Health & Wellness Archives

January 29, 2021January 21, 2021

Ultrasound new path to great facials

Electric toothbrushes use motors to move the bristles rapidly usually between a few thousand times a minute to approximately 10,000 to 12,000 times per minute ( 1 Hertz (Hz) is 1 movement or cycle per second). This high frequency works well for dentists as it is anti-bacterial and helps remove plaque. For cleaning your face, however, that’s too high. You’re looking for a gentle pressure cleaning that still has anti-bacterial and anti-inflammatory properties. Machines, like Aesthetic Science’s Epiwave® UltraSonic Machine, that use lower ultrasonic frequencies (20kHz and up) attain the cleansing and exfoliation that also prepares the skin for the facial treatment ahead.

Our skin is our largest organ. It has three general layers: the epidermis, the dermis, and the subcutaneous fat (or lipid) layer. Each of these layers breaks down into sublayers. Skincare is mostly focused on the epidermis which breaks down into five different sublayers. The top layer, the stratum corneum, is where the dead skin cells collect and need to be cleaned and exfoliated (removed).

Unfortunately for us in the Sunshine State, the sun is the biggest cause of skin damage. Premature aging, wrinkles, hyperpigmentation (dark spots and uneven skin tone), and skin cancer are all aggravated by prolonged sun exposure. What’s worse is that many skin treatments, when done too frequently to the skin, especially sensitive or sun-damaged skin, can add to the damage instead of merely leaving a clean slate. Microdermabrasion, peels, dermaplaning, and others all remove layers of the epidermis, which can be good when done in moderation.

Many facials are done by hand, however, some steps can be performed by machines. In the case of the Epiwave®, it is a three-step process that starts by gently deep pore cleaning and exfoliating without irritation using low-frequency ultrasound. The modality, or function, of the machine can then be switched to the infusion (or sonophoresis) step using the treatment and/ or serum so that any molecules that are too large and require a pathway through the lipid portions of the stratum corneum, can be transferred using ultrasonic frequencies. It is this low- frequency ultrasound (again just above 20 kHz) that enables dissolved gases in the lipid regions between skin cells to bubble up and start to move, creating pathways. This is how to get the antioxidants, nutrients, and hydrating products that do the most help to the cells where they are needed while doing the least, or no damage, to the upper layers. I call that a win- win. The third step heals the cells by using a low-level current in the Hz range to restore the natural electrical potential of the cell membrane. You finish off the facial the same as before, “sealing the deal” with moisturizer and sunscreen.

Everyone ages, and without proper protection, the more sun your face is exposed to, the more your skin ages. There are many machines and products available in salons and spas, and for home use, that can help protect against and slow down the aging process. Ultrasonic machines are just one, but they are effective and do not cause any additional damage. Ask your esthetician/skincare specialist about this technology and see how it works for yourself!

January 15, 2021December 30, 2020

Breast cancer statistics on the rise — among men

It was a normal day for Mike Weatherly– that was until he noticed that an abnormally long hair on his chest needed trimming. It was on the areola that surrounds the nipple, and when he began to trim, he noticed a dark spot the size of a pencil eraser.

But, like most men, the Parkland resident procrastinated, thinking it was a pimple that would go away in time. But after a few weeks, it remained and that’s when he sought the counsel of a neighbor who happened to be an emergency room doctor.

“He didn’t like what he saw and told me I should get it biopsied,” said Weatherly.

“In October, the results came back as a positive grade 3 tumor and I was told I had breast cancer.”

If 100 breast cancers are diagnosed, only one will be found in a man. This year, however, it’s estimated that approximately 2,600 new cases will be diagnosed.

The 71-year-old former pilot for American Airlines, who has always been physically fit, had suddenly become a statistic. Yet, he never asked why me? “As humans, there’s a certain amount of vulnerability and things are going to happen,” he said.

“I also have rheumatoid arthritis, which is rare among men, so I’ve learned how to cope and never allowed myself to become depressed.”

When a tumor is sent to a lab for analysis, its grade is based on aggressiveness and invasiveness. Weatherly’s came back as grade 3, but luckily his cancer was localized and did not spread to surrounding lymph nodes.

If cancer cells had spread to the lymph node, they could have already traveled to the lymph system and spread to other parts of the body.

Weatherly’s cancerous tissue—and his nipple—were removed by a general surgeon on an outpatient basis, and now his ongoing care is in the hands of an oncologist.

“My treatment plan began in December and for the foreseeable future I’ll be seeing the specialist every six months,” he said. “I’ve been told it was a hormone- responsive tumor so in all likelihood I won’t require chemotherapy.”

Weatherly, a self-described “health nut” has been retired for 12 years. He was a track athlete at Southwest Missouri State College, and even into his late 30s participated in triathlons.

He continues to eat nutritional foods, works out on a stationary bike, and lifts weights at home. “Running track pushes a person to the limits, both physically and mentally,” he said. “I guess that’s where I learned the discipline about keeping the going into surgery, the better shape you’ll be in coming out and the quicker you’ll recover.”

Most male breast cancers are discovered in men over 50, where there is a history of breast cancer in the family, and the BRAC1 and BRAC2 (breast cancer susceptibility genes) are present.

Plus, if a man has had previous chest radiation therapy, he could be prone. Estrogen, which is used to treat prostate cancer, also increases the chances of male breast cancer. Injured testicles, liver disease, and obesity are also contributing to underlying factors.

According to the Centers for Disease Control and Prevention, one of the most common types of breast cancer in men is invasive ductal carcinoma. This is where cells grow outside the ducts into other parts of the breast tissue with the possibility of spreading to other parts of the body.

Men who inherit abnormal mutated genes are in a high-risk category, as the mutation may lead to either breast cancer or prostate cancer.

In Weatherly’s case, there was no family history of breast cancer or cancer in general. “I have to admit it was a shock and I never thought something like this would happen to me,” he said. “Thank goodness it was caught early enough.”

Since his cancerous tissue was removed, he’s undergone precautionary follow-ups, including a CT scan and PET scan.

“Most men are not diagnosed until it’s too late, so I was very lucky,” he said. “Just think, if that long hair hadn’t needed trimming, I may be telling you a much different story.”

As a fighter pilot on aircraft carriers in the Navy during the Vietnam era,
Weatherly learned how to deal with all kinds of situations, and his advice to men is to always be aware of any changes in their bodies.

“We tend to focus on heart attacks, strokes or whatever, and male breast cancer is an afterthought,” he said. “It’s only an afterthought until it happens to you.”

January 8, 2021December 29, 2020

2021-The year of the vaccine

We’ve closed the book on an unexpected 2020, where so much of our lives were dominated by the pandemic. COVID-19 will still be with us this year, but we hope our lives will slowly recover in 2021 as vaccines are made available for everyone.

Creating a new vaccine is time-consuming. Unlike the flu vaccine for the H1N1 pandemic in 2009, there is no existing vaccine for coronaviruses to build upon. According to the CDC, COVID-19 vaccines must be developed and tested to ensure they work and are safe. Michal Linial, a professor of biological chemistry at the Hebrew University of Jerusalem said “Classical vaccines were designed to take 10 years to develop.” So a new vaccine process is now being used for the early COVID-19 vaccines.

As of December 15th, three vaccines have been submitted for FDA approval. There are two mRNA (messenger RNA) vaccines by Pfi zer and Moderna, and one DNA vaccine by Oxford-AstraZeneca. Both of these methods are relatively new, and until COVID-19, no DNA or mRNA vaccines had been approved in the US for human use.

The basic concept these vaccines use is to trick your body into producing proteins that appear to be similar to COVID-19 fragments, which will elicit an immune response from your body’s defense system. This response will protect you from infection from the live virus. This is a new process, compared to vaccines based on live or dead pathogen proteins. The new DNA and mRNA vaccines are non-infectious and can be produced faster and economically.

Both mRNA and DNA vaccines use your body to produce the proteins, using the instructions stored in either mRNA or DNA format. DNA instructions are processed inside your body’s cells to produce the proteins designed to emulate fragments from the virus; whereas mRNA is translated into the protein outside of the cell in your body’s intracellular fluid.

Since mRNA does not enter your cell, the chance of your genome being affected is averted. But mRNA is fragile, thus the cold storage requirements for these vaccines: -70 degrees Celsius for Pfi zer, and -20 degrees Celsius for Moderna. The advantage of the DNA vaccine like the Oxford-AstraZeneca version is to reach areas where cold storage is not common.

The minor and moderate side effects reported of these early vaccines are sore arm at the injection site, fever, fatigue, headache, joint pains, and muscle aches. These effects are due to your body ramping up for a virus infection, but because the vaccine is non-infectious, you will not get a case of COVID-19, just the symptoms from your body’s response.

According to Moderna, no one receiving the vaccine in their trials developed a severe case of COVID-19. The reported efficacy rate for these vaccines are in the 90-95% range, which is much higher than your typical flu vaccine.

While the creation and approval of these first sets of vaccines have been completed, the logistics of getting them delivered across the country has just begun. Operation Warp Speed (OWS), is a partnership between the Department of Health and Human Services (HHS), including the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), the Biomedical Advanced Research and Development Authority (BARDA), and the Department of Defense (DoD).

OWS aims to accelerate the development, manufacture, and distribution of COVID-19 vaccines. Their stated distribution objective “is for everyone to be able to easily get a COVID-19 vaccine as soon as large quantities are available. Several thousand vaccination providers will be available, including doctors’ offices, retail pharmacies, hospitals, and federally qualified health centers.”

OWS has provided a playbook to state and local jurisdictions on the distribution of the vaccines. In Florida, the Division of Emergency Management (FDEM), an agency headed by Director Jared Moskowitz, a Parkland local, is responsible for the distribution of vaccines across the state. “We went out and bought dry ice machines,” said Director Moskowitz. “We got the ultra-cold freezers that we need. We feel that we’re in a good position.

Gov. Ron DeSantis said the state has been planning since early summer on how best to distribute the vaccines, with initial distribution planned at five Florida hospitals (including Memorial Healthcare System in Broward), and eventually expanding to look like state testing sites. “It may even be the same sites we have now,” Moskowitz said. “Giving out the vaccine in a mass distribution — call it spring, late spring, early summer.”

So we say good riddance to 2020. There is much hope life will start returning to normal as more folks are vaccinated in 2021. As of Dec 15th, 2020, a new hope is slowly arriving in the form of vaccines, and state officials work through the prioritization process. The logistics of successfully implementing a smooth mass vaccination is immense, and we all need to follow the recommendations so we can get back to the OLD normal as quickly as possible.

Welcome to 2021, the year of the vaccine.

January 8, 2021December 29, 2020

Waist watching? Add soup, whole grains, citrus

As we start the New Year, I’ve had a ton of questions from my clients who are focused on giving a jump-start to their healthy lifestyle goals.

I’ve had questions on the Green cleanse, shapely shakes, citrus cleanse, green tea diet, food lovers cleanse, and more.

My response to those inquiries is consistent with my mantra — “For better health: All things in moderation. There is not one food that is all good or all bad for you.”

Now there are some food choices that can aid you in moving forward on the path to a healthier you.

Take soup for instance. Research published in the Journal Appetite showed that people who started lunch with vegetable soup ended up eating 20 percent less than those who skipped the soup.

The key to adding soup to your meal plan is to choose one that is broth-based, which is low energy density, and provides fewer calories per gram than other foods, and contains low to moderate amounts of sodium.

Soup contributes to a feeling of fullness, so by starting a meal with soup, it can prevent you from overeating.

Whole grain foods are also excellent choices for a healthy lifestyle. They are high in fiber, which can be helpful in weight management and weight loss.

Whole grains have always been around, but the “on-trend” group in the whole grain family falls under the moniker of ancient grains. These are grains such as farro, quinoa, and sorghum.

Farro is often labeled the “mother of all wheat species.” The grain is highly regarded in Italy and fast becoming one of the popular grains on-trend in the USA. Whole grain farro is high in fiber, protein, vitamin B3, and zinc. It is low in gluten.

Quinoa is technically a gluten-free seed. In cooking, however, it is used as a grain. It is high in protein, iron, and fiber.

Sorghum is a substitute for wheat, is gluten-free and also high in protein, iron, and fiber as well as a rich source of antioxidants.

Citrus fruits are also good options to include as you make steps to improve your well-being. These fruits have high fiber, high water content, and fewer calories per gram. These attributes will give you a greater feeling of fullness, helping to suppress your appetite.

Research indicates that eating a half grapefruit before meals can promote weight loss. In addition to waist-trimming qualities, grapefruit contains immune-boosting vitamins A and C, and antioxidants.

However, if you are taking prescription medication, make sure you check with your health care professional before making grapefruit part of your daily meal plan.

Take Away: You can enjoy a variety of foods eaten in moderation. Add
30 minutes of physical activity and you’ll have a head start toward your goals.

January 1, 2021December 28, 2020

Ask Dr. Renae: In with the new and out with the old

This month’s Ask Dr. Renae column surveys local teens to provide a flavor of how they are welcoming the new year 2021. See for yourself how our future generation has fared and be inspired by their hopefulness.

Out with the old: I will wave goodbye to being practical. I’ve tried to get into the habit of living a more serendipitous lifestyle and I’ve since made very fond memories and have had experiences that I never would have had otherwise.

But don’t lose everything: I will keep my inventiveness and self-reliance. It’s very important to me to retain these characteristics and continue to blossom into the best version of myself.

In with the new: I will look forward to a new way of life with endless opportunities and a plethora of success.

Out with the old: I will wave goodbye to self-doubt whenever I’m hesitant about sharing my opinion in class or with new people. I also will wave goodbye to fear of rejection in all aspects of life. I’ve learned that it’s okay to be rejected. Some people may not think the same as you do and that’s okay.

But don’t lose everything: I will keep the few amazing high school memories with my best friends when I begin to enter a new chapter of my life and attend college. Those memories of jamming out to music in the car or staying out a little too late that I have to speed (not by much) home to make curfew will always make me smile.

In with the new: I will look forward to exciting new adventures that I will experience when I go to college next year and begin setting personal goals in academics, health, and hobbies.

Out with the old: As we approach the new year I want to reflect on my current year. I will be waving goodbye to my messy habits and unclean room.

But don’t lose everything: I will definitely be keeping close contact with all my friends and continue our zoom slumber parties.

In with the new: I am looking forward to finishing high school and starting the next phase of my life in college. 2020 was a rough year, but I will try my best to have a more positive 2021.

Out with the old: I will wave goodbye to fearing what others might think of me. Often, I try to be the most perfect person when trying to meet new people or even just around some of my close friends. This past year I learned that it’s important to own who you are and what makes you.

But don’t lose everything: I will keep hanging out with my family, my friends, and my dog, who is my entire world. COVID has really brought me closer with my brothers, since they are out of college and staying home for the meantime. I also have such a special place in my heart for my friends and my dog who I love very much.

In with the new: I will look forward to planning for the future. I am a junior in high school and am going to start looking into the college process soon. I have my heart set on going into the entertainment industry and can’t wait to get started. I am so hopeful for my future and can’t wait for the day that I am living in New York City!

Out with the old: I will wave goodbye to negative feelings that I have about myself.

But don’t lose everything: I will keep my friends and all of the happy memories I have with them.

In with the new: I look forward to all the amazing things I want to do with my life, especially going to college to get my degree in engineering and to make some more friends while I’m there.

TEENS: Curious as to what other teens would say? If you have a question or problem you would like to present to other teens, please email: askdrrenae@att.net and include your age, grade, and gender you identify with. All questions are published anonymously and your identity and contact information will be kept confidential.

PARENTS OF TEENS: Would you like to anonymously and confidentially ask the panel of teen Peer Counseling Writers to comment on a parenting issue you are struggling with? If you are ready for a variety of honest opinions from real teens, please address your questions to askdrrenae@att.net.

Dr. Renae Lapin, a licensed marriage and family therapist with 40 years experience, currently maintains a private practice in Boca Raton, Florida. For more information about Dr. Renae and her practice, visit her website: https://askdrrenae.com

January 1, 2021December 29, 2020

Mental health hotline mandated

Awareness of mental health challenges has been increasing at the local, state, and national levels. Efforts focus on ensuring folks who need to talk to someone during a mental health emergency can access the help they need.

Nationally, on Oct 17th, President Trump signed a bipartisan bill (S.2661) to create a new national hotline. The FCC already allocated 988 as the number, to replace a 10-digit phone number for the National Suicide Prevention Lifeline (NSPL). The new law also created a fee that a state may levy to support the hotline, similar to how the current 911 system works.

The bill mandates a July 16th, 2022 deadline for phone companies to enable the new service. Meanwhile, there are existing resources people have access to, including Broward County’s 2-1-1 Broward https://2-1-1-broward.org.

2-1-1 Broward has been a local non- profit resource for people who need to talk to someone since it was founded in 1995. Their mission statement is to provide a “24-hour comprehensive helpline, providing all people with crisis, health, and human services support and connecting them to resources in our community.”

For the past 6 years, 2-1-1 Broward has averaged 116,000 incoming calls a year. Since April 2020, 2-1-1 Broward has seen a steady increase of calls, up 82 percent in September.

The most common calls are related to COVID-19 services, basic needs (food, clothing), hospitalization, financial, and mental health services.

According to 2-1-1 Broward, some of the callers simply need listening support to de-escalate their situation.

The non- profit organization provides referrals to other professionals such as counseling, telehealth, crisis centers, support groups, family counseling, trauma-informed care, etc.

Due to COVID-19, 2-1-1 Broward has evolved to continue to service the community. The call center is fully remote for the safety of their workers. The resource database has been expanded to cover COVID-19 related responses. Additional staff is trained and hired to provide for Broward residents.

2-1-1 Broward is also nationally affiliated with Lifeline, which operates the national 1-800-273-TALK (8255). Calls from Broward to the national hotline are routed to 2-1-1 Broward. They also participate in many national programs, such as the Ride United Last-Mile Delivery program where, since April 2020, over 75,000 meals have been delivered across Broward County. The program aims to deliver food and supplies to vulnerable populations as a response to COVID-19.

You can find out more at their website: https://2-1-1-broward.org.

December 23, 2020December 3, 2020

Fresh produce offers health in seasonal colors

With the arrival of the end of the year holidays, I get the impression that my clients think they have a pass on doing the right thing. Not! I know there is plethora of tempting edibles at every gathering, at homes, and workplaces.

But one of the best things about this time of year is the colorful and nutrition filled fresh produce. It’s as if Mother Nature selected the season’s bounty to fit right in with the traditional holiday colors of red and green.

Radishes

Though red radishes are the most popular, they also come in rose, purple, lavender, and white. The popular variety in red and white could easily be considered the Santa Claus vegetable.

With a few swift slits of the paring knife, these orbs become the focal point of a vegetable tray. They look good, and they are good for you. The radish is low in calories, and high in vitamins A and C.

Radishes are a good source of vitamins and minerals. The vegetable’s high water and fiber content aids in digestion and makes it an excellent detoxifier.

Radicchio

This colorful veggie looks like red cabbage with deep red or magenta leaves and white veins. Its flavor is spicy, with a hint of bitterness. It adds a stunning pop of color to salads, and vegetable trays. You can also spread radicchio’s leaves with hummus, dips, tuna, or shrimp salad instead of crackers. It is a good source of antioxidants, contributing to overall health and wellness. The veggie is also high in fiber, as well as vitamins C and K, which promotes bone health. It contains magnesium which helps build strong bones and teeth, and potassium which plays a positive role in regulating blood pressure.

Beets

Red beets are available year-round and can be served roasted, steamed, pickled, or in juice. This vegetable is in the same family as spinach and Swiss chard. Beets are a good source of heart healthy folate and potassium. They also contain energy producing carbohydrates, antioxidants manganese and vitamin C; they are a good source of digestive-supportive dietary fiber, along with magnesium, iron, and phosphorus.

You can intensify the color of beets by adding lemon juice or vinegar while cooking for a brighter color. Baking soda will cause them to turn a deeper purple. Add salt after cooking, because it can blunt the color.

Red Swiss Chard

This leafy green, also in the vegetable family with beets, is stunning with its magenta stalk and veins surrounded by textured deep green leaves.

Swiss chard is an excellent source of bone-building vitamin K, manganese, and magnesium; it is high in antioxidants vitamin A, vitamin C, and vitamin E. It contains potassium and iron, is a good source of fiber and B vitamins including folate which is good for a healthy heart. Swiss chard can be included in salads and sandwiches or as a hot vegetable. To maximize the nutrients, quick cooking such as sauté or steaming is best.

Whether seasonal festivities or year ‘round, these “reds” are vegetables to dish about; they are fabulous looking, great of these to your menu and you’ll be one nutrition-savvy hostess/host serving great dishes that are nutrition rich.

Take Away: Festive occasions can be enjoyed without shelving your plan for good health. Make wise choices and try to opt for colorful fruits and vegetables. Plenty of fruits and vegetables will go a long way toward keeping the calories down and nutrition up.

December 16, 2020December 2, 2020

What’s the deal with CBD?

CBD oil has recently been heralded as the key to alleviate many ailments for which traditional medicine has not offered reliable cures. So what is CBD?

Cannabidiol, or CBD, is an extract derived from the cannabis sativa plant, sometimes referred to simply as the cannabis plant.

The varieties of c. sativa containing high CBD, and low Tetrahydrocannabinol (THC), are generally called hemp, or industrial hemp. The more famous, or infamous, varieties of c. sativa with high THC are often generally referred to as marijuana (AKA weed, pot, reefer, grass, dope, ganja, Mary Jane, etc).

Cannabinoid compounds bind with receptors in human cells. Two main types of receptors have been identified, CB(Cannabinoid receptor type)_1 and CB_2. CB_1 is most widely expressed in the brain, and CB_2 are seen expressed in immune cells. Researchers are still working to identify other receptors in human cells.

Medical studies have shown the strongest evidence of CBD benefit is in certain epilepsy syndromes, which don’t respond well to anti-seizure medications. The FDA recently approved the first-ever cannabis-derived medicine, Epidolex, a purified CBD extract.

Other studies suggest CBD can help alleviate anxiety and insomnia. According to the Anxiety and Depression Association of America (ADAA), the studies are not as advanced as for epilepsy. Interestingly, recent studies say THC may increase anxiety as opposed to CBD which reduces it.

Another potential benefit of CBD that is being studied is the anti-inflammatory properties due to its interactions with the immune system. According to Harvard Health, “CBD may offer an option for treating different types of chronic pain.” More studies are ongoing to substantiate the effectiveness of CBD on these difficult to treat conditions.

As the medical community continues to study the benefits of CBD, more and more consumer products are being marketed. CBD products are often used topically, ingested, or inhaled. According to Dr. Junella Chin, an osteopathic physician, topical cream or ointment can be applied to “muscles, joints, and ligaments and still get a nice, localized release.”

Dr. Chin says, when CBD is inhaled, you will feel an impact in 10 minutes, that tends to wear off in two hours. Whereas, if it’s ingested as an edible or liquid, it will last 4-5 hours, but takes half an hour before you feel the effect.

Given the vast number of CBD infused products you can find, you should look for a third party quality assurance stamp or certificate of analysis. A 2017 Journal of American Medical Association study found 26 percent of 84 products tested contained lower doses than stated on the label. So in the wild, wild west of CBD products, it is buyer be aware.

CBD’s legal status is complicated. All 50 states have laws legalizing CBD with varying degrees of restriction. Federally, CBD oil extract from the marijuana plant, is still a schedule I controlled substance, whereas CBD oil extract from hemp (0.3% THC or lower), is legal for cosmetic use only, and not for food, or dietary supplements. In Florida, CBD extract can be legally processed with a state license under SB 1020.

As with all things, there are side effects from CBD that are also being studied. The FDA in their March 2020 statement says, potential side effects “include potential liver injury, interactions with other drugs, male reproductive toxicity, as well as side eff ects such as drowsiness.” The statement acknowledges much we still don’t know about CBD, and as recently as Oct 2019, the FDA and FTC sent warning letters to a Florida company for unproven claims on the benefits of CBD.

The CBD industry is evolving quickly, the FDA stated, and there is “significant public interest in CBD and we must work together with stakeholders and the industry to develop high-quality data to close the substantial knowledge gaps about the science, safety, and quality of many of these products.” So when you are shopping for CBD infused bath salts or other products, keep in mind, there is much we are still learning, both beneficial and potentially harmful.

December 16, 2020December 3, 2020

Ask Dr. Renae: Making virtual friends

Dear Dr. Renae,

I had been looking forward to beginning high school since the beginning of middle school so I could join clubs and try out for sports teams to make friends. I had to separate from my middle school friends since they were not into academics, but getting into trouble and getting high all the time. I have been waiting so long to make new friends and now it seems so difficult remotely. I am shy and do not feel confident with the way I look, especially
online. How can I make friends virtually when it feels awkward to make the first step to reach out to someone?

Shy 9th Grader

Dear Shy 9th Grader,

A huge positive in meeting people remotely is that it gives you a chance to be more authentic and versatile. You can be yourself and broadcast that person. Realistically, there are many in the same space you’re in, looking for friends but not knowing where to start. It can be difficult having a rewarding experience if you aren’t gregarious. The wonderful thing about entering high school, especially in this time period, is that everything is so brand new. Perhaps start small. Make a post about the clubs you want to join or start. If you’re active on social media, see if there’s a “class” page. It usually conveys events that each class can partake in, remotely or in person. I imagine it would look rather different this year but exciting, nonetheless. The key to success is confidence. Sports is also a great bonding topic. I’m sure you’ll make friends in no time. Hope this helps.

Your Friend

Dear Shy 9th Grader,

I understand the difficulties and initial fear of making friends, for I have been in your position as well. The easiest way I was able to make friends is by finding a common interest. For example, if you like to play video games or are interested in a particular show or book, it is easy to find people on the internet who are interested in the same things as you. It may be daunting to make the first move, but easy conversation starters can include “Hi I saw you like (insert show/book/video game/etc.), who is your favorite character?” or “Hi I recently got into (insert show/book/video game/etc.) can you help me find more content from them?” An added bonus of the internet is anonymity, so if you feel uncomfortable you do not need to disclose personal information about yourself until you feel comfortable with the person. Of course, please be cautious on the internet by not exposing where you live or other personal information. Trusting your instincts, you can make great virtual friends. Try finding a club at school and talking with the club members about common interests and how to get involved with the club. I wish you good luck on your endeavors.

Your Fellow Teen

Dear Shy 9th Grader,

Making friends is difficult, however, the new obstacle of online learning should not discourage you. I would suggest looking into the clubs at your school and attending one of their virtual meetings. From there, you will find people who have attended the meetings and you can then begin to follow them on Instagram. If they’re new like you, you should have a nice starting off point on what you can talk about. Send them a direct message and say how you’re new to the school and how they seem like a nice person and you wanted to get to know them. If they’re a considerate person they will message you back and you’ll be on your way to a new friend! If they don’t message you back, just move on to someone else. It’s all about having enough confidence to get past the first steps. Good luck and I hope you find some great people!

High School Senior

Dear Shy 9th Grader,

I totally feel for you. I remember how excited I was to make new friends in high school and start fresh. The pandemic has caused such a big obstacle when it comes to human contact, but it’s not impossible to make new friends. In my high school, clubs are still meeting virtually which is a nice way you can connect with new people, especially if it’s a club you have a deep interest in. It really comes down to looking at the clubs that your school provides and picking one you really enjoy. It’s also important to keep in mind that all 9th graders are in the same boat as you are and the chances that they’re feeling the same way as you are pretty high. So, don’t psych yourself out too much about approaching people because they most likely also want to make new friends and don’t know how. Wishing you the best of luck.

A High School Senior

Dear Shy 9th Grader,

I want to commend you for having the strength and foresight to separate from your old Middle School friends before making new friends. That takes a lot of courage and confidence! In addition, looking forward to making new friends puts you in a positive place of hopefulness. Courage, confidence and hopefulness is a great formula to begin your journey of finding new friends. You already have the ability and insight to be selective of friends who share your values. Identifying friends who share your passions and interests will follow naturally as you explore clubs at school. Perspective new friends will appreciate you making the first contact as they too might feel shy. You will be part of the first wave of teens to make treasured new friends while social distancing, so you can consider yourself a pioneer.

Dr. Renae

TEENS: Curious as to what other teens would say? If you have a
question or problem you would like to present to other teens, please email: askdrrenae@att.net and include your age, grade, and gender you identify with. All questions are published anonymously and your identity and contact information will be kept confidential.

December 2, 2020December 1, 2020

Are blue light glasses a work-from-home essential?

Since many of us are working from home during the pandemic, and are spending more time on our devices, our eyes are becoming tired and strained.

With the help of blue light blocking glasses, individuals are able to shield their eyes from their bright LED screens and keep the Advil in the medicine cabinet.

According to Weston’s All Eyes Optical Optometrist, Dr. Vito Guario, “The main benefits that blue blocking lenses have are the reduction of strain and fatigue on the eyes. Werecommend the blue tech lenses to everyone.”

Blue light glasses have a blocking lens fi lter that helps minimize the amount of light refl ected away from the eye. Not only does it protect your eyes, but it reduces glare.

“Since the onset of the pandemic, there has been an increase for blue light lenses for anyone utilizing the computer or digital screens for work or academic necessity. Patients can work longer on the computer with more focus secondary to the reduction of blue light emitting from all computer or digital devices,” Dr. Guario said.

Greg Sarkin, Owner of Abaco Polarized in Palm Beach Gardens, says “since COVID-19 and the increased amount of people that work from home, sales have increased for blue light glasses tremendously.”

According to a 2017 study done by the University of Houston, they found that participants wearing blue light glasses showed a 58 percent increase in their nighttime melatonin levels.

Abaco offers lightweight and fashionable glasses, standing behind the products that they sell. And if you need prescription lenses but don’t want to commit to purchasing a pair before knowing how you like them, Amazon offers blue-light clip-ons for as little as $10.99.

November 15, 2020October 23, 2020

Holiday tips to manage diabetes

November is National Diabetes Month, and the Center for Disease Control reports that 29.1 million people, diagnosed and undiagnosed, are challenged with this disease in the United States. As a Certified Diabetes Educator (CDE) I focus on wise food choices throughout the year. As the holiday season unfolds, I want to give people the tools to eat well and wisely.

In planning menus and choosing items from those often served at holiday meals, diabetes can afflict the meal planner as well as those dining at the table.As the host or hostess, it is important to include options for those who may have challenges with what some folks dismiss as “just a little sugar.” In putting together a menu of traditional dishes, which tend to be carbohydrate heavy, remember that to control diabetes it is essential to manage carbohydrate intake. Carbohydrates are necessary nutrients that are the fuel for energy— however if diabetes is a factor, carbs must be monitored. Carbohydrates are starches, sugars, and fiber. Now let’s look at some of the dishes typically found on the Thanksgiving menu.

Snacks and Appetizers:
These often include cheese and crackers, dips, or cocktail-size frankfurters. Good- for-you options to substitute are fresh vegetables in place of salty snacks such as chips or pretzels. Limit the cheese, which can be high in fat and calories, and ditch the baby frankfurters for lean lunchmeat rolled in lettuce leaves.

Side Dishes:
Folks do love potatoes — mashed, scalloped, or sweet. It is not the potato itself that gets the bad rap; it’s the additions of butter, cheese, milk, sour cream, and other goodies. If making potatoes, opt for low-fat milk or plain Greek-style yogurt in place of cream and sour cream. If sweet potatoes are on the list, cut back on the amount of butter, sugar, and marshmallows. Sweepotatoes are a real power food, but if pairing the sweets with the previous list, the power punch is knocked out! Include roast or steamed green vegetables, baked squash, and a tossed green salad.

Now turkey stuffing is in the side-dishcategory — this too can be more wholesome if you use a little less butter or margarine, use sodium-reduced broth, and whole grain bread or brown rice, depending on the type of stuffi ng you are making.

Main Dishes:

Turkey is the star attraction on most tables, however, it can also be joined by ham or roast beef. These are protein foods without any carbohydrates. Limit servings to 3 to 4-ounce portions. If turkey is your main-dish choice, go for roasted turkey and not deep- fried. Choose turkey breast and remove the skin. If gravy is on the must-have list, limit to a couple of tablespoons or half a ladle of gravy.

Dessert:
I know this is where so many slip up. Don’t deny yourself dessert, choose half-size portions, forgo caramel, chocolate, and whipped toppings. If eggnog is in the picture, pour a juice-size glass or make the beverage your dessert in place of cake or pie.

These are some of the tools and guidelines for good and healthy eating during the holidays. Diabetes is serious but by making wise choices as the host or guest, folks can eat well, enjoy the season, and keep well-being goals in sight.

Take Away: You can enjoy seasonal holidays by making good choices to eat well and manage the Diabetes challenge.

November 2, 2020November 2, 2020

Parklander Podcast Episode #16 – Dermatology with Dr. Ayar

For this episode, we interviewed Dr. Ayar, from Dermatology Experts in Parklander. Dr. Ayar shared what dermatologist like him specializes in, and what his practice offer local residence.

Check out his new Parklander location at: 7535 N. State Rd 7, Parkland, FL, 954-726-2000. Also, his mobile service website: http://mobilebodysculpt.com

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