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Making a Difference Publisher of: The San Jose Woman’s Journal The St. Augustine Woman’s Journal

Publisher/Editor Suzanne Egeln publisher@NEFLWomansJournals.com

Business Manager Anthony Egeln bizmgr@NEFLWomansJournals.com

VP of Business Development Anna K. Egeln anna@neflwomansjournals.com

Graphic Design Samantha Angeli samantha.angeli74@gmail.com

Photography Christine Cousart Christine@Cousartstudios.com

Email / Web info@neflwomansjournals.com www.NEFLWomansJournals.com P.O. Box 3655, Ponte Vedra Beach, FL 32004 Voice & Fax: 904-280-0788 U.S. Mail • Direct Drop Distributors • Subscription The St. Augustine Woman’s Journal is published bimonthly by Northeast Florida Woman’s Journals and is available free of charge, by display stands in approved private and public establishments and by authorized distributors only. Subscriptions are available.Trademark laws and U.S. copyright laws protect The St. Augustine Woman’s Journal. No part of this paper may be reproduced without the written permission of the publisher. The St. Augustine Woman’s Journal is not responsible for (1) any editorial comment (other than its own), (2) typographical errors from advertisements submitted as camera ready or (3) any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify The St. Augustine Woman’s Journal, its owners, publishers, and employees, against any and all liability, loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and proprietary rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper or its advertising copy. Publisher shall be under no liability for failure, for any reason, to insert an advertisement. Publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. Publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The St. Augustine Woman’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. Representations by The St. Augustine Woman’s Journal™, Copyright 2009.

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Suzanne Egeln, Publisher

hen I was teaching preschool one of my students gave me a “star”; named after me in the International Star Registry so I would always be remembered. I was thrilled when I opened the package and saw that I would always be aligned in the universe. Now years later I wonder how would I like to be remembered? I would like to be remembered as someone who made a difference – just once - either in someone’s life, or in the beach clean-up I organized, or as “team mom,” girl scout leader, or as my own children’s mom, as a wife or best friend.

This spring we can all make a difference simply by cleaning out our closets and donating to those who have less. Make a trip to the Goodwill or the Betty Griffin House with your clothes and unwanted household goods or to the St. Francis House (http://stfrancisshelter. org) with food items, or volunteer to help prepare food for those who need a little extra assistance. We often think of the holidays as helping others, but it is really a year-round job. For a mere $80 you can support a child throughout the school year by donating to “Blessings in a Backpack”. Many of our disadvantaged children receive free breakfast and lunch during the school year, but what happens on the weekend? Through donations, “Blessings in a Backpack” provides a backpack of food items for each qualified child to feed them through the weekend. 295 children are in the program at 5 schools in St. Johns County: The Webster School, Crookshank Elementary, Sebastian Middle, PVPV-Rawlings and Ocean Palms Elementary schools. Go to www.jaxblessingsinabackpack.org for

more information. To the southern end of the county, I encourage you to support and attend the Arts Festival celebrated on the third Sundays at Flagler Beach. Great outdoor fun to be had for all! The 5th annual Kid’s Ocean Day will be celebrated May 9th this year by 3rd and 4th grade students from Otis Mason Elementary School. Check out the A1A Scenic Byways website for the annual beach photo highlighting the student’s day. Checkout and support the mission of A1A Scenic Byways and look for the annual aerial photo http://www.scenica1a.org/. For all the Mothers, Aunts, Sisters and girlfriends in our readership, we wish you the best “Mothers Day” celebration! Take time for the “simple life” and enjoy your day! As always we invite you to share ideas for new contributors to the Woman’s Journal or to recommend your coworkers, friends and neighbors for our “Women in Profile” feature. Slainte!

Find us on the web at: staugustinewomansjournal.com sanjosewomansjournal.com

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In This Issue

st. augustine woman’s journal | April/may 2014

36 4 34 24 46 20

30 Health & Medicine

Travel

4 |

Saving Lives and Touching Hearts

20 | Cruising the Mediterranean

6 |

The Art of Spider Vein Treatment:

Sclerotherapy & Laser Therapy

Business &Finance

7 | Have You Decided On Breast Reconstructive Surgery? 8 | Transcatheter Aortic Valve Replacement

(TAVR): A New Aortic Valve Without

Open Heart Surgery

10 | Preventative Health Maintenance Guidelines

for Women

11 | Know Your Diabetes Management Team 12 | Nurse Midwife Missy Rogero Joins ObGyn Associates 13 | Colon Cancer. Prevent it. Treat it. Beat it. 14 | Seniors and Chiropractic Care 16 | The Marital Bridge of Intimacy

Life Services 17 | Haven Opens New Administrative Offices

and Attic Resale Store in St. Augustine

18 | Simply Susie. Let us clean, cook and run

errands for you! It’s just a part of what we do!

21 | What Is the Biggest Misconception Spread

by Many Realtors and Bankers in Florida?

22 | Search Engine Optimization (SEO)

and Why it Matters

Legal

23 | The Importance of Having a Will 24 | Mother Goose & The Ugly Duckling –

The Guest Who Would Not Leave

Women in Profile

33 | 34 | 35 | 36 |

St. Augustine Chalk Walk Inaugural Flagler Health Care Foundation Golf Classic St. Gerard Campus Crisis Pregnancy Center - Hope, Help and Love PT, OT, SLT, EAT, LMHC…Alphabet soup!

Fashion & Beauty

38 | Eyebrow is the king of beauty 39 | Fashion is My Passion

All About Alterations and Clothing Design

40 | Try A Little Arm Candy 41 | Why Organic Hair Color?

Holistic Beauty from the Inside Out by

The Look & Lifestyle salon

25 | Pamela Strickland, Janet Rae Nelson,

42 | You ARE Beautiful...!!!

Food & Entertainment

Eileen Mangino, Lisa Almeida

Community 28 | 29 | 30 | 31 | 32 |

Mark & Alecia Bailey Honored as the 2014 Community Award Recipients Homeless Services Expanding The Value of a Volunteer! Exciting Nationwide Reading Project Coming to St. Augustine St. Francis House Celebrates 30 Years

43 | St. Augustine’s Romanza Festivale of the Arts 44 | 45 | 46 | 47 |

The Debate Over Telecommuting Treat Your Taste Buds at PJ’s Asia One Market Happy Cinco De Mayo (But Hold The Mayo) World Arts Education Presents World Arts Film Festival

Back Cover 48 | Go Fish


Health & Medicine

Saving Lives and Touching Hearts

C

indy Johnson and her husband Rudy understand first-hand the importance of a healthy heart. When Cindy found herself hospitalized last Fall, facing a number of life-threatening conditions including a failing heart, the team at Flagler Hospital pulled together to help give this vibrant, 51-year-old mother, wife and business owner a second chance at life – with the help of an innovative system called TandemHeart. “Before all this happened, I felt perfectly healthy,” said Cindy. “I was busy, active; the only medication I was taking was for high blood pressure.” But her daughter Heather recalls, back in July, Cindy had complained of a pain in her side, which a friend suggested could be her gallbladder. As many women do, Cindy dismissed the discomfort and went on with her busy life until she came down with the flu in September. “I knew I had the flu, but I really felt terrible. At some point, I looked at Rudy and I told him that something just didn’t feel right and he better go ahead and take me to the Flagler ER,” she continued. In the ER, Cindy’s blood pressure was so low it was nearly immeasurable. After some fast diagnostic testing, it was determined that her gallbladder was severely

Cindy and Rudy Johnson

February/March April/May 2014 2014

infected and needed to be removed immediately. Dr. Christine Routhier performed emergency surgery. “When that sweet doctor came out and told me the surgery was a success, I breathed a big sigh of relief,” said Rudy. “But then she looked at me with real serious eyes and said ‘this isn’t over’. The gallbladder infection had spread throughout Cindy’s body and her organs were shutting down. That’s when a whole team of doctors, nurses and all kinds of people sprung into action once again to save Cindy’s life,” he continued. “Her pulmonologist, Dr. Prakash was very honest with me. He folded his hands together, looked down over his glasses at me and said, ‘Rudy, there is a small window of opportunity here and it is closing fast. While it indeed may be ever-so-small, we need to put all our energy into staying focused on keeping that little window open.’ I took what he said to heart and I just kept telling anyone who would listen to me that the precious little lady on the table there is my best friend and we need to do whatever it takes to pull her through. At one point, I threw myself down on the chapel floor there at Flagler Hospital and cried like a baby,” shared Rudy, with fresh tears glistening in his eyes. From the beginning of their ER visit, cardiologist, Dr. Ferris (Bo) George had been called in to address Cindy’s failing heart, which was critical to her survival. After initiating several treatments and ascertaining that traditional methods were not giving Cindy the support she needed, Dr. George determined that her best chance was with the TandemHeart system. “I knew that TandemHeart could provide Cindy the tremendous level of support she needed, shouldering up to 90% of the work of her heart,” said Dr. George. “I had been through extensive training on the system, but no one here had ever performed the procedure on a patient. It was clearly her best chance of survival, and within minutes, after talking with Rudy about it, our entire team pulled together to make it happen. I am very proud of the team here at Flagler Hospital and truly believe had she been at a larger facility, with more red tape and longer turnaround-times, she probably would not be with us today.”

“I just want to encourage everyone out there to be aware of what’s going on with your body. If you feel like something isn’t right, go get it checked out. It’s best to catch things sooner than later,” said Cindy. “If me talking about everything I went through spares anyone else, then this has all been worth it.”

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Health & Medicine Developed by a cardiothoracic surgeon, TandemHeart is the only system available that enables access to the left atrium of the heart. Only physicians willing to learn to perform this procedure, and hospitals committed to offering a full set of ventricular assist options for their sickest patients, are able to offer TandemHeart, which everyone involved in this case agrees was a lifesaver for Cindy. “I didn’t really know what this TandemHeart thing was, but Dr. George explained it to me. I had to do some soul searching and some thinking about what Cindy would want me to do and I decided to sign all the papers and pray that this machine would keep my best friend with me,” said Rudy. “And sure enough, with the help of a whole bunch of what I call ‘The Elite’ - Dr. George, Dr. Muerkhe, Dr. Pubbi, the cath lab and Miss Crystal Greer from TandemHeart, they got that blood of Miss Cindy moving again.” With Cindy’s blood pressure returning to normal, the team worked to stabilize her further, including working with the FDA to use an experimental drug to fight the infection in her lungs. “Here I was again, signing more papers and making more decisions that I hoped were the right ones,” commented Rudy. “It was tough, but I am so thankful for the way an entire hospital jumped through hoops to get my Cindy the treatments she needed to save her life. This whole experience has renewed my faith in the world.” Cindy’s story didn’t end there. Once she was stabilized, it was determined that she may need an organ transplant and should be sent to a transplant facility. She was flown to Tampa General where she spent over a month – no organ transplant needed - and then underwent rehab at two facilities before finally going home in November – over two months later. Cindy doesn’t remember much of the experience at all, and has only very recently started reading the little spiral bound journals Rudy kept throughout the entire ordeal. “He handed those little notebooks over to me and I thought ‘is this going to make me sad? Because if it’s going to make me sad I don’t want to read it just yet’,”

“And let me tell you about Flagler Hospital. We have top-notch doctors and a fantastic team who really care about us right here in our town. They all work together and from my heart I believe my Cindy never would have survived if she had gone anywhere but Flagler.” she smiles. “Well, as soon as I turned to page one, sure enough, those tears started spilling. So, I am still going through them a little bit at a time. Mostly, I am focusing on my recovery and my health.” Cindy has just started cardiac rehab at the Flagler Wellness Center, which is a stateof-the-art gym that features on-site clinical staff and real-time EKG monitoring for patients. She and Rudy are also attending the hospital’s free heart failure education classes, where Rudy no doubt takes dubious notes. “I sure wish I could get her to eat some yogurt,” he laughs. “People who know me, they know I can be a ball of fire - and for years, Miss Cindy held the reins on me. Well now it’s my turn. She tries to do much too soon, or eat the wrong thing, or skip a meal, and I give those reins a tug

and tell her what’s what.” Both Cindy and Rudy recognize this was a life transforming experience for them and hope that sharing their story will help others become more aware of their health and the importance of helping others. “I just want to encourage everyone out there to be aware of what’s going on with your body. If you feel like something isn’t right, go get it checked out. It’s best to catch things sooner than later,” said Cindy. “If me talking about everything I went through spares anyone else, then this has all been worth it.” “Like I said before,” added Rudy. “This whole thing has helped me see that there really are still compassionate people in the world. Miss Crystal Greer from TandemHeart never met us before and she

About Flagler Hospital

slept in the recliner right by my wife’s bed. She did not leave her side for at least 72 hours. And let me tell you about Flagler Hospital. We have top-notch doctors and a fantastic team who really care about us right here in our town. They all work together and from my heart I believe my Cindy never would have survived if she had gone anywhere but Flagler. “If there is anything I want people to take away from this, it is that we are not too busy in the world to care for one another,” he continued. “Dad used to stop and talk to strangers all day and I never understood it, but now I do. Just talking to someone and hearing their story and telling them yours, well that can change your life. I hope we did a little bit of that today.”

Flagler Hospital is a 335 bed, acute care hospital that has been ranked among the top 5% of all hospitals in the nation for both clinical excellence and patient safety for the past seven consecutive years. The hospital has operated as a not-for-profit healthcare institution in St. Augustine, Florida since its founding in 1889. The hospital has earned accreditation from the American College of Surgeons Commission on Cancer, the Gold Seal of Approval™ from The Joint Commission for Primary Stroke Care Centers, national accreditation for its total hip and total knee replacement programs, and Center of Excellence Designation for its Bariatric Surgery Center. For more information, log on to www.flaglerhospital.org

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Health & Medicine The Art of Spider Vein Treatment: Sclerotherapy & Laser Therapy -Restoring the youth in your legs

characteristics of spider veins. Some of the treatment options that have been used for the treatment of spider veins are: • Lifestyle changes • Support stockings • Vein stripping surgery • Radiofrequency Occlusion • Sclerotherapy • Laser therapy For the purpose of this article I will focus on sclerotherapy and laser therapy

I

By: Ryan Pereira, DPM, FACFAS

f you are one of the many who suffer from discomfort, pain, or poor self-image due to varicose veins, spider veins, or venous reflux, a wide array of minimally invasive treatment options are available at The Centre for Advanced Vein Care (CAV Care) which has been treating venous disease since 2005. Spider veins and varicose veins, although considered a cosmetic problem are actually a sign of an underlying disorder called Venous Insufficiency. Nearly 20-25 million Americans are afflicted by this condition. By age sixty, approximately 70 percent of women and 40 percent of men will be afflicted with venous insufficiency. Left untreated, it can lead to a chronic, debilitating, and sometimes limb-threatening condition. Spider veins present as small webs of red, purple or blue clusters or lines that disfigure the skin surface. Varicose veins appear as dark blue veins or bulging ropes beneath the skin. While these veins are not usually life threatening, they can disrupt and interfere with a person’s quality of life. There are various treatment options available depending on the size, location and

For more information about vein treatments, please visit: www.anastasiamedicalgroup.com or contact the office at 904-461-0821. The Center for Advance Vein Care (CAV care) treats all of the aspects of venous disease, the most common of which are varicose veins, spider veins, venous ulcers, and refluxing veins. We utilize the VNUS® Closure® procedure and treatments usually last approximately 45 minutes. In order to provide for total comprehensive vein care, vein stripping, ambulatory phlebectomy and sclerotherapy are also performed at the Center for Advance Vein Care. Dr. Ryan J. Pereira (pictured above) has been

February/March April/May 2014 2014

Sclerotherapy Sclerotherapy is the most common treatment for both spider veins and varicose veins. Dr. Pereira uses a needle to inject a liquid chemical into the vein. The chemical causes injury to the vein walls thereby causing it to stick together, and seal shut. This stops the flow of blood, and the vein turns into scar tissue. In a few weeks, the vein fades away. Sclerotherapy treatment does not require anesthesia and is performed in the office setting. Patients may return to normal activity immediately after treatment. Patients normally require between 2 and 5 treatments sessions every 4-6 weeks to obtain optimal results. After sclerotherapy patients may be asked to wear compression stockings. This treatment is very effective when done correctly. Side effects of Sclerotherapy Common temporary side effects of sclerotherapy are stinging, redness, raised patches of skin, bruising where the injection are performed. These subside immediately after treatment. Spots, brown lines, or groups of fine red blood vessels around the treated vein recede shortly after treatment. Finally blood trapping in the vein may cause a mild inflammation which is usually treated either by draining the trapped blood or applying warm moist. in practice since 2002 and has been treating venous disease since 2005. He is a Diplomat of the American Board of Podiatric Surgery and is Board Certified in both Foot Surgery and ReDr. David S. Ross constructive Rearfoot/Ankle surgery. He is also a Fellow of the American College of Foot and Ankle Surgeons. He graduated from the Ohio College of Podiatric Medicine with his Doctorate in Podiatric Medicine. Dr. David S. Ross has been in practice since 1977 and has been treating venous disease since

Laser therapy Laser transmits laser light through the skin to the target blood vessel up to 3 mm in size. After the laser light is absorbed, the light is converted to heat and damage the target vessel. As the vessel is damaged, circualtion stops and the blood vessel disappears shortly thereafter. This procedure is quick and can be done in about 15-20 minutes depending on the area, size and number of spider veins to be treated. The laser has a built in cooling device that prevents thermal injury to the skin and assists in the reduction of pain with the laser therapy. Laser therapy may require between 2-4 treatments in 4-8 week intervals. Side Effects of Laser Therapy Common temporary side effects are swelling, redness, mild pain and hypopigmentation or hyper-pigmentation. These side effects will gradually disappear as the lesion heals, which may take from few days to several weeks depending on the severity of the spider vein. At CAV Care,

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2008. He is Board Certified in both Emergency Medicine and Family Practice and is a Fellow of the American College of Emergency Physicians. He graduated with a Doctorate in Medicine from the University of Florida.

we evaluate many patients for treatment of their spider veins, who have had these previously treated where only the cosmetic appearance was addressed, only to see reappearance after 6-12 months. Those who opt only for superficial treatments of leg spider veins exchange the veins for dark blotches in the skin. The underlying problem is never considered or treated. A careful ultrasound vein mapping may show a deeper source of reflux in a larger source vein. We offer minimally invasive treatment options like VNUS Closure procedure to address the larger source veins. Once any underlying large vein insufficiency has been excluded or treated. Sclerotherapy, laser therapy and combination therapy are utilized to restore your legs to a more youthful appearance.


Health & Medicine

Have You Decided On Breast Reconstructive Surgery?

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By: Susan Detar, CFm Owner, The Pink Door

f the answer is yes, then please read on to discover some products which will bridge the gaps from mastectomy surgery through tissue expansion and final implant placement. During the expansion process you will experience size fluctuation and varying degrees of discomfort that can affect your confidence and self-esteem. Amoena’s PurFit adjustable enhancer is designed to maintain your silhouette by adapting to your changing shape. It feels and looks like a natural breast. You will feel feminine and normal while you go through the process. Purfit is a system that is made up of a pocket to hold fiberfill that can be adjusted to achieve a smooth and balanced look under clothing. For ultimate comfort, a foam layer and a soft silicone shell help to protect sensitive breast tissue and provide shape. Sometimes after surgery drains are necessary and the Hannah post-surgical garment manages them for you. Often after the process is completed the doctor recommends a compressive garment to keep things in place. The Patricia compression vest with the addition of a compression belt keep implants in place and help prevent them from moving upward. When you are fully healed and ready for your new normal there are many beautiful garments such as the Lara t-shirt bra which are made to take into consideration the changes to your body. Once you make the decision to reconstruct you know you have options to make the journey less stressful.

Photos: Top Left: Compression Vest and Belt. Top Right: Post Surgical Recovery. PHOTOS: Amoena

TESTIMONIAL Susan has always made me feel comfortable and managed to help me through what was a very emotional fitting. She recently introduced me to a new style of prosthesis on the market that has allowed me to wear sun dresses and t-shirts that I had been unable to wear since my surgery, helping me feel more normal and “pretty” again.”- Deborah

Susan Detar is a Certified Mastectomy Fitter. The Pink Door is an accredited post-mastectomy care center. Our mission statement: “The Pink Door will be recognized as the preferred provider of foundations to women affected by breast cancer. We will offer a wide selection of products in a knowledgeable and caring environment. Our goal is to fulfill 80% of our customers’ needs on the first visit.” This mission extends to all women who walk through the door. You will be served in a warm, inviting boutique occupying a home in the south historic district of Palatka. Our job is to provide products that will make you look and feel better.

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Health & Medicine

Transcatheter Aortic Valve Replacement (TAVR): A New Aortic Valve Without Open Heart Surgery What is Aortic Stenosis?

Making the Diagnosis

severely stenosed arotic valve is seen

The aortic valve is the valve across

The diagnosis of severe symptomatic

in the picture below.

which blood is delivered to the entire

aortic stenosis is typically considered

body when the heart contracts. This valve can fail in 1 of 2 ways: being insufficient, or regurgitant, meaning it does not close properly, or being stenotic, meaning it doesn’t open prop-

The diagnosis is

ultrasound imaging of the heart. A

with increased calcification and im-

probe is placed on the chest and sound

mobility of the valve. When the valve

waves give both an image and pres-

pain, or light-headedness. When ei-

February/March April/May 2014 2014

cal examination.

and tends to occur at an older age,

commonly shortness of breath, chest

s interventional cardiology continues to innovate to find less invasive procedures for patients, the latest development, TAVR has literally been a seismic breakthrough: delivering a new valve to the heart through a catheter. This procedure was approved by the FDA in 2011 for patients with severe symptomatic aortic stenosis who are either inoperable from a surgical standpoint or high risk for surgical complications with typical open heart surgery. This has opened up a therapeutic opportunity for a group of patients that otherwise would have had no options other than medical management. The unfortunate reality, however, is that this group of patients had a historically poor prognosis, on the order of 50% mortality each year once the diagnosis was made. This placed these patients with even worse outcomes than some cancer diagnoses. With TAVR, the outcomes have shown both improvements in mortality and functional status for this group of patients.

aortic valve, in the chest on physiconfirmed by an echocardiogram, or

symptoms from this condition alone,

A

normality” is heard in the area of the

erly. Aortic stenosis is more common,

doesn’t open well, the patient often has

By Dr. Crisco

when a murmur or “flow sound ab-

sure tracings along the lines of blood flow across the aortic valve. An aortic valve is severely stenosed when it doesn’t open well, and the typical valve

What other studies are required?

area of 2.5 cm is reduced to below

Surgical consultation is required to

the outlook over time is, again, frought

1.0 cm2. Concomitantly, the gradient

evaluate the surgical risk of the pa-

with a poor prognosis. The common

across the valve increases on the order

tient, because surgical open heart

patient is above age 70, and often has

of >40mmhg, and the velocity of flow

other medical conditions that make

across the valve increases as well to > 4

valve replacement is a safe and ex-

surgical open heart valve replacement

meters/second. Some patients with se-

ther of these symptoms are present with a valve that is severely stenosed,

a procedure with significant operative risks. TAVR offers a less invasive option for management compared to open heart surgery, which traditionally meant surgically removing the native valve and implanting an artificial tissue or mechanical valve. The image below depicts a calcified stenotic aortic valve

2

vere aortic stenosis have no symptoms to report, but the majority of patients who have no symptoms typically have decreased their level of activity over to time to compensate for the dysfunctional valve. Once symptoms are appreciated, again the prognosis is poor

on the left and a normal pliable aortic

without addressing the valve itself. A

valve on the right.

typical cross-sectional echo view of a

cellent operation if a patient’s risk is not high. If the patient’s risk is determined to be high for surgical aortic valve replacement (SAVR), then consideration for TAVR begins. Typically, imaging is key to understanding the options for patients moving forward, and this involves CT scanning of the heart, aorta and access vessels in the groin. A series of typical CT scan preprocedure images of the aortic valve is seen below.

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Health & Medicine A heart catheterization is then performed to identify other coexisting medical conditions often found with this patient population, like coronary artery disease or blocked arteries supplying blood to the heart, and to confirm the diagnosis of aortic stenosis.

How is TAVR actually performed?

Patients can have this procedure under general anesthesia, or even under moderate conscious sedation if amenable. The most common approach for TAVR access is from the femoral arteries in the groin, and these arteries are accessed either through the skin (percutaneously), or via surgical direct exposure (cutdown). Catheters are inserted through these arteries to then allow a guidewire to cross the stenotic or dysfunctional aortic valve. Once crossed, a balloon is used to open the stenotic valve, a procedure called balloon aortic valvuloplasty. This facilitates placement of the TAVR valve in the correct position. Echo guidance helps with correct valve placement. The new valve is crimped on a deliver balloon, and is actually a tissue valve, not dissimilar to valves used with open surgery, but the difference is that TAVR valves are sewn inside a balloonexpandable stent, mounted on a deliver catheter. From femoral groin access the TAVR valve is advanced to the correct position and under rapid pacing of the heart, it is deployed, virtually displacing

and symptoms improve immediately. This sequence is depicted in the 3 frames below as (a) balloon arotic valvuloplasty, (b) TAVR positioning, and (c) TAVR deployment, and the adjacent image of TAVR valve deployment from a live case.

TAVR can be performed from one of several access sites, including the femoral arteries in the groin (TF), the aorta directly in the chest with a small surgical incision (TAo) or through the apex of the heart itself (TA) also through a small surgical incision in the left lower chest. The difference

between typical SAVR and TAVR is the absence of the bypass pump which maintains circulation while surgery is performed on the non-beating heart. TAVR is performed with the heart beating, and no bypass pump is required. Typical access sites for TAVR and an open surgical approach are depicted in the cartoon at the top of the page.

What follows? We typically image the valve with echocardiography again at 1 months and then 6 months and annually thereafter, and patients are treated with aspirin and another antiplatelet drug for about 6 months. Future antibiotic prophylaxis for invasive procedures is required. Other than that, it’s typical follow up with the cardiologist as usual.

the native valve around the TAVR valve. Once placement is confirmed, catheters are removed and access sites are closed, completing the procedure. Typical recover time in hospital is about 3 days,

Larry Van-Thomas Crisco, MD, FACC, FSCAI Originally from Charlotte, North Carolina, Dr. Crisco attended college at Wake Forest University and then Medical School at the University of North Carolina – Chapel Hill School of Medicine. He trained in Internal Medicine at the University of Michigan in Ann Arbor, and in Cardiology at Emory University in Atlanta, GA as a basic science molecular cardiologist, general cardiologist, and then interventional cardiologist, finishing in 2000. From 2000-2013, Dr. Crisco served the patients of metropolitan Atlanta, GA as a busy private practice interventional cardiologist. In 2013, Dr. Crisco joined the outstanding physicians of First Coast Heart and Vascular Center (FCHV) in Jacksonville, Florida. As a member of FCHV, his clinical focus includes invasive and interventional cardiovascular procedures, peripheral vascular disease management and endovascularintervention, acute heart attack care, structural heart disease management, as well as general cardiovascular medicine consultation. He has always been actively involved in clinical trialing of cardiac devices, drug therapies, and patient management strategies, including radial artery access for cardiac catheterization and coronary intervention, structural heart disease, same-day discharge coronary intervention, PFO closure, and complex coronary intervention. He holds patents on cardiac devices and drug management systems and has enjoyed success in the cardiac device industry.

First Coast Heart & Vascular Center, PLLC

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904.342.8300 • www.firstcoastheart.com • 1000 Plantation Island Drive, Suite 9 St. Augustine, FL 32080


Health & Medicine Photo by Christine Cousart www.cousartphotography.com

Preventative Health Maintenance Guidelines for Women

D

By Scott R. Michaels M.D. Board Certified Family Medicine

uring a woman’s life her body changes and requires different preventive measures in order to maintain optimal health and prevent disease. The following is a guide for preventive maintenance for diagnostic testing for women throughout their lifetime. Guidelines for preventive health maintenance change often, therefore consult your physician for updates for the latest tips and facts. The United States Preventive Services Task Force (USPSTF) and the American Academy of Family Physicians (AAFP) are excellent sources for further information as related to your individual preventive medicine needs. The Electronic Preventative Services Selector (ePSS) is a handy app for your smart phone that will tell you specifically what preventive healthcare services you should have

AGEs Test 21-65 Cervical Cancer Screening (PAP Smear)

Comments *Or 30-65 years old in combo with HPV testing

24 or younger Chlamydia screening

*Or 25 and older if increased risks

18 and older

Blood pressure screening

15-65

HIV screening

*If at increased risk

45 and older Lipid disorders

*if at increased risk for coronary artery disease

50 till 75 Colorectal Cancer screening

*Frequency is dependent on screening modality -fecal occult blood testing, sigmoidoscopy or colonoscopy

All adults

Tobacco use screening

The above table represents only some of the diagnostic recommendations and does not include clinical recommendations or other level recommendations. To find out more about the complete list of recommendations for your specific age and behavioral risks see your physician or got to www.ahrq.gov for the USPSTF recommendations.

based on your age, sex, and selective behavioral risks. Guidelines change, as new scientific evidence is discovered. Preventive health care can help prevent you from getting sick and help detect disease early. These two measures can have a dramatic effect on a persons’ overall health status. Early detection of disease results in early treatment which may decrease the associated effects or course of a disease. The above chart includes is a few of the age specific preventive testing Grade A recommendations for a sexually active, non-smoker and non-pregnant females.

Scott Michaels M.D. is a board certified licensed family medicine physician that practices in Saint Augustine Florida. Dr. Michaels completed his residency training at the University of Illinois, Rockford IL in family medicine. Dr. Michaels has a unique background, in addition to being a medical doctor he also has a doctor of chiropractic degree and is licensed in chiropractic medicine as well as traditional allopathic medicine. “Helping my patients achieve, their personal health care goals, and caring for them when they need medical care is my number one mission. I am driven to help my patients improve their health and utilize evidence based practice measures to get the best possible outcomes for my patients.” Dr. Michaels has an affordable concierge medical care option for patients. This enables patients to get timely access to personalized medical services. The concierge program includes comprehensive wellness services and a host of other medical services. The program is limited to a patient panel of 300 patients. Call now for more information: (904) 823-8833

February/March April/May 2014 2014

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Health & Medicine

Know Your Diabetes Management Team • Vascular Specialist—Diabetes can increase the chances for development of several vascular diseases. Your risk of vascular disease increases with the length of time you have had diabetes, and your risk can increase if you have high blood pressure, smoke, are inactive, overweight, or eat a high-fat diet. • Pharmacist—Successfully managing diabetes usually requires taking prescription medication. Talk to your pharmacist to ensure you understand your over-the-counter (OTC) medications and your prescription medications.

Briefly test your knowledge about your diabetic feet:

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By Richard Johnson, DPM

Coastal Foot & Ankle Wellness Center

hile diabetes affects all parts of the body, it can be controlled successfully with guidance and treatment from a team of medical specialists. • Primary Care Physician—A family physician or internist plays the important role of coordinator. Often, they are the first doctor one sees after being diagnosed diabetic. They make referrals to other specialists on the treatment team. • Endocrinologist—This specialist is often called upon to care for a person with diabetes who is having difficulty controlling the disease. • Podiatrist—Podiatrists are uniquely qualified to treat the foot and ankle. Diabetes can limit or restrict nerve function and blood flow to the feet. As a result, patients with diabetes can develop foot complications resulting in infection or amputation if left untreated. If you have diabetes or are at risk of the disease, have a podiatrist check your feet at least twice a year for circulation and symptoms such as numbness, burning, or tingling. • Dentist—Patients with diabetes are more susceptible to gum disease and infections in the mouth due to excess blood sugar, so keeping up with regular dental appointments is important. • Ophthalmologist/Optometrist—Similar to the feet, diabetes can also affect blood flow to the eyes, resulting in diabetic eye disease. This condition is preventable if the disease is managed properly.

1. Even though someone in my family has diabetes, I don’t need to worry about it. FALSE—Along with age and obesity, a family history of diabetes can increase your chances of developing diabetes. 2. I need to educate my family on the dangers of diabetes. TRUE—Diabetes is a family affair. Everyone in the family should know about the disease and help those with diabetes control it. 3. As long as my feet do not hurt, I don’t need to visit a podiatrist. FALSE—Diabetes can lead to loss of sensation or numbness of the extremities. You may not feel the pain, even if there is a significant problem. Any noticeable change in the feet such as redness swelling, sores that don’t heal, loss of toe/foot/leg hair, or scaly skin may indicate a more serious problem. 4. Having diabetes makes my feet more susceptible to common infections, such as athlete’s foot and fungal toenails. TRUE—People with diabetes have a decreased immune response, which can make common foot infections more prevalent. If you or someone you know has diabetes, visit a podiatrist regularly for proper foot exams and foot care to keep your feet healthy.

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We have been treating your feet in St Augustine and Palatka for over 12 years. Make an appointment today with Richard Johnson, DPM or Jose Concha, DPM at (904)826-1900 in St Augustine or (386)328-1122 in Palatka. At Coastal Foot & Ankle Wellness Center, we are setting the highest standards for your foot and ankle care.


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Health & Medicine

Nurse Midwife Missy Rogero Joins ObGyn Associates

he doctors, midwives and staff at ObGyn Associates are delighted to welcome Missy Rogero (formerly of Ancient City Midwives) to our practice. Missy brings excellent clinical skills, a warm and caring manner and a sincere devotion to her patients. She has practiced midwifery and well-woman gynecologic care for five years in her hometown of St. Augustine. Missy is well regarded by both patients and hospital staff. Watching an experienced midwife in a delivery is like joyful poetry. All of the midwives at ObGyn Associates have years of labor and delivery nursing experience. They have watched many practitioners and have incorporated the best of what they have seen into their practice. Here at ObGyn Associates, we are proud to celebrate our 13th year providing care for women in St. Augustine and are excited to add Missy to our practice.

February/March April/May 2014 2014

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Health & Medicine

Colon Cancer. Prevent it. Treat it. Beat it.

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By Sandra Hoogerwerf, MD, Borland-Groover Clinic

pecialists at the Borland-Groover Clinic know that screening for colorectal cancer saves lives. “Everyone has a five percent chance of developing colon cancer, but if there is a family history then the risk is two to three times higher,” says Sandra Hoogerwerf, M.D., a gastroenterologist with BorlandGroover Clinic. Colon cancer is 90 percent curable if detected early. It’s one of the most prevalent cancers in the United States and is the second most common cause of cancer deaths among men and women. Both genders are affected nearly equally and the key risk factor is age, with risks increasing after

the age of 50. If a family history is present, Borland-Groover Clinic recommends to be screened ten years earlier than the age of the family member at diagnosis. Patients with colon cancer most often have no symptoms, though symptoms can include a change in stool size or habits, rectal bleeding and abdominal pain. “We want to get to people before these symptoms occur,” said William Foody, M.D., a gastroenterologist at Borland-Groover clinic. While age 50 is recognized as the age to add a colonoscopy screening to your medical check-up, colon cancer can present itself at any age. Screening is essential, yet misconceptions remain about who should be screened and what the screening process involves. If you have a family or a personal history of polyps, colon cancer, inflammatory bowels, Crohn’s disease or irritable bowel syndrome, then you should be screened more often, Dr. Foody adds. Other risk factors for colon cancer include obesity, consumption of more than four to five alcoholic drinks per week and smoking. Physical activity also plays a part. “Just increasing exercise and activity to a moderate level can decrease your risk for colon cancer by as much as 50 percent,” says Dr. Hoogerwerf. According to the physicians and staff at the Borland-Groover Clinic, colon

cancer screening has never been easier. Physicians are able to see a patient, and in a single visit, remove all signs of polyps and offer a diagnosis within 24 hours of the procedure. Since screenings have become much easier, the death rate from colorectal cancer has significantly dropped in both men and women. As a result, there are now more than 1 million survivors of colorectal cancer in the United States. While the colonoscopy is a fairly routine procedure, it is the prep that concerns most people although it only consists of consuming a fairly strong laxative the day before the procedure. The cleaner the colon, the easier it is to examine it for polyps. The colonoscopy itself is a comfortable and safe test - the patient is sedated and mostly unaware of the procedure, lasting only about 15 to 30 minutes. Most polyps can be removed during the colonoscopy. In some cases, a non-surgical technique called Endoscopic Mucosal Resection (EMR) can be used to remove polyps that are larger than two centimeters with almost no upper limit as long as there is not deeply invasive cancer present. “No one likes to talk about colon cancer, but I am willing to talk about it if it will help others,” said colorectal cancer survivor and patient of the Borland-Groover Clinic, Jan Pratt. Pratt was diagnosed in 2002 with

stage three colorectal cancer at 35. Pratt’s family history with the disease, and persistent stomach issues caused her to receive a lifesaving screening that led to her diagnosis. As a result of her experience, Pratt became active with the Colorectal Cancer Coalition, traveling to Washington D.C., to lobby for legislation making colorectal cancer screening easier to access and covered by insurance. Now, luckily for patients, most insurance companies cover up to 100 percent of costs for colonoscopy screenings. “We promote awareness in March, Colon Cancer Awareness Month, and throughout the year in an effort to encourage people, all the way up to the state legislature, to get the people screened who need to be screened,” said Dr. Hoogerwerf. Getting screened is the first step to prevent colon cancer. As the leading educators on issues of colon cancer prevention and screening in Northeast Florida, BorlandGroover Clinic has been thinking globally and acting locally. Through education and prevention messages, the physicians and staff, along with local cancer survivors, are making it a personal mission to help make colorectal cancer issues a top priority on a local and national level. “One simple screening is worth a day of your life,” says Dr. Hoogerwerf.

Dr Sandra Hoogerwerf graduated Cum Laude with a Doctorate of Medicine from the Erasmus University in Rotterdam, The Netherlands. She subsequently completed her internal medicine residency at Johns Hopkins Bayview Medical Center in Baltimore, Maryland, and her clinical gastroenterology fellowship at the University of Texas Medical Brach in Galveston, Texas. In addition, she completed a gastroenterological research fellowship at the Johns Hopkins University in Baltimore, Maryland. Before joining Borland-Groover Clinic in 2010, she served as an Assistant Professor of Medicine at the University of Michigan Medical Center in Ann Arbor, Michigan. Dr. Hoogerwerf has a longstanding interest in women’s health issues, functional bowel and motility disorders. She has published on a variety of topics including the management of gastrointestinal disease in pregnancy, acid suppressive therapy and reflux disease, irritable bowel syndrome and motility disorders such as achalasia.


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Health & Medicine

Seniors and Chiropractic Care

the more than 275 healthcare professionals at BayView and across our continuum of care. In each issue we will address an area of interest to help consumers be even more informed about their health and wellness.”

Dr.

Larry Lake is a licensed psychotherapist and is the CEO of BayView Healthcare. Lake says “as a local nonprofit healthcare provider, we are excited about how this FORUM can help share the knowledge and expertise of

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hiropractic Care Is important for Seniors

Seniors experience changes in their spine as they age. Some of these changes can be quite dramatic. That is why chiropractic care can be so important during this critical time of life. What changes do seniors see? Spinal discs, joints, ligaments, muscles and other spinal tissues become weaker, less hydrated, more fibrotic and less able to withstand normal stresses. All of these issues can lead to arthritis. Arthritis is inflammation in one or more joints, which results in pain, swelling, stiffness and limited movement. Additionally, seniors are more likely to have tissue injury and face an increase in healing time from these injuries. As seniors, these injuries often occur due to everyday events, such as bending or climbing stairs. Chiropractors understand the process of aging as it relates to the spine and can provide an effective, safe and non-invasive treatment plan. Such a plan can include adjustments, mobilization, physical therapy, stretching and exercise. Some chiropractors will also assess nutritional intake and suggest

February/March April/May 2014 2014

now serving a patient base of 10,000 patients in Putnam County. He is one of the few Certified in 2001 for Impairment ratings and disability determination for the Forensic Chiropractic Medical Examiner. In 2003 he earned his Doctorate in Naturopathic Medicine and an Idaho Naturopathic Physician state license. He is also Certified in Injectable Nutrient Therapies (2002), Certified in K-Laser USA Class IV Therapeutic Laser (2011). Dr. Marty was the team chiropractor for the Jacksonville Sharks Arena football team. He has lectured extensively on biomechanics of the spine, chiropractic, nutrition and many other natural therapies. Dr. Marty Is also a nationally published author (Blueprint to Health)

In this FORUM, Dr. Marty Monahan, D.C., N.M.D will introduce us to the outstanding benefits of senior chiropractic care. As we age so do our spines and Dr. Monahan will offer several non-invasive treatment plans. Dr. Marty Monahan graduated from Life Chiropractic College in 1990 as one of the youngest to graduate at that time. Dr. Marty opened a separate office in Palatka in 1998,

dietary changes and supplements. A good chiropractic plan will reduce pain, spinal stress and degeneration, and will increase flexibility and mobility.

Although there is quite a difference between these goals, even goal four is a step up from a degenerative disease progressing at a normal rate.

Goals of Senior Chiropractic Care

Benefits of Senior Chiropractic Care

Just as with other chiropractic care, a chiropractic plan for seniors will depend completely upon the individual. In addition to the severity of the condition, chiropractors will also look at the overall health of the patient. Patients who are in good overall health and still maintain an active lifestyle will find that their chiropractic treatment will be far more effective. Their plans will help them with pain relief and stabilization, allowing them to enjoy all the activities they enjoyed before their condition occurred. Depending upon the overall health and activity of a patient, chiropractic goals can be one of the following: 1. Return to active lifestyle with no pain 2. Return to active lifestyle with some limitations and some limited pain 3. Return to some activities with some pain 4. Slow down the degenerative process

Many seniors are unaware of the outstanding benefits that are possible through regular chiropractic care. Pain Relief Chiropractic care is one of the most effective and safest forms of health care available to treat pain due to back, neck and head problems. Doctors of chiropractic are specifically trained to identify and treat subluxations and their effect on the brain and spinal cord. Increased Range of Motion Seniors often experience decreased range of motion due to many causes. As we age, muscles become shorter and lose their elasticity. Additionally, aging can affect the structure of bones and muscles, causing pain and decreased range of motion in the shoulders, spine and hips. Decreased range of motion come from such causes as arthritis, Parkinson’s

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disease, injuries from falls, car accidents or overuse from previous occupations, and increased muscle spasms or tone. Why is increased range of motion something seniors want? No matter what activity you participate in, your range of motion matters. Do you want to bend over to pick up your grandchildren? You can do it better with increased range of motion. Do you want to kneel while gardening? Increased range of motion can make this easier. Do you want to swing your golf club with more strength? Increasing your range of motion will help. Whatever you do in life, increased range of motion will help you do it better. Increased Balance and Coordination Balance and coordination in seniors often come from injury or degenerative changes to the neck region. Mechanoreceptors are located in the back joints of the neck and are responsible for providing the brain with information needed for balance and coordination by telling the brain where the head is in relation to the body. Aging causes minor deficiencies in the mechanoreceptors’ function and results in loss of body awareness. Then instead of using mechanoreceptors, a person is left to use vision to determine where they are in space. To compensate for the loss of awareness of the location of the legs in space, the feet are kept wider apart than normal, causing an unusual gait. As impairment to mechanoreceptors increase, compensation becomes harder and harder until finally, the senior is unable to get up from a chair or rise from a fall. Chiropractic stimulates the mechanoreceptors, leading to better balance and coordination. Decreased Joint and Tissue Degeneration When your spine has a subluxation, problems occur. Think of a subluxation like a misalignment of the tires on your car. Having your tires misaligned means that they will wear out faster and usually wear away more in some areas than others. The same is true with a misaligned spine. Having subluxations means that your spine will wear out faster.


Health & Medicine Focusing on the mechanical principles of your body reduces spinal stress. This decreases spinal degeneration and other changes. Increased Health and Well-Being Once you are out of pain due to your chiropractic plan, what will you notice? You will notice that you feel great, sleep through the night, have more energy and simply can enjoy all the activities of the past. In general, you will feel that your life is definitely worth living. Regular chiropractic care increases the quality of life and increases health and well-being. Chiropractic care for those over 65 is aimed at quality of life. The point is to not only eliminate pain and correct soft tissue abnormalities, but get you back to your active lifestyle again. Why should you have to stop jogging, dancing or golfing simply because you’ve become a senior? With chiropractic, you don’t have to! Decreased Incidence of Falling A big problem in the elderly population is injuries due to falls. According to the Centers for Disease Control and Prevention (CDC), falls are responsible for 90% of the 850,000 bone fractures which occur annually among Americans over the age of 65.3 Chiropractors can reduce the risk of falls. As mentioned earlier with balance, mechanoreceptors begin to malfunction as a person ages. Regular adjustments keep these receptors in proper working order, thus helping a senior maintain balance. Good balance will reduce falls. Additionally, chiropractors often prescribe stretching and exercise programs to increase strength, flexibility, mobility, balance and coordination. Keeps Seniors Out of Nursing Homes Dr. Coulter, the president of the Canadian Memorial Chiropractic College, published a study in 1996. The study evaluated the health status of 414 elderly individuals (average age of 80 years) and compared those individuals under chiropractic care with those not under chiropractic care. Some key points in the study were: • At three years follow-up, less than 5% of those who used chiropractic care lived in a nursing home while 48% of those who did not use chiropractic care lived in a nursing home.

• At three years follow-up, only 26% of those who used chiropractic care were hospitalized compared with 48% of those in the non-chiropractic group. 4 Remaining at home, rather than having to be cared for by others, is a valid goal of any medical procedure when dealing with seniors. Chiropractic is a great way to get this accomplished. Decreases Arthritis Arthritis literally means joint inflammation. Arthritis causes pain, loss of movement and sometimes swelling. Osteoarthritis (OA) is the most common type of arthritis in the senior population. It starts when tissue, called cartilage, begins to wear away causing your bones to rub against each other. OA most often happens in your hands, neck, lower back or the large weight-bearing joints of your body, such as knees and hips. Over time, OA can make it hard to move your joints. It can cause a disability if your back, knees or hips are affected. Determining the cause of arthritis can be difficult, because often several factors contribute to an individual developing this common problem. Some of the risk factors that can cause arthritis include: • Genetics • Age • Weight • Previous Injury • Occupational Hazards • Some High-Level Sports • Illness or Infection

hand-held devices may be used by chiropractors in performing manipulation of the spine. Your chiropractic treatment is covered by Medicare if: • You have a significant health problem in the form of a neuromusculoskeletal condition that needs treatment (such as pain, inflammation, swelling, leg and foot numbness, etc.) • You have a subluxation of the spine • Manual manipulation has been recommended for improvement of your condition You will have to pay the Part B deductible, and then 20% of the Medicareapproved amount. Medicare reimbursement will be limited to one visit per day, unless there is a medical need for more than one treatment each day. The hands-on nature of the chiropractic treatment requires patients to visit the chiropractor a number of times. To be treated by a chiropractor, a patient needs to go into the office. A chiropractor may provide acute, chronic and/or preventive care, thus making a certain number of visits necessary. Your doctor of chiropractic should tell you the extent of treatment recommended and how long you can expect it to last.

Although there is no one cause for arthritis, growing older often puts you at risk. This is because your joints and the cartilage around them become less able to recover from stress and damage. Spinal discs need nutrition and proper waste elimination to heal properly. This happens through joint movement. Without enough movement, nutrients and waste do not move properly. A chiropractic plan for arthritis would involve restoring joint motion to keep the joints healthy and minimize degenerative joint changes.

Dr. Marty Monahan, D.C., N.M.D Author of Blueprint to Optimal Health Each visit must be medically necessary and enhance your condition. Once further improvement cannot reasonably be expected from continuous ongoing care, the treatment is considered supportive/preventive, and Medicare will stop paying for treatment.6 Sources: 1 . Centers for Disease Control and Prevention. http://www.cdc.gov/homeandrecreationalsafety/ falls/adultfalls.html. 2010. 2 . Ian Coulter. “Chiropractic Care for the Elderly.” Topics of Clinical Chiropractic.” 1996. 3 . Medicare.com. http://www.medicare.com/services-and-procedures/chiropractic-services.html. 2008.

Health & Wellness Forum 161 Marine Street, St. Augustine, FL (904) 829-3475 • www.bayviewhealthcare.org

BayView Healthcare is a private, not-for-profit comprehensive continuum of healthcare provider founded in 1920. Our superior level of services includes short-term inpatient and outpatient rehabilitation, skilled nursing at BayView Rehab at the Samantha R. Wilson Care Center, BayView Home Health and BayView Assisted Living at The Pavilion and Buckingham Smith, an Emergency Charitable Assistance Program and Medicare Pays For BayView Wellness. Caring Hands-Caring Community is a separate 501(c)3 charitable Chiropractic organization founded in 2004 by our parent organization. It was formed to support Medicare Part B pays for a chiroprac- the exceptional services and continuum of care provided to people in need of healthcare tor’s manual manipulation of the spine services and financial assistance. For further information about any of the programs to correct a subluxation. Additionally, offered through the BayView Healthcare continuum please call (904) 829-3475.

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Health & Medicine

The Marital Bridge of Intimacy

ost Saturdays beginning at 6:15am, 65 men of the Cathedral Basilica of St. Augustine and neighboring parishes gather to eat, pray and study a biblically-based program entitled That Man Is You (TMIY), by Steve Bollman of Paradisus Dei. This year’s program, A Light To The Nations, focuses on the male’s role as husband and father in the home, viewed from Judaic traditions as the domestic church or temple. One of the most startling reminders of the differences between men and women is seen in Genesis 1 where Adam is given dominion over all but this does not satisfy him, hence, Eve is created in Genesis 2. So, from the very beginning we are reminded that woman has never existed in solitude, only Adam has! However, as men today attempt to retreat to the cave of solitude, we can hear Eve calling after him: “You know it won’t make you happy!” While scripture depicts the male as the spiritual head of the household, the woman is to draw the man out of himself, to bring the man to love. Women are the seen as the masterpiece of creation as they bring joy to humanity by orienting it towards love.

A woman’s heart should be so hidden in Christ that a man should have to seek Him to find her. Maya Angelou There is no doubt that our culture is under siege with skyrocketing divorce rates and children born out of wedlock. Traditional values and the sanctity of marriage appear to be part of history as the technology which links us instantly also distances us with many preferring to text than talk. There is almost a new attitude of casting things aside that no longer give us instant gratification, so easily blaming the other versus looking inside ourselves for the

problem. Perhaps worse, many couples today are in stagnant relationships where continued growth in intellectual, emotional and physical intimacy has slowed or ceased. In the TMIY program, the men are reminded that by working on their marriage and their families, they are working on every major issue in modern society. Hence, your marriage or relationship provides an incredible opportunity to expand your personal, marital and family joy, bettering our nation and the world in the process. The Marital Bridge of Intimacy is the place where men and women walk across to meet each other, to be more open, more vulnerable – willing to risk everything for a deeper and richer love that is possible and so needed as an example for our younger generations. Imagine that you and your partner find yourselves in a completely dark room, without even a sliver of light to guide you. Some would scream “Get me out or we’ll never get out of here!” Others hold onto to each other, navigating in the dark by sharing information of what they are feeling, hearing etc., working together and driven by faith to find the light and the way out… to joy. Intimate couples trust in their ability to transform conflict into grace and wisdom, accepting the bumps and grinds along the way.

John R. Jones, Jr, Licensed Mental Health Counselor & Certified Family Law Mediator

INTIMATE PARTNER RELATIONSHIP QUIZ: 1. Is personal and relationship growth a key priority for both of you? 2. Are you the first to forgive and the first to apologize? 3. Do you find it rewarding to put in more than what you take out? 4. Is your communication based on understanding first before being understood? 5. Is your physical intimacy marked by an electricity in every touch and glance? 6. Is your life together marked by curiosity, wonder, laughter, awe and devotion? 7. Do you welcome challenges and conflicts as opportunities for healing and grace? If too many answers were “no”, why not check in with your marriage counselor, pastor or rabbi? Consider Dynamic Couples Counseling at LifeSource where a male and female therapist work jointly with the couple. For more information on bringing the TMIY program to your church or community setting, please contact Dennis Kasten at (904) 3771100. We pray you grasp the opportunity your committed relationship provides!

Meeting on the Bridge of Intimacy is to find God at the center of the relationship, where couples experience the eternal and ecstatic nature of their love for each other, an exponential experience of the enduring love of God for all of creation.

ST. AUGUSTINE’S BEST COUNSELORS February/March April/May 2014 2014

Kathleen Abbott, Licensed Mental Health Counselor & Clinical Director

Lasting Results Through Science & Spirituality an We are now ic Amen Clin te Affilia

Kathleen Abbott, LMHC John “Jack” Jones, LMHC Melody Ott, LCSW Thomas Swisshelm, MEd, EdS Barbara Jenkin, M.A., CAP Megan Keegan, MS Liggett M. Cato, CECP Cynthia Zsolani, PhD Susan Barrow, LCSW Lin Brightman, BCHC

Thank you for voting us St Augustine’s Best Counselors for 2013 Free Counseling Through Our Graduate Intern Program Free Substance Abuse Groups Featuring Smart Recovery

(904) 797-5680

Displaying the Spiritual Paintings of Mary Lou Gibson

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Fax: (904) 797-5681 • www.TheLifeSourceGroup.com

248 Southpark Circle East • Saint Augustine, FL 32086


Life Services

Photo by Christine Cousart www.cousartphotography.com

Haven Opens New Administrative Offices and Attic Resale Store in St. Augustine

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Cathy Johnston Haven Hospice Administrator

n March 13, more than 200 community members including elected officials, the St. Johns Chamber of Commerce, and representatives from local businesses helped Haven Hospice celebrate the opening of Haven’s newest St. Augustine administrative offices, community room and Attic Resale Store located at 2497 U.S. Highway 1 South in St. Augustine. “The commitment of Haven Hospice to the St. Augustine community is demonstrated through the purchase of this facility and the dedication of our local staff to provide services to the patients and families of

this area,” said Haven Hospice Chief Operating Officer and Senior Vice President Pam Saucier. Serving patients and families in North Florida since 1979, Haven Hospice has been privileged and honored to be invited into so many lives over the years. These new environments will assist Haven in continuing to fulfill its mission of bringing comfort, care and compassion to patients and families in the St. Augustine area and St. Johns County. “We also have additional space for our volunteers and community outreach personnel to hold meetings and better serve our community,” said Haven Hospice Administrator Cathy Johnston.

The Haven Hospice Attic Resale Store, the fifth resale store location in North Florida, first opened its doors at the end of February and celebrated its grand opening on March 22. The Attic, 5,749 square feet of polished concrete floors with a unique industrial-style ceiling, is in the same building which also houses the administrative offices and a community room. Sponsored by Coldwell Banker realtors Vince Fattizzi and Jennifer Sauvage, the grand opening celebration allowed for customers to enjoy special discounts throughout the day while children enjoyed a variety of activities. All proceeds from the Attic Resale Store sales directly support the unreimbursed programs and services that Haven

St. Augustine Vice Mayor Nancy Sikes Kline, Haven Hospice Administrator Cathy Johnston and St. Johns County Commissioner Ron Sanchez

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National Volunteer Week is April 6-13, 2014 At Haven Hospice, our staff and volunteers are the difference. Haven Hospice volunteers provide companionship, support and assistance to patients residing at home, in assisted living facilities, nursing homes, hospitals and any of Haven’s care centers. They also reach out to grieving families, help staff the Attic Resale stores, and serve on special event committees. Haven is proud to have more than 800 community members serving among its dedicated volunteer ranks in the 18 counties we serve. For more information on volunteering at Haven Hospice in the St. Augustine area, please call Kathy Furney at 904810-2377 or go online at www.havenhospice. org/volunteer to begin the application process. Hospice provides to patients and families regardless of their ability to pay. Donations are currently being accepted at the store Monday through Friday from 9 a.m. to 4 p.m. Please call 904-417-1337 to arrange for Haven Hospice to pick up larger-item donations such as furniture. “We’re so grateful for the outpouring of support that we have already received from the community,” said Haven Hospice Director of Volunteer Services Courtney Quirie. “We’ve been able to invest so much and increase our services because the people of this area have embraced Haven Hospice—we couldn’t have done any of this without them!”


Life Services

Photo by Christine Cousart www.cousartphotography.com

Simply Susie Let us clean, cook and run errands for you! It’s just a part of what we do! Testimonials:

Susie cleans my house and is always happy to do any special chore I happen to need. She is very reliable and my house looks and feels great. - Brenda L. St Augustine

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By Susie Sullivan

ear Friends: While many more mature adults are enjoying staying in their homes longer, some find they still need some extra “care”. That’s where I come in. I am offering a wide variety of “in home non medical” services. They include but are not limited to: • Grocery Shopping (send me with a list or come with) • Companionship • Meal Planning (special diets invited) • Homemade meal delivery (up to 4 meals a week) • Budget and/or bill paying (snail mail or online thru your bank) • Decluttering • House Cleaning

(special rates apply)

My rates are $20 hour with a 1 hour minimum

In other words… Make me your personal valet. Use me occasionally or put me on your regular schedule! I hope you will find some value in this opportunity and give me a call and let’s see how Simply Susie can help.

April/May 2014

Simply Susie brings me delicious home cooked meals each week. I have the monthly menu, call her on Friday to order for the following week, and get great tasting and healthy meals. Beats the hassle of having to eat out every night. - J. Sandifer St Augustine Susie has been helping me declutter my home. We are taking our time and she understands sometimes it’s difficult to let go of things. Already it looks so much better. She also takes me to my Dr. appointments and is very prompt and knows the area so well. - Pete O. St Augustine Hi friends, My husband Michael and I have been in St Augustine since 1980. We enjoy being active in our community and were lucky to raise 2 great daughters here. We are now proud grandparents of 9 awesome grandchildren! I am finally at the right place to where I can combine 2 of my long time passions: Cooking and providing services to others. The idea of “in home non medical” services is extremely appealing to me in that there is nothing in those words we can’t do for you. This allows you to get personal, reliable and quality care and attention without having to rely on several “agencies” to provide them for you. I have spent many years private catering and also residential cleaning as a 2nd income. Now it’s time to make Simply Susie and you, my client, my main focus. So, give me a call at 904-392-0423 and let’s get together and come up with a plan for you. Best regards, Susie Sullivan Simply Susie

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May Weekly Menu

May 4 BBQ Beef on a Roll/Chips/Radish Salad w/ Sesame Honey Vinaigrette Bacon and Spinach Quiche/Onion Soup Healthy Choice Rosemary Chicken Breast/Roasted Potatoes/Steamed Veggie Medley Parmesan Tilapia/Sweet Potatoes/Steamed Asparagus May 11 Traditional Meatloaf/Mashed Potatoes/Peas n Carrots Chicken Marsala/Herbed Potatoes/Ratatouille Healthy Choice Carribean Tilapia/3 Bean Salad/Corn Muffin Grilled Chicken Breast/Mashed Sweet Potatoes/Steamed Broccolli May 16 Sweet and Sour Meatballs over Rice/Spinach Salad Pork Tenderloin/Sauerkraut/Applesauce Healthy Choice Baked Chicken Thigh/Cucumber Salad/Green Beans Tilapia Veracruz/Brown Rice/Steamed Spinach May 25 Cheesy Mac and Beef/Kale Salad/Roll Chicken and Swiss Panini/Garden Salad Healthy Choice Lemon Chicken and Rice Soup/Kale Salad/Wheat Roll Maple and Soy Salmon/Herbed Brown Rice/Steamed Squash


Life Services

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Travel

Cruising the Mediterranean

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Kelly Maguire Monroe, AAA Travel Professional

he Mediterranean: its name means “center of the world.” In classical times, its coast defined the limits of the known world. Even today, cultures radiate like spokes from its turquoise hub. Spaniards, French, Italians and Greeks all share a common coastline, but unique cultures. A cruise in the Mediterranean is full of days of discovery. You’ll find experiences beyond the ordinary in its many exciting Mediterranean ports of call. In Barcelona, you’ll discover rich Catalan cultural heritage that retains its importance even today. When visiting Barcelona, a stroll down La Rambla, its most famous street, is a must. And don’t miss the architectural works of Antoni Gaudí, especially his unfinished masterpiece, La Sagrada Familia cathedral, one of Barcelona’s most popular sights. With beautiful parks and grand boulevards, an old Gothic Quarter and 1992 Olympic sights, a visit to cosmopolitan, vibrant Barcelona is sure to charm you.

Venice is one of those cities that must be experienced on foot. Situated on a group of 118 small islands separated by canals and linked by bridges, walking through narrow pedestrian-only streets and plazas highlights the decaying beauty and antiquity of the city. Known for its unique setting, architecture and art, the history of this once wealthy city is easy to discern as you walk along the canals or while being serenaded in a gondola. There is no place else on earth quite like Venice. Rome’s history spans more than two and a half thousand years. As one of the oldest continuously occupied cities in Europe, it is often referred to as “The Eternal City.” There are so many must-do things in Rome that it often feel as if you are peeling back layers of history when you visit sites such as the Colosseum or the Castel Sant’Angelo; when you throw a coin in the Trevi Fountain so you’ll return one day; or when you tour Vatican City. This country within the city of Rome contains some of the the greatest treasures of Christiandom, including St. Peter’s Basilica and the Sistine Chapel. Between the French Riviera and Italy lies the Principality of Monaco and its capital, Monte Carlo. Here you’ll find the worldfamous Place du Casino, Monte Carlo’s playground for the rich and famous. The Casino’s beautiful architecture and the magnificent automobiles parked outside are definitely worth a quick look. When in Monaco, don’t

miss seeing its scenic harbor, the Grimaldi’s Prince’s Palace with its colorful changing of the guard, or the quaint pedestrian-only streets of the old quarter. Athens is one of the world’s oldest cities, with its history spanning around 3,400 years. A center for the arts, learning and philosophy, home of Plato’s Academy and Aristotle’s Lyceum, Athens is known as the cradle of Western civilization and the birthplace of democracy. The heritage of the classical era is still evident in the city, as seen in its ancient monuments and works of art, the most famous of all being the Parthenon towering over the city. The Acropolis, the Ancient Agora marketplace and the Plaka neighborhood all show glimpses of the history of this great city, yesterday and today. One of the wonderful things about cruising the Mediterranean is that you can see all of these cities and more in one or two weeks – without having to pack and unpack multiple times, change hotels, find restaurants or locate attractions on your own. The cruise line takes care of

all these things for you while moving you from one grand destination to another – in luxury and comfort. So book your cruise to the Mediterranean and get ready to explore the richness, romance and beauty of Europe, from the Old World to the new!

SERVICE WITH A SMILE! Remember those days? AAA Travel St. Augustine does! Call or come by today and let our Travel Professional, Kelly Maguire Monroe, who has been sharing her passion for travel and creating memorable vacations for 30 years do all the work! Research, compare, and negotiate for the most competitive prices in town! Tours, cruises, hotels and cars. AAA Travel is equipped with the most up to date technology to ensure the best pricing for you! No fee to do on-line registrations, boarding passes or print electronic documents for all clients. Serving members and non members Monday thru Friday 8:30AM-5:30PM. Contact Kelly today and allow her to create a memorable vacation for you! (904) 825-0298 ext. 2225.

April/May 2014

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Business & Finance

What Is the Biggest Misconception Spread by Many Realtors and Bankers in Florida?

NSWER - “You are not in a flood zone, and do not need flood insurance.”

The sunshine state isn’t always sunny — and when it rains in Florida, it pours. Heavy rains, tropical storms and hurricanes have all affected Florida in recent history. Since 2000, Florida has experienced five federally declared disasters due to flooding, and has sustained severe flood damage from a number of major hurricanes and tropical storms. Tropical Storm Fay, and Hurricanes Gustav, Ike, and Hanna all hit Florida in 2008, causing billions of dollars in damage to homes, buildings, and properties. The truth is, the entire state of Florida is in a flood zone. What realtors and bankers mean is that they may not require you to buy flood insurance to get a loan. FAQ’s 1.) What are flood zones? - Flood zones are land areas identified by the Fed eral Emergency Management Agency (FEMA). Each flood zone describes that land area in terms of its risk of flooding. Everyone lives in a flood zone–it’s just a question of whether you live in a low, moderate, or high risk area. 2.) Doesn’t my homeowners insurance policy cover flooding? - No. Flood damage is not typically covered by a homeowners insurance policy. 3.) If my home is flooded, won’t federal disaster assistance pay for my damages? - Not necessarily. Federal disaster assistance typically comes in the form of a low interest loan to help cover flood damage, not compensation for your losses. Even then, those loans are only available if the president formally declares a disaster and must be repaid along with any existing mortgage. 4.) I live in a low-risk flood zone. Do I really need flood insurance? Most likely, yes. It’s a good idea to buy flood insurance even if you live in a moderate- or low-risk area. Anyone can be financially vulnerable to floods. People outside of high-risk

areas file nearly 25% of National FIood Insurance Program (NFIP) claims and receive one-third of disaster assistance for flooding. Preferred Risk Policy premiums are the lowest premiums available through the NFIP, offering building and contents coverage for one low price.

Photo by Christine Cousart www.cousartphotography.

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Your local AAA insurance agents are qualified to answer your questions or concerns about the National FIood Insurance Program, FEMA, and evaluate your flood zone and risks. Ask for a free flood zone determination today. AAA – The Auto Club Group Our office in St Augustine is part of the Auto Club Group which has offices in 11 states and Puerto Rico. ACG is the second largest AAA affiliate in the world. Since it’s founding in 1902, AAA has been an advocate for motorists, safer roads and vehicles, better educated drivers and the rights of travelers. AAA is the only company in Florida to offer a true home and auto package with both covered under one policy, often times giving better coverage, as well as substantial savings.

Cigale Bichard-Utley – Licensed Insurance Agent

“Cigale states that “My clients are my family… and I treat them as such”! Awarded Top Agent Honors each year since joining AAA in 2008, Cigale is passionate about helping her clients with all Personal Lines including Home, Auto, Boat, Motorcycle, RV, Home Warranties, Mortgage Protection, Flood, Umbrella, and more. Before joining AAA, Cigale served our country for 12 years in the USAF. Cigale began her insurance career after relocating to Jacksonville from Birmingham, AL in 1997. As Cigale says….”I finally found my home here at AAA”!

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Katie Steighner – Licensed Property and Casualty Insurance Agent.

Katie is a newcomer to the state of Florida, moving down from Rehoboth Beach, Delaware. Even though she is new to St. Augustine, she comes to us with over 27 years experience, and is well versed in all lines of coverage. She prides herself in always going the extra mile for her clients. With her extensive knowledge of the insurance business she is always looking to get her clients better protection for the least amount of money. Katie specializes in Auto and Homeowners Insurance.


Business & Finance

Search Engine Optimization (SEO) and Why it Matters when it comes to finding local retailers to do business with. Incorporating local search engine tactics into your marketing plan isn’t a strategy to get ahead anymore; it’s something you have to do just to stay in the game. Here are three things you should know about local SEO: Local searches are becoming more popular. Not only are Internet connections available everywhere from coffee

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By Jay Owen Owner, Design Extensions

s online marketing tools go, search engine optimization isn’t exactly a ground-breaking topic. Not only are there literally hundreds of books and seminars available on the subject, but many businesses rely on it as their main method of attracting new customers. So why is it, then, that SEO remains such an underused option amongst smaller companies that could use it most efficiently? Because they think they don’t need it. In dozens of consultations, I have met with business owners, marketing managers, and executives who listen to me talk about all the reasons they need to begin a search engine strategy, nod politely, and then change the subject. If pressed, they patiently explain search engine optimization might be great, but it isn’t for them – they don’t sell anything online, and all their customers are coming through the front door. But really, that’s the ultimate case of missing the forest for the trees. Increasingly, searchers aren’t just going online to find the lowest prices for books, do their banking, and download music; these days, they’re also making Google, Yahoo, and Bing their first stops

April/May 2014

“Ignoring Local

SEO

is probably costing you money.” shops to public libraries, but the major search engines have spotted the potential and are competing with the Yellow Pages and other directories head on. With tools like Google maps, it only makes sense for shoppers to go online and get instant, specific, up-to-date information rather than digging through kitchen shelves to find last year’s printed volumes. Ignoring Local SEO is probably costing you money. Even if you aren’t that concerned about losing existing customers – and you should be – consider this: you might not just be missing out on new business. Often, potential customers who have heard about your store or have driven by your location will look for you on line before they visit in person. It’s important that

they be able to find you in search engines, especially if they can’t remember the name of your company. Searchers make more profitable customers. One thing lots of marketers who aren’t used to finding customers online overlook is that, by doing the right kinds of search engine optimization, you can do a much better job of pinpointing your ideal customer than you could through other forms of advertising or promotion. Emphasizing the right key words and phrases doesn’t just bring you more web visitors – it brings you whatever kind you focus on. Is your website ready? It has been possible, up until recently, for certain kinds of retail businesses to get by without a strong web or search engine presence. With the Internet taking an even larger share of people’s attention, however, not to mention the spread of iPhone’s, Droids, and other Internet-ready mobile devices, those days are behind us. If your business can’t be found on Google, Yahoo, and Bing, then the chances are good that in a few years no one is going to be able to it find anywhere else, either.

• Metal Treating Institute – Jacksonville Beach, FL • Worked with CEO since 1998 • Custom Design, Content Management System, Video Storage, Database

“Having worked with Jay at Design Extensions for over 11 years now, I would say they are one of the best in providing creative design, quality work with on-time delivery for their web design services. I would highly recommend them to any business of any size for simple to complex web projects.” – Tom Morrison, CEO http://callmti.com

Design Extensions was founded by Jay Owen in St. Johns County over 13 years ago. He and his team at Design Extensions design and develop websites for clients all over the country. His passion is for developing high quality web sites and graphic design work that help his clients businesses grow. When not working on websites, he is usually spending time with his wife, Claire, and four children.

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Legal

The Importance of Having a Will

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By Patrick Canan, Canan Law

ike life insurance, a Will is important for securing the financial future of your family. A badly thought out/ poorly drafted Will, or no Will at all, can create lasting problems for your loved ones. Despite recognizing the importance of having a Last Will and

Testament, as many as two-thirds of adult Americans don’t have one. Unfortunately, failing to plan for one’s death won’t prevent it from happening. Because of that, it is important to have a Last Will and Testament. Having a Will allows you to design how your assets are distributed in a manner which is ideal for you. In particular, you can provide for the welfare of your family and ensure the efficient management of your property by a trusted person, designated by you. In addition, a well prepared Will provides you with the opportunity to save income taxes utilizing available tax planning or deferral measures. It is especially important for parents of minor children, even if they don’t have significant assets. Without a Will, the government decides who will become your children’s guardian. In order to have a say in who will care for your children—should you die before they reach adulthood—you must draft a Last Will and Testament to state your wishes. Even adults without families can

“Despite recognizing the importance of having a Last Will and Testament, as many as two-thirds of adult Americans don’t have one. Unfortunately, failing to plan for one’s death won’t prevent it from happening. Because of that, it is important to have a Last Will and Testament.” benefit from having a Last Will and Testament. Without a Will, the state will decide how to distribute your estate. Precious heirlooms, that you may wish to give to a friend upon your death, will instead be divided in accordance with Florida law. In order to make sure that your estate is handled according to your wishes, and that your money is given to a friend, charity, or other organization of your choice, you must have a Will. Once you’ve written the Will, it’s also important to keep it up-to-date. If you have a new child after you draft your Will, you must update the Will to include that child, even if you wish to state that the child will receive no part of your estate. Wills can be updated an unlimited number of times. It’s only final at the time of your death. Powers of Attorney and Living Wills are useful ways to maintain some element of control over your property, and personal choices, should you become physically or mentally incapacitated. A Power of Attorney is a legal document that gives another individual the right to

act on your behalf. A Living Will allows you to set out what you want to happen if you become ill and cannot communicate your wishes about medical treatment. This can help relieve your family of the stress and anxiety associated with making serious decisions about your health. You do not need a lawyer to prepare your Will but, due to the complexity of Florida law, it’s more risky to do it yourself. Moreover, there is no such thing as a “simple will.” Even smaller estates can have complexities only foreseeable by the experienced attorney. The drafting of a Will involves making decisions that require professional judgment which can be obtained only by years of training, experience, and study. Only the practicing lawyer can avoid the innumerable pitfalls and advise the course best suited for each individual situation. In addition, an experienced attorney will be able to coordinate the use of other skilled professionals, such as an investment advisor, actuary, insurance specialist, and tax accountant to complete a proper estate plan.

As the former Chief Prosecutor of St. Johns County, Patrick Canan is now one of the area’s foremost trial lawyers. Patrick earned his Juris Doctor from the University of Florida in 1981. His firm, Canan Law, is well recognized in St. Augustine, St. Johns County and all of NE Florida for expertise in the fields of medical malpractice, personal injury, family law, civil rights and criminal law. Our attorneys gain a complete understanding of your intent and work within the law to best protect your interests.

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Legal

Mother Goose & The Ugly Duckling – The Guest Who Would Not Leave

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By J. Russell Collins, Attorney

nce upon a time the Ugly Duckling came home for Thanksgiving and stayed through New Years. Recently divorced, recovering from addiction, and forced from his home by foreclosure, Mother Goose could not turn him away. She began to wonder, though, how she could get rid of him without killing him. Mother Goose was accustomed to taking children under her wing, but this one…well he was a goose-egg of a grown child. The Ugly Duckling did not know where he should stand or walk. He fluttered into the milk pan spilling milk all over the room, then he flew into the butter tub, and next into the meal barrel and out again, ruining one holiday dinner after another. Mother Goose wanted to believe that he was not from a turkey egg, but she was beginning to worry. “I am seized with a strange longing to swim on the water,” he confided to her. “Get a job,” she replied. “But it is so charming to swim on the water! So refreshing to dive down to the bottom.”

“Are you suicidal—it is the middle of winter?” “You don’t understand me, Mother!” the Ugly Duckling cried. “Then pray who is to understand you?” she honked back. He raised his long neck and pointed his ugly beak to the sky. “I may have been born in a duck-yard, but I am a swan!” “Don’t be conceited, child! Are you ungrateful for the all the kindness you have received—this well-feathered nest and surrounded by loving family?” “I need more than nursery rhymes, Mother!” he yelled, and with that, he did NOT leave. Instead he stormed out the back door and jumped in the swimming pool. The Duckling was forced to swim about in the water to prevent the surface from freezing entirely, but the hole in which he swam became smaller and smaller. It froze so hard that the Duckling was obliged to use his legs continually to prevent the hole from freezing up. At last he

became exhausted and just floated, and thus froze fast into the ice. Now I will never be rid of him till Spring! Mother Goose said to herself.

What do you do with your grown child who suffers delusions of swanhood and refuses to leave the nest? He is not a tenant, so you cannot evict him through Landlord-Tenant procedures. He is not an owner, so you cannot foreclose on him. If you had a big enough property, you could rent a backhoe, dig a hole, get a chipper and be done with the problem…but that is not the legal answer. Action for Unlawful Detainer & Lawful Entry is a court order that says you have the right of possession to your real property, and it is a legal action to evict an occupier who has no lawful right of possession, but who nonetheless has settled on your premises. Categories of non-owners who

might be on your property vary from the invited guest to the trespasser. Once your guest slips beyond his overstayed welcome, filing for Unlawful Detainer asks the court to give you back possession of your property. It gives your ‘guest’ an invitation to leave—an invitation engraved with the power of legal enforcement.

Do not resort to self-help eviction…and probably you should not use a chipper. For your hatchling with a failure to launch, Action for Unlawful Detainer & Lawful Entry could be the nudge he needs. Seek competent legal counsel to discuss the details of your situation and plan a resolution everyone can live with.

Rusty Collins was admitted to the Florida Bar on September 27th, 2008 and his legal practice has grown rapidly since. His vast experience in real estate motivated him to attend law school, and consequently expand to serve both the real estate and legal needs of his clients. He is proud to provide service in areas where legal and real estate issues often overlap.

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While a large portion of his practice is in foreclosure defense and consumer law, Mr. Collins’ reputation in fairness and honesty has brought him referrals in a variety of legal branches. He builds his professional profile as an attorney willing to do the work and accomplish difficult tasks.

April/May 2014


Women in Profile

Photo by Christine Cousart www.cousartphotography.com

Photo by Christine Cousart www.cousartphotography.com

Pamela Strickland, Haven Hospice Attic Resale Store Manager

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’ve never worked for a company that is as wonderful as Haven Hospice,” said Haven Hospice Attic Resale Store Manager Pamela Strickland, who joined the Haven Hospice family four months ago at the new Attic location in St. Augustine. Pamela’s career in retail began after earning a degree in fashion merchandising from The Art Institute of Fort Lauderdale. Although this is her first position for an upscale resale boutique, she has more than 20 years of experience in the retail industry. She has held positions such as sales liaison and manager for companies including Estée Lauder, Coach and Brighton Collectibles. “Retail is very corporate and sales driven, but for the Haven Hospice Attic Store it’s more about the community investment,” she said. “We’re here to help the community and build a relationship with the citizens of St. Augustine.” All proceeds from the Attic Resale Store support the unreimbursed programs and services that Haven Hospice provides to patients and families in St. Augustine. No item that

Janet Rae Nelson, The Food Fairy

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anet Rae Nelson was 9 years old when she solved world peace with her home-baked cookies. One of five kids growing up in Uniontown, PA, she was the head chef of her household, copying recipes on index cards from her mother’s stash of Good Housekeeping magazines. Janet perfected the art of cookie making at an early age. “I remember my brothers and sisters arguing over something trivial, as most siblings do…so I would give them a cookie to calm them down. Right then and there it solved the issue of confrontation! They would start communicating in a civil matter and… Presto! Problem solved!”

is donated will ever be thrown away. Instead, the Attic Store plans to support local charities, such as Pie in the Sky and animal shelters, by providing them with the items that will not sell in the store. When Pamela is not assisting her customers at the new Haven Hospice Attic Resale Store, she enjoys spending time with her friends and family, going to the movies and—of course—shopping. Pamela, who rode horses competitively in high school, tries to go horseback riding with her friends as often as they can. Originally from Jekyll Island, Georgia, Pamela moved to Jacksonville 12 years ago. She now commutes from the Mandarin area to the new Attic Store location at 2497 U.S. Highway 1 South and says she loves the St. Augustine area. Her favorite hobbies are strolling down St. George Street or taking an historic tour. “It’s an area that is close to the beach, the historic district and Jacksonville,” said Pamela. “It’s the best of everything!” In 2005, after Haven Hospice provided services for Pamela and her family in the final days of her father’s life, she was inspired to join the organization. “I had never been through the death of a parent, but Haven provided support through every step,” said Pamela. “They were just incredible, and I was so impressed that I thought, ‘If I ever get a chance to work for this company I would do it in a second.’” Pamela was delighted to accept the position of manager at the Haven Hospice Attic Resale Store. Now, through her work at the Attic Store, she is able to support those who serve the patients and families being cared for by Haven Hospice.

Janet started working at her parent’s steel production business. Many days she watched as employees stomped through the office, making melancholy sarcastic statements, and the infamous “water cooler gossip” which plagued the successful steel company. “The answer was simple…I took it as a challenge to perfect the attitude of my parent’s employees. I went home and baked 6 dozen cookies for the office every Friday. Soon morale picked up and I had a fresh new outlook on the power of my ability to make people smile. This was my mission, to bake a WHOLE lot of LOVE in some cookies. With one smile at a time, one cookie at a time, she made the work place instantly enjoyable. Janet moved to St. Augustine in 2009 with her family, raising two daughters Julie and Bailey. Her most famous cookie, the Dollie Bar, was named after her childhood best friend and took over 10 years to perfect. Now baking under the alias The Food Fairy is St. Augustine’s newest most fabulous cookie delivery service! Janet recently baked over 1800 cookies for BayView’s Celebration of Caring annual luncheon and placed them in adorable packaging which doubled as the center pieces for the event’s 400 guests! “I really saw a niche in baking for here. I could fit right in with these magical treats. My family had faith in my talent and the people embraced my idea. I just need to find a commercial kitchen to bake more!” As the orders fly in, Janet’s wings spread with the joy and the love of the cookies! She is spreading the love with fairy dust doubled as cookies, one cookiesmile at a time.

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Women in Profile

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Lisa Almeida, Owner of The Freedom Boat Club, Jacksonville and St. Augustine/ Franchise Marina Development

Photo by Christine Cousart www.cousartphotography.com

isa Almeida lives in Jacksonville, and is a born and raised Floridian who claims to bleed salt water. Born in Fort Walton Beach Florida, and raised in Fort Lauderdale, she has always been by the water. She is single, only parent to her two cats, Buoy, and Barnacle. When Lisa is on a boat, whether at the helm or at the end of a 60-foot ski rope, she is all business. And she could not be more pleased. Almeida has parlayed her

Eileen Mangino, Letter Carrier with the St. Augustine Post Office

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ileen Mangino is a letter carrier with the St. Augustine Post Office, serving the residents of Lincolnville. She was born and raised in Milltown, NJ, attended St. Peter’s High and earned a Bachelor of Arts in Psychology from Trenton State College. While in high school and college, she worked weekends and after school in her parent’s grocery store. Mangino’s Market was where she learned about her love for people. The store neighborhood was like an extended family. Her parents instilled in her a stellar work ethic and taught her how to treat others with dignity and respect. Her postal service career began in 1983 in NJ. She tried clerking, but carrying mail is where she found her place! There is nothing more rewarding in the postal service

April/May 2014

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passion for water and boating into a thriving business. A graduate of Flagler College, Almeida spent the first phase of her professional career as an awardwinning sales and marketing executive with BellSouth. But Almeida is no longer referred to as the Queen of Marketing. She is now known across northeast Florida as Lisa the Boatanista. Her career shift came in 2009 when she was hired by Freedom Boat Club to take over struggling franchises in Jacksonville and St. Augustine. Within four months, Almeida had guided both operations into the black. In two-and-a-half years she had grown the combined fleet from four boats to 16. But Almeida was only getting started. In fall of 2011, she and partner Kevin Seelig purchased the two franchises, which have continued to grow in membership, in number of boats (26), and profitability. Almeida’s franchises are considered new models of success for the nation’s oldest and largest boat club. As an advocate for the water, Almeida is a member of the Captains Club, The Jacksonville Power Squadron, The Jacksonville Marine Association, and serves on the City of Jacksonville’s Boating Committee. Lisa was also recognized by the Jacksonville mayor’s office for her leadership in helping preserve the 27-year tradition of the Jacksonville Lighted Boat Parade, which was on the chopping block due to budget cuts. Almeida also raised $11,000 for Special Olympics in 2012 when she finished second in Jacksonville’s Dancing with the Stars competition. Her most favorite charity is when her clubs host charity boat rides for underprivileged children.

than having your own route and your own people. This past September she was awarded her 30 year pin. Being a single parent to her daughter Lea Irene has been a challenge, but Eileen’s mom, Irene, was always there. Lea is a senior at Pedro Menendez High School. When Lea was little, Eileen and Lea moved to Seaside Park, NJ, and had a wonderful life in the small seaside town at the Jersey Shore. Eileen put in for a transfer from NJ to St Augustine and was granted one in August 2006. Leaving NJ was bittersweet. Her family was there, but with taxes and property so high, owning a home was out of reach. Florida was a new beginning. She bought her first home in 2008 and began fostering with S.A.F.E. (Saving Animals From Euthanasia) Pet Rescue. Many dogs passed through her home. Fostering stopped for a few years until Snowball, a 13 year old Chihuahua, caught her eye. Eileen loves to garden, and to do projects around the house. She also enjoys running. At 50, she began running and completed many races, adding that to the 9 miles she walks on her mail route. Eileen always says, retirement will need to include some major motion.


Now find us on the web at: staugustinewomansjournal.com


Community

Mark & Alecia Bailey Honored as the 2014 Community Award Recipients

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By Anne Guenther BayView Healthcare

n March 13, 2014, Caring Hands - Caring Community and BayView Healthcare hosted their annual Fundraising Celebration of Caring Luncheon celebrating 94 years of service. The luncheon was attended by over 400 local community leaders, volunteers and extended family of the BayView Healthcare community. “At BayView Healthcare, we believe sharing is caring. This has been our tradition for almost a century. Why? Because caring for the infirmed and promoting healing connects us with the deeper resources of life and meaning, connects us with each other, and connects us with ourselves,” stated Dr. Larry Lake, Executive Director/ CEO of BayView Healthcare. Caring Hands – Caring Community is a 501 (c) 3 charitable organization founded in 2004 to build awareness and support for the exceptional health care services provided through BayView Healthcare. The organization has expanded many of its programs over the years to meet the needs of this community while maintaining its heritage as a private not-for-profit healthcare provider. BayView provides a multi-level continuum of care, including short-term inpatient and outpatient rehabilitation, skilled nursing, home health, assisted living, education on healthcare services, wellness and prevention for aging individuals that facilitates reaching and maintaining the highest levels of

April/May 2014

functionality, independence and cost-efficiency and charitable assistance. It is the purpose of Caring Hands – Caring Community to help those in need of health care services and /or financial assistance regardless of their ability to pay. The annual charitable and community benefits of BayView Healthcare amount to more than $6,000,000 a year. These benefits primarily represent charitable and uncompensated healthcare services and costsavings through programs at the skilled nursing facility, home health, the two assisted living facilities and emergency assistance. This year Caring Hands – Caring Community was proud to recognize and honor Mark and Alecia Bailey as the 2014 Community Service Award Recipients. Mark and Alecia were recognized for their many years of dedication and charitable service to St. Augustine and St. Johns County. Mark and Alecia Bailey are lifelong St. Augustine residents who both, in their own ways, have given generously of their time, talents and resources to make our community a better place. Serving the needs of others and working diligently on projects that are close to their hearts, Mark and Alecia are perfect examples of the spirit of the “Caring Hands - Caring Community” Community Service Award. “I couldn’t agree more with the selection of Mark and Alecia, they are most deserving of this award. They are two very unique and special people in our lives, and in the lives of our wonderful community”, said Christine Chapman, Community Leader and Award Presenter. Mark, son of John and Peggy Bailey, Sr., is a graduate of the Bolles Schools and earned a BA in Economics and Business from Vanderbilt University in 1984. At

that time, he returned to St. Augustine to join the Thompson, Bailey, Baker Insurance Agency and later established The Bailey Group, providing insurance, benefits and financial strategies to companies and employees across the United States. The Bailey Group has become one of the largest, most progressive and respected benefits consulting/brokerage firms in the country. Over the last thirty years, Mark has been actively involved in many community organizations. He has served as a board member and current President of the St. Johns County Welfare Federation /BayView Healthcare (28 years), current board member and past Chairman of the St. Augustine YMCA (20+ years), current board member and past Chairman Flagler Healthcare Foundation (11 years), current board member St. Augustine Foundation, current Trustee Flagler College, current board member Florida First Coast YMCA Metro Board, current board member Community Hospice of NE Florida, past president St. Augustine Rotary Club, past board president St. Johns County American Cancer Society, past board member United Way of St. Johns County, past president St. Augustine Life Underwriters, 30 year member Million Dollar Round Table and 15 year member MDRT Top of the Table. He also served as Campaign Chairman for the $5 million capital campaign to build Community Hospice of NE Florida’s inpatient hospice care center, The Bailey Family Center for Caring, which has served 1,280 patients since opening its doors. Alecia, daughter of Bill and Linda Young, is a graduate of St. Augustine High School and earned her BS in Finance from Florida State University in 1992. She and her husband, Keith Jones, whom she met at Florida State, married and moved to Orlando to begin their careers. Alecia rose through the ranks of SunTrust and left her position as Manager of Sales over Consumer Lending, Southern Region, to begin their family. After returning to St. Augustine, Alecia became active in local schools, serving as a Key Communicator of St. Johns County Schools, serving on the SAC Committee at RB Hunt and serving on Community Hospice of NE Florida’s Advisory Board. Her passion, however, and the project she holds dear to her heart is raising funds for a cure for ALS (Lou Gehrig’s disease) – a disease that took Keith’s life in 2009. After his diagnosis, Keith developed a mission statement

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to keep him centered, focused and positive. He implemented “Project 2-4-20” with a goal of raising $2,042,020 for the fight again ALS and to live strong and well through February 4, 2020. Alecia has continued to pursue Keith’s fundraising mission through Project 2-4-20 and, through her efforts, over $300,000 has been raised and donated to the ALS Research Center at Mayo Clinic-Jacksonville. These funds have already been instrumental in many monumental discoveries that provide other ALS patients with hope for the future. Alecia works tirelessly throughout the year to continue Keith’s mission and is intent on reaching the goal set by Project 2-4-20.

Mark and Alecia married on June 1, 2013, and blended their families who include: Mark, Jr., 27, his wife, Amy, 27, Brooks, 25, Cassidy, 20, Peyton, 15, Caroline, 14, and Mac, 10. The active, busy family enjoys working out, basketball, tennis, surfing and being together. Mark and Alecia are proud to be a part of such a giving and wonderful community and look forward to many more years working together and encouraging their children to serve those in need. They are privileged and humbled by this award and wish to share it with all those who give of themselves for the betterment of our community.

Caring Hands – Caring Community celebrates in providing the very highest donor value. All donations, grants and net proceeds from fundraising events are contributed 100% to the programs and care supported by Caring Hands – Caring Community. No funds are to pay administrative overhead or executive salaries. For more information about this event, please contact David Hartzel at (904) 806-4708. If you would like more information on this subject please contact Anne Guenther at (904) 584-1841 or aguenther@bay-view.org


Community Photo by Christine Cousart www.cousartphotography.com

Homeless Services Expanding

H

Diane Machaby Director of Development of Home Again St. Johns

Episcopal Church converged on the site to build a large deck where the showers, washer, dryer and bathroom will be installed. For the past few weeks, volunteers have worked steadily on the project, building a 40 foot handicap-accessible deck, framing and roofing the structure as well as fencing and landscaping around the Home Again office and new facility. “To be effective, services to the homeless have to come from a broad base of volunteers like we’ve had with this project”, said Hoak. “It’s wonderful

Home Again St Johns’ mission is to promote, foster and support a

how these diverse groups have worked

collaborative approach among social service and governmental

together to make this happen.”

agencies, community groups, faith-based organizations and dedi-

Home Depot associate, Jay Hays, has been the Team Depot Coordinator

cated private citizens for resolving issues related to homelessness

ome Again St. Johns execu-

since Home Again first approached the

in St. Johns County compassionately, effectively and efficiently. This

tive director, David Hoak, could not be

company in August of last year with the

support has resulted in regular coordination of homeless services,

more pleased with the progress Home

proposal. “Jay Hays has been wonder-

Depot and countless volunteers have

ful to work with”, said Diane Machaby,

a daily meal served to 100 people each evening and identifying

made in designing and building a Drop-

Director of Development. “His heart is

In Center at their offices on State Road

certainly in the right place as he’s willing

207. The facility will include showers

to do whatever it takes to see this center

and a laundry area that the homeless can

come to fruition.”

utilize on a weekly basis. The center is

scheduled to open this spring providing

Depot for over seven years and has co-

these much-needed services to those liv-

ordinated numerous community service

ing in the woods, under bridges and in

projects for the company. “Helping the

their cars. Arriving at the center, they

community is one of Home Depot’s core

may take a hot shower, wash their clothes,

values,” says Hays. “I’m proud to be an

get a hot meal and meet with representa-

employee of a company that encourages

tives from agencies providing health and

community action and funding.”

human services in our community. Do-

Along with Hays, local architect,

nations of towels, washcloths, laundry

Bryan McCloskey, designed the layout

detergent, soap and shampoo are being

of the center, plumber, Frank Ayers,

accepted at this time as well as monetary

handled all the interior and exterior

donations to purchase these items and to

plumbing and electrician, Tom Heath, is

• Over 500 Homeless Students in Public Schools

help cover utility costs.

giving his time to wire the entire project.

• We currently have 53 Shelter Beds

In November, Home Again St. Johns

Longtime community volunteer, Charlie

received approval of a $9000 grant from

Williams, is helping to coordinate daily

• We currently have 173 Transitional Housing Beds

The Home Depot Foundation to build

on-site activities.

the Drop-In Center at their property lo-

cated at 1850 State Road 207. A month

been donated to Home Again will trans-

later, over 35 volunteers from The Home

port folks to the Drop-In Center and en-

Depot, Northrop Grumman and Trinity

able the organization to increase their

Hays has been an associate of Home

A 15 passenger van that has recently

and acquiring the right place for a one stop location housing multiple agencies providing these much needed services.

Street Outreach Program. In addition

that time, the organization will begin a

to the Drop-In Center, Home Again St.

multi-million dollar campaign to fund

Johns is moving forward with the One

the center.

Stop Center on their 13.5 acre property.

For more information on how to support Home Again St. Johns’ efforts, please call Diane Machaby, Director of Development, at 881-1167.

The organization should be through the county’s pre-application review process by the time summer arrives. At

St. Johns County Homeless Facts • 1204 Unsheltered Homeless

• Dining With Dignity has provided over 100,000 meals • Home Again St. Johns has only two paid employees

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Thank you for supporting Home Again St. Johns!


Community

The Value of a Volunteer!

By Becky Yanni, Executive Director, Council on Aging

H

ow important is volunteerism to our community? What impact do volunteers make?

At Council on Aging, we have over 750 individuals serving nearly 32,000 volunteer hours annually, with an economic impact of $797,000 dollars. Nationally, according to the Corporation for National and Community Service, 61.8 million individuals in the United States contributed 8 billion hours of volunteerism in 2008 alone, with an economic value of $162 billion dollars.

Just think of everything volunteers do in our community: • Volunteers deliver some of our most critical services—from delivering meals to homebound seniors to caring for and feeding the homeless, from manning the phone lines for crisis centers to offering aid to those in the end stages of their lives. • Volunteers help to keep our beaches, neighborhoods, parks and trails, rivers and water clean and safe. • Volunteers build houses and wheelchair ramps, and make minor home repairs for elders in need. • Volunteers take tickets at the amphitheater and other performing arts events, ensure that arts and cultural festivals run smoothly, lead tours at museums and support the crucial historical preservation effort. • Volunteers work with our schools and local agencies to support, tutor, teach, and coach young people with everything from homework to dealing with personal problems to volleyball and soccer leagues. • Volunteers walk dogs, help with adoptions and feedings, monitor, report, and protect sea turtles and right whales, and contribute to animal shelters and wildlife rehabilitation centers.

“The numerous volunteers of our community have a tremendous impact on the health and well-being of everyone, of every age, here in St Johns County. And the truth is you probably cross paths with a volunteer at least once if not several times a day, no matter where you are in St Johns County. For all of their contributions, we salute all of our community volunteers!!”

Becky Yanni is a north Florida native with an extensive background in business management. She began working with the Council on Aging about 8 years ago, first as a volunteer and then as COA’s Manager of Development and Volunteers. She was named COA Executive Director in May of 2013.

April/May 2014

And, finally, here’s another way to visualize the impact of volunteers. Imagine for a moment what it would look like if one day, all the volunteers in our town simply did not show up for duty! What vital services would be lost to our most vulnerable residents? What opportunities to grow, learn, and thrive would be missed by our youth? The numerous volunteers of our community have a tremendous impact on the health and well-being of everyone, of every

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age, here in St Johns County. And the truth is you probably cross paths with a volunteer at least once if not several times a day, no matter where you are in St Johns County. For all of their contributions, we salute all of our community volunteers!! For more information about volunteer opportunities with the Council on Aging, please call Ginny or Elise at (904) 209-3686.


Community

Exciting Nationwide Reading Project Coming to St. Augustine

I

n celebration of the 80th year of service to the community, the Junior Service League of St. Augustine, Inc. is proud to announce Little Free Libraries. The 2014 provisional class of JSL has col-

laborated with St. Johns County Library Community Outreach and St. Johns County Parks & Recreation Department in this endeavor. Little Free Libraries is a growing service throughout the nation

and JSL is excited to extend the service to the community, five prime locations have been selected: St. Augustine Beach Pier, Crescent Beach Pavilion, Homeless Coalition of St. Johns County, West King Street Station 14 and Treaty Park. Little Free Libraries provides community members of all ages with access to a broad range of literature in small stations that serve as an extension of the public library. St. Johns County Library Community Outreach along with the already established Bookmobile Program will be responsible for servicing and restocking the Little Free Library. We welcome the community to contribute to this worthy project by donating gently used books.

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For more information visit www.littlefreelibrary.org. If you have any questions or would like to learn more about this community based project please contact the Junior Service League of St. Augustine, Inc. via KateyAnderson@jslofstaugustine.org or visit our website at www.jslofstaugustine.org.


Community

St. Francis House Celebrates 30 Years

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Judy Dembowski , Executive Director St. Francis House

t. Francis House is celebrating 30 years of serving the needs of the less fortunate in St. Augustine and St. Johns County. The organization was created in 1984, through a cooperative effort of 25 local churches for the purpose of feeding the hungry and became the St. Augustine Society, Inc. Since that time, it has evolved into an agency with a full range of social services in addition to the original soup kitchen. St. Francis House held the first of the organizations 30th Anniversary Breakfast Events on Friday, March 28, 2014, from 7:30 to 9am, to showcase its facilities and programs. A continental breakfast was served, while guests spoke with staff about the programs. Tours of the campus were also provided. Will Rinchiusa, a senior at St. Augustine High School who was featured in a recent Record feature story and stayed at St. Francis House with his family at the age of 14, spoke to the group of his positive experience at the shelter and how it changed his outlook on life. Will and his family lived temporarily at St. Francis House when his father experienced major health problems. They were able to rely on ‘The House’ for shelter, food and other critical services. St. Francis House assisted and supported the family and al-

lowed them to stay together during a difficult time. “I found out it’s not about who you are, it’s about how hard you work for what you want.” said Will. Now as a senior, Will maintains a 3.2 average and has earned scholarships to Florida Gulf and Bacone College in Oklahoma. Judy Dembowski, the executive director of St. Francis, began the tour of the facilities for the breakfast attendees in the dining room where it serves about 6,000 meals per month. St. Francis also provides food baskets, helping to feed another 200 families each month. Ms. Dembowski pointed out the Murphy beds on the dining room walls provided by the St. Augustine Police Department. The beds are designated to serve individuals sleeping in public areas. This arrangement enables the city to enforce an otherwise unenforceable law that restricts sleeping in public areas. The dining room also often houses close to 25 or more displaced people on cold and rainy nights. The dining room and kitchen are also a part of a partnership between St. Francis House, First Coast Technical College and the St. Augustine Historic Inns to sponsor the Fresh Start Culinary Program, which provides culinary training to motivated clients of area non-profit agencies. Church Services, Alcoholics Anonymous, Narcotics Anonymous, Smoking Cessation sessions, Department of Children and Families, Veterans Counselors and the Wildflower Clinic also utilize the St. Francis House dining room to help identify and address the needs of families and individuals. Tours of the facility, during the event, provided insight into the multitude of programs and levels of support provided by St. Francis House to families and individuals including, separate men’s and women’s dorms, accommodations for families with children and a separate transitional living building that also provides respite care to Flagler Hospital patients in need. Renovations are planned and under way to refurbish the laundry

Will Rinchiusa tells his story

“Will and his family lived temporarily at St. Francis House when his father experienced major health problems. They were able to rely on ‘The House’ for shelter, food and other critical services. St. Francis House assisted and supported the family and allowed them to stay together during a difficult time.” room, the dorms and the dining room floor. Support from the community would be greatly appreciated to help make these critical improvements and to support direct client program services. Donations are tax deductible and can be sent to St. Francis House, 70 Washington Street, St. Augustine, FL 32084. St. Francis House is also expanding and enhancing its volunteer program. Opportunities are available in administration, the food box program, donation processing, dining room and kitchen services and special events among others. Contact St. Francis House at

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904-829-8937 for more information. Thanks to the incredible support of our community, St. Francis House has grown into the premier agency providing services to the homeless and less fortunate in St. Johns County. The 30th Anniversary Events are a way of saying thank you to the community and allowing the community to share in the accomplishments of the organization. The Breakfast Events will continue the last week of each month for the remainder of the year. Everyone in the community is welcome and encouraged to attend.

For more information, please contact St. Francis House at 904-829-8937.

April/May 2014


Community

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Community

Inaugural Flagler Health Care Foundation Golf Classic Raises Money for the Emergency Care Center at Flagler Hospital

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A.D. Davis Construction’s team took first place overall at the Inaugural Flagler Health Care Foundation Golf Classic on February 10 – (from L to R) Troy Blevins, Mike Davis, Brookes Burkhardt and Bill Abare, III.

he Inaugural Flagler Health Care Foundation Golf Classic to benefit the Emergency Care Center at Flagler Hospital was held on Monday, February 10, 2014 at Marsh Creek Country Club. Hyundai of St. Augustine was the title sponsor for the event. Hosted by Flagler Health Care Foundation, Inc., the tournament involved a full roster of 36 teams representing a variety of sponsors. An enthusiastic committee, chaired by Guy Jopling with Ameris Bank, coordinated the event, which raised over $58,000 in its first year. The committee also included members of the Marsh Creek Connectors, an organization dedicated to the support of the Emergency Care Center through a designated fund

with Flagler Health Care Foundation. “The Golf Classic has established itself as an event that will be a highlight in the community for years to come,” explained Jopling. “From the sponsors to the committee members and volunteers to the people who came out to play, this was a true team effort. I am proud to have been a part of this tournament, especially knowing that it will make a difference for the hospital.” The Emergency Care Center at Flagler Hospital cares for more than 50,000 patients each year. Specifically, the money raised by the Golf Classic completes a pledge by the Marsh Creek Connectors to support the purchase of a Definium AMX 700, a portable, digital X-ray machine.

“The successful outcome of this event can be attributed directly to the sponsors who contributed to be a part of it,” said Ray Matuza, chairman of the Foundation’s board of trustees. “Each and every sponsor is appreciated, and the support we got for this tournament was outstanding.” Following the tournament, awards were presented at a dinner catered by Carrabba’s Italian Grill. First place was awarded to the A.D. Davis Construction team (Bill Abare, III, Troy Blevins, Brookes Burkhardt and Mike Davis); second place went to the Angelica team (Bobby Coble, Brett Kreider and Jon Plevich); and third place was presented to the Oxford Dental Associates Team (James Griffin, Fred Montez, Dick Saunders and Ginny Saunders). During the awards dinner, prizes were also presented to Jeff Davitt (Men’s Longest Drive), Ed Cettei (Men’s Closest to the Pin) and Laurie Mussoline (Women’s Longest Drive and Women’s Closest to the Pin). A winner for the chance

drawing was also announced, and the silent auction was a success. Special thanks to the exclusive sponsors for their contributions to the Golf Classic: Hyundai of St. Augustine (Title and Hole-in-One), All American Air (Preview Party), Carrabba’s (Awards Dinner), Marsh Creek Country Club (Contributing), Community Hospice of Northeast Florida and Trusted Advisors Flagler, LLC (Cart), Volkswagen of St. Augustine (Lunch), Eye Center of St. Augustine (Special Gifts), Almost Alzheimers Golf Group (Practice Range), Oxford Dental Associates (Beverage Cart), World Famous Oasis Deck & Restaurant (Media/Signage), Regency Electric (Photography) and Burkhardt Sales & Service (Special Beverage). Planning is already underway for the 2015 event. For more information on how to participate or become a sponsor, call (904) 819-4625 or send an e-mail to giving@flaglerhospital.org.

Sue Foley, Laurie Mussoline and Audrey Sadler participated in the Inaugural Flagler Health Care Foundation Golf Classic.

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Through philanthropic efforts and community outreach, the Flagler Health Care Foundation’s mission is to financially support Flagler Hospital’s goal of providing the best patient experience with the best staff and the best equipment. For more information on how you can make a difference, call (904) 819-4625 or e-mail giving@flaglerhospital.org.

April/May 2014


Community St. Gerard Campus Crisis Pregnancy Center - Hope, Help and Love

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By Caroline A. Wolff, Founder, St. Gerard Campus, St. Augustine

eeing to the needs of women of all ages, all denominations and from every walk of life, to be able to determine if they are pregnant, in need of counseling or would like to confirm their child in a sonogram, the St. Gerard Crisis Pregnancy Center was opened by Caroline Wolff, fondly called “Ms. Carol”, in 1983. The problems ranged from pregnant teens thrown out on the streets by their parents, to women with children, unable to put food on the table or in need of prenatal care, abused women, fractured families and many sad stories. The many problems outgrew our small location on Riberia Street. More room was needed to care for the many issues being presented to Carol and her willing staff of volunteers. The Crisis Pregnancy Center found a new home at 1405 US Hwy 1 South in 1988 and became an institution in St. Augustine. The Crisis Pregnancy Center grew into an accredited high school, a licensed day care for our students and a residency for abandoned, homeless or foster care pregnant teens. While much of our focus has been on the plight of the pregnant teen, we have never lost sight of the needs for all women, the pregnancy tests, sonograms and counseling. In 2007 we were able to construct an addition to our campus, making a comfortable waiting room and counseling room for the Crisis Pregnancy Center. Also in 2007, Bishop Galeone of St. Augustine pledged funds for a sonogram machine. Now we were better able to service the hundreds of pregnant women seeking our help. In January 2014, the sonogram machine became obsolete and the local Knights of Columbus purchased a new sonogram machine for us. The Crisis Pregnancy Center, led by

Director Maria Gleason, has fully trained counselors ready to give guidance to all women. They study topics such as abortion, adoption, teen pregnancy, women’s health, family and marriage counseling. Sharon Terkeurst is our lead counselor and trainer. Sharon has been volunteering with St. Gerard over 25 years. We are very proud of her dedication to our mission and the dedication of all our volunteer counselors. But the real heart of the story is in the women that we have assisted these many years. They come to us all ages, from every ethnic background, every religion and from every economic tier. For those contemplating abortion because they cannot afford another child or may be victims of rape or not emotionally or financially stable, our counselors are ready to help them make the right choice and give life to their babies. Some are so young, as young as 12 or 13. They come with their parents for the “test”. Amidst all the tears, anger and fears, our counselors give solace and support to help the family through the crisis. Most pregnant teens are ostracized in main stream high school. We offer the opportunity to attend our accredited high school. Whether she chooses adoption or to raise her child, we stand ready to give her the help she needs to prepare, to be empowered through education and to go on to a bright future. Some girls come to us abandoned by their families. Thrown out and homeless, we arrange for shelter and counseling. Our counselors work hard easing the strained relationships and helping families to reconcile. Our adoption process can begin here. A young woman finds out if she is with child. She begins to cry, “I can’t be pregnant, I can’t have a child, I’m in school, I’m too young or my parents will kill me.” What can she do? We explain adoption, but first, we tell her and show her how precious her little one is and that his heart beats since 18 days after conception. He has a brain, hands and little toes… HE IS A LIFE! We also provide baby and adult clothing, food, and resources…….and it is all given with love, without discrimination and at no charge for any of the services. There are thousands of stories, each one as different as the women themselves.

Some endings are happy, some are not. But for each and every woman, no matter whom she is or what she needs, that walks through the doors of the St. Gerard Crisis Pregnancy Center, she will be treated with all the dignity and respect she deserves. For all needs for all women, St. Gerard Crisis Pregnancy Center is here. If you or you know of someone who could benefit from our services, please call us at 904-829-5516. We stand ready to make the difference.

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2014 GRADUATION June 13, 2014 at 7 pm.

St. Gerard Campus 1405 US Highway 1 S St Augustine, FL 32084

(904)829-5516

www.stgerardcampus.org


Community

PT, OT, SLT, EAT, LMHC…Alphabet soup!

By Ric Lehman Master Clinician, Master Instructor, Master EAT Therapist Haven Horse Ranch

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o what’s with all the initials and what do they mean? Well, it’s all quite simple. PT-Physical Therapy. OT-Occupational Therapy. SLT-Speech Therapy. EAT-Equine Assisted Therapy. LMHC-Licensed Metal Health Counseling. So why is any of this important, and what’s it have to do with Haven Horse Ranch? Great question, I’m glad you asked. In this day and age of specialization, the type of therapy prescribed will usually come from your primary care physician. They will prescribe a specific kind of therapy designed in their simplest forms, to achieve specific results whether it’s to re learn how to use a specific limb or muscle (PT) or to re learn how to do specific tasks (OT), how to improve your speech or vocabulary (SLT) or how to change behaviors or learn a new way of looking at things (LMHC). EAT is a form of various therapy’s involving a horse as a tool.

Hudson

In each case, the horse is what’s called a modality or tool. We know that riding a horse works the body or muscle groups on a way nothing else does. In any cases it works the entire group or body all at the same time; which in the end will magnify the therapy and the results. Many have tried to replicate the way a horse works the body. But the results have ranged from non-existent to dismal at best, so for now the only way to achieve the result is with a horse. So again, what does all of this have to do with each other? So many questions… simple! At Haven Horse Ranch we have PT, OT, SLT, LMHC and EAT all taking

that jumps to 100%. Any time you can get people to work harder, you can expect greater results. Finally, Winston Churchill said it best; “the best thing for the inside of a man is the outside of a horse.” There’s a bond that can’t be denied. Medical science is studying the theory that riding horses releases Serotonin to the brain (you know, that “feel good” hormone) and that’s why it works so well. Riders will look at you and say… well duhhh. We knew that, why do you think we ride? Bottom line, Equine Therapy, regardless of the professional, form or fashion, works, and works better than anything else. More than 24 years, 10,500 sessions and hundreds of miracles prove it! Now if you’re a licensed Therapist and would like more information, contact us.

We have Certification classes forming through the University of St Augustine and they qualify for CEU’s. We’ll even provide the space and the horses for your practice so you don’t have to. Contact Haven Horse Ranch at (904) 813-5710.

Chloe

Allison place by licensed professionals and involving horses. So you can get your Physical Therapy on horseback or your Occupational Therapy or SLT or, well you get the idea. It’s performed by licensed professionals with your specific expertise; and the results? Suffice to say, they’re faster and greater because they include a horse. Not to mention a whole lot more fun. Accomplish your goals in a fun environment at a faster pace. What could be better? Why does it work so well? Another great question! Boy, you’re good at this. There are 3 good reasons. First, Medical research has proven the effectivity of the specialized movements a horse has on the physiological, psychological, neurological and vestibular systems within the human body. Various studies have proven it to work and work very well. Second, most therapists will tell you that typically, 22% to 28% of their patients look forward to the therapy sessions and give 100% effort. Include the horse and

Haven Horse Ranch, a non-profit, 501c3 organization is a licensed SpiritHorse Therapeutic Riding Center and member of PATH (Professional Association of Therapeutic Horsemanship). The ranch provides riding lessons, horse camps, clinics , retreats and trail rides to all individuals including those with special needs. “Horses just have a way of breaking down barriers,” explains Lehman. Whether child or adult, whether “normal” or “special needs” doesn’t matter to the horse. If you’re good to them, they’ll do right by you.” To sponsor a child, make a tax deductible contribution or for more information contact Haven Horse Ranch at 904-813-5710 or info@havenhorseranch.org or visit our website at www.havenhorseranch.org.

April/May 2014

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Why

should your business or practice become a contributor to the Woman’s Journal?

Kelly M. Monroe, The Auto Club Group

“The Woman’s Journal has really helped me build business for the AAA Travel department in St. Augustine. I ‘ve been contributing articles for just about a year now and hardly a day goes by that someone doesn’t mention the fact that they have seen us in the SAWJ. I have made some VERY profitable sales because of this exposure and feel so lucky to be partnering with Suzanne and Anthony . Thanks for all your support.”

“Being a contributor in The Woman’s Journal has benefited me and my company a great deal. It continually proves to be an excellent marketing tool for our services and goes “beyond local” to attract customers to our door. It’s an appealing, informative and popular publication that gets results.” Betty Carvajal, PhD – Ponce Home Medical Equipment, Inc. “Working with Anthony and The Woman’s Journal has been a tremendously rewarding experience for our clinical counseling practice. We are reaching individuals and families who may or may not have heard of us, but most importantly, by reading our articles, they grow far more comfortable with the counseling process and who we are as therapist. It’s as if we are already having our first session together, addressing expectations and uncertainties that are part of the deeply rewarding experience of psychotherapy. When the phone rings (and it does far more frequently now), our readers already feel a sense of knowing us and, we too, feel a special connection with them when they say they saw us in The Woman’s Journal. Finally, the publishing deadlines become a gift by forcing us to focus on the most important issues impacting individuals and families within our very special community. Thank you Woman’s Journal!” John R. Jones and Kathleen Abbott – The LifeSource Group “Thank you, Woman’s Journal for your many contributions to our community! Your paper is full of important information on issues that affect the quality of life for all of us who live in St. Johns County. I can’t tell you how many times someone has asked me for details about something they read in the COA column in your magazine...probably because the Woman’s Journal is one of only a very few publications that everyone I know reads from cover to cover...and because your distribution is awesome... this magazine is everywhere! People really do come up to me and say, “I read about you in the Woman’s Journal while I was at the library...or waiting at the doctor...or in my dentist’s office...!” Or better yet, “I know you... you’re in the Woman’s Journal!” You rock!” Susan Johnson – Council on Aging “The Woman’s Journal has been a great asset to our community. I love sitting in doctor’s offices and watching people pick up the Journal and enjoy the articles. It has certainly spread the word about our mission at St. Gerard Campus. We have had the opportunity to touch people’s minds and hearts with the plight of pregnant teens and teen mothers who otherwise might not have had the opportunity to finish high school and make a better life for themselves and their children. Through the Woman’s Journals we have been able to share the success stories of our graduates. We thank the Woman’s Journal for bringing attention and awareness of issues facing women today.” Maria Gleason - St. Gerard Campus, Inc.

Kelly M. Monroe, The Auto Club Group

“From professional offices to public libraries, and even the regional airport, my clients and future clients can find me in the St. Augustine Woman’s Journal. Great distribution and content.” J. Russell Collins – Rusty Law “I am always so pleased to have customers tell me how they came to our restaurant while browsing through the Woman’s Journal. The articles are informative and the distribution is widespread. We are very grateful to the staff of Woman’s Journal for encouraging us to update our ads. This has definitely increased our business.” Yvette Schindler – The Present Moment Café The woman’s journal is a superb educational tool and is a great resource for the community at large to gain factual knowledge written by leaders in their field. - Dr. Ryan Pereira, DPM, FACFAS “Over my five years of business, the SAWJ has been the most effective tool to bring customers to the shop. Everyone who opens this publication is impressed with its content and anxiously awaits the next issue. Partnering with Anthony and Suzanne has been an exceptional way to reach new customers and remind existing customers.” Susan Detar,– The Pink Door “I cannot tell you the number of patients that have found their way to our office in response to their having seen our articles in the Woman’s Journal. From former patients who lost touch years ago who were delighted to see a familiar face again, to brand new patients who have never seen a podiatrist before, but who felt so encouraged by what they read that they placed that important phone call. The Woman’s Journal is a publication that is informative, inviting and compassionate to it’s readers. We are proud to be associated with the Woman’s Journal and so pleased with the increased business we’ve experienced as a result!” Amy Smith – Practice Manager, Coastal Foot & Ankle Wellness Center


Fashion & Beauty

Eyebrow is the king of beauty Photo by Christine Cousart www.cousartphotography.com

rocketed. The hair removal technique is not just for the eyebrows: threading can be used to remove other facial and body hair as well. Benefits of eyebrow threading The benefits of threading for smooth hair removal includes exfoliating, but

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How is it practiced? Practitioners use a pure, thin, twisted cotton thread, which is rolled over untidy hairlines, moustaches and so on, plucking the hair at the follicle level. Unlike tweezing where a single hair is pulled out each time, threading can remove an entire

threading otherwise it could result to uneven eyebrow. My threading methods include a specialization in eyebrow design. How long does threading last? Usually it lasts 3-4 weeks. You may

By Fatemeh

yebrow shape is one of the most important parts to beauty. Your eyebrow shape depends on your facial features. It can help you look younger and “lift� the eye so it appears firmer. It especially important to shape your eyebrows if you wear glasses. Eyeglasses will make eyebrows look worse if they are not well shaped and groomed. Eyebrows frame the face and will also frame the glasses. I believe the eyes are the windows to the life force or soul of a person. And, the eyebrows are the window treatment for the eyes. What is eyebrow threading? Eyebrow threading is a depilation technique that originated in Persia, although it is also widely practiced in the Middle East. Salons in western nations offered the service to Middle Eastern clients for decades before European and American women became interested and the popularity of eyebrow threading sky-

not peeling skin, little or no redness, swelling, irritation or bumps, hair does not grow back as fast, and hair re-growth is finer, plus threading removes even the finest of hairs and skin feels smooth.

row of hair, resulting in a straighter line. Who should practice eyebrow threading? It is important to find an aesthetician who is experienced at eyebrow design

have to wait 4-6 weeks for your hair to grow back.

Come visit me and get the eyebrows of your dreams!

Fatemeh has practiced the art of threading internationally for 33 years, and in St. Augustine for almost 5 years. Threading is gaining in popularity and is increasing in demand among top salons throughout the world. It began as an ancient Indian all natural, safe, simple and fast effective method of facial hair removal. Facial threading is the best alternative to waxing and tweezing, especially for sensitive skin or people who are on prescriptions for the complexion.

April/May 2014

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Fashion & Beauty

Fashion is My Passion All About Alterations and Clothing Design almost non-existent. Rips and tears don’t always occur between 8:00 a.m. and 5:00 p.m., so we will do emergency repairs, if needed.

Testimonials I found myself looking online for a new beach tote but I just couldn’t find the EXACT ONE I was looking for...- you know, one that isn’t like everyone else’s and can carry a boat battery. I googled and googled and finally found it. Here is the hitch, it was a pattern for one. Who sews anymore? Then it hit me, Sharon! I ordered the pattern and called her up. Took one lunch date to make the magic happen. She looked at the pattern like a man lost in Home Depot- wide eyed, giant smile and said “YES!” Less than a week later, Voila! I had my very own, one of a kind, handmade with love, PERFECT beach tote. I can go on and on about the stellar workmanship, the attention to detail, the fact she made it fully reversible, she hand delivers, she makes a great lasagna and she makes me smile.....but you need to do a little work yourself. Call her. Chat. She doesn’t just sew, she makes art from fabric. The bonus is that it is her passion and she loves her job. It shows in everything she makes or alters. Say good-bye to your “Fill in your name here” dry cleaner’s alterations, there is a new gal in town and her name is Sharon. Trust me. She is the best. - Meme B.

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By Sharon Chambers, Sharon’s Stitchery

id you know that the key to any successful encounter in your business or personal life is a well fitted outfit? Are there clothes in your closet that you love and don’t want to get rid of, but they don’t fit properly? Clothing can be reinvented and made to look up to date and almost like new. With proms and weddings just around the corner, tweaking those most important gowns may be needed. Have an idea for an outfit, but can’t find what you want in a store? We can discuss your idea and make the outfit happen. Mending can also be tricky, but if you add fusible fabric to the back of a garment after it is neatly put together, the tear looks

Window curtains are a necessity in any home, and when they are handmade, you can pick your own fabric and colors to match your décor. We can also add embroidery or monogramming to suit your needs. For individuals that are home bound, we will come to your home for fittings.

I was in a pinch to have 16 boat sail boat curtains made for a trip I was taking. Not only did she pick out the fabric, which was exactly what I needed, but she had them done within the short period of time and they fit perfectly. - Susan B I’ve known Sharon Chambers for many years. She altered an expensive mid-length leather coat and now it looks like it was made just for me. On another occasion she altered a knit evening outfit that looks dynamite on! I highly recommend her to anyone needing any type of alterations, design, mending or creating. She is truly an artist! - Carolann B. I had an event to attend and needed alterations done on a beaded evening gown, Sharon did a stellar job and it fit perfectly. I highly recommend Sharon’s Stitchery for any sewing work you may need. - Sharon L.

Sharon attended the Fashion Institute of Technology in New York City, and has been sewing and creating garments for approximately 25 years. She has lived in St. Augustine for 14 years and works out of her home, so her prices for alterations and creating new garments are reasonable. She is very passionate about her work, and is available 24/7 for emergency repairs if needed. Sharon says, “All challenges are welcomed and I stand behind my work!”

April/May 2014

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Fashion & Beauty

Try A Little Arm Candy look will take you from day to night. This trend doesn’t stop with bracelets. Get out all those gold chains you

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Nicole Nettles

Owner, Blue Water Jewelers

have clumped up in your jewelry case. Placing different length chains together will create another new look from something you already have. You can even incorporate new fun charms on a couple of the chains; jewelry designers like TiSento and MiMoneda have interchangeable charms that can be worn on any necklace, which make them wonderfully versatile.

n fashion people often say, “Less is more.” Well, when it comes to bracelets, those people are wrong: “More is more.” The more chunky gold cuffs and big menswear-inspired watches you can pile onto your wrist the better. This spring, layer your diamonds and gold with fun, fashion bracelets and bangles. Try mixing Forevermark diamonds with recycled metals from Alex & Ani and multi-colored stainless steel by Alor Charriol or even incorporating some colorful resin bangles and gypsy beaded bracelets into your wrist wardrobe. So have fun!! And remember...this year, more is better!.

Everybody has some bracelets stowed away they have not worn in years. Break them out! Pile them on with some new funky pieces with spikes or colorful enamel and just keep layering them on. Don’t worry about matching all the metals...the idea is to create an eclectic

You can stack and layer your rings as well! Suggest that your significant other add a stackable band to your collection. Wear it with your engagement and wedding band for a new look and when you have an anniversary, birthday or “just because” occasion, the gift becomes a wonderful way to mark that moment. It is ok to layer the new with the old!

500 Anastasia Blvd St. Augustine, FL 32080 (904) 829-5855

store hours Monday - Friday: 10:00 am - 6:00 pm Saturday: 9:30 am - 5:00 pm Sunday: Closed Private Appointments: Call for Private After Hour Appointments

Blue Water Jewelers opened in 2006 with owner Robert, 2nd generation jewelry, and wife Nicole. Robert started with a passion for watches and received his degree in Horology. After working for several other jewelry stores in the surrounding area and developing his skill he was also was being trained in Rolex repair. With a lot of hard work, great customer service, wonderful client relationships and many enjoyable hours working with non-profits in the area Blue Water Jewelers quickly became St. Augustine’s #1 jewelry store. Blue Water Jewelers moved to an old bank building on April 14, 2010 exactly 40 years to the day the original bank was opened. Robert and Nicole believe in the restoration of existing buildings and will be in their new location for many years to come. You will find a beautiful showroom along with the original bank vault to hold all your valuable while they are being taken care of. For more information and pictures visit bluewater-jewelers.com.

April/May 2014

40


Fashion & Beauty

Why Organic Hair Color? Holistic Beauty from the Inside Out by The Look & Lifestyle salon the UK. Their organic standards are higher but it was bought and distributed by an entrepreneur in Florida. It is part of Organic Salon Systems, They also have a Care line, shampoos, conditioners, treatments & styling aids

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Tammy Tombroff, Owner of The Look & Lifestyle Spa-lon

hy Organic? An increase interest in quality of life and planetary concerns and research shows many synthetic chemicals are toxic lead to cancer, allergies, and a myriad of health & beauty problems. The term organic gets thrown around to mean natural, occurring in nature, no chemicals, etc. but petroleum could be considered organic. It is from oil, naturally occurring in nature. Read labels carefully and look for organically certified & soil certified organics and botanicals. We would like to educate you about the primary color line we use at The LOOK…Organic Color Systems. OCS was developed by a chemist in

OCS vs other Non-Ammoniated color lines We commend other lines that removed ammonia, but replacing with ethanolamine (which poses no threat in reasonable amounts) and no other alkaline base, they are using a higher percentage so same amount of damage occurs. Organic color Systems does contain some ethanolamine (4%, naturally derived from coconut) because the base is not sufficiently alkaline to open the cuticle for color to enter cortex. It is used to increase the PH just enough for this to occur. OCS uses oleic acid (naturally derived from

olive oil) in the formulation to neutralize residual ethanolamine Some other ingredients in the formulation besides coconut and olive oil derivatives are naturally derived from soy bean, corn, Vitamin E, Natural Vitamin C, organic; aloe vera leaf, comfrey root, orange peel, grapefruit seed and pure filtered & deionized water.

Announcements One Year Anniversary Soiree Thursday May 1st: Coffee, Champagne, Cheese, Chocolate and Cake! Look for us as a sponsor of the St. Augustine Chalkwalk, May 2-4! Happy Earth Day Everyday! Like us on Facebook

Benefits of Organic Color Systems • • • • • • • • • • • • •

Since 1991 in 40 countries Works at lower PH Moisturizing oil base Less fading More on tone fading Little to no skin staining Significantly reduced irritation & burning No ammonia fumes Only permanent hair color line with certified organically grown ingredients Certified cruelty free & Vegan by PETA Ability to participate in rapid growth of the natural and organic market segment Our peroxide is pharmaceutical grade which means it is the same peroxide found in eye drops, and therefore gentler than industrial grade peroxide Ability to produce more frequent color changes

Tammy Tombroff combines her cosmetology & clinical background into a lifelong dream of creating a place these 2 disciplines complement each other and bring a person to a higher level holistically; accentuating the positive ,most attractive elements of their physical appearance and psyche to promote healthier, happier, lovelier people.

Karen Lee Timoney invites all her clients to visit her at her new location.

Karen Lee Timoney, Senior Stylist with 20 + years’ experience , would love some of her ol’ clients from St Augustine Beach, to know that she’s in town now @ The LOOK ! A creative soul who also moonlights as a singer-guitarist. You have probably seen her performing in park, Lincolnviile Jazz Festival, a private or one of our Open Houses. What do you get when you cross Betsy Johnson, Bette Midler & Shirley Maclaine? KAREN oh, and she do a mean lost art Razor-cut!

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Fashion & Beauty

You ARE Beautiful...!!! (especially when I am on a run of assignments with office staff that only have a five minute window for a head shot). All of the above is null and void if I don’t gain trust and rapport with my subject.

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“Christine Cousart is a professional photographer that I would recommend to anyone. Christine is so easy to work with and made me feel so comfortable when she took my headshot” - Betsy Zipper, Promotional Presence

Christine Cousart

Owner, Cousart Studios & Go Fish Clothing & Jewelry

ne of the most frequent things I hear when I’m about to photograph a client is, “I’m not photogenic”, “I’m going to break the camera”, “I hate having my photo taken” or “you don’t have much to work with”, and the list goes on. It makes me sad to see lovely people belittle themselves and yet I do understand. There is a certain vulnerability that happens when the spotlight is suddenly on you and even

worse...what is captured does not go away. ‘Trust’ is a major factor when it comes to taking someone’s portrait. My job is not just to technically find the right focus, light and pose. My job is also composing the most flattering composition for your face and body. The background is also a factor that can make or break a portrait,

One of the favorite parts I enjoy about my profession is when I have heard a barrage of negative statements that a subject has smattered over themselves and then afterwards hearing relief in one’s voice as they choose the image they need for their business headshot. “ See, you ARE beautiful”, I’m thinking to myself. Just because your beauty does not fit into the mold of a front page splash that we are accosted with daily at the supermarket check out, it doesn’t mean we can’t capture your unique beauty. And...that is why my slogan is “Capturing the Essence of You”! I really do mean it!!!!! Cousart Studios of Fine Art & Photography 320 Hightide Drive #101 Saint Augustine, FL 32080 www.cousartphotography.com 904.687.7700

Christine Cousart has lived in St. Augustine since 2004 and says that it is the closest to the life she had when growing up in New Zealand. She owns Go Fish Clothing & Jewelry downtown Saint Augustine and Cousart Studios of Fine Art & Photography. She enjoys painting in all mediums as well as photographing a variety of subjects. She and her husband Kevin have two children that have graduated from Flagler College and one child that is in the AICE program at St. Augustine high school. vThe family loves to travel frequently and loves their relationship with many friends in the community. Cousart Studios of Fine Art & Photography | www.cousartphotography.com | 904.687.7700 | 320 Hightide Drive #101 | Saint Augustine, FL 32080

April/May 2014

Testimonials

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I’ve never had a professional shot where I was advised on my best colors, make-up and styles. Christine directed the shoot around me and my mood. I enjoyed how quick and painless she made it...most of the stress in a portrait comes from trying to pose. That can only be relieved with a photographer like Christine who makes you relax. My photos came out very natural and I can actually say, “I like my photo and it looks like me!” Jen Chaney, First Federal Bank of Florida


Food & Entertainment

St. Augustine’s Romanza Festivale of the Arts

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By Albert Syeles, President of Romanza

elebrating its third year, “St. Augustine’s Romanza Festivale of the Arts” (May 9-18, 2014) showcases our City’s vibrant living culture: music, dance, theater, art, cuisine, heritage and romance. In addition to headliners like the Ray Charles Tribute and Troy Sneed, over three dozen independent arts, culture and heritage groups and businesses collaborate to present an amazing 10-daylong cornucopia of street fairs, parades, concerts, plays, re-enactments, exhibits, tours and much more. The Festivale’s diverse offerings have something for everyone, young, old,

You can relive the magic of Ray in fabulous full production, featuring Frank Rondell, the world’s top Charles re-creator, with the fabulous “Roulettes” and their 5 piece backup band

families, couples, individuals, male, female, multiple faiths and ethnicities. Romanza Festivale promotes art and culture in public places by enticing audiences to walk around between shows and exhibits. You will enjoy all the beauty, wonder and creative energy of our unique city. This year, St. Augustine’s Romanza Festivale of the Arts honors the 50th Anniversary of the 1964 Civil Rights Act with two powerful tributes to the music that served as inspiration in the quest for equality. Ray Charles is truly a St. Augustine legend. In his youth he attended the Florida School for the Deaf and Blind for 8 years, and began his music career right here. The piano he played in Lincolnville is still on display in the Excelsior Museum. Now you can relive the magic of Ray in fabulous full production, featuring Frank Rondell, the world’s top Charles re-creator, with the fabulous “Roulettes” and their 5 piece backup band. Saturday, May 10, 2014, at 7:30 pm, Lewis Auditorium Flagler College. Tickets, $30 at the door; $25 in advance. For reservations and more information visit RomanzaFestivale.com. Troy Sneed, Stellar award winning producer and Grammy nominated national recording artist will bring his “ALL is WELL” tour to St. Augustine on Saturday, May 17, 2014, at 7:30 pm, Lewis Auditorium as a feature of Romanza Festivale. The incredible Mama Blue opens the evening for Mr. Sneed. Lift your spirits with the best of Gospel music. Tickets are $20 at the door for the concert, with discounts available advance purchase, and a special Troy Sneed workshop offer for choirs. Visit RomanzaFestivale.com. Romanza is a nonprofit grass-roots community arts and culture organization. Its mission is to promote and produce cultural events that showcase St. Augustine’s vibrant living culture, that enhance the quality of life for residents, and that create a positive lasting impression of the NATION’S…MOST ROMANTIC CITY for visitors.

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You can help St. Augustine’s living culture grow:

Join Romanza. Romanza events range from small to very large, and depend on the generosity of our community’s volunteers, collaborators, sponsors, advertisers and donors. Our annual St. Augustine Celtic Music and Heritage Festival and St. Patrick’s Day Parade deploy over 100 volunteers in just 3 days each March. And for our main event, “St. Augustine’s “Romanza Festivale of the Arts”, dozens of community organizations collaborate each May of to produce over 80 shows. Each Romanza Member organization requires volunteers and support to produce these wonderful shows and exhibits. Get involved!. Join Romanza. You can make a difference. Find out more at RomanzaStAugustine.org or email RomanzaFL@gmail.com


Food & Entertainment

The Debate Over Telecommuting

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By Kris Phillips, President Newstalk 1240 WFOY and ESPN 1420 WAOC

hen I adopted my first child, I faced the familiar dilemma of many working women: to stay home, work part time, telecommute, or continue working full time at a DC lobbying firm. I was fortunate enough to have that many options. I ultimately decided to go part time and work 2 days a week at the firm, and a few hours each week at home so that I would have enough hours to keep my benefits. For all of us tackling the task of raising children or caring for aging parents while simultaneously working at home, we know that it is easier said than done. Conference calls planned during nap time. Getting distracted and discovering your two year old has used a roll of stamps for his sticker book. Finding affordable part-time child care, a far more difficult task than locating full-time child care. Giving your most important presentation of the year on 3 hours’ sleep and baby spit up on your new blouse. I used to jokingly say that I went to work 2 days a week so that I could rest. Now that I own a small business, I look at telecommuting from a different perspective. Can I really assure that I am getting an honest day’s work out of someone who isn’t present at the office? is someone more productive when they’re not worrying about their family, and able to work in their PJs instead of fighting traffic? With more and more workers nearing retirement age and either wanting or needing to stay in the workforce; along with the high costs of commuting and the technology to make telecommuting happen, it came as some suprise when a top internet CEO put a halt to the practice in her own company. Forbes magazine recently wrote about Yahoo’s Marissa Mayer’s kibosh on telecommuting: “(Mayer’s) pronouncement banning homebased work at Yahoo reflects a great dilemma facing companies and our country over the coming decade. Forget for a minute the amazing hubris of a rich, glamorous CEO, with a nursery specially built next to her office, ordering less well-compensated parents to trudge back to the office, leaving their less important offspring in daycare or in the hands of nannies. The real issue is how we deal with three concerns: the promotion of families; humane methods

April/May 2014

to reduce greenhouse gases; and, finally, how to expand the geography of work and opportunity. For parents, particularly women, telecommuting provides a golden opportunity to balance the challenges of child-raising with those of work. Working at home, full or part-time, shrinks the number of hours wasted commuting and allows greater flexibility that is often critical to maintaining a family. In a country with a deteriorating fertility rate, and ever greater strains on those trying to raise children, telecommuting offers, at least for some, a way to remain in the labor force without cheating the next generation. Equally important, as the online universe expands, telecommuting allows us to reduce carbon emissions and energy use without forcing people to live in dense communities that most Americans, particularly in their adult years, clearly do not prefer. Greens, planners and many pundits seem anxious to force people to live in crowded housing close to buses and trains, yet rarely mention that it’s infinitely more eco-friendly to not commute at all. Finally there’s the often ignored issue of geography. If you force people to work in daily commuting distance from Yahoo’s Palo Alto headquarters, you are essentially telling them to live in a region where housing is among the most expensive in the nation. For anyone under 40 who does not have wealthy parents, a large amount of dot-com stock or recently robbed a bank, it’s almost impossible to buy a singlefamily home or spacious townhouse in the Valley, even in the only modestly attractive parts. So what’s the beef with the expansion of telecommuting? The conventional explanation usually revolves around the notion that putting employees together every day together generates greater innovation. There are clearly advantages in face-to-face contact, particularly for younger people and top-echelon executives, who may be more effective minding the store if they hang around the office. But for most employees productivity actually rises with telecommuting. This is confirmed by broad studies such as one by the consultancy Workshifting that found, on average, a 27 percent rise in productivity among telecommuting employees. Over two thirds of the employers surveyed reported higher productivity among homebased employees, including British Telecom, Dow Chemical, American Express and Compaq. One of the best examples of telecommuting advantages can be seen at the high-tech company Cisco, which in contrast to Mayer’s assertion, has found telecommuters are effective at communicating and collaborating. It has also improved employee retention and also saved $277 million by allowing its employees to telecommute. Other companies reporting positive results, particularly in terms of retaining employees, from telecommuting, include IBM and Best Buy. Equally critical, notes a study by Global Workplace Analytics, are the tremendous environmental savings. Half-time telecommuting could reduce carbon emissions by over 51 million metric tons a year — the equivalent of taking all of greater New York’s commuters off the road. Additional carbon footprint savings will come from reduced office energy consumption, roadway repairs, urban heating, office construction, business travel and paper usage (as electronic documents replace paper). Traffic jams

idle away almost 3 billion gallons of gas a year and accounts for 26 million extra tons of greenhouse gases. But perhaps most relevant, whatever its merits, telecommuting and home-based work seems to be the inevitable wave of the future, whether corporate managers like it or not. Working at home grew faster percentage-wise than any other mode of work access in the United States between 2000 and 2010. In that decade, the country added some 1.7 million telecommuters, almost twice the much ballyhooed increase of 900,000 transit riders. This tends to be more true in places like Silicon Valley, where workers are computer savvy and housing costs are onerous. Between 2005 and 2009, the Valley workforce grew by less than 10 percent but the telecommuting population increased by almost 130 percent. Tech-oriented places like Austin, Portland, Denver, San Diego, San Francisco and Seattle all rank among the cities with the highest percentage of people working at home. As workers become more familiar with technology, these trends should accelerate. A survey by the Information Technology Association of America found that 36 percent of respondents would choose telecommuting over a pay raise. These preferences appear to be even greater among millennial generation workers, who, according to a Pew study, tend to seek a “balance” between work and life. Global Workplace Analytics suggests this means they will be more attracted to flexible work throughout their careers , particularly as they start families. Other trends, including the huge expansion in self employment in the U.S., promise to accelerate telecommuting in years ahead. The ranks of

independent contractors have grown by 1 million since 2005, according to George Mason University economist Jeffrey Eisenach. One in five work in such fields as management, business services or finance, where the percentage of people working for themselves rose from 28 percent to 40 percent between 2005 and 2010. Many others work in fields like energy, mining, real estate or construction. Altogether there are now as many as 10 million such independent workers, constituting upwards of 7.6 percent of the national labor force and over $626 billion in income. This trend will be further accelerated not only by millennials but increasingly by the other big growth demographic, aging boomers. The self-employment rate for adults 55 and older is 16.4 percent, according to the Bureau of Labor Statistics, well above the 10.4 percent rate of self-employment for the total labor force. From 2007 to 2008, the latest data available, new businesses launched by 55- to 64-year-olds grew 16 percent, an increase that was faster than that of any other group, according to the Kauffman Foundation. All told, Boomers in that age group started approximately 10,000 new businesses a month. Many of these older entrepreneurs are likely to work out of their homes, which many now own outright. In fact, over time, according to Workplace Analytics, upward of half the American workforce could eventually telecommute. Ultimately the issue of whether managers or office developers like this trend is beside the point. Smart managers who learn how to adjust to this path will flourish. Those who do not, like Marissa Mayer, are standing against a historical wave that is likely to prove too powerful for any company or CEO to overcome.”

Kris Phillips is President of Phillips Broadcasting, LLC which owns Newstalk 102.3 FM and AM 1240 WFOY; and ESPN 1420 WAOC in St Johns County. She worked for 7 years as senior reporter for the ABC affiliate in Little Rock, Arkansas specializing in covering statewide political campaigns and high-profile court trials. Kris served as Communications Director for a United States Senate Committee in Washington, DC before becoming managing partner of an ad agency. She has won awards both for news reporting and for television and radio ad production. Kris is currently the host of the St. Johns County Morning News weekdays from 8-9am on Newstalk 102.3. She can be reached at kris@1023newsradio.com

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Food & Entertainment

Treat Your Taste Buds at PJ’s Asia One Market

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njoy a taste of cultural zest from PJ’s Asia One Market. St. Augustine’s only Asian grocery store offers a wide variety of ingredients from fresh produce to frozen seafood for some delicious dishes from around the globe. PJ’s Asia One Market carries 10 different styles of Thai curries and a fully stocked condiment section featuring many types of spices, sauces and dips from several Asian countries. If you’re a sushi enthusiast, PJ’s has all the ingredients you need to create your own sushi feast including rice, vinegar, nori, wasabi and flash frozen “sushi grade” seafood. Also available in the frozen section are packaged seafood items such as gyoza, lumpia along with an assortment of Asian flavored ice cream and icy treats. For soups and pasta dishes, a variety of noodles in both dry and refrigerated forms are available from Thailand, Japan, the Philippines, Korea, China and Indonesia. PJ’s also offers several different types of rice including Jasmine, sticky (sweet), brown, red and Basmati. You can also find a large selection of fresh Asian vegetables and fruits in PJ’s produce section. If you’d like to try your hand at a special Asian

recipe or need some help with a special ingredient, make sure you get some advice from PJ’s proprietor, Thailand native and culinary school graduate Praphaphan “PJ” Johnson. After several years as a chef in St. Augustine, PJ and her husband Bob decided to open the grocery store in December 2009 and have been serving the community ever since. So send out the summer with a bang by picking up some special ingredients for your next meal at PJ’s Asian One Market!

Recipe:

Green Papaya Salad For those extra hot Summer afternoons, try this cool dish for a special treat! Ingredients: 1 Small green papaya (Peeled and shredded to small thin strips it should measure about two cups) 2 Fresh Thai chili 1 clove Garlic Juice from 1/2 Lemon or lime or 1 tablespoon of tamarind paste 1/2 Teaspoon palm sugar 2 Tablespoons fish sauce 1/4 Cup toasted chopped peanuts 1/4 Cup ripe tomato cut into wedges 2 Tablespoons dry shrimp--optional Using a pestle and mortar, crush the toasted peanuts, then remove from mortar and set aside. Next, crush the chili, dry shrimp (optional) and garlic in the mortar and then add sugar, lime, lemon juice or tamarind paste, fish sauce, tomato, papaya and half of the crushed toasted peanuts. Gently mix everything together until papaya is well coated. Place the mixture on a serving dish and sprinkle remaining crushed peanuts on top. Serve at room temperature or cold with an optional lettuce garnish.

Recently, I decided to prepare a special meal for my girlfriend. Since she really enjoys Asian food, I went to PJ’s market looking for some great ideas. PJ was really helpful; she gave me her own recipe for a Thai curry chicken served with a cold papaya salad. I was able to get almost all the ingredients I needed for the meal at PJ’s, plus some advice on how to prepare everything. My girlfriend was seriously impressed, and I owe it all to PJ! Thanks! -Ty Moore

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Food & Entertainment

Happy Cinco De Mayo (But Hold The Mayo)

By: Warren Caterson, Author

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Table for Two - Back for Seconds

appy Cinco de Mayo, everyone!

While not the largest south-of-the border celebration - that would probably be Dieciséis de Septiembre (Mexico’s Independence Day) - Cinco de Mayo sure is a lot easier to pronounce if you happen to be a non-Spanish speaker. Especially after a few margaritas. Cinco de Mayo commemorates the victory of the outnumbered Mexican Militia over the French Army at the Battle of Puebla in 1862. Brave Mexican warriors entered the fray shouting their three-fold battle cry “Viva Mexico!” (translated: Long live Mexico) while the French, sensing impending defeat responded with a battle cry of their own, “Oh non pas encore!” (translated: Oh no, not again). Interestingly enough, Cinco de Mayo is pretty much a regional holiday in Mexico and is primarily celebrated in the state of Puebla. In the United States, however, it has fast become a major

holiday celebration throughout much of the country. Of course, Americans are always open to new ethnic expressions of celebration – especially if a lot of drinking is involved. Which is one reason why Congress just recently recognized “Reddition Française” (French Surrender Day), which may be celebrated any day when you have too much beer in the fridge. But back to Cinco de Mayo. Festival Broadway is considered the primo Cinco de Mayo celebration in the world. This event, held in an eleven block area of downtown Los Angeles, welcomes over half a million people where shouts of “Viva Mexico! (Long live Mexico), “Dios bendice México” (God bless Mexico), and “Averigüe los nuevos rines en mi Cívico!” (Check out the new rims on my Civic) fill the air. In Scottsdale, Arizona, the Rawhide Wild West Town has celebrated Cinco de Mayo with an annual running of the bulls. However, this may be a dying tradition. According to spokesperson Gimpy Delgado, the rates for Goring by Bull insurance have skyrocketed since the unfortunate death in Pamplona last year when a 30-year-old tourist was gored in the throat. Especially so since the man was taking a shower in his hotel room at the time. Not to be outdone by the event in Scottsdale, the town of Chandler hosts the Running of the Chihuahuas. This cultural classic features over 150 pintsized dogs racing for the ultimate canine prize: a tasty biscuit and a pat on the head. While not as dangerous as her sister event in Scottsdale, the Running of the Chihuahuas does produce a number of nipped ankles and more than a few humped legs. And in San Diego, you can down your share of margaritas at the Cinco de Mayo Zonkey Fest where the Zonkey – a small pony that looks like

a donkey and is painted with zebra stripes – holds court. I don’t know about you, but it seems to me the idea of painting zebra stripes on a pony could only have been hatched during a previous margarita-soaked Cinco de

Mayo celebration. So…how are you celebrating Cinco de Mayo? Me? With a cooler full of Dos Equis, a pitcher of margaritas, and a platter of homemade fish tacos. Hold the mayo.

• CLASSIC FISH TACOS • PREP: 10 minutes COOK: 5 minutes INGREDIENTS 1/4 cup all purpose flour 1/4 teaspoon salt 1/4 cup beer 1/4 cup plain yogurt 1/4 cup mayonnaise 2 tablespoons fresh lime juice 1/2 jalapeno pepper (or habernero for more heat), minced 1/4 teaspoon dried oregano 1/4 teaspoon dried cumin

1/4 teaspoon dried dill 1/4 teaspoon cayenne pepper pinch white pepper 1/2 pound tilapia, cut into ½-inch strips 4 corn tortillas 1/4 head read cabbage, finely shredded 1 – 2 cups canola oil (enough to cover your pan by 1-inch)

DIRECTIONS

1. In a medium bowl, combine the flour, beer and salt. Mix until smooth. 2. In another medium bowl, combine the yogurt, mayonnaise and lime juice. Gradually stir in the peppers, oregano, cumin, dill, cayenne, and white pepper. 3. Add oil to medium skillet to a depth of 1-inch and heat over medium-high heat. 4. Dredge the fish pieces in the flour mixture and then into the batter. Add pieces to skillet a few at a time and fry until crisp and lightly brown, a couple of minutes per side. Remove and drain on paper towels. 5. Lightly fry the tortillas until just beginning to crisp. Remove to paper towel. 6. Slather sauce on each tortilla, add fish and top with shredded cabbage. 7. Pour two margaritas.

Chef Warren is the award-winning author of Table for Two - The Cookbook for Couples and the newly released Table for Two - Back for Seconds. You can purchase these items at your local bookstore, Amazon or get signed copies from www.tablefortwocookbooks.com Contact Chef Warren for in-home cooking classes or a personal chef experience (A 3 to 5 course meal prepared in your home for you and your friends). 904-704-1710

April/May 2014

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Food & Entertainment

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St. Augustine Woman's Journal - Apr/May 2014