Perfectly punchy ankle straps â€” irresistible.
kitindy.com May + June 2013
Beauty buys under $10 Hot sunglasses Great white pants Pretty dresses
Our musthave Summer sandals
at any height plus a food truck party
Red hot with a sundress.
Mini-wedges are a must this summer.
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OUT AND ABOUT Cultural arts, festivals and events abound in Central Indiana
Ai Weiwei, “Straight,” 2008-12. Collection of the artist. Installation view at the Indianapolis Museum of Art. A new sculpture made from steel rebar that was salvaged from schools that collapsed during the 2008 Sichuan earthquake. The piece points to the inferior construction that caused the governmentbuilt schools to collapse while other buildings remained unscathed. Straight (2008–2012) is a powerful indictment of the Chinese government and a monumental reminder of the many young people who died in the earthquake.
4 kitindy.com may+june 2013
now through july
Ai Weiwei: the world’s most controversial artist. at the ima Ai Weiwei: According to What? Now through July 21 IMA’s Allen Whitehall Clowes Special Exhibition Gallery proudly hosts the first major North American survey of works by one of China’s most controversial, prolific and provocative artists. Adult tickets are $12. Indianapolis Museum of Art, 4000 N. Michigan Rd., 923-1331, imamuseum.org
St. Margaret’s Hospital Guild Decorators’ Show House and Gardens
Images Courtesy of the Indianapolis Museum of Art
April 27 through May 12, 11 a.m. to 6 p.m. For 53 years, this popular tour has provided home decorating and gardening inspiration. Daily tickets are $20 per person. The historic Schnull-Rauch House, 3050 N. Meridian St., Indianapolis, showhouseindy.org
“Bon Appetite” presented by the Hamilton County Artists’ Association Thursdays, Fridays and Saturdays; May 2 through June 28 Come hungry to view delicious works by area artists. 195 S. Fifth St., Noblesville, 773-5197, hcaa-in.org
OneAmerica 500 Festival Mini-Marathon
9th Annual S.R. 38 Garage Sale
May 4, 7:30 a.m.
May 17 and 18, 9 a.m. to 5 p.m.
Step off for the 37th running of the nation’s largest half-marathon, or just show up to cheer on the participants. Downtown Indianapolis, 500festival.com/minimarathon
Mother’s Day Tea May 11 The R.L. Wilson House hosts this fun, five-course formal tea; Heavenly Sweets supplies the treats. 273 S. 8th St., Noblesville, 770-9399, rlwilsonhouse.net
Garden and Fashion Show May 16, 7 p.m. This Allisonville Nursery event features fashion from The Secret Ingredient, plants from Hort Couture and wine from Cooper’s Hawk Winery. 11405 Allisonville Rd., Fishers, 849-4490, allisonvillenursery.com
Broad Ripple art fair may
43rd Annual Broad Ripple Art Fair May 18, 10 a.m. to 6 p.m.; May 19, 10 a.m. to 5 p.m. This popular festival includes food, music and original works for sale from more than 200 participants. Adult admission is $12. Indianapolis Art Center, 67th St. and College Ave., 255-2464, indplsartcenter.org
Hunt for treasures along S.R. 38 between Noblesville and Hagerstown. 714-3273
500 festival parade May
IPL 500 Festival Parade May 25, noon Bring the whole family to ooh and aah at marching bands, floats, Indy 500 drivers and visiting celebrities. Downtown Indianapolis, 500festival.com/parade
Noblesville Summer Concert Series Thursday nights, May 30 through June 27, 7 to 9 p.m. Noblesville Parks and Recreation presents a diverse line-up of live musical performances each week. Dillon Park and Forest Park, Noblesville, 776-6350, cityofnoblesville.org
Historic MeridianKessler Home & Garden Tour June 8 and June 9, 11 a.m. to 5 p.m. The 40th annual home and garden tour provides a behind-the-scenes peek at one of Indy’s oldest and most prestigious neighborhoods. Adult admission is $20; presale tickets are $15. 283-1021, mkhometour.com
STRAWBERRY FESTIVAL JUNE
Christ Church Cathedral Strawberry Festival June 13, 9 a.m. to 6 p.m. Legions of hungry fans converge downtown to feast on strawberry shortcake with all the fixings. Monument Circle, Downtown Indianapolis, 636-4577, cccindy.org
IU Health North Hospital presents Jazz on the Monon June 15, 22 and 29; 6 to 9 p.m. On Saturday nights, the Arts and Design District comes alive with sounds of music. 111 W. Main St., Carmel, 571-2787, carmelartsanddesign.com
Marsh Symphony on the Prairie: Classical Tales of Romance June 21 and 22, 8 p.m. Bring your special someone along for an intimate evening of music at this summer attraction. Conner Prairie, 13400 Allisonville Rd., Fishers, 776-6000, connerprairie.org
Summer Nights Film Series Friday nights; June 7, 14, 21 and 28; 9:30 p.m. The Indianapolis Museum of Art’s outdoor terrace lights up the night with classic and modern films. Upcoming screenings include Jurassic Park, Dirty Dancing and Animal House. Adult admission is $10, $6 for museum members. 4000 Michigan Rd., 923-1331, imamuseum.org 5
Marti Starkey, Esq., one of Carmel’s top Trust & Estate attorneys, shares wisdom from her 32 years of practice.
EXPERT ADVICE Q+A
Trust and Estate attorney Marti Starkey offers advice on how we can help our elderly parents finish well. Chair, Trust & Estate Practice Group Harrison & Moberly, LLP harrisonmoberly.com 11611 N. Meridian St. Suite 150 Carmel, IN 46032 To schedule an appointment, call 317-639-4511 or email mstarkey@ harrisonmoberly.com
What is the best way to help our elderly parent(s) from a legal perspective?
The best way is to open communication to see if they have their estate planning in place.
What legal documents do our elderly parents need?
From a very basic perspective, he/she should have a Last Will and Testament or a Pour-Over Will and a Revocable Trust, and, also, Health Directive Documents.
What are Health Directive Documents and what do they do?
A Living Will is a document which advises that you do not wish to receive lifeprolonging procedures in the event of a terminal illness or a persistent vegetative state, including the withholding of artificially-provided nutrition and hydration. A Health Care Representative Appointment is a document which appoints another individual to make health care decisions for you in the event that you are unable to make them for yourself. A General Durable Power of Attorney is a document which appoints another individual to make financial decisions on your behalf in the event that you are unable to make them for yourself, including the appointment of a guardian if one should become necessary.
Do our elderly parents need to see an attorney?
Yes. Each person can benefit from having a consultation with a Trust and Estate attorney to go over what assets they have, how the title to the assets is held and what the disposition of those assets will be at death. It may surprise parents to learn about what the title or the beneficiary designation may mean to their total estate plan.
6 kitindy.com may+june 2013
What else can we do to help an elderly parent finish well?
A discussion on where they wish to be buried is extremely helpful to the family, and can lead to encouragement for advanced funeral planning. I also believe that it is helpful to discuss with an elderly parent where they wish to spend their last days or months in the event of a terminal illness. (Indiana law does provide for an advance directive as to funeral planning, a legally-enforceable document, stating your wishes for your funeral and burial.)
Are there other non-legal ways to ultimately help our aging parents?
To answer this question, I asked my 85-year-old mother, my 62-year-old husband and my 28-year-old daughter what they thought. My mother said “Communication with my daughters each day is the most important thing.” My husband answered “Being there for your elderly parent when they need you is of utmost importance.” And my daughter replied “It seems that the daughter or son of an elderly parent becomes part of the ‘Sandwich Generation,’ and thus, the daughter or son needs to give special attention to staying grounded themselves in order to help all those around them of each generation.” My own answer is that these circumstances call us to love our elderly parent(s) exactly where they are. I have found a good book to help is “The Five Love Languages” by Gary Chapman . I have tried to love my mother with each of the five love languages described in this book.
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MACY’S HEARD YOU! Feel like you’re always shopping, but never for yourself? And when you do have time to explore the stores, you can’t seem to find a single thing that fits both your lifestyle and your body? Maybe you’re just not sure what clothes look good on you and how to put them all together to create a wardrobe that wows. Sound familiar? You’re not alone.
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June 11 Attend the Workshop! 6:30 p.m. to 8:30 p.m. | Castleton Square Mall Macy’s Limited spots available! To RSVP , call 317-579-4210
A $25 deposit is required to hold your space; reimbursable in the form of a $25 Macy’s gift card distributed after the workshop. No other purchase necessary.
Learn all about how to look your best this summer! For your face: Self-tanners, bronzers, foundations, lip and eye colors for that special summertime glow For your feet: Sandals and how to wear them with everything in your summer wardrobe
Publisher + editor Kelly McVey
Art Director Kathy Davis
Fashion Editor Erica Sagon
Advertising Creative Julie Taylor-Reed Michelle Thompson
Social Media Creative Ashlie Hartgraves
Writers Tracy Line Kathy McHugh Judy Burnett Amy Lynch Adam Perry Erica Sagon official jeweler
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Get answers to heal your body, mind and spirit. At 317-338-4HER, St.Vincent women’s health experts are standing by to answer your questions about everything from depression and menopause to hot flashes and fatigue. It’s all part of our holistic approach to health—one where the mind, body and spirit are equally important. So if you have a question, don’t delay. Call us today at 317-338-4HER.
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We have a big announcement to make. Drum roll, please… After40 is now kit! Putting it — and keeping it — all together. Aren’t kits great? Sewing kits, first-aid kits, survival kits, tool kits and now, our magazine. As if you can’t already tell, we’re excited about our new name. We wanted something that felt carefree and fun, and we think “kit” captures that feeling perfectly. Kathy Davis, our art director, has done an amazing job of putting together a new look and logo to match the theme we’re going for. “kit” also better reflects our new mission — to inform, to inspire and to help women feel good about themselves. I’ll admit, it was hard for me to move away from “After40,” and I realize making the adjustment might be a little difficult for some of our readers as well. But change is good. It means we’re growing, and getting better. Think about a business or a relationship that refuses to embrace change. Chances are, it feels stagnant. We need to keep changing to keep growing. Change can be scary, but it’s always exciting.
photo by Hether miles
Not only have we changed the magazine, we’ve also launched a new web site that will include weekly blog posts from kit experts and contributors in the fashion industry to provide you with great style advice. Check us out and become an official subscriber at kitindy.com. And don’t forget to “like” our Facebook page, where you can find out how to enter kit giveaway contests to win spa treatments, clothing, accessories, dinner packages and more. I recently received a voice mail from a reader, Dr. Frankie Cooper. Just before she hung up, Dr. Cooper said, “Have the best year of your life!” For me, the timing of that message couldn’t have been better — coinciding with the launch of our new name. Let’s ALL embrace the changes that are happening in our lives, learn and grow from them to become our best selves, and have the best year of our lives!
Perfectly punchy ankle straps — irresistible.
kitindy.com May + June 2013
Beauty buys under $10 Hot sunglasses Great white pants Pretty dresses
Our mustHave Summer SandalS
at any HeigHt pluS a fOOd truck Party
12 kitindy.com may+june 2013
Red hot with a sundress.
Mini-wedges are a must this summer.
May + June 2013
Out and About, 4
Best sandals at every height
Cultural arts, festivals and events abound in Central Indiana
Farm to Fork, 38 Meet some of your local farmers
Entertaining made easy, 50
Perfectly punchy ankle straps — irresistible.
Fashion How To, 16 Bright eyes
Food trucks and Vintage Party Rental
A Day In, 28
Best beauty buys under $10
Osteoarthritis and joint replacement
Fashion How To, 36
Family, 47 Helping your aging parents
kitindy.com May + June 2013
Beauty buys under $10 Hot sunglasses Great white pants Pretty dresses
Our mustHave Summer SandalS
at any HeigHt pluS a fOOd truck Party
Red hot with a sundress.
Mini-wedges are a must this summer.
Girls Getaway, 61 Eastern exposure—Richmond, IN
Passing on Hope, 64 Life is bitter and sweet
14 kitindy.com may+june 2013
On the cover: Clockwise, from top: “Harriet” patent mini-wedges, $69.99 at Nine West Outlet*; Merona “Edda” cork wedges, $22.99 at Target; Alfani “Niko” mini wedges, $69 at Macy’s.
*Find Nine West Outlet at Edinburgh Premium Outlets in Edinburgh, Ind.
FASHION how to
1. Sleek navy frames are a flattering upgrade for these aviators. Tory Burch aviator sunglasses, $165 at Macy’s
Shades. specs. Sunglasses. Whatever you like to call them, a new pair is always a sound investment. After all, you’ll wear them nearly every day. This summer, set your eyes on white frames, aviator styles and pops of color.
2. Gradient lenses, purple frames and a just-right shape — this pair hits so many high notes. Coach “Kristina” sunglasses, $183 at Macy’s 3. A hint of metallic detail at the temple is all the flair this white-hot pair needs. “Madeline” sunglasses, $98 at Banana Republic
By Erica Sagon + photos by Chris whonsetler
4. The prettiest blue lining peeks out at certain angles of these versatile tortoise-shell shades. Ralph by Ralph Lauren sunglasses, $124.95 at Macy’s
16 kitindy.com may+june 2013
Hamilton County’s Only Nationally Accredited Cancer Center. At Riverview Hospital, the nation’s top oncologists, nurses and staff are fighting cancer with the most advanced technology—so you can enjoy a happier, healthier life. And now our unwavering commitment to providing the best in cancer diagnosis and treatment has earned us the prestigious Commission on Cancer accreditation by the American College of Surgeons. This designation is awarded only to cancer programs that consistently deliver high-quality, patient-focused care—and it ensures you’ll receive the comprehensive and individualized care you deserve, close to home. Learn more at riverview.org/cancer-center.html
Mammography. A smart woman should always know the experience and expertise of the physician interpreting her mammogram. Dr. Susanne Hand took her residency in Radiology at Medical College of Ohio and completed a Fellowship in Mammography at the University of Utah Health Science Center. Dr. Hand has been in active practice, specializing exclusively in Breast Imaging, for over 15 years.
Go get that mammogram and then go celebrate.
COMFORTABLE. ACCURATE. CONVENIENT.
Schedule Easily Online at www.solishealth.com or Call (866) 717-2551 11450 N. Meridian St. #100, Carmel, Indiana 46032 18 kitindy.com may+june 2013
1. Alfani “Niko” mini wedges, $69 at Macy’s 2. Merona “Edda” cork wedges, $22.99 at Target 3. “Harriet” patent miniwedges, $69.99 at Nine West Outlet.*
*Find Nine West Outlet at Edinburgh Premium Outlets in Edinburgh, Ind.
By Erica Sagon
AT EVERY HEIGHT. Whether you like comfy flats, sky-high heels or something in between, we guarantee that there’s something for everyone in our roundup of the cutest sandals for summer. Ankle straps, punches of color, mini-wedges—all of the season’s best looks are right here. Step right up! PHOTOS BY CHRIS WHONSETLER 19
put it in neutral
Muted metallics and soft nudes are versatile, sure, but also downright chic. Neutral sandals are the best choice for pairing with colorful prints, since they won’t add clutter to your outfit.
shoes 1. High heel Retro, with a heel you can walk in comfortably. “Milania” ankle-strap heels, $120 at Banana Republic
2. Medium heel We’re smitten with mini-wedges. Alfani “Victoria” miniwedge, $69 at Macy’s 3. Low heel A smidge bohemian, yet ultimately polished. Cole Haan “Nassau” anklestrap flats, $148 at Macy’s
20 kitindy.com may+june 2013
The outfit 1. Mossimo cinched-waist dress, $24.99 at Target 2. Shimmer stone necklace, $58 at Ann Taylor 3. L.L. Bean Signature saltwash canvas tote, $65 at LLBean.com
The outfit 1. Maxi dress, $99.99 at Ann Taylor Factory Store* 2. Hive & Honey two-link drop earrings, $20 at Piperlime.com 3. Canvas ombre tote, $19.99 at Target
*Find Ann Taylor Factory
Store at Edinburgh Premium Outlets in Edinburgh, Ind.
22 kitindy.com may+june 2013
shoes 1. High heel Buy them for vacation, wear them every weekend after. Style&Co. “Mary” platform wedges, $59 at Macy’s
2. Medium heel A bit of gold is a luxe detail you’ll love. Alfani “Niko” mini-wedges, $69 at Macy’s 3. Low heel Grassy-green patent is irresistible for summer. “Cade” braided patent flats, $89.50 at Talbots
With so many cute, colorful sandals to consider, how do you even begin to choose? First, narrow the field — decide on a heel height that suits you best. Then look for your favorite hue within that height. A punch of color is especially chic with a black-andwhite print dress (we all have one, right?).
on the bright side 23
STRAP HAPPY 3.
24 kitindy.com may+june 2013
Sculptural, textured and minimal are the three big themes for straps this summer. Hereâ€™s what to look for. Sculptural: Twists and turns that stop just short of the ankle. Textured: Interlocking braids, snakeskin and gold hardware. Minimal: As spare as one strap around the ankle and another across the toes (essentially, the opposite of those super-strappy gladiator sandals of seasons past).
1. High Say yes to a sky-high wedge with sculptural straps. “Entertain” cork wedges, $69.99 at Nine West Outlet* 2. Medium Minimalist, with a casual espadrille-wrapped wedge. Cole Haan “Elizabeth” espadrille wedges, $178 at Macy’s 3. Low These flats magically go with every color. Merona “Emily” braided flats, $15 at Target
*Find Nine West Outlet at Edinburgh Premium Outlets in Edinburgh, Ind.
THE OUTFIT 1. Striped dress, $89.99 at Ann Taylor Factory Store* 2. Cluster drop earrings, $14.99 at Target 3. “Gia” convertible crossbody bag, $150 at Banana Republic
*Find Nine West Outlet and
Ann Taylor Factory Store at Edinburgh Premium Outlets in Edinburgh, Ind.
Steve Green, DDS is a dental sleep professional and is a member of the American Academy Dental Sleep Medicine, Orofacial Pain and American Headache Society.
EXPERT ADVICE Q+A
SNORING KEEPING YOU AWAKE? You don’t need to lose sleep over it, and neither does your partner!
Team Green Dentistry 11559 Cumberland Road, Suite 100 Fishers, IN 46037 317-579-5400 teamgreendentistry. com
What is snoring? Why do we snore?
Snoring is the noise created by air flowing past relaxed tissues in the throat. The air causes the tissues to vibrate and create the sound we know as snoring. Repetitive snoring can result from anatomical conditions, such as excess fatty tissue in the neck and throat, or tonsils and adenoids blocking the airway. Intermittent or conditional snoring can be alcohol-induced or the result of medications, such as sleeping pills, that increase muscle relaxation.
Why do we seem to snore more as we get older?
Both men and women snore more as they get older. Just as other tissues lose elasticity as a result of aging, the tissues in the throat and mouth relax as well.
Is snoring an indication of sleep apnea?
There are many snorers who do not have sleep apnea, but it is definitely one of the obvious signs. Sleep apnea can be mild, moderate or severe, and can lead to other health risks. A UCLA study reported that women with snoring issues should be encouraged to pursue medical treatment. Women with sleep apnea are more likely than men to suffer damage to the area of the brain that controls memory due to decreased oxygen flow.
Are other health problems associated with snoring?
Even if sleep apnea is not present, several studies have shown that snoring alone is associated with increased risk of cardiac issues, such as heart attack and stroke. A recent study at the University of Detroit showed a definite relationship between snoring and increased cardiovascular risk. It is believed that risk increases
due to vibrations of the carotid artery. Other snoring-related health problems include the inability to achieve deep sleep — the healthy, recuperative sleep our bodies need. Also, snoring caused by sleep apnea can result in decreased libido and male erectile dysfunction.
Does snoring negatively impact quality of life in other ways?
Often, the bed partner has more issues and is sleepier than the snorer because their sleep is interrupted. The partner may try earplugs or sleep in another room, which can create intimacy issues. Snorers are often teased about their snoring. This can lead to avoidance of travel opportunities and other situations where others will hear the snoring.
What can we do to keep from snoring?
We recommend that our patients try several things at home, such as decreasing alcohol consumption, giving up smoking, losing weight, sleeping on their sides and exercising before bedtime. We do not recommend overthe-counter medications or mouthpieces. We suggest seeing your physician or a dental sleep specialist. Every snorer we see is a potential sleep apneic; we conduct a sleep test (usually covered by medical insurance or Medicare) in your home that screens for sleeping problems so that we know how best to treat you. We will refer to a board-certified sleep physician for diagnosis if we suspect any sleep disorders beyond snoring. A custom-fitted oral appliance is ideal for snorers who don’t have sleep apnea. For mild to moderate snoring and sleep apnea, an oral appliance or a CPAP machine works equally well. Both devices may be covered by medical insurance. 27
a day in Farmers markets
A day in
Hungry for some farm-fresh summer produce? Support regional growers by visiting local farmers’ markets for food you can feel good about. by amy lynch + photos by zach dobson
Binford Farmers Market
Carmel Farmers Market
Now in its seventh year, this vibrant market holds court at 62nd Street and Binford Boulevard on Saturday mornings through the summer from 9 a.m. to 1 p.m. Friendly vendors tempt shoppers with produce, meats, cheeses and other edible delights, as well as gourmet specialty products and artisan wares. 417-8449 binfordfarmersmarket.com
On Saturday mornings from May 18 through Oct. 5, Carmel’s Center Green area just beside the Center for the Performing Arts teems with nearly 60 local growers and food producers. Live music from the Carmel Rotary Amphitheater provides a soundtrack for shopping, and on-site cooking demonstrations offer inspiration for new ways to enjoy your purchases. carmelfarmersmarket.com
Broad Ripple Farmers’ Market Running 8 a.m. to noon on Saturday mornings from May 4 through November, this well-attended market takes over the parking lot behind Broad Ripple High School, and is easily accessible from the Monon Trail. Here, shoppers peruse stands filled with produce, meats, cheeses, eggs, honey, baked goods, fresh tamales, pet treats and pretty bouquets of flowers. 251-2782 broadripplefarmersmarket.org
Fishers Farmers Market Locals frequent Fishers Town Hall in front of the amphitheater on Saturday mornings from 8 a.m. to noon starting May 25 for fresh fruit and veg, meats, eggs, bakery items and hot breakfasts from more than three dozen area vendors. 578-0700 fisherschamber.com
Indianapolis Original Farmers’ Market
Westfield Farmers Market
Located just outside Indy’s historic City Market, this weekly Wednesday event from 9:30 a.m. to 1:30 p.m. is a perfect opportunity for downtown workers to shop during lunch hour. Browse 50 vendors selling fruits, vegetables, meats, cheeses, herbs, flowers, baked goods and more, then grab an outdoor table for some people-watching and fresh air. 634-9266 indycm.com
Running June 7 through September, the Westfield market kicks off the weekends right on Friday nights from 5 to 8 p.m. at the City Hall lawn. Live music adds ambiance to the overall experience, and face painting, a kids’ play area and picnic tables make the market fun for the whole family. 867-8508 dwna.org
Noblesville Farmers Market
Starting on May 19, this Saturday morning market brings the heart of the charming Zionsville village to life with 35 vendors promoting their produce, breads and pastries, meats, eggs, cheeses, soups, coffees, pastas, plants and other artisan foodstuffs. zionsvillefarmersmarket.org
Now in its 22nd year, the Noblesville market is sited in the Riverview Hospital overflow parking lot each Saturday morning starting on May 18. Find produce, ready-to-eat items, honey, handmade crafts, flowers and bedding plants (for green thumbs who want to grow their own goodies at home). 776-0205 noblesvillemainstreet.org
Zionsville Farmers Market
Like a taste of Europe, only closer. No matter what type of cuisine you crave, you’ll find it in Hamilton County — from gourmet dining with an international flair to more casual and family-friendly fare. You’ll also find an abundance of fresh Indiana fruits and vegetables at any of the six farmers markets that take place every Friday and Saturday all summer long. It’s all waiting for you “Just North of Indy.”
Learn more at VisitHamiltonCounty.com just north of indy arts
Oh, my aging joints! Local women share their stories about joint replacement
By Judy Burnett
Osteoarthritis affects 27 million Americans.
ccording to the National Center for Health Statistics, more than 50 million adults have some form of arthritis. Affecting 27 million Americans, the most common is osteoarthritis, the wear and tear of weight-bearing joints such as knees and hips. When osteoarthritis occurs, the cartilage between the bones that cushions the joints begins to wear away, causing pain, stiffness and loss of mobility. Without cartilage, the bones will eventually rub against each other, causing a condition called bone-on-bone. Aging, genetic defects, excess weight, injury and overuse can all cause osteoarthritis â€” athletes and people in professions that require constant bending, kneeling
30 kitindy.com may+june 2013
or squatting can be especially prone. Before age 55, arthritis occurs with the same frequency in men and women, but after 55, it occurs more often in women. The symptoms of osteoarthritis are stiffness (particularly in the morning), tenderness, pain, swelling and limited range of motion. There is often difficulty in walking, climbing stairs and lifting objects. When finger and hand joints are affected, it may be difficult to grasp or hold objects, or to do delicate tasks such as sewing. Many people report a rubbing, grating or cracking sound when the joint moves. There are several ways to treat osteoarthritis,
THE CARE YOU’VE
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WITHOUT THE WAIT.
You now have quick, convenient access to the care you need. The new Franciscan St. Francis Health – Carmel offers a wide range of innovative outpatient and shortstay medical services right here, under one roof. You no longer have to drive to various locations for imaging, lab work, physical therapy and other services. You’ll also appreciate shorter wait times, with the added convenience of ample, easily accessible parking. We’re here to help you simplify your life, while ensuring a healthier future.
Embracing the future. Visit FranciscanStFrancis.org/Carmel for more information.
LAB & IMAGING • SURGERY • CARDIAC TESTING • PHYSICAL THERAPY • ORTHOPEDICS PRIMARY CARE • COLORECTAL AND CANCER CARE • INFUSION SERVICES • SLEEP DISORDERS
About 750,000 hip and knee replacement procedures are performed each year.
depending on how advanced the disease has become. Total or partial joint replacement has become increasingly common as surgical techniques and devices have improved. Although knee and hip replacements are most common (about 750,000 procedures are performed each year in the U.S.), shoulder, ankle and elbow replacements are happening more often, and in younger patients. Read on to hear from local women about their experiences with joint replacement surgery, with additional thoughts from their surgeons:
Hip and knee replacements done well can offer great outcomes Teresa Holden, age 59, had both knees replaced last fall by Dr. Jeffery Pierson at the Center for Hip & Knee Surgery at Franciscan St. Francis Health in Mooresville (the center also has a Carmel location). A gymnastics coach, Teresa had simply worn out her knees after 38 years of training gymnasts. She couldn’t walk down stairs, couldn’t stand very long and had pain when she walked. When Teresa consulted with Dr. Pierson about her knees, he recognized there was a problem with her right hip as well. In fact, her heel wasn’t even touching the ground. He recommended she have a hip replacement before her knee replacement. 32 kitindy.com may+june 2013
Teresa had her hip replaced last July, then had both knees replaced in October. She was back in the gym by the end of December. “Knee replacement for a badly arthritic knee is extraordinarily successful,” Dr. Pierson said. “Mild or moderate knee pain is not a reason for knee replacement. But, if you have a really bad hip or knee, the outcome of these operations is as good as anything we do in health care.” With a practice that focuses exclusively on total hip and knee replacement and revision hip and knee replacement surgery, Dr. Pierson believes joint replacement surgery by the right surgeon, in the right facility and for the right reason assures a great outcome. In Dr. Pierson’s experience, patients often spend time online trying to decide what prosthesis they want, but he urges them instead to research surgeon and hospital reviews for their procedure. “A patient is much better off spending their time doing research to help select their surgeon and the location where they want to have their surgery done,” Dr. Pierson said. “The experience of the surgeon and the entire team at the surgery location, combined with the annual volume of surgeries they do, is most important.” Dr. Pierson said the prosthetic devices used in replacement surgery are better now than they’ve
©Juanmonino, left. ©stevedangers, right.
ever been. “There have been major advances in the last 20 years,” he said. “Data shows that 90 percent of patients can expect to be doing well 15 to 20 years after surgery. That success is driven by the advances in prosthetics, and by the experience of the doctor doing the surgery.” For Teresa, life is infinitely better. “I’m smiling and laughing, and I’m not in pain,” she said. “I thank God I had the surgery with Dr. Pierson.”
A revolutionary technique, a remarkable recovery Sally Crowe was in her early 60s when her doctor referred her to Jeffrey Ginther, M.D., F.A.C.S., for arthritis of the hip. But when Dr. Ginther walked into her exam room with her X-rays, he was surprised to see someone so young. “These look like films for a 90-year-old,” said Dr. Ginther, a board-certified and fellowshiptrained orthopedic surgeon at Riverview Hospital. “No,” Sally told him. “That’s my hip.” The retired Noblesville teacher knew it was time to take action and regain the ability to do the things she loved, so she decided to talk to Dr. Ginther about the direct anterior surgical approach for total hip replacement. Dr. Ginther
agreed this innovative approach — which has revolutionized recovery for patients — would indeed be a good fit for Sally. In this procedure, a special surgical table is used to allow the surgeon better access to the hip joint. The table also allows imaging to be done during surgery, enabling more accurate placement of the hip components. An incision is made along the front of the hip, and the surgeon doesn’t have to cut any muscles, greatly reducing healing time. Restrictions in the post-operative period are minimal, and the dislocation rate is significantly reduced. In fact, patients can bend their hip and bear full weight immediately after surgery. Dr. Ginther carefully studied this approach and modified his surgical technique for total hip replacements a few years ago when he realized the difference it could make for his patients. “My patients’ success is very important to me,” he said. “I love seeing them get back to the activities they love.” Riverview Hospital in Noblesville is a teaching site for the direct anterior approach, which means visiting surgeons from around the country come to Riverview through the Biomet Orthopedics educational program to observe Dr. Ginther in surgery. He also teaches orthopedic surgeons at national laboratory training sites. Three years post-surgery, Sally is still going strong, participating in yoga and enjoying life. She returned to golf about seven weeks after surgery, and said a friend of hers returned to activity four weeks after having the same surgery with Dr. Ginther. “I don’t even think about my hip,” Sally said. “Getting my hip replaced is the best thing I ever did. It changed my life. And Dr. Ginther’s enthusiasm and love of what he does instilled confidence in me.”
Patient commitment to rehab is critical to joint replacement success Edward Hellman, M.D., is an orthopedic surgeon with OrthoIndy. Among other locations, he operates at the St. Vincent Center for Joint Replacement, a state-of-the-art facility on the campus of the W. 86th Street hospital. The care team at St. Vincent is composed of professionals who have been specially trained in joint replacement care, and in addition to doctors and nurses, includes physical and occupational therapists, dieticians, respiratory therapists, pharmacists and orthopedic technologists. The center also offers an educational program that helps patients and their families prepare for joint replacement surgery. Dr. Hellman feels the current trend toward joint replacement in younger patients will continue. “When pain is interfering with daily lifestyle, it’s time to replace the joint,” he said. “Age doesn’t matter. If you cannot work or do something with your kids, it’s time to replace the
Study uncovers PFC/osteoarthritis link Emerging research from Yale University has linked osteoarthritis in women to PFC exposure, chemicals often found in products such as non-stick cookware and stain-resistant carpet. In this study, women with high PFC exposure doubled their odds of developing osteoarthritis as compared to those with the lowest PFC exposure. The same effect did not appear in men. 33
— Dr. Jeffery Pierson, Center for Hip & Knee Surgery at Franciscan St. Francis Health
joint, even at age 45. If you wait too long, it gets harder to rehab after replacement.” Karma Malcolm, a patient of Dr. Hellman, had her right hip replaced at age 50. She had been unable to walk even short distances, and was in constant excruciating pain due to osteoarthritis. “All I could do was sit on the couch,” she said. “I was essentially homebound and had gained a lot of weight.” Several surgeons told Karma they would not operate on her until she lost weight. She felt Dr. Hellman wasn’t judgmental, even though he was concerned that her rehab would be more difficult because of her weight. “I promised him, if he would do the surgery, I would lose weight,” Karma said. Karma had no problems with her rehab, staying in the hospital for just three days before returning home, where she continued all her exercises on her own. “I followed all their instructions,” she said. “I used a walker the first week, and then used a cane for two weeks. After that, I walked without assistance and started at the gym four weeks after surgery, five days a week, slowly walking on the treadmill for just 15 minutes and gradually building up my time.” Within the year following her hip replacement, Karma kept her promise, dropping 100 pounds. Today, she does a lot of volunteer work, walks in 5Ks and plays on the floor with her granddaughter. She appreciates her mobility, and Dr. Hellman, now more than ever. “He gave my life back to me,” she said.
After age 55, arthritis occurs more often in women than in men.
Coordinated effort increases success of joint replacement Dr. George Feliciano is the director of the Center for Joint Health at Community Hospitals, a dedicated unit for hip and knee joint replacement that focuses on the entire patient experience within a wellness model. The goal of the center is to get patients back to the activity level they enjoyed before their knee or hip pain began. Everyone involved in patient care, from doctors and nurses to housekeeping, pharmacy and dietary staff, is patient-focused. The center’s program employs a true group therapy concept
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by bringing patients in the same condition together to share their recoveries; Dr. Feliciano believes this coordinated approach to patient care is much more effective than previous methods. “There is always the thought among patients that the nurses and doctors are there for you, but they aren’t going through the same thing,” Dr. Feliciano said. “That’s why the peer-to-peer support is so important.” Dr. Feliciano replaced Barbara Watson’s right hip in November 2011, employing the direct anterior approach. “I could not have asked for a better experience,” Barbara said, staying in the hospital just 55 hours following surgery before returning home. “Therapy at the hospital was very intense. They did not let me rest; I was up and walking six hours after surgery. I was walking a half-mile by the time I went home.” After her discharge, Barbara’s physical therapy continued three times a week for two weeks. She then continued exercises on her own, and was pain-free and feeling back to normal three weeks after her surgery. Dr. Feliciano said the direct anterior approach to hip replacement isn’t widely used right now because only a limited number of surgeons have been trained to do it. He currently uses this minimally invasive approach with one-third of his patients. “The numbers will increase as more surgeons are trained and become comfortable with the direct anterior approach,” Dr. Feliciano said. One other change Dr. Feliciano notes when it comes to joint replacement surgery is that more procedures are being performed in younger and more active people. “For the average patient and with today’s technology, the joint will last 20 to 25 years, depending on their activity level,” he said. Barbara is thrilled with her result. “I could not have asked for a better experience,” she said. “The staff at Community North was phenomenal. I was very pleased, and Dr. Feliciano is a wonderful doctor.”m Judy Burnett owns and operates Judy Burnett Solutions, a marketing and public relations firm serving small to medium sized businesses, professional practices, non-profit organizations and high profile individuals. Among the services she provides are crisis communication, news and feature writing, publicity campaigns, script and speech writing, special event management and media campaigns.
“If you have a really bad hip or knee, the outcome of these operations is as good as anything we do in healthcare.”
Smooth, Firm & Tighten Your Body Without Surgery Treatment with ultrasound and massage offers noticeable results
M Dr. Jan Turkle Turkle & Associates
Dr. Turkle offers an ongoing series of free webinars on various surgical and non-surgical enhancement topics. To view a webinar go to www.turklemd.com.
any of us have problem areas of fat and cellulite that we want to improve but either don’t want or are not ready for cosmetic surgery. VASER Shape is an advanced treatment that uses a combination of ultrasound therapy and massage to warm the problem area and smooth, firm and shape the body by targeting the underlying fatty tissue. VASER Shape, which is non-surgical and non-invasive, can help your body’s metabolism by increasing blood circulation in the area being treated and draining the excess toxins and fat. Unlike other fat reduction therapies, VASER Shape offers some skin tightening as well as reducing or eliminating fat or cellulite. Ultrasound uses two beams of high frequency sound waves to generate localized heat beneath the surface of the skin. VASER Shape achieves this effect with a special hand piece that delivers two overlapping beams of ultrasound energy. By moving the hand piece over a patient’s body, we can treat the tissue layer that is one to five centimeters below the surface of the skin. This promotes fat cell mobility and
encourages the body to metabolize the excess fluids. Patients report feeling a gentle warming of the skin with a feeling similar to a deep tissue massage. Heat produced by ultrasound creates a “micromassage” effect on the fat cells. By warming the connective tissue, redistributing fat and encouraging blood circulation, VASER Shape slims and smoothes your body shape. Many patients notice significant improvement after the first session but the treatment protocol is for an initial series of four treatments for noticeable results. Following the procedure, patients can resume normal activity without pain or downtime. It requires no anesthesia and is performed in our office. Your skin may be slightly pink and feel warm after the procedure but this disappears after a few hours. VASER Shape can be used to treat the following areas: abdomen, back, arms, love handles, hips, buttocks and thighs. Although it is recommended for a variety of patients, a consultation is required to determine if this treatment is right for you.
11455 North Meridian St. Suite 150, Carmel, IN 46032
To arrange a consultation with Dr. Turkle, call 317-848-0001.
FASHION how to
Great white pants Great white pants are a little like great white sharks — elusive. But, when you find the right pair, the payoff is huge. They instantly freshen up the rest of your closet. These pants have passed our test for flattering fits, substantial fabrics and endless style. BY ERICA SAGON The cut: Straight TRY: Signature straight-leg pants, $89.99 at Ann Taylor Factory Store * WHY: When it’s gorgeous outside, getting dressed up for work can be such a drag. Crisp, straight-fit pants to the rescue! This pair looks polished and summery at the same time. Think long, clean lines — best achieved by wearing heels (swap your usual black pumps for a nude shade to lighten the outfit). These are pants worth hemming for a sharp, tailored look. *Find Ann Taylor Factory Store at Edinburgh Premium Outlets in Edinburgh, Ind. 36 kitindy.com may+june 2013
The cut: Cropped TRY: Contour crop-leg denim, $78 at White House Black Market WHY: You might call these capris, but start thinking of them as cropped pants and you’ll get more stylish results. Pay close attention to length for a slimming effect; the legs should cover the widest part of your calf. Choose a pair with clean lines. That means no cargo pockets or wide cuffs held up with tabs at the side. And, ladies, easy on the rhinestones, please. This pair has subtle sparkly rivets and metallic stitching on the back pockets — a little glitz done right.
The cut: Relaxed, yet slim throughout TRY: Skinny roll-up denim, $89.50 at Banana Republic WHY: These are the pants you’ll reach for again and again on summer weekends because they always feel right. This pair will revive all the pieces you’d normally wear with dark denim — a simple V-neck tee, a printed tunic, a striped top. Fabric with 1 to 2 percent spandex will give you the best fit; even so, these jeans should skim the body, not hug it. Give the legs a skinny roll for that breezy, laid-back look. photoS by Chris whonsetler
David Carnovale, MD Fertility Care
OVER 80% OF OUR FERTILITY PATIENTS BECOME PREGNANT. (statistics can be so romantic)
Baby showers. Father’s Day. Mom’s day out. For couples having trouble getting pregnant these are just painful reminders of what might have been. But the OB specialists at Community are blazing a trail…and helping women become Moms. From assisted fertility to giving high-risk women the joy of birth…Community is the name you always hear. We’ve even invented a breakthrough surgical technique to remove endometriosis. Over 80 percent of our fertility patients become pregnant. Who would’ve thought statistics could be so romantic? Look to the doctors who aren’t just good at delivering babies…we’re good at delivering hope. To learn more about Community’s trailblazing work with in-vitro fertilization, fertility preservation and endometriosis, visit us at eCommunity.com/assistedfertility or call 800.777.7775.
38 kitindy.com may+june 2013
Farm to fork Meet your local food producers
By Tracy Line + photos by Kelly Lynn mitchell
Traders Point Creamery and other central Indiana farmers, growers and producers delight in providing their customers with fresh, delicious local food.
Summer is in full swing, and that means it’s time to eat. Maine has lobster and Texas has barbeque, but no one can beat Indiana when it comes to farm-fresh produce. There’s simply nothing better than local golden sweet corn, juicy red tomatoes and ripe strawberries that taste as sweet as summer itself. So where does all this great food come from? Look no further than your own backyard. Long before most of us have even risen for the day, central Indiana farmers are already hard at work. But don’t feel sorry for them. They love what they do, working outdoors (often with family) to grow delicious food. We should all be so lucky. Read on to meet four farmers who make your favorite summer foods possible. 39
Jane Elder-Kunz Traders Point Creamery, Zionsville Jane Elder-Kunz and husband, Dr. Peter “Fritz” Kunz, were fans of natural food long before it was fashionable. “My husband is a physician, so we were already organically inclined,” Jane says. The couple also has a great respect for farming and what it represents — nourishing food, family values and wholesome living. When they inherited Jane’s grandmother’s cattle farm in 1997, they quickly decided to transform it into an organic dairy operation. At the time, there were no other organic farms in Indiana. The Kunzs had to educate themselves about the entire process by attending dairy conferences and making trips to other out-ofstate organic dairy farms. It took three years for Traders Point Creamery to become certified organic, and three more years to produce its first bottles of milk, which the Kunzs began selling to local grocery stores. Jane and Fritz then turned their attention to yogurt. Once they were satisfied with their product, they entered a competition and, much to their surprise, won. “It was a big deal for our company,” Jane says. Soon after, they were invited to showcase their yogurt at a Midwest dairy products show. Whole Foods loved it, and within months, began carrying the product in 18 stores across the Midwest. The Kunzs didn’t stop there. They continued to expand their farm and now produce a wide variety of dairy products, including artisanal cheeses, in addition to operating an onsite dairy bar. Demand for their food was so high, Jane and Fritz ended up adding a restaurant to the mix. The Loft is now open seven days a week, serving award-winning food grown directly on the farm (including 100 percent grass-fed beef). The Kunzs also host a year-round farmers’ market that Jane calls a “weekly celebration of all the farmers and food in our area.” It’s hard work, but the Kunzs’ passion and values keep them going strong. They are true believers in nourishing the land that nourishes us all, and love what they do. “What we’ve been able to develop, the people we meet, the good vibes of what we’re doing — the entire lifestyle keeps us motivated,” Jane says. Jane and Fritz Kunz produce milk, yogurt, cheese and other products at Traders Point Creamery.
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Elizabeth Blessing Green Bean Delivery and the Feel Good Farm, Sheridan She has a passion for nutrition. He has a passion for the environment. Together, they’ve made it easier for us to eat local. Elizabeth (Beth) Blessing and Matt Ewer are the married owners of Green Bean Delivery, a company that provides home-delivered organic, local produce and natural groceries. The concept for what is now a booming business came to Beth and Matt years ago when the couple lived in Seattle. Beth was working on her master’s degree in nutrition, while Matt worked on an organic farm. “He gained a lot of experience there,” Beth says. “He learned how to grow the food, worked the farmers’ markets, and learned how to negotiate with CSAs and wholesalers.” The couple’s combined passions led them to start an organic farm and offer their produce to customers via a home delivery service. Following the advice of Matt’s mentor, they bucked tradition and founded their delivery service first before they ever set sights on a farm. “We wanted to create a system first and get our members lined up before creating a farm to feed them,” Beth says. “It is more profitable and easier to do it this way.” The couple partnered with local farmers, opened their business and began delivering organic produce. Their innovative way of doing business quickly paid off. In 2013, Green Bean celebrates its sixth year with a customer base of around 12,000 stretching beyond Indiana into Ohio, Kentucky and Missouri. The company also provides food for the animals at the Cincinnati Zoo, grown on land rented from the organization.
In 2010, Beth and Matt established the Feel Good Farm using land they rent from Anita and Steve Spencer, owners of Homestead Growers, launching the organic operation by planting a blueberry patch, kale and romaine lettuce. This year, they’ll add broccoli, cabbage, squash, peppers, cherry tomatoes and baby watermelons to the mix. While Beth and Matt now have their own farm, their steadily growing customer base means they continue to work with other local farmers. “Even though we grow our own food, it hasn’t impacted what we buy from other farmers,” Beth says. As Beth can attest, farming can be hard work, and it’s not a high-profit industry. But with a passion for nutrition and the environment, it is the perfect way for her and her husband to make a living. “It’s fun to take our kids out and to experience their excitement at seeing how things grow,” she says. Beth Blessing and Matt Ewer bring fresh produce and natural groceries to customers at home through Green Bean Delivery.
Anita Spencer Homestead Growers, Sheridan
Anita Spencer’s Homestead Growers farm specializes in lettuce, basil and heirloom tomatoes.
For Anita Spencer, the question was never “Do you want to live on a farm?” but rather, “What kind of farm do you want to live on?” The answer came when she married her husband, Steve, and moved to his family’s farm, the Kercheval Homestead. Like other generations before them, Steve and Anita were given a portion of the family’s 175-year-old property, with the freedom to use it however they wished. “Each generation has had the choice to do what they want to do,” Anita says. “Some raised cattle, others raised sheep, but we decided to make our farm organic.” Anita and Steve, along with Steve’s brother, Jeff, built a barn and grew shiitake mushrooms. Then they expanded their gardens to grow a large variety of fruits and vegetables, selling their produce at farmers’ markets and to colleges, local chefs and community-shared agriculture groups who provide money for local farms in exchange for a portion of their crops. At the same time, Steve began to experiment with making sauces using leftover produce. His creations became instant hits at farmers’ markets, and Steve soon partnered with Paul Skirvin to create LocalFolks Foods. The company now sells 16 different products in stores nationwide. As LocalFolks Foods grew, the original family trio found themselves short-handed and decided to sell off their mushroom business. Since then, Anita and Jeff have focused on growing produce, while Steve puts his energy into LocalFolks Foods. This year marks yet another accomplishment for the Spencers. For the first time ever, Anita, Steve and Jeff will sell their food to restaurants, not at markets. This allows them to concentrate on maximizing their niche by growing three major crops—lettuce, heirloom tomatoes and basil, all distributed to Café Patachou, Petit Chou, Napolese and the Local Eatery and Pub. Anita admits she’ll miss connecting with the public. “I love the people at the farmers’ markets,” she says. “Quite honestly, it will be a new challenge for me.” Even so, all three of these farmers are confident they’ve made the right decision. “It’s really neat, because we all have different gifts,” Anita explains. “We bring together a good combination of skills to make things work.”
How can you support your local farmers? “Join a CSA, go to the farmers’ market, ask where the produce came from.” Anita Spencer, Homestead Growers
“Support restaurants that support local farmers, patronize stores that advertise local produce, pay attention to where your food comes from.” Elizabeth Blessing, the Feel Good Farm
“Support our requests to improve production agriculture. Agriculture in every county benefits economically when we succeed.” Tammy Lawson, Lawson Farms
“Visit our farmers’ market. There is so much energy in this place, it’s truly a family affair.” Jane Elder-Kunz, Traders Point Creamery
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Tammy and Kay Leigh Lawson Lawson Farms, Thorntown Tammy Lawson didn’t plan on being a farmer; she went to college in hopes of becoming a veterinarian. Yet when she met her husband, Don, at school, her plans quickly changed. Don and Tammy both graduated from Purdue with degrees in agriculture, married and moved back to Don’s family farm to work the land with his brother. The couple began raising corn, soybeans, wheat, alfalfa and livestock. Nearly 30 years later, the Lawsons continue to farm their land, now with help from their daughter, Kay Leigh, and her fiancé, Jeremy. Tammy and Don’s son, Clayton, plans to return to the farm after completion of his service in the U.S. Army. This family cannot imagine life any differently. “I love being outdoors, love the freedom of our everyday life,” says Tammy. “I also love the challenge.” For Kay Leigh, farming is all she’s ever known, and all she wants to do. “For me, it’s something I grew up doing,” she says. “It’s kind of a culture.” Lawson Farms is now a 2,500-acre property in Thorntown, with 2,250 acres devoted to crops and the remaining 250 acres used to pasture 140 cows and calves. The crops are sold to seed and food-processing companies. About half the beef sells directly to customers; the other half goes to auction where buyers purchase it to distribute to high-end restaurants. Managing livestock requires patience and hard work (in fact, we had to pause our interview so Kay Leigh could capture a runaway calf), but the Lawsons take it all in stride. “It takes a lot to run a farm,” Tammy acknowledges. “But every job has challenges and benefits.” Dealing with local, state and federal government also presents its own set of obstacles. Like many other farmers, the Lawsons find increasing restrictions make it harder for them to do their job. Community support has made a tremendous difference in their ability to keep their farm going. Mother and daughter agree that for younger generations, gaining a solid footing in a farming career can be difficult. Kay Leigh eventually wants to branch out on her own. “The biggest challenge in my position is getting started,” she says. “Land agreements very rarely become available, as landowners stay with the same farmers for decades.” In addition, starting a farm is a huge financial commitment; even investment banks are sometimes hesitant to approve loans. So for now, this mother-daughter team will continue working together, and really, they have no complaints. “It’s a family thing, I enjoy it,” says Kay Leigh. “Even when we must work until 10 at night.” A mother-daughter team, Tammy and Kay Leigh Lawson join forces to keep Lawson Farms growing and thriving.
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Restless Leg Syndrome... Could It Be Varicose Veins? Varicose vein treatment can help Restless Leg Syndrome
R Jeffery P. Schoonover, M.D., FAAFP, RVT, RPVI Indiana Vein Specialists
estless Leg Syndrome (RLS) is thought to affect as much as 15 percent of the general population and negatively impact their quality of life. Those with RLS experience irresistible urges to move their legs; a “creeping” feeling in the legs; persistent leg movement during sleep; or tingling, burning, aching or numbness of the legs. Symptoms of RLS are worse at night or during periods of relaxation, such as lying down during the day. They tend to improve with activity. The symptoms disrupt the sleep not only of the RLS sufferer but can disrupt the sleep of their bed partner as well. The standard treatment for RLS is neurologic medication. Unfortunately, the available medications only relieve the symptoms, they do not cure the condition and must be taken long term.
An often-overlooked cause of RLS is venous insufficiency. Several studies indicate that as many as 22 percent of those with RLS also have venous insufficiency. In venous insufficiency, or varicose vein disease, the blood valves do not work properly and allow some of the blood to flow backwards and pool in our legs, which can, but not always, result in bulging veins and causes symptoms such as pain, swelling, tiredness, redness or restlessness. Edema, or swelling, that occurs with venous disease often recedes at night and that is believed to somehow cause the “creeping” sensation described by patients with restless leg syndrome. When restless legs occur with venous insufficiency, the RLS can be improved significantly by treating the varicose veins. A study published in the Journal of Phlebology reported that in patients with both RLS and venous disease, 98 percent had their RLS symptoms relieved with varicose vein treatment and 80 percent of experienced long-term relief. Anyone who suffers from the symptoms of RLS and varicose veins should be evaluated for venous insufficiency, typically with a diagnostic ultrasound assessment before beginning treatment. If varicose vein disease is present, a course of endovenous laser treatment (EVLT), sometimes combined with sclerotherapy, offers the best opportunity for improving the symptoms of RLS and possibly eliminating the need for medication.
Better Options. Healthier Legs. 11876 Olio Road, Suite 700 Fishers, IN 46037 317.348.3023 www.indyveins.com
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When the roles are reversed: helping your aging parents
left, ©delihayat. right, ©Casarsa
By Tracy Line
ong ago, my father used to say, “Tracy, you come into this world naked and broke, and you leave that way, too.” At the time, we both laughed at his humorous observation of the circle of life. My father was, and still is, witty. Yet watching him and my mother age isn’t so funny. My parents are still fairly independent, but I must now look out for them. I’m not alone. According to the National Alliance for Caregiving, more than 65 million Americans are giving unpaid care to a parent or loved one. Most of us are happy, or at least willing, to help our aging parents, but knowing how to do so is sometimes a challenge. It’s a role
reversal, and unchartered territory for many. This month, Kit teams up with Inna Pecar, owner of Advocates Home Health Care, to bring readers helpful advice about caring for your aging loved one.
More than 65 million Americans are giving unpaid care to aging parents or loved ones.
Do your homework.
Your first step is to figure out what your parent needs. Start with the big questions: Can your parent still safely live on his or her own? Is he or she of sound mind, but needing help with daily tasks like cleaning, driving and handling the bills? If you’re unsure about how to help, research your concerns. 47
FAMILY issues Research available services and find out what they cost.
Learn more about what Medicare and Medicaid will and won’t cover (never assume). Remember, says Pecar, you are an advocate for your parent. Educating yourself is vital.
Utilize the Internet.
There are numerous websites on aging and caregiving. You’ll also find local agency information, tips for dealing with common challenges and guidance on emotional issues. The library and your peers who are dealing with the same situations can also be great helps.
Trust your gut.
Acknowledging that your parent needs help is difficult. It’s an emotionally charged issue, and your heart may need time to catch up with the reality of the situation. Work your way through by focusing on the issues at hand and rely on your intuition.
Does mom forget to take her medicine, or does she struggle with keeping track of how much to take and when? Is Dad just a slow driver, or is he a danger to others on the road? Observing behavior can help. Parents often hide their struggles from their children, and issues such as incontinence or falling can be embarrassing to discuss. “We don’t always know what our parents are going through,” says Pecar. “Older people learn to compensate; they make things look better than they are.” It’s natural to experience diminished memory and decreased physical abilities as we age, but ignoring major issues can lead to dire consequences. Pay attention to that knot in your stomach. It’s your intuition telling you what your brain can’t comprehend.
Talk about it.
It may feel awkward, but frank discussion is a necessity. Ask your parents how they feel about their living situation, finances and health. Tell them your concerns. Offer to help (or arrange for help) with tasks such as grocery shopping, driving or mowing the lawn. Planning ahead is imperative. “Who will decide how to proceed medically if your parent is unable to speak for himself,” asks Pecar. “Who will handle the finances?” Arrange for a power of attorney ahead of time. Doing this alleviates stress and, best of all, you know you’ll be abiding by your parent’s wishes. If you had, or still have, a troubled relationship with your parent, you may need to work through your emotions first. Age and diseases like Alzheimer’s can alter your parent’s personality. Turn to family, friends or a support group for help with these issues.
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“Be careful with your decisions. Advocate for your parent. And if it doesn’t feel right, don’t do it.” —Inna Pecar, Advocates Home Health Care
Maintain updated records.
In a crisis, your world may come to a halt, but the requirements of life never stop. Your parent’s pet stills need care, appointments have to be rescheduled and bills have to be paid. Make these tasks easier by maintaining copies of your parent’s pertinent financial and health information. Keep a financial log of bank and credit card accounts, health insurance and medical contact information. Keep copies of wills, living wills and power of attorney documents. Run an annual credit check for your parent to prevent and combat fraud (many websites offer this service for free).
You will never regret time spent with your aging parent. It’s healthy for the parent as well, reducing anxiety and loneliness. Being there also allows you to assess the situation. “It’s important for family to be present as much as possible,” says Pecar. “Check medications, ensure they have enough water, make sure they get breakfast — pay attention.” And remember, this is just a phase. While stressful, this time can also be a gift. Those who’ve spent a great deal of time caring for an aging parent often report they found this time to be extremely enriching.
Take care of you.
It’s also important to know and respect your own limitations. If you need help, ask for it. Utilize services such as those provided by MD2U (details below). Attend a local support group for caregivers. Go out with friends, or take a day off work to relax. These small investments in your own wellbeing give you the energy you need to handle the arduous task of caregiving.
Last but not least, learn to laugh.
There is sadness in the aging process, but there is also comedy. Laughing is an emotional release, one that goes a long way in healing. Just ask my dad. m Tracy Line is a freelance writer residing in Noblesville. Her work has appeared in numerous publications
Caregiver resources Mayo Clinic; information on aging parents; mayoclinic.com National Alliance for Caregiving; resources for caregivers; caregiving.org Cicoa; helps seniors live comfortably at home; cicoa.org; (317) 254-3660 Meals on Wheels Hamilton County; delivers hot meals to the elderly; mealsonwheelshc.org; (317) 776-7159 Joy’s House; offering adult day care; joyshouse.org; (317) 254-0828 SarahCare; offering adult day care; sarahcare.com/ indianapolis; (317) 815-8300 MD2U; providing quality health care to the homebound or home-limited; md2uindy.com; (317) 429-0120 Advocates Home Health Care; offering companionship, nursing care, therapy and more; (317) 580-0700
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Q Why is it so hard for me to lose weight and keep it off? A The problem with most weight loss attempts is that people make temporary
changes to lose weight. To keep weight off, it is your lifestyle that needs to change. It requires learning new skills and practicing them long enough to make them habit.
Q I’ve tried and failed on many diets.
What approach do you recommend to patients like me?
A What I have seen work the best for my patients is a comprehensive medically-
supervised weight management program like the one offered by HNT. The program should combine long-term group classes that help you learn and practice healthy skills along with a nutritionally complete meal plan and medical supervision.
Q What results can I expect with this approach? A In the program I direct, patients can expect an average loss of 2-4lbs per week
during the weight loss phase. At one year the average loss is 19% of their initial body weight. More importantly, those who choose to continue with support maintain a loss of 17% of their initial body weight several years down the road. This kind of weight loss leads to significant and meaningful health benefits.
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Best beauty buys (under $10) By Erica Sagon + photos by Chris Whonsetler
Finding truly great makeup at the drugstore can feel like a huge win. After all, those aisles are so overwhelming, and unless you’re making a beeline for a product you already use, it can be tough to discover something that’s new and worthwhile. ¶ So, we stood in those daunting aisles for you and picked out makeup that made us curious. (All products cost less than $10 and can be found at drugstores, supermarkets and mass retailers like Target.) Then, we handed it out to women across Indy and asked for their honest opinions. Turn the page to see their favorites, and what they thought of each. >> 57
1. Maybelline Volum’ Express The Falsies Mascara in Very Black (about $6) “I liked that this mascara gave me nice, full lashes. They were dark and looked lush, but not unnatural. The brush was easy to use — no clumping. The wand was flexible, which was especially helpful when accessing the small lashes near the corners of my eyes. My only complaint was it left black smudges under my eyes when removed with water, so I had to use a makeup remover.” Lisa Powers, 38, Fishers Kit says: On summer days when you don’t want to fuss with a lot of makeup, skip eye shadow and liner, but sweep on a high-impact mascara like this to make eyes pop. 58 kitindy.com may+june 2013
4. Almay Intense i-color shimmer-i kit (about $7) “It was easy to apply — it’s obvious where each color belongs because of the package labeling showing where each color should go.” Becky Rinker, 38, Indianapolis
2. 3. Physicians Formula Powder Palette MultiColored Blush (about $10) 2. Revlon Colorburst Lip Gloss in Pink Peony (about $6) “This is very nice lip gloss for over lip pencil, or on nude lips. This pink has flecks of gold and goes over lips very smoothly. I had to reapply every four hours to remain fresh-looking, but I do like it, and will buy it again.” Barbara Clouse, 47, Indianapolis Kit says: A nude-pink gloss like this is such a smart buy — it always looks polished, whether you’re going to a barbecue or a wedding.
“Love! Perfect amount of color! The blush works for any time of day and year; it gives you rosier cheeks during the winter months when your skin is pale and a touch of color during the summer months when your skin is sun-kissed. A great investment for year-round use.” Suzannah Hobley, 37, Indianapolis Kit says: A montage of complementary hues takes the stress out of buying blush; blend the pigments and color in one sweep for a look that flatters many skin tones.
Kit says: We love eye palettes like this for summer vacation because they streamline your makeup bag, yet still give you options for day and night.
5. Revlon Colorburst Lip Butter in Berry Smoothie (about $8) “This lipstick went on smoothly, giving my lips a shiny, moist appearance. I liked not having to carry two tubes of lipstick (one color, one gloss) to get this look. The color seemed to stay on for about four to five hours, so I only had to re-apply after lunch!” Emily Purdy, 45, Westfield Kit says: Clocking in somewhere between lip gloss and lipstick, lip butters feel so right for summer — especially in a fun punchy color.
6. L’Oreal Paris Colour Riche Balm in Rose Elixir (about $7) “I loved this product. It’s perfect for throwing in your purse and putting on when you have dry lips and need just a hint of color. And it’s just right for summer — it was great when I came back from spring break. It was just what I was looking for in lip color.” Kelly McVey, 48, Noblesville Kit says: Lighten up your lipstick for summer with a tube that’s sheer, shiny and rosy.
7. L’Oreal True Match blush in Neutral (about $8) “I have purchased this blush several times — I like the quality and the color is very natural. There’s a mirror and blush brush on the other side. It’s a nice, compact size with everything you need, so it’s perfect when you are traveling. If I am going directly from work to an event, I can freshen my face in a few quick seconds.” Carol Anne Kemper, 50, Carmel Kit says: A natural flush of cheek color achieves the right balance when you’re wearing a bright, summery lip gloss or lipstick.
Meet our testers:
8. Covergirl Perfect Point Plus Self-Sharpening Eye Pencil in Espresso (about $5)
Carol Anne Kemper, product manager Fan of: L’Oreal, Neutrogena, Chanel
“This pencil was easy to use, and I liked the spongy tip on the end for blending. I would usually wear a darker black color, but I did find that the Espresso was a good look on me. It’s creamy, and stays where you put it.” Barbara Clouse, 47, Indianapolis
10. Neutrogena MoistureSmooth Color Stick in Fresh Papaya (about $9)
“I liked how the product moisturized my lips, offering a fresh, clean look.” Kulyn VanMeter, 49, Noblesville
Kit says: The twist-up, self-sharpening feature is a time-saver that we can all appreciate in a rush. Plus, the crayon-like texture means it quickly glides on smooth.
Kit says: With sheer color and a moisturizing formula that softens lips, this is a balm to keep in your purse all summer long.
9. elf Essential Flawless Eyeshadow Palette in Smoky (about $3)
11. Neutrogena Healthy Skin Blends Blush in Sunkissed (about $10)
“This eye shadow went on easily with almost a creamy feel, even though it was a powder. It lasted the entire day. I feel like it’s a good item to have for going out on the town. All the colors had a shimmer that really highlighted my eyes!” Emily Purdy, 45, Westfield
“I have tried so many bronzers that don’t seem to have much color at all — this one gave me just the right amount. This is something I always want to have with me because just a bit in the middle of the day makes me feel a little more puttogether.” Kelly McVey, 48, Noblesville
Kit says: A smoky eye is a bold and pretty look, but if it’s just a once-in-a-while thing for you, a well-priced palette is the way to go.
Kit says: This palette of sheer, natural hues warms your entire face, a must for days when you don’t want to look too done up or too laid back.
publisher of Kit Fan of: Maybelline and Covergirl site specialist Fan of: Maybelline, Covergirl, Clinique
Barbara Clouse, at-home mom Fan of: L’Oreal, Covergirl, Revlon, Maybelline, Bobbi Brown
Lisa Powers, VP of creative development Fan of: Covergirl, Maybelline, Revlon, Clinique, Estee Lauder
Becky Rinker, probation officer Fan of: Covergirl
Kulyn VanMeter, project coordinator Fan of: Maybelline, Lancôme
Suzannah Hobley, salon owner Fan of: Maybelline, MAC Cosmetics
girls getaway richmond, Indiana
EASTERN EXPOSURE RICHMOND IS PRIME TERRITORY FOR A GAL-PAL GETAWAY by Amy Lynch + PHOTOS BY KELLY LYNN MITCHELL
Foster’s E. Street Gallery Within Richmond’s emerging Historic Depot District, Foster’s is full of intriguing artifacts, antiques and treasures to browse.
With fun shopping venues, intriguing history, distinctive restaurants and charming B&Bs, Richmond’s got all the makings of a memorable girlfriends’ getaway. Just an hour east of Indianapolis on I-70, this mid-sized Hoosier town offers a great escape that’s easily accessible.
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â€œColumbus has one of the finest and most significant collections of modern architecture anywhere in the world.â€? The Urbanophile
Miller House and Garden : Eero Saarinen, Dan Kiley, Alexander Girard
www.columbus.in.us only 45 minutes from downtown indianapolis
Come check out our a huge selection of both indoor and outdoor rugs!
Your one-stop shop for gifts galore & more!
(Featured rugs above are all outdoor rugs.)
HOURS: Mon-Sat 10am-6pm
856 Logan St., Noblesville | (317) 773-3238 | www.lindentreegifts.com
READY, SET, SHOP! Ghyslain’s, right, handpainted chocolates are delicious works of art. The Old Richmond Inn, below, is a treasured local dining establishment. New Boswell Brewing Company is a recent addition to Richmond’s Historic Depot District. Warm Glow Candle Outlet is the perfect place to grab a souvenir. Firehouse BBQ and Blues, far right, delivers tasty brisket and pulled pork with a side of the best music in town.
ick off a weekend in Wayne County by contacting the local visitors center for info on an assortment of Just Us Girls (“JUGS”) package deals. As little as $60 per person per night snags every member of the group a keepsake vinyl Girlfriends’ Club Certificate Pack that holds $75 in coupons and savings for use all around town. Richmond holds a number of cozy accommodations, from the Potter’s Wheel B&B, the historic Lantz House Inn in Centerville, the Phillip W. Smith B&B and the Martha E. Parry B&B on Main Street across from Glen Miller Park to the modern Holiday Inn, Best Western and Quality Inn Conference Center. All offer convenient proximity to Antique Alley, the stretch of U.S. 40 from Richmond to New Castle populated with antique shops
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The annual Historic U.S. 40 Yard Sale runs May 29 through June 2. Now in its ninth year, the event is the brainchild of Patricia McDaniel, owner of the Old Storefront, an antiques/movie props store in Dublin, Ind. just west of Cambridge City. What used to be a strictly east-central Indiana event now spans more than 800 miles along U.S. 40 between Baltimore and St. Louis. Along the way, shoppers can pick through yards, garages, parking lots and barns filled with anything and everything. For more information, call (765) 478-4809 or visit oldstorefrontantiques.com.
full of hidden treasures just waiting to be discovered. After a day of antiquing, you’ll be ready to relax with a glass of wine on the outdoor deck at J&J Winery on Richmond’s west side. With lovely views, delicious wines, handcrafted beers and wood-fired pizzas, it’s the perfect place to unwind. Head to the casual Little Sheba’s for tasty sandwiches, or visit the elegant Ghyslain Bistro for heartier continental-style fare, both in the artsy Historic Depot District. The sumptuous desserts at Ghyslain are edible works of art — try the pretty-as-a-picture tarts or the gorgeous handpainted chocolates shaped like turtles, butterflies and other mouthwatering designs. Ghyslain is just one luscious stop on the Chocolate Trail, a collection of candy makers and other outlets, all of which hand
All that jazz As the “cradle of recorded jazz,” Richmond’s musical roots run deep. It all started with the Starr Piano Company, founded here back in the 1870s. A gentleman named Henry Gennett rose through the ranks of Starr Piano before venturing out to create the Gennett Record Company. Through the 1920s, 30s and 40s, Richmond’s hometown recording studios hosted Hoagy Carmichael, Bix Beiderbecke, Louis Armstrong, Tommy Dorsey, Jelly Roll Morton and other jazz greats of the era. Sadly, the Great Depression heralded the end of Richmond’s golden jazz age, but the city commemorates its proud musical heritage with “Walk of Fame” plaques installed in Whitewater Gorge Park at the former Starr Piano site, as well as an annual Gennett Records Walk of Fame Music Festival held the first weekend in September. History-minded gourmands can peek inside Henry Gennett’s former residence during monthly farm-totable dinners at the Gennett Mansion on East Main Street. Within the graciously restored home, guests feast on five sumptuous courses prepared by local chef Jen Ferrell. For more information and reservations, call (765) 935-0055 or visit gennettmansion.com.
out free samples and gifts when you present your ”chocolate passport” (available for free from the visitors center). Share and compare the sweet treats from century-old Olympian Candies and Hagerstown-based Abbott’s Candy, and take home a free chocolate-scented votive from Warm Glow Candle Outlet that smells nearly good enough to eat. This summer, Warm Glow doubles its space to a whopping 22,000 square feet filled with the company’s distinctively shaped candles in dozens of enticing scents, in addition to home décor items, plants, flowers and garden accessories. Back in the Depot District, pop into Paint the Towne pottery studio where everyone can create their very own DIY masterpiece (get $5 off as part of the Girlfriends’ Club Certificate Pack).
Up the street, Firehouse BBQ & Blues makes a great spot for a nightcap and some live music in a renovated 1860s firehouse. For a surprising dash of color, Richmond offers a lovely collection of Louis Comfort Tiffany stained glass within a five-block downtown expanse; pick up a map for a free self-guided walking tour. Culminate the trip with a special meal at the warm and welcoming Old Richmond Inn, a local favorite fine-dining destination in a former residential house that dates back to 1892. m For more information about Richmond/Wayne County girls’ getaway packages, call (765) 935-8687 or (800) 828-8414, or go to visitrichmond.org. 63
PASSING ON hope challenges
Life is bitter and sweet... Learning to accept both the good and the bad makes a deeper, richer experience by KATHY McHUGH
Holding the paradox of life, Being with the bitter and the sweet, Resisting nothing. Allowing the totality of the experience, This is fierce living!
Kathy McHugh is the author of Passing On Hope, a book of healing stories about her walk of liberation from the pain of the past through the transformative power of love. Kathy reminds others to “love your life” every single day, no matter what. You can contact Kathy at email@example.com and check out her website: passingonhope.com.
64 kitindy.com may+june 2013
©Jan Van Velse McHugh
have come to see that there is a sweetness to life that can only be tasted in the wake of the bitterness — a depth carved from bitter that drops us into another level of sweet. If we bypass the bitterness, we also bypass the sweetness. But, if we dare to allow ourselves to accept the totality of our life experiences, we come alive more fiercely and sure-footed regardless of the circumstances. Letting life touch us and cut us with its sharp edges in order to transform us takes faith that no matter what comes, we can meet it and use it to transform our journey. Learning from and using our experiences takes us from victim to victor, gives meaning to everything and helps us evolve as we extract the wisdom, spin the lead into gold and free more of ourselves to come out and play throughout this lifetime. Some experiences are harder to swallow than others. Acknowledging this helps us to swallow them anyway, digesting and integrating even the most unpalatable experiences. As Mary Poppins sings, “A spoonful of sugar makes the medicine go down.” This is true in life. Knowing that sweetness will come enables us to endure the bitterness. Nothing stays the same. Cycles come and go, this journey is ever-changing and evershifting, bringing both bitterness and sweetness. I invite you to look at your life and reflect on the gifts that have come from the jagged little pills you’ve been forced to swallow. Seeing the gifts, the beauty and the grace in all life brings your way actually makes even the bitterness sweet. Be with it all, and USE it!m
CARMEL Carmel at a glance: • Population: 81,564 (2011) • Median home sale price: $268,750 • Average days on market: April 2012 – 108. April 2013 – 92. • 43 percent fewer homes for sale in April 2013 as compared to April 2012 means Carmel has become more of a seller’s market than it has been in the last several years. • Average sales price as compared to listing price in April 2013 – 95.4 percent up from April 2012. In 2012, CNN Money ranked Carmel the No. 1 place in the nation to raise a family thanks in part to high-achieving schools, a strong support for the arts and an appreciation for creating and sustaining growth and excellence. The vibrant and eclectic Arts & Design District on the Monon Trail boasts unique shops and restaurants, and hosts ongoing activities and festivals throughout the year. Carmel also offers 800 acres of green space, parks and trails. Carmel City Center is a vibrant downtown neighborhood in and of itself, with a mix of residences, shopping, arts and entertainment, office space and culture. The Center for the Performing Arts includes the top-rated Palladium concert hall and several theaters. Carmel’s future is brighter than ever thanks to a growing number of successful businesses, community involvement and visionary planning.
Photography by Zach Dobson Photography
Arts & Design District – I love to stroll the sidewalks on a sunny day and duck into the galleries and small boutique shops.
Bub’s Burgers & Ice Cream – Have you tried the “Big Ugly” yet? Go hungry, and prepare to leave stuffed. Thankfully, Bub’s is located right on the Monon trail, so you can walk it off with an ice cream cone after your meal.
Matt the Miller’s Tavern – One of my favorite spots to grab a glass of wine, lunch or dinner. The atmosphere is fun and casual; sit back and relax while you peruse the extensive beer and wine selection.
Joe’s Butcher Shop and Fish Market – Joe’s fresh catch and mouthwatering cuts of meats are worth driving across town for. I just cooked a roast on my Big Green Egg, and it was amazing. Joe’s staff is also very helpful with preparation advice, and will special-order anything you need if it’s not already in the shop.
Monon Center – Living in Carmel offers the bonus of proximity to the Monon Center with its waterpark, indoor courts, and so much more. Summer camps are starting up soon; if you’re exploring fun summer activities for the kiddos, check them out. Look for Noblesville stats and Amy’s picks in the next issue!
Amy W. Corey, Realtor
Details and Results Matter! Get the personal service you deserve.
Call Amy W. Corey
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