Post on 26-Jul-2016
description
transcript
shop
Heart-Smartstop that
Sneeze!
food labelS,decoded
good
news for aging HipS
a guide
for momS-to-be
inspiredTampa Bay
the health and wellness magazine of Florida Hospital
sPRing 2016
FH.Spring16.12.indd 1 3/2/16 12:24 PM
Locations Throughout Tampa Bay
Florida Hospital | Centra Care Urgent Care | Florida Hospital Physician Group
FHWFR-10119
Discover the Florida Hospital difference at InspiredTampaBay.com
Health care is about the human spirit.
Which is why Florida Hospital goes beyond
symptoms and treatments, helping people
live healthier, happier lives. Because you’re
not just having a baby, you’re delivering a
little miracle to the world and your family.
This is more than quality, expertise
and compassion.
Seven pounds and growing.
I have to lead
by example now.
It hasn’t hit me yet.
I’m a mom.
002_INSPIRED_SPRING16.indd 2 2/29/16 12:27 PM
fl
or
ida
ho
sp
ita
l (
84
4) 5
04
-9
37
8 | S
pr
ing
20
16
3
5
14
18
In ThIs Issue sPRInG 2016
“most folks are as happy
as they make up their minds
to be.”—abraham lincoln
WIN!help us to create the ideal magazine. Please share
your feedback with us atsurveymonkey.com/r/inspiredtb
and enter the raffe for your chance to win one of six $50 Amazon gift cards.
4 Get movinG!An active lifestyle is good
for mind, body and spirit.
5 5 facts labelsdon't tellNutrition panels on foods
are about to change, but
they still won't reveal all.
6 Good news for aGinG hips
Doctors are more aggres-
sive about preventing and
treating fractures in this joint.
8 strawberryfields forever
This fruit taste treat is also
a nutritional powerhouse.
9 no 'ah-choo' for you
Here’s a strategy for
beating allergy symptoms in
springtime—or any time.
10 heart health Cutting carbs can help keep
your ticker in shape.
12 back from the brink
A team effort saves
a man's life after a
massive heart attack.
14 preppinG for baby
4 things to do before
you get pregnant.
16 stroke of Genius
A new tool improves
stroke treatment.
18 travelinG abroad?
Be sure to see
an infectious
diseases specialist
before your trip.
FH.Spring16.12.indd 3 3/2/16 12:24 PM
Spring
20
16
| i
ns
pir
ed
ta
mp
ab
ay
.co
m
4
M any doctors talk the talk when
it comes to exercise, but
Migdalia Merida, M.D., an internist
with Florida Hospital, walks the walk
too. She has competed in triathlons
and running events, loves to hike
and is as active as she can be.
“That’s how I live my life,” she says.
So when she tells her patients about
the importance of physical activity,
they listen.
“An inactive, sedentary lifestyle
does awful things to your body,” Dr.
Merida says. On the physical side,
it leads to weight gain and obesity,
diabetes, high blood pressure, heart
disease, stroke and osteoporosis,
and it is even linked to some forms of
cancer. Mentally and emotionally, lack
of exercise is tied to depression, poor
sleep and higher stress.
On the other hand, regular physical
activity can prevent or reverse many
of those problems. It can lower blood
pressure, cholesterol and blood
sugar, help control weight, strengthen
bones and improve sleep and mood.
Many of Dr. Merida’s patients
come to her knowing they should
be more active, but not knowing
how. “They set unrealistic goals, like
losing 50 pounds,” she says. “That’s
overwhelming, so I tell them to work
on losing fve pounds.”
She also suggests that people fnd
an activity they are passionate about.
“It is most important to do what you
love to do, so you will plan for it, look
ahead to it and stick to it,” she says.
Activity does not have to be super-
strenuous to be benefcial. “Walking,
gardening, whatever you love to do,
just try to do it 30 minutes a day at
least fve days a week,” she says.
Fortunately, living in Florida
presents a wide variety of options for
staying active. There are walking and
bicycling trails, rollerblading pathways,
golf courses and tennis courts,
swimming, paddle boarding—almost
any outdoor activity you can think of.
“I want patients to fnd an activity they
love, start in small increments and
enjoy the benefts of physical activity,”
says Dr. Merida.
For more health and wellness
information or to fnd upcoming events,
visit FloridaHospital.com/events.
For better health,
An Active lifestyle is good for mind, body And spirit.
get moving
FH.Spring16.12.indd 4 3/2/16 12:24 PM
fl
or
ida
ho
sp
ita
l (
84
4) 5
04
-9
37
8 |
Sp
rin
g 2
016
5
1How much sugar. This area
will show a big improvement,
says MacCleery. Today, if a cookie
contains different added sugars—
high-fructose corn syrup, fructose
and dextrose, for example—the
ingredient list at the bottom of the
label shows these as separate
items, making it easy to miss how
much sugar one is consuming.
“Fortunately,” says MacCleery, “the
government will soon require that
the amount of ‘added sugars’ be
shown, along with the percentage of
one’s daily value that total accounts
for, based on a 2,000-calorie daily
diet—as it already does for sodium,
fat, carbs and fber.” It’s also helpful
that this information will distinguish
added sugars from the natural
sugars present in foods such as fruit.
What to do: For now, the CSPI
suggests limiting sugar to 40 grams
per day and scanning ingredients
carefully for sugar’s aliases. When
the new labels debut, they'll help.
2The whole story on whole
grains. “The government
recommends that we consume
more whole grains, but sets no rules
on how much whole grain a food
must have to be described as ‘made
with whole grain,’” says MacCleery.
“It could be a mere sprinkling.” CSPI
favors labels that show clearly what
percentage of grains are whole—but
the group hasn’t won that battle yet.
What to do: Look for products
for which the frst listed ingredient
includes the word “whole.”
facts labels don’t tell you5 these nutrition guides are being updated, but they still won't reveal the whole story, an expert says.
For 20 years, “Nutrition Facts” labels on packaged foods have guided shoppers. Now
the Food and Drug Administration plans an improved label design. Laura MacCleery,
director of regulatory affairs for the Center for Science in the Public Interest (CSPI), tells
Inspired Tampa Bay what’s improving, what isn’t, and how to make smart choices.
3Caffeine quantities. The
CSPI says these per-serving
amounts should be disclosed, but
so far that addition isn’t planned for
the new labels.
What to do: Check CSPI’s website,
cspinet.org, for the caffeine content
of coffees, teas, soft drinks, energy
drinks, snack foods and desserts.
(A can of Diet Coke, for example,
has about 71 milligrams, while a
“venti”-sized Starbucks coffee has
415.) Try to exercise moderation.
4Where the “trans fats” have
gone. Many packages boast
“0g trans fats,” and the government
has declared trans fats in foods
unsafe. “But watch out,” says
MacCleery. “Some companies add
saturated fat to replace the trans fat,
and it’s also unhealthy.” CSPI says
the ideal label should categorize
these fat levels as “High,” “Medium”
or “Low,” with stoplight color codes
in which “High” levels are bright red.
What to do: Don’t be swayed by
“trans fat” claims alone—judge
each product after examining
“saturated fats” too.
5“True” fber content. Here the
new labels may actually be a
bit worse than today’s, MacCleery
warns, because they’ll permit
manufacturers to list artifcial “faux
fber” additives that aren’t as good
for you as natural fber.
What to do: Keep an eye out for
fber additives and try to get most
of your fber from natural sources.
FH.Spring16.12.indd 5 3/2/16 12:25 PM
Sp
rin
g 2
016
|
in
sp
ire
dt
am
pa
ba
y.c
om
6
Be nice
to your bonesEach year about 1.5 million older
Americans sufer fractures because
of weak bones, says the American
Academy of Orthopaedic Surgeons.
The academy ofers these tips to help
you maintain bone strength:
Understand your individual risk for fracture or bone loss.
This is based on your bone
density and other risk
factors. Ask your doctor
if you need a bone density
test. Inquire too about bone
metabolism testing, which
often can provide additional
useful information.
Be active every day.
Strength-building
and weight-training
activities help build
strong bones. Children
should exercise at least
an hour each day, adults
at least 30 minutes.
Maintain a healthy weight. Older adults who are
overweight have a
higher-than-average
risk of falling—with the
danger of a break—
while being underweight
increases the risk of
bone loss.
Good news
for aging hipsDoctors are more aggressive about
preventing fractures in this joint—
anD treating them when they occur.
One of women’s greatest health fears as they age is a broken hip, and for good
reason: Especially among the elderly, a broken hip can begin a cascade that leads to permanent disability and a diminished qual-ity of life. Fortunately, advances in prevention and treatment strate-gies are helping more people avoid the devastating consequences of a hip fracture.
Women are more likely than men to break a hip because they are more prone to osteoporosis, which causes bones to weaken, leading them to fracture more easily—and this danger increases after meno-pause. May is National Osteoporo-sis Month, so spring is a good time to “bone up” on that dangerous condition. According to the Nation-al Institutes of Health, osteoporosis and other bone disorders can be one consequence of not getting enough calcium and vitamin D.
Orthopedists now suggest prevention strategies much more aggressive than those used just a few years ago. For example, they recommend that women get checked to see whether they’re getting enough vitamin D, and consult their primary care pro-viders about whether it’s wise to take a vitamin D supplement regularly. (See “Be Nice to Your Bones,” below.) There have also been recent advances in surgical treatment for hip fractures. Some fractures can be repaired, while others require hip replacement. While partial hip replacement has been used in many cases in the past, recent research shows that for many younger, healthier women total hip replacement is appropriate so that a second op-eration later on is not necessary. Again, consult your physician, who can refer you to a surgeon if that is right for you.
FH.Spring16.10.indd 6 3/1/16 9:29 AM
fl
or
ida
ho
sp
ita
l (
84
4) 5
04
-9
37
8 |
Sp
rin
g 2
016
7
Get enough calcium and vitamin D.
Calcium-rich foods
include dairy products,
leafy greens and
seafoods, while D is
found in faty fsh, egg
yolks and vitamin-
fortifed orange juice
and dairy products.
Make your home “fall-proof.”
Remove obstacles for
easy passage and add
safety features such as
grab bars and non-slip
mats where needed.
Consider bone-boosting medications.
Besides calcium and
vitamin D supplements,
other medications also
can sometimes help slow
bone loss and increase
bone strength. Check
with your physician.
TreaT those achy joints!If there is one sure sign of aging, it’s the achy joints that remind you that you aren’t as young as you used to be. If those aches and pains progress to the point where they are affecting your daily activities, however, you may be suffering from osteoarthritis.
Osteoarthritis, the most com-mon form of arthritis, causes pain, swelling and reduced motion in your joints. It can develop in any joint, but most often affects the knees and hips, says Jonathan Phillips, M.D., a sports medicine physician at Florida Hospital. Osteoarthritis breaks down the cartilage, the tissue that covers the ends of bones in a joint. The bones rub together, causing infam-mation; that’s what leads to the pain, stiffness and loss of mobility.
In early stages, osteoarthritis is treated with anti-infammatory medi-cations. Those can be delivered orally, via injections into the joint or—Dr. Phillips’ preferred choice—topically. “Topicals have fewer side effects than oral meds,” he says.
A more advanced treatment op-tion is called platelet-rich plasma therapy, or PRP. The patient’s own blood is drawn, treated so that it contains a high concentration of proteins called growth factors that promote healing, and injected into the joint. “We have had an almost 80 percent success rate with PRP,” Dr. Phillips says.
Physical therapy is also important in living with osteoarthritis. “Medi-cations help symptoms, but they don’t fx anything,” he says. “The fx comes from strengthening the muscles around the joint and modi-fying activity to lessen the pounding on the joint.” That does not mean giving up exercise, however. On the contrary, movement helps lubricate the joint, work out the stiffness and promote healing. You may need to change what you do—no more run-ning on asphalt, for instance—but it is important to continue low- or moderate-impact exercise.
“If you don’t move it, you will lose it,” warns the doctor.
FH.Spring16.10.indd 7 2/29/16 12:46 PM
well known as a colorful taste treat, this fruit is also a nutritional powerhouse rich in vitamin c.
strawberryfields forever
DiD You Know?
Strawberries are the only fruit with
seeds on the outside, a distinction
that means they are not classifed by
botanists as true berries, which house
their seeds on the inside. Indeed, the
seeds—the average strawberry sports
200—are actually each considered a
separate fruit.
Powers
A recent Harvard study reported that
women ages 25 to 42 who regularly
consume strawberries and blueberries
are at lower risk for a heart attack. The
reason: the fruits’ high concentrations
of anthocyanin, a favonoid that may
help lower blood
pressure and
improve
blood-vessel function. Strawberries
also may help in lowering bad LDL
cholesterol and C-reactive protein
(a blood marker that may indicate
infammation). They’re also known to
contain powerful antioxidants, and
they’re a signifcant source of fber and
vitamin C. Because vitamin C–rich
foods assist in the body’s absorption
of iron, pair strawberries with iron-rich
foods such as spinach or dried fruit.
BuY · store · Grow
Strawberry harvesting season in the
Sunshine State runs from December
through March. If you like the harvesting
experience, you might want to try
planting your own strawberry patch next
season. Strawberries grow best when
planted 18 to 30 inches apart, in sandy
soil with excellent drainage and full sun.
Strawberry plants sprout lots of
runners that will form new plants if left
unchecked. Cut these runners, and
you’ll have a higher berry yield.
Strawberries spoil quickly—pick
them the day they ripen and use
within three days. Refrigerate
them, either in a single layer in
a dish lined with paper towels
or in a colander, and hold off
on washing them until you are
ready to use them. There are
two principal methods: Put
them into a colander and rinse
with cold water, or wash each
one gently with a damp
cloth or paper towel.
You should cut away
the leaves and the
portion surrounding
them, because that
area can be a hassle
to clean—but do so after washing
because this can change the texture
and favor.
Finally, whenever possible, dietitians
recommend choosing certifed-
organic strawberries. That’s because
of pesticides—the Environmental
Working Group ranks strawberries
No. 4 in its “Dirty Dozen Plus” list of
fruits and vegetables with the largest
amounts of pesticide residue.
—PATTI VERBANAS
reCiPe
EASY STRAWBERRY JAM
Courtesy of Whole Foods Market
INGREDIENTS
1 lb. organic strawberries, hulled
6 Tbs. sugar
Optional flavorings:
2 slices lemon, seeds removed, or
1 sprig fresh rosemary
Emmentaler or Jarlsberg
2 Tbs. chopped fat-leaf parsley
PREPARATION
Place the strawberries in a food
processor and pulse until just coarsely
chopped, or chop them roughly with
a knife. Place in a medium saucepan,
and add the sugar and favoring you’d
like. Cover, and cook over medium
heat, stirring occasionally, until the
sugar melts and the berries soften
and release some of their liquid, 4 to
5 minutes. Uncover, lower heat, and
simmer until the berries begin to fall
apart and the mixture is thickened and
no longer watery, 12 to 15 minutes.
Ladle into a glass jar; eat warm, or
cool to room temperature. Cover, and
refrigerate up to 2 weeks.
Spring
20
16
| i
ns
pir
ed
ta
mp
ab
ay
.co
m
8
FH.Spring16.10.indd 8 2/29/16 12:46 PM
Are you sneezing more these days? Florida’s
nearly year-round growing season means
allergies don’t vary by the time of year as much
as they do elsewhere. Still, spring is a great
time to learn how to identify, treat and manage
allergies to maintain a healthy and happy lifestyle.
“Florida has a wider variety of plant species
than other places,” says Randy Kiriluk, M.D., a
family medicine physician with Florida Hospital
Physician Group. “Many allergies here that act up
in the warmer months are related to various trees
and native grasses,” he says, “while allergies
to mold and dust are more common in winter.”
Allergies most often begin in childhood, but can
in fact start up at any age.
How do you know if your sneezing and
congestion are allergy-related? “By their
persistence,” he says. “A cold goes away in seven
to 10 days. Allergies wax and wane but never go
away, and they recur from year to year.”
The simplest treatments for allergies are
medications called antihistamines. Over-the-
counter drugs such as Claritin and Zyrtec are
commonly suggested. Decongestants may also
help, and nasal sprays like Flonase or Nasanex
are another option. “About 80 percent of cases
are controlled by medications, and 20 percent still
have symptoms,” says Dr. Kiriluk.
In those cases, allergy immunotherapy, which
is exposure to the allergens through allergy shots,
is the next line of treatment. A blood test and/
or a skin test can determine which allergens are
causing the patient misery. The shots are given
twice a week at frst, with very small doses of the
allergen, to prompt the immune system to produce
antibodies. “It can take a couple of years to develop
immunity,” he says. “Though no treatment is 100
percent guaranteed to be successful, allergy shots
have proven to be fairly effective.”
It also helps to avoid your specifc allergens as
much as possible. Keep windows closed, and use
a HEPA (high-effciency particulate arrestance)
air flter and a HEPA vacuum cleaner to keep
allergens out of the house. “A lot of treatment is
avoidance,” he says. “It’s diffcult, but you can zone
in on what you need to stay away from.”
No ‘ah-choo!’ for you Here’s a strategy for beating
springtime allergy symptoms.
To fnd a physician who can help
you get control of your allergies, visit
FloridaHospital.com or call (844) 504-9378.
l Nasal allergies are estimated to affect roughly 50 million Americans.
l In 2012, more than 13.4 million visits to physician offices, hospital outpatient departments and emergency departments were due to allergic rhinitis.
l Allergic diseases, including asthma, are the fifth most prevalent chronic diseases in people of all ages, and the third most common in children.
facts about
allergies
Source: American College of Allergy, Asthma & Immunology
fl
or
ida
ho
sp
ita
l (
84
4) 5
04
-9
37
8 |
sp
rin
g 2
016
9
FH.Spring16.12.indd 9 3/2/16 12:25 PM
Heart disease is still the number-
one cause of death in the
United States, but health experts
have learned what it takes to help
keep the heart healthy. And a
proper diet is at the top of the list.
“A healthy diet and lifestyle are
your best weapons in fghting heart
disease,” says Aung Tun, M.D., a
cardiologist with Florida Hospital.
That’s because the primary cause
of heart attack—and stroke, for
that matter—is a buildup of plaque
in the arteries. “Diet plays a major
role in plaque creation,” he adds.
Cholesterol was thought to be the
main culprit in plaque formation, but
Dr. Tun says that carbohydrates are
now considered just as important.
The body turns carbohydrates
into triglycerides, a particularly
dangerous form of cholesterol,
he says, and a major cause of
blockages. “So I now tell patients
to cut down on carbohydrates and
cholesterol too,” he says.
It’s also important to distinguish
between healthy and unhealthy fats.
The former include unsaturated
fats like olive oil, while the latter
are saturated fats and trans fats,
typically found in processed
foods. “Unsaturated fat is actually
protective for the heart,” Dr. Tun
says. “It helps stabilize plaque so
it doesn’t break loose, which cuts
down the chance of heart attack.”
Sodium is also known to play a
role, in that it retains fuid in the
body, which tends to raise blood
pressure. But drastic sodium
reduction isn’t needed for most
people, he says. “Lately we have
learned that a reasonable amount
of sodium—about 4 grams a day—
won’t affect blood pressure.”
A plant-based diet has been
proven time and again to help all
areas of health, including the heart, so
loading your plate with whole grains,
fruits and vegetables is always a
good idea. “They have lots of vitamins
and little caloric content, so there is
less chance of obesity,” he says.
The ideal diet: Less carbohydrates
and cholesterol and as much fruit
and vegetables as possible.
Cut carbs for
heart healthOne clue tO yOur future well-being is nOt in the stars, but On yOur plate.
Spring
20
16
| i
ns
pir
ed
ta
mp
ab
ay
.co
m
10
FH.Spring16.10.indd 10 2/29/16 12:46 PM
Eat this, not that,for a healthy heartSometimes all it takes is a few tweaks to your diet to improve your
chances of living a long life with a healthy heart. The American Heart
Association recommends these do’s and don’ts:
l Include fsh at least
twice a week in your
meal plan, especially
fsh containing omega-3
faty acids (e.g. salmon
and trout).
l Select fat-free (skim)
and low-fat (1 percent)
dairy products.
l Reach for fber-rich
whole grains.
l Choose poultry and fsh
without skin.
l Go heavy on foods
containing partially
hydrogenated
vegetable oils.
l Choose foods with
trans fats.
l Select beverages and
foods with added
sugars.
Do
's
Don'ts
Take This
heart-healthy list To The
grocery sTore
q Berriesarepackedwith
phytonutrientsandsolublefber.
q Flaxseedscontainomega-3fatty
acids,fberandphytoestrogens.
q Asparagusisflledwithbeta-
carotene,folateandfber.
q Darkbeansarehighinfber,
Bvitaminsandminerals.
q Red,yellowandorangeveggies
arepackedwithcarotenoids,fber
andvitamins.
q Oranges,cantaloupesandpapayas
arerichinbeta-carotene,folate
andfber.
q Tomatoesprovidelycopene,vitamin
Candalpha-and-beta-carotene.
q BroccolicontainsvitaminsCandE,
potassium,folate,calciumandfber.
Forinformationonupcominghealthand
wellnesseventsnearyourhome,visit
FloridaHospital.com/events.
fl
or
ida
ho
sp
ita
l (
84
4) 5
04
-9
37
8 |
sp
rin
g 2
016
11
FH.Spring16.12.indd 11 3/2/16 12:25 PM
Spring
20
16
| i
ns
pir
ed
ta
mp
ab
ay
.co
m
12
Back from
the brink
A teAm effort
sAves A mAn’s life
After A mAssive
heArt AttAck.
FH.Spring16.10.indd 12 2/29/16 12:47 PM
fl
or
ida
ho
sp
ita
l (
84
4) 5
04
-9
37
8 |
Sp
rin
g 2
016
13
I t was a meal they won’t soon forget.
George Hodul, 72, a retired mechanical
engineer, and his wife, Joyce, 69, were
having dinner on July 23, 2014, when he
lost his appetite, felt sweaty and clammy,
and pushed his dinner plate away. “My wife
got me an aspirin and called 9-1-1, while I
lay down on the foor,” Hodul says. “I don’t
remember a lot after that.”
Hodul wouldn’t wake up
again for three days.
In the emergency
room, Asad Sawar,
M.D., an interventional
cardiologist with Florida
Hospital, and his team
diagnosed a massive
heart attack caused by
a blocked artery. By the
time Hodul got to the heart
catheterization lab, “for all
practical purposes he was
dead on the table,” says Dr.
Sawar. “He was one of the
sickest patients we have
seen in the past 15 years.
His condition deteriorated
quickly, and there was a
high suspicion he might
not make it.” Indeed,
Hodul “coded”—meaning
he needed immediate
lifesaving interventions—
six different times. But
thanks to a full team of
physicians, cardiovascular
techs, nurses and other
medical professionals,
Hodul is now feeling good.
He says, “It’s like it never
happened.”
“The frst three days
were extremely diffcult,”
says Hodul’s daughter, Pamela Hodul, M.D.,
a surgeon at the H. Lee Mofftt Cancer
Center in Tampa. During that time, her
father suffered organ failure in his kidney,
liver and respiratory systems. Specialists in
all those felds joined Dr. Sawar and other
cardiologists to keep Hodul alive. Overall, he
spent 15 days in the hospital.
Dr. Sawar calls the level of care given to
Hodul during that time “unmatched in most
of this country. Everyone came together and
went above and beyond their call of duty.”
When Hodul frst arrived, staff volunteered
to work past the end of their shifts. Staff
members from across
multiple hospital teams
worked together to save
his life. Hodul’s daughter
was impressed. “As a
physician, I found that
Florida Hospital exceeded
my expectations,” she says.
Once Hodul woke up,
with his organ systems
functioning and a new
stent in his blocked
artery, he began cardiac
rehabilitation—frst
in the hospital, and
then at the Shimberg
Cardiovascular Prevention
and Rehabilitation Center
at Florida Hospital Pepin
Heart Institute. It took
a while to regain his
strength, but thanks to
his regular workouts at
the Health & Wellness
Center at Florida Hospital
Wesley Chapel, his heart
is now doing just fne.
“I’m probably in better
shape now than before
it happened,” he says.
“It’s kind of a miracle. A
lot of things lined up for
me, and everyone at the
hospital—from the doctors
to the nurses and even the
maintenance crew—were fantastic.”
Sometimes “it takes a village,” and
sometimes it takes an incredible team
of hospital personnel to save a life. Says
Hodul’s daughter to the team at the hospital:
“Thank you for giving me my dad back.”
3 ways to keep
your heart
healthy:
Anything that gets
you to move your
body and burn
calories is good for
your heart, note
the experts at the
American Heart
Association. Here,
some simple ways
to keep your heart
pumping:
1
Start walking. It’s
easy, it costs nothing
and it’s one of the
best exercises you can
do to prevent heart
disease. Aim for 30
minutes a day.
2
Get your heart rate up.
Incorporate 30 minutes
of moderate-intensity
aerobic activity (think
stair climbing) at least
fve days per week and
25 minutes of vigorous
aerobic activity (biking,
swimming) at least
three days a week.
3
Pump it up. Add
moderate to high-
intensity muscle-
strengthening
activities to your
routine at least two
days per week.
Can an aspirin Prevent a
heart attack?George Hodul’s wife gave
him an aspirin as soon as
the signs of a heart atack
appeared. That was a smart
move, according to the
american Heart association.
Most heart atacks occur
when the blood supply to
the heart is blocked due
to plaque buildup. When
plaque becomes fragile and
ruptures, it can lead to blood
clots that block blood fow
or break of and travel to
other parts of the body—a
phenomenon known as an
embolism. aspirin “thins”
the blood and helps prevent
clots from forming. people
at high risk for heart atacks
often take a daily low-dose
aspirin—but be sure to check
with your doctor before
making any changes to your
medical care.
FH.Spring16.10.indd 13 2/29/16 12:47 PM
Prepping You’ve decided now is the perfect time to add to your family. But just how much pre-planning should go into your
decision to get pregnant? Pre-planning for months or even years before becoming pregnant helps you maintain some control around the timing of conception and ensures the best health for both mother and baby. If you’re thinking about having a baby but don’t know where to start, consider these four “baby steps” of a preg-nancy plan that walk you through the important stages on the path to becoming a new mom.
4 things to do before
you get pregnant.
Make a pre-pregnancy healthcare visit with your doctor.
This appointment allows you to ask questions, address concerns and make healthy lifestyle changes as directed by your healthcare pro-vider. Your doctor will ask questions about any previous pregnan-cies, whether you suffer from (or have a family history of) diabetes or high blood pressure, inquire if you have any active or past infections and ask if you’re on any medications. You should come prepared with a list of questions, includ-ing what supplements you should be adding to your diet along with best workout practices for a mom-to-be.
Embrace healthy living.
This step has four parts: 1. Nutrition. Maintain a well-balanced diet and take a multivitamin or prenatal vitamin with 400 micrograms of folic acid to help prevent brain and spinal cord defects. 2. Exercise. Establish a daily exercise program (as recommended by your healthcare provider), prior to your pregnancy and stick with it through your pregnancy. 3. Emotional health. Get plenty of sleep and introduce methods of stress reduction such as meditation. 4. Do away with
unhealthy habits. Eliminate alcohol con-sumption, stop smoking and avoid second-hand smoke, wean yourself off caffeine, and avoid illegal drugs and hazardous substances and chemi-cals (i.e., paint and harsh cleaning agents).
Know your most fertile days.
Identifying your fertility window of opportunity is critical to a successful pregnancy. Ovulation typ-ically occurs 14 days be-fore menstruation begins and your fertile days start fve days before ovulation. (Sperm can live up to three days.) Signs you’re ovulating include breast tenderness and changes in your cervical mucus (the amount increases, texture becomes stretchy, slippery and clear). Experts counsel hope-ful mommies to observe these signs and measure and chart out your basal body temperature.
Think you’re pregnant? Get to the doctor.
The sooner you know you’re pregnant, the sooner you can take better care of yourself and your baby. Early signs that you might be pregnant include the absence of menstruation, morning sickness (nau-sea/vomiting), frequent urination, tender swollen breasts, darkening of the areola (area around the nipple) and, last but not least, food cravings. “Approximately 99 per-cent of over-the-counter home pregnancy tests are accurate at detect-ing pregnancy hormone levels,” says Jacquelyn Stone, M.D., one of the OB hospitalists at Florida Hospital.
Spring
20
16
| i
ns
pir
ed
ta
mp
ab
ay
.co
m
14
FH.Spring16.10.indd 14 2/29/16 12:48 PM
we're here to help!
Florida Hospital is excited to offer a personalized delivery experience for moms throughout Tampa Bay. From your very frst physician appointment to the big day, our providers and highly skilled team members will be with you every step of the way to provide an inspired experience.
For more information or to fnd a
physician, please call (844) 504-9378.
You’re pregnant! Now what?Once you see that double line on the pregnancy stick, here are the steps to take:
l Schedule an appointment with your gynecologist to confrm the pregnancy.
l Continue healthy living habits, including eating right and taking vitamins.
l Stop immediately if you smoke, drink alcohol, use illicit drugs or abuse caffeine.
l Discuss your expected and desired weight gain with your provider.
l Conquer stress with relaxation techniques and exercise.
fl
or
ida
ho
sp
ita
l (
84
4) 5
04
-9
37
8 |
Sp
rin
g 2
016
15
FH.Spring16.10.indd 15 2/29/16 12:48 PM
Spring
20
16
| i
ns
pir
ed
ta
mp
ab
ay
.co
m
16
Strokeof
fgeniusA new tool for
treAting stroke
removes A clot from
the brAin fAst so
dAmAge is minimized And
recovery cAn begin.
T he numbers aren’t pretty:According to the American
Heart Association (AHA), stroke is the number-fve killer in the nation. Someone in the United States dies every four minutes from a stroke. And even when strokes are not fatal, they’re most often debilitating. But fortunately, a new treatment has brightened prospects for people who suffer strokes.
Strokes, also known as brain attacks, occur when the supply of blood to the brain is blocked or reduced, depriving brain tissue of essential oxygen and nutrients. This blockage is usually caused by a blood clot in one of the arteries in the brain. A stroke requires immedi-
ate attention; the quicker a stroke victim can get treatment, the better his or her chances for survival and reduced disability.
The AHA recently updated its recommended treatment guidelines for stroke victims to include a device that can pull a stroke-causing clot from the blood vessels in the brain. This treatment, called intracranial mechanical thrombectomy, begins with an incision in the patient’s upper thigh. A long, narrow tube is threaded through the arteries and veins of the body and is directed into the brain, where a wire mesh device captures the clot and pulls it out of the body via the tube. The results are so promising that the AHA updated its
stroke protocols for the frst time in 20 years. It was also the frst time a device was included in the group’s recommendations.
“Treating acute strokes with this procedure has proven to be very effective,” says James Lefer, M.D., a neurointerventional radiologist who is with Florida Hospital. “Our facility has been actively involved in intracranial mechanical thrombectomy since the devices frst came to market in 2012.”
According to research published in The New England Journal of Medicine, intracranial mechanical thrombectomy almost doubles the chances of a positive outcome. And that, we can all agree, is a stroke of very good luck.
A wire mesh device
captures the clot
and pulls it out of
the body.
A long, narrow tube is
inserted in the upper
thigh and threaded
through the arteries
and veins to the brain.
Blood fow to the
brain is restored.
FH.Spring16.10.indd 16 3/1/16 9:29 AM
fl
or
ida
ho
sp
ita
l (
84
4) 5
04
-9
37
8 |
Sp
rin
g 2
016
17
Eighty percent of strokes are preventable. Here’s how you can lower your risk:
Exercise. People who exercise five or more times a week can reduce their risk for stroke.
Eat healthy. Cut back on saturated fat, total fat, cholesterol, sodium, sugar and red meat. Incorporate more vegetables, fruits,
whole grains, fish, poultry, beans, seeds and nuts.
Limit alcohol. Excessive drinking can increase blood pressure and your
risk for stroke. Drink in
moderation—no more than
two drinks a day for a man,
one a day for a woman.
Quit smoking. If you
smoke, speak with your
doctor about help with
quitting. Along with
myriad other health issues,
smoking doubles your risk
of stroke.
Speak to your doctor if you have health issues that put you at risk: high blood
pressure, high cholesterol
and atherosclerosis, atrial
fibrillation, diabetes,
circulation issues or
carotid artery disease.
To recognize the signs of stroke in someone, think
F-A-S-T:
F = FaceAsk the person to smile. Does
one side of the face droop?
A = Arms Ask the person to raise
his or her arms. A stroke victim will feel weakness,
numbness or lack of coordination in one arm.
S = Speech Ask the person to repeat a simple phrase. A stroke victim will have slurred
speech or will not be able to understand or
produce speech.
T = TimeIf you observe any of
these symptoms, call 9-1-1 immediately.
Source: American Heart Association
SignSof
stroke
Almost
800,000 people in the U.S. have a
stroke each year.
One in four strokes are in people who have had a previous stroke.
S t r o k e S t a t i S t i c S
Stroke costs an estimated
$34 billioneach year in the U.S., which includes health care costs, medications and
missed work days.
of strokes are preventable.
80%
Why time mattersEvery minute without treatment
during a major stroke, the brain loses:
1.9 million neurons
14 billion synapses
7.5 miles of nerve fbers
HOW TO AvOID A STrOkE
FH.Spring16.12.indd 17 3/2/16 12:26 PM
Spring
20
16
| i
ns
pir
ed
ta
mp
ab
ay
.co
m
18
Travel clinics offer coun-sel on avoiding illness and injury on overseas trips. They specialize in providing medical care such as vaccinations to international travelers. Some examples of immu-
nizations recommended for international travel include shots for typhoid, hepatitis A and B, chicken pox and malaria. To find a clinic near you, visit
wwwnc.cdc.gov/travel/
page/fnd-clinic/
Taking a trip outside the United States can be exciting, but it
can also pose some health risks. Whether you’re taking a honey-moon cruise through the Carib-bean, a family trip to Mexico or a business jaunt to Europe, you should consider visiting an infec-tious diseases specialist to learn more about protecting yourself in different parts of the world.
“You put your health in jeop-ardy once you leave your country because basic necessities may not always be available,” says Parul Aneja, M.D., an infectious diseases specialist with Florida Hospital. “We take for granted things like clean running water, but other countries may not be as developed. You need to prepare for that.”
Visiting a travel clinic is the frst step you should take once you’ve booked your overseas trip. At this appointment, you’ll review your travel itinerary with an infectious diseases specialist, including the countries you’ll be visiting along with your plans once you’re there. “We look at exposure risks for each activity,” says Dr. Aneja. For example, a business trip to a hotel
is different from adventure travel in a jungle. “I have access to the travel recommendations from the U.S. Centers for Disease Control and Prevention, which inform us what’s going on in different coun-tries, including disease outbreaks in certain parts of the world,” she says. This information may sug-gest the need for vaccinations against those diseases, notes Dr. Aneja.
Food is another important con-sideration. “Whether your group is traveling with a cook or you prefer eating your meals with the locals, you’ll need to be on guard in terms of what goes into your mouth,” says Dr. Aneja. Travelers
also need to consider issues such as hand hygiene, medications to carry, insect precautions, proper attire and sexual activity—even terrorism. “There are kidnapping risks in certain parts of the world, which often comes as a surprise to someone who hasn’t traveled a lot overseas,” she warns. Other topics that should be considered before you travel: Do you need travel insurance? What type of contact information should you carry?
But don’t delay. “The day you book your plans for an overseas trip, make an appointment at a travel clinic,” she says. “Some vac-cinations need at least a month in advance of travel to be effective.”
Traveling abroad?Why it’s important
to see an infectious
diseases expert
before your trip.
So what exactly is a
travel clinic?
FH.Spring16.12.indd 18 3/2/16 12:26 PM
When you believe in a greater purpose to health care,
you see things differently. Because health care isn’t
only about illness and injury, or even medicine.
It’s about the human spirit.
Which is why for over a century, Florida Hospital has
gone beyond symptoms and treatments, helping
people live healthier, happier lives.
This is more than quality, expertise and compassion.
Locations Throughout Tampa Bay
Florida Hospital | Centra Care Urgent Care | Florida Hospital Physician Group
Discover the Florida Hospital difference at InspiredTampaBay.com
FHWFR-10129
019_INSPIRED_SPRING16.indd 1 2/29/16 12:27 PM
FLORIDA HOSPITAL
HIDDEN RIVER CORPORATE CENTER THREE
14055 RIVEREDGE DR., SUITE 250
TAMPA, FL 33637
275
275
Tampa Bay
Carrollwood
North
PinellasTampa
Wesley Chapel
Connerton
Zephyrhills
With a statewide health care system
of 22 hospitals, Florida Hospital
proudly serves the Tampa Bay region
through a network of 6 Florida
Hospitals, 4 Centra Care Urgent Care
Centers and more than 45 Florida
Hospital Physician Group practices.
Find a medical expert near you!
HILLSBOROUGH
PASCO
PINELLAS
FH
WF
R-1
0128
Find a Florida Hospital Physician:
FloridaHospital.com
(877) 231-3100
1 Florida Hospital Carrollwood
2 Florida Hospital Connerton,
Long Term Acute Care
3 Florida Hospital North Pinellas
4 Florida Hospital Tampa
5 Florida Hospital Wesley Chapel
6 Florida Hospital Zephyrhills
020_INSPIRED_SPRING16.indd 2 3/8/16 10:47 AM