Bayfront Health St. Petersburg Choose Health (Fall 2020)

FALL 2020

GUIDE TO Augmented
Reality
Building a Healthy
Comes to Life!
IMMUNE SYSTEM
See page 34
Your for instructions.
Germ-Fighting
Superhero Bayfront Health
The Immediate St. Petersburg
Benefits of Exercise
Cleaning Up Your Your Wellness
Sleep Hygiene Partner in
Reduce Stress by
Enhancing Resilience St. Petersburg
The Best (and Worst)
Foods to Eat ISSUE

BayfrontStPete.com/ChooseHealth

INAUGURAL

Your New Partner in David Strong
Caring for St. Petersburg President & CEO
Orlando Health
As your new partner in caring for the St. Petersburg John Moore
community, we understand how vital Bayfront Health President
St. Petersburg is to the residents of Pinellas County. During Bayfront Health St. Petersburg
its more than 100-year history, the hospital has built a strong Andrew J. Snyder
reputation in the community as a trusted healthcare resource. Senior Vice President
Marketing & Communications
Orlando Health works hard to earn the trust of the communities
it serves. We want to ensure Bayfront Health St. Petersburg is the CHOOSE HEALTH CONTRIBUTORS
community’s first choice for the healthcare that you and your
neighbors need. Jeanne Adam
Wendy Bacigalupi-Bednarz
You already may have noticed the many ways Orlando Health Kimberly Biss, MD
is investing in the hospital. Signage reflecting our new Bayfront Amy Bliz, RD
Health St. Petersburg logo has been installed at the main hospital area and is moving Coleen Taylor Blizzard
into our outlying locations. You also are seeing and hearing more about the hospital as George Canizares, MD
we raise awareness in print and digital ads, on billboards, on TV and on radio. Patrick Del Santo, DO
Nazrah Franco, MD
As you probably can tell, Orlando Health is excited about this opportunity to serve Frederic Guerrier, MD
Florida’s west coast! Our goal is to make this transition smooth and welcoming to the Kathy Halley
entire St. Petersburg community. We look forward to meeting you! Erick Hawkins
Rod James
Warm regards, Jeffery L. Johnson, MD
Nicholas Laryngakis, MD
John Moore Craig Levoy, MD
President, Bayfront Health St. Petersburg Kim Marcum
Lisa Nickchen
Adam Prawer, MD
Marc Reiskind, MD
David A. Sams, DO
Steven Seltzer, DO
Joseph W. Smith
Justin Thompson, MD
Ronald Troxell, DPM
Julie Vargo
Jason Williams, MD
Katherine Wojnowich, MD

Proud recipient
of the APEX 2020
Award of Excellence,

recognizing
excellence in

publishing

WELCOME

Welcome to the inaugural
issue of Bayfront Health
St. Petersburg Choose Health
magazine. In this issue, the
experts at Bayfront Health
St. Petersburg share tips
and advice in our special
guide, Building a Healthy
Immune System, including
myth busters, the benefits
of exercise, adopting better
sleep hygiene and more.

INSIDE THIS ISSUE

How TV Dramas Distort Is It a Strain
Patient Expectations or a Sprain?

4 10

Why Yoga Is More Guide: Building a
Than a Stretch Goal Healthy Immune System

5 11 – 21

Unexpected Ways Your Is Your Brain
Cycle Messes With You Prank-Calling Your Bladder?

6–7 24 – 25

5 Signs You’re Vaccinations
Overwhelmed Every Adult Should Have

8–9 30 – 31

3ChooseHealth BayfrontStPete.com/ChooseHealth

MYTH VS. FACT

DistorHt PoawtiTeVntDErxapmeacstations

By Julie Vargo, Editorial Contributor

Must-watch medical dramas such as The Stats: TV vs. Real Life
Grey’s Anatomy blur the line between fact On Grey’s Anatomy, for example, the study found 71 percent of
and fiction. Patients roll from ambulance patients go straight from the Emergency Room to the operating
to emergency room to surgery in a matter room, compared to 25 percent of real-life patients. On the flip
of minutes. They recover from major side, TV trauma patients die more often. At 22 percent, their
trauma in a few days and within a week mortality rate is three times higher than in real life.
are convalescing at home surrounded by
doting family. 71% TV Drama vs. Real Life

While spellbinding, these shows can set unrealistic 50%
expectations for real-life trauma patients who enter an actual
hospital, according to a recent study in BMJ (British Medical 25% 20% 6% 22%
Journal). Researchers analyzed 269 episodes of Grey’s Anatomy
and concluded TV’s portrayal of rapid recovery in trauma Straight Hospital stay Go to a skilled
patients could distort real-life perceptions of care. from ER to is less than a nursing facility
operating before heading
“There is disconnect between what people see on TV and week
what really happens in our hospitals,” says Dr. Jeffery room home
L. Johnson, a board-certified surgeon with Bayfront Health
St. Petersburg Medical Group Trauma & Critical Care ON TV REAL LIFE
Surgery. “When patients don’t have the same experience, it can
be a rude awakening at how different Hollywood’s version is “I am happy to report the vast majority of our patients get
from real life.” better and go home,” says Dr. Johnson, who works at Pinellas
County’s only state-accredited Level II Adult Trauma Center.
“They just might not go home immediately, like they do on TV.
Hollywood compresses a story to fit in a time slot.”

To learn more about emergency care and trauma services,
visit BayfrontStPete.com/EmergencyCare.

4ChooseHealth BayfrontStPete.com/ChooseHealth

MEN ’S HEA LTH

Why Yoga Is More
Than a Stretch Goal

By Wendy Bacigalupi-Bednarz, Editorial Contributor

While yoga is gaining
popularity among men, several
misconceptions prevent even more
from enjoying its many benefits.

The Myths The Realities

It’s just stretching. The benefits of yoga may begin with stretching, What began in the 1800s as a workout for boys is
but they go much further, says Dr. Patrick Del Santo, a board-certified practiced today by many professional NBA and NFL stars.
physician with Bayfront Health St. Petersburg Medical Group Family
Medicine. “Practicing yoga on a regular basis can help increase athletic They recognize that yoga can address issues like a weak
performance and core strength, decrease injury and improve body core, tight or weak hip flexors or glutes, and immobility
awareness, digestion and sex life.” of the thoracic spine. It also helps to repair tissues in
preparation for your next workout.
I’m not flexible. Men tend to believe that to practice yoga, you must
already be flexible to get started. “In fact, we take up yoga because we’re Keys to Success
not born gymnasts or acrobats,” says Dr. Del Santo. “We’re ordinary
people who want to become strong and flexible.” • Find an instructor who matches your preferences
and skill level.
Yoga is only for women. “Not true,” adds Dr. Del Santo. “Yoga helps
reduce heart rate, lower blood pressure and ease respiration, which • Start slow.
in turn lower anxiety and depression and can especially benefit men. • Be present and focus on your breathing.
Research shows that yoga may be considered as medication and the first • Relax your body.
option to modulating the stress response in place of antidepressants, • Remember that practice makes permanent.
alcohol or drugs.”

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By Julie Vargo, Editorial Contributor

PMS, cramps and bloat are the
usual suspects for menstrual cycles’
most common side effects. But,
there actually are more unexpected
symptoms than most women realize.

“Some women sail through the month with no problems,” says Dr. Kimberly
Biss, a board-certified OB-GYN who serves as the chief of medical staff at
Bayfront Health St. Petersburg. “But many have mood or body changes they
weren’t expecting or don’t attribute to their menstrual cycle.”

Blame it on the hormonal hijinks of estrogen and progesterone. Their monthly
ebb and flow can affect everything from a woman’s mood, sleep patterns and
skin condition to her concentration, bathroom business and shopping habits.

“Mild bloating, a headache or cramps are normal,” says Dr. Biss. “But being in
bed for two days with debilitating nausea or migraines, or wanting to stab your
spouse or getting written up at work for attitude every month during your cycle
is not.”

Sound like you? Call your doctor. Over-the-counter medications can help
alleviate some symptoms. “We also can prescribe birth control pills to regulate
the big hormonal swings and help with many of these symptoms,” says
Dr. Biss.

“Do not suffer alone.”

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Your Cycle Messes With You

Wheezy Breezy Waterworks

Consistently out of breath every month? You may suffer from Water retention causes more afflictions than just bloating. “Fluid
premenstrual asthma. “Breathing patterns can be affected by retention during your cycle can affect blood pressure, coordination
where you are in your cycle,” says Dr. Biss. “Shortness of breath and and weight,” says Dr. Biss. “Women may even feel more clumsy right
allergic sensitivity increase right before you get your period. Breathing before their period. To counteract this, drink more water and watch
problems should end about the time you ovulate.” your salt intake throughout the month.”

Vocal Majority Fortunately, your coordination, weight and blood pressure will return
to normal as your period ends and the fluid dissipates.
Unless you are a professional singer who needs to consistently hit
the high notes, you may not notice the slight changes to your voice Mind Games
throughout the month. But studies show hormonal fluctuations
alter the pitch and intensity of a woman’s voice. Following your Studies also show raging PMS hormones can trigger weight obsessions
period, vocal pitch drops. As you move past ovulation, voice intensity and sink self-image. “Try to keep the fact that this is cyclical in mind,”
lowers. says Dr. Biss. “But if this becomes an emotional issue for you, talk to
your doctor.”
Breaking Bad Habits
Potty Problems
Want to quit a bad habit? Wait until after ovulation, then go for it.
Studies show female smokers who try to quit during the end of Bouts of diarrhea and increased gas are more common during your
their menstrual cycle are more determined and successful. Plan period, thanks to plummeting progesterone levels combined with
accordingly. hormone-like chemicals called prostaglandins signaling your uterus
to contract and cramp. Prostaglandins send a similar signal to the
Shop ’Til You Drop intestines, resulting in more frequent bathroom breaks during
menstruation.
Racking up credit card debt from monthly spending sprees may be
linked to your cycle, too. Temptation takes charge and impulse “If you suffer from GI tract disorders like irritable bowel syndrome,
control slips in the first phase of your cycle, according to research. related symptoms such as loose stools and abdominal pain may be
The result? Menstruating women tend to shop more impulsively and even more common when menstruating,” says Dr. Biss.
spend more money than at other times of the month. Right before
ovulation, spending shifts toward clothes and jewelry — items Is That a UTI?
designed to enhance appearance.
A drop in estrogen can result in vaginal
Brain Drain dryness and itching, mimicking the
symptoms of yeast infections and urinary
Plagued by monthly bouts of scattered attention span, inability to tract infections.
multitask and spaced-out feelings? Don’t worry. It’s normal. Once
you start your period, your mind should snap back to normal. “If you think you have a yeast infection every
month during your cycle, you probably are
“Low serotonin due to ovulation mid-cycle can affect your experiencing changes in vaginal pH,” says
concentration,” says Dr. Biss. “Some women might seem a bit drifty. Dr. Biss. “But if you have odor and discomfort,
For others, they literally cannot function.” call your doctor.”

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COPING

5 Signs You’re

By Wendy Bacigalupi-Bednarz, Editorial Contributor

We all feel overwhelmed at times.
But when you can’t shake that feeling,
it can lead to chronic stress and a host
of associated physical and emotional
symptoms that can affect your
well-being.

Experts say it’s important to recognize
when everyday life — work, family and
health — is overwhelming you and
to take action. These are the top five
signs that you’re at your limit and what
to do about them.

Your heart is racing and it feels hard

1 to breathe. “This may be a sign that your sympathetic
nervous system — the part of your nervous system
that activates the fight or flight response — is working
overtime, and anxiety is in the driver’s seat,” says Dr. Frederic Guerrier,
a board-certified family medicine physician on the medical staff at
Bayfront Health St. Petersburg.

How to fix it: Try to slow down your breathing, he says. Instead of
focusing on the length of your to-do list, concentrate on an activity
you can do at this very moment — something that you can control.
“Practicing activities such as yoga and meditation also can help to
rein in the fight or flight response,” says Dr. Guerrier.

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( and How to Fix It )

Aches, pains, dizziness and even an You feel guilt or

2 impaired immune system can be signs that 5 anger for taking on
your body is under chronic stress, according to too many responsibilities.
Dr. Guerrier. Whether they stem from caring for
an infirm relative, taking on extra chores
How to fix it: Relaxation exercises can be helpful for easing muscular or simply being someone’s sounding board, feelings of guilt
tension that increases joint pain. Practicing mindfulness can help you and anger can be overwhelming and lead to chronic stress.
clear your thoughts, refocus and reduce stress.
How to fix it: Practice delegating appropriate tasks to other
Emotional and behavioral changes such people, including your children, says Dr. Guerrier. Whether it’s
cooking a meal, doing the grocery shopping or walking the dog,
3 as moodiness, crying easily, irritability these small responsibility shifts can help lighten your daily load,
and withdrawal often signal when your stress is reduce feelings of guilt and anger, and balance out stress levels.
mounting, says Dr. Guerrier.
While there are many
How to fix it: Talking through your stress with a licensed therapist can ways to manage the
provide notable relief, he says. It can help you approach and address stress that comes with
your stress from another person’s point of view. “Try to take a step back, feeling overwhelmed,
observe your thoughts and gently challenge yourself to find alternate it’s important to
explanations for your stress-related thoughts.” check in with
your doctor
You can’t stay focused on tasks, and you’re if symptoms
continue.
4 missing out on your favorite fun activities.
Lowered concentration and increased apathy might
be a result of stress-related sleep issues or intrusive
thoughts.

How to fix it: Dr. Guerrier recommends performing one task at a time,
writing lists and setting up a schedule where you tackle tasks that need
the most brain power when you have the maximum amount of energy.
And, don’t forgo your fun, he says.

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C H I L DR E N ’ S H E A LTH

Is It a Strain or a Sprain?

By Wendy Bacigalupi-Bednarz, Editorial Contributor

It’s hard enough to tell the difference between
a strain and a sprain for ourselves. With kids,
it can be even harder.

Strains and sprains are similar injuries with common symptoms.
Both injuries involve tearing or trauma to the muscle, tendon or
ligament tissue and often affect ankles, knees, wrists, elbows,
backs, shoulders and thumbs.

A strain — sometimes referred Recovery periods for strains and sprains are different, too. “A strain may
to as a “pulled muscle” — is a take days or weeks to heal, while a severe sprain may take four to six
muscle or tendon injury often felt weeks, or longer,” says Dr. Canizares, who specializes in sports medicine.
in the hamstring or lower back. A
sprain refers to a stretched or torn Treatment and Prevention
ligament, with the ankle particularly Strains and sprains range from mild to severe. After a brief physical
susceptible. Both injuries bring pain, exam, your doctor may request an X-ray or MRI to rule out any breaks
swelling and limited flexibility and or fractures. Otherwise, whether your child is diagnosed with a sprain or
range of motion. strain, the treatment is often the same, starting with RICE:

How to Spot a Strain or a Sprain Rest Ice Compression Elevation
“A sprain is usually a soft tissue
injury around a joint. Look for Depending on the severity of the injury, your child may need physical
bruising around the joint, as that is therapy, a temporary splint or a cast.
the hallmark of a sprain, whereas
muscle spasms often accompany a You can help your child reduce their chances for a strain or sprain by
strain,” says Dr. George Canizares, a encouraging them to:
board-certified orthopedic surgeon
on the medical staff of Bayfront Warm up and stretch before activities and cool down after.
Health St. Petersburg. Get moderate daily exercise.
Wear shoes with appropriate treads for sports and activities.
Get plenty of rest.

ChooseHealth 10 BayfrontStPete.com/ChooseHealth

GUIDE TO

Building a Healthy

IMMUNE SYSTEM

Our guide brings together expert tips
and advice including myth busters,
the benefits of exercise, adopting
better sleep hygiene and more.

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G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

ImThpeortance Immune System

of a

By Julie Vargo, Editorial Contributor

Most of us don’t realize we’re in
the midst of daily germ warfare.
Like a superhero in combat, our
immune system quashes microscopic
attackers before they can make us sick. But
to be successful, our germ-kicking crusader
must be healthy and strong.

“Your immune system is designed to fight anything trying to invade
your body – infections, viruses, bacteria,” says Dr. Adam Prawer, a
board-certified family medicine physician on the medical staff of
Bayfront Health St. Petersburg.

Composed of special organs, cells and chemicals that battle infection-
causing microbes, the immune system works hard to recognize dangerous
intruders and get rid of them. “By creating a physical barrier, the skin is
actually the immune system’s first line of defense,” says Dr. Prawer. “As long as
you don’t get a cut, bacteria have a tough time entering.”

Because the skin is so good at its job, most contagions actually enter through
your respiratory system (think nose and mouth). Once in your body, their arrival sets
off a series of protective actions.

Scan this page with your Orlando Health Experience App.
See page 34 for more information.

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Building Immunity Infection Fighting
Dos and Don’ts
Everyone is born with some general protection. Our immunity increases as we’re exposed to
various diseases or immunized against them with vaccines. Although you can’t make a
healthy immune system more
“Germs have proteins unique to them on their surface called antigens,” effective or efficient, you can
says Dr. Prawer. “These antigens prompt white blood cells to make damage it. Smoking, vaping,
protective antibodies. These antibodies attach to the antigen, the way a key excessive drinking, poor nutrition
fits into a lock, and help destroy it.” and lack of sleep can affect your
body’s ability to fight infection.
After antibodies have been created and the germ eliminated, special cells commit the culprit to
memory. If you run into that microbe again, these memory cells instantly alert the body to trigger To keep your immune system
the appropriate antibodies. The potential problem is eliminated before you even know you were in tiptop condition, take a
re-exposed to the infection. commonsense approach. Strive to
control stress, get enough shut-
Immunizations work in a similar manner, introducing an antigen so the body can produce eye, exercise and eat well.
antibodies to ward off future infection. “Because vaccines contain weakened, dead or synthetic
versions of viruses, you become immune without getting sick,” says Dr. Prawer. “For example, it is “Much of our immune
virtually impossible to ‘get’ the flu from a vaccine today because it isn’t made with live virus.” system’s strength depends
on how well we take care
Community protection, or herd immunity, happens when enough people become resistant of our bodies,” says
to a disease that its spread to others becomes unlikely. “Herd immunity usually occurs with Dr. Prawer. “The better
vaccinations or if enough people get infected naturally,” says Dr. Prawer. “However, the more your general health, the
contagious a virus is, the more immune people it takes to activate herd immunity.” better your body will be
at fighting infection.”
Immune System Myth Busters

Contrary to popular belief, downing large doses of vitamins and supplements won’t
benefit a healthy immune system. “If your immune system is weak or out of balance, you can
strengthen it to a degree,” says Dr. Prawer. “There are vitamin D receptors
on the immune system, for example. If you are deficient in vitamin D,
a supplement might help the immune system work like it should.

“But there aren’t any supplements that will increase
the number of fighter cells or antibodies in your immune
system,” he adds. “Getting vaccinated is the only thing we can
actually do to supplement the antibodies in our body.”

While taking extra vitamins probably won’t help your immune system, wearing a mask over your
nose and mouth won’t hurt it. “Right now, everyone wants an opinion on masks,” says Dr. Prawer,
who debunks the myth that not wearing one will build your immunity. “Wearing a mask is all
about minimizing risk. Anything we can do to help prevent an infection from getting into the
body is something we should do. If everyone is wearing a mask, the chance of catching a virus
is less possible.”

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G U I DE TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

For a Fighting Chance, Strive for

By Julie Vargo, Editorial Contributor

When it comes to your immunity, you are what you eat. But
you can’t depend on just a handful of vitamins to get the job
done. If you want to power up your immune system, it’s better
to bypass the pharmacy in favor of the grocery store.

“Our diets play a huge role in protecting us from disease,” says Amy Bliz, a clinical
dietitian with Bayfront Health St. Petersburg. “To support a healthy
immune system, you need to consume the proper combination
of vitamins and minerals every day. It’s important to focus on
obtaining these nutrients through a well-balanced diet rather
than taking supplements.”

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Trust Your Gut Self-Serve Sizing

The gut makes up a large and important part of the immune system. The When striving for five plant-
better the balance of healthy gut bacteria, the more robust and efficient your based servings, here’s how to
immune system is at fighting infections. tell what’s enough.

“Fruits, vegetables, grains and yogurts contain beneficial types of special fiber One fruit serving =
and microbes that boost healthy gut bacteria,” says Bliz. “These whole foods, A medium-sized piece of fruit
among others, also contain vitamins A, C and D, as well as zinc, which are or a half cup of fresh, frozen or
critical nutrients for strengthening our gut and immune systems.” canned fruit packed in water or
100 percent juice
Vitamin A helps in the production and function of white blood cells. Vitamin
C, an antioxidant, aids with destroying free radicals and supports the body’s One veggie serving =
natural immune response. Vitamin D works to prevent inflammation. Zinc 1 cup of raw, leafy vegetables;
defends against invading germs. Vitamins C and D also may play a role in a half cup of fresh, frozen or
preventing pneumonia and respiratory infections. canned veggies; or a half cup of
vegetable juice
Support Group
Strive for 5 Food Choices
Fortunately, these essential nutrients are found in a variety of plant and animal
foods. Bliz suggests piling plates high with at least five servings of fruits and For meals that pack a powerful
vegetables every day. punch, find your favorite dining
companions from the following list:
Keep your options open. “Variety in what you eat is as important as how much
you consume,” she says. “The vitamins, minerals and amount of fiber differ Vitamin A: Sweet potatoes,
among plant foods, as does their impact on gut microbes. Make sure to eat a carrots, green leafy vegetables,
diverse diet so you get an assortment of nutrients.” cantaloupe, pumpkin, red
peppers, dairy products, eggs,
While seasonal, vine-ripe produce is always the best choice, don’t worry if you fortified cereals
can’t find high-quality fresh fruits and veggies. Frozen is fine. “Manufacturers
freeze produce at its peak ripeness, so the nutritional value is similar to fresh,” Vitamin C: Broccoli, Brussels
says Bliz. sprouts, cantaloupe, citrus fruits,
kiwi, peppers, strawberries,
Nutritional No-Nos tomatoes

A diet filled with refined sugar, processed foods and fatty red meat can cause Vitamin D: Eggs, fatty fish, plant-
the immune system to sputter. “Eating too much salt, sugar and unhealthy fats based milks, fortified cereals,
can result in chronic inflammation,” says Bliz. “Inflammation hinders the body’s dairy products, orange juice
response to viruses and other germs.”
Zinc: Beans, peas, beef, dairy
Like processed food, less is more when it comes to alcohol as well. “Drinking products, fortified cereals, nuts,
too much can lead to increased respiratory infections and impaired immune whole grains, poultry, seafood
responses,” says Bliz, who suggests moderation — up to one drink a day for
women and two per day for men.

Making the right food choices gives the immune system a fighting chance
against a variety of viruses. But it is not a magic bullet.

“Nothing you eat will totally guarantee you won’t get sick,”
says Bliz. “But consuming a nutrient-dense,
varied diet gives the immune system and gut
the best opportunity to defend you.”

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G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

Fighting off The right amount of quality
SleeInpfDecetmioonns s sleep can help protect your
mental and physical well-being.
By Julie Vargo, Editorial Contributor “A good night’s sleep plays a
vital role in keeping us healthy,”
Quality over quantity is a common says Dr. David A. Sams, a board-
catchphrase that works well when applied certified pulmonologist and
to friends and fashion. But when it comes to sleep medicine specialist on the
achieving a better night’s sleep, smart snoozers medical staff of Bayfront Health
know you can’t have one without the other. St. Petersburg. “Sleep supports
the immune system, reduces the
risk of infection and helps the
body fight viruses.”

ChooseHealth 16 BayfrontStPete.com/ChooseHealth

On the flip side, slumber time Quality Control Sleep Hygiene 10 Tips
that’s delayed by a variety of for
sleep demons can negatively A good night’s sleep is more Instead of strapping on a
affect your immune system. than just a numbers game. wellness tracker, Dr. Sams Better Sleep
“Too little sleep, called sleep Quality also matters. suggests working on sleep
deprivation, weakens the hygiene – healthier habits For better quality sleep,
body’s defense system and Sleep-tracking devices have that promote consistent, be sure to:
makes you more susceptible to become a common way for uninterrupted sleep. Establishing
contracting a virus and other Americans to monitor their behaviors like a sleep schedule, • Go to bed and wake up at
common infections,” says nightly doze, with up to cozy bedroom and relaxing the same time every day,
Dr. Sams. 10 percent of adults using pre-bedtime routines all even on the weekends.
them, according to a study in contribute to quality sleep.
The Power Hours the Journal of Clinical Sleep • Avoid strenuous activities
Medicine. While popular, these A consistent routine helps before bed.
Despite sleep’s significance, a also can create a preoccupation signal bedtime is approaching.
concerning number of Americans with getting the “perfect Hitting the sack and waking up • Keep your bedroom quiet,
don’t get enough shut-eye. Adults sleep,” a new condition called at the same time daily, even on cool and dark, with the
aged 18 to 64 should strive for orthosomnia. weekends, creates consistency. thermostat set between
seven to nine hours of sleep Thirty minutes of quiet reading 60-67°F.
daily, according to National Sleep “In these cases, patients report or meditation is the perfect prep
Foundation recommendations. feelings of failure, anxiety and for drifting off to dreamland. • Create a soothing pre-
Those aged 65 and over need insomnia if they miss tracking Ditto disconnecting from digital bedtime routine.
seven to eight hours a night. Yet, benchmarks,” says Dr. Sams. devices a half hour before
40 percent of Americans get less “But constantly worrying about tucking in. Tablets, TVs, cell • Avoid caffeinated beverages
than the recommended amount sleep can trigger or worsen phones and laptops can keep and nicotine within four to
of sleep, according to a recent sleeplessness.” your brain revved up, making it six hours of bedtime.
Gallup poll. harder to wind down. The light
To determine if you should from these devices also can • Stop drinking alcohol three
That helps explain why ditch your sleep tracker, ask interfere with the body’s natural hours before retiring.
Americans feel sleepy on yourself whether you felt production of sleep-producing
average three times a week, well rested before you began melatonin. • Create calm with a fan or
according to the National Sleep monitoring the situation, but white-noise machine.
Foundation’s annual Sleep in have since experienced poor Adopting better sleep hygiene
America poll. For 55 percent sleep quality. If so, take off the can take time, but don’t give • Turn off screens at least
of those surveyed, it’s because tracker before bed. up. The effort will pay off by 30 minutes before bedtime.
they’re not sleeping well making you more relaxed and
enough. Forty-four percent of “If you wake up refreshed, alert ready to hit the snooze button • Spend time outside every
respondents tie their daytime and ready to take on the day, at bedtime. And while there day and stay physically
doziness to not having enough you know you’ve gotten the is more to bolstering your active.
time to sleep. right amount of good-quality immunity than just getting
sleep,” says Dr. Sams. ample sleep, if you do catch • Don’t invite a sleep tracker
some sneezes or sniffles, a well- to your slumber party.
rested body will be better able to
bounce back faster.

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G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

By Wendy Bacigalupi-Bednarz, Editorial Contributor

Whether you are a longtime How It Works
fitness buff or a newcomer to
walks around the neighborhood, When you exercise, blood gets pumped through the
you can experience the benefits of body and helps establish and distribute immune-boosting
T-cells that drive what is known as “adaptive immunity.”
exercise on your immune Through adaptive immunity, the body destroys invasive
system. And you won’t germs and the toxic byproducts they release that make
have to wait long. you sick.

“A lot of people mistakenly think In addition to making your body a less inviting place
that someone who’s been exercising for germs, exercise can help the immune system by
long-term will have a better immune improving sleeping patterns. Small proteins called
system than someone who just has cytokines are released when you get adequate sleep.
started,” says Dr. Katherine Wojnowich, Cytokines must remain abundant in your system to fight
a board-certified sports medicine specialist off infections, says Dr. Wojnowich. Sleep deprivation can
with Bayfront Health St. Petersburg Medical take your body’s existing cytokines and make them pro-
Group Family Medicine. inflammatory, which can cause damage to your body by
suppressing your immune system.
But that’s not the case. “Exercise triggers an immediate,
positive response in the immune system,” she says. It’s When you engage in physical activity, your body releases
like instant gratification for your biological defenses. endorphins. These can help you feel good and stay well.
Endorphins help to reduce stress and create a healthy
What It Does number of cytokines within your body, thereby helping
support a healthy immune system.
Exercising contributes to a healthy immune system in
several ways, according to the U.S. National Library of What to Do
Medicine. It can help:
The key to enhancing immunity through exercise is to stay
• Flush bacteria out of your lungs and airways, consistent, says Dr. Wojnowich. With any exercise, “such
potentially reducing your chance of getting a cold, as a brisk 30-minute walk, the immune system benefits.
flu or other illness When you make physical activity a habit, the immune
system becomes healthier.”
• Cause positive changes in antibodies and white
blood cells But don’t overdo it. As with many things, moderation is
the key, according to the U.S. National Library of Medicine.
• Briefly raise your body temperature to prevent bacteria
from growing and help your body fight infection Try 20 to 60 minutes of cardiovascular fitness at least
(similar to what happens when you have a fever) three to five times a week as recommended by the
American College of Sports Medicine. If you are just
• Slow the release of stress hormones that increase the beginning an exercise routine, an easy place to start
chance of illness is with walking and stretching. You also might
consider bicycling with your children or partner
a few times a week or regularly playing golf.

ChooseHealth 18 BayfrontStPete.com/ChooseHealth

Gradually work up to longer blocks of time
spent exercising. If you move into a more
intense workout routine, be sure you are
properly trained by an exercise professional
beforehand. Some options include:

• Resistance training two or three times
per week, making sure to target the
large muscles

• Body-weight exercises such as
stationary squats and elevated
push-ups

• Joining a fitness center when
ready to add more to your routine

• Investing in home exercise
equipment such as cables,
resistance bands and free
weights, if you don’t feel
comfortable going to a gym yet

Where’s the Miracle Pill?

“No miracle pills exist to strengthen
your immune system,” says
Dr. Wojnowich. “Each of us has to do
the work. Along with an antioxidant-
rich diet, moderate exercise plays a
vital role in preparing your immune
system when infection invades.”

It’s important to understand that regular
physical activity should be built into
your daily routine. Sporadic exercise is not
considered a quick fix for immunity boosting.
A consistent exercise regimen is key to improving
your chances of defending yourself against
illnesses.

ChooseHealth 19 BayfrontStPete.com/ChooseHealth

G U I D E TO B U I L DI N G A H E A LTH Y I MM U N E SYSTE M

Few Americans will soon Stress: It’s Not All in Your Head
forget 2020 – a year of nonstop
changes. From a global pandemic In times of physical or emotional stress, your body reacts by sending out a
flood of cortisol, a hormone that activates your nervous system’s “fight or
to civil unrest, 2020 has thrown us flight” response. With cortisol’s help, your heart rate and breathing speed up,
enough curveballs to cause stress in your pupils dilate, and your arteries narrow to pump blood faster. Typically,
even the most well-adjusted person. when the perceived threat has passed, cortisol levels drop back to normal,
Add these pressures to the everyday and your body starts recovering from the hormone’s effects.
ones we regularly experience – like
managing finances, jobs, family life and Left unchecked, though, stress and its sidekick cortisol can have a negative
health – and we’ve got a near-perfect effect on your health, boosting inflammation and actually suppressing your
storm of chronic stress in the making. immune system’s effectiveness. Chronic stress also can lead to a range of
unhealthy habits, from overeating to the increased use of alcohol, tobacco
and other recreational drugs. And, it can increase your risk of getting
physically sick. By contrast, studies from the National Institutes of Health
and other experts have shown that Americans reporting the least amount of
stress also were the least likely to get infections.

ChooseHealth 20 BayfrontStPete.com/ChooseHealth

The Benefits of Resilience

One strategy to managing and even combating stress is developing resilience, says Dr. Nazrah Franco,
a board-certified physician with Bayfront Health St. Petersburg Medical Group Family Medicine.

“Resilience is the ability to adjust and adapt to the current situation without being consumed by it,” says
Dr. Franco. “Adaptability has been shown to be a key component of individuals who endure and face
unprecedented experiences – and do so effectively.”

She offers 10 steps you can start taking today to enhance your resilience and help manage stress.

Avoid asking “why”: Why questions compel people to look for Take a technology break: Put your phone in another room for
reasons. But in times of increased uncertainty, this search can make 30 minutes. Or step away from the computer for 2 minutes and
matters worse. Instead, ask how and/or what can be done about focus on a positive image, a beautiful object or a human face. If you
a situation. How and what questions help generate solutions and can’t stay away from technology, try stress-relieving apps such as
move conversations toward resolutions. HeadSpace and CALM.

Change your focus: Notice and focus on what you can do Go on a media diet: Take breaks from
more than on what you wish you could do. Focusing on your watching, reading or listening to news
abilities, talents and how you can use them will give you a sense of stories, including those on social media.
empowerment.
Focus on breathing: Practice the 4-7-8 breathing exercise to slow
Spend time with “builders”: Everyone yourself down and re-energize. Exhale completely. Next, close your
responds differently during critical situations. mouth and inhale for 4 seconds. Hold your breath and mentally count
Avoid those who seem to be caught up in to 7. Then, exhale through your mouth for a count of 8. Repeat.
generating drama or who seem to complain
excessively. Instead, spend more time with Enjoy the silence: Put yourself in a
those who provide input, feedback and information that lift you up. place with little to no distractions for 10
minutes. This may be uncomfortable at
Remain purpose-driven: Adaptability does not mean changing first, but push yourself to focus on your
your goal but changing your methods. Continue to maintain sight of energy level and your breathing.
your purpose while being open to alternative or innovative ways to
achieve it. Reflect on what’s good: Spend a few moments jotting down three
good things that happened to you today.
Try mindfulness exercises: Take 2 minutes
— three to four times a day — to pause, breathe For more ways to stay mentally and emotionally healthy,
and be conscious of yourself. This exercise can check with your primary care physician or find one at
enhance your ability to concentrate, be more BayfrontStPete.com/Physician-Finder.
present and minimize stress.

21ChooseHealth BayfrontStPete.com/ChooseHealth

MYTH VS. FACT

I Don’t Need an Annual Exam
( and Why You Really Do )

By Lisa Nickchen, Editorial Contributor

Some of us are real sticklers when it comes to routine care and maintenance —
for our cars, homes, even our lawns. But when it comes to our health, “there seems
to be a disconnect,” says Dr. Craig Levoy, a board-certified family medicine physician
with Bayfront Health St. Petersburg Medical Group Family Medicine. Here are
three common reasons people skip their annual visits with their primary care
physician (PCP), and why they shouldn’t.

MwtIhfYreeToerHnel#g’f1si. nwneio;tthhmineg. IIeM’xdmYaToHmyn#o’s2tu.ynneegte.;d annual MIIto’dmYTsoHebne#u’3tm.shyya; vdeotcitmore.

With many conditions, like high Some risk factors, such as genetic Not finding the time for an annual
cholesterol, high blood pressure
or diabetes, you may not feel any predispositions, unhealthy lifestyle preventive exam, or to monitor existing
significant symptoms early on. But these
“silent” medical problems can lead habits and obesity, can lead to serious conditions, could lead to spending even
to serious health consequences if not
detected early, says Dr. Levoy. health problems at any age. By reviewing more time, and money, for advanced

And routine cancer screenings, your personal and family history, your treatment down the road.
including breast, prostate and colon, can
improve chances of detecting PCP can identify current risk factors It’s also usually easier to get an
and help you manage those that could appointment as an established patient,
cancer early, when it’s lead to future health problems. says Dr. Levoy. You don’t want to wait
most treatable.
Your PCP is your healthcare partner, until you really need a doctor to have to

and starting young with annual physical find a doctor.

exams can help build a trusting

relationship — with someone you know

and who knows you.

To learn more, visit

BayfrontStPete.com/PrimaryCare.

ChooseHealth 22 BayfrontStPete.com/ChooseHealth

SPOTLIGHT

Baring
Your
Sole
By Julie Vargo, Editorial Contributor

Florida’s balmy breezes, sandy
beaches and relaxed vibe are an
invitation to bare our feet. But
slipping off our shoes to join the
unshod masses has its pros and cons.

Bare Necessities Foot Hygiene

On the plus side, going barefoot helps improve foot strength, Whether you dare to bare or stay
circulation, posture and balance by restoring your natural laced up, practicing proper foot care is
gait. “Being barefoot helps provide better control of your foot essential.
position striking the ground,” says Dr. Ronald Troxell, a foot
and ankle specialist on the medical staff of Bayfront Health St. • Apply sunscreen to bare feet before
Petersburg. “Since you use more muscles, ligaments and tendons heading outside.
when barefoot, you also strengthen your feet and improve foot
mechanics.” • Choose well-fitting, supportive shoes.

On the other hand, if you’re not used to walking barefoot, going • Avoid extremes. Flat, thin shoes
shoeless can put painful pressure on foot joints. Without protective lack shock absorption. High heels
footwear, feet are also more susceptible to injuries, infections and can cause tendon issues, bunions or
fungi like athlete’s foot. hammertoes.

House Rules • If you have diabetes, circulation
problems or neuropathy, see a
Some folks shuck their shoes the moment they get home in favor podiatrist yearly.
of house slippers. While cultural for many, ditching shoes at the
door also helps keep the house cleaner. Remember, whatever you • Keep feet clean and dry.
step on outside — from pet waste to street dirt — comes home on
the bottom of your shoes. • Check for cuts or blisters daily.

• Buy exercise shoes designed for your
foot type and sport.

ChooseHealth 23 BayfrontStPete.com/ChooseHealth

WOMEN ’S HEA LTH

Is Your Brain

By Julie Vargo, Editorial Contributor

If you base your daily schedule
around bathroom breaks, map your
travel routes around restroom

locations or choose social
functions with potty proximity
in mind, you may suffer from an
overactive bladder.

Common, but underreported by those who suffer from
it, overactive bladder is twice as likely to affect
women as men. Up to 40 percent of women
will experience the condition at some point in
their lives.

“The most common symptom is the
sudden, uncontrolled and repetitious
urge to urinate,” says Dr. Nicholas
Laryngakis, a board-certified urologist

on the medical staff of Bayfront
Health St. Petersburg. “It’s as if your
bladder is prank-calling your brain to
tell it you have to pee, but you really
don’t have to go.”

In addition to urgency, other telltale
signs include frequency and
accidental leakage. “Urinating more

than eight times during the day
or more than once a night can
indicate overactive bladder,”

says Dr. Laryngakis.

ChooseHealth 24 BayfrontStPete.com/ChooseHealth

Bladder Chatter primary care physicians are unaware If lifestyle modifications don’t
of the problem because most don’t work, your doctor can prescribe
Aging, medical conditions, bladder ask about overactive bladder, and medication to relax the bladder.
obstruction and weak pelvic muscles patients don’t bring it up.” Physical therapy and urge-
can spur overactive bladder, which suppression techniques like pelvic
affects an estimated 50 million Some just learn to live with floor exercises offer yet another
Americans. Being overweight, it, adjusting their lifestyle to option.
consuming certain foods or accommodate multiple trips to the
taking some medications also can toilet. “I tell my patients, if it doesn’t More severe cases of overactive
aggravate the situation. Constipation bother you, it doesn’t bother me,” bladder may demand further
can put pressure on the bladder. says Dr. Laryngakis. “But if you find medical treatment. Percutaneous
And in men, long-standing prostate yourself constantly worrying about tibial nerve stimulation (PTNS)
conditions can cause similar your bladder, avoiding exercise or combines an acupuncture-type
symptoms. Sometimes, the cause social situations, or you can’t sleep therapy with electrical current to
simply is unknown. through the night without visiting modulate bladder function. Botox
the bathroom, it’s time to talk with injections work to relax bladder
Depending on the severity, your doctor.” muscles. Sacral neuromodulation
overactive bladder can create (SNM) therapy depends on a
chronic and even debilitating quality- Restroom Resolutions rechargeable implanted device that
of-life issues, inhibiting everything addresses both urinary and fecal
from one’s work and travel to their “There is no need to suffer,” adds incontinence by restoring normal
exercise, sleep and sex life. The Dr. Laryngakis. “Overactive bladder communication between the brain,
constant urge to urinate combined and urinary incontinence can be bladder and bowel. Most of these
with the fear of wetting oneself easily treated with simple lifestyle procedures can be done right in the
lead some people to social isolation changes and relatively noninvasive doctor’s office.
and depression. Their reluctance therapies.”
to leave home can severely limit “So many of my patients are
their independence. Others opt As we age, our bladders become surprised when they find out they
for absorbent pads or underwear, more irritable and sensitive. Spicy aren’t alone in their suffering and
dressing in dark clothes to hide any foods, citrus, fizzy drinks, alcohol relieved when they discover there
accidental wetting that may occur. and caffeine can bother the bladder, are so many ways we can help
as can too little dietary fiber. them,” says Dr. Laryngakis. “They
Unfortunately, too many simply Drinking liquids four hours before love being able to be spontaneous
suffer in silence. “Some patients are bedtime can prompt nighttime again and to go on longer car rides
embarrassed,” says Dr. Laryngakis. bathroom runs. For some, changing without plotting out every restroom
“Others believe overactive bladder their diet, cutting caffeine, limiting along the way. Addressing their
is just a normal result of aging or bedtime beverages and adding fiber overactive bladder issues opens up
having children. Maybe they had a for better bowel habits can make a their world again.”
parent or a family member who ‘just big difference.
dealt with it’ in the past. Often, their

ChooseHealth 25 BayfrontStPete.com/ChooseHealth

EXERCISE

By Lisa Nickchen, Editorial Contributor

When we think of exercise, we tend to think
of sweating on the treadmill or doing that third
set of bicep curls.

While aerobic, strength and flexibility exercises
are important components of a healthy workout
routine, balance exercise also is key to staying
healthy and fit, says Dr. Marc Reiskind, medical
director of Bayfront Health St. Petersburg’s
Rehabilitation Services.

“Adding in balance movements will help
align your muscular system, which is great for
stability and can help prevent future injuries,”
says Dr. Reiskind.
The Benefits of Balance

Having a strong sense of balance contributes to your overall health and
fitness in several ways:

• Good balance helps maintain good posture. Especially as we grow
older, poor posture can lead to many negative effects, including
headaches, neck and back pain, and hip and knee problems.

• Balance movements help strengthen certain areas of the body,
including abdominal and leg muscles.

• Regularly performing balance exercises also increases coordination
and can greatly reduce the risk of falls, according to the American
Heart Association.

• Better balance can help improve reaction times, enhance athletic
performance and even increase cognitive function.

ChooseHealth 26 BayfrontStPete.com/ChooseHealth

What Leads to Poor Balance? Ways to Improve Your Balance

You might not realize you have weak balance until trying balance Depending on your fitness level, you can try standing on one leg
exercises, says Dr. Reiskind, who’s board certified in physical for an allotted number of seconds or minutes before switching to
medicine and rehabilitation. the other leg. Increase the time as you advance, remembering to
keep the exercise equal on both sides.
Many factors can cause poor balance. Issues with the inner ear,
vision impairment and problems with proprioception (the sense If you find it challenging to balance on one leg, try holding the
of self-movement and body position sometimes called the “sixth position for 10 seconds. If this feels too easy, push yourself to
sense”) can all contribute to poor balance. 30 seconds.

Other factors may include decreased physical activity, poor core For added stability, you also can hold on to a wall or a sturdy chair
strength, failure to incorporate full range of motion and, in more to support yourself. Start with both hands on the wall or chair and
serious cases, some neurological disorders. then progress to just one hand, to one finger and then no support
as your balance improves.
Testing Your Balance
Dr. Reiskind also recommends these balance exercises:
Before beginning a new exercise routine, assess how good your
balance currently is. This provides a starting place to compare • Walk heel to toe, both forward and backward,
progress to later and also prevents situations that could cause across an open room.
injury.
• Perform bodyweight exercises on an unstable surface
A simple balance test is relatively easy to perform, but if you feel using a foam balance pad.
wobbly on your feet, then be sure to perform these exercises in a
safe, padded area and in the company of others. After taking any • Assume the “Tree Pose” position – stand on one leg and
necessary precautions, try standing on one foot while keeping your bring the sole of your other foot onto your calf or inner thigh.
eyes closed. This will quickly shed light on how good (or bad) your
balance really is. If this test feels too difficult for you, try it with • Practice movement training, like yoga or tai chi.
your eyes open instead.
Integrating balance exercises into your fitness routine is important,
no matter your age or fitness level. Whether you need to work on
going up and down the stairs or want to improve your balance for
that next mountain climb, there’s no better time to start than now.

ChooseHealth 27 BayfrontStPete.com/ChooseHealth

TCHHAOTODSEELCIVAERRES –

When you’re welcoming a new member into the family,
we welcome you to discover a birthing experience on
another level at the Bayfront Health St. Petersburg
Baby Place. You’ll find amenities and conveniences
around every corner — all designed to ensure mom
and baby are as comfortable as possible.
Learn more about Bayfront Health
St. Petersburg Baby Place and how we’ve
increased our safety and protection for
moms, babies and team members at
BayfrontStPete.com.

TECHNOLOGY

Turning Aha Moments Into
Healthcare Innovations

By Wendy Bacigalupi-Bednarz, Editorial Contributor

A few years ago, Orlando Health team member Todd Roberts was at
his doctor’s office when he noticed coughing and sneezing patients in
line ahead of him waiting to sign in. They all were using the same pen.
Stunned, Roberts thought to himself, “People deserve clean pens.”

That aha moment led to Roberts developing The CleanBlock, a small cube that
contains a powerful sanitizing solution. Users simply push a pen or stylus through
the block to clean it and prevent the spread of germs. Roberts turned to the
Orlando Health Foundry program to help refine his idea.

The Foundry Program Debuting New Products

Part of Orlando Health Strategic Innovations, the Among the innovations developed through the
Foundry program launched in 2017. Its goal is to Foundry program are:
help team members and physicians from across
Arthur App: A two-way technology
Orlando Health develop, test and solution for patients unable to
implement new products that can verbally communicate in a care setting
improve healthcare delivery and
patient outcomes. Bilisense: Turns a smartphone into a comprehensive,
jaundice-assessment tool that’s easy to use
“The Foundry is an accelerated
process for selected Orlando IrriGATOR: A sterile, all-in-one
Health innovators to refine their irrigation device (patent pending) to
concepts, validate the market expedite wound cleaning in the emergency room
opportunity and identify product
development or service needs,” says Erick Hawkins, Pediatric to Adult Care Transition (PACT):
Orlando Health’s senior vice president of strategic A coordinated healthcare solution that
management. The final step is developing a plan for helps children with chronic healthcare
growth, including go-to-market strategy and funding. needs transition to adult care settings

Stethilizer: A portable and powerful ultraviolet light
cleaning solution for stethoscopes

Orlando Health looks forward to launching the Foundry program at Bayfront Health St. Petersburg in the near future.

ChooseHealth 29 BayfrontStPete.com/ChooseHealth

PREVENTION

By Kim Marcum, Editorial Contributor

Immunizations aren’t just for preventing disease in children.
Vaccinations recommended by the Centers for Disease Control and
Prevention (CDC) also can protect adults from diseases such as

pneumonia, influenza and measles that cause serious illness and
even death. In fact, adults who contract measles have a greater risk
of death than children with measles.

Too few adults receive vaccinations recommended by the CDC, and that’s leading to
an increase in certain preventable diseases, says Dr. Steven Seltzer, a board-certified
internal medicine physician with Bayfront Health St. Petersburg Medical Group

Internal & Family Medicine.

“On a yearly basis, tens of thousands of Americans die of influenza-related
illness, such as pneumonia and chronic respiratory infections, many of which
could have been prevented by receiving an annual flu shot,” says Dr. Seltzer.

“We’ve also seen an increase in whooping cough cases, which can cause
serious illness in adults and cause death in unimmunized children.”

In addition, Dr. Seltzer says he and other doctors continue to see
preventable cases of hepatitis B, pneumonia and shingles, the latter of
which can cause chronic pain, depression and loss of eyesight.

Some vaccines protect against multiple diseases. For example, the
MMR vaccine protects against measles, mumps and rubella. And
the pneumococcal vaccines are effective in preventing not just
pneumonia but meningitis and other fatal diseases.

As a primary care physician, one of the first things Dr. Seltzer
does when working with new patients is to review their
vaccination history. “Often, people have a record-keeping
challenge in knowing which vaccines they have or have not
had. If someone is unsure whether they have had a vaccine or
not, it is perfectly safe to get a vaccine again.”

Or, for certain diseases, such as measles, mumps, chickenpox
and hepatitis A and B, a blood exam known as a titer test can
be done to determine if a person is immune to the disease

and doesn’t need a vaccine.

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Vaccine Safety

For people behind on their vaccines, it is safe to receive several different
vaccines during a single visit to their doctor. Also, combination vaccines are as
effective as individual vaccines. More information about the safety of vaccines
can be found at CDC.gov.

The accompanying chart outlines the most commonly recommended vaccines
for adults. Your doctor may suggest additional vaccinations if you have specific
health conditions. For accessible record keeping, the primary care practices
of Bayfront Health St. Petersburg Medical Group participate in the Florida
SHOTS™ program, a statewide, centralized online immunization information
system that tracks vaccines for children and adults.

Adult Vaccine Indications
Measles, mumps, rubella (MMR)
Chickenpox (varicella) Recommended if you were born in 1957 or later and have no history of having
Flu (influenza) measles or the vaccine. Two doses are recommended if traveling overseas.
Hepatitis A
Hepatitis B Recommended if you were born in 1980 or later and have no history of having
HPV (human papillomavirus) chickenpox or the vaccine.
Pneumococcal conjugate (PCV13)
Pneumococcal polysaccharide An annual flu shot is recommended for all adults, even during pregnancy.
(PPSV23)
Recommended for individuals with chronic liver disease or if traveling
Shingles internationally.

Tdap – Tetanus, diphtheria and Recommended for individuals with type 2 diabetes or chronic liver disease, or if
pertussis (whooping cough) traveling to certain countries.

Recommended for men and women up to the age of 26 if not vaccinated during
childhood (age 9-15).

Recommended for all adults at age 65. For specific, high-risk situations, such as
cochlear implants or sickle cell disease, recommended before age 65.

Recommended for all adults at age 65. A first dose is recommended before age
65 for higher-risk individuals with chronic health conditions such as heart disease,
diabetes, lung disease or asthma.

The Shingrix vaccine is recommended for healthy adults age 50 and above to
protect against shingles and postherpetic neuralgia. The Shingrix vaccine is
recommended even if you have had shingles in the past or were vaccinated with
Zostavax.

Recommended at age 19 or later if not vaccinated as a child. A Td or Tdap booster
is recommended every 10 years.

Find a primary care doctor in your neighborhood at BayfrontStPete.com/Physician-Finder.

31ChooseHealth BayfrontStPete.com/ChooseHealth

SPOTLIGHT

Migraine or Stroke? Knowing how
Separating the Symptoms to separate the
symptoms can
By Wendy Bacigalupi-Bednarz, Editorial Contributor do more than
save your day,

it can save
your life.

Suffering a migraine headache is a sure-fire way to ruin your day. But, what if
your headache is a stroke instead of a migraine? Can you tell the difference?

Migraine and stroke are very Migraine and stroke share some Knowing their family medical
different conditions, but can have common symptoms, such as history can help guide migraine
similar symptoms. This can make blurred vision, sudden confusion, sufferers toward the right
it difficult for people to tell them numbness or weakness on one treatment decisions, says
apart, explains Dr. Jason Williams, side of the body and trouble Dr. Williams. If your family has
a board-certified neurologist at speaking. However, it’s important a history of stroke, and your
Bayfront Health St. Petersburg, to recognize symptomatic symptoms are very different from
which is a nationally accredited differences, which can steer you previous migraines, you should
Comprehensive Stroke Center. The toward appropriate and timely seek immediate medical attention.
differences in symptoms can be treatment, says Dr. Williams.
so subtle that people often don’t
know whether to seek treatment These differences include:
for a migraine or stroke — or
when. If in doubt, seek immediate Rapid onset: Stroke occurs suddenly without any advanced signs.
medical attention. Weakness: Facial drooping, weakness and numbness on one side of
the body are more common in stroke.
Comparing the Symptoms Repeat occurrences: Migraines are ongoing and can occur several
Migraine symptoms include a times a month.
throbbing headache on one side Pain: Migraines usually are accompanied by pain, while most strokes
of the head or behind an eye, pain are not (though hemorrhagic strokes can have painful symptoms).
on one side of the body, nausea
and vomiting, and sensitivity to To learn more about Bayfront Health St. Petersburg’s national accreditation
light and sound. Stroke symptoms as a Comprehensive Stroke Center, visit BayfrontStPete.com/Stroke.
typically include slurred speech,
balance issues and a sudden
headache.

ChooseHealth 32 BayfrontStPete.com/ChooseHealth

FITNESS

How to Stay Safe on Your Bike

By Julie Vargo, Editorial Contributor

Florida’s miles of trails and dedicated bicycle lanes make it an
ideal place for pedal pushers. But two-wheeling around the
community comes with its own set of road hazards.

When a crash occurs between a car and a bike, it’s usually the cyclist who sustains injuries.
Children and teens have the highest rate of nonfatal bicycle accidents, while adults
aged 50-59 suffer the most fatalities, according to the Centers for Disease Control
and Prevention (CDC).

Many accidents can be avoided if motorists and cyclists pay attention and
follow the rules of the road, according to Dr. Justin Thompson, a board-
certified sports medicine specialist with Bayfront Health St. Petersburg
Medical Group Family Medicine.

Before you push off, brush up on these basics of bicycle safety.

The Gear

Make sure your bike is sized to fit your frame.
Tune up before you take off. Check the brakes,
handlebars, seat and tires prior to every ride.
A bike helmet helps prevent head injuries. Wear it.
Choose brightly colored, highly visible clothing.
Use reflectors and turn bike lights on both day and night.

Rules of the Road

Obey the same driving rules as cars. Go with the flow
of traffic. Observe street signs and signals.

Anticipate the actions of other drivers, pedestrians
and cyclists to avoid collisions.

Be alert. Don’t wear headphones or use your cell phone
while biking.

Don’t ride on the sidewalk. If you have to hop a curb,
slow down near driveways. Watch out for cars and pedestrians.

Getting Organized

Map out your route beforehand. Opt for the road less traveled
to bypass traffic.

Pack a flat-tire kit and know how to use it.
Secure shoelaces and pant legs so they don’t catch in your bike chain.
Buddy up with another bike rider for safety and visibility.

ChooseHealth 33 BayfrontStPete.com/ChooseHealth

IN THIS ISSUE

AURCGOENMATELENINTTYTED

Download the Orlando Health Experience app to enjoy
exciting reality content in this and future editions of
Bayfront Health St. Petersburg Choose Health magazine.

Step 1: Use your smartphone
camera to scan the QR code
on the right to download the
Orlando Health Experience app.

Step 2: Look for this symbol
and use the app to scan
images in this magazine.

Step 3: See the page come to
life and unlock special content!

Augmented Reality can be found on page 12.

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We know what it means to care for the
communities of St. Petersburg. After all, we’ve
been doing it for quite a while now. And as
we’ve built our expertise and experience at all
levels of care – from the biggest of emergencies
to the tiniest of births – we’ve also built lasting
relationships. That alone makes a difference.
Because when you need care you can trust, you
want a community hospital that’s been there – year
after year.
Learn more about how we’ve increased
our safety and protection for patients and
team members at BayfrontStPete.com.

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REVEEARDY

DON’T DELAY
EMERGENCY CARE

With two conveniently located ERs, you’re never
far from highly specialized emergency care.
And when you visit our facilities, you can feel
confident in our continued focus on your safety.

BayfrontStPete.com/ER

St. Petersburg
Pinellas Park