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The Chesterfield

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Women’s Journal

October/November 2013

In This Issue

4 Social Security: A Woman’s Perspective 4 Onsite at Massey Cancer Center: LINC’s Innovative Medical Legal Partnership 4 Preserving Memories: Photo Restoration in the Digital World 4 Domestic Violence Awareness Month: Why It Should Matter To You 4 What Is Different In Your Bubbly’s?

educate. enrich. empower.

A Free Bi-Monthly Resource for the Women of Chesterfield County


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Dear Readers

Christie L. Cook

The Chesterfield

Women’s Journal

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MC Media Inc.

14241 Midlothian Tpke, Suite 248 Midlothian, VA 23113 www.RVAWomensJournal.com 888 213 0612 Ph 804 977 1734 Fax

The coming of fall signals a time of change. The charge of cool brisk air; the change of colors in the leaves, change is something that we all must go through at some point in time or another. This is a special edition of the Women’s Journal featuring breast cancer survivors in our “Story of Hope” (pgs. 4 & 5) . These survivors have been impacted in various ways where they have had to overcome fear, doubt, and create new beginnings for themselves and their families. Some have been led to find a new love in their chosen line of work because of their path through cancer, like Denise Kranich, LINC, (Legal Information Network For Cancer), Executive Director – read their article in this edition “Onsite at Massey Cancer Center: LINC’s Innovative Medical Legal Partnership” (pg 19). Also make sure to read “Story of Hope” by survivor Mary Baker. Ms. Baker is a part of the Bon Secours Survivorship Clinic (pg 7). You will be encouraged after reading her article which will help you to “Live Healthfully after Cancer.” The Women’s Journal is a primary educational resource publication which is nationally syndicated. Women’s Journals have been in existence for over 33 years, and there are over 370 individually distributed Women’s Journals throughout the nation. The power of the Chesterfield Women’s Journal is in the unique way that our contributors educate the community at large, by writing educational articles that are objective and informative. We encourage more readers to experience the expertise of our contributors. We also encourage more talented professionals to provide education for our readership. I hope you enjoy this edition as much as I enjoyed bringing it to you!

- Christie L. Cook, Publisher

Publisher:

Christie L. Cook chesterfieldwoman@gmail.com

Editor:

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Print Innovators www.printinnovators.com The Women’s Journal is published bimonthly and is available free of charge, by subscription, at display stands in approved private and public establishments and authorized distributors only. Trademark and U.S. Copyright laws protect The Women’s Journal. No part of this paper may be reproduced without the written permission of the publisher. The Women’s Journal is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/ or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify The Women’s Journal, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for liable, unfair trade names, patents copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper of its advertising copy. Publisher shall be under no liability for failure, for any reason, to insert an advertisement. Publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. Publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgement in these instances and will make adjustments for the advertiser where and when appropriate. The Women’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month.

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Subscribe To The Chesterfield Women’s Journal Kindly enter my subscription for THE CHESTERFIELD WOMEN’S JOURNAL A one-year subscription (6 issues) via First Class Mail is $24. Check or money order payable to: MC Media Inc. 14241 Midlothian Tpke, Suite 248 Midlothian, VA 23113

The Cheste rfield W

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October/Nove mber 2013

In This I ssue 4 Social Security: A Wo

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On The Cover... Breast Cancer Survivors; Denise Ann Kranich,

Lynne-Marie Liggan, Christie Cook, Amanda Rosser, Mary Baker, and Lea Wyche. Shot on location at Bon Secours St. Francis Meditation Garden. Photographed by Heather House Studio of Photography.

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Story of Hope.......................................4-5

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Wearing A Pad To Exercise?...................6 Living Healthfully After Cancer.............7 Safe Halloween And Christmas..............8 M M Fashion Beauty Page CC ShinglesPublisher’s Vaccine......................................9 Your Abdominal Appearance..........10-11 Weight-Loss Surgery.................................12 Goodbye To Hair Loss Anxiety............13 M Fitness C One Healthy BiteLifestyle At A Time................14 Restoring Sight In Ethiopia..................15

Social Security.......................................16 M New President For Chamber................17 Fashion Beauty C M First Impressions, Impressions….18 HomeLast Garden C Onsite at Massey Cancer Center..…....19

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Good Nutrition......................................20 Mammograms.......................................21 Your Family’s Health..............................22 M Business Financial C Renew. Rebuild. Reconnect..................23 M Community Education C Secrets Of Weight Loss......................…35

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Children’s Mental Health......................27 M Business Financial C Photo Restoration......................................28 M Live Out Loud.Home Take Control................29 Garden M C People Profile C Domestic Violence Awareness Month..30 Heather House Studio...........................36 M

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PJ Jamboree............................................31 M Dining Entertainment C Bubblies, Defined!.................................33

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M People Profile C M Community C 1. The Journal is full of engaging informative material. I like Education the full page spreads, and the photographs of the authors were a M M Dining Entertainment C them, which I admired. nice touch. It sort of honors M People Profile C Publisher’s Page C

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3. A number of the articles were bold and audacious, in my opinion. You M really don’t see articles about leaky bladders, People Profile C M M and spousal abuse in mainstream print. I felt that this was definitelyTable alternative cancer therapies, something the Women’s Contents C Community Education C Journal should be proud of. These sensitive topics are reality, and it was refreshing to know that there are publishers out there M that are not afraid to print material that could otherwise be “touchy.” Publisher’s Page C M Table Contents C Also, I’m pretty sick of media transitioning to the Internet. Although it could be a nice “supplement” for online readers, there’s M M Peopleto Profile C Publisher’s still something say about picking up an interesting read at your local coffee or wine bar and “losing yourself ”Page in thatCmoment. Thank you for a wonderful publication. And I look forward to meeting you soon. Best regards, Lisa Mallory” M Publisher’s Page C M Table Contents C

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Story Hope OF

Lynne-Marie Liggan For the last 9 years, Lynne, her husband Tom and her mother-in-law have called Powhatan home. Lynne was born in New York and she and Tom raised their three children in a quaint Long Island village. Upon hearing the words, “You have cancer,” in December 2012, Lynne-Marie said her feelings wavered between despair and hope. Each step was a process. From the nurse holding her hand, to the countless expressions of love she received - prayers, hugs, gifts, meals, and beautiful flowers from family and friends, Lynne-Marie said that the outpouring of love, these sparks of light in the darkness, lifted her up in hope. Anxiously awaiting the results of countless tests, scans and appointments and finally healing, she experienced God’s constant presence and love. She knows that God sent countless angels to accompany her on this journey. Her husband was a true support and companion as were her daughters, son, their significant others, and her precious grandson who could always make her smile even on the hardest days. Their good friend, who is a doctor, guided them through the overwhelming hospital logistics and accompanied them to every appointment and radiation treatment. Her parents traveled from Long Island to help during the surgery and recuperation and her mother-in-law was also there to help. Her extended family and friends offered constant support and love. The compassion and expertise of the doctors, nurses and staff at MCV (Medical College of Virginia), helped beyond words. Lynne-Marie’s employer kindly allowed her to take all the time she needed. She was inspired by and prays for the resilient people she met enduring cancer treatments and is filled with gratitude to God and all who shared her journey of hope and healing. “Learning that you have cancer teaches you so much about yourself. You battle fear, anxiety and stress in a ways that you never thought imaginable. Yet it also strengthened my faith and brought me even closer to God who sent so many angels to sustain me in hope. The unconditional love and compassion shown by my dear family and friends taught me to enjoy the preciousness of each moment.” Shared cancer-survivor Lynne-Marie hopes that sharing her story will give hope to others battling cancer.

Amanda Rosser Amanda Rosser lives in Midlothian Virginia with her husband and their new cairn terrier puppy, Maddi. She was born on a farm in eastern North Carolina. Her passions are her family and friends. Amanda and her husband, Michael, have three children together and two grandchildren. She enjoys reading and collecting cookbooks. At present she has an extensive collection of over 500 cookbooks. Amanda’s story of hope is that no other woman would have to have breast cancer. But if they do develop the disease, that they have the same wonderful care she received from everyone involved in her treatment. Amanda went to Dr. Polly Stephens for a regular mammogram in January. Abnormal calcifications were discovered and a biopsy was performed. The biopsy was negative, but due to Dr. Stephens experience, surgery was performed. Stage 0 ductal in situ was found. After three surgeries, all the borders were clear. Due to Dr. Stephens persistence and healing hands, the outcome could have been much worse if gone undetected. After surgery, Amanda had 16 days of radiation and the healing hands belonged to Dr. JoAnne Walker, Karen and Kelly. During her treatment, friends from work at McQuire Veterans Hospital and Chippenham Medical Center, supported her with food, goody baskets and many prayers. One friend made her a beautiful basket and filled it with notes of encouragement from everyone. Amanda feels that during this very emotional time, she received many blessings from friends, family, and professional care givers, with their calming demeanors and healing hands, and the blessings of meeting other survivors and sharing stories. She continues to discuss with her friends and family the importance of regular yearly mammograms and early detection. She convinced her mom eight years ago to get her mammogram and now her mom is an eight year cancer survivor.

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Mary Baker My breast cancer journey began when I was a fledgling nurse practitioner and one of my physician mentors suggested that I shadow the provider in our Every Woman’s Life clinic, where uninsured women receive clinical breast exams during their screening for breast and cervical cancer. This I did, because I tried to always act on his recommendations for my professional growth. He also advised me to spend a day with our Bon Secours breast surgeons to gain more experience with various breast conditions. As a result of these experiences, I realized my own self breast exam was overdue. As I examined myself, I noticed a tiny, sharp mass in my lateral right breast that I did not remember from my previous exam. I didn’t panic but did monitor this area for the next month. Each time I checked, it was still there and was palpable regardless of my position or approach. It was time for my own well woman’s exam, and so I made an appointment and shared my concern with my OB-GYN. She promptly referred me for a diagnostic mammogram and breast ultrasound which revealed a suspicious mass, leading to an office biopsy with the resultant positive finding of breast cancer. I feel blessed that it was discovered early and that I was a candidate for conservative surgery, radiation, and Tamoxifen. And now for the last 2 ½ years, I have been blessed with the opportunity to work with survivors every day through Bon Secours Cancer Institute!

Lea Wyche Lea Wyche lives in Chesterfield, VA, born in Freeman VA, but spent the majority of her life in New Jersey. She is blessed to have a supportive family - Earnest – two beautiful daughters - Cassandra and Wylitta, her only granddaughter, Asiah and two adorable dogs. Lea was diagnosed with breast cancer just four days before her retirement as a manager for AT&T. Her diagnosis was incredibly shocking because she was a non-smoker, relatively healthy and there was no history of breast cancer in her family. In retrospect, Lea’s diagnosis was the most devastating experience she had ever encountered and she had to get herself mentally and physically ready to go on this journey. After an emotional meeting with her family, the process started. After numerous tests, doctor’s appointments, surgery, on-going treatments, and joining a support group, she developed a new outlook on life. She joined the Big Brother/ Big Sister Organization and became a Reach To Recovery volunteer helping newly diagnosed patients cope with their breast cancer experience. Lea became a volunteer at the Hawthorne Cancer Resource Center at the Johnson Willis Hospital. She also became the primary caregiver for her mother, who lives with her and is in the final stages of Alzheimer’s. She expanded her hobbies to include scrapbooking, jewelry making, home decorating and her local garden club. Her life altering experience has her on a fast track for living because she realized that tomorrow is not promised. Her motto is to “Live life one day at a time and cherish each moment.” The lesson she learned through this process was not to get caught up in self-pity and know you are not alone. Lea is proud to be a breast cancer survivor for 13 years. There is tremendous support out there for you, just reach out!

Denise Ann Kranich On September 17, 2006, my life changed forever. I was diagnosed with breast cancer. I was totally surprised because I was very health conscious. I never smoked. I worked out 5-6 times a week, and I always ate very healthy. There was no history of breast cancer in my family, so how could I be diagnosed with cancer? The first thing I thought about was am I going to die? My daughter, Karley was 15 years old at the time. I didn’t want to scare her, although I was terrified myself. I had a lymph node that was malignant so I had to have chemotherapy, a lumpectomy, and radiation. Because of my daughter, I put on a happy face and maintained a positive attitude. I believe keeping that positive attitude while going through the treatments is what got me through the ordeal, along with my wonderful family and my girlfriends! I don’t know what I would have done without Karley and my stepdaughter, Allie. Today, I am 7 years cancer free, and I celebrate each and every day of my life. I am honored to be the Executive Director of LINC and be able to help cancer patients and their families with the non-medical side of cancer. Besides my daughters, Karley and Allie, I have another stepdaughter and 5 grandchildren. I love to travel the world and discover new people, places, and cultures. I also like to kayak, cycle, play volleyball, run, cook, read, and visit Virginia wineries.

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M Health Medical C y Cora T. Huitt PT, DPT, BCB-PMD B

Cora has been practicing physical therapy for forty one years. She earned her Bachelors of Science at Ohio State University, Masters in College Teaching at University of North Carolina and her Doctor of Physical Therapy at Alabama State University. Cora has been a clinical instructor and adjunct professor at several universities. She is a certified women’s specialist in pelvic muscle dysfunction. The clinic she started, Women’s Health Physical Therapy is one of six credentialed by the American Physical Therapy Association in the United States. Cora is an affiliate member of the American College of Obstetrics and Gynecology, International Continence Society, National Vulvodynia Association and International Society for the Study of Women’s Sexual Health.

Are There Other Choices Besides Wearing A Pad To Exercise?

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Approximately 25 million people in North America suffer from incontinence, the involuntary loss of urine. For many, incontinence begins after childbirth or during menopause. $15 billion is spent on treatment in the US, often ending in invasive surgery. More and more women are reaching out to women’s health physical therapists to try a more conservative behavioral approach to reduce or alleviate their leaking with sneezing, coughing, laughing, or increased frequency This approach matches treatment to the type of incontinence the patient has through pelvic floor muscle training, bladder retraining, diet and liquid counseling. Each patient receives education about anatomy and physiology of the urinary tract and surrounding muscles. The National Institute of Health Care Research and Policy endorses that there is an 85 % improvement of people who try a behavioral approach. Many women who seek care from a specialized women’s health physical therapist are hesitant and unsure, often never having heard of such medical interventions. They have often tried pads, but are not pleased for a long term solution. In the first session, patients are often surprised and question how they never knew about the basic isolated function of the two types of muscles within the pelvic floor. After the woman tells her story about how and when incontinence began, for example from post childbirth trauma, strenuous exercise or work, or even intercourse, a musculoskeletal evaluation is performed. Most women have been taught where the tricep muscle is located and how to exercise that muscle for strength and muscle definition, but never have had the pelvic muscles and organ function explained to them

Most women that I have seen over the years have heard of Kegels but do not perform the contractions of the pelvic floor muscles correctly. Many women think that stopping the urine in midstream while voiding is a kegel: that is not true. Practicing Kegels in this manner is wrong because the action causes an incoordination between the bladder and the surrounding supportive muscles. Often during attempted contraction of the muscles that hold the pelvis together, and support the pelvic organs, women with poor pelvic floor muscles substitute contraction of the abdominals, adductors (muscles on the inside of the legs), or gluteals in the buttocks to isolate a pelvic floor muscle contraction and never strengthen the needed muscles. The complex multiplanar musculature of the pelvic floor is composed of two different muscle fiver types, slow and quick. After the two actions of muscle function are mastered, integration of the muscle is coupled with other trunk muscles and proper breathing while performing daily tasks.

that can be used in the privacy of your home for stress, urge or mixed incontinence. Electrical stimulators have vaginal and rectal probes, like a tampon to effectively make contact with the pelvic floor muscle for proper stimulation. Some stimulators such as the InTone have voice guided, visual feedback. Deciding on an option to reduce or alleviate leaking can be confusing. Surgical interventions often cost $2000 or more and require significant recovery time. The least expensive and invasive treatment for bladder leakage is therapeutic exercise and education. Specialized physical therapy is often now suggested prior to surgery in hopes of increasing the long term effectiveness outcomes. Exercise requires compliance and time required to make a physiological change in muscle function, at least 6 weeks to 12 weeks. Physical therapy often is effective, durable and permanent, quick and easy, inexpensive, and minimally invasive. Of course, no single procedure or intervention is optimal for all patients. Therefore, if you can identify with any of

Pelvic floor muscle exercise can be done with the aid of various devices including electromyography, ultrasoundography, and electrical stimulation. Electromyography displays a tracing of the muscle contraction and relaxation. Ultrasoundography illustrates a picture of muscle function. Another modality often used to increase weak muscle function and poor coordination is electrical stimulation. By increasing bulk of the muscle, muscle coordination, and contractility of the muscle, the urethra is closed and the pelvic organs are supported. The stimulator is a hand held device

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the symptoms of incontinence, I encourage you to seek effective care. Please write or contact Cora T. Huitt, PT., DPT., BCB-PMD at whptrichmond@gmail.com or call 804-379-3002.


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y Mary Baker, MSN, RN, FNP-C, CBEC, CBCN B

The clinic is managed by Mary Baker, MSN, RN, FNP-C, CBEC, CBCN, who is also a breast cancer survivor. Mary earned her Master of Science in Nursing from the University of Virginia and she is board-certified as a family nurse practitioner by the American Academy of Nurse Practitioners. She is certified in clinical breast exam by the National Consortium of Breast Centers and in breast care by the Oncology Nursing Society.

Living Healthfully After Cancer

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Due to scientific advances, there are more cancer survivors than ever before in history. However, the period after acute treatment ends can be daunting as patients struggle to understand what to do next and who will now “watch over” them. Healthcare providers who take advantage of this “teachable moment” can provide cancer survivors with invaluable information and guidance for the next phase of their lives.

cardiovascular disease, than their peers without cancer. The PCP can potentially limit disability and improve quality of life through early detection and treatment of these common health issues.

Because roughly fifty percent of those with cancer will die of other causes, it is crucial for survivors to stay well-connected to their primary care provider. Understandably, often the individual’s “go-to” provider for all health concerns is the medical oncologist, because of the close relationship and level of trust that develop during cancer treatment. However, studies have shown that screening rates for other cancers are higher when primary care providers are involved in the care of cancer survivors. Also, primary care providers have expertise in providing screening, diagnosis, treatment and follow-up for an array of chronic conditions. This is important to cancer survivors because it has been discovered that they have a higher rate of comorbid conditions, such as diabetes and

Society, “there is a lot of evidence that drinking alcohol increases the risk of several cancers.” In 2007, a work group of the International Agency for Research on Cancer (IARC) reviewed the scientific evidence on alcohol and cancer risk for 27 different cancer types. They discovered that alcohol is a contributing factor in the development of cancers of the mouth, throat, larynx, esophagus, liver, colon, rectum and female breast. Additionally, it is also now recognized that drinking even low amounts of alcohol can increase the risk of breast cancer. “Compared to non-drinkers, there is a 10% to 12% higher risk of female breast cancer associated with each drink per day.” For this reason, women with history of breast cancer are currently being advised to limit alcohol to 1-2 servings/week or less.

But what is the role of the cancer survivor? What is the current state of evidence on health behaviors which the survivor can adopt that appear to impact recurrence and mortality? Many studies have examined the health benefits of nutrition and physical activity after cancer. A 2007 article in the Journal of Clinical Oncology reported results from a prospective study of 1,490 women with earlystage breast cancer with these findings: consuming five or more daily servings of vegetables/fruits and performing physical activity equivalent to walking 30 minutes 6 days a week reduced mortality by 50% regardless of weight, although fewer obese women were found to be physically active with a healthy dietary pattern. It should encourage survivors to know that one does not have to train for a triathlon or iron man competition to significantly impact mortality risk after a breast cancer diagnosis!

What role does psychological stress play in cancer survivorship? According to the National Cancer Institute, there is no strong evidence that it directly affects outcomes, but there is data to suggest that patients who are overwhelmed by stress tend to develop a sense of helplessness or hopelessness. This can cause them to give up prematurely or engage

What about alcohol consumption? According to the American Cancer

in risky behaviors and can prevent them from maintaining a healthy lifestyle or seeking treatment when ill—all of which can be associated with higher rates of death. So how can individuals more effectively manage stress? For some, support groups offer a safe environment in which to explore their feelings and reactions among peers with similar history. For others, individual counseling might offer greater help. For yet others, the practices of yoga, meditation, prayer, or mindfulness might bring a sense of peace and calm. What are some other ways to enhance life after cancer? For many survivors, volunteering with a cancer organization or befriending a newly-diagnosed cancer survivor is a beneficial experience; a way to “give back” or “pay forward” and bring meaning out of a traumatic experience. Others find this to be a transformative time of exploring new careers, new hobbies, or digging into that “bucket” to take a yearned-for vacation or write that book! Either way, in the final analysis, it is important for each of us to realize that life is precious and should not be “measured by the number of breaths we take, but by the moments that take our breath away.“

Many of the programs that support cancer patients in their recovery and survivorship are not reimbursed through insurance, but we are able to offer them at Bon Secours thanks to donor support.” Ann Carpin | Senior Development Officer Bon Secours Richmond Health System | Foundation 7229 Forest Avenue, Suite 200 | Richmond, VA 23226 W: 804-281-8583 | ann_carpin@bshsi.org

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M Health Medical C Melissa Perry B y About Prevent Blindness Mid-Atlantic

Founded in 1957, Prevent Blindness Mid-Atlantic is the only local non-profit health organization dedicated solely to the prevention and detection of vision problems. Focused on promoting vision as part of a continuum of health care, Prevent Blindness Mid-Atlantic provides vision screenings, advocacy, and eye health and safety education programs. As a privately funded 501(c)3 organization, Prevent Blindness Mid-Atlantic provides services through funding from foundations, corporate sponsorships, fundraising events, private donors, and civic organizations.

Celebrate Halloween and Christmas Safely

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Halloween and Christmas don’t have a lot in common, but they do share at least one factor: both require extra diligence in order to protect your family’s healthy vision. Almost all eye injuries are preventable; accidental eye injuries can be avoided with some extra planning. Halloween Safety The National Retail Federation estimated Halloween spending at around $5.8 billion yearly. Approximately four out of 10 people dress in costume, spending more than $23 on their ensemble.

slip over children’s eyes. •

Do not use or purchase pointed props such as spears, swords or wands.

Wear bright, reflective clothing or decorate costumes and bags with reflective tape/patches. Carry a bright flashlight to improve visibility.

Never buy cosmetic contact lenses without a prescription. This is illegal and dangerous. Misuse of lenses can result in infections, swelling, pain, sensitivity to light, scratches, and loss of clarity. Wear hypoallergenic makeup. Adults should apply it for children, and remove it with make-up remover instead of soap. Follow product guidelines about application around the eyes. False eyelashes should only be applied and removed according to manufacturer’s instructions. Cosmetics should never be shared, especially eye cosmetics.

Do not dye eyelashes or eyebrows.

Always apply makeup outside the lash line to avoid contact with the eye.

Avoid costumes with masks, wigs, floppy hats or eye patches that block vision. Tie hats and scarves securely so they won’t

Avoid costumes that drag on the ground to prevent tripping or falling. Do not use roller blades or ride a bike, scooter or skateboard while wearing a costume.

Follow these tips to help keep Halloween a treat and avoid scary trips to the emergency room:

gift is appropriate for every child. Careful gift selection can help the children in your life spend the holidays with friends and family instead of in the emergency room. The U.S. Consumer Product Safety Commission estimated that U.S. emergency rooms treated 251,700 toy-related injuries in 2010. 72 percent of those injuries were to those less than 15 years old; 46 percent of them occurred to the head and face. Lacerations, abrasions and contusions made up most of these injuries. We want to encourage everyone to make conscientious purchasing decisions in order to protect your loved ones’ healthy vision. We suggest:

Always accompany children while trick-or-treating. Only go to familiar houses. Carefully examine all trickor-treat items for signs of tampering before allowing children to eat them. Inspect any toys or novelty items received by kids age 3 and younger as they may pose a choking hazard. Jack-o-lanterns should be placed in areas where trickor-treaters or party guests won’t trip over them or have costumes brush up against them. All tripping hazards should be removed from sidewalks and porches. Make sure costumes are made of flame-retardant material.

By following these simple steps, parents can help ensure that everyone in the family can have a fun, safe Halloween night to remember. Purchasing Safe Toys for Christmas In the excitement of the season, it is important to remember that not every

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Make recommendations to family friends about gifts that are appropriate for your child. Inspect gifts before allowing your child to use them.

Inspect all toys before purchasing and monitor your child’s gifts to make sure they are appropriate for your child’s age and developmental level.

For younger children, avoid play sets with small magnets and make sure batteries are secured within the toy.

Gifts of sports equipment should always be accompanied

by protective gear (such as a basketball along with eye goggles, or a face guard with a new batting helmet for baseball or softball). •

Any toy that is labeled “supervision required” must be used in the presence of an adult. Keep toys meant for older children away from younger ones.

Always save the warranties and directions for toys. If possible, include a gift receipt. Repair or throw away damaged toys.

Avoid toys that shoot or include parts that fly off.

Inspect toys for sturdiness and make sure there are no sharp edges or points. The toys should also withstand impact. Dispose of wrapping material on toys immediately, as it may have sharp edges.

Don’t give toys with small parts to young children. If any part of a toy can fit in a toilet paper roll, the toy is not appropriate for children under age three.

For more information on eye safety, during the holidays and throughout the year, visit our website, www. TheEyeSite.org, or call (804) 4232020. We hope everyone has a happy and safe Holiday Season!


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M Health Medical C Gary Edward Barg Presented B y About Caregiver Media Group Caregiver Media Group is the nation’s first integrated media organization serving caregivers online, in-print and in-person. Established in 1995, Caregiver Media Group has become the recognized media authority on caregiving through Today’s Caregiver magazine, Caregiver.com, the Fearless Caregiver Conferences, the award winning book - The Fearless Caregiver: How to get the best care for your loved one and still have a life of your own, as well as Caregiver Media Group’s award winning content and custom publications.

Shingles Vaccine

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The chickenpox virus many people experienced as a child remains asleep within the body’s nervous system throughout their lives. The virus can reactivate with a drop in immunity due to stress or other factors, appearing as a rash known as shingles. It starts as pain and sensitivity in the area that will erupt, and the cause of the burning sensation is not immediately apparent. Once the rash forms, it becomes a unique sign pointing to the cause. The rash is both unsightly and painful, and looks very much like shingles on a roof. Shingles blisters are fluid filled and eventually pop, similar to pimples, but appear to “hang” from the rash line. Keeping the area clean and following precautions not to touch the area are essential to preventing additional infection. Shingles has no preference as to which area it will attack, even from one outbreak to another. Usually one area of the body is affected, and the outbreak runs in a line relative to a nerve. Nerve cells carry the virus to the skin surface where the eruptions occur. Our nervous system delivers signals to our entire body, including pain signals. When we have small outbreaks of pimples, those can be uncomfortable and even painful until they subside. With shingles, pain is consistent and immediate, because the eruption is tied to a nerve.

When a facial nerve is attacked by the virus, it can be classified as Ramsay Hunt Syndrome, and the symptoms can resemble a stroke. Ringing in the ears, vertigo and facial weakness on the side of the affected nerve imitate stroke. This type of viral attack creates blisters on the inside and/or outside of the ear canal, including the eardrum, and can include blisters on the tongue and roof of the mouth.

disorder) should avoid the vaccine as it does contain enough of the living chickenpox virus to provoke the body to react and generate immunity. If an individual’s body cannot generate this reaction due to drugs given to suppress the immune reaction or for other reasons, it’s best to avoid the vaccination. Caregivers may debate vaccinating their loved ones. Concerns of effectiveness and any negative reactions are to be expected. Weigh the concerns against the known benefits, especially for patients with memory challenges like Alzheimer’s or dementia. A loved one with memory challenges may not understand precautions about the rash area, or managing pain.

Antiviral medications may help stunt the progression of the rash once it’s happened, but “prevention” can be obtained in the form of a vaccine. Inoculations of any type (flu, pneumonia, chickenpox, etc.) are not 100% guaranteed, except to raise immunity to the disease. Five year clinical trial results by drug corporation Merck & Company was published in the New England Journal of Medicine in 2005. Outbreaks of shingles were cut by 50%, and of those who had outbreaks, long term complications could be reduced by two-thirds.

more than once in a lifetime, and in different locations. The vaccine boosts immunity, and immunity is the factor that protects us from disease. In the event you choose vaccination for yourself and your loved one, remember that having a mild cold will not affect the impact of the vaccination. However, it is suggested that you wait until you are over anything more severe than a light head cold. Vaccination is recommended for individuals over age sixty. Speak to your doctor about benefits of early vaccination.

As treatment for shingles can be costly, the vaccine can be cost effective. A case of shingles can last for months in some people with low immune systems, or reoccur within the same year. Vaccination provides a measure of support to prevent the first outbreak, and need to spend money on doctor’s visits and medication.

The vaccine is simply a “turbo charged” version of the chickenpox vaccine given to children.

Long term effects of shingles can hamper the quality of daily activities. Post-herpetic neuralgia is a long term complication in which there is residual pain from the outbreak. This complication was reduced by twothirds during the Merck trial.

The Centers for Disease Control and Prevention (CDC) recommend the vaccine, but caution individuals who have gelatin or other allergies to assess them fully with their doctor. Anyone with severely depressed immune systems (such as individuals with AIDS or other immune

Individuals who have already had shingles can still benefit from vaccination. Outbreaks can occur

Gary Edward Barg, CEO Editor-In-Chief Caregiver Media Group Today’s Caregiver magazine Fearless Caregiver Conferences Caregiver Friendly Awards Caregiver.com T: 954.362.8121 T: 800.829.2734 extension 121 F: 954.585.9201 Gary@caregiver.com Don’t forget to sign up for our weekly email newsletter at http://caregiver.com/subscribe/subscribe_newsletter.htm

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M Health Medical C y Maurice Nahabedian, MD, FACS B Professor of Plastic Surgery

Georgetown University Hospital

Maurice Nahabedian, MD, FACS is currently a Professor of Plastic Surgery, Vice Chairman for Clinical Affairs, and Chief of the Division of Microvascular Reconstruction in the Department of Plastic Surgery at Georgetown University Hospital. His primary clinical and research interests are focused on breast as well as abdominal wall reconstruction. He has published over 130 manuscripts, editorials, and discussions as well as 42 book chapters on a variety of topics that include breast reconstruction and abdominal wall reconstruction. Dr. Nahabedian

Improving Your Abdominal Appearance:

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The desire to improve abdominal appearance is ubiquitous. For some people, it’s about improving contour and having that chiseled appearance to look better than normal. For others, it’s about reducing the quantity of skin and / or fat just to get to a point where they once again look normal. For some, achieving these goals may be easy, whereas for others, it may be very difficult. One of the consequences of getting older is that our metabolism slows down and we tend to accumulate fat in areas that we would like to keep thin, namely the hips and abdomen. With the increasing emphasis and importance of maintaining good health, nutrition and exercise, many people are able to achieve these goals without surgery. However for some, losing that excess skin and fat may prove to be more of a challenge because there may be diet and exercise resistant fat. For those individuals, surgical options such as abdominoplasty or liposuction may be considered, but only when they are good candidates. I want to emphasize the term “good candidates” because there are many factors that must be appreciated when considering surgical approaches to abdominal contouring that include patient expectations, general health, body weight, and quantity of skin and fat. Some patients will be good candidates for liposuction, some will be a good candidate for abdominoplasty, and some may not be a candidate for either. This monograph will review the current indications and surgical options for improving abdominal contour as well as to offer some assistance for individuals considering which option may be most appropriate for them. Abdominoplasty (Tummy Tuck) According to statistics compiled by the American Society of Plastic Surgeons (ASPS), over 106,000

to optimally contour the skin. Your plastic surgeon will review this during the consultation and determine which would be most appropriate. Some women may have a localized area of fat excess and be a better candidate for the less invasive procedures such as liposuction rather than a tummytuck. Liposuction will be reviewed later in the monograph.

abdominoplasties were performed in 2012 with the vast majority being women (reference: www. plasticsurgery.org). This represents a 70% increase since 2000. The main reason why women choose abdominoplasty is because they want to improve abdominal appearance by simultaneously removing skin and fat. Many will report one or more factors that have led them to this decision that include but are not limited to pregnancy, advancing age, weight fluctuations, heredity, and prior abdominal operations. In order to be considered a good candidate for a tummy tuck, one should be in good physical and mental health, maintain a stable weight, and avoid all tobacco products. It is always emphasized that proceeding with a tummy tuck should not be perceived as a substitute for dieting, exercise, and weight loss. In women, that are overweight, my advice is to attempt conservative measure such as dieting and exercise first in order to stabilize their weight. In women that are able to do this successfully, results have been more predictable and reproducible and women have been generally happier with the results. I also advise women that are considering future pregnancies to postpone having a tummy tuck until having children is complete.

Your surgeon should also review the risks and benefits of having a tummy tuck, take photographs, and discuss cost. As with any operation, there are certain adverse events can occur with an abdominoplasty. These include but are not limited to bleeding, infection, scar, fluid collection, delayed healing and contour irregularities. Fortunately, these are uncommon and the vast majority of women are very pleased with the outcome. The cost of an abdominoplasty will vary based on where you live and surgeon experience. Keep in mind that this is a cosmetic operation and rarely covered as an insurance benefit. In general, you should plan on 30 to 45 minutes for the consultation.

During the initial consultation, your board certified plastic surgeon will determine if you are a good candidate based on the factors reviewed. Some women will be candidates for a miniabdominoplasty that requires less skin and fat removal; whereas, other will require a full-abdominoplasty

The procedure itself is generally straightforward and usually takes about 2 hours. General anesthesia is usually recommended but it can sometimes be performed under twilight anesthesia in conjunction with a local anesthetic. The incision usually extends from hip to hip and is located just above the pubic bone so it’s is nicely concealed within the bikini line. Sometimes a second incision around the belly button is necessary in situations where extensive abdominal contouring is needed (full-abdominoplasty). In some women that have had children, the muscles supporting the abdomen may slightly separate resulting in a condition known as rectus diastasis. This condition can be repaired during an

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abdominoplasty by suturing the supportive structures and muscles back together along the midline to eliminate that central midline bulging. Once the excess skin and fat are removed, the incision is closed in layers using dissolvable sutures. A drainage tube is usually placed above the muscle layer to remove any fluid that may accumulate. This is usually removed a few days after surgery. An abdominal binder may also be recommended for support and to reduce the amount of swelling. Abdominoplasty is usually performed as an outpatient procedure but on rare occasions, overnight hospitalizations may be recommended for safety reasons. Following the tummy tuck, your abdomen will be firmer and the excess skin and fat will be gone. Initially, there may be some mild swelling but this diminishes after a few weeks. Your plastic surgeon will prescribe pain medication and antibiotics (when needed) as indicated. Be prepared to walk in a slightly flexed position at the waistline until the incisions heal and the skin elasticity returns (usually a few days). I typically instruct patients that it’s ok to shower and get the incisions wet after 3 days. I also advise patients that it’s ok to drive when they are off their pain medication and they have full range of motion (usually 7 – 10 days). Most patients are able to resume normal activities after about 1 month.

Abdominal Liposuction Liposuction has been one of the most common cosmetic procedures


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M Health Medical C has been the principal editor of 3 textbooks and co-edited 2 textbooks focused on reconstructive and aesthetic breast surgery and is in the process of completing a 6th textbook on abdominal wall reconstruction. He is the Section Editor for Breast Surgery with the Journal of Plastic and Reconstructive Surgery (PRS), serves on the editorial board for 3 other journals, and has reviewed manuscripts for 23 different journals. Dr. Nahabedian currently serves on the clinical symposia committee and the instructional course committee for the American Society of Plastic Surgery, is the PRS representative to the Joint Business Operations Committee, and is a frequent oral board examiner for the American Board of Plastic Surgery. In 2012, Dr Nahabedian chaired three national symposia that included the 4th Annual Abdominal Wall Reconstruction Conference, the Santa Fe Breast and Body Contouring Symposia, and the Challenging Complications in Plastic Surgery Conference. Dr. Nahabedian has also been a visiting professor 55 times over the past 8 years at various universities and hospitals around the country.

Exercise, Liposuction or Abdominoplasty performed in the USA. According to ASPS statistics, over 200,000 liposuctions procedures were performed in 2012 (reference: www. plasticsurgery.org) . Abdominal liposuction is ideal for women with a localized area or areas of excess fat. It is an excellent way to improve abdominal contour and proportion in a much less invasive manner. Although liposuction has been shown to be safe and effective for fat removal, it should not be perceived as a substitute for weight loss, good eating habits, and regular exercise or as a treatment for obesity. Individuals considering liposuction should consult a board certified plastic surgeon to determine if you are a good candidate. Ideal candidates for abdominal liposuction are in good physical and mental health and are within 30% of their ideal body weight. Good candidates for abdominal liposuction will typically have firm, elastic skin with good muscle tone. As is the case with all patients seeking cosmetic surgery, avoidance of tobacco products is strongly recommended to reduce the risk of complications. During your consultation, the plastic surgeon will typically assess your expectations and what you hope to achieve, obtain a comprehensive history, perform a physical examination, review the treatments options, discuss complications, and take photographs. As technology has made a big splash in our everyday lives, so have the options for liposuction. Traditional liposuction is still the most common and involves the insertion of a blunt tip cannula into the area of localized fat in order to suction out the fat. This is achieved using a negative pressure apparatus to generate the suction force. Newer technologies will use ultrasound or

radiofrequency waves to dissolve or breakup the localized fat followed by the suction phase. Still newer technologies will utilize external devices that will cool or freeze the localized fat resulting in fat dissolution. Your plastic surgeon should review these options and determine which is preferable for you. Whenever considering liposuction, you should be aware of the potential complications. Fortunately, liposuction is considered a relatively simple procedure and the vast majority of patient do very well and are very happy with the outcome; however, there are situations when things may not go as expected. Adverse events are related to various factors that include but are not limited to the length of the procedure, the amount of fat removed, and whether or not additional procedures are performed. Some of these adverse events include irregular contour, waviness of the skin, fluid collections, infection, and the need for a “touch-up� or additional procedures. More serious adverse events include blood clots (deep venous thrombosis) with dislodgment of these clots to the heart and lungs (pulmonary embolus). Most liposuction procedures are performed as an outpatient; however, in some situations, an overnight stay in a hospital like setting is recommended. Some of the reasons for an overnight hospitalization include removal of more than 5 liters of fat or it the operation requires more than 5 hours. Fluid and electrolyte imbalances may occur in these situations. Performing simultaneous operations such as breast surgery and abdominal contouring procedures may also increase the chances of a complication.

The steps of the traditional liposuction operation are relatively straightforward. Liposuction is sometimes performed under general anesthesia (completely asleep) or twilight anesthesia (light sleep) with the addition of a local anesthetic agent. Your plastic surgeon may recommend one or the other. Small incisions will be made at specific locations on your abdomen followed by the instillation of a tumescent fluid into the fat compartment. This fluid is comprised of saline, lidocaine, and epinephrine and is used to constrict the blood vessels in the area, to minimize intraoperative and postoperative bleeding, and to expand the fat compartment. About 20 minutes later, a thin hollow tube or cannula is inserted and attached to a suction device to remove the fat. This is performed using back-and–forth movements either manually or with a powerassisted device. The suctioning is continued until the desired contour is achieved. The small incisions may be closed or left open and bandages are applied. Recovery following liposuction of the abdomen is usually easier than abdominoplasty. Patients should refrain for strenuous activities or exercise for about 1 month. Compression garments are

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Maurice Nahabedian, MD, FACS Professor: Plastic and Reconstructive Surgery Georgetown University Washington DC

essential. I explain to all patients considering liposuction that removal of the fat completes about 60% of the task and that adequate postoperative compression completes the rest. For this reason, compression garments are recommended and should be worn continuously for several weeks. Failure to do so will result in prolonged swelling and a less desirable outcome. Showering is permitted 3 days following liposuction. Pain medication and antibiotics are prescribed as indicated. Most patients are able to resume normal activities after 4-6 weeks.

In summary, both abdominoplasty and liposuction are safe and effective methods to achieve improvement in abdominal appearance. That said, dieting and exercise are highly recommended both before and after these procedures. When considering these options, it is recommended to consult with a board certified plastic surgeon to determine which may be the most appropriate.

202-444-2000 DrNahabedian@aol.com www.MauriceNahabedian.com 3800 Reservoir Road, NW Washington, DC 20007


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M Health Medical C

y Christopher Olukoga, MD, FACS B

Weighing In...

Christopher Olukoga, MD, FACS, is a board-certified surgeon with Surgical Associates of Chester County and performs bariatric, general, laparoscopic and robotic surgery. Dr. Olukoga is on the medical staff at Brandywine Hospital and serves as the Director of General and Bariatric surgery.

Is Weight-Loss Surgery Right For You?

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It is an unfortunate fact that our nation is experiencing a critical weight problem with obesity. More than one-third of U.S. adults – nearly 38 percent – are obese, according to the Centers for Disease Control & Prevention, and the percentage continues to climb. Overweight and obesity are linked to several chronic diseases including type II diabetes, hypertension, sleep apnea, high cholesterol, heart disease, stroke, and certain types of cancer. In Pennsylvania alone, the percentage of overweight or obese adults topped 28.6 percent in 2011.

Although it is difficult to achieve sustainable weight loss without bariatric surgery, not all obese patients are candidates.

Weight loss surgery is a very durable option for obese individuals who have been unsuccessful at losing weight by diet and exercise alone. Weight-loss surgery (also called bariatric surgery) is a safe and highly effective procedure that has enabled hundreds of thousands of obese persons achieve life-changing weight loss. Clinical studies have shown that weight loss after bariatric surgery can resolve type II diabetes, hypertension, cut a person’s risk of developing coronary heart disease in half and resolve obstructive sleep apnea in more than 85% of patients. Heather had the laparoscopic adjustable gastric band (lap band) surgery at Brandywine Hospital performed by Dr. Olukoga in January 2012. Like many women, she had a dangerous relationship with food. She loved to eat – and would eat anything and everything she could get her hands on whether she was happy, sad or angry. “Thinking back,” Heather recalls “I wonder: Why did I do it? I felt guilty about eating as much as I did, but I couldn’t bring myself to stop. It was a vicious cycle.” Prior to surgery, Heather had a BMI of 46.9 and was suffering from sleep apnea and acid reflux; at this point, she was a suitable candidate for weight-loss surgery.

Individuals also should be: • Between the ages of 18 and 65 •

Have a high body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with an obesity-related condition like diabetes mellitus, hypertension, sleep apnea, or high cholesterol

Struggling with an obesityrelated condition, like hypertension, heart disease, or sleep apnea

Trying to or have tried in the past to lose weight through other means

Psychologically ready for weight loss surgery

Willing to commit to dramatic post-operative lifestyle changes

By a year and six months out of surgery, Heather had lost 89 lbs. Her sleep apnea and acid reflux have completely resolved. She has changed the way she eats, and she exercises three or more times a week. “By any means, it is not all a piece of cake,” she admits, “Still to this day I have good days and bad. My mind sometimes still sees the heavier Heather; it still shocks me that I can shop pretty much wherever I want now. I am

It took Heather nearly two years to decide on weight-loss surgery. “I had doubts,” she recalls, “like, how am I going to survive this two week pre-surgery diet they are going to torture me with? It was rough for the first few days, but it got easier. I’m not going to lie, the procedure was tough. This is serious stuff, but every day it gets easier.”

so happy that I had the surgery and have no regrets. I always say Dr. Olukoga saved my life.

Comfort.

our spaCious private rooms help patients reCover in Comfort.

There are a number of factors to take in to account when considering weight loss surgery. Surgery is just one critical step that provides you with a tool that allows you to lose weight successfully. You need to consider if your weight is such an issue that you are willing to take the risks of surgery, if you’ll be able to afford it, and if you can commit to the necessary lifestyle changes needed for success after surgery. After a successful procedure, all patients need to maintain a lifelong lifestyle change that includes healthy food choices, food portion control, and regular exercise.

Brandywine Hospital has undergone a renovation to offer our patients private rooms with special amenities that help them feel more comfortable and at ease. These new rooms have ample space for family and friends. Wi-Fi is available. Now, every room in our Medical/Surgical, Orthopedic and Neuroscience, Progressive Care and Intensive Care Units is completely private. To find out more about the patient-centered care at Brandywine, visit BrandywineHospital.com.

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60167_BRAN_Rooms_22x30cP.indd 1

It’s better at Brandywine.

2/14/12 3:55 PM


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M Health Medical C Advance Techniques is dedicated to providing you with the latest proven hair replacement and hair restoration solutions, with multi-therapeutic hair loss treatment programs designed to address your specific type of hair loss, We offer: • Affordable hair replacement services custom designed to your individual hair loss and hair loss solution requirements. • The very finest human hair wigs, medical hair prosthesis, and men’s hair replacement systems • Free, no obligation hair and scalp evaluation • Discreet, dignified and confidential service • A team of quality trained and experienced hair and skin specialists • Personal, professional, one on one service • Totally private styling rooms • The security of dealing with a firm that’s been in business in Chesterfield County for over 20 years.

Say Goodbye To Hair Loss Anxiety

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Millions of women and men suffer frustration and embarrassment over the traumatic problems of excessive hair loss or thinning hair. It’s estimated that 40% of women by the age of 40 will have a degree of hair loss, and 50% of men by the age of 35. Studies have proven that individuals with hair loss look older than they actually are. Women can do very little to hide their problem. They are presumed to have health issues or, even worse, labeled as not caring about their appearance. A woman can be embarrassed when she tries to go to the salon to get help. Too often, the stylist will tell her that there is nothing that he or she can do. Major Causes Of Hair Loss In Women •

Physical Stress: surgery, illness, anemia, rapid weight change

Emotional Stress: mental illness, death of a family member

Thyroid abnormalities.

Medications: High doses of Vitamin A, birth control pills, menopause.

For the men who can’t shave their head or wear a hat to work, they too face the same dilemma as the women. They are often over looked for promotions for a younger-looking counterpart. They’re reluctant to even try hair replacement because of all the bad results they’ve seen in the media and even on their friends or family members. They don’t explore other resources to see if there really is something revolutionary that can give them back the look they’ve lost, through no fault of their own.

Transitions Member Advance

Techniques is a proud member and the only studio in the State of Virginia to be part of the elite group of Hair Restoration Specialists, comprised of an award winning international membership of the world’s finest hair replacement and hair restoration clinics. www.reallusionshair.com “A breakthrough technology that yields unbelievable results!” - Chip Tarkenton, Showcase Richmond, Virginia

Low Level Laser Hair Therapy

Non-Surgical Hair Replacement

This could be in a class by itself. Recently approved by the FDA to re-grow hair, LLLHT has taken a hold on the market. IN studies 57% of individuals will re-grow hair, 85% will experience a halt in hair loss while 100% of users see a thickening of the hair shaft. Success is seen those individuals who are in the first 5 years of hair loss. Laser Hair Therapy is a non-surgical therapeutic laser. It is the most powerful laser that is safe for cosmetic purposes. LLLHT is “cold-beam” laser technology. The power level is so low that is virtually a mere vibration that you cannot feel, harmless but effective.

This is the choice for more and more individuals because of the advances in technology and the natural look that’s now attainable. The options available today with Reallusions™ and Virtuesse™ have made it easier for many. The definition of hair replacement is any additional hair added to ones existing hair or scalp to give the appearance of fuller, thicker hair. Compared to all other options, hair replacement systems represent and affordable method with immediate results for solving hair loss. If a person is not satisfied with the results, it can be reversed completely without any risk or scars. Today’s hair replacement has improved over the years. They no longer look like a toupee or common wigs. The results are truly amazing in regards to creating a seamless natural front. They are very light density, breathable, and much thinner, like another layer of skin. Attachment methods allow the wearer total freedom. They can participate in normal activities, such as working out and swimming with no detection. There is no need to remove anything before going to bed. Coverage can be just where the client needs the hair. Whether it’s just on the crown of the head or full head, the same natural look can be achieved. Advance Techniques has studied all the options, attended continuing education, and visited numerous studios to give you honest answers to your hair loss issues no matter what the situation may be.

Advance Techniques 9550 Midlothian Turnpike, Suite 201 North Chesterfield, Virginia 23235 804-323-4040

We restore more than just your hair.. . ** *trust ** confidence ** self-esteem www.advancetechniquesva.com www.iwanthair.com www.reallusionshair.com www.vrhair.com Hours: Tuesday - Friday 9:00 - 6:00 & Saturday 9:00 - 2:00

Appointments are strongly recommended for your convienance

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M Health Medical C

y Ka Wong, MS, RD, CNSC B

Ka Wong is a Registered Dietitian for the inpatient oncology and surgical units at Bon Secours Memorial Regional Medical Center in Mechanicsville, VA. She has a Master of Clinical Nutrition from Chicago Medical School and also holds a specialized certification in Nutrition Support. She is an Assistant Professor at J. Sargeant Reynolds Community College. Ka has been helping people achieve their nutrition goals for over 20 years.

Beating Cancer- One Healthy Bite At A Time

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According to the American Cancer Society, poor diet and obesity are related to one-third of all Americans that die from cancer. This statistic and volumes of research highlight the importance of healthy eating in reducing cancer risk. Even with the good intention of eating better, consumers are often bombarded with the latest headlines of a special diet that can cure or prevent cancer. This article will discuss the pros and cons of some popular diet regimes and suggest a healthy approach to eating. Alkaline diet Among the many purported health benefits, the alkaline diet is said to increase the pH level in the body (making it more alkaline) to make it unfavorable for tumor growth. The alkaline diet promotes the consumption of vegetables, fresh fruits, nuts and seeds while it restricts the intake of dairy, eggs, animal protein, sugar and refined starch. Nutritionally, this is not a harmful diet since it is low in cholesterol, saturated fat and sugar. However, this diet may render low iron levels as iron absorption is impaired by the phytates in vegetables and legumes. In addition, the levels of vitamin D and vitamin B-12 may be insufficient if not planned carefully. More importantly, there is a major flaw in the basis of this diet for cancer treatment. The human body constantly maintains a tightrange of blood pH level between 7.35- 7.45. An Alkaline diet may change a person’s urinary pH, but it cannot alter blood pH level. Looking at the evidence, there is no scientific research supporting its place in cancer fighting. For general health, the alkaline diet may help to reduce the intake of “bad” calories and up the fiber which is a much needed dietary change for many Americans. It does not, however, help to prevent or cure cancer.

Juicing This practice claims to prevent or cure cancer by boosting the immune system and removing toxins from the body. Juicing involves extracting juice from fresh fruits and vegetables while removing the pulp or dietary fiber in the process. Fruits and vegetables contain cancer-fighting phytochemicals and antioxidants. Therefore, juicing is a great way to include more fruit and vegetables especially for those who dislike eating them. Some juicing practices suggest drinking only juices during cancer treatment. They suggest solid foods should also be avoided when juicing since they require digestion and therefore place a burden on the body. This practice would definitely make juicing an unbalanced diet that is deficient in protein, iron and vitamin B-12. Juicing may also be high in sugar content and may cause diarrhea in some individuals. While there is lack of research supporting the practice of juicing for cancer, it is no doubt a creative way to add in a wider variety of fruits and vegetables into a meal plan. Varying the types of fruits and vegetables used in the recipe would help to maximize the exposure to the thousands of phytochemicals known to scientists.

Eat at least five different servings of fruits and vegetables a day. Choose whole fruits instead of juice; fresh or frozen vegetables before canned. Varying the color of fruits and vegetables (think purple, white, orange, green, yellow, and red) is as important as meeting the quota for the day. Each color represent a different phytochemical that combats cancer and other inflammatory diseases. Choose more plant-based meals. Red meat and processed meat have been shown to increase risk of colon cancer. Limit red meat to no more than 18 ounces per week and avoid carcinogenic processed meat such as hot dogs, lunch meat, sausage, and bacon. Try eating beans, legumes or soy instead of meat. Do not worry about the connection of soy and breast cancer. Ample studies have shown no relation between breast

Relax and eat well The following suggestions may not be earth-shattering and some may have been around for decades. But they are evidence-based with research linking to reducing cancer risk.

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cancer occurrence and soy intake. Soy may even reduce breast cancer recurrence. Achieve and maintain a healthy weight. Eat meals at a regular interval to avoid impulsive snacking. Pack healthy snacks such as almonds, walnuts, low-fat yogurt, fresh fruits to fill in between meals. Prepare smaller portions for meals at home or opt to doggy-bag half of the meals when dining out. To combat fatigue and avoid emotional eating, try taking a walk or standing up to stretch. Scheduling a time to get moving may help to establish a routine and make it a priority. Following a restrictive diet can create emotional stress, not to mention the financial burden it may incur. Healthy eating should not be complicated, but it does require longterm commitment. Let’s make small changes one healthy bite at a time.


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M Health Medical C

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The County Woman Newspaper

Spring 2013 December 2011/January 2012


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The Virginian is proud to be recognized as one of U.S. News & World Report's "Best Nursing Homes for 2012" in their list of 5 Star Ranked Communities. — U.S. News and World Report

We serve our patients with joy, humility and gratitude. We embrace humility, recognizing that the needs and interests of our patients are paramount over our own preferences and inclinations. We express gratitude, acknowledging that service to others is the most enduring of human pleasures.

CARING FOR YOU

The Virginian Home Health Services is part of The Virginian CCRC, serving Residents for over 30 years. We are dedicated to providing our Patients with warm, skillful and compassionate care in their place of residence. Offering an individualized approach to each Patient’s plan of care, our services are delivered by experienced Registered Nurses, Licensed Therapists, Licensed Practical Nurses, Certified Nursing Assistants and Medical Social Workers. We encourage you to call our office at 703-259-6351 to speak with us.

SERVICES SKILLED NURSING SERVICES • Initial Assessments • Reassessment Visits • Education & Training • Medical Case Management • Medication Management

PERSONAL CARE SERVICES • Exercise/Range of Motion • Bathing/Skin Care • Dressing • Mouth Care • Grooming

HOME HEALTH SERVICES Treating patients like family.

REHABILITATION SERVICES • Physical Therapy (mobility, strength, ambulation, balance) • Occupational Therapy (training in activities of daily living, home safety, and upper body strengthening) • Speech Therapy (communications & swallowing)

Services are offered on an as needed basis and can be scheduled Monday through Friday from 8:30 a.m. – 5:00 p.m. Rates for Nursing and Therapy services will be based upon the current Medicare fee schedule.

The agency is in compliance with Title VI of the Civil Rights Act of 1964, with Section 504 of the Rehabilitation Act of 1973 and with the Age Discrimination Act of 1975. We do not discriminate on the basis of race, color, religion, sex, national origin, age or disability with regard to admission, access to treatment or employment. We will make every effort to comply with these and similar statutes.

M a rc h / A p r i l 2 0 1 3 | N OVAWO M A N . C O M

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The Virginian Home Health Services 9229 Arlington Boulevard • Fairfax, Virginia 22031 703-259-6351 phone • 703-731-2926 (after hours) www.thevirginian.org


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M Business Financial C y Danna M. Geisler B

Danna M. Geisler is the new president of the Chesterfield County Chamber of Commerce.  Danna previously managed the Chesterfield and Richmond Business Councils at the Greater Richmond Chamber of Commerce.  In her professional life, she served as deputy press secretary in the stateside offices of former United States Senators Joseph R. Biden, Jr., and Edward (Ted) E. Kaufman.  She began her career as a general assignment reporter in Fairbanks, Alaska, for ABC Alaska News, the only statewide broadcast. She received a master’s degree in Strategic Public Relations from Virginia Commonwealth University, and a bachelor’s degree in Communications & Rhetorical Studies from Syracuse University.

New President For Chesterfield County Chamber Of Commerce

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On August 26, 2013, the Board of Directors of Chesterfield County’s top business organization, the Chesterfield County Chamber of Commerce, announced that Danna Geisler was hired to lead the Chamber as the new president. Prior to joining the Chesterfield County Chamber of Commerce, Danna worked as business council program manager for the Greater Richmond Chamber of Commerce (GRCC). She created its newest leadership program, Politics 101, which is designed to build a strong succession of elected leaders in the Richmond Region. Danna recently served as chair of the 2013 Virginia Young Professionals Summit, held in Norfolk over the weekend of September 6-7, which gathered hundreds of emerging leaders from across the state for a weekend of community service, networking, and professional development.

Prior to her chamber work, Danna relocated her life and career around the United States with the U.S. Army, serving as a proud Blue Star spouse in Operation Iraqi Freedom. The realities of war and a learned appreciation of freedom of opportunity have shaped Danna’s passions and values.  Danna worked in the stateside offices of former United States Senators Joseph R. Biden, Jr., and Edward (Ted) E. Kaufman, in the capacity of deputy press secretary.  She began her career as a general assignment reporter in Fairbanks, Alaska, for ABC Alaska News, the only statewide news broadcast. Danna is currently enrolled in the Sorensen Institute’s Political Leaders Program Class of 2013, out University of Virginia.  She earned a master’s degree in Strategic Public Relations from Virginia Commonwealth University,

and a bachelor’s degree in Communications & Rhetorical Studies from Syracuse University. She and her husband, Peter, live in Chesterfield. Peter is now a Department of Defense contractor at Fort Lee, after honorably discharging from active duty. Danna is charged with leading the strategic vision of the Chesterfield County Chamber of Commerce and implementing its recently adopted strategic plan. She is excited about the future of the Chamber and is really looking forward to the next annual event: A Taste of Chesterfield & Legislative Reception, taking place on Thursday, October 24, from 5:30 p.m. – 7:30 p.m. at the Sheraton Park South Hotel. At this fifth annual reception, attendees will mingle with local and state elected officials. Special invited guests include the candidates for Governor, Lieutenant Governor, Attorney General and House of Delegates. The reception is popularly known for its featured dishes from 15 to 20 talented chefs from around Chesterfield County. New this year, will be the “Best of Taste of Chesterfield” contest and all guests will get to vote on their favorite signature dishes. Prizes will be awarded for first, second, and third place based on the number of votes from the guests.

by: DuPont, Sheraton Park South Hotel, Magic Special Events, Richmond Times Dispatch, Work It, Richmond, Chesterfield County Economic Development, Call Federal Credit Union, Village Bank, The Community Idea Stations, Dominion Virginia Power, and Virginia Credit Union, Legal Resources, Mason-McDuffie Mortgage Corporation, Legal Resources, First Citizens Bank, Chesterfield County Public Schools, Richmond Alarm, Marketing & More, Pharr Valuation & Business Services, LLC, Tax & Business Solutions, LLC., and BizWorks Enterprise Center. To register for this event visit www. chesterfieldchamber.com. For additional information contact the Chamber at (804) 748-6364 x 2 or sandy@chesterfieldchamber.com.

The Chesterfield County Chamber of Commerce is the most influential and effective business advocacy group in Chesterfield County. With more than 600 members, it can be one of the best tools a business owner has available for channeling concerns to the county government. In addition to being your voice, the chamber offers you many

As of September 13, the participating restaurants include: The Boathouse at Sunday Park, The Country Club at The Highlands, Dressed and Pressed, Firehouse Subs, Huckleberry Café & Catering, A Sharper Palate Catering Co, Q Barbeque, Sheraton Park South Hotel and Uptown Alley’s Red Embers! A Taste of Chesterfield & Legislative Reception is sponsored

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9330 IRON BRIDGE RD SUITE B CHESTERFIELD, VA 804.748.6364 networking opportunities with other business owners in the area. The mission of the Chesterfield County Chamber of Commerce is to: promote our members; protect member interests by advocating for sound government policy on issues that impact our county’s business community; facilitate collaboration, communication, and a sense of community among our members; provide the most effective programs, events, and educational opportunities to support business excellence, networking, and growth; and foster the development of a highly-skilled and competent workforce.  To learn more about the Chamber contact Carol Taylor, Membership Account Executive at (804) 748-6364 x 5 or carol@chesterfieldchamber.com


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M Business Financial C

y R. Caren Bitar B

R. Caren Bitar earned B.A. and M.A. degrees in English before going on to teach undergraduate creative writing. She then worked in offices for years as a writer and editor. Ms. Bitar decided to take her talents to the Web. WhizMarks.com was founded in the Summer of 2010. Numerous individuals and businesses around the world now benefit from her expertise. She currently serves as Copy Editor for Fairfax Woman Magazine and its sister publications in Northern Virginia and Southern Maryland. Please contact Ms. Bitar at editor@whizmarks.com

First Impressions, Last Impressions…

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Do you remember the old adage, “first impressions, last impressions?” Psychologists have studied the fact that upon meeting a person for the first time, the brain forms a mental image. The primary formation of that image has power over thoughts. The question is: can we take our first not-so-good impressions back? Here are a few reasons making a first impression on paper can make or break a connection. Cover Letters and Resumes The ever so familiar task of writing a resume—with visually appealing formatting—can create an immediate response from an employer. Improving your resume can create a good first impression that might get your foot in the door for a well-earned interview. Nicely prepared resumes and cover letters can make you seem competent, prepared for the challenges of a job, well spoken, and computer savvy. You may consider sending job application materials to a professional editor. You’ll feel more confident getting that basic cover letter polished by an editor before putting it out there. Online Dating Profiles More than ever before, singles are using the internet to meet new potential dating partners. The problem is that first impressions do not only involve photographs but personal write-ups. It’s surprising

to see how many men and women either express themselves in words poorly or very well. The difference can put off English grammar nerds nationwide. A poorly written profile may leave you unknowingly passed off as incompetent, irresponsible, careless and socially inept. Admissions Essays Top colleges and universities expect the highest standards of competency from their students and prospective ones. When it comes to application admission essays, issues with content and organization can devastate your chances of getting into the best schools. An editor can make positive changes here. Don’t hesitate to obtain a second opinion before those applications get mailed off. Business Proposals When it comes to writing a proposal, it’s so important to clearly and accurately explain intentions, needs and requirements. Your chances of obtaining financing for a project can oftentimes rely on how well your point comes across. Get a crucial second look before you turn it into your supervisors.

(917) 740-0577. She earned B.A. and M.A. degrees in English before going on to teach undergraduate creative writing. After working in offices for years as a writer and editor, Ms. Bitar decided to take her editing skills to the Web. Numerous individuals and businesses around the world now benefit from her expertise. Check out www.whizmarks. com for more information.

AFTER: For some reason, th e rights of women decreased after Sh akespeare’s time as if they had somehow lost credibility as time pa ssed (Nor ton 10). In A Midsummer Night ’s Dream, the four m ain women in the play have a strong sens e of personal desir e and feel no qualms abou t voicing them, soci ally inappropriate or no t. Their lack of pow er pertaining to legal matters prevented them from attaining any major type of cont rol over their lives. The men in this play are mor e in control of their envi ronment, but are sw ayed by the female pres ence. The females in A Midsummer Night ’s Dream strongly shape their male counterp ar ts’ actions. Shak espeare quite possibly knew that Queen Elizab eth I would be watchin g the play (William s 5), which may have influenced the way he portrayed women. Women’s streng th of will carried weight on the men’s decisions .

WhizMarks.com

There are no second chances for a first impression, especially on paper. If you’re writing a dissertation, resume, letter, proposal or more, contact R. Caren Bitar for editing at editor@whizmarks.com or

peare’s time BEFORE: wered after Shakes lo en om w of ts gh e ri ment as e real estate depart For some reason, th th in ty ili ib ed cr ow lost Dream, the four as if women someh idsummer Night’s M A In ). 10 n to onal desires and time passed (Nor senses of their pers ng ro st ve ha ay pl e propriate or main women in th them, socially inap g in ic vo to e m ca any major n it em from attaining felt no qualms whe th d te en ev pr er w legal po en in this play not. Their lack of ents. While, the m nm ro vi ale en r ei th er fluenced by the fem in e ar t ty pe of control ov en nm ro vi strongly rol of their en while more in cont mmer Night’s Dream su id M A in es sir Because ale de along the lines of: presence. The fem e or m ly sib os (P play action. ld be watching this ou w influence the male I h et ab iz El ng th that Queen d the women’s stre ye ra rt Shakespeare knew po he ay w e influenced th way their (Williams, 5), this the Queen and the to ns sio lu al e iv tit repe of w ill through his tions.) ght on the men’s ac ei w d ie rr ca th ng stre

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M Business Financial C y Lindsey C. Leach B

Lindsey C. Leach earned her B.A. from Christopher Newport University in Sociology with an Anthropology concentration and English with a Journalism concentration. Lindsey obtained the position of Executive Assistant at LINC in 2012. She has since earned two certificates from the University of Richmond’s School of Professional and Continuing studies from the Institute on Philanthropy in Nonprofit Marketing, and Fundraising and Development. Lindsey manages LINC’s office, donor database, volunteers, outreach and education, marketing, social media, development, fundraising, and events.

Onsite at Massey Cancer Center

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“You have cancer.” No one wants to hear those words, and no one wants to think about the other challenges that could come with a cancer diagnosis. You may be too sick to work and not have enough money to pay your medical bills. You may be faced with pressing, stressful issues you never imagined you would encounter. Who do you turn to? If you are a cancer patient at Massey Cancer Center you will most likely be led to the Medical Legal Partnership-Richmond (MLP-R) office. The MLP-R is a partnership between the Legal Information Network for Cancer (LINC), the Legal Aid Justice Center (LAJC), the Central Virginia Legal Aid Society (CVLAS), and Massey Cancer Center. MLP-R’s mission is to improve the health, well-being and peace of mind of vulnerable individuals and families diagnosed with cancer by integrating legal services into the medical setting. Allison Held, a long time LINC volunteer and supporter, first approached Massey and Oncology Associate Director, Mary Ann Hager, with the idea for an MLP. “I had been reading about MLP’s for years and following the movement across the country. I realized that LINC was essentially providing the same kinds of services to the community as MLPs, but we weren’t taking advantage of the benefits to patients, hospitals, and physicians that MLPs offer by being onsite at a healthcare facility and part of the medical team,” said Allison. MLPs provide a well-rounded approach to patient care by addressing key issues that cause stress. Mary Ann said, “The inclusion of the program at Massey gives the patient the opportunity to receive a level of holistic care that addresses their social and financial needs. The goal for patients is to allow for the best outcome possible. The MLP has become a key

component to the standard of care our patients receive.” Recent studies have shown that reducing stress can lead to quicker recoveries and healing time. Allison said, “Patients with job, housing, financial, or insurance-related concerns may be less able to adhere to rigorous treatment plans, and they affect a patient’s ability to seek care at all or keep scheduled appointments for treatment or follow-up. These stressors can reduce the effectiveness of treatment and ultimately affect long-term health outcomes.  MLPs seek to eliminate these stressors so patients can focus on getting well.”

of cancer patients with a variety of legal issues including estate planning, housing, child custody, employment, insurance, financial and other issues.” LINC is continuing to research how it can best serve cancer patients and their families in central Virginia. We hope to bring a version of the

According to the National Center for MLPs, “There are 97 MLPs serving 54,000 patients a year at more than 275 healthcare institutions nationwide. These partnerships serve children, the elderly, veterans and patients with chronic illnesses.” MLPs meet the growing demand of treating the patient as a whole person and not just treating the disease. LINC’s Client Services Attorney, Crista Whitman Gantz, said, “There is a significant benefit to LINC being onsite at the hospital. I am able to interface with the client to build trust, consult with the social worker on issues that overlap with the care they give and coordinate with the health care providers to fully understand and address the cancer patient’s unique needs.” In its pilot year MLP-R served over 200 cancer patients and that number continues to grow as the program enters its third year. “I think the program is going very well,” said Allison, “We have accomplished a great deal in just over two years!  We have dedicated office space at Massey and a committed group of volunteer lawyers. Most importantly, we have been able to help hundreds

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MLP to other cancer centers in Richmond including HCA, Bon Secours, and Virginia Cancer Institute. If you need assistance with nonmedical needs associated with cancer, contact LINC at (804) 562-0371 ext. 4 or email crista.whitman@cancerlinc.org

LINC October/November calendar October 7th: Clinks for LINC 5:00 p.m. – 8:00 p.m. Casa Del Barco October 10th: Lovern & Friends Golf Tournament to Benefit LINC 12:00 p.m. The Federal Club October 17th: LUNCH with LINC 12:00 noon, Hirschler Fleischer Law Firm November Clinks for LINC, TBD November 14th: Here’s Laughing at you, Cancer 7:00 p.m. Artworks November 21st: LUNCH with LINC 12:00 noon Markel Corporation

LEGAL INFORMATION NETWORK FOR CANCER WWW.CANCERLINC.ORG 1459 JOHNSTON WILLIS DRIVE PO BOX73281 RICHMOND, VA 23235 PHONE: 804-562-0371 x1 FAX: 804-918-0946


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M Fitness Lifestyle C

y Beatrice Miller B

Beatrice Miller is a Nikken Independent Consultant.  She has been in the wellness industry for four years helping people create balance in their lives with natural solutions to energy, like nutrition.

What Does Good Nutrition Look Like?

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Why good nutrition is a challenge: most foods lack nutritional value due to depleted soils, processed foods, etc. They are poorly absorbed by the body and contain toxic chemicals.  In addition, sleep deprivation and stressful, fast-paced living, are challenges that threaten our efforts to eat healthy. It is vital that we supplement with quality, whole food nutrition, as our food source alone does not provide the necessary nutrients. Minerals and vitamins are essential.  Nutrients are labeled essential for 2 reasons: 1) The body does not manufacture essential nutrients, which must be ingested in food or supplement form every day, 2) The body requires essential nutrients to function. If essential nutrients are lacking for any length of time, the result will be disease and imbalance. Father of Western Medicine Hippocrates said, “Let food be thy medicine and medicine be thy food.” Your entire body, including your DNA, is under daily assault from a variety of sources, from poor diets to all types of pollution.  Cells, including your brain cells, each get hit by free-radicals thousands of times a day.  This is where antioxidants come into play.  They include vitamins and other nutrients that target free radicals.  In particular, fruits and vegetables are powerful sources of these heroic protectors, and your body produces some itself.  Their role is to limit damage to your cells, which can slow down disease and signs of aging. Homeostasis is where the cells stay in balance. To achieve this balance, the cells need water, oxygen, nutrition and rest. Nutrient absorption and digestive health are crucial because nearly every single aspect of your health is related to digestion.  Adding nutrition that is formulated from

organic vegetables, including all types of vegetable phytonutrients and trace minerals, is key to influencing repair.  A good probiotic also assists in digestive and immune system activity. “All diseases start in the intestines” Hippocrates Many people are aware of what impacts their health.  They are seeking healthy food sources that contribute to fitness, youthful energy and slowing the aging process. People want healthier food options and a trusted source for supplements.

Whole Foods nutrition. Nikken does not make any medical claims, as to what results each individual will experience. Testimonials “I was told by the Mayo Clinic that I had to learn to live with a chronic neck problem, I joined Nikken to get products. Within three weeks I felt better than I had in over 6 years. I knew I had an obligation to share Nikken. Later, I was caring for my sister for 6 weeks and my Nikken income continued. This was the “real beginning” of my career, and

Solution: The Nikken Nutrition Philosophy Nikken Kenzen Wellness® relies on organic fruits and vegetables harvested at the peak of the nutritional cycle to provide the nutrients our bodies need for optimum wellness.  We try to practice healthy eating and increase our intake of fresh fruits and vegetables, but we may not be getting the nutrients we need.  Every vegetable or fruit contains vitamins and minerals plus hundreds of co-nutrients such as bioflavonoids and other phytonutrients.  Nikken’s whole food products are prepared in a way that preserves more of these natural components.

Lisa Hazelgrove 804-5393251 lisa@lisahealthy.com

“The Nikken nutritionals and water have been AWESOME.  Lactoferrin, a digestive supplement, has also improved my mood.  The Jade Greenzymes (barley greens) have completely cleared up my Rosacea and I am off my medication.  The joint supplement has kept me dancing with no knee swelling!  I have lost 25lbs and had significant improvement in cardiovascular lab tests since taking the Vital Balance Meal Replacement.” - Dianne St. John

Beatrice Miller 804-852-1775 bea.miller@halo.com

Barbara Satterwhite RN 804-437-0243 barbsatterwhite@gmail.com

Japanese Health Research Institute

Nikken created Kenzen Wellness® to help take the guesswork out of nutrition and to make integrating good nutrition into your lifestyle a joyful experience.  Kenzen is a Japanese word that combines “wholesome” with “wellness.”  Based on a whole foods philosophy, Nikken Kenzen Wellness® provides the kind of natural nutrition your body was meant to live and thrive on. Nutrition is key to optimal wellness.  Nikken has the solution with their Kenzen®

residual income. I have been with Nikken 17 years.” - June Silva

39 years, 38 countries, 40 million customers

Join the Movement Looking for partners that embrace natural solutions Want extra income? Home based business “No Inventory” Become healthier Become a business partner Become a referral source (a friend who tells a friend)

Nikken

Discover It, Live It www.nikken.com/satterwhite

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What You

M Health Medical C

Should Know

About Mammograms

information provided by Care First –Blue Cross BlueShield www.carefirst.com

Many women are afraid of mammograms but having one is definitely worthwhile. In fact, it can even save a woman’s life. If the test is normal, you will feel better knowing that you are OK. If however; there is a problem, it is better to know early. Regular mammograms can detect breast cancer BEFORE it spreads. Treatment works best when the cancer is found early. Make an appointment to see your Doctor for a mammogram if you fall under any of these categories that pose a higher risk: •

Your Mother OR sister has/had breast cancer

You have Jewish ancestors from Eastern Europe (A certain gene is carried among this group)

You had your first menstrual period before age 12

You NEVER had children OR you had your first child after age 30

You had radiation treatments to your chest area

You have a lump, nipple, discharge, breast pain or dimpling of skin on the breast

Breast cancer is NOT a death sentence when detected early. Detection at later stages may be managed with all the new technologies and treatment available. It is never too late to be evaluated and undergo treatment. There is life after the diagnosis. FACE YOUR FEAR and TAKE CHARGE!!

When should I have a mammogram?

Starting at age 40 women should have a mammogram every 1 – 2 years. If you feel a lump, see or have questions about anything unusual in your breast contact your health care provider.

How do I get ready for my mammogram? • Make the appointment for 1 week after your period • When the breasts are less sensitive. • Wear a shirt with shorts, pants or skirt. • This makes it easier to undress from the waist up. • Do not wear deodorant, perfume, lotion or powder under arms or on your breasts on the day of your appointment. These products make shadows on the mammogram.

For resources and additional information: Contact your Doctor American Cancer Society 1-800-ACS-2345 www.cancer.org

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The National Cancer Institute


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M Fitness Lifestyle C y Maria Williams B

Maria Williams, The Clean Water Mom, serves over 18,000 customers nationally with whole house water filtration systems from Kennett Square, PA. Visit online at www.cleanwatermom.com or www.puriteam.com. Picking The Right Filter For You Is Easy Because we’re an online business, we pride ourselves in cool tools used to educate you and help make your selection much easier. If you have city water, you can use our “water wizard” which helps you choose the right filter for your home. Use this shortened link to get there: http://bit.ly/ReCbQp

Yield Huge Results In Your Family’s Health

I

It’s been said, “No water, no life.” Water is essential for life for every single human, animal and microbe on Earth. It’s taken for granted, of course, but at what cost?

As I sat across the table from this man listening to him tell me about water filtration, whole house filtration systems and all the aspects of their business, I got a sick feeling.

Let me tell you a little about me. I’m Maria Williams, the Clean Water Mom.

I was in Las Vegas. It was hot. And I remember sitting in this room which was so incredibly warm. I was sweating and thirsty. And then he said something that really got me in the “mom gut.” He told me that chlorine gas is released from unfiltered water when you take a hot shower. Now up to this point, I always thought of myself as a good mom. I try to do the best for my children and give them the healthiest environment. For instance, we don’t drink a lot of juice or sugary drinks, instead we drink mostly milk and water. But all of sudden I felt like I wasn’t doing the best for them.

If you’ve ever wondered about the water you are giving your family, I’m here to tell you what I’ve discovered along my journey over the past several years or so. And if you’ve never considered what goes into that bottle of water or comes out of your tap, well, I want to encourage you to read my story so you can at least be informed about how clean water might be the solution to a problem you or a family member are having. I never used to think about the water I drank until several years ago. It was March 22, 2008 and I reluctantly left my almost 2 year old and four year old sons in the capable hands of my husband to fly all the way across the country. I was nervous and excited about the prospect of meeting the owners of a water filtration company I thought I wanted to buy. Here’s the thing… I knew nothing about water filtration at the time other than that some people had water softeners and some had water filters. I didn’t know a “whole house” water filter existed or what it did. I just knew that I wanted to be a good mom to my kids and thought buying a business would allow me more freedom to be available for them.

You see my kids have asthma and unbeknownst to me I was exposing them to chlorine gas – daily – when giving them a hot bath or shower. Not a proud mom moment. But I needed to make sure what he said was true, so after leaving the meeting, I immediately started doing my own research. I educated myself on everything I could find about water and water filtration and have been doing so for over four years now.

carcinogenic gases are breathed in and absorbed through the skin. It can get so bad that the majority of the chloroforms found in homes are because of the water in our homes. We have a customer whose children could not bathe in their bathroom without the door open because the concentration was bad. 2. Your Water is Loaded with Chemicals: Chemicals such as pesticides, herbicides, and fertilizers are rampant in our water supply. The good news is that these volatile and synthetic organic compounds (VOCs and SOCs) are easy to remove from drinking water using a high quality filter.

osteoarthritis, obesity, depression, chronic fatigue syndrome, dry eyes, hot flashes, kidney stones, and cancer formation are just some of the maladies that are caused or aggravated by dehydration.

3. Most of Us Are Chronically Dehydrated: Most of us don’t think of ourselves as chronically dehydrated. After all, we drink lots, right? True, but unfortunately most of us are drinking soda, coffee, tea, alcohol, and juice. Many conditions are aggravated by lack of water. According to Dr. Batmanghelidj in his book, “You’re Not Sick, You’re Thirsty,” asthma, allergies, blood pressure, diabetes, constipation, autoimmune diseases such as lupus, general pain symptoms, ulcers, colitis pain, headaches, migraines, rheumatoid arthritis pain, lower back pain,

And these facts are just the tip of the iceberg. A quality whole house water filter will filter chlorine, chloramines, heavy metals, VOCs, SOCs, odors, and make it taste great, so you’ll drink more of it.

Here’s a few of the things I learned: 1. Chlorine: The Double-Edged Sword Chlorine, the main disinfect used to clean our water, prevents major illness outbreaks that used to kill thousands of people. However, you see, chlorine is not without its problems. It releases THMs (poisonous gases) when it is mixed with organic matter, especially when heated such as in the shower or bathtub. These harmful,

www.cleanwatermom.com • 888-491-4100

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To be certain you’re adequately hydrated, take your weight and divide in half. This is the number of ounces of water you should be drinking daily. Same goes for your kids.

For the full free report, “9 Alarming Things Moms Should Know About their Water,” please visit our website at www.cleanwatermom.com/wj


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M Health Medical C

LIVESTRONG® at the YMCA

helps cancer survivors get back on the road to good health y Charlotte Dean B

Director of Communications for the YMCA of Greater Richmond

Renew. Rebuild. Reconnect.

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The YMCA is leading the charge in chronic disease programs. One of their most popular programs is LIVESTRONG® at the YMCA, a 12-week program designed to help adult cancer survivors achieve their holistic health goals. The small group offers cancer survivors a safe, supportive environment to participate in physical and social activities. Survivors work with YMCA certified instructors to build muscle mass and strength, and increase flexibility and endurance while improving confidence and self-esteem. In addition to physical benefits, LIVESTRONG® at the YMCA focuses on the emotional well-being of survivors and their families by providing a supportive community for people impacted by cancer. By focusing on the whole person and not the disease, LIVESTRONG® at the YMCA helps people rebuild spirit, mind and body. The program is proving to be a vital asset. According to Cancer.org, 68 percent of people diagnosed with cancer survive. LIVESTRONG® at the YMCA fulfills the important need of supporting the increasing number of cancer survivors who find themselves in the transitional period between completing their cancer treatment and the shift to feeling physically and emotionally strong enough to attempt to return to their normal life or their “new normal.” Classes take place not at medical facilities, but at the Y, to emphasize that the program is about health, not disease. The class size is generally 8 to 10 participants with a maximum of 12. Local Ys -the Atlee Station Family YMCA, Petersburg Family YMCA, Tuckahoe Family YMCA,

Downtown YMCA and the Midlothian Family YMCA - are excited to bring a health-based solution to people in the community to give them the tools they need to get back on the road to good health after cancer. To date, approximately 6,000 cancer survivors have participated in this program nationwide. Mary Martin of Richmond, Va. is one of them. As a participant in LIVESTRONG® at the YMCA, she admits that exercise was never high on her priority list, until she was diagnosed with breast cancer in November 2011. Mary underwent surgery, but the process left her body weak. That’s when her cancer support group leader suggested she join LIVESTRONG® at the YMCA. Mary said “My support group leader thought that I should go because it would help with my strength, endurance and overall well-being. When I first went, I wasn’t excited because I’ve never been into group exercise. But then, I started to enjoy it.”

once, but three times. “In 2006, I was diagnosed with cancer. I went through surgery to have the cancer removed, but it came back two more times. I couldn’t believe it; I was mad,” she said. Gloria didn’t give up. She continued her treatments and in 2009 the cancer was in remission. While the cancer appeared to be gone, so was her energy. A family friend suggested Gloria go to the Y. That’s when she discovered LIVESTRONG® at the YMCA. Through the program,

In addition to the physical benefits of participating in LIVESTRONG® at the YMCA, Mary says she also discovered an added benefit – the camaraderie amongst fellow cancer survivors. “It was nice to have people who had experienced going through cancer and the depression. I was feeling ‘blah,’ but now I’m so much better physically and mentally. The Y makes a tremendous difference for cancer survivors.”

Gloria went from being able to lift just 45 pounds to lifting 145 pounds. “This is the best program out there. Without it, I’d still be in my cocoon, a couch potato and wishing I was stronger. Now, I can walk the walk. I tell other cancer survivors that they need to join this program.”

Gloria Torrens-Billings had a similar experience. But for her, cancer reared its ugly head not

Jaime Gambaccini, Executive Director of the Chickahominy Family YMCA, has seen the

program grow here in Richmond since 2010. “It’s a great feeling to know that the Y offers such a supportive environment for cancer survivors who want to take back their health. We embrace the opportunity to assist men and women of our community after they’ve gone through their darkest hour to help them regain their spirit and strength.” In order to participate in LIVESTRONG® at the YMCA, you will need the permission of a medical professional. The form can be found on the Y’s website. The costs associated with the program are underwritten by the YMCA of Greater Richmond. For more information, visit www.ymcarichmond.org/livestrong

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M Fashion Beauty C y Leisa Kanienberg, Professional Makeup Artist & Owner, iMakeup Artistry B

Leisa Kanienberg is a Professional Makeup Artist with more than 15 years of experience. She is also a licensed Managing Esthetician, Nail Therapist and Instructor and graduated from the Aveda Fredric’s Institute in Cincinnati, Ohio. In 2006, Leisa established iMakeup Artistry so that she could offer her makeup services independently. Her expertise includes beauty, bridal, film, television, editorial photography and fashion runway - having worked backstage at fashion shows such as Vanity Fair’s Fash Bash. Her work has been featured on NBC and a recent episode of “Cake Boss,” as well as published in several magazines including Fusion Flowers, and the cover of Missy Ink. Leisa’s favorite aspect of Makeup Artistry is beauty and bridal makeup, working with her clients in creating a new look to accentuate their personal features.

What Is Your Makeup Style? : Fall Makeup

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Your makeup style may be to wear the latest look by following the trends, or it might be wearing a classic look that never goes out of style. Many women rely on the amount of time they have to get ready in the morning to dictate how they wear their makeup. The amount of makeup you wear may also be based on where you are going and the occasion, with colors and textures influenced by the time of year and the season’s trends. During fashion week the trends in makeup show on the runways, which are then interpreted in the seasonal collections from our

favorite cosmetic lines. This fall season the look for skin is flawless with a natural or slightly dewy finish. For the eyes, warm, earthy neutrals in shades of peaches and orange can be seen, in addition to grays or browns with a plum undertone. For the lips, the shades range from soft, fleshy nudes to bold, bright pinks and reds in a matte finish. Depending on your style, use the fall trends to influence what your look for this season will be. To embrace the latest trends, purchase new makeup seasonally to keep your look current and modern. If

you prefer a timeless look, pick one or maybe two of the new trends and use this as an opportunity to add something fresh to your routine. A new eye shadow or lip color is always the easiest way to update your look. When you have agreed to move forward with booking your artist, sign a contract. Just like any other vendor that you hire for your wedding, put all of the terms of your agreement in writing and pay a deposit. Be sure to include details in your contract such as your timeline, what time the makeup artist will start, a schedule of each

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person receiving makeup and when the makeup applications need to be finished for photographs before the ceremony. Schedule everything accordingly with your hair stylist so that the hair and makeup runs smoothly and effortlessly. Once all is complete, all you will have to do is put on your dress!


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M Fashion Beauty C

y Rhett Costello B

Rhett Costello entered the beauty industry in 1976 and was quickly chosen to become an educator for his first employer; a chain of mall salons nationwide. From there, Rhett moved to the international stage as a platform artist for one of the worlds leading professional hair care companies. Rhett traveled the globe as a guest artist, from Barcelona to Tokyo, all the while managing his progressive salon. After retiring from the hair show circuit, Rhett continued educating in Richmond, Virginia with his intensive apprenticeships; he has created his own competition by training many hair stylists that have gone on the become salon owners. At his present location, since 1990, “Rhett’s Salon” has become synonymous with quality hair care and cutting edge styles. Following in his footsteps is his daughter, Katelyn who now creates photographic masterpieces with her “pin-up” hair and photo sessions.

Consultation, Or Did You Even Hear A Word I Said?

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Have you ever been to the hairdresser to get a certain service and left with something completely different from what you wanted? Now that doesn’t necessarily have to be a bad thing, but sometimes it can be heartbreaking! For instance the long haired client that wants just a trim and leaves with 8 inches of her hair laying on the floor is a bummer. What happened? The hairdresser did not listen to you, how frustrating!

Consultation in the beauty business is probably the most overlooked or underperformed part of the salon experience. I have witnessed clients whisked back to the shampoo bar without ever even talking to the stylist that is doing her hair, incredible. I learned early in my career that proper consultation is the most important part of the salon experience. The most perfect haircut on a person that wants something else is basically crap, usually with tears associated. Now don’t get me wrong, I believe in pushing my clients in new directions, after all we are their fashion gurus and they expect us to inform them of what’s new and whether it will work for them. But how do we as hairdressers arrive with a sound decision of what to do? Let me start from the beginning. As the client walks through the door it is very important to notice how he or she is dressed, and how they carry themselves. Next, observe the size of the head to the body. They might be on your book for a haircut when in actuality they need more hair. Next, I never let a client be taken to be shampooed before we have our formal consultation in my chair with her hair still dry. At this point I can examine all the things that influence my decision on what to do. First I will stand behind her and massage her shoulders a bit as I feel the tension leave her, talking while taking in her face

shape, hairline and listening to her desires. This is the diagnosing part of consultation. Armed with a feel for this person and an idea of what she wants, I decide what she needs. This is the prescription part of consultation. Integrity comes into play here. If you recommend a service that she does not need, you might make an extra dollar or two that day, but she will never be back. During the prescribing, I move from behind the chair to face her eye to eye, usually on my knees and I reveal my plan for her. I cannot emphasize how important this eye to eye contact is. I do not talk to my client though the mirror. When she sees how sincere I am and begins to believe I have her best interest at heart, how can she say no to my decisions? I have learned over many years when this trust factor is developed she will let you guide her to new and exciting styles! Most people want to be guided into a new look even if they don’t say. You rarely lose a client from doing something wrong. More often it’s from not doing something new. Your client of many years that you worked so hard to please goes to party, sees a girlfriend with a new “do,” asks her where she got it, and zoom, she’s off to Bertha’s Beauty Hut! That is why I do this consultation every time with every customer, always sniffing out the possibility if she ready for a change. Execution is the final part of the consultation story and if you have done your job diagnosing and prescribing, things will turn out as they should with your client, leaving with a big smile and you with a sense of a job well done.

Let me close by saying if you are motivated by money you might find some success, but clients aren’t interested in helping you get a new BMW. If they believe you only have their best interest at heart, they will tell the world!

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(804) 320-1882 9728 B MIDLOTHIAN TPK, MIDLOTHIAN


Everything you & ) ! k ever wanted to know s a o t d i a r f a e about a bra fitting (but wer

M Fashion Beauty C

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By Debbie Esslinger, Owner, Bare Essentials

Around 80% of women are in the wrong bra size. Literally millions of women are not looking or feeling as good as they deserve. In fact, when did you last get fitted? Have you ever been properly fitted? Selecting a good bra is brought to you by BARE ESSENTIALS. Our bra boutique wants to prove how easy it is to choose a bra that loves your body. We’ll help you every step of the way. What Does a Good Fit Give you? • More Comfort •

Better Shape

Less Chance Of Sagging Breast Tissue

Better Posture

More Confidence – And Feeling Good Inside Makes You Look Even Better Outside.

If you’ve never had a bra fitting, or it’s just been a while, don’t put if off any longer. You’ll find friendly and helpful trained fitters to take the worry and apprehension out of finding the right bra.

You should get fitted every six months. Our bodies change all the time, so it’s really important to keep checking your bra size. Once your correct size has been determined, our experts will assist you in picking the right style for your body type. The size range of our bras helps our fitters to accommodate most women. But, remember, you may not take the same size bra in every style. Each bra is cut differently, just like jeans or skirts. You may take a certain size in one brand, but something else in another. There is no “one size accommodates all” in bra fitting. Which style suits you? When we are choosing a bra that’ll make you look great, we need to consider what we’re working with. Different styles suit different bust shapes. Whether you are small, average or full busted, there is a bra that will accommodate your form. Keep an eye on your hooks. If a bra fits properly, you should be able to comfortably fasten it on the loosest hook. Then, as the bra adjusts to your body or begins to age, you can gradually work your way in. If you have to go straight to the tightest hook, that bra is not right for you. The bra should be low and tight on the back, with no riding up. If it rides up, the band is too big.

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M Community Education C y Lynette Brinkerhoff B

Lynette Brinkerhoff, LPC is the Program Director for the Children’s Mental Health Resource Center, a program of the Virginia Treatment Center for Children under the VCU Department of Psychiatry and part of the Children’s Hospital of Richmond at VCU’s continuum of services. Lynette received a Master of Arts in Counseling Psychology from University of Colorado and a Master of Sciences in Experimental Psychology from University of Louisiana at Lafayette. She has been trained at the Yale Child Study Center and has worked in the mental health field for over 10 years.

The “Go-To” Resource For Children’s Mental Health

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One of the biggest challenges a family faces when their child is diagnosed with a mental health issue is knowing what to do first. The Children’s Mental Health Resource Center (CMHRC), a community-based project spearheaded by the Virginia Treatment Center for Children (VTCC) at VCU Department of Psychiatry, was designed to help families navigate the often confusing and difficult system that is children’s mental health in Virginia.

The mission of the program is to provide support to families new to the mental health process by helping them find the right mental health services for their child. The CMHRC provides sound clinical assessments and facilitates referrals to quality service providers who have committed to seeing families in a timely manner. The CMHRC also works with primary care physicians to support them in managing medication for children with mental health symptoms. The CMHRC was developed through collaboration with families of children with mental health issues and community partners including BeaconTree Foundation, NAMI, Family Focus, UMFS, ChildSavers, RBHA and Voices for Virginia’s Children. Fully endorsed by BeaconTree Foundation, a local non-profit committed to improving access to children’s mental health services, the CMHRC is a comprehensive resource facility that offers education and support for families of children with mental health needs, providers of mental health services, and primary care physicians treating children with mental health issues.

The CMHRC provides a “go-to” resource for families and providers in the Richmond area by: •

Educating families about resources available and the steps needed to access those resources

Facilitating referrals to providers who can help families in a timely manner

Providing direct care staff and agencies with information, resources, space for collaboration, and trainings to increase their knowledge and better treat children and families

based Mental Health.” Over the lunch break, a special honoree will receive the VTCC Advisory Council’s SOAR award for her work towards providing safe communities for children. The SOAR award is presented annually to an individual who has made a significant contribution to the cause of children’s mental health. In the afternoon, Dr. James Hudziak of the Vermont Center for Children, Youth and Families will present on “Integrating Primary Care and Psychiatric Services for Youth.” In addition to these large group presentations, there will be “breakout” sessions throughout the day for participants to engage in topics specific to their interests. These break-out sessions include information on working with the school system, evidence-based practices, trauma, brain injury, navigating the mental health system, and a Mental Health First Aid overview.

Working closely with doctors to increase behavioral health screenings performed in their practices, increase knowledge and training regarding mental health treatment, and support the care they are providing to patients with mental health issues

The CMHRC and BeaconTree Foundation are participating in the planning process for VTCC’s 51st annual Mental Health Symposium entitled “Creating a Caring and Safe Community for Children and Youth through Prevention Strategies.” This event, with its unique partnership between VTCC, the Department of Education, and the Department of Behavioral Health and Developmental Services, is a day of training for families, educators, mental health providers, and primary care physicians. Training is focused on prevention and treatment of mental health issues for children with national experts presenting information in their areas of study. In the morning session, Dr. Sharon Stephan of the University of Maryland’s School of Medicine will be presenting on “Promising Practices in School-

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The conference will conclude with a presentation by the acting Executive Director of Voices for Virginia’s Children, Margaret Nimmo-Crowe, who will discuss Systems of Care principles and the components necessary to create a safe and caring community for children. Following her presentation, she will lead a town hall meeting asking audience participants for recommendations of messages they would like conveyed to new state leaders in the spring and how participants can actively engage in creating safe and caring communities. The event will be held on November 1, 2013 at the Doubletree on Koger Center Boulevard. For additional information or to register, please visit the VTCC website at www. vcuhealth.org/vtcc. For additional information about the CMHRC, please visit our website at mentalhealth4kids.org or call us at (804)447-2124.

PRESENTS THE 51st ANNUAL

Mental Health Symposium “Creating Safe & Caring Communities for Children and Youth” REGISTER N

Doubletree Hotel 1021 Koger Center Blvd. Richmond, VA 23235

Contact Dana Schultz at the VTCC dschultz@mcvh-vcu.edu.

••••

OW!

NOVEM• BER

1, 2013

* Special tracks for Clinicians, School Personnel, and Families

VCUPsych-2013Symp_ad_1.indd 1

Department of Psychiatry

9/20/13 4:19 PM


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M Community Education C

y Amy McVaugh B

Amy McVaugh, Studio Coordinator for Heather House Studio of Photography, ensures all orders are filled and meet strict quality control standards. Amy also fills in wherever needed at the studio from smoothing a client’s hair in the camera room to assisting with Marketing. Amy is also currently a student at John Tyler Community College and enrolled in the Photography and Film Specialization Program.

Photo Restoration In The Digital World

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With today’s digital technology, there is new hope and endless possibilities in restoring heirloom photographs. Damage occurring from age, improper storage and even unfortunate mishaps can often be repaired. The secret to success is to contact a reputable, experienced image restorer, who not only guarantees optimum results of the enhanced, repaired image, but ensures the safety and integrity of your treasured original. Where do I begin? Most often, a skilled professional photographer is the logical starting point. However, be aware, not all photographers are properly trained in this field. Always ask what type of restoration experience the photographer has, how long have they been restoring, and if they utilize a variety of methods. Where does my original photograph go? It’s very brittle and I’m afraid it will fall apart! Does the professional do the restoration onsite? Whenever possible, utilize a professional who does their own work in their studio. This minimizes the risk of damages that can occur to old or worn photos during the shipping process. What type of damage can a restorer repair? Water stains, contrast correction,

Preserving Memories

someone states they can fix it, get a guarantee in writing first. I have a large heirloom portrait of my great-grandparents. It needs a little work, but my siblings and cousins would like a copy of the repaired image. Is this expensive? Once you have invested in the restoration process, copies are easily made from the finished image. Most reputable restorers charge a nominal fee for copies. If you need multiple copies, perhaps for a very large family, many photographers will work with the client to contain costs.

mold spots, discolorations and even tears can be corrected, using many modern techniques and processes. There is a hole in my picture and part of Uncle Hank is missing. Should I even bother trying? Yes! In the hands of a skilled professional, this seemingly impossible repair becomes possible by implementing a variety of techniques. If you still possess the torn section, bring this with you during the estimate phase. Not only will this make the restorer’s job easier, it saves you money by giving the restorer a real image to work from, instead of creating one.

A skilled restorer will take time to provide a physical review of your photograph, meet with you and discuss a realistic expectation of what can and can’t be repaired. Most often, they will provide a free estimate, before they ever begin work.

One last word of advice Be proactive with your modern photos. Just like you, one day your grandchildren, great-grandchildren or nieces and nephews will hold your portrait in their hands, cherishing the connection. Do them a favor and invest in quality photography today. Not only will you look good, but the high quality products used by professional photographers will withstand the test of time, providing a quality history for generations to come.

I have a blurred image from the 1970’s. Can this be restored? No. “Once a bad picture, always a bad picture.” If an image was out of focus when the picture was taken, this cannot be corrected. If

Heather House Studio of Photography 804 794 0017 Sycamore Square Shopping Center Village of Midlothian www.heatherhousestudio.com

I don’t want to spend a lot of money for nothing. What if they can’t repair it? Restoration can vary greatly in price, depending on the extent of time required on the piece.

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M Community Education C

Tell Your Story of Survivorship!

y Trudy K. Perry B

Trudy K. Perry is a co-founder of Taking Flight and is a long-time activist for women having worked with Wider Opportunities for Women and Dr. Dorothy Height and the National Council of Negro Women. Trudy is most interested in Taking Flight collecting breast castings and stories of women globally to highlight the common experiences of women throughout the world.

Live Out Loud. Take Control.

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Every woman has a story to tell. Some women keep journals to help get hold of whatever’s happening in life at the moment or maybe to hold a memory so that years later those feelings can be summoned again. Women fighting breast cancer have profound stories on the experience of battling the disease and the feelings that come with the work of accepting their changing bodies. The Pink Project recently began to help breast cancer survivors who are interested in celebrating themselves and sharing their life experiences. With tender care Creative Director Donna BeaverYoung makes a plaster-of-paris casting of each participant’s breasts and helps her turn a stark white casting into a masterpiece that captures her essence. Even more poignant, each woman writes a one- page essay of her experience. These stories give voice to overwhelming fears, living

though pain, coming to terms with physical changes, and re-defining beauty and self. Women write about receiving love and support from medical personnel, new friends and strangers. This is heavy duty stuff and not for the faint hearted. Participants have shared that creating the casting and telling their stories has been empowering and rewarding. Participating in the work is therapeutic and cathartic as each woman loudly asserts her authority over her body. The work helps sister survivors see possibilities of life in the struggle as it encourages healthy women to get mammograms and do self breast checks.

and encourages women to get mammograms. Through The Pink Project, Taking Flight works to help survivors voice their experiences and builds empathy for the lives of women. So far Taking Flight’s exhibit of it’s’ project Telling Intimate True Stories, featuring all women, has been in restaurants in Washington, DC and Richmond. The organization hopes to exhibit The Pink Project in hospitals where women receive treatment for breast cancer.

Elizabeth

Taking Flight, the non-profit that operates the Pink Project, plans to exhibit the work to the public giving people a window into the lives of breast cancer survivors. Taking Flight hopes the exhibit heightens awareness of the disease

I felt a lump, but I didn’t feel bad.  I didn’t lose weight.  There were no obvious symptoms.  Once it was confirmed that the lump was indeed breast cancer it was a surprise to everyone except me.  The only symptoms I ever had were caused by the medicines that I took like the four courses of chemotherapy that made me anemic and very ill.  The six-week radiation treatment irritated my skin, and the five-year course of follow-up has thrown me into full and unexpected menopause.

According to the Susan G. Komen Foundation breast cancer is the most common cancer found among every racial and ethnic group in the U.S. In 2013, it is estimated that among U.S. women there will be 232,340 new cases of invasive breast cancer and 39,620 breast cancer deaths. Breast cancer rates in the U.S. vary by race and ethnicity. White women have the highest breast cancer incidence rate of any racial or ethnic group. African American and Hispanic/ Latina women are more likely than white women to be diagnosed with later stage breast cancer. The two most common risk factors for breast cancer are being female and getting older. Taking Flight works with all women and has a goal to work internationally capturing broad diversities in race, socio- economic status, ethnicity, religion, sexual preferences and health status.  Taking Flight operates The Pink Project to bring attention to breast health and help women assaulted by breast cancer.

It turned my life around...

Please contact Taking I put a picture of a tree where the Flight to be a part of The cancer was in my breast casting.  I Pink Project, opening imagined something beautiful in October 2014, by growing in the space where the contacting Creative Director, doctors took out the tumor. Donna Beaver-Young at … I never completed dbeaveryoung@gmail.com reconstruction of my left breast because I couldn’t stand the or 703.822.1295. Please visit thought of one more day in www.takingflightnow.org or surgery.  Instead I went out for Telling Intimate True Stories a long walk with my family.  I’ve on Facebook. been walking ever since.

Taking Flight www.takingflightnow.org

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M Community Education C

y Rebecca D. Lee B

Rebecca D. Lee is Chief Programs Officer at the YWCA of Richmond. She holds a Bachelor’s Degree in Social Work and a Master’s in Business Administration. Lee has spent more than 30 years in the field of health and human services, dedicating her professional career to supporting at-risk women and families. She has overseen the YWCA’s adult and child programs for nearly a decade and serves as the YW liaison to community task forces and groups dedicated to providing a comprehensive solution to intimate partner violence in Metro Richmond.

Domestic Violence Awareness Month

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When “Sharon” made her first call to the YWCA 24-hour domestic violence hotline, our crisis counselor asked her about her support network. “No one knows,” she said. “I haven’t told anyone. Not my sister, my mother. No one.” While great strides have been made in the past 40 years to bring the issue of domestic and intimate partner violence out of the shadows and into the public dialogue, there is still work to be done. October is Domestic Violence Awareness Month. Even if you have not personally been affected by this issue, chances are, someone you love has. Nearly one in three adult women experiences at least one physical assault by a partner during adulthood. According to the Surgeon General, domestic violence is the leading cause of injury to women. An October 2010 report from the office of Virginia’s Chief Medical Examiner reveals that a third of all homicides are the result of family or intimate partner conflict. Local police reports for 2013 also reflect that trend. What these studies reveal are reported incidents. We know that most instances of domestic violence are not reported. Like Sharon, survivors not only feel shame, but are also often threatened into silence by their abusers. Intimate partner violence often occurs in cycles of increasing tension that lead to outbursts, followed by “honeymoon periods” where the abuser apologizes and makes promises of “never again.” During these periods of relative calm, survivors can be optimistic and hope for the best, reluctant to disclose past abuse. But we know one thing to be true; past abuse is an almost certain indicator of future abuse.

Why It Should Matter To You 3. Ask if something feels wrongdoes your friend have bruises on the arms or face? Accidents that seem to happen frequently with odd explanations? Ask if he or she is okay. Ask if there is anything you can do.

Intimate partner violence is a serious and prevalent issue that is often complicated by the added layers of shame, fear, and silence. What, then, can we do to help? Why is Domestic Violence Awareness Month important to all of us as a community?

4. Be there- when a person experiencing violence makes the decision to disclose, it’s a choice they have not come to lightly. Now is not the time to judge or tell them what they “should” or “need” to do. Ask her what’s next. What can you do to help? Can she find a quiet time to call the hotline and talk to a counselor? Let your loved one know you will be there when they

Odds are many of us have a Sharon in our lives—a close friend, coworker, or family member who is suffering in silence. In honor of Domestic Violence Awareness Month, we are hosting a series of free educational opportunities designed to empower our community through education. It is easy to feel helpless when confronted with an issue shrouded in secrecy, wrapped in unnecessary shame, and clouded by fear. But the YWCA offers resources to empower us all—from those of us who love a “Sharon” to those who are “Sharon.” Here are five easy things you can commit to today to be part of the solution to Domestic Violence: 1. Empowerment through education- learn about resources available at the YWCA, free to everyone in Greater Richmond and Chesterfield County, so you can become a source of referral in the event that a loved one confides in you. Sign up for one of our free events in October by visiting our website.

are ready for the next step. Avoid issuing ultimatums.

5. Call 911- if you are witnessing an act of violence, call 911 immediately. If you hear a fight through apartment walls or suspect a fight is happening at a neighbor’s or loved one’s house, call police immediately. Since 1887, the YWCA has been an active voice for women in our community. Together, we can be part of the solution to preventing and treating violence in Chesterfield and Richmond. Please join us with your commitment and awareness this October.

domestic violence

AWARENESS

month

empowerment through education free event series pr esented by

ywca

brown bag series in partnership with

of richmond

6 North Fifth Street Richmond, VA 23219 All events are free, but space is limited! Registration is strongly encouraged. Register today at www.ywcarichmond.org/get-involved Parking and other event information can be found on the registration pages.

2. Pay attention- is someone in your life becoming withdrawn from friends and family? Are they in a relationship where they have to ask for permission to go out, spend money, or are required to report their constant whereabouts? Ask if they are safe and give them our hotline number (804-643-0888). Let them know you will listen if they need to talk.

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Please direct questions to: Ryan Morris rmorris@ywcarichmond.org

Make your lunch hour more powerful! All brown bag lunch events will be held from 12:00 pm - 1:30 pm at the YWCA of Richmond. Space is limited, and registration is strongly encouraged. VCU Professional Education credit: 1 contact hour per session Teen Dating Violence

Thursday, October 3, 2013

Featured speaker: Saba Masho, MD, MPH, DrPH, Associate Professor, VCU Department of Family Medicine & Population Health

Violence Against Women & the Military Thursday, October 10, 2013

Featured speaker: D. Gay Cutchin, MS, VCU Wilder School of Government & Public Affairs

Domestic Violence in Later Life – It Matters To Us All Thursday, October 17, 2013

Featured speaker: Lisa Furr, M.A, VCU Center on Aging

Intimate Partner Violence & Reproductive Coercion: Understanding the Connection Thursday, October 24, 2013

Featured speaker: Candace W. Burton, PhD, RN, FNE, Assistant Professor, VCU Department of Family & Community Health Nursing

stop the violence

remember my name

the ywca’s signature domestic violence memorial & awareness event

Thursday, October 24, 2013 from 6:00PM - 8:30PM Unity of Richmond at 800 Blanton Avenue, Richmond Featured speaker: Lisette Johnson, Community Advocate & Survivor


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his event is to honor all women who have or have had any type of cancer. It is a ladies night out to relax and have fun with all your friends and also help the community. All proceeds go to the Bon Secours Cancer Care Fund which provides financial assistance for rent, medications, transportation to treatment, food and utilities. It also allows us to educate women on the importance of early detection and screenings.

Plenty of time to pick out your favorite pj’s FOR next years PJ Jambore 2014...

August 8, 2014 Salisbury Country Club 13620 Salisbury Road Midlothian, VA 23113

For more information call: Susan Daniel Adm. Sec./Unit Champion Bon Secours Health System Radiation Oncology 14051 St. Francis Blvd Suite 1100 Midlothian, VA 23114 804-594-4900

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Adam started his restaurant career at age 15 in establishments in Southern New Jersey. After moving to North Carolina in 1988, he gained the knowledge and experience to become a manager at some of Greensboro’s finest restaurants.

What’s The Difference In Your Bubblies

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There is nothing like a little bubbly on these hot days. Whether you actually have a celebration or just enjoy the crispness, a nice glass of champagne, prosecco or sparkling wine may just be the perfect solution to your palates desire. Nowadays, the selection at the store seems to have doubled with options. There are so many different brands, styles and types to chose from. Most people, including myself at first, don’t know the differences between any bubbly styles, except for the cost. I wanted to take a look at what are the true reasons behind the differences within the names of three bubblies which tastes are so similar. The easiest answer is that they are all generally defined by what area they are produced in. It gets a little more scientific when you dig deeper into the differences in there production, but not to much. Here are some of the basics anybody can understand to compare Champagne, Prosecco and Sparkling wine. Champagne Location – Champagne is an effervescent wine made in the Champagne region of France. If it’s not made in Champagne, it’s not “Champagne”. All other effervescent wines are generally “sparkling wines”. Please keep in mind that this does not mean that they are inferior in any way. Production and Storage – Champagne is made using the traditional method in which the wine made from chardonnay and pinot noir grapes undergo a secondary fermentation in the bottle, which allows it to generate it’s own carbonation. Because of this, it’s best when stored for a few years before drinking. Taste – Generally fruity with hints of pear, citrus, apple, vanilla and nuttiness. Typically more acidic

than Prosecco, and more bubbly. Classifications – Champagnes and sparkling wines are classified by sweetness. That usually includes: Brut: dry, less than 1.5% sugar Extra Sec: extra dry, 1.2 to 2% sugar Sec: medium sweet, 1.7 to 3.5% sugar Demi-Sec: sweet, 3.3 to 5% sugar (dessert champagne) Doux: very sweet, over 5% sugar (dessert champagne)

man’s champagne. As production techniques improved, so did the wines. The bubble became finer with more persistent. The flavors and aromas developed a complexity while the excessive sugar additions once use to cover up it’s defects were reduced.

in alcohol compared to other sparkling wines, a little lighter in body and slightly less bubbly.

Location – Produced in the Veneto region of Italy. Again, if it’s not made in this region it’s not Prosecco.

That is kind of it in a nutshell. So… next time some snob gives you a hard time for not bringing “real Champagne” to the celebration you can counter with a little sparkling wine knowledge!

Taste – Slightly dryer than champagne. It is also lower

Price – Champagne tends to be more expensive than other types of sparkling wine for a combination of factors: 1) It’s harder (and more expensive) to grow grapes in the cooler climate. 2) It undergoes the extremely laborious traditional method of production. 3) The exclusiveness of being produced in the expensive and small Champagne region.

Price – In general, it tends to be 1/2 to 1/5 of the price of champagne.

enjoy!

Sparkling Wine Sparkling wine can be made the exact same way as Champagne with the same grapes and the same production method and can be just as good, but again, if it’s not made in the Champagne region than it is not Champagne. Also, in terms of production, Champagne is produced using only the traditional method, and while sparkling wine can also be made using the traditional method, it may also be produced using the transfer and Charmat process methods. Because of the wide variety of sparkling wines, pricing tends to be all over the board, but in general, is much more cost effective than Champagne. Prosecco Things have changed for Prosecco. Once it was an over-sweetened fizz whose could at one time be sold in cans. Over the years it has morphed into a kind of poor

Storage – Best to drink early (within 6 months to a year of purchasing).

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The Chesterfield

Women’s Journal

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This is what our advertisers say about the Women’s Journals: This is your “Bangs or No Bangs’ hairdresser Rhett Costello. It seems my last month’s article was a success, and I am glad because I spent a considerable amount of time on it. This month, I have less time and I’ll tell you why, “Chesterfield Women’s Journal enthusiasts; after only two or three days of distribution of the magazine, I began getting lots of new customers! I have a long standing custom of asking new guests how they heard about me. In the past their replies would invariably be something to do with a friend referring them. That worked for thirty years, but if you have experienced anything similar to what has happened to my business over the last five years, you know it’s been slow, slow, slow. All that is changing and quickly. When I ask that same question now, the most common answer is I read your article in the “Chesterfield Women’s Journal.” Now I’m not talking a few new gals, I have been busy, busy, busy! Yes, my publisher asked me to write this testimonial and I gladly said “Yes,” because nothing has ever boosted my Chesterfield salon like the Woman’s Journal! I highly recommend it! - Rhett Costello, Rhett’s - The Original Pin-up Salon

“I have worked with the Women’s Journal in two separate areas of my career. Each time, I continue to be impressed by the professionalism and compassion of the staff. The articles and advertisements are always perfect. If I have a problem, Pam is always there to help. What more could a Marketing Director ask for. Thank you!”

- Kristy Handley, Marketing Director, State Street Assisted Living

“Without question, an outstanding way to educate patients.”

- Vincent Perrottta, M.D., Peninsula Plastic Surgery

“The Women’s Journal is the most successful advertising we have ever done.” - Focal Point Opticians “A priceless educational vehicle to allow patients quality, objective information about our various procedures.”

- Andreus V. Strauss, M.D., Director of Oncology Beebe Medical Center

“The Women’s Journal is the best advertising I have ever done, I can’t believe I waited so long to try them. They are the only advertising I am doing now.” - Carmella, Permanent Cosmetics

Did you know? Women’s Buying Power • • • • • • • • • •

94% Home Furnishings 93% OTC Pharmaceuticals 93% Food 92% Vacations 91% of New Homes 89% Bank Accounts 85% Auto Purchases 81% Riding Lawn Mowers 80% Healthcare 66% PCs

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Women account for 85% of all consumer purchases. • Women carry 76 million credit cards, 8 million more than men. • In 2001, U.S. women’s purchasing power constituted the number 3 market in the world; the collective buying power exceeded the entire economy of Japan. • By 2010, women are expected to control $1 trillion, or 60% of the country’s wealth, according to research conducted by Business Week and Gallup. (Sources: The Business and Professional Women’s Foundation, Trendsight, Business Women’s)

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LEARN THE SECRETS OF WEIGHT LOSS! You don’t lose weight to GET healthy … you get healthy so you CAN lose weight!

Diet & Exercise Not Working? It may be your hormones!

You will be impressed by the unique approach to weight loss. Learn how and why you hold your weight where you do!

ATTEND THE FREE WORKSHOP TO LEARN:

How HORMONES can distort your midsection into a large belly and prevent weight loss, even with diet and exercise. How HORMONES can affect sleep cycles, chronic pain, cravings for carbohydrates and fat burning. Why “counting calories” doesn't work for belly fat. After working with Dr. Kranski for four months I lost 42 pounds - Linda. My energy has gone through the roof since working with the doctor - Bob I had very terrible sleep issues for years. I am now sleeping again and lost 23 pounds in just a few months - John

My stress was affecting every aspect of my life. I now have a better sense of well being. My body is just running so much more clean. The weight is just falling off. - Nancy While working with Dr. Kranski a short period of time, my doctor started reducing my medications and was impressed with my weight loss. - Jean

My aches and pains were so horrible, they affected my entire life. I was on major pain meds, used walkers and had many surgeries. I lost 130 pounds and don't need to take any pain meds. All the stesses of my body make my life enjoyable again. - Marie

Call (804) 897-0008 to Register Today!

Seating is limited so registration is required. We offer West End and South Side seminar locations, call for details Visit our website at www.DrKranskiWorkshop.com Speaker: Dr. Klinton J. Kranski, DC, ACN

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The Chesterfield Woman October 2013 Edition