New Castle County Women's Journal 4th Quarter 2016 by Arnaldo DePaula

Women’s Journal The The New New Castle Castle County County

A Quarterly Resource For Women of New Castle County

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Fourth Quarter 2016

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Finally… Laser Cataract Surgery

Bladeless And Computer Guided – The Latest Advancement T

he latest step in the evolution of modern cataract surgery is available in Delaware. This new technology, Femtosecond laser cataract surgery, offers precision not previously possible and aims to meet the expectations of today’s active By cataract patients. Jeffrey B. Minkovitz, M.D. FDA Approved in 2010, the laser has been used in thousands of cataract procedures worldwide. But within the United States, availability of these lasers remains limited. Three years ago, along with my partners at the Center for Advanced Surgical Arts, we brought this technology to our surgery center, the first of its kind in the area, and at the time one of the first 75 in the country. Already one of the most technologically advanced procedures, cataract surgery has evolved in slow, incremental steps. Until recently, the procedure was performed manually, by removing the cloudy lens through a large incision, which was closed with crude sutures. Microscopes and ultrafine sutures dramatically improved recovery, from a week of bedrest to an outpatient procedure. Then, intraocular lenses allowed for functional visual rehabilitation. The current “state of the art” procedure, phacoemulsification by ultrasound, was invented approximately 40 years ago, allowing removal of the fragmented cataract through smaller incisions, further improving outcomes. Better ultrasound machines have improved safety and efficiency, while better intraocular lenses have allowed for better overall visual results and in many cases the elimination of dependency on eyeglasses. In yet another significant leap forward, cataract surgery has evolved to once again stand as one of the most technologically advanced surgeries of any kind. The Femtosecond laser, originally developed to create LASIK flaps for laser refractive surgery, can now be used to design and create

Dr. Minkovitz programming the LensX laser.

all of the necessary incisions for cataract removal and astigmatism correction, precisely measuring the ocular structures with micron precision and displaying these structures through real-time high resolution digital images. The laser can also create the critical opening of the lens (capsulorrhexis), and also fragment the lens before any instruments enter the eye. This allows for reduced ultrasound energy (which can be damaging) and improved safety. Reports suggest that the procedure is up to 10 times more precise than when performed with manual blades and ultrasound. The computer guided accuracy is ideally suited for the latest premium intraocular lenses capable of improving spectacle free vision. Delaware is home to some of the finest medical and surgical care available. With this early introduction of leading edge technology, we were thrilled to usher in the next era in modern eye care, and we remain proud to offer the absolute latest technology to Delaware patients, making this device available to other qualified and certified surgeons. Jeffrey Minkovitz, MD is an ophthalmologist with Eye Physicians and Surgeons in Wilmington, Delaware. Dr. Minkovitz specializes in cataract and refractive surgery, and is one of only a few Delaware surgeons specially trained in corneal transplantation. He completed a cornea and refractive surgery fellowship at the renowned Wilmer Eye Institute of Johns Hopkins. Previously, he graduated magna cum-laude from Harvard, earned his medical degree from the University of Massachusetts, completed internship at Harvard’s Mt. Auburn Hospital, and served his ophthalmology residency at Washington University. Dr. Minkovitz participated in the early research on Excimer Laser refractive surgery, and has offered this procedure to Delawareans since FDA approval in 1996, before Delaware had its own laser. These early pioneering individuals travelled to Wilmer Institute with Dr. Minkovitz, where he maintained his teaching and clinical appointment. In addition to introducing laser vision correction to Delaware, he also introduced NearVision CK to eliminate reading glasses, DSAEK (a newer, less invasive type of corneal transplant) and recently the newest advance in cataract surgery: laser assisted cataract surgery. In 2016, Dr. Minkovitz founded Laser Vision Delaware, llc and brought the newest and most advanced refractive laser to Delaware.

Dr. Minkovitz and Stacey Hurley, RN overseeing installation of the LensX laser. Dr. Minkovitz is a co-founder of the Center for Advanced Surgical Arts and serves on its medical advisory board. He is also on active staff at Christiana Care. While on staff of Wilmer at Johns Hopkins University, Dr. Minkovitz received the Outstanding Teacher award. He was also named Top Doc in ophthalmology by Delaware Today Magazine six consecutive years, and has been an invited instructor at American Academy of Ophthalmology Annual Meetings.

For further information or to schedule an appointment please call 302-656-2020 extension 1.

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Headshot by Shannon Adelson

Dear Readers

Pamela J. Rizzo, Publisher

The Women’s Journal P.O. Box 57 * Lewes, DE 19958

email: countywomen@gmail.com

www.TheWomensJournal.com Call Us At: 302-236-1435

Advertising Sales Pamela J. Rizzo / Nancy Kanienberg/ Stephanie Shafer Accounting Pamela Rizzo Graphic Design www.JellyGraphics.com The Women’s Journal is published quarterly 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 the month in the first month of each quarter.

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publisher’snote

As we head into fall then straight on to the holidays of winter so much has happened in the past year that it seems kind of surreal. The summer was a bit brutal, but as I am writing this brief note the weather is quite beautiful. I am not sure what is different this year as I have seen more butterflies, dragon flies, and hummingbirds in my garden than I have in the past. My heart wants to think that it is a sign from my granddaughter, telling me she is happy and content with God. Kourtney always loved butterflies, dragonflies, and hummingbirds, so it only seems right that she would send me signs with these creatures. I can only hope. This issue I did things a little differently. In regard to our cancer survivors, since space is so limited and we only have the 4 covers, I decided to do an inside spread for their stories; leaving the front cover section as a business profile spotlight. I hope that you will take the time to read their inspiring stories as they share their journey in surviving cancer. Check out the other profiles too! Complete profiles can be found on Pages 33-39. Coming up in November is one very important event! The Women’s Expo is being held at the Chase Center on Thursday, November 17th. You can find all the details in their ad on page 59. This is one event you do not want to miss! It is completely open to the public so go ahead mark your calendar and come join us. Thanks to all our wonderful contributors for your support of the County Women’s Journal. I hope that the holidays will be a wonderful time for everyone and that 2016 has been your best year yet. The County Women’s Journal is available in medical buildings, hospitals, doctors’ offices, recreation centers, libraries, bookstores, coffee shops, hair salons, supermarkets, thousands of homes and many other local businesses. Can’t put your hands on a copy? Just call us so we can help! Pamela Rizzo, Publisher On The Cover... We would like to thank The Waterfall Catering and Special

Events for hosting our profile photoshoot for the New Castle County Women’s Journal issue. Their beautiful facility is located at 3416 Philadelphia Pike, Claymont, DE 19703. If you are looking for the perfect location for your next event you owe it to yourself to check out The Waterfall. For more information call 302-792-2600 or visit their website: waterfallbanquets.com. I would also like to say thank you to J Christian and his incredible team of stylists and makeup artists. They have never let me down in the 7 years that I have worked with this group. J Christian Studio is an award-winning, upscale salon located at 7465 Lancaster Pike, Hockessin, DE 19707. For more information or to book an appointment with any of his amazing stylists or makeup artists, call 302-235-2306 or visit their website: www.jchristianstudio. com. Mr. Shannon Adelson, of Adelson Media, Inc. was our photographer for this shoot. We are pleased with his great eye for photographing and his professional ease of dealing with each of our participants in the profile photo shoot. You can contact Shannon at 484-748-0166, or email him at Shannon@ shannonadelson.com. To see more of Shannon’s work, check out his website at www.shannonadelson.com. We were honored to have 8 top professionals participate in our 4th Quarter shoot. I hope that you will let them know that you read their profiles in the Women’s Journal. Complete profiles on each of the participants are on Pages 33-35. 3

contents

educate. enrich. empower.

Dr. Kaveeta Vinaya Kumar

health&medicine

Laser Cataract Surgery..................................2 3D Mammography.........................................5 Sleep: A Medical Necessity...........................6 Hear Well & Holidays (Del. & Chest. Edition)....6 What Is A Urogynecologist.............................7 Sensitive, Fragile & Unsightly Teeth..............8 Do You Know Your Numbers?.......................9 I’m Forgetting, Or Aging?….........................10 Quick & Permanent Solution To Fat Removal...11 A More Beautiful You (Del. & Chest. Edition)..11 Living With Osteoarthritis Pain?.............12-13 Live Longer-Live Better................................14 Chiropractic & Massage (Del. & Chest. Edition)..14 Ocular Symptoms & Common Causes.......15 All-on-4 Dental Implants®...........................16 Sugar, Not So Sweet After All!.....................17 Wonderful Time Of The Year!......................18 About Breast Cancer...................................19 Now I Lay Me Down To Sleep.....................20 New Cardiovascular Drugs On The Horizon..21 An Easy Fix For Hair Thinning.....................22 What Is Aging In Place?..............................23 The DNA Diet...............................................24 Our Beacon Of Hope...................................25 An Important Screening...............................26 Understanding Varicose Veins....................27

business&finance

Year-End Tax Planning.................................28 Suddenly Single Women............................29 Office Still In Your Spare Room?.................30

Carmella Gibellino-Schultz

events

Women In Business.....................................31 Cocktails For A Cause.................................50 Masquerade Ball.........................................66 Walk To End Alzheiner’s...............................71 Ballet Season At Rosemont.........................75

fabulousfoods

Dog Treats From Humanely Raised Meat.....31 Candy For All Occasions.............................32 Painted Stave Events..................................32

profiles

Profiles & Thanks.....................................33-39

fashion&beauty

Daddy-Daughter Hairstyling Class..............40 Secrets To Great Hair (Del. & Chest. Edition)...40 Recycle Your Unworn Jewelry.....................41 Tired Of Acne?............................................42 Your Foundation Concierge........................42 Eyelash Extensions....................................43 3 Stories Of Permanent Cosmetics........44-45 The Hair Replacement Specialists..............46 Three Reasons For Routine Facials............47

bridal

The Waterfall...............................................48 Event Photographer (Del. & Chest. Edition)...48 Country Elegance (Del. & Chest. Edition)....48 For The Love Of Flowers.............................49 Celebrations & Ceremonies.........................50

fitness&lifestyle

Five Quotes From Joseph Pilates................51 Choosing Wisely.........................................52 Is Willpower All In Your Mind?......................53 ADHD: Not Just A Childhood Disorder........54

tableofcontents

Susan D’Alonzo Ament, Esquire

marketing

Stay Inspired As You Grow Your Business...55

photography

What Makes A Great Headshot?.................56

law

Protecting Our Police, Fire & EMS..............57 Involved In A Motor Vehicle Collision..........58

community

Alex’s Lemonade Stand..............................59 SCCCC Relocates To New Home...............60 Festival Of Trees.........................................60 Small Business Owner?..............................61 Why Join Us?..............................................61 Middletown Halloween Crawl.....................62 Monster Miles For A Cause.........................62 NAWBO What’s New?.................................63 Fall Respite For Adults With Disabilities.....63 What All Women Need To Know..................64 Help Us Keep Our Doors Open.................65 Musical Entertainment Group.....................65 Entrepreneurial & Business Women’s Expo..71

education

Five Apps Your Teen Needs For College.....67 Educational Technology...............................68 Charter School Achieving Success............69 Fresh Start Scholarship Foundation............70

home&garden

Here Comes Winter (Del. & Chest. Edition)...71 Understanding The Zika Threat...................72 Power Grab.................................................73 Your Job Done Right...................................76

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3D Mammography: A New Tool

In The Fight Against Breast Cancer

3D mammography will directly influence our ability to detect and treat cancer early, when it is most curable. This advanced technology will bring more accurate information, better outcomes, and the promise of a better future to many patients. What Exactly is 3D Mammography?

A new screening and diagnostic breast imaging tool that allows doctors to see masses and distortions associated with cancers significantly more clearly.

Q: A:

How Does it Work?

An X-ray arm sweeps over the breast, taking multiple images at many different angles in seconds.

Q: A:

Despite all we have learned, breast cancer is still a devastating disease for women and families in Delaware: • Breast cancer is the second-leading cancer killer of Delaware women.

• One-third of breast cancer diagnoses

in Delaware are for late-stage cancer.

What’s the Difference between 2D and 3D Mammography?

Q: A:

Am I a Candidate for 3D Mammography?

Q: A:

Is 3D Mammography Covered by Insurance?

Women with dense, hard-toimage breasts and/or those with a history of breast cancer are the best candidates for 3D mammography. If you are a woman age 40 and older, and are preparing to make your annual mammogram appointment, talk to your doctor about 3D mammography to see if it may be right for you.

The screening may be covered 100% by your health insurance provider, however, it is always a good idea to check with them before you schedule an appointment. In some cases, a co-pay may be required.

Q: A:

Conventional 2D mammography produces a single, flat image of the breast. In about the same amount of time and with the same or improved comfort, 3D technology takes multiple images of thin cross sections of the breast. The final compiled 3D image is not only crisp and sharply defined – radiologists can actually view the tissue one millimeter (mm) at a time.

Why Should I Get Screened?

Breast cancer is nearly 100% curable if caught early. I think that is a pretty good reason in and of itself!

Please mention you read about 3D mammography in The Women’s Journal.

To learn more about 3D, or to make an appointment, call 302.421.4141.

Dr. Erev Tubb is Chief of Hematology and Medical Oncology at Saint Francis Healthcare. www.TheWomensJournal.com

What are the Benefits of 3D?

The clarity and finer detail of 3D images have clinically demonstrated benefits. Studies show that 3D mammography: • Increases breast cancer detection by 10–30% • Detects 41% more invasive breast cancers • Reduces return visits due to false positives by up to 40%

By Erev Tubb, MD

Q: A:

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Sleep: A Medical Necessity W

e spend a third of our lives sleeping, and the quality of our sleep determines aspects of our overall health. Sleep deprivation can be defined By Dr. Paul Imber, MD as a lack of quantity or quality of sleep. Sleep deprivation leads to personality changes, memory loss, increased accidents in the workplace and on the roadways, decreased productivity at work and school, hypertension, risk of cardiac disease and stroke, decreased success in rehabilitation after stroke, gastroesophageal reflux disease, right-sided heart failure – even sudden death! One of the most common causes of sleep deprivation is obstructive sleep apnea (OSA). This occurs when the musculature of the upper airway collapses while sleeping. During sleep our muscle tone relaxes and the airway narrows, which can cause snoring. This can be a hallmark of OSA. During deep sleep, REM sleep, the musculature relaxes even more causing a collapse of the opening and loss of inspiratory airflow. The brain perceives the lack of oxygen and awakens to a lighter stage of sleep, thus decreasing the quality of sleep. These events cycle through the night, and can occur as frequently as 100 times per hour in some patients. The oxygen level can drop dangerously low during these episodes, which can cause morning headaches upon awakening in these patients. Common symptoms for OSA patients can include loud snoring with gap episodes (stop breathing) of 10-15 seconds or more, awakening poorly rested sometimes with headache, daytime lethargy with napping if sedentary, difficulty driving distances, increased irritability, learning problems and hyperactivity in children, awakening through the night, and dry mouth when awakening due to mouth breathing. Many times the patient does not realize that he/she has the problem, and it only is noted when bed partners raise the issue of their own disrupted sleep by the snoring mate. OSA occurs in up to 6% of the population, usually between ages 50 to 60, although it can occur at all ages. In the pediatric population it is most commonly related to tonsil and adenoid enlargement. In adults, OSA can be caused by anatomic obstruction in the nose and throat which can include allergy, septal deviation, tonsil and adenoid enlargement, fullness and elongation of the soft palate and uvula, decreased muscle tone from female and male menopause, airway obstruction of the base of the tongue and around the voice box. If you think you or your partner may have sleep apnea, evaluation by a specialist is recommended. It is important that the patient with OSA be fully evaluated and examined for causes of the problem, as some of these causes can be corrected or modified through medical and/or surgical treatment. The diagnosis is confirmed with a sleep study, which frequently can be performed at home over a few nights. The home sleep test involves a few sensors to monitor airflow, chest and body

movement, and oxygen level of the blood. The test is painless and much more comfortable than in a lab study. If OSA is diagnosed, it will be rated as mild, moderate or severe depending on the frequency of apneic episodes and the drop in oxygen in the blood. It may show that the episodes only occur when the patient is on their back, which can be treated with positional modification. It may be recommended that a PAP study be performed, to see if positive airway pressure will correct the blockage (think of a gentle stream of air blowing through a balloon just enough to keep it opened but not inflated). On occasion an oral appliance may be recommended to adjust the position of the jaw during sleep, thus opening the back of the throat. Surgical procedures can also be performed to open the nasal passage, reshape the back of the throat, remove tonsils and decrease some of the tongue base. Also, control of allergy congestion and symptoms can enhance the effectiveness of these treatments. Sometimes, success is best achieved

with a combination of these options. There is even a new device to stimulate the nerve in the neck to contract the opening muscles of the throat which is attached to a pacemaker that paces the contractions to your inspiration while asleep. Obstructive sleep apnea does not have to interrupt the sleep of multiple people if treated aggressively. There are different treatments that can help you and your sleeping partner, giving you both an improved quality of life and health. Paul Imber, DO is a practicing, board certified Otolaryngologist in private practice in Delaware since 1982. He is one of the physicians at ENT & Allergy of Delaware, which has four locations throughout New Castle County.

For further information regarding ENT and Allergy of Delaware please go to www.entad.org

WELCOME TO ENT & ALLERGY OF DELAWARE Joan Coker, MD

•

Kieran Connolly, MD

•

Neil Hockstein, MD Jonathan Romak, MD

•

Timoteo Gabriel, MD •

•

Gregg Goldstein, MD

Paul Imber, DO

William Sheppard, MD

•

Michael Teixido, MD

• Adult & Pediatric Otolaryngology

• Head & Neck Cancer Treatment

• Allergy Testing & Treatment, including Sublingual Immunotherapy

• Medical & Surgical Management of Hearing & Balance Disorders

• Swallowing & Voice Disorders

• Headache Treatment

• Thyroid Surgery

• Audiology & Hearing Aid Services

302.998.0300 www.entad.org

Ketlay Plaza: 124 Sleepy Hollow Drive; Suite 200; Middletown, DE 19709 Glasgow Medical Center: 2600 Glasgow Avenue, Suite 221, Newark, DE 19702 Foulkstone Plaza: 1401 Foulk Road, Suite 205, Wilmington, DE 19803 Limestone Medical Center: 1941 Limestone Road, Suite 210, Wilmington, DE 19808 Hearing Services - Suite 212 6

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What Is A Urogynecologist & When Should I Seek Help From One? Y ou may have heard of urologists, doctors who treat disorders of the urinary tract or gynecologists, doctors who focus on the female reproductive system. But what is urogynecology? A urogynecologist is a doctor who completes an obstetrics and gynecology residency and a fellowship in female pelvic medicine and reconstructive surgery. The fellowship consists of three years of additional training focusing on advanced treatment options, including both surgical and non-surgical therapies used to treat problems with the pelvic floor. The medical term “pelvic floor” refers to the organs and systems in a woman’s pelvis. These structures include the bladder, uterus, vagina, and rectum as well as the surrounding muscles, tissues and nerves. Many of these organs are connected and are located in a very close area; problems with

how a woman’s body changes after childbirth. Combining this understanding with our comprehensive fellowship training gives us the unique ability to treat problems that may affect the systems and organs within the pelvic floor, even years after giving birth.

one organ or system often create problems with the others. Approximately one-third of women experience pelvic floor problems and can benefit from a urogynecologist’s care.

The comprehensive training described prepares a urogynecologist to become an expert in treating a broad range of problems, such as pelvic organ prolapse, which occurs when the bladder, bowels or uterus drop through the vagina. Symptoms include urinary incontinence or leakage when you cough, exercise, have sex or move around.

Together we can help improve your quality of life.

Anatomical (body) changes which may occur after having a baby is one of the most common reasons women become incontinent or have other problems with organs in the pelvic area. Our training in obstetrics gives us tremendous insights and understanding about

Emily K. Saks, M.D., MSCE, is a urogynecologist with the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Saks completed her fellowship in female pelvic medicine and reconstructive surgery at the Hospital of the University of Pennsylvania.

Howard B. Goldstein, D.O., MPH, is a urogynecologist with the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Goldstein completed his fellowship in female pelvic medicine and reconstructive surgery at Cooper University Hospital in Camden, New Jersey.

Some women will find relief through surgery. Surgical options can include same-day, minimallyinvasive procedures that women recover from quickly with little or no down time.

Although most of these complications are not life threatening, they often have a negative impact on a woman’s quality of life. Many patients tell us they hesitate to spend long periods of time away from home. Some have given up exercise and other activities they once enjoyed.

At the Christiana Care Center for Urogynecology and Pelvic Surgery, you will meet four highly skilled and caring physicians dedicated to get you back to feeling yourself and empower you to live your life to the fullest.

In the overwhelming majority of

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Dedicated in providing the expert care you deserve.

To learn more or make an appointment, call 800-693-CARE.

Bladder problems shouldn’t keep you from the things you enjoy most in life.

Matthew Fagan, M.D., MS, is a urogynecologist with the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Fagan completed his fellowship in female pelvic medicine and reconstructive surgery at Greater Baltimore Medical Center/University of Maryland.

Christiana Hospital Medical Arts Pavilion 2 302-623-4055 4735 Ogletown-Stanton Road, Suite 1208, Newark, DE 19713 Smyrna Health & Wellness Center 302-623-4055 100 S. Main Street, Suite 215, Smyrna, DE 19977 Christiana Care Concord Health Center 610-361-1030 161 Wilmington-West Chester Pike, Chadds Ford, PA 19317 www.christianacare.org/urogynecology

Women can benefit from a variety of non-surgical treatment options, such as medications, physical therapy and/or changes in diet or daily habits.

Another common problem is the need to go to the bathroom often, when infection is ruled out the likely cause is known as overactive bladder. Urogynecologists also treat patients with fecal incontinence – an inability to control bowel movements.

You will meet highly skilled and caring physicians who are the only urogynecologists in Delaware who have completed fellowships and are board-certified in female pelvic medicine and reconstructive surgery.

Babak Vakili, M.D., is the director of the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Vakili completed his fellowship in female pelvic medicine and reconstructive surgery at the Louisiana State University Health Science Center.

cases, a urogynecologist can help. It doesn’t matter how old you are or how long you have been putting up with these problems.

Let us help you get back to what really matters.

800-693-CARE (2273)

Life. Healing. Caring. 16WHS13

christianacare.org/urogynecology

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Relief For Sensitive, Fragile & Unsightly Teeth T

he coffee smells wonderful. The ice cream looks great. But you find yourself turning them down because you know how much they’ll make your mouth hurt. And you wonder what’s going on that’s turned the foods and drinks you used to love into the enemy.

Common but dangerous

Abfractions, which are quite common in adults, occur most often in the back teeth but they can develop in any part of the mouth. And, when they do they can cause the kind of sensitivity to hot or cold food and drinks you may have noticed. In fact they can even cause painful sensitivity to cold outdoor air.

The answer is the loss of enamel from the part of a tooth nearest the gum. This loss actually creates “divots” in the tooth, exposing the dentin below and causing painful sensitivity – as well as some other potentially serious problems.

Other symptoms you may notice include •

Pain when you chew or bite down hard

•

Discomfort when you brush or floss

•

Actual cracks in the enamel of your teeth

What’s more, abfractions can lead to cavities because they trap food and plaque, and because the exposed dentin is so much softer than enamel. Even worse, they can weaken the structure of your tooth and actually cause it to break.

It’s a problem that’s been around forever, but one that’s only recently been fully understood. In the past, dentists blamed hard toothbrushes and overly aggressive brushing – particularly brushing side to side. Now, though, we understand the problem is usually excessive lateral stress on the neck of the tooth caused by bite problems and/or clenching and grinding. So we’ve declared tooth brushing not guilty and even given the problem a brand new name: “abfraction.”

Solving the problem

Abfraction never get better on its own but there are some simple, highly effective steps we can take to end the danger and the pain.

Why it happens

To understand how abfraction happens, it helps to know that when you bite down you’re actually exerting as much as several hundred pounds of pressure per square inch. That’s not a problem if your teeth are properly aligned. But if your bite is even a tiny bit off, that pressure can cause your teeth to flex.

The first step is to assess your bite and, if it isn’t perfect, take steps to correct it. Basically that involves making sure the force of chewing is distributed over all your teeth so none receives too much pressure. Without this step, the problems that caused your abfraction will continue and may cause more.

That is a problem because while the dentin inside your teeth can flex a bit, the hard, brittle enamel on the outside can’t. As a result, as time goes by the enamel begins to separate from the dentin – usually at the neck of a tooth because that’s where the enamel is thinnest.

Next, I’ll restore the enamel that’s missing using a natural-looking composite material. Doing this will strengthen your tooth and end your sensitivity to hot and cold. Finally, I’ll most likely make you a custom night guard to protect your teeth from grinding while you sleep.

It’s a slow process and one you’re not likely to notice. But sooner or later this gradual, microscopic damage causes the enamel to sheer off, leaving the characteristic wedge-shaped indentation dentists call an abfraction lesion, or simply an abfraction.

It’s as simple as that. If tooth sensitivity is keeping you from enjoying the food you love – or if you’ve noticed cracked or missing enamel, just give us a call at 610-558-1760.

As you can imagine, clenching your teeth or grinding them at night can make the problem even worse.

We look forward to talking with you.

Anna C. Giacalone, DMD, MAGD

New Patients: Mention this offer when you call for your first visit

Master of the Academy of General Dentistry

To receive a FREE Exam, PLUS $100 toward your dental treatment.

Education: • DMD University of Pennsylvania School of Dental Medicine

Available to the first 27 new patients who mention this ad Not to be combined with other offers Call to schedule with Dr. Giacalone at 610-558-1760

• Certificate and Internship : Comprehensive Orthodontic Institute • Certificate: Dawson Academy of Advanced Study Numerous Awards and Commendations including Mastership in the Academy of General Dentistry, The Pennsylvania Dental Association Award for Excellence, Top Cosmetic Dentist Main Line Today, America’s Top Dentists, to name a few. 8

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Do You Know Your Numbers? The mouth is a playground for bacteria.

By Dr. Grace Liu and Dr. Lewis Yu

o you know your periodontal pocket depth numbers? Do you need to care? You read the articles in the health section of the paper or in the popular women’s magazines, or maybe catch a clip on the “Health Watch” edition of the evening news on the effects of gum disease. Most people disregard the information, because they brush regularly, see their dentist, and may have nice looking teeth. But the fact is that 3 out of 4 people have some form of gum disease ranging from mild to severe. Gum disease is mostly painless, but can be dangerous at any stage. Its destructive power on the jaw bones and other related oral cavity structures has been well-documented. Over the last several years, studies looking at the effects of gum diseases on the vital organs of our body have begun to surface. The systemic implications are more dramatic than just the risk of losing your teeth.

Your mouth is not a separate entity from the rest of your body.

The same blood and bacteria that circulate through your mouth and gums also makes its way to your heart and all the other major organs. Research shows that there is an association between gum disease and many chronic inflammatory conditions such as diabetes, cardiovascular disease, stroke, respiratory disease, and pre-term, low-birth weight babies. Pregnant women with gum disease are seven times more likely to have a baby that is born too early and too small. This is due to a laborinducing chemical that is found in oral bacteria called prostaglandin. People with gum disease are twice as likely to suffer from coronary heart disease and/or exacerbate an existing condition. Diabetic patients are more likely to get gum disease due to their inability to fight infections. Furthermore, gum disease can actually increase blood sugar, increasing their risks for complications. As you can see, gum disease is not something one would want to have a wait and watch attitude, because the repercussions could be severe.

Some good, but mostly bad. They hide under our gum line, between the teeth, and in the crevices of the tongue. The longer plaque and tartar remain on the teeth, the more harmful they become. Bacteria cause the gums to become inflamed, red, swollen and bleed easily. These symptoms describe a condition known as gingivitis. Gingivitis is the beginning stages of gum disease. It is very important to realize that it is also the reversible stage. Gingivitis can be easily “knocked out” with diligent home care that includes brushing, flossing and/or Water Pick® use and regular visits to your hygienist. Unfortunately most people think that bleeding gums are totally normal, and ignore this first warning sign of gum disease. As gum disease progresses the gums pull away from the tooth’s root, causing “pockets” that are in fact infected. Deep within these pockets, the bacterial toxins set up their home and literally destroy the supportive bone and connective tissue that hold the teeth in place. Over time, and without proper treatment, the teeth will eventually become loose and need to be removed. As a diagnostic tool, once a year your hygienist should be taking measurements (in millimeters) of the pockets around each tooth. This is a simple and usually painless screening for possible gum problems. The ideal numbers range between 1 and 3 mm. We use this as a guideline of health because each person is able to clean below their gum line up to 3 mm with the normal use of brushing and flossing. But at pocket depths of 4mm and above, it is impossible to reach to the bottom of the pocket and remove those bacteria that are setting up for destruction. This is why it is so important to “know your numbers.” So, what should you do if you hear your hygienist say numbers that are 4mm and above? Treatment is necessary if you wish to keep your teeth and maintain your overall health. Before considering the painful option of gum surgery to reduce pockets, there are several non-surgical treatment options to try. The recommendation may include more frequent visits where the hygienist will use an ultrasonic scalerthe most effective tool in breaking up bacteria and

Dr. Lewis Yu earned his dental degree from the University of Pennsylvania School of Dentistry in 1996. He received two years of advanced postgraduate oral surgery training in both the New York City Hospital System and the Hospital of the University of Pennsylvania. He continues his education through extensive hands-on training at the prestigious Las Vegas Institute for Advanced Studies and the Pankey Institute. The Las Vegas Institute has provided Dr. Yu with advanced training in Neuromuscular Dentistry and Comprehensive Aesthetic Restorations. He had practiced in Philadelphia and Newark, DE before joining All About Smiles, P.A. He is a member of the Delaware State Dental Society, American Dental Association, and the Academy of General Dentistry. Dr. Grace Liu has been practicing dentistry since 1996, having earned her degree from the New York University School of Dentistry. She continued her education through post-graduate studies at Columbia University, the Las Vegas Institute for Advanced Studies in Nevada and the Academy of Dentistry. She is also a member of the Delaware State Dental Society, American Dental Association, and the Academy of General Dentistry.

All About Smiles, P.A. is conveniently located at 4543 Stoney Batter Road, Wilmington, DE 19808

302.239.1641

It is also important to understand the risk factors.

Visit the website at www.allaboutsmilesde.com for directions, hours, and more services.

You are more likely to get gum disease if you: • Do not clean your teeth well • Smoke or chew tobacco • Have a family history of gum disease • Are taking medications that affect your mouth by making it dry • Are experiencing hormonal changes for girls/women • Have a condition that makes it harder for you to fight infections such as: * Uncontrolled diabetes, AIDS, or cancers * High levels of stress * Poor diet that is low in nutrients

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flushing it out of the pocket. An increase in the frequency of removing the bacteria and letting the body heal itself will bring the pocket depths to a maintainable depth. If needed, a localized antibiotic can be inserted into a troublesome pocket area to help boost the destruction of bacteria. These options have been proven to be very effective along with the therapy the hygienist can provide. These days we are made aware of so many ways to protect our health and prevent disease. We spend so much money on vitamins, health and beauty products and use our time exercising and reading up on ways to better our health. While all of these are important, we overlook three of the simplest tools; your toothbrush, floss and the diligence in committing to regular dental care. We urge you to “know your numbers,” and take control of your dental health and overall well-being!

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I’m Forgetting… Is This A Problem Or A Part Of Normal Aging? D

o you find yourself forgetting things lately? Ever walk into a room and can’t remember what you came there for? Have difficulty finding where you parked your car in the mall parking lot? Thought maybe you might be experiencing the beginning stages of Alzheimer’s disease? Everyone experiences forgetfulness. It is a temporary condition that can usually be resolved. Some factors that contribute to forgetfulness are stress, fatigue, depression, nutrition deficiencies, and drug overdoses or interactions. Other more normal factors which may cause forgetfulness include distractions, preoccupation, multi-tasking, and acting on “auto-pilot.” Normal memory loss is referred to as age-associated memory impairment, or benign memory loss due to aging. It does not affect our social or intellectual functioning. Memory loss that disrupts everyday life is not part of the normal aging process. It is a symptom of dementia, a gradual and progressive decline in memory, thinking and reasoning skills. Early symptoms of Alzheimer’s disease often include recent memory loss which may cause difficulty in performing familiar tasks such as handling the

checkbook or preparing meals, difficulty learning new tasks, loss of a sense of time and problems with language. Before a diagnosis is made, other conditions must be excluded, some of which are potentially reversible. Do not assume that you or someone you love has Alzheimer’s disease. Instead, pursue a thorough evaluation, involving physical, neurological, psychological and psychiatric examinations and laboratory studies which should yield a fairly accurate diagnosis. Arden Courts Memory Care Community is a memory care community specializing exclusively in caring for individuals living with Alzheimer’s disease and related dementias.

For more information about memory loss or to schedule a visit to speak with an Arden Courts professional, call (302) 762-7800. Excerpts of this article have been cited from materials from the Alzheimer’s Association.

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SmartLipo, The Quick & Permanent Solution To Fat Removal ™

By Nadiv Shapira, MD FACS, FACPh

We use a new laser technology called SmartLipo Triplex™. It revolutionized liposuction to become the leader in permanent fat removal without the pain and recovery of liposuction. It’s the only technology atients often say to capable of liquefying fat me, “No matter how cells and permanently much I exercise or diet, destroying them, I cannot get rid of this” while simultaneously (while pinching a pocket tightening the skin, of fat on their body). They for much smoother are so happy to hear results than traditional me say that we CAN get liposuction. Smartlipo rid of that stubborn fat Triplex™ is the safest, without them having to most effective, and most go through traditional affordable procedure Liposuction or the pain available today to sculpt resulting from multiple bodies, tighten skin and procedures that are give you the figure you required of CoolSculpting. desire.

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“Dr. Shapira is very skilled and knowledgeable. He also took the time to explain the procedure and made me feel at ease. From the schedulers to medical staff, everyone was professional and kind. I’m definitely coming back to First State Vein & Laser, as my experience has been excellent. They also accommodated me by having evening hours so I can come right after work.” - Ashley S., Bear, DE

“Dr. Shapira and his staff were wonderful and he spent so much time with me which made me feel he really got to know me. This adds to my sense of safety and security when entrusting him and his staff to my care.” - Deborah S., Alexandria, VA

“I needed to skim some inches off before my wedding. Fitting in a dress you ordered a year before is hard! Dr. Shapira was able to sculpt my body in a way I had never thought possible! The lower belly pouch and love handles was decreased in size a lot and my pants fit so much better!” - Danielle F., Wilmington, DE

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Living with osteoarthritis pain?

LEARN ABOUT A LOW-DOSE TREATMENT OPTION “The US Food and Drug Administration (FDA) recommends that NSAIDs be used at the lowest possible dose and the shortest time needed for your treatment.” —Dr. Paul Doghramji Dr. Paul Doghramji

A welcome innovation Using SoluMatrix Fine Particle TechnologyTM, Iroko Pharmaceuticals, LLC has developed NSAID products that can help manage pain at low doses. This technology: • Creates NSAID drug particles that are approximately 10 to 20 times smaller than their original size • Helps drugs dissolve quickly so they can be rapidly absorbed in the body

What is osteoarthritis (OA)? Characterized by joint pain, swelling, and stiffness, osteoarthritis is the most common form of arthritis, affecting approximately 27 million US adults. If you are living with osteoarthritis, it is important to stay informed about advances in treatment, while focusing on information you can trust. Here are some facts I offer my patients to help them manage their osteoarthritis pain: Nonsteroidal anti-inflammatory drugs (NSAIDs) NSAIDs are the most frequently used medicines to help manage pain and inflammation. NSAIDs are found in nearly 550 over-the-counter and prescription medicines, including aspirin, Aleve® (naproxen sodium), and Advil® (ibuprofen), to name a few. Other NSAIDs are only available as a prescription.

The role of meloxicam and VIVLODEX® Meloxicam is an NSAID that is used to manage pain caused by osteoarthritis. VIVLODEX is a low-dose SoluMatrix® meloxicam for patients with osteoarthritis pain. VIVLODEX is FDA-approved at 5-mg and 10-mg doses to be taken once daily.

The higher the dose, the higher the risk While NSAIDs can be effective, using them can also put you at risk for serious heart, stomach, and kidney problems. In fact, 16,500 people with rheumatic diseases (osteoarthritis and rheumatoid arthritis) are estimated to die each year due to NSAID-related gastrointestinal complications. The US Food and Drug Administration (FDA) recommends that NSAIDs be used at the lowest possible dose and the shortest time needed for your treatment.

Ask your doctor if you are taking the lowest effective NSAID dose. Then ask about VIVLODEX. To prepare for a talk with your doctor about osteoarthritis pain and its treatment, you can download a helpful discussion guide at www.LowDoseMatters.com. All trademarks are the property of their respective owners.

Important Safety Information All non-steroidal anti-inflammatory drugs (NSAIDs), like VIVLODEX, increase the risk of heart attack or stroke that can lead to death. This risk may happen early in treatment and may increase with increasing doses and longer use of NSAIDs. Avoid taking NSAIDs after a recent heart attack. Do not take VIVLODEX right before or after a heart surgery called a “coronary artery bypass graft (CABG).” NSAID medicines can cause ulcers, tears, and bleeding in the esophagus, stomach and intestines at any time during treatment. These events can happen without warning symptoms and may cause death. The risk of a person getting an ulcer or bleeding increases with: a past history of ulcers or bleeding in the stomach or intestines, increasing doses or longer use of NSAIDs, taking other medicines called “corticosteroids”, “anticoagulants”, “SSRIs”, or “SNRIs”, smoking, drinking alcohol, older age, and having poor health, liver disease or bleeding problems. Please see Important Product Information and Medication Guide on the following page. The ‘Swirl Design logo’ and SoluMatrix Technology™ are trademarks of iCeutica Pty Ltd., and are licensed to Iroko. SoluMatrix Fine Particle Technology™ is a trademark of iCeutica Inc., and the technology is licensed to Iroko for exclusive use in NSAIDs. SoluMatrix® is a registered trademark of iCeutica Pty Ltd., and is licensed to Iroko.

Printed in USA.

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VIVLODEX® (meloxicam) capsules / Rx only

IMPORTANT PRODUCT INFORMATION

The information below does not take the place of talking with your healthcare professional. Only your healthcare professional knows the specifics of your condition and how VIVLODEX may fit into your overall therapy. Talk to your healthcare professional if you have any questions about VIVLODEX (pronounced viv’ loe dex). VIVLODEX is a prescription non-steroidal anti-inflammatory (NSAID) medicine used to manage osteoarthritis (OA) pain at low 5 mg and 10 mg doses. The most common side effects in people taking VIVLODEX are diarrhea, nausea and abdominal discomfort. Read the Medication Guide that comes with VIVLODEX before you start taking this drug and each time you get a refill. There may be new information. Medication Guide for Nonsteroidal Anti-inflammatory Drugs (NSAIDs) What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)? NSAIDs can cause serious side effects, including: • Increased risk of a heart attack or stroke that can lead to death. This risk may happen early in treatment and may increase with increasing doses of NSAIDs; with longer use of NSAIDs Do not take NSAIDs right before or after a heart surgery called a “coronary artery bypass graft (CABG)." Avoid taking NSAIDs after a recent heart attack, unless your healthcare provider tells you to. You may have an increased risk of another heart attack if you take NSAIDs after a recent heart attack. • Increased risk of bleeding, ulcers, and tears (perforation) of the esophagus (tube leading from the mouth to the stomach), stomach and intestines anytime during use; without warning symptoms; that may cause death • The risk of getting an ulcer or bleeding increases with past history of stomach ulcers, or stomach or intestinal bleeding with use of NSAIDs; taking medicines called “corticosteroids”, “anticoagulants”, “SSRIs”, or “SNRIs”; increasing doses of NSAIDs; longer use of NSAIDs; smoking; drinking alcohol; older age; poor health; advanced liver disease; bleeding problems NSAIDs should only be used exactly as prescribed; at the lowest dose possible for your treatment; for the shortest time needed What are NSAIDs? NSAIDs are used to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as different types of arthritis, menstrual cramps, and other types of short-term pain. Who should not take NSAIDs? Do not take NSAIDs if you have had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAIDs; right before or after heart bypass surgery. Before taking NSAIDs, tell your healthcare provider about all of your medical conditions, including if you have liver or kidney problems; have high blood pressure; have asthma; are pregnant or plan to become pregnant. Talk to your healthcare provider if you are considering taking NSAIDs during pregnancy. You should not take NSAIDs after 29 weeks of pregnancy. • are breastfeeding or plan to breast feed. Tell your healthcare provider about all of the medicines you take, including prescription or over-the-counter medicines, vitamins or herbal supplements. NSAIDs and some other medicines can interact with each other and cause serious side effects. Do not start taking any new medicine without talking to your healthcare provider first. What are the possible side effects of NSAIDs? NSAIDs can cause serious side effects, including: See “What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)?” • new or worse high blood pressure • heart failure • liver problems including liver failure • kidney problems including kidney failure • low red blood cells (anemia) • life-threatening skin reactions • life-threatening allergic reactions • Other side effects of NSAIDs include: stomach pain, constipation, diarrhea, gas, heartburn, nausea, vomiting, and dizziness. Get emergency help right away if you get any of the following symptoms: • shortness of breath or trouble breathing • slurred speech • chest pain • swelling of the face or throat • weakness in one part or side of your body Stop taking your NSAID and call your healthcare provider right away if you get any of the following symptoms: • nausea • vomit blood • more tired or weaker than usual • there is blood in your bowel movement or • diarrhea it is black and sticky like tar • itching • unusual weight gain • your skin or eyes look yellow • skin rash or blisters with fever • indigestion or stomach pain • swelling of the arms, legs, • flu-like symptoms hands and feet If you take too much of your NSAID, call your healthcare provider or get medical help right away. These are not all the possible side effects of NSAIDs. For more information, ask your healthcare provider or pharmacist about NSAIDs. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Other information about NSAIDs • Aspirin is an NSAID but it does not increase the chance of a heart attack. Aspirin can cause bleeding in the brain, stomach, and intestines. Aspirin can also cause ulcers in the stomach and intestines. • Some NSAIDs are sold in lower doses without a prescription (over-the-counter). Talk to your healthcare provider before using over-the-counter NSAIDs for more than 10 days. General information about the safe and effective use of NSAIDs Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use NSAIDs for a condition for which it was not prescribed. Do not give NSAIDs to other people, even if they have the same symptoms that you have. It may harm them. If you would like more information about NSAIDs, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about NSAIDs that is written for health professionals. Manufactured (under license from iCeutica Pty Ltd) for and Distributed by: Iroko Pharmaceuticals, LLC One Kew Place 150 Rouse Boulevard Philadelphia, PA 19112 For more information, go to www.iroko.com or call 1-877-757-0676.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

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Issued or Revised: October 2015

Elizabeth Duncan, MD, MBA-HZ Otolaryngology, Board Certified educate. enrich. empower. health&medicine Health Policy Administration Full Service Ear, Nose and Throat Allergy, Hearing, Balance Services Swallowing, Voice Disorders, Head & Neck Cancer reduce onset of depression in the By Elizabeth Duncan, MD, MBA-HC Tinnitus or Ringing in the Ears Testimonial elderly by up to fifty percent, while “My mother and I came to Dr. This problem, ringing or Reflux-Sleep Apnea; Sinus and Ear Disease; n today’s active and youngleading to an improved feeling of Duncan’s practice for help with a buzzing or hissing in one or medical disorder of her ears. We Iself-image thinking society, many people’s well-being. both ears, brings people to the Tinnitus Maskers knew she also had hearing does not include wearing otolaryngologist’s office even Medical Skin Care; State-the-Art Safety difficulty and was unable to hearing aids. Notwithstanding more frequently than a complaint and Advanced Hearing Aids understand conversations even Simply, if you do not hear a that hearing-assistive devices of decreased hearing. For the

Live Longer-Live Better Through Better Hearing have become nearly invisible and technologically advanced with multi-channel programming and smart phone compatibility; there are numerous reasons that normal hearing is extremely important, even crucial, to overall health and well-being.

otolaryngologist, tinnitus is an important problem. What medications are being taken? What is the history of noise exposure? What is the degree of accompanying hearing loss and is it in one ear or both? If it is in both ears in the presence of, especially high frequency hearing loss, it suggests where on the hearing nerve degenerative changes have occurred—the pitch of the tinnitus matches to the location on the nerve where these changes have occurred. After taking a history and ordering and evaluating the appropriate testing, the otolaryngologist may recommend hearing aids to mask the tinnitus. Once the patient can hear at normal loudness, the tinnitus fades. The otolaryngologist also has other suggestions for moderating tinnitus.

hand or a smile and simply sit in silence. The person who greeted him may simply think he is being unfriendly and turn away. That older person lost the stimulation and reinforcement of touch, voice, and visual acceptance in no more than a moment.

How many times have you or your loved one caught yourself hollering to make yourself heard? Frustrating, isn’t it? Most times, it leads to either harsh words or eventually to just not talking to each other. This deprives both parties of meaningful conversation and interaction. Think of walking through the halls of a retirement home—with staff yelling at residents because “they can’t hear” them. Nobody wins. Remember when your aunt or uncle smiled and nodded at whatever was said to them because they couldn’t hear? The interplay of increasing social isolation, the neurologic implication of lack of auditory stimulation resulting in loss of ability to understand the spoken word, socalled word discrimination loss leading to the need to turn one’s TV to maximum volume setting and the anxiety and depression that can result from a wordless environment brings us full circle to the more pervasive problems of Alzheimer’s, dementia, and mental health issues. Simple management of hearing loss by increasing acuity with hearing amplification can

siren, you cannot react to it. If you cannot hear someone giving a loud verbal warning or a fire alarm, valuable time can be lost when seeking safety. Most warnings tend to be presented in a high pitch or frequency, and that is the most common type of hearing loss. Not being able to hear such warnings puts us at risk. Better hearing leads to increased safety.

with the hearing aids she had purchased a while ago. Not only did Dr. Duncan handle her problems with compassion and expertise, but she gave us great hope she would be able to understand and comprehend again with more suitable aids. She had a trial period and with a new set of aids and my Mom, who had been told nothing more could be done to help her, is hearing much better, is happier and delighted with all the help provided by this facility. And we purchased 2 hearing aids for less than the one she had before. Also, my mom is 90 years old and has poor eyesight, poor dexterity, and not much patience. And you were able to take ALL of that into consideration and fit her in exactly what would work for her. We cannot say enough good things about Dr. Duncan for helping my Mom to hear better when we were told this was not possible. Thank you so much!” - Dr. Sandra Naumann, Forensic Psychologist, Phila., PA.

How Does Hearing Wellness Increase Delays in Memory Loss/Dementia Decline Normal hearing enables us to be in contact with auditory stimuli created by environmental sounds and social cues. If the brain is not being stimulated by Alzheimer’s & Dementia or words, critical pathways for social behavior deteriorate. The onset of sounds It has been demonstrated that correcting hearing loss can both auditory deprivation begins. Unaided The ears often exhibit word recognition scores importance of the reduce the risk for Alzheimer’s and otolaryngologist-patient dementia and increase the life span below that of those patients with hearing enhancement. Hearing sensitivity relationship in the field of balance and quality of life of those who and hearing health cannot be have it. This is because normal decreases, along with mental acuity. As people age, basic cognitive skills -overstated. Any person who hearing enables the individual thinks he/she has hearing loss, to be in contact with all auditory working memory, the ability to pay attention to a speaker in a noisy environment, ringing in the ears or tinnitus, stimuli in the environment, along balance problems, ear drainage, with the otheror social cuesability that the to process information quickly -- begin to decline and this is linked to recent history of concussion accompany it. If the brain is not or chemotherapy or suspects being stimulated by sound and accelerated brain tissue loss. Hearing loss may be caused by a multitude of an infection should see an words, critical pathways for social evaluate, behavior deteriorate. For instance, medical reasons and should always beotolaryngologist checkedwho outwillby a physician who specializes diagnose, and treat the problem if a hard-of-hearing older person Social Isolation & Hearing comprehensively. cannot hear someone greeting disorders. in hearing him, he may miss an outstretched Deprivation Delaware Otolarygology Consultants, LLC 17316 Coastal Hwy Lewes, DE 19958 Balance & Increased Fall Risk 302-644-2232 Although there are many conditions that affect the hearing and balance nerve, which an otolaryngologist can diagnose and treat, simple age-related hearing loss can contribute to a three-fold increase in the risk of falling. Falls among the elderly and those with balance and mobility problems are a leading cause of fatal injuries and hospitalization. People who cannot hear well often concentrate so hard on trying to hear that they do not pay attention to their surroundings and risk tripping while walking or being struck by another vehicle while driving. Proper hearing amplification which normalizes hearing enables the person to localize sounds and decipher where they are originating.

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Ocular Symptoms And Common Causes A

By Dr. Paula C. Ko, MD

s a retina specialist, I am always amazed at how a patient can have a problem with their vision and either ignore it, blame it on something else, or not seek immediate attention. There are clearly symptoms that need to be addressed immediately, others that can wait and even others that don’t need to be examined. In this article I will attempt to describe typical symptoms a patient may have and what the common cause is. Certainly do not use this article to diagnosis yourself but as a guide to know when to call and come in immediately to be examined, when it is okay to wait for a scheduled appointment, and when it is okay to wait to see if symptoms go away. Additionally, to save you a lot of time, in general, your Ophthalmologist should have someone on call for their office. If you have symptoms you are concerned about, I recommend you always start with a phone call to your Eye Doctor’s office – even on the weekends or at nights if you think it cannot wait. If there is significant trauma or a major accident, then heading to the emergency room is appropriate. If just ocular symptoms occur on their own, many times the Emergency Department doesn’t have the proper equipment or staff to diagnosis a complicated eye problem. They will end up calling the Ophthalmologist on-call, which is something you can do yourself without going to the Emergency Department. The following are symptoms that should be considered an emergency and should be seen immediately by an Ophthalmologist. Most offices are trained to know what symptoms require immediate attention. 1. Loss of vision after acute trauma to the eye. Blunt or sharp trauma to the eye can cause hemorrhaging inside and outside the eye, can cause the eye to be cut open requiring immediate surgery, retinal detachment, etc. 2. Significant pain or loss of vision after a recent eye surgery can be a sign of infection. This should be addressed immediately if there is a significant change in vision for the worse or a new onset of pain. 3. Acute total painless loss of vision in one eye only this can be a sign of a stroke in the eye or a stroke in the optic nerve which is the connection of the eyeball to the brain. 4. Acute partial loss of vision as though someone is closing a dark shade over a certain part of the visual field. The shaded part of vision is significantly opaque and usually the shade is black, gray, or a deep dark color purple. This can be a sign of a retinal detachment. The following are symptoms that should be seen within approximately 24 hours. 1. New flashes of lights that usually occur at night or in the dark. This flash lasts for a brief second and usually comes from the side of the vision. It may recur frequently but only lasts for about second. This can be symptoms of a posterior vitreous detachment, retinal tear and retinal detachment. 2. New floaters (lines, small black dots, or hazy veil in the vision that floats back and forth) in the vision. If it is acute and occurs in one eye it is usually related to a retina problem. If symptoms are acute and bilateral (both eye affected) usually it is a systemic medical problem. 3. Significant eyelid swelling with pain and tenderness that is causing blurred vision. This can be a sign of a cellulitis that should be treated immediately to avoid turning into orbital cellulitis which can be sight threatening. 4. Tenderness and pain near the nasal aspect of the eyelid (near the nose which is where the

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nasolacrimal duct resides) associated with yellowish discharge. If you press on this area and pus comes out of the punctum and if there is point tenderness this can be a sign of dacryocystitis which requires immediate systemic antibiotics and possible surgery. 5. A contact lens issue where the eye is sore and tender, vision is blurred, sensitive to light and a possible foreign body sensation. This can be a sign of a contact lens related ulcer which needs to be treated immediately with antibiotic drops. Symptoms of things that can be seen on a more scheduled basis. Generally these are things that are chronic in nature and DO NOT have associated vision loss. 1. Chronic red irritated eyes 2. Chronic itchy eyes 3. Chronic tearing 4. Bump or “stye” on the eyelid that is not tender Symptoms of things that don’t necessarily need to be seen or just require a phone call to the eye doctor. 1. Diffuse red hemorrhage in one quadrant or half of the white part of the eye. No associated pain or vision loss and no history of trauma. Usually this is just a subconjunctival hemorrhage that occurs spontaneously. 2. Noticing a white or pinkish fleshy growth on the white part of the eye. Sometimes can be itchy. Not associated with pain or vision loss. This is called a pingueculum that commonly grows due to excessive sun exposure. I have tried to summarize typical symptoms I commonly hear from my retina patients. Use this list as a guide to know when to call in to your Eye Doctor’s office and avoid unnecessary vision loss due to lack of action on your part! In addition remember to keep up with your routine eye exams for prevention and to keep your eyes healthy!

Dr. Glazer-Hockstein graduated Cum Laude from Jefferson Medical College. She was a member of the Hobart Armory Hare Honor Medical Society and was elected to the Alpha Omega Alpha Honor Society. She also received the Carol R. Mullen prize in ophthalmology. She completed her residency at the Scheie Eye Institute, University of Pennsylvania. During that time she was elected Chief Resident. After residency, Dr. Glazer-Hockstein completed a two years medical retina fellowship at the Scheie Eye Institute, University of Pennsylvania. Dr. Glazer-Hockstein has published multiple articles in peerreview journals and has lectured on a variety of retinal disease subjects. Her specialization includes but is not limited to: macular degeneration, retinal vascular disease, and diabetic retinopathy.

Paula C. Ko, MD is with Eye Physicians & Surgeons, P.A., 1207 North Scott Street, Wilmington, DE 19806. Dr. Ko graduated with honors from the Ohio State University College of Engineering in 1984. Dr. Ko received her M.D. degree from the Ohio State University College of Medicine in 1989, again with honors. Following her residency in Ophthalmology at Temple, Dr. Ko served a prestigious fellowship at Georgetown University in diseases of the retina and vitreous, and is Certified by the American Board of Ophthalmology. Dr. Ko has an area of special expertise in retinal problems, especially diabetic eye disease, macular degeneration, retinal detachment, and CMV retinitis. Dr. Ko has lectured extensively, and has published many papers on these topics. Dr. Ko is active in resident training, and is on staff at the University of MD and Temple University, as well as at the Medical Center of DE. Dr. Ko is at the forefront of ophthalmic technology, and utilizes the most advanced procedures, including laser treatment and intraocular injections, in the care of her patients.

Dr. Carolyn Glazer-Hockstein and Dr. Paula Ko are retina specialists at Eye Physicians and Surgeons who are committed to taking care of patients with all retinal diseases. If you would like to schedule an appointment or get a second opinion please call (302) 652-3353.

2016

Dr. Ko and Dr. Glazer-Hockstein are Board Certified retina specialists who are committed to treating all retinal diseases such as AMD, Diabetic Retinopathy and Retinal Detachment by utilizing the most advanced procedures, including laser treatment, intraocular injections and sutureless surgery.

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All-on-4 Dental Implants®

Delaware Periodontics offers an alternative solution by employing the latest technologies to provide patients with the most predictable and comfortable surgical care. The All-on-4 Implant Protocol allows Dr. Klassman to remove all infections and replace a failing set of teeth with a fixed set of new teeth in just one surgical session. He is the only surgical specialist in the area that will complete the surgery and the temporary teeth in the same day.

By Dr. Bradford Klassman

ery few people are aware of how much they use their teeth on a daily basis. It is not until an individual begins to lose teeth and their oral health and quality of life declines that they begin to understand the impact of impaired oral function on their daily life. Patients with missing and/ or failing teeth suffer from malnutrition, reduced self esteem, and self confidence. They possess a high risk for developing oral conditions such as boney atrophy. Patients also suffer from periodontal disease, cavities, root canal infections, and serious bite problems called “Bite Collapse”. In addition to serious dental conditions, patients with severely failing dentitions can also be more at risk for serious medical conditions such as: cardiovascular problems, stroke and diabetes, complications if pregnant, with a high risk of preterm and low birth weight babies. There are several solutions for individuals with failing dentition. The typical sequence of therapy to address these complex dental conditions could require at least three surgeries. First, the teeth are extracted and the bone is allowed to heal. Patients will temporarily function in a traditional upper or lower denture, which at times impacts the patient’s diet choices. Next, the implants are placed and require a healing time of three to four months. A third surgery is done to expose the implants. The start to finish time is six to eight months. During this time, patients use removable dentures to function.

The All-on-4 Protocol uses only four dental implants to replace an entire arch of teeth. By angling the back implants, we can avoid nerves and sinus grafting which often requires much more aggressive surgical treatment. Not only does this technique replace an entire arch of teeth, but it allows Dr. Klassman to correct bite problems that were not correctable with other treatment options. Patient’s lives are improved instantly by giving them immediate fixed teeth which improves eating, nutrition, psychological confidence, and removes all sources of infection. This occurs by connecting the new set of teeth to the implants, protecting the surgical site. Any post surgery discomfort is dramatically reduced. Patients can resume eating and activities right away.

and predictable surgical care. He partners with top practices as co-therapists to strengthen and support comprehensive and esthetic oral health. Educated at Temple University School of Dentistry and Post Doctoral training in Periodontics at the University of Pennsylvania, Dr. Brad is the youngest Board Certified Periodontist in the State of Delaware. He is also the first Periodontist in the State of Delaware to use Laser Periodontal Therapy and the LANAP protocol. Dr. Brad is proud to provide patients with Virtually Instant Dental Implants with a Same Day Smile. He teaches at the Christiana Care

Testimonials “Thank you for all your hard work to help complete my smile”. - Selma T., New Castle, Delaware

About Dr. Klassman Dr. Bradford Klassman improves the lives of his patients by using the highest level of technology to provide the most exceptional 16

For more information please contact Dr. Bradford L. Klassman Delaware Periodontics 1110 N. Bandcroft Parkway Wilmington, DE 19805 www.delawareperiodontics.com 302-658-7871 or info@delawareperiodontics.com

Have You Been Told You Have Gum Disease?

“Everyone in Dr. Klassman’s office made me feel as if I were their only patient. Dr. Klassman explained every detail of my procedure, and he and his staff made me feel very comfortable. If you are considering treatment, consider Dr. Klassman.” - Janene, K. Newark, Delaware. “My implants look and feel like my own teeth. In fact , they are better than my own teeth. Dr. Klassman is very capable, and so personable. I feel that is so important when you go to see a dental specialist.” - Sally G. Hockessin, DE

Department of Dentistry and Oral Surgery, is a Diplomate of the American Board of Periodontology and is a member of the American Dental Association, Delaware State Dental Society, American Academy of Periodontology, and the Institute for Advanced Laser Dentistry. He lives in Hockessin, Delaware with his two children. He enjoys fishing and cooking his fresh catch of the day.

Introducing Laser Periodontal Therapy™ For Treating Periodontal Disease    

Patient friendly. No incision and no stitches. Heal quickly and naturally with full retention of your gums. Rapid return to your normal activities after treatment.

Call Today for an Appointment! DELAWARE PERIODONTICS

DELAWARE PERIODONTICS 1110 N. Bancroft Parkway Wilmington, DE 19805 302-658-7871 302-658-7871(ph) www.delawareperiodontics.com www.delawareperiodontics.com www.TheWomensJournal.com

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Sugar, Not So Sweet After All! 64 mg) and 62g of sugar (15 ½ tsp. of sugar). This combination creates on average a 74% increase in fight-or-flight hormone and a 6.2% increase in systolic blood pressure all putting stress on the adrenal glands which is integral in controlling blood sugar levels.

By Dr. Cynthia Crosser

ost Americans are aware of the diabetes epidemic in America that is increasing at a rate of 1% per year. Prior to 1940, there were no type 2 diabetics. Scarier yet is that the chance of death within 5 years of diabetic foot ulcers is greater than that for many cancers. A staggering statistic is that the number of diabetics rose 48% from 1997 to 2007. There are several factors behind this such as the growth of America’s farming industry to produce high glycemic wheat products and the push for fruit juices over the last 50 years. This was followed by the encouragement of the US government for a high fiber diet. Thus Americans became connected to the oat-bran fad with 60% of calories from grains. A 2000 calorie/day diet would now equate to 60 tsp. of sugar flowing through the blood. The reduction of salt also increased insulin resistance. Fats from eggs, butter and cheese were replaced with highly polyunsaturated vegetable sources such as margarine. It is now known that these processed fats significantly elevate glucose levels. In time we see excess weight gain, increased cortisol levels, and difficulty sleeping. High glucose levels have been researched and connected with chronic diseases such as autoimmune disease, Alzheimer’s, heart disease, hormonal disruption, etc. due to the associated inflammatory response. Enter energy drinks, one of America’s most popular dietary supplements according to NIH. An average can consists of 240 mg of caffeine (espresso contains

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So, how do we deal with this? Many of my patients present with musculoskeletal pain exacerbated by the inflammatory response caused by poor diet to include complex and simple carbohydrates, all becoming sugar. Their bodies are largely “glycated”. Within the functional medicine model, a detailed history, lifestyle and diet assessment is made and comprehensive laboratory testing is most often ordered. A stool sample may also be ordered to assess the ability to digest protein, fats, and carbohydrates. If they’ve had a diet high in refined carbohydrates or overused antibiotics, they may have overgrowth of Candida whose preferred source of food is sugar, causing sugar cravings. This information is used to devise a healthy eating plan which most often consists of high quality protein, healthy fats and fewer carbohydrates. Exercise must always be part of the equation. Teaching patients to read labels will tend to further eliminate hidden sugars from their diets. Most often, whole food supplements might be recommended to assist in digestion, etc. The most difficult time of the day for sugar cravings is in the evening. In time, with the appropriate addition of nutrient dense foods with a low insulin index and the elimination of processed foods, the blood sugar levels can return to a more normal level and the risk of associated health problems is reduced greatly. As expected, the patient reports “feeling great”! In the next issue I will address genetic testing and how it can be used to prevent long-term health issues through the modification of diet, lifestyle and environmental factors.

B io

Cynthia Crosser is a Doctor of Chiropractic and a Fellow with the International Academy of Medical Acupuncture. She completed

two postgraduate programs; Chiropractic Neurology and Physical Rehabilitation. She is currently in the process of certification with the Institute for Functional Medicine.

T estimonials

As a double cancer survivor myself, Dr. Crosser and I immediately connected. What an inspiration she is! I’ve never experienced a doctor in my 60+ years that is as compassionate, devoted, and GENUINELY concerned for their patients as Dr. Crosser! I’ve been seeing her since August of 2015 and through her patient specific, tailored program of nutrition, appropriate supplements, and workshops, I’ve managed to lose the extra pounds, get back to the gym, and have a litany of nagging and annoying physical ailments that other doctor’s mostly attributed to “old age”, or “in my head” disappear! I haven’t felt this good in 35 years! She’s absolutely changed my life! Thank you so much Dr. Crosser! “ - Steve H. Since working with Dr. Crosser my health and well-being has

changed dramatically! As a woman in my mid 50’s I try to stay somewhat healthy or at least I thought so! Experiencing stubborn weight loss, bloating and poor gut health I was in a slow spiral to poor nutrition and health. Through Dr. Crosser’s guidance, high quality nutritional supplements and her unwavering dedication to her patients I have never felt better! Thank you Dr. Crosser!! Everyone should have just one hour with you to see how they can make improvements for a healthy lifestyle!” - June E. “By a stroke of luck, I met Dr. Crosser and began working with her. Despite a relatively healthy diet and exercise, I was suffering from anxiety, fatigue, and generally not feeling well. Dr. Crosser conducted a very thorough analysis of my symptoms and health history before recommending a customized regiment of high quality, natural supplements. The results have been miraculous. I had forgotten what it felt like to be well. I have my life back! Thank you, thank you, thank you, Dr. Crosser.” - Judy T.

Wellness within reach!

Crosser Chiropractic & Acupuncture 302-239-5014 1302 Old Lancaster Pike, Suite B Hockessin, DE 19707 www.crossernaturalhealth.com Chiropractic, Acupuncture, Weight loss, Neurofeedback, Nutritional Counseling

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It’s The Most Of The Time Wonderful Time Of The Year!

By Michael Waite Director, Marketing & Community Relations

ave you checked your calendar lately? In case you didn’t realize it, another holiday season will soon be upon us, or is already here depending on when you’re reading this article. This is the time each year we set aside to celebrate traditions, family, friends and the blessings that we have. It is the most wonderful time of the year...for most. But as we make our way into this festive season, we are also reminded of the misfortunes around us. From those who won’t be celebrating because they’ve lost loved ones, to our neighbors struggling to make ends meet trying to keep a roof over their heads and food on their tables. And, there are those who are facing catastrophic illnesses who’ll be spending this season in the hospital. At Blood Bank of Delmarva (BBD), we’re constantly reminded of those who are suffering because the blood and blood products we manufacture from donations are being used to treat those patients every day. From the trauma patient who needs an immediate transfusion

of red cells to replace the blood they’ve lost in an accident, to the cancer patient who needs the lifesaving properties of a platelet donation, or a burn victim being treated with plasma, the patients at the hospitals we serve count on the generosity of blood donors all year long who donate the lifesaving gift of blood. The holiday season brings out the best in all of us as we set aside our differences and think about others. If you want to get into the true spirit of giving that surrounds the holiday, there is no more personal gift you can give another human being than a gift that literally comes from you…a blood donation. The greatest satisfaction of all is knowing that your donation will go directly to help save a patient in a hospital in the Delmarva region. There truly is no greater gift you can give another human being… it’s why we call dedicated blood donors our Heroes. But why should YOU give? Many who are able to donate simply don’t, thinking somebody else will do it…they don’t need my blood. And that is where you’re greatly mistaken. 65% of the US population cannot donate blood due to a variety of reasons including travel, medications and medical conditions that affect eligibility. Of the 35% that are eligible, less than 10% of that population actually does. That means a very small percentage of our community is keeping the rest of the country’s blood supply intact. If it were not for this small group of dedicated donors, the nation’s blood supply,

already in a critical state, would be in far worse shape. Donating blood is a true community effort because well over 96% of the blood that’s collected here stays here for the patients who need it. I can safely say you’ll not find a donation outlet that has more of a direct impact on our own community. The biggest challenge facing blood collection centers in the USA is the ability to cultivate new, younger donors. The current donor base in our country is aging rapidly and with a shortage of new donors to take their place, the challenge of providing a safe and adequate blood supply becomes more challenging every day. So as we enter this season of giving, Blood Bank of Delmarva asks you to seriously consider giving the most personal gift of all and donate blood. Not only will you feel an immense sense of self satisfaction for having helped save a life, but you’ll also be assuring that our community will always have a robust supply of this lifesaving gift on hand should you or any of your loved ones ever need it. We never know what unexpected life-changing event may happen next, which is why BBD is committed to making sure our community and the hospitals we serve are always ready for whatever happens. To become one of our lifesavers, simply make an appointment to visit one of our five convenient donor centers across the Delmarva, or attend one of the hundreds of mobile draws we conduct each year in communities all around 18

the peninsula. You’ll find useful information about blood donation and the donation process on our website at DelmarvaBlood. org, download our mobile app or call us at 1 888 8-BLOOD-8 and talk to one of our highly qualified associates. From all of us at Blood Bank of Delmarva we wish you a happy, healthy and joyous holiday season! Michael Waite, former on-air radio personality at WJBR, is the current Director of Marketing & Community Relations for Blood Bank of Delmarva, a position he has held since February 2011. Michael is the organization’s primary media spokesperson and collaborates with executive management on strategic initiatives to

improve organizational performance. He also manages community relations and leads the Blood Bank’s fundraising efforts. He is a past President and current member of the Board of Directors of the Ronald McDonald House of Delaware, a former board member for the American Red Cross of the Delmarva Peninsula, a 2011 recipient of the Governor’s Award for Volunteerism and a University of Delaware HRIM Renaissance Award winner.

DelmarvaBlood.org 1 888 8-BLOOD-8 Scheduling Is Easy! Download Our New App!

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Be Someone’s Hero. Give Blood. www.DelmarvaBlood.org 1 888 8-BLOOD-8

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What You Should Know About Breast Cancer

By Dr. Katherine A. Sahm, M.D., F.A.C.S.

he ACS also reports that breast cancer is the second leading cause of cancer death in women. Lung cancer continues to be the number one cause. Self-breast exams and regular breast evaluations by a physician are imperative especially as a woman ages. The following are symptoms that should be reported to a physician if you experience them:

• Any noted changes in appearance • • • • • •

of the breast Swelling of all or part of the breast Breast nipple discharge that is not breast milk A lump in the underarm area A lump or thickening in or near the breast Pain around or of the nipple Skin of the breast that looks like the skin of an orange

Next to skin cancer, breast cancer is the most commonly diagnosed cancer in women in the United States. One in eight women will develop invasive breast cancer during their lifetime, according the American Cancer Society (ACS).

BRCA 1 and BRAC 2 The most common cause of hereditary breast cancer is an inherited mutation in the BRCA 1 and BRACA 2 genes. In normal cells, the genes help prevent cancer by making protein that help keep the cells from growing abnormally. If you have inherited a mutated copy of either gene from a parent, you have a higher risk of breast cancer. In some families with BRCA 1 mutations the lifetime risk of breast cancer is as high as 80% but on average this risk is in the range of 55% to 65%. For BRCA 2 mutations the risk is lower at around 45%. Breast cancer linked to these mutations are often found in younger women and more often in both breasts. Woman with these inherited

Inherited Genes: About 5-10% of breast cancer cases are thought to be from heredity, meaning that they result directly from gene defects (called mutations) passed on from parents. www.TheWomensJournal.com

Call 302.475.4900 today to make an appointment with Dr. Katherine A. Sahm, M.D., F.A.C.S. to learn more about your individual breast cancer risk level and treatment options.

Dr. Katherine Sahm is a participating Board Certified General Surgeon at the Helen F. Graham Cancer and Research Institute. Dr. Sahm offers targeted comprehensive breast care services, cancer screening, and treatment of women of all ages and backgrounds. She also offers treatment for all malignant and non-cancerous diseases of the breast with a focus on the most advanced screening and treatment methods.

I am a native Delawarean trained in minimally invasive surgery and general surgery. I have sought out further training in wound care and hyperbaric medicine and am certified in wound care. I served two tours as a forward surgeon in Iraq in 2008 and 2010. I am a participating breast surgeon at the Helen Graham Cancer Center. I enjoy getting to know my patients and their families and caring for their surgical needs.

Dr. Sahm says...

Dr. Katherine A. Sahm, M.D., F.A.C.S.

Risk Factors: According to the American Cancer Society the main risk factors for breast cancer are things you cannot change such as: being a woman, getting older, and genes. These all can make the risk of breast cancer higher. Being a woman is the main risk factor for breast cancer. Men can have breast cancer too but this disease is about 100 times more common in women than men and it is thought genetics play a role.

mutations also have a higher risk of developing other cancers, mainly ovarian cancer. For women of all ages, early detection is the key. This includes self-examination and detection of changes as well as understanding risk factors.

1401 Foulk Rd. Ste. 207, Wilmington, DE 19803

302.475.4900 General, Laparoscopic, Endoscopy, & Breast Surgery. Wound Care Certified.

Dr. Sahm’s Care Philosophy “As a general surgeon who also specializes in Endoscopy, Advanced Laparoscopic Surgery, Robotic Surgery, Colo/Rectal Surgery, Advanced Wound Care, and Breast Disease, I believe that every patients case is unique and is treated as such. I believe in listening first to the concerns of each and every one of my patients.” 19

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“Now I Lay Me Down To Sleep” By Cindy Nigro Ph.D.

nsomnia is becoming an epidemic in our society. As with everything, there are pluses and minuses to the advancements we’ve made; for instance, electric light. It’s wonderful that we’re no longer dependent on the sun as our sole source of light. We can have light anytime, anywhere we want it! On the flip side of this, we now feel compelled to work more (because we can), in a 24 hour society. So, in addition the stress this adds, we’re also now subjected to more blue light during times that nature did not intend. Blue light suppresses the hormone, melatonin, which is necessary to induce sleep. And so it goes! Unfortunately, the world we presently live in does not lend itself well to our getting a good night’s sleep. But, it is the world we have, and for the most part, enjoy! So, given our situation, what are we to do? A sleeping pill may be effective at addressing your sleep problems in the short-term, however, often times, they can lead to a number of side effects such as daytime drowsiness and next day impairment. If you’re thinking sleeping pills, you may be headed in the wrong direction. Cognitive Behavioral Therapy for Insomnia, or CBT-I, is a drug free treatment, and is now the first treatment of choice. The inability to sleep well, not related to physical issues, or serious psychological disorders, is what’s called Primary Insomnia. CBT-I addresses the cognitions and behaviors that might stand in the way of your getting to sleep, staying asleep, or both. It is a wellresearched, standardized treatment program with a specific protocol that must be followed. It’s not easy, but the payoff is that you could have vast improvement in as little as six to eight weeks!

What is required is that you begin by keeping a “Sleep Diary” to evaluate your sleep habits. It would include such things as the time you go to bed, time you to go to sleep, number of awakenings, etc.

to occur. If there is a problem at any junction, insomnia occurs. Everyone has their own individual genetic preprogramming, and their own experiences and psyche that also play a role.

After your particular issues have been identified, detailed instructions about “Sleep Hygiene” would be discussed, and you would need to follow through with necessary changes. For some individuals, this solves the problem, although that is not common.

If you are experiencing insomnia, Delaware Sleep Disorders Centers has a team of professionals that provide a variety of diagnostic and treatment tools to evaluate and correct a number of sleep disorders. CBT-I is one of the many solutions we offer. About the author: Cynthia Nigro, Ph.D., Clinical Psychologist is now working at Delaware Sleep Disorder Centers after many years of being in private practice. She originally trained at the Center for Cognitive Therapy at the University of Pennsylvania, but after becoming fascinated

The next step involves what is called “Stimulus Control”. Going to bed and getting out of bed at certain times are examples of this. The more time you spend awake in bed, the more you associate your bed with wakefulness, and not sleep.

by the connection between the mind and the body, she began extensive training in all modalities of Biofeedback. Presently she combines these therapies to optimize treatment for those with sleep disorders. Delaware Sleep Disorder Centers, LLC, is staffed and equipped to evaluate and treat most sleep-related disorders. Diagnosis and treatment for many disorders may begin after just one night. When performing a sleep study, our technologists work closely with our medical director – (a physician who is board certified in Sleep Medicine, Pulmonary Medicine or Neurology) – to identify and confirm sleep disorders, measure their severity and recommend multiple treatment options.

If you’re still not sleeping, you then move to “Sleep Restriction”. This is the most difficult step and best done on a weekend or some other time you can tolerate a few days of being fatigued or experience daytime drowsiness. This involves limiting the amount of time you are allowed to sleep. The good news is that it doesn’t take many nights of this for it to work! During all these steps, negative cognitions associated with sleep and other stressors are discussed and reassessed. Obsessing about problems when you’re supposed to be sleeping will only make them worse. While healthy sleep is important, not everyone needs eight hours, and even if you do, a few bad nights are not a disaster. Finally, there are many different relaxation techniques that are useful not just for sleep, but for other stressful life situations. Everyone should be aware of one that works for them. Knowing how to calm yourself has been proven to be of benefit for overall good health. While sleep may seem passive, your body is very active during sleep, and legions of bodily processes are taking place that need to work in sync for sleep

Locations:

Sandhill Medical 118 Sandhill Drive Suite 201 Middletown, DE 19709 701 Foulk Rd. Suite 1G Wilmington, DE 19803 Connor Building @ Springside Plaza 300 Biddle Ave Suite 102 Newark, DE 19702 Medical Arts Bldg., Beebe Health Campus 18947 John J. Williams Highway Suite 213 Rehoboth Beach, DE 19971 20930 North DuPont Boulevard Suite 202 Georgetown, DE 19947

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New Cardiovascular Drugs On The Horizon Meet the Physicians of Cardiology Physicians P.A. By Anthony B. Furey, D.O., F.A.C.C., F.A.C.P. Dr. Anthony B. Furey joined Cardiology Physicians in March 2011. Dr. Furey has been a Cardiologist in Delaware since 1996. Dr. Furey grew up in Chadds Ford PA. He attended Bishop Shanahan High School and Lafayette College Anthony B. Furey, where he obtained D.O., F.A.C.C., F.A.C.P. a Bachelor of Science Degree in Biology. During his four years at Lafayette, he lettered in Varsity Basketball and was Captain of the 1983 squad. Dr. Furey attended Philadelphia College of Osteopathic Medicine. His post doctorate training involved internship at Doctors Hospital in Columbus, OH, and Internal Medicine residency at Lehigh Valley Hospital in Allentown, PA. His Cardiology fellowship was completed at The Graduate Hospital of the University of Pennsylvania in Philadelphia, PA. Dr. Furey is board certified in Internal Medicine and Cardiology by the American Board of Internal Medicine. He has been recognized as board certified in Adult Echocardiography by the American Society of Echocardiography and Nuclear Cardiology by the American Society of Nuclear Cardiology. Dr. Furey’s professional associations include membership in the American Osteopathic Association, Delaware Society of Osteopathic Medicine, Delaware Medical Society, American Society of Echocardiography, American Society of Nuclear Cardiology, American Association of Cardiovascular and Pulmonary Rehabilitation, and Fellow of the American College of Cardiology.

here are multiple new medications which have been developed to be considered for treatment of patients with heart disease.

Heart Failure

Entresto (sacubitril/valsartan) is a combination of neprilysin inhibitor and angiotensin receptor blockade agent. With inhibition of neutral endopeptidase (NEP) combined with inhibition of angiotensin II type 1 receptors by valsartan, there has been documentation of reduction in combined endpoint of cardiovascular death or hospitalization for heart failure when compared to standard heart failure therapy. Corlanor (ivabradine) is a “funny channel” (If inhibitor) blocker which when added to standard heart failure medication has been shown to reduce the risk of hospitalization for congestive heart failure by 26%. Corlanor is designed to slow the heart rate without having significant negative impact on blood pressure. It is indicated in use with patients having chronic systolic heart failure with left ventricular ejection fraction < 35%, in sinus rhythm, with resting heart rate >70 beats per minute.

Target Specific Anticoagulant Antidote

Anticoagulation alternatives to Coumadin (warfarin) have been available only during the past 5 years. Pradaxa (dabigatran) is a direct thrombin inhibitor while Xarelto (rivaroxaban), Eliquis (apixaban) and Savaysa (edoxaban) are known as factor Xa inhibitors. These drugs have been found to be equivalent or superior to warfarin in many aspects with the major disadvantage being cost and lack of reversal agent if required in emergent situation. Praxbind (idarucizumab), a reversal drug for Pradaxa (dabigatran) has been FDA approved and currently is available for clinical

use. Praxbind is an intravenous drug that works by binding to the drug compound neutralizing its effect. Currently, there are no FDA approved agents for factor Xa inhibition reversal; however, the agent andexanet alfa is a recombinant modified human factor Xa decoy protein the ability to bind It iswhich veryhas important to be to and inactivate factor Xa inhibitors. The ANNEXA study has recently shown the agentdisease to be safe evaluated for vascular and effective with expectation for FDA review lateif in you 2015 have and projected approval in 2016. increased risk

Are You At Risk?

SGLT-2 Inhibitors

The sodium glucose cotransporter 2 inhibitors are a class of medication which has been used for diabetes management Diabetes by blocking renal glucose reabsorption with subsequent urinary glucose excretion. Smoking Jardiance (empagliflozin) was recently studied in the EMPA-REG OUTCOME Trial Family history Vascular where patients with typeof 2 diabetes at Disease high risk for cardiovascular events were found History of Aortic Aneurysm to have Family reduction in combined endpoints of cardiovascular death, nonfatal myocardial Coronary Artery Disease infarction and nonfatal stroke.

Common risks include:

a a a a a These new cardiovascularhypertension medications are aUncontrollable exciting approaches which will likely impact the a cardiovascular care of patients in the Elevated cholesterol present and future.

Twelve million people in the United States have Peripheral Arterial Disease At Cardiology Physicians, P.A. We Are Performing Today’s Latest Testing

Cardiology Physicians, P.A.

Dr. Furey’s interests involve clinical and consultative cardiology along with echocardiography, transesophageal echocardiography, and nuclear cardiology.

Abby Medical Center One Centurian Drive, Suite 200 Newark, De 19713

Dr. Furey is the Medical Director of the Christiana Care Cardiac Rehabilitation program. He was named “Outstanding Specialty Teacher” in 2002 by the Christiana Care Family Medicine program and has been named Delaware Today’s “Top Doctor” in Cardiology in 2003 and 2010. Dr. Furey and his family reside in Wilmington, DE. He and his wife Katherine were married in 1990. They have three children; Brannock born in 1993, Conor born in 1996, and Corinne born in 2001. www.TheWomensJournal.com

302 366 8600 Foulkstone Plaza 1401 Foulk Road, Suite 201 Wilmington, De 19803 302 478 5055

WWW.CARDIOCPPA.COM Back Row (L to R): Dr. Micklin, Dr. Sarter, Dr. Kelly, Dr. Clay, Dr. Leidig Front Row (L to R): Dr. Furey, Dr. Copeland, Dr. Pastore

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An Easy Fix For Hair Thinning

By Brian J. Shiple, D.O. & Kelly P. Shiple, PA-C

ave you experienced a progressive increase in hair loss over the years due to aging or illness? Are you undergoing significant stress in your life and noticing extreme hair shedding as a result? Do you think you’re too young to be experiencing baldness or patches of missing hair, which you can’t seem to find an answer for? Are you embarrassed by your thinning hair? You don’t have to suffer anymore! Hair loss affects men and women of all ages. According to the American Hair Loss Association two-thirds of men experience hair thinning by age thirty five. By age fifty, 85% of men will have experienced significant hair loss. Twenty five percent of men will begin to experience signs of hair loss prior to the age of twenty one. Forty percent of those suffering from hair loss are women. By the age of fifty, about 50 % of people experiencing hair loss, are women. Alopecia, or baldness, is most commonly a genetic condition. The likelihood of experiencing alopecia related hair loss is mostly a result of your mother’s genes. Baldness can also be caused by numerous other health conditions such as hypothyroidism (underactive thyroid), hyperandrogenism (too much male hormone in a female), anemia, stress, pregnancy, lack of protein, excess vitamin A, low vitamin B, autoimmune conditions, trichotillomania (a psychiatric condition in which sufferers pull out their hair on purpose, as a result of stress to relieve tension), excessive use or abuse of anabolic steroids, extreme weight loss, exposure to chemicals such as with chemotherapy, or over styling. Because of this extensive list of causes, we advise patients to have a consult for bioidentical hormone replacement therapy (BHRT) with us to determine if there may be

another, easily treatable cause of their hair loss prior to undergoing scalp injections with platelet rich plasma (PRP). On average, the scalp consists of 100,000 to 150,000 hair follicles. There are three stages of hair growth that play a large role in how our hair grows and sheds. The first stage is called the anagen stage. During this phase the root of the hair divides rapidly adding to the hair shaft. This is the hair’s active growing stage and can last from two to seven years. The next stage is called the catagen stage. This is the transition period during which hair is not growing but does not shed. The catagen stage lasts two to three weeks. Lastly, the telegen stage is a resting phase during which hair sheds to prepare for new hair. This lasts six to eight weeks. At any point in time about 10% of your hair is in this phase resulting in the loss of about 100 strands per day, on average.

platelets release billions of growth factors. PRP combined with the ECM’s growth factors, cytokines, and vitamins B and D new blood vessels are created, a process called neovascularization, increasing blood flow to the scalp. This increases the size of already present hair follicles. It also reduces inflammation present in the scalp, which aids in the process of turning on local stem cells to create new hair follicles. This results in the growth of more, higher quality, thicker hairs in the scalp. The clinical result of this combination treatment reduces the number of PRP treatments needed per year to help maintain healthy hair follicles by approximately 50%. After the injections are performed the scalp is treated with topical plasma and microneedling, to drive the PRP into the dermis and further aids in providing hair follicles with

Common treatments of hair loss include the supplement Biotin, the prescription Rogaine or minoxidil, 5-alpha reductase inhibitors like finasteride, and steroid injections to the scalp. However, these often don’t result in significant hair growth, if any. Hair transplant surgery has become a highly popular, successful solution for baldness, but is invasive and expensive. Now, there is a safe, effective, and cost efficient way to treat your hair loss: scalp PRP and extracellular membrane (ECM) injections. Joseph Greco, PhD, PA-C of Sarasota, FL pioneered the use of PRP as a nonsurgical treatment for hair loss and trained Brian J. Shiple, DO, and Kelly Shiple, PA-C. To make PRP your blood is drawn and processed in our lab to concentrate the platelets creating pure PRP. When injected under your scalp the

the necessary growth factors. The procedure takes approximately 1-2 hours. Nerve blocks and numbing cream are used to help make the treatment as comfortable as possible. We also advocate a laser helmet to help support and maintain healthy hair follicles. The first laser treatment can be performed in the office with a class 4 K-Laser after the treatment. Results take several months to appear. We recommend three treatments separated by six months for best results. Once optimal results are achieved, maintenance treatments should be performed with a combination of PRP, ECM, and laser on a yearly basis to help maintain healthy hair growth and prevent shedding. Optimal results can be further enhanced by combining our BHRT program with the scalp PRP treatment. You no longer have to live with thinning hair and the fear of going bald. Call Chadds Ford Wellness to make an appointment for your free consultation, today!

Chadds Ford Wellness Helping You Achieve Your Best!

Services Bioidentical Hormone Replacement Therapy Services Vampire Facelift Vampire Breast Lift

Facial PRP for facial rejuvenation MiniVamp Microneedling Procedure Botox Dysport Dermal Fillers Scar Repair Vampire Hair Regrowth Scalp PRP with Acell for hair restoration O-Shot P-Shot

FREE Consultation Brian J. Shiple, D.O. & Kelly P. Shiple, PA-C The Summit at Brandywine 1788 Wilmington Pike, Suite 2100 Glen Mills, PA 19342

CALL (610) 459-4200 for your FREE consult, today! www.chaddsfordwellness.com

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What Is Aging In Place? A

ging in place is a term used to describe a person living in the residence of their choice as they age, for as long as they are able. The act of ‘aging in place’ is a period of time in an elderly person’s life when they have the things they need and can maintain their quality of life. Assessing the process of aging in place, includes planning for quality of life. This focuses on helping seniors ensure they can live where they choose and get the help they need during that time. The goal of an elderly person wanting to age in place should be to maintain and/or improve their quality of life. In order to do that, a good plan should be created early on, that focuses on their quality of life and covers their home, finances and care. Planning for this should involve family and legal representation (Elder Law Attorney). A well-planned outline should include: A Living Willing, Appointed Power of Attorney and Advanced Health Care Directives. These documents serve as detailed descriptions of what the last requests are in a person’s life. When a person begins their journey into aging, they have to consider long term plans, and set forth proper documentation to include the necessary legal paperwork.

Aging in place is such an important factor right now, because for some seniors this has a huge impact on their quality of life. Many seniors are living at home, alone, struggling with both everyday tasks and maintaining good health. This can cause their quality of life to go down as they get older. Many times family members have to help their aging loved ones. This can include becoming the caregiver for mom or dad or helping out with daily activities such as cooking, bathing and running errands. This can become very stressful on families because they may still be working full-time and have families of their own to take care of.

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Therefore, as a relative ages in place, family members need to become aware and familiar with the different services available to help during this journey. Many seniors will opt to have home health services, while others may choose to downsize and move into a senior living community that offers an array of services. Whatever the choice, it is important to start planning for the future and research the best options for each step of the aging process.

Aging changes to watch for: • • • • • •

Reduced vision Decreased muscle strength Reduced mental processing capabilities Increased risk of falls due to poor balance Reduced hearing Deceased mobility

BECAUSE THE BEST SOCIAL NETWORKS ARE THE PERSONAL KIND.

The impact of these changes can be identified in the daily life of an elderly person. While their physical capabilities lessen, their needs change. This has a huge impact on their day-to-day life.

At Foulk Manor North, we believe in the real-life social network – the activities that become adventures, and the neighbors who become lifelong best friends.

For more information or for a tour call 302-478-4296

O U R L I F E STY L E O F F E R S : • Five Star Dining Experience featuring Signature Recipes • 24-hour Care by a longstanding team • Lifestyle360 activities programming Call to visit and see how we make every day exceptional.

1212 Foulk Road • Wilmington, DE 19803

302-478-4296

www.FoulkManorNorth.com INDEPENDENT LIVING • ASSISTED LIVING SKILLED NURSING • REHABILITATION • MEMORY CARE Pet Friendly

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The DNA Diet . . . . . . . . . . . . . . . . . . . . . . . . . . . .

By Dr. Melissa P. Broyles, D.O. Weight loss diets come and go. There was the Atkins, South beach, No-fat, and No-carb diet. However, most people regained weight after stopping these diets and their popularity ceased. Now, a diet based on an individual’s DNA is available. The good news is our DNA will not change as do fad diets. The “genome” (the complete set of genetic information) of any individual is unique. In 1990 the Human Genome Project launched. It was an international research project whose goal was to identify and sequence all of the genes of the human genome. The project concluded in 2003 after 92% of the human genome was sequenced.

This is a major scientific breakthrough. The hope is that genomic studies will lead to advances in the diagnosis and treatment of diseases, including obesity. In less than 40 years, the prevalence of obesity in the U.S. has increased by over 50%. Currently, two out of every three American adults are overweight or obese. Obesity and overweight account for nearly one in every ten American deaths, and costs our nation $223 billion dollars per year. Obesity is a complex problem, and now the epidemic has spread to our children. It is estimated that today’s children will be the first generation to live shorter life spans than their parents. In some cases of obesity, genetics seem to be responsible; in others, various combinations of hormonal, metabolic and behavioral factors may play a role. We are now able to identify a variety of genes that influence an individual’s eating behaviors, metabolism, response to diet and exercise, as well as identify an individual’s propensity to develop certain medical conditions. DNA testing is a great catalyst to help people make lifestyle changes, especially in respect to diet. A single saliva sample can identify how a person metabolizes fats, carbohydrates and protein. This information can be very helpful for a person trying to lose weight. For example, if an individual is a slow metabolizer of fats, then it’s recommended he/she be on a low fat diet to

Blending Conventional and Alternative Medicine Dr. Broyles’ focus is on you! She will address all of your health concerns to discover how you can get well and stay well. 373 Glen Mills Road Thornton, PA 19373

Phone: 610-459-3773 Fax: 610-459-3770 www.drmelissapbroyles.com We focus on: Nutrition & Weight Management Stress Reduction • Hormonal Balance • Digestive Health 24

achieve weight loss. Clinical studies show that individuals who follow a genetically appropriate diet lose weight more easily. Most insurance companies pay for a portion of the DNA testing. However, the physician must submit necessary paperwork which includes the patient’s vital signs and a valid reason (i.e. weight gain, fatigue) for ordering the test. It takes 2-3 weeks for the lab to process the DNA sample. The patient is then provided a personalized genetic report and an individualized diet plan according to their DNA.

So remember, one diet is not right for everyone. We are all uniquely designed. If you would like to find your genetically appropriate diet, please contact our office at 610-459-3773. www.drmelissapbroyles.com I have been a patient of Dr. Broyles for over a year now, and have found her to be a kind and concerned professional. I have been having trouble with my weight since I was a child. Over the years I have gained and lost more weight than I could count. I am 67 and heavier then I has ever been in my whole life. It didn’t seem to matter what I did to lose weight I still keep getting heavier. In February of 2013 Dr. Broyles ask me if I was really serious about losing weight; I told her if I don’t do something I was fearful of death. At that time she began to work with me on a weight management and proper eating program. I have lost 25 pounds since I’ve started eating properly. I feel much better and stronger. The swelling in my legs is all but gone. I was getting varicose veins around the ankles and starting up my legs. They are disappearing. Blood pressure is down. Sugar is down. Cholesterol is down. My clothes fit better and I feel better. I am happy… ~ Bob V. I was tired of being treated for each symptom and not as a whole person. I thought that the few issues I have could be interconnected, like my migraines and hormonal issues such as night sweats. I wanted to see an Integrative physician who would address all of my problems. I have been seeing Dr. Broyles for four months and can honestly say that I have not felt this well in a long time. I am now off of my blood pressure medication, I am on vitamin supplements, and we are addressing my hormonal imbalance. Dr. Broyles listens to all of my concerns and tries both conventional and alternative solutions. She is very patient and spends a lot of time both listening and explaining what could be wrong, and how to address the issues. Her office is warm and relaxing, and is conducive to healing. I am very happy that we have started this relationship. ~ Maria M. * Profile photo by Roy McDowell, Royal Photography, Wilmington, DE www.TheWomensJournal.com

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Our Beacon Of Hope

or over 30 years, Midge DiNatale, BA, GC-C has been an advocate for mental health and the bereaved. It is her own personal experience and survival that is what led her to the path of Grief Counseling at Delaware Hospice. Midge started her path on Grief Counseling long before she knew it; when she suddenly became a single mother after the death of her husband. However it was not until after the loss of her 23 year old son to suicide that really started Midge on her counseling journey. Soon after the loss of her son and while living in Atlanta, Midge became involved in the American Foundation for Suicide Prevention (AFSP) and SPAN- GA. It is during this time that Midge had her revelation that she just understood grief, “I get grief.” She trained to become a Survivor’s of Suicide (SOS) group facilitator in Georgia. It was after doing this training that Midge decided to pursue Grief Counseling in order to help a larger group with their losses. From that time on, Midge wanted to be that person for others who they could lean on along their journey. “Working with the bereaved was what I was meant to do with my life,” comments Midge.

sad about helping someone with grief. Putting on workshops for individuals and working with nurses and case managers are always a great way to round out my day. I have learned so much from my clients and I hope that they have learned something from me.” Midge and the rest of the Delaware Hospice Bereavement Team offer over 20 different bereavement workshops and meetings throughout the month in a variety of locations across the county. Attendees enjoy the companionship and support of their fellow members and Counselor. Delaware Hospice families are able to attend these events along with the community as space permits free of charge. As a trusted community partner in end of life education and support, Delaware Hospice strives to provide quality healthcare services to our community. To learn more about our 16-month Bereavement program, call 302-478-5707 or visit our website www.delawarehospice.org.

Being a “beacon of hope” at Delaware Hospice, Midge has been able to help over 1,000 clients along their journey. There is no prescribed method of helping someone through their sorrow but with her personal and professional experience around death, Midge has become a resource for Delaware. Midge has found her home with Delaware Hospice’s Bereavement Department. “I love what I do each day; there is nothing

Hospital level care in a homelike setting. Should your loved one need a higher level of expertise than you can provide, then it may be time to consider the Delaware Hospice Center. Here, we keep patients comfortable and safe when symptoms or pain arise, providing around-the-clock care. All in a homelike setting instead of the hospital. Maybe best of all, there’s room for the whole family.

Call us today for the support you need at 800-838-9800. www.delawarehospice.org

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A Pap Smear Is An Important Screening Tool To Prevent Cervical Cancer problems, including genital warts and cancer of the cervix, vulva or anus. There are several factors that put a woman at higher risk for cervical cancer. In addition to HPV, they include smoking, HIV/ AIDS and other conditions that challenge the immune system. Hispanic and African-American women also have a higher incidence of cervical cancer.

Treatment for patients who have abnormal pap smears depends on age and the severity of the abnormality. If a woman is age 21-24 and has a low level of abnormality, she will be monitored and the test will be repeated in a year. If she is over 24 or the pap smear shows a higher level of abnormal cells, a colposcopy will be scheduled. A colposcopy is an office procedure in which the doctor uses a special instrument to closely examine the cervix, vagina and vulva for signs of disease. If abnormal cells are detected, your doctor will review your treatment options with you.

Start screenings at age 21 up to age 65

By Kaveeta Vinaya Kumar, M.D., MBA

etting regularly scheduled pap smears is an effective method for preventing and detecting cancer of the cervix (the cylinder of tissue that connects the vagina and uterus). A pap smear is a simple, painless test to screen for precancerous lesions on the cervix, as well as actual cancer. Pap smears save lives. Cervical cancer progresses very slowly and pap smears alert doctors to abnormal cells that can be treated before they actually become cancerous. In the last fifty years, due to widespread screening, the incidence of cervical cancer has fallen almost fifty percent in the United States.

Most women who are diagnosed with these types of cancer are between 35-65 years of age but screening typically begins at age 21 and continues until a woman is 65. For women aged 21-29, screening is once every three years. Between ages 30-65, screening is every three years; or every five years if there is no HPV present.

Pap smear testing is simple

The pap smear is a simple, inoffice procedure which is covered by insurance plans. And there are no co-pays for annual visits under the Affordable Care Act. There are additional state funded programs that cover women who do not have insurance for some reason.

Women stop having pap smears at age 65 if they have had three consecutive normal pap smears or two normal pap smears with negative HPV screening within the past ten years, with the most recent test being within the past five years.

We have made great strides in detecting, preventing and treating cervical cancer. But it’s equally important to stop HPV, the virus that causes most cervical cancers.

Treatment for an abnormal pap smear

So get your pap smear now. And encourage young people to get their HPV vaccines. Screenings and vaccinations save lives.

Kaveeta Vinaya Kumar, M.D., MBA, is board-certified in obstetrics and gynecology. To make an appointment for a regular screening or other OB-GYN concerns, contact: Women’s Health Practice Wilmington Hospital 501 W. 14th Street Wilmington, DE 19801 302-320-4414.

A day you’ll always remember. Expert care you’ll never forget. Our moms rely on an experienced health care team that’s prepared for everything, 24 hours a day—every day. You can trust we provide a safe, welcoming experience for mom, baby and the entire family. Caring for moms, newborns and families for generations.

Still, there are about 12,000 new cases of cervical cancer each year; about thirty percent are in women who did not receive adequate screening. Cervical cancer results in 4,000 deaths each year. The vast majority of cervical cancer is linked to the human papillomavirus or HPV, the most common sexually transmitted infection in the United States. In most cases, HPV goes away on its own. But when it recurs or persists, it can cause health

A highly effective HPV vaccine is recommended for girls and boys age 11–12, but is available to patients between the ages of 9-26. The vaccine can prevent young people from getting— and spreading—the virus. If 80 percent of children are vaccinated, we can prevent 50,000 cervical cancer cases. But so far, only 30 percent of the young people who would benefit have received the complete threedose vaccine. The optimum age is between age 11-12, be sure to talk to your child’s pediatrician about it.

Life. Healing. Caring. www.christianacare.org/baby

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Understanding Varicose Veins FAMILY HISTORY: If varicose veins run in your family, you may have up to a 50% chance of having them yourself. Just because they run in your family, does not necessarily mean you are destined to be afflicted. There are other factors that can cause them. AGE: As you get older, the valves may start wearing out over time. Even if you take care of yourself, you still may get varicose veins. GENDER: Varicose veins do impact women more due to the hormonal changes in their body during their lifetime. By Anthony Alfieri, DO, FACC

aricose veins are not just a cosmetic concern. They can lead to discoloration, bleeding, ulcers, and a “heavy leg” sensation that may hinder daily activity. Varicose Veins occur when your vein isn’t functioning properly. Veins have one-way valves that prevent blood from flowing backwards. When the veins valves fail, blood begins to collect in the vein rather than continuing to the heart. It is important to talk to your doctor if you are experiencing any of these symptoms.

Who

is at risk for varicose

veins?

Most people believe that varicose veins are just cosmetic and inflict women more than men. However, there are many factors that can lead to the painful varicose veins. Below are some of those indicators:

Anthony

Alfieri,

DO,

OBESITY: Body Mass Index (BMI) is a weight to height ratio. There are many BMI calculators available. Being overweight (BMI between 25.0 and 29.9) and especially obese (BMI > 30.0) can cause varicose veins due to the added pressure in the vein system of your legs. INACTIVTY: Sitting more during the day or crossing your legs may make your veins work harder to pump the blood up to the heart. This may prematurely wear out the valves.

GET ACTIVE: Moving around during the day instead of sitting can help your legs. It is recommended that if you have a desk job, you should move for 2 minutes for every 20 minutes. Being athletic does not mean you can’t get varicose veins. There are other factors involved if you are at risk to get them. ELEVATE LEGS: To help with circulation, try elevating your legs to assist the veins to get the blood to your heart. LOSE WEIGHT: Losing weight can prevent the varicose veins from getting worse as well as many other chronic conditions, including cardiovascular disease, diabetes, gout and some cancers to name a few.

there prevention for varicose veins?

If you already have varicose veins, prevention can only help the varicose veins from getting worse, but it will not make them go away. Here are some things you can do to help your legs.

FACC

area for over

board

Ccall all (302) (302) 737-0857 690-0933 To schedule your

Free

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to improve the quality of life for all individuals men and women alike venous insufficiencies

If you are experiencing pain, swelling or other symptoms of varicose veins, call today at (302) 690-0933 to schedule a free vein screening. We can walk you through the process and get you on your way to healthier legs!

Other risk factors may include smoking, taking birth control pills or a hormone replacement therapy and leg injury.

interventional cardiologist, who has been practicing in the

New Castle County

TREATMENT: At the Delaware Advanced Vein Center, Dr. Alfieri uses radiofrequency to treat the vein. A thin catheter is inserted into the vein under local anesthetic. The slender catheter delivers radiofrequency (RF) energy to the catheter, which heats the vein wall. As the vein wall is heated and the catheter is withdrawn, the collagen in the wall shrinks and the vein closes. Once the diseased vein is closed, blood is re-routed to other healthy veins.

vein Screening

efforts

both

Your First Step to Beautiful Legs!

who suffer from the effects of continues

with

the

formation

Delaware Advanced Vein Center. Dr. Alfieri has found that for many people, having varicose veins is needlessly limiting and it is a common misconception that the treatment of varicose veins is painful and not worth the effort. So as to provide better care for his patients, Dr. Alfieri is now performing radiofrequency ablations. www.TheWomensJournal.com

painless procedures

302-737-0857

40 Omega Drive, Building G | Newark, DE 19713

www.delawareadvancedveincenter.com 27

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Year-End Tax Planning For 2016 must be established by December 31 so you need to start now. A selfemployed individual may be able to contribute up to $53,000 ($59,000 if 50 years or older) to a plan such as a solo 401(k), which could save $25,000 or more in federal and state income taxes!

By Evelyn M. Joiner, CPA, CDFA™

t’s almost that time of year again . . . tax time. Smart tax planning now can help reduce the taxes you owe not just this year, but in the coming year, too. Review these items with your accountant before the end of the year to maximize your savings. Defer or Accelerate Income Determine your tax bracket. If you are currently in a high tax bracket and you believe you will be in the same bracket or a lower bracket next year, look for ways you can defer your income until next year. Wage or salary workers may be able to do this by having a bonus deferred. The self-employed can delay billings. Retirees who’ve obtained the age of 70 ½ during the year can delay their first required minimum distributions (RMD) until 2017. On the other hand, if you are currently in a lower bracket than you expect to be next year, you want to maximize your income this year to take advantage of the lower tax bracket. In this case, accelerating income to be sure it’s received in 2016 may be a smarter move. Contribute the Maximum to Retirement Accounts Tax-deferred retirement accounts compound and grow tax-free. If your employer offers a 401(k) plan, you can contribute up to $18,000 ($24,000 if you’re age 50 or older) pre-tax. That is up to $18,000 you do not pay taxes on this year – a potential huge savings! Depending on your income and other retirement contributions, you may be able to contribute to an IRA up to $5,500 ($6,500 if 50 years or older). For those that are self-employed, there are several options available, but most plans

Review Your Investment Portfolio Considering selling investments? Talk to your accountant, now may be the time to do it. For instance, if you are in the 15% tax bracket, you will pay 0% on longterm capital gains – that’s, zero percent, meaning you do not pay long term capital gains And, if you’re in a higher tax bracket, it may still make sense to sell those investments now, especially if your income continues to climb. If you’ve incurred capital gains during the year, look into selling loss investments to offset the gains. Capital losses can offset capital gains dollar for dollar. After that, you can deduct up to $3,000 of capital losses to offset ordinary income.

Remember; do not let taxes get in the way of a good financial decision. Discuss these strategies with your financial and tax professionals before making any changes to your investment portfolio.

charity. This allows you to meet your RMD requirements without paying tax on the distribution! This is a good strategy for a taxpayer that no longer itemizes their deductions.

Charitable Contributions If you itemize deductions and plan to make charitable contributions, be sure to do so before the year ends to get a deduction this year. If you think you’ll be in a higher tax bracket next year, those deductions may be more valuable if deferred until January 2017.

Conclusion Consider the above as just some of the many tax-planning strategies your accountant can review with you. Consideration of the timing of income and deductions proves vital in reducing the overall tax liability both this year and next year. Be sure to review your taxable income and deductions with your tax professional before making these decisions and it’s too late.

Donations of appreciated stock, or property other than cash, has the double benefit of getting a deduction for the fair market value of the property, while avoiding paying capital gains tax on the appreciation. If you are retired and required to take a required minimum distribution (RMD), you can have your RMD paid to a qualifying

Evelyn M. Joiner, CPA, CDFA™ is a partner at the firm of Sparano, Vincelette & Joiner, CPAs in Wilmington. She started her accounting career in 1999, obtained her Master’s degree in Taxation, and is the only CDFA™ in Delaware who is also a CPA. You can find her on LinkedIn at http://lnkd.in/ dqjQm3y.

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Our clients get professional assistance to ensure their long-term business and financial success. We help them maximize their cash potential, increase efficiency and minimize their tax liability.

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Suddenly Single Women and work with that person on an ongoing basis.

over 30 years of comprehensive wealth management experience. He is Executive Vice President of Bassett, Dawson & Foy, Inc. and a founding principal partner of the firm. Successful women are prominent among Fred’s diverse domestic and international client base of professionals, retirees, professional musicians and business owners. In 2008 Fred was cited by Delaware Today Magazine as one of Delaware’s Top Financial Advisors. Criteria are not necessarily based on client satisfaction or advisor performance. Fred received a State of Delaware Senate Tribute in 1999 for his “long and distinguished record of service to his community, his country, his state and his region.”

Taming the financial beast begins by getting organized before you meet with the advisor. 1) List all your expenses, income and assets

Presented By Frederick J. Dawson, ChFC, CLU

uddenly single women may face a daunting task. If you are recently widowed or divorced, the loss of the mate who “handled everything” can leave you feeling very vulnerable. Some well intentioned folks might suggest you “do nothing for a year” fearing that you might do something rash. That advice maybe ok, but unless those folks are well informed about your financial situation, that advice may be completely wrong!

2) Gather all your financial statements 3) Your latest tax return needs to be reviewed in great detail 4) Prioritize your goals and objectives 5) Consult with a top advisor 6) Develop a plan of action and then implement it 7) Annually review the plan vs. actual and make appropriate adjustments

With the plethora of financial magazines, TV shows and other resources out there, where do you turn? Certainly you can find just about anything financial on the web. But how do you know that information and those resources are in your best interest? You don’t!

Dorothy’s husband, Max, of nearly 40 years died suddenly leaving her totally in the dark. Even though he was sure he’d outlive her, he did not. We created a plan of action designed to help her enjoy a life of independence, control, and confidence.

I strongly recommend you seek out a top advisor who employs a wealth management consultative process

Fred Dawson, ChFC (Chartered Financial Consultant), CLU (Chartered Life Underwriter) has

Frederick J. Dawson, ChFC, CLU Wealth Manager, Raymond James Financial Services, Inc. Executive Vice President, Bassett, Dawson & Foy, Inc.

Bassett, Dawson & Foy, Inc. E.A. Delle Donne Corporate Center 1011 Centre Road, Suite 110 Wilmington, DE 19805 302-999-9330 www.bdfwealth.com fdawson@bdfwealth.com www.TheWomensJournal.com

For more information or to schedule a complimentary, no obligation initial consultation contact Fred’s office at 302-999-9330 or fdawson@bdfwealth.com. * Bassett, Dawson & Foy, Inc. is an independent firm. * Securities offered through Raymond James Financial Services, Inc. Member FINRA/SIPC * Any opinions are those of Fred Dawson and not necessarily those of RJFS or Raymond James. * You should discuss any tax or legal matters with the appropriate professional.

educate. enrich. empower. business&finance I S IT TIME TO MOVE YOUR OFFICE OUT OF YOUR S PARE ROOM?

5 GOOD REASONS WHy IT Might BE TIM E !

Going from a home based office to a rental space is a big decision that causes angst among many business owners. The thought of increasing monthly operating expenses because of rent, utilities furniture, IT services and office equipment can be quite Lori L . Davis Executive Operations Manager unsettling. However, here LDAVIS STAT.INTERNATIONAL Stat International are 5 solid reasons why it is time to set up shop in a location other than your home. @

. Revenue Benefits- Prospective clients may regularly visit you prior to making a decision to purchase your product or services. There is a perception that a home based business is not as professional as a rented office. Moving to an office location can attract additional clients thus increasing your revenue. This revenue may, in fact, exceed the costs incurred as a result of renting an office which will allow your business to grow and thrive.

. Hiring Additional Staff- You may not be 2 comfortable having an employee coming to

work every day at your home. Besides the distractions of everyday life and the potential invasion of privacy both the employee and family members may feel at odds with the situation. Alternatively, it may also be challenging for to find the right employee when there seems to be a predisposition against home based businesses. Most employment agencies

by Lori L. Davis

and universities do not allow home based businesses to post employment positions on their job site.

is a great support for both startups and established businesses.

3. Space Constraints- When your business

Relocating your business from your spare room to an office will increase your overhead. However, there are several supported reasons as to making this challenging yet rewarding decision. Just make sure you know when it is the right time to do so.

grows, that spare room you are using may be cause for inefficiency and disorganization. With the additional need for staff and or equipment, things get cramped and actually moving will allow for private work space and office functionality. In the interim, consider allowing employees to work virtually if possible until you can justify moving and the monthly expenses that go with it.

. Efficiency Improvement- Noise, daily household chores, answering the door, family and pets can provide distractions that keep us from staying focused to the job at hand. An informal approach can be cause for procrastination and other bad habits experienced by entrepreneurs. Physically leaving your home to get to an office can help you be more effective and the office environment itself conveys a business mentality which fosters greater productivity.

. Interfacing with Others- Working from home can be a lonely experience. Even though you may be dealing with clients and vendors remotely, it doesn’t allow for collaboration which can stifle the imagination and creativity. If making the big move to a traditional office is too much to handle at one time there are other options available that can be a stepping stone to leaving your home. Co-working spaces and shared offices can provide not only the office environment you crave it can allow for the use of other office amenities; i.e. copiers, printers, coffee, and internet while allowing for collaboration which

S AVE THE D ATE : Grand Opening & Networking Event! Thursday, December 1, 2016 I 4:00 - 7p.m. For More Details Go to: stat.international

testimonials

I love the flexibility that STAT International offers me and my clients … whether it is a meeting space for 15 people with the most current technical functionality required for today’s business meetings or the ability to accommodate any of my client’s needs. The staff at STAT is friendly and supportive of all my business requirements. - David R. Batman, Esquire Law Office of David R. Batman In April of 2013, 3E Marketing Solutions was a growing home-based business. One Friday afternoon a fellow business owner contacted us about a possible office share opportunity in downtown Wilmington. We arranged to see the office that afternoon. Once there, the STAT International team, customer service attitude, array of service options and location made an unexpected opportunity a “must have.” Although the space was too small for our businesses to share, 3E committed and moved into a small temporary office but in weeks moved into our suite on the 9th floor in early May. In December of 2015 we moved again, into our lovely, newly renovated suite of offices on the 10th floor! Moving to downtown Wilmington and becoming part of the STAT International community as been an incredible game changer for 3E Marketing Solutions. Richard Stat and his team offer so much more than just an ideal location and a wide array of services, they have a sincere dedication to the care of their clients. We highly recommend them! - Donna Duffy, CEO/Founder 3E Marketing Solutions

Offices & Suites • Traditional Office Support • Conference Rooms • Personalized Reception • The HUB@1201(Co-Working Spaces) • Virtual Office Services

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events

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;$ Can we look at a portfolio of other wedding cakes you have made? Do you do custom wedding cakes, or have a set number of designs? All reputable wedding cake designers should have a portfolio of past work. Alsoismake sure you ask for references. isn’t your favorite, there a wide variety of nuts and trail mixes for ;$ WhatAnd ingredients do you typically use the health conscious. what is for your cakes and icings? Chefs and bakers oday's modern wedding cakes arehealthier a far cry than strawberries? (Dip who use the finest ingredients will provide the themcakes in dark chocolate - it’s good from the mandatory multi-tiered white most memorable cakes. Good ingredients cost for your heart.) Place an order a day of decades past. Modern brides are increasingly more, but are worth the investment. ahead so they’re fresh. conscious that all the design and details of their Fresh Candy for all "big day" will live on in photos and videos as wellis what ;$ How can we try various kinds of wedding Occasion does best. This year, cake flavors and cake fillings? You should as in the memories of family and friends, so more start a new tradition; personalize either offered a sampler to take home and share and moreBy: brides areFord thinking of their wedding Sue your loved ones’ stockings or invited to awith tasting at the bakery. cake as a beautiful work of confectioner’s art. chocolates to reflect a favorite sport, tep into Candy for all hobby or occupation. ;$ How are your wedding cakes priced? hen you select a trained create Occasions to take a walk pastry chef toFor everyday, Candyan forextra all cost for special fillings Is there culinary for the day, you down your memory lane.centerpiece This quaint, Occasions creates great baskets or details? Will you charge extra for my cozy shop in the Fairfax are sweet selecting someone who can deliver and the exotic gifts for every occasion. design? Do you have or can you rent items Shopping Center is loaded with flavors, textures and shapes which reflect your From hostess like gifts cake to baskets toppers, stands, tiers, fountains, your old time favorites from for Birthdays, Thank You, Will we be billed extra? Is sophistication and sense of wax style. The only limit and cutters? lips to candy necklaces, but that’son a budget Congratulations, anda Sympathy, is your imagination! Even brides can there price list I can take home with me not all. From the love of your can’t with a Can gift of to study? you adapt wedding cake look forward to a wedding feast finale you which is go wrong life to your little one, chocolate is comfort food. Choose your designs to fitfavorite my budget? The more laborvisually stunning and memorably delicious. an affordable luxury, especially products or leave the creativity to intensive your wedding cake design is, the more around the holidays. At Candy for us. Local delivery and shipping it will cost. Extensively detailed icing or special he first thing to consider is timing. Ideally, all Occasions, you pick the box, is available. Phone orders are youchoose shouldthe select your pastry chef or bakery shapes require skill, creativity and remarkable and you chocolates welcome, but if you stopso in,expect be sureto pay more. However, patience, 4–6 months in advance, if she has (only their favorites), and weparticularly bow to pick up a treat forare many wonderful and creative ways there youperfect have apackage. complicated design in mind. Just your If chocolate yourself. to work with brides on a budget. For example, as reception locations must be booked months Liz Marden Gourmet Cakes & Desserts has At Candy for during all Occasions, you pick thea whole new line called "Buttercream in “ advance, especially the most popular launched box, and(May, youJune, choose the chocolates wedding months September and Bridal" with a rich assortment of flavors and October), pastry(only chefs and bakeries also designs to fit the needs of today's more budgettheir favorites), conscious bride. There is also a trend toward become booked. we bow your perfect package .”

individually portioned presentations such as cupcakes and petit fours, which allow brides to offer a variety of ﬂavors to their guests. Your educate. enrich. baker or pastry chef should giveempower. you a written proposal which covers all these details.

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If I want to use fresh flowers on my cake, will you coordinate with my florist, or will I have to manage getting the flowers to you? Discuss final table presentation with your Pastry Chef. If you are using fresh flowers, the florist and Chef will need to coordinate types of flowers being used as well as delivery and presentation.

;$ Do you do deliver? How much does it

cost? Will the delivery person be able to make emergency frosting or decoration repairs and arrange the cake table? Select a pastry chef or baker whose service includes delivery and set-up. If you are hiring an expert to create your cake, you want to make sure that expertise extends to set-up and ﬁnal presentation.

Award-winning pastry Chef Liz Marden owns a European-style patisserie in Candy for all Occasions Hockessin, Delaware. Cheflocations: Liz trained with has two Concord Pike,and Master Pastry 2215 Chef Gunther Heiland Wilmington, DE. her desserts have graced the tableand of the 854 W. Baltimore Pike, Governor’s mansion. Liz Marden Gourmet West Grove, PA. Cakes and Desserts features the exquisite mousse-ﬁlled signature which have Callcakes us at earned Chef (302) Liz regional acclaim and 654-9171 or two Best of Delaware for wedding (610)awards 869-3839, or visit our web site at cakes. Her desserts are often featured www.candyforalloccasions.com many of Delaware’s premier social events.

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People Profile in

Dr. Erev Tubb

As a high school student, Dr. Erev Tubb scoured books, searching for more information about his grandmother’s pancreatic cancer. His curiosity led to research fellowships at the Georgetown University Hospital and the NIH. He continued his interest in basic science research throughout college, resulting in publications in several peer reviewed journals. During his residency and fellowship, his interest shifted to clinical research. He presented findings at the ASH national meeting and co-authored a chapter on the pharmacology of anticoagulants for Elsevier. Dr. Erev Tubb is a triple board certified hematologist and medical oncologist at Saint Francis Healthcare, where he brings that same curiosity and a personalized approach to each patient’s diagnosis and treatment. “We treat everyone as a person, not just a disease,” he says. “We get to know each of our patients, and they understand how much we care about them.” On May 1, 2015, Dr. Tubb joined Saint Francis as the Chief of Hematology-Oncology and the Chair of Medicine. Among Dr. Tubb’s key accomplishments is strengthening the partnership between his alma mater, Thomas Jefferson University Hospital’s Sidney Kimmel Cancer Network, and the hospital.

“Our focus is to provide access to the technologies and treatments that are available to patients at Jefferson right here in Wilmington,” says Dr. Tubb, noting that Saint Francis Healthcare has a full array of oncology services, including on-site surgery, chemotherapy and a PET/CT scanner that comes to the hospital on Thursdays. Patients can also enroll in many of the Sidney Kimmel Cancer Center clinical trials and receive the therapies from physicians at Saint Francis Healthcare. In addition to oncology, Dr. Tubb offers consultations to patients with blood disorders. Saint Francis Healthcare, a part of Trinity Health, has served Delaware for more than 90 years. In addition to oncology and hematology services, Saint Francis also offers cardiovascular services, emergency and prompt care services, the Bariatric Center of Excellence, family medicine primary care services, the Advanced Wound Care Center, gastrointestinal services, Saint Francis at Home™, imaging services, the Sleep Center, outpatient physical therapy, Saint Francis LIFE and a comprehensive women’s health program.

Dr. Cynthia Crosser, D.C., F.I.A.M.A.

Dr. Cynthia Crosser is a chiropractor, acupuncturist, neurofeedback and functional medicine practitioner. Dr. Crosser graduated from Palmer College of Chiropractic in 1986 and within a year initiated a three-year postgraduate study in Chiropractic Neurology through New York College of Chiropractic while maintaining private practice in New Hampshire. She relocated to Wilmington, DE in 1996 and soon thereafter completed her fellowship in acupuncture and completed postgraduate study in Physical Rehabilitation through Los Angeles College of Chiropractic. Clinical nutrition has always played a part in the care of her patients, assisting them beyond the purely musculoskeletal condition. She has thousands of hours of training in clinical nutrition, which she utilizes in conjunction with other disciplines to relieve pain and restore her patients to a more optimum level of health without invasive treatments and adverse side effects. The functional medicine model which she currently practices under involves an in depth understanding of the patient’s history, lifestyle, dietary factors and genetics as well as the alteration in their biochemistry. This information is used to determine how to resolve the symptomatology and ultimately restore the systems of the body to a more normal physiological condition. This knowledge has provided her the opportunity to enhance her own treatment plan through her own challenge with cancer.

She has been practicing for 30 years and has continued to change and grow her business to meet the needs of her patients. She utilizes neurofeedback (brain balancing) to work with patients suffering from conditions such as anxiety, depression, ADHD, and chemobrain. She offers a weight loss program to her patients as well under her supervision. Having the ability to utilize multiple disciplines affords her the opportunity to find the most efficient and efficacious treatment for the patient. Given that she sees patients presenting with thyroid issues, neck and back pain, digestive issues, etc., it is most valuable to find the causative and irritating factors and create an individualized plan for each patient. Dr. Crosser resides in Wilmington, DE and is the backpacking chair for the Delaware Valley Chapter of the Appalachian Mountain Club. She is a hiking and biking leader as well. Most weekends she is outdoors teaching others about wilderness safety, climbing that next peak or in the pool at Hockessin Athletic Club, or spending time with her children and grandchildren. She is a member of the Institute for Functional Medicine and is in pursuit of that additional Certification as well as the Diplomate in Chiropractic Neurology. Dr. Crosser’s greatest pleasure in practice is to continually help patients to understand where and how their health unraveled and how to rebuild their bodies on a daily basis. This will help them to evolve through their lifetime and stave off the unexpected and unnecessary chronic diseases that most people deem inevitable. For further information she can be reached at 302-239-5014 or crossernaturalheatlth@gmail.com. www.TheWomensJournal.com

Evelyn M. Joiner, CPA, CDFA™

Evelyn provides close and personal accounting and tax services to individuals and businesses as a partner at the firm of Sparano, Vincelette & Joiner, CPAs. She began her accounting career in 1999 and has earned a Bachelor’s degree in Accounting and a Master’s degree in Taxation. Evelyn provides accounting services for a wide variety of industries including construction, retail, real estate, legal professionals, medical professionals, non-profit organizations, condominium associations and other businesses of all sizes. In addition to her two degrees, Evelyn earned a certification as a Certified Divorce Financial Analyst® (CDFA™). As a CDFA™, Evelyn assists attorneys and their clients with the financial issues relating to divorce, such as tax consequences, division of assets, and forecasting the short-term and long-term effects of a divorce settlement. Evelyn is the only CDFA™ in Delaware who is also a Certified Public Accountant (CPA). Evelyn lives in Wilmington with her husband and four children. She is passionate about volunteering. She donates time to her church and the schools where her children attend, including serving on the boards of the Heritage Elementary School PTA and the Fresh Start Scholarship Foundation. She is also a mentor for the Fresh Start Scholarship Foundation, providing guidance and encouragement to women facing the challenges of returning to school while managing families, jobs, and school work. Evelyn is a life learner and enjoys learning new things. You can reach Evelyn by emailing evelyn@svvcpa.com or calling 302-999-7300. You can also visit her LinkedIn profile at linkedin.com/in/evelynjoiner.

Andrea Gambardella

As the Vice President of Business Development at Delaware Sleep Disorder Centers, Andrea Gambardella is committed to working with her team to ensure compassionate care of patients in order to get them back on a path to restful sleep. Andrea attended Wesley College in Dover, DE where she graduated Summa Cum Laude with a Bachelor’s in Communications in 1998. Andrea then moved on to the University of New Haven in Connecticut where she was a graduate assistant, a member of SHRM, and assistant editor of the University’s SHRM Journal. She graduated in 2000 with her Master’s Degree in Industrial Organizational Psychology. Andrea is a highly accomplished sales management and marketing professional with more than 15 years of demonstrated success in the Pharmaceutical, Medical Device and B2B healthcare industry. She has extensive experience in leadership building, marketing and strategy development, product launch training, and tactical planning in managed markets. In addition to being passionate, persuasive, and highly driven, Andrea is a leader in her profession and has a proven track record for exceeding targeted goals by building winning sales teams.

Attending and presenting at local and national conferences allows her to stay informed about advances in sleep health and wellness as well as helps to further her growth and passion within the healthcare sales industry. Andrea just returned from Cape Town, South Africa where she attended the Sigma Theta Tau International Research Congress and Conference in promotion of advancing sleep health as an essential vital sign. The venue also allowed her the opportunity to stress the sense of urgency surrounding the importance of including sleep disorders in all nursing education curricula. Andrea is a native to Delaware and recently relocated to Lewes Beach, which she now calls home. Outside of the office, she enjoys spending her free time traveling, staying active in the community, and making memories with family and friends.

Frederick J. Dawson

Frederick J. Dawson is a Chartered Financial Consultant (ChFC), Chartered Life Underwriter (CLU) and Executive Vice President of Bassett, Dawson & Foy, Inc. Specializing in Wealth Solutions for their clients, Bassett, Dawson & Foy, Inc. was established in 1985 and is located in Wilmington, DE. Fred is one of the original founding principal partners of the firm. He is a member of numerous organizations and a frequent guest speaker. His approximately 350 financially related articles have been published locally, nationally, and internationally. He has been a frequent radio, television, and professional organization guest including several appearances on CNBC. Fred achieved his lifelong dream of performing with his musical hero “Yakety Sax-Man Boots Randolph” at Wilmington’s Grand Opera House . . . three times! He was honored with a State of Delaware Senate Tribute in 1999 for his “long and distinguished record of service to his community, his county, his state, and his region.” In addition, he has been recognized as Rotarian of the Year on two different occasions in Newark, DE. In May of 2003, Fred was awarded the “2003 Entrepreneur of The Year” by The New Castle County Chamber of Commerce. A “Legend in His Own Mind” Fred’s multi-award winning band “Club Phred” has helped raise in excess of $5 million for various local and national charities over the past 10+ years. Club Phred has even performed in The Baby Grand with the horn section of The Late Show with David Letterman. Additionally, he’s “rock and rolled” with some of the biggest rock stars in the U.S.

Fred is married to Louise, has two sons and five grandchildren and has resided in Delaware since 1957. His hobbies and interests include antique & classic autos, music and giving back to his community.

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Beth Krallis

It is hard for Beth to find the words to describe herself. Some would call this humble and others might call it introverted. For Beth, it’s just hard to explain! Beth was born and raised in Oceanside, New York. She moved to Delaware in 2005 to attend the University of Delaware where she majored in International Relations with minors in History and Economics. She graduated in 2008 and moved to Wilmington. Today, she lives in Wilmington with her husband, Chris. She began her career in politics and government, interning and working on various campaigns including Joe Biden’s Campaign for President in 2006 and Jack Markell’s Campaign for Governor in 2008. Campaigning was hard but a great introduction to her new home state. She got lost countless times in local neighborhoods, which ultimately helped her learn the roads to get around and she met many Delawareans, who turned into lifelong friends. She worked for nearly five years in Governor Markell’s administration, learning how state government operates and helping people on behalf of the Governor. Today, Beth is the communications director for the Delaware Breast Cancer Coalition which is a statewide nonprofit that provides support and resources to those facing breast cancer. Beth oversees the design and production of marketing materials including press releases, brochures, audio-visual materials/presentations and media communications. She also coordinates all social media activities and assists with special events

and partnerships. In her spare time, Beth volunteers as a board member for the Wilmington Women in Business. When she’s not working, you can find Beth grilling or entertaining with her husband, at the beach, at the YMCA, or visiting her family. She binge watches television shows with her husband, enjoys writing, reading, cooking, politics, and helping people. She is passionate about women being educated and empowered, especially regarding their health.

Dr. Jonathan Romak

Dr. Jonathan Romak joined ENT & Allergy of Delaware on September 1st, 2016. Dr. Romak is a board certified Otolaryngologist and fellowship trained Laryngologist. After graduating from Colby College and the University of Connecticut School of Medicine, he completed his Otolaryngology residency at Mayo Clinic in Minnesota. He then completed a Laryngology and Care of the Professional Voice fellowship at Drexel University College of Medicine. Dr. Romak’s love of music (he is a singer and guitarist himself) led him to specialize in the voice, and disorders, diseases and injuries of the vocal apparatus, especially the larynx. His favorite nonprofessional activity is spending time with his wife Lindsay, herself a radiation oncologist with Christiana Care, and their one-year-old daughter. Dr. Romak joins eight other physicians at ENT & Allergy of Delaware who offer comprehensive medical and surgical care spanning ear, nose, throat, allergy and hearing services. All are board certified in Otolaryngology – head and neck surgery and are trained to treat ENT conditions in both adults and children. In addition to diagnosis and treatment of allergy conditions and hearing related issues, the practice also provides CT scanning, speech pathology services, hearing aid services and vertigo testing. All of our doctors work closely with our staff of five allergy technicians and ten highly trained and skilled audiologists to address a full spectrum of concerns, and provide complete care to all of our patients. Dr. Romak is available for new patient appointments at our Middletown, Glasgow, Foulkstone and Limestone locations. 302-998-0300

Lori L. Davis

Lori Davis is a passionate business leader that brings over 25 years of operations and customer service experience to her current role as Executive Operations Manager at Stat International. A Kutztown University graduate with a BS degree in Business Management, she started her career in the food service industry as an entry level manager. Early on, she not only recruited and developed great talent, but also proved leadership in building people capabilities by recognizing strengths and potential to raise the bar. Lori formed amazing teams that achieve both financial and operational results to the bottom line. Over the span of her career with YUM® Brands, she achieved many goals. She grew in leadership, gained knowledge and developed an invaluable skillset bringing success to both her team and the company. With her solid organizational skills, her desire to mentor, develop and lead teams, she became an accomplished training director and multi-unit operator.

Presently at Stat International, a company with clients from around the globe, she has provided leadership and business acumen in managing the construction/renovations of the Stat International traditional offices, The Hub (a NEW Co-Working space) and manages a vast array of Virtual business services. Using her leadership skills, she has formed a talented and strong team to support the mission, to provide and cultivate an environment where businesses thrive at any level. Whether the budding entrepreneur (looking for virtual services), the established business owner (looking for conference rooms and traditional offices) or the “Second Chapter” clientele (looking for office space), Lori understands the importance of getting the right fit at the right time. She takes the time to understand individual goals, where you are now and where you want to be in the future. She works diligently to customize an office, suite, co-working space and/or provide business services that supports growth and delivers success. Lori has two sons, both attend colleges in Delaware. She enjoys spending time with her family and friends, gourmet cooking and managing her own gourmet products and services business. She also volunteers as her church’s council secretary, assists in team leadership, avid participant in the choir and handbell choir. www.Stat.International.com LDavis@stat.international.com 302-573-2528 www.TheWomensJournal.com

People Profile in

Kimberly Schlichting

May 2013 I was diagnosed with stage 2B breast cancer. The cancer was large, measuring 9cm x 9cm. I was told it was a slow growing cancer and it could’ve started growing ten years prior. I was 47 years old and upset that it wasn’t detected sooner. Having a family history in which all the women before me had breast cancer should’ve been a red flag for more progressive screening, but that didn’t happen. Regular self exams didn’t help identify it either because my cancer didn’t come in the form of a lump. What should’ve been my telling sign was when my nipple started to move off center of my breast; however, I ignored it for a few months because I was busy with life…(family & work) and I simply didn’t know this was a sign. I think of what proper testing and early detection could have spared me. My treatments consisted of a hysterectomy (which threw me immediately into menopause), followed just three short weeks later with a bi-lateral mastectomy, 18 weeks of chemo and 6 weeks of radiation. June 2013 alone I spent 12 ½ hours in surgery. It was during my treatments that I was introduced to the DBCC. I was immediately paired with a mentor who listened to me and helped point me to a variety of resources along my journey. I’m forever grateful for her help during a most challenging time. A time when everything was happening so fast that it was difficult to think clearly. I recall Donne’s, “No man is an Island.” It’s in times like this that we all need someone.

I recently celebrated my 3-year cancer-anniversary by becoming a peer mentor. I participate in DBCC fund raisers to support their educational mission and I’ve had the pleasure to attend their activities such as the Nurture with Nature outings including Kayaking in Fenwick. Through DBCC I’ve made strong friendships with others who have fought this battle and struggled through the many emotions that are part of this fight. I’m so glad to be a part of this group which feels more like a close knit family… one woven with the strongest of fibers,…. SURVIVORS!

Dr. Cynthia Crosser

At times one may look back at an era in their life and be thankful or wish it had never happened. Certainly, no one ever wishes to experience the suffering a diagnosis of cancer brings, but it can never be argued the degree to which it becomes life altering is significant. My personal transformation started with the sudden diagnosis of rectal cancer in February of 2014 followed by another diagnosis of breast cancer in April of 2014. How could this be with no family history and a pristine lifestyle of organic eating, exercise, adequate sleep; all the healthy habits one hopes will prevent such a chronic disease? I began the search for doctors I resonated with and chose the University of Pennsylvania. After realizing that my life now consisted of blood transfusions, biopsies, a colostomy bag, chemo and radiation treatments, it was not my nature to “fight” this foreign invader, but to remain calm, embrace the process, heal, and move on. My professional life is in natural health care and with the help of several oncology centers and much independent research, I found myself utilizing supportive treatments outside of the triad of traditional medicine; surgery, chemo, and radiation. As a practitioner I could procure many other forms of biochemical support to approach this disease. I soon realized that the options were endless. I could in fact, heal while treating!

In addition to the diagnosis, my new challenge became the financial side of life, trying to support a home and business without working or working very little. I soon found out just how little is available for financial assistance as one deals with bills and cancer simultaneously. However, my circle of friends reignited my faith in how we should all treat each other. Now, several years after all the traditional treatments are completed, I still support my system with nutritional supplements to prevent recurrence, exercise daily at the pace I did prior to diagnosis, and eat as I did because it always matters. The why of a cancer diagnosis is baffling, but even in someone who has had a very clean lifestyle and appears in perfect health, even with perfect blood work, can develop this incredibly prevalent disease. Through integrative supplementation, how we embrace the process, exercising daily through your course of care when possible, are all factors that influence the experience and outcome and also provide the opportunity for knowing the grace of God. This phase of life has taught me about those who are compassionate in times of need and those who are not; about how we all need to be there for each other in times of need and how very much we need well-developed coping skills for these unpredictable and challenging times in our lives. It is my hope that the patients who seek my services feel my sincere concern and dedication to their process of treatment and healing as I choose to live each day deliberately.

www.TheWomensJournal.com

Angela Bursler

On New Year’s Day 2014, I awoke with a lump in my abdomen. Soon after I was diagnosed for the first time with stage III ovarian cancer. Treatment to bring the disease into remission consisted of a full hysterectomy and six months of chemotherapy. The happy announcement that the disease was in remission was delivered in August 2014. As a busy wife and mother, I took full advantage of the next twelve disease free months. Sadly in the thirteenth month, tests indicated that the disease had returned. I bravely faced the second diagnosis with the same smile and positive attitude that I have had my entire life. Understanding the sense of urgency to address the new tumors on my lung and spleen I made the decision to seek treatment at the University of Pennsylvania’s Abramson Center. Seven months into treatment my CA125 value dropped from 48 to 10 and my CT scans indicated significant shrinkage in the size of the lesions. Less than two months later I was hospitalized with neutropenia, the effects of which caused severe fevers and respiratory issues. The prescribed method to treat my illness did not immediately work however after some research special platelets were infused into my system, which expedited recovery. Several diagnostic tests taken during my twenty-two day stay in the hospital indicated that the cancer had spread. Suspecting the worst, I arrived for a routine evaluation at my doctor’s office to find that the most recent PET scan revealed that I was cancer free. My doctor outwardly claims that my recovery from a near death experience was clearly a miracle. My objective going forward is to be a role model for others who suffer from the same condition and to assist in any way possible to eradicate this terrible disease through supporting the Delaware Ovarian Cancer Foundation.

Bonnie Siley

Three years ago, I stopped having mammograms. Every year I was told I have dense breasts and nothing has changed. Since there was no cancer in my family, I felt it was safe to stop. Fast forward to May 2016 when my gynecologist handed me an order to get a mammogram. After two mammograms and an ultrasound I was informed I had breast cancer. Wow, did my world change! Because of my volunteer job for the past five years at the Delaware Breast Cancer Coalition’s (DBCC) resale shop, Great Stuff, I have met many volunteers and customers who were cancer survivors. That gave me the confidence to trust that I would survive. Regardless, I needed some guidance, so I called the Delaware Breast Cancer Coalition and spoke to Cathy Holloway. She was my lifeline. I was diagnosed with Stage 1, Invasive Ductal Carcinoma and given the choice of having the SAVI radiation because my lymph nodes, edges from the mass and tumor were clear. Because it requires another surgery to implant the SAVI, I was hesitant. Cathy offered me a peer mentor who had the SAVI treatment to speak with, Pete Quayle. She has been wonderful and so patient with me with all of my concerns. I chose the SAVI radiation and was pleased with my decision.

I am grateful for my husband, Bob, my daughter, Colleen, and my son, Rob, for their support. Phone calls, cards, thoughts and prayers are so important during this time and my family and friends made sure I knew they were thinking of me. When I look back on these past months, I am so thankful to God for giving me the strength and courage to fight this battle. I could never have done it without my faith. Today, life is good. I carry Cathy’s cards in my wallet and encourage anyone that has been diagnosed to give the Delaware Breast Cancer Coalition a call. I can’t begin to thank them enough for all the wonderful work they do and I am proud to be a volunteer at the Great Stuff resale shops.

Dinah Screven

My story begins July 2014 when I received that call while at work informing me that I had breast cancer. I was cool, calm and praying my strength in the Lord to help me through this life changing moment. I knew in my heart that I would be fine and God would be with me every step of the way. The most difficult thing for me to do at that time was to break the news to my husband and children. I was determined no matter what I was not going to allow cancer to take over my life. I was thankful and blessed that my breast cancer was in the early stages. In August 2014, I decided to have a double mastectomy with reconstruction, 8 rounds of chemo, Herceptin for one year and physical therapy. During the course of my treatment, I had many setbacks and challenges that I didn’t allow to keep me from working and participating in ministry related activities with my church. Six months after my last chemo treatment. I had my first follow-up appointment with a CT-scan that revealed a spot in my left lung. A biopsy completed, results were benign. My doctor was not completely comfortable with the results, and opted for surgery. December 2015 I had a Lobectomy to discover later the spot was the beginning stages of lung cancer not related to the breast cancer. Therefore, no further treatment was necessary.

To God be the glory! For this life changing experience, it has shown me how precious life really is, I am grateful for every moment I wake up, I enjoy spending time with my husband, children, family and friends. My faith has kept me strong, supported by the love of my husband and children. Regardless of the challenges I faced. I am blessed to be a survivor and hope to share my story with others as a peer mentor with the Delaware Breast Cancer Coalition. You can increase the odds of survival, simply based on your faith and attitude. Therefore, stay encouraged, keep the faith, keep fighting and NEVER GIVE UP!

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Thank You... To Our Photographer

This issue our People in Profile were photographed by Shannon Adelson of Adelson Media, Inc. Shannon was definitely put to the challenge, since we did both a profile shoot for our front cover, and also our Celebration of Life Profiles. Shannon again proved that there is nothing he can’t handle that I throw at him. When you look at the beautiful photos that he did for us you will see why Shannon is one of the top photographers in Delaware. Shannon Adelson has been doing photography since he was a kid and has always been involved with the arts. He received his Bachelor’s and Master’s degrees at Eastman School of Music in Rochester, NY. He has been shooting semi-professionally since 2005 but didn’t officially open his own business (Adelson Media, Inc.) until 2008. In addition, to photography he has a background managing marketing and social media for an online retailer. When an opportunity to shoot music events presented itself, he decided to follow his passion and to go full time with Adelson Media, Inc.

Once he made the decision to pursue professional photography full-time, He enhanced his arsenal by joining the National Association of Photoshop Professionals. Shannon said that the process of taking pictures was always been fun; but recently he discovered the joy and wonder of making portraits. Using creative compositional elements like light, color, framing, gesture, expression, and depth of field, every image can tell its own story. Thanks Shannon for a great job!

To Our Stylist

J. Christian is a Master Artist with more than 30 years experience in the beauty industry. Together with his wife Marcy, they own and operate J. Christian Studio, an upscale salon located in Hockessin, DE. As an International Platform Artist and Master Educator for Sexy Hair Concepts, J. Christian travels here and abroad teaching other Stylists about hair fashion. He regularly teaches at the Institute of Courage, a hair academy established by Michael O’Rourke, founder of Sexy Hair Concepts located in the Topanga Canyon just outside Los Angeles as well as at the Paul Mitchell School in Delaware.

Owner of J. Christian Studio jchristianstudio.com 7465 Lancaster Pike Hockessin, DE 302 235 2306

To Our Location

We would like to thank David Furst, GM of The Waterfall for allowing us to have our Profile Photo Shoot at their beautiful facility. You could not possibly ask for a better location. Everywhere you looked there was more beauty than the last location you looked. From the blown-glass chandeliers to the marble dance floors to the atrium’s glass ceiling every consideration is taken to create the perfect day for your special event. Whether you are planning the most important day of your life, a corporate gala, a professional conference, or an elegant luncheon, their experienced event coordinators will assist you in arranging it from start to finish. Located at 3416 Philadelphia Pike, Claymont, DE 19703. For more information call 302-792-2600, or for more information go to waterfallbanquets.com

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All Clothing for Survivors was provided by “Great Stuff Resale”

Twenty-Five Years Of Service! DBCC

Beth Krallis Communications Director

016 is special because the Delaware Breast Cancer Coalition is commemorating 25 years of service as Delaware’s Most Trusted Breast Cancer Resource. Founded in 1991, the Delaware Breast Cancer Coalition, Inc. (DBCC) began as a small group www.TheWomensJournal.com

of community volunteers who were committed to decreasing the mortality rate of breast cancer in Delaware.

screens approximately 800 women a year. Each year, DBCC serves almost 6,000 individuals through programs and services.

Over the past 25 years, DBCC has developed and implemented programs tailored to the unique needs of different populations, including young women with breast cancer and the formation of Young Survivors in Action, AfricanAmerican women, Latinas, lesbians, men, and women with disabilities. DBCC has conducted many educational sessions and outreach programs for the general public, referred thousands of adults for free or low-cost cancer screenings, and has removed barriers to cancer screenings by providing interpretation, transportation and support services. DBCC is the only organization that offers Peer Mentor support for newly diagnosed patients and the breast cancer update has grown to draw a crowd of over 300 attendees. The organization holds the operating contract for the State of Delaware’s mobile mammography van that

To help generate income for the organization, DBCC operates two upscale resale shops in North Wilmington: Great Stuff Savvy Resale and Great Stuff Home. In addition to serving as a source of revenue, the shops provide another avenue for breast health education and outreach. DBCC has grown through the years because of strong board leadership and community partners. The Board of Trustees now includes County Associations, giving an opportunity for more individuals to be involved with

the organization. DBCC is fiscally strong and will continue to be an organization that adapts new programs and services for the needs of people with breast cancer. Today, DBCC remains the only organization in the State of Delaware focused solely on breast health issues as they affect the women and men who live here. DBCC also serves surrounding communities in Pennsylvania and Maryland. They are Delaware’s most trusted breast cancer resource.

Email Beth Krallis

for

more information at bkrallis@debreastcancer.org

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Daddy-Daughter Hairstyling Class Is Heart-Explodingly Adorable and Dads feeling especially connected at this moment.

These gents find themselves fumbling through even the basics. Ponytails placed askew, tears and crying combing through painful tangles, and ballerina bun! That’s just going too far.

We had created a unique experience deepening the family bond. We are proud of these Dads for stepping up! We are going to continue to offer these classes for both Moms and Dads as long as the community responds.

Let’s face it; most fathers are petrified of being tasked with doing their young daughter’s hair. Clips, braids, buns, crimps, and pigtails are all new territory for the poor male parent. By J Christian, Owner- J Christian Studio, Founder- Fear the Shear, International Platform Artist and Master Educator, Industry Expert and Business Consultant, Icon of Method Alliance

uys have it pretty easy in the hairstyling department. Bounce out of the shower, towel dry the locks, throw in some gel (maybe), and off they go. In this harried society, more guys find themselves standing in for Mom during the morning routine and extracurricular activities.

as well as the people on the waiting list! That’s 22 Dads with daughters!

Out of sheer love, they push through everyday doing the best they can. One wife and mother of three best describes this situation, “He does try, but in the photos he texts me the girls look happy, yet slightly bedraggled.” aka Daddy Hair

These Dads took this class very seriously focusing on coiffing tips for their little princesses! Detangling, ponytail placements, sock bun (it’s quick and easy), and then braiding. They happily volunteered when it came time to switch places and let their daughter design a hairstyle for them.

Daddy/Daughter Hairstyling Class Launches in June J Christian Studio launched the first Daddy/Daughter Hairstyling Class one day after Father’s Day in June. We had no idea what to expect and were surprised when people almost immediately started calling to reserve a slot.

Sharing our Hair Styling Expertise to helps Fathers Bond with their Daughters

We expected maybe 15 or so. Imagine our surprise when EVERYONE who RSVP’d showed up

In the end we accomplished something pretty unexpected. We watched Dads and daughters enjoying themselves, daughters beaming with love and adoration,

The next classes are Mommy & Me, braiding class, Monday, May 18th, 2017 and DADDY DAUGHTER hairstyling class, Monday, June 19th, 2017. This class is FREE for one adult and one child ages 5 to 12, seating is limited, and reservations are required. For more information call 302.235.2306. J Christian and his wife Marcy Wilkinson, own and operate J Christian Studio in Hockessin, Delaware. J Christian has over 37 years experience in this industry and is an active international artist and master educator. The Studio is a full-service, upscale salon with expertise in hair, nails, makeup, executive and standard male grooming, as well as bridal services.

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Recycle Your Unworn Jewelry For A Happier Holiday

Free up some cash for Holiday gifts or for that Winter Vacation you have always wanted ...

By Nick Dellaquila General Manager Jewelry Exchange Of Delaware As the owner Roberta Kozak’s oldest son, Nick has been General Manager of the Jewelry Exchange of Delaware for the past 3 Years. Together with his younger sister Corey Grabowksi they own and operate two locations one in Historic Lewes and the other in Stately Greenville.

We Buy Gold Too… It seems you can’t get very far today without seeing those three little words… The “We Buy Gold” phenomenon is a result of the recent shift in global economic markets in the past few years. The Value of Gold has simply skyrocketed to unimaginable levels. Many people are unaware that the safest, most reliable and most beneficial place to go to sell your Gold and Silver is at your favorite local Jewelry store. Most Jewelry stores are willing and able to buy your unwanted Gold and Silver. Why not go where you have comfortably shopped in the past? Why not go somewhere you are confident that they will not be “gone tomorrow”? Why not go where you have a choice to either sell your items or in many cases receive a trade in value that is even more? Why not go somewhere where your good condition jewelry can be purchased as Jewelry and not as scrap? Your local Jewelry store is the smartest place to take your unwanted Gold and Silver!

So who sells their gold and unwanted Jewelry?... In a word - Everyone! We see people from all walks of life from many diverse socio economic backgrounds come in with Jewelry that is broken, unworn, unwanted, or simple all the above. Some people need cash to pay bills, some just would rather have the extra $$, others just don’t want excess lying around tempting would be thieves... Let’s face it, the economy today could be better and is forcing everyone to think a bit differently. www.TheWomensJournal.com

We then evaluate your items, often finding hidden value - monetary and/or sentimental.

•

We then will show you what the current price of Gold is and explain how that is broken down by the different purities (10kt, 14kt, 18kt, etc)

•

Finally we show you a spreadsheet that will give you a breakdown of what we will pay you today in cash for each item, what we will offer you in trade and what we would be willing to consign your item for.

•

Unfortunately most people unknowingly go to one of the dedicated gold buying places and simply do not get the maximum monetary value their transaction deserves… These places include: •

n past issues I have outlined how beneficial it is to look to your local Jewelry stores to sell you unwanted Gold and Silver Jewelry and how and why to avoid the pit falls of the “We Buy Gold” phenomenon. What better time is there to review than now as we head into the Holidays when everyone can use a little extra cash? Also, I would like to elaborate on how to maximize your Holiday purchase power with our trade option.

•

• • •

We often have times where we listen to your memories of the items and understand how you really hate to part with a particular item; in these situations we can recommend redesign ideas of the sentimental piece to suit your current style. Some pieces are worth more than their weight monetary value and we feel that as a family business it is our duty to help point that out when we feel it necessary.

We Trade too… Keep in mind that you always get 20%-40% more in trade value to be used for a new purchase here at the Jewelry Exchange of Delaware. During this Holiday Season this might just be a great way to give a great gift!

Jewelry Exchange

Brightly painted “We Buy Gold” newly opened store fronts Mall Kiosk Hotel “Gold Party” Sell your Gold by Mail

of Delaware

While all of these may seem to be convenient options they all have negatives that are a little different except for one major commonality - They are all in business to profit solely on your gold value - they keep the lights on, pay the rent, and put money in their pockets. When you use your local Jewelry store you get to enjoy the benefit of selling your gold to the same people you trust when you buy jewelry.

Buy - Sell - Trade - Consign - Redesign The elegant place to sell or trade unwanted jewelry.

4001 Kennett Pike Greenville, DE 19807 302.397.8336

At the Jewelry Exchange of Delaware we pride ourselves in taking our time with each and every client and making sure you will understand all of their options when selling your Jewelry. •

From there you are at your own discretion whether to sell, trade, or consign with us. If you decide you are not ready to sell you are welcome to think about it.

•

First we invite you into a private office. To us the sanctity of your business is paramount. 41

142 Second Street Lewes, DE 19958 302.644.3435

www.jewelryexchangeofdelaware.com

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Tired Of Acne?

N By Erica Suppa: BS, LE, COE (Photo by Roy McDowell)

early 85 percent of all people have acne at some point in their lives. For most people, acne is an inherited condition of the pores. When someone is prone to acne, their pores become blocked with dead skin cells much faster than normal. The solution lies in products that penetrate the pore and prevent dead skin cells from building up. Professional Acne Treatments done by an Acne Specialist will help you to get rid of acne and clear your skin more quickly than with just products alone.

care expert, and research scientist. She offers a unique approach to skin care by utilizing her scientific knowledge of skin care ingredients and how they interact with the skin to achieve phenomenal, lasting results her clients have been searching for.

Why Get Professional Acne Treatments? 1. To monitor your progress and make changes to your home-care as needed. 2. To exfoliate the skin so that home-care products can penetrate the pore more easily. 3. To lighten dark spots that are caused by acne lesions. 4. To hydrate the skin so that the skin is receptive to your home-care regimen. 5. To extract existing acne impactions. 6. To kill acne bacteria inside the pore. Erica Suppa is the owner of Fresh Faced Skin Care, an advanced skin care clinic with locations in Chadds Ford, PA and in Historic New Castle, DE. Erica has more than a decade of experience in the healthcare industry as an esthetician, skin

Your Foundation Concierge By Ashley Bizzarri, Owner of Customized Cosmetics by Ashley and Custom Blend Specialist

he perfect foundation can make your skin look fresh and give you a youthful glow. The wrong foundation however, can make you look weird, fake and even old! There are four major criteria that make up the perfect foundation: COLOR ~ Makeup can change color when it sits on the skin due to your body temperature and also changes when viewed in different lighting. Your foundation must also match your undertones. You should be able to sample the foundation before you buy so you can be sure it looks natural in various lighting. COVERAGE ~ Some have more to conceal than others. If you have typical uneven skin, go for a sheer to medium formula. If you have more to conceal (hyperpigmentation, dark spots, extreme redness or rosacea) look for medium to full coverage. FINISH ~ There are two main looks that a foundation can give you: dewey (think JLo) or matte (think Taylor Swift). A good rule of thumb

is if you have dry skin and/or are over the age of 30, choose a dewey finish. Matte is best suited for younger, flawless skin or oily skin. SKINCARE ~ You must make sure that whatever you are applying to your face is good for your skin! There is no regulation on the cosmetic industry (i.e. there’s no one policing expiration dates). Wearing old makeup is a big no-no, you’re applying bacteria directly to your skin. If there is no expiration date on your makeup, ask the salesperson. Make sure your foundation is non-comedogenic (will not clog your pores). This is especially important for women who breakout. Also, your foundation should improve your skin. For example, if you have oily skin, make sure your foundation is an oil-controlling formulation or a hydrating formulation for dehydrated skin. Lastly, you MUST make sure your foundation is 100% off your face when you go to sleep at night. A water-based foundation will wash off instantly versus an oil-based foundation. Don’t have time to search through thousands of foundation lines to find the perfect match? I’d like to be your face’s personal stylist and create the absolute best formulation for you. Think of me as your foundation concierge.

Testimonials “Ashley is wonderful! I absolutely love the custom foundation and setting powder that she created for me!! If you’re reading this, then I’m sure you’ve experienced “orange face” a time or hundred. Let’s be honest, it sucks! Ashley is so precise with matching the color to your own skin tone! Another thing that I find not only professional, but friendly and welcoming, is that she will respond to any texts you have, and has no problem answering any questions at all. I plan on using this foundation/setting powder for my wedding. Peace out orange face!” ~ Lindsay “Before I was introduced to Ashley, I felt like I had to settle for a foundation that hardly resembled my complexion. I often felt discouraged when shopping for foundations because my options were limited. When I had my consultation with Ashley she assured me that she would create the right shade for me. Ashley was patient, professional and knowledgeable. Now, I feel more confident and comfortable knowing I will have no harsh lines and a foundation that lets my natural beauty glow!” ~ Sage

Call or text Ashley to book a consultation at 301.466.5625 or email her at customizedcosmeticsbyashley@yahoo.com. 42

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Eyelash Extensions – Your Best Accessory For The Holidays using special bonding agents for a completely natural look! The result is thicker, longer eyelashes that are safe in the shower, while swimming, sleeping or exercising.

By Melisa A. Ferriola, CPCP, LE

yelash Extensions! They are the accessory for so many women. No fuss, no smudge, waterproof, natural or dramatic, affordable and safe. Eyelash Extensions have become so popular; women are opting to get eyelash extensions rather than manicures! As they have become more popular and recognized by the mainstream, licensed estheticians have been adding this skill to their resumes. They are a fantastic alternative and have gained tremendous popularity because of their natural look, ease of application, and yes, affordability. With semi-permanent eyelash extensions, eyelashes are made thicker and longer through professional application of a synthetic eyelash that is curved to replicate a natural lash. Extensions are applied one lash at a time with care and precision

Your extensions can last up to 5 weeks depending on the life cycle of your own natural lash, your eyelash characteristics, lifestyle and care of your extensions. Your initial appointment could be 60 to 90 minutes, for a Demi-set or Fullset, respectively. As your natural lash grows, your extension grows with it! Refining Applications are recommended every 2 to 4 weeks to keep your set fresh. Timeframes can vary person to person depending on your custom wants and needs. With the Holiday Season upon us, schedule your appointment now to ensure your lashes are fresh for all your holiday parties. You may love them and continue them into the New Year with regular fill appointments or you may decide this is a great holiday and special occasion treat. Whether you want lashes for your wedding day, the upcoming holiday party season or an every-day look to restore lashes of your youth, Lasting Looks has the professional, perfected technique, applied by a licensed, certified and experienced Eyelash Extension Specialist. Safe and affordable, trust your eyes to Lasting Looks! www.LastingLooksForYou.com!

Who would benefit from eyelash extensions? The The The The The The The

Teen, for Proms and Senior Portraits; Business Professional, for a polished image; Blushing Bride and bridal party, for a joyful celebration; Mature Retiree, to bring back the lashes of her youth; 20-Something, for a glamorous night on the town; Fitness Enthusiast, for looking great while working hard; Natural Blond, for dark, dramatic lashes.

Profile: Lasting Looks is a unique day spa in Hockessin Corner – next to the Back Burner Restaurant and Jennifer’s Bridal. Our mission starts with the desire to empower women to take charge of their appearance and to put their best image forward. Our staff of estheticians can help meet all your skincare needs, as well as our unique services like eyelash extensions and permanent cosmetics.

www.LastingLooksForYou.com or call 302-635-7327 www.TheWomensJournal.com

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Three Stories Of Permanent Cosmetics S

arah W. was 30 years old when she became interested in permanent cosmetics. “At the age of five, I developed extremely dark freckles on my very pale, almost colorless lips. This, in turn, made me quite self-conscious. People, particularly other children at school, would always tease and torment me about Sarah before my freckles. As a result, I became a very introverted person. I stayed in all the time; I didn’t like to go out, socialize, or do things. I spoke to numerous permanent makeup artists regarding my issue: dark freckles on pale lips. All of them told me that either it was impossible to do anything for me or that I would have to color the rest of my lips the same color as my freckles, which would essentially make my lips a dark brown, almost black color, which, of course, I didn’t want. I was disheartened but continued looking. Eventually I connected with Carmella. After seeing my pictures and speaking with me, Carmella felt confident that she could help me, and we set up an appointment. After an in-person consultation and a couple of sessions of permanent makeup, Carmella was able to successfully camouflage my freckles, define my lips, and give my lips a natural, youthful, pink color!

Sarah immediately after

Sarah 6 weeks after

I would have to say that my lifestyle changed quite drastically after I had the procedure done. I have confidence to go out, try new things, meet new people. I told Carmella this, and I will tell you as well: Carmella didn’t change my life, she gave me my life back! Carmella is, quite simply, a sweet, caring, and talented artist! And I would recommend her to anyone and everyone, whether you’re interested in permanent makeup itself or if you have a perceived flaw that you’re self-conscious about, go see Carmella; she will give you an honest and compassionate assessment and a wonderful permanent makeup experience.”

Testimonials “Thank you for performing a miracle.” - L.E. “Permanent makeup enhanced my life, I always look good and go anywhere.” - B.M

Referring Doctors Dr. Jonathan Pontell M.D.

Dr. Fanny J. Berg M.D.

Dr. David Zabel M.D.

Dr. Peter R. Coggins M.D.

Dr. Jeffrey B. Minkovitz M.D. | Eye Physicians & Surgeons

Dr. Joseph J. Danyo M.D. Dr. Jillian Banbury M. D. Dr. Ian M. Longergan, D.O. | Aesthetic Plastic Surgery of DE Dr. Timothy Greco M.D. Dr. Monica Mehring M.D.

Dr. Katheryn M. Warren M.D.

Dr. Peter Panzer M.D. | Panzer Dermatology Assoc. Dr. Paul Sabini M.D. F.A.C.S. Dr. Jonathan Saunders M.D.

mily Kook is approaching her 40th birthday feeling like she’d lost her identity. As a stay at home mom to two young boys she explained “I kind of let myself go”. “In my opinion, being a mom is one of the best jobs in the entire world! There is nothing more fulfilling than being a fulltime mom to my sons, Carlos & Ryan. But despite its many perks, it can also be very demanding. I am constantly on-thego, and the majority of my time is spent in yoga pants, chasing after two toddlers with my hair in a ponytail and no makeup on my face. At 40-years old, my days of looking & feeling good are pretty much over . . . or so I thought.”

Emily before

She’s describes herself as conservative and not the type of woman who spends a lot of money on her appearance. “I have suffered from rosacea since I was 14 years old and therefore, have always been very self conscious about my appearance. But as I’ve grown older, one of the things that has bothered me the most when I look into the mirror is the condition of my eyebrows. To say that my eyebrows were virtually non-existent prior to meeting Carmella was an understatement. In addition, my eyes appeared tired and sunken in. No matter how hard I tried, I could not seem to apply the right makeup to enhance my eye area. Eventually I just gave up, and found myself wearing sunglasses & hats to hide my insecurities.” One day, Emily was sitting in a doctor’s waiting room. She found herself staring at another waitingpatient’s eyebrows. “They were the most beautiful eyebrows I’ve ever seen!” Not being the type of person to approach a stranger, she felt compelled to compliment this woman. “Oh thank you! But I can’t take credit for them, they’re not mine nor did I draw them in, Carmella permanently tattooed them on!” And with that Emily booked an appointment at The Permanent Cosmetic Studio that same day. “I didn’t even get anything done the first time I was there, I just had a consultation with Carmella and I have Emily after been on a high ever since. The women at The Permanent Cosmetic Studio do more for their clients than just makeup and skin, they change lives by how they make their clients feel. They spent so much time with me and I felt how much they cared about me” Emily choked out.

“I have never felt more confident and you have brightened my life.” - L.M

Dr. Abel M.D. | The Abel Center for Oculofacial Plastic Surgery

Dr. M. Stefanyszyn, M.D. F.A.C.S. | Wills Eye Hospital Lynn Esdale RN | Lynn Victoria Cosmetic & Medical Skin Care Dr. Lisa W. Hostetler M.D. Sarah Lester, Medical Aesthetician Delmar Surgical & Cosmetic Treatment Center. Carol J. Hoffman MD | Kremer Eye Center 44

“First I got my eyebrows done, then I came back for my eyeliner. My friends and family were as shocked as I was that I had actually gone through with the procedure but now they can’t believe how great I look and are also booking appointments with Carmella. More importantly getting this procedure has improved my family! I am happier because I feel like a woman again and my whole family feels it. My husband continues to compliment me even after years of marriage, I feel like I’m hanging out with my boyfriend again! I just can’t explain in words how indebted I feel to Carmella and the women at The Permanent Cosmetic Studio. They gave me the best 40th birthday present I could have ever asked for, they gave me my life back and I couldn’t be more excited to start the next chapter in my life.” Www.TheWomensJournal.com www.TheWomensJournal.com

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heryl Dehart was doing research on Permanent Cosmetics when her 80-year old mother told her she wanted to get her eyebrows and eyeliner permanently tattooed and said all of her friends and some well-known people of status in the area all go to Carmella at The Permanent Cosmetic Studio. “I booked a consultation to talk with Carmella about helping my mother, I had zero intentions of getting anything done myself. I am a confident 51 year old woman with a successful career. I grew up with four brothers and a dad who always told me I was beautiful and I didn’t need to wear makeup. I even did some modeling when I was younger. I didn’t feel that I needed makeup. The only thing I ever do is wear mascara which takes me forever because I’m so uncoordinated. When I met with Carmella, I was surprised how much time she gave me. Talking with Carmella was like talking with an old friend, in fact, I got choked up with how honest she was with me. “You’re gorgeous Cheryl, but your washed out” she told me, so I decided to see what Carmella could do for me. She happened to have a cancellation that afternoon and I trusted her enough that I let her tattoo my upper and lower eyeliner AND my lips! I was too scared to do my eyebrows (which is what Carmella wanted to do the most) so she dyed them to show me what they would look like without the long-term commitment.

Cheryl before

Cheryl after

I almost got into a car accident on the way home because I could not stop looking at myself in the mirror. I was freaking out, thinking to myself, what did I just do?! When I got home, my cleaning lady looked at me and said “Oh my gosh Ms. Cheryl, you made yourself up today, you look FANTASTIC!” My husband loves how I look and I get compliments at work on a regular basis. People just think I’m wearing makeup, when I tell them I got tattooed, they always ask where! A few days later I called Carmella and said, that’s it, let’s do my eyebrows. I think Carmella was more excited than I was! Of course, Carmella was right, I was washed out. Doing my eyebrows makes me look 10 years younger. I’ve never been so happy! I do nothing! I roll out of bed and I’m done! I was skeptical about permanent cosmetics. I know you can’t be perfect and I’ve never wanted to look like a barbie, but I feel pretty, I don’t feel fake. I feel womanly and I don’t know why I didn’t do this earlier!

倀爀愀挀琀椀挀愀氀⸀ 倀攀爀昀攀挀琀椀漀渀䔀瘀攀爀礀搀愀礀⸀ 䔀昀昀漀爀琀氀攀猀猀⸀

Carmella brings women together by empowering them, and permanent cosmetics is a lot cheaper than plastic surgery!” Cheryl joked.

About the Artist Carmella Gibellino-Schultz is a licensed cosmetologist and has been practicing the art of permanent cosmetics since 1999. In both Delaware and PA she has performed thousands of procedures and her impressive portfolio speaks for itself. Former owner of The Skin Care School and Center, her expertise and years of experience have made her the area’s most sought after permanent cosmetics artist. www.TheWomensJournal.com

倀攀爀猀漀渀愀氀椀稀攀搀猀攀爀瘀椀挀攀Ⰰ 攀砀瀀攀爀琀椀猀攀愀渀搀愀爀琀椀猀琀爀礀愀爀攀眀愀椀琀椀渀最昀漀爀礀漀甀⸀ 倀攀爀洀愀渀攀渀琀䴀愀欀攀甀瀀䄀瀀瀀氀椀挀愀琀椀漀渀昀漀爀䔀礀攀戀爀漀眀猀Ⰰ 䔀礀攀氀椀渀攀爀 ☀ 䰀椀瀀猀䌀氀愀猀猀椀挀愀渀搀嘀漀氀甀洀攀䔀礀攀氀愀猀栀䔀砀琀攀渀猀椀漀渀猀䌀甀猀琀漀洀ⴀ䈀氀攀渀搀攀搀䴀椀渀攀爀愀氀䘀漀甀渀搀愀琀椀漀渀猀Ⰰ 䈀氀甀猀栀攀猀 ☀ 䈀爀漀渀稀攀爀猀

㘀㄀ ⴀ 㠀㠀㌀ ⴀ 㘀㌀㘀

眀眀眀⸀瀀攀爀洀愀渀攀渀琀甀⸀挀漀洀簀䌀栀愀搀搀猀䘀漀爀搀Ⰰ 倀攀渀渀猀礀氀瘀愀渀椀愀簀䌀愀氀氀甀猀昀漀爀愀䌀漀洀瀀氀椀洀攀渀琀愀爀礀䌀漀渀猀甀氀琀愀琀椀漀渀

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Delaware Hair Solutions The Hair Replacement Specialists years and love the product they are providing. I have the ability to choose any hair color I want, have any cut/ style I want, even get a perm and use a curling iron and blow dryer. I shampoo and style just like normal hair. I have even gotten compliments from total strangers on the color and style. I am now back to fully enjoying my life, thanks to DELAWARE HAIR SOLUTIONS.” ~ Christine H.

For those battling Breast Cancer, confidence in your appearance can be an invaluable weapon in your arsenal. It’s not about vanity. It’s about not drawing attention to your illness. Delaware Hair Solutions can help you understand the hair loss process and explain all of the options available for your specific needs before, during and Dee Anderson – Owner after treatment.

WHAT CAN I EXPECT DURING TREATMENT? Hair loss generally starts 10 days to 2 weeks after the first chemo treatment. The amount of hair loss experienced varies between the individual and the strength of the medication. Before treatment is the best time for DHS to help you decide the approach that will work for you. In addition, many patients experience severe dryness and sometimes painful skin irritations as a side effect of radiation and chemotherapy. DHS carries Lindi Skin Care Products which are designed specifically to provide relief with these issues.

“In 2003, at the age of 37, I was diagnosed and treated for breast cancer. The chemotherapy I received as part of my treatment caused total hair loss. I always had very fine hair prior to my diagnosis and treatment and, for whatever reason, my hair did not grow back after chemo. By May 2005, I was feeling very good physically. However, when I looked in the mirror I was constantly reminded of the fact of how sick I had been. I avoided mirrors at all costs because the person I saw was not the person I had been. I wore scarves at home and a wig when out. I had ‘the best’ wig I could find, but it still looked like a wig and made me feel unattractive and old. It was also uncomfortable and limited my ability to enjoy activities that I loved, such as going to the beach. Not expecting to find much, I decided to begin looking into alternatives. After having an initial consultation with DHS, I decided to give their products a try. This was one of the best decisions I ever made. I’ve been a client for 11

Cancer treatment is not the only condition that can result in hair loss. One out of every 100 people suffer with Alopecia Areata, or unnatural hair loss. This is a common autoimmune disease that, while not life threatening, can also have psychological and emotional effects similar to those experienced by cancer patients.

WHEN TO START? When possible, we recommend starting even before treatment begins. A free consultation before hair loss begins, allows us to match your hair color and style as closely as possible. In some cases, hair loss can be unnoticeable. If you or someone you know and care about is undergoing cancer treatment you understand how drastically life can be altered during this time. Dealing with the disease’s symptoms and treatments is difficult enough, but in the case of women and children especially, coping with the extreme changes in outward appearance may seem devastating as well. The psychological and emotional effects of chemotherapy related hair loss can be terrifying resulting in stress, anxiety, and many levels of depression. It can also result in loss of self-esteem and confidence. 46

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Top Three Reasons for Routine Facials D

By Joanne Graves, Owner of Sanctuary Spa

o you ever wonder why some of your friends swear by their monthly facials? Or, why they’re recommended every month? To understand the basis of that recommendation, let me share with you some (boring) details of the general histology of the body’s largest organ.

Your skin is made up of three primary layers. The subcutaneous (base) layer consists of fat, nerves, and blood vessels. The dermis (middle layer) also contains nerve endings and blood vessels, but also hair follicles, oil glands, and sweat glands. It is comprised of collagen and elastic fibers, which gives skin its firmness and elasticity, and makes up approximately 90% of the skin’s thickness. The thinnest layer, the epidermis, consists of dead skin cells that are constantly flaking off and being replaced by more dying/dead skin cells. The life cycle of this process takes approximately 28 days; roughly one month. There is a remarkable difference in the skin of someone who chooses to make the most of that 28 day lifecycle by committing to monthly facials.

The Professional

increases circulation to the skin, which in turn supplies nutrients and oxygen to the skin, optimizing the natural process of cellular renewal. Massage is also an effective treatment for reducing stress, pain and muscle tension.

The Products The products at department, discount, and drugstores are marketed for the masses. Though they may have some of the same active ingredients as those available professionally, the percentage must be so much lower than their professional counterparts, to avoid any contraindications the consumer may have. As professionals, licensed estheticians have available to them products with

Estheticians are thoroughly trained and licensed in skin care. Regular facials allows you the opportunity to have a professional work with you to determine not only your skin’s type, but the constantly changing conditions caused in part by lifestyle, the environment, and other factors.

The Process As we age, that natural exfoliation process slows, creating an ever thicker layer of dead skin. Nothing dead ever looks its best, does it? Monthly facials include a level of cleansing and exfoliation that can be far superior to what can be accomplished at home, removing those dead cells and revealing smoother, healthier looking skin, which then can more effectively absorb the ingredients in the products that are applied during your treatment; serums, masques and hydrators. Most people think of the massage as the “fluff”of the treatment, but nothing could be further from the truth. Massage www.TheWomensJournal.com

much higher percentages of active ingredients; resulting in far superior results in a much shorter time. Call Sanctuary Spa at 302-475-1469 or visit us online at mysanctuaryspasalon.com to reserve a complimentary consultation with one of our estheticians for your next facial and experience the difference monthly facials make.

It isn’t just about the pampering; it’s about investing in your well being. 1 www.mayoclinic.org/ healthy-lifestyle/stress.../in... /massage/art-20045743

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For The Love Of Flowers and drink, the wedding dress? Everyone has something that is extremely important and therefor becomes the focus.

By Barbara P.G. Williams Co-owner of Belak Flowers

very good friend called me to get started on planning her son’s wedding. As I was emailing her my guidelines, I realized how important these points are and that a lot of moms and brides would like to hear from a wedding professional, especially from someone who has had a child go through the wedding process. My email was brief. Before I could even estimate her expenses, the following items needed to be decided: The amount of guests coming will really determine where the wedding can be as not all venues can accommodate 250 guests and some locations have a minimum. What is the date of the wedding? What season? Autumn, Spring, Christmas? Is it a holiday weekend? Is it in the busiest wedding months? May, June, September or October?

the church be decorated already for a holiday? Is the church ornate, possibly making additional color distracting? Is the ceremony going to be in a beautiful garden or tent? Always remember the length of the ceremony. If the exchange of vows is intended to last about 20 minutes then a giant amount of flowers for a short ceremony is really not needed.

The colors of the wedding, what are the bridesmaids’ dress colors? That alone can help determine the flower colors. What color are the groom and groomsmen wearing? Are metallic colors important? Silver? Gold? Can a soft color of gray foliage be added? Although you might not think of the metallics as “colors” adding a flash of silver or a warm neutral shade of foliage can make whites or even brighter colors just pop! What does the bride’s dress look like? A tailored or plain design of dress can have a more elaborate floral bouquet. A heavily beaded and detailed gown needs a simpler bouquet, one that does not fight with the dress and distracts from the bride herself. The quality of the dress makes a difference too. Does the gown, need the formality of orchids and callas or are common and traditional flowers a better match? And don’t forget scale, a smaller clutch or larger?

Then we need to consider the possibility of moving flowers to the reception. Does your venue supply the centerpieces in a package and do you like the design and size options? The table count determines your centerpiece count and the number on the guest list is the start of all your organizing. How many guests can comfortably fit at a table and how many tables are going to be needed?

This is when I realized how complicated my email to my friend, the Mother of the Groom, was going to be. I carried on…

Themes and designs make a difference in the quality and quantity of everything. The total count of bride and bridesmaids’ bouquets added to the boutonniere and corsage counts constitute a large percentage of the floral total: the People Flowers.

Perhaps you’ve found your dream centerpiece on Pinterest. Are the flowers and foliage the most important part, or perhaps the colors or even the container design caught your eye? See what the florist suggests for your venue. For instance, an outdoor ceremony does not call for a tall centerpiece as weather, winds and even unlevel terrain may endanger an easily tipped container. On the other hand, a hotel with 40-foot ceilings would be a lovely space to fill with high centerpieces. To save money with centerpieces needed on many tables, perhaps ask for half to be decorated with tall designs and the other half with the same flowers in a shorter but coordinating container.

Belak Flowers since 1954 302-762-5000 888-762-8877

Are we doing flowers for all the parents, or just the bridal party? I always recommend that anyone important enough to be in the formal pictures is important enough to be given a corsage or boutonniere.

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Is the wedding ceremony going to be celebrated in a church or at a reception venue? Is it a priority to decorate the ceremony area? Will

Where Your Vision Comes Into Bloom

Always make sure the floral centerpieces blend with the bouquet flowers and the colors you have already used for the bridal party. The reception should reflect your taste and all floral designs should relate and look like they belong at the same event.

Are any other flowers needed for the ceremony? A token flower offering for the Blessed Mother? Have you decided to present your Mothers, Grandmothers or others dear to you with peace flowers after the ceremony?

The vision of the wedding: Is it going to be black tie, rustic, or somewhere in between?

What are the priorities? The music, the flowers, the cake, the photograph settings, the food

bridal

832 Philadelphia Pike Wilmington, DE www.belak-flowers.com Bgwbelaks@comcast.net established wedding specialist 49

Will something be needed to adorn the seating card table? With all your guests’ name cards laid out, how much room is actually left for an arrangement? A large table with a mere 85 guests will have more room than a smaller table with 200 guests. And finally, are you planning the traditional throw-away the bouquet ceremony? Do you want a smaller, inexpensive version of your bouquet, or are you planning on throwing your original bouquet? After the event is over, what flowers will be remembered? The beautiful and complimentary blooms you chose to reflect your taste and theme. How will you remember them? They’ll be the forms and colors that complete your gowns and dresses and suits and they’ll all be there in your photographs. Remember to decorate the people and coordinate with the church and venue. It’s your wonderful day to share with your partner, family and friends. Congratulations on needing to start this process!

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jÉÅxÇËá ]ÉâÜÇtÄ

It is common knowledge that women are making the buying and planning decisions these days. So... advertise to reach your specific and receptive audience. Express your expertise in The Women's Journal, allowing your target audience to get to know you and look to you. Our readers like to be informed and excited about new knowledge and new opportunities.

Call us today to advertise in New Castle County, De & Delaware County, Pa 1 888 550 7200 or 302 236 1435 w w w. T h e Wo m e n s J o u r n a l . c o m

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fitness&lifestyle

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Five Quotes From Joseph Pilates That Will Powerfully Influence Your Life! “If your spine is inflexibility stiff at 30, you are old. If it is completely flexible at 60, you are young.” - Joseph Pilates

this way the body and mind unite to bring forth the most benefit possible from each exercise. The Pilates principles: centering, concentration, control, precision, breath, and flow are key concepts that we use to integrate body and mind.

By Nancy Hawkins Rigg Founder and Owner, Forever Fit Foundation

oseph Pilates was the author of many great quotes. We’ve chosen five to help you to understand how the Pilates method, also referred to as Contrology, can help improve your life.

“The mind, when housed within a healthful body, possesses a glorious sense of power.” - Joseph Pilates Joseph Pilates was adamant that Pilates, or Contrology which he called it, was about the complete coordination of body, mind, and spirit. This is one of the secrets of Pilates exercise: we practice each movement with total attention. When we exercise in

“Contrology is designed to give you suppleness, natural grace, and skill that will unmistakably reflect in the way you walk, in the way you play, and in the way you work.” - Joseph Pilates More conventional or traditional workouts are weight bearing and tend to build short, bulky musclesthe type most prone to injury. Pilates elongates and strengthens, improving muscle elasticity and joint mobility. A body with balance, strength, and flexibility is less likely to be injured. It may seem like a paradox, but the more you exercise, the more energy you have and the more you feel like doing. Pilates gets the breath and circulation moving, stimulates the spine and muscles, and floods the body with good feelings. You will move with ease and grace. All of these things will make you look and feel very fit to do anything.

“A few well-designed movements, properly performed in a balance sequence, are worth hours of doing sloppy calisthenics or forced contortion.” - Joseph Pilates A lot of conventional workouts tend to work the same muscles. This leads weak muscles to get weaker and strong muscles to get stronger. The result is muscular imbalance and inflexibility - a primary cause of injury and chronic back pain. When you’re tight you shorten your muscles and limit your body’s range of motion. At best, that can hurt your exercise performance. At worse, it can cause injury. Pilates conditions the whole body and no muscle group is over trained or under trained. That’s why so many professional sports teams and elite athletes now use Pilates as a critical part of their training program.

328 Kennett Pike (Rt 52) Chadds Ford, PA 302-423-1816

(Inside Rise Fitness) 35770 Airport Road Rehoboth Beach, DE 302-698-5201

www.ForeverFitFoundation.org www.TheWomensJournal.com

“Every moment of our life can be the beginning of great things.” - Joseph Pilates By practicing Pilates regularly you can achieve a number of health benefits without taking a toll on your body. Joseph Pilates most well know quote is, “You will feel better in ten sessions, look better in twenty sessions, and have a completely new body in thirty sessions”. That is such a great and powerful gift we can give to ourselves.

Nancy Hawkins Riggs is the founder and owner of Forever Fit Foundation, a personal training business specializing in Pilates, Gyrotonic, Gyrokinesis, Yamuna Body Rolling and sport specific training. Forever Fit Foundation accepts clients at three sites: Dover and Lewes, Del., and Mendenhall Station, Pa., just over the Delaware line. A certified athletic trainer, she earned her bachelors degree from the University of Delaware and her master’s degree in exercise science and sports medicine from Miami University in Ohio. Please call (302) 423-1816 or (302) 6985201 to schedule an appointment or more information.

Three Convenient Locations:

1510 E. Lebanon Rd. Dover, DE 302-698-5201

Good posture is a reflection of good alignment supported by a strong core. The core muscles of the body are the deep muscles of the back, abdomen, and pelvic floor; these are the muscles we rely on to support a strong, supple back, good posture, and efficient movement patterns. When the core is strong, the frame of the body is supported. This means the neck and shoulders can relax, and the rest of the muscles and joints are freed to do their jobs and not more. A nice side benefit is that core training promotes the flat abs we all covet.

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Choosing Wisely “Life is change . Growth is optional . Choose wisely.” ~Karen Kaiser Clark is blessed to be headed to the Caribbean to live and work for the next few years. It means the end of being the leader of a beautiful yoga community here in Delaware, but the beginning of an exciting adventure. With gratitude, I thank all who have supported and grown Kaya Wellness & Yoga. What a beautiful community has gathered here for fun, laughter, enlightenment, healing, and connection to self.

By Heather Diamond

y last year has been full of change. It seems like a tremendous amount of change, and without embracing that change, I’m pretty certain that rather than the exceptional amount of growth that I’ve had in the past year, I would be in tears at the moment. But instead, I am celebrating the excitement that life holds for my family and me.

We are so pleased to announce that Dimitra Yoga will be continuing the yoga and wellness community at our Rehoboth location. Our Kaya family of healers will be continuing in this space, including Bob and Heather returning to offer services seasonally.

For more information on the grand opening of Dimitra Yoga in downtown Rehoboth Beach, call (302) 645-9100 or visit dimitrayoga.com.

A dear friend and spiritual teacher once told me that shamanically we are asked to find the lesson in each challenge, as well as to express and feel gratitude for what that event, person, experience has taught us. Change is inevitable and the faster we can find and appreciate our lesson, the smoother the transition and the sooner we can open up to all of the beauty that is there for us in that change.

nks a h t ity n l u a i pec omm C “A s a , y love r Ka u e o h t to l of l a for t & ligh ” ter! h g lau

This past April, my family lost everything in a 7.8 magnitude earthquake. It was hard to mourn the physical possessions when we saw our entire town destroyed, with many loosing so much more than possessions. The loss of life and of an entire community was so much worse than loosing my beloved surfboard, special treasures, my home and all that went with it. Though we did mourn our loss of community and all that was our reality up until that point, coming back to my yoga, to breath, to selfcare, to balance and to gratitude, has enabled me to be open to the beauty of the next chapter in my life. Little did I know when all of the devastation of this was happening that it would actually be opening me up to something even better, and from change to change, now my family

And for more information on Heather & Bob’s next great adventure, contact them at kayawellnesscenter@gmail.com. 52

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fitness&lifestyle

Is Willpower All In Your Mind? These things are difficult to resist, and research has shown that “denying” ourselves does indeed require physical energy. Scientists at the University of Toronto found there is actually decreased activity in the part of the brain involved with cognition when we are faced with willpowerdepleting events. In other words, the brain activity changes. In addition, studies have shown that our glucose levels decline when our willpower is challenged. To us, that translates into “I’m tired, I need energy, I need a quick fix” . . . and we turn to the sugary snack. The quick rush makes us feel better (temporarily), and our willpower stores are filled up. Now we’re left with the often disappointing reality that we just ate several hundred worthless calories, and are no closer to achieving the fitness goals we are striving for. By Cathy McDougall

t some point in our lives, every one of us has likely used “I have no willpower” as an excuse. An excuse to overeat. An excuse to gossip. An excuse to sleep past the alarm clock. When we see a physique we admire, we may think, “He (or she) must have amazing willpower.” When a friend turns down dessert as you order cake, you might say “I wish I had your willpower!” But what if you truly BELIEVED that your own willpower was just as strong? What if you truly thought that your own willpower couldn’t be depleted by challenges, but actually made stronger? If your MINDSET was such that you viewed willpower as an infinite resource, imagine the progress, gains and changes you could achieve towards your health and fitness goals! Since the late 1990’s there have been quite a few studies that conclude that willpower is depleted when we are asked to “white knuckle” through difficult tasks: things like biting your tongue when a family member irritates you . . . saying “yes” to a movie with friends when you should be studying for a big exam, saying “no” to the morning donuts in the conference room. www.TheWomensJournal.com

But an emerging theory on willpower has been embraced by many in the fitness and health industry—a theory that actually proves willpower CAN be strengthened with a different mindset. In 2013, Stanford psychologists and researchers found that people who actually BELIEVED willpower was an abundant resource didn’t NEED an outside “fix” to get through a difficult task. They didn’t need that sugary drink, or vending machine treat.

in our lives. The next time you walk past your co-workers candy drawer, without dipping in, stop to congratulate yourself. It may have been difficult, but YOU DID IT! Hurray. It’s a success. Do you feel good about yourself? You should! Do you feel stronger? You should! You have achieved what has been a difficult task in your world. Tell yourself that you can now succeed at the next one. And the next one. Your willpower is filling up!

You will occasionally fail. But it’s not your willpower failing you. It’s your old mindset. Tell yourself that those tough mental challenges make you feel like you can accomplish anything. You can build on each success. Tell yourself that willpower isn’t a muscle that gets tired, it’s one that gets bigger and badder each time you use it! USE it or LOSE it! Willpower isn’t something you lose. It’s something that, with the right attitude, can help you be a happier, healthier you.

Testimonials

“I have been one of Cathy’s clients in her personal training business for over 5 years now. She not only helps keep me in shape, she supports me through all the changes in my life. Fitness and nutrition are important cornerstones for everyone’s life, and Cathy has helped me stay on

track and stay positive through all of it. By knowing when to push, and when to support, she strikes the right tone that everyone needs when wanting to make healthy changes in their lifestyle.” - Whitney Hoffman “Cathy is a great fitness trainer and overall health coach. She truly wants to see her clients succeed, gives great advice, tips and steps on how they can achieve their fitness and nutrition goals. Her motive is to help her clients make sustaining lifestyle changes, not just meet a short-term goal and falter after that. The key, I found, is how she guides on small achievable changes and individual goals working towards your larger goal one step at a time. That way, it doesn’t feel as overwhelming. I’ve been training with her for a little under six years now. I really look forward to working out with her once a week, I feel good about getting a great exercise session under my belt, and I always thank Cathy and myself afterwards. We are currently also working on weekly new nutrition tips and eating behavior modifications to coincide with my physical workouts. I really enjoy my time spent with her. She has a wonderful energetic nature, great sense of humor, and a real passion for health and willingness to help her clients. Most of all . . . she really cares.” - Lisa Crawford

One-on-One Nutrition Counseling

Alexandre Dumas is known to have said, “Nothing succeeds like success”. The participants in the Stanford study who said they felt that willpower was cumulative did better on each subsequent task they were given.

With the help of a Nutrition Coach, learn how to eat healthy so you can look and feel your best every day!

About Nutrition Counseling

No matter where you are on your weight loss journey, a Nutrition Coach can help you reach your own unique goals. Learn how to uncover your motivations, strengths, weaknesses and challenges. As a Coach and Personal trainer, I can evaluate how you are eating, create custom daily or weekly menus, and monitor your progress for real results!

Think back to your last success. Maybe it was nailing a presentation at work. Perhaps it was signing a new client. It could even be getting up at five am for a brisk morning walk. Did you feel stronger, braver, perhaps even empowered? If you could bottle that feeling, would it inspire you to meet your next challenge head on?

Cathy McDougall 1 Balmoral Drive Chadds Ford, PA 19317 610-308-7185 cathydmcd@verizon.net

You can. If you think about willpower differently, you can act differently. Start with baby steps. They are called “baby steps” because they are the first, more dramatic, important steps 53

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ADHD: Not Just A Childhood Disorder often far outweighs any negative connotations some might have with an ADHD diagnosis. Better still, the diagnosis brings awareness and with it the ability to take action to improve symptoms by coming up with a treatment plan that works.

Treatment Options

By Liz Brown, Be Well Life Coaching

any think ADHD or ADD as it is commonly known is just a childhood disorder. In reality, 70% of childhood sufferers continue to have symptoms as adults. ADHD is an often misunderstood neurobehavioral disorder affecting approximately 11% of school aged children and 8% of all adults.

There Are Two Types of ADHD: Inattentive or Hyperactive/Impulsive. A person can have one type or a combination of both. Classic symptoms are a combination of restlessness, distractibility, impulsiveness, forgetfulness, procrastination, losing track of time and possessions, difficulty planning, clutter, troubled relationships, trouble concentrating, sleep disturbances and at times hyperfocus. Teen and adult symptoms are generally different from symptoms in children. In adults, hyperactivity may feel more like restlessness. It can result in excessive talking or racing thoughts. Impulsiveness can result in spending too much, eating too much, interrupting others or blurting out words without thinking.

While numerous medications exist which are used to help lessen symptoms of ADHD, research shows that medication alone will not work fully, as many of the symptoms noted here are actually life skills – and these skills can be better-improved through other means. Studies have found that an integrative treatment approach that includes non-medication based treatments works best for long-term management. Integrative treatments include ADHD coaching, therapy, accommodations at school or home, proper nutrition, sleep ma nagement, stress management, neurofeedback and aerobic exercise in addition to several other options.

Coaching Support For ADHD An ADHD coach is a life coach who specializes in helping with the unique challenges of ADHD. The purpose of coaching is to facilitate lasting change by helping the individual to gain self-awareness and learn new skills to reach personal goals. For instance, a coach can: help an individual develop systems for managing and organizing time

and belongings; design strategies to manage and even control impulsive behaviors and thereby improve relationships; identify an individual’s unique strengths which they can then use to mitigate weaknesses; help a person overcome the procrastination and the overwhelm that often occurs in ADHD. In all cases, a coach provides support, and helpful feedback, as the plan unfolds and progress is made. In addition, an ADHD coach can specifically help identify executive function challenges that are hindering success. We help you apply strategies to your challenges so you can reach your goals.

Combining Wellness And ADHD Coaching Sleep, proper nutrition, aerobic exercise and stress management are all critical factors in managing and thriving with ADHD. Creating a plan which incorporates all of these components of wellness will help improve attention and memory, reduce impulsivity and hyperactivity, and help the mind relax. Evidence shows that mindfulness can help with management of many symptoms including racing mind, difficulty in relationships, and even the low selfesteem that results from years of struggle. A wellness coach can help identify obstacles in these areas and help develop workable solutions with the client.

Testimonials: “Individuals with ADHD often feel shame and embarrassment in their ability to ‘get it together’, which means having a coach with a compassionate attitude is crucial; Liz has that attitude as well as a deep knowledge base of ADHD treatment strategies.” ~ L.S. Wilmington “Liz helped bring awareness to the various ways my ADHD symptoms were influencing my life, so that I can continue to use my newfound skills and strategies in all areas of life.” ~ S. H. Newark Credentials: Liz Brown is an ICF Professional Certified Life, Wellness and ADHD Coach. Her mission is to help clients identify their personal and professional dreams, goals and visions and support them every step of the way to sustained success.

Wondering whether coaching is for you? You can determine that. To learn more or to schedule a complimentary one-hour session, please call me at 302.584.5521 or email lizbrowncoaching@ gmail.com

Adult Diagnosis Many people are undiagnosed until adulthood even though their symptoms have been a lifelong challenge. Sadly, these adults may have been unfairly labeled as children as lazy, impulsive, stupid, messy, or unmotivated. Fortunately, over the past decade increased overall awareness of the disorder has helped more adults get a proper diagnosis. Adults receiving an ADHD diagnosis are often relieved to have revealed to them at last the cause of their attention, memory, impulsiveness or organization deficits. This relief 54

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marketing

Five Ways to Stay Inspired as You Grow Your Business

by Donna M. Duffy

Espresso for your soul. A demitasse of inspiration to fi re up your d ay. We each need to b e remind ed of our why so we can deliver our products and services with excellence.

Donna Duffy is a dynamic entrepreneur, visionary, CEO/Founder of 3E Marketing Solutions and voted the New Castle County Chamber of Commerce 2015 Business Woman of the Year. Her talent for creative inspiration empowers, motivates and educates others. Donna’s mission is to educate, equip and engage small business owners and organizations with affordable marketing strategies and solutions through workshops, coaching/consulting, implementation and events. She embraces grassroots methodology, getting down in the trenches to meet business owners where they are and gains her greatest pleasure from the development of others.

a re p l ay i n g i n yo u r h ead ? I f t h ey ' re no t uplifting and positive then they need to go. L et t h e me ss ag e matc h you r mi s si on.

You can't give from an empty cup, so you have to be sure to continually refuel, refresh and recharge so that you can keep bringing your highest and best to the world.

We created a little something

Here are five ways to help keep your vision caffeinated:

Carve out time for yourself each day. It d oes n't matter if you're up with the chickens or prefer to burn the midnight oil , the important thing is somewhere in the midst of that busy day of yours, you have take some time for you!

to keep you

It's called the Digital Demitasse video series and its coming this fall, so stay tuned. It's your weekly shot of inspiration and wisdom to help you grow your business. You can check it out at:

Chronicle the journey. A journal is a great way to track your progress, work out your problems, and mindmap and do od le a s yo u b rai nstorm. Deca de s of journaling have made that my go-to place for getting clear on next steps as I pray, reflect, strategize and decide.

Read, watch or listen to uplifting books, blogs and articles. In today's digital world, we have access to knowledge, information, inspiration and motivation in books, blogs, podcasts and more. Knowledge isn't power. The application of knowledge is p ower. F i nd yo u r favori te ou tl et s and platforms so you can learn and grow and then put it into action.

3EMarketingSolutions.com/digitaldemitasse

Follow your favorite gurus, teachers, me ntors an d mo tivators . A s tea dy stream of motivational and inspiring c on te n t i s ava il a bl e a t l e a st we e k ly from most mentors. Pick those that resonate with you and fire you up to keep you heading in the direction of your dreams. Life is tough and building a business can be even tougher. It h e lp s to k n ow t he se ki n dre d sp i r it entrepreneurs will be regularly whispering into your ear and speaking into your heart.

Talk to yourself. That's right! And out loud if you need to! We have to be able to cheer ourselves up and to fan the flame of our vision from within. What messages

Zach

Donna

Pat

Brewing StrategyServing Succсs! www.TheWomensJournal.com

inspired!

TESTIMONIAL

“As a passionate holistic Massage Therapist I needed help to put

all my social media platforms into place, a couple of years ago. Donna and her team took care of my needs in a very professional way. They listened with empathy, never leaving my business goal out of sight. Donna adapts very quickly to the individual needs for each of her clients and brings them to the next level of their success. I know that out of my own experience, but have had the pleasure of seeing the same success happening for other people, thanks to Donna’s passionate and efficient support. That still in my mind, I just reached out to the team again. Recently I have had so many changes in my business that I was not sure what direction to put the emphasis on. Donna coached me within a brief meeting toward the right direction! Donna lifted the fog! Thank you so much! Thanks to your help, I am ready for my next professional step up. Donna Duffy and the 3E Marketing Team - you rock! ” - Susanna Krueger Path to Wellness - Massage & Body Work

Linda

Sarah

Marjorie

M ARKETING S TRATEGIES • W ORKSHOPS • S TRATEGY S ESSIONS C OACHING • C ONSULTING • I MPLEMENTATION • E VENTS

302.268.6234 I 3E MarketingSolutions.com 1201 N Orange Street I Suite 10 I Wilmington, DE 19801

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What Makes A Great Headshot? By Shannon Adelson, Adelson Media, Inc.

hen you were growing up, do you remember being told not to judge a book by its cover? I bet we’ve all heard that, and yet in our daily life we often make decisions based on external factors like weight, body shape, hair color, etc… I’m not saying this is right or wrong, just that in a society obsessed with instant gratification, we have virtually unlimited data at our fingertips. It takes only a couple of seconds to Google someone new, and learn various details about their public (and sometimes private) life. But does this actually help us get to know them better? Do you think people form opinions based upon their impression of the first image they see of you online? If you accept that premise, then don’t you want that initial image to be as authentic as it can be? These days people you meet don’t just research ‘what’ you do, they are equally interested in ‘who’ you are. Having a professional photograph helps better portray you and your brand.

camera capabilities continue to increase resolution and functionality with each new version. However, the size of that lens isn’t going to be able to compete with sharp glass from a DSLR. Keep in mind, you aren’t just dealing with the camera gear itself, but the skill of the artist handling it. Professional portrait photographers know how to manipulate the highlights and shadows, to accentuate some things and minimize others as needed. You are not just hiring a person with a camera -- you are hiring the compilation of everything he or she has experienced throughout their career. As far as I am aware, there are no cell phone apps (yet) that can observe the spectrum of human emotions and react accordingly.

Dr. Heidi Gough

Normal is boring. Embrace your eccentricities.

Whether you are looking for a new job, or searching for your soulmate, the value of a high quality headshot should not be underestimated. Have you ever looked at a photo and thought, “is this really what I look like”? The first time I heard my own voice on a recording, I was astounded at how it didn’t really sound like me at all. At least, in my own mind, I thought I sounded very different. And more often than not, we are our own worst critics when it comes to evaluating the characteristics of self. However, that’s one of the main reasons it can be helpful to get an outside opinion, perhaps by someone who can be impartial and offer unbiased feedback. If you have a photographer who you trust, then you know they will use all of the tools at their disposal to bring out the best aspects of your personality in the images. YOU are unique. YOU are special. YOU are one of a kind! So don’t be afraid to BE YOURSELF, because that is the person you’ll want others to see when they meet you in person. And if your online picture doesn’t really look like you, sometimes that too can make an impression, but not necessarily the one you want...

Isn’t my iPhone shot sufficient?

I’ll be honest, I’ve seen some amazing iPhone shots over the last few years. Mobile phone

Dr. Jessica Bell

What about hair and makeup?

Every photographer handles this differently, but most agree that it is recommended to hire professional hair and makeup artists. Even if you prefer the traditional “natural” look, don’t you want it to reflect a vision of you on your very best day? They do this for a living, and they know how to help you put your best foot forward.

Who takes the best pictures?

When searching for a photographer, you should not only review their images, but also some of the testimonials from their clients. Whoever you select for the job, here are a few things to keep in mind as you are planning your own headshot session:

•

Take a look at the photos you are currently using to market yourself… Do they accurately communicate the features or message you wish to highlight?

•

Take the time to discuss the goals of the image, because the more your photographer knows about what you need, the better service they can provide.

•

Wearing solid colors can help bring attention to the face, while wearing certain patterns can sometimes take attention away from the face.

A few final thoughts...

Do people often compliment you on your style or your wardrobe? If yes, then great, you will probably feel pretty confident already. But if you aren’t sure what might look best to portray a certain business feel, that’s why there are expert stylists and wardrobe assistants to help put together the perfect combinations to help you stand out from the competition. How you are perceived visually is often just as important as what you say or what you do. So don’t be afraid to ask for help. Here at Adelson Media, Inc. we are happy to answer any questions you may have about what kind of photography is right for you.

Shannon Adelson www.ShannonAdelson.com shannon@shannonadelson.com 56

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law

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Protecting Our Police, Fire And EMS Workers – Delaware Workers’ Compensation Law These workers are also expected to be able to perform heavy physical labor; Firefighters still need to carry people from burning buildings, Paramedics still need to carry injured or sick patients up and down old rickety stairs and Police Officers still, unfortunately, are attacked and evaded by their suspects.

By Heather A. Long, Esq.

n 2013, the National Institute of Occupational Safety and Health reported that over 20,000 EMS workers were injured. This statistic is near and dear to my heart because before I went to law school and became a workers compensation attorney, I was a Paramedic. My exposure to Emergency Medical Services provides insight into the lives, challenges and unique injuries that other EMT’s, Medics, Police and Firefighters face. Because the nature of those jobs is so adversarial, it is extremely important to me that these workers are able to utilize the Workers Compensation benefits available to them if they happen to become injured in the line of duty. The types of injuries that Police, Fire and EMS workers face can come from any number of different activities. They never know what challenges they may face in a particular day, so the result is that they are always “on guard” and to the outside world may appear “hyper-vigilant” about their surroundings. Additionally, when responding to an emergency, their adrenaline kicks into high gear, as part of the body’s natural fight or flight response, after which they may feel even more exhausted.

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Police, Fire and EMS workers don’t typically work a standard 8-5 day. They can work as many as 24 hours straight, with little to no downtime. This shift work and night work can lead to exhaustion, and has also been linked to such things as depression, obesity, diabetes and high blood pressure. This means that while these public servants risk their lives every day to protect and care for all of us, they are exposed to their own unique health and safety risks. The combination of the physicality of these jobs, coupled with the physiologic and emotional stress placed on these workers can result in high risk for work injuries.

Heather has been an attorney for over ten years, and is currently practicing Workers’ Compensation and Personal Injury Law at Kimmel, Carter, Roman, Peltz & O’Neill, P.A. with offices in Newark and Wilmington. Heather worked her way through law school as a paralegal in a personal injury firm. After passing the bar exam, she spent several years working as a defense attorney, representing local, regional and national companies. With the knowledge gained about the inner-workings of these companies, she now represents injured workers and personal injury plaintiffs. Heather is a graduate of Widener University School of Law, and the University of Nebraska- Lincoln. Prior to attending law school, she

As Delaware becomes more populated, the stress and strain placed on our Police, Fire and EMS workers likewise becomes more overwhelming, leading to more workplace injuries. If you are a Police, Fire or EMS worker injured in the line of duty, you need to protect yourself and the workers compensation rights to which you are entitled. As a former Paramedic, I understand your injuries and will fight to get you the compensation that you deserve. I offer free consultations, and if I take your case, you pay no attorney fee until your case is settled. Whether your injury is big or small, your claim is in good hands with the Kimmel Carter team!

Testimonial: Excellent Lawyer — 5.0 stars “Heather has been amazing throughout this entire ordeal. When I thought I had no options, I came into contact with Heather and she not only took on my case when others wouldn’t, she handled it professionally and was honest and reassuring with me.” ~ Michelle

was licensed as a paramedic and spent time volunteering for her local ambulance corps. She is also active as a mock trial coach for Salesianum High School.

Heather is licensed to practice law in Delaware, Pennsylvania and New Jersey.

For more information, or to schedule a free consultation, please call (302) 565-6132 or e-mail her directly at HLong@kimmelcarter.com.

law

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What To Do If Involved In A Motor Vehicle Collision By Susan D’Alonzo Ament, Esquire

Susan D’Alonzo Ament is a partner with Morris James LLP and has practiced for 33 years representing personal injury victims. Over the years, Mrs. Ament has found that some women don’t understand the crucial need to have adequate automobile insurance coverage in the event of a serious accident. Susan Ament educates women on these needs every day in her practice and in seminars that she presents throughout the year.

id you know in 2015, 24,066 traffic collisions occurred in Delaware resulting in 8,058 people injured and 133 fatalities? If you or a loved one is one of these unfortunate individuals, do you know what to do? The following is a list of steps you should follow to protect yourself or loved one involved in a motor vehicle collision: 1. Stop your Vehicle. Never drive away from the scene of a collision, even if a minor collision. The vehicles should remain where they are unless they interfere with traffic. Turn your hazards on, set out cones or other warning devices if you have them; 2. Call 911 or the Police. Even if there are no serious injuries, call to report the collision. An

officer will be sent to file necessary reports and exchange information as well as medical personnel for injuries; 3. Take Photos. Use your camera or phone to photograph the collision scene, damage to the vehicles and depict how the collision took place; 4. Retrieve Relevant Information. Record the names and contact information of the other drivers or witnesses, license plate numbers, the make, model and colors of other vehicles, insurance information and the exact location of the incident; 5. File a Collision Report with the Police. In some circumstance the police will not come

to the scene of a collision. Should this happen, you should still contact the police to report the collision. A police report may help you make a claim with the insurance companies; 6. Contact your Insurance Company. Report the collision to your insurance company even if the collision was not your fault; 7. Do not give a Recorded Statement over the Telephone. Do not give a recorded statement to the other drivers insurance adjuster without an attorney present; 8. Seek Medical Attention. Often injuries are not readily apparent in the hours or even days following a collision. Unless you are absolutely

sure you were not injured, you should be examined by your family doctor or emergency medical professionals for injuries; 9. Keep a File. Keep a file with all of the relevant information regarding the collision in one location for easy reference; and 10. Know your Automobile Insurance Policy. The insurance process will be much easier if you know and understand your policy benefits and coverages before a collision. Never wait until after an incident to learn this information. For example, do you know if you have a deductible, rental car coverage or enough wage loss coverage;

Representing Individuals

If you or a loved one suffers the unfortunate event of a motor vehicle collision or work related collision, the Personal Injury Group Attorneys at Morris James LLP will guide you through the process of obtaining the maximum compensation for your injuries to which you are entitled under the law. With six locations throughout the State of Delaware, we are available to serve you. Visit our website for more information depersonalinjury.com Download our phone app, available for iPhone and Android users, that provides access to the tools and information you will need in the event of an accident. The app features a Live Chat component, allowing you immediate contact with a live person 24 hours a day, 7 days a week. Locate our app by searching “Morris James” in iTunes or Google Play.

Meet Our Personal Injury Group

Injured in Auto Accidents and at Work

PERSONAL INJURY GROUP ATTORNEYS

“Your Quality of Life is Our Top Priority”

Susan D’Alonzo Ament

Clayton E. Bunting

Kevin G. Healy

Keith E. Donovan

Francis J. “Pete” Jones, Jr.

Michael G. Owen

Free Consultation No Fees Unless We Win Day, Evening & Weekend Appointments Home and Hospital Visits

VISIT OUR WEBSITE to request a complimentary copy of our book, Anatomy of a Personal Injury Claim

Five Locations to Serve you: Wilmington 803 N. Broom Street Wilmington, DE 19806 302.655.2599

Newark 16 Polly Drummond Hill Road Newark, DE 19711 302.368.4200

Dover 850 New Burton Road Suite 101 Dover, DE 19904 302.678.8815

Georgetown 107 W. Market Street Georgetown, DE 19947 302.856.0015

www.depersonalinjury.com 58

Rehoboth Beach 402 Rehoboth Avenue Rehoboth Beach, DE 19971 302.260.7290

Se habla Español 302.651.3589

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community

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The Southern Chester County Chamber Relocates To New Home Official Grand Opening: Friday, October 7 headquarters building in West Grove, PA.

By Cheryl Kuhn SCCCC President & CEO

he Southern Chester County Chamber of commerce boasts 500 member businesses and hosts events, programs, and networking opportunities for its members each and every week. To accommodate its growing membership and business activities, the Chamber recently relocated its office to the former Dansko

While the decision to relocate from its previous home in Kennett Square was not an easy one, the Chamber’s Board of Directors overwhelmingly agreed that relocating offered many important benefits. In addition to larger office and meeting space, the Chamber’s new home offers easy and ample parking, is centrally located in the Chamber’s Southern Chester County service territory, and allows the Chamber to be part of an innovative community environment for small and emerging businesses.

“It is the dedicated leadership exhibited by our Board of Directors, the loyal support of our members, and the vibrant Southern Chester County business community that has fueled our growth and success over the years”, explains Chamber President & CEO Cheryl Kuhn. “We look forward to taking advantage of the many benefits our new location affords us to better serve our members and community.” Mark your calendar for the Open House and Ribbon Cutting at the Chamber’s new location slated for Friday, October 7 beginning at 11:30 am. Come see the new space, connect with

Visit www.scccc.com to learn more about upcoming events and the many services the Chamber offers to member businesses.

fellow businesses, learn about the many benefits of membership, and help celebrate this exciting new chapter in the life of the Southern Chester County Chamber of Commerce.

Your Success Is Our Business SCCCC is dedicated to strengthening the success of its membership, supporting economic growth and development, and contributing to quality of life in our region. Try us on for size...you won’t be disappointed. Southern Chester County Chamber of Commerce 217 W. State Street Kennett Square, PA 19348

610.444.0774

www.scccc.com

info@scccc.com

November 18th-20th, 2016 10:00am-4:00pm Admission Free

Cokesbury Village 726 Loveville Road, Hockessin 302-746-4535

’ Dancing the Night Away Soiree

Family Fun Day

Saturday, November 19th 6:30pm-9:30pm

Sunday, November 20th 12:00pm-3:00pm

Heavy hors d’oeuvres, signature martinis, wine and beer bar, silent auction. Dance through time to the sounds of Frank & Michele. Reservations only- $75 per person

Crafts, clowns, face painting, games, raffles, entertainment. Santa will be available for photos. New this Year - FREE Admission!

Purchase your tickets today at www.delawarehospice.org 60

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community

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VOTED #1 Chamber/Networking Organization in Northern Delaware by North DelaWHERE Happening VOTED FINALIST Reader’s Choice Best Festival DSBCFunFest www.dsbcfunfest.com

Servicing businesses with 0-100 employees and the larger companies that support those local small businesses

www.dsbchamber.com • (302) 482-2120

If you are a small business owner within the State of Delaware and the surrounding communities or a larger company that supports those businesses then we are a resource you should be part of. We are the only statewide organization focused on those businesses.

www.dsbchamber.com

like us on Facebook too www.facebook.com/DelawareSmallBusinessChamber

Professional Women's Business Network

WHY JOIN US?

one of the fastest-growing women’s networks: pwbn empowers, enlightens & inspires women one meeting at a time! Morning, Afternoon & Evening Local Chapter Events & Meetings Health & Beauty Expos • Leadership Conferences • Membership Directory

I N F O @ P W B N . O R G

•

W W W . P W B N . O R G Contact Lisa Kruse 215-860-3090 advertising@abouthermagazine.com

See what all the fuss is about...

AboutHer.PWBN.org Sign up for our Free Mailing List! info@abouthermagazine.com

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community

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Come join us with friends and family to walk the Monster Mile race track!

7th Annual

Monster Miles for a Cause

RAIN or SHINE!

Saturday, October 22, 2016

BEER TICKET & SOUVENIR INCLUDED

DBCC is here to answer your questions...

Dover International Speedway $20/pre-registration ($25/event day) Children under 12 FREE

Where do I get a mammogram? What if I don’t have health insurance? I’m newly diagnosed. Where can I get support? Is a clinical trial right for me? Join the Delaware Breast What do I need to know about breast cancer? Cancer Coalition to achieve victory over breast cancer!

If you or someone you know is diagnosed with breast cancer, contact us.

Bake Sale, Vendors, Prizes & Raffles!

Help raise funds for breast cancer

Call 302.672.6435 or email mmarshall@debreastcancer.org for more information.

www.debreastcancer.org

CMYK / .ai

Facebook “f ” Logo

CMYK / .ai

YEARS OF SERVICE

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community

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Since 1946, Pecometh Camp & Retreat Ministries has been serving the local community and beyond by being a refuge of peace and play in a sacred setting. Fall Respite for Adults with Disabilities Date: October 28 – 30, 2016 A weekend of fantastic, fun-filled fall days at Pecometh. This weekend is for campers over 16 who are mentally and/or physically challenged. Schedule your weekend now to make new all friends. $295/camper. Space is limited. www.pecometh.org/fall-respite

Bring your church’s youth group and see Pecometh when the weather is cool and the leaves are changing. Gather around the campfire with other Pen-Del youth for an evening of fall camp fun – we’ll take a hayride, enjoy dinner around the campfire (and s’mores of course!), and worship together. www.pecometh.org/youth-fall-bonfire Annual Christmas Dinner Date: Saturday December 10, 2016 4 – 6pm Reviving a cherished Drayton Retreat Center tradition, we are decking the halls, and inviting the

Pen-Del Youth Bonfire Date: Sunday October 30, 2016 4 – 7pm

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With rustic cabins, dorm-style retreat houses, and the modern Riverview Retreat Center, we serve as both a camp and retreat facility year-round. As we like to say, “we serve people who serve people”.

Pecometh family to join us for Christmas dinner complete with holiday cheer prepared by Chef Chris. Plus, each person gets their very own Pecometh Christmas ornament. Purchase tickets online or call 410-556-6900 www.pecometh.org/christmas-dinner

For more on what’s happening at Pecometh Camp and Retreat Ministries, call 410.556.6900.

Health & Medicine community

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Ovarian Cancer...What All Women (and Those Who Love Them) Need to Know! Each year more than 21,000 new cases of ovarian cancer are diagnosed in the United States, resulting in over 15,500 deaths. It is the deadliest of the gynecologic cancers, affecting approximately 1 in 70 women. Because there is no reliable diagnostic screening, it often goes undetected or is misdiagnosed until it has advanced to the later stages. Less than 20% of cases are discovered in the early stage. Due to late diagnoses and a very high recurrence rate (70-90%), less than 50% of women make it to the 5 year milestone.

Ovarian cancer does not discriminate and can affect females of any age and ethnic background. It continues to be one of the most underfunded cancers and the lack of public awareness and education is of critical concern. Although the symptoms of ovarian cancer often are not intense in the early stages, they are NOT silent. Once thought to be a ‘silent disease’, research indicates that 95% of women DO have vague but persistent symptoms. These symptoms are not always useful for diagnosis since they may be indicative of other less serious conditions. If any of the following single or combination of symptoms persist for more than 2 weeks, consult your physician and insist that a manual exam and transvaginal ultrasound be performed. If any abnormalities are detected, a referral to a gynecologic oncologist may be in order. • Bloating • Pelvic or abdominal pain • Difficulty eating or feeling full quickly • Urinary symptoms (frequency or urgency) Other symptoms may include: • Extreme fatigue • Indigestion, heartburn, or upset stomach • Shortness of breath • Lower back and/or leg pain • Change in bowel habits (constipation, diarrhea) • Unexplained weight gain or loss • Menstrual irregularities (including post menopausal bleeding) • Pain during intercourse

A PAP Test does NOT detect ovarian cancer!

cancer survivor diagnosed in 2003, founded the Delaware Ovarian Cancer Foundation in 2009 as the only local premier all-volunteer non-profit ovarian cancer organization. She currently serves as President and is a recipient of the 2013 Governor’s Outstanding Volunteer Award. Previously she served as Delaware Chapter President of the National Ovarian Cancer Coalition. As one ovarian cancer survivor stated...”Dorianne’s passion has converted her personal illness of ovarian cancer into a healthy, vital, supportive and expanding volunteer organization promoting ‘Hope for the Present and a Cure for the Future”.

Did You Know… Even if your ovaries have been removed, it is possible to develop Primary Peritoneal Cancer (PPC), a rare form of cancer, which is closely related to ovarian cancer. The peritoneum is a thin sheet of tissue that protects and supports the abdominal organs. When certain cells transform into cancerous cells, the result is PPC. The cause is not known. Symptoms are more gastrointestinal in nature and may include: · abdominal bloating · changes in bowel habits · an early feeling of fullness after eating Nausea and vomiting may occur when bloating is severe. Medical evaluation and treatment is the same as for ovarian cancer and recurrences are common. There is no screening for PPC.

SAVE THE DATE 8th Teal Ribbon 5K to Fight Ovarian Cancer Sunday, May 7th, 2017 Wilmington Riverfront

# I Fall 2016

Dorianne Short, an ovarian

About the Delaware Ovarian Cancer Foundation (DOCF) The mission of the Delaware Ovarian Cancer Foundation is to increase awareness and education about ovarian cancer among women and healthcare professionals in Delaware and the surrounding vicinity. The Foundation is committed to research and provides support for women affected by ovarian cancer. DOCF is pleased to announce the Delaware Ovarian Cancer Foundation Research Initiative, supporting ovarian cancer research at the Helen F. Graham Cancer Center and Research Institute. DOCF holds 2 major fundraisers per year...the TEAL RIBBON 5K TO FIGHT OVARIAN CANCER, the first Sunday in May and the TEAL RIBBON LUNCHEON AND SILENT AUCTION, held in September, which is Ovarian Cancer Awareness Month. In September, look for teal bows in various locations in Delaware as we participate in Turn the Towns Teal, a national campaign to promote ovarian cancer awareness. Check your local salon for DOCF awareness items which are in many salons throughout Delaware as part of our Salon Awareness Program. For more information on other projects and activities as well as sponsorship and volunteer opportunities visit deovariancancer.org and our Face Book page. www.TheWomensJournal.com

The County Woman’s Journal

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Please Help Us Keep Our Doors Open T

he mission of Sojourners’ Place is to assist the homeless on a journey to self-sufficiency through a case-managed residential program. Sojourners’ Place is a one-of-a-kind facility here in Delaware that has the capacity to house up to 50 residents. At Sojourners’ Place, potential residents are interviewed and if accepted, their stay is flexible, usually lasting about nine months, while most of the state’s residential programs offer a very limited stay. While living at Sojourners’, residents partake in a number of educational programs and supportive services, including substance abuse counseling, financial literacy programs, and employment counseling. Many residents desperately need these programs, and on-site counselors are here to assist them while they work through the programs. Unfortunately, we are forced to SOUND THE ALARM. The front

If you are able to help us, donations can be mailed to:

page article in the News Journal on June 22, 2016 summed it up… “Nonprofit leaders are bracing for cuts in government funding and state agencies are preparing to get much less money than expected…”

Sojourners’ Place 2901 Northeast Boulevard Wilmington, Delaware 19802

In the last two years, our funding from government agencies has been reduced by 29% and 45%. We have had to overcome a loss of over $230,000 in government funding. The support we have received from loyal friends like you have allowed us to keep our doors open to date.

Sojourners’ Place

Board Members: Robert S. Townsend, Susan D. Ament, Esq., J. Michael Montgomery, Tom Smyth, Sr. Kay Shinham, Keila Andujar, Rosemary Boughton, G. Murray Derrington, Roman Kalpas, Rob McCreary, Robert Nickle, Dr. Jonathan N. Saunders, Hon. Charles H. Toliver, IV, Cassandra Roberts, Esq., Denise Johnson, Albert Manwaring, Esq.

While we’ve already reduced our The Morris James Personexpenses by 25%, mostly through ! al Injury Group Attorneys employment cost reduction of 30%, Hope for the Homeless…Light for the Journey Bring Awareness to The retaining key individuals and case workers, and moving some to part- Please Help THANK YOU! Need to Keep the Doors of Us Keep Our Doors Open time, we need your help to keep our sojournersplace.org Sojourners’ Place Open doors openThe andmission provideof these services Place is to assist the homeless on a journey to self-sufficiency Sojourners’ to deserving women and men.

through a case-managed residential program. Sojourners’ Place is a one-of-a-kind facility here in Your donation would gohas toward Delaware that the capacity to house up to 50 residents. At Sojourners’ Place, potential educational programs that will help residents are interviewed and if accepted, their stay is flexible, usually lasting about nine months, our residents on their journey back while most of the state’s residential programs offer a very limited stay. to self-sufficiency. While living at Sojourners’, residents partake in a number of educational programs and supportive services, including substance abuse counseling, financial literacy programs, and employment counseling. Many residents desperately need these programs, and on-site counselors are here to assist them while they work through the programs. Unfortunately, we are forced to SOUND THE ALARM. The front page article in the News Journal on June 22, 2016 summed it up… “Nonprofit leaders are bracing for cuts in government funding and state agencies are preparing to get much less money than expected…” In the last two years, our funding from government agencies has been reduced by 29% and 45%. We have had to overcome a loss of over $230,000 in government funding. The support we have Private Parties and Weddings received from loyal friends like you have allowed us to keep our doors open to date.  While we’ve already reduced our expenses by 25%, mostly through employment cost reduction of 30%, retaining key individuals and case workers, and moving some to part-time, we need your help to keep our doors open and provide these services to deserving women and men. Your donation would go toward educational programs that will help our residents on their journey back to self-sufficiency. If you are able to help us, donations can be mailed to: Sojourners’ Place | 2901 Northeast Boulevard | Wilmington, Delaware 19802

The Tri-State Area’s Top Musical Entertainment Group

THANK YOU!

sojournersplace.org

For Band Reservations Contact:

Al Ament 302-463-4683

2nd Chance will perform at the Sojourners’ Place Thanksgiving Beef & Beer Benefit - Saturday, November 26, 2016 Hockessin Fire Hall For Ticket Info: Call Cathy at 302-451-1135

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education

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Five Apps Your Teen Needs for College (Photo by Shannon Adelson, Adelson Media, Inc.)

Presented By Jim Power Article By Dr. Raymond J Huntington, Co-Founder of Huntington Learning Center

s your teen prepares to head off to college, there are many things to consider - and academics is at the top of the list. College will require plenty of hard work, good organization and time management, but Jim Power of the Newark Huntington Learning Center says that students today have a big advantage. “Going to college in the digital era means that students have a plethora of tools available to help stay organized, manage their busy lives and study smarter”. Listed below are a few popular apps used by college students that your teen might find beneficial:

iStudiez Pro – iStudiez Pro allows students to track their schedule, homework and grades in one place. Tasks can be sorted by date, class and priority. The app has a schedule planner where students can manage their classes and all associated details, and students can share their schedule to other calendar apps such as Google Calendar. www.istudentpro.com

Any.do – Any.do is a task management app that allows users to schedule reminders and sync tasks across devices (smartphone and laptop,

for example). The app includes a daily planner for creating, sharing and delegating tasks, a list function, a subtask function and much more. www.any.do

With 86 percent of college students regularly using a smartphone and 54 percent using learning apps on their smartphone (59 percent on their tablet)*, there’s no doubt that mobile apps play a big role in the life of today’s college students. “Encourage your teen to browse the iTunes store or Google Play store for apps that might be useful for them, or seek out suggestions from professors and peers when they arrive at college,” Power says.

Evernote – Evernote helps keep students’ ideas, notes, research and inspirations on hand across devices. For college students, it’s a great tool for saving notes and organizing research from various sources for a paper or project. Students can collect articles, photos, websites and even handwritten and typed notes in a central place. www.evernote.com

* According to Pearson’s 2015 Student Mobile Device Survey

About Jim Power and Huntington Learning Centers

RescueTime – RescueTime - a tool for students who want to improve time management skills and make the most of their minutes. It tracks the amount of time spent on different websites, social media, email or in programs like Microsoft Word. Then, it provides detailed productivity reports, offering a clear picture of where students might be wasting time. Students can block distracting websites during set periods of focus time and set up alerts for when they spend too much time on a website or other activity. www.rescuetime.com

Jim Power is the Executive Director of the Huntington

StudyBlue – StudyBlue is a “crowdsourced learning platform” that provides innovative study tools. Its online flashcards (with text, images and audio), quizzes and review sheets make it easy for students to study on the go, track their progress, set reminders to study and much more. www.studyblue.com

Dr. Raymond J. Huntington is the co-founder of Huntington Learning Center, which has helped children achieve success in school for over 35 years. For more information about how Huntington can help your child, call 1-800-CAN-LEARN. Jim Power is the Executive Director of the Huntington Learning Center in Newark, 34 Liberty Plaza, Kirkwood Highway, Newark, DE 19711. For more information or to schedule a consultation at the Newark location call 302-737-1150 or visit www.newark.huntingtonlearning.com. www.TheWomensJournal.com

Learning Center in Newark, DE. Huntington is the tutoring and test prep leader. Its certified tutors provide individualized instruction in reading, phonics, writing, study skills, elementary and middle school math, Algebra through Calculus, Chemistry, and other sciences. It preps for the SAT and ACT, as well as state and standardized exams. Huntington programs develop the skills, confidence, and motivation to help students succeed and meet the needs of Common Core State Standards. Founded in 1977, Huntington’s mission is to give every student the best education possible.

Learn how Huntington can help at www.huntingtonhelps.com.

education

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What Is Educational Technology? By Dr. Heidi Gough, Director of Marketing and Communications, PA Leadership Charter School

“New-fangled educational devices didn’t start with computers or the Internet” - Ellis Booker wrote, and I have to agree with him.

here has been significant growth in educational technology through the years in schools. We went from overhead projectors to digital cameras/webcam, typewriters to iPads, and blackboards to smart boards. It’s important to understand not only what’s coming next, but also where it all started. It could be argued that writing was our first piece of educational technology, when the Phoenician alphabet debuted around the 2nd century AD. However, let’s go back even further. In the Stone-age era, (4th millennium BC) it is believed that clay, and/or sharp pieces of bone were used to create pictures and symbols to teach proceeding generations about their history, or to depict events that took place. Now students can gain access to any piece of information they desire by accessing the World Wide Web. So where did this all come from and what does it mean for today’s students. We must remember that technology goes beyond computers and the World Wide Web. For example, the use of moving images particularly in film or video, provides extensive material for teachers to use in their classrooms. At

an online school, video/film technology is used daily to enhance curriculum, provide training and support for teachers, and for students to truly immerse themselves into a lesson. Online schooling is not about being placed in front of a computer and fed information. Please allow me to clarify this. An online school can assist our technology hungry students to learn in an environment that is fast becoming the norm for them. Students feel more engaged than ever as technology is an everyday tool for them. Another great example of educational technology and a qualified resource for students, are E-books. Despite E-books technological advantage, they are roughly only 6 percent of students who use them in classrooms according to the 2013 ECAR Study. Over 50 percent of students said that they “wished their instructors used them more and they feel they are important to their academic success”. The constant search for new ways to learn, to educate, to capture and distribute knowledge, grows daily. In the educational world, it is important to note that while we have come a long way, some things seem to be repeating themselves or appear similar in nature. In 1925 interestingly enough, Thomas Edison said

youth of today. If used correctly, technology can help prepare students and teachers for the real world environment, as our nation becomes increasingly technology dependent.

2013 ECAR Study of Interesting Facts: • 76% of student said technology helps them achieve their academic outcomes up 1% for 2012 • student tablet ownership is up 15% since 2012 • 58% of students own three or more internet-capable devices

The 2015 ECAR Study showed the following; • 79% of students say they learn best in a blended learning environment • 65% of faculty surveyed support competency-based education. (Information cited from the ECAR study – www.educause.edu)

www.palcs.org

“Books will soon be obsolete in schools. Scholars will soon be instructed through the eye” . Was he referring to the iPad? What’s next, will iPads become obsolete and a virtual reality realm take over…where will our technology take us? Returning back to our main topic; what is educational technology and what can it do for our students and schools? Teaching with technology allows an educator to become the encourager and an advisor. It also allows students to become more responsible and to take control over their own learning. These studies are incredibly useful as we look at where our technology is heading and how we are using it to educate the 68

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education

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Gateway Lab Charter School “Achieving Success” personal growth and comforting other students on how they can achieve theirs.

By Timothy W. Griffiths M.Ed. Executive Director Gateway Lab School

ateway Lab Charter School is a state approved, public charter school centrally located in New Castle County. The schools unique design allows students with a variety of disabilities to find their path to a successful education. Gateway has established itself as a well-managed thriving charter school focusing on a model of specialized education services. Gateway’s core beliefs hinge on the fact that “all children can learn” when surrounded by a community that respects one another’s individualities and diversities. Gateway has an intent focus on creating a culture that allows every student to feel safe so they can be themselves. With a strong focus on creating a learning environment for students with ADHD, mild to moderate autism and learning disabilities Gateway is rethinking what classroom instruction looks and feels like. With smaller class sizes Gateway’s classrooms are designed for mobility with intent focus on a multisensory layout. With a variety of multisensory tools, furniture, technology and thoughtful instructional planning our students are able to release their energy in ways that will not impede the learning process. Picture a classroom where students can move and learn at the same time, teachers can use the entire space to teach and learning happens everywhere, every day. Gateway is strategic in its academic planning by setting achievable goals for each individual student leading to an overall goal for the entire school. Gateway students understand, often for the first time in their academic experience, what they need to do to achieve that rigorous goal in front of them. It is very common to hear our students talking about their

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In 2015 – 2016 Gateway students were challenged to achieve a school wide reading goal of 65% on the baseline assessment, Measures of Academic Progress or also commonly known as MAP. The MAP assessment is a measure of personal growth and not measure of grade level proficiency, which allows Gateway to develop, detailed personalized goals for each of our students. Gateway students met that challenge head on with 80% meeting their personal reading goals. Gateway has invested in programs like the Wilson Reading program to support our lowest preforming students in meeting their goals. In 2015 – 2016 we had 35 students participating in our Wilson Reading program. We were very excited to see our data show that 80% of our students in the Wilson Reading program met their growth targets. Seeing this success prompted us to expand the Wilson Reading program to serve more students in the 2016 – 2017 school year.

Finding out if Gateway is the right place for your child is easy. Learn more about Gateway Lab Charter School on our website www.gatewaylabschool.org Reach out to us today to see if Gateway’s Center for Excellence is right for your child’s success. Call 302 633 4091 or email us at gatewayenrollment@gls.k12.de.us Please support our Center for Excellence by donating to our school today. We have a Donation button on the front page of our website. www.gatewaylabschool. org Because we are a 501c3 organization every donation is tax deductible.

Tim brings with him nearly 20 years of experience. He has helped develop and grow from concept to graduation, 14 schools in Philadelphia serving students who have been pushed out, dropped out and those who needed a more specific program to help them find success in school. He has also worked with schools in surrounding states to help develop and turnaround failing schools. Most recently Tim worked with a non-profit organization in Philadelphia to create a charter school where students who where disengaged could re-engage and be re-energize about learning, re-connect with teachers, and, while working with their parents and teachers, set goals for after high school.

Headshot by Shannon Adelson, Adelson Media, Inc.

Gateway is an innovative

Center for Excellence preparing students for life

Gateway recognizes these gains do not come without consistency and commitment. In 2016 Gateway will be returning all of its inspiring and energetic teachers and administration to continue its quest of being a Center for Excellence in specialized education. We have invested in our instructional program by adding an Instructional Coach and Educational Diagnostician to support our instructional team. At Gateway we recognize that technology is in every aspect of our lives and that our students do not know a world without it. With that in mind Gateway has invested in school wide technology and is proud to be a one to one laptop school. With investments to improve our schools web based infrastructure every student will have access to a variety of computer-based programs. Embracing technology and all it has to offer we are able to combine rigorous academics with technology and create a highly structured, prescribed curriculum for our students.

At Gateway Lab Charter School, we help students reach their full potential

ENROLL YOUR STUDENT NOW!!!! 3rd & 4th grade enrollment is ﬁlling up fast !!!! CONTACT US TODAY!!! email

phone web

gatewayenrollment@gls.k12.de.us

302 633 4091

www.gatewaylabschool.org

About Us: • • • • • • • •

Tuition Free Public School Low Student-Teacher Ratio Bus Transportation To and From School Full Complement of Related Services Technology Enriched School Expeditionary Learning, Arts Infused Highly Qualiﬁed Staff Intent focus on ADHD, Mild to Moderate Autism and Learning Disabilities

education

educate. enrich. empower. ACHIEVEMENT AWARD

The Fresh Start Scholarship Foundation & Wilmington Women in Business

Bonita Penn

BSN/RN/MSN Christiana Health Care Systems

invite you to join us for our

The Achievement Award is presented to a Fresh Start graduate who has overcome significant personal and financial challenges, excelled academically and built a career as a professional.

MURIEL E. GILMAN CHAMPION AWARD Barbara Buckley

Vice President, Scholarship Program Fresh Start Scholarship Foundation The Muriel E. Gilman Champion Award is presented to a person who has helped Fresh Start make significant strides forward and increased awareness of the program by committing considerable time, resources and expertise.

Friday, October 14th

INSPIRATION AWARD

at The Waterfall, Claymont, DE

Allison Butler

from 12-1:30pm Registration at 11:30 - Luncheon will begin promptly at noon.

Please RSVP by Friday, September 30th

The Prison Break Coach Extraordinary Enterprises The Inspiration Award is presented to a woman who has overcome significant obstacles in her life, made a fresh start and demonstrated outstanding career achievement, thereby serving as a role model for our Fresh Start scholars.

Thank You to

for their GRADUATE level sponsorship

20 Years of Making a Difference for Delaware Women and their Families

Scholars FSSF 15th Anniversary 2011 Fresh Start board members, scholars, families and friends came together for a barbecue this summer.

Scholar/Board Luncheon 1999

Scholar Mentor Networking Event 2015

Fresh Start Family Cookout 2016

www.freshstartscholarship.org P ] 302.397.3440

E ] fssf@freshstartscholarship.org

Fresh Start Scholarship Foundation, Inc.

@Fresh_Start_SF

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community

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Entrepreneurial & Business Women’s Expo T

he New Castle County Chamber of Commerce (NCCCC) will host its 26th Annual Entrepreneurial & Business Women’s Expo November 17, 2016, at the Chase Center on the Riverfront from 9:00 am-6:00 pm. This popular expo is designed to motivate and inspire all business women by providing exciting networking opportunities, as well as educational workshops and programs. More than 120 exhibitors will be on hand for over 800 expected attendees. “This expo gets bigger and better every year,” said NCCCC President Mark Kleinschmidt. “This is one of our most popular events because it provides educational and motivational opportunities for attendees while expanding foot traffic for sponsors and vendors. Everyone walks away as a winner from this expo!” The NCCCC has also named Deborah Mannis-Gardner, President of DMC Clearances, Inc.,

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the 2016 Entrepreneurial Woman of the Year. She has been a business owner in the music industry for twenty-five years. She is a resident of Hockessin, Delaware and established DMG Clearances, Inc., a nationally renowned company that protects the licensing and recording rights for top labels such as Atlantic Records, Sony Music, Capitol Records, and more. DMG Clearance, Inc. has acquired record clearing samples, or permission, for award-winning musical artists like Beyoncé, Led Zeppelin, and John Legend to name a few. Mannis-Gardner also has gained recognition in the video games, featured films, DVDs, and television industries. MannisGardner most recently secured the music for the blockbuster Broadway hit “Hamilton.” See attached resume for details.

expertise,” said New Castle County Chamber of Commerce President Mark Kleinschmidt.

“It is an extreme pleasure for us to honor a local entrepreneur who has gained national attention and respect in the recording industry by cornering the market in her field of

There is still time to register for the exhibitor showcase! For more details about registration and sponsorship opportunities visit www.ncccc.com. The Chase Center

Deborah Mannis-Gardner, President of DMC Clearances, Inc., the 2016 Entrepreneurial Woman of the Year

on the Riverfront is located at 815 Justison Street, Wilmington, DE 19801.

Understanding the Zika Threat in Our Own “Backyard”

By Dannis Warf, ACE Entomologist, Royal Pest

Mosquito larvae: Standing water is the most conducive environment for breeding

Asian Tiger: Common mosquito in the northeastern U.S. region that may be a vector for the Zika virus

Mosquitoes in Our Backyard

BUZZZZZZZZZZZZZZZZZZZ. The Zika Threat : The Reality SMACK!!! ITCH. The Zika virus is a mosquito-borne It’s summer…and you’re trying to virus that currently has no specific enjoy the beautiful days and longer medical treatment or vaccine. It is nights in your yard and you get primarily spread through the bite ambushed by mosquitoes. They of infected mosquitoes commonly buzz in your ears. They fly in your called the Yellow Fever mosquito. face. They bite you and leave you It’s important to know that this bumpy and itchy after they snack species is found predominantly in tropical and sub-tropical regions on your blood. But there are more to mosquitoes of the world. That’s why Zika is than just being dive-bombing having an impact on the summer annoyances. According to the World Olympics in Rio de Janeiro, Brazil. Health Organization, mosquitoes are the world’s most deadly animal, killing around 725,000 people each year. Mosquitoes are so dangerous around the world because they carry devastating diseases like malaria, dengue fever, yellow fever, and encephalitis. Our Own Backyard– the Mid-Atlantic Region Here in the mid-atlantic region, mosquito season starts in April when the temperature reaches 50° F. Mosquitoes thrive in hot weather so as the temperature rises, the mosquito volume rises, too, reaching its peak during the hot summer months.

Do you have a PEST QUESTION

Culex: Dusk and nighttime feeder; capable of transmitting West Nile virus and other diseases

Nile Virus is extremely low at >0.2 TheAsian tiger and Culex mosquitoes cases per 100,000 people. are prevalent in our area. If infected You never know which mosquitoes with Zika, which is unlikely, the Asian are carrying a virus. With a little Tiger mosquito can transmit the maintenance around your home, virus. Both CAN transmit West Nile and some protection for you virus, but again, only if they are and your family, you can enjoy infected. Not all mosquitoes carry the beauty and soft sounds of a a virus. Mosquitoes become infected summer night in your backyard. when they feed on infected birds. Protect your yard and your In our region the incidence of West family by following these tips:

Tips to protect you and your family from mosquitoes:

The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes.) People usually don’t get sick enough to go to the hospital. However, the virus infection during pregnancy can cause a serious birth defect called microcephaly, as well as other severe fetal brain defects.

• Apply insect repellent containing at least 20% DEET. (Always read labels before applying.) • When possible, wear long-sleeves, long pants and socks when outdoors. Mosquitoes may bite through thin clothing, so spraying clothes with repellent containing permethrin or DEET will give extra protection. • FOR MOST MOSQUITOES: The hours from dusk to dawn are peak mosquito biting times

While the risk of Zika virus transmitted by these mosquitoes is low, to prevent bites, the U.S. Centers for Disease Control recommends applying EPA registered insect repellents containing the active ingredients DEET, picardin, oil of lemon eucalyptus (OLE), or IR3535 to exposed skin according to label instructions.

• PLEASE NOTE: The Yellow Fever and Asian Tiger mosquitoes that may transmit the ZIKA virus are active during the day! • Drain standing water from around your home. Mosquitoes lay their eggs in standing water. • Clean your gutters of leaves and debris that hold moisture. They are a mosquito breeding ground. • Install or repair screens on both windows and doors to keep mosquitoes outside. • Report dead birds to local authorities. Dead birds may be a sign that they were infected with West Nile virus.

Womans Journal RPS_Mosquitoes_Dannis_rev1

E-mail Dannis at AskRoyal@royalpest.com 72

PLEASE CUT THIS OUT AND DISPLAY IT WHERE YOU’LL SEE IT ALL SUMMER www.TheWomensJournal.com

home&garden

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Power Grab: Blue Hen Utility Services, Inc. “Taps” The DE Market!

By Michele L. Reynolds, President

hen storms or other issues breached power lines in the First State, all of the repair work was contracted to out-of-state firms. A Delaware-based utility service company would have a faster response time to address power outages than those more remote out-of-state firms, thus keeping First State communities and businesses up-and-running when power crisis strikes. Michele Reynolds, President of Blue Hen Utilities, Inc., capitalized on the lack of medium-high voltage services contractors in the State of Delaware in late 2014. Aging infrastructure, increased reliability, and the desire to create a local company with local employees led to the formulation of Blue Hen Utility Services, Inc. To bring her high-medium voltage plans to fruition, Michele needed a sharp team that was up to the challenge. Her husband and longtime business partner Michael Reynolds, Vice President of Blue Hen Utility Services, would bring his field operations expertise to the team. Then, Michele and Mike would reach out to longtime construction executive Ted Kelly, Vice President of Blue Hen Utility Services, to develop corporate marketing strategies, business development initiatives, and operational procedures. Throughout their first 18 months of business, Blue Hen Utility Services, Inc., has been fortunate to have worked for numerous clients completing their aerial and www.TheWomensJournal.com

underground distribution projects. They had the opportunity to collaborate with business owners, vendors, and supply houses, and one common theme consistently rang true. Blue Hen Utility Services, Inc. successfully fulfilled the urgent need for additional utility service contractors to meet the demand of increased electrical service reliability. Furthermore, Michele set her sights on obtaining her Women’s Business Enterprise National Council (WBENC) certification which was the required supplier diversity certification recognized by the power companies. She did so in late 2015.

Mission Statement

Committed to becoming the company recognized for its unsurpassed dedication to understanding the needs of our clients, whether large or small, delivering relevant solutions with uncompromised quality and integrity.

Services

This summer, by remaining focused on their business plan and living the company’s vision statement, “Relentless pursuit of excellence in delivering Best in Class service for our clients”, Michele and her team were able to secure business with the local power company. Throughout Blue Hen Utility Services, Inc’s calculated and steady growth they had the continuous support of their financial partner, Wilmington Savings Fund Society (WSFS). In acknowledging the relationship, Michele stated that, “We are extremely pleased with our ongoing partnership with WSFS, they have afforded us the opportunity to grow our company and provide quality local employment for Delawareans.” Thanks to Michele’s leadership and the firms’ ever-expanding team – Blue Hen Utility Services, Inc. is a true workplace family. With time, Michele looks to “pay her success forward,” mentoring other female entrepreneurs who, like herself, own businesses in male dominated fields. For Michele, persistence and doing what makes you happy are the keys to success, in business and in life.

Our Values

Safety, Integrity, Dedication, Commitment, and Continuous Improvement.

Our Vision

Relentless pursuit of excellence in delivering the “Best in Class” service for our clients. 73

•

Overhead pole line construction and maintenance

•

Aerial to underground conversions

•

Installation and repairs of primary and secondary aerial conductors

•

Storm restoration

•

Fault location and repair of underground conductors

•

Pad mount transformer installations-single and three phase

•

Tree trimming to clear power lines

•

Infrared testing and monitoring

•

Fiber Optic Cable Installation

•

Outdoor Lighting

Testimonial

For rebuilding the pole line at the Canal District Yard: “Thank you for your company’s professional and quality work.” Mr. Frank Pepper, Master Electrician DE Department of Transportation

For more information visit our website www.bhusinc.com or call 302-273-3167

Women’s Journal What our advertisers say about The Women’s Journal:

“I just wanted to let you know that the editorial that we did last issue was a great success for us. It brought us customers that were selling and gold that otherwise we probably would not have had. Our Gold / Silver buying aspect of our business is VERY important to us. We had a great response!” - Jewelry Exchange of Delaware The Women’s Journal has proven time and again to be the most “ advantageous and well-rounded business builder for the salon comparenone. Each new issue brings a sharp uptick in our referrals sometimes reaching 60 new referrals per article. The editors are fair, customer-service focused, and continuously improving on the paper year-after-year. We will contribute as long as they’ll have us.” - J Christian, J Christian Studio “Thank you for your wonderful publication, it has been the single best advertising I have ever done in my 25 years in business. Effective, cost efficient, and a return on advertising investment, everything a business woman could ask for.” - Carmella Gibellino-Schultz, Permanent Cosmetics I have been in practice for over 22 years and always relied upon my patients and colleagues to “ refer new patients. I am honored by the trust these individuals place in me by referring friends but in recent years I realize that this is not enough. I knew I needed an ethical and tasteful way to let my community know about my ethics, practice philosophy and training. I found such a vehicle with The Women’s Journal. I feel good about helping to inform the readers about important health issues while simultaneously allowing them to get to know us. Many wonderful patients have found us as a result of our Women’s Journal articles.” - Anna C. Giacalone, DMD, Artist in Cosmetic Dentistry “Honestly, I was reluctant to do yet another print ad for my business. I had not seen results in past advertising attempts and it was hard to make another such investment. But something told me that The Women’s Journal would be different. Is it ever! I saw immediate, direct results in my business! The Women’s Journal reaches my target audience and because it is so informative to perspective clients, they follow through and I get the sale. I have the bottom line to prove it! Thank you so much.” - Melisa Ferriola, CPCP, Lasting Looks “I started writing for The County Women’s Journal in 2013 and have found it to be a wonderful marketing partner for myself and my business, 3E Marketing Solutions. The wide network of locations that feature the four County Women’s Journals, have helped to provide greater brand awareness throughout the region. I have people tell me all the time ‘I read your article while I was at the. . .office. You are everywhere!’ I think this is certainly due in part to my continued exposure in The Women’s Journal, a phenomenal platform for me to contribute timely and relevant information to the business community.” - Donna Duffy, CEO/Founder 3E Marketing Solutions

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Premier professional contemporary ballet company of the Philadelphia Main Line

2016/2017 Season at Rosemont College Holiday Concert Winter Concert Spring Concert Friday, December 16, 7:30pm Saturday, December 17, 3:00pm

Tickets

Saturday, March 11, 3:00pm

www.ballet180.org

Saturday, May 6, 3:00pm Sunday, May 7, 4:00pm

or 484.639.9571

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Is The Technician That Arrives At Your Home Qualified To Do The Job? About HALF of all service requests are ROUTINE—repairs that most technicians can handle. But for the other half of service calls—A FULL 50%— there are issues that require advanced training to properly diagnose and fix. That’s why at Horizon Services, we require ALL technicians to participate in 150 hours of technical training per year, to make sure that when you have a plumbing, heating, or air conditioning problem, they can pinpoint and FIX IT RIGHT the very FIRST TIME.

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