedtime. n Avoid any blue light within four hours of bedtime, or wear glasses that block blue light. n Go to sleep at the exact same time every night, and wake up at the same time. n Sleep in a completely dark room. n Turn your phone on airplane mode to limit electromagnetic frequencies. n Keep the room at a cool temperature. n Practice meditation or mindfulness before going to bed. n Read a book to relax your mind.
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Dr. Tracy Gapin has been studying the impacts of sleep on a person’s health.
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seven hours, Gapin said. But more important, he said, is the quality of sleep. Gapin said there are several genetic factors related to risk for sleep disruption. Oftentimes people think that because they woke up feeling rested, they slept enough, but it’s usually not enough, Gapin said. “When you sleep poorly, your body does not get the restorative effect, and what happens is you have elevated stress hormones,” Gapin said. “When you wake up in the morning when you’ve been short on sleep, you may have sometimes almost a state of euphoria, almost this excited feeling. That’s just your stress hormones kicking in to help your body kind of get going. Even though you haven’t gotten the proper amount of sleep, you think you did because the stress hormones are stimulating you enough.” Elevated stress hormones disrupt a sleep cycle, which leaves people having a difficult time falling asleep at night. “It becomes this vicious cycle of stress hormones and poor sleep, and that causes weight gain, poor metabolism, inflammation, low hormones and more,” Gapin said. “It’s a cascading effect.” WHICH IS BETTER?
Gapin said he hasn’t found any health benefits to being a night owl or early bird, but some studies, such as a study from the Scandinavian Journal of Medicine and Science in Sports, shows that night owls might have lower physical activity. The Scandinavian Journal study found that night owls tend to have
60-90 fewer minutes of activity per day compared to early birds. A study from Northwestern Medicine and the University of Surrey in the U.K. found night owls have a 10% higher risk of dying over a six-and-a-half year period compared to early birds, or larks, because they have to conform to societal routines, such as a 9 a.m. to 5 p.m. job. “It could be that people who are up late have an internal biological clock that doesn’t match their external environment,” said Kristen Knutson, the co-lead author of the study and an associate professor of neurology at Northwestern University Feinberg School of Medicine, in a Northwestern University article. “It could be psychological stress, eating at the wrong time for their body, not exercising enough, not sleeping enough, being awake at night by yourself, maybe drug or alcohol use. There are a whole variety of unhealthy behaviors related to being up late in the dark by yourself.” The study also showed night owls had higher rates of diabetes, psychological disorders and neurological disorders. Gapin said there are several ways people can optimize their sleep to ensure they have a good quality of sleep each night, including not eating within four hours of bedtime, going to sleep at the exact same time every night and waking up at the same time every morning, sleeping in a completely dark room, and keeping the room at a cool temperature.
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OCTOBER 2021
RECIPES TO TRY BREAKFAST Pina colada overnight oats
LUNCH Lentil salad
or if you know you’ll be too tired to cook — meal prep means you don’t have to do anything but reheat what’s already made. Meal prepping also helps some eat healthier. If you know you won’t have time to cook a full meal on a given day, is it better to pick up fast food on the way home or to already have a nutritious meal ready to eat in your refrigerator?
RYAN KOHN STAFF WRITER
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e prepared. It’s the Boy Scouts’ motto and a devilishly catchy song from “The Lion King,” but it’s also advice that many people have taken to the kitchen in the past few years. Meal prep, as the practice is known, is a trendy way of getting food ready each week. On a fundamental level, meal prep means cooking more now so you have less to do later. To outsiders, getting started can seem overwhelming. How do you begin meal prepping? What are the best tips and tricks you need to know? Why is this such a popular movement in the first place?
YOU HAVE OPTIONS
Even though the idea behind meal prepping is basic, there are multiple ways to go about it. The most popular method is batch cooking: making a large amount of one recipe and putting it either in the refrigerator to eat throughout the week or in the freezer to eat over a few weeks. Batch cooking allows you to spent the least amount of time in the kitchen. Many people elect to batch cook on the weekend, dedicating a few hours to making everything while stress free.
THE APPEAL OF MEAL PREP
The biggest reason people opt to meal prep is time. If you know your schedule won’t allow much time to cook dinner each night —
If you want more variety and have a bit more time to cook at night, try make-ahead meals: full meals you make ahead of time with no leftovers expected. This method is often used for breakfast; overnight oats or muesli are common options for people who want to wake and eat something without having to use brain power on cooking. Like batch cooking, this saves time on the back end, just with more spread out time allotments on the front end. For meal prep on a much smaller scale, you can also opt to prepare individual ingredients of a meal ahead of time, such as sous vide cooking a few chicken breasts at once so you only have to give them a sear when you’re ready to eat. Whichever method feels right for your schedule, you probably want to start slow. Ease yourself into the process until you feel comfortable making that much food at once. And stick to your schedule: Once you dedicate your
Keeping Kids Healthy in the Fall and Winter Most parents know this scenario all too well: the kids return to school for the year and come home with not just classwork and report cards but germs and illnesses as well. Dr. Ted Meyer, III, MD, FAAP, with Meyer Pediatrics says as the weather cools and kids go back to the classroom parents can expect an increase in contagious diseases including stomach and gastrointestinal viruses, most respiratory viruses and strep throat. Other issues to keep an eye out for are recurrent wheezing (asthma and
reactive airway disease) and rashes. He adds that there has been a recent local outbreak of respiratory syncytial virus (RSV), which shows up as coldlike symptoms. It’s usually a minor disease but it can cause pneumonia in children under age 1. Hand, Foot and Mouth disease, characterized by mouth sores and a rash on the hands and feet, has also cropped up this season. Having unwell kids is unpleasant for everyone in the family, so what can you do to help prevent them from getting sick this year? Dr.
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Saturday or Sunday mornings to cooking, it becomes routine. THINK ABOUT MORE THAN THE FINAL PRODUCT
Food might be the thing you’re preparing, but there’s more to consider than ingredients. For instance, what are you putting all this food in? Make sure you have enough containers to hold everything you cook, and make sure they seal. There’s nothing worse than making a lot of food only for it to go bad quicker than you thought it would. Plastic containers are fine for the fridge, but it might be better to use Pyrex for food you plan on reheating. Wide-mouthed jars are great for the freezer, but leave room at the top of the jar in case the food expands when frozen. Also, if you want to heavily meal prep and still maximize your efficiency in the kitchen, think about what cooking methods your recipes require. Choosing one oven
recipe and one stovetop recipe (or more) can save time. ADD VARIETY WHERE YOU CAN
The biggest gripe of meal prep is that it can get monotonous quickly if you’re not careful. The best way to avoid this feeling is to add changes wherever you can. If you are making a week of salads, divide them into two categories. Put chicken in half with a honey mustard dressing; in the rest, add chickpeas and Greek vinaigrette. This idea can be expanded in almost limitless ways. Making overnight oats? Add blueberries one day and strawberries the next. You could even make more than one recipe for dinner at one time, though this could require more cooking time depending on the recipes.
Dr. Ted Meyer, MD, FAAP Dr. Ted Meyer is Board-Certified by the American Board of Pediatrics and a Fellow of the American Academy of Pediatrics (FAAP). Originally from Montgomery, Alabama, he earned a BS in Biology from Emory University (1977), a MD from Vanderbilt University (1981), completed a Pediatrics Residency at USF/Tampa General (1984).
Meyer recommends a two-pronged approach: hygiene and check-ups. First, teach your children to practice good hygiene. They should wash their hands thoroughly for a minimum of 20 seconds in warm water. Singing “Happy Birthday” twice is a good way to keep track of how long the hand-washing lasts. You could also use the stopwatch function on your smartphone. If soap and a sink are not available, give your child antibacterial hand wipes or other wet napkins. Even if their hands are clean, kids should refrain from putting their hands in their mouths. To stave off COVID-19, mask-wearing in school and other indoor places may be beneficial. Second, keep and maintain regular wellness visits with your pediatrician. Your local doctor is best informed of what illnesses are active in the community.
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If your child does come down with an illness, medications may be necessary. Dr. Meyer generally prescribes antibiotic amoxicillin for strep throat. For viral infections, over-
the-counter treatments like children’s aspirin and cough syrup can help soothe and comfort kids as their bodies recover from viruses. Should your child need prescribed medicines, “compounding prescriptions creates a new avenue for medication to be consumed,” Dr. Meyer says. That means if your kid is finicky about swallowing a pill or unappetizing liquid medications, there’s good news. Many common prescriptions can be made into patches, suppositories and more fun, flavored forms like lollipops, so you can help your child feel all better soon. If you’re having trouble giving your kids medication, call Gerry at Sarasota Compounding Pharmacy at 941.366.0880 or Dr. Meyer at 941.365.5898 for more information about compounding medications. $
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What is meal prep, and what are the benefits of cooking this way?
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OCTOBER 2021
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Robot provides virtual escapism for patients The Ringling and SMH team up on project that allows camera-connected machine to tour museum. MARK BERGIN STAFF WRITER
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ingling Museum Education Assistant Brooke Wessel remembers when the Ohmni Telepresence Robot arrived around Thanksgiving 2020. The Ringling began a partnership with Sarasota Memorial Hospital in January to allow hospital patients to control the 18-pound machine virtually. Using the robot they’ve nicknamed “Arty,” patients can explore the 66-acre museum without physically being there. “Whenever we first started this program, we wanted to almost give them a form of escapism where they can kind of like leave the hospital mentally,” Wessel said. “As we’ve been doing the program, I definitely have found that people aren’t forgetting that they’re sick … They’re in the situation, but they are finding moments of peace within that and moments of happiness.” Both SMH and The Ringling have personnel on their ends to ensure the technology is functioning properly. Wessel is in charge of leading the tours with the robot on The Ringling’s end.
Mark Bergin
Ringling Museum Education Assistant Brooke Wessel leads virtual tours using the Ohmni Telepresence Robot.
“Patients seem to just love it,” said Lucelly Alarcon, SMH’s specialty program coordinator. “It’s kind of a little bit of distraction. They enjoy the interaction with the arts while they’re here in the hospital. They get to kind of take a little break from all the medical stuff and just kind of enjoy something pretty to look at.” Wessel said The Ringling acquired the $2,699 robot through a Community Foundation of Sarasota grant for Visual Thinking Strategies programming. OhmniLabs co-Founder and CEO Dr. Thuc Vu said patients are able to control the robot using a device’s web browser, which operates like a video game. SMH uses an iPad.
“Basically, you can drive the robot around and look around,” Vu said. “The robot has two cameras, one front-facing and one downward-facing, so the seniors can see the artwork on the wall, but they can also see the ground where they’re driving to avoid obstacles (and) navigate the space.” The battery-powered machine features a 4K ultra-wide-angle camera with a display touchscreen, tilting neck, far-field speaker and microphone. Visitors physically at the museum can also see the face of the virtual user operating the Ohmni robot, though virtual users can also choose an option where their faces aren’t shown.
Alarcon said SMH plans to allow its patients in orthopedics and its medical-surgical department to use the robot this fall. The program is free for patients. Wessel credits her previous experience with a similar VTS program when she worked in 2017 at the Figge Art Museum in Davenport, Iowa. “They are able to get closer than they would be on site because there’s no way security is letting somebody get this close. And like breathing on the patients — we don’t want that,” Wessel said. “We keep our art very safe, so if I can have a camera close to it, they’re able to see a lot more detail than even people visiting on site.” Vu stressed the importance for
long-term hospital patients and seniors to have strong social connections. “Isolation and loneliness are one of the biggest health challenges for the seniors in recent years,” Vu said. “There was a study from the U.K. showing that loneliness is actually more harmful than obesity with a senior, increasing the risk of early death.” Alarcon echoed Vu’s sentiments about patients having social interaction. “It’s very important, especially now since for a while here, we haven’t been allowing any visitors and all of that because of the COVID restrictions,” she said. SMH offers other programs, such as pet therapy, and offers patients virtual reality headsets. Technology like the Omni Telepresence Robot is becoming more common, even in people’s homes. Vu said one robot has even helped save a woman’s life after she fell and couldn’t get up. The woman’s son took control of the robot to check on his mom. “She couldn’t speak English that well either, so he was there to talk to the emergency team and make sure that she was safe and also comfort her through the whole ordeal,” Vu said. Vu has personally used an Ohmni robot to interact with his grandma during the pandemic. While Vu was in California, his grandma was in Vietnam. She showed him how to cook pho. “That’s the main goal for us is to bring value to our end-user, through the robot,” Vu said.
WE ARE PROUD TO WELCOME OUR NEW CARDIOLOGISTS Please join us in welcoming our new Cardiologists to Millennium. Millennium has been serving the healthcare needs of the community since 2008. Our patients are WHY we strive to deliver the BEST care in the country. And it all starts with YOU.
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Pareena Bilkoo, M.D.
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Y. Emmy Satya, M.D. Cardiology
l Systolic and Diastolic Heart Failure l Women’s Heart Health
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OCTOBER 2021
Dr. David Shoemaker Ophthalmologist is the first surgeon to implement a new replacement lens technology. HARRY SAYER STAFF WRITER
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r. David Shoemaker is the founder of Center for Sight, a Sarasota group of physicians who specialize in ophthalmology and helping locals maintain clear sight. Shoemaker considers himself a specialist completely devoted to cataracts and lens replacement surgeries — he jokes his career was either going to be delivering babies or making people see. He’s been in a good mood as of late. Shoemaker was the first surgeon in the country to implement the TECNIS SynergyTM Intraocular Lens, a Johnson & Johnson vision replacement lens designed to operate more efficiently in all levels of lighting, for a cataract patient during a recent surgery. It’s a technology that Shoemaker and others in his field have kept their eyes on for a decade.
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Did you always want to be in the medical field? As a kid growing up in Florida in the ’70s, I was attracted to manned space flight. I wanted to be an astronaut.
CARE
Harry Sayer
Dr. David Shoemaker is well-versed in most matters relating to cataracts and replacement lenses.
My parents indulged me, took me to a surgeon and took X-rays, and they told me I was probably going to be too tall. That made medicine in general rise to the pile to me. Once you get into med school and see the unmet needs, you match up your skill set with that opportunity. What drew you to cataracts and lens replacement surgery? Ophthalmology is an amazing combination of medicine and surgery. We’re able to diagnose just by looking at the eye — we
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We believe your doctor should get know you personally, have the flexibility to see you at any time, and commit to delivering benefit-oriented care and advice tailored to your unique needs. Discover how LernerCohen puts the CARE in Healthcare. Schedule a meet and greet to see if concierge care is right for you.
The Doctor Is In. Always.™ 941.953.9080 • LernerCohen.com 1921 Waldemere Street, Suite 814 • Sarasota, FL 34239 Dr. Brad S. Lerner | Dr. Louis M. Cohen | Dr. James R. Cocco | Dr. Amy M. Roth
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Practice: Shoemaker is the founder of the Center for Sight group and works in ophthalmology. Specialty: Shoemaker is entirely focused in cataracts and lens replacement surgeries. Years in practice: 34 Education: After two years at Stetson University, Shoemaker received a bachelor’s degree and doctorate from the University of Central Florida. He completed his residency (without internship) in ophthalmology at the Ochsner Clinic in New Orleans.
don’t rely on anything. It’s almost instant action to create improvement, to restore sight. It’s a pretty neat job. What attributes lend well to ophthalmology? It’s more of a mental (skill set) than a physical one. You can’t have tremors (in your hands), so if you work out in the mornings, that’s not happening. The mental set is obsessive compulsive perfectionist — hyper-focused on detail, having massive attention to every single thing you do in the operating room. You practice, practice, practice to get it. Only when you’re in the zone where it’s an art is it where you want to be. That’s where the best results come from, and that’s where the joy in being a surgeon is derived for me. What is the TECNIS Synergy Lens, and what is its importance? In the old days, the goal was to restore sight loss from cataracts.
Before we had implants, we had glasses, and when we had implants, there were still glasses, astigmatism, delayed healing, all of that. Ultimately, the goal is to restore as close to natural vision as possible without glasses. The (Synergy lens) provides a full range of clear vision without glasses. All of the predecessor lens have limitations, side effects, something. We’ve been tweaking technology for at least the last 10 years trying to pursue this holy grail thing. This Synergy lens is the closest we’ve gotten. It’s really quite exciting. We have patients (who are) just thrilled — that’s when you know something is going on.
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OCTOBER 2021
EYE CARE to Our Specialists
Our board-certified ophthalmologists are fellowship-trained to provide a lifetime of specialized care for your eyes.
How did it feel seeing the results from the first surgery? It’s been exciting. Every patient can read and see their computer screens on day one. And the long-distance vision kicks in quite nicely.
Murray Friedberg, M.D. Robert Edelman, M.D. Scott Silverman, M.D. Robert Sambursky, M.D. Pooja Khator, M.D. Allison Menezes, M.D. Jeffrey Davis, M.D. Jody Abrams, M.D. Paul Brannan, M.D. Garry Condon, M.D. Selina Lin, M.D. Philip Ames, M.D.
Are there any other advancements in your field that you’re looking forward to or hoping might come soon? There are amazingly creative ideas out there, some in FDA trials. But the difference between a great idea and a commercially viable product is not to be underestimated. We’re in a really good spot. I think this lens is going to be the lens of choice for many years. When you’re not working, do you have any hobbies? I chase my 5-year-old around.
Coastal Eye Institute is pleased to welcome Dr. Philip Ames to our practice. Dr. Ames is a fellowship-trained Retina Specialist. To learn more about Dr. Ames visit us at www.coastaleye.com
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30 Years of Expertise! INSPIRING HOPE DINNER
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Sunshine from Darkness presents an inspirational evening featuring two celebrity keynote speakers being recognized for their mental health advocacy and achievements: • Darryl Strawberry: baseball legend Darryl Strawberry
Steve Ford
• Steve Ford: actor, mental health advocate and son of former President Gerald Ford and First Lady Betty Ford The Lee & Bob Peterson Legacy Award will be presented to the Seidensticker Family in honor of their late father, Steve. Other event highlights include a “Hope Chest” raffle, silent auction, and live entertainment throughout the evening. Co-chairs: Taylor Karp Teymuri and Sarah Karp. Tickets are $325; numerous sponsorships are available.
Journey to Wellness Symposium
You may not need home care today, but be prepared and become educated on the process. Our services are customized to your needs...with continuity of caregivers and oversight to ensure your satisfaction!
PRESENTERS
SATURDAY, NOV. 13, 2021 | 8:45 A.M.-12:15 P.M. HYATT REGENCY, 1000 BOULEVARD OF THE ARTS, SARASOTA FREE AND OPEN TO THE COMMUNITY
Eli Lebowitz, Ph.D.
Joyce Carter, Psy.D., LMHC
Myrna Weissman, Ph.D.
Jennifer Katzenstein, Ph.D., ABPP-CN
Andrea Blanch, Ph.D. Moderator
TO LEARN MORE OR PURCHASE TICKETS, VISIT SUNSHINEFROMDARKNESS.ORG
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Three Continuing Education (CEU) credits will be available at no charge for LCSWs, marriage and family therapists, and mental health counselors.
Michael H. Bloch, M.D., M.S.
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National and local mental health practitioners and scientists will discuss new treatments, discoveries, and insights on mental health issues. Topics will include better treatments for childhood disorders, creating a trauma-informed community, the impact of COVID-19 on young people, childhood and adolescent anxiety, and the nature of depression; a Q&A will follow the program. The goals of the symposium are to raise awareness of mental health and addiction disorders and to help erase the stigma surrounding them.
Nicci Kobritz, President
941.925.9532 nkobritz@youthfulaginghomecare youthfulaginghomecare.com License 299991326
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