ChooseHealth SPRING 2023 BayfrontHealth.com/ChooseHealth Early Signs of Alzheimer’s Lifestyle Changes to Boost Heart Health How to Improve Your Workout Your First Colonoscopy Why You Should Ditch Expired Meds Love Your Body – and Still Lose Weight Take Control of Your Health 5 Plastic Surgeries Men Want Is Snoring Dangerous?
David Strong President and CEO Orlando Health John A. Moore President Bayfront Health Andrew J. Snyder Senior Vice President Marketing and Communications Choose Health Contributors Jeanne Adam Tim Barker Bari Becker F. Curtis Bryan, MD Lisa Cianci Kelsie Corry, MSN, APRN Liviu Craciun, MD Victor Feldbaum, MD Kristin Ford Rona Gindin Kathy Halley Rod James Elizabeth Katona Michael Malone, DO Kim Marcum Brooke Morton Deepak Naidu, MD Lisa Nickchen Julia Pfaff, DO Alexander Ramirez, MD Benjamin Tharian, MD Justin Thompson, MD Angela Turner, DO J. Ryan Williams, MD Katherine Wojnowich, MD ChooseHealth SPRING 2023 BayfrontHealth.com/ChooseHealth Early Signs of Alzheimer’s Lifestyle Changes to Boost Heart Health How to Improve Your Workout Your First Colonoscopy Why You Should Ditch Expired Meds Love Your Body – and Still Lose Weight Take Control of Your Health 5 Plastic Surgeries Men Want Is Snoring Dangerous? • Convenient urgent care locations with extended and weekend hours. • Walk-ins always welcome. • Most insurance accepted and self-pay options available. When it comes to minor injuries and illnesses, we're here for you. St. Petersburg 7000 4th St N, Suite A St. Petersburg, FL 33702 East Largo - Opening 2023 4895 East Bay Drive, Unit 120 Largo, FL 33764 CareSpot.com C M Y CM MY CY CMY K
ChooseHealth SPRING 2023 4 Nutrition How Too Much Salt Messes With Your Body 5 Spotlight Expanding into Puerto Rico 6 Inspiring Stories Cardiology 8 Women’s Health Sleep Deprivation and New Moms 9 Guide Take Control of Your Health Early Signs of Alzheimer’s Lifestyle Changes to Boost Heart Health How to Improve Your Workout Your First Colonoscopy Why You Should Ditch Expired Meds Love Your Body – and Still Lose Weight 20 Children’s Health Reducing the Risk of Sports Injuries 21 Spotlight Lung Cancer Screening Could Save Your Life 22 Men’s Health 5 Plastic Surgeries Men Want 24 New Physicians at Bayfront Health 26 Spotlight Why Snoring Can Be Dangerous 28 Spotlight Don’t Ignore GERD 30 Spotlight Aching Back? When to See a Doctor 31 Spotlight How to Swallow a Pill 32 Community Good 34 Upcoming Events BayfrontHealth.com/ChooseHealth Proud recipient of the APEX 2022 Award of Excellence, recognizing excellence in publishing Inside This Issue BayfrontHealth.com/ChooseHealth 3
NUTRITION How Too Much Salt Messes With Your Body By Tim Barker | Editorial Contributor Eating too much salt is a key contributor to a host of health problems — including robbing you of restful sleep. Cutting Back on Salt To cut back on salt, pay attention to the kinds of foods you eat and what you buy at the grocery store. Some strategies to reduce sodium include: For more food and nutrition information, visit BayfrontHealth.com/Content-Hub. As you eat more salt, your body retains more fluids,” says Dr. Michael Malone, a board-certified cardiovascular disease physician at Bayfront Health Medical Group Cardiovascular. “That causes your blood vessels to narrow and stiffen, forcing your heart to work harder to keep up with your body’s needs.” That extra work can wreak havoc on your body, contributing to conditions such as: • Coronary artery disease • Enlargement of the heart • Heart failure An overabundance of salt also can disrupt your sleep cycle because you may need to go to the bathroom more frequently at night. That makes it difficult to get a peaceful night’s rest. • Stroke • Dementia • Aneurysm How Much Is Too Much Salt? The American Heart Association (AHA) recommends a maximum of 2,300 mg of salt a day. But the AHA’s ideal limit is 1,500 mg, or slightly more than half a teaspoon. For most Americans, the average intake is more than 3,400 mg. And more than 70 percent of our sodium comes from packaged foods and restaurant meals. • Read nutrition labels. • Look for “no salt added” labels on canned goods. • Choose low-sodium versions of food and condiments. • Pick fresh or frozen fruits and vegetables. • Make your own sauces and salad dressings. • Incorporate other spices, including garlic and pepper, for flavor. 4
S P O T L I G H T Orlando Health Acquires New Hospital in Puerto Rico By Kim Marcum | Editorial Contributor Orlando Health has joined forces with one of Puerto Rico’s premier healthcare systems to create Doctors’ Center Hospital Orlando Health – Dorado in Dorado, Puerto Rico. The new brand replaces Sabanera Health Dorado, the name of Puerto Rico’s 105-bed acute care hospital that opened in March 2022. Orlando Health also has forged an agreement with Doctors’ Center Hospital to team up on four additional hospitals on the island. All five facilities will continue to be managed by Doctors’ Center Hospital. Every year, thousands of Puerto Rico residents leave the island for healthcare. Over the past 10 years, nearly 1 in 10 have sought that care in Central Florida. However, studies have shown that receiving high-quality treatment near a patient’s home is an optimum care model. At Doctors’ Center Hospital Orlando Health – Dorado, plans are underway to introduce new services and advanced technology that can help Puerto Rico’s residents recover near family and friends. “We want to fill gaps in services that currently exist on the island,” says Luis Herrera, MD, a board-certified thoracic surgeon with Orlando Health Cancer Institute who grew up in Puerto Rico. He is among the dozen Orlando Health physicians who participated in partnership discussions, all of whom have strong ties to the region. “There are deep connections between Central Florida and Puerto Rico,” says Orlando Health President and Chief Executive Officer David Strong. “Orlando Health will work with Doctors’ Center Hospital to improve care on the island and in Central Florida.” Patients who reside in or travel between the two communities will realize numerous benefits from the alliance, says Carlos Blanco, MD, MBA, president and CEO of Doctors’ Center Hospital. In 1959, his father helped found the small hospital that became a pillar of medical services in Puerto Rico. Collaboration between physicians at Orlando Health and Doctors’ Center Hospital will enhance both the quality of care and the continuity of care, especially for frequent travelers with chronic conditions that require regular medical intervention. Dorado Ponce San Juan Carolina Bayamón Aguadilla Manatí Puerto Rico BayfrontHealth.com/ChooseHealth 5
Richard Smith sat on the edge of his bathtub, gasping for air as the shower kept running. “I couldn’t hold my hands up long enough to wash my hair,”recalls Smith, who had been diagnosed years earlier with aortic stenosis, a type of heart valve disease. But last year, his symptoms got worse. Smith, 64, spent 10 days in the hospital for pneumonia. Then he had to cancel a work trip. A salesman for 30 years, Smith travels to trade shows and speaks at conventions. In June, he was booked as a speaker and preparing for the trip. But as the departure date approached, he knew he didn’t have the strength and stamina to push through. “I just can’t do it,” he told his boss. After another hospital stay, this time for fluid in his lung cavity, Smith’s cardiologist told him he needed a transcatheter aortic valve replacement, or TAVR. “It was a real easy choice for me,” Smith says. “I was suffering miserably.” A Lethal Condition Smith was referred to Bayfront Health Medical Group. The Bayfront Health heart team has performed more than 300 TAVR procedures. Aortic stenosis occurs when the aortic valve does not open properly because of thickening, causing diminished blood flow out of the heart to the rest of the body, says Dr. F. Curtis Bryan, a board-certified cardiothoracic surgeon with Bayfront Health Medical Group Cardiovascular. Symptoms can include chest pain, shortness of breath, difficulty walking and rapid heartbeat. “All the blood must pass through the aortic valve,” he says. When blood flow diminishes, people can faint or suffer heart attacks. Over time, heart function also can weaken and lead to congestive heart failure, causing shortness of breath and leg swelling. Many people don’t know they have the condition, instead thinking their symptoms are just signs of aging. If left untreated, aortic stenosis can lead to death in a just a few years. The condition is a common complication of radiation that often shows up decades later. Smith’s aortic stenosis likely was caused by radiation that he had in 1987 for Hodgkin’s lymphoma. After Heart Procedure, ‘the Relief Was Immediate’ By Elizabeth Katona | Editorial Contributor INSPIRING STORIES 6
The radiation left Smith with “hostile chest,” which meant he was not a candidate for the open-heart surgery commonly used to replace valves. ‘Transformational Procedure’ A minimally invasive procedure, TAVR has been performed for 20 years and involves replacing the deteriorating valve with a new one made from medical-grade bovine or porcine tissue. In most cases, a small catheter is inserted up through the groin and to the heart via blood vessels. The groin insertion allows for the quickest recovery, although in some instances the insertion is done in other areas. TAVR’s success rate is over 90 percent, which is on par with open-heart surgery. The complication rate for TAVR is less than 5 percent. “TAVR is truly a transformational procedure,” Dr. Bryan says. “The procedure is much less invasive, allowing the patient to gain the benefits of Smith was discharged by noon the next day. “I haven’t looked back,” he says. “Without TAVR, I would probably not be able to speak right now. I would not be able to breathe well enough to have a conversation.” Just two months later, Smith traveled for a business event and is back to doing things he loves, like playing guitar. And in March, he went to England for work. Smith, who has been married 39 years and has four adult children and nine grandchildren, is now living his best life. “I will never take walking freely or a deep breath for granted,” he says. To learn more about life-changing heart procedures, go to BayfrontHealth.com/HeartCare. improved survival and quality of life with less stress upon their bodies.” ‘I Haven’t Looked Back’ To Smith, the most remarkable part of the process was the immediate relief. “I went in early in the morning, it was done by noon, and then I had to lay on my back for four hours,” he says. “I spent most of the rest of the day walking the floors of the hospital.” “I will never take walking freely or a deep breath for granted.” – Richard Smith BayfrontHealth.com/ChooseHealth 7
Divvy up feeding times. Yes, someone is going to have to wake up every three hours to feed the baby. But it doesn’t have to be you, even if you’re breastfeeding. Pump and keep bottles in the fridge so your partner can feed your child. Consider crib location. “Your baby may cry a lot, and it takes time and practice to understand what the cries mean,” says Dr. Feldbaum. In the beginning, you may want to keep the crib near your bed as you learn the difference. Experts recommend that you don’t have your baby sleep with you in bed. Choose a simple baby monitor. You don’t need a fancy video monitor. The more basic ones with only sound are fine. If you have a video monitor, you will be tempted to wake up and watch. Develop a routine. Your baby will sleep more regularly the sooner you keep a routine. For example, take morning walks at the same time every day. Prepare baby’s room for sleep. Like adults, babies sleep better with windows that block bright light. Consider therapy. About 90% of moms get the baby blues. Therapists can be a great resource for talking through problems and teaching healthy coping skills. Most people struggle to get the recommended six to eight hours of sleep each night. Adding a new baby to the mix can make this even more challenging. But there are things new moms can do to help you get more rest, says Dr. Victor Feldbaum, a board-certified OB-GYN with Bayfront Health Medical Group OB-GYN. Just say no. Your friends and family want to visit after the baby is born. Don’t say yes out of guilt. Instead, ask for what you need. Maybe it’s easier for family to stay at a hotel. WOMENS’S HEALTH Tips To Help New Moms Get Enough Sleep By Brooke Morton | Editorial Contributor 8 For more women’s health information, visit BayfrontHealth.com/Content-Hub .
Improving your health can seem overwhelming. The good news is we are here to help. Our guide includes topics from knowing the early warning signs of Alzheimer’s to lifestyle changes for a healthier heart and other insights that will help you take control of your health and well-being. GUIDE BayfrontHealth.com/ChooseHealth 9
By Brooke Morton | Editorial Contributor It’s difficult to think about growing older without considering the specter of Alzheimer’s disease. This brain disorder slowly robs your memories, along with your ability to think and function. The most common form of dementia, Alzheimer’s affects an estimated 6.5 million Americans over the age of 65. Early stages are marked by mild memory lapses, and symptoms worsen over time. In later stages, the entire body loses most of its ability to function. Diagnosis is easier in patients with moderate and advanced Alzheimer’s but is more challenging in early stages and the “preclinical” phase. Many of the telltale signs of Alzheimer’s first appear as little more than natural aging. But as they begin to occur more frequently, it may become apparent that something more is going on. Here are seven signs to watch for: Memory Loss “Memory loss is the strongest indicator of the disease and becomes more noticeable as it progresses,” says Dr. Liviu Craciun, a boardcertified neurologist with Bayfront Health Medical Group Neurosciences. It’s not unusual to forget something on your shopping list or where you last put your cell phone. But more concerning: • Forgetting conversations • Neglecting to show up for appointments or events • Getting lost in familiar places • Forgetting the names of family members • Repeatedly asking the same question Struggling with Daily Tasks Completing simple daily tasks often becomes more difficult. Bills go unpaid, a house that’s typically well-kept becomes cluttered and dusty, and food is left to spoil in the refrigerator. This may be particularly noticeable with tasks requiring a sequence of steps – for example, cooking or playing a game. GUIDE 10
Need help from a neurologist? Visit BayfrontHealth.com/Physician-Finder. Loss of Interest in Social Activities, Hobbies and Work As the disease progresses, it becomes increasingly difficulty to take part in conversations. Rising anxiety also may make it more difficult to be around other people. When this happens, you or a loved one may withdraw from activities once considered rewarding. A part-time job may be abandoned. Membership in a bridge club may be dropped. Favorite television shows or sports teams may no longer hold any interest. Changes in Sleep Patterns As many as one in four dementia patients experience some type of sleep disturbance. This includes excessive sleepiness during the day and insomnia during the night. Frequent awakenings could occur during normal sleep hours, and you may find yourself routinely waking up earlier than expected in the morning. It also may spark sundowning – a state of confusion, agitation and anxiety during the late afternoon and early evening hours. Mood and Personality Changes The disease may cause what appears to be a personality transformation. Someone once thought of as care-free and unfrazzled may become surly, sad, suspicious or anxious. Other changes include: Problems with Words or Speaking As you grow older, it’s not uncommon to occasionally have difficulty finding the right word. But with Alzheimer’s, the problem becomes far more pronounced. You may struggle to name an object you’re holding in your hand. It may be difficult to follow along with a conversation. You may use substitutes for words (“the thing you drive” instead of “car”). Or you may use related words (“wristwatch” instead of “clock”). Misplacing Things Generally, if you forget where you put something (your keys, for example), you spend a few minutes retracing your steps to figure out where you left it. With Alzheimer’s, you may lose that ability, leaving you with no way to find the lost item. You may even have no idea when you last had it in your hand. As it begins to happen more frequently, these losses will impact your ability to enjoy daily life. Next Steps If you or a loved one are demonstrating these signs, it may be time to visit a neurologist or memory clinic for testing and diagnosis. There is no cure for Alzheimer’s disease, but there are many ways to improve the quality of life and wellbeing of both patients and caregivers. • Depression • Apathy • Mood swings • Distrust of others • Loss of inhibitions • Aggressiveness • Delusions • Unexpected use of vulgar language • Inappropriate outbursts of anger • Dressing inappropriately BayfrontHealth.com/ChooseHealth 11
GUIDE By Lisa Cianci | Editorial Contributor Reducing your risk of heart disease can be as simple as eating better and learning how to cope with stress. Heart disease is the No. 1 killer of men and women in the United States. “For many people, modest lifestyle changes can provide the same, or better, benefits than medications,” says Dr. Angela Turner, a board-certified cardiologist with Bayfront Health Medical Group Cardiovascular. Here are her suggestions on how to lower your risk: Stop Smoking Many of those who suffer heart attacks are smokers. To gain the most benefits possible, you need to stop completely. Within a year, your risk of heart disease will drop to half of what it was when you were smoking. And vaping is not a healthy alternative to cigarettes. It carries its own risks for your heart. As you get older, high blood pressure is one of the body’s first early warning systems for a range of potential problems. If left unchecked, high blood pressure can lead to heart attack, kidney failure, stroke, blindness and dementia. For many Americans, blood pressure can be lowered by exercising and eating better, including reducing salt, caffeine and alcohol. Genetics can come into play, too. If both of your parents had high blood pressure, there’s a good chance it’s going to be passed on to you. Lifestyle Changes for a Healthier Heart 12
Find more news about achieving and maintaining heart health at BayfrontHealth.com/Content-Hub. Exercise More Getting your body moving can go a long way toward keeping your heart in good shape. The minimum recommendation is 30 minutes a day, at least five days a week, for some sort of activity. Walking is perhaps the easiest, and cheapest, form of exercise you can do. But the key is finding something you enjoy. Online apps can help guide and track your workouts. You may be wondering how hard you need to work out. You aren’t training for a marathon. But at the same time, you need more than a slow, ambling walk. An easy goal is to push yourself up to the point where it becomes difficult to carry on a conversation as you exercise. Eat Better The best thing you can do for your heart is to cut back on or eliminate processed foods. There are quite a few popular diets out there, and most encourage avoiding fast foods and processed foods packed with sugar, salt and fat. It’s all about making wise choices. That doesn’t mean you can’t have an occasional piece of cake. Rather than thinking of yourself as being on a diet, you need to change the way you eat. Heart-healthy foods include: Reduce Your Stress Stress has wide-ranging implications for your entire body. Part of that is because of how you react to stress. You may turn to alcohol, drugs or smoking as coping mechanisms. It also dampens enthusiasm for exercise and fuels unhealthy eating habits. Among the healthier coping options: • A good night’s sleep • Taking 10 to 15 deep breaths • Meditation • Yoga • Exercise/physical activity • Spending time with family and friends • Listening to music If you are feeling hopeless and getting no relief from your selfcare attempts, talk with your doctor or seek assistance from a counselor or mental health professional. Cut Back on Alcohol For some people, it’s natural to reach for alcohol after a stressful day. The problem is that drinking too much can lead to weight gain, high blood pressure and other problems. The American Heart Association recommends a limit of two drinks a day for men and one drink a day for women. (A drink is considered 12 ounces of beer, 1.5 ounces of spirits or 5 ounces of wine.) • Vegetables • Fruits • Beans and other legumes • Lean meats and fish • Whole grains • Olive oil and other healthy fats • Low-fat and dairyfree food BayfrontHealth.com/ChooseHealth 13
GUIDE How to Get More from Your Workout By Tim Barker | Editorial Contributor Recovery is an essential piece of your workout – and it’s probably one that you aren’t paying enough attention to. Regardless of how hard you exercise, you need recovery time to improve your strength, speed and agility. All exercise creates tiny tears in your muscles, and your body sends reinforcements to those areas. That is how we build strength. “Recovery time is vital because it allows your body to rebuild and cement your work into muscle memory,” says Dr. Katherine Wojnowich, a board-certified sports medicine physician with Bayfront Health Medical Group Sports Medicine. Take a Recovery Day Recovery doesn’t mean doing nothing. A recovery day means light physical activity. Ideally, you choose something fun that provides a mental break from your routine. • Choose a light exercise that is not overly taxing. • Do not work the same muscles that you recently exhausted to avoid overuse injuries. • Do an activity that is different from your normal workout. Your rest day could include an easy run, a pilates class, paddle boarding, walking or bicycling with your family. Get Enough Sleep Not getting enough sleep means missing out on workout gains. Aim to get seven to eight hours of sleep most nights. When you wake up, you should feel refreshed and ready to go. During the day, you shouldn’t feel like you need a nap. If tiredness persists, talk to your doctor. You might have sleep apnea or another sleep disturbance. Your sleep also could be disturbed by a handful of factors, including: • Too much TV before bed • Drinking alcohol before bed • Going to sleep at a different time every night Eat Well Focus on protein, then healthy carbs. A bestchoice carbohydrate aids in recovery and provides fiber, vitamins and other nutrients. Consider sweet potatoes, squash, bananas, blueberries, and other fruits and vegetables. If you are eating a balanced diet, you are most likely getting the micronutrients you need. Most people don’t need bloodwork to test nutrient levels, unless they are experiencing: • Stress fractures • Actual fractures • Bone loss or on certain medicines, which may limit nutrient absorption. Ask your doctor if this is a concern. 14
Stay Hydrated Replace water and electrolytes after every workout. • The quickest way to check if you’re getting enough water is to peek at your urine. If it’s clear, you’re in the clear. • Also pay attention to how many times you are going to the bathroom. If you don’t need to use the bathroom every three or four hours, you are probably not drinking enough. • Vitamins such as B12 will turn your urine bright yellow, so disregard the color check if you’re taking these. • If your body is craving salt, that is a sign you are low on electrolytes. If you don’t have blood pressure issues, add it back in with some pretzels or a small sports drink containing electrolytes. Don’t Train to the Max Every Day Most athletes do periodization, which means changing variables in their daily workout. Depending on where they are in a training cycle, their goals differ. Even if you’re not a professional athlete, strive to achieve workout goals. Switch up your workout periodically to avoid risking injury. If you don’t feel like working out intensely, this could signify that you have been pushing yourself too hard. Build in a few weeks of lighter activity. If you’ve had an injury or illness, devote a few weeks to less intense workouts. Don’t Do the Same Workout Daily Your body gets efficient. If you want gains, challenge that efficiency. In between recovery days, try different, more challenging workouts to give your body the variation it needs. • Lift heavier on certain days, and don’t do as many reps. • Tackle endurance work. • Trade your steady pace on the treadmill for interval work. If you push your body too hard doing the same exercises and work repeatedly without recovery days, your body will let you know. For more exercise tips, visit BayfrontHealth.com/Content-Hub. You need recovery time BayfrontHealth.com/ChooseHealth 15
Almost as inevitable as death and taxes is the day your doctor looks you in the eyes and says it’s time for a colonoscopy. “This critical screening tool has helped to significantly reduce colorectal cancer deaths in this country,” says Dr. J. Ryan Williams, a board-certified colon and rectal surgeon with Bayfront Health Medical Group Colorectal Surgery. The U.S. Preventive Services Task Force recommends people ages 45 to 75 get a colorectal cancer screening every 10 years. Preparing for a Colonoscopy You’ll spend the day before your procedure prepping your colon, which includes: • Sticking with a liquid diet • Avoiding red, purple and orange liquids • Staying away from high fiber foods the day before you start prepping • Avoiding alcohol • Emptying your colon with a bowel prep kit A couple of tips to make this easier: Chill your prep solution and drink it through a straw, so that you don’t taste it as much. And drink it in smaller amounts at a time as opposed to large cups. What Happens During the Procedure? You’ll usually be sedated if at a hospital or endoscopy center and will be asleep during the procedure. You will lie on your side, while the doctor inserts a long flexible tube (equipped with a tiny camera at the tip) into your rectum. This device lets your doctor examine your colon and, if necessary, remove polyps – small clumps of abnormal cells that form on the walls of the colon. You’ll wake up quickly after the procedure, which typically takes less than an hour, and be able to go home soon after. You should plan to have someone there to drive you home, as you legally cannot operate heavy machinery the day of the procedure. In most instances, you’ll be able to head straight to breakfast or lunch, with no limitations on what you should eat. Is it time for your colonoscopy? Go to BayfrontHealth.com/Colonoscopy. GUIDE First Colonoscopy? Here’s What To Expect By Tim Barker | Editorial Contributor 16
By Lisa Cianci | Editorial Contributor The U.S. Food and Drug Administration (FDA) in 1979 began requiring an expiration date on medications. Antibiotics, aspirin, nitroglycerin and insulin are among the drugs that deteriorate past their expiration date, according to the experts at Bayfront Health Medical Group. For more health information, visit BayfrontHealth.com/Content-Hub. GUIDE Ditch Your Expired Medications If your prescription medication has expired, don’t use it; toss it — safely. Why You Shouldn’t Take Expired Meds Effectiveness Some medications are not as effective after their expiration date, meaning if you take an expired medication, you won’t be getting the proper dose to stabilize your condition. For example, expired antibiotics can fail to treat an infection, potentially leading to complications. Safety Other expired medications are at risk of bacterial growth. This can cause infection, irritation and other potentially harmful side effects. In addition, some drugs — like insulin and chemotherapy drugs — need to be refrigerated, or they will lose their potency. How To Dispose of Medications It’s important to properly dispose of medications because drugs found in the trash can be abused. Official drug take-back programs allow you to give expired medications to a clinic, pharmacy or law enforcement facility — usually a police station or fire station. The FDA also has a list on its website of medications that are “flushable” and “nonflushable.” Google “FDA flush list of medications” to find the list. • Nonflushable medications should be sealed whole, not crushed, in a bag filled with cat litter, used coffee grounds or dirt. • Flushable medications include drugs that contain opioids like Demerol and morphine. Opioids are highly addictive, so it’s important to get rid of these drugs right away. You also should scratch out your personal information on the pill bottle before throwing away. BayfrontHealth.com/ChooseHealth 17
GUIDE Are you supposed to love your body, excess weight and all, or take every extra step possible to slim down ASAP? It can be hard to tell these days. You Can Love Your Body – and Still Lose Weight for Your Health By Rona Gindin | Editorial Contributor 18
Many articles and social media “influencers” focus on body positivity — learning to love ourselves as we are. Just as often, we see impassioned warnings about the health dangers of weighing too much, from high blood sugar and blood pressure to knee pain and trouble sleeping. Both are right. “You should accept yourself, and you should also develop healthy eating and exercise habits. The two are not mutually exclusive,” says Dr. Alexander Ramirez, a board-certified bariatric surgeon with Bayfront Health Weight Loss and Bariatric Surgery Institute. What Is Body Positivity? “Body positivity” is a trendy term for having a good mental image of your own body. Accept your body as it is, and your self-esteem will be higher. That in turn might lead you to be more social, which is important to mental health. Most important, high selfesteem is likely to keep you from getting depressed. Some experts encourage overweight people to think instead about “body neutrality.” That means to stop examining your body parts and instead consider how your body serves you. You should value yourself based on matters other than BMI or how many pounds you’ve lost. Love Yourself, Love Your Health Still, you can have better health, feel more energetic and overall live a better life if your weight is within a healthy range. Even shedding a few pounds can improve your mood and eliminate some health challenges. Small changes can make a big difference, including: Move. Do some kind of exercise, even if that means walking around the block after dinner or marching in place during a TV commercial. Cut out junk food. Whole foods like fruits, vegetables, nuts, lean meats and whole grains will make you more energetic. Processed foods can mess with insulin levels and lead to depression. Don’t keep junk food in the house. Limit screen time. Find alternatives to surfing on your smartphone and watching TV. Instead, invite a friend for tea, initiate a phone call, do a jigsaw puzzle, play cards . . . just don’t sit and stare at a screen. Find new hobbies. Distract yourself with activities that can be fun and fulfilling. The options are endless: knitting, ceramics, taking an enrichment class, volunteering at a homeless center, learning to draw, taking up bird-watching, playing a musical instrument, planting a garden and many others. Advanced Weight Loss Routes Eating well and exercising regularly are the tried-and-true combo for slimming down, but many people need another route to weight loss. There are several options for those who can’t shed weight by dieting and exercising alone, including: Medical weight-loss programs. Weight-loss clinics often involve doctors, nutritionists and mental health professionals. Together, they provide a custom combination of education, training, medication and support. You’re likely to be coached about how to change lifestyle habits such as eating, sleeping and stressmanagement. Endoscopic procedures. If you need medical intervention to lose weight, consider an endoscopic procedure, which is less invasive than bariatric surgeries. Most involve a procedure in which a doctor will access your digestive tract using a thin flexible tube called an endoscope inserted through your mouth. For the two most common endoscopic weight-loss options, the doctor will place a special sleeve around your stomach, in essence making your stomach smaller, or insert a saline-filled silicone balloon, which will make you feel full most of the time. Bariatric surgeries. Depending on your body, your preference and your situation — for example, if you’re 100 pounds or more over your target weight and have multiple health problems — you can choose from a few types of more aggressive bariatric, or weight-loss, surgeries. In this case, too, you will receive nutrition and mental health support as well as medical intervention. Options include the rouxen-Y gastric bypass, in which your stomach and small intestine are made smaller so they can hold less food at one time; and a duodenal switch, so some food bypasses the stomach and goes straight into the small intestine. For more nutrition news, visit BayfrontHealth.com/Content-Hub. BayfrontHealth.com/ChooseHealth 19
CHILDREN’S HEALTH How To Reduce Kids’ Risks of Common Sports Injuries By Lisa Cianci | Editorial Contributor With any sport, there’s a risk of injury. And younger athletes have more at stake. They are still growing, putting their bodies at greater risk of injuries with long-term complications. “If not treated appropriately, damaged growth plates can create long-term health issues related to bones not developing properly,” says Dr. Justin Thompson, a board-certified sports medicine physician with Bayfront Health Medical Group Sports Medicine. Most Common Sports Injuries Overuse injuries: These injuries, such a shin splints, stress fractures and Achilles tendinitis, are slow to develop, resulting from motions and activities that are repeated over and over. Living in a mild climate presents an added level of risk, because there really is no “off season.” Kids can play baseball, softball, soccer and other sports year-round. Injury risk also increases by specializing in one sport, which deprives your child’s body of the chance to learn and move through multiple movement patterns, making it less susceptible to injury. Acute injuries: These include broken bones, sprains and bruises, which can be sustained at a vulnerable time for the muscles, bones, tendons or ligaments. Concussions: Concussions can happen in both contact and noncontact sports. They can be caused by a sudden or forced change in direction. Direct head contact is not needed to get a concussion. Concussion symptoms include: Reducing Risks Your child needs proper sleep, hydration and nutrition. And injuries must be appropriately rehabbed before getting back into sports. Also, take stock of your child’s sports life. Intense, never-ending sports schedules can become a problem with overuse injuries. • Unexplained headaches • Difficulty concentrating • Sleeping more than normal • Mental fogginess • Unusual moodiness • Sensitivity to light and sound For more ways to keep your child healthy, visit BayfrontHealth.com/Content-Hub. 20
SPOTLIGHT Lung Cancer Screening Could Save Your Life By Tim Barker | Editorial Contributor Lung cancer kills more Americans every year than colon cancer, prostate cancer and breast cancer combined. But your chances of surviving lung cancer are dramatically improved if you catch it before you experience your first symptom. If you meet the current screening guidelines, a simple 10-minute test gives you and your doctor a chance to find and treat this disease in its earliest stages, says Kelsie Corry, MSN, APRN, surgical oncology navigator at Bayfront Health Medical Group. Who Should Be Screened? Lung cancer screening guidelines, revised in early 2021, suggest annual screenings for those who: • Have a 20-pack year or greater smoking history • Currently smoke or have quit within the past 15 years • Are between the ages of 50 and 80 A “pack-year” is defined as smoking one pack of cigarettes each day for a year. So, smoking one pack a day for 20 years would create a 20-pack year history. Smoking two packs a day for 10 years would also create the same history. What To Expect “Lung cancer screenings are quick and painless,” says Corry. The screening is a low-dose CT (LDCT) scan – a special type of X-ray imaging machine that takes multiple pictures of your chest while you lie on a table that slides into and out of the machine. The images are then combined by a computer to create a detailed image of your lungs. The radiologist then examines the images for signs of suspicious lung nodules, which could be nothing more than scar tissue from previous lung infections. But they also could be early signs of cancer. Your doctor may recommend a follow-up scan (after a few months or even a year) to watch for growth. If your doctor suspects the nodule could be cancerous, a biopsy may be suggested. Learn more at BayfrontHealth.com/Lung. BayfrontHealth.com/ChooseHealth 21
As Americans’ acceptance of cosmetic surgery grows, many men are feeling more comfortable addressing face and body issues that make them selfconscious. Today, about 10 percent of cosmetic surgery patients are men. But with certain procedures – eyelid surgery and nose reshaping, for example – men represent an even larger segment of patients. 22
Botox Injections “Botox injections are far and away the most popular procedure for both women and men,” says Dr. Deepak Naidu, a board-certified plastic surgeon with Bayfront Health Medical Group Aesthetic and Reconstructive Surgery. These are often used to counter the effects of aging on the upper third of the face. Over time, your skin loses thickness and its ability to hide the muscles underneath it. The injections temporarily relax the muscles that create wrinkles in the forehead and around the eyes. The effect lasts three to four months. It’s a relatively noninvasive procedure that’s done in the doctor’s office. Dermal Fillers Used to counter the body’s natural loss of collagen, these injections provide strength and elasticity to your skin. Over time, your body starts to lose this vital protein, creating sagging skin and less volume – particularly in your face. The fillers are used to: • Add volume to sagging skin • Create more symmetrical facial features • Plump up lips and cheeks • Smooth wrinkles and laugh lines The procedure takes less than an hour and the results can last up to a year. The side effects are minimal, with temporary bruising being the most common problem. Nose Reshaping Nose reshaping (rhinoplasty) is the most common surgical procedure for women and men. As with most procedures, it’s age that drives demand. That’s because as you age, your cartilage continues to grow. Cosmetic surgery can deal with that unwanted growth. Younger patients may simply be looking for a more refined look by adjusting a bump here or an angle there. And then there are those looking for relief from airway issues or repairs to broken noses. Liposuction Particularly popular in Florida, this procedure uses suction to remove unwanted fat from specific parts of the body. There is a wide range of areas that can be targeted. But men tend to focus on their love handles, the area below the belly button, the abdomen and breasts – half of men deal with excess fat in that region left over from puberty. There are different types of liposuction with varying degrees of invasiveness. Your doctor will work with you to determine the best option. Types of procedures include: • Tumescent liposuction, the most common version, often is done with local anesthesia. The surgeon uses a series of small cuts and a thin tube, called a canula, to suction out the fat. • Ultrasound-assisted liposuction uses ultrasound to break up fatty tissue for easier removal. This may be the best option if there is a large amount of fat to remove. • Laser-assisted liposuction relies on high-intensity laser light, inserted through a small cut, to break down fat cells. • Power-assisted liposuction employs a device that forces the canula to remove fat in a rapid back-and-forth motion. It is sometimes used when there is a lot of fat to remove or if there was a previous procedure. Eyelid Surgery Second to rhinoplasty in terms of popularity with men is eyelid surgery (blepharoplasty). It’s a way to restore field of vision for those dealing with sagging skin in their upper eyelids. That skin can block peripheral vision and make it more difficult to do simple things like watch TV. Others may choose the procedure to deal with what they see as unsightly bags under their eyes or drooping skin over the top of their eyes. During the procedure, your surgeon makes a cut along the fold of the eyelid. The excess skin, muscle and fat are removed, and the incision is closed. Some swelling and bruising will occur, but it will largely be gone within two weeks. Some of the popular cosmetic procedures sought by men include: Curious how plastic surgery could benefit you? Find an expert at BayfrontHealth.com/Physician-Finder. BayfrontHealth.com/ChooseHealth 23
Welcome New Physicians* Colorectal Surgery St. Petersburg (727) 893-6363 A board-certified colorectal surgeon, Dr. Ayscue joined Bayfront Health Medical Group Colorectal Surgery in November. She earned her medical degree from the University of Illinois at Chicago College of Medicine. Her residency in general surgery was completed at the University of Texas Southwestern Medical Center (Dallas), and a fellowship in colorectal surgery was performed at Washington Hospital Center (Washington, DC). Jennifer Ayscue, MD Cardiothoracic Surgery St. Petersburg (727) 893-6234 Dr. Bryan is a board-certified cardiovascular surgeon who joined Bayfront Health Medical Group Cardiovascular in August. He earned his medical degree and graduated cum laude from Emory University School of Medicine (Atlanta). Dr. Bryan completed his residencies in general surgery and cardiothoracic surgery as well as a fellowship in cardiothoracic surgery at Emory University Affiliated Hospitals (Atlanta). F. Curtis Bryan, MD Internal Medicine St. Petersburg (727) 553-7420 In October, Dr. Casanova joined Bayfront Health Internal and Family Medicine as a board-certified internal medicine physician. She earned her medical degree from Ponce School of Medicine (Puerto Rico). Her residency in internal medicine was completed at Mount SinaiCabrini Medical Center (New York) and a subspecialty residency in geriatrics at the University of South Florida Morsani College of Medicine (Tampa). Adriana Casanova, MD Neurosciences St. Petersburg (727) 893-6815 Dr. Dawson is a fellowship-trained interventional neuroradiologist who joined Bayfront Health Medical Group Neurosciences in August. He earned his medical degree from the University of South Florida (Tampa), where he also completed residencies in diagnostic radiology as well as vascular and interventional radiology. He performed a fellowship in diagnostic neuroradiology at Dartmouth Hitchcock Medical Center (New Hampshire) and another in endovascular neurosurgery at North Shore University Hospital (New York). Lowell Dawson, MD Otolaryngology St. Petersburg (727) 893-6363 A board-certified otolaryngologist head and neck surgeon, Dr. Espinola recently joined Bayfront Health Medical Group ENT and Allergy, Head and Neck Surgery. She earned her medical degree from the Tulane University School of Medicine (New Orleans). Dr. Espinola completed her postdoctoral training in general surgery and otolaryngology head and neck surgery at several Tulane-affiliated hospitals. Trina E. Espinola, MD Vascular Surgery St. Petersburg (727) 893-6234 In August, Dr. Gates joined Bayfront Health Medical Group Cardiovascular as a board-certified vascular surgeon. She earned her medical degree from Wright State University (Dayton, Ohio). Dr. Gates completed her residency in vascular surgery at Yale University School of Medicine (New Haven, Connecticut). She holds a Registered Physician in Vascular Interpretation certification, the highest standard in vascular ultrasound interpretation. Lindsay Gates, MD 24
The physicians at Bayfront Health are part of a collaborative network that works toward one common goal: your health. Gastroenterology and Hepatology St. Petersburg (727) 553-7344 Dr. George is a fellowship-trained gastroenterologist who joined the Bayfront Health Digestive Health Institute in July. Dr. George received her medical training at Medical College Trivandrum (India). She completed a residency in internal medicine and a fellowship in gastroenterology and hepatology at the University of Arkansas for Medical Sciences (Little Rock). Nayana E. George, MD Hepatology St. Petersburg (727) 553-7273 Dr. Jesudoss is a board-certified gastroenterologist who joined the Bayfront Health Digestive Health Institute in November. He received his medical training from Madurai Medical College (India). His residency in internal medicine was completed at Christ Hospital (Cincinnati). His fellowship in transplant hepatology was performed at Temple University (Philadelphia). Randhir Jesudoss, MD Otolaryngology St. Petersburg (727) 553-7100 Dr. Lindberg, a board-certified otolaryngologist and an allergist, recently joined Bayfront Health Medical Group ENT and Allergy, Head and Neck Surgery. She earned her medical degree from the University of Florida College of Medicine (Gainesville). Her residency in otolaryngology – head and neck surgery was completed at Tulane University School of Medicine (New Orleans). Paige E. Lindberg, MD Otolaryngology St. Petersburg (727) 553-7100 A board-certified otolaryngologist head and neck surgeon, Dr. Pfaff recently joined Bayfront Health Medical Group ENT and Allergy, Head and Neck Surgery. She received her medical training from the Lake Erie College of Osteopathic Medicine (Bradenton, Florida). Dr. Pfaff completed her residency in otolaryngology head and neck surgery and facial plastic surgery at the Philadelphia College of Osteopathic Medicine. Julia Pfaff, DO Bariatric Surgery St. Petersburg (727) 893-6550 Dr. Ramirez, a board-certified bariatric surgeon, joined the Bayfront Health Weight Loss and Bariatric Surgery Institute in June. He is certified as a Master Surgeon in both robotic surgery and bariatric and metabolic surgery. Dr. Ramirez received his medical training at the University of Cartagena (Colombia) and completed a residency in general surgery at New York Hospital Medical Center of Queens (Flushing). He performed research and clinical fellowships at Cleveland Clinic Florida (Weston). Alexander Ramirez, MD Gastroenterology and Hepatology St. Petersburg (727) 553-7273 A board-certified gastroenterologist, Dr. Tharian joined the Bayfront Health Digestive Health Institute in July. He received his medical training at Medical College Trivandrum and Kottayam (India). He completed a residency with the National Health Service in the United Kingdom and a five-year fellowship in gastroenterology, hepatology and general medicine, also in the UK. Benjamin Tharian, MD *New physicians from April through November 2022 BayfrontHealth.com/ChooseHealth 25
honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honkshuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honkshuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra zzzzzz snorzilla zzzzzz honk-shuuu zzzzzz sawing logs zzzzzz snorchestra SPOTLIGHT Why Your Snoring May Be Dangerous By Lisa Cianci | Editorial Contributor Do you snore? Much of the time, snoring is little more than an unwanted sleep disruption for those around you. But for 25 percent of men and 10 percent of women, it’s the most noticeable — and vocal — symptom of sleep apnea, a disorder that prevents you from getting a good night’s rest. Worse, it can contribute to a wide range of serious health problems, including heart attacks. Obstructive sleep apnea Central sleep apnea Sleep apneas fall into two categories: This is when the airway at the back of the throat becomes blocked, causing temporary pauses in breathing. Related to a problem in the brain’s system that controls muscles used for respiration, this variety causes slow and shallow breathing. 26
The Symptoms Sleep apnea is typically thought of as a male disease. But it’s far more likely that the condition is significantly underdiagnosed in women, says Dr. Julia Pfaff, a boardcertified otolaryngologist with Bayfront Health Medical Group ENT and Allergy, Head and Neck Surgery. This could be because women don’t like to admit they snore or aren’t being told about their snoring, which can come and go throughout the night. Although it’s the most common symptom, not everyone who snores has sleep apnea. Other signs include: Is It Dangerous? “Sleep apnea can be a significant contributor to a range of silent conditions – those that may not be noticed until they reach a life-threatening level,” says Dr. Pfaff. The biggest dangers are to the cardiovascular and neurovascular systems, increasing the risk for a variety of health problems, including: While these are some of the more dangerous conditions linked to sleep apnea, growing evidence suggests it also has an effect on our overall health. For example, there appears to be a connection between sleep apnea and post-traumatic stress disorder, general anxiety and depression. A possible explanation is that sleep deprivation makes symptoms worse and recovery slower. Talk to your doctor if you’re worried about your snoring. Find a specialist at BayfrontHealth.com/Physician-Finder. Diagnosing Sleep Apnea Two types of sleep studies are used to diagnose sleep apnea. The simplest is a kit that you can use at home. You connect yourself to it at night during sleep and then send it back for analysis. It collects a variety of information, including heart rate, blood oxygen level and breathing patterns. For more complicated cases — including those that might involve more than one sleep disorder — diagnosis takes place at a sleep center. During the study, you stay overnight at a lab while sleep specialists monitor you. How Is Sleep Apnea Treated? The gold standard for treatment is the continuous positive airway pressure (CPAP) machine. It’s been around for more than 40 years and is highly successful. This is the starting point for patients with moderate to severe sleep apnea. The machine delivers air pressure through a mask while you sleep, keeping the upper airway passages open to prevent apnea and snoring. There are, however, cases in which CPAP doesn’t work. This could be for a variety of reasons, including patients who can’t find a good fit with a mask or who simply cannot sleep while wearing one. A newer surgical option involves the insertion of a nerve stimulator under your chin and a monitor in your chest — both performed during outpatient surgery. While you sleep, the device monitors your breathing and uses pulses to force your tongue forward in your mouth, clearing the airway. Treatment generally is guided by the severity of the disorder, though some options are better for some people, based on their unique characteristics. These could include treating nasal congestion, removing tonsils and custom-fitting oral appliances that help keep your throat open while sleeping. • Daytime sleepiness, which may be particularly noticeable while driving • Breathing pauses while sleeping, which can cause you to wake up abruptly, gasping and choking • Difficulty concentrating • Moodiness • Morning headaches • Dry mouth • Chronic fatigue • Heart attack • Heart arrhythmia • Abnormal heartbeat • High blood pressure • Stroke • Pulmonary hypertension BayfrontHealth.com/ChooseHealth 27
By Kristin Ford | Editorial Contributor At one time or another, you probably have experienced heartburn — the mild but uncomfortable burning sensation in the middle of your chest and sour taste in your mouth or throat. It often occurs when you overeat, eat something that disagrees with you or when you go to bed. But when heartburn becomes a frequent occurrence, it should not be ignored. SPOTLIGHT When You Shouldn’t Ignore • Certain foods and drinks, such as coffee, tomatoes, alcohol, chocolate and fatty or spicy foods • Consuming too much food • Being overweight • Smoking • Pregnancy • Stress and anxiety • Increase in some types of hormones, such as progesterone and estrogen • Medicines, such as antiinflammatory painkillers (like ibuprofen) • Hiatal hernia or a “lax valve” What Is Acid Reflux? Heartburn most often is a symptom of acid reflux, which is when the stomach acid that breaks down your food travels back up the esophagus. Normally, a valve that connects the stomach and esophagus only opens when you swallow food or liquids. But several factors can cause it to reopen or stay open all the time, allowing reflux to occur, says Dr. Benjamin Tharian, a board-certified gastroenterologist with Bayfront Health Digestive Health Institute. These include: 28
• Heartburn • Sore throat • Choking sensation • Regurgitation (food comes back into your mouth from the esophagus) • Feeling like food caught in your throat • Unexplained coughing • Chest pain • Problem swallowing • Vomiting • Hoarseness • Shortness of breath – “asthma-like” presentation • Disturbed sleep Stay connected to your healthcare with Bayfront Health MyChart. Visit BayfrontHealth.com/MyChart. What Is GERD? GERD (gastroesophageal reflux disease) is a more severe form of acid reflux. With GERD, the backflow of stomach acid occurs chronically and causes damage to the body over time. Symptoms of GERD include: Diagnosing GERD “If you have mild acid reflux that occurs at least twice a week or severe acid reflux at least once a week, you have met the standards to be diagnosed with GERD,” says Dr. Tharian, who is trained in advanced endoscopy. To confirm that diagnosis, your doctor likely will want to do an endoscopy — a simple procedure done when you are under anesthesia. During the procedure, your doctor will insert a thin, flexible tube equipped with a light and camera down your throat. This allows them to see inside your esophagus and stomach to spot inflammation or diagnose any complications. Your doctor also can collect a sample of tissue, called a biopsy, to be tested. In some instances, if a narrowing is seen in the esophagus, it can be stretched or dilated during this procedure to improve swallowing. Treating GERD Four approaches can help address GERD: lifestyle and dietary changes, medication, endoscopic therapy and surgery. Most people have improvement with a combination of dietary changes and medication. Some need just endoscopic therapy to cure GERD and come off long-term medication use. Others need a combination of endoscopy and surgery, both of which involve wrapping a portion of the stomach around the esophagus to create a tighter valve that controls the acid leak. Another surgical option is the LINX, a magnetic band that is placed around the weakened valve to prevent acid reflux. Although GERD isn’t life-threatening, if left untreated over the long term, it can lead to more serious health problems. One of these is Barrett’s esophagus, a condition that occurs when the cells in the lining of the esophagus change and can lead to cancer. About 10 percent of Americans with long-term GERD develop Barrett’s esophagus. Living with GERD Just because you have GERD doesn’t mean you can’t enjoy your favorite foods and drinks. If you make smart choices, you are less likely to experience the unpleasant symptoms. Try these tips: • Eat slowly. • Eat smaller but more frequent meals. • Drink more water. • Minimize carbonated beverages and alcohol. • Avoid chocolate and peppermint. • Have an antacid ready. • Don’t lie down until at least two hours after eating. If you do overindulge, you may be able to ease your symptoms by taking an antacid, drinking extra water and milk, and raising the head of your bed. BayfrontHealth.com/ChooseHealth 29
What Your Symptoms Mean “Most back pain will gradually improve within a few weeks with nothing more than home care. That can include over-the-counter pain medications and applying cold or heat to the affected area,” says Dr. Justin Thompson, a board-certified sports medicine physician with Bayfront Health Medical Group Sports Medicine. One thing to avoid: extended bed rest. Studies show that your back will respond better if you stay active, with short walks and simple exercises. In most instances, your aching back is not likely to be an emergency. But when your symptoms refuse to fade away, it’s time to seek help from your doctor. Symptoms include: Dangers of Self Diagnosis Turning to Dr. Google for help figuring out what’s wrong isn’t a good idea. There are times when symptoms could suggest something else that’s masquerading as a back injury, such as pancreatitis and gallstones. The most common source of back pain is a muscle-related injury. So during your initial visit, your doctor might first recommend a rehab plan, which could include medication to relieve the inflammation and physical therapy exercises focused on improving your flexibility and core strength. If your symptoms don’t improve, other diagnostic options will be explored, including a spinal X-ray, magnetic resonance imaging (MRI) and a computer tomography (CT) scan. By Tim Barker | Editorial Contributor There are seemingly endless ways for you to hurt your back. It could be from sports, lifting heavy objects, an accidental fall or just age-related degeneration of the spine. These injuries are among the most common reasons for missing work and a leading cause of disability in this country. SPOTLIGHT Aching Back? When To See a Doctor Struggling with back pain? Find a specialist to help at OrlandoHealth.com/Physician-Finder. • Sudden spike in pain • Weakness or inability to move one of your legs • Loss of bladder function • High fever • Severe stomach pain • Your pain is related to a fall or severe blow to your back 30
A “hard pill to swallow” isn’t just an old saying for those facing difficult situations. Whether the cause is emotional or physical, up to 40% of us report having trouble swallowing prescription pills and overthe-counter tablets. Risky Business It’s a significant concern with potentially dangerous consequences, according to the experts at Bayfront Health Medical Group. One survey found that of those who had trouble swallowing pills, 1 in 4 either delayed, skipped or stopped taking their medication as a result. That can be risky for anyone managing conditions like high blood pressure and even deadly if you have certain diseases. What You Can Do First, talk with your healthcare provider about your issues swallowing pills. They can conduct an exam to help determine why you’re having difficulty. You may be referred to an ear-nose-throat specialist for more tests. More likely, your aversion to taking pills is less serious and can be addressed by: • Changing the way you swallow pills. People often put a pill in their mouth, take a drink and throw their head back. Instead, put the pill in the middle of your tongue, take a drink of water and tilt your head slightly forward so the pill floats toward your throat, then swallow it with the water. • Slowing down. Rather than hurriedly choking down your medication, find a calm space and take your time. Drink some water first, then take your medication with water. Never take medicine without liquid. • Taking your medicine with food. Try putting your pill in a teaspoon of apple sauce, pudding or jelly. • Exploring alternatives. Ask your doctor whether your pills are available in liquid form, then check if your insurance will cover it. • Considering sprays and gels. Over-the-counter, edible lubricants can make swallowing pills easier. Need a primary care physician who can answer all your questions? Go to BayfrontHealth.com/Physician-Finder. Trouble Swallowing Pills? Here’s What You Can Do By Kim Marcum | Editorial Contributor SPOTLIGHT BayfrontHealth.com/ChooseHealth 31
Making Strides Bayfront Health team members walked in honor of breast cancer survivors, fighters and those who have lost a loved one in the fight against breast cancer at the American Cancer Society’s Making Strides of Pinellas. The American Cancer Society saves lives by educating people on how to stay well, by finding cures and by fighting against cancer. Community Good Bayfront Health is dedicated to improving the health and quality of life of the individuals and communities we serve. Not only do our physicians, team members and volunteers go above and beyond their daily contributions to support our community, but so do our community partners. With this collaboration, a difference is made in the lives of the individuals and communities we serve. 32
#ENDALZ Bayfront Health team members helped raise awareness and funds for Alzheimer’s care by participating in the 2022 Walk to End Alzheimer’s in Pinellas County. Funds raised from the event supported the Alzheimer’s Association. The Alzheimer’s Association leads the way to end Alzheimer’s and all other dementia by accelerating global research, driving risk reduction and reaching detection, and maximizing quality care and support. Walking for Healthy Hearts Bayfront Health recently sponsored the American Heart Association 2022 Tampa Bay Heart Walk. Each year, community members and residents come together to celebrate heart disease survivors, learn about how to improve heart health and raise funds to save lives. Bayfront Health team members walked in honor of heart disease survivors/ fighters and volunteered to help run the #HealthySelfie station where participants took photos with their family and friends. Holiday Cheer Team members participated in the annual Toys for Tots Benefit Breakfast with Santa, his elves and local Marine, Major Edward F. Zaleski III, coordinator of Pinellas County Toys for Tots. Team members were encouraged to donate a new unwrapped toy in support of Pinellas County Toys for Tots. Toys were distributed in time for the holidays to local children in need. Bayfront and Backpacks Bayfront Health partnered with the Tampa Bay Rays as a part of the Rays Week of Giving to give back to local students. Team members volunteered alongside the Rays to pack and distribute co-branded backpacks and school supplies. Bayfront Health is the official healthcare provider for the Tampa Bay Rays. TOPSoccer Bayfront Health recently took part in the 2nd Annual TOPSoccer Festival hosted by the Tampa Bay Rowdies. Bayfront Health St. Petersburg Sports Medicine physicians Dr. Katherine Wojnowich (right) and Dr. Justin Thompson spoke to athletes and their families about healthy eating habits and hydration before a match. TOPSoccer is a community-based training and team placement program for young athletes with disabilities, organized by youth soccer association volunteers. The program is designed to bring the opportunity of learning and playing soccer to any boy or girl, who has a mental or physical disability. MLK Day Parade Bayfront Health team members partnered with the Tampa Bay Rays and Tampa Bay Rowdies to participate in the 35th Annual #MLKDay Dream Big Parade in honor of Dr. Martin Luther King, Jr. Day. Team members walked alongside the float and distributed items to attendees to help celebrate Dr. Martin Luther King, Jr.’s legacy. BayfrontHealth.com/ChooseHealth 33
Calendar of Events Bariatric Surgery Information Session Obesity threatens your health and well-being. The team at the Bayfront Health Weight Loss and Bariatric Surgery Institute can help you lose weight through minimally invasive surgery and lifestyle changes. During this group session, you will virtually meet one of our experienced weight loss surgeons. They will discuss insurance coverage, procedures offered, benefits, lifestyle recommendations and answer any questions you may have. Dates: Bi-weekly virtual information sessions available in English and Spanish each month. Location: Virtual Seminar - Microsoft Teams Weight Loss and Bariatric Surgery Institute Instructor: Dr. Alexander Ramirez To learn more, visit BayfrontHealth.com/WeightLoss or call (727) 893-6550. Grand Opening Event Bayfront Health Emergency Room – Crossroads You and your family are invited to a grand opening event to see our new free-standing emergency room. There will be games, music, food and fun for everyone. Location: 1800 66th St. North | St. Petersburg, FL 33710 Date: June 2023* *Date to be announced soon - check BayfrontHealth.com for details. The Bayfront Health Foundation Speaker Series Presents “It’s All in a Good Night’s Sleep” Presenters: Dr. Trina Espinola and Dr. Julia Pfaff Date: Thursday, March 30 Time: Noon – 1:00 pm (online virtual presentation) To learn more, visit BayfrontHealth.com/Foundation 34
Bayfront Health Emergency Room – Pinellas Park The first free-standing ER in Pinellas Park, the 11,400-square-foot facility is equipped to handle any emergency, 24 hours a day, seven days a week, utilizing a Fast Track system for minor emergencies that delivers personalized emergency care in less time. Connected, Convenient and Expert Healthcare Bayfront Health St. Petersburg is a comprehensive emergency, medical and surgical acute care facility serving residents of St. Petersburg and the surrounding region for more than 100 years. With advanced technology and expertise in numerous specialties, including cardiovascular, neuroscience, obstetrics, orthopedics, surgery, emergency and trauma, and acute rehabilitation, Bayfront Health provides a complete continuum of care. 701 6th St. South | St. Petersburg, FL 33701 BayfrontHealth.com Bayfront Health Emergency Room – Crossroads Opening June 2023 The facility will include a three-story, 42,000-squarefoot building with a 14,000-square-foot emergency room located on the ground floor and space for future medical offices located on the second and third floors. The emergency room will have 12 exam rooms, including two resuscitation rooms, six areas where patients can comfortably wait for their results and an ambulance bay. 1615611 BH Advertorial for Choose Health FINAL.indd 1 3/23/23 4:50 PM
If you do not wish to receive mailings, please visit OrlandoHealth.com/Unsubscribe. 701 6th St. South St. Petersburg, FL 33701 Non-Profit Organization U.S. Postage PAID Permit No. 3459 Orlando, FL You are one click away from finding a physician choose well. Scan the QR code to sign up for a free virtual information session or call (727) 893-6550. Better health, better tomorrow. At Bayfront Health Weight Loss and Bariatric Surgery Institute, our team of board-certified physicians offer comprehensive weight loss care, from minimally invasive procedures to lifestyle changes and more. BayfrontHealth.com/WeightLoss Proven Weight Loss.