Category: Health & Wellness

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A canine (human) intervention

I have a friend who will remain anonymous. She has read my articles for the past 20 years and had already declared last month’s conversation as article worthy. Literally, she gave me the look like, “You are going to use this as an article,” not as a question but as a statement. With a wink, I told her that this is not the first time I have used her cute-isms, as my wife and l like to call them, as inspirations for an article.

My wife and I have known “L” and her family for a long time. Our kids have grown up together and we view them as family. L looks at the world differently. She is a teacher and a mother and takes care of everyone around her. When her kids or her dog Mello have an issue, she has them diagnosed and treated like a protective mother might, but she also has the tendency to forget about herself.

L has a family history of high blood pressure and heart disease. She hadn’t seen a doctor in years, and at her last physical she was informed that her physician wanted her to see a cardiologist to work up her high blood pressure and new heart murmur. L’s husband called to tell me the news that L vehemently did not want to be discussed with anyone. She told her husband that her physician is an alarmist and came up with a hundred excuses, from caffeine to stress to weight gain, for why her blood pressure was elevated.

L is an amazing pet owner. Mello has been to my hospital for ACL surgery, tumor removals, emergency dental abscesses, and even once he ate those toxic crayons that the babysitter brought over. If there was a problem with Mello, it was addressed quickly and without question.

Mello was in the hospital for a bath and his biannual examination days after I had talked to L’s husband. It was a weekly routine. L picked up Mello after work. She bought herself a medium iced coffee at the coffee shop and brought me one as well. I asked my receptionist to put L in an examination room.

I walked in and told L that during my examination of Mello, I found a new heart murmur. I told her that I had never heard one before in Mello. I also told her that I ran some bloodwork and checked his blood pressure. L repeatedly shook her head and was notably concerned. She wanted to know if I had any results, and I told her that the bloodwork results would be in tomorrow, and his blood pressure was elevated.

L wanted to know if I needed to do an EKG or take chest X-rays, and I told her that I would feel better if she went to the cardiologist because they are the experts, and if there is a problem then they usually recommend an echocardiogram. L took out her notebook to write down the cardiologist’s name and number. She told me that nothing could happen to Mello. He is so important to the family and losing him only midway through what she considered his life expectancy would be devastating.

I looked at her and gave her a hug. I told her that Mello was fine. He was perfect. L was confused. I told her that I had just talked to her husband, and he told me about her heart murmur and high blood pressure. I told her that she should attack her issues with the passion she had for Mello, because her family, students, and friends could not bear losing her midway through her life expectancy.

L was actually more relieved about Mello than angry with me for having the intervention. She walked out of the examination room smiling but telling me that turning 50 sucks.

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Osteoporosis: a ‘silent disease’ that leads to broken bones

Most people don’t care about statistics until they become one. But approximately 10 million Americans have osteoporosis, and another 44 million have low bone density that increases the risk. The importance of regular bone density testing cannot be underestimated, especially for adults over 50 years of age.

Eighty percent of older adults sustaining a broken bone never had a bone density test (BDT) and subsequently were never treated for osteoporosis. A BDT is the best diagnosis. If one’s T-score is –2.5 or lower, chances are that osteoporosis is present and a plan of treatment needs to be developed.

Osteoporosis is called the “silent disease” simply because it’s impossible to know when bones begin to deteriorate. Over time, they can become so brittle that a simple cough or bumping into furniture causes a break. Bone density tests are a vital part of one’s regular healthcare regime and should be repeated at least every two years.

Women are more susceptible to osteoporosis. One in two women will break a bone in their lifespan, and their incidence of breaking a bone is higher than their risk of a heart attack or a stroke — and it’s equal to the combined risk of getting breast, uterine, or ovarian cancer.

Not only is breaking a bone painful, it’s also very costly. The burden on the healthcare system is nearly $20 billion a year and specialists predict a gloomy future — expecting as many as 3 million fractures by 2025, costing patients, families, and the healthcare system as much as $25.3 billion.

Prevention

Bone tissue is constantly being broken down and replaced, and with age the process does not occur as frequently. Peak bone mass is usually achieved by the late 20s, but people can still build and maintain strong bones for the remainder of their lives. Osteoporosis occurs when creating new bone doesn’t keep up with the loss of old bone. Your physician can prescribe medications or other treatment options, but to gain full benefit it’s important to exercise regularly, and be sure to take the recommended amount of calcium and vitamin D obtained from foods and/or supplements.

Symptoms

There are typically no symptoms in the early stages of bone loss. When bones being to weaken, however, one can experience back pain, loss of height, a stooped posture, and bones that break more easily than expected. Women who have experienced early menopause or have taken corticosteroids for several months are highly susceptible to weaker bones. Low sex hormone levels will also weaken bones. A fall in estrogen levels in women at menopause is one of the strongest risk factors in developing osteoporosis. In addition, if a person has taken too much thyroid hormone medication to treat underactive or overactive thyroid conditions or adrenal glands, bone loss is a probability.

Diet

A lack of calcium, eating disorders, and gastrointestinal surgery are issues that can put people in the high-risk category for osteoporosis. A lack of calcium leads to lower bone density, early bone loss, and increases the risk of fractures. Surgery can limit the amount of surface area available to absorb nutrients because the size of the stomach has been reduced.

Medical Conditions

The risk of osteoporosis is higher in people with chronic medical problems. These include celiac disease, inflammatory bowel disease, kidney or liver disease, cancer, multiple myeloma, or rheumatoid arthritis.

May is National Osteoporosis Awareness Month. It’s an opportunity to be proactive about your health and a great time to make an appointment with a primary-care physician and undergo a painless bone density test. For more information, visit the Bone Health and Osteoporosis Foundation at www.bonehealthandosteoporosis.org.

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Shark Valley: the perfect place to see alligators, not sharks

Don’t let the name fool you — you won’t find any sharks in Shark Valley. Named for its location at the head of Shark River Slough, this 15-mile loop trail is the perfect spot to get up close and personal with an alligator (from a safe distance, of course!).

Located inside Everglades National Park, right off U.S. Highway 41 (Tamiami Trail), this paved trail is perfect for biking, hiking, and bird watching. There are also guided ranger and tram tours for those interested in learning more about the Florida Everglades — the only place in the world where the American alligator and American crocodile coexist.

This diverse subtropical wetland, the largest in North America, spans more than 1.5 million acres across central and south Florida — half of its original size. Composed of nine diverse ecosystems, the Everglades is home to more than 360 different bird species, 300 fish species, 20+ snake species, crocodiles, alligators, panthers, otters, frogs, and many other mammals, reptiles, and amphibians.

Shark Valley sits right in the middle of the Everglades freshwater marsh and is an ideal location for viewing wading birds — from herons to egrets, ibises, hawks, owls, and anhingas, along with plenty of freshwater wildlife. But the one animal that cannot be missed along the first half of this trail is the alligator.

These majestic reptiles bask motionless in the sun right along the side of the pavement just steps from visitors. While this may seem like a dangerous scenario, these gators are used to people coming and going and rely on their natural habitat for food, meaning they do not seek out people or pets. As long as visitors do not engage in any reckless behavior, such as feeding or harassing the alligators — behavior that constitutes a criminal offense — Shark Valley is perfectly safe for both adults and children.

Midway through the loop, visitors can stop and rest at the Shark Valley Observation Tower. Standing 70 feet high, it’s the tallest structure in the park, with a viewing platform that offers scenic panoramic views of the Everglades.

For those interested in a more daring adventure, Shark Valley offers guided full-moon and new-moon bike tours. Accompanied by a park ranger, riders embark on a three-hour tour where they can embrace the magic of the Everglades and all its nocturnal creatures, including alligators, after dark. Upcoming tour dates include March 4, March 16, April 1, and April 16. Reservations are required and can be made through the Shark Valley Visitor Center at (305) 221-8776.

Shark Valley is located at 36000 SW 8th Street, Miami, and is open every day from 8:30 a.m. to 5 p.m. in mid-December to mid-April, and 9 a.m. to 4:30 p.m. in mid-April to mid-December. Bike rentals are available on-site.

For more information, tour schedules, and entrance fees, visit www.nps.gov/ever/planyourvisit/svdirections.htm.

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Tips to follow during Prostate Cancer Awareness Month

September is Prostate Cancer Awareness Month. Prostate cancer is common and grows slowly. At onset, symptoms may be absent, but as it progresses, early warning signs include an increased urgency to urinate, frequency, and leaking. In more advanced stages, the cancer can metastasize to other organs such as the lungs, liver, and brain. In a majority of cases, bone pain will occur.

According to the American Cancer Society, cancer of the prostate is the second most common cancer, and men are 44 percent more likely to develop it than women.

Mehmet F. Hepgur, M.D., an oncologist/radiologist at Broward Health in Fort Lauderdale, says that depending on the size of the tumor, a person may feel pain in the prostate and see blood while urinating. “The only way to detect the specific stage is through an examination and taking a test to determine a person’s PSA (prostate-specific antigen) level,” said Dr. Hepgur. “The best chance for a successful treatment is through early detection when the tumor is still confined within the prostate gland.”

The PSA test is not for cancer detection but a means of measuring the levels of a specific antigen in the prostate gland. The PSA numbers can indicate other issues ranging from inflammation and infection to gland enlargement and subsequent cancer. According to the Prostate Cancer Foundation, a high PSA level does not always indicate prostate cancer. There are numerous types of prostate cancer, and there’s a treatment for each type. In summary, one approach doesn’t fit everyone, and treatment is on a case-by-case basis.

“A person in their 40s or 50s with a PSA greater than 3 milligrams per milliliter is abnormal and may need a further workup,” said Dr. Hepgur. “The PSA range is usually less than 1. For a person in their 70s, a PSA above 4 is abnormal, and if it rises above 0.3 milligrams per milliliter a year, additional testing is required.”

It’s important to identify prostate cancer in its early stage and to be aware of any history of cancer in the family, genetics, or abnormal lifestyle habits. “Reports show that African-American men have a higher incidence rate and may have to be screened at a younger age,” said Dr. Hepgur. “There’s no hard data to show why certain ethnicities have higher rates of incidence, but we encourage earlier screenings as the best method of prevention.”

There is debate in some circles about the age at which screenings should begin. The primary recommendation is between 55 and 69 years of age. “Exercise is important, as is cutting down alcohol consumption,” said Dr. Hepgur. “It’s critical to be screened at the proper time and talk to your doctor about treatment options.”

Older men and women with prostate cancer are under “active surveillance.” Specialists find that surgical versus radiation outcomes are very similar. In advanced stages, however, it’s recommended to see an oncologist for treatment protocols.

Dr. Hepgur’s advice is to be aware of any history of cancer in the family and of any genetic predisposition, and to live a healthy lifestyle through exercise and nutrition.

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Get your Wagyu in Coral Springs

It’s 7,500 miles from Coral Springs to Japan, the home of the Wagyu. Wagyu is the Japanese name for beef, but here in the United States, it’s often associated with the well-marbled beef that is commonly found on restaurant menus.

In grocery stores, you will find USDA prime, choice, and select steaks. They are graded based on the fat streaking in the steak. And for those who love barbecue, more marbling often means great flavors and tender meat.

Wagyu is graded based on the meat yield, from A (highest) to C (lowest); and marbling, from 1 (lowest) to 5 (highest). This is where you may find the highest-grade Wagyu as A5. The Beef Marble Score is often referred to; scored 1–12, the higher the number, the more marbled the meat.

If you have had A5 Wagyu, you know it’s unique. The melting temperature of Wagyu beef is lower than other beef, at 77 degrees F. Extra care is required in the preparation, to provide that buttery, melt-in-your-mouth experience that you will remember long after you wolf down your steak.

Japan has long controlled the export of cattle, as it’s considered a national treasure. The Japanese government put a ban in place in 1997. Before the ban, a few were exported to the United States, and there were 200 full-blood Wagyu in the United States. U.S. ranchers were able to cross Wagyu with other popular breeds, like Angus, and they were referred to as Wagyu-influenced breeds. This is where American Wagyu came from; and to be considered Wagyu, the beef needs to be at least 50 percent Wagyu.

If you want to experience the rich flavor and unique, melt-in-your-mouth experience, you can find Wagyu in many fine restaurants, or you can buy it directly from a local butcher shop in Coral Springs, Meat n Bones. They have a storefront on Sample Road, near city hall.

The proprietors of Meat n Bones provided a sampling of their favorite American Wagyu cuts to try. The Coral Springs store manager, Thomas LoBracco, is a food enthusiast. He comes from a family of butchers, and he loves to explain all the great cuts of beef available at his store.

LoBracco shared a few cuts he wanted us to try. The flap steak, well-marbled and thin, can be prepared quickly over high heat. Denver steak is a tender and economical cut, and it can be braised and cooked like a short rib.

Another good cut that LoBracco has is Picanha. First made popular in Brazil, it is a great steak. It has a fat cap that imparts the steak with an extra oomph of flavor.

Meat n Bones also carries a wide range of non-Wagyu beef. So whatever you are fancying for the weekend barbecue, you will not be disappointed.

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Robotic Surgery is a ‘game changer’ in complex surgeries at Broward Health Coral Springs

For over a decade, Broward Health Coral Springs has provided surgeons the ability to perform complex surgeries using the assistance of advanced robot. Robotic surgery consists of a surgeon console, patient-side cart, and vision cart, allowing doctors to view 3DHD imagery of organs, vessels, and lymph nodes while operating on patients with mechanical arms ingeniously programmed to wield the smallest of tools.

“The whole goal is to enhance medical care,” said urologist Azeem Sachedina, M.D., “and from that perspective, there is no question robotic surgery is an absolute game changer.”

Often using the da Vinci surgical system, robotic-assisted procedures allow surgeons to control mechanical arms that bear surgical instruments and a camera. Robotics can sometimes enable surgeons to make smaller incisions rather than traditional large incisions, which in some cases may lead to a faster recovery with less pain. With surgeries such as hysterectomies and myomectomies, as well as prostate, gastrointestinal and other procedures, outcomes can be a benefit for the patient.

Zoyla Almeida, M.D., a gynecologic oncologist and Chair of Robotics at Broward Health Coral Springs, has done over 2,000 robotic procedures to date. Of those surgeries, there have been few limits to which reproductive health issues she can correct, including hysterectomies for both cancerous and benign conditions, pelvic prolapse, and treatment for endometriosis, which can cause severe blood loss, pelvic pain, and infertility. She said that the da Vinci system in many cases has the ability to sometimes see much more of the human body by using impossibly small cameras that not only capture high definition views of organs but also surrounding blood vessels and tissue. 

Broward Health urologist Michael Tyler, M.D., also continues to see the benefits from technological advantages provided by robotic assisted surgery, saying that “the difference between traditional and robotic surgery is significant. With the robotic technique, we can really control the surgical environment. When I am at the console, it’s basically like I am at the bedside.”  

Dr. Almeida, agrees, adding robotic technology in the operating room may allow her to see and correct endometriosis and ovarian cysts in patients who may have suffered for years before exploring robotic surgery as an option.

“Women know their bodies well, and if they think something is off, they should definitely seek attention immediately and not ignore it,” said Almeida. “With robotic technology like we have today, complex surgeries may no longer need to be invasive as they were years ago.” 

Broward Health Coral Springs has acquired additional and more upgraded robots within the last few years to fulfill patient and physician demand. Broward Health surgeons say the demand for minimally invasive robotic surgery is gratifying. Mark Shachner, M.D., operates at Broward Health Coral Springs on patients experiencing digestive issues with the da Vinci and called it an enormous revolution.

To learn more about minimally invasive, robotic surgeries offered at Broward Health Coral Springs, click here

 Photo Caption: (l-r) Dr. Zoyla Almeida is presented with a recognition for surpassing over 2,000 robotic cases by Jared Smith, Broward Health Coral Springs Chief Executive Officer.  

Robotic Surgery is a ‘game changer’ in complex surgeries at Broward Health Coral Springs

Photo Caption: The Broward Health Coral Springs surgery team. 

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Growing up with vaccines: a parents’ guide

School doors open soon, and concerned parents should be aware of vaccinations required to protect their children. A vaccination schedule begins long before a child is ready for school — as early as the newborn stage of life. 

“Newborns do not have mature immune systems, and they’re particularly susceptible to certain infections under 3 months of age,” said Matthew Penson, M.D., a pediatrician at Children’s Medical Association in Coral Springs. “During this period, they receive partial immunoglobulin immunity via breast milk, yet it’s advisable not to take a newborn into a crowded environment.”

According to Dr. Penson, appropriate immunizations are a vital component of preventive care and one of the most rewarding aspects of being a pediatrician. “We lay the groundwork to protect a child’s health in the earliest stages, so once they do begin school they’re properly immunized against infections,” he said.

Getting Ready for School 

Learning and socializing enhance growth, but this can only be accomplished in a classroom free of illness. Parents need to check off all the boxes regarding their child’s health and schedule an appointment with a pediatrician to ensure that all required vaccinations have been received. 

Because influenza viruses constantly change, and the body’s immune system becomes weaker with age, flu vaccinations are a necessity. “As children prepare for kindergarten, booster shots are required between the ages of 4 and 5 to strengthen their immune response,” Penson said. “The flu remains a leading cause of pediatric morbidity and hospitalization, and it’s highly contagious in a day-care or school setting. We recommend starting at 6 months with yearly repeat vaccinations in the fall, no later than October.”

For older children, tetanus, meningococcal meningitis, and HPV vaccines are recommended beginning at the age of 11 and up. Parents should discuss all recommended vaccines with a pediatrician and understand their importance, risks, and benefits. Pediatricians at the Children’s Medical Association care for children and young adult patients up to the age of 21.

Importance of Vaccinations

Vaccinations provide immunity before a child is exposed to other diseases. The American Academy of Pediatrics and the Advisory Committee on Immunization Practices recommend a vaccination schedule as early as 2 months to guard against pertussis (whooping cough), pneumococcus (meningitis/bacteremia), polio, rotavirus, and Hemophilus influenza B (epiglottis, meningitis). 

“Several boosters are required to ‘train’ the immune system to recognize and combat those potentially serious illnesses,” said Penson. He says boosters are required at 4 and 6 months, and when children are a year old, the finishing boosters are given. 

The varicella vaccine guards against chickenpox, a contagious illness that can include blisters, fatigue, and fever. It can be even life-threatening, especially in babies and older adults who have weakened immune systems. To protect against this illness, the varicella vaccine is used (two doses, at 12 to 15 months and 4 to 5 years of age).

Measles, mumps, and rubella (MMR) are also highly contagious. Measles is caused by a virus forming in the mucus glands of the nose and throat. It may cause a high fever, rash, runny nose, and red eyes. In some cases, diarrhea and ear infections are also possible. Very severe cases may lead to pneumonia and even brain damage. Mumps is a virus that spreads via coughing and sneezing. Its warning signs include fever, headache, muscle ache, fatigue, and loss of appetite. The MMR vaccine is given at 12 to 15 months and 4 to 5 years. During the first year, the hepatitis B vaccination is given to provide lifelong immunity. 

The COVID Factor

A decrease in COVID-19 infections is heartening, but stressing the value of vaccinations to eligible ages continues to be important. “As children return to school, we expect to see a rise in both typical childhood illness and COVID-19 infections,” commented Penson. “Severe COVID cases among children are relatively rare (compared to the elderly), but it’s important that pediatricians remain vigilant.” 

According to Penson, parents should expect to see a rising number of upper-respiratory infections, influenza, and strep pharyngitis. Differentiating common illnesses from COVID is difficult, and if parents have questions, they are encouraged to call a pediatrician immediately.

Traveling

With the return of increased domestic and international travel, proper immunizations are vital. Most destinations do not require more vaccines than typically given by a pediatrician, but there are certain locations that have more complex requirements. The travel vaccinations can be accessed by going to the Center for Disease Control’s travel website, or you can inquire about them with your pediatrician. Infants 6 through 11 should have one dose of MMR prior to traveling abroad. Some locations recommend the hepatitis A vaccine, others require malaria medication (prophylaxis), and others recommend the meningococcal vaccine.

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The sad truth: Vision problems have no age boundaries

From young children to the elderly, no one is immune from vision problems. For some, it’s genetic; for others, it’s a part of the aging process. Four of the most common eye problems are cataracts, floaters, macular degeneration, and glaucoma. 

The National Eye Institute says that in the U.S., at least 24 million people over age 40 have cataracts, 11 million have age-related macular degeneration (AMD), and nearly 3 million have glaucoma. Eye floaters affect nearly 30% of the general population.

The sad truth: Vision problems have no age boundaries
Phoropter, ophthalmic testing device machine

Cataracts

“Routinely, people over 60 develop cataracts, but they can also occur among children,” says David Rand, M.D., a specialist at the Rand Eye Institute, a premier eye-care facility that for 35 years has treated thousands of people throughout South Florida and around the world. “Cataracts cloud the natural lens inside the eye and can be caused by sun exposure, trauma, a medical condition, genetics, and aging.” 

Warning signs include a need for more light, a lack of clarity, and glare from car lights or lampposts when driving at night. “Regardless of the degree, vision can be restored surgically,” Dr. Rand said. “There is more urgency among young children because their vision can be affected permanently.” Mild cataracts can be temporarily treated by changing the prescription of one’s glasses, but once visual quality becomes a problem, surgery is the definitive treatment.

Floaters

Millions experience eye floaters or “shadows” on the retina, and it’s a chronic problem that can impact the quality of life. Most are caused by age-related changes in the eye’s vitreous, a jelly-like substance that deteriorates over time. They occur primarily during middle age, or earlier, and develop due to an inflammatory condition. 

“As a physician, I’m concerned that a patient who has an acute increase in flashes or floaters may have a retina tear or detachment,” said Carl Danzig, M.D., a vitreoretinal specialist at Rand Eye Institute. “It’s very important to seek a diagnosis as early as possible.” 

Age-Related Macular Degeneration (AMD)

When new blood vessels grow under the eye’s retinal tissue, it’s referred to as “wet” AMD. When there is a thinning of the macula, a part of the retina responsible for clear vision in direct line of sight, it’s referred to as “dry” AMD. 

“If you have trouble reading a menu, small print, or have problems driving at night, dry AMD may be the cause,” said Dr. Danzig. Vitamins with the AREDS2 formula are used for both types, but they’re especially recommended for patients with intermediate-stage AMD or worse. “The standard treatment for wet AMD is intravitreal injections; surgery is not a first-line treatment.” 

The sad truth: Vision problems have no age boundaries

Glaucoma

When there is damage to the optic nerve due to high or fluctuating eye pressure, glaucoma can occur, and if untreated it can lead to vision loss. Although diabetes, high blood pressure, heart disease, and a history of trauma are contributing factors, a genetic predisposition is also common. “If a family member has glaucoma, it’s very important to be examined and monitored to be certain that glaucoma does not develop,” says Dr. Rand. “The important point common to all treatment options is to adequately lower and maintain the eye pressure to an acceptable level to prevent progression well before it becomes advanced enough to threaten the vision.”  

Glaucoma can be asymptomatic in its early stages, but gradual vision loss may still occur. “Sadly, many patients are unaware they have glaucoma until they lose their vision,” he said. According to the specialist, certain types produce painless vision loss, while other forms cause significant eye pain, pressure, and/or headaches. Among young children, it may lead to tearing or excessive eye rubbing.  

David Rand, M.D.

Dr. Rand completed his undergraduate education at the University of Miami and received his medical degree from the university’s Miller School of Medicine, Honors Program. He completed his postgraduate internship in internal medicine at the Staten Island University Hospital and completed his residency at the State University of New York, Downstate Medical Center. He has published scientific papers and presented before prestigious organizations, including the Association for Research in Vision and Ophthalmology and the Radiological Society of North America.  

Carl Danzig, M.D.

Dr. Danzig is a vitreoretinal disease specialist with experience treating a variety of complex eye disorders. He graduated cum laude from Tulane University and was accepted into the Phi Eta Sigma National Honor Society. After receiving his medical degree from Temple University, he completed an internship at Crozer-Chester Medical Center and residencies at Martin Luther King Jr. Hospital/Charles R. Drew University in Los Angeles and the State University of New York-Downstate, Brooklyn. He also enrolled in the University of Texas/Southwestern Medical Center’s vitreoretinal fellowship program.

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‘There’s always time for tea’

Did you know — and I admit I didn’t — that there is Thai iced-tea pie, and even a small artisanal company in Brooklyn that sells Macha and Earl Grey teas ice cream? 

Here we take a brief tour of teas. Look no farther than our state for retail and cafe locations for sampling numerous types, some familiar and some perhaps not. Plus there is the nonprofit U.S. League of Tea Growers, at www.usteagrowers.com, where potential growers can ask questions, research tea growing, and connect with regional organizations. There is also American Yaupon (www.americanyaupon.org), based in Florida, which promotes a number of local shops.

It’s a new day for tea. It is soothing, warming, and refreshing with excellent varieties easily obtainable. The steady trend toward natural foods and herbal teas is well known, though you may not have spent much time thinking about the varied types until the pandemic descended upon us. Tea is an enjoyable beverage whatever the time of day or season. There are, of course, basic teas. 

One gardening expert of 30 years, Erica Jo Shaffer, confirms, for example, that herbal infusions are relaxing to the nerves and nourishing. She advises, “Tea is only ‘tea’ when it contains camellia sinensis, the plant that gives us white, green, black, and oolong tea.”

Sampling of organic herbal teas: You could try citrus mint with an infusion of peppermint and citrus; blueberry merlot with a taste of blueberries and a wisp of sage; chamomile citron with a blend of flower blossoms and a zest of citrus; and ginger lemongrass blended with citrusy herbs and a tingle of ginger. (There’s also a cocktail like the Sunday Tea, which some may know from having peach, moonshine, bourbon, sweet tea, and lemon, which might lull you into a generic dream of the South.)

And then there’s yaupon!

Yaupon tea: Pronounced “yoh-pon,” this is the only caffeinated plant native to North America — an antioxidant-laden drink that’s been consumed for thousands of years and known as yaupon holly. It’s a specific Southern tea type that can be found in loose-leaf form at premium shops around the country, and sometimes in shrub form at select nurseries to add as a border or hedge to your own landscaping to harvest, keep in a container on the patio, or plant in a community patch! 

Grown in the Southeast and traded by Native Americans for ceremonies and recreation, according to the Yaupon Brothers Tea Co. (formed in Florida in 2012), it does not need fertilizer or pesticides as it is native and requires very little water, and has less environmental impact on surrounding areas. During the Civil War, Southerners often drank yaupon in place of coffee and black tea, note historians. One fellow of the day noted, “Substitute for Tea — [yaupon] is excellent but let me say that the wild thorned leaf holly is the best that I have ever used. It would take the best of judges to tell it from the best of black tea. Fall is the time to gather the leaves. Make as black tea.”

 

Caffeine content: Unprocessed, the leaves of this evergreen holly with small green leaves on stiff branches contain between 65% and 85% caffeine compared to tea leaves with about 3.5% caffeine. (Black-tea caffeine content is labeled by one popular seller as “robust,” herbal infusions as “none,” green tea as “moderate,” and white tea as between “very low” and “low.”)

There is plenty of information on Yaupon and Dwarf Yaupon shrub propagating, pruning, light requirements, soil, and so on, at several informative websites; one is a University of Florida blog site, at blogs.ifas.ufl.edu/lakeco/2021/01/21/grow-your-own-yaupon-tea.

For example, the “evergreen” Dwarf Yaupon Holly tolerates wind and the hot, humid Southern summers. New growth emerges with a light purple color and darkens to green. This small mounding shrub can get 3 to 5 feet tall and wide, and it can take full sun or partial shade.

  

Ryan Hinson, the “tea guy” at well-known Tin Roof Teas (www.tinroofteas.com), a high-quality loose teas and accessories business, knows his teas — and their shelf life. He told me, “Yaupon is best consumed in 8 to 10 months, but good up to 2 years. Would consider an herb, so you have 8 months for maximum potency — up to 8 months for flowers and leaves, and up to 2 years for seeds, roots, and barks.”

Fragrant premium tea shops abound if you prefer to visit rather than to order in supply (see two Florida brothers’ enterprise at www.yauponbrothersamericantea.com). Many shops are now open with COVID protocols in place.

 

And from the Louisiana State University Ag Center is an informative May 2019 article by horticulturist Heather Kirk-Ballard, who notes that the wiry shrub’s blooms appear in early to mid-spring (eaten by many bird species), with the red berries, also enjoyed by the birds, showing in late fall and winter. She writes much more about the yaupon, including its widespread use as home decor during the holidays. Check out the article too for excellent tips for your seasonal decorating.

So whether you grow your tea fresh from the garden (or patio container) or have it shipped to your door, get out those teapots and teacups (or mugs), and have a tea party. Pinkies up!

Joan Wenner, J.D., is a widely published, longtime freelance writer who writes historical, maritime, and general interest stories. She resides in eastern coastal North Carolina, although she lived many years in Florida where she hopes to soon return. Comments are welcomed at joan_writer@yahoo.com.

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One Year Later After Fatal Heart Attack Patient Returns to Hospital to Thank Caregivers

Coral Springs, Florida – With much appreciation, Parkland resident Lisette Caro, 50, and her family paid a visit to Broward Health Coral Springs to reunite with doctors and nurses, but this time with happy tears of gratitude for saving her life.  

Caro was brought in to Broward Health Coral Springs’ Emergency Department last year in full cardiac arrest. Her 14-year-old daughter performed CPR that bought Caro time to get the medical care she needed. A full medical team worked on her with aggressive treatment trying to save her life.  

Gary Lai, D.O., Chief of Emergency Medicine at Broward Health Coral Springs, recalls this as a moment in his medical career that he will never forget. “What stands out to me most is the miraculous turn around that she made,” he said. “Once we were able to get her family at her bedside, it really was a miracle how she turned around. She has amazing kids who were able to jump into action and save mom.”  

Caro said that she never thought she’d suffer a cardiac incident, because “my blood pressure was usually low, I don’t have history of cardiac disease in my family, and I never had a problem with my heart. It was very unexpected.”

Today, Caro says she appreciates and loves her family a little more after beating the odds. 

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What to do in case of drowning

Drowning is the leading cause of unintentional death for children ages 1-4. According to the Centers for Disease Control and Prevention, 10 drowning deaths occur per day in the U.S. In addition to fatalities, thousands of children are hospitalized each year, with many suffering brain or lung injuries. Most of those drownings occur in home swimming pools. This local story from Alicia C. is about what you can do to help in a drowning situation.

I was at Dania Beach with my husband, young daughter, and a group of families. One minute I am mingling with my child’s friends and their parents, enjoying an effortless day with my toes in the sand…

The next minute, we witness a father pulling his lifeless child out of the shallow water. The young boy’s face is red and his father is in disbelief, trying to shake the life back into him. The boy is 4, but petite, and is wearing a puddle-jumper swim vest, fully connected. He had been in very shallow water. The inlet is low tide. His father was almost within arm’s reach of him and interacting with him moments before.

Our friends, Kandice and Jen O., are first responders and jump in to give this frantic family assistance. A crowd envelops the boy and the two firefighters, which shields the graphic nature of this situation from our children. The boy is in serious trouble.

The family is agonizing over the reality of what is happening, helpless to do anything but worry and to scream in fear. It is crushing my soul to bear witness to. Their cries of devastation will haunt me. Then an ER nurse, Abigail B. from Massachusetts, jumps off a parked boat to assist.

The boy begins to turn blue, and the three of them start CPR. At this point, we have to redirect our children’s attention. We try for a minute to put on this act for our children, and we downplay what is occurring, but time keeps moving on, and eventually, I feel that we need divine intervention. So, my child, my husband, and I pray on our knees for this little one.

Suddenly, we see our firefighter friends carrying this child and sprinting (barefoot) all the way down the long, long path to the parking lot. They are trying to get this child to the ambulance because the ambulance can’t drive out to where we are.

I have never seen something so heroic in my whole life. This child lived. This child made a full recovery — through the miracle performed by these three strangers (on their day off, with no equipment, no warning, no gear, nothing, just their strength and willingness to do whatever it takes).

We are putting in a swimming pool this month, and I always had a fear of the hazardous risks they pose to children my child’s age. There may not always be a first responder around, so I am committed to getting recertified in CPR, and anyone else who lives in Florida should too

Kandice and Jen recommend the following precautions for everyone, not just parents of children:

  • Take swimming lessons (even for adults who may have to save themselves or a child). Flotation devices should never be substitutes for attentive adults.
  • Designating a “water watcher” is a necessity if more than one person is watching kids. Accidents often happen with large gatherings because it’s easy for each adult to assume someone else is watching for danger.
  • Learn CPR/first aid, so that you can save a life if the time comes.

“Anybody who knew CPR could’ve contributed to that happy ending,” says Kandice. “And the fact that the parents weren’t actually very complicit should be a lesson to us all.”

For more information on National Drowning Prevention Awareness Month (which was in May), visit the National Drowning Prevention Alliance at ndpa.org. Also, check out the Parklander’s® May 2021 article on pool safety fences.

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Dietitian’s View – What’s Healthy Now?

There has been a lot of conversation lately about the word “healthy,” and I must admit it made me take a minute and ask myself, “So what do people think is healthy?”  In working with clients over the years, I’ve learned the interpretation of healthy can mean a myriad of things. These differences in opinion on “healthy” can be a challenge to staying on point in the well-being lifestyle, so I hope today’s post will help clear things up.

I found several definitions, but the one most suitable is the definition from the Collins Concise English Dictionary — ”Healthy is the state of being bodily and mentally vigorous and free from disease.”  The definition penned by the World Health Organization (WHO) is “Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”   Next, when going to the Food and Drug Administration (FDA) for guidance, you may really be in a pickle. They currently allow the use of the term “healthy” on product packaging only when products meet specific nutritional guidelines, which now focus on limited levels of fat, cholesterol, and sodium. Even with today’s more conscientious culture of natural health and improved nutrition, several very important food items are left out of the current FDA guide.

Almonds, avocados, and salmon miss the mark, according to the FDA. Here is an overview of what these foods bring to the health table:

Almonds are a powerhouse of nutrients. Of all the tree nuts, ounce for ounce, almonds are the most nutrient-dense. They contain protein, fiber, calcium, vitamin E, riboflavin, and niacin.

A one-ounce serving has 13 grams of “good” unsaturated fats and only 1 gram of saturated fat. They are cholesterol- and gluten-free. Almonds are also rich in magnesium, which aids in heart health and lowering blood pressure. Additionally, several research studies have shown that these nuts can be effective in reducing bad cholesterol and preserving healthy cholesterol.

Avocados (which are fruits) contain almost 20 vitamins and minerals in each serving. Nutrient content of this produce item includes potassium, which can aid in controlling blood pressure, and folate, which is a key in cell repair and helpful during pregnancy.  Avocados are high in fat and calories, so it is important to adhere to the recommended serving size (1/5 or 1 ounce of a medium avocado). Two to three thin slices or 2 tablespoons of mashed avocado will give the correct amount. Avocados are also high in antioxidants, which contribute to cell health.

Salmon is a higher-fat fish, and it’s the fat that contains Omega-3 fatty acids, making this seafood a good choice. The benefits of omega-3 fatty acids, or good fats, include a lower risk of arthritis, cancer, and heart disease. These fats have positive effects on memory, performance, and behavior.  Research has also shown promising results from omega-3 fatty acids in studies of depression and attention-deficit/hyperactivity disorder (ADHD).  The American Heart Association recommends eating 3.5-ounce portions of fish, such as salmon, at least twice a week.

These foods may not have a seat at today’s FDA table of healthy foods. However, after taking a look at their nutrient makeup and the perspective on health and wellness in the 21st century, it looks like the regulatory agency may be persuaded to revisit the topic of what’s healthy. As for me, I’ll leave each of those delicious foods on my list of good and healthy things to eat.

Takeaway: To ensure you are making wise and varied meal choices, it is crucial to learn all the facts about the nutritional content of the food items you bring to your table.

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