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words from the editors:
Fall is in the air. The crispness is refreshing. The changing leaves are a reminder of nature’s wonder and beauty. The change in season is an opportunity for us all to change or refine our life path. And with that, Living Well is announcing a change of its own. After this issue, and 15 years, we have decided to shut down our print publication and move all of the magazine and its elements to our online and website platforms. We will share more information about what readers can expect from us online on our website: https://www.livingwellmagazine.net and on issuu: https://issuu.com/livingwellmagazine Until then, Diane and I want to thank our readers for all of the years of support and loyalty. We are grateful that the community supported a local business the best it could. As is common for local businesses, unfortunately, despite our efforts to stay tried and true, the economic realities of competing against national and multinational conglomerates is that local businesses always take a back seat. We are proud of all of our accomplishments and hope that we have made a difference in the world and our community. Diane & Brian Strauss and Valentino
Looking for a real gem. Meet Flash.
Editor / Publisher Diane Strauss Associate Editor: Michael Strauss puppy love™ Creator Sean Strauss Media Development Jonelle Strauss Resident Artist and Creator of the Valentino caricature. Liam McWilliams Design and Graphics Diane Strauss
VOLUME 15 NUMBER 10
302-355-0929 www.livingwellmagazine.net LIVING.WELL MAGAZINE© is a monthly publication distributed regionally. All articles and advertisements are accepted in good faith. Living Well Magazine assumes no responsibility or liability for any claims, conditions, products, services, errors, and/or opinions expressed through articles and advertisements appearing in this publication. Please check with your primary health care provider before making any changes. Living Well Magazine welcomes your comments and suggestions. No part of LIVING WELL MAGAZINE™ may be reproduced in any form without permission and written consent. Copyright, All rights reserved. 2018 Various Trademarks used By Permission of Their resPecTiVe owners
puppylove™ Flash aspires to be like her name. This sweet but shy girl is overshadowed by more confident cats in the free-roaming cat room. She’s a gem worth finding and polishing with the love she craves. This two-year old gets along well with the other kitties in the room and would be open to the same in her forever home. (Brandywine Valley SPCA, 600 South Street, New Castle, DE 302516-1000, www.bvspca.org www.livingwellmagazine.net
LIVING.WELL MAGAZINE (ISSN 2325-2448) published monthly by Savendale Media Group, 1519 Old Coach Road Newark, Delaware 19711 Phone:302-355-0929 Fax:302-454-1867 www.livingwellmagazine.net
Cover Design: by dcstrauss For more content, photos, and special give-aways you can find and follow us on most social media forums.
inside An Invisible Means of Support Suzanne E. Eder
EARTH TALK: What have we learned
from storms like Katrina, Sandy and Harvey about protecting our coastal cities better from intensified storms hitting them?
EARTH TALK: Are any companies in
the “one-for-one” charitable space like the shoe maker TOMS focusing specifically on environmental sustainability?
LIKE US ON FACEBOOK AND FOLLOW US ON TWITTER 9 Follow our Instagram page for an up close and personal look. www.instagram.com livingwellmagazine/
It’s Strange What You Remember About Your Cancer Diagnosis 12 Cathy Jordan Living With Cancer: Precision medicine for breast cancer diagnosis, treatment and prevention Mayo Clinic News Network By Laurel J. Kelly
Breast Cancer Risk Score Bouys Preventive Medication Use Mayo Clinic News Network By Dana Sparks
Strike a pose with the new iPhone 11
Many of the items appearing in LWM can be found and purchased from local retailers. We have included product website addresses when available so you can type in your zip code on their site to locate local buying options and or direct purchasing if not available in your area. Most books are available at Barnes & Noble or Amazon.com (product images do not depict actual size)
The prestigious— Living.Well Magazine Tried and True award is given only awarded to products and companies that we have used and can honestly say they were great! If it has the LWM Tried and True Award on it, we are sure that you will too.
RECIPES BY THE BOOK...
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>> How a silver lining forms >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >>
It starts at sea. Tropical waters heat up. Warm air soars skyward. Cold air rushes to the void. Cold air warms up. Cycle repeats. Faster and faster—a 50,000 foot engine of air. At seventy four miles per hour it earns a name. Harvey, Irma, Katrina. Then landfall. Roads rendered useless. Buildings destroyed. Families stranded. But for a brief moment, A silver lining appears. People see neighbors instead of strangers. And labels that divide are forgotten.
>> But when rains ease, >> when clouds part, >> silver linings need not fade.
>> >> >> >>
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Strike a pose with the new iPhone 11
All‑new dual‑camera system. Take your photos from wide to ultra wide. A redesigned interface uses the new Ultra Wide camera to show you what’s happening outside the frame — and lets you capture it. Shoot and edit videos as easily as you do photos. It’s the world’s most popular camera, now with a whole new perspective. New Ultra Wide camera. Go big — the new Ultra Wide camera captures four times more scene. Think breathtaking landscapes that go on forever. Capturing the entire stage and crowd at a music festival. And vacation shots that show the whole family — including the views you traveled 11,000 miles for. Introducing Night mode. Shooting in low light doesn’t have to be a shot in the dark. Night mode is a new feature that turns on automatically for low‑light photos like you’ve never seen. There’s no need for flash, colors are more natural, and photos are brighter. The High‑Key Light Mono effect in iOS 13 transforms your portraits into beautiful, studio‑style monochromes. And Portrait Lighting Control lets you create the look you want by changing the intensity of light on your subjects. Next‑generation Smart HDR. Thanks to machine learning, Smart HDR is more intelligent than ever. It recognizes people and treats them differently from the rest of the shot. So faces have beautiful highlights, shadows, and natural‑looking skin tones. And that stunning sunset in the background still looks gorgeous. Start shooting video instantly with QuickTake. Take a video simply by holding the shutter while in photo mode. Then swipe to the right to continue recording. If you’re shooting outdoors, A13 Bionic can use machine learning to automatically track a moving subject. Introducing the slofie. Everything looks cooler at 120 fps, even if you’re just saying cheese, waving hi, or tossing your hair in the breeze. And now you can add more of everything to your selfies thanks to the new 12MP TrueDepth camera. Just turn your iPhone to landscape and the camera automatically zooms out to fit more in. 6
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What have we learned from storms like Katrina, Sandy and Harvey about protecting our coastal cities better from intensified storms hitting them? Major storms like Katrina, Sandy and Harvey were devastating to local populations and reformed the landscapes of the regions where they made landfall. They also changed the way we think about—and design—our coastal cities. Let’s hope we’ve learned about where (and where not) to site habitable buildings as well as the importance of maintaining—even expanding—natural buffers that protect the places where people live from unnecessary property damage and/or loss of life. New York City has gotten busy bolstering itself against future “super storms” like 2012’s Sandy. Code changes like requiring electrical transformers to be in the upper floors (not basements) of commercial buildings, and developing feasible strategies for shuttering tunnels, airports and subways, are just a few of the changes wrought by Sandy. Developing resilient infrastructure is another way that city planners are hoping to mitigate future flooding issues, like at the recently opened Hunter’s Point South Park along the East River in Queens. One especially climate-resilient feature of this park is a big playfield made of synthetic turf that can “detain” a half million gallons of water when the East River overflows during a high tide or storm surge. When the tide goes back out—or the storm moves on— the detained water is slowly released back into the river through a network of exfiltration channels hidden beneath landscape features. An outer wall protects natural barrier marshes that filter water and can also absorb and detain more stormwater as needed. 8
It was surprising just how walloped New Orleans was by Hurricane Katrina in 2005, given that the city’s leaders and residents were used to regular flooding during storm events. But the damage, displacement and loss of life from this “100-year-storm” event spurred long overdue efforts to bolster the city’s defenses against floodwaters—including efforts to conserve and expand outer marshlands which serve as buffers against storm surges and flooding. New Orleans also bolstered its infrastructure and capacity to handle flood waters. “Given similar evacuation conditions to those seen in Katrina, the [new] system is expected to reduce potential loss of life by as much as 86 percent without pumping and up to 97 percent with 50 percent pumping for a 100-year flood event,” reports Wolfgang Kron of insurance giant Munich Re. He adds that New Orleans’ post-Katrina flood mitigation system should reduce property damage by 90 percent for a 100-year flood event and 75 percent for a 500-year event, compared to the pre-Katrina situation. While New Orleans hasn’t been tested on such a major scale since Katrina, everyone is hoping the projections bear out when the next major storm hits. As for lessons learned from 2016’s Hurricane Harvey, it’s too soon to tell, as many Houston-area residents are still in recovery mode. But no doubt some of the lessons from Katrina and Sandy will be applied in Houston and other coastal cities around the world getting ready for rising sea levels and more extreme flooding and storm surges as global warming heats things up. Contacts: Hunter’s Point South Park, nycgovparks.org/parks/hunters-pointsouth-park; Munich Re, munichre.com. EarthTalk® is produced by Roddy Scheer & Doug Moss for the 501(c)3 nonprofit EarthTalk. See more at https://emagazine.com. To donate, visit https://earthtalk.org. Send questions to: email@example.com.
Are any companies in the “one-for-one” charitable space like the shoe maker TOMS focusing specifically on environmental sustainability? TOMS may have been the first company to implement a “one-for-one” model, whereby it matches customer purchases with donations of free shoes to those in need in developing countries. But dozens of other businesses are now following suit with their own socalled “in-kind aid” programs. And yes indeed, several are focused on improving environmental conditions one way or another. To wit, Brooklyn-based MPOWERD makes and sells solar powered task lights and other related off-grid gear—and donates another of each item sold to someone in need through partnerships with 650 “on-theground” non-profits in one of six developing countries. The company’s mission is to distribute clean energy options that provide a more economical and environmentally friendly approach to everyday tasks, whether users are in New York City or the Andes mountains. MPOWERED is a Certified B Corporation, meaning it pledges to use the power of business to build a more inclusive and sustainable economy and to operate in an ethical and environmentally responsible manner. Maybe it’s finally time to order some solar-powered string lights for that patio you’ve been ignoring?
While these one-for-one programs look good from a public relations standpoint and often actually really benefit those in need, critics wonder if the companies behind them could have a bigger impact through alternative models of charitable giving. “Handing out aid in kind gives plenty to worry about,” reports The Economist. “It could suck life from local markets, and foster a culture of aiddependency.” Another criticism of the model is that handing out goods instead of cash runs the risk of spending money on things people don’t need and won’t use. Even TOMS itself seems to be shying away from the in-kind donation model it pioneered in favor of making direct contributions to worthwhile charities. The company recently started channeling some of the profits from its new line of coffee to non-profits like Water for People, which provides sustainable, community-owned water systems (and safe drinking water as a result) to impoverished communities in seven developing countries. These donations are not tied directly to sales and represent a new direction for TOMS charitable giving. While it may have its issues, the “one-for-one” model remains a great sell to consumers who like to know just how their purchasing power is being harnessed for the betterment of humanity and the planet.
Another eco-friendly business in the “onefor-one” sector is LifeStraw, which makes pocket-sized water filters that remove 99.99 percent of waterborne bacteria so users can stay hydrated and healthy even if there’s no clean water source around. While LifeStraws are great for backpackers or others who choose to go off-grid on adventures, they are also handy—and potentially life-saving—in developing countries, where the company donates one filter for every actual customer purchase. In many cases, LifeStraw partners directly with schools in remote areas of developing countries to ensure that students can focus on their studies instead of worrying about where their next sip of water might come from—and whether or not it will make them sick.
Contacts: TOMS, toms.com; MPOWERD, mpowerd. com; LifeStraw, lifestraw.com; Certified B Corporation, bcorporation.net.
EarthTalk® is produced by Roddy Scheer & Doug Moss for the 501(c)3 nonprofit EarthTalk. See more at https:// emagazine.com. To donate, visit https://earthtalk.org. Send questions to: firstname.lastname@example.org. 9
Wow! There are thousands of readers who are searching for Valentino. He is hidden somewhere on the pages of each issue. We hope you have fun looking and will continue your quest to find Valentino. When you find him please email us at: email@example.com [Please type “Valentino” on the subject line — keep searching and entering the “Where’s Valentino!” Contest every month for a chance to be entered to win some great gifts from our Holiday Gift Guide! Below Is The Answer To Last Month’s Where’s Valentino! In September , Valentino can be found on page 9, on the Red Star Decorating “ ad! Valentino can be found in one of the balloons. Valentino wants to have new custom drapery and a custom comforter for his dog house.Remember Valentino is always hiding in one of our advertisers ads. Please make sure we have your mailing address & Phone Number included in your email. Because if you are a winner we can send out your prize! If you need a hint you can always email us and ask:
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It’s strange what you remember about your cancer diagnosis” Cathy Jordan
Cathy: Navy engineer advocates for self, empowers others through clinical trial participation As Cathy is busy juggling family life and her career in the U.S. Navy,she was 52 years old when she was diagnosed with triplenegative breast cancer. Cathy enrolled in a clinical trial. In part thanks to Cathy’s participation in the clinical trial, a new immunotherapy is now available for other women facing this aggressive disease.
~I recall collecting my medical test paperwork for an upcoming doctor’s visit and my pathology paperwork fell to the floor. What stood out on this single sheet of paper on my bedroom floor were the words ‘triple negative’ and my gut told me that’s not a good omen.
As I looked closer at the report picking it up off the floor I noticed other information – much of it in a language I did not understand – but which also indicated bad news – aggressive rapidly growing cancer cells. I’ve since learned that there are many different types of breast cancer and different pathology indicators of the cells were to designate the challenges and patented treatment choices ahead. Triple negative (TNBC)is a rarer form of breast cancer (about 6% of all new breast cancer diagnoses nationally) and it tends to affect younger women and African American women (I was 46 years old).
Through the help of friends and doctors I soon landed in the care of an outstanding oncologist (Dr. Rufus Collea, a breast cancer specialist at New York Oncology Hematology) and learned fighting cancer is a team sport for doctors, nurses, and caregivers, and as a team takes care of the cancer patient with the oncologist as the Team Captain. My husband was my anchor and lead questions note taking during my rapid fire early appointments with the oncologist and other doctors, including my surgeon, radiologist and nurse navigator at Albany Medical Center and New York Oncology Hematology. We needed to 12
assess the test results and figure out the best treatment plan for me.
It’s very hard to hear, absorb, and process such serious news about your life and make fairly quick decisions about your care. I was so fortunate to be married to someone who is at heart, a natural born researcher who loves to learn all the data and information first before making a decision. We both hold PhDs in materials science and engineering and work at a government lab in support of the US Navy. He was able to listen more objectively for me and act as my best advocate with the team to make the best decisions for my care. At some of my appointments it was truly difficult for me to hear the bad news and listen to my treatment options.
When I was diagnosed in 2013 my two daughters were 12 and 14, with my younger one starting to hit her stride in middle school, and the older one starting on this new adventure called high school. I so desperately wanted to take care of them through this difficult time, and as their Mom, find a way to keep them informed but not scare them too much with the challenges for the treatment of my rare and aggressive form of breast cancer. It’s always been a delicate thoughtful approach that again I am so proud to have a loving and supportive husband to deliver those messages with. The first sign my treatment would not follow a typical path was when
my tumor grew in size after my second chemotherapy treatment of “AC”, adriomycin and cyclotaxin; one part of the standard ACT (T for taxol) chemo treatment. ACT is given to many breast cancer patients in relatively good health who can withstand these patently toxic chemotherapy drugs.
For my triple negative breast cancer (TNBC), chemotherapy was given first (called neo-adjuvant) in part because of the size and location of the tumor, and then surgery and radiation followed. For most breast cancer patients surgery is first followed by chemotherapy and radiation. One of the nasty features of TNBC is that it creates its own lymph nework system to survive (think of a network of weeds in a garden). Before you can remove that big monster weed (i.e., tumor) you must first put down week killer (treat the entire system with chemotherapy), and the doctors also needed to shrink my tumor before surgery was feasible. Well, my ‘weed’ had figured out the ‘weed killer’, and continued to grow.
That’s when my team grew, and my Team Captain communicated with his mentor to find a new game plan. I was fortunate one was available: a new study based on a clinical trial was a bout to be published which showed that an older chemotherapy, carboplatin, delivered in sequences with taxol, was showing promising results for women with TNBC (when ACT was not effective). I switched to the new treatment and it worked for a while, which was my first real good medical news so far. My tumor shrunk by about half, so that I could go into surgery and then radiation treatment.
At my post-surgery check up, unfortunately, my Team Captain had bad news – while the tumor removal was successful, there had also been a need to remove a lot (25) of lymph nodes in my armpit region and more than half (13) had tested positive for cancer. We knew that the cancer had spread from my tumor to the lymphatic system but had no idea it was so extensive in the lymph nodes. The lymphatic system is a network of vessels filled with fluid that act as a filter in your body. The test results meant that the cancer had aggressively entered my lymphatic system, and indicated a high probability (about 90 %) that it would recur, most likely fairly soon due to the nature of my cancer.
It returned a week before Christmas about 7 months after I had finished radiation treatments. I felt a growth in my neck and a biopsy showed it was cancer in a lymph node – a scan showed that I had two or three other lymph notes infected as well. All of that news to be shared with my daughters and family was one of the most difficult messages to deliver. I believed that I probably had no real treatment options left. At this time, my family and I started to see a counselor skilled in helping people through the challenges of cancer which was so beneficial that I continue seeing him (Mr. Edward Dick) to this day.
My Captain and team were not ready to quit just yet. We found out through research and discussions with him that there was a clinical trial that might be a fit for me. Deep down I knew I had to try it. It took
several tests to qualify, but in early 2015 I started a clinical trial testing out the efficacy of immunotherapy drug, Tecentriq (atezolizumab), under the care of Dr. Karen Tedesco, who was lead investigator of the study at New York Oncology Hematology. The study was looking at its effectiveness of attacking and reducing the spread of all types of cancer; lung, bladder, skin and breast cancer in those patients with metastatic cancer who had completed traditional lines of care (surgery, chemotherapy and radiation) and whose cancer had returned either to the lymphatic system, or to organs (lungs, liver, bone, etc.). After my fourth dose of the immunotherapy drug, my x-ray scans showed my largest cancerous lymph node had shrunk in half and most importantly there was not indication of the spread of disease elsewhere in my body.
Going for treatment every 3 weeks to receive this experimental drug by IV became part of my normal routine. I was so thankful it was having a sustained positive effect with real but manageable side effects. For me, the atezolizumab shut down my thyroid and caused hypothyroidism – a condition which was difficult to deal with until it was diagnosed and treated with a common drug called synthroid.
I soon came to appreciate that I was a beneficiary of those who had come before me and who had participated in earlier clinical trials to identify the best immunotherapy drugs and the safest dosing to focus in on the best treatment options for cancer patients. I also came to realize I too would help the community of metastatic cancer patients looking for effective alternatives to treat their cancer.
I participated in the Phase II/III clinical trial for 3 years and then received the drug for an additional year after that. What I would want those considering participating in a clinical trial to know is that it is a commitment of time and energy, as regular data (testing) on your body and your cancer is needed to build understanding of efficacy and side effects to improve the treatment options for future patients. The good news is that the team of doctors and nurses providing your care are highly committed too. Probably one of the more tedious things to do is the ‘sitting’. What I mean by that is the sitting in the treatment room you do to receive the IV drugs and to gather temperature, blood pressure, blood chemistry, and all the other data needed for the clinical trial. The treatment rooms are varied places in which the group you ‘sit’ with changes each time you go. Some days are quiet and uneventful, and other days you witness more personal struggles around you, as sadly not all patients are doing well.
More recently, I have changed to a new clinical trial led by Dr. Beth Overmoyer at Dana Farber Cancer Center in Boston. The treatment is helping me thus far and I am continuing my long, challenging, but so far successful fight against cancer. I will have my sixth ‘anniversary’ in September 2019, and have been able to attend so many special events such as two high school graduations for our daughters. I am grateful for my team, my extended family and friends, and for the science that has gone into drug development and clinical trials. I hope that my struggle not only aids my life, but can help others too.
Some background info on Tecentriq and the trial. Separately, we reviewed the article and wanted to clarify one point. The article states Impassion130, the pivotal trial that led to the FDA approval of Tecentriq, was looking at Tecentriq’s “effectiveness at attacking and reducing the spread of all types of cancer; lung, bladder, skin and breast cancer in those patients…” The trial was not designed to examine the spread of all these types of cancer and was studied in metastatic TNBC only. Instead, it would be more accurate to say: The study was looking at its ability to reduce the risk of the disease worsening or death in people with metastatic, meaning the cancer has spread outside the breast to distant parts of the body, triple-negative breast cancer. Want to ensure this information is accurate for your readers.
• Tecentriq (atezolizumab) is an immunotherapy, a type of drug that harnesses a patient’s immune system to fight cancer, and an important treatment advance for triple-negative breast cancer (TNBC). It’s important because for the past two decades, TNBC has seen limited treatment options beyond chemotherapy. Immunotherapy is the story of the decade in cancer therapy, and yet, breast cancer has shown little response to this new class of medicine – until now. • In March 2019 the FDA granted accelerated approval to the first cancer immunotherapy regimen for breast cancer (atezolizumab plus chemotherapy for the treatment of adults with unresectable locally advanced or metastatic triple-negative breast cancer in people whose tumors express PD-L1, as determined by an FDA-approved test). The article states Impassion130, the pivotal trial that led to the FDA approval of Tecentriq, was looking at Tecentriq’s “effectiveness at attacking and reducing the spread of all types of cancer; lung, bladder, skin and breast cancer in those patients…” The trial was not designed to examine the spread of all these types of cancer and was studied in metastatic TNBC only. Instead, it would be more accurate to say: The study was looking at its ability to reduce the risk of the disease worsening or death in people with metastatic, meaning the cancer has spread outside the breast to distant parts of the body, triple-negative breast cancer. Want to ensure this information is accurate for your readers.
Breast Cancer Risk Score Bouys Preventive Medication Use
Summary: A study that may change practice shows personal risk scores can encourage women to accept treatment. Studies show that the risk of breast cancer can be reduced by half through the use of a five-year course of tamoxifen or raloxifene and also by use of aromatase inhibitors. Nevertheless, women at high risk of breast cancer are reluctant to take preventive medicine. New research could help change those attitudes. Researchers from Mayo Clinic and collaborators at the University of Manitoba and Cancer Care Manitoba in Canada found that when women at high risk of developing breast cancer were presented with personalized genetic information, they were more likely to take preventive medications to reduce their chance of developing breast cancer. The researchers used a new blood test developed by Mayo Clinic to identify women at higher genetic risk of developing breast cancer. Their findings were presented at the 2019 American Society of Clinical Oncology
Annual Meeting in Chicago. "Our hope is that when armed with this specific information, women at risk of breast cancer will make better-informed decisions and accept preventive therapy." - Dr. Sandhya Pruthi "The practice-changing implication of our study is that by assessing the association between clinical risk factors and selected genetic risk factors, we can potentially provide a novel way to personalize risk and guide decision-making on the patient accepting preventive medications that have been shown to reduce the risk of developing breast cancer," said Dr. Sandhya Pruthi, a general internal medicine physician at Mayo Clinic in Rochester, Minnesota. A breast cancer risk score is determined using a blood test that detects single nucleotide polymorphisms (SNPs), or what Dr. Pruthi describes as "spelling mistakes" in a patient's DNA.
patient's risk," she said. The risk score increased the breast cancer risk estimates for 55.6% of study participants. After risk counseling, participants' intention to take preventive medications changed significantly, with 41.9% of those with higher risk scores more inclined to take medication. "Our study demonstrated that among high-risk women, the polygenic risk score significantly changed the breast cancer estimates and the patient's intent to take preventive medicine," Dr. Pruthi noted. "We are making significant progress toward preventing breast cancer by tailoring treatments to patients based on their unique genetic profiles," Dr. Pruthi said. "Our hope is that when armed with this specific information, women at risk of breast cancer will make better-informed decisions and accept preventive therapy."
"While individually these SNP risk factors are of little clinical value, when combined as a risk score, they yield a strong risk factor for breast cancer that can be used to personalize a www.livingwellmagazine.net
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Atlas Protein Bar Peanut Butter Chocolate Chip The texture of cookie dough and the guiltfree sweetness of monk fruit combines with creamy peanut butter, crunchy peanuts, 85% cacao dark chocolate chips, and a sprinkle of pink Himalayan salt for a flavor explosion you won’t soon forget. Sweet, salty, rich and delicious Subscribe & Save (5%): $28.41 Deliver every day $28.41/box | $2.84/bar Free Shipping https://atlasbars.com
Kate’s Real Food Stash Bar Peanut Butter Hemp & Flax Kate’s Stash Bar is real food at it’s finest. With only 8 simple ingredients, this nutty flavored bar will keep you fueled and satisfied for hours. The natural sugars and protein provide sustained energy, while the amino acids from the hemp seeds help your body utilize it. The flax seeds give you an added boost of omega 3 and antioxidants. https://katesrealfood.com Yummy Yoga Playful Poses and Tasty Treats Joy Bauer A wildly imaginative introduction to yoga and nutrition by bestselling author, professional nutritionist, and beloved TV personality Joy Bauer Written by beloved health expert Joy Bauer, Yummy Yoga is a fun and fresh introduction to yoga and nutrition. Playful photographs feature a diverse group of kids demonstrating yoga poses. On the opposite sides of the spreads, imaginatively sculpted fruits and vegetables mirror the same poses! Lift the gatefold flaps to find simple, child-friendly recipes incorporating all of the healthy ingredients featured in each photo. Amazon 18
Living With Cancer:
Precision medicine for breast cancer diagnosis, treatment and prevention By Laurel J. Kelly
Precision Medicine For Breast Cancer Precision medicine for breast cancer is an approach to diagnosis, treatment and prevention that considers the genes you're born with, and the genes or other markers present within the cancer cells. Cancer care is among the first medical specialties to apply precision medicine to tailor treatment to your genetic makeup and the genetic changes in the cancer cells. Here's what you need to know about precision medicine for breast cancer. Video: 'Breast Cancer Education Tool' A diagnosis of breast cancer can be overwhelming, and you may have many questions. That's why health care providers at Mayo Clinic developed an educational tool to help patients better understand the disease and reduce their anxiety. The tool combines video and images to explain the pathology of different breast cancers; staging and grade; and the
surgical, medical, radiation and reconstructive treatment options. It's also intended to help health care providers communicate and equip breast cancer patients with all the information that they need to make informed decisions. Learn more from Dr. Sandhya Pruthi, a Mayo Clinic general internal medicine physician and past director of the Mayo Clinic Breast Diagnostic Clinic. Pineoblastoma Pineoblastoma is a rare, aggressive type of cancer that begins in the cells of the brain's pineal gland. The pineal gland, located in the center of the brain, produces the hormone melatonin, which plays a role in the natural sleep-wake cycle. Pineoblastoma can occur at any age, but it tends to occur most often in young children. Symptoms may include headache, sleepiness and subtle changes in the way the eyes move. Learn more about the diagnosis and treatment of pineoblastoma. Source: https://newsnetwork.mayoclinic.org
An Invisible Means of Support 20
Suzanne E. Eder
’m sitting comfortably in my kitchen right now, enjoying the spaciousness and quiet of a Sunday afternoon. I’m also appreciating that my floor is intact and dry, which may seem like an odd thing to appreciate as I sit down to write.
rich and insightful conversations – my favorite kind - so I get the best of both worlds.
Actually, what I’m really appreciating is my inner guidance, and I hope that in sharing this story with you, you’ll be reminded of how loving and helpful your own inner guidance is, too.
I was particularly looking forward to this visit because Boo had just adopted a new kitten named Trooper, her 7th feline family member. (Being a loving and generous mother to multiple cats is another of her many gifts.) I adore kittens and cats and couldn’t wait to meet the little guy.
If, like me, you want to deepen your understanding of what it means - and how it feels -to be in the flow of your own life, the wisdom of following inner guidance becomes abundantly clear. The very purpose of inner guidance is to guide us in Grace- and ease-filled ways toward more and more of what we want.
I awoke Saturday with a headache, which is unusual for me. I wasn’t concerned about it, though, because I’ve developed an ability over the years to, in effect, dissolve things like headaches and sore throats before they become something more troublesome. But this headache wasn’t readily dissolvable.
Yet even with that loving and glorious purpose, we sometimes talk ourselves out of following it – as I almost did yesterday.
I took a walk to help the process along, yet the headache remained stubbornly with me. Along with it came a vague but noticeable sense of unease, almost of foreboding. It seemed to be telling me not to go to Boo’s house.
I had planned to drive to Pennsylvania for an overnight stay with my sister. Those of you who know me well know that spending time with Boo (yes, that’s her name) is one of my all-time favorite things to do. I love her beyond measure and know I’m deeply blessed that she’s my sister. We have so much fun together! Of course, Boo brings fun with her wherever she goes; that’s one of her many gifts. Yet we also have
I decided to ignore it. After all, I very much wanted to go! And if there’s one thing I’m passionately committed to, it’s the understanding that in honoring what we genuinely want, we honor ourselves.
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But I also very much wanted to feel good, so after returning from my walk I chose to lie down and, in a restful state, refocus on how easily and naturally my body comes into harmony with vibrant health. Yet I couldn’t maintain the focus. My mind was already flowing to how and when I would tell Boo that I wasn’t coming. What? Of course I’m coming! Yet I couldn’t help but notice that those thoughts didn’t feel like the random thoughts of monkey mind or a tangle of unwanted thoughts that had gained momentum in an unhelpful direction. They felt like guidance, and the feeling was direct and persistent. (So, too, was that sense of unease.) I was pretty persistent, too, in wanting to dissolve my headache so I could visit Boo, but finally I gave in to what I knew in my heart was guidance not to go. I texted Boo to tell her what had happened. We were both disappointed but of course she understood. We ended up “visiting” by phone in the early evening, and even with my lingering headache I enjoyed our connection. A bit later I went into my kitchen to get a glass of water. I was uncharacteristically barefoot and found myself standing on a wet floor. I looked down and saw that the refrigerator was leaking. I began to have an inkling of why I was guided to stay home. I got some towels to absorb the water and went back into the living room, hoping that the leak would stop quickly, as it had about a week earlier when a similar thing had occurred. After that incident I’d called an appliance sales and service company to schedule a visit with one of their technicians, which I’d been meaning to do for many months because my stove is also not working properly. I actually appreciated the prompt to call. The earliest date a technician was available was almost two weeks from the day I called, on a Tuesday. That worked well for me so I confirmed it. I expected to be told that I would need new appliances, but I wanted to explore the possibility of repairing the ones I had before making that decision. That Tuesday was - in the moment of my second leak - three days away, and of course I wanted my frig to hang in there until then. But
as the evening progressed it became obvious that I couldn’t wait until Tuesday…or Monday, or even the next day. I needed to stop the leak immediately, if not sooner. Before I came to that realization, though, I called Boo to let her know that I’d discovered why I’d been guided to stay home and to get her advice on what to do. Prior to calling her the thought had crossed my mind to call my plumber, but I hated to bother him on a Saturday night. So I hadn’t acted on it. But when Boo suggested the same thing, I had the inner tingle of recognition that it was guidance and texted him right away. He and I had exchanged texts earlier in the day about an unrelated question I had, so I knew he was responding to text messages. As I waited for a response from him, I sat quietly to slow my breathing and repeat one of my favorite mantras: I am abundantly guided and supported. I was able to reach a place of calmness and trust, even when I saw that the towels I’d put down just moments earlier were already soaked. Still no word from my plumber. I went online to see if there was anything I could do on my own. After watching one YouTube video it became clear that I would need another (stronger) set of hands to help me so I called my neighbor. No answer. I kept affirming that I am guided and supported. I put another towel down. I went back online to search for emergency repair options and was taken to Angie’s List. After answering several questions, I was given the names and phone numbers of three possible providers. As I looked at them I somehow knew none of them would be available, or perhaps able, to help. I took a deep breath. I am abundantly guided and supported. I dropped into that calm place again – the place in which guidance is most easily heard. — continued on next page
“Helping you change your world, one breath at a time”
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That’s when it finally occurred to me to call my plumber to make sure he’d received the text. Now, in addition to being blessed by an amazing sister, I am also blessed by an amazing plumber. His deep integrity shines through in his commitment to customer care and top-notch service, along with fair pricing. So not surprisingly, he’s very, very busy. In all of my years working with him, he has rarely been able to answer the phone when I’ve called, so I’ve come to expect that I’ll get voicemail. But on Saturday night, when timing was of the utmost importance, he answered on the first ring. He arrived at my house in less than 30 minutes and repaired the refrigerator within an hour. Turns out I don’t need a new one. Oh, and it also turns out he hadn’t received my text, so it was a good thing I’d called. (Of course.) When I told him I’d almost gone for an overnight visit with my sister but something had urged me to stay home, his reaction confirmed that, had I ignored that something, I would have come home to quite a mess. Quite a mess. I am abundantly guided and supported. As I reflect on this particular Grace-filled experience of following inner guidance, I marvel at the many different ways my guidance was speaking to me: through body discomfort and a sense of unease; a tingle of recognition that Boo’s suggestion to call a plumber was guidance; a feltsense of No to the providers on Angie’s list; in-the-moment impulses to walk barefoot into the kitchen and to make sure my plumber received my text. It also revealed a way my guidance speaks to me that I hadn’t recognized before, which was an unusual felt-sense accompanying my thoughts about telling Boo I couldn’t come, when I was attempting to focus on feeling better. That felt-sense was subtle but distinct, and in the absence of a quiet mind I probably wouldn’t have noticed it.
I am abundantly guided and supported. And so are you. Our willingness to believe this, to relax into that deep knowing and to trust it, is the golden key to receiving our own highly personalized, loving guidance. I’ve learned that it also helps to consciously reflect on experiences of having been guided. Reflecting on our guided experiences draws more guidance to us because what we focus on is what expands in our lives. Reflection also helps us develop our ability to discern subtle forms of guidance we may not have recognized before, as in my experience of noticing a different felt-sense of certain thoughts I was having. A simple way to enhance our discernment through reflection is to ask ourselves, “How did I know that was guidance?” As we name it and isolate it in our minds and remember how it felt – maybe as a tingle, a sinking feeling in the stomach, a felt-sense of “pay attention,” etc. – we get better and better at recognizing guidance when it occurs. And perhaps most importantly, reflection gives us an opportunity to deeply appreciate that we are guided, and through our appreciation we strengthen our trust in a loving universe. We also deepen the recognition of our own worthiness to be guided. I hope you can take a few minutes right now to pause and reflect on an experience in which you knew you were guided. Allow yourself to fully appreciate and celebrate your absolute worthiness to receive that kind of support. You matter, and what you want matters. You are abundantly guided and supported.
This brings me to how we can improve our chances of receiving clear inner guidance when we need it: by cultivating a quiet, spacious mind that trusts in a loving and supportive Universe. I believe that some form of inspiration, guidance or support is streaming to us at all times. Our great opportunity is to be open to recognizing and receiving it. Even when a part of me was having a knee-jerk emotional reaction to the water streaming relentlessly from under the frig, along with dramatic thoughts of the floor crumbling and the tiles crashing through the ceiling below, into my client space, I had the presence of mind to pause and create space within my mind. I intentionally breathed into that space and then invited my mantra into my awareness:
Formerly a successful finance director in the corporate world, Suzanne Eder is now an award-winning writer, healer, transformational teacher and personal guide. She completed a comprehensive 4-year program in mind-body-spirit healing at the Barbara Brennan School of Healing, and she has devoted her life and work to an ever-deepening understanding of how to create deeply fulfilled lives through an understanding of our spiritual nature. She was a featured speaker at the 2015 TEDxWilmington conference and her popular talk is available on YouTube. She offers inspired and practical counsel in all areas related to personal growth and transformation. Visit her at www.suzanneeder.com or email her for more information at email@example.com.
RECIPES BY THE BOOK
Umami Bomb 75 Vegetarian Recipes That Explode with Flavor By Raquel Pelzel “Pure vegetable magic!”—CARA MANGINI, chef and author of The Vegetable Butcher Ingeniously built around the use of eight umami-rich ingredients—aged cheese, tomatoes, mushrooms, soy sauce, miso, caramelized onions, smoke, and nutritional yeast—these 75 recipes are bursting with the sublime, savory fifth taste. Turn mushrooms into “lardons” for a bold take on Southern black-eyed peas and greens. Caramelize onions to use in the best grilled cheese ever. Add a secret spoonful of soy sauce to the frosting of your next chocolate cake—the soy taste disappears but leaves behind an unexpected depth of flavor. Part of the brilliance of Umami Bomb is how the recipes layer these key ingredients to amplify their effect—like adding miso to an already cheesy cacio e pepe sauce for pasta so savory and delicious you’ll do a double take.
Raquel Pelzel’s work has been featured in Saveur, the Wall Street Journal, Every Day with Rachael Ray, Shape, and Epicurious, among many others. Formerly an editor at Cook’s Illustrated and the senior food editor and test kitchen director for Tasting Table, Pelzel has written more than 20 cookbooks and has judged Food Network shows including Chopped Junior and Beat Bobby Flay. Pelzel lives in Brooklyn, New York, with her two sons.
Available: Amazon Barnes & Noble 24
Eggs in Puttanesca Purgatory
There’s just no way to say it politely—alla puttanesca roughly translates to “in the style of the whore.” Maybe because the sauce is sultry, spicy, briny, and absolutely overwhelmed with umami characteristics. The eggs are baked suspended in this sauce—what tastier limbo in which to seek absolution of their sins?
1 Heat the oil in a large, deep nonstick skillet over medium-high heat. Add the capers and crushed red pepper flakes and cook, stirring occasionally, until the capers get a little crisp, about 2 minutes. 2 Add the olives, and once they start to sizzle, stir in the marinara sauce and bring it to a simmer. Reduce the heat to medium-low and stir in the parsley or basil. 3 Use a spoon to make a well in the sauce (as best you can) and crack an egg into it. Repeat with the remaining eggs. Cover and cook until the whites are set but the yolks are runny, 4 to 6 minutes. 4 Divide between two or four bowls. Sprinkle with salt, olive oil, and cheese (if using) and serve immediately with toast. Serves 2 to 4 Umami Bombs:
2 tablespoons extra-virgin olive oil, plus extra for serving 3 tablespoons capers (rinsed if salt-packed)
1/2 teaspoon crushed red pepper flakes 1/4 cup pitted and roughly chopped oil-cured black olives 2 cups Simple Soy Marinara (page 52) or your favorite store-bought marinara 2 tablespoons roughly chopped flat-leaf parsley or basil leaves 4 large eggs Flaky salt, for garnish Grated Parmigiano-Reggiano cheese, for garnish (optional) Toasted or grilled bread, buttered or brushed with olive oil, for serving
Crispy Cheddar Cheese Waffles
Makes 8 round, thin waffles Umami Bombs: 1 1/2 cups all-purpose flour
1/2 cup sweet rice flour (see Note) 1/2 cup cornstarch 2 tablespoons sugar 1 teaspoon baking powder 1 teaspoon baking soda 2 teaspoons kosher salt 2 cups buttermilk 2 large eggs, separated 2 teaspoons pure vanilla extract 10 tablespoons (1 1/4 sticks) unsalted butter, melted, plus cold butter for serving (optional)
One question I always get asked when I write a cookbook is this: “What’s your favorite recipe?” And I always end up saying something like this: “Oh, it’s so hard to choose, there are so many great ones. . . .” Well, you want to know a secret? This is my favorite recipe in the book. It’s sweet and savory, the cheese gets crispy-salty-crunchy, the waffles are crisp-tender (thank you, rice flour and cornstarch, and, yes, crisptender can exist in the world of textural opposites), and with maple syrup poured over the top, I’m just in heaven. And hey, please warm that maple syrup before serving! It’s the little things that make life sweet. (Note: I think these waffles turn out best when made in a thin, shallow waffle maker.)
3 ounces sharp Cheddar cheese, grated on the medium-hole side of a box grater (about 1 cup) Nonstick cooking spray Warm maple syrup, for serving
1 Whisk the flour, rice flour, cornstarch, 1 tablespoon of the sugar, baking powder, baking soda, and salt together in a large bowl. Preheat a waffle iron according to the manufacturer’s instructions. Set a sheet pan in the oven and preheat it to 250°F. 2 Whisk the buttermilk, egg yolks, and vanilla together in a medium bowl. In a separate medium bowl (or the bowl of a stand mixer fitted with the whip attachment), beat the egg whites with the remaining 1 tablespoon of sugar until the whites hold stiff peaks. 3 Add the buttermilk mixture to the flour mixture, pour in the melted butter, add the cheese, and stir to combine. Use a whisk or rubber spatula to fold in the egg whites. 4 Spray the waffle iron with nonstick cooking spray and then add enough batter to fill the waffle mold about twothirds of the way to the edge. Close the waffle maker and cook until the waffle is browned and crisp. Transfer the waffle to the sheet pan, cover with a kitchen towel, and keep warm in the oven while you make the rest of the waffles. Serve immediately with more butter (if you like) and warm maple syrup. Note: Sweet rice flour is ground short-grain sweet rice. It’s available in most health food stores and online. I use Bob’s Red Mill brand.
bomb Sauce Instead of ketchup. Better than barbecue sauce. To give a boost to marinara. For dipping french fries or tots. To dress up a fried egg sandwich. As a glaze for tofu or grilled portobello mushrooms. To dunk tortilla chips. To make the BEST tempeh sloppy joes. As you can see, this umami-loaded Bomb Sauce goes with everything. If you’re a vegetarian or vegan, be sure to read the label on your Worcestershire sauce to make sure it doesn’t contain anchovies.
V Makes 13/4 cups Umami Bombs: 7 7 dried shiitake mushrooms (about ¼ cup) 3 garlic cloves, peeled 1 small red bell pepper Juice of 1 orange (about ¹⁄3 cup) ½ cup tomato paste ¼ cup soy sauce 2 tablespoons miso paste 2 tablespoons Worcestershire sauce 2 tablespoons nutritional yeast 2 tablespoons dark brown sugar 1 tablespoon sherry vinegar 1 teaspoon Dijon mustard 1 teaspoon kosher salt 1 teaspoon garlic powder 1 teaspoon smoked paprika 1 teaspoon ground ginger ¼ teaspoon cayenne pepper 1 tablespoon canola or grapeseed oil
1 Heat 1 cup of water in the microwave in 30-second increments (or in a small saucepan over low heat) until it is very steamy and hot, 1½ to 2 minutes. Add the dried mushrooms, cover with plastic wrap, and set aside for 15 minutes to soak. 2 Adjust an oven rack to the top position and heat the broiler to high. 3 Place the garlic cloves and the bell pepper on a rimmed sheet pan and broil, turning every few minutes, until the garlic is browned and the pepper is charred on all sides, 4 to 6 minutes for the garlic and 12 to 14 minutes for the bell pepper (watch the garlic and pepper closely, as broiler intensities vary). Place the garlic cloves in a blender and the bell pepper in a bowl to cool for 15 minutes. Once it’s cool, place the pepper in a fine-mesh sieve set over a bowl (to catch any juices) and peel away the charred skin. Add the skin to the blender. Open the pepper, remove and discard the seeds, and add the flesh to the blender along with the reserved juices. 4 Remove the mushrooms from the soaking liquid (save the liquid) and add them to the blender along with the orange juice, tomato paste, soy sauce, miso, Worcestershire sauce, nutritional yeast, brown sugar, vinegar, mustard, salt, garlic powder, paprika, ground ginger, and cayenne pepper. Blend until the mixture is the consistency of a thick barbecue sauce. 5 Heat the oil in a medium saucepan over medium heat. Add the sauce and bring to a gentle simmer. Reduce the heat to medium-low and cook, stirring occasionally until the flavors come together, 2 to 5 minutes (if the sauce seems too thick, add a few tablespoons of the reserved mushroom soaking liquid). Turn off the heat and let cool. The sauce will keep in an airtight container in the refrigerator for up to 1 week, or in a ziplock bag in the freezer indefinitely.
Jenifer Jurden is the CHO (Chief Happy Officer) of SHOUT b cause, LLC and the creator of JurdyÂŽ, the cartoon hero of hopes, dreams and happy-ness. Jurdy spreads the word about anti-bullying, great choices and living a happy life through the use of humor and positive outlooks. Follow Jurdy on Facebook, Twitter, Instagram or at: www.jurdy.com
DESTINATION FOUND: HEAVEN ON EARTH I admit I can be my own worst enemy. As an over-achiever, I am guilty of over-committing myself and in the process I create this crazy, fast paced lifestyle. Desperately in need of a recharge, I grabbed my best friend and found solace and rejuvenation in Costa Rica. Tucked into the arms of a quartz mountain overlooking the Nicoya Peninsula and Pacific Ocean seascape, I immersed myself into a state of complete relaxation for 5 magical days at the tropical luxury resort THE RETREAT COSTA RICA.
More than a luxury wellness destination; its restorative environment is a space for strength, renewal and letting go of the daily stresses of life.
Having just come off a whirlwind adventure traveling the Galapagos Islands and Peru I realized my second day in this nurturing and gentle retreat just how badly I needed this heavenly healing escape. My day-in-the-life of feeling fabulous at The Retreat started each morning with a flow yoga class. Practicing my Vinyasa in such a serene environment and taking in the 180-degree breathtaking views of the propertyâ€™s lush mountain valley was the idyllic setting to find balance and hit the reset button. â€” continued on next page 32
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I often take mental snapshots during my travels for future reflection, especially when experiencing this kind of inspiration for the soul. I can still see the gorgeous view point from the yoga studio; wild bulls off in the distance grazing along the switchback mountain range as a lone hawk would swoop in to grace our presence, stealthily gliding into view taunting us to capture its beauty but never allowing a photograph. After yoga a delicious breakfast al fresco followed at their Boca Dulce Restaurant. I have to admit I am not a breakfast person, but the food at The Retreat was so incredible I did not skip it once during our stay. All its anti-inflammatory, healthy cuisine is “clean food”; consisting of no dairy, no gluten and no refined sugars. Not familiar with a vegan diet, I discovered so many wonderful food alternatives during my stay.
We also prepared yummy “focaccia bread” made from flaxseeds soaked in water and the made their signature cookies they cellophane to place in our room daily. Not much of a cook I watched in awe as Chef blended a concoction of cashews, pumpkin seeds and sunflower seeds as the alternative to flour for the cookies, then expertly folded in the chocolate chips before scooping onto a cooking sheet to bake at 350 degrees for approximately 20 minutes. Taking a bite of its gooey, hot goodness the cookies tasted even better hot out of the oven then they did as our nightly bedtime treat. Another fun lesson in cooking class was how easy it is to make Almond Milk from scratch; so simple in fact that even a person like me can make it. Just blend two cups of almonds that’s soaked for exactly two hours and 8 cups of water. That’s it for delicious, frothy-fresh almond milk… who knew?!?
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Hobnobbing with nature we enjoyed daily hikes exploring the nearby flora and fauna. On our first day halfway through the hike our Naturalist Tour Guide Gustavo proudly announced, “Welcome to my playground” and there around the corner was a serene setting of swings next to a trickling stream. Swinging through the jungle I felt like a kid again and one with nature gazing up at the tree branched sky. On a different day we even had an exciting brush with danger while rounding a bend to find a startled young bull on our narrow hiking path. Clearly spooked he decided to stampede past us a little too close for comfort as we hugged the mountainside. Surrounded by the soothing rhythms of nature and the spectacular views of this wondrous backdrop that inspires the soul, we spent our afternoons hanging poolside with my ride-or-die BFF, catching up on some well-needed girl time and ending each day with a fabulous spa treatment.
Sipping my morning coffee from the balcony of our peaceful oasis in a state of total relaxation, I reflected on my major transformation in a matter of days. In my “aha moment” of understanding fully the purpose of The Retreat, I thanked myself for allowing this down time, acknowledging how important it is to be good to yourself and filled with gratitude for all the abundance in my life. The brainchild of celebrity chef, best-selling author and health and wellness life-coach, Diana Stobo, her goal in creating The Retreat Costa Rica as a transformational wellness center, providing an ideal space to be your best self has definitely been achieved, and I was a grateful participant.
“Opening the body, will open the heart, and from there, everything aligns”, is the mantra of the Retreat’s Vida Mia Healing Center and Spa and I was in a total state of bliss taking full advantage daily of its therapeutic treatments. My energy was balanced after my Ayurvedic massage; a deeply relaxing and rejuvenating massage with traditional Ayurvedic herbal oils to promote detoxification and improve circulation. Linda Cooper is an award-winning TV Host, Producer and Writer serving as a brand ambassador to worldwide travel on her national luxury lifestyle series “Travel Time with Linda” and as a contributor to several lifestyle and travel publications. Over the years, her specialty areas of focus include the travel,lifestyle,luxury, food/wine, fitness,and retail shopping. www.traveltimewithlindatv.com
My muscle tension wafted away in my “heart opening” Deep Tissue massage, while their Shankara Ayurvedic Facial had immediate effects of facial rejuvenation with its antioxidant rich ingredients. Feeling out of this world, symbolically on our last day the heavens opened in perfect unison during my “Heaven on Earth” Massage. The entire property engulfed in the clouds, I felt as if we were actually in heaven being touched by angels as the rain poured down in this sliceof-heaven setting. 34
BLOCK PARTY SATURDAY OCT 19, 2019 10AM-2PM
Rehoboth Beach, DE
ards. o B e h T n arkO
DAY! B O T R E T S I REG
ACTIVITIES • • • •
1k walk Dock dog diving Yoga with puppies Vendors
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Inflatables & kid games Adoptables Pet costume contest World renowned pet psychic Diane Roadcap 11