02/23/2023 ISSUE 08

THE G.R.O.W. DOULA PROGRAM INVALUABLE RESOURCE FOR NEW MOTHERS

52 Vero Beach 32963 / February 23, 2023 HEALTH Your Vero Beach Newsweekly ™ A program that pairs expectant mothers with an advocate and support person called a doula has dramatically cut the rate of caesarean births among participating mothers and increased other positive outcomes, according to Indian River Healthy Start Coalition CEO Andrea Berry. “When I joined Indian River Healthy Start Coalition six years ago as chief executive officer, I visited a 15-year-old mother who was sharing living room space with her newborn, her sister and her sister’s infant,” said Berry. “She had given birth at the hospital the night before, by herself, with no support person to help her. “Fortunately, one of our health educators was called in for emotional support,” Berry added. “I couldn’t imagine being all alone during childbirth, and I wondered how often this happened. I contacted Megan McFall, director of Women’s Healthcare at Cleveland Clinic Indian River Hospital, and found out that in about 100 births a year, the mother had no support person. This was unacceptable. “Megan and I collected data on these unsupported births and collaborated on how we could help these women and improve outcomes by addressing factors that contribute to fetal death, infant and maternal mortality and morbidity,” said Berry. “We developed the G.R.O.W. (Guidance, Resource, Openhearted Wisdom) doula program, a partnership between Healthy Start Coalition and Cleveland Clinic Indian River Hospital. The program pairs a doula – a non-medical support person, different from a midwife – with an expectant mother for physical, emotional and educational support before, during and after the birth.” The G.R.O.W. doula program supports, educates and empowers pregnant women to take control of their health. Nationally, doula care has been shown to reduce caesarean section rates, improve breastfeeding 1225 US HWY 1, VERO BEACH, FL 32960 JULIE A. CROMER, DDS COSMETIC DENTISTRY GENERAL DENTISTRY DENTURES & PARTIALS DENTAL IMPLANTS WHITENING GUM SURGERY WALK-INS WELCOME FINANCING & SAVINGS PLAN AVAILABLE SE HABLA ESPANOL DENTAL LAB ON PREMISES Call 772-562-5051 CromerAndCairnsDental.com The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other services, examination, or treatment that is preformed 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. NEW PATIENT SPECIAL COMPREHENSIVE EXAM FULL SET XRAYS TREATMENT PLAN CLEANING* $79 *Not in combination with any other offer. Offer good for new patients only and cleaning in absence of periodontal disease. Xrays are non transferable. (D0150) (D1110) (D0210) (D0330) YOUR DOCTOR IS ALWAYS IN LOCATED ON THE CORNER OF BEACHLAND AND A1A Coast 2 Coast Healthcare Concierge Care for All Ages 772-268-9800 coast2coasthealth.com PREVENTATIVE CARE CHRONIC DISEASE MANAGEMENT ACUTE CARE SKIN MAPPING JOINT INJECTIONS EKG AND MUCH MORE... QUALITY MEDICAL CARE WHEN YOU NEED IT. SERVICES INCLUDE: Dr Andrea Kaupas Board Certified Family Physician Doula program: Invaluable resource for new mothers BY KERRY FIRTH Correspondent Dr. Dana Teagarden and Andrea Berry. PHOTOS: JOSHUA KODIS

Vero Beach 32963 / February 23, 2023 53 HEALTH Your Vero Beach Newsweekly ™ initiation rates and childbirth satisfaction rates. Studies have shown a decrease in babies born preterm and with low-birthweight, and a decrease in babies transferred to Neonatal Intensive Care Units (NICU). “During the first three years of the program our participants had less than a 10 percent rate for caesarean births compared to the community rate of less than 30 percent,” Andrea said proudly. “We believe that every woman should do with her birth whatever she wants and that every woman would benefit from having a doula to act as her advocate.” Dr. Dana Teagarden, director of the Obstetrics Hospitalist program at Cleveland Clinic Indian River Hospital, agrees. She, too, would like to see every woman have their own doula, even if they have the support of family and friends. “A doula gives the patient an impartial third party that has the full responsibility of being their voice and support, eliminating family politics or dynamics,” Dr. Teagarden said. “The expectant mother has someone outside their usual support group who gets to know them and understand their desires. That doula can guide all of us when there may be situation that the patient feels inhibited to say what she wants or is in so much pain she can’t communicate. “Our experience with doulas in the delivery room has been invaluable,” Dr. Teagarden continued. “Doulas come from the mother’s own community, they are highly trained and they are there before, during and after the delivery. I have seen friendships evolve between the doula and the mother that go well beyond the birth of the child.” Indian River County Healthy Start Coalition has trained about 80 doulas in the course of the past six years and assisted about 550 mothers in the birthing process. “We recruit doulas based on community needs, interview, vet and train them,” explained Berry. “We pay for the training, fingerprinting, insurance and set them up in business so that they can work for our program or anywhere else. Our doulas are a diverse group and anyone who wants to help with the journey into motherhood is welcome to apply. “Doula programs have failed in other hospitals because the providers didn’t understand what they do. The providers at Cleveland Clinic Indian River Hospital love our program because we do the work, we show them the outcome and now the doctors, nurses and doulas work together as a team.” Cleveland Clinic Indian River Hospital has a unique OB/GYN hospitalist program where all of the babies delivered in Indian River County are delivered by one of the OB/GYN hospitalists on staff. “We take of anything relating to OB/GYN that walks through the door,” explained Dr. Teagarden. “It could be a vaginal delivery, a scheduled or unscheduled C-section, someone who needs consultation or surgery, or someone who had been admitted to the hospital floor that has a gynecological issue come up. “It provides an extra layer of safety for the patient and the hospital. Gone are the days when the OB/GYN who saw the patient during her prenatal care is called in for the delivery but is not there for the many hours of labor preceding it. Now they care for the patient in their office but once the patient is admitted to the hospital our staff of three full-time OB/GYN physicians and four midwifes will be with them all the way through the labor and delivery. There is a physician and midwife here every day, 24/7.” The hospital holds meet-and-greet events on the fourth Saturday of every month for expectant mothers to become familiar with the hospitalist program and meet the doctors and midwives. “This gives us the opportunity to explain the concept and what the benefits are to having us here at all times. We will also ask if they are interested in having their own doula,” said Dr. Teagarden. The partnership between Cleveland Clinic Indian River Hospital and Indian River County Healthy Start Coalition provides a benchmark for expanding the G.R.O.W. doula program into other parts of the state. The hospital put together a video explaining how important the doula program is to its whole culture of childbirth. This helps to document how effective the program is and educates other hospitals on how to integrate it into their curriculum. Since its inception, Indian River County Healthy Start Coalition has implemented 13 doula programs throughout the state of Florida. For more information on how to become a doula or how to obtain a doula, contact Andrea Berry at Indian River County Healthy Start Coalition at 772-563-9118. For information about Cleveland Clinic Indian River Hospital’s Obstetrics tours, call 772-567-4311 ext. 6759.

54 Vero Beach 32963 / February 23, 2023 HEALTH Your Vero Beach Newsweekly ™ Dr. Kevin Seeras, a board-certified general surgeon, has joined the Steward Sebastian Metabolic and Bariatric Surgery Program at Sebastian River Medical Center. The hospital’s bariatric team is under the leadership of Dr. Patrick Domkowski and includes surgeons, a nurse practitioner, a bariatric coordinator and nutritionist to offer patients not just surgical services but also continued support through nutritional counseling and support group meetings. “Bariatric surgery can extend life and permanently cure metabolic disease, eliminate heart disease and have a big impact on mental health. But it’s not just surgery,” says Dr. Seeras. “Success comes from patient motivation and the willingness to totally change his or her lifestyle.” Three to six months before surgery takes place, patients start to make those lifestyle changes as required by insurance, such as eating a healthier diet and getting more exercise. They interact with the Steward Sebastian Metabolic and Bariatric Surgery Program team and enlist the support of friends and family. “If the family isn’t supportive, the patient will not do well,” says Dr. Seeras. Bariatric surgery can benefit patients who have a BMI (body mass index) of more than 40 or those with Surgeon joins bariatric team at Sebastian River hospital BY JACKIE HOLFELDER Correspondent Dr. Kevin Seeras. PHOTO: JOSHUA KODIS

Vero Beach 32963 / February 23, 2023 55 HEALTH Your Vero Beach Newsweekly ™ BMIs of 35-to-40 with a comorbidity such as high blood pressure or cholesterol, diabetes, osteoarthritis or sleep apnea. It’s not for tobacco or alcohol users or those with uncontrolled psychiatric problems. According to Mayo Clinic, obesity is a complex disease most notable for excessive body fat. It isn’t just a cosmetic concern but a serious condition that can lead to and worsen additional health problems. There are many reasons why people are obese and have difficulty losing weight, including genetic, physiological and environmental factors, combined with poor diet and lack of proper physical activity. Dr. Seeras has always been interested in surgery and is excited to be part of the team at Sebastian River Medical Center. He’s involved in the program as more than a surgeon, participating in the patient’s path to success. “I run support groups myself,” he says. “Patients can take part in person, on Facebook, in Zoom meetings – whatever way they are most comfortable. I want them to be able to talk with nurses, other patients, me – anyone who can answer questions and help them.” Bariatric surgery is less complicated now than it was in the 1980s or ’90s, he says. “Only a one-night stay in the hospital is necessary now and 99 percent of the time the surgery is minimally invasive – similar to gall bladder surgery. Plus, you’re required to be up and around the day of the operation. You’ll feel sore but Tylenol takes care of the pain.” If it seems to you that bariatric surgery is performed more frequently than it used to be, you’re right. Since it’s more widely accepted and frequently talked about on social media platforms, people feel more comfortable considering it. Having said that, only 2 percent or fewer of people eligible for the surgery actually get the operation. The bariatric and metabolic team at Sebastian River Medical Center is accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). This means it has undergone an independent, voluntary and rigorous peer evaluation in accordance with nationally recognized bariatric surgical standards. The American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) combined their respective bariatric surgery accreditation efforts into a single unified program to create a consistent national standard to guide doctors and benefit patients. By the way, Dr. Seeras doesn’t just talk about a healthy lifestyle – he lives it. Besides exercising every day, he plays golf and kayaks. He grew up in Chicago and moved to Florida in 2021 to be close to his family in Sarasota and to take advantage of the beautiful weather for his outdoor activities. Dr. Kevin Seeras is a board-certified surgeon specializing in Minimally Invasive General and Bariatric Surgery. He earned his medical degree from the Chicago College of Osteopathic Medicine in 2015 and completed his general surgery residency at Henry Ford Macomb in Detroit. He is currently accepting new patients at Sebastian River Medical Center, 13695 U.S. 1, Sebastian, 772- 581-8003.

56 Vero Beach 32963 / February 23, 2023 HEALTH Your Vero Beach Newsweekly ™ The appointment started out routine enough: a patient in need of help for high blood pressure. Then, said Kristen James, a family medicine doctorin-training, the patient started crying, and it turned into a mental health visit. It wasn’t the first time that happened in the South Los Angeles clinic where James works as a third-year resident physician – and it won’t be the last. Primary care providers are at the forefront of the nation’s deepening behavioral health crisis because when patients walk into a doctor’s office, they bring all their needs with them. Asthma. Anxiety. Diabetes. Depression. Sniffles. Stress. “We artificially separate ‘this is a mental health issue’ and ‘this is a physical health issue,’” said Lisa Barkley, a doctor and director of the family medicine residency program at Charles R. Drew University of Medicine and Science, where James is training. “But really, people are just coming in for their issues.” A growing number of providers – like those at Charles Drew – are integrating behavioral health and primary care to improve the continuity of treatment and lower barriers to access. Now, the federal government is trying to bring down those barriers, too, by awarding 24 medical schools and hospitals a total of $60 million to train the next generation of primary care physicians – family medicine doctors, pediatricians, internists – to address behavioral health needs. “Primary care physicians – or providers – are the front line. They know the patients. They know the families. They know when someone is struggling,” said Sarah Abdelsayed, a family medicine and addiction medicine physician at the University of Buffalo. “Some people might not be comfortable going to a therapist’s office. They might not be comfortable hearing the word [therapy].” Although behavioral and physical health are deeply intertwined, the two forms of care are often siloed in a poorly coordinated system. And patients often fall through the cracks of the disjointed system when they are referred to an outside specialist. The barriers to care are many: provider shortages, high out-of-pocket costs, gaps in insurance coverage, stigma and shame. For marginalized communities, the obstacle course to access includes additional hurdles added by racial animus, class resentments or geographic isolation. Sometimes, patients are so focused on their physical ailments – things like feeling run down or headaches – that if “the first thing out of your mouth is, ‘well, this is from your depression,’ they’re not going to trust you,” Abdelsayed said. “They’re going to think you’re writing them off or being dismissive.” This can be especially true when working in communities where trust of the medical profession is tenuous, she said. So, Abdelsayed addresses physical complaints first, then introduces concerns about patients’ mental wellbeing in a more open-ended fashion by asking, “Could this potentially be from all the stress going on at home? I’m not saying it’s only that, but I’m worried that might be making it worse. What do you think?” The goal is to give people the space to share and to ensure they’re heard, she said. If patients need support beyond what primary care providers can offer, they don’t have to go somewhere Can family medicine improve America’s mental health? BY AKILAH JOHNSON The Washington Post

Vero Beach 32963 / February 23, 2023 57 HEALTH Your Vero Beach Newsweekly ™ else to get it with an integrated care model, often on-site. In such a setting, there’s a behavioral health team, social workers, therapists or psychiatrists available. Experts say this helps foster discretion and dignity, because people could be sitting in a waiting room for myriad reasons. “We’ve grown comfortable with colleagues having diabetes, having serious things like cancer, but if they say they have a behavioral or substance use issue,” that same grace often is not extended, said Millard Collins, a family medicine physician who is a professor and chair of the family and community medicine department at Meharry Medical College in Nashville. “If I’m suffering, especially in the day of the cellphone, I don’t want to walk into a place that shouts my business.” Using money from the federal grant, family medicine residents at Charles Drew – which is a historically Black college and university in Los Angeles – will do more mobile outreach, caring for young people in homeless encampments and at community organizations. At Meharry, doctors training in family and preventive medicine will work on motivational interviewing skills, learning to skip stern lectures and scare tactics when talking to patients and to instead uncover their motivation for change. And family medicine residents at the University of Buffalo will deepen their understanding of how to use medication treatment for opioid use disorder. At the Montana Family Medicine Residency, the grant will help improve technology at six remote locations. “Montana only has 1 million people total, but if you look corner-to-corner across the state, it’s the same distance from Chicago to Washington, D.C.,” said Julie Kelso, a psychiatrist and faculty member with the Montana Family Medicine Residency, which is based at an integrated primary care clinic where she is a staff member. “If we can get technology connectivity, we can have residents out at those clinics and they can get supervision from attending physicians remotely.” If the nation is going through a provider shortage, then Montana is in famine. A 2018 study in Psychiatric Services, which is published monthly by the American Psychiatric Association, estimates there will be 14 psychiatrists for every 100,000 adults nationally in 2024. In Montana, a state with one of the highest suicide rates, Kelso said, the ratio is about half the national average. “Kids are really worried about climate change. They have active shooter drills, so they’re worried about school shootings. They are kids who experienced isolation during covid – so much loss during COVID,” Kelso said. “That doesn’t take into account social media and cyberbullying and high rates of child poverty.” As of September, researchers said the coronavirus pandemic left more than 310,000 of the nation’s children without their primary or secondary caretaker. In October, the U.S. Preventive Services Task Force recommended all 12-to-18-year-olds be screened for depression and 8-to-18-year-olds for anxiety, noting that a constellation of factors, such as the trauma of losing a parent, increases risk. “It is never going to be the case that we’re going to meet all children’s mental health needs and adolescents’ mental health needs if we just say it has to be the work of psychiatrists and social workers,” Carole Johnson, administrator of the Health Resources and Services Administration, said while visiting Charles Drew in January. Before the pandemic, nearly 40 percent of young people reported experiencing persistent feelings of sadness and hopelessness, and depression was one of the nation’s most debilitating conditions, according to a Centers for Disease Control and Prevention study. But research shows less than 20 percent of patients with depression are seen by psychiatrists or psychologists, and most of the nearly 14 million patients who experience a major depressive episode were seen in primary care settings. “For me as a family physician, at least 65 percent of what we deal with is influenced by behavioral health and mental health,” Collins said. Chronic diseases have associated conditions and adjustment periods, Collins said, noting that he sees a lot of patients with end-stage renal disease resulting from diabetes and requiring dialysis. “It is an incredible, life-altering adjustment having to go and plug yourself in for four to six hours a week. It can be depressing,” Collins said. Then, he added, there are the patients who come in distraught from trying to “extrapolate things from insurance” or understand aftercare instructions they received when leaving the emergency room. “Mental health must be assessed every time they come,” Collins said. “I don’t treat just one organ.”

58 Vero Beach 32963 / February 23, 2023 HEALTH Your Vero Beach Newsweekly ™ A diet heavy in plant-based foods – fresh fruits and vegetables – can reduce both the progression of prostate cancer and the likelihood that it will return, new research shows. Eating fruits and vegetables has many health benefits, such as reducing the risk of Type 2 diabetes and cardiovascular disease, and contributes to a longer life span, said Vivian Liu, clinical research coordinator for the Osher Center for Integrative Health at the University of California at San Francisco and lead study author. “Now, we have evidence that they can influence this very common – and sometimes deadly – cancer in men,” she said. Prostate cancer is the second-most common cancer in men, after skin cancer, with an estimated 288,300 new cases and 34,700 deaths projected for this year. Risk factors include age, with most cases occurring in men older than 65; race, with African Americans at an increased risk; and certain gene mutations. “This is something men can do for themselves with a healthy grocery shopping list,” Liu said. “And it doesn’t require drugs or other medical interventions.” The link between diet and cancer risk has been explored in many studies. Eating certain foods such as lowfat products and shunning others such as red meat has been linked to a lower risk of certain cancers, chief among them breast and colon. For prostate cancer, eating foods rich in the antioxidant lycopene, such as tomatoes, appears to lessen the risk. Liu and her team focused on men who already had prostate cancer and were at risk of the cancer growing or returning after treatment. The researchers found that men with prostate cancer who reported diets containing the highest amounts of plants had a 52 percent lower risk of disease progression and a 53 percent lower risk of recurrence compared with those whose diets had the lowest amounts of plants. She said the analysis involved Plant-based foods may reduce prostate cancer progression BY MARLENE CIMONS The Washington Post

Vero Beach 32963 / February 23, 2023 59 HEALTH Your Vero Beach Newsweekly ™ scoring for good and bad foods, and though the participants reported the amounts they ate, it was not possible to state the amounts as individual or recommended servings of fruits and vegetables. The 2020-2025 Dietary Guidelines for Americans recommend that adults should consume 1½ to 2 cups of fruit equivalents and 2 to 3 cups of vegetable equivalents daily. The results of this as-yet-unpublished observational study will be presented at the 2023 American Society of Clinical Oncology (ASCO) Genitourinary Cancers Symposium this week in San Francisco. The research was a sub-study of the Cancer of the Prostate Strategic Urologic Research Endeavor, or CaPSURE, which is a large multisite study of 15,000 men started in 1999 and looking at many aspects of prostate cancer. The plant-based sub-study research began in 2004 and involved 2,038 men with early-stage prostate cancer – cancer that had not spread or whose spread was limited. They completed questionnaires about how often they ate about 140 foods and beverages, including such items as broccoli, red meat and potatoes, trying to gauge both the good foods and the bad, Liu said. “We did not tell the men what to eat, since this was an observational study,” she said. “They ate what they wanted to eat and told us what it was.” Many things influence cancer – people who eat healthy foods often engage in other healthy habits – and the investigators took other factors into account, including walking pace – a faster pace seems to help prostate cancer patients – smoking, diabetes, family history of prostate cancer, household income, education level, height, body mass index, alcohol use, and multivitamin and supplement use. The study’s findings are consistent with previous research “and extend evidence of the health benefits” and “few risks of a plant-based diet,” said Donald Hensrud, associate professor of preventive medicine and nutrition at the Mayo Clinic College of Medicine, who was not involved in this recent research. One large study, for example, found that consuming plant-based foods was linked to a lower risk of developing aggressive forms of prostate cancer, especially among men younger than 65. Other scientists called the work important but said future research needs to include more specific analyses of genetics and metabolism to better understand the impact of foods on prostate cancer. “More such studies in larger populations of cancer patients, with even more detailed studies of dietary elements and measures of blood and tissue levels of nutrients, will be very helpful in designing a more specific cancer-risk reducing diet, and even cancer-therapeutic diet,” said Jeffrey Jones, professor of urology at Baylor College of Medicine and a urologic oncology specialist. He was not involved in the study. “Future studies also need to look at the genetics of the people, and the mutations driving the cancer,” said Nicholas Mitsiades, professor of medicine and chief translational officer at the University of California at Davis Comprehensive Cancer Center, who also was not part of the research. “We need to know how [the patients’] metabolism is programmed because different people may process food differently.” Mitsiades also pointed out that socioeconomic status may discourage some populations from eating a healthful diet, as fresh fruits and vegetables often are costly or inaccessible. “It can be more expensive to eat a plant-based diet than to go to McDonald’s and have a burger,” he said. “So, it’s not always easy.” Still, he always advises his cancer patients to avoid animal saturated fats – especially red meat – and to increase plant intake. “This diet is healthy for many other cancers,” Mitsiades said. “Unfortunately, we have not been able to put all these diets into a pill, which is probably what most Americans would like.” Liu and her colleagues next plan to analyze plant-based diets in relation to prostate cancer-specific mortality, or death, and quality of life at specific intervals – two, five and 10 years – following diagnosis. Meanwhile, Liu suggested that men – with or without prostate cancer – fill their plates with plants and stick to fresh foods, avoiding plant-based meat substitutes, which tend to be high in fat, she said. “I love those burgers myself, but unfortunately not all diets are equal in terms of risk factors,” she said. Stick to the basics, she advised, “fresh fruit and vegetables – and whole grains. The more you can fit in, the better.” It is a common refrain that fruits and vegetables are good for you, Liu said. “And now, here’s another reason to say it.”

60 Vero Beach 32963 / February 23, 2023 HEALTH Your Vero Beach Newsweekly ™ Q. Is yoga too strenuous for seniors? A. If the Yoga sessions accommodate personal physical limitations, there’s no reason a senior can’t start this 4,000-year-old practice. It’s a good idea to find out exactly what you’ll be doing in your yoga class and discuss it with your doctor first. Yoga has been shown to help alleviate many of the health problems faced by older adults. In fact, the many benefits of yoga are supposed to combat the aging process. There must be something to it, because yoga has become a popular exercise choice for our older adult population. Yoga classes are found in many senior centers and assisted living residences. If yoga can end a sedentary lifestyle, it will be a big plus. Too much time on the sofa leads to weak muscles. Not enough weight-bearing activity contributes to osteoporosis. Insufficient movement leads to BY FRED CICETTI Columnist It’s not a stretch to ask: Is yoga safe for seniors?

Vero Beach 32963 / February 23, 2023 61 HEALTH Your Vero Beach Newsweekly ™ joint deterioration and loss of flexibility. All the current scientific evidence shows that seniors should exercise, even though many older people think it could harm them. Study after study demonstrates that seniors hurt their health a lot more by sitting around. Yoga can help your balance, a serious concern for seniors. About 1 in 10 people over 65 experiences difficulty with balance. More than 40 percent of Americans will go to a doctor complaining of dizziness. The Centers for Disease Control and Prevention reports that, each year, more than one-third of people over 65 years suffer a fall. Falls are the leading cause of injury deaths among older adults. Many health concerns have been linked to the sedentary lifestyle. These include reduced joint flexibility, arthritis/bursitis, high blood pressure, increased body fat, osteoporosis, low back pain, breathing difficulties, poor blood circulation, vision problems, stress buildup and inability to sleep properly. So, what exactly is yoga? Yoga refers to traditional physical and mental disciplines that originated in India. The word is associated with meditative practices in Indian religions. According to the U.S. National Institutes of Health, proper yoga practice combines physical postures that participants flow into and then hold before proceeding to the next posture; a focus on breathing techniques that make participants more aware of their bodies; and deep meditation and relaxation, allowing participants to focus on their spirituality. The physical postures have colorful descriptive names. Some that are recommended for seniors are the: plank, cobra, cat, cow, tabletop, warrior, triangle, pigeon, seated twist, tree, shoulder stand, laying twist, happy baby pose, and onelegged downward dog. Here are some suggested guidelines for practicing yoga if you are an older adult: Get into a smaller class so your individual health concerns can be attended to more effectively. Slow down the transition between poses. Reduce the holding time for each posture (known as an “asana”). Focus your gaze on a specific spot to help your balance. Consider options for each pose. Use props if necessary. Concentrate on areas that are typically tight or weak in seniors. These include ankles, hips, hamstrings, the low back and chest muscles. Do not perform a lot of complicated or very athletic poses.

62 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ Style Designers are ditching the clickbait and delivering on the kind of clothing that women really, really want. Sometimes being boring can feel like a radical act. New York Fashion Week, which came to a close last Wednesday, kicked off the AW23 fashion show season with quite the statement: Clothes are back. Bear with me here. After a post-pandemic year where designers seemed intent on creating clickbait rather than actually dressing women – Barbiecore, anyone? The sight of wearable, desirable, ordinary clothes on catwalks seems almost revolutionary. No, it doesn’t translate into viral moments on social media, and no, it’s not going to have street-style influencers clamoring when it hits the shops in the autumn. You probably didn’t notice these shows were even taking place, overshadowed as they were by global events and defined by a distinct lack of drama. But if you’re in the market for a wardrobe refresh in about six months, NYFW had everything. From the most delicious gray wool coat at Tory Burch, nipped at the waist then flaring out to a 1950s-style skirt, to an outrageously luxe oyster-colored double face cashmere cape at Michael Kors, this was a welcome return for the kind of stuff that women really, really want. “It’s time for real clothes,” said Kors at a preview of his collection, dressed casually in jeans, New Balance trainers and a sweater. “It’s thinking about your customer, whatever her age or shape, rather than trends. It’s not Instagram crazy; these are things that will stand the test of time.” Perfectly imperfect The new rules of understated dressing go something like this: a darker color palette, which can be black but more often in NYC was either gray or brown. A pared-back silhouette, emphasizing the waist or ankles but rarely revealing. Above all, a sense of empowerment, in mood rather than any overt gesture. Tory Burch, who is currently having what fashion folk like to call “a moment,” showed a stellar collection that riffed on the idea of gently disrupting classicism. This was a traditional wardrobe – great coats and blazers, beautifully cut trousers, leather riding boots – lent a sensual, disheveled edge. An A-line midi skirt was fastened at the back with a safety pin; a wool dress was deliberately cut to slip off the shoulder. An easy styling tip from the runway: add fishnet tights. Worn with these coats, it’s a fast track to seduction. A coat is the new dress At least according to Michael Kors, whose mood board focused on a lot of stylish 1970s women, from Gloria Steinem to Lena Horne to Yoko Ono, most of whom seemed to have a mean way with outerwear. “Of course, comfort is key now,” he says. “But if you have to go out in gym clothes, at least wear a fabulous coat!” A leopard-print calf-hair trench (“it’s not waterproof, there are people who do that”) was a standout piece while an ankle-length Italian herringbone tweed number, precisely fitted to reveal a slither of thigh, would happily replace any gown. Even his red carpet offering – a handsequined gold bell-bottom jumpsuit – was topped with knee-length singlebreasted camel cashmere. Trends are dead Well, for now. Possibly not in three months. “I’ve always been drawn to everything that’s not a trend,” says Gabriela Hearst, whose collection was inspired by the Irish artist Eileen Gray, for whom design had to be elegant but also essential, demanding both function and form. This translated to tailoring, cut slim and minimally decorated, but also single-breasted car coats in cashmere or leather. Though referencing the great 1990s designer Helmut Lang – which is in itself shaping up to be an AW23 trend – Hearst’s obsessive and exacting emphasis on sustainability makes everything she does feel forward-thinking. It’s leather weather Not everyone’s idea of classic is a neatly turned-out coat. For Khaite, a label that shot to fame thanks to a pap pic of Katie Holmes in their cashmere bra and matching cardi, the opening of a first store in Soho showed the success of an edgier, though still femalefriendly aesthetic. A 1990s-inspired minimalism informs designer Catherine Holstein’s glamor; her knee-length tailored black leather topper was a knock out. At Coach, Stuart Vevers went all in on grunge. His leather jackets were daring and youthful, but would pleasingly channel a kind of punky charm worn with tailored flat-front trousers rather Five ageless style lessons from New York Fashion Week BY AVRIL MAIR The Telegraph

Your Vero Beach Newsweekly ™ Vero Beach 32963 / February 23, 2023 63 Style than abbreviated gender non-conforming shorts. The new normal Even the street-style posse – famed for wearing bikinis in New York blizzards – had toned it down this season (though, admittedly, one front rower at Thom Browne came dressed as a unicorn, complete with forehead horn). Cargo pants were everywhere, as were ballet pumps and jeans. All of these can lend modern currency to an everyday wardrobe: Though millennials opt for All Saints levels of bagginess and crop tops, more tailored multi-pocket trousers look great worn with a sweater and blazer. Ballet pumps now replace the formerly ubiquitous sneaker, which has entirely fallen out of fashionable favor. The denim du jour, meanwhile, is loose-fitting and often frayed round the hem, as if cut with kitchen scissors; flashing some ankle is a flattering move, while chic New Yorkers paired theirs with a kitten heel and a flash of sheer black stockings. 12 of the best looks from New York Fashion Week New York Fashion Week for Fall 2023 brought us some truly beautiful pieces. While a lot of the designers decided to stick to a monochromatic color palette, there was also some beautiful prints. Here are the best looks from 12 designers that showed at NYFW Fall 2023. Naeem Khan Pamella Roland Proenza Schouler Ulla Johnson Carolina Herrera Christian Siriano Coach Michael Kors Adeama Altuzarra Badgely Mischka Brandon Maxwell

64 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ Style The American is the original multihyphenated polymath, before it became a term for influencers who do a bit of this, a bit of that. The year is 2017 and I’m sitting inside a black box in Shanghai with Pharrell Williams, who is despairing of his iPhone. “[Technology has] accelerated and expanded at a speed we can’t even begin to fathom. But there are no general settings for real life,” he pronounces, Dalai Lama-like. It’s some high-minded theorizing, but then I’m here to talk to him about a typically conceptual record launch – an artistic collaboration with Louis XIII cognac. Later that evening he’ll debut the record, played one time only within said sealed box, and then the record will be buried within the Louis XIII estate. In 100 years, if climate change hasn’t destroyed the terrain, the record will be unearthed. I could point out the irony of flying the media to Shanghai to underline this message. But Williams – for all his soft spoken geniality – doesn’t seem like a man to be trifled with, and boy is he a details man; it takes four attempts to play the record because he’s got concerns about the needle. Before our encounter and ever since Pharrell has traversed so many mediums. And now he has landed the top menswear design job at Louis Vuitton. Last week it was announced that 49-year-old Williams will take over as men’s creative director, following in the substantial footsteps of the late Virgil Abloh. It’s a job that’s been hotly contested, with young London designer names like Grace Wales Bonner being mooted, as well as streetwear designer Colm Dillane, who co-designed the latest Louise Vuitton menswear collection. There were also revelations that Kanye West was jealous of the late Abloh and may have fancied the gig for himself. Instead, it’s gone to the boy from Virginia who got his break playing in his high school band. Pharrell has got outstanding fashion credentials but almost no design experience. He’s the original multihyphenated polymath, before it became a term for social media influencers who do a bit of this, a bit of that. He started his career in music after forming The Neptunes with his high school friend and began producing albums for pop stars; Britney Spears helped put him on the map in 2001. He progressed to win 13 Grammys and, as Louis Vuitton will be acutely aware of, has 14.3 million followers on Instagram. The ascent in the world of music almost ran aground in 2013 thanks to his involvement with Robin Thicke’s misogynistic “Blurred Lines” (since denounced as one of the biggest misfires in music history), with Thicke’s lyrics alluding to coercive date rape – “I know you want it” – and the model Emily Ratajkowski gyrating naked, later alleging that Thicke groped her. Thicke was reported to have “sheepishly apologized for the alleged assault.” Williams was curiously immune to the scandal, thanks to fortuitous timing; later in the same year he debuted “Get Lucky” in collaboration with Daft Punk and released the contagious “Happy”, the multi-million-selling “Despicable Me 2” theme song. His image How Pharrell Williams landed a top job at Louis Vuitton BY STEPHEN DOIG The Telegraph

Your Vero Beach Newsweekly ™ Vero Beach 32963 / February 23, 2023 65 Style as a family man was reestablished, the world moved on. His resilience in the entertainment industry is partly thanks to his constant evolution – he puts on many new hats (figurative, as well as literal) including singer, record producer, film producer, restaurateur, hotelier, sculptor, skateboarder… “The motivation for me was them telling me what I could not be,” Williams once said of the expectations placed on him by society, and how he sought to defy them. Recently he became interested and invested in a host of new tech projects – the London-based music startup Roli in 2017, in 2022 he was named chief brand officer of NFT platform Doodle, and last year he debuted GODA (the Gallery of Digital Assets) alongside artist Nina Chanel Abney. He also runs a skincare range, Humanrace; a new online auction platform, Joopiter; and two not-for-profit educational platforms, Yellow and Black Ambition. Have you got all that? In the “other interests” section on his bulging CV, he might detail that he also kick starts each day at 5 a.m. with 500 crunches followed by a boiling hot bath and then a freezing shower. Keep up if you can. The fashion industry noticed his renegade sense of style on the red carpet in the 1990s. His first dabbles with design came via cult Japanese label Nigo, followed by the launch of his own brand Billionaire Boys Club and a foray into jewelry design at Louis Vuitton (how foretelling), sneakers with Adidas and coats with Moncler. But it was Chanel that cemented his place in the upper echelons; having sketched the brand’s signature CC logo onto trainers for himself, in 2017 the Paris house made it official and anointed him one of the few male celebrity ambassadors, creating a “Chanel Pharrell” collection two years later and draping him in its signature boucle tweeds and pearls along the way. He was very much within Louis Vuitton’s orbit (photographed with the Arnault family, and a front row favorite) but the awarded role of creative director has come as a surprise. Louis Vuitton, the 169-year-old luggagepurveyor-turned-luxury-monolith, doesn’t tend to do shock tactics like the rest of the fashion world. It is interesting to note that this is happening as rival brand Balenciaga has sacrificed its luxury cachet in its eagerness to attract a young Insta-crowd with garish logos and chunky sneakers. Louis Vuitton is the jewel in the LVMH conglomerate crown, owned by France’s richest man, Bernard Arnault. Williams is set to make his debut next June during Paris men’s fashion week. Pietro Beccari, Louis Vuitton’s CEO, explained that his “creative vision beyond fashion” was the reason he was hired. It’s a contrast with Gucci’s new creative director, Sabato De Sarno, who is only known in fashion circles, having worked at Valentino. Certainly Williams knows what makes a standout catwalk collection, but he has no formal training as a designer. Does that matter in today’s market? He has been hired, surely, for his eye. Louis Vuitton wants him to direct them on what’s cool, and that he certainly can do. Pharrell’s predecessor Abloh’s appointment was a curveball itself back in 2018, when he took over from British designer Kim Jones. Abloh had been a streetwear icon thanks to his Off-White label, as well as a sometime DJ and furniture maker. He had never had experience at a luxury house, but his collections were consistently being expressive, vividly colorful and exciting catwalk spectacles. Abloh was always true to his conviction and his appointment was important; he was one of the few black men “to get a seat at the table,” as Naomi Campbell told me the day after his death was announced. Perhaps, in the multiverse that is 21stcentury fashion, it doesn’t matter what a creative director’s background is. It’s worth remembering that Ralph Lauren started as a tie salesman and went on to become one of the greatest designers of the 20th century. Victoria Beckham has ‘made it’ as a serious designer, as have the Olsen sisters with their brand The Row. Fashion shows are entertainment spectacles, with social media takeovers, Instagram stars streaming live and screaming fans outside hysterically waiting to see who is on the front row. Brands can generate a phenomenal amount of noise through this kind of marketing, and it’s long been the case that as long as the bags and shoes keep selling (which I’ve no doubt they will under Pharrell Williams) the clothes that come down the catwalk are less of a priority. Balenciaga had managed to become a byword for Gen Z cool thanks to their logomania and dusting of stardust from Kim Kardashian and Kanye West, but with the latter’s downfall and a sexual scandal engulfing the brand, there’s a gap in the market. Pharrell Williams, Cara Delevingne and Karl Lagerfeld. Pharrell Williams and Anna Wintour.

66 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ Vero & Casual Dining The bling is all over many a winery tasting room. Colorful ribbons draped around the necks of bottles, sporting medals of bronze, silver or gold from a state, regional or even an international competition. What do these medals tell us as consumers? At the least, they show that several serious wine lovers serving as judges thought these were high-quality wines. Of course, the main point is marketing. Competitions offer wineries validation with medals, which wineries then use to attract consumers. But a good showing in a competition can help establish a little-known boutique winery’s reputation. Mark and Maggie Malick, the husband-and-wife team behind Maggie Malick Wine Caves in Purcellville, Va., saw that effect a few years ago when their 2017 Tannat won a best-in-class award at the San Francisco International Wine Competition, one of the most prestigious in the country. “Wine lovers will seek you out specifically for that wine,” Mark Malick told me. “So wine competitions really do bring in consumers to our winery, just like point scores [on wine store shelf-talkers] affect wine buying decisions.” Doug Frost, who is a master sommelier and a master of wine, has an usual perspective as a partner in Echolands Winery in Washington state and organizer of the Jefferson Cup wine competition. Medals can help, but only to a point, he said. “How many do you really need?” Frost asked, with his winery hat on. “It’s a financial decision as to whether or not you can get a marketing push, and a waste of money beyond that.” The big knock against competitions is their resemblance to speed dating. Judges typically have several wines in a flight and must evaluate and score them in a matter of seconds. This is not how we typically enjoy our wines. The competition format is based on first impressions – albeit experienced ones – and favors bolder, bigger wines over more subtle ones. So with the multitude of wines available to us, medals, like ratings, can be a pointer to guide us toward wines of quality. The ultimate decision, of course, lies with you, the consumer. “Use competition results as a guide, but not an absolute,” said Maggie Malick, who described herself as “very competitive” and lists her medalwinning wines on the winery website. “Trust your own palate. Medals may mean bragging rights for the winemaker, but they won’t mean anything to you if you don’t like the product. You’re the one buying it, so buy what you like.” THE BIG TEST OF A WINE IS WHETHER YOU LIKE IT BY DAVE MCINTYRE The Washington Post Fine Dining, Elevated Exciting Innovative Cuisine Award Winning Wine List Unparalleled Service Expanded outdoor dining in The Café. Proud recipient of Trip Advisor’s Traveler’s Choice Award placing us in “The Top 10% of restaurants worldwide”. Catering Now Available (772) 234-3966 • tidesofvero.com Open 7 Days a Week Starting at 5 PM 3103 Cardinal Drive, Vero Beach, FL Reservations Highly Recommended • Proper Attire Appreciated Wine Spectator Award 2002 – 2021

Your Vero Beach Newsweekly ™ Vero Beach 32963 / February 23, 2023 67 Vero & Casual Dining

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70 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ Vero & Casual Dining PARTY PLATTERS AVAILABLE 56 Royal Palm Pointe 772-567-4160 Follow us on Facebook & Instagram OPEN FOR DINNER WEDNESDAY-SUNDAY BEGINNING AT 4 PM. CLOSED MONDAY & TUESDAY. ORDER ONLINE FOR DELIVERY OR PICKUP THROUGH Pizzoodles.com or ToastTakeout.com SALADS, PASTA, VEAL, CHICKEN , SUBS AND DESSERTS OPEN WEDNESDAY - SUNDAY 1931 Old Dixie • 772.770.0977 fishackverobeach.com • Like us on Facebook! Gift Certificates, Private Parties & Patio Dining Available TUESDAY NIGHT l ALL YOU CAN EAT FISH FRY HAPPY HOUR 4-6 PM l TUES.- SAT. WE CAN ACCOMMODATE LARGE PARTIES TUES OPEN FOR DINNER AT 4 WED-SAT OPEN FOR LUNCH & DINNER CLOSED SUNDAYS & MONDAYS OFFERING Local Fish Northern Fish Patio Dining Happy Hour Best Margaritas Full Liquor Bar Large Parties Daily Specials OPEN Tues-Sun 11:30 AM to Close Daily Drink Specials Daily Dinner Specials Where Vero goes for a Lil bit of Ireland! 2019 14th Ave (772) 217-2183 seanryanpub.com Chef Chet Perrotti Be Known’ My Friends March 17 is the Wearin’ O’ the Green Sean Ryan Pub is the place for St Patrick’s Day Celebrate with us and the Jameson Shot Girls with outside bar & dining available

PETS Your Vero Beach Newsweekly ™ Vero Beach 32963 / February 23, 2023 71 This week’s innerview-ee, Oliver Burns, is a pure-bred-but-NOT-snobnose Yorkshire Terrier, 8 pounds max with long, silky hair and the kinda frenly, adorable, sincere face that could put you into sugar shock it you looked at it too long. We’d met previously at a social event so, after a proper Somebody’s At The Door Bark, Oliver trotted up for the Wagan-Sniff. “Hey, Bonz, great seein’ you again! Come’on IN! You know my Mommy, Susan. An this is my Daddy, Robert!” “A pleasure everyone!” I said, an we got comfy in the livin’ room, Oliver leading the way with a wiggly prance. “Can’t wait to hear your story,” I said, opening my notebook. With one ear stickin’ straight up, the other haff-way flopped over, Oliver had an intrested, quiz-ickle look. “Okey-dokey, here goes,” he said, an commenced. “I was born in MISH-ugin. It’s a state. Like Florida. But with SNOW. An Coldness. Daddy grew up with Yorkies. Mommy pruhfurred cats but Daddy’s uhLURR-gick to ’em. So they got a Yorkie, Sneekers, a wonderful poocheroo. But, when he finally hadda go to Dog Heaven, Daddy an Mommy didn’t want to get another dog cuzza bein’ So Sad. “Then one day Daddy was casually lookin’ through the noose-paper an saw a pickshur of a buncha Yorkie-puppersinna-basket, owned by a Very Responsible Lady. (Needles to say, it was my litter.) Mommy an Daddy checked Us out, an I checked Them out. An We picked Each Other. I was 8 weeks old, weighed almost 1 whole pound. I could curl up in Daddy’s hand an not even hang over the edge!” “That is a Super Crispy Biscuit Tail, Oliver!” I exclaimed. “So what happened next?” “Well, cuzza us Yorkies being Very Smart and Easy To Train, I learned where to Do My Dooty an Where to Not pretty fast. With Minuh-mull Oopses. Up in MISH-ugin, with all that snow, Daddy hadda shovel paths for me so I wouldn’t vanish whilst on the way to Do My Dooty.” “Sounds a liddle un-COMF-tubble,” I commented, trying not to imagine the scenario, but failing. “Ackshully, altho us Yorkies look all delicate an stuff, we’re not. Way back WHEN, over in ING-lund, we helped farmers get rid of VAR-mints even though they were mostly bigger than us. We were FEARLESS an TUFF!” “Woof!” “Well, not ME, of course. I’m a totally laid back sorta poocheroo. I’m Super Cool Kibbles with fellow creatures. Ackshully, I consider myself more of a People Person, truth be told. On the rare occasion I feel Stress, I go over to my Very Big Basket of Stuffies, select one, an rip the livin’ daylights outta it, till I get to the squeaker. Then I demolish that, too. It’s my Stuffy Therapy. Daddy’s constantly replenishin’ my stuffy supply.” “I can see that,” I said, as he grabbed his Lambchop stuffy and shook it so fast I thought both of their heads would fly off. “Don’t you get dizzy?” I ventured. Lambchop went sailing and Oliver continued, “Naw. One time, Mommy was at work an Daddy was In Charge of Watchin’ me, but he lost track of my Whereabouts. He searched EVERYwhere. Inside. Outside. Everywhere. He alerted the neighbors. He was dis-TRAWT! ‘HOW AM I GONNA TELL SUSAN I LOST THE DOG?’ Just when Daddy was about to call the puh-leece or the muh-REENS, I was discovered, peacefully snoozin’ upstairs in a patch of sunlight, innocent as the newly fallen snow. “Before we came down here, I thought I was gonna be, you know, a Snowbirddog, but, turns out, we just came down and stayed here. I was a Snowbirddog Failure, which is totally Cool Kibbles with me. I sat in Mommy’s lap the whole way down. It was pretty fun. Plus, now I don’t get Chilly Paws when I Do My Dooty. An, should Daddy not take me out at The Appointed Time, I simply give him The Potty Stare. Works every time. “Once, when I was offleash in the front yard (where I’m allowed, with Mommy an Daddy for 7 a.m. coffeetime), I was gazing intently at something. Mommy said to Daddy, ‘Look, Oliver’s checkin out that liddle frog in the tree.’ An Daddy said, ‘Ackshully, I think he’s lookin’ at that bobcat on the sidewalk.’ Mom scooped me up super-fast and rushed me inside.” “Wise decision. You’re just a liddle snack for those Big Boys,” I said with a shudder. “So, tell me about fave foodstuffs, activities, famly, clothes, stuff like that.” “I’d probly eat anything, but I seriously enjoy black olives; carrots are my fave. An those treats from Miss Amy at the Farmers Market on the beach. I have lotsa energy so I go out four times a day. I enjoy riding in Mommy’s bike basket. It’s the perfect size. “When I’m chillin’, I like to listen to classical music. My favorite’s Rachmaninoff: the virtuosity, the power, the mastery of the piano. You know what I mean.” I opened my mouth but nothing came out. I closed it. Oliver continued, “I don’t really wear clothes. Not my thing. However, my sister Emily, who lives in Manhattan, she sent me an NYPD pooch raincoat which I think I might make an eggs-ception for. I mean, talk about Cool Kibbles. “I have a GREAT Furever Famly: lemme think, um, some of ’em are, my brothers Robbie and Christian an then Emily, an Aunt Mary an Capt. Rob and my liddle neff-you Damien, he’s 3. He has a cat named Henri who was rescued from some big field called Yankee Stadium. Damien calls me ‘AHH-ver’ cuz he’s still learnin’ his pro-NUNCE-munts. We do Facetime to stay in touch. That’s way fun. Our attention spans are pretty similar. “Anyway, When I get real sleepy at night, I sit in Mommy or Daddy’s lap till bedtime. Then I get all snuggly in my comf-tubble crate with my speshull cushion an fresh sheets.” Heading home, I was still smiling in amazement at how much energy an joy and intresting stuff Oliver knows an does. He’s definitely carpe-ing the diem an living his best life with his Furever Famly. Till next time, Hi Dog Buddies! Bonzo meets Oliver, an ‘O’ so cool Yorkshire Terrier The Bonz Don’t Be Shy We are always looking for pets with interesting stories. To set up an interview, email [email protected]. Oliver. PHOTO BY JOSHUA KODIS

Your Vero Beach Newsweekly ™ CALENDAR 72 Vero Beach 32963 / February 23, 2023 Riverside Theatre: “A Comedy of Tenors” on the Stark Stage through March 12. 772-231- 6990 or RiversideTheatre.com King of the Hill Tennis Tournaments, 6 p.m. Thursdays through March 2 at the Boulevard to benefit Youth Guidance. 772-979-5582 Vero Beach Museum of Art: Rolling Sculpture: Streamlined Art Deco Automobiles and Motorcycles exhibit through April 30. VBMuseum.org or 772-231-0707 Garden of Glass at McKee Botanical Garden through April 30. McKeeGarden.org or 772- 794-0601 23 Diamonds and Crystals Gala, 5:30 p.m. at Quail Valley River Club to benefit Gifford Youth Orchestra. $150. GYOTigers.org or 772-213-3007 23 Diamonds in the Rough fundraising dinner, 6 p.m. at Bent Pine Golf Club to benefit Camp Haven. $195. CampHaven.net 24-26 Ballet Vero Beach presents Beyond the Ballets Russes, 7:30 p.m. Fri., 2 p.m. and 7:30 p.m. Sat. at Vero Beach High School PAC. $10 to $75. Accessible/ Family Friendly performance 2 p.m. Sun., $10. Balletverobeach.org or 772-905-2651 25 Chimpathon 2.5K, 5K and 10K options 7:30 a.m. at and to benefit Save the Chimps chimpanzee sanctuary. SaveTheChimps.org 25 Explorer’s Experience, 6 p.m. at Triton Submarines to benefit Ocean Research and Conservation Assoc., with dinner, auction, state-of-the art submersibles and footage of creatures from the deep. $250. TeamORCA.org 25 Impact 100 Share to Care, 10 a.m. to 4 p.m. at Riverside Park, a family-fun event showcasing 40+ nonprofit grant recipients over the past 15 years, scavenger hunts, entertainment and food trucks. Free. Sign up for prize drawing at Impact100IR.com 25|26 Blues Fest at IRC Fairgrounds, 11 a.m. to 10 p.m. Sat., 11 a.m. to 6:30 p.m. Sun., with 10 bands, classic car and truck show, and marketplace vendors. $5; children under 13 free. 26 Scottish Sweetheart Afternoon Tea hosted by Scottish Society of the Treasure Coast, 2 p.m. at the Garden Club of IRC. $25. 772-783-6891 26 Space Coast Symphony Orchestra presents Showtime, Broadway’s most beloved tunes, 3 p.m. at the Emerson Center. SpaceCoastSymphony.org 26 Atlantic Classical Orchestra and Vero Beach Museum of Art Chamber Series II, Three by Three, 3 p.m. at VBMA. 772-460- 0851 or AtlanticClassicalOrchestra.com ONGOING FEBRUARY Sudoku Page 42 Sudoku Page 43 Crossword Page 42 Solutions from Games Pages in February 16, 2023 Edition ACROSS 7 MEADOW 8 CEREAL 9 CALENDAR 10 STAY 11 LEVEL 13 SECRETS 15 SATCHEL 17 FEAST 20 GRIT 21 STANDARD 23 DINNER 24 TRAVEL DOWN 1 RELATE 2 EDGE 3 SWEDE 4 SCARLET 5 PRESERVE 6 VACANT 12 EXCITING 14 LEISURE 16 AFRAID 18 STREET 19 PARTY 22 DRAW Crossword Page 43 (AND NOW BACK TO P.D.Q. BACH) Advertising Vero Beach Services | If you would like your business to appear in our directory, please call 772-633-0753 VERO BEACH 32963 BUSINESS DIRECTORY Oils • Edibles • Coffee • Pain Topicals • Skincare Beverages & Non Alcoholic Spirits Gummies & Vape Cartridges • Sleep Aids • Accessories 476 21st Street • Miracle Mile (next to Kelly’s Pub) hempnookcbd.com • (772) 226-7598 • [email protected] CBD & THC PRODUCTS Althea Powell, Board Certified Pedorthist State Licensed • Custom Molded Orthotics • Custom Molded Shoes • Diabetic Shoes • Elevation 2686 U.S. HWY 1 • VERO BEACH, FL www.powellshoes.com • 772.562.9045 POWELL SHOES PEDORTHIC FACILITY SPRINKLER SERVICES Guaranteed to Make Something Pop Up 772-539-3365 Don’t Panic 20% DISCOUNT FOR ALL NEW CUSTOMERS State Certified Electrical Contractor Tom G. Walton Hiring Electricians 772-569-1547 • [email protected] Residential • Commercial • Industrial L. Walton Electric, Inc. EC13003596            

SPECTACULAR RIVERFRONT HOME POOL • CABANA • DOCK 275 Riverway Dr. in Seagrove West: 4-bedroom, 4.5-bath, 5,525-square-foot, 2-story, riverfront estate home offered for $8,900,000 by Sally Daley, The Daley Group at Douglas Elliman: 772-538-4503

REAL ESTATE 74 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ Judith and Maximilian Thyssen had no idea when they decided to leave Germany to live abroad for a year that their stay would turn into two, then three … then six years. The couple considered places all over the world but zeroed in on Florida. They started their search in Miami and made their way north to Vero Beach, which Max was familiar with through commercial real estate ventures. Here, they discovered the home at 275 Riverway Dr. in Seagrove West that they subsequently purchased and transformed from a traditional style into a modern transitional masterpiece. They wanted something with clean lines that didn’t compete with the spectacular open water, explains Judith. “The design can take on whatever persona you want. It’s livable and not overdone,” says Sally Daley, founding broker associate of the Daley Group at Douglas Elliman “It’s an absolute fortress,” continues Daley, adding that the spectacular house and elegant pool are built on pilings. “This house has had nothing but fine builders attached to it,” Daley adds. The original builder was Pierce Brothers in 2003, with a 2011 renovation by Errol Adels & Banov Construction, and a recent update by Builders East. “It’s a total merger of form and function and there are so many superior things about the house,” Daley continued, noting the positioning of the house on the lot to optimize privacy and the fact that it is a two-story, complete masonry build. One of the real showstoppers is the long view of the Indian River Lagoon through a wall of glass across the rear of the formal living room, which draws your attention as soon as you step over the threshold into the grand two-story, foyer with black and white marble flooring, built-ins and an elegant staircase with wrought-iron railings leading to the second floor. The home has an open, spacious feel with defined spaces created by a variety of creatively and strategically placed walls and furniture. The formal living room at the center of the house has two distinct seating areas. One’s focus is the floor-to-ceiling gas fireplace clad in marble with hues of movement throughout. “The spaces relate to each other, yet Spectacular riverfront home features pool, cabana and dock BY STEPHANIE LABAFF Staff Writer

REAL ESTATE Your Vero Beach Newsweekly ™ Vero Beach 32963 / February 23, 2023 75 they’re private. It’s open concept with defined spaces,” adds Daley. Judith and Max have laid claim to the eastern wing of the house, where there’s an office with a full bath adjacent to the primary bedroom. It’s the perfect retreat, from the river view and pool access to the gloriously posh bathroom with two walk-in closets, a soaking tub, a water closet, dual sinks and a shower equipped with multijets and steam. “The layout really works for us because we have the kids upstairs. You could also put guests upstairs,” says Judith. The formal dining room is to the left of the front entry. Partial walls topped with marble add a touch of elegance to the square room, which Daley notes works well for furniture placement. Further down the hall is a door leading to the laundry room, powder room, kitchen, family room and a covered breezeway and a

REAL ESTATE 76 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ detached two-car garage. A large, quartz island counter with bar seating creates a division between the kitchen and family room, so everyone can be together while dinner is being prepared in the gourmet kitchen, using Miele appliances and a SubZero refrigerator. There’s no shortage of views from here, with windows on three sides of the family room so you can enjoy the everchanging beauty of the natural world. Three bedrooms and two baths provide various sleeping options for guests on the second level. One ensuite bedroom overlooks the river with access to the sunset balcony running along the back of the second floor. On the other side, two bedrooms share a Jack and Jill bathroom, each with balcony access, one east-facing and one west-facing. The rooms are large, allowing for flexibility of use. “They could be used as a second office, a gym, a homeschool or a playroom. They could be whatever you wanted them to be,” says Daley. Outside, a covered area just off the living room provides a quiet space to sit and watch boats pass along the Intracoastal Waterway or keep an eye on the children in the black-bottom saltwater pool, which Judith says was intentional. “We wanted the pool to match the river.” The house is cited with a due west view that is prime for sunset viewing. “You have a completely open, uninterrupted view across a wide stretch of the river. With 179 feet on the water, the lot is 71 percent wider than most others,” says Daley. The Thyssens added a cabana – a seamless addition that serves as an

REAL ESTATE Your Vero Beach Newsweekly ™ Vero Beach 32963 / February 23, 2023 77 extension of the house with a fire - place, wet bar and summer kitchen, overlooking the pool and river. “In Florida, outside living is every - thing. This is really a second living room-dining room,” says Daley. It’s the family’s favorite place to sit during the cooler weather. They en - joy gathering by the fire after dinner, shares Judith. Seagrove West is a guard-gated, riv - erfront community located between Castaway Cove and The Moorings. Amenities include tennis, pickleball and a marina in the quiet, familycentric neighborhood, which is just minutes from Saint Edward’s School and beachside shopping and dining along Ocean Drive. VITAL STATISTICS Neighborhood: Seagrove West Year built: 2003 Construction: Concrete block, with stucco Lot size: .61 acre lot Home size: 5,525 square feet View: 180-degree Intracoastal Pool: Black bottom saltwater swimming pool Bedrooms: 4 Bathrooms: 4 full baths and 1 half-bath Additional features: Marble and hardwood flooring; Miele appliances; quartz countertops; Sonos sound system; alarm system; gas fireplace; library; wine cooler; sunrise and sunset balconies; remotecontrolled lighting; cabana with summer kitchen and fireplace; air-conditioned attic; whole house generator; two-car garage; Mister Mosquito system; and dock with 24,000-lb lift. Listing agency: The Daley Group at Douglas Elliman Listing agent: Broker-associate Sally Daley, 772-538-4503 Listing price: $8,900,000 275 RIVERWAY DR.

REAL ESTATE 78 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ The surprise of January was how strong the economy started off the year – particularly the housing market. Homebuyers turned out to be more resilient than expected. All it took for them to come flocking back was for 30-year-mortgage rates to ease to near 6 percent after reaching as high as 7.25 percent in October. Mortgage purchase applications are rising again. The glut of existing homes we expected as the market slowed last year never materialized. Homebuilders’ stocks have surged. Goldman Sachs Group Inc. now believes home prices will fall by 6 percent from the peak, rather than its previous forecasted of a 10 percent decline. The housing analytics firm CoreLogic is even predicting a rise in home prices in 2023. It seems the housing market is making clear what it needs to cool down: higher mortgage rates. The strength in the housing market is an unwelcome development in the Federal Reserve’s fight to lower inflation to 2 percent. Fed Chairman Jerome Powell spoke last year about the need for a “reset” in the housing market. To the extent the Fed’s tweaking of interest rates is meant to help balance the market, the evidence so far in 2023 is that a rate of 6 percent is too low. To keep the economy from overheating, mortgage rates around 6.5 percent – their closing level on Friday – get closer to the mark. This is a sobering reality, once again exposing the tension between the need to provide affordable, adequate housing options for people, and the Fed’s goal to stabilize prices around a target of 2 percent inflation. It’s not hard to argue that current trends are inconsistent with 2 percent inflation. The economy added more than 500,000 jobs in January. The unemployment rate fell to 3.4 percent, a 50-year low. Home and auto sales appear to have surged. After some revisions to the data, we now know that inflation as measured by the Consumer Price Index ran hotter in the fourth quarter of 2022 than previously known, rising at an annualized rate of 4.3 percent in December. If inflation decelerated to 4 percent at the end of 2022 and then economic growth accelerated at the start of 2023, it’s hard to see the path back to 2 percent. That’s probably going to require tighter financial conditions in the form of higher interest rates. We’ve already seen markets re-price to reflect the strong jobs report. Ten-year treasury rates rose by 0.35 percent between the release of the January job numbers and last Friday’s close. Thirty-year mortgage rates rose even more, to 6.5 percent from 6 percent. That should help to prevent the economy from overheating in 2023 but try telling that to a would-be homebuyer who’s been struggling with affordability issues for the past year. Just as they were on the cusp of affording a home as mortgage rates eased toward 6 percent, rates are shooting up again. The question is what stops this frustrating cycle. Early last year the jump in mortgage rates to 5 percent cooled off the housing market. In December I anticipated that, given rising incomes and modest declines in home prices, 6 Are higher mortgage rates what housing market needs now? BY CONOR SEN Bloomberg

REAL ESTATE 80 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ percent mortgage rates would stabilize the housing market. It turns out I was too optimistic. Achieving the warm-but-not-hot balance the Fed wants to keep inflation inside its target range is going to take at least 6.5 percent. As long as the labor market remains resilient, any reduction in home buying brought on by higher mortgage rates just leads to more pent up demand driving up prices in the future. By the second half of the year, maybe 7 percent mortgage rates will be the level needed to keep the housing market from running away again. We’ve still got to assume that raising interest rates will eventually cool the economy enough to weaken the labor market, rein in inflation and relieve some of the pressure on housing. But right now, it appears that rates may need to go higher – perhaps much higher – than appreciated only a couple of months ago. Where is the tipping point? Until we find it, don’t expect conditions to get any easier for homebuyers. The Fed believes it can’t allow it.

REAL ESTATE 82 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ Miami’s Star Island has long lived up to its name. From Shaquille O’Neal to Rosie O’Donnell, the exclusive enclave only accessible by gated bridge has drawn the rich and famous for decades. And yet, Ken Griffin’s move south from Chicago has launched the neighborhood into a new stratosphere and turned it into a microcosm of the shift in demographic and housing trends across the US. A typical home on the island is valued at $40 million, up from $23.5 million in December 2019 – making the area the priciest neighborhood in America, data from Zillow Group Inc. show. The gap has never been wider between its closest competition: Port Royal in Naples, Florida, and Beverly Hills, the star-studded California haven. Some of that is directly the result of Griffin, founder of hedge fund powerhouse Citadel. He bought five properties on the island for a combined $194 million. Griffin’s machinations are part of a broader shift among America’s ultrarich and powerful in the wake of the COVID-19 pandemic. Their moves, away from places like New York’s Upper East Side and San Francisco’s Nob Hill to warmer, less-dense regions of Florida and Texas have lifted real estate prices in some locales while leaving other neighborhoods behind. And as wealthy executives bring their businesses along with them, the merely affluent follow, too. A Bloomberg analysis of home values in the country’s most-expensive areas show some of these changes in stark terms. While a broad real estate boom lifted prices nationwide – adding an estimated $12 trillion in new U.S. housing wealth since the pandemic – the Miami region saw its number of million-dollar ZIP codes more than double from the end of 2019 through 2022. It’s a similar story in places such as Park City, Utah, or Flagstaff, Arizona, with house-price gains of more than 90 percent in some wealthy neighborhoods. While parts of New York and California, traditional wealth centers, still rank near the top of list of most expensive areas, a majority of million-dollar neighborhoods where prices increased the most are in Florida. Even as rising interest rates cool the nation’s housing boom, the changes represent a broader reset for America’s priciest housing as state and local officials grapple with how to restore the allure of hollowed-out cities. Some of the ultra-rich – Griffin among them – cite concerns over rising crime. Others are lured elsewhere by lower taxes. Whatever the rationale, these patterns and the corresponding surge in housing costs are reshaping regions, changing business decisions and adding to affordability challenges for nonwealthy residents. “The pandemic really was like a tectonic plate shift,” said Maria Elena Lagomasino, chief executive officer of WE Family Offices, which works with ultra-high-net-worth families. She operates out of Miami’s Brickell neighborhood, an area so finance-heavy it’s been dubbed Wall Street South. To her, the migration of affluent people to the area is only in “the early innings.” Florida – a pandemic destination because of its sunny climate, relatively lax COVID rules and no state income tax – is home to 38 of the 50 milliondollar neighborhoods with the largest price gains by percentage over the past three years, Zillow data show. Those areas have all seen home values more than double. It’s no surprise to Dina Goldentayer, Priciest Florida neighborhoods changing as ultra-rich arrive BY ALEXANDRE TANZI, FELIPE MARQUES, MICHAEL SASSO AND AMANDA ALBRIGHT Bloomberg

REAL ESTATE Your Vero Beach Newsweekly ™ Vero Beach 32963 / February 23, 2023 83 who’s been a luxury real estate broker in Miami Beach for almost two decades. During a tour of the area’s most expensive neighborhoods, she said the vibe has changed from when she first arrived in her early 20s, lured by the party atmosphere and working as a cocktail waitress in South Beach. “Miami Beach used to be this place you come a few days to party, get some sun and get out,” said Goldentayer, executive director of sales at Douglas Elliman. “Now it’s the place to live. It’s the lifestyle, weather, economic policies, political policies. Everyone wants to come here.” Her business is still thriving, even if it’s not as frenzied as it was in the height of the pandemic, when superrich buyers – “whales,” as she calls them – had one phone call to decide if they wanted a property or not. Last year, her house sales were around $475 million, down from about $750 million in 2021 but way up from a good year before the pandemic, when she closed $100 million to $200 million. “It used to be that there would be a whale in town every other week looking to buy; now there’s one every day of the week,” she said. “And when states like California do their mansion tax, or Massachusetts implements a millionaire’s tax, it just means more business for me.” Star Island has always been one of the nation’s priciest neighborhoods, a gated community where all houses overlook the ocean, with spacious mansions drawing in celebrities and billionaires. But the largesse has spread to other neighborhoods catering to different needs. Miami’s Venetian Islands – a chain of six man-made islands, connected by the Venetian Causeway, including Di Lido, Rivo Alto and San Marino islands – have turned into “the land of rich bachelors,” Goldentayer said. In a short walk (or scooter drive) the well-off can hit one of the 10 different nearby gyms (including a Barry’s) then grab a bowl of acai (Pura Vida is a popular spot). For families looking for larger houses but without the budget of a Ken Griffin, there are places like Palm Island, with a median home value of just under $10 million. Price gains have been diverse, not only among ultra-elite areas like Star Island, but to parts of Florida that are traditionally not known as wealth havens. Before the pandemic there were zero ZIP codes in the Tampa area where the median home-listing price topped $1 million. Now there are four. Bruce Ring, who specializes in selling waterfront homes for Lenson Realty Inc. in Palm Beach County, says the market became supercharged by late 2020, when properties would sell for double what they had fetched just a couple years earlier. He said his clients have moved because of newfound openness to remote work and changes to state and local tax deductions. “One guy told me the taxes he’s not paying in Massachusetts is essentially paying for his new house in Florida,” Ring said. “For them not to do it would cost them more than to do it.” The shifts have political implications as wealthy residents bring their dollars and donations to new areas. Griffin, for instance, was once one of Illinois’s major political donors before relocating Citadel from Chicago. He has financially backed Florida Gov. Ron DeSantis, a potential 2024 Republican presidential nominee. The nation’s growing culture wars have also come into play, too. DeSantis said “people are voting with their feet” at a re-election campaign event last year and has since bashed states like New York and Illinois for being soft on crime. Meanwhile, California Governor Gavin Newsom, a Democrat, ran political ads in Florida promoting his state as a haven from restrictive conservative policies. California, which despite the criticism it receives from conservatives just went from being the fifth to the fourth largest economy in the world, remains the home of some of America’s wealthiest areas, with the Silicon Valley town of Atherton ranking as the priciest ZIP code in the country, with a $7.4 million median home value, according to Zillow. That is down about 3 percent over the past year – a reflection of struggles in the tech industry. The San Francisco housing market is under pressure, too, as tech companies allow flexible work, hollowing out the downtown, and a persistent homelessness crisis and headlines of rising crime diminish some of its appeal. CONTINUED ON PAGE 86

REAL ESTATE 84 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ SINGLE-FAMILY RESIDENCES AND LOTS SUBDIVISION ADDRESS LISTED ORIGINAL MOST RECENT SOLD SELLING ASKING PRICE ASKING PRICE PRICE ORCHID ISLE ESTATES 8625 SEACREST DR 12/30/2022 $1,750,000 $1,750,000 2/10/2023 $1,675,000 BETHEL BY THE SEA 431 HOLLY RD 9/14/2022 $899,000 $899,000 2/15/2023 $899,000 PEBBLE BAY ESTATES 4626 PEBBLE BAYE 7/11/2022 $1,250,000 $895,000 2/14/2023 $809,000 SANDPOINTE 110 SANDPOINTE DR 12/8/2022 $300,000 $300,000 2/14/2023 $297,585 WINDWARD CONDO 2155 GALLEON DR, #E2 1/6/2023 $649,000 $649,000 2/10/2023 $630,000 TURTLE COVE 777 TURTLE COVE LN, #2E 1/12/2023 $329,000 $329,000 2/10/2023 $329,000 SOUTH PASSAGE 1302 SPYGLASS LN, #1302 1/3/2023 $595,000 $595,000 2/13/2023 $605,000 SEA OAKS 1275 WINDING OAKS CIR E, #708 11/30/2022 $500,000 $500,000 2/15/2023 $460,000 SEA OAKS 8880 N SEA OAKS WAY, #102 11/18/2022 $775,000 $775,000 2/14/2023 $735,000 SEA OAKS 1395 IVY CT, #201 10/15/2022 $850,000 $795,000 2/10/2023 $720,000 TOWNHOMES, VILLAS, CONDOS, MULTIFAMILY AND INVESTMENT Real Estate Sales on the Barrier Island: Feb. 10 to Feb. 16 The middle of February saw a surge in real estate activity on the barrier island 13 transactions recorded, two of them for more than $2 million. The top sale of the week was of an oceanfront compound with 216 feet of ocean frontage in Indian River Shores. The property at 10 and 20 Ocean Lane was listed last June 20 for $27 million. The sale closed on Feb. 16 for $20 million. Both the seller and the purchaser in the transaction were represented by Cindy O’Dare and Richard Boga of ONE Sotheby’s International Realty.

REAL ESTATE Your Vero Beach Newsweekly ™ Vero Beach 32963 / February 23, 2023 85 Here are some of the top recent barrier island sales. Listing Date: Original Price: Recent Price: Sold: Selling Price: Listing Agent: Selling Agent: Listing Date: Original Price: Recent Price: Sold: Selling Price: Listing Agent: Selling Agent: Listing Date: Original Price: Recent Price: Sold: Selling Price: Listing Agent: Selling Agent: Listing Date: Original Price: Recent Price: Sold: Selling Price: Listing Agent: Selling Agent: 11/18/2022 $775,000 $775,000 2/14/2023 $735,000 Stacey Morabito & Debbie Noonan Dale Sorensen Real Estate Inc. Janyne Kenworthy ONE Sotheby’s Int’l Realty Subdivision: Sea Oaks, Address: 8880 N Sea Oaks Way, #102 7/11/2022 $1,250,000 $895,000 2/14/2023 $809,000 Candace Kennedy Alex MacWilliam, Inc. Not Provided Not Provided Subdivision: Pebble Bay Estates, Address: 4626 Pebble Bay E 9/14/2022 $899,000 $899,000 2/15/2023 $899,000 Janet Lawrence North Beach Realty, Inc. Kathleen Pogany Compass Florida LLC Subdivision: Bethel By the Sea, Address: 431 Holly Rd 12/30/2022 $1,750,000 $1,750,000 2/10/2023 $1,675,000 Kimberly Keithahn Alex MacWilliam, Inc. Star Knudson Dale Sorensen Real Estate Inc. Subdivision: Orchid Isle Estates, Address: 8625 Seacrest Dr

REAL ESTATE 86 Vero Beach 32963 / February 23, 2023 Your Vero Beach Newsweekly ™ Home values in neighborhoods such as Cathedral Hill, Mission Dolores, South of Market, Nob Hill, Lower Haight and Mission are all down by more than 10 percent since 2019, Zillow data show. The average homeowner in these neighborhoods has seen their property value drop by more than $280,000. New York is facing similar challenges. A Quinnipiac University poll released this month found that four in 10 residents don’t feel safe in the city, while shifts to hybrid work has left downtown office towers partially empty. It also is home to one of the highest income-tax rates among U.S. states, and state progressive lawmakers have proposed a first-of-its-kind wealth tax. Manhattan’s Upper East Side, in particular, has seen the number of available homes for sale climb since the pandemic, said Brian Meier, associate broker at Christie’s International Real Estate NYC. That neighborhood has had values fall 8.8 percent over the past three years, according to Zillow. CONTINUED FROM PAGE 83

The Vero Beach Barrier Island Newspaper www.vb32963online.com February 23, 2023 Volume 16, Issue 8 Newsstand Price $1.00