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.

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. 

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.

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.

‘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.

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. 

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.

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.

Guide to pool safety

Parklanders love their pools. Having a backyard swimming pool is almost an expectation when people look at buying homes here. However, having a pool brings with it safety concerns for children.

The June 2018 Drowning Report from the Coral Springs Parkland Fire Department states that “while drowning incidents are down in the City of Coral Springs and Parkland from 2017 to June 2018 by 75%, nationwide drowning is still the leader as the cause of unintentional death among children ages 1-4; and the second leading cause of death in children ages 5-14 years old.”

For every child in the United States who drowns, five other children receive emergency room care for injuries per the Centers for Disease Control and Prevention (CDC). More than 50% of drowning victims treated in emergency rooms require hospitalization or transfer for further care.

These nonfatal drowning injuries can cause severe brain damage that may result in long-term disabilities such as memory problems, learning disabilities, and permanent loss of basic brain functioning (i.e. vegetative state). While the statistics for the drowning fatalities are alarming, the nonfatal drowning injuries can be equally disturbing and just as devastating to a child and family.

In an effort to decrease fatal and non-fatal incidences of young children drowning in our community the Pediatric Drowning Prevention Task Force was created as a collaborative effort of Broward Health, the City of Coral Springs and Water Smart Broward. The task force and the CDC have a list of pool safety tips to make your pool area and experience safer.

Swimming Lessons Make sure children have swimming lessons but continue to provide proper supervision even after they learn to swim.

Active Adult Supervision Since drowning can typically be a silent killer, supervision is often more about seeing rather than hearing it happening. Avoid staring at your phone or tablet.

First Aid Education and Safety Equipment Learning cardiopulmonary resuscitation (CPR), rescue breathing and other safety techniques as well as keeping lifesaving equipment such as a lifebuoy or shepherds hook close by can also be critical to assisting someone.

Avoid pool toys that look like toys and remove pool toys from
pool area when not in use.

Installation of Pool Safety Fencing and Alarms In about 70% of drownings, the kids were not expected to be in or near the pool at the time. Fences and alarms can help when kids can wander off or become too curious or adventurous. Never underestimate the creative abilities of a child to go after something they are interested in, such as a pool.

Pool safety fencing or alarms are the law now in Florida and many states. The Residential Swimming Pool Safety Act requires Florida homeowners to take certain safety precautions with swimming pools, such as installing alarms on doors and windows, erecting pool safety fences of at least four feet in height, and other pool safety barriers.

Currently any new pools or pool renovations are required by law to be surrounded by one of four safety barriers. An exception to this are many older homes with pools that are grandfathered in and are not necessarily required to have such pool barrier fences or alarms unless they are lacking proper yard fences.

It’s just good practical sense and peace of mind to install a pool barrier fence to protect your little ones as well as elderly family members and pets. The primary material of a pool safety fence is a textilene mesh along with reinforced aluminum poles. When fully assembled and installed properly by a professional these fences can withstand several hundreds of pounds of force.

In the south Florida area, costs will typically range between $12-$16 per linear foot for materials and labor. Typically, consumers see average costs around $800-$2000 depending on the size of the pool, pool deck surface, elevation changes, type of mesh and gate style. When it comes to keeping our kids safe, that’s a reasonable price to pay.

Statistics, fencing material information and cost estimates provided by
Rick Gagnon

Baby Guard Pool Fence
www.babyguardfence.com
954-340-6489

Self-esteem: Part of the basics, not just a byproduct

By Dr. Simone Alicia, D.D, h.c

Take a shower, brush your teeth, mind your manners, and nurture your self-esteem. Those are the basics for our kids, right? Along with eating healthy, studying, and going to bed on time, most of us would agree that these are foundations of proper physical and emotional health.

Yet, there’s something strange on that list. Something that is always expected from our kids, but usually left off of the list of basic life lessons: It’s self-esteem.

Some say it’s just a byproduct that comes from doing other things, like sports, dance, or theater. But is that enough? Or do we need to teach self-esteem more directly?

As a self-esteem coach, one of the first things my young clients learn from me is that self-esteem is “the way we think and feel about ourselves.” I love that definition because it empowers kids to take charge of what they are thinking about anytime that they want. And they quickly learn that their thoughts affect their attitude, beliefs, and behavior!

Now, picture it, your kids just finished watching a drama-filled series online, then they played a few hours of a violent video game; they also realized that they got a bad grade, and a former friend was mean to them on social media. All of these experiences become images swirling around in your child’s mind. Each image has a negative feeling attached to it.

Now here’s the key: Your child has no clue what to do about these thoughts and feelings. So, now it affects their behavior, and they have a negative attitude toward you all day.

Is the self-esteem “byproduct” from their extracurricular activities enough to help them through this? No. They need real, direct tools, like affirmations, journaling, and reframing skills, which I’ll detail for you below:

  • This involves reciting positive things about yourself starting with “I am.” Singing them to the beat of a familiar tune helps younger kids through difficult times.
  • Step 1: “Release,” which is writing out all negative emotions in a journal and really imagining that they are being released out of you. Step 2 (most important): Turn to a new page and “refill” yourself, being a best friend to yourself and coaching yourself through whatever you just released, so you are left in a positive place. For example, “Even though that happened, I am strong, and I know it’ll be OK.”
  • This is a method by which you try to see your situation in a different way, perhaps with humor or by finding the good thing hidden in your situation. The sentence may start with “Well, at least…” ⎯ for example, if children get a low score at school, they could say, “Well, at least it’s not the last grade for the year.”

The most important thing for parents to know is that tools are out there to help their kids with building self-esteem, and they should have those tools before they need them. Preparation is power. After all, it’s far easier to put the life vest on before you fall into the water. Am I right?

With the current times that we live in and the unlimited access to technology, social media, controversial influencers, and more, we can no longer treat self-esteem building like a mere byproduct that kids will pick up somewhere. Instead, it’s time to recognize self-esteem building as a basic, fundamental life skill that our kids need to learn directly in order to live mentally healthy lives.

 

A thank you to our furry friends

By Julie Rosner

Over the past year, the increased amount of stress has taken a toll on many people. Our normal support network is reduced and we are no longer out and about socializing with our friends and loved ones. Thankfully, during all this uncertainty, we do have individuals we can always rely on for love, support, and entertainment; our pets.

Anyone who knows me or spends at least five minutes with me knows how special my 1-year-old Siberian husky Ellie is to me. She is not just my dog, but truly a member of my family. Ellie has helped me through good times and bad. Not only has she helped reduce my stress and anxiety during this new transition, but she keeps me active and on a schedule.

According to Matt Bershadker, President and CEO of the American Society for the Prevention of Cruelty to Animals (ASPCA), “This year the ASPCA saw a nearly 70 percent increase in animals going to foster care compared to the same period last year.” Due to the new norm of working from home, more dogs are finding homes, meaning few are left at shelters. If you are looking to adopt a pet, now is the time.

Ask anyone, the bond between furry or even feathered friends and their owners and loved ones is like no other. You always have a companion when you’re sad, lonely, or just want someone around to make you smile. Pets know when something is wrong and are ready to provide love, licks, and snuggles. When it is time to get up in the morning, no need for an alarm because your pet will wake you with barks, licks, or even some meows. Need I say more?

Besides all the added benefits of owning a pet, think about the emotional support they provide us and we provide them. No matter when you got your pet, chances are they have changed your life for the better. And for them, you have welcomed them into your family, bought them way too many toys, and given them the best life they could ever have.

According to Orlando resident Maddison Moak, “My 2-year-old German Shepherd named Ivey helps me in those moments where I need to be reminded that I am never actually alone. I’ve never understood true companionship until I had her around.”

People battling any health issue or requiring emotional support can apply to have an Emotional Support Animal by their side wherever and whenever they travel or go out in public. An emotional support animal can be a dog, cat, or any animal that helps ease the symptoms of emotional or mental disability.

According to adata.org, an emotional support animal is “any animal that provides emotional support alleviating one or more symptoms or effects of a person’s disability.” Emotional support animals do not have special training to perform tasks that assist people with disabilities, but rather provide companionship, relieve loneliness, and help with mental or health issues.

“In return, I bring Ivey comfort when she is scared and constantly show her unconditional love,” Moak said.

In the same regard, dogs can rely on their owners or loved ones for emotional support too. They need us like we need them. They may not be able to verbally tell us how much they love and appreciate us, but some signals like wagging their tails, licking your face, or cuddling up against you prove the mutual respect and love they have for you.

Our pets, no matter the breed, type of pet, or age, need us to survive. Beside the basics of feeding and caring, some pets have anxiety with other dogs, certain house appliances, certain people that visit, and more.

Even though adopting a pet might seem glamorous and loads of fun, which it is, there comes a heavy amount of personal and financial responsibility. For example, if an individual decides to adopt a puppy, they need to be aware of the training and the commitment needed to teach the dog right from wrong. Before making any decisions, be aware that time and money are things that should be considered.

In the end, pets need us like we need them. Ellie knows that she can count on me for belly rubs, to protect her from the occasional thunderstorm or fi rework show, and to provide love to her each and every day. As for me, Ellie knows when to comfort me when I am stressed or overwhelmed and greets me with kisses and licks any chance she can. During these times, Ellie has only made me a more active and happy human being. The more time I spend with her, the
happier I become. Ellie, thank you for bringing so much meaning to my life, I woof you!

Dietitians View: Bitter is better

When asked about flavor profiles it is rare for folks to respond enthusiastically that they “love bitter.” Bitter is one of the basic tastes that our taste buds identify along with sweet, salty, and sour. An affi nity for bitter is infl uenced by several factors including taste experiences, culture, and environment.

Bitter plays two roles—it can signal toxins and something that is dangerous to consume and it can also serve as a stimulant for the appetite and as an aid in digestion. Bitter foods can protect against illness and contribute to good health.

Vegetables that you’ll fi nd on the bitter list include Arugula, Brussels sprouts, and Kale. Arugula has a peppery, somewhat mustardy flavor that has long been popular with Italians. It has become increasingly popular in the United States.

Most often it is served raw, however, arugula can be sautéed to serve as a cooked vegetable. It is low calorie and a good source of Vitamins A, C, K and folate. It also contains iron and calcium and is a good choice to provide plant-based iron in your diet.

This green is high in glucosinolates which de-toxify the body and fight cancer. It is also high in antioxidants which strengthen the immune system and can prevent damage to the body’s cells.

Brussels sprouts are a member of the cabbage family. They’re now trendy and are often prepared roasted, which brings out a sweeter somewhat nutty flavor. Roasting reduces the sulfurous odor and bitter taste which many people dislike. They are good for you. They are low in calories, provide protein and are high in Vitamins C and K. They also contain Vitamin A, B-vitamins, folate, potassium, and fiber. This vegetable also contains glucosinolates and antioxidants, and can aid in reducing cholesterol.

Kale fans love this popular bitter green. It appears throughout the supermarket from the fresh produce aisle, to deli-counter prepared salads, to the snack aisle as kale chips. Kale is low calorie, contains protein and fiber along with Vitamins A, C, and K. It also contains folate, phosphorus, potassium, and calcium. Kale contains a small amount of good fat—an omega-3 fatty acid.

Kale, however, can interfere with blood thinners due to the amount of Vitamin K it contains. It also can suppress thyroid function in some people.

Although we’ve focused on bitter, I also wanted to share info about a food we typically see at the end of the meal: Chocolate. Chocolate is produced from cocoa beans which are naturally bitter and astringent. The more cocoa solids the chocolate contains, the more bitter and astringent the chocolate flavor with higher antioxidant content. Cocoa beans are rich in plant nutrients called flavonoids.

The amount of cacao beans and flavanols can vary. Bittersweet or dark chocolate contains the most generous amounts from higher cacao content chocolate. Dark chocolate can help lower blood pressure and maintain healthy arteries that are relaxed and flexible, thus increasing blood flow.

This bitter sweet can have a positive effect on heart health, reduce insulin insensitivity and lower the risk of diabetes. Dark chocolate can also increase the feeling of fullness which can reduce cravings for sweet and salty foods.

I’ve just touched on a few bitter choices, remember it’s important to eat a variety of foods and be mindful of all things in moderation.

Take Away: Include bitter foods in your diet; they stimulate appetite and digestion, can protect against illness and are an aid to good health.