North County Water & Sports Therapy Center June 2019


(858) 675-1133 |

15373 Innovation Dr. #175 | San Diego, CA 92128 | (858) 675-1133 12171 World Trade Dr. | San Diego, CA 92128

I think we all have traits, physical and otherwise, we can easily attribute to one of our parents. Some have their mother’s eyes or their father’s height. In my case, one trait I certainly inherited from my dad, Frank Stetson, was entrepreneurial spirit. Obviously, I own a practice, and I think seeing him start many, many businesses during my upbringing helped spur me down the path I’m on now. In honor of Father’s Day, I want to pay tribute to his unceasing effort and unbreakable will. Dad tried his hand at a bit of everything. He owned a real estate company for a number of years, he tried starting a sonar company to help people locate objects underwater, but easily, his funniest business was the “antique shop” he started in our barn. Now, I use scare quotes because Dad’s taste was far from highly curated. Sometimes, he’d have objects worthy of appearing on “Antiques Roadshow,” but there would be plenty of junk to share space. We lovingly called it “The Bargain Barn.” I remember two items in particular he brought home, much to the consternation and disbelief of my mother. The first was an old Winnebago whose condition you could charitably describe as beat to hell. The second was even more bizarre: a vintage, hydraulic dentist chair that was outdated then and positively stone-aged by today’s standards. We never asked how he came across this stuff, but we knew he was excited about it. The question was whether he could find a like-minded buyer for them. Ultimately, Dad found success creating a business that taught circuit board training. There are strict standards when it comes to the soldering and quality control of circuit boards (who knew?), and Dad trained technicians in how to do it the proper way. It was a company he maintained until retirement, though I think he still harbors dreams of reopening “The Bargain Barn.” Through every business endeavor, Dad remained calm, no matter the circumstances. He also had an uncanny ability to learn from failure without beating himself up. “Well that one didn’t quite work out, so let’s try ADVENTURES IN ENTREPRENEURSHIP A TRIBUTE TO MY FATHER

Beth and her Dad enjoying their favorite: black raspberry ice cream!

something a little different,” was his attitude. I was inspired to see somebody pursue their dreams so ardently. I’m really grateful to have grown up in an environment like the one he and my mom created. While we don’t have any working dads at the practice currently, one of our therapists, Dr. Ryann Cacciotti, has a dad who is never afraid to help out when needed. His name is Ron Cramer, and I would be remiss for not sharing my appreciation for him while discussing the subject of fathers.

Ryann and her Dad Ron at her wedding

Whether your dad started his own business, worked a regular 9-to-5, or did anything in between, take a moment this month to thank him for his effort. And if you’re looking for a one-of-a-kind gift, consider a ‘40s-era dentist chair.

–Beth Scalone

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PACK THE ESSENTIALS Find an over-the-shoulder bag or strap on a fanny pack to carry your cash, keys, snacks, water bottles, sunscreen, lip balm, and sunglasses. You’re spending the whole day outside, so make sure you’re considering the weather when you head out and always slather on a generous amount of sunscreen. Lastly, wear comfortable walking shoes to prevent blisters and aching heels. You’ll have more fun if you know you’ll be prepared for anything. WATER COSTS HOW MUCH!? Amusement parks are expensive, and when you spend a whole day seeking thrills, you’re eventually going to need sustenance. Check the park’s rules before you leave, but most will allow your family to bring in a few snacks, like fruits or granola bars, and a reusable, empty water bottle. Many parks will have a drinking fountain near the entrance where you can fill up before exploring. If you plan to eat or drink at one of the establishments in the park, peruse the food options on the park’s website ahead of time to get an idea of what is available and how much money you should bring.

On June 16, 1884, the first roller coaster in the nation opened to eager and brave participants at Coney Island in Brooklyn, New York. In the years since the first riders climbed aboard the Switchback Railway 135 years ago, roller coasters and the amusement parks that house them have changed dramatically. But the thrill that attracted all those first participants still remains.

Celebrate the nation’s love of heart-stopping adventure by visiting an amusement park this summer. Follow these tips to make the most out of your trip.

I’M LOST! Before you head out, review park maps and ride descriptions. Create a list of the attractions everyone in your group wants to see and plan out your route ahead of time. While some spontaneity can be fun — it’s a vacation, after all — the sheer size of many parks coupled with high anticipation can be overwhelming if you aren’t prepared. Planning ahead will save you a few headaches and disappointed family members.

Adventure awaits this summer! Don’t let a lack of preparedness keep you from enjoying a 135-year-old tradition.



There is no greater compliment we can receive than one from a patient. Every aspect of our practice prioritizes patient care above all, so plaudits from the people we serve mean the world to us. One of our recent patients, Kimberly H. Morse, was kind enough to relay her experiences working with Dr. Ryann Cacciotti. Here, in her own words, is Kimerbly’s PT story. “I have been to North County Water and Sports a number of times for various issues, most recently for a tennis elbow issue. It caused me to not do my normal activities, such as using weights and playing guitar. Through therapy, I’ve increased my strength. I’ve learned stretches to help ease the pain. More importantly, I’ve learned how to move my arm, wrist, and shoulder to prevent a relapse. From past visits, I still use stretches for my back. And, I now know how to move my body and not hurt my back while working out or just going through my day.

I highly recommend North County Water and Sports Therapy Center.”

keep your issue from recurring. We love to hear stories of patients getting back to doing what they love most.

As Kimberly’s story attests, physical therapy can help you recover from injury and perform your favorite activities, whether they include playing the guitar or playing tennis. It can also help you learn sound body mechanics that will

Thank you, Kimberly, for sharing your experience, and thank you, Dr. Ryann, for helping Kimberly feel her best. 2

Long flights can be boring, uncomfortable affairs. After packing your bags under the weight limit, making your way through security, and dealing with a rat race at the gate, your reward is an interminable voyage in an uncomfortable seat.

But that may be the least of your worries.

Traveler’s thrombosis is known in medical terms as a deep vein thrombosis (DVT). A DVT is a blood clot restricting circulation, usually in a lower extremity. The problem with a DVT is that if the blood clot dislodges and travels from the leg to the heart, brain, or lungs, it can lead to a heart attack, stroke, or pulmonary embolism (PE), which restricts breathing. All of these are serious, life-threatening conditions.

Turn over this insert to learn more about DVT and how you can prevent it, no matter how long your flight is.


• Dehydration • Age, with the risk increasing after 40 years old • Obesity (BMI greater than 30kg/m2) • Previous DVT (the CDC states that 1/3 of individuals with DVT/ PE will have a recurrence within 10 years) • Family history of blood clots • Varicose veins

• Recent surgery or injury (within the last 3 months) • Pregnancy • Oral contraception • Hormone replacement therapy • Cardio-respiratory disease • Active cancer or recent cancer treatment • Other chronic illness

*Anyone with 3 or more of these risk factors should consult their doctor about preventive measures prior to long-haul flights of 4 hours or greater.

RECOGNIZE THE SYMPTOMS Immediate treatment is always preferred. However, about half of people with a DVT have no symptoms at all. The most common symptoms include:

PREVENTIVE MEASURES Prevention is always preferred. The following are steps you can take to decrease the risk of DVT: • Do regular stretching and mobility exercises and walking around the cabin during flight. • Stay hydrated (drink plenty of nonalcoholic beverages). The rule of thumb is drink enough fluids to keep your urine pale in color. • Take a low-dose aspirin tablet (75 mg) for its anti-adhesive effects on

• Swelling in the leg or arm • Pain and tenderness you cannot explain • Skin warm to the touch • Redness to the skin

*If you have these symptoms, contact your doctor as soon as possible. The following are signs of a pulmonary embolism. If you have any of these symptoms, seek immediate medical attention: • Shortness of breath (difficulty breathing) • Faster than normal or irregular heartbeat • Chest pain or discomfort that often worsens with deep breathing or coughing • Coughing up blood • Anxiety, lightheadedness, or fainting

blood platelets. Be sure to talk to your doctor before adding aspirin with any other medications.

• Use graded compression stockings.

• Wear loose-fitting clothing and avoid crossing your legs to reduce compression on the veins.

For online video links and handouts of “Exercises You Can Do In Your Seat,” call our office at (858) 675-1133 and ask for your seated airplane exercises to be emailed directly to you.

Safe travels!

Your fitness routine is likely centered on building strength, tone, and endurance. But what about your balance? As American Council on Exercise (ACE) certified trainer Robbie Ann Darby points out, improving your balance benefits everything you do. By improving your flexibility through stretching, you’ll be able to master the transitions between exercises and develop the power you need for better balance. Here are two essential stretches you can incorporate into your everyday routine. FOOT STRETCH Our feet carry us every day, and when they’re tight, our balance can be affected. Help ease foot tension with this stretch (which is also great for anyone who suffers from plantar fasciitis): Kneel on the floor, arranging your legs under you so that your shins and the tops of your feet are on the floor and your glutes are resting on the bottoms of your feet. Maintain an upright posture. Raise yourself slightly, pick up your heels, and tuck your toes under. Slowly ease your weight back over your feet so that your glutes are resting on your heels and your toes are stretched. FOR BETTER BALANCE AND FLEXIBILITY

comfortable position with one foot in your lap. Gently pull back on your toes until you feel a stretch. Hold for one minute.

CALF STRETCH Your calf muscles can limit your ability to place your feet flat on the ground while doing lunges, squats, and other movements. If your calves are tight, stability can be difficult. To stretch your calves, stand facing a wall and put your left foot behind you, toes facing straight ahead. Lean forward, keeping your heel on the ground and using the wall for stability, until you feel a stretch. Hold for 30–60 seconds, then switch sides. Try adding these stretches to your routine 3–5 days a week, building up to once per day, every day. If you’re experiencing balance issues or are concerned about falling, physical therapy can help. Whether you experience balance challenges related to aging or an inner ear issue, physical therapists can show you how to strengthen muscles and improve flexibility relative to balance — and make it fun in the process! Contact your local PT team to find out how they can help.

This can be an intense stretch, so ease into it. If it’s too much right now, start by sitting in a



With raw zucchini, toasted hazelnuts, and a robust Parmigiano-Reggiano, this early summer salad is a delight of different textures and flavors that will make a great side at your next cookout.



1. Using a mandolin or very sharp knife, slice zucchini lengthwise into extremely thin, wide ribbons. 2. Arrange zucchini ribbons on a plate, sprinkle with lemon zest, and drizzle with juice. 3. Drizzle oil over zucchini, season with salt and pepper, and toss. 4. Scatter hazelnuts over the top, garnish with mint and cheese, and serve.

3 small zucchini (3/4 lb.)

1/2 tsp lemon zest, grated

3 tbsp fresh lemon juice

3 tbsp extra-virgin olive oil

Salt and pepper, to taste

1/4 cup toasted hazelnuts, coarsely chopped

Mint leaves, for garnish

Parmesan cheese, preferably Parmigiano-Reggiano, for garnish

3 (858) 675-1133

Inspired by Food & Wine magazine


Monday—Thursday 7 a.m. to 7 p.m. Friday 7 a.m. to 6 p.m. (858) 675-1133

15373 Innovation Dr. #175 San Diego, CA 92128



Dad’s Many Businesses


Amusement Park Trip Tips

Patient Success Story: Kimberly H. Morse


2 Stretches to Improve Your Balance

Zucchini Salad With Toasted Hazelnuts


The History of Our City’s Signature Food


Let’s be real: There is no bad time of the year to eat fish tacos in San Diego, but they taste particularly delicious during the summer. They are an indelible part of the city’s culinary fabric, with everything from classic street-food versions to elevated, fine-dining interpretations. Enjoying the first fish taco is a rite of passage for those who move here, so much so that you’d be forgiven for thinking we’ve had them forever. Surprisingly, it’s only been a few decades since this food took the city by storm. San Diego and fish tacos, it’s Ralph Rubio of Rubio’s Fresh Mexican Grill. Rubio opened his first location in 1983, serving up freshly fried fish on corn tortillas topped with cabbage, onions, tomatoes, and a crema sauce. Other locations in the city had served fish on a tortillas before, but nobody made it a thing like Rubio did. The fact that there are now nearly 200 Rubio’s Fresh If there’s one person who deserves the lion’s share of credit for creating an unbreakable link between

Mexican Grill locations is a testament to the wide appeal of their signature item.

From these simple origins, the fish taco has evolved in every direction you can imagine. At TJ Oyster Bar in Bonita, you can find versions made with smoked tuna and stingray. Blue Water Seafood Market & Grill on India Street follows the classic model but uses the freshest, hand-cut fish you could ever hope to eat. Other awesome options include Tacos Mimi in Pacific Beach, Tacos El Paisa on Logan Avenue, and many, many more. If you throw a rock in San Diego, there’s a good chance it will land within walking distance of a delicious fish taco.

Rubio does not claim to be the inventor of the fish taco as we know it. He happily admits to being inspired by his experiences traveling to San Felipe in Baja California, which inspired him to bring a version of the fish taco back home. “There’s just something about a fish taco and a cerveza down in Baja that’s pretty hard to replicate,” he says. “I think we come pretty close.” 4

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