Health Matters — Sarasota May 2015

Observer

Health Matters MAY 2015

WORK CYCLE

Biking to work has become a daily ritual for many PAGES 2-3

STAYING CONNECTED SMH employs technology to care for stroke patients.

PAGES 4-5

GOING GREEN

PICTURE OF HEALTH

Spinach is not just for salads anymore.

Craig Chasky uses essential oils in dishes.

PAGES 6-7

PAGE 8

SARASOTA HEALTH MATTERS

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YourObserver.com

THURSDAY, MAY 14, 2015

MOVE

ON THE

PAM EUBANKS

GEARING UP

SENIOR EDITOR

J

Jennifer Mumford Brady says her lifestyle evolved when she started biking five miles to and from work.

Jessica Salmond

Jennifer Mumford Brady bicycles to work almost every day. After college, she took two weeks to bicycle through France, and, when she was 30, she took two and half months to bicycle from Anaconda, Wash., to Bar Harbor, Maine. This summer, she’s planning a five-day solo bicycle trip around the Netherlands.

ennifer Mumford Brady loves few things more than bicycling, a pastime that during her childhood in St. Paul, Minn., equated to freedom.

In fact, at 56 years old, it’s still her favorite part of the day, although now she uses the pastime to transport herself to work at Ringling College of Art and Design, where she serves as director of the school’s design center.

“I have participated in lots of long-distance biking, but biking to work is such a pleasurable thing to do,” Mumford says. “It gives you time to think — but not too long. Whenever I get on my bike, when I have a problem to solve or an issue to deal with, I try to keep it for my ride home. It’s not like when you are in the car when it goes so fast.”

Mumford’s own experience bicycling to work evolved about five years ago when the lease expired on one of her family’s vehicles.

“I said to my husband, ‘I’m just going to start riding my bike to work’,” Mumford says. “So I did.

A few weeks later, I got a car, but I said (about biking to work), ‘It’s so possible.’”

Mumford knows the excuses against bicycling to work: sweating, running errands after work, picking up the children, for example. But, she doesn’t see those challenges as insurmountable; the joy of riding to work makes it worth the effort. It just takes some additional planning.

She leaves her home near the Marie Selby Botanical Gardens around 7:30 a.m. and rides to her office, carrying a backpack with a

As bicycling enthusiasts celebrate National Bike Month this month, many will participate in National Bike to Work Day May 15, as well. Bike to Work week runs May 11 through May 15.

change of clothes. Occasionally, if she needs, her husband will drop items off for her at the office, but that’s not routine.

“Our life is really complicated,” Mumford says, adding she has a 10-year-old son who attends Montessori school. “You can work it out.”

For example, Mumford completes her grocery shopping on the weekends, making sure to have her menu plan and grocery list prepared ahead of time. If she needs to go to a doctor’s appointment, she takes the car to work that day or bicycles home to pick up the car.

On National Bike to Work Day,May 15, Mumford plans to carry out her normal routine.

She encourages others to try it as well. If you live within three to five miles of your office, map out a safe route, find a comfortable bicycle and go.

“It’s just a great way to incorporate a very pleasant exercise into your day,” Mumford says. “Don’t start out thinking you have to do it every day, that it’s all or nothing.

Make it work for your schedule.”

And, if you are like Mumford, you may come to be so excited about bicycling to work that it becomes an everyday practice.

“It’s life changing in a mild way; that’s how I see it,” Mumford says.

“I’m not a fanatic about it, but as for biking to work, its’s something so many people can do.”

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SARASOTA HEALTH MATTERS

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RIDING TIPS FOR CYCLISTS

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THURSDAY, MAY 14, 2015

SAFETY TIPS n Your bicycle is a vehicle. You are a driver, so you must follow the same traffic rules as other drivers.

BIG LANE RISK AREAS 1 DOOR ZONE At risk of being struck by a door and hidden from drivers entering the road.

n Sidewalks are for pedestrians. Approach every intersection and driveway slowly and with caution. You must also yield to pedestrians.

2 BLIND SPOT

n Ride big. You are allowed the full use of

Vulnerable to right hook, when a motorist passes a cyclist on the left and turns into the bike lane.

a lane that is not wide enough to share.

Most lanes are 10 to 12 feet wide — not wide enough to share with vehicles. By riding farther left and communicating the need to change lanes, you assist motorists in passing you safely.

3 SCREENED AREA Invisible to drivers in the opposing leftturn lane and side street.

4 SAFE POSITION Where drivers of two-wheeled vehicles (motorcycles and bicycles) should be at in an intersection.

n Communicate and cooperate.

Communication makes you predictable.

Signal turns and lane changes. If motorists can’t pass you easily, find a place to pull over.

5 SAFE POSITION Away from the door zone and visible to drivers entering road.

Courtesy graphics of CyclingSavvy

1 OPERATING SPACE A bicyclist needs a minimum of four feet of operating space to balance and steer around surface hazards. This does not include clearance from fixed or moving objects.

2 MINIMUM LEGAL

PASSING CLEARANCE A motorist must give a bicyclist a minimum legal passing clearance in many states. It is measured from whatever device sticks out the farthest.

Three feet is inadequate for large vehicles and high speed differentials.

3 MOTOR VEHICLE WIDTH The typical mid-size vehicle is seven feet wide. Full-size trucks are 8.5 feet. The largest vehicle is the deciding factor in whether a lane can be shared.

4 DEFENSIVE DRIVING By riding farther left, the bicyclist communicates that the lane is not wide enough to share. This helps motorists recognize the need to change lanes early.

n Be mindful. Most common conflicts are predictable and avoidable if you know where they happen. n Make sure you are visible to crossing and turning traffic. Move to where you can be seen. n Never ride within five feet of a parked car. A suddenly opened car door can be deadly, but it is a preventable crash by staying out of the “door zone.” n Never pass a large truck on the right. You will be in the driver’s blind spot and can get trapped if the truck turns right. n Don’t let paint think for you. If a bike lane puts you in a position where you are invisible, don’t ride in it.

Courtesy of Keri Caffrey,CyclingSavvy co-founder and executive director of the American Bicycling Education Association

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THURSDAY, MAY 14, 2015

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Sarasota Memorial improves stroke care Doctors are now using a web camera and a computer to save precious minutes when treating stroke patients.

We are NOT your

JESSICA SALMOND STAFF WRITER

Dr. Mauricio Concha was 20 minutes into his on-call stroke alert shift for the emergency room at Sarasota Memorial Hospital, but he had to attend a post-stroke wellness program meeting across town. He hoped that no potential stroke patients would come into the hospital while he was away.

But, sure enough, his phone buzzed during the meeting.

“STROKE ALERT,” the text message read. Someone possibly suffering from a stroke had arrived in the ER. Concha faced a decision: Leave his meeting and rush back to the hospital or utilize technology.

At best, the drive would have taken him 30 minutes in rush hour traffic. For people suffering from a stroke, time is critical.

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treatment to minimize the debilitating effects of a stroke.

So, Concha chose the second option and excused himself from the meeting to connect to Sarasota Memorial’s telemedicine web camera through his iPhone. He assessed the patient, interviewed the family and directed staff to give treatment, all within 20 minutes of receiving the stroke alert.

Concha then finished his meeting and went to the hospital afterward to check on the patient, who was already improving.

Thanks to Sarasota Memorial’s stroke telemedicine program, neurologists and on-call doctors can remotely assess a stroke patient and save precious minutes during a stroke. The program launched in 2013 but has been refined over time. It started with one camera in North Port’s ER, but now SMH has installed a camera for its own ER and is expanding the program to the DeSoto Memorial Hospital, too. DeSoto staff is being trained and could to start using the program this month.

The program uses a high-definition camera connected to the Internet to allow specialists and doctors who may be offsite or at a different location to see a patient, assess stroke symptoms and also do an initial interview with family

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Agnes Kelly, Sarasota Memorial Hospital stroke program coordinator, connects to the North Port camera.

director of SMH’s Comprehensive Stroke Center. “You can’t wait 45 minutes. Time is essential.”

Before, most details of a patient’s condition would be communicated over the phone between the North Port ER staff and the Sarasota team. Without seeing the patient in real time, it made it more difficult to make an accurate assessment, Concha said.

A real-time assessment can save time and money too, if it turns out that the patient did not have a stroke, because he or she can then be treated at his or her location without being moved to Sarasota.

The concept of telemedicine has been evolving for years, but now is gaining widespread acceptance, Concha said.

“It’s a huge revolution in medicine, there’s no question,” Concha said. “Telemedicine transfers urban services to rural areas at very little to no cost.”

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members to learn about the individual’s medical history. Doctors can access the camera through a computer at the hospital or on their laptops, tablets or smartphones. The camera can zoom in and be remotely adjusted by the doctor.

“It’s like FaceTime,” said Agnes Kelly, stroke program coordinator at Sarasota Memorial Hospital.

“We see the patient on the other side. It’s a virtual interaction.”

Since the program began in 2013, Sarasota Memorial has received about 300 stroke alerts a year.

Without the cameras, which cost about $40,000, patients would either have to be airlifted by helicopter from the North Port emergency room or DeSoto Memorial to SMH or a neurologist would have to drive to North Port or DeSoto hospitals, which don’t have neurologists on staff.

“Treating stroke is a risky business,” said Concha, the medical

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SARASOTA HEALTH MATTERS

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THURSDAY, MAY 14, 2015

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TRUST YOUR SMILE TO A SPECIALIST

pinach is a leafy green pack with a nutritional punch.

It’s low in calories and high in vitamins and minerals, such as potassium, vitamin K, vitamin A, vitamin C, folic acid, magnesium, manganese, iron, calcium, vitamins B2 and B6, protein, phosphorus and more.

“It is also concentrated in phytonutrients, such as carotenoids and flavonoids, to provide antioxidant protection against cancer and inflammatory diseases,” says Corista Williams, clinical nutrition manger at Lakewood Ranch Medical Center.

Here, Williams shares three recipes for turning the leafy green into something your whole family will enjoy. And, each recipe is less than 300 calories per serving.

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Recipe courtesy of feastie.com/recipescourse/dessert/ingredients/spinach/ banana.com

INGREDIENTS: n 8 ounces reduced-fat cream cheese n 16 ounces (2 cups) plain, nonfat Greek yogurt n 2 tablespoons butter n 1½ cups Parmesan cheese n 14 ounces quartered artichoke hearts, drained and coarsely chopped n 4 ounces canned diced jalapeños drained, or if you want the dish spicier, don't drain n 10 ounces frozen spinach (thawed and drained) n 2 to 3 garlic cloves, chopped

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THURSDAY, MAY 14, 2015

PI CTURE O F HE ALTH WITH CRAIG CHASKY CHASKY’S DIET

AMANDA MORALES STAFF WRITER

Four to five times a week, Chasky performs a combination of isotonic and isometrics, which focuses on working out the core.

n LUNCH A bed of greens, beans and sprouts with tuna or another lean protein with a side of rice.

Amanda Morales

Chef Craig Chasky sautees vegetables in his home kitchen using essential oils.

plants includes ginger, turmeric and galangal.

After six months of the method, Chasky saw dramatic improvement. Chasky cut out all sugars, alcohol and coffee out of his diet and focused on an even more balanced rotation of nutritional foods.

BACK TO BASICS

His new lifestyle leaked into his cooking approach that he has developed over his more than 45 years as a chef. His menu has

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“When I was born, there were more than 500 chemicals in foods.

Today there are 12,000 chemicals in foods,” he said. “I got very concerned having Lyme disease and thought I could make a difference and help other people.”

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n DINNER Wild-caught salmon is a staple in his diet.

It pairs well with the juices and oils of oranges, lemons and limes. He calls this a tri-citrus blend. n GO-TO SNACK An assortment of nuts such as pistachios, cashews and sunflower seeds with dried berries.

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n BREAKFAST To start the day, Craig Chasky mixes a smoothie he dubbed “Green Fuel,” consisting of a banana, almond milk, honey, strawberries, sunflower lecithin and raspberries.

John Russo, DDS, MHS

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Growing up in a household with a mother who encouraged healthy eating, chef Craig Chasky always maintained a relatively balanced diet. However, a diagnosis of Lyme disease in the 1970s that resulted in drastic weight loss prompted him to strictly monitor his diet.

“In the ’70s, I was mowing our grass up north where our fourstar restaurant was, just minding my own business and apparently got bit by a deer tick,” Chasky said. “I didn’t know until a year and a half later, when I started losing my vision and my memory.

I could barely stand up.”

At the time of his diagnosis, little was known about the diseases, which is a bacterial infection transmitted by ticks.

“I went through the whole gamut of antibiotics, from the lowest in strength to the highest in strength. I destroyed my entire intestinal floor. I wasn’t able to digest anything,” he said.

Chasky came across a doctor who turned him onto a rhizome diet that is based on plant roots and involved an oil that he would ingest by placing under his tongue. The rhizome family of