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FALL 2016<br />
healthsourcemag.com 1
YOUR KNEES & HIPS<br />
DESERVE<br />
R. DAVID HEEKIN, MD<br />
Only Heekin Clinic can offer you a<br />
one-on-one relationship with Florida’s top<br />
orthopedic surgeon, Dr. R. David Heekin.<br />
Fellowship-trained and board-certified,<br />
Dr. Heekin specializes in total joint replacement of<br />
the hip and knee.<br />
Medical Director of St. Vincent’s Orthopedic Center<br />
of Excellence, Dr. Heekin consistently performs<br />
more total joint replacement surgeries than<br />
any other Florida surgeon.<br />
Dr. Heekin’s patients enjoy the very best orthopedic<br />
care available. Shouldn’t you?<br />
Ranked #1 in combined volume for knee and hip replacements<br />
at www.floridahealthfinder.gov<br />
2 First Coast <strong>Health</strong> Source Fall 2016<br />
call 904.328.5979 or visit HeekinClinic.com<br />
2 Shircliff Way, Suite 605 DePaul Building | Jacksonville, FL 32204
First Coast <strong>Health</strong> Source<br />
HEALTHY CALENDAR<br />
SEPTEMBER 10<br />
Delicious Destinations<br />
Southern inspired farm to fork fare<br />
is on the menu at this wonderful<br />
dining event to benefit St. Vincent’s<br />
Community <strong>Health</strong> Outreach Programs<br />
Where: Ponte Vedra Inn & Club<br />
When: 7:00 p.m. – 11:00 p.m.<br />
Info: jaxhealth.com<br />
SEPTEMBER 17<br />
First Coast Heart Walk<br />
There isn’t a person in town who has<br />
not been touched by family or friends<br />
suffering from heart disease. Get out<br />
and support the fight against America’s<br />
No. 1 health crisis.<br />
Where: Metropolitan Park<br />
When: 8:00 a.m.<br />
Info: firstcoastheartwalk.org<br />
SEPTEMBER 24<br />
Fashion For A Cause<br />
Bubbles, cocktails and brunch will all be<br />
served with a big dose of style at this<br />
fashion show fundraiser for First Coast<br />
YMCA.<br />
Where: Stonewood Grill & Tavern<br />
When: 11:30 a.m. – 2:30 p.m.<br />
Info: firstcoastymca.org<br />
OCTOBER 8<br />
JU River House Run/Walk 5k<br />
Celebrate Jacksonville University’s<br />
Homecoming and raise money for the<br />
Kinesiology Running Research program.<br />
This family-friendly event is sure to<br />
be a blast!<br />
Where: Jacksonville University<br />
When: 7:00 a.m.<br />
Info: ju.edu<br />
OCTOBER 22<br />
Esser <strong>Health</strong> Seminar<br />
Curious about how diet and exercise<br />
can reverse illness? This seminar with<br />
Dr. Stephen Esser and Certified Personal<br />
Trainer, Tiffany Esser will get you on<br />
the road to wellness<br />
Where: Fresh Jax,<br />
11526 Lake Mead Ave., Unit 103<br />
When: 11:30 a.m. – 6:00 p.m.<br />
Info: freshjax.com<br />
OCTOBER 25<br />
Stroke Sense Education Series<br />
This support group is designed to help<br />
provide community for stroke survivors<br />
and their families, every Tuesday.<br />
Where: Mayo Clinic, Cannaday Building,<br />
Room 116<br />
When: 11:00 a.m. – 12:00 p.m.<br />
Info: mayoclinic.org<br />
NOVEMBER 4<br />
Tobacco-Free Jacksonville<br />
Coalition Meeting<br />
Every first Friday, join in the fight to<br />
reduce tobacco addiction and learn what<br />
resources are available in our community<br />
Where: 6852 Belfort Oaks Pl.<br />
When: 9:00 a.m. – 11:00 a.m.<br />
Info: tobaccofreejacksonville.org<br />
NOVEMBER 12<br />
Bailey’s <strong>Health</strong> &Fitness Mandarin Run<br />
Burn those calories before holiday<br />
feasting begins at the 10k and 5k run<br />
sponsored by Bailey’s <strong>Health</strong> and Fitness.<br />
Where: Bailey’s Gym, 11740 San Jose Blvd.<br />
When: 8:00 a.m.<br />
Info: 1stplacesports.com<br />
NOVEMBER 19<br />
First Coast Walk for Children<br />
with Apraxia<br />
Apraxia is a rare disorder that causes<br />
children to struggle with speech<br />
development. This walk is to raise<br />
awareness and funding to about this<br />
disorder to support the children and<br />
families who live with it daily.<br />
Where: The Bolles School,<br />
7400 San Jose Blvd.<br />
When: 8:30 a.m.<br />
Info: casana.apraxia-kids.org<br />
NOVEMBER 22<br />
22 Too Many<br />
Twenty-two veterans commit suicide<br />
every day in America. On the 22nd of<br />
every month, organizations gather to<br />
discuss how to better support our local<br />
veterans and advocate for their mental<br />
health needs.<br />
Where: BREW Five Points,<br />
1024 Park St., Jacksonville<br />
When: 11:30 a.m.<br />
Info: 22toomany.com<br />
/ healthsourcemagazine<br />
/ healthsourcemag<br />
healthsourcemag.com 3
First Coast <strong>Health</strong> Source<br />
LETTER FROM THE EDITOR<br />
Editor<br />
Nan Kavanaugh<br />
Creative Director / Designer<br />
Christine Tarantino<br />
Sales Manager<br />
Sean Scullion<br />
Director of Business Development<br />
Stephanie Calugar<br />
Senior Marketing Consultant<br />
Anna Marie Burke<br />
Marketing Consultants<br />
Fallon Mayer<br />
Nikki Schonert<br />
Events Manager / Social Media<br />
Erin Colatrella<br />
Copy Editor<br />
Roxie Lute<br />
Contributors<br />
Caren Burmeister<br />
Bob Fernee<br />
Maggie FitzRoy<br />
Woody Huband<br />
Bruce Lipsky<br />
Bob Mack<br />
Allie Olsen<br />
Craig O’Neal<br />
John Vredenburg<br />
Roosevelt Watson III<br />
Production Coordinator<br />
Melanie Turner<br />
Stock photography provided by<br />
Thinkstock<br />
<strong>Health</strong>SourceMag.com<br />
The health community of the First Coast<br />
is diverse, cutting-edge and growing by<br />
the minute.<br />
We have some of the best doctors in<br />
the world working and living here. We<br />
have an extraordinary network of organizations<br />
working to raise awareness<br />
and support funding for research for a rainbow of health initiatives.<br />
We have a bounty of resources that lend themselves to building a<br />
healthy lifestlye around fitness and outdoor activities. Holistic health<br />
is trending in every region of our area with new yoga studios and<br />
practitioners popping up. We have fantastic organizations providing<br />
us access to fresh, local food. In other words, we have it all.<br />
But how do you cram all that into one publication? The team here at<br />
<strong>Health</strong> Source has been asking itself that question over the past two<br />
years. The magazine has undergone a series of evolutions in the past<br />
24 months on a quest to figure out what it is that our readers want<br />
out of a health magazine. The process has led us to the decision to<br />
take a break and re-evaluate. This issue of <strong>Health</strong> Source will be the<br />
last of 2016, as we begin to dig deep into research and development<br />
to understand how to better bring you stories that will hopefully<br />
lead to a happier, healthier life.<br />
In 2017, we will hit the ground running with a new magazine that<br />
spans across a variety of media platforms to bring stories from our<br />
flourishing health community to you. That being said, what do you<br />
want out of a health magazine? We want to know. Email me with<br />
your ideas.<br />
<strong>Health</strong> Source Magazine is the longest running health magazine in<br />
Jacksonville. Our city has seen a lot of change over the past decade,<br />
and as a media organization it is our job to change with the times. We<br />
will see you in 2017 with a bold new venture for the Bold New City.<br />
Best,<br />
First Coast <strong>Health</strong> Source Magazine is published 12 times per<br />
year by Times-Union Media. Reprints are available – 1 Riverside<br />
Avenue, Jacksonville, FL 32202. ©2016 First Coast <strong>Health</strong> Source<br />
Magazine. All rights reserved. The contents of this publication,<br />
including articles, may not be reproduced in any form without<br />
written permission from the publisher. Content of the contributing<br />
advertisers do not reflect the opinions of Times Union<br />
Media. Advertisers have proofed respective articles and content<br />
is assumed true and correct. First Coast <strong>Health</strong> Source is not<br />
responsible for the care given by its advertisers. First Coast <strong>Health</strong><br />
Source is for informational purposes only and is not meant as<br />
medical advice. First Coast <strong>Health</strong> Source believes that choosing a<br />
medical professional is a serious decision and should not be based<br />
solely on an advertisement.<br />
Nan Kavanaugh<br />
Editor, First Coast <strong>Health</strong> Source<br />
Send story ideas to nan.kavanaugh@morris.com<br />
4 First Coast <strong>Health</strong> Source Fall 2016
DISSOLVING HEART STENTS<br />
Available Only at St. Vincent’s<br />
St. Vincent’s is one of only three hospitals in Florida to offer dissolvable stents. Our interventional<br />
cardiologists are the only physicians in the region to offer this cutting edge, life-saving treatment.<br />
Learn more at www.jaxhealth.com/heartleaders<br />
healthsourcemag.com 5
First Coast <strong>Health</strong> Source<br />
CONTENTS<br />
Fall 2016<br />
14<br />
12<br />
30<br />
20<br />
Features:<br />
12<br />
14<br />
20<br />
30<br />
The Family Minute<br />
Soccer for family fun and fitness<br />
Kayak Fly Fishing<br />
Get a little zen on the water<br />
Living with Congenital Heart Disease<br />
Living longer and better lives<br />
Farm to Family Food Truck<br />
Delivering fresh food to those most in need<br />
DAILY THRIVE<br />
10 Workplace Wellness<br />
11 Your Pet<br />
BODY WORKS<br />
18 Shape It Up<br />
19 Thrive Outside<br />
SOUND MIND<br />
24 Survive & Thrive<br />
26 Brain Games<br />
FRESH EATS<br />
28 Delish Dish<br />
34 Calorie Count<br />
OUTSIDE THE SECTIONS<br />
3 <strong>Health</strong>y Happenings<br />
8 Ask the Expert<br />
6 First Coast <strong>Health</strong> Source Fall 2016
The highest level<br />
of recognition<br />
Brooks Rehabilitation Hospital recently achieved<br />
Magnet designation as a reflection of its nursing<br />
professionalism, teamwork and superiority in patient<br />
care. The Magnet Recognition Program is the gold<br />
standard in nursing excellence. Brooks is one of only<br />
four freestanding inpatient rehabilitation facilities in the<br />
country to achieve this designation!<br />
healthsourcemag.com 7
ASK THE EXPERT<br />
First Coast <strong>Health</strong> Source<br />
A Look at Prostate <strong>Health</strong> with Dr. Ali Kasraeian<br />
As told to Nan Kavanaugh I Illustration by Roosevelt Watson III<br />
The prostate is one of the organs that we are familiar with, but may not know much about how it serves the<br />
body. September is Prostate Cancer Awareness month, and we asked Dr. Ali Kasraeian of Kasraeian Urology<br />
to share with us some information about the prostate and how to keep it healthy.<br />
shows that diets that are high in red meats and fats contribute<br />
to a rise in certain cancers, and prostate cancer is a<br />
part of that group.<br />
3. Is there an age where men need to begin to think<br />
more about their prostate health? Why?<br />
You should start screening in your 40s. Your first PSA test<br />
in your 40s is most predictive of your prostate cancer risk.<br />
Men don’t like to talk about this stuff. We are the worst.<br />
It is tough to do, but the problem with prostate cancer is<br />
that there are no symptoms. It is out of sight out of mind.<br />
One of the most important things to do is to get appropriate<br />
and timely screening for prostate cancer.<br />
4. Are there any early warning signs that your prostate<br />
may be unhealthy or cancerous?<br />
There is nothing. Ninety percent or more of prostate cancers<br />
have no symptoms. It is difficult because a patient<br />
feels great and is living their life, and then they are diagnosed<br />
with prostate cancer. It is different than if you had a<br />
heart attack or an intestinal blockage, and you feel terrible<br />
and treatment makes you feel better. You feel great, and<br />
then all of a sudden you have all of these things to do for<br />
treatment that are very daunting.<br />
1. What is the prostate and how does it serve the body?<br />
The prostate is an organ that lives at the bottom of the<br />
pelvis under the bladder, and the urine channel runs<br />
through it. Basically, it serves as an outflow track for<br />
semen, and it secrets fluid that nourishes and protects<br />
sperm on its quest to fertilize the egg.<br />
2. What can men do to keep their prostate in<br />
good health?<br />
Maintaining a healthy balanced diet of fruits, vegetables<br />
and grains, which seems like a generic recommendation,<br />
but it really serves our bodies well. Study after study<br />
5. If there was one thing you wish every man knew<br />
about his prostate, what would it be?<br />
Get screened. It can really save your life. Getting screened<br />
earlier in your 40s can give us a better idea of where you<br />
lie. If you have an abnormal screening, and a biopsy is<br />
suggested, see an urologist that has expertise in some of<br />
the more cutting-edge diagnostic techniques out there.<br />
If you are diagnosed with prostate cancer, you have time<br />
to take in the information about your cancer and make an<br />
informed decision. Prostate cancer is not a rapidly progressing<br />
disease. The world of prostate cancer therapy is<br />
changing at a rapid pace. You may be a candidate for certain<br />
treatments and you want to find an expert who deals<br />
with prostate cancer, specifically.<br />
To hear more about prostate health from expert Dr. Ali Kasraeian, visit us<br />
online at healthsourcemag.com<br />
8 First Coast <strong>Health</strong> Source Fall 2016
Ryleigh<br />
is why.<br />
Join or start a Heart Walk team to help those affected by heart disease, like<br />
Ryleigh and her family, experience more of life’s precious moments.<br />
NATIONALLY SPONSORED BY<br />
FIRST COAST LIFE IS WHY SPONSORS<br />
2016 First Coast Heart Walk<br />
Saturday, September 17 th<br />
METROPOLITAN PARK<br />
DOWNTOWN JACKSONVILLE<br />
FIRST COAST CAUSE SPONSORS<br />
Register today! www.FirstCoastHeartWalk.org or call 904-256-5732<br />
Come in and get our FREE 5 Step Fit Process, which includes a foot pressure<br />
test, GAIT Analysis, and running test! Or come to one of our FREE weekly<br />
group runs from our stores! Visit: www.1stplacesports.com for details!<br />
SIX<br />
STORE<br />
LOCATIONS<br />
Baymeadows: 3931 Baymeadows Rd, Jacksonville | (904) 731-3676<br />
San Marco: 2018 San Marco Blvd, Jacksonville | (904) 399-8880<br />
Town Center: 4870 Big Island Dr., Jacksonville | (904) 620-9991<br />
Jax Beach: 424 South 3rd St, Jacksonville Beach | (904) 270-2221<br />
Orange Park: 2186 Park Avenue, Orange Park | (904) 264-3767<br />
St. Augustine: 1000 S. Ponce de Leon Blvd., St Augustine | (904) 679-4237<br />
healthsourcemag.com 9
Daily Thrive<br />
WORKPLACE WELLNESS<br />
Don’t Work Yourself to Death<br />
How to deal with workplace stress<br />
By Caren Burmeister<br />
Sometimes people have to hit rock bottom before they turn their lives<br />
around. Jacksonville Cardiologist Dr. Jonathan Constantin sees this<br />
frequently when it comes to high blood pressure.<br />
DON’T LET THE<br />
PRESSURE BUILD<br />
Blood pressure is considered high<br />
if it’s greater than 140 over 90 on<br />
two separate occasions. Here are<br />
some ways to manage high blood<br />
pressure and the stress that<br />
can provoke it:<br />
• When stress is building at work,<br />
take a walk on your lunch break<br />
and schedule time to get away,<br />
even if it means a stay-at-home<br />
vacation.<br />
• Cognitive therapy, which<br />
challenges negative thought<br />
patterns about the self<br />
and the world, can help you see<br />
a stressful situation in a different<br />
light.<br />
• Find the type of exercise,<br />
walking, yoga or workout,<br />
that fits your personality so<br />
you’ll do it consistently.<br />
• Avoid smoking, drinking and<br />
over eating. Their comfort is<br />
short lived and only exaggerates<br />
stress.<br />
One patient, a morbidly obese alcoholic<br />
in his fifties who often skipped<br />
his medications, had been in and out<br />
of the hospital four or five times due<br />
to heart failure.<br />
“He was his own worst enemy,”<br />
says Constantin of the First Coast<br />
Cardiovascular Institute.<br />
He believes that a patient’s understanding<br />
and participation in their health is key<br />
to their success. But as a doctor, all he<br />
can do is point out the risks and benefits<br />
of their lifestyle choices.<br />
“I’m not scolding them,” he says. “I’m<br />
a teacher who provides resources. I<br />
wasn’t giving him advice for my sake, it<br />
was for him. You have to take responsibility<br />
for yourself.”<br />
One day, as the patient was going<br />
through a divorce, he just kind of woke<br />
up, Constantin says. He stopped drinking,<br />
changed his diet and lost 145 pounds.<br />
Eventually, he was able to stop taking<br />
four or five of his medications.<br />
“He has started walking and his heart<br />
function has normalized,” Constantin says.<br />
“He looks like a new person. He can’t<br />
believe how good he feels.”<br />
High blood pressure is a growing<br />
problem due to obesity, diabetes and<br />
unresolved stress. It affects roughly 76<br />
million Americans over the age of 20.<br />
Over time, and without treatment, high<br />
blood pressure can not only damage<br />
the heart, but also the kidneys and<br />
brain, Constantin says.<br />
Stress, which can aggravate high blood<br />
pressure, occurs when there is a perceived<br />
threat, whether it’s real or not. The<br />
time we spend at work can be the most<br />
stressful part of our days and that stress<br />
can act as a trigger.<br />
“It’s the fight or flight response that<br />
activates the sympathetic nervous system<br />
and releases chemicals that increases<br />
the heart rate and blood pressure,”<br />
Constantin says.<br />
It’s one of the conditions that patients<br />
can make a conscious choice to control.<br />
While the sympathetic nervous system<br />
revs you up, its counterpart — the parasympathetic<br />
nervous system — slows you<br />
down and lowers the heart rate. It kicks<br />
in when you are resting, meditating or<br />
doing yoga for example.<br />
While it’s not always practical to quit a<br />
stressful job, you can change the way you<br />
view it and deal with it, Constantin says.<br />
Here’s where exercise really shines. It<br />
trains your heart rate and blood pressure<br />
to more effectively restore to normal and<br />
deal with stress, he says.<br />
For more information visit firstcoastcardio.com or the American Heart Association at heart.org<br />
10 First Coast <strong>Health</strong> Source Fall 2016
Daily Thrive<br />
YOUR PET<br />
Eastern Medicine for Man’s Best Friend<br />
A look at acupuncture for pets<br />
By Caren Burmeister I Photography by Craig O’Neal<br />
Pets plagued with allergies, arthritis and hot spots often don’t respond well to conventional veterinarian<br />
medicine. But holistic medicine, well, that just might be the cat’s meow.<br />
Some pet medical<br />
conditions that respond<br />
well to holistic care are:<br />
• Seizures<br />
• Fecal incontinence<br />
and feline cystitis<br />
• Cancer and post<br />
cancer treatment<br />
following<br />
chemotherapy or<br />
surgery<br />
• Allergies, autoimmune<br />
diseases and hot spots<br />
• Arthritis, hip dysplasia<br />
and degenerative<br />
diseases<br />
• Weight control<br />
and gastrointestinal<br />
ailments<br />
Acupuncture, laser therapy, chiropractic, massage and nutritional<br />
care can be very successful for chronic, degenerative diseases<br />
and overall wellness, say Jenna Castner Hauck, who practices<br />
holistic therapies at her Jacksonville Beach clinic, Veterinary<br />
Acupuncture and Wellness.<br />
While some conditions respond best to traditional Western<br />
medicine, others do better with acupuncture and nontraditional<br />
therapies.<br />
“The dogs and cats really respond to it,” she says. “They<br />
realize what we’re doing for them and it really makes them<br />
feel better.”<br />
Just ask Pooker. The 10-year-old dachshund could barely<br />
walk when she was brought to the wellness clinic in April. Two<br />
months earlier she had jumped off a sofa, causing a slipped<br />
disk. Soon after, she began to drag both feet on her right side<br />
and fall down. When Pooker’s condition didn’t improve, her<br />
veterinarian suggested a neurological<br />
evaluation and surgery. She was<br />
brought to the wellness clinic for<br />
less invasive treatment. For the next<br />
seven weeks, Castner Hauck treated<br />
Pooker with Chinese herbs and<br />
electroacupuncture, a procedure in<br />
which a small electric current is passed<br />
between pairs of acupuncture needles.<br />
With each visit Pooker’s condition<br />
improved, Castner Hauck says. After<br />
seven visits, Pooker walked out the<br />
clinic on her own. Castner Hauck<br />
recently checked to see how she was<br />
doing.<br />
“She’s truly 100 percent normal,”<br />
Castner Hauck says. “She did awesome.”<br />
A veterinarian, Castner Hauck<br />
became a certified animal acupuncturist<br />
a decade ago after noticing that<br />
pets with allergies and chronic degenerative<br />
issues weren’t improving with<br />
steroids and antibiotics.<br />
“I was feeling that I wanted other options,” she says.<br />
“Conventional medicine wasn’t really helping them heal. I felt<br />
like I was putting Band-Aids on things, and now I really feel like<br />
I’m helping animals heal.”<br />
Acupuncture recognizes an imbalance before it becomes a<br />
disease, Castner Hauck says. An ancient form of Chinese medicine,<br />
it works on the premise that chi, the vital force that flows<br />
through the body, travels along energy channels called meridians.<br />
Acupuncture opens these meridians and stimulates the blood<br />
supply. Performing acupuncture on animals is nothing new.<br />
Hundreds of years ago it was practiced on horses in China to<br />
keep them healthy and ready for battle, she says.<br />
Dr. Jenna treating Dexter, a 10-year-old Airedale Terrier for general<br />
wellness and he was also treated for being a little lethargic.<br />
For more information, visit Veterinary Acupuncture and Wellness at<br />
vetacuwellness.com<br />
healthsourcemag.com 11
12 First Coast <strong>Health</strong> Source Fall 2016
Daily Thrive<br />
FAMILY MINUTE<br />
SOCCER<br />
For family fun and fitness<br />
By Bob Fernee I Photography by Bob Mack<br />
The world’s most popular sport has exploded in popularity in the<br />
United States throughout the past few decades. There was a time<br />
when soccer was rarely seen on television. Now, it’s shown all the<br />
time. Locally, Jacksonville Armada FC, a professional team in the<br />
North American Soccer League (NASL), and many recreational clubs<br />
serve kids and adults all over the First Coast.<br />
According to 2014 U.S. Youth Soccer<br />
statistics the number of registered players<br />
has gone from more than 100,000<br />
in 1974 to more than 3 million, with 52<br />
percent boys and 48 percent girls playing<br />
respectively. Florida has the sixth<br />
highest number of players nationwide<br />
with more than 113,000.<br />
Why is soccer catching on? Surely<br />
it’s more than David Beckham and<br />
neon-colored cleats.<br />
Parents are looking for a sport that<br />
not only encourages commitment, teamwork<br />
and good sportsmanship, but also<br />
promotes a high level of physical fitness.<br />
The cross-cultural sport also requires little<br />
equipment.<br />
Amy Haney is a working mother of<br />
three and coach of a kids’ recreational<br />
team at the Westside Soccer Club. Haney<br />
started playing at an early age herself<br />
and went on to play intermural soccer at<br />
the University of Florida. When Westside<br />
Soccer Club was looking for coaches,<br />
she figured with her experience it was<br />
a natural fit to coach her 6-year old<br />
daughter’s team.<br />
For her, it is a privilege to coach. “The<br />
parents are entrusting their children to me.<br />
I want them to fall in love with the game,<br />
learn the fundamentals and to grow as<br />
players,” she says.<br />
Soccer is a sport that requires skill,<br />
intelligence and fitness. As a cardiovascular<br />
exercise, it is one of the most<br />
vigorous. It’s rated sixth behind hockey,<br />
rowing, racquetball, cycling and running.<br />
A 90-minute game of soccer is considered<br />
equivalent to a four-mile run.<br />
Haney believes that soccer is the<br />
perfect kids’ sport. “It is so active; they<br />
are always running around with a ball<br />
at their feet. It is a wonderful way for<br />
them to exercise.”<br />
Working in groups is a fundamental<br />
part of the sport. “It is also a great team<br />
game. Individually each child plays a<br />
part, but they learn that teamwork is<br />
required to be successful collectively,”<br />
she says.<br />
The Haney family, that also includes<br />
9-year-old Joel and 5-year-old Micah,<br />
often play and run together. Husband,<br />
Stephen, has grown to enjoy the game his<br />
wife and children love. The entire family<br />
can be found on the fields of Ringhaver<br />
Park during practice and game days,<br />
which can be tiring with two working<br />
parents; but a family that plays together,<br />
stays together.<br />
Above top to bottom: Amy Haney<br />
works one-on-one with son Joel, 9,<br />
as they practice ball handling skills;<br />
Krista Haney practices dribbling<br />
the ball around cones.<br />
Right: Amy Haney is a former<br />
collegiate soccer player who<br />
coaches for the Westside Soccer<br />
Club. Amy, her husband Stephen,<br />
and kids (from left) Joel, 9, Krista,<br />
6, and Micah, 5, posed for a<br />
portrait in Ringhaver Park and then<br />
went through a few skill drills.<br />
FITNESS FACT<br />
According to Diet & Fitness<br />
Today, competitive soccer burns<br />
431 calories in 30 minutes. While<br />
casual play burns 302 calories<br />
and coaching soccer burns 172<br />
calories. No matter how you<br />
play the sport, soccer is going to<br />
be a great workout.<br />
healthsourcemag.com 13
14 First Coast <strong>Health</strong> Source Fall 2016
Body Works<br />
By Maggie FitzRoy I Photography by Woody Huband<br />
A bright peach sun rises above the horizon as we launch our kayaks<br />
from Cedar Point Preserve. The brightening sky is robin’s egg blue,<br />
dotted with gray and white clouds, and not a sound can be heard except<br />
the soft swish, swish of our paddles. Then a fish jumps out of the water<br />
ahead of me, breaking the stillness. And another.<br />
It’s a good sign. We’ve come<br />
to this gorgeous spot in the<br />
Timucuan Ecological and<br />
Historic Preserve to fish. But not<br />
to do just any type of fishing.<br />
We’ve come to kayak fly fish, a<br />
sporting activity that is growing in popularity<br />
with people of all ages.<br />
It’s a sport that requires skill and<br />
patience, and when mastered is “a very,<br />
very rewarding way of catching fish,” our<br />
guide, Captain Rich Santos, tells me, a complete<br />
novice.<br />
“You can pretty much pat yourself on<br />
the back when you do catch a fish,” he<br />
says. “Because you’ve earned it. It takes<br />
practice.”<br />
The First Coast is an ideal environment for<br />
kayak fly fishing due to all our many waterways,<br />
Blackfly Outfitter fly fishing expert<br />
Andrew Mizell told me after I returned from<br />
my excursion. “We have the largest population<br />
of kayak fly fishing enthusiasts anywhere<br />
in the world.”<br />
“It does take practice, it does take finesse<br />
and there is some skill involved,” Mizell says.<br />
But is also an enjoyable minimalist sport,<br />
because “it’s just you and the fish and the<br />
kayak. It’s more than just catching a fish. It’s<br />
getting out there and exploring what the back<br />
country and marsh have to offer.”<br />
I was game, open to learning what I could<br />
out on the water with Santos, photographer<br />
and expert angler Woody Huband, co-worker<br />
Roxie Lute and Santos’ fishing buddy<br />
Kevin Eastman. Santos, who teaches many<br />
newbies the sport, was a clear and patient<br />
teacher and provided everything we needed<br />
— Wilderness System open top kayaks, rods,<br />
lines, anchors and flies.<br />
The first thing I learned was that the poles<br />
don’t have reels. Instead, one of your hands<br />
acts as the reel, making the line, and the fly<br />
attached to it, move, which is called “stripping.”<br />
healthsourcemag.com 15
Writer Maggie FitzRoy practices “stripping” the line in order to move the fly across the water as guide and instructor Captain Rich Santos watches.<br />
CAPTAIN RICH SANTOS<br />
A U.S. Coast Guard captain, Santos is an<br />
expert in all types of fly fishing, including<br />
kayak.<br />
For information about guided trips visit<br />
flyfishjax.com<br />
Captain Rich Santos stands up in his kayak to<br />
sight fish in shallow water lined with oyster<br />
beds, and birds, including a Roseatte Spoonbill<br />
in the background.<br />
The flies come in various shapes,<br />
sizes and colors, and to an untrained<br />
novice like me, look kind of like<br />
fuzzy lures. But in the water, to the<br />
fish, they look like something the fish<br />
would like to eat, such as a bait fish,<br />
shrimp or crab. It takes skill as well to<br />
know what type of fly to use to catch<br />
a particular type of fish in a particular<br />
type of water.<br />
“With the fly, you are trying to make<br />
it come alive, by stripping it with your<br />
line hand. It’s making the fly swim and<br />
move,” Santos told me as he demonstrated,<br />
and then let me try.<br />
Since I am right handed, I cast the<br />
rod with my right hand and stripped the<br />
line with my left. It took coordination<br />
and patience, and like anything new,<br />
was awkward at first.<br />
“It’s a very technical way of fishing,”<br />
and casting a fly is more difficult from<br />
a kayak than from land, he explained<br />
as I tried again and again. But there<br />
are advantages of being in a kayak,<br />
and you have a much higher chance<br />
of catching a fish in one, he said. “It’s<br />
a much quieter and stealthier way to<br />
sneak up on a fish in shallow water.<br />
Fish are very skittish and spooky in<br />
shallow water.”<br />
We were fishing for spotted sea trout<br />
in the salt water tidal marsh around<br />
Cedar Point, as well as for Red Fish and<br />
Southern Flounder.<br />
A breeze blew across the water as<br />
Santos demonstrated how to “false cast,”<br />
which is flicking the line out a few<br />
times first without letting the fly land in<br />
the water, like a warm up. False casting<br />
loads, or bends, the rod, storing energy<br />
in it, he said.<br />
“Now, let the fly drop, rod tip<br />
down,” he said. “Then you start stripping<br />
to move the fly.”<br />
We’d paddled near oyster beds,<br />
and positioned ourselves near them,<br />
because oyster beds “are like restaurants”<br />
to fish, Santos said. Bait fish<br />
live between the oysters, using them<br />
for cover, as do crabs.<br />
After we’d fished an area for a while,<br />
we pulled up our anchors, which kept<br />
us in place against the eddies and cur-<br />
16 First Coast <strong>Health</strong> Source Fall 2016
ents, and paddled on to a new spot.<br />
Around us red winged black birds flitted<br />
and landed on marsh bushes, calling to<br />
each other with their signature “pee jee,<br />
pee jee” sound. In the distance I could<br />
see the Dames Point Bridge against the<br />
by-then totally blue sky.<br />
“This is an adventure,” Santos said. “It’s<br />
about the beauty, and being in the marsh.<br />
It’s an incredible place to see birds.”<br />
Since we were on an outgoing tide,<br />
Santos explained that everything in the<br />
“shrinking” water was becoming more<br />
concentrated, including the fish.<br />
Off in the distance, his buddy Eastman<br />
shouted that he’d caught a flounder.<br />
About five minutes later, Santos also<br />
caught a foot long flounder.<br />
Then we moved on, passing several<br />
egrets standing in the mud, hunting fish<br />
along a shore lined with grand cedar,<br />
oak and palm trees.<br />
Santos explained that a lot of kayak<br />
fly fishing involves “sight fishing,” looking<br />
for a fish, like the egrets do, and<br />
then dropping a fly right in front of it.<br />
It’s like hunting. “You get to know the<br />
water and allow the fish to show themselves,”<br />
he said. “Fly and kayak is a<br />
deadly combination.”<br />
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After several relaxing and invigorating<br />
hours kayak fly fishing in the beautiful<br />
environs of Cedar Point, I still had not<br />
caught any fish. Twice, I snagged an oyster<br />
and thought it was a fish.<br />
“An oyster fish,” Santos said, laughing.<br />
But it didn’t matter. By then I was<br />
feeling more confident with my casting,<br />
and realized that with practice, I could<br />
do this.<br />
“A lot of ladies are catching onto<br />
kayak fly fishing, Mizell told me.<br />
“Because of the finesse and elegance of<br />
casting a fly rod.”<br />
“It’s zen,” he says. “For me, it’s my<br />
way of getting away from everything. If I<br />
do happen to catch a fish, it just makes it<br />
that more rewarding.”<br />
healthsourcemag.com 17
Body Works<br />
SHAPE IT UP<br />
Build a BETTER You<br />
A look at Roc Fitness Training<br />
By Bob Fernee I Photography by Bob Mack<br />
Ever since its invention, Americans have loved the automobile. Unfortunately, that love has undone<br />
us. We began driving more and walking less resulting in a number of health ailments brought on by a<br />
decline in fitness.<br />
Personal trainer, Maynard Taylor, has a favorite exercise that he<br />
pushes to all his clients. The one we left behind: walking.<br />
He also likes the outdoors. “I have a gym, but I don’t use it that<br />
much, I prefer to use all this,” he says gesturing toward an open<br />
grassy field, “I like to do cardio and body weight exercises. The<br />
only equipment a person needs is their legs.”<br />
Walking helps maintain a healthy weight and prevents heart<br />
disease, high blood pressure and Type 2 diabetes. It also<br />
strengthens bones and muscles in addition to improving balance<br />
and coordination, and can even lift your mood.<br />
The 36-year-old Philadelphia native discovered the benefits of<br />
exercise while in the Navy. Stuck aboard a ship, with little else<br />
to think about except a painful divorce, he found relief by lifting<br />
weights and exercising. He continued with his newfound love<br />
once his naval stint was over and it wasn’t long before others<br />
were asking his advice. Next thing he knew, him and his pal,<br />
Roscoe “Roc” Casey, began Roc Fitness Training.<br />
“Get moving, get active,” Taylor says, “that is our training<br />
philosophy.”<br />
“We have a slogan, ‘Let’s Go BABY,’ and B-A-B-Y means, Build<br />
A Better You,” he says with enthusiasm.<br />
Taylor is a man on a mission; he wants people to be fit and<br />
active. At the moment, he isn’t making it a full-time career, but it is<br />
an all-consuming passion.<br />
“I just want to help people change their lives and achieve their<br />
goals,” Taylor says.<br />
He has learned that clients are all different. “When someone<br />
comes to me I ask them: ‘What are you trying to change?’ Then,<br />
I find out what motivates them,” he says. “I had one girl who<br />
needed to pass a fireman’s physical exam. One day she said she<br />
didn’t feel like training, and I said, ‘there is somebody else who<br />
wants that spot and they are working out right now and they are<br />
going to take it away from you.’ That got her going.”<br />
Taylor admits that many people have trouble staying motivated.<br />
He helps them look for higher goals and urges them forward.<br />
Some just need a training partner, and he is happy to be that<br />
person. He is constantly giving advice and is as much a mentor as<br />
he is a motivator.<br />
18 First Coast <strong>Health</strong> Source Fall 2016
Body Works<br />
THRIVE OUTSIDE<br />
Little Talbot & Big Talbot Island<br />
Adventure away from civilization<br />
Written and Photographed by Maggie FitzRoy<br />
The dunes framing the beach at Little Talbot Island State Park are as<br />
natural and undisturbed as they were in the days of the Timucuan Indians.<br />
Big Talbot Island has a rustic picnic area near the entrance and several walking trails that<br />
meander through the nature preserve and Boneyard Beach.<br />
Big Talbot is a unique sea island and<br />
a magnet for photographers who are<br />
attracted to its wild, other-worldly beach<br />
landscape. Due to steep bluffs between<br />
the forest and shoreline, visitors need to<br />
hike Blackrock Trail to get down onto the<br />
beach. A sign at the beginning of the trail<br />
says that it is a quarter-mile long, but I<br />
was up for it. Walking along the wooded<br />
winding pathway, I see no other people,<br />
and have the beach to myself.<br />
Strolling Big Talbot beach isn’t an option,<br />
because of all the skeletal trees. They form<br />
a natural obstacle course which you need<br />
to climb over, under, or find a way around<br />
— depending on the tide.<br />
Other trails on the island lead to other<br />
habitats. Big Pine Trail leads to marsh, and<br />
Old Kings Highway and Jones Cut lead<br />
through maritime forest.<br />
I’ve been to the Talbot islands before, in<br />
the summer, when there are more people,<br />
but they are great places to get away any<br />
time of the year — whenever you want to<br />
escape the clutches of civilization.<br />
As I walk along a boardwalk toward the<br />
beach, I am alone amid a vast expanse of<br />
shrubs, wild flowers and sea oats. Stepping<br />
out onto the beach, I see only sand, ocean<br />
and sky. The hazy far-off silhouettes of US<br />
Navy ships to the south at Naval Station<br />
Mayport are the only signs of civilization.<br />
After a relaxing stroll, I hike back to my<br />
car and drive a few miles north to Big Talbot<br />
Island State Park. The adjacent islands<br />
are a beautiful study of contrasts.<br />
On Big Talbot, soaring majestic live<br />
oak trees grow all the way to the shoreline.<br />
And the beach is littered with the<br />
salt-washed silver-white skeletal remains<br />
of oak and palm trees. The beach is famously<br />
known as Boneyard Beach.<br />
Big Talbot and Little Talbot are part of<br />
a collection of seven state parks known as<br />
The Talbot Island State Parks, which also<br />
includes Amelia Island, Fort George Island,<br />
Pumpkin Hill Creek Preserve, Yellow Fort<br />
Bluff and George Crady Bridge Fishing<br />
Pier. They’re First Coast treasures, and great<br />
places to spend a day beachcombing, viewing<br />
and photographing wildlife, fishing,<br />
kayaking, surfing and picnicking.<br />
Little Talbot has five miles of white<br />
sandy beaches, and is one of the few<br />
remaining undeveloped barrier islands in<br />
Northeast Florida. Its western side is filled<br />
with maritime forest and salt marshes,<br />
home to river otters, marsh rabbits, bobcats<br />
and many migratory birds. This particular<br />
day, I meet a few photographers<br />
looking for a snowy owl that temporarily<br />
made the beach-side dunes its home.<br />
A full facility campground is also located<br />
on the island, where kayak rentals<br />
and guided paddle tours are available.<br />
Little Talbot Island has five miles of undeveloped<br />
beach, a full facility campground and a two and<br />
half mile paved bicycle path.<br />
healthsourcemag.com 19
20 First Coast <strong>Health</strong> Source Fall 2016
Sound Mind<br />
LIVING WITH<br />
CONGENITAL<br />
HEART<br />
DISEASE<br />
Living longer and better lives<br />
By Maggie FitzRoy I Photography courtesy of the American Heart Association<br />
Lee Ann Walker was 22 weeks pregnant with her daughter Ryleigh when she learned<br />
during an ultrasound that her baby had a serious heart defect. The diagnosis was truncus<br />
arteriosis, a rare type of heart disease in which the aorta does not develop.<br />
Left: Ryleigh Walker<br />
is this year’s Heart<br />
Walk Ambassador at<br />
the First Coast Heart<br />
Walk on Sept. 17.<br />
She was advised<br />
to terminate the<br />
pregnancy, but she<br />
and her husband,<br />
Craig, refused.<br />
Instead, she<br />
researched the<br />
condition and went<br />
to see pediatric cardiologists at Wolfsons<br />
Children’s Hospital, who knew how to<br />
fix it.<br />
Ryleigh was born full term, at 6<br />
pounds, 7 ounces, with a team of<br />
specialists there to greet her. At a<br />
week old, she underwent an 11 hour<br />
operation during which surgeons gave<br />
her an aorta created from donated<br />
human tissue. Since her pulmonary<br />
arteries were also very small, at three<br />
months a balloon was inserted into<br />
them to expand them, but with minimal<br />
success. She also has defective heart<br />
valves which will need to be repaired<br />
when she gets older.<br />
The Walkers were warned that<br />
children living with conditions like<br />
Ryleigh’s usually have low energy, “but<br />
that’s never been the case with her,” Lee<br />
Ann says.<br />
Now 4, she is a bundle of energy, and<br />
always has been.<br />
“She’s always been a happy girl and<br />
she’s a really smart girl,” her 9-year old<br />
brother, Cael, says one recent day as his<br />
healthsourcemag.com 21
GIVE A LITTLE LOVE<br />
TO ALL HEARTS<br />
JOIN THE 2016 FIRST COAST<br />
HEART WALK<br />
Robert Hill, President and Chief Executive Officer<br />
at Acosta, and this year’s volunteer First Coast<br />
Heart Walk Chairman, says Ryleigh Walker’s<br />
story is one that resonates with all of us.<br />
“Ryleigh’s story shows that the work of the<br />
American Heart Association is so critical in<br />
our community, and why the education and<br />
resources the association provides to our local<br />
community is important. Heart health affects<br />
everyone from children of very young ages such<br />
as Ryleigh, to our aging parents. Ryleigh’s story<br />
helps to remind us with the proper awareness,<br />
education and resources that good outcomes<br />
can happen.”<br />
Visit firstcoastheartwalk.org to register for the<br />
2016 Heart Walk on September 17.<br />
Ryleigh and her parents Craig and Lee Ann with her brother Cael.<br />
sister zooms around the family’s living<br />
room, jumping on and off the furniture.<br />
“She’s fun to play with and she’s really<br />
hyper — in many ways,” he says. “She<br />
has ten times as much energy as me.”<br />
“She likes to pretend she can fly,” Lee<br />
Ann says. She is also in an advanced<br />
class in her preschool. And she is at a<br />
normal weight and height because she<br />
has always had a healthy appetite. At<br />
this point she is being monitored until<br />
she is old enough for another open heart<br />
surgery to repair her ongoing issues.<br />
Ryleigh is also this year’s Ambassador<br />
for the American Heart Association’s<br />
Heart Walk on September 17 at<br />
Jacksonville’s Metropolitan Park. Last<br />
year, she and her family participated<br />
in the event that raises awareness and<br />
funds for heart disease research. This<br />
year, she is literally its poster child, and<br />
proudly so.<br />
As a child living with heart disease<br />
and thriving despite it, “she’s the face of<br />
the campaign this year,” Lee Ann says.<br />
She’ll lead the walk, wearing a cape just<br />
like all the other children in the “zipper<br />
club,” those who have had open heart<br />
surgery and have the scars to prove it.<br />
“I’ve always been an advocate for<br />
social change, so when Ryleigh was<br />
born, I got involved with support<br />
groups,” Lee Ann says. She’s still an<br />
advocate, for congenital heart disease,<br />
which is a major way she copes with her<br />
daughter’s condition.<br />
According to the AHA website, about<br />
40,000 children are born with a heart<br />
Ryleigh Walker is now 4 years old and a<br />
bundle of energy.<br />
Seventy years ago, only 15 percent of babies<br />
with congenital heart defects made it to<br />
adulthood. Now, more than 90 percent do.<br />
22 First Coast <strong>Health</strong> Source Fall 2016
defect each year. There are many types,<br />
and the impacts of the defects vary<br />
widely.<br />
In many cases, the condition goes<br />
undiagnosed until the child is older<br />
and in some cases not until adulthood,<br />
says Dr. Naser Ammash, a professor<br />
of medicine in the cardiovascular<br />
department at Mayo Clinic.<br />
Symptoms depend on the type and<br />
severity of the condition and some<br />
people just assume feeling fatigued is<br />
normal, he says.<br />
All of Dr. Ammash’s patients are 16<br />
and older, and as part of their treatment<br />
he encourages them to live as normal<br />
as possible. “They tend to have a higher<br />
risk of depression and a higher risk of<br />
anxiety,” he says. “They have many<br />
concerns about their futures.” He refers<br />
them for psychological counseling if<br />
necessary and also encourages them to<br />
exercise to the extent they can.<br />
Seventy years ago, only 15 percent<br />
of babies with congenital heart defects<br />
made it to adulthood, he says. Now,<br />
more than 90 percent do. “The feeling<br />
of normalcy is very important,” he says.<br />
“With adequate care, many can have<br />
children and careers.”<br />
Mayo patient Joe Meyer, 19,<br />
didn’t learn he had hypertrophic<br />
cardiomyopathy, thickening of the heart<br />
muscle, until he was 14, when it was<br />
discovered during a sports physical. He<br />
was lucky. A common cause of sudden<br />
death in young athletes, it is usually<br />
diagnosed during autopsies.<br />
He was upset about it initially, but<br />
after open heart surgery he was able<br />
to begin exercising, which helped<br />
physically and emotionally. He also<br />
copes by sharing his story. He has been<br />
Heart Walk Ambassador and a speaker<br />
at the Heart Ball.<br />
“By drawing attention to all the forms<br />
of heart disease,” he says, “I feel like I<br />
am making a difference.”<br />
Ryleigh’s brother, Cael, also aims to<br />
make a difference. He has been his<br />
sister’s biggest supporter since the day<br />
she was born.<br />
“I was happy that I had a really cool<br />
heart sister. She inspired me to become<br />
a doctor that fixes hearts,” he says. “I<br />
just want her to be fixed. I just want her<br />
to be fine.”<br />
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healthsourcemag.com 23
Sound Mind<br />
SURVIVE AND THRIVE<br />
Beating Heart Disease<br />
Made Her Stronger<br />
Now Annie Ward wants to offer hope to others<br />
By Maggie FitzRoy I Photography courtesy of the American Heart Association<br />
For most of her life, Annie Ward’s motto has been: “I decide the odds.”<br />
And time and time again, she has beaten them. When she was seven,<br />
she was diagnosed with hypertrophic cardiomyopathy, an enlarged<br />
heart muscle. After suddenly collapsing while walking the family dog,<br />
her shocked parents were told she had almost no chance of survival.<br />
But she lived.<br />
She was air lifted to Wolfson Children’s Hospital where she<br />
laid in a comatose state for days. Doctors warned her parents<br />
that she’d likely be mentally incapacitated if and when she woke<br />
up. But she emerged from the coma mentally fine. Implanted<br />
with a defibrillator, she was given a cocktail of medications, and<br />
warned to never do anything physically exerting. For the young<br />
girl, simple tasks like walking up the stairs were exhausting.<br />
Constantly lethargic, she attended school with her new reality,<br />
and did well.<br />
At age 17, cardiac tests indicated that her heart was so weak<br />
that a transplant was her only hope. Placed on a waiting list, she<br />
graduated from high school. She was off to college, but with a<br />
beeper to alert her when a suitable donor had been found. One<br />
day during freshman year, she passed out as she walked to class.<br />
Her situation became dire.<br />
“I told my professors that I might be late to class because I<br />
had to walk slow,” Ward, now 23, recalls. “But I was very upset<br />
because my heart condition had robbed me of so much. I felt<br />
alone, worthless and constantly tired.”<br />
She didn’t know if a heart would be found for her in time. A<br />
donor between the ages of 13 and 30 was needed due to her<br />
age. She felt depressed and defeated. Then she realized she had a<br />
decision to make: “I could either let this heart condition take over<br />
my life,” she says. “Or I could be joyful in spite of it.” She chose<br />
joy and focused on what she could do in life, not on what she<br />
couldn’t accomplish.<br />
Sharing her story during a special event at her college,<br />
Southeastern University in Lakeland, Fla., she was afterwards<br />
showered with<br />
prayers and<br />
support. Three<br />
days later, she<br />
received a heart<br />
from a 14-year-old<br />
female accident<br />
victim at UF<br />
<strong>Health</strong> Shands<br />
Hospital in<br />
Gainesville.<br />
But her<br />
challenges were<br />
Annie Ward at the 2016 Go Red for Women<br />
Luncheon.<br />
far from over. After all she’d already been through; she says life<br />
was suddenly “a different kind of difficult.”<br />
She had to learn how to walk again. She had to fight to get<br />
stronger, one step at a time. She came to accept and embrace the<br />
scars on her chest and abdomen as evidence of her strength.<br />
Then she graduated from college, and next year plans to get<br />
an advanced degree in social work. She dreams of working<br />
with cardiac patients, so she can share her story and bring<br />
them hope.<br />
“At the end of the day, it all comes down to your<br />
perspective,” she says. “You can’t let the disease defeat<br />
you; you’ve got to defeat it. That’s what I ended up doing. I<br />
defeated it and I won.”<br />
24 First Coast <strong>Health</strong> Source Fall 2016
“At the end of the<br />
day, it all comes<br />
down to your<br />
perspective. You<br />
can’t let the disease<br />
defeat you; you’ve<br />
got to defeat it.<br />
That’s what I ended<br />
up doing. I defeated<br />
it and I won.”<br />
— Annie Ward<br />
healthsourcemag.com 25
Sound Mind<br />
BRAIN GAMES<br />
Brain Games I Sudoku<br />
There is nothing better for the brain than a little exercise. Keep your brain in shape with<br />
our monthly brain games.<br />
Fill in the grid so that every row, column and 3x3 box contains the numbers 1 through 9.<br />
© 2016 Satori Publishing<br />
(answers on page 34)<br />
26 First Coast <strong>Health</strong> Source Fall 2016
Trust your legs to the vascular experts!<br />
Coastal Vein Aesthetic Institute was founded<br />
by MBB Radiology to help promote vascular<br />
health in the Jacksonville community.<br />
Our doctors have spent their careers treating<br />
patients with extensive vascular disease who missed<br />
the early warning signs. By extending our outreach<br />
into the community, we hope to help bridge the gap<br />
between hospitals and your family doctor to help<br />
promote comprehensive vascular wellness.<br />
Douglas Gesner, M.D. | Andrew McBride, M.D., RPVI<br />
Natalie Bernhart, MSPAS, PA-C<br />
Visit coastalvein.com for<br />
more info or to schedule a<br />
Vascular <strong>Health</strong> Screening.<br />
904.660.2330 | 7741 Point Meadows Dr. Unit 104, Jacksonville, FL 32256<br />
Our body is our temple.<br />
The NEW First Coast <strong>Health</strong> Source features stories that dive into how we can<br />
best support our physical health. Providing expert advice on exercise, outdoor<br />
active lifestyle and celebrating new advancements in medicine, this department<br />
showcases stories that speak to how best to keep in shape.<br />
healthsourcemag.com<br />
For advertising information or where to get a copy of<br />
the NEW <strong>Health</strong> Source Magazine call 904.359.4179<br />
healthsourcemag.com 27
Miso Marinated Tofu<br />
& Soba Noodle Salad<br />
from HOBNOB<br />
By Jon Vredenburg, MBA, RD, CDE, CSSD, LD/N I Photography by Bruce Lipsky<br />
Since openings its doors earlier this year, HOBNOB has quickly become a prime urban core dining destination, located at Unity<br />
Plaza within the Brooklyn neighborhood of Jacksonville. The wide-ranging menu reflects Chef Roger Regulacion’s desire to bring<br />
together a world of flavorful cuisines under one roof. “We just try to take these classic dishes people love from different cuisines,<br />
like the pancit [noodles] from the Philippines or the shakshuka [eggs poached in tomato sauce] from North Africa, and elevate it to<br />
fit our style of dining here,” Chef Regulacion says.<br />
28 First Coast <strong>Health</strong> Source Fall 2016
Fresh Eats<br />
DELISH DISH<br />
This month’s featured recipe, a Miso Marinated Tofu & Soba Noodle Salad, was originally developed to appeal to the vegetarian diner but<br />
has quickly become a customer favorite at HOBNOB. “There was always this forgotten crowd of people, who were vegetarians, and there<br />
was never anything on the menu that was intentionally made for them,” Regulacion says. The marinated tofu provides a good source of<br />
protein, while the soba noodles provide a tasty alternative to white flour pasta, with about half of the calories.<br />
INGREDIENTS:<br />
Miso Marinade:<br />
1 lb. white miso paste<br />
1 lb. granulated sugar<br />
2 cups mirin (rice wine)<br />
2 cups sake (rice wine)<br />
Spicy Soy Vinaigrette:<br />
1 cup teriyaki sauce<br />
1 roasted and seeded jalapeno<br />
1 tsp. sambal oelek (chile sauce)<br />
1 tsp. Rayu (chili oil)<br />
Quick Pickling Liquid:<br />
1 cup distilled vinegar<br />
1/2 cup sugar cane vinegar<br />
1 cup granulated sugar<br />
6 black peppercorns<br />
2 bay leaves<br />
Buckwheat Soba Noodles:<br />
1 lb. Korean or Japanese buckwheat<br />
soba noodles<br />
1 tbsp. sesame oil<br />
1 tbsp. canola oil<br />
Salad:<br />
12-16 oz. firm tofu<br />
1 lb. cooked soba noodles<br />
2 cups Napa cabbage<br />
1/2 cup grape tomatoes<br />
1/2 cup julienned jalapeños<br />
1/2 cup fresh cilantro (or less, to taste)<br />
1/2 cup julienned carrots (marinated in<br />
quick pickling liquid for 1 hour)<br />
1/2 cup julienned red onions (marinated in<br />
quick pickling liquid for 1 hour)<br />
1/2 cup radish, thinly sliced (marinated in<br />
quick pickling liquid for 1 hour)<br />
DIRECTIONS:<br />
1. Place all miso marinade ingredients in a heavy gauge sauce pot over medium heat and whisk thoroughly.<br />
2. Slowly simmer until mixture reaches the color of caramel. Remove from heat, transfer liquid to a bowl, and let<br />
cool completely in the refrigerator. Once the marinade has completely cooled, divide equally into two bowls.<br />
Add tofu to one bowl and marinate for two hours. Reserve the other bowl for salad assembly.<br />
3. While tofu is marinating, prepare the quick pickling liquid. Place all pickling liquid ingredients in a heavy gauge<br />
saucepot and bring to a boil, or just until all the sugar dissolves. Remove from heat and let cool completely in<br />
a bowl. Add carrots, red onions, and radishes, and marinate for one hour in a refrigerator.<br />
4. Next, make the spicy soy vinaigrette. Blend all vinaigrette ingredients until the jalapeño is completely puréed.<br />
Set aside.<br />
5. Prepare the buckwheat soba noodles according to package instructions. Once noodles are cooked to al dente,<br />
remove from heat and place in an ice bath. Drain and toss in the sesame and canola oil until well coated and<br />
no noodles stick together. Chill in a refrigerator.<br />
SALAD ASSEMBLY:<br />
1. Preheat an oven to 350 degrees and warm a sauté pan over medium heat.<br />
2. Grill or pan-sear the marinated tofu until it develops a light brown. Flip tofu, remove pan from heat, and finish<br />
in the oven for 4-5 minutes or until just heated through.<br />
3. Toss soba noodles in a small bowl with just enough spicy soy vinaigrette to coat the noodles.<br />
4. Drain the pickling liquid off carrots, red onions, and radish.<br />
5. Transfer noodles to two serving plates.<br />
6. Arrange pickled and raw vegetables around the noodles.<br />
7. Place tofu on top of noodles and vegetables. Garnish with a drizzle of spicy soy vinaigrette on the noodles,<br />
and leftover miso marinade on the tofu.<br />
8. Top the dish with fresh cilantro and serve immediately.<br />
HOBNOB is located at 220 Riverside Ave. For more info visit: hobnobwithus.com<br />
healthsourcemag.com 29
Delivering fresh food to those most in need<br />
Written and Photographed by Allie Olsen<br />
The Farm to Family food truck is a<br />
tale of resourceful ingenuity, piein-the-sky<br />
ideals and the American<br />
Dream.<br />
30 First Coast <strong>Health</strong> Source Fall 2016
Fresh Eats<br />
For more information, visit<br />
facebook.com/FarmtoFamilyFlorida<br />
It’s also a tale of overcoming economic mountains<br />
to provide for families in need. Farm to<br />
Family is changing the way the First Coast views<br />
food, and is giving the term “food truck” a<br />
whole new meaning.<br />
The Food Truck<br />
A massive truck is the heart of Farm to Family.<br />
Outfitted with refrigerated cargo bays and filled<br />
with local produce, this food truck aims to sell $7,000<br />
worth of retail products in three days of sales each weekat<br />
competitive prices.<br />
Farmers price their ripe-from-the-field-produce based on<br />
the market, and the food truck is a popular stop with residents<br />
in communities all over St. Johns County who want<br />
to support their local economy and farmers. It has been so<br />
popular that its route expanded to more than 13 stops each<br />
week during its first two months on the road.<br />
Scheduled market stops include Christ Episcopal Church<br />
in Ponte Vedra Beach, library parking lots, and Serenata<br />
Beach Club, where a group of moms there are so excited<br />
to have access to farm-fresh food that they’ve decided to<br />
make it a weekly moms group stop before play dates.<br />
Farm to Family aims to be a self-sustaining program, to<br />
sell at a certain volume in many communities in order to<br />
offset lower sales in “food desert areas.”<br />
The U.S. Department of Agriculture describes a food desert<br />
as “urban neighborhoods and rural towns without ready<br />
access to fresh, healthy, and affordable food.” While Farm<br />
to Family serves communities with ready access to farmers<br />
markets, the USDA reports that St. Johns County has<br />
seven food desert regions, including much of downtown<br />
St. Augustine and rural Hastings. Farm to Family stops in<br />
these areas, and accepts all forms of payment, including<br />
Supplemental Nutrition Assistance Program (SNAP) benefits,<br />
to bring healthy options to all residents of all economic levels<br />
of St. Johns County.<br />
Community Collaboration<br />
“Every cucumber you’re buying today helps pay a farmer’s<br />
mortgage,” says Executive Director Malea Guiriba.<br />
“Every $1.50 for a tomato goes back into the community.<br />
The impact is so far reaching.”<br />
Guiriba has big dreams and an even bigger heart for the<br />
community. Her desire for sustainable change in underserved<br />
areas is unquenchable and contributes to the success<br />
of this program.<br />
“Ideally, in a pie-in-the-sky world, this food truck is<br />
making nutritional and educational changes for all ages,”<br />
Guiriba says, citing its regular stops in impoverished and<br />
food desert areas.<br />
Her vision is not limited to making healthy food more<br />
accessible. “We affect childhood obesity now,” she says.<br />
“Sixty years from now, this reduces the number of adults<br />
with hypertension. That child we’re getting produce to<br />
now…well, we’ve affected her whole life span. The truck<br />
is not just about food. It’s about access to nutrition, education,<br />
supporting the farmers we buy from - everything we<br />
do is about so much more.”<br />
During a stop one day, Guiriba gestured for a market<br />
ambassador to help a customer grab a second watermelon.<br />
“You can have an extra one free,” she says. “We have plenty.”<br />
“At the end of the day, we don’t waste any of it,” she<br />
says. “We sell it discounted to feed the homeless, help<br />
farm workers and feed 20 homebound senior citizens in<br />
Hastings.”<br />
Food Desert: urban neighborhoods and rural towns without ready<br />
access to fresh, healthy, and affordable food.<br />
healthsourcemag.com 31
Left clockwise: Afternoon showers<br />
don’t keep Farm to Family shoppers<br />
from filling their baskets; Some<br />
produce, such as apples, pineapples<br />
and bananas are added to the truck<br />
for variety but the vast majority<br />
is grown here on the First Coast;<br />
George constantly restocks the Farm<br />
to Table truck as customers fill their<br />
baskets.<br />
Meet The Farmers<br />
Always quick to share credit, Guiriba<br />
points out that Farm to Family is the<br />
brainchild of two hard-working farmers,<br />
Chris Barnes and Ben Wells. “Chris even<br />
pulls from other smaller farms,” she says.<br />
“All the farmers try to help each other<br />
out,” says Wells.<br />
Barnes is a fifth generation farmer who<br />
longed to bring this new food truck concept<br />
to the First Coast. “Hey, you need<br />
food, we’re here to get it to you. This<br />
is the best, cheapest way possible and<br />
we’re gonna get it to you,” he says.<br />
A third generation farmer, Ben Wells<br />
works alongside family and hired hands<br />
planting 1,400 acres in St. Johns County.<br />
Farming is what he’s good at and<br />
what he loves, Wells says. Teaming up<br />
with Guiriba to develop Farm to Family<br />
allowed him to diversify his crops and<br />
also raise community awareness about<br />
local farms by going straight to the customer.<br />
Keyword = LOCAL<br />
Farm to Family sources from several<br />
local, mid-sized family farms. The truck<br />
sells local produce to people who want<br />
to buy fresh food for taste and nutritional<br />
benefits. This, in turn, provides<br />
enough revenue for the truck to go to<br />
lower income areas to offer nutritious<br />
food where there was no way to access<br />
it before.<br />
Farm-fresh produce is accessible to<br />
thousands of St. Johns County families<br />
who needed better access to fresh food.<br />
Unlike shopping at a traditional grocery<br />
store, with this model every dollar is<br />
earned and spent in the county, and the<br />
local economy is strengthened. Farm to<br />
Family is a food truck trend that’s changing<br />
the community one produce basket<br />
at a time.<br />
32 First Coast <strong>Health</strong> Source Fall 2016
healthsourcemag.com 33
Fresh Eats<br />
CALORIES COUNT<br />
END OF SUMMER COOKOUT<br />
HAMBURGER<br />
Can be delicious and nutritious<br />
Calorie Counts is a new section focused on providing information about the foods<br />
we eat, to act as a guide for healthier diet choices.<br />
BUTTER TOASTED BUN<br />
ONION RINGS<br />
Forget the onion rings:<br />
Putting fried onion rings<br />
on your hamburger increases<br />
the calorie count<br />
by about 140 calories<br />
(4 rings).<br />
<strong>Health</strong>ier choice:<br />
Go with sliced raw onion<br />
instead. There is only 6<br />
calories per slice.<br />
Loose the bread:<br />
A butter toasted bun is 220 calories and<br />
packed with carbs.<br />
<strong>Health</strong>ier choice:<br />
Sandwich your burger between two<br />
pieces of iceberg lettuce. It adds a great<br />
crunch and is virtually calorie free.<br />
EXTRA MEAT<br />
Don’t Pile on the Meat:<br />
Sliced bacon or a double<br />
patty just doubles down on<br />
your fat and calorie count.<br />
<strong>Health</strong>ier choice:<br />
Add a thick slice of tomato,<br />
sprinkled with salt and pepper.<br />
It will add flavor and heft to your<br />
burger, without the extra fat and<br />
calories of meat.<br />
BEEF HAMBURGER PATTY<br />
(answers to puzzle on page 26)<br />
Keep it Lean:<br />
There are different types of ground beef, and<br />
ground chuck is the most fatty. Stay away from it.<br />
<strong>Health</strong>ier Choice:<br />
Look for 95% lean ground sirloin for<br />
your patties to drop the fat count,<br />
while maintaining protein.<br />
34 First Coast <strong>Health</strong> Source Fall 2016
Saturday, November 5 | Noon – 5:00 p.m.<br />
The Glass Factory<br />
601 Myrtle Avenue North, Jacksonville<br />
Join us for our annual Go Local Marketplace celebrating the best of the First Coast in one place.<br />
The Go Local Marketplace will be a dynamic mix of shopping, food and live entertainment.<br />
We look forward to sharing some of our favorite local boutiques and entrepreneurs<br />
as we celebrate the great things that our region has to offer! Free admission.<br />
BUICK<br />
GMC<br />
Sponsored By:<br />
ST. VINCENT’S<br />
H E A L T H C A R E<br />
S A<br />
I<br />
L O R<br />
S<br />
S<br />
I R<br />
E N<br />
S A<br />
L T<br />
A<br />
I R G O O D S<br />
Visit us online for more information!<br />
firstcoastmag.com/golocal<br />
healthsourcemag.com 35