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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

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