A special supplement toJanuary 1, 2013

A Guide to Enhancing Your Overall Well-Beingin the New Year

2013 Guide to Well-Being

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1805 SE Lake Weir Ave.Ocala, FL 34471

10369 SE 175th Place Rd.Suite 100

Summerfield, FL 34491

7750 SW 60th Ave. • Suite BOcala, FL 34476(352) 509-7800

7878 SE Maricamp Rd. #102Ocala, FL 34472(352) 680-0257

Peripheral arterialdisease (PAD) refersto diseases of bloodvessels outside the

heart and brain. It is a formof atherosclerosis, in whichfatty substances build upinside the arterial walls andcan, over time, create an ob-struction that restricts properblood flow. This may affectthe legs. arms, stomach orkidneys’arteries. PAD affectsapproximately 12 millionpeople in the U.S.People with diabetes are atgreater risk for severe PAD.Those with diabetes and PADare at higher risk of heartattack, stroke and are five

times more likely to have anamputation. The doctors atMarion Heart Associates tooksome time to answer ques-tions about PAD.

What is the linkbetween diabetes

and PAD?

People with diabetes are at ahigher risk for having PAD.Some studies have found thatone out of three people withdiabetes over age 50 has PAD.Those with both diseases aremuch more likely to have aheart attack or stroke thanthose who just have PAD.1

Why it is importantto diagnose and treat

PAD in diabeticpatients?

Many people with diabetes donot have feeling in their feetdue to nerve disease. Theymay have severe PAD but can-not feel any symptoms. As aresult. it takes a long time fora diagnosis.

How do I knowwhether I’m at high

risk for PAD?

Just having diabetes increasesthe risk for PAD, but the riskis even greater if the personis or has any of the follow-ing conditions, as well asdiabetes: a smoker, highblood pressure, over age 50,abnormal blood cholesterollevels, overweight, history ofheart disease, family history

of heart disease, heart attacksor strokes.

What are thesymptoms of PAD?

Many people with diabetesand PAD do not have anysymptoms. Some people mayexperience mild leg pain ortrouble walking and believethat it’s just a sign of gettingolder. Others may have thefollowing symptoms:• Leg pain, particularly whenwalking or exercising

• Numbness, tingling orcoldness in the lower legsor feet

• Sores or infections on feetor legs that heal slowly

How is PADdiagnosed?

The ankle brachial index(ABI) is one test used to diag-nose PAD. This test comparesthe blood pressure in yourankle to the blood pressure inyour arm. If the blood pres-sure in the lower part of yourleg is lower than the pressurein your arm, you may havePAD. Other tests such as anultrasound, a CT (computedtomography) scan and anangiogram can also be usedto diagnosis PAD.

How is PAD treated?

People with PAD are at a veryhigh risk for heart attack andstroke, so it is very importantto manage cardiovascular riskfactors. Here are some steps

you can take:• Quit smoking• Aim for an A1C(blood glucose test)below 7 percent

• Lower your blood pressureto less than 130/80 mmHg

• Get your LDL cholesterolbelow 100 mg/dl

• Take aspirin or otherantiplatelet medicines,which have been shownto reduce heart attacks andstrokes in people with PAD

• Studies have found thatexercise, such as walking,can be used both to treatPAD and to prevent it

• Angioplasty or stenting orsurgery can be done to keepthe artery open

Our Approach:

Clinicians at the Heart &Vascular Institute and MarionHeart Associates have exper-tise and a multidisciplinaryapproach in medical andendovascular interventions todiagnose, treat and preventcomplications of peripheralarterial disease (PAD) in dia-betic patients. Our cliniciansalso follow patients through-out their lives to ensureongoing support and furthertreatment, if needed.

Marion Heart Associates, P.A.1805 SE Lake Weir AvenueOcala(352) 867·9600marionheartassociates.com

Physician atHeart & Vascular

Institute ofCentral Floridadiscovers highpercentage of

peripheral arterialdisease (PAD)

and amputation indiabetic patients.

Dr. Prem Singh, M.D..FAC.C~ F.S.CAI.

1. http://www.marionheartassociates.com/Portals/662/Web%20Page.pdf

PAD & Diabetes:WHAT YOUNEED TO KNOW

Whether to seek medical attention at an urgent care facility or a hospital ER is not always aneasy decision, especially if your mind is clouded with pain or discomfort from injury or illness. Anautomatic response may be to visit the nearest hospital ER. However, ERs are not always the fastestor most cost-effective choice for your medical needs.For life-threatening conditions that require immediate attention to prevent death or disability, gostraight to the nearest hospital. Examples of such conditions include:

URGENT CARE vs. EMERGENCY ROOMNot feeling well? Need to see a doctor? How sick are you?

• Shortness of breath• Chest pain• Medication or toxin overdose• Major burns• Loss of consciousness

• Sudden loss of vision or blurred vision• Head trauma• Bleeding that does not stop• Acute abdominal pain• Prenatal bleeding or other complications

For less serious conditions that still require immediate attention by a physician, an urgent carefacility may be a better choice. Urgent care facilities usually have extended hours and canaccommodate you sooner than getting an appointment with a primary care physician. Urgentcare facilities can also save patients considerable time and money. Most perform basic imagingservices and lab work. An urgent care practice can better meet patient needs for:

• Coughs, colds, and sore throats• Ear infections• Allergic reactions (non life-threatening)• Fever or flu-like symptoms• Nausea, vomiting and diarrhea

• Rash or other skin irritations or infections• Mild asthma• Animal bites• Minor burns, injuries or cuts that may need repair• Sprains and strains

If you are undecided about whether an urgent care facility can accommodate your condition, callahead and inquire. They will advise you to come in or go to your nearest ER.

Ocala Health Family Care SpecialistsOcala 352.622.2221 • Belleview 352.233.2360

Family Care SpecialistsUrgent Care

Family Care Specialists

For illness and minor emergenciesWell child & well adult exams

School & work physicalsImmunizations

Laboratory services and EKGsDiagnostic imaging

Two convenient locations:Ocala (Oakbrook Plaza)1111 NE 25th Avenue, Suite 302352-622-2221Belleview4850 SE 110th Street352-233-2360

Walk-ins are welcome

My name is Breeanna Moore.This is my Y story.In 2007, I experienced what many would call a “bottom.” I felt like I was fallingapart. I was unhappy, unhealthy and miserable. Something had to change. Myquest for a healthier, happier “me” was on its way, though I had no idea.

The first time I stepped into a gym I felt overwhelmed, intimidated, and likeeveryone was looking at how out of shape I was. I could barely do ten minutesof cardio. Getting started was challenging, but I started seeing results. Over thenext 3 years, I had lots of ups and downs with my size.

When my husband and I moved to Ocala, we wanted to join a gym, and the Y wasour best option. I started going twice a week, but kept to myself on the cardiomachines. I was curious about their Zumba classes, but was too scared to doone. After 3 months of peeking into classes then slinking away, I got up thenerve to take a class. I loved it! I started taking as many classes as I could.

Last March, my dad passed away. Dealing with his loss has been one of thehardest things I have ever beenthrough. I turned to the Y, a supportive,positive place to release my sadness.God put the Y in my life—I don’t knowhow I would have made it through thelast year without it. Now, regularexercise is a habit, and I’ve learned it’snever too late to get back to your best“you.” It’s not easy, but when you havethe Y to support you, it sure is helpful.It can even be a lot of fun.

Before After

IT’SYOURBADGEOFHONORIt’s time to get back to your best. With more energy.Less stress. And all the confidence that comesfrom looking good and feeling great. When you jointhe Y, you’ll have access to cardioandstrengthexerciseclasses, astate-of-the-artwellnessfloor, personal training, sports leagues andevenY-qualitychildcare.

COmE INTODAYANDlET’SGETSTARTED.

Join theYGETBACKTOYOURBESTymcacentralflorida.com

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Heritage Bank South

The health care debate may be ahot topic in Washington in the newyear, but it is not a new topic in thehomes of millions of Americans.Nearly one-third of American familieshave trouble paying for health care(HealthDay Reporter). And, it’s notjust the uninsured who can’t meetthe rising costs. According to theCDC’s National Center for HealthStatistics, 16% of Americans withhealth insurance still have troublepaying their bills and 6% can’t paythem at all.

Employers have also felt the bruntof increased health care costs asinsurance premiums have risen 97%over the past ten years (Kaiser FamilyFoundation and Health Research andEducation Trust). Opting for a moreaffordable option, many employershave turned to high-deductible healthplans, which pairs nicely with a healthsavings account. Today, 70% of largeemployers offer a high-deductiblehealth plan option, which has pushedthe health savings account to becomea staple in the American health caresystem (survey by Towers Watson).

A cross between the FlexibleSpending Account and modernIndividual Retirement Account, aHealth Savings Account is exactlythat—a way to save for one’s health.The savings account is funded withperiodic contributions made by theemployer and/or employee. Thesecontributions are tax deductable,grow tax-free and may be used onany qualified medical expense like

prescriptions and co-payments.Unlike a flexible spending account,funds from the HSA roll over yearto year. And, because the accountbelongs to the employee, they cantake it with them from one job to thenext and even into retirement.

For HeritageBank of the Southcustomers, Health Savings Accountsreceive the same perks as an interest-bearing checking account, i.e. freeVisa® check card and online banking.Plus, the account features an onlineexpense tracking system that storesreceipts and helps sort expenses.

Beyond the day to day medicalexpenses,HSAfundsmayalsoberolledintomore long term investments. Thisyear, HSA contribution limits are setat $3,250 for individuals and $6,450for families. So, it is possible to havefunds left over from year to year. Amoneymarket or certificate of depositmay be a good alternative as thesefunds can be set aside for retirementor larger medical procedures. Speakwith a HeritageBank of the Southfinancial advisor to determine thebest option for you.

With more than 13.5 millionAmericans now enrolled in a highdeductible health plan, the HealthSavingsAccount isdefinitelychangingthe discussion on health insurance.Keep the conversation going—visityour tax advisor or HeritageBank ofthe South to learn more.

HealtH SavingS accountSHelp SubSidize Medical coStS.

Express Care of Ocala is an urgent care center which began in 1990. Express Care of Ocalaprovides a variety of services, including urgent care for all but the most serious medical

emergencies, for adults as well as pediatric urgent care. This includes acute medical conditionsas well as minimal and serious injuries, for adults and children.

352.732.9888 • 1834 SW 1st Ave, Suite 201 • www.ecocala.com

Walk In’sWelcome

Open 7 Days A Week:

Mon-Fri 7am-7pm

Saturday 8am-4pm

Sunday 8am-4pmFrank F. reisner,M.D. aMBer starLinG, ARNP Lisa BaBB, ARNP, BSN, MSN

Ring in the new YeaR with YouR petIt’s the time of year when people make resolutions to be a better and healthier version of themselves. So why not make resolutions that will mutually benefit you and your pet? Here are some ideas to help you and yours have the best year yet.* Eat more fresh food. This may seem like an easy resolution. However, it takes time and preparation. For humans, this means incorporating more fruits and veggies into your diet while for pets this means ensuring that their pet food uses ingredients such as fresh turkey, salmon and duck, fresh omega 3 and 6 oils (from coconuts and canola), wholesome berries and fruits and vegetables like peas, spinach and carrots. Now Fresh premium petfood by Petcurean is a great example. You can learn more about choosing a pet food with the freshest, healthiest ingredients at petcurean.com.

* Get more exercise. Did you know pets can decrease our blood pressure and cholesterol levels and increase our opportunities for exercise, outdoor activities and socialization? Exercising together will not only help optimize your health but also allow you to spend more time together.* Use that agenda. This doesn’t seem like a resolution, but sometimes making a plan is the only way resolutions will come to life. Most of us schedule time for other appointments and meetings, so why not set aside some priority time for pets too?

Two out of five people struggle with maintaining a healthy weight, 47% of the population is reporting concern over their stress level and 60% of Americans have low energy…it’s time to reclaim control of our health and well-being!

It’s not that you don’t know what to do; it’s that you don’t know why you can’t do it! ‘Eat right and exercise’ is a simple concept that is extremely hard to imple-ment. The Ranch Fitness Center & Spa’s new Wellness Academy was created for this reason.

The Wellness Academy puts theory into practice. You will gain the skills and tools needed to integrate wellness into your life. This science based program is the bridge between knowledge and application. Discover why lifestyle behavior change is so challenging and what it takes to achieve sustained success. You can lose weight, regain energy and manage your stress levels, and we can show you how.

“I thought I had a pretty good grasp on what I needed to do to keep myself fit and healthy. Through The Wellness Academy I didn’t just gain new knowledge; I gained

Fitness Center & SpaThe Ranch

knowledge that has transformed how I approach my fitness and wellness goals. The Wellness Academy provided informa-tion and hands-on learning tools for people of all ages and fitness levels. I enjoyed the small class sizes which allowed for an intimate environment to address individual concerns, questions and to customize learning. The curriculum of The Wellness Academy went beyond the traditional classes of diet and exercise and incorporated the facets of wellness we often forget about and neglect. What truly sets this series apart is how it is structured to allow each participant to apply the knowledge gained in each workshop. It isn’t just about learning; it’s about doing! Months after I have completed this series, I am still referring to the knowledge acquired through The Wellness Academy. This workshop was not a one-time event; it has become an ongoing part of my day to day efforts toward wellness.”

— J. D., MSW

For more information or to register for The Wellness Academy’s next sessions, please stop by or call The Ranch or visit us online.

Where Wellness AwaitsFind all that you seek for wellness at

Ocala’s premier fitness center and day spa.

352.861.8180 • www.TheRanchFitnessSpa.com • 8385 SW 80th St., Ocala, FL 34481

The Wellness Academy – NEW!

#9486-01/13

Also available at The Ranch:Fitness — Cardio and strength training equipment, group fitness classes, indoor pool, personal training and moreBeauty — Full line of facials, hair and nail services, waxing and moreRelaxation — Generous selection of massages, body treatments and spa packagesGift Giving — Give the gift of health, serenity and wellness all throughout the year with gift cards to The Ranch.

The Ranch Fitness Center & Spa bridges the gap between current science and application with the new Wellness Academy. The Wellness Academy is dedicated to fostering personal wellness, empowering you in your fitness goals. We are committed to provide opportunities that support fitness education, hands-on training and practical lifestyle management. Our goal is to assist you in achieving optimum health, embracing the multiple dimensions of wellness.

The science of fitness is complimented with interactive ‘hands on’ sessions, putting theory into practice. Fitness applications are led by our team of nationally accredited, certified personal trainers.

Introducing The Wellness

Academy!

352.861.8180 • www.TheRanchFitnessSpa.com • 8385 SW 80th St., Ocala, FL 34481#9485-01/13

Fitness Center & SpaThe Ranch

Attend sessions such as:

• Wellness Compass & Wellness Goals• Stress Management• Nutrition for Optimal Weight• Exercise Prescription• Lifestyle Behaviors and Options

The Wellness Academy has flexible days and times for your convenience. Choose one:Session 1 (8 weeks): Wednesdays, January 16th – March 6th 6:00 pm – 7:30 pmSession 2 (8 weeks): Wednesdays, February 20th – April 10th 12:00 pm – 1:30 pmSession 3 (4 weeks): Thursdays, March 7th – March 28th 1:00 pm – 4:00 pm

Cost for The Wellness Academy is $475 This includes: all class sessions, a fitness assessment with a personal trainer, a spa treatment, healthy cooking demo and meal, small group training sessions and much more.

For more information or to register for The Wellness Academy, please stop by or call The Ranch Fitness Center & Spa or visit us online.*Schedule subject to change.