Healthcare Network

By Dr. Reinier Ramirez The pandemic resulted in many unfortunate outcomes, one of which was a drop in the average life expectancy for men. The number, at 76.1 years, was the lowest since 1996.While COVID-19 accounted for nearly 74% of the decline of life expectancy in 2019 to 2020, it was not the leading cause of death for men. That distinction falls on conditions that have been prevalent for decades:      Heart disease: Since 1950, heart disease has consistently been the leading cause of death in the U.S for both men and women.      Cancer: Cancer-related deaths are higher for men than women, mainly from lung, prostate, pancreatic and colon cancer.      Stroke: Strokes and stroke deaths tend to affect women more than men. However, more than 62% of these deaths are for people 65 and over.      Obesity: Obesity is closely related to an increased risk of severe outcomes from heart disease and cancer, further complicating the health landscape.  There is some good news. If men act immediately, its not too late to improve their health, as well as their life expectancy. Some simple steps can help reduce the risk of death from all the above conditions (and more):      Quit smoking: Tobacco use is associated with a higher risk of heart disease and many other diseases.      Eat healthily: Diets should include more fruit, vegetables, fiber and fish. Cut back on saturated fats and red meat.      Get moving: Increase your heart rate with 30 minutes of exercise five times a week.      Watch your weight: Inflammation caused by extra weight is associated with bad health.      Monitor (and manage, if necessary) the measurables: Cholesterol and blood pressure are easy to track.      Drink less alcohol: High consumption has been linked to colon and rectal cancer, among other diseases.The best advice? Go to the doctor for regular checkups and screening tests. Many diseases can be treated if caught early. In addition, physicians partner with patients to create an action plan focused on better overall health and wellness.COVID-19 offered a good lesson for men that can be applied to overall longevity researchers believe one of the reasons COVID-19 caused men to get sicker and die often more than women was compliance. Simply put, women were found to be more willing to follow public policy measures, such as mask-wearing and social distancing, than men. No surprise, women are also more likely to get regular health screenings and actually listen to the expert advice of physicians. In 2024, many people have backed off COVID-19 precautions, but they are still important to you. Most deaths from the disease are in people 65 and over, with the highest mortality rate from the disease in adults aged 85 and over.Another factor that impacts longevity is accidents. While unintentional injuries, like car accidents, drug overdoses and drownings, are a more common cause of death for people under the age of 45, falls and accidental overdoses are more common for older people.Some of the same recommendations for reducing risk for other diseases apply for reducing the risk of accidents:      Improve strength, balance and coordination with exercise to reduce the risk of falling.      Drink less, as alcohol contributes to approximately 40% of residential fire deaths. It can also lead to falls and motor vehicle crashes.      Get your eyes checked once per year to reduce your risk of falls and vehicular accidents.      Improve lighting for easier navigation to reduce the risk of falls.      Reduce your risk of residential fire death by installing smoke alarms and testing the devices once per month.      Review medications with your healthcare provider. Make sure you understand what drugs can and cannot be mixed with your medications.Mens Health Month was started in 1994 to increase awareness of the importance of early detection and treatment of diseases and conditions in men. Despite that added attention, many health problems among men have become worse!Become aware of the risks and what you can do to reduce them. Life is worth defying the odds.About the Author Reinier Ramirez, MD is a family care provider and the Medical Director of Adult Medicine at Healthcare Network, a nonprofit with a mission to provide quality healthcare accessible to everyone, regardless of job, income, or insurance. Visit HealthcareSWFL.org for more information.

By Jamie Ulmer, CEO of Healthcare NetworkHealthcare Network is a Federally Qualified Health Center (FQHC) that provides comprehensive primary health services to men, women, and children of all ages in practices throughout Collier County. Many of our patients are uninsured or underinsured and come to us because they cannot afford primary care services and/or their medications elsewhere.Medications are made available to these vulnerable people through savings generated by the federal 340B Drug Pricing Program. The 340B program requires pharmaceutical manufacturers to provide discounted pricing to FQHCs like Healthcare Network and other 340B covered entities. The program allows us to buy medications at a discount of 25 to 50 percent and then reinvest those savings into patient care through affordable medications and comprehensive health services like medical and dental care, behavioral health and wraparound services.Currently, Healthcare Network provides approximately $13 million in uncompensated care annually. Without the 340B drug discount program, we will have tough choices to make like reducing hours of operations, closing centers, discontinuing programs and service, and reducing staff size. Unfortunately, this critical program is under attack by drug companies threatening to undermine the nations public health safety net. The Health Resources and Services Administration said in 2022 that discounted purchases under the program reached $44 billion in 2021, about 16 percent more than in 2020. Drug manufacturers say they are concerned about this growth impacting their ability to do business.However, in 2020, it was estimated that the discounted drug purchases through the program amounted to only about 7% of the total U.S. drug market. In January, Florida Governor Ron DeSantis unveiled legislation to increase Big Pharma Transparency and Accountability to lower prescription drug prices. We appreciate that Gov. Ron DeSantis is proposing legislation to protect consumers and drive transparency among prescription drug prices influenced by Big Pharma. Similarly, without swift and meaningful action by federal authorities to protect 340B, manufacturers will continue to decrease prescription affordability and access to the most vulnerable patients at Healthcare Network and across the country. Unfortunately, pharmacy benefit managers (PBM) and insurers have found ways to take 340B savings away, redirecting savings away from safety-net providers like Healthcare Network and towards their own bottom lines. The House sponsored the Preserving Rules Order for the Covered Entities Through 340B or PROTECT 340B Act in July 2021. This bill would protect FQHCs like Healthcare Network who rely on the savings provided by the 340B program to care for patients who desperately need it.This bipartisan bill would prohibit commercial insurers and PBMs from targeting health centers that participate in the 340B program with discriminatory reimbursement terms and conditions. The legislation would authorize civil monetary penalties on insurers and PBMs that violate these protections.To continue to be able to provide discounted medications to our most vulnerable patients, we ask that members of Congress move to protect 340B by creating a national standard (rather than a patchwork of individual state laws). Consumers can also advocate for the health and wellness of our community by urging their congresspeople to support the bill and protect access to vital medications for the uninsured and underinsured.About the Author Jamie Ulmer is President and CEO of Healthcare Network. He serves on the executive and chair committees for the Florida Association of Community Health Centers and is a member of multiple committees for the National Association of Community Health Centers. For information, visit healthcareswfl.org.

Working adults and retirees may be far removed from school and the stresses that come with high-stakes testing.No matter our age, though, were not done taking tests. Unlike the pop quiz in English literature, algebra or world history, the tests we take as older adults are some of the most important exams in our lives.Colorectal cancer is one of the most common cancers and the second-most common cause of cancer death in the U.S. and  worldwide. The American Cancer Society estimates that two-thirds of colorectal cancer deaths occur in patients over 65. However, if caught early, cancer of the colon is highly treatable and often curable.In 2021, the U.S. Preventive Services Task Force lowered the recommended testing age for colorectal cancer from 50 to 45 due to an increase in its incidence among younger individuals. Gen Xers, Baby Boomers and older generations who are up to date on their testing likely have already completed a colonoscopy, the gold standard of testing for this dangerous cancer. This screening test is highly important because colorectal cancer often doesnt have symptoms in the initial stages.The screening uses a scope to look for polyps, a small clump of cells that forms on the lining of the colon. Most colon polyps are harmless, but some can become cancerous. When cancer forms in a polyp, it grows into the wall of the colon and eventually can spread to distant parts of the body. During a colonoscopy, the doctor can remove colorectal polyps to help prevent cancer.While the test itself is done under general anesthesia, the preparation for a colonoscopy is often what people dislike. To make sure doctors can see polyps, the colon must be clean and empty before the procedure. That means everything in your bowel must go, which is accomplished by drinking large volumes of water mixed with a laxative the day before, and sometimes the morning before, the procedure. The liquid results in diarrhea and considerable time in the bathroom as your colon is cleared. You will also be on a clear-liquid diet the day of the procedure.The preparation can be unpleasant. Perhaps that is why four in 10 Americans aged 45 and older are not up to date on their colorectal cancer screenings, according to the American Cancer Society.But there is good news. People who dont have other risk factors generally only need to have a colonoscopy every 10 years. Also, a lot has changed in recent years. Today, the preparation liquid (often a gallon) does not need to be consumed in one sitting and may be taken the night before and the next morning, making it more tolerable. The solutions are also better-tasting than they once were.Also, there are some alternatives, including lower-volume solutions and a pill prep involving 12 tablets taken twice with large amounts of water. In addition, the FDA has approved three types of stool tests to screen for colorectal cancer at home. They should be completed every one to three years. If a stool test is positive, which doesnt always mean cancer is present, a follow up colonoscopy is necessary.   There are things we can do to prepare for a colonoscopy to make the preparation less unpleasant:      The less you have in your stomach before colonoscopy preparation, the easier it will be. Start eating smaller portions and reducing fiber five to seven days in advance.      The week before a colonoscopy, avoid nuts and seeds, popcorn, red meat, raw vegetables, corn, peas, broccoli, cabbage, dried beans, whole grain bread and pasta, brown or wild rice, fruit with skins, fried foods and cereals like oatmeal, shredded wheat and granola.       Chill any liquid preparation, as it is often easier to drink when its cold.      Use a straw to bypass the tastebuds in your mouth as you drink the preparation.      Suck on lemon slices or sugar-free menthol candy while you drink or after each sip to help with the taste.      Mix in sugar-free water flavorings that are clear, not red, blue or purple.      If nausea was an issue during a previous preparation, ask your doctor for anti-nausea medicine in advance. While age is a risk factor for developing colorectal cancer, increasing physical activity, maintaining a healthy weight, not smoking and limiting alcohol can reduce the risk of developing colorectal and other cancers. Even if you were inactive in your younger years, becoming active when you are older can lower your risk.Your primary care doctor can help you keep track of preventive services, like screening tests and vaccines, as well as help make lifestyle recommendations such as diet and exercise to help reduce risk for illness.About the AuthorJaimenee Jaime Khemraj is chief medical officer for Healthcare Network, which has practices throughout Collier County offering family care, dental care and pharmacy as well as behavioral health counseling. For more information, visit HealthcareSWFL.org, or to schedule an appointment, please call 239-658-3000.  

Dr. Reinier Ramirez, family care provider at Healthcare NetworkParkinsons disease is the second most common neurodegenerative disease, after Alzheimers, and most people will develop symptoms of Parkinson's disease around age 60. At Healthcare Network within our senior primary care services, we watch for signs and symptoms of Parkinson's disease as well as all potential illnesses that impact seniors. Early detection of Parkinsons disease, a progressive neurodegenerative disease that affects more than 1 million Americans, is important to slowing disease progression. But many other illnesses share similar symptoms with Parkinsons disease, including slowness, stiffness, tremors and imbalance. Age can also make people more prone to falls and certain diseases, even without Parkinsons disease.Sometimes, people dismiss early symptoms of Parkinsons as the effects of normal aging. Therefore, it is especially important for seniors to establish a relationship and health history with a primary care team who can detect potential health problems early before they become severe. About 85% of older adults have at least one chronic health condition. Sixty percent have at least two chronic conditions. Several healthcare professionals are needed to effectively manage Parkinsons disease and its impacts on quality of life, according to ParkinsonsDisease.net. For example, primary care providers (PCP) focus on immediate and overall health needs while helping patients manage symptoms of the disease and often also coordinate care with other health professionals including neurologists and movement disorder specialists who assess disease progression and prescribe medications.The PCP is often the first point of contact for the patients and provides comprehensive care for chronic, preventive and acute conditions, according to ParkinsonsDisease.net.Research has shown that people who live in states that have more primary care physicians have better health outcomes. This includes fewer deaths from cancer, heart disease or stroke, all issues at greater risk for the elderly. Parkinsons disease occurs when nerve cells around the brain that controls movement become impaired and/or die. As the disease progresses and changes, so do care needs. Establishing care with a PCP provides continuity and consistency in care that can help Parkinsons patients avoid using costly urgent care or emergency rooms for acute needs.In addition, many people with Parkinsons disease experience mood disorders because of their condition. Our integrated mental and behavioral health model, where medical and mental health professionals work side-by-side, allows these concerns to be addressed seamlessly during primary care visits. Another advantage of having a dedicated PCP when dealing with Parkinsons is they can watch for the impact of medication changes, infections, dehydration, sleep deprivation, stress and other medical conditions that can worsen Parkinsons disease symptoms. A PCP can consider other conditions and medications and adjust with the patients overall health in mind. People with Parkinson's can expect to live almost as long as those who do not have the disorder. Medications, as well as physical and occupational therapy, can improve a persons quality of life. Early detection and coordinated care are key to reducing complications. By being aware of the common chronic conditions associated with aging, your PCP can take steps to practice smart preventative care, manage complex chronic conditions like Parkinsons and improve health outcomes.About the Author Dr. Reiner Ramirez, medical director of adult medicine, is a Healthcare Network family care provider who focuses on specific health concerns faced by seniors. Healthcare Network provides integrated health where medical and mental health professionals work side-by-side to address patients physical, mental and emotional health. Visit www.healthcareswfl.org.  

Studies have shown that enough access to healthcare services can improve the odds of healthy survival for seniors, while inadequate access can increase the odds of physical disability, cognitive impairment and mortality.For 46 years, Healthcre Network has worked to improve access to healthcare for all residents of Collier County, regardless of income, insurance, or background. Improving access to comprehensive, quality health care is critical for promoting and maintaining health, preventing and managing disease, reducing unnecessary disability and premature death, and achieving health equity for all Americans.Founded in Immokalee in 1977, Healthcare Network began caring for migrant farmworkers and underserved populations who had difficulties accessing primary healthcare. Over the years, Southwest Florida has grown substantially, of course and so, too, has the need for integrated medical care.Today, our primary care model cares for more than 50,000 patients annually. As the community grows, Healthcare Networks highly trained staff continues to meet the needs of patients through 20 practices located throughout Collier County. Primary care is especially important to older residents because it results in holistic care, as nearly one-third of seniors see at least five types of specialists per year. Primary care physicians (PCP) provide a streamlined process for accessing specialized medical care, helping with communication among doctors, medical costs and managing medication. Our integrated model allows our primary care providers to coordinate with mental health professionals to address both physical and mental health needs of our patients seamlessly. In addition, regular checkups increase the chances of detecting chronic illnesses early, resulting in better health outcomes. In 2019, according to the 2022 Collier County Community Health Assessment, 33% of Collier Countys residents were over the age of 65. From October to May, the population increases 20%, with most of these seasonal residents over the age of 65, creating the need for an increased level of services. From 2016 to 2020, the number of older adults in Collier County increased by 20%. At the same time, data shows that Collier County needs 95 more adult primary care doctors for its population. That shortfall is expected to climb to 146 by 2025. The Safety Net Hospital Alliance of Florida projects a shortage of 5,974 traditional primary care doctors in Florida by 2035.Planting healthy seeds in another communityWhen Healthcare Network was founded, Collier Countys population was approaching 80,000 residents. The 2020 U.S. Census put the population at 375,752, and a 2022 estimate rose to 397,994 thats a 6% gain in just two years.That growth is driving the need for more affordable, inclusive healthcare options. To accommodate this growth, Healthcare Network is building a new health center in the Orangetree area of Golden Gate Estates, a community that lacks access to medical care for miles. While much of the real estate west of I-75 is built out, developers are heading inland with a variety of residential communities and apartment complexes in the planning, design, and construction phases.The new $15 million comprehensive health center in Orangetree is set to begin construction in 2024. Once complete, it will offer pediatrics, adult and senior care, obstetrics and gynecology, dental care, and behavioral health counseling, as well as a drive through pharmacy to serve residents living in this medically underserved area. As with all Healthcare Network practices, the health center in Orangetree will provide the community with accessible, affordable, quality care and a promise to not turn anyone away because of their inability to pay for medical services.Branching into new innovations of careHealthcare Network is also making great strides in its pursuit to make healthcare accessible to all through a multitude of new initiatives that support families and individuals at every age level, including:      Medical Assisted Treatment for Substance Abuse Program      Family Medicine and Pediatric Dental Residency Programs      Medical Assistant and Pharmacy Technician Training Programs      Prescription Mail Order      Pediatric Dental IV Sedation for Complex Dental Needs      WIC Community Innovation and Outreach Project These are world-class programs that elevate healthcare to the next level, and theyre only possible because of the generous support from hundreds of individuals, businesses, foundations, and philanthropic organizations that recognize the importance to every member of a community having equal access to high-quality healthcare. This collective effort is making a tremendous impact on the lives of underserved communities in Southwest Florida, now and for many years to come.Nurturing and anchoring roots in the community Healthcare Network also is continuing to improve care in communities it has served since the beginning. In 2024, the nonprofit will begin renovations to Marion E. Fether, an expansive building that was the organizations first comprehensive medical center which is located in Immokalee. Other than routine maintenance and upkeep, this building has been virtually untouched since its grand opening in 1993. Renovation plans include reimagining interior administrative spaces to provide additional patient rooms, upgrading technology, and enhancing the patient experience. Beyond these visual changes, renovations reflect Healthcare Networks commitment to the vital, quality healthcare that patients and the community deserve.By Jamie Ulmer, CEO of Healthcare Network

Like keeping an automobile fine-tuned, we have a role in our own health maintenance with regular health self-checks. Being aware of our bodies helps us know what changes may need to be evaluated by a doctor.Early detection of many health changes results in better long-term outcomes. Also, body changes can signal treatable illnesses like cancer, heart problems and other issues.To know what to look for, learn of any risk factors or family history of health conditions. Knowing your risks will also help your doctor suggest any lifestyle changes that could help lessen these risks.HEALTH SELF-CHECKS FOR WELLNESS: SETTING THE BASELINETo get into a routine of health self-checks and to recognize problems, begin them when you are feeling healthy. This will let you establish what is normal for you.Take your temperature. Note, temperatures outside of your normal range often indicate illness.Check your heart rate. Your resting heart rate in the morning gives you an indication of general wellness and depends on your age and fitness. Checking every morning for a week can help determine your usual rate. Then, noticing a change of 10 beats per minute or more may be worth discussing with your doctor. A persistent rate above 100 beats per minute may indicate a serious health issue.Blood pressure. High blood pressure is a major risk for strokes, heart attack, heart failure and kidney disease.Many blood and swab tests can be done at home and can indicate cholesterol levels, thyroid issues, urinary tract infections and strep throat. Remember, it is important that adverse results be interpreted by a doctor.Blood sugar levels can be tested with home blood glucose tests. Blood sugar levels are important because diabetes can lead to complications such as heart, kidney and dental disease, stroke and blindness.HEALTH SELF-CHECKS FOR ABNORMALITIESAfter you have established your baselines, set up regular health self-checks for what might not be normal. As a result, finding any abnormalities early can lead to better treatment outcomes.Testicular and breast checks are important to discover lumps or swelling that may indicate cancer.Waist fat measurements. Too much fat around your waist can increase the risk of cardiovascular disease, insulin resistance and type 2 diabetes. Measure your waist at the level of your belly button. If your waist is 37 inches or more for men and 31.4 inches or more for women, you may be at risk, and should talk to your doctor about weight management.Skin cancer is one of the most common forms of cancer you can screen for yourself. Look for new growths or moles that have changed, bleed, itch, burn or crust over. If you are fair skinned, have family history or spend a lot of time in the sun, you may also want to get checked annually by a dermatologist.Check your skin, hair and nails, as subtle changes can suggest things happening internally, nutritional imbalances or more serious issues such as a thyroid problem. Excessively dry skin, rough scaly patches or redness could be eczema, psoriasis or rosacea, but they can also offer clues about how your digestion and detox systems are functioning. Your doctor can determine the underlying causes of changes in skin, hair and nails and recommend treatments.TAKE YOUR FINDINGS TO YOUR DOCTORIt is beneficial to keep an eye on your own health. Also, it is also important to have a good relationship with a primary care provider. Your doctor will also consider your risk factors and maintain a complete picture of your overall health. Health self-checks help you catch potential health problems early. Evaluation by a doctor makes health self-checks most effective.ABOUT THE AUTHORDr. Corin DeChirico, Chief Medical Officer and Vice President of Medical Affairs, runs the clinical programs for Healthcare Network after more than 25 years as a healthcare clinician, leader and physician executive. For information on Healthcare Network, visit healthcareswfl.org or call 239.658.3000.

The National Weather Service outlook for this summer predicts Florida temperatures will be warmer than normal, particularly in the hottest months of July and August.The combination of high temperatures and persistent humidity adds up. Humidity makes it harder for the cooling evaporation of sweat to be effective, so it feels hotter. The Heat Index measures how hot air temperatures really feels because of humidity.  Experts recommend using caution when temperatures rise above 90 (or 84 degrees F with 70 percent or higher humidity). Temperatures above 100 F can be dangerous for anyone. As we age, sweat glands, our bodys mechanism to cool itself, dont produce as much as they once did, and are often diminished by medication. In addition, seniors are more likely to have chronic conditions such as diabetes or lung disease, which reduce our ability to cope with heat. When temperatures are high, seniors are especially vulnerable to developing heat stroke because of the aging bodys decreased capacity to adapt to changes in body temperature.With that in mind, here are some tips for sun safety when its hot:       Drink more water than you think you need. Without enough water, we can feel faint and nauseous, which can cause us to get dizzy and fall. Medications can impact how our kidneys hold water. The cues our brains send that tell us to drink can diminish as we age. Caffeine and alcohol affect our response to heat.      Skip outdoor activities between 10 a.m. and 4 p.m., when the sun is hottest. Find a cool place, such as an interior location with air conditioners and fans, staying out of the sun during the heat of the day. Take a cool shower or bath or apply a cold compress. Many places offer cooling centers with air conditioning, including public libraries, churches, recreation centers and senior centers. Go shopping or to the movies.      Watch for symptoms like dizziness, nausea, headache, being overly tired, rapid pulse or muscle cramps. Behavioral changes, like being confused, combative or delirious are serious and should be checked. Some signs of heat exhaustion or heat-related conditions, which are generally related to an excessive loss of water and salt, include skin thats very warm to the touch, extreme thirst and excessive sweating.  High heat can cause dehydration, heat exhaustion, heat cramps and heat stroke, which is a medical emergency. For any kind of heat distress, move to a cool place and put cool, wet cloths on the body or take a cool bath.   Signs of heat stroke include high body temperature, hot red or damp skin, fast pulse, headache, dizziness, nausea, confusion and passing out. If you suspect heat stroke, call 911, take the steps above and dont give the person anything to drink.   Sun exposure can impact our skin even more than when we were younger. Aging skin is thin and dry. However, less than half of older adults protect their skin from the sun, which may raise the risk of getting skin cancer.  The American Cancer Society recommends having a skin exam every three years between the ages of 20 and 40, then annually thereafter. While Medicare will not generally cover preventative screening, it will cover a dermatology visit that is medically necessary to assess a problematic skin spot or mole. Free skin screenings are offered for seniors in many places, including at https://www.moffitt.org/diagnostic-services/cancer-screenings/mole-patrol/. Summer is a great time to enjoy the company of others. Games, outings, classes, dances and other activities can keep you busy and social. Mall walking, swimming and water aerobics and gyms can be cool ways to exercise when its hot.  About the Author Reinier Ramirez, MD is a family care provider and the Medical Director of Adult Medicine at Healthcare Network, a nonprofit with a mission to provide quality healthcare accessible to everyone, regardless of job, income, or insurance. Visit HealthcareSWFL.org for more information.

With symptoms of COVID-19 and the flu similar, whats the difference between the flu and COVID-19.Health officials have even created the term twindemic to refer to the possibility of a severe flu season and the potential second wave of coronavirus. We know the typical symptoms of COVID-19 are fever, cough, fatigue and shortness of breath, to name a few. But arent those flu symptoms too?HOW CAN YOU TELL THE DIFFERENCE BETWEEN COVID-19 AND THE FLU?First, lets start by knowing exactly what the flu and COVID-19 are. Both are contagious respiratory infections, meaning they travel through airborne droplets from sneezing, coughing and talking. While the flu can be caused by different influenza viruses, typically types A and B, COVID-19 is caused by a single virus known as the novel coronavirus or SARS-CoV-2.The flu and COVID-19 share many similarities including the following, according to the Centers for Disease Control and Prevention (CDC):Fever or feeling feverish/chillsCoughShortness of breath or difficulty breathingFatigue (tiredness)Sore throatRunny or stuffy noseMuscle pain or body achesHeadacheSome people may have vomiting and diarrhea, though this is more common in children than adultsIn both illnesses, these symptoms can range from mild to severe. For people with preexisting medical conditions, they can result in serious complications and even hospitalization.Also, symptoms from the flu and COVID-19 tend to appear after one or more days of becoming infected. However, with COVID-19, a person can be asymptomatic for much longer, up to 14 days after infection. Typically, flu symptoms develop quickly after exposure, in about two days. In a person with COVID-19, symptoms appear later, about five days after being infected.One key difference for COVID-19 is the loss of taste or smell, although it is not always the case. Commonalities between the two infections make it difficult to distinguish one from the other based on symptoms alone. The only reliable way to know is to get tested to confirm a diagnosis.DONT DELAY, GET THE FLU SHOT TODAY!Until a vaccine is widely available for COVID-19, getting the flu vaccine can help protect yourself, your family and our community. The flu can seriously compromise your immune system, increasing your risk of contracting COVID-19.Through years of research, the flu vaccine has proven to reduce the risk of flu and flu-related issues. In fact, during 2018-2019, flu shots prevented an estimated 4.4 million influenza illnesses, 2.3 million influenza-associated medical visits and 58,000 influenza-associated hospitalizations.ADDITIONAL WAYS TO PROTECT YOURSELF AND OTHERSPractice CDC recommendations such as social distancing, washing hands frequently, using hand sanitizers, not touching your face and covering your mouth and nose with a mask when around others. Also, stay away from people who are sick and limit the close contact you have with people outside of your household. Clean and disinfect surfaces and be alert if symptoms develop. If you begin to feel sick, Healthcare Network has primary care providers who can help.

For a week in August, Federally Qualified Health Centers celebrate National Health Center Week. At Healthcare Network, Collier Countys only Federally Qualified Health Center, there is so much to celebrate all year long.Healthcare Network is proud to be among Americas 1,400 Community Health Centers. They share the passion of providing quality, comprehensive healthcare services to more than 30 million patients in 14,500 communities annually.Healthcare Network was founded in 1977 in two small trailers in Immokalee to provide health services to the migrant community. Since then, it has grown to provide primary health care to men, women and children of all ages. Its mission is to help the disenfranchised, underinsured, and uninsured of our communities. Quality services are also available to those with insurance and resources who recognize the quality and comprehensiveness of care available.While we offer a network of practices throughout Collier County, we continue to meet the needs of agricultural workers. To do so, we collaborate with other groups in the community such as the Coalition of Immokalee Workers, Misin Peniel and others.FEDERALLY QUALIFIED HEALTH CENTER THAT REACHES THE COMMUNITYThe pandemic and then Hurricane Ian exposed vulnerabilities reaching migrant communities. As a result, we formed an outreach team to go door-to-door with information, health care and support. This team also works with our Chronic Care Management team and other professionals, providing referrals for healthcare and social support services. In addition, the team plans mini-health fairs, health education events and workshops. The mean also manages a resource line to answer questions from the community. Home visits allow the team to address issues that impact health by connecting families with local resources for physical and mental health, transportation, food and housing assistance.Federally Qualified Health Centers like Healthcare Network are not ordinary medical clinics. We are also problem-solvers who reach beyond the exam room to care for the whole person.The U.S. Health Resources and Services Administration designates nearly all of Southwest Florida as a Medically Underserved Area. This means that there are too few primary care providers for the growing population. As a result, we are working to improve access to high quality primary care for at-risk populations and minority populations. Access to primary care is critical to prevention, chronic disease management and as an entry point to the health care system.WORKING TO BRIDGE GAPS IN CAREAs nonprofits, Federally Qualified Health Centers like Healthcare Network are designed to act locally and remain agile. We continually work to bridge gaps in care by expanding services to meet our patients growing needs.We are working to provide more hubs, particularly where healthcare services and access are limited, like Ave Maria, and Everglades City. At these hubs, patients can come to one place for all their healthcare needs. Currently, these include Nichols Community Health Center and Marion E. Fetter Center in Immokalee. On the horizon is a new health hub in the Orangetree area of Golden Gate Estates. Construction of the health center is expected to begin in winter 2023.In the meantime, our mobile units, including the Ronald McDonald Care Mobile and the Health & Smiles, provide medical and dental care access to all corners of our county.FEDERALLY QUALIFIED HEALTH CENTER THAT ADDRESS STAFFING SHORTAGESWe are also working to address healthcare staffing shortages throughout Southwest Florida. We recently added fellowship programs in family medicine in collaboration with Lee Health and NCH hospitals and pediatric dental fellowships. These programs are designed to attract physicians committed to a mission-driven practice that directly and comprehensively impacts the health of the most vulnerable and underserved, including our migrant communities.Recognizing that healthcare needs to be accessible, affordable and comprehensive, our commitment to our community, as Collier County continues to rapidly grow, is to be innovative in the ways we reach patients. With a direct line to our patients, health centers like ours are uniquely positioned to identify immediate needs that impact local health.ABOUT THE AUTHORJamie Ulmer is the President and CEO of Healthcare Network. He serves on the executive and chair committees for the Florida Association of Community Health Centers and is a member of multiple committees for the National Association of Community Health Centers.

Federally Qualified Health Centers: Heartbeat of the CommunityBy Jamie Ulmer, President and CEO of Healthcare NetworkHealthcare Network is proud to be among Americas 1,400 Community Health Centers that share the passion of providing quality, comprehensive healthcare services to more than 30 million patients across 14,500 communities annually.Healthcare Network was founded in 1977 in two small trailers in Immokalee to provide health services to the migrant community. Since then, it has grown to provide primary health care to men, women and children of all ages, helping the disenfranchised, underinsured, and uninsured of our communities, as well as those with insurance and resources who recognize the quality and comprehensiveness of care available.While we offer a network of practices throughout Collier County, we continue to meet the needs of agricultural workers, including collaborating with other groups in the community such as the Coalition of Immokalee Farmworkers, Misin Peniel and others.When the pandemic and then Hurricane Ian exposed vulnerabilities reaching migrant communities with information, health care and support, we formed an outreach team to go door-to-door and work with Healthcare Networks Chronic Care Management team and other professionals with referrals for health care and social support services. In addition, the team plans mini-health fairs, health education events and workshops, and continues to manage a resource line to answer questions from the community. Home visits allow the team to address issues that impact health by connecting families with local resources for physical and mental health, transportation, food and housing assistance.Community Health Centers like Healthcare Network are not ordinary medical clinics. We are also problem-solvers who reach beyond the exam room to care for the whole person and help address the social determinants of health, such as connecting patients to resources like food and housing that are essential for a persons complete well-being.While the U.S. Health Resources and Services Administration designates nearly all of Southwest Florida as a Medically Underserved Area, meaning that there are too few primary care providers for the growing population, Healthcare Network improve access to high quality primary care for at-risk populations and minority populations. Access to primary care is critical because of its role in prevention, chronic disease management and as an overall entry point to the health care system.As nonprofits, health centers like Healthcare Network are designed to act locally and remain agile, continually working to bridge gaps in care by expanding services to meet our patients growing needs.With the amount of growth in the area -- particularly where health care services and access are limited like Ave Maria, and Everglades City, we are working to provide more hubs throughout Collier County where patients can come to one place for all their health care needs. Currently, these include Nichols Community Health Center and Marion E. Fetter Center in Immokalee. On the horizon is a new health hub in the Orangetree area of Golden Gate Estates. Construction of the health center is expected to begin in winter 2023. In the meantime, our mobile units, including the Ronald McDonald Care Mobile and the Health & Smiles, provide medical and dental care access to all corners of our county. We are also working to address health care staffing shortages throughout Southwest Florida with two new fellowship programs in family medicine in collaboration with Lee Health and NCH hospitals and pediatric dental fellowships. These programs are designed to attract physicians committed to a mission-driven practice that directly and comprehensively impacts the health of the most vulnerable and underserved, including our migrant communities. Recognizing that health care needs to be accessible, affordable and comprehensive, our commitment to our community, as Collier County continues to rapidly grow, is to be innovative in the ways we reach patients. With a direct line to our patients, health centers like ours are uniquely positioned to identify immediate needs that impact local health. About the AuthorJamie Ulmer is President and CEO of Healthcare Network. He serves on the executive and chair committees for the Florida Association of Community Health Centers and is a member of multiple committees for the National Association of Community Health Centers. For information, visit healthcareswfl.org.  

We have all heard the saying, you are what you eat, but how many of us understand just what this means for our overall health?For years, the Standard American Diet, often referred as the SAD diet, has come to include more highly processed food. The impact of this type of diet is that it is low in antioxidants, fiber and other essential nutrients, but high in sugar, salt, unhealthy fats, high fat dairy products and red meats. The office of Disease Prevention and Health Promotion has determined that most people in the U.S. consume too much sugar, salt, saturated fats and trans fats.Too much of these foods can result in: Spikes in blood sugar levels, which can lead to increased fatigue and food cravings and adverselyimpact sleep and other bodily functions.  An imbalance in the gut microbiome, which may result in a decreased absorption of nutrientsand an elevated risk of digestive conditions, such as diverticular disease. Obesity, which can lead to developing other related health conditions. Increased inflammation, resulting in lower control of infection, higher cancer rates and higherrisk of allergic reaction and autoinflammatory disease. Risk of lower capacity for memory and learning, including Alzheimers and Parkinsons disease. Increase in depression and anxiety  Fluid retention and improper functioning of blood vessels with too much salt, resulting in anincrease in blood pressure and associated health conditions.It seems simple, right? Eat a healthy diet and be healthy. Adults who eat a healthy diet live longer and have a lower risk of obesity, heart disease, type 2 diabetes and certain cancers. Healthy eating can help people with chronic diseases manage them and avoid complications.But can changing our nutrition after a lifetime of unhealthy eating make a difference? Yes! It is never too late to make improvements to support healthy aging. In addition, nutrient needs as we age are also affected by chronic health conditions, use of multiple medicines and changes in body composition. As a result, eating a healthy diet and making every bite count is particularly important.It is important to remember that food is fuel. Food supplies the nutrients needed to maintain our brains, muscles, bones, nerves, skin, circulation and immune system.There are some simple steps to improve nutrition. Adding these nutrient dense foods into your diet is a great start: Bright and dark colored fruits and vegetables tend to have a higher antioxidant content, likeblueberries, blackberries, red onion and red cabbage  Fatty fish, like salmon, mackerel, trout, anchovies and sardines are a source of protein andomega-3 fatty acids that help prevent heart disease. For seniors, eating enough protein helpsprevent the loss of lean muscle mass. Spinach, arugula and kale are sources of vitamin A, C and calcium, and phytochemicals that fight inflammation and protect cells. Hazelnuts, walnuts, almonds and pecans contain protein and monosaturated fats, which canreduce the risk of heart disease.  Olive oil helps reduce the risk of heart disease with vitamin E, polyphenols and monosaturatedfatty acids  Whole grains for fiber, B vitamins and minerals, also lower cholesterol and protect against heart disease and diabetes. The ability to absorb vitamin B12 can decrease with age and certain medicines, so older adults should talk with their healthcare provider to make sure they are getting enough. Yogurt provides calcium, protein and probiotics to protect the body from harmful bacteria. Broccoli, Brussels sprouts, cabbage, cauliflower, kale and collard greens offer fiber, vitamins and phytochemicals, which may help prevent some cancers. Beans, soybeans and peas provide fiber, folate and protein and help reduce the risk of heartdisease. In addition, the sensation of thirst declines with age, so it is important to drink enough fluids to stay hydrated. Water is best to prevent dehydration and helps with digestion. Unsweetened fruit juices and low-fat milk or fortified soy beverages can also help with hydration and nutrient needs.The previously mentioned foods play a significant role in helping us naturally detoxify from potentially harmful agents entering our body, feeding our body, cells and our microbiome. They help improve our mood and mental health, metabolism and weight management, as well as help control inflammation regulation in our overall body, among other things.While people seem to search for a magic pill to ensure good health, the answer is better nutrition.Healthy eating is simply related to better health through stronger immune systems, lower risk of non- communicable disease and longevity. About the Author Paulina Gonzalez Rul MS, LDN, CNS, an accomplished dietitian nutritionist at Healthcare Network. To learn more about Healthcare Network visit HealthcareSWFL.org.

Mens Health Month in June encourages early detection and treatment of disease among men. Also, the event encourages awareness of preventable health problems for men and boys. Research shows that men are less likely to see the doctor, especially if they do not have symptoms. As a result, men are more likely to be diagnosed with a disease or illness in its later stages. This delay often makes treatment more complicated. Read More: How to Keep Your Mind Sharp as You Age NUMBERS TELL THE STORY FOR MENS HEALTH MONTHMen are 3 times more likely than women to avoid doctors for 5 or more years. (Centers for Disease Control (CDC). More than half of all men did not have a physical or cholesterol test in the previous year. (Survey conducted by the Commonwealth Fund). Up to 60% of men are unlikely to seek medical care, even when they believe they are seriously ill. According to a Harris Poll survey for the American Academy of Family Physicians: 90% of men do not seek care or advice right away but wait before seeking treatment 38% of men only seek care when they are incredibly sick or when they do not get better on their own 55% of men had not seen a doctor for a physical exam within the last 12 months Of this group, 40% had one or more chronic health conditions 40% of men follow their doctors advice 100% of the time 58% follow their doctors advice 50 to 75% of the time Cardiovascular disease, cancer, diabetes and hypertension are higher in men than women. Notably, 80% of all sudden-death cases due to unrecognized heart disease happen to men. THE BENEFIT OF BEING PROACTIVE ABOUT HEALTHThe message for Mens Health Month is that men can have better health with routine doctors visits and screenings. Here is why being proactive about health matters: Men are more likely to be hospitalized or die from preventable conditions without regular doctor visits Mens sexual health is most likely affected by dangerous substances and the natural aging process Routine checkups and screenings are linked to better longevity and health in men Maintaining a healthy lifestyle is one of the best ways to prevent or manage many common health problems in men THE IMPORTANCE OF PROACTIVE HEALTH FOR SENIOR MENIt is especially important for senior men to seek preventative health services. Why? Because as bodies age, hormones change, impacting fat distribution and muscle mass. Nutrients are processed differently. Many men are at increased risk of developing heart disease, high blood pressure and diabetes as they age. Here are some of the screening tests recommended by Johns Hopkins for men over the age of 65: Abdominal aortic aneurysm Blood pressure Colorectal Cancer Depression Diabetes mellitus, type 2 Lipid disorders STD In addition, up to 50% of Americans who live to age 65 will have at least one skin cancer. Caucasian men are particularly at risk. Take steps to prevent further damage from the sun as well as get screened regularly for signs of skin cancer. YOUR PRIMARY CARE PHYSICIAN CAN HELP It may seem like a lot to manage. However, get regular check-ups and develop a relationship with your primary care physician (PCP). These are some of the best ways to improve the chances for early detection of chronic illnesses. The result is better health outcomes. PCPs manage the full scope of health factors and work with patients to create action plans for better health. In addition, they monitor and keep track of changes to health and ensure continuity of care. Because they know your personal health history, they are better able to manage your overall health, even with multiple conditions. One in three seniors sees at least five doctors a year. As a result, your PCP can act as the go-between for different specialists, helping to manage appointments, referrals and prescriptions. Mens Health Month (anytime, really!) is a great time to take charge of your health! Establish a relationship with a PCP who can get to know you and help you meet your health care goals. Make an appointment with a Healthcare Network provider capable of coordinating healthcare needs that come with aging. Click here to get started. ABOUT THE AUTHOR Dr. Corin DeChirico is vice president of medical staff and chief medical officer for Healthcare Network. 

Have you ever struggled to remember someone's name, forgot where you parked your car or misplaced your glasses or house keys?You are likely having minor memory glitches or moments of temporary forgetfulness or confusion associated with the aging process.While occasional forgetfulness is normal, it can still be frustrating, embarrassing and concerning. As you age, changes in cognitive function can cause our brains to process information slower and therefore experience these memory glitches. To help you keep your mind sharp and performing optimally through every stage of the aging process, here is a list of tips to combat mental decline and preserve mental sharpness.Jog your memory.Exercising has numerous benefits to your health like lowering high blood pressure, preventing health conditions like diabetes, decreasing the risk of a heart attack or stroke and even boosting your mental health. Staying active has also been linked to higher brain function and motor skills in seniors .Evidence suggests that aerobic exercises (exercises that get your heart pumping like running) are especially beneficial as they improve blood circulation to areas in the brain associated with memory.If you have'nt exercised in a while, start small! Try going for a brisk walk after dinner or taking a dance class. If you're interested in a low-impact exercise, try swimming or water aerobics. Its never too late to begin getting active!Use your brainpower.We know the benefits of exercising our bodies, but what about keeping our brains active? By engaging in brain-stimulating activities like reading, drawing and playing an instrument, you can help keep your memory sharp and improve brain function.An excellent way to engage your brain is by learning a new language or picking up a hobby like quilting which has been linked to enhancing memory function in older adults. With many complex patterns, styles and techniques, you will never stop challenging yourself. The long period of intense focus is great for training your brain to concentrate better. Not to mention its the perfect creative outlet and stress reliever!Involve your friends and family! Challenge them to complete a sudoku puzzle every day or play a match of chess with you. The options are endless for ways you can use your brainpower. The most important criterion is that it is something you enjoy!Sleep it off.In todays modern constantly connected world, it seems harder and harder to turn off and get a good nights sleep. As you age, sleeping problems can become common causing your sleep quality to decrease. However, 7 to 8 hours of sleep daily is a must. When you sleep, your brain begins the process of retaining important memories and getting rid of unnecessary data to keep from overloading your brain. This process is known as memory consolidation and is essential to converting new experiences or information into long-term memory, making recalling easier and remembering more accurately.If you are having trouble sleeping, create a night routine and go to bed at the same time every day. Your night routine can include participating in relaxing activities like meditating or journaling. If you like to read at night, be cautious of using a phone or tablet. The blue light from electronic devices can inhibit the production of melatonin causing you to feel wide awake at night.Be proactive about your health.Don't let an untreated medical condition be the cause of your memory loss issues. Unlike popular belief, dementia and Alzheimer's aren't the only health conditions that can cause cognitive decline. By staying on top of your annual health screenings and check-ups you can better manage health conditions that affect your brain function like hypothyroidism, diabetes and vitamin D and B-12 deficiencies.Next time you visit your primary care provider, tell them about your concerns and bring a list of the medications you are currently on (some medications have been known to cause memory problems).Whether you are experiencing normal moments of forgetfulness or suspect a more serious health issue, its important to talk to a medical professional and be open about your worries. You and your provider can work together to determine an appropriate care plan to meet your needs.About the AuthorDr. Corin DeChirico is Chief Medical Officer and Vice President of Medical Affairs for Healthcare Network, a medical and dental home for children, adults and seniors. For more information on Healthcare Network, visit HealthcareSWFL.org or to make an appointment, call 239.658.3000.

Parkinsons Disease Early DetectionApril is Parkinsons Awareness Month. Parkinsons disease is the second most common neurodegenerative disease, after Alzheimers. Most people will develop symptoms of Parkinsons disease around age 60. At Healthcare Network, within our senior primary care services, we watch for signs and symptoms of Parkinsons disease as well as all potential illnesses that impact seniors.Early detection of Parkinsons disease, a progressive neurodegenerative disease that affects more than 1 million Americans, is important to slowing disease progression. But many other illnesses share similar symptoms with Parkinsons disease, including slowness, stiffness, tremors and imbalance. Age can make people more prone to falls and certain diseases, even without Parkinsons disease.Sometimes, people dismiss early symptoms of Parkinsons as the effects of normal aging. Therefore, it is especially important for seniors to establish a relationship and health history with a primary care team who can detect potential health problems early before they become severe. About 85% of older adults have at least one chronic health condition. Sixty percent have at least two chronic conditions.Importance of a Primary Care Physician in Treating Parkinsons DiseaseSeveral healthcare professionals are needed to effectively manage Parkinsons disease and its impacts on quality of life, according to ParkinsonsDisease.net. For example, primary care providers focus on immediate and overall health needs while helping patients manage symptoms of the disease. Primary care providers often also coordinate care with other health professionals including neurologists and movement disorder specialists who assess disease progression and prescribe medications.Overall, primary care physicians (PCPs) play a key role in senior care because they know the patients history and background. The PCP is often the first point of contact for the patients and provides comprehensive care for chronic, preventive and acute conditions, according to ParkinsonsDisease.net.In addition, recent surveys have shown that strong patient-physician relationships result in healthier outcomes. Your PCP can connect the dots, spending less time on your past and more time on the future.Research has shown that people who live in states that have more primary care physicians have better health outcomes. This includes fewer deaths from cancer, heart disease or stroke. In a study published in the Journal of the American Medical Association, respondents with primary care received more high-value care compared with those without primary care. Enhanced treatment included filling prescriptions, routine preventive visits and screenings.According to Harvard Health, PCPs work in teams that keep the patient as the center of all diagnostic and treatment activities. The explosion of medical knowledge and treatment alternatives makes it important to have a primary care provider to interpret and advise on the best course of action.Senior Care Helps to Manage Multiple ConditionsParkinsons disease occurs when nerve cells around the brain that controls movement become impaired and/or die. As the disease progresses and changes, so do care needs. Establishing care with a PCP provides continuity and consistency in care that can help Parkinsons patients avoid using costly urgent care or emergency rooms for acute needs.In addition, many people with Parkinsons disease experience mood disorders because of their condition. Our integrated mental and behavioral health model, where medical and mental health professionals work side-by-side, allows these concerns to be addressed seamlessly during primary care visits.Another advantage of having a dedicated PCP when dealing with Parkinsons is they can watch for the impact of medication changes, infections, dehydration, sleep deprivation, stress and other medical conditions that can worsen Parkinsons disease symptoms. A PCP can consider other conditions and medications and adjust with the patients overall health in mind.People with Parkinsons can expect to live almost as long as those who do not have the disorder. Medications, as well as physical and occupational therapy, can improve a persons quality of life. Early detection and coordinated care are key to reducing complications. By being aware of the common chronic conditions associated with aging, your PCP can take steps to practice smart preventative care, manage complex chronic conditions like Parkinsons and improve health outcomes.Make an AppointmentTo make an appointment at one of our many locations with a care provider, call 239-658-3000. Already a patient of Healthcare Network? Visit our secure Patient Portal to access medical information, request appointments, and manage prescriptions 24/7. Learn more.About AuthorDr. Reiner Ramirez is a Healthcare Network family care provider who focuses on specific health concerns faced by seniors. Healthcare Network provides integrated health where medical and mental health professionals work side-by-side to address patients physical, mental and emotional health.

As we age, remaining mobile is important to maintaining independence. While bone loss is a normal part of growing older, one in two women and up to one in four men over the age of 50 will break a bone due to osteoporosis. Osteoporosis is often referred to as a womens disease because it disproportionally affects women, especially those who have gone through menopause. The Bone Health & Osteoporosis Foundation, formally known as the National Osteoporosis Foundation, estimates that in the United States, about 2 million men have osteoporosis compared to 8 million women. And approximately 44 million Americans have low bone density, placing them at increased risk for eventually developing osteoporosis.WHAT IS OSTEOPOROSIS?It is a disease that weakens the bones increasing bone fragility and fractures. For years, the disease can progress, slowly lowering bone density without any symptoms. Often the first indication of osteoporosis is when a bone has already broken. The most common areas for fractures to occur are the hip, wrist and spine. Bone breaks can lead to chronic pain, impaired movement and long-term problems.WHY ARE WOMEN MORE SUSCEPTIBLE TO OSTEOPOROSIS?Throughout our lifetime, our bones go through countless cycles of breaking down old bone tissue and replacing it with new, stronger ones. In developing children, bone is replaced at a faster rate than it is removed until peak bone mass, or the point when bones have reached their maximum strength occurs.Over time, more bone is lost than is built. For women, there is a dramatic decrease in bone density during and after menopause. The Office on Womens Health states that some women lose up to 25% of bone mass in the first 10 years after menopause. This is caused by the reduction of estrogen, which is a key regulator of bone metabolism, the cycle of bone growth and resorption.Womens small frames and bodies also put them at higher risk. Smaller and lighter bones mean lower bone mass to start with. When bone loss begins, which will naturally occur with age, women with small frames are more likely to be at below-average bone density levels even before menopause.Other risk factors can include not getting enough calcium and vitamin D, having eating disorders or health conditions like diabetes, taking certain medications and being Asian or white.WHAT CAN YOU DO?Make calcium and vitamin D important in your diet.Calcium has many benefits to your muscles, nerves, teeth, hormones and of course, your bones. It is not something your body can create naturally, therefore its important to get enough of it in the foods you consume and/or from supplements. The majority of the calcium in your body can be found in your bones, and when you do not have enough calcium, your body will take it from your bones, causing them to become brittle and weaken over time.Vitamin D is also important in preventing osteoporosis. Vitamin D allows your body to absorb and regulate calcium more effectively. Luckily, the sun is one of the best sources of vitamin D. Other sources of vitamin D include foods like salmon, tuna, eggs and cheese as well as supplements. Even though vitamin D seems widely available, a shocking number of Americans are deficient. Be sure to make a conscious effort to safely spend more time in the sun and consume foods high in vitamin D!Move your body.Resistance training and weight-bearing workouts can strengthen your bones and muscles while improving your balance, coordination and flexibility. Together these can reduce your chances of fractures or broken bones. Try exercises such as walking, climbing stairs and dancing. You can also utilize free weights and resistance bands. Start small and work your way up to having a consistent workout routine.Dont smoke.There are a variety of ways in which smoking can affect bone health, both directly and indirectly. Studies have linked smoking with bone turnover imbalance and lower bone mass. And nicotine has been known to attach to osteoblasts (cells that build new bone) and kill them.Limit alcohol consumption.Excessive drinking can hinder bone development and formation. There have been links between heavy alcohol consumption, slow bone turnover and low bone density. Along with its negative impact on bones, it can increase the risk of falls and injuries.Consult your doctor.Osteoporosis will often not show symptoms until the disease has advanced. Ask if you are at high risk for developing osteoporosis and what steps and medications, if necessary, you should take to prevent or manage it. A bone density test, called a DEXA scan, is available to help you and your doctor assess if you show signs of significant bone loss. This test is recommended for older adults, so talk to your doctor if it makes sense for you.When it comes to health, your actions today can have a big impact on the way you feel tomorrow. To ensure you are healthy, strong and thriving in your older years, take steps to be proactive about your health. Keep in mind aging can look and feel different for everyone. If you suspect something is wrong, dont hesitate to talk to your trusted primary care provider. You and your care team can work together to form a care plan to address your health concerns and goals. Remember, an early diagnosis can mean a better health outcome.About the AuthorDr. Reinier Ramirez is the medical director of adult medicine for Healthcare Network. Celebrating 45 years of caring for the community, Healthcare Network is a medical and dental home for children, adults and seniors. For more information, visit HealthcareSWFL.org or to make an appointment, call 239.658.3000.

Naples, Fla. (Sept. 24, 2024) - Healthcare Network is in-network for Blue Cross/Blue Shields Florida Blue insurance plan, offering an option for care to residents who may be impacted by stalled negotiations between the insurer and NCH over insurance reimbursements. The lack of an agreement between NCH and the insurer by the end of September could cause patients to pay higher out-of-network prices for NCH services.Were concerned about the well-being of the community and want to make sure everyone is informed that there are places they can go for care, said Jamie Ulmer, CEO of Healthcare Network. Since 1977, we have worked to support the communitys primary care needs, striving for a community where every person has access to appropriate health care.Services offered at multiple locations in Collier County include primary care for all ages, behavioral health care, dental care, pharmacy and addiction treatment. Telehealth is also available to patients.Blue Cross/Blue Shield and most commercial health insurers are accepted by Healthcare Network. The nonprofit, Federally Qualified Healthcare Center also offers a sliding fee program based on income and family size. For information on services, locations and to make an appointment, visit healthcareswfl.org or call 239-658-3000.About Healthcare Network Since 1977, Healthcare Network has distinguished itself by providing primary health care to men, women and children of all ages, helping the disenfranchised, underinsured, and uninsured of our communities, as well as those with insurance and resources who recognize the quality and comprehensiveness of care available. The organization has grown from two small trailers in Immokalee to a network of providers located throughout Collier County. Primary health care services include family care, obstetrics and gynecology, pediatrics, senior care, dental care and pharmacy as well as integrated and traditional behavioral health for both adults and children. Additionally, the organizations community health workers bring health and social services directly to underserved families. For more information, visit HealthcareSWFL.org, or to schedule an appointment, please call 239-658-3000.

By Phara Lafortune-Morame, LCSW, MCAP, EMDR cert., QS.There are many reasons that significant moments are often celebrated with a drink. But during the holidays, otherwise-celebratory toasts can be triggers for people who struggle with substance use disorder, including seniors.Some families and cultures have holiday traditions that lean heavily on alcohol consumption. Family recipes for festive cocktails and toasts before dinners reinforce the idea that consumption is part of connecting with loved ones and embracing the holiday spirit.The Distilled Spirits Council of the United States notes that a quarter of the $49-billion-a-year distilled spirits industrys profits come from the month between Thanksgiving and the New Year. Another study notes that the average American drinks 27% more during the holiday season compared to the rest of the year.As a result, the stress and anxiety associated with the holiday season can result in increased consumption or return to drug and alcohol use for those currently in recovery, particularly for older residents, who tend to suffer from depression more during the holidays. Many studies note that nearly half of individuals recovering will return to use during the holiday season.The prevalence of substances in celebrations often mixes badly with the elevated depression and stress the holidays can bring. Expectations for creating and experiencing holiday joy are at the center of potential substance use triggers. When mixed with emotional turmoil, financial stress, loneliness, grief, nostalgia, and dysfunctional and complex family relationships, this can create a desire to seek temporary escape from overwhelming feelings through substances. For those aged 65 and older, alcohol misuse is the most frequently reported substance of use.The use of alcohol in older adults negatively impacts brain structure and function and can lead to declines in cognitive function and memory, particularly for adults over the age of 65. In addition, the bodys ability to break down alcohol decreases with age, resulting in increased risk for accidents and falls, fractures and car accidents.  For anyone in recovery from substance use disorder, or concerned about increased consumption through the holidays, it is important to plan.Here are strategies for staying sober:      Be aware of people, places or situations that can trigger consumption, and do what you can to minimize these exposures.      Keep (and bring, if necessary) a nonalcoholic drink in your hand to resist temptation and discourage others from offering an alcoholic drink.      Set realistic expectations. Stress is common for nearly everyone during the holidays, and spontaneous, imperfect moments are often the most memorable and special moments.      Take care of yourself. Proper nutrition, exercise and meditation do wonders for your well-being. If you feel well physically, you will be stronger emotionally.      Set boundaries, and let people know where you need support in resisting temptations.      Have a plan on how to navigate, and more importantly exit social gatherings (For example, do not be dependent on someone else for transportation, so you can leave if needed).      Be aware that returning to use a substance after a period of abstinence can happen AFTER the holidays, where we can justify returning to use by feeling entitled to drink or use drugs for having made it through the holidays. Sometimes, we manage better during a crisis than afterward..      Seek professional help and support.Sometimes, substance misuse is difficult to recognize in older adults, and few treatment programs are designed to meet their needs.  However, the Primary Care Addiction Treatment (PCAT) program for adults at Healthcare Network follows a supportive, compassionate and nonjudgmental approach to encourage healing and lessen negative effects. The program treats every patient with respect and dignity, using empathetic language to reduce stigma and foster a supportive environment.Healthcare Network also offers medication for addiction treatment (MAT) for opioid use disorder, alcohol use disorder, and other substances within a primary care setting. Comprehensive care includes medication treatment along with behavioral therapy and counseling services to provide a whole-care approach to treating substance use disorders and support recovery.In addition, our primary care programs for the whole family include integrated mental and behavioral health care to address some of the mental health challenges that are sometimes at the root of substance use disorders.Help is available through the holidays and beyond. Supportive treatment can be the gift of a lifetime for you and your loved ones. About the Author By Phara Lafortune-Morame is associate clinical director of behavioral health at Healthcare Network. To learn more about substance use and behavioral and mental health support available Healthcare Network, visit healthcareswfl.org or call 239.658.3000.

National Recovery month in September promotes and supports new evidence-based treatment and recovery practices, the nations strong and proud recovery community, and the dedication of service providers and communities who make recovery in all its forms possible.Addiction is a chronic disease characterized by seeking and using a substance compulsively, or having difficulty controlling use, despite harmful consequences. Most people choose to use drugs voluntarily at first, but continued drug use can cause brain changes that make it difficult to maintain self-control. Unfortunately, many individuals believe that drug users lack moral fiber and fortitude and that their inability to cease using drugs on their own is a sign of weakness.However, like heart disease, addiction is an illness and can be fatal if untreated. Both heart disease and addiction interfere with an organs natural, healthy functioning, have substantial negative repercussions, and are frequently preventable and treatable. Approximately 20% of American adults are diagnosed with a mental health disorder each year. Unfortunately, more than half of people with mental health disorders do not obtain the proper care. A person with a mental health condition is more prone to turn to drugs and alcohol if they are not receiving adequate care. The human body is inter- and intra-connected, thus a problem in one area could unintentionally influence other areas.Also, only one in five adults with a substance use disorder receive treatment on a yearly basis. High treatment costs and a lack of access to effective treatments, such as medication-assisted treatment (MAT), are obstacles.Drug addiction is a complicated disease, and quitting usually requires more than good intentions or a strong will. Fortunately, therapies like MAT can aid in recovery and enable people to lead fulfilling lives.Healthcare Network is dedicated to improving substance-abuse treatment and offers MAT availability, with drugs approved by the FDA for the treatment of opioid dependence. These treatments have been demonstrated to be safe and effective in combination with counseling and psychosocial support.We all suffer when an individual or family is impacted by drugs. You may feel helpless, afraid, bewildered, and desperate if a loved one is battling addiction or a serious mental health condition. What you can do:      Express concern, communicate your support and love and offer to guide to resources or treatment. However, honor an individuals autonomy and ultimate decision-making over their life.      Exercise patience and set reasonable expectations. Relapse can happen as a normal component of rehabilitation, but it does not mean that treatment was ineffective.       Learn the signs and symptoms of overdose. Get access to naloxone and learn how to administer this life-saving medication in the event of an opioid overdose.      Refrain from displaying pity or rage. You are simply kept in an eternal cycle by this.      Avoid preaching and lecturing. Most of the time, substance abusers cannot hear what you are saying. Concentrate on your own life. You could be better equipped to help your loved one when they are ready to accept help if you take care of yourself. Seeking personal counseling may be beneficial.Those who struggle with addiction are real people with feelings and aspirations. They are someones children, siblings, relatives, friends or significant others. If your life is affected by addiction or excessive substance use, please contact a professional. Asking for help is a sign of strength, not weakness.By Phara Morame, behavioral health provider for children and family care at Healthcare Network About the Author Phara L. Morame, LCSW, MCAP, has a bachelors degree in psychology, a masters degree in social work and is a Certified Masters Level Addiction Professional. She is part of Healthcare Networks integrated behavioral and mental health team and is fluent in Haitian Creole, French and English. For information on mental, behavioral and substance abuse services, visit  healthcareswfl.org or call 239.658.3000.

May is Mental Health Awareness Month. It is a great time to understand how mental and physical health are related. In fact, unmanaged anxiety, for example, may impact sleep, activity level and diet. This can diminish our immune system and our bodys ability to protect against illness.Sometimes, chronic headaches, shoulder pain, nausea, chest tightness, or difficulties breathing have less to do with our physical health and more with our mental health. Ignoring physical and emotional sensations, particularly after they have been around for a while, can negatively affect health. Conditions such as anxiety or depression can sometimes lead to obesity, diabetes, or high blood pressure, to name a few.As a result, it is important to stay in touch with emotions, thinking patterns and behavioral habits. Doing so boosts resilience, can lower anxiety or depression, improve symptom management and lead to better outcomes.Everyone experiences stress. However, we must be mindful and self-aware. It is important to recognize when stress crosses over from the healthy, adaptive kind to more unhealthy or maladaptive stress. Generally, that happens when high levels of stress intensify, persist, or exceed our ability to effectively cope and function.SEEK HELP FOR YOUR MENTAL AND PHYSICAL HEALTHThe connection between physical and mental health is a vital one and often underestimated or poorly understood. You do not need to wait to feel depressed or anxious, or have chronic pain, or insomnia, to seek help. It is incredibly reassuring and validating to seek help from a mental health professional. With help, one could learn that a particular set of symptoms or feelings are quite normal under certain circumstances.Healthcare Networks integrated care model offers mental and behavioral health screening and consultation as part of comprehensive primary care. When additional treatment is needed, our new Center for Psychology and Wellness at Nichols Community Health Center is available. It offers behavioral health services for children, adolescents, adults and seniors in person or via telehealth. Services are offered in English Spanish and Haitian Creole without a physician referral.It is important to know when to reach out for help. Seeking behavioral health services does not mean something is wrong with you or a problem lies within you. Sometimes, the problem lies in life and the state of ones current world. Behavioral health services are for anyone who needs help finding some new perspectives or strategies to cope.ABOUT THE AUTHORCourtney L. Whitt, Ph.D. is Director of Behavioral Health at Healthcare Network, which treats all patients, regardless of insurance or job status. For an appointment click here.

Mens Health Month in June was established to encourage early detection and treatment of disease among men as well as awareness of preventable health problems for men and boys. Research shows that men are less likely to see the doctor, especially if they do not have symptoms. As a result, men are more likely to be diagnosed with a disease or illness in its later stages. This delay often makes treatment more complicated. The Centers for Disease Control (CDC) found that men are three times more likely than women to go without a doctor visit for five or more years. According to a survey conducted by the Commonwealth Fund, three times as many men as women had not seen a doctor in the previous year. In addition, more than half of all men had not undergone a physical exam or cholesterol test in the previous year. Up to 60% of men are unlikely to seek medical care, even when they believe they are seriously ill. According to a Harris Poll survey for the American Academy of Family Physicians: 90% of men do not seek care or advice right away but wait before seeking treatment.38% of men only seek healthcare when they are incredibly sick or when symptoms do not go away on their own.55% of men had not seen a doctor for a physical exam within the last 12 months.Of this group, 40% had one or more chronic health conditions.40% of men follow their doctors advice 100% of the time.58% follow their doctors advice 50 to 75% of the time.Cardiovascular disease, cancer, diabetes and hypertension are higher in men than women. Notably, 80% of all sudden-death cases due to unrecognized heart disease happen to men.The message for Mens Health Month is that men can empower themselves for better health with routine doctors visits and screenings.  Here is why being proactive about health matters: Heart disease, cancer, depression, and a higher tendency to participate in risky behavior are among the most significant risks to mens health.Men are more likely to be hospitalized or die from preventable conditions because they do not visit their doctor as much.Mens sexual health is most likely affected by dangerous substances and the natural aging process.Routine checkups and screenings are linked to better longevity and health in men.Maintaining a healthy lifestyle is one of the best ways to prevent or manage many common health problems in men.It is especially important for senior men to seek preventative health services, because as bodies age, hormones change, impacting fat distribution and muscle mass. Nutrients are processed differently, and many men are at increased risk of developing heart disease, high blood pressure and diabetes as they age. Here are some of the screening tests recommended by Johns Hopkins for men over the age of 65: Abdominal aortic aneurysmBlood pressureColorectal CancerDepressionDiabetes mellitus, type 2Lipid disordersSTDIn addition, up to 50% of Americans who live to age 65 will have at least one skin cancer, and Caucasian men are particularly at risk. It is never too late to take steps to prevent further damage from the sun as well as be screened regularly for signs of skin cancer.  While it may seem like a lot to manage, regular check-ups and a relationship with your primary care physician (PCP) are some of the best ways to improve the chances for early detection of chronic illnesses and better health outcomes. PCPs manage the full scope of health factors and work with patients to create action plans for better health, while monitoring and keeping track of changes to health and ensuring continuity of care. Because they know your personal health history, they are better able to manage your overall health, even with multiple conditions. While one in three seniors sees at least five doctors a year, the PCP can act as the go-between for different specialists, helping to manage appointments, referrals and prescriptions.  Mens Health Month (anytime, really!) is a great time to establish a relationship with a PCP who can get to know you and help you meet your health care goals. To make an appointment with a Healthcare Network provider capable of coordinating healthcare needs that come with aging, call 239-758-0252 or visit healthcareswfl.org.About the Author Dr. Corin DeChirico is vice president of medical staff and chief medical officer for Healthcare Network. For information on Healthcare Network, call 239.658.3000. 

Jerry F. Nichols is a stellar example of continuing to work and support his community long after many have retired.At age 79, he continues to serve as full-time executive vice president of Brown & Brown Insurance and financial representative for Northwestern Mutual. Also, for many decades, Nichols has quietly set an inspiring example through philanthropy, dedicated to improving the lives of children and working adults in Southwest Florida.Combining his career success and philanthropy is something Nichols was recognized for five times by the Northwestern Mutual Financial Network. Nichols was also named a Junior Achievement Hall of Fame Laureate, which honors influential, visionary leaders who have significantly impacted the educational landscape for youth in Southwest Florida in entrepreneurship, work readiness and financial literacy.Late last year, Nichols solidified this commitment to the community by making the first major donation to Healthcare Networks capital campaign. This donation will support the construction of the nonprofit organizations planned 20,000-square-foot health center in the Orangetree area of Golden Gate Estates, ensuring essential access to affordable healthcare for the community.The Orangetree area has grown over 75% in the last several years, which makes the lack of healthcare services alarming, said Jamie Ulmer, Healthcare Network president and CEO. Jerrys continued support of our mission is a testament to his generosity and commitment to making Collier County a healthier place for everyone.Located in northeastern Collier County between Ave Maria and Golden Gate, the planned health center is projected to provide care to nearly 30,000 patients in its first year. The array of comprehensive services will include pediatrics, adult and senior care, obstetrics and gynecology, dental care, x-ray and lab, behavioral health counseling and a drive-thru pharmacy.I believe health care is vital to keeping any community thriving, Nichols said. Everyone should have access to essential primary care services. Supporting the construction of the new health center means that Orangetree residents, including vulnerable children and seniors, have access to affordable and comprehensive care without needing to leave their own community.In 2018, Nichols received Healthcare Networker of the Year Award for his pivotal role in supporting the improvement of pediatric care in Collier County for thousands of area children. Then, he was recognized as the lead donor for the Nichols Community Health Center, a 50,000-square-foot primary health care facility in the heart of the Golden Gate community that opened in 2020. This center significantly enhanced essential healthcare services for the largest underserved population in Collier County. Along with the Nichols Pediatric Center at the YMCA of Collier County, it reinforces Nichols vision of making quality healthcare accessible to all children and their families in Southwest Florida.Nichols has not only made financial contributions but has also dedicated his time to numerous causes, primarily focusing on local children and education. Some of the many not-for-profit organizations supported by him include the Boys and Girls Club of Collier County, Junior Achievement of Southwest Florida, the Community Foundation of Collier County, the Ronald McDonald House of SWFL, and Healthcare Networks Ronald McDonald Care Mobile. In addition, Nichols provides support to various Lee Health programs, including Golisano Childrens Hospital, Golisano Childrens Health Center in Naples, and Golisanos Pediatric Behavioral Health Center in Bonita Springs.  I have focused my efforts and financial support on organizations that have an impact on childrens lives through education, access to health care, and safe environments that help them grow and develop into their full potential, Nichols said. When children arent healthy, theyre not reaching their full potential.   Healthcare Network is actively seeking contributions for its capital campaign with the goal of raising $15 million. Community support is pivotal to achieving this goal and ensuring that every resident in Collier County has access to essential primary care services. Visit HealthcareSWFL.org to learn more about Healthcare Network's mission and contribute to the capital campaign. By Gabrielle OBoyle, director of public relations and marketing, Healthcare Network

AmeriCorps and Healthcare Network: Improving Healthcare Access in Collier CountyBy Antonello CastaldiHealthcare Network, which since its founding in 1977 in Immokalee has pursued a mission of combating healthcare inequity across Collier County, has partnered with AmeriCorps and Volunteer Florida to help connect the underserved to health services.Healthcare Network is one of two organizations in Florida that were selected to receive a grant to start an AmeriCorps Public Health program. AmeriCorps members serve as community liaisons in Immokalee and Naples, helping to improve access to care through community health services for the community, increasing health knowledge and improved access to medical care. As someone who is from Immokalee and has received services from Healthcare Network, and having previously served as an AmeriCorps member, I am thrilled to have this program within the community of Collier County and being the AmeriCorps Program Coordinator for Healthcare Network said Diosili Salazar AmeriCorps Program Coordinator. Being able to represent AmeriCorps within community efforts has been rewarding, and helping others ensure that they receive vital health resources reinforces the mission of Healthcare Network.AmeriCorps, a federal agency, brings people together to tackle the countrys most pressing challenges through national service. AmeriCorps members and AmeriCorps Seniors serve with organizations dedicated to the improvement of communities.AmeriCorps members are selected and managed by their host organization and spend a year addressing issues critical to the organizations mission. Healthcare Networks grant specifically targets the areas of Immokalee and Golden Gate City in Collier County, which are historically underserved communities. This grant will ensure that access to health is given to those who need it most, with emphasis on ensuring that they receive the care they need.My experience with the AmeriCorps program has been very good to me, said Leticia Manon, AmeriCorps member. Im learning many new things, and I have the opportunity to do what I like, which is help people in my community. Im very grateful that this program exists because it helps me, and I can help others in need.  AmeriCorps members need to have a high school diploma or GED and their age range from 17 to 99. They will serve through July 2024 for the current cycle, but new opportunities will be available alongside Healthcare Networks Outreach Team performing various tasks, including:      Serving as translators to resolve any barriers of communication.      Providing valuable information to those who would benefit from Healthcare Networks resources and services.       Building connections with the community to increase trust towards clinics and health care providers.      Following up with patients to ensure they have received care/information.      Scheduling appointments.      Serving in community events to provide information, services and connecting potential patients with Healthcare Network providers.       Gaining skills and experience working within health-related careers.      Collaborating with community outreach to increase awareness of Healthcare Network.      Serving the communities where they live.  Volunteer Florida administers the AmeriCorps program across the state. AmeriCorps is a national service program that provides opportunities for individuals to serve their communities. in exchange for a living stipend, educational award and valuable on-the-job experience.My experience with the AmeriCorps program has been insightful, inspirational and encouraging, said AmeriCorps member Leslie Escalante. I have made connections with various people. Through all the abilities to achieve certifications, I can continue to grow into what I aspire to become, which is a registered nurse. I am grateful that they have allowed me to be part of something meaningful and contribute towards the community. About the AuthorAntonello Castaldi manages the volunteer program for Healthcare Network.To learn more about AmeriCorps or other ways to get involved with Healthcare Network, email acastaldi@healthcareswfl.org or call 239.658.3730.  

If you live in Florida, you are likely familiar with our seasons: tourist, summer and hurricane.  Each year hurricane season begins June 1 and lasts five months, with peak season occurring between Aug. and Oct. Bringing powerful winds and torrential rain, hurricanes are said to be the most violent storms on Earth. Even low category storms can often lead to the loss of essential services such as electricity, water, gas and communication channels. If outages are prolonged, they can potentially impact health and safety.   Given the sunshine state, according to National Oceanic and Atmospheric Administration (NOAA), has sustained an astonishing 40% of all U.S. hurricanes, with 120 hits and 37 major hits, everyone should develop a hurricane preparedness plan. A plan is especially crucial for those with chronic health conditions, disabilities and seniors who have complex needs. These individuals not only need to prepare for the storm but should consider the days following as recovery could be delayed.  If you are an older adult, managing a chronic condition or disability or are a caretaker, the following tips should be considered when creating your hurricane preparedness plan.   Tip 1: Create a shelter plan Should I stay or should I go? If a hurricane strikes, will you be able to safely shelter in place? Now is the time to discuss shelter and evacuation options with family and friends, especially if you cannot evacuate on your own or if you rely on medical equipment that requires electricity.  Evacuate. If possible, evacuate with family, friends or to a motel outside of the storm area. Let family and friends know your evacuation plan.  Transportation. If you require transportation or accessible transportation to go to an emergency shelter, you should work with local County services to identify public transportation, paratransit or private accessible options.  Special Needs Shelter. If you are medically stable but require help with basic tasks or rely on an electronic medical device, or on oxygen, and have no other evacuation options, you may be eligible to evacuate to a Special Needs Shelter at no cost. Contact your local Emergency Management office, or Health Department for eligibility and to complete the required pre-registration. County and Health Department staff will conduct a review of your situation to determine whether or not the shelter is suitable for your unique medical needs.    Tip 2: Create a medical plan Medical care. If you receive regular medical treatment for a chronic health condition such as chemotherapy or dialysis, talk to your provider about a backup plan. Also, work with your care team to outline your current treatment plan in case you need to seek medical treatment from your evacuated location.    Medications. Be sure to have at least two weeks supply of prescriptions. According to Florida law, you can obtain a 30-day refill on your prescription medication, even if you just had a refill, when you live in a county that: is under a hurricane warning issued by the National Weather Service  is declared to be under a state of emergency by the Governor has activated its emergency operations center and its emergency management plan.  Medical history. Make sure you have copies of important papers personal id, medical and immunization records, Social Security card, health insurance cards, prescriptions, insurance policies, and contact information for doctors and family numbers in your travel medical kit.  Medical Id. If you have a condition that might cause a medical emergency, you should consider purchasing a medical bracelet or tag to relay vital health information in the event you become unconscious or incapacitated.  Travel medical kit. Make sure you include the above items in your medical supply kit. Due to the vulnerability of paperwork and medications, you should invest in a waterproof container. Additionally, your medical supply kit should include necessary medical equipment such as blood sugar monitoring equipment, hearing aids, eyeglasses and extra batteries. Furthermore, to prevent the spread of respiratory viruses such as the flu, pneumonia and COVID-19 while staying in a community shelter consider packing face masks, hand sanitizers and disinfecting wipes.  Individual conditions. As you prepare, consider additional supplies or services needed to support a specific condition. For instance, if you are deaf or hard of hearing perhaps your travel medical kit includes a dry erase board to help you communicate with someone who does not know sign language. Or, if you have a mobile disability and require a walker, wheelchair or electric scooter consider keeping extra batteries, patch kit for flat tires and air pump on hand. If you use oxygen, ask your oxygen provider to help you secure a backup cylinder, a portable tank and necessary supplies in case of evacuation.   Tip 3: Create a basic supply kit: A basic supply kit can help you evacuate more quickly or support you as you hunker down from the storm. Basic supplies should be stored in an easily accessible and moveable container such as a suitcase or box with wheels.   Recommended items include: Your stocked waterproof travel medical kit (see above)  At least a three-day supply of water (one gallon per day per person), food (non-perishable food) Flashlights  Battery operated or hand crank radio  Extra batteries  Cash and important documents (store in waterproof container)  Manual can opener Lighter or matches Cell phone with charger and battery back up Sleeping bag or blanket  Complete change of clothing  Whistle or other help signal  Personal hygiene items and sanitation items Special needs items: pet supplies and baby supplies if applicable Books, magazines, games for recreation  Hurricanes can be unpredictable and disastrous; the best course of action is to be prepared and plan ahead. By following these tips, you can ensure you and your loved ones are safe during hurricane season.  Caring for children, adults and seniors, Healthcare Network provides integrated health where medical and mental health professionals work side-by-side to address patients physical, mental and emotional health. To make an appointment call 239-658-3000 or visit HealthcareSWFL.org   About the authors Written by Healthcare Networks Director of Marketing, Gabrielle OBoyle, with medical expertise from Chief Medical Officer, Dr. Corin DeChirico, DO, FACP, CPE, and Vice President of Pharmacy Services, Dr. Martine Wooley, PHARMD.   

By Jamie Ulmer, President and CEO of Healthcare NetworkWhen we get older, where and how we receive medical care becomes increasingly important. With most of us having at least one chronic health condition, access to affordable, quality health care is a priority.However, with shortages of primary care doctors in most places, getting the care we need can become a challenge. The U.S. Health Resources and Services Administration designates nearly all of Southwest Florida as a Medically Underserved Area, meaning that there are too few primary care providers for the growing population.More than 100 million Americans are medically disenfranchised, which means they may not have access to primary care due to a shortage of providers in their community. Federally Qualified Health Centers (FQHCs) comprise the largest network of primary care providers in the country.In Collier County, residents have access to Healthcare Network, a FQHC that provides a comprehensive set of health services in addition to primary care, including behavioral health, chronic care management, preventive care, and other services, such as radiology, laboratory services, dental, transportation, translation, and social services.FQHCs were created nearly 60 years ago to address the transportation, economic and sociocultural barriers to accessing care, and improve the lives of Americans. In 2022, such health centers provided care to 31.5 million patients, or 1 in 11 people nationwide.One way that FQHCs are uniquely positioned to serve us is by accepting Medicare and Medicaid. Regulatory changes to Medicare and Medicaid policies through the Affordable Care Act mean that we may be eligible for both. Unfortunately, due to Medicaid reimbursement rates, physicians in Florida are 30% less likely to accept new patients with Medicaid coverage. Study after study has shown that people who have a primary care physician can live longer by decreasing the risk of dying from heart disease, cancer or stroke. Primary care physicians can treat minor illnesses and problems before they become serious. Healthcare costs tend to be lower for people with a primary care physician, who watch over their wellness and coordinate their care.In Collier County, Healthcare Network is building treatment centers in areas of the county lacking them, helping residents to age safely where they live. Recognizing a need in Golden Gate, which was identified as one of the most underserved communities in health care for Collier County, Healthcare Network opened the Nichols Community Health Center in 2020.Most recently, Healthcare Network broke ground in May for construction of the Orangetree Community Health Center in the north-central region of Collier County. The $15-million, two story medical complex will ensure that more than 41,000 residents in the Orangetree area, including Golden Gate Estates, will have access to high-quality medical care. The once-rural region is now one of Southwest Floridas fastest-growing areas, but it remains a health care desert without any health clinics or medical centers.Healthcare Network has 400 doctors, nurses, dentists, behavioral health providers, pharmacists and support staff to serve the community. Each year these individuals provide accessible, affordable, quality and culturally appropriate care to approximately 50,000 patients.As the safety net provider for underserved populations, FQHCs often have special relationships with their patients to access needed services. Partnerships with area hospitals and long-term care providers allow centers to refer patients to specialists and specialty services while still maintaining a critical role in the patients care team.Whats more, FQHCs are at the forefront of an important health care trend by providing integrated mental and behavioral health services into primary care. The National Institutes of Health says that adults with a depressive disorder or symptoms have a 64% higher risk of developing coronary artery disease than those without depression. Integrated care means seamlessly addressing both physical and mental health concerns, resulting in better health outcomes. FQHCs address our often-complex medical needs while accepting commercial health insurance, Medicare and Medicaid, as well as providing a sliding fee scale based on income for those without insurance.Community Health Centers like Healthcare Network improve access to high quality primary care, while decreasing hospitalization rates and use of emergency departments in the states and counties that they serve.About the Author Jamie Ulmer is President and CEO of Healthcare Network. He serves on the executive and chair committees for the Florida Association of Community Health Centers and is a member of multiple committees for the National Association of Community Health Centers. For information, visit healthcareswfl.org.

TheBenefits of VolunteeringYou might not remember how you spent some of your timelast week. But if you have ever donated or invested time volunteering orsupporting a cause dear to you, you probably remember that experience well,especially how helping others made you feel. There is a pretty good chance youstill feel proud of how you spent that time.Why? Studies have shown helping others makes us feelfulfilled and happy. And in the process, enables us to learn new skills, gainvaluable experience and cultivate strong professional and personalrelationships. Here are a few of the benefits:   Volunteering is good for physical andmental health: Volunteering keeps your body active; thisis especially important for retired individuals. Research shows that seniorswho volunteer report better physical health and lower levels of depression andanxiety when compared to seniors who do not volunteer.Volunteering helps you make connections:By volunteering, you can meet like-minded people, and most likely they will beexceptional people, who care about others and value spending their time in ameaningful way to serve populations in need. Forming these connections can resultin lifelong friendships.Volunteering can teach you valuable job skills:If you want to learn or refine some skills, you can easily acquire them byvolunteering. Volunteer opportunities are available in a variety of differentfields. Many websites such as Volunteer Match specialize in matching you withthe right volunteer opportunities and allow you to refine your search so youcan look for specific openings that will help you build your resume with theskills you need.Volunteering can help you become a leader:Volunteeringprovides an excellent opportunity to grow and hone your leadership skills. Forinstance, many organizations are looking for committed, mission-focusedindividuals to serve on their boards and committees, while others need helpdeveloping programs or events. Regardless, these experiences will help youbuild and expand on your leadership skills.Volunteering can help you find a job: Ifyou are looking for a job, volunteering can help you network, demonstrate yourskills, help you gain knowledge and unlock opportunities.Volunteering can make you happy: Somethinghappens in our brain when we help others, we feel a sense of fulfillment andaccomplishment. Research tells us that volunteering, simply put, makes us happyand connected to our community.Volunteering can teach you about anindustry: If you are curious about an industry, and youwant to learn more about it, you can jump right into action and gain experienceby volunteering in that field. This is an easy way to see if a career in thatindustry is right for you.Volunteering is fun: Yes,volunteering can be really fun! Find a team where you fit in, enjoy theinteractions with your team as you plan and organize activities together, buildcamaraderie and eventually, the natural bonding that makes every volunteeringexperience special will kick in.Volunteering creates a more resilientcommunity: If you care about the community where youlive (think of your neighborhood, county, state, nation or the world), askyourself for a minute, what if each of us shared just a bit of our time andskills to make our community better? Would we not all reap the benefit from astronger and healthier community?Now, if you are asking yourself how you can get all thebenefits of volunteering, try it out yourself! With onsite and offsiteopportunities, Healthcare Network is an excellent place to start your nextvolunteering journey. Healthcare Network is a medical and dental home toapproximately 50,000 patients annually. Primary care services include adult andsenior care, obstetrics and gynecology, pediatrics and pharmacy as well asdental care and integrated behavioral health for both adults and children. AtHealthcare Network, no one is denied care based on income or insurance status. Applyat healthcareswfl.org/volunteers or send an email to volunteers@healthcareswfl.org. About the AuthorAntonello Castaldi is the volunteer program manager for Healthcare Network, a nonprofit organization committed to ensuring quality healthcare is accessible to everyone in our community. Celebrating 45 years of care, Healthcare Network has locations throughout Collier County. For more information, please call 239-658-3000 or visit HealthcareSWFL.org.

By Dr. Corin DeChirico, Healthcare Networks vice president of medical affairs and chief medical officerFebruary is National Self-Check month, designed to remind us that like keeping an automobile fine-tuned, we have a role in our own health maintenance. Being aware of our bodies helps us know what is normal and what changes might need to be evaluated by a doctor.Early detection of many health changes can result in better long-term outcomes when these changes signal illnesses like cancer, heart problems and other issues, many of which can be treated.One of the best ways to know what to look for is awareness of any risk factors or family history that might put you at higher risk for certain health conditions. Knowing your risks will also help your doctor suggest any lifestyle changes that could help lessen these risks. To get into a routine of self-checks and be able to recognize problems, it is important to begin them when you are feeling healthy, so you can become aware of what is normal for you.Here are nine basic checks that can help you keep track of your health. 1.      Take your temperature. It is important to check your temperature when you are feeling good, so you know what is normal for you. Temperatures outside of your normal range often indicate illness.2.      Testicular and breast checks are important to discover lumps or swelling that may indicate cancer.3.      Check your heart rate. Your resting heart rate in the morning gives you an indication of general wellness and depends on your age and fitness. Checking every morning for a week can help determine your usual rate. A change of 10 beats per minute or more may be worth discussing with your doctor. A persistent rate above 100 beats per minute may indicate a serious health issue.4.      Blood pressure. High blood pressure is a major risk for strokes, heart attack, heart failure and kidney disease. 5.      Many blood and swab tests can be done at home and can indicate cholesterol levels, thyroid issues, urinary tract infections and strep throat. It is important that adverse results be interpreted by a doctor.6.      Blood sugar levels can be tested with home blood glucose tests. Blood sugar levels are important because diabetes can lead to complications such as heart, kidney and dental disease, stroke and blindness. 7.      Waist fat measurements. Too much fat around your waist can increase the risk of cardiovascular disease, insulin resistance and type 2 diabetes. Measure your waist at the level of your belly button. If your waist is 37 inches or more for men and 31.4 inches or more for women, you may be at risk, and should talk to your doctor about weight management.8.      Skin cancer is one of the most common forms of cancer you can screen for yourself. Look for new growths or moles that have changed, bleed, itch, burn or crust over. If you are fair skinned, have family history or spend a lot of time in the sun, you may also want to get checked annually by a dermatologist.9.      Check your skin, hair and nails, as subtle changes can suggest things happening internally, nutritional imbalances or more serious issues such as a thyroid problem. Excessively dry skin, rough scaly patches or redness could be eczema, psoriasis or rosacea, but they can also offer clues about how your digestion and detox systems are functioning. Your doctor can determine the underlying causes of changes in skin, hair and nails and recommend treatments.10.  While it is beneficial to keep an eye on your own health, it is also important to have a good relationship with a primary care provider, who will also consider your risk factors and maintain a complete picture of your overall health. While self-checks can help you catch potential health problems early, they are most effective when results are evaluated by a doctor. ABOUT THE AUTHOR Dr. Corin DeChirico, Chief Medical Officer and Vice President of Medical Affairs, runs the clinical programs for Healthcare Network after more than 25 years as a healthcare clinician, leader and physician executive. For information on Healthcare Network, visit healthcareswfl.org or call 239.658.3000.

By Courtney L. Whitt, director of behavioral health at Healthcare NetworkAnyone who has lived in Florida from spring to fall knows the drill. Put together your emergency preparedness kit, prepare an emergency plan and your home, review your insurance policies and know your zone. But the 2023 hurricane season offers an additional challenge: disaster-related stress. Southwest Florida suffered a major traumatic event with Hurricane Ian, and many people are still dealing with the impacts, including to their mental health. Hurricane Ian resulted in trauma for many, including losing homes, businesses, community, belongings, loved ones and sense of safety. Anxiety, worry, trouble sleeping, and depression are common after a storm. The impacts for many were severe enough to result in Post Traumatic Stress Disorder (PTSD). Many triggers can renew feelings that occurred before, during and after Hurricane Ian, including smells, sounds and other sensations. PTSD includes symptoms for more than a month including flashbacks, nightmares, reactions to triggers, being fearful or easily frightened, insomnia, lack of interest in activities, and a feeling of numbness or difficulty feeling positive emotions. If these symptoms are severe or long-lasting, it is important to reach out to your doctor. But the community has also shown resilience throughout recovery from Hurricane Ian, and this along with coping techniques may lessen the mental health impact of the upcoming hurricane season.There is no right or wrong way to feel, but it is important to find healthy ways to cope during hurricane season. Here are a few tips: Make a plan and be prepared. For some, feeling empowered will help ease anxiety. Try to convert concerns into actions but recognize that some things are beyond your control. Recognize and accept our emotions of sadness, anxiety, numbness, anger, fear or confusion. It is OK to have emotions. Practice deep breathing and mindfulness. Deep, intentional breathing can help diminish anxiety and has numerous other health benefits. Meditation, body scanning, guided imagery and other techniques can help you find calm. Reach out to friends and family. Family members, peers, neighbors and friends are important in helping to prepare, endure and restore and can be extremely helpful when talking about fears and feelings. In the event of a storm, gather information from credible sources to determine your risk. Limit exposure to news reports that focus on damage and destruction. Stay healthy with a proper diet, exercise and rest. A healthy body has a positive impact on thoughts, emotions and decision-making. Remain hopeful. Draw upon skills that have helped you successfully manage past challenges. If you feel overwhelmed during a storm, the U.S. Substance Abuse and Mental Health Services Administration has a 24/7 Disaster Distress Helpline and crisis counselors available to anyone affected by a natural or manmade disaster. English and Spanish speakers can call or text the helpline at 1-800-985-5990 or go to disasterdistress.samhsa.gov.Seeking behavioral health services does not mean something is wrong with you or a problem lies within you, sometimes the problem lies in life and the state of ones current world. Behavioral health services are available for anyone who needs help finding some new perspectives or strategies to cope and are important for overall wellness.ABOUT THE AUTHORCourtney L. Whitt, Ph.D. is Director of Behavioral Health at Healthcare Network, which treats all patients, regardless of insurance or job status. Healthcare Networks integrated care model offers mental and behavioral health screening and consultation as part of comprehensive primary care. When additional mental and behavioral treatment is needed, the Center for Psychology and Wellness at Nichols Community Health Center offers behavioral health services for children, adolescents, adults and seniors in person or via telehealth and in English Spanish and Haitian Creole without a physician referral. For an appointment, call 239-658-3000.

We all feel blue sometimes, and thats OK. But when sadness and other symptoms interfere with our daily living, it might be something to address.As we age, we may be at increased risk for depression, but this treatable medical condition is not necessarily a normal part of getting older. Depression is not a character flaw. It is not a weakness. It is not your fault. It is an illness. While major life events such as bereavement can trigger it, depression is different from the negative feelings from a difficult life event. Depression causes feelings that are intense, chronic and out of proportion to circumstances. Depression can last for several weeks, months or years, often becoming a chronic illness like diabetes or hypertension that requires treatment. It is the leading cause of disability worldwide, according to the World Health Organization.Undiagnosed depression can have a physical toll. The National Institutes of Health says that adults with a depressive disorder or symptoms have a 64% higher risk of developing coronary artery disease than those without depression. Some people might be prone to depression due to their genetics, but there is no single cause of depression in older adults. The National Council on Aging lists these as some additional risk factors:         Chronic conditions (about 80% of older adults have at least one chronic health condition, per the CDC)         Decreased functional ability         Reduced mobility         Chronic pain         Financial issues         Elder abuse         Caregiver stress         Lack of physical activity         Loneliness Symptoms of depression may differ across cultures, as well as by sex/gender. For instance, according to the Mayo Clinic, women are twice as likely to be diagnosed with depression than men. In men, depression often shows up as anger or irritability. Furthermore, symptoms of depression are often different from those in younger people. Sadness is not always the main symptom. It can be a feeling of numbness or lack of interest in activities, which is often attributed to age. Mental health professionals and healthcare providers may sometimes mistake symptoms as reactions to illness or life changes.There are several reasons why depression may be missed. Older adults may be isolated, with few around to notice their symptoms or distress. Also, many do not realize that physical pain can sometimes indicate depression. In addition, we may feel stigma admitting to mental health problems and may be reluctant to talk about feelings and ask for help. Certain medications and medical illnesses can bring on depression or have similar symptoms.As a result, it is important to understand the signs, symptoms and consequences of depression. According to the CDC, here are some of the potential symptoms of depression:         Feelings of hopelessness and/or pessimism         Feelings of guilt, worthlessness and/or helplessness         Anxiety and worry         Irritability, restlessness         Loss of interest in activities or hobbies once pleasurable         Fatigue and decreased energy         Difficulty concentrating, remembering details and making decisions         Insomnia, earlymorning wakefulness, or excessive sleeping         Overeating or appetite loss         Thoughts of suicide, suicide attempts         Persistent aches or pains, headaches, cramps, or digestive problems that do not get better, even with treatment.         Memory problems         Lack of motivation and energy         Slowed movement and speech         Neglecting personal care (skipping meals, forgetting meds, neglecting personal hygiene). Throughout our lives, we are told that lifestyle changes can improve health and wellness, including mental health. Meditation, breathing exercises and exercise can help people of any age.According to the National Institute on Aging, we can also lower the risk of depression by:         Getting seven to nine hours of sleep every night         Avoiding isolation and staying connected with friends and family         Doing activities that make them happy         Telling family, friends or a healthcare provider if they are developing depressive symptoms. Depression is easier to treat before it escalates. Health professionals can rule out any underlying medical conditions that could be causing symptoms of depression such as dementia, Parkinsons disease, heart disease or medication interactions. A primary care doctor can also screen for signs of depression and recommend treatment that might include medication, therapy or a combination of both.Many people with mild to moderate depression respond to psychotherapy, such as cognitive behavior therapy, which teaches new ways of thinking and behavior, and changing habits that might contribute to depression. Finding the right medication to treat depression is similar to treating some other illnesses; it might take time to find the right medicine, particularly with age-related changes to metabolism and drug interactions. The most important thing to know if you feel you or someone you know may be suffering from depression is you are not alone. Depression can be treated. ABOUT THE AUTHOR Courtney L. Whitt, Ph.D. is Director of Behavioral Health at Healthcare Network, which offers behavioral health services as a routine part of comprehensive care and traditional counseling services. Healthcare Network provides quality primary care services for children and adults in locations throughout Collier County. To learn more or make an appointment, please call 239.658.3000 or visit HealthcareSWFL.org.

During the past few years, the physical, emotional and mental fatigue have been unlike anything that many of us have ever experienced. Exhaustion born of pandemics, compassion, caretaking, social justice, divisive political climate, natural disasters, countries at war and the list goes on.All of us seem to be going through something. Something that takes our breath away, steals our sleep or punches us in the gut. According to the 2022 Community Well-Being Results (in partnership with Boston University), our greatest health risk in Southwest Florida is STRESS. Is this surprising? Most likely not.Have you been experiencing BURNOUT? If so, know that you are not alone. Burnout has become an official medical diagnosis.Drs. Emily and Amelia Nagoski have written an excellent book, Burnout and How to Complete the Stress Cycle. Based on their extensive research, they suggest simple but powerful strategies to complete the stress cycle. Their recommendations just happen to align with Blue Zones Project Power 9 principles:SIMPLE STRATEGIES TO COMPLETE THE STRESS CYCLE:Physical Activity (try a 10-minute walk outside)Breathing (inhale and smell the flowers and exhale to blow out the candles)Positive social interaction (even a brief phone call, video call, in-person talk can give us a boost)Laughter (laugh therapy even a few minutes of laughing makes a difference)Affection (ask for a 20-second hug)Big cry (let the big emotions out)Creative self-expression (write, cook, draw, style, listen to different music)How do we know when we finish the stress cycle? Our body will tell us, we will feel it in our body.So, lets go move our body, connect with a friend, scream in the shower, or do some doodling. These simple habits can make a world of differencein a world with so many stressors.Would you like to feel differently?What is ONE THING you can do right now to complete the stress cycle?Lets support each other in our fatigue and stress. And perhaps, we could even use our STRESS as a SUPERPOWER to reach out to others and serve in our community.Deep breaths and lets ease into 2023 together.

When you are tempted to say, Hello, fall plan also to say, Hello, flu shot. When fall is in the air, so are influenza and other viruses. The 20232024 flu season in the United States was characterized by elevated activity. Some estimates for the season include up to 65 million flu illnesses, 30 million flu medical visits, 830,000 flu hospitalizations and 72,000 flu deaths. Despite this impact, data indicates only 53.9% of U.S. children and 48.5% of U.S. adults received a flu vaccine during the most recent flu season. Imagine what the flu season statistics would be if getting an annual flu shot was as popular as pumpkin spice! We recommend you get the updated flu vaccine annually by the end of October to ensure the best coverage during the peak of the flu season, which starts to ramp up in October, peaks between December and February and fades in the spring. Receiving the flu shot in the fall also helps provide protection through the holidays, when people often gather and travel. Annual flu vaccines are especially important for those over the age of 65, who are at greater risk of developing serious illness from the flu due to age-related changes in immunity. Between 70 and 85% of all flu-related deaths occur in people 65 years and older and 50 to 70% of seasonal flu hospitalizations are in this age group. Since immunity from annual flu shots lasts about six monthsenough to cover the peak of the flu seasonand the flu strains the shot targets each season are different, its important to make your flu shot an annual tradition. The shots work by stimulating your body to produce protective antibodies within about two weeks. Since the flu vaccines first civilian use in 1945, the vaccines have been made from dead, or inactive strains of the flu, so its impossible to get sickened by the flu from vaccines. Its not the shot, but the creation of antibodies that can result in some side effects, which many mistake for flu-like symptoms. Really, any side effects, like briefly not feeling well, are signs the vaccine is working. Side effects can include soreness at the injection site, headache, low fever or muscle aches. Some people have no reaction at all. Symptoms of being sick with the flu involve fever, chills, extreme fatigue, muscle aches and more for several days. Getting the vaccination can reduce the duration and severity of illness and the risk for hospitalization from influenza. Theres a bonus: getting vaccinated also helps protect other people, including those who are vulnerable to health complications from the flu, such as children, pregnant women and people with underlying illness, like cancer, COPD, diabetes, asthma and congestive heart failure. Potential complications related to the flu can be pneumonia, stroke and heart attack. Living in independent living, assisted living, nursing homes and other group living also puts people at risk, because flu and other communicable diseases can spread more rapidly. Another vaccination recommended in the fall is for respiratory syncytial virus, or RSV, particularly for adults aged 75 and older and for adults 60 to 74 who are at higher risk for severe RSV. That includes adults with heart or lung disease, weakened immune systems such as from cancer, or other underlying conditions including severe obesity and diabetes. RSV is a common respiratory virus that causes mild, cold-like symptoms. It can be dangerous for some infants and young children, as well as older adults. Symptoms of severe RSV include: fever, severe cough, wheezing, rapid or difficulty breathing, and bluish skin tone due to lack of oxygen. Like other respiratory infections, a cough or sneeze can easily spread RSV. People are typically contagious for up to eight days, but some people can be contagious for as long as four weeks, even after they stop having symptoms. Older adults only need to get an RSV shot once. Getting flu and RSV shots is easyand you can get them at the same timewith many pharmacies offering walk-in shots. Healthcare Network has walk-in Convenient Care open Thursday to Saturday until 7 p.m. for preventative services, as well as diagnosis and treatment of minor illnesses. If you havent gotten your shots yet, there is still time to celebrate fall with immunizations. Afterwards, you may even want to treat yourself for being proactive with a pumpkin spice latte.   About the Author Dr. Salvatore Anzalone, Vice President of Clinical Business Development at Healthcare Network, has been a board certified physician for over 35 years. Healthcare Network is a nonprofit organization dedicated to providing quality healthcare that is accessible to everyone, regardless of employment, income, or insurance status. For more information about services, visit HealthcareSWFL.org or call 239-658-3000.

With stores putting out holiday decorations well before Halloween, it is hard to avoid the hype surrounding the holiday season.For most people, it is an anticipated time of year with traditions, memories and family gatherings. But for older residents, these same reasons may result in the blues, making the holidays a challenging time. Sometimes beloved traditions and family gatherings become out of reach as we age and may be isolated from friends and families. Holidays may remind us of the passing of time, who is missing in our lives and who is not nearby. The loss of holiday traditions and gatherings often changes the way we feel about the holidays. Sometimes reminiscing on traditions that have gone can fuel feelings of loneliness.An AARP study found that 31% of respondents felt lonely during the holiday season. Additionally, another 41% worried about a family member or friend feeling lonesome. Whats more, more than 12 million Americans over age 65 live alone, according to the American Psychological Association. As children grow up and move away, neighborhoods change, and friends pass, the opportunities for close connections sometimes become limited. Financial constraints and loss of independence and mobility can change looking forward to the holidays to dreading them. To help avoid the holiday blues, here are some steps you can take to restore holiday joy.      Find new ways to connect, such as video chat and email. Write letters, cards and call. You do not have to wait for family members to reach out. Take initiative. Connecting with others is one of the best ways to relieve loneliness.      It is heathy to feel sadness about missing family and friends. It is important to acknowledge your feelings.       Volunteer and help others. If you are able, you can help with daily tasks that may seem overwhelming or share a meal.       If you are feeling lonely, maybe your neighbor is, too. Being available for someone else is good medicine.      Be kind to yourself. Continue your wellness routines and healthy habits.      Rethink how you do things this season. Joy is not limited to the last two months of the year! Every day can be treated as a holiday!      Consider trying a new activity or hobby or teach someone something you are good at.      Limit screen time. A constant diet of bad news creates anxiety.       Resolve to make the best of the holidays but adjust your expectations and adopt realistic goals. While the holidays may look different over time, they can still be meaningful. The most important thing to make someone feel special this season is to simply spend time with them. If you cannot participate in person, FaceTime or Zoom also work.Here are other ways you can help others (and yourself) find joy in the holidays and help banish the holiday blues:      Share your traditions with others and enjoy theirs. Reflect about past holidays as you unpack cherished decorations. Listen to the stories of others and ask about special pieces.       Make a conscious effort to be available for those who might be feeling isolated. Plan a regular call or visit or reach out with a video call or old-fashioned letter.       For anyone who might be struggling with holiday loneliness, provide a comfortable space for them to talk. Save judgments or problem solving and simply have a genuine conversation.      As you plan your celebrations, look for ways to be inclusive. Extending an invitation may not be enough to make others feel included. Being with a crowd of strangers who have little in common can still feel very lonely.      Being recognized and honored goes a long way in combating loneliness. Be open to asking about and including favorite memories such as treasured decorations, traditional treats and meaningful music.      Religious organizations often offer extra social and/or spiritual support. Just talking with someone can go a long way.      Bring or send familiar treats that represent holiday customs for elders to enjoy and share. Often, holiday blues are temporary. However, if symptoms last for more than two weeks, they can indicate clinical anxiety or depression. According to the National Institute of Mental Health (NIMH), socially isolated older adults are at higher risk for depression.It may be time to seek help if you or someone you love is experiencing any of these common symptoms of depression:      Feeling so down you cannot shake it off      Too little or too much sleep, or interruptions through the night      Changes in appetite; eating more or less than usual      Difficulty concentrating      Lack of interest in the things that typically make you happy      Irritability      Lack of interest in socializing or engaging with others. Plan to look for and spread cheer this season, but if the holiday blues linger well beyond the season, discuss your symptoms with your primary care provider.ABOUT THE AUTHOR Courtney L. Whitt, Ph.D. is Director of Behavioral Health at Healthcare Network, which offers behavioral health services as a routine part of comprehensive care and traditional counseling services. Healthcare Network provides quality primary care services for children and adults in locations throughout Collier County. To learn more or make an appointment, please call 239.658.3000 or visit HealthcareSWFL.org.