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May/June 2017

POSTPOLIOCLUB.WORDPRESS.COM ISSUE 49

POWER OVER POLIO NEWS

WHATS INSIDE!

MEETINGS P 1-2

HELP WANTED P—2

VISION P 3

E-MOTION BIKE P 5

WELCOME P 6

RETURN BOOKS P 6

ASK DR MAYNARD P -7

STERPOID INJECTIONS P 8

DRUG INTERACTIONS P 10

POPS CREW P 12

DIRECTIONS P-13

This newsletter will

provide:

A positive attitude

Polio info, local and national

Tips and advice on healthy

living

Entertainment

Access to interesting Internet

sites

Space for member participa-

tion

Barbara Meyers

Phil Stevens, the husband, father,

mountain climber, hiker and polio sur-

vivor told us his polio story at the April

Meeting. He began at the beginning

and finished with his current status

with emotion and humor. We gave

him a big hurray!

I hope more of you will volunteer to tell your story beginning

in October. Sharing your story is cathartic for you and a boon

for the rest of us to hear when and how the virus came to

you, what medical treatment you received, and then the rest

of the story to date. Just see me to book a month for your

story Barbara Meyers

Our speaker at the April meeting was the owner of a company

called “Mr. Handyman.” His presentation gave us suggestions

on how to retrofit our homes to make them more user friendly

and eliminate some of the areas that could be dangerous to us

as we age. He recommended Grab Bars in the bathroom that

have been installed properly not the one that sticks to the

shower walls via suction. Grab bars make entering and leaving

a shower safer. He also talked about how to increase the width

of doorways to allow a wheelchair to enter by using a special

hinge that brings the door flat to the wall. He recommended

wood flooring, maybe vinyl like wood. He said that was best

for assistive devices but if you wanted to use carpet make sure

the carpet is stretched tight.

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After “Mr. Handyman” we had a surprise

newcomer to the group, Terry French. Ter-

ry came in on his E- Motion bike and gave

us a demonstration. But there is more

about his story on page 5 of the newsletter.

May 12, 2017. Will be the last meeting until Oc-

tober. Beverly Centellas, one of our members,

will discuss our current library, how we may im-

prove it. Help us know how reading new books

related to polio and post-polio will help us bet-

ter recognize ourselves, encourage us to contin-

ue trying, understand others have faced the

same problems we are facing and maybe even

learn new coping techniques. Beverly was a li-

brarian in her life before she and her husband

retired to Florida. She has a great love of books

and an appreciation of their worth.

After the presentation we will have time to talk

one to one while we enjoy the treats provided by

our volunteers.

There will be a surprise visit from one of our

newest members, Terry French who will bring

some electric bikes for us to try.

HELP WANTED I am hoping to keep the newsletters current

and contain things you want to read and

learn about and have a smile about.

So I am asking you all to be on the lookout

for information, articles you find in the

newspaper, magazines, books that would

be of interest to our readers.

Cute cartoons, sayings, fitness news, ways

to live safely and in good health.

If you come across something that made

you stop and think, made you smile, or

gave you pause to wonder, share it with

your post-polio friends by sending it to me

via email or in an envelope by snail mail.

You know how in conversation you might

say, “Did you read about this new flu virus

and how it comes in three strains: the first

makes you ill and lowers your immunity,

the second hits you because your immunity

is so low and the third comes when you are

at your worst.” Info like this should be

shared. Or maybe you hear about a new

mode of transportation for those with mo-

bility issues. Or even something new about

post-polio.

I find I cannot read all the magazines, read

all the newspapers, or search all the web

sites. I need you to be my assistants, story

finders and information gatherers.

Thanking you for your assistance in ad-

vance.

Barbara Meyers

_________________________________

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Q. My mother has just gotten her first

eyeglasses with progressive lenses

and has fallen twice. Could her glass-

es be the reason?

A. Maybe. A recent study found a significant link between the risk of falling and "optical blur" caused by progressive lenses.

The lenses can cause blurring of the lower field of vision, which then affects the accuracy with which people step, according to the study published in the journal Optometry and Vision Science in June 2016.

While the blurring may not be a problem on level, uncluttered surfaces, it can be a major issue when precision stepping is necessary—for example, when using stairs or walking on uneven pavement.

But the blur is not the only problem. When people walk, often their gaze is fixed not on where they are going to step but rather on where they'll land a couple of steps later.

The further ahead the gaze is fixed, the more likely a person is to miss the next step. With blurring from corrective lenses, the stepping error is significantly greater.

There are a couple of things your mother can do to lessen her risk of falling. One is to prac-tice keeping her gaze fixed on exactly where she needs to step until her foot touches down. And the other, especially if she is an active person, is to get a pair of single-vision pre-scription eyeglasses to wear when walking.

Night Vision Problems and Driving

If you have more difficulty seeing when you drive at night than in the day, you’re hardly alone. But it’s not something to be taken in stride, since problems in night vision are a ma-jor factor in traffic fatalities. According to Con-sumer Reports, about 70 percent of accidents involving cars striking pedestrians occur at night. Improved highway lighting, reflective paints on roads, and shoulder rumble strips, among oth-er infrastructure initiatives, have all made night driving safer. Ironically, however, fog lights, high beams, and auxiliary lights, all designed to increase safety, can put drivers of oncoming vehicles at risk because of increased glare from them. Older people are especially susceptible to night vision problems—even if their daylight vision is okay—because of changes that occur in aging eyes, including a gradual reduction in the size of the pupil (so less light hits the reti-na) and a decrease in the number of rods in the retina (the cells that are important for twi-light and night vision). .There is also a loss in contrast sensitivity (the ability to distinguish an object from its background), which makes it harder to see pedestrians, animals, and obsta-cles on the road. Plus, the retina’s ability to quickly adjust between bright light (as with on-coming headlights) and low-light conditions decreases with age. On top of these changes, older people are more likely to have other eye conditions that affect the ability to see in low light, including cataracts, macular degeneration, and glauco-ma. Night vision may also worsen in people of all ages who have diabetes or dry eye syn-drome and after LASIK and other refractive eye surgeries.

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Routine eye exams typically test vision only under daylight conditions, which does not predict night vision. In fact, many people test well in standard eye exams but have night vi-sion problems, whether they are aware of them or not. How low light affects vision In a small study in the journal Optome-try and Vision Science, researchers tested the visual acuity of 43 people (ages 14 to 32)—first at daylight levels and then at different lev-els of twilight—using light filters and found that vision decreased significantly with each drop in illumination. In fact, the subjects, who had about 20/20 vision at daylight levels, dropped on average one to two lines on the eye chart in twilight conditions and almost three lines in dimmer light. An older study, published in Human Factors, tested the driving performance of young, middle-aged, and older people under both day and night conditions. Participants in all age groups slowed their vehicles under low light conditions, but not enough to compensate for degraded visibility at night. And the middle-aged and older groups performed worse in spotting pedestrians. What you can do If you have trouble seeing in low light, con-

sult an eye care professional, who, in addi-tion to giving you a standard eye exam, may use special charts or other equipment to pinpoint any night vision problems. You may be a candidate for prescription night-driving glasses, even if you don’t wear glasses during the day.

Ask your eye care professional for glasses with anti-reflective coatings, which cut down on glare. High-definition lenses can give you sharper vision and also reduce glare for nighttime driving. Yellow-tinted lenses can increase contrast sensitivity, though they may also intensify glare, and any tint reduces the amount of light that reaches the eye.

If you are having cataract surgery, ask about getting an aspheric intraocular lens, a type of “premium” lens that improves con-trast sensitivity (though these lenses are not covered by Medicare or other insur-ance).

Treat dry eye syndrome if you have it (and

get evaluated if you think you have it). The condition can cause you to experience light scatter.

When driving at night, make sure your headlights, windows, and mirrors are clean; use your window defoggers in inclement weather; slow your speed; and turn on the high-beams more often (but not in fog or when there are oncoming vehicles).

If you are in the market for a new car—and can afford the über-expensive price tag—check out models that have new night-vision systems, such as infrared cameras that detect people and animals and then alert you to their presence through an im-age on the dashboard or by beeping. Such high-tech features, available only on high-end luxury cars now, should become more common and affordable in the future.

Lastly, some tips for home owners, pedes-trians, and cyclists: Problems with night vi-sion are responsible for an untold number of falls, so you should keep your walkways well illuminated at night and not skimp on indoor lighting. Wear light-colored clothing or reflective markings if you are walking or cycling on dark streets.

This article is based on the findings found

in Scientific American Consumer Health White Papers. The 2017 annual guide to sight-saving therapies. Don and I sub-scribe to this publication to learn and be updated on current procedures for Macular Degeneration. An eye condition that Don deals with. Barbara

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E– MOTION an adult mobility alternative

Terry French’s mother was pregnant with him when

she contracted polio. Terry was born with polio and

did not walk until he was 5 years old. Terry's mother

is now 80 years old and walks with assistance. Terry

graduated from high school and went on to Michigan

State University to become an engineer. He married

his wife, Joy, and together they had 3 children and

have 11 grandchildren. Terry is now feeling the

effects of Post-polio .

In his quest

to find a mo-

torized

means of

transporta-

tion that

would put

him on the

same level as

other folks

he came up

with a proto-

type for his electric bike. He feels great pride when

he can reach high things in the grocery store unlike

being in a scooter and having to ask for help. Gradu-

ally other disabled folks saw the bike with Terry on it

and also wanted one. It has now grown into almost a

full time job in his retirement.

The bike frames are made In his home town of Lan-

sing, Michigan and sent to him where he adds the

batteries, wheels and all the bells and whistles. He

says he builds his electric bikes with the buyer in

mind with dedication to making it the most comforta-

ble and safe bike for the disabled.

His first electric bike cost him about $30,00.00. he

now sells them for $2,599.00.

Don and I met Terry and Joy at Saddlebrook in the

parking area. There they were with their trailer and

several bright shiny bikes to show us. I had a purple

blouse on that day and spied a purple bike and fell for

it. Terry and Joy explained the controls to me and

convinced me to ride it around the parking area.

The maximum speed of the bike is 25 miles an hour.

Whoa that’s fast. There is a control on the handle bar

to govern the speed of the bike. With caution I got

up on the bike. It was really easy, first sit on the seat

and then bring your legs up to the floor of the

platform. I situated myself took hold of the handle

bars, got some last minute information from Joy, re-

leased the break and turned

the control towards me and I

was off. A beautiful ride, so

comfortable, a good feeling of

stability, and the wonderful

feeling of movement. When I

decided to stop the brake was

easy to handle and lock.

Terry and Joy told me the

bike’s name was Violet and

they called her Vi. I love Vi.

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Terry has a shop in Belleview, FL where he creates the bikes

to meet the requirements of the buyers. His shop is outfitted

with pulleys and hydraulic lifts to make his work space con-

form to his disability. He does not have to lift anything and

workspace rises and lowers to any level he needs it to be. He

calls the bikes his labor of love and is not interested in pro-

duction lines and a business that takes all of his time.

Back in Lansing, MI Terry left his printing business to his two

sons. Terry has many stories about his life with polio and I

hope he will share more of them with us at future meetings.

Barbara

_______________________

WELCOME, NEWEST MEMBERS

TERRY & JOY FRENCH,

CONNIE SIEDLECKI,

RONALD &

ANNA MARIA ACEVEDO

PLEASE RETURN ON THE SECOND FRIDAY IN MAY,

SAME TIME, 1:00, AND SAME PLACE, SEABREEZE

REC CENTER IN THE VILLAGES. YOU SHOULD

HAVE RECEIVED YOUR FIRST COPY OF OUR NEWS-

LETTER. DON’T FORGET TO CHECK OUT THE WEB

SITE.

POSTPOLIOCLUB.WORDPRESS.COM

_____________________________________

POPS BOOKS ON LOAN

Please, if you have taken a book

from our library and have not yet re-

turned it bring it to the next meeting.

We are very generous in our policy

of lending books and expect you to

be responsible in returning the

books you have borrowed. No harm

no foul, just set the book back on the

table and we will be thankful it is

there for someone else to read.

Barbara

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ASK DR. MAYNARD By

Frederick M. Maynard, MD Question: I would like your take on using

drugs such as gabapentin for use in

treating PPS pain. With the new drug laws,

my doctor has prescribed this drug for

pain instead of the hydrocodone I was tak-

ing. (Editor’s Note: Under a final rule is-

sued by the U.S. Drug Enforcement Ad-

ministration, hydrocodone combination

products are now in a more restrictive cat-

egory of controlled substances, along with

other opioid drugs for pain like morphine

and oxycodone.) I can usually manage the

pain during the day but have problems

sleeping. Some nights it feels like some-

one is trying to peel my muscles from my

bones. I am asking because gabapentin is

used to treat seizures, but I do not have

seizures. When I looked up the usage, it is

also given for treatment of pain for the

shingles for a period of three to four

months. Whatever I decide to take for

pain, I will possibly use for the rest of my

life. Has anyone done a study of the long-

term usage of gabapentin for post-polio

pain? I do not want to take this medica-

tion and find out it was not good for man-

aging post-polio syndrome.

Answer: Gabapentin and pregabalin are

only approved for control of seizures and

fibromyalgia (in the case of pregabalin).

There are no studies supporting their

effectiveness for leg cramps in the survi-

vors of polio. Gabapentin is the most

widely prescribed drug and used “off-

label” for chronic pain syndromes of all

sort. If these drugs are used for leg

cramps, they should be evaluated careful-

ly on an individual basis relative to their

effectiveness and the optimal minimally

effective dose. For survivors with leg

cramps, a thorough history and exam

should be done regarding the most likely

cause(s) of the cramps. Tight muscles are

the most common contributing factor, but

they can be treated with stretching.

The next most common cause is overuse/

misuse of the leg muscles. Metabolic im-

balances of calcium and magnesium are

also common. None of these common

causes are likely to respond to treatment

with gabapentin/pregabalin. In regard to

your specific concerns about trying it:

gabapentin appears to be safe from the

standpoint of serious side effects from

long-term use. There are many non-

serious side-effects in the short-term for

many people who take it, particularly

sleepiness, fatigue, mental slowness, nau-

sea. They stop when the drug is not taken.

In your question, you mention problem-

atic pain, particularly at night, and for this

problem I would encourage you to try

gabapentin at a small dose (100 mg) taken

about one hour before going to bed.

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If it is helpful and your night-time problem

is not every night, you can take it “as need-

ed” at night, but it may take an hour or

more to be helpful. Don’t be too concerned

about it being listed as an anti-seizure med-

icine or a helpful treatment for shingles-

related pain. It does help these conditions

& because they have been studied suffi-

ciently, it is legal & appropriate to say that

it helps some with these conditions. I know

from my own practice & from speaking with

other physicians that it can be prescribed

safely & is sometimes helpful as an adjunct

to effective pain management for polio sur-

vivors. It is probably a better choice for

chronic pain than regular use of hydroco-

done. Nevertheless, it should be considered

as a “pain modulator” for chronic musculo-

skeletal pain & certainly not a true analge-

sic or primary treatment for PPS pain.

Follow-up from questioner: I have been

taking 300 mg of gabapentin three times a

day for almost three weeks. I cannot seem

to stay awake. I feel sluggish, keep stum-

bling and am dizzy. I’m afraid I am going to

fall. This drug seems to be robbing me of

what little energy I have. I may suggest to

my physician that I try only 100 mg at night.

Reprinted from Post-Polio Health (formerly called Po-

lio Network News) with permission of Post-Polio

Health International (www.post-polio.org). Any fur-

ther reproduction must have permission from copyright

holder.

DR RICHARD BRUNO, PHD – WARNING –

STEROID INJECTIONS 3-3-2016

Ohio Polio Network, Spring 2017

Study: Hip Replacement too soon after a steroid injection increases infection risk.

Released: 2, March, 2016 Source Newsroom: Hospital for Special Surgery

“””””””””””””””””””””””””””””””””””””

Patients considering hip replace-ment surgery would do well to wait three months if they’ve had a steroid injection to relieve hip pain, according to a study by Hospital for Special Surgery (HSS0) researchers.

“The risk of developing an infection after surgery increased significantly in patients who had a hip replacement with-in 3 months of receiving a steroid injec-tion,” said William Schairer, MD, lead study author. “However, in patients who had a steroid injection and then waited 3 months or longer to have the surgery, there was no increased risk at all.

”Researchers reviewed thousands of patient’s records in California and Flor-ida databases for their study, which was presented at the annual meeting of the American Academy of Orthopedic Sur-geons (AAOS), on March 2, in Orlando, Florida.

An injection of a steroid into the

hip joint is a common treatment to re-

lieve

Too much medicine isn’t always

a good medicine….

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pain and inflammation in patients with arthritis. This is the first large popu-lation study to provide strong evidence of an increased risk of surgical site infection in patients who have hip replacement 12 weeks or sooner after the injection, ac-cording to the researchers. They note that the immune system is weakened by corticosteroids, and this may contribute to the higher infection risk.

“Hip replacement is a common and safe procedure that relieves pain and im-proves quality of life, and overall, the risk of developing a joint infection is low,” said Seth Jerabek, MD, an orthopedic surgeon at Hospital for Special Surgery and senior study author “Although the risk is low, an infection is one of the most dreaded complications of joint replacement. Pa-tients often need to undergo additional surgery, receive intravenous antibiotics treatment, and are off their feet during a lengthy recovery.”

For their study, investigators looked at the Statewide Ambulatory Sur-gery and Inpatient Databases for Florida and California from 2005-2012, which in-cluded more than 17,000 patients who had hip replacement surgery for osteoar-thritis. Researchers narrowed down the list to those who had received steroid in-jections prior to surgery and reviewed follow-up records to determine which of those patients developed a surgical-site infection within one year of hip replace-ment. Patients were grouped into those who received NO injection; those who had hip replacement within 6-12 months of an injection; those who had the sur-gery within 3-6 months; and those who had hip replacement within 0-3 months of receiving an injection.The infection

rate was2.06% in non-injection patients and jumped to 2.8% in those who had the surgery from 0-3 months after an injec-tion, representing an increased risk of 40%. There was no statistically signifi-cant increase in infection risk in patients who had hip replacement from 3-12 months after the injection.

“Based on study findings, we rec-ommend that elective hip replacement surgery be deferred for at least 3 months from an injection to avoid the elevated risk of infection,” said Dr. Jerabek. “However, in some cases, such as patients who are still in a great deal of pain after the injection, it may not be feasible to wait. This is something the patient and doctor should discuss to determine what will provide the most benefit and least risk to the patient.”

Reprinted from Pennsylvania Polio Network newsletter, March 2016 and then into our POPS newsletter from the Polio Heroes of Tennessee Newsletter dated Spring 2017.

Dr. Richard Bruno, PhD is the author of the bestselling book “THE POLIO PARADOX.” Dr. Bruno has been researching polio and post-polio for over 40 years.

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Drug interactions can result in unwanted side effects, reduce the effectiveness

of your medication or possibly increase the action of your medication. Did you

know prescription and over-the-counter medications can:

Interact with food or beverages we consume.

Interact with existing diseases or conditions.

Cause side effects or symptomatic responses ranging from mild to severe. (If

you experience any unusual side effect after taking a medication, no matter how

mild or severe, consult your doctor or pharmacist.)

You might know that certain prescription medications can interact with one an-

other and cause potentially harmful side effects. But did you know that interac-

tions can occur not only with prescription medications, but also with over-the-

counter medications, supplements, and foods and beverages? Medications can

even interact with diseases or conditions you may have. Fortunately, with a lit-

tle careful planning, you can avoid serious drug interactions.

There are 3 basic types of drug interactions:

These occur when one drug interferes with another drug, affecting how one or

both act in or are eliminated from the body. These interactions can occur be-

tween prescription drugs, over-the-counter drugs, and even herbal or other die-

tary supplements, including vitamins. For example, vitamin E and aspirin both

act to thin the blood. Taking these together could cause excessive bleeding.

And combining antidepressants with the pain medication tramadol could cause

seizures.

It is particularly important to remember that herbal products, which many peo-

ple regard as natural alternatives to drugs, still behave like drugs in the body.

For example, the herb called St. John’s wort can reduce blood levels of certain

medications. Furthermore, if a person is already taking St. John’s wort along

with another drug, stopping the herb may cause drug levels to rise, potentially

leading to dangerous complications.

Drug-Drug Interactions

Avoid unwanted drug interactions

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Drug-food/beverage interactions occur when a prescription or over-

the-counter medication interacts with food or beverages. For exam-

ple, taking the antibiotic tetracycline with a glass of milk can lessen

the absorption of the antibiotic in the body and make it less effec-

tive. Grapefruit juice can block enzymes that metabolize numerous

drugs, including some blood pressure-lowering drugs, anti-

depressants, antihistamines, and the drug cyclosporine, thereby in-

creasing blood levels of these drugs. Toxicity could result.

These occur when a prescription or over-the-counter medication in-

teracts with a disease or condition. For example, decongestants,

such as those found in many over-the-counter cold remedies, can

cause an increase in blood pressure, which could be dangerous for

people who already have high blood pressure.

Symptoms of Drug Interactions

The most common symptoms of drug interactions tend to be less se-

rious and include the following:

Nausea

Headache

Heartburn

Lightheadedness

More serious—but less common—symptoms and results of drug inter-

actions include the following:

Sharp increase or decrease in blood pressure

Irregular heartbeat

Buildup of toxins that could damage vital organs, such as the liver or

heart

Consult your doctor or pharmacist if you experience any unusual side

effect after taking a medication, no matter how mild or severe.

Drug-Food/Beverage Interactions

Drug-Condition Interactions

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It takes dedication to keep the POPs group together, provide infor-mation along with interesting meetings. Our goal is to maintain a friendly welcoming atmosphere for all polio survivors and their caregivers, family And friends.

FOUNDING LEADERS

PAST MEETING LEADERS

DON AND JO AN SUTTLE

CLIFF AND DIANA KENNEDY

JOANTCPC@GMAIL.COM

CLIFFDIANA1964@GMAIL.COM

TREASURER BILL HAMILTON MARDABILL@COMCAST.NET

SECRETARY LYDIA WHITE FLASUNSHINE@EMBARQMAIL.COM

PROGRAMS: MARDA HAMILTON MARDABILL@COMCAST.NET

BARBARA MEYERS MEYERS2@THEVILLAGES.NET

KAY MOSURE KAYMOS@AOL.COM

JO AN SUTTLE JOANTCPC@GMAIL.COM

ROSEMARY HUGHES RITZYROSE@SBCGLOBAL.NET

BEVERLEY CENTELLAS BACENTELLAS@HOTMAIL.COM

SUSAN KEENAN SUSANKEENAN6@GMAIL.COM

PUBLICITY KAY MOSURE KAYMOS@AOL.COM

LIBRARIAN AVAILABLE BRING BOOKS BACK AND FORTH TO

MEETINGS IN ROLLING SUITCASE.

NEWSLETTER/WEBSITE

CONTRIBUTING REPORTER

PROOF READER

BARBARA MEYERS

MARION SCHOELLER

LYDIA WHITE

MEYERS2@THEVILLAGES.NET

MARSFLA@OUTLOOK.COM

FLASUNSHINE@EMBARQMAIL.COM

SOCIAL/ATTENDANCE ROYCE RUTHER ROLLSROYCE@SKYRUNNER1.NET

CARE AND CONCERN SUSAN KEENAN SUSANKEENAN6@GMAIL.COM

E MAIL LYDIA WHITE FLASUNSHINE@EMBARQMAIL.COM

KEEP IN TOUCH DON SUTTLE JOANTCPC@GMAIL.COM

NEW MEMBER INFO JO AN/ DON SUTTLE JOANTCPC@GMAIL.COM

NAME TAGS MARGARET KOCHANOWSKI MJ66KOCH@GMAIL.COM

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OUR MEETINGS ARE HELD AT THE

SEA BREEZE RECREATION CENTER

THE VILLAGES, FLORIDA

Using the back entrance is an option. Use the driveway so you

won’t have to negotiate the curb. Enter the back door, turn right,

down 2 doorways and turn left. In the kitchen area you will find

coffee and treats, and then step into our room.

DIRECTIONS TO THE CENTER BELOW.

We hope that you will find these direc-

tions helpful and we look forward to see-

ing you at our meetings.

From the north:

Via Morse Blvd:

Either take Morse down from the north, crossing 466 or turn south onto Morse from 466. In both events,

continue on Morse going over the bridge. Go past the exit into Lake Sumter Landing, continuing south on

Morse. At the next circle (just past Winn Dixie Grocery Store which will be on your right), go one quarter of

the way around and exit onto Stillwater Trail. Go to the end of Stillwater and then go three quarters of the

way around that traffic circle exiting onto Buena Vista Blvd, going south.

Stay on Buena Vista going half way around the next three traffic circles. Just past the third traffic circle you

will see the Sea Breeze Recreation Center on your right and should turn into its entrance off Buena Vista.

Via Buena Vista:

Take Buena Vista south, going through several traffic circles. Once past the Stillwater traffic circle, follow the

directions shown above.

From the south:

You should travel to County Road 466A taking it east if coming from Highway 301 and west if coming from

27/441. Travel to the light at Buena Vista Blvd and turn north on Buena Vista (that will be a left turn coming

from 301 and a right turn coming from 27/441). Go one half way around the first traffic circle and continue

north on Buena Vista. Shortly after going around that circle you will see the Sea Breeze Recreation Center on

your left and will come to a left hand lane that will allow you to turn left into the center.