Health Matters – Sarasota, Aug. 2016

Observer

Health Matters AUGUST 2016

Florida Survival Guide

BATTLE OF THE

BUG SPRAYS Can a homemade bug spray keep mosquitoes away?

PAGE 4

EATING LOCAL How healthy are Florida foods?

PAGE 6

COOL RUNNING

PICTURE OF HEALTH

Take your workout outdoors.

How Patrick Duggan shed 70 pounds.

PAGE 8

PAGE 10

2

HEALTH MATTERS

|

YourObserver.com

AUGUST 2016

FLORIDA: HEALTH REPORT CARD

How does the Sunshine State compare to other states?

OVERALL FLORIDA HEALTH RANKING:

No. 33

The No. 1 state: Hawaii, which has low rates of obesity and preventable rates of hospitalizations and days in which respondents self-reported that their mental health was poor over the past month.

The No. 50 state: Louisiana, where high rates of smoking, obesity and children living in poverty are challenges.

THE BAD

THE GOOD

A Celebration of Health, Fitness & Fashion Presented by

OBESITY RATES Approximately 26.2% of Floridians are estimated to be obese, with a body mass index (BMI) of 30.0 or higher, a percentage that’s among the lowest in the U.S. Nationally, 29.6% of adults are obese.

Florida rank: 7 SMOKING Just 17.6% of Floridians over age 18 smoke, compared to 18.1% nationally.

Florida rank: 24

Saturday, August 20 11am to 4pm Grand Court, The Mall at University Town Center

Raise your pulse rate and funds for the American Heart Association! Register to join one of six classes during the Pump It Up Cycle Challenge and a $1 donation will be made for every mile completed.*

ALCOHOL CONSUMPTION Only 17% of adults in Florida reported binge drinking in the past month, defined as consuming four or more alcoholic drinks for women or five or more drinks for men on a single occasion, or chronic drinking, defined as eight or more beverages in a week for women and 15 or more for men. The national average is 18%.

Florida rank: 20 AIR POLLUTION Air pollution in Florida fell in 2015 for the 10th consecutive year, meaning residents are exposed to fewer toxins.

Florida rank: 10

PRIMARY CARE Florida has 117.7 primary care physicians per 100,000 residents. By comparison, No. 1-ranked Massachusetts has 206.7.

Florida rank: 32 LACK OF HEALTH INSURANCE An average of 18.3% of Floridians were not covered by health insurance.

Florida rank: 49 PHYSICAL INACTIVITY 23.7% of Floridians reported they did no physical activity or exercise other than their regular job in the last 30 days.

Florida rank: 32 DIABETES 11.2% of adults in Florida have diabetes. The national average is 10.0% Florida rank: 37

Source: 2015 America’s Health Rankings Report by United Health Foundation

Trust Your Eye Care to the Specialists

TO REGISTER

Space is limited. Reserve your cycle session today at mallatutc.com/pumpitup Registration Fee: $10. All event proceeds will be donated to the American Heart Association.

ADDITIONAL ACTIVITIES

Gift giveaways Shoe selection & sizing demonstrations Pump It Up in Style Fashion Gallery Health and Wellness information provided

by Lakewood Ranch Medical Center**

Our board-certified ophthalmologists are fellowship-trained to provide a lifetime of eye care.

Formerly EyeClinic Clinic FormerlyManatee Manatee Sarasota Sarasota Eye ®

Specializing In:

213553

*Up to $2,500 **Note: Physicians are not employees or agents of Lakewood Ranch Medical Center.

• Laser Cataract Surgery • Micro-Incision Cataract Surgery • Advanced Lens Implants • Glaucoma Care • Macular Degeneration • LASIK Surgery • Pediatric Eye Care • Neuro-Ophthalmology • Dry Eye Treatment

Murray Friedberg, M.D. Robert Edelman, M.D. Scott Silverman, M.D. Eric Berman, M.D. Robert Sambursky, M.D. Pooja Khator, M.D. Allison Menezes, M.D. Jeffrey Davis, M.D. Anita Shane, M.D. 1427 S. Tamiami Trail Sarasota 6310 Health Park Way, Ste. 340 Lakewood Ranch 217 Manatee Avenue East Bradenton

CoastalEye.com • 941-748-1818 Most Insurance Plans Welcomed

208588

• • • •

HEALTH MATTERS

YourObserver.com

|

AUGUST 2016

3

Be skin smart in the Florida sun In the Sunshine State, sunscreen isn’t enough for a lifetime of healthy skin.

KRISTEN HERHOLD CONTRIBUTOR

Living in Florida, it’s expected that residents will enjoy the outdoors.

But spending too much time outside in the Sunshine State can be harmful to our skin.

“Going to the beach for any prolonged period of time isn’t good for your skin,” said Dr. Elizabeth Callahan, of SkinSmart Dermatology, in Sarasota. “I feel like the best recommendation for avoiding sun damage is to avoid the sun. If that can’t happen, you have to start being smart about it.”

Sun damage to the skin accumulates over a lifetime, so it is important to start healthy skin practices at a young age.

“It’s very typical for the youth to think they’re immune to those sort of lessons,” said Dr. Emily Arsenault, of Arsenault Dermatology, in Lakewood Ranch and Bradenton. “They’re going out in the sun and getting burned, and the damage won’t show up until they’re older.”

Babies and young children have extremely delicate skin and are sensitive to the sun, so it is important to keep them protected. Children should be in full, covered sun-proof clothing, hats and sunglasses.

“Younger than 6 months

STEPS FOR HEALTHY SKIN

old, we recommend nothing on the skin,” Arsenault said. “We recommend only shade. For children, they need a sunscreen that’s geared toward baby or sensitive skin. Those are the ones I recommend and what I use on my own children.”

As people age, their skin loses much of its natural moisture.

“The challenges of taking care of your skin become greater with age,” Callahan said. “Your skin ages like the rest of your body.

It loses its natural oils and dries more. The most important thing is to be aware of them and to supplement your diet and take the best care of your skin as you can.”

Callahan recommends taking fish oil and drinking plenty of water, especially in a hot climate such as Florida. It is also important to use gentle soaps and avoid taking long, hot showers.

“Most common soaps in the grocery store are harshest on your skin,” Callahan said.

“Americans are focused on cleansing their skin with antibacterial and very harsh soaps.

We need to be gentler with our skin than we are. We strip our skin of our good oils, and that makes our skin dry, and we’re not moisturizing enough.”

Arsenault also recommends sun protection and hydration for healthy skin in addition to not

Always use sunscreen when you go outside, even if you’re more likely to tan than burn.

Keep your skin moisturized and stay hydrated.

smoking and not tanning. Both doctors recommend a yearly checkup no matter one’s age.

“We’ve caught precancerous moles in a 5-year-old,” Arsenault said. “I caught melanoma on a 10-year-old. We’ve caught, many, many precancerous moles on teenagers who have grown up here. It’s important to get checked every year.”

No matter the skin type or how easily one tans or burns, sunscreen is necessary for everyone. Callahan recommends a sunscreen with an SPF of 30 and believes higher than that, the protection doesn’t change.

She also doesn’t recommend

Wipe sweat off your body soon after sweating to avoid irritations and rashes.

using spray-on sunscreen, which doesn’t provide as much protection.

“I wish there was a perfect sunscreen, but there isn’t, and the problem with people today isn’t the number, but that they don’t put it on enough or frequently enough,” Callahan said.

“It’s about limiting your time in the sun. The sun damages the skin way before you recognize it. Even if you don’t burn, you’re still accumulating sun damage.

You are damaging the cells in your skin that much, much later in life will present themselves either in the form of severe wrinkles and spotting or skin

Get checked yearly.

Use gentle soap and don’t take long, hot showers, which strips the skin of oils and dries it.

Don’t smoke.

cancer.”

It’s only natural to enjoy the Florida sun, but it is essential to be smart about it.

“Here in Florida, the sun is so much stronger than what people are used to up north,” Arsenault said. “Some of these snowbirds and some who are seasonal or those who grew up up north, they have this false sense of security that they’re not going to have as much damage. The sun here is stronger, and the UV index is so high, and you accumulate the damage much more quickly. Even those with darker skin can have sun damage here.”

EXPOSING

STROKE through early detection

Health conditions like heart disease, stroke, cancer, abdominal aortic aneurysm (AAA) and many others usually show no symptoms until it’s too late. That’s why it’s important to detect them early.

Saturday, August 13th 10:00 am - 3:00 pm Payne Park Auditorium

STROKE/CAROTID ULTRASOUND ........... $40

This test visualizes build-up of plaque in the carotid arteries that may lead to stroke.

1200 E. Laurel St Sarasota, FL 34236

ABDOMINAL AORTIC ANEURYSM (AAA) .. $40

95% of ruptured AAAs result in death. The majority of victims have no symptoms.

FRIDAY, AUGUST 19 Sarasota YMCA

TH

1075 Euclid Avenue

Admission is FREE!

Plus, enter to win many great prizes including as we adhere to stringent protocol CALL NOW! a 39” Smart HDTV, a Fitbit and more!

AND RELIABLE: Results are read by a Board Certified radiologist.

CALL NOW! Bring your Goodwill store receipt for an extra chance to win!

1-888-667-7587 OUR TESTS ARE ACCURATE:

1-888-667-7587

ALL RESULTS & FILMS MAILED TO YOU IN 2 WEEKS CALL NOW!

no prescriptions needed 1-888-667-7587 Visit experiencegoodwill.org/goodwellness no prescriptions needed no prescriptions needed

ARTERIAL DISEASE (PAD) TEST .............. $40

Ultrasound is used to detect poor circulation and blockages in the legs.

THYROID ULTRASOUND ......................... $40 Scan to rule out cysts, nodules, goiters & tumors.

ABDOMINAL ULTRASOUND .................... $95 Helps identify cancers/disease of the liver, pancreas, kidneys, gallbladder and spleen.

HEART SCAN - ECHOCARDIOGRAM......... $95

Screening to view wall motion, valves, enlargements, calcifications, stenosis, prolapse, blood clots, tumors & fluid around the heart.

Schedule individual tests or get all 6 ultrasounds& SAVE BIG!

E T E L P M O C P L E T EIOONM P L E T E O C EMVALUIAOTsoNuCnVdAs LUATION E 1-888-667-7587 TltraNOW! nds ix Ultrasou EVAALllUSixAUCALL sOoNuLnYds All S

to learn more!

213556

a ONLY www.StrokeTesting.com www.StrokeTesting.com no prescriptions needed All Six UltrLY N O www.StrokeTesting.com BLOOD TESTS BLOOD TESTSLIVER, LIVER,CHOLESTEROL, CHOLESTEROL, PSA & TSH are ALSO AVAILABLE BLOOD TESTS LIVER, CHOLESTEROL,

$

$

169 169

169

PSA & TSH are ALSO AVAILABLE

& LIVER, TSH areCHOLESTEROL, ALSO AVAILABLE BLOOD PSA TESTS PSA & TSH are ALSO AVAILABLE

$

213107

Next Screening Date:

Join us for family fun featuring community partners who focus on nutrition, family wellbeing, fitness, financial wellness, the environment, overall health and more!

COMPLETEN IO EVALUATnd s Only ou

All Six Ultras

$

179

4

HEALTH MATTERS

|

YourObserver.com

AUGUST 2016

BATTLE OF THE BUG SPRAYS The CDC recommends bug sprays that contain the chemical DEET. But many say natural oils keep mosquitoes away.

ANNA BRUGMANN STAFF WRITER

L

aurie Letzo spent the Fourth of July with her boyfriend along the bay-

front watching the fireworks.

Unlike most of the crowd, they didn’t spend the night swatting away mosquitoes. Letzo says that’s because she brought her “bug juice”— a mix of essential oils suspended in distilled water and witch hazel oil. Summer always leaves us itching to keep mosquitoes away — even more so this year, due to the spread of the Zika virus. But do natural remedies actually work?

Bringing Health & Independence Back to Over 1,600 Patients

A Not-for-Profit Skilled Nursing & Rehabilitation Facility accepting Medicare, Insurance & Private Pay Patients.

5381 Desoto Road, Sarasota, FL 34235 (Just East of Honore on Desoto Road) Marketing@HawthorneVillageofSarasota.com

www.HawthorneVillageofSarasota.com License #SNF130471051 EOE

213554

CALL 941-355-6111 TODAY

The Centers for Disease Control says that several chemicals and natural products can repel mosquitoes, although it recommends bug sprays that contain at least 20% DEET — a chemical that blinds mosquitoes to people’s chemical scent — such as Cutter Backwoods or Off! Deep Woods.

Both the CDC and the Sarasota County Department of Health recommend the oil of lemon eucalyptus as a mosquito repellent.

Sarasota County doesn’t take a stance on natural versus chemical products, according to Matthew Smith, director of Sarasota County Mosquito Management.

But it only recommends products that are backed by clinical research and can be uniformly applied, which include a patented chemical formula called IR3535 and products that use menthoglycol and DEET. “The thing about using commercially bought products that have a label is that it makes it a little more uniform in use,” Smith said. “The thing about

Make Hawthorne Village Part of your Healthcare Plan!

HEALTH MATTERS

YourObserver.com

essential oils is there is a lot of anecdotal evidence.”

Like Smith, Mark Latham, director of Manatee County Mosquito Control District, only recommends products that stand up to the CDC’s standards.

“Anyone can say anything about, ‘Well I use oil of cucumber, and it’s fantastic, and it’s effective,’ and all this, but where is the evidence?” he said.

But many, including Letzo, believe natural options are preferable to chemicals.

“Your skin is the largest organ on your body,” said Letzo, who sells Young Living essential oils and makes her bug juice out of two of its oil blends. “We don’t realize when we put something on our skin it affects our whole body.”

The mixture is mostly lemongrass, citronella and lavender, but she says those are not the only essential oils with bugrepellent properties.

Another proponent of natural bug sprays is Brenda Yanofsky, a clinical psychologist and licensed practitioner of Chinese medicine. She says peppermint, lemon eucalyptus, rosemary and about a dozen other essential oils are effective at repelling mosquitoes.

The trick, she says, is finding what works with your particular body chemistry. She says essential oils, just like commercial bug sprays, react differently depending on the person. That’s why mosquitoes “like” some people more than others and why some bug sprays seem to be more effective on one person and less effective on another.

“There’s not one right thing,” Yanofsky said. “It’s just finding what works for you, what works

DR. BRENDA'S MOSQUITO REPELLENT RECIPE 1. Pick your oils. The following oils have mosquito-repellent properties, and according to Brenda Yanofsky, it’s about finding what mix that works best for you: citronella, clove, pine, peppermint, lavender, patchouli, rosemary, rose, thyme, lemongrass, lemon eucalyptus, cedarwood, rosemary, tea tree, basil and geranium.

2. Boil water 3. Measure 2 ounces of boiled water for each ounce of vodka.

4. Combine water and vodka with 50 to 75 drops with your blend of essential oils **It's important to keep your mixture under 15% essential oils. Otherwise, it could become harmful.

for your family.”

She encourages people to try different mixtures, while keeping in mind more is not always better.

But finding the mixture that works best is just the first step.

The key is using it.

“You can have the best spray and if you don’t use it, it doesn’t work,” Yanofsky said.

Latham said people should consider factors such as how long they need the repellent to last and the amount of time they will need protection.

“Different products will provide high levels of protection for different lengths of time,” he said.

But there are other ways to avoid mosquitoes that don’t require sprays.

Smith suggests staying indoors around dawn and dusk, when mosquitoes like to feed, and covering your skin if you have to go outside during those times.

“You don’t have to worry about chemicals if you wear long, loose-fitting clothing,” Smith said.

5 D’S OF MOSQUITO PREVENTION Sarasota County recommends following the “5 D’s” to prevent mosquito bites. n Dusk and dawn: Avoid being outside when mosquitoes are biting. n Dress: Wear clothing that covers most of your skin. n Defend yourself. Use repellents that contain picaridin or DEET. Oil of lemon eucalyptus, IR3535 and permethrin are also repellent options. n Drainage. Check around your home to rid the area of standing water, which is where mosquitoes lay eggs.

|

AUGUST 2016

5

ANECDOTAL EVIDENCE It seems like everyone has their favorite bug spray — the one product they swear works better than any other repellent on the shelf. I managed to persuade two Observer staffers to put down their favorite bottles of bug spray and pick up a tiny, clear spray bottle of Laurie Letzo’s bug juice would actually keep bugs away.

The bug juice is a combination of about 10 oils including lavender, citronella, rosemary and lemon. Everyone’s body composition is different, and what works for one person may not work for another. That said, I wasn’t convinced the spray would work for my co-workers.

Robin Hartill, managing editor of the Longboat Observer and Sarasota Observer, was skeptical.

“I thought you were going to give me Zika,” she said. (I didn’t.)

Design Editor C.J. Major also had his doubts.

In fact, he has stopped wearing bug spray altogether because nothing has worked in the past.

He didn’t think my small, clear bottle of mystery liquid would be any different than the countless other products he has tried in the past.

“I thought absolutely nothing would happen,” Major said. “I thought, ’Bugs love me. They’ll still attack me.’”

He took the spray to an outdoor concert but didn’t wear it the first night. After establishing that bugs do, indeed, love him, he took the spray out of his bag and gave it shot. Luckily for him (and me), it worked.

The spray stood the test of Hartill’s weekly cornhole match. She reapplied once, but overall, she was pleased with how the spray performed.

“I didn’t think anything without DEET could work,” Hartill said.

She also tested the spray while walking her dog, Oscar, in Red Bug Slough. Though, the spray didn’t seem to be very effective against grass bugs, it seemed to repel the mosquitoes well. She also reported that the smell wasn’t as harsh compared with other products she’s used.

“I wouldn’t say it’s my favorite smell in the world, but it wasn’t bad.” Hartill said. “The only sprays I found that worked in the past smelled really bad.”

— ANNA BRUGMANN

ExPERIENCE LIFE with

Healthier Care.

™

Nothing is more important than your ongoing health.

At LernerCohen Healthcare, we ensure you get the personal attention you need to enjoy the well-being you deserve. As a complete concierge practice, we guarantee an unmatched level of access. You have your physician’s direct cell phone number and we never keep you waiting – any day and any time.

• Board Certified in Internal Medicine • On-Site Dietitian & Physical Therapist • Specialist Appointment Facilitation • Daily Hospital Visits • Coordination of Nursing Home/Rehab Center Care • Unlimited Visits • 24/7 Access with No Waiting Now accepting a limited number of new patients.

To learn how life can be simply healthier, call today.

1921 Waldemere Street | Suite 814 Sarasota, FL 34239 | LernerCohen.com

The Doctor Is In. Always.™

941.953.9080

193215

Brad S. Lerner, MD | Louis M. Cohen, MD James R. Cocco, MD

HEALTH MATTERS

|

YourObserver.com

AUGUST 2016

POWER FOODS

Dietitians dish out the truth on

Florida food The state produces many foods that are delicious — but are they nutritious?

AVOCADOS

They have more fat than any other fruit, but it’s good fat, Williams said. Because they contain monounsaturated fat, they serve as an anti-inflammatory. They’re also rich in fiber and have as much potassium as a banana, plus their high-fat content makes them filling.

“It seems to really keep your appetite at a good place so you’re not hungry right after,” Namolik said.

MANGOES

Not only do mangoes make the “clean list” for having low levels of pesticides, but one cup equals 100% of the daily value (the recommended intake for a healthy adult based on a 2,000-calorie diet) of vitamin C, Namolik said.

One cup also has 12% of the daily value of fiber and 35% of the daily value of vitamin A. “It’s good for immune boosting and can help lower risk for heart disease,” Williams said.

KATIE JOHNS STAFF WRITER

S

ome Florida-favorite foods can be confusing. Fish is healthy, but what about when

it’s fried? Fruits are healthy, but what about pesticide residue?

We asked registered dietitians

STRAWBERRIES

Kathy Namolik, of Sarasota

Strawberries are on the “dirty dozen” list for containing high levels of pesticides, but that doesn’t mean they should be avoided. A whole cup of strawberries is only 60 calories, Namolik said.

They’re also rich in vitamin C and fiber and contain no fat.

“The way they’re made tells you they’re good for you, and they’re cute and usually a fan favorite in kids,” Williams said.

Memorial Hospital, and Corista Williams, of Lakewood Ranch Medical Center, to help us determine which delicious Florida foods are also nutritious.

Complete Dentistry

OPENING JUNE 1ST! OPENING JUNE 1ST! * Specialized for Medicare Advantage Patients • Offering Special Introductory • Offering Special Introductory *Rates Concierge Services at NO EXTRA on on Holistic/Integrative Rates Holistic/Integrative COST to Enrolled Patients Assessments and Treatment Assessments and Treatment *Plans We Make House Calls!

Plans * Same-Day Appointments • Accepting Medicare Advantage • Accepting Medicare Advantage * Spa-Like Facility Patients Patients

Private Practice! Personal Attention!

DR. COREY WARRENBRAND

an appointment today: CallCall for for an appointment today: 941.251.4612

Coleman Pratt, M.D. (941) 251-4612 5861 Cortez Rd.251-4612 W. | Bradenton, FL 34210 (941) Board CertifiedPratt, in Family Medicine, Coleman Pratt, M.D. Coleman M.D. www.medmodern.healthcare

®

and Integrative Holistic Medicine Board Certified in Family Board Certified in Family Medicine, and Integrative Medicine, and Integrative Holistic Medicine Holistic Medicine

Protects & preserves your own tooth’s structural integrity Ceramics are bio-compatible | Only one appointment Perfect look, comfort & quality | Long lasting & durable No Impressions | No Temporaries

47

$

NEW PATIENT CHECK- UP

Scrubs • Chef Wear • Shoes • Accessories Cherokee • Barco • Healing Hands Wonder Wink • Maevn • KLOGS Dansko • Nursemates • MDF Littmann • Uncommon Threads

INCLUDES: Complete exam, necessary X-rays, periodontal evaluation, oral cancer screening and healthy mouth cleaning in the absence of gum disease. Complimentary 2nd Opinions

Group Discounts Available We are always happy to do special orders!

CompleteDentistry.org | 941.925.2225 2225 Stickney Point Road, Sarasota, FL

Mon - Thurs 10am - 6 pm • Fri 10am - 5pm • Sat 10am - 3pm 203254

We accept insurance and offer payment plans

The patient and other person responsible for payment has the right to refuse pay, cancel payment, or be reimbursed for payment for any other service, exam, or treatment which is performed as a result of and within 72 hours of responding to the advertisement for the free, discounted or reduced fee service, examination or treatment. ADA, D4355, D0210, D0330, D09999

5861 Cortez 5861 Cortez Rd.Rd. W.W. Bradenton, 34210 Bradenton, FLFL 34210

like us on

941.922.1102

2112 Gulf Gate Drive • Sarasota, FL 34231

Gift Certificates Available

208197

Why patients are choosing CEREC Same day crowns!

Call with questions or to schedule an appointment today

204873

6

HEALTH MATTERS

YourObserver.com

SOMEWHERE IN THE MIDDLE

KEY WORD: MODERATION

A 4-ounce serving of scallops has just 100 calories and 1 gram of fat, Williams said. Scallops also contain 100% of the recommended daily value of vitamin B12, which helps combat inflammation and osteoporosis.

“For older people over 50, we often need extra B12 because we don’t absorb it very well, so it’s a good way to get extra into your system,” Namolik said.

Corista Williams

AUGUST 2016

7

SHARK

A 4-ounce serving of shark has only 100 calories and a halfgram of fat, plus 22 grams of protein. Pregnant women and small children should take caution though, because shark has high mercury levels.

Shark can be cooked the same way you cook other fish.

“You can put them all in different ways: soups, salads, which is amazing and which makes it very versatile,” Williams said.

Registered dietitians Kathy Namolik, of Sarasota Memorial Hospital, and Corista Williams, of Lakewood Ranch Medical Center, both say portion control is key.

All foods fit in moderation, Williams said.

In addition, sometimes changing the way food is prepared can make all the difference.

Namolik recommends asking for food to be cooked with olive oil instead of butter at restaurants to lower the fat content, for example.

SCALLOPS

|

Kathy Namolik

FROZEN YOGURT

OK, frozen yogurt isn’t a Florida-grown or -raised food, but the heat makes it a favorite, particularly during the summer.

Although frozen yogurt is a lower-fat alternative to ice cream, the toppings can be killer.

“A lot of times people in yogurt shops will get the 16-ounce portion, which is the big cup, and then by the time you get all the toppings it’s maybe 500 calories,” Namolik said.

GROUPER

As long as it’s not deep fried, grouper is a low-fat, low-calorie choice, Namolik said. A 4-ounce serving has 2 grams of unsaturated fat, 110 calories and 23 grams of protein.

“If you fry it, of course it’s going to be higher in fat, but otherwise it’s a good, lean meat,” Williams said.

ALLIGATOR

Alligator is low in fat and high in protein. Williams calls it “the other white meat.” A 4-ounce serving has 110 calories and 24 grams of protein — but both Namolik and Williams warned against frying it to avoid a higher fat content.

THE ANOMALY ORANGE JUICE

Orange juice is a good source of vitamin C and potassium, Namolik said. The problem with orange juice is the amount of liquid calories it contains because those enter the bloodstream quickly compared to a whole fruit. Williams recommends eating a regular orange instead of juice.

MULLET

Grill it or fry it. Those are the choices for mullet, but of course, frying it will increase the fat content. A 4-ounce serving has 130 calories and 4 grams of fat.

It’s also rich in omega-3 and omega-6 fatty acids.

“Fish are fish no matter what kind they are,” Namolik said.

“They tend to be good sources of protein.”

SARASOTA SOUTH

59

$

99

4055 Clark Road Expo Center Near Valentinos (941) 927-6200 M-F 8a-10p | S 9a-8p | Su 9a-8p

59.

Monthly Membership

Borgis Pro Regular

SARASOTA NORTH

SARASOTA MIDTOWN

SARASOTA SOUTH

2855 University Parkway | Sarasota, FL 34243 University Walk - University Parkway and Tuttle Avenue between Panera Bread and Publix. MM# 23392

1279 South Tamiami Trail | Sarasota, FL 34239 Midtown Plaza, US 41 and Bahia Vista Between Panera Bread and Michaels on East MM# 27535

4055 Clark Road | Sarasota, FL 34233 Expo Center, Clark Road and Sawyer Road Between Buffalo Wild Wings and Moe’s Restaurant MM# 20895

(941) 556-6400

(941) 308-7600

MM#34107

(941) 927-6200

213531

Venti CF Bold

Join us at Massage Envy and we’ll help you manage Venti CF Medium the side effects of this wonderful thing we call living.

Venti Light MassageEnvy.con

HEALTH MATTERS

|

YourObserver.com

AUGUST 2016

OUTDOOR EXERCISE: DON’T SWEAT IT Minimize the impact of the summer heat on your body with these workout locations and tips.

AMANDA MORALES COMMUNITY REPORTER

Don’t let the Florida heat deter you from taking your workout outdoors. These local running spots offer shelter from the heat.

LAKEWOOD RANCH GOLF AND COUNTRY CLUB

Within the Lakewood Ranch running community, a running favorite is within the gates of the Lakewood Ranch Golf and Country Club.

Not only does the area boast serene views of the golf course, but it’s quiet and has plenty of routes from which to choose.

There is less traffic than along Lakewood Ranch Boulevard, and runners can create routes ranging from 2 to 8 miles.

A runner can take a main route, for example, starting at Balmoral Woods Boulevard and running along Arnold Palmer Green to Legacy Boulevard and then reconnecting with Arnold Palmer to complete a nearly 3-mile loop. Or, a runner can take side streets or other main roadways to create a variety of paths.

“There are a lot of trees for

LIQUID DIET

CAN’T STAND THE HEAT? If you’d rather walk in the air conditioning, sign up for the Healthy Walkers program at The Mall at University Town Center.

Lakewood Ranch Medical Center sponsors this program, which invites fitness enthusiasts to enjoy individually paced mall walking. Each lap at the mall is a half-mile.

Walkers can start lapping the mall as early as 8 a.m., two hours before the mall opens. Participants can stop by the customer service and information center, housed near the main entrance on the first level, at the end of their walk. Mall representatives will provide them with a card on which they can log how many miles they completed that day.

For information, call 5527000.

shade and water stops,” said Jen Tullio, president of the Lakewood Ranch Running Club. “We love to target that whole area because you don’t have to carry water.”

INDIAN BEACH SAPPHIRE SHORES

If you’re in the neighborhood of

PRE-WORKOUT Before a run is the ideal time to hydrate to avoid wilting in the sun.

Drink water or other fluids like nonfat or 1% milk.

Give yourself about two hours for your kidneys to process the fluids to avoid unnecessary bathroom breaks.

Pam Eubanks

Sharon Smythe, Monica Hall and Miriam Gregory complete their Saturday morning run with the Lakewood Ranch Running Club.

Indian Beach Sapphire Shores in Sarasota, take advantage of the overgrown ficus and banyan trees along Bay Shore Road for shade.

Consider a detour through Sapphire Shores Park, where you’ll find bayfront views and a walking trail.

Within the neighborhood, stay safe by using the sidewalk for walking and running to avoid oncoming traffic.

a patch of green among the tall buildings downtown. The park is often used as a venue for fundraising walks and races.

A gravel path weaves throughout the park with trees on each side providing shade, plus the gravel is softer than pavement, making it easier on the joints.

This path has an added challenge: hills — yes, even though it’s Florida — although they aren’t too steep.

PAYNE PARK

Additional reporting

by Pam Eubanks.

This 29-acre park is known as

POST-WORKOUT Weigh yourself immediately afterward.

For each pound lost, drink an additional 16 ounces during your next workout.

If your weight increased, you have over-hydrated, and you should drink less fluid in future exercise sessions.

Chews wisely.

Feel the difference with BayView Dental.

General | Cosmetic | Implants Now accepting new patients.

BayViewDental.com 941.999.3309

5 locations serving: Sarasota | Bradenton Most insurance plans accepted.

Expect something to smile about!

196302

8

HEALTH MATTERS

YourObserver.com

TUESDAY, AUG. 30WEDNESDAY, AUG. 31

SATURDAY, AUG. 20

REDUCE YOUR RISK OF STROKE Starts at 9 a.m. Aug. 20, in the lower level seating court at The Mall at University Town Center, 140 University Town Center Drive. Dr. Ralph Gonzalez, of Bradenton Neurology, will talk about lifestyle choices that can reduce the risk of stroke.

Admission is free. Light refreshments will be served. Call 708-8100.

WEDNESDAY, AUG. 24THURSDAY, AUG. 25

ADVANCED ORTHOPEDIC SOLUTIONS FOR PAINFUL JOINTS Runs from 4:30 to 5:30 p.m.

Aug. 24-25 in the first floor auditorium of Sarasota Memorial Hospital, 1700 S. Tamiami Trail. Learn about the newest developments in joint and spine treatments in this two-day lecture series presented by Drs. Ronald White and Ashvin Patel. Admission is free. RSVP is required. Call 917-7777.

MANAGING CHRONIC PAIN Runs from 4:30 to 5:30 p.m.

Aug. 30-31 in the first floor auditorium of Sarasota Memorial Hospital, 1700 S. Tamiami Trail. On Aug. 30, Dr. Courtney Simmons-Rasmussen will present “Surviving Shingles.” On Aug. 31, Dr. Eugene Pereira will teach “Alternatives to the Opioid Lifestyle.” Admission is free.

RSVP required. Call 917-7777.

WEDNESDAY, SEPT. 14

HEALTHY EATING AND HYDRATION FOR SENIORS Begins at 10 a.m. Sept. 14, at UF/IFAS Extension in Twin Lakes Park, 6700 Clark Road, Sarasota. This class teaches older adults how to build and maintain a healthy diet. Admission is free. Reserve spots at eventbrite.com/e/healthyeating-and-hydration-for-seniors-tickets-21117726689. Call 861-5000.

EVENTS SATURDAY, AUG. 20

SCREENED AND FABULOUS Runs from 7 to 10:30 a.m., in the Breast Care Center of Doctors Hospital, 5741 Bee Ridge Road, Sarasota. The off-hours event gives women the opportunity to get a mam-

AUGUST 2016

mogram, along with massages, makeovers, hors d’oeuvres and giveaways. Admission is free.

Costs of screenings will vary. To register, call 800-921-7184.

SATURDAY, AUG. 30

GOODWILL ‘GOODWELLNESS’ FAIR Runs from 10 a.m. to 3 p.m., at Payne Park Auditorium, 2100 E. Laurel St. Goodwill presents this family-friendly event that features community partners who provide information about nutrition, family well-being, fitness, overall health and more, plus the opportunity to win prizes. Call 355-2721.

ONGOING FITNESS PRENATAL YOGA Runs from 7 to 8:30 p.m.

Tuesdays on the second floor of Waldemere Medical Plaza, 1921 Waldemere St. This class is accessible to pregnant women of all experience levels and in any trimester, and focuses on gentle movement designed to increase strength and flexibility while accommodating for pregnancy and preparing for birth. Free for a limited time; attendees should bring their own mats. Call 917-7000.

ONGOING SUPPORT BONE-BUILDERS OSTEOPOROSIS SUPPORT GROUP Runs from 11 a.m. to noon the third Tuesday of each month in the HealthFit Education Room at the Institute for Advanced Medicine, 5880 Rand Blvd., Sarasota. Call 917-7000.

9

YOUR CALENDAR

CLASSES AND SEMINARS

|

BREAST-FEEDING SUPPORT GROUP Runs from 2 to 3:30 p.m.

Tuesdays on the second floor of Waldemere Medical Plaza, 1921 Waldemere St. Call 917-1700.

CANCER CAREGIVER SUPPORT GROUP Runs from 1 to 2:30 p.m. Thursdays at Temple Beth Sholom, 1050 S. Tuttle Ave., through the JFCS Cancer Support & Wellness Program. Call 366-2224.

CANCER PATIENT SUPPORT GROUP Runs from 10 to 11:30 a.m. and 1 to 2:30 p.m. Thursdays at Temple Beth Sholom, 1050 S. Tuttle Ave, through the JFCS Cancer Support & Wellness Program. Call 366-2224.

DIABETES SUPPORT GROUP Runs from 6 to 7 p.m. the third Wednesday of each month in the education classroom at Doctors Hospital, 731 Bee Ridge Road. Call 342-1100.

DEPRESSION AND BIPOLAR SUPPORT GROUP Runs from 7 to 8 p.m. Thursdays in St. Andrews United Church, 6908 Beneva Road.

Call 966-3315.

MEN’S GROUP Runs from 2:30 to 4 p.m. Aug. 16, at Jewish Family & Children’s Service of the Suncoast, 2688 Fruitville Road. The group offers support to men with cancer. Call 366-2224.

STROKE SUPPORT GROUP Runs from 1 to 2:30 p.m. the first Wednesday of each month in the education room of the Institute for Advanced Medicine, 5880 Rand Blvd. Call 917-7048.

WOMAN TO WOMAN BREAST CANCER SUPPORT GROUP Runs from 4:30 to 6 p.m. on the third Wednesday of each month in the Jacaranda Room of Waldemere Medical Plaza, 1921 Waldemere St. Call 917-2636.

ADVERTISEMENT

DO YOU HAVE A BRAIN COACH . . .

WHY NOT? • Increase Energy • Improve Focus • Achieve Balance

SO WHY NOT SEEK OUT A BRAIN COACH? Imagine the possibilities! Perhaps you would be more creative, perform better at work, achieve higher grades, and solve problems more quickly. Improve your ability to release negativity, and let go of feelings that overwhelm you and can bring you down. Envision an increase in focus to help with sports, business, or simply memory.

Cal today for a complimentary private consultation

941.552.4500

1440 Main Street | Sarasota, FL

The brain is the only organ that is involved in everything you do. Your actions, thoughts, feelings, memories just to name a few. In fact, it’s the only organ that knows it’s an organ!

WHAT WE DO AT THE BRAIN WAVE CENTER. Without drugs and using nationally recognized brain mapping techniques, we quickly establish brain function and initiate positive outcomes using noninvasive, customized Neurofeedback training programs.

Visit www.brainwavecenter.com for more information and to download a complimentary copy of “Neorofeedback is not New” and start to achieve your potential.

IMAGINE WHAT YOU CAN ACCOMPLISH WITH AN OPTIMIZED BRAIN! Disclaimer: This product is not intended to diagnose, treat, cure or prevent any disease.

BrainwaveSarasota.com

213501

WE OPTIMIZE OUR BODIES TO:

10

HEALTH MATTERS

|

YourObserver.com

AUGUST 2016

PICTU R E O F H E A LTH WITH PATRICK DUGGAN

So Much More than your

Simple steps maintain 70-pound weight loss

Typical Pharmacy!

We offer a State-of-theArt compounding lab to prepare customized medications to meet your unique needs.

JEN BLANCO SPORTS EDITOR

N

early four years ago, Patrick Duggan didn’t recognize the man he had become. Duggan, senior assistant general counsel for the Sarasota County Sheriff’s Office and chairman of the 2017 Ringling College Library Association Town Hall Lecture Series, had let himself go. It was time to get fit — but not only for himself.

“I want to be healthy for my kids (Brett, 8, and Will, 6),” Duggan said. “I want to live that healthy lifestyle.”

What began as a simple weight loss challenge turned into a new way of life.

Through exercise and a healthier diet, Duggan has lost close to 70 pounds.

“I’ve changed my body composition quite a bit,” Duggan said.

Uses: • Bio-Identical Hormone Replacement • Dermatology • Dental • Veterinary • Topical Pain Creams • Wound Care Jeffrey Wagner, RPh

Karen McMicken, RPh

Jerry Pireaux, RPh

Lakewood Ranch Pharmacy is an authorized Specialty Pharmacy for the following medications which are usually available next day.

Harvoni, Sovaldi, Olysio, Cimzia, Humira, Remicade, Simponi, Avonex, Betaseron, Rebif, Extavia, Tazorac, Protopic, Soriatane, Cellcept, Enbrel, Stelara and others.

Lakewood Ranch PhaRmacy and COMPOUNDING CENTER

RISE AND SHINE

We accept most prescription insurance and Medicare D drug coverage plans.

Like us!

Every morning, the alarm clock goes off at 4:30 a.m., and Duggan prepares to start his day. He throws on his workout clothes and meets up with three friends to go running.

Open Monday- Friday 8am-5:30pm 6310 Health Parkway, Suite 130 | Bradenton, FL 34202

941-907-1500 | Fax: 941-907-1544

213548

Just across the parking lot from Hospital Emergency Room in Medical Office Building II

Jen Blanco

Patrick Duggan runs 5 to 7 miles daily, but he says fitness begins in the kitchen with diet.

Why You Need to Know About

Adrenal Fatigue:

Stress is a normal part of life and the body has evolved ways of dealing with it. The problem is that in our 21st century world we often can’t escape stress through the fight-or-flight mechanism that served us in prehistoric times. With the constant stimulation of TV, cell phones and social media, our bodies are permanently bathed in the primary stress hormone, cortisol. Work stresses, deadlines, money worries and other issues are also often present.

Gerry Letendre

School and Sports Physicals

RPh., MBA, CHt

What Stress Does to Your Health – It’s Complicated

Stress and adrenal function often play a role in many health conditions, such as frequent infections, chemical sensitivities, allergies, autoimmune diseases like fibromyalgia and rheumatoid arthritis, menopause and PMS, thyroid function imbalances, chronic fatigue syndrome, low libido, chronic anxiety, and mild depression. All of these problems and more may be aggravated by the effects stress can have on your adrenal glands.

$25 – Grades K-12 4 Convenient Locations

Open 7 days a week, 8 a.m. to 8 p.m.

No appointment necessary

Managing the Problem I have been trained by Dr. James Wilson, authority and author of “Adrenal Fatigue, The 21st Century Stress Syndrome.”

I offer a consultation that includes an extensive symptom questionnaire to confirm the presence of Adrenal Fatigue.

After patient interview and interpretation of answers to questionnaire a Care Plan is designed. Consultation is $125 for 30-45 minutes.

Bradenton

Lakewood Ranch

Sarasota

Sarasota West

4647 Manatee Ave. West 941.745.5999

9908 S.R. 64 East 941.747.8600

6272 Lake Osprey Dr. 941.907.2800

1435 South Tamiami Trail 941.554.4301

Hurry, for a Limited Time I am offering consultations for $75 ($50 savings)

941- 366 - 0880

Sarasota Specialty Pharmacy and Wellness Center

www.sarasotaurgentcare.net

• www.sarasotarx.com •

185018

210913

2075 Siesta Drive, Sarasota, FL 34239

HEALTH MATTERS

YourObserver.com

PUSHING HIMSELF

Aside from running, Duggan does anywhere between 1,500 and 2,000 pushups during a typical resistance workout.

But it didn’t start out that way.

Initially, Duggan attempted to do a handful of pushups every

Age: 38

Occupation: Senior assistant general counsel, Sarasota County Sheriff’s Office Regimen: Typically runs six days a week and does four resistance workouts Diet: Breakfast usually consists of fruit, plain Greek yogurt and nuts. Lunch includes lean protein such as chicken, beef or steak, and salad. Duggan drinks water and coffee throughout the day and usually has a light dinner.

At Kobernick-Anchin-Benderson We Care for Our Residents Like Family

five minutes for an hour. It was a daunting task.

Duggan began pushing himself to do one more pushup each time. Before long, Duggan was doing 50 pushups every two minutes until he got tired.

“It was hard until I got to around 400,” Duggan said.

“Eventually your body gets used to it, and it’s more about endurance at the end.”

Our compassionate and uniquely trained memory support staff, state-of-the-art multisensory environment, person-centered care, and innovative programming help your loved one live life to the fullest. Because when it comes to family, only the best will do.

Call our Senior Living Specialists at 941.225.8369 to schedule a private tour today! Caregivers, consider our respite care when you need a deserved break.

FITNESS FUEL

Duggan doesn’t count calories.

Instead, he tries to eat foods high in nutritional value to fuel his workouts.

He also has eliminated all liquid calories — except for the occasional alcoholic beverage.

“You have to control your diet,” Duggan said. “Fitness is made in the kitchen. It’s a hard thing to do when you’re getting started, so you just want to try to improve it gradually.”

Live. Well. Here.

Special Summer Pricing thru September 30.

Call today! 941.225.8369 Kobernickanchin.org | 1951 N. Honore Avenue | Sarasota, FL 34235 Sponsored by Sarasota-Manatee Jewish Housing Council, Inc., Kobernick-Anchin-Benderson operates on a non-discriminatory basis for admissions, services, and employment. Assisted Living Facility #8951 Skilled Nursing Facility #130471046

Superheroes

OF SARASOTA • Melvin Korattiyil, D.M.D.

on Parade

2345 Bee Ridge Road, Suite 4, Sarasota, FL 34239

Having trouble with dry mouth?

That may be a sign of some major oral health concerns.

•• •

11

ABOUT PATRICK

FIRST STEPS

Duggan decided to base his fitness around running because it was a sport he was familiar with, having run cross-country for Riverview from 1994 to 1996 while attending Pine View. Running also was something easy to do and could be done anywhere.

“You can basically run at 5 a.m. here, 365 days a year,” Duggan said.

When he first started, Duggan could barely run 200 yards without getting out of breath. Now he runs 5 to 7 miles a day.

“If you focus, you can accomplish whatever you try and accomplish,” Duggan said. “You just have to do it every day.”

AUGUST 2016

213594

On average, Duggan runs 30 to 40 miles a week.

“It motivates me, and it motivates them,” Duggan said.

“When you have that obligation, it gives you something to get out of bed for.”

Duggan typically has 85% of his workout done before 7 a.m. Working out in the morning allows Duggan to focus his attention solely on work during the day and relax at night with his family.

“I’ve really grown to like the calm and the quiet of 5 a.m.,” Duggan said. “There’s no one up.”

|

We treat our patients like family We accept most Insurances • CareCredit Family-owned and operated dental practice Accepting New Patients

•

CALL TODAY! 941.923.7060 www.SupremeSmilesofSarasota.com

Insurance Accepted

Blue Cross Blue Shield

213004

Get the care you deserve!

Established 1981

If you know someone, a friend or family member, who is suffering from any of the following, please pass along this coupon. It may be the encouragement he or she needs to make a difference in their life.

Treating painful conditions of the:

SPECIAL OFFER TO NEW PATIENTS - $65 Chiropractic examination including:

Dr. Chris Hicklin 3220 Clark Road, Sarasota 941-923-4357 Visit us at www.chiropracticsarasota.com

a preliminary consultation and health history, a complete orthopedic examination of the spine (99202), spinal x-rays on premises, if necessary (72020), and a report of findings.

Offer expires on 10/12/16

The patient and any other person responsible for payments has a right to refuse to pay, cancel payment or be reimbursed for payment for any other service, examination or treatment which is performed as a result of and within 72 hours of responding to the advertisement for the free discounted fee or reduced fee service, examination or treatment.

183674

Most days, the canine trainees at Southeastern Guide Dogs look like your average pooches. But the truth is, for their human companions, they’re superheroes—all trained right here in your backyard. To honor the heroic work they do, we’ve celebrated them in statue, then given them to area artists to reveal the heroes inside. Which will be your favorite Southeastern Superhero?

Take a closer look at the over 50 dogs on display at sponsoring businesses throughout the area, and at guidedogs.org/superheroes

213640

Back • Neck • Shoulder • Headache Auto Injury • Sciatic Nerve (leg pain)

12

HEALTH MATTERS

|

YourObserver.com

AUGUST 2016

HE A LTH CHEC KUP

Test your knowledge of Florida-related health 1

When should you apply and reapply sunscreen before going outdoors?

A. 60 minutes before going outdoors; reapply every hour B. 30 minutes before going outdoors; reapply after four hours C. 15 minutes before going outdoors; reapply every two hours D. Five minutes before going outdoors; reapply every three hours

2

What is the minimum SPF you should use?

A. 15 SPF B. 30 SPF C. 50 SPF D. 70 SPF

TRUE OR FALSE Having a base tan can help prevent skin cancer.

3

TRUE OR FALSE Dark sunglasses block more UV rays than lighter shades.

4

7

Which of the following steps does the Centers for Disease Control recommend taking to repel mosquitoes and avoid the Zika virus?

A. Use an Environmental Protection Agency (EPA)-registered insect repellent B. Use air conditioning when available C. Empty, cover or throw out items that hold water, such as tires, buckets, planters, toys, pools, birdbaths, flower pots, trash containers, etc. around your home.

D. All of the above

5

Which of the following is NOT a sign of heat stroke?

A. Rapid heartbeat B. Excessive sweating C. Dizziness and light-headedness D. Nausea and vomiting

6

Which of the following fruits is grown 12 months a year in Florida?

A. Guava B. Mango C. Pineapple D. Oranges

10

How many cool fluids (such as water or sports drinks) should you consume every hour when you’re working in a hot environment?

A. 1-2 cups B. 2-4 cups C. 5-6 cups D. 1 gallon

8

TRUE OR FALSE Salt pills are a good option for preventing dehydration in the heat.

9

Which of the following is the best way to relieve the itch of a bug bite?

A. Scratch it B. Cover it with a Band-Aid C. Apply heat D. Apply an ice cube

1. C, 2. B, 3. FALSE, 4. D, 5. B, 6. FALSE, 7. A, 8. FALSE, 9. D, 10. B Sources: Centers for Disease Control, American Academy of Dermatology, Florida Department of Agriculture

ENVISION thE FuturE The latest technology keeps the wheels of healthcare turning. Emerging technologies will make healthcare delivery safer, faster and better for healthcare providers and patients. Supporting technology ensures that the most current, efficient technology is available to Sarasota Memorial Health Care System and the community.

Your gift makes a difference.

Call us today to find out how at (941) 917-1286 www.smhf.org

tomorrow’s healthcare today

tM

213552

ENVISION