Page 17 - Boca Club News - September '22
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Boca Club News, Page 17

          From The Professionals’ Desks



      Healthy Answers – A Guide to Healthy Living:



      “Time to Thread the Needle?”



      By Dale Brown, B.S., M.A., C.E.C.                 recent trip to the beach, he looked up at a lifeguard stand and   laughter of someone you love. Besides, there are just some
      Dale is a motivational speaker who                it brought back a memory of a buddy he used to have back   things you can’t put in writing so make some time to catch up.
      has spent many years as a Certified               in the day. That guy was the perfect lifeguard stereotype:   My husband always says, “Just pick up the phone!” “Enough
      Life Coach and has written numerous               blonde, good looking and well built. My husband liked him,   with the texting!”
      articles and e-books relating to self-            they got along, had fun together, and he felt the need to say      Letters – When was the last time you wrote or received
      improvement and ways  to  build  a                hello. “A voice from the past, as they say.”       a personal letter from someone? There is something very
      high-performance team. She is the                    My husband sent a note through a messenger, and to his   thoughtful and beautiful about a hand-written letter that is so
      author of the recently published book,            surprise, he got a message back! Great, let’s talk on the phone   personal. You can almost feel the sentiment coming through
      “Small  Steps...Big  Changes: The                 and fill in the gaps. The call was short, but long enough to pass   as you hold the paper in your hands.
      Personal Stories of a Life Coach.” Her education and years   along the reason for his call, which was pleasant memories      eCards  –  For  those  of  us  who  spend  hours  on  our
      of experience in physical fitness and training of elite athletes   of their time together. It’s hard to say what the reaction was   computers/phones/laptops, ecards are a wonderful way to
      has enabled her to sharpen her knowledge in many health-  of the lifeguard, but does it matter? Chances are, he was   show you remembered.
      related areas. The following introduces a new approach to   surprised and happy to hear from an old friend.      Face to Face – The pandemic has opened up the use
      Ms. Brown’s series of columns devoted to many topics that      According  to  a  study  published  July  11th,  2022  in   of Zoom for “up close and personal” meetings. We have
      deal with the mind/body connection and the importance of   the Journal of Personality and Social Psychology, it was   enjoyed scheduling happy hours with friends to laugh, catch
      living a healthy lifestyle. Dale, a Bocaire resident, can be   found that people often underestimate how much friends   up, and stay in touch. FaceTime your friends and family
      reached at dalebrown@lovingmondays.com.           and old acquaintances appreciate hearing from them. The   for the pleasure of seeing their faces while you talk. We
         How often have you thought of old friends from your   communication is especially appreciated when it’s from   have wonderful technology at our fingertips that provide
      past and wondered what they might be doing now? Maybe   someone who is not regularly in contact with the recipient.   opportunities to say “hello.”
      you’ve gone so far as to look them up on Facebook to see if      Younger generations are conditioned to communicating by      Coffee, wine or lunch? – Haven’t seen someone in a
      and where they might be. Let’s say you even find the person   way of text or email, not in real time. Picking up the phone,   while…why not meet for a beverage or lunch?
      you’re looking for. What do you do next? The answer is   or being face to face with someone, requires a dialogue with      Sometimes you may have to be the one to arrange a
      usually “nothing at all.”                         no delay–whereas a text allows time to think about what to   meeting or plan a party. If you wait for someone else, it may
         It’s not unusual to want to reconnect with someone who   say or use an emoji for a response. Regardless of the form   never happen, so step up to the plate. You might be surprised
      made an impression on you at one time, or a person with   of communication, reaching out to friends, new or old, is   at the response you get from others…” Why didn’t I think of
      whom you’ve lost contact for who knows what reason. The   important in nurturing relationships.      this?” or “Next time it’s my turn!”
      truth is that the majority of people don’t reach out for fear of      Social media is great to the extent that it provides a vehicle      Life is short. The people who enrich our lives are what
      being rejected. Thoughts cross their mind, such as, “What if   to stay connected. We have virtually everything accessible to   make it worth living. Everyone wants to feel connected and
      I don’t get a response?” “What if he doesn’t remember me?”   never lose touch with our friends and loved ones. If you’re   included, but for a variety of reasons they may not make the
      “Who knows if he even liked me back then?” It might take   feeling the need to reach out, here are a few suggestions that   effort. Don’t let that stop you. Is there someone in your life
      courage to act on your impulse to reconnect, but don’t let   combine “old fashioned” methods with the new. Take your   you haven’t heard from in a while? Why not make this the
      that stand in your way.                           pick of what works best for you.                   year you pick up the phone, send an ecard, drop a text, or
         My husband is the type of person who never hesitates to      Phone – Yes, I know this sounds like a no-brainer, but   write a letter? It might brighten someone else’s life and make
      “thread the needle,” as he puts it. “I like to travel in time and   emailing and texting have taken over the use of this little   you happy, too!
      reach out to people who touched my life.” For example, on a   device. There is nothing better than hearing the voice and
      Medical Matters: Orthostatic Hypotension




      By Richard Nagler, M.D., a member                 even a concussion. Most of these symptoms usually resolve   Echocardiogram, wearing a Holter monitor and a stress test
      of Broken Sound Club and retired                  after sitting or lying down for a few minutes.     to check for an arrhythmia, valvular disease and coronary
      physician. After graduating from the                 The causes of orthostatic hypotension include aging,   artery disease are all necessary, as well as a CT scan or
      University of Pennsylvania and New                with it being much more common in seniors, dehydration   MRI to help rule out a TIA (transient ischemic attack) and
      York University’s School of Medicine,             (low fluid volume in the body)—especially in hot weather—  blood tests to check for anemia, blood sugar, and adrenal
      Dr. Nagler served his internship and              heart conditions such as aortic stenosis, atrial fibrillation,   or thyroid insufficiency. A tilt table test is often employed
      residency at Baltimore City Hospital              bradycardia (very slow heart rate), and congestive heart   where the patient is moved rapidly from a supine to a vertical
      and Johns Hopkins. He followed that               failure, anemia usually secondary to heavy bleeding and   position while blood pressure is being monitored, in order
      with a Fellowship in Gastroenterology             diabetes–especially when the blood sugar is too low.  to determine if the patient gets dizzy or faints.
      at Yale University School of Medicine, and was then Chief      Peripheral neuropathy, pregnancy, adrenal and thyroid      Treatment includes first ruling out any of the underlying
      of Gastroenterology at Fitzimmons General Army Hospital   insufficiency, diarrhea and vomiting, immobility with lack   conditions previously described. All  medications  must
      in Denver. He returned to the Yale Medical School for one   of physical conditioning, staying in bed for too long periods   be reviewed and either changed or the dosage adjusted.
      year as an Assistant Professor of Medicine before opening   of time, getting up too quickly, straining at stool, high fever,   Midodrine is an orally administered drug that is successful
      his own successful private practice in Internal Medicine   hyperventilation, lifting heavy objects, following eating   in elevating blood pressure in some people with severe
      and Gastroenterology. During that time, he also served for   a large meal and excessive alcohol consumption are also   dizziness  and  fainting  due  to  orthostatic  hypotension.
      ten years as Chief of Medicine at Huntington Hospital in   factors. Most importantly, medications to treat high blood   Patients are advised to drink more fluids; when getting
      Huntington, N.Y.                                  pressure such as beta blockers, diuretics, ACE inhibitors   out of bed to sit on the edge for a minute or two; don’t
          Orthostatic hypotension is defined as a drop in systolic   and angiotension blockers may lower the blood pressure too   cross the legs while sitting; stand up slowly from a chair;
      blood pressure of at least 20 mg of mercury that occurs   much, which is especially significant in seniors and must   avoid bending down at the waist kneeling instead; wear
      within three minutes of standing up quickly, as compared   therefore be carefully monitored. Medications for anxiety   compression stockings, and don’t stand for long periods.
      to blood pressure while sitting or supine.        and depression, muscle tightness, erectile dysfunction,      Also effective: Isometric exercises, raising the head of
         The  symptoms  that  result  from  this  drop  in  blood   opiates, barbiturates and for the treatment of Parkinson’s   the bed, and taking blood pressure medications at night
      pressure include temporary dizziness or light-headedness,   disease are factors.                     as the blood pressure is higher at night in bed than when
      blurred vision, weakness, disorientation and confusion,      The diagnosis involves having one’s blood pressure   upright during the day.
      nausea, fatigue and fainting, which can result in fractures, or   checked  lying  down,  sitting  and  standing. An  EKG,
      Legal: Mid-Year Real Estate Outlook



      By Michael J Posner, Esq., a partner              and sellers sitting on over-priced properties, unwilling to face      However, it’s important to put the current interest rate into
      in Ward Damon P.L. a mid-sized real               the current reality that they will never get the same sales price   historic perspective. From 1971 to 2002, interest rates were
      estate and business-oriented law firm             as just a few months ago.                          above 6%, and above 10% from 1978 to 1990. In the past
      serving all of Florida, with offices in              Mortgage interest rates have climbed steadily in 2022,   ten years, rates have hovered around historically low rates,
      Palm Beach and Lee County. They                   from a low of 2.75% to a current average rate of 5.25% as   averaging 4%. Five percent may seem high compared to the
      specialize in real estate law and can             of August 20th, 2022 for 30-year fixed rate mortgages. With   past ten years, but it pales compared to the 18% rate in 1981.
      assist sellers and purchaser with                 an average home price in Florida of about $415,000, a buyer      Nationally, home sales have fallen for six consecutive
      closing and financing of residential              putting 20% down would have had a monthly mortgage   months, the longest decline since 2015 and the median sale
      and commercial real estate including              principal and interest payment of $1,355.36 in January. Today,   price has fallen slightly as well.
      remote closings. They can be reached at (561) 594-1452 or   that same buyer would pay $1,833.32 a month. Assuming      The good news for buyers is that housing inventory has
      at mjposner@warddamon.com                         property taxes of $3,000 a year and insurance at $4,000 a   risen, with approximately three months’ supply of available
         When 2022 started, the Florida residential real estate   year, the required income to purchase the same house jumped   homes. In addition, the market has seen more price cuts
      market was faced with low housing supply, high demand,   from about $70,484.00 to $87,866.00 (assuming a debt-to-  compared to one year ago. First-time homebuyers have
      historically low mortgage interest rates and sellers facing   income ratio of housing debt, principal, interest, taxes and   traditionally made up 40 percent of the market, but due to the
      multiple over-list-price offers within days of listing their   insurance, and excluding other debt at a rate of 33%). This is   rising costs, high interest rates and the difficulty in saving up
      property. Eight months later the market has reversed, with   an increase of 24% in just eight months and has priced many
      higher supply, lower demand, higher mortgage interest rates   families out of the housing market.    Legal on page 18
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