St. Augustine Woman's Journal - Aug/Sep 2014

Page 1

“Getting the Look” Publisher of: The San Jose Woman’s Journal The St. Augustine Woman’s Journal

page 41 for more information) Not “looking” for you in the audience. only was it a relaxing afternoon, but As we enjoy the coming cooler my new look was perfect for the end weather, plan to drive the coast and

Publisher/Editor Suzanne Egeln

of summer and the BayView organiza- explore the area in which we live. tion’s 6th annual Caribbean Calypso Follow the Scenic & Historic A1A

Business Manager Anthony Egeln

VP of Business Development Anna K. Egeln

Graphic Design Samantha Angeli

Night fundraiser.


Suzanne Egeln, Publisher

o you remember when the

only way to see your reflection was in the water or to catch a glimpse

Photography Christine Cousart

across state lines. I saw a recent post

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.

“Looking” at another great sea- You can download the driving guide son at Limelight Theatre. Don’t miss from the website (http://www.sceout on their opening night festivi- Use your cell phone at

of your shadow? Now we find our-

Email / Web P.O. Box 3655, Ponte Vedra Beach, FL 32004 Voice & Fax: 904-280-0788

Coastal Byway “cell phone” tour.

selves on “insta-gram” or “tweeted”

ties for “The Addams Family”. The the various stops to “educate” you show opens September 18th and and your family about the Florida runs through October 19th. Our A1A corridor. Send us your favorfamily has always been a fan of lo- ite photo and we will upload it to the cal theatre, and we look forward to Northeast Florida Woman’s Journals’ Facebook page with the date that you visited the stop.

where the children took a photo of

As always we invite you to share

their “Mom” on her own phone that

this magazine with friends and fam-

was not as flattering as she would

ily, and welcome your recommen-

have hoped, but the children adored

dations for our “Woman in Profile”

it because it was a reminder of their

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utors. Please like us on Facebook.

portunity to “change” my look at The Look & Lifestyle Salon and Spa (see



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In This Issue

st. augustine woman’s journal | august/september 2014

25 42 5 10

36 Health & Medicine

Health & Fitness


Life Services

4 | Shoe Inserts and Prescription Custom 5 | Back to School for a Healthy Child 6 | A Glance Inside a Physical Therapist’s

Toolbox 8 | Discover the latest in varicose vein treatment

-A Solution to Leg Pain? 9 | Volunteering is Good for a Woman’s Health

18 | Harbour Island Tennis Centre 19 | How Can Haven Hospice Help My Family? 20 | Simply Susie. Let us clean, cook and run

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

Business & Finance

21 | Your Website: The Friendly Receptionist 22 | Are You Wearing Warm Pajamas and a Robe,

10 | Local Asthma Patient is Breathing Easy



11 | Weight Loss Surgery Patients Celebrate

Success in the Limelight

12 | Carotid Artery Disease: Symptoms, Diagnosis,

Treatment and Prevention Advancing

Treatment of Stroke and TIA

14 | Obesity and Polycystic Ovary

Syndrome (PCOS)

15 | Are You an Expectant or Nursing Mother 16 | The Difference Between Breast

Augmentations and Breast Lifts

17 | Healing Broken Relationships


or a Hospital Gown with a Split Down the Back?

23 | It’s Time to Rock the Boat?


24 | Puss in Boots and the Double Cash Closing 24 | What to do if You’re in a Car Accident

Women in Profile

26 | Millie Badea, Marylou Malvicini Thompson, Carolyn Mudgett, Elsy Schneider and Barbara Jenkin


29 | Make Every Day Independence Day! t 30 | Events and Volunteer Opportunities at Home Again

23 31 | 32 | 33 | 34 | 35 | 36 | 37 | 38 |

Love Your Mother Eco Fashion Show Think Pink Motorcycle Ride & Even Education! Education! Horace Mann and bring school supplies to classrooms StAR Council Planning for the 6th Annual Bratini at Serenata Junior Service League Plans Fun Fundraisers Volunteers needed at St. Francis House Miracles in Your Own Backyard!

Fashion & Beauty

40 | 41 | 42 |

Fashion is My Passion All About Alterations and Clothing Design The Benefits of Beauty A Change of Pace

Home & Garden

43 | Why You Should Move to Saint Augustine

Food & Entertainment 44 | 45 | 46 | 47 |

WFOY has Moved! Treat Your Taste Buds at PJ’s Asia One Market New Century Buffet If it Ain’t Broke, Don’t Fix it

Back Cover

48 | Limelight Theatre

Health & Medicine

Shoe Inserts and Prescription Custom Orthotics Poor circulation? Both can increase your risk of foot ulcers and infections. Let your podiatrist help you select the correct insert. Think about the purpose… Running? Working? Lounging? Look for a product that fits your level of activity. Bring your sneakers, dress shoes or work boots with you. Look for an insert that fits the contours of your shoe. Try them inside your shoeand walk around a little. Be sure it is comfortable! Be sure it is returnable!


By Richard Johnson, DPM

Coastal Foot & Ankle Wellness Center

hat are Shoe Inserts? Shoe inserts can be found in stores, on TV and online. They are a nonprescription foot device worn inside a shoe. Orthotics are a prescription shoe insert custom made specifically for YOUR feet. Shoe inserts can be very helpful for a variety of foot ailments. They can cushion your feet and provide comfort and support. The most common types of shoe inserts are: Arch Supports: Arch supports are generally designed to gently support a high or low arch. Insoles: Insoles provide extra cushioning and support. They’re often made of gel, foam or plastic. Heel Liners: Heel liners provide extra cushioning for your heel. They may be useful for patients who have pain caused by the atrophy of the heels’ natural fat pads. Foot Cushions: Foot cushions come in many different shapes and sizes and are used to prevent rubbing between you and your shoe. Choosing an Over-the-Counter Shoe Insert Selecting a shoe insert from the wide variety of devices on the market can be overwhelming. Here are some tips to help find the insert that best meets your needs: Consider your health….. Diabetes?

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What Are Prescription Custom Orthotics? Orthotics are custom-made devices designed to support and comfort YOUR feet. They match the contours of your feet precisely and are designed for the way you move. While they may cost more than the shoe inserts, they are frequently covered by insurance. Orthotics are made by your podiatrist after a complete biomechanical evaluation of your feet, so the orthotic can accommodate your unique foot structure and pathology. Clinical research studies have shown that podiatrist-prescribed foot orthotics decrease foot pain and improve function. Prescription orthotics are divided into two categories: Functional Orthotics are designed to relieve foot pain by controlling abnormal motion. They can also be used to treat injuries such as plantar fasciitis, shin splints or tendonitis. Functional orthotics are usually made from semirigid material. Accommodative Orthotics are soft and meant to provide additional cushioning and minor support. They’re used to treat ulcers, painful calluses or other painful ailments. When to Visit a Podiatrist If you are simply looking for extra cushioning or support, you may wish to try an over-the-counter shoe insert first. But, if you have significant pain or disability, schedule an appointment with your podiatrist. Your podiatrist will assess your overall health and evaluate the biomechanics of your lower extremity. This evaluation will help determine if shoe inserts might be helpful or if you need prescription orthotics.


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.

Health & Medicine

Back to School for a Healthy Child


Vincent S. Luz M.D. FAAP

t’s that time of the year again. Time to shop for your children’s new school wardrobe and load up their new backpacks. With all the hustle and bustle of getting your children ready for school, one thing you should not forget is to get your children their school physicals. This would be a great opportunity for you, your child and your pediatrician to discuss a variety of topics and to address any questions or concerns that you might have. “Do I have to get shots?” 9 out of 10 times, this would be the first question coming out of a child’s mouth. It doesn’t matter if they’re 8 or 18 years old all they’re worried about are the dreaded “shots”. Most, if not all schools now require a copy of their students’ immunization record. There are indeed a lot more “shots” now that are recommended and in most instances required by both the American Academy of Pediatrics and your local school however, not every visit entails getting a shot. When your child comes in for his or her school physical, a thorough physical exam form head to toe will be performed by your pediatrician. Your pediatrician will also discuss with you your child’s growth and development. The American academy of pediatrics has several health and safety tips to make the first day of school as smooth as possible: • Remind your child that there are probably a lot of students who are

“Do I have to get shots?” 9 out of 10 times, this would be the first question coming out of a child’s mouth.” uneasy about the first day of school. Teachers know that students are anxious and will make an extra effort to make sure everyone feels as comfortable as possible. • Point out the positive aspects of starting school: “It will be fun! or you’ll see old friends and meet new ones”. Refresh the positive memories about the precious years when she may have returned home after the first day with high spirits because she had a good time. • Find another child in the neighborhood with whom your youngster can walk to school or ride on the bus. • If you feel it is appropriate, drive your child (or walk with her) to school and pick her up on the first day Having children in school can be stressful, frustrating and not to mention expensive. But remember, as Benjamin Franklin once said, “ An

investment in knowledge pays the best interest”.


University Medical Center in NY. He has special interest in pediatric ENT and has been practicing since 2004. He is also a Fellow of the American Academy of Pediatrics.

Dr. Luz graduated from the University of Santo Tomas and did his residency at Nassau

For more information or an appointment call 904-342-7648

Vincent S. Luz M.D. FAAP


Health & Medicine

A Glance Inside a Physical Therapist’s Toolbox


his FORUM is a regular contribution from BayView Healthcare to help share the knowledge and expertise of the more that 280 healthcare


ince the beginning of the Physical Therapy Association (now known as the American Physical Therapy Association) in 1921, the use of therapeutic exercise, balance activities and gait training have been used to promote healing and function in patients. The use of various modalities have been incorporated including thermotherapy, cryotherapy, ultrasound, various types of electric stimulation and diathermy as an adjunct to decrease healing time and promote functional independence.


The use of heat or cold to alter circulation of injuries has a long history of success in decreasing pain and improving healing times. Properly utilized, it can be beneficial for many patients.

February/March 2014 August/September 2014

professionals at BayView across our continuum of care. In each issue an area of interest is addressed to help consumers be even more informed about their health and wellness. We are living longer and living longer with chronic diseases. As we age, most of us contend with multiple health care issues, many of which are chronic and cannot be cured- only managed. In this FORUM, Doug Mullin will explain how to maximize mobility through physical therapy – through the use of therapeutic exercises, balance activities and gait training as well as incorporating various modalities to decrease healing time and promote functional

independence. Doug Mullin has been with BayView Rehab at the Samantha R. Wilson Care Center since 2002. Mullin earned his Bachelor’s Degree in Biology from the University of North Florida in 1989. He then earned an Associates Degree from Miami Dade State College in Science to become a Physical Therapy Assistant in 1992. He has worked in a variety of settings such as geriatrics, acute care, pediatrics and sports medicine. His specialties include wound care and geriatric rehabilitation. Doug and the BayView Rehab Team are committed to providing excellent quality care for our long and short term residents and outpatient therapy clients.

tissue is decreased. The decreased conduction velocity can also be useful for applications involving muscle spasms. Studies have shown that application of cold therapy soon after injury improves healing time and the return to normal activity.

Ultrasound Therapy

Ultrasound (US) therapy involves application of sound waves into the body to relieve pain, increase circulation and promote wound healing. It has several applications that are beneficial when provided in an appropriate manner. Parameters for US therapy can provide either thermal or non-thermal effects depending on the desired outcome and patient diagnosis.

Thermal Ultrasound Thermotherapy

While the moist heat is somewhat superficial (1.0 to 2.0 cm deep), it can be advantageous in many ways. Decreasing discomfort, improving joint movement and muscle extensibility are some of the ways heat can be helpful. The primary mechanism comes from increasing the circulation in the local area. In sub-acute injuries, this vasodilatation brings in extra blood supply with nutrients to aide in healing. The warming effects of moist heat aid in loosening stiff joints and can be very useful prior to stretching tight muscles to improve comfort, mobility and function. Many patients find good results from osteoarthritis with the application of moist heat. This is likely a combination of increased blood flow to the affected joint as

well as the counterirritant effect of the heat.


Application of cold, by way of a cold pack, ice massage or ice water baths has been shown to decrease inflammation, pain and spasticity. After an injury, the body’s response is to flood the area with blood, which can have a negative effect on the healing time. The use of cold therapy in the acute phase of healing promotes vasoconstriction to help eliminate inflammation and swelling in the area of an injury allowing the body to have an improved balance between arterial and venous blood flow. It also is helpful in decreasing pain from the injury by decreasing nerve conduction velocity as the temperature of the


Thermal ultrasound allows the clinician to provide a deep heat that is created by sound waves reflecting off boney surfaces and vibrating to warm the surrounding tissue. It is able to penetrate deeper (2.3 to 5.0 cm) than moist heat, but covers a much smaller surface area. Applications include strain/ sprains, scar tissue release and trigger points.

Non-thermal Ultrasound

Non-thermal ultrasound can be used to treat various injuries (tendonitis, bursitis) as well as noninfected open wounds. Ultrasound has been found to aide in mast cell degranulation which is vital in wound healing and protection against pathogens. It has also been found to effect fibroblasts to accelerate wound contraction and closure.

Health & Medicine Electrical Stimulation

Electrical impulses are the driving force behind many workings in the human body including nerve conduction and muscle contraction. External application of electrical stimulation (e-stim) has been studied since the late 1700’s. In physical therapy, e-stim has been successfully used to treat pain, weakness, immobility, circulation and wound healing. Types of e-stim include Transcutaneous Electrical Nerve Stimulation (TENS), Interferential Stimulation (IF), Neuromuscular Electric Stimulation (NMES) and High Voltage Pulsed Galvantic Stimulation (HVPGS).

Transcutaneous Electrical Nerve Stimulation (TENS)

Transcutaneous Electrical Nerve Stimulation (TENS) is a low frequency modality (2-150Hz) commonly used as a treatment to relieve pain. By surrounding the affected area with electrodes the electric current disrupts the pain message from reaching the brain, calms painful nerve fibers and stimulates the release of natural painkilling endorphins. In the clinic it is used for a variety of pain issues including chronic pain syndromes, acute injury and post operative pain. A home TENS unit requires a physician prescription and after training, the patient can self administer treatment at home. Treatment times and outcomes can vary, but it is generally tolerated well.

Interferential (IF) Stimulation

Interferential (IF) Stimulation uses a medium frequency (10004400 Hz). Medium frequency passes through the skin easier and allows for a deeper treatment with increased dosage to relieve pain symptoms. It utilizes four electrodes surrounding the affected area, provided a fixed and adjustable

Non-thermal SWD provides pain relief without the increased circulation that accompanies thermal application.

frequency during treatment. When these frequencies combine, they produce an interference frequency and provide relief to the patient.

The use of modalities in physical therapy has a long history of effective treatment for wide range of conditions. As an adjunct to traditional therapeutic exercise, balance activities and gait training, modalities can be an effective tool for patient treatment. It can allow a patient to regain their prior level of function in a more time efficient manner.

Neuromuscular Electric Stimulation (NMES)

Neuromuscular Electric Stimulation (NMES) is used to help rehabilitate muscles that have been weakened from injury, disuse or surgery. Providing e-stim at the origination of muscle initiates a contraction of the muscle to help use the muscle more effectively or help strengthen the muscle. It is sometimes used prophylatically when a limb is immobilized. NMES can be used to minimize disuse atrophy (muscle wasting). It is also helpful in neuromuscular reeducation and when used in conjunction with active contraction of the affected muscle group it promotes reeducation of the neuro-pathways for muscle function. NMES can also be helpful in the treatment of muscle spasms. Treatment causes the muscle fibers to fatigue, providing relief from the painful spasm.

Doug Mullin as removing waste products from the area. Using positive current to open wounds decreases healing time to minimize risk of infection

Short Wave Diathermy (SWD)

Short Wave Diathermy (SWD) produces electromagnetic energy to provide thermal or non-thermal effects in tissue with high water content. Affected tissues can include muscle, ligaments and cartilage. Thermal SWD is useful for pain reduction, muscle spasms and increasing circulation and range of motion.

BayView Rehab is proud to be a part of the Accelerated Care Plus (ACP) program. ACP provides progressive rehabilitation technologies, specialized treatment programs and advanced therapist training. Using ACP medical devises with evidence based clinical protocols that have been specifically developed around the medical complexities of aging adults. We would be pleased to further explain this program and answer your questions. Please call (904) 806-5832 today!

High Voltage Pulsed Galvantic Stimulation (HVPGS)

High Voltage Pulsed Galvantic Stimulation (HVPGS) uses direct current to provide pain relief, edema control and aide in wound healing. The blending of relatively high voltage and low amperage allows for a comfortable stimulation that is tolerated by a large number of patients. HVPGS provides a means to exciting sensory, motor and pain conducting nerve fibers to allow use for multiple indications. Its use for post-operative edema control aid in the healing process. For wound care, the negative current provides an anti-bacterial effect as well as increasing circulation. This increased circulation brings nutrients to the wound site as well

Health & Wellness Forum

161 Marine Street, St. Augustine, FL (904) 829-3475 BayView Healthcare, also known to many as the St. Johns Welfare Federation, is a private, not-for-profit comprehensive continuum of healthcare provider founded in 1920. Our superior level of services include short-term inpatient and outpatient rehabilitation, skilled nursing (BayView Rehab at the Samantha R. Wilson Care Center), BayView Home Health and BayView Assisted Living (The Pavilion and Buckingham Smith), BayView Charities, BayView Wellness and BayView Neighbors. Caring Hands-Caring Community is a separate 501 (c) 3 charitable organization founded in 2004 by our parent organization. It was formed to support the exceptional services and continuum of care provided to people in need of healthcare services and financial assistance.


Health & Medicine Discover the latest in varicose vein treatment -A Solution to Leg Pain

blood to return from the legs against gravity. If the valves leak, blood pools in leg veins, which can become enlarged or varicose. Endovenous ablation is an ultrasound guided procedure that uses heat generated by radiofrequency energy to close off these faulty vessels, diverting blood flow immediately to nearby healthy veins.


By: Ryan Pereira, DPM FACFAS

ave you taken a look at your legs lately?

If you don’t like what you see then, at the Centre for Advanced Vein Care, Dr. Ryan Pereira and Dr. David Ross are who can relieve your painful symptoms and improve the appearance of your legs to restore them to a more youthful look! What is Radiofrequency Endovenous ablation? There are several options in the treatment of varicose veins. They involve Endovenous ablation, vein stripping and ligation, phlebectomy and sclerotherapy. For the purposes of this article I will focus on endovenous ablation treatment. Varicose vein treatment with endovenous ablation, is the latest minimally invasive treatment that uses radiofrequency energy to cauterize (burn) and close abnormally enlarged veins in the legs, a condition called venous insufficiency. Normally, blood circulates from the heart to the legs via arteries and back to the heart through veins. Veins contain one-way valves, which allow For more information about vein treatments, please visit: 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

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What are some common uses of the procedure? Although this procedure may be used for cosmetic purposes, it is more commonly used to help alleviate symptoms associated with venous insufficiency. Leg pain, fatigue, tiredness, heaviness, aching, burning, itching, and restless legs are common symptoms of venous insufficiency. These symptoms often worsen with long periods of standing and can lead to leg swelling, throbbing and leg cramps. Conservative treatments include heavy support stockings, anti-inflammatory medications, and leg elevation. Venous disease is not as yet curable; however with appropriate treatment, the progressive nature of vein disease can be slowed and controlled How is the procedure performed? Dr. Pereira and Dr. Ross will numb the area where the catheter will enter into the abnormal vein with an anesthetic solution, and use the ultrasound probe to study the vein and track its path. The leg being treated is then cleaned, sterilized and covered with a surgical drape. A very small nick is made in the skin at the site. Using ultrasound guidance, the catheter is inserted through the skin into the vein and positioned within the abnormal vein. The radiofrequency electrode is inserted through the catheter and placed into the ‘safe zone.’ The local anesthetic solution is injected around the abnormal vein with ultrasound guidance. Radiofrequency energy is applied as the catheter is withdrawn 7 cm every 20 seconds. The skin is then covin 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

ered with a bandage. No sutures are needed. This procedure is usually completed within 45 minutes. Following the procedure, you will need to wear a gradient compression stocking to help reduce bruising, tenderness, and minimize the very rare possibility that blood clots may form. You may resume your normal activity immediately, with the exception of air travel or prolonged sitting (such as a long car trip). The physicians will perform a follow up ultrasound examination in order to assess the treated vein. Within Additional procedures (such as sclerotherapy or ambulatory phlebectomy) may be necessary to treat the smaller associated vein and are finishing touches to make your legs beautiful and youthful once again! What are the benefits of this procedure? Benefits are . . . • No surgical incision is needed-only a small nick in the skin that does not have to be stitched closed. • When compared with traditional vein stripping techniques, endovenous ablation is more effective, has


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.

fewer complications, and is associated with much less pain during recovery. • Endovenous ablation is generally complication-free and safe. • This procedure leaves virtually no scars because catheter placement requires skin openings of only a few millimeters, not large incisions. • Endovenous ablation offers a less invasive alternative to standard surgery. • Most of the veins treated are effectively invisible even to ultrasound 6-12 months after the procedure. • Most patients report symptom relief and are able to return to normal daily activities immediately, with little or no pain. And finally Your legs will look great!

Health & Medicine

Volunteering is Good for a Woman’s Health

The Betty Griffin House, our excel-

lently directed domestic violence shelter, has volunteer positions for all ages 904-808-8544.

Do you enjoy the wisdom of old-

er people? Our Council on Aging is the place for you, 904-209-3700.

Love science? Consider joining the

diverse, smart volunteers at the Whitney Lab, the UF center for marine science 904-461-4000. Basically, if you need a cure for the blues, excess weight gain or the common cold, giving to others works wonders.


Susan Yarian, MD Dr. Yarian is a graduate of the University of Florida, with a BS in Industrial Engineering. She worked as an engineer for years before pursuing her medical degree at the University of South Carolina, where she also was a resident. As the founding partner of ObGyn Associates of St Augustine, she has been gratified to watch the practice grow from a one doctor, one midwife office in 2001 to our current practice. She is particularly interested in high risk obstetrics, but enjoys all aspects of gynecologic care. Even after 18 years in private practice, she feels it is a privilege to be a part of women’s

Susan Yarian, MD

he great social scientist, Erik Erikson, described the concept of generativity. He used this term to describe our need to take care of others. First, we do this with our children. In later life, it is again expressed as we take our experience and use it to help our community. It is often said and so true that helping others is its own reward. I’ve spent 20 years talking with women in St Augustine. Those with a personal connection to a meaningful purpose have a deep satisfaction with their lives. Fortunately, there are many opportunities for community service here. Are you passionate about the impact of illicit drug use on families? The main focus of EPIC Community services is the prevention of drug abuse, volunteer opportunities are available 904-829-2273. Care to change a life? Big Brothers/Big Sisters volunteers at 904-8299986 often talk about how their lives were changed.


lives in such an important way. Academic Background: • B.S., Industrial Engineering, University of Florida • M.D., University of South Carolina School of Medicine • Residency, Obstetrics & Gynecology, University of South Carolina Susan’s first love is her family, and she is especially proud of two fine daughters. She enjoys volleyball, Ashtanga yoga, horseback riding and wishes she could tap dance but finds that enthusiasm doesn’t always equal ability.

Health & Medicine

Local Asthma Patient is Breathing Easy Again


heri Fulkerson is full of enthusiasm, as she excitedly shares how, with the help of an innovative procedure, she is recovering from a long and debilitating struggle with asthma. “Before the procedure, my asthma had gotten so severe, and I was such a shallow breather, that I couldn’t do most of the things I used to do. The athlete I had once been - riding my bicycle 12-15 miles a dayseemed like a different person; I couldn’t even come close to doing that anymore. I had to quit playing softball, and honestly, just going up and down the stairs took a lot of effort for me.” All that changed when Sheri came across an article about bronchial thermoplasty in the New England Journal of Medicine. “I started volunteering at Flagler Hospital in 2002 because I wanted to pay back the hospital for the good treatment they have given me over the years and to make a difference in our community. Well, because of my weakened state, I took a job in the mail room - away from patient areas- and that’s where I saw this article that changed my life. I left the mailroom thinking ‘there is hope for me’.” When Sheri saw the article, she Sheri Fulkerson

“Since surgery, I haven’t had any breathing problems – I don’t have to constantly monitor the weather. I’m starting to ride my bicycle more and starting to do more deep-breathing yoga; I never used to be able to do that before without coughing. I don’t have to use a rescue inhaler or nebulizer. As I continue to heal, I feel like the possibilities are endless.” wondered if the procedure would be good for her and was surprised to learn that Flagler Hospital is one of the few hospitals in the nation offering the innovative bronchial thermoplasty services she had read about. Sheri consulted with her pulmonologist, Dr. Husain, and he confirmed she was a good candidate for the procedure – and that he could perform it right here at Flagler Hospital. “My first procedure was on a Friday, 4 days after having an appointment with Dr. Husain. There were 3 different areas of my lungs that were treated. The first one I breezed through. The anesthesia was the toughest part for me during the second and the third procedure was my upper lungs and it was sore after, but it really wasn’t too bad,” Sheri explained. “What got me through all of it was truly

the people at the hospital. From the moment I walked in the front door, everyone I encountered was happy to see me, supportive and caring through every part of the process.” Today, Sheri says she is breathing easy and getting back to all the activities she loves – and trying some new ones as well! She is extremely thankful for the care concern and expertise of her doctors. “Since surgery, I haven’t had any breathing problems – I don’t have to constantly monitor the weather. I’m starting to ride my bicycle more and starting to do more deep-breathing yoga; I never used to be able to do that before without coughing. I don’t have to use a rescue inhaler or nebulizer. As I continue to heal, I feel like the possibilities are endless.”

About Flagler Hospital

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

February/March 2014 August/September 2014


WHAT IS BRONCHIAL THERMOPLASTY? Bronchial thermoplasty is a nondrug procedure for severe persistent asthma in patients 18 years and older whose asthma is not wellcontrolled with inhaled corticosteroids and long-acting beta-agonists. The system delivers thermal energy to the airway wall, in a precisely controlled manner, in order to reduce excessive airway smooth muscle. Reducing airway smooth muscle decreases the ability of the airways to constrict, and helps in reducing the number of asthma attacks. This minimally invasive bronchoscopic procedure is performed in outpatient procedure visits. Bronchial thermoplasty is routinely performed under moderate sedation or light anesthesia, and the patient typically goes home the same day. WHO CAN BENEFIT FROM BRONCHIAL THERMOPLASTY? Bronchial thermoplasty is typically reserved for select adult patients whose severe and persistent asthma has not been helped by inhaled corticosteroids and longacting beta agonist medications. WHAT IS THE EXPECTED OUTCOME? Bronchial thermoplasty is expected to complement asthma maintenance medications by providing long-lasting asthma control and improving asthma-related quality of life of patients with severe asthma. In addition, bronchial thermoplasty has been demonstrated to reduce severe exacerbations (asthma attacks) emergency rooms visits for respiratory symptoms, and time lost from work, school and other daily activities due to asthma. Learn more and watch an animated video of the procedure by clicking on Pulmonary Care under the Medical Services tab at

Health & Medicine


Weight Loss Surgery Patients Celebrate Success in the Limelight

hree of Flagler Hospital’s weight loss surgery patients recently celebrated their new found health with a day at the Limelight Theatre. The ladies enjoyed some fun trying on extravagant outfits in the costume room and stepped on stage, all decked out in red, to show off their healthier, happier hearts and smiling faces.

Anita’s Story After struggling year after year with my weight, and having to deal with diabetes, high cholesterol and sleep apnea - as well as the knowledge that my mother passed away from a massive stroke due to obesity, high blood pressure and diabetes at the age of 53 - I knew I needed help! I was led to Dr. Robert Marema in St Augustine, where I attended a seminar and learned about the various procedures he offers. With the support of my family and friends, I determined the sleeve gastrectomy was the best solution for me. Fifteen months later, I have lost and kept off 90 pounds. I no longer need to go to my car for a nap during my work day. I am not on any medications and I am an active, healthy 43-year-old, who is excited about life! My first grandchild was recently born and I have so much to look forward to. Without the surgery, I would still be struggling with

taking medications, morbid obesity and facing a very early death, due to all the health issues. At first I wanted to keep my surgery a secret, but then I decided I want to help others who are struggling with their weight. I am happy to share the wonderful experience I had with the entire Flagler Hospital Bariatric Surgery team and the healthier, happier me!

Melinda’s Weight Loss Journey April 2010 is when I turned my life around for the better. I was 369 pounds and felt worse than I’ve ever felt in my life - both physically and emotionally. I was on the verge of being prescribed meds for high blood pressure and high cholesterol, and was already on medication for a rapid heart rate; I had finally reached the point in my life where I said enough is enough. When I told my family I wanted to have the surgery, they were afraid for my life because of some stories they had heard about it, but I was afraid for my life because of the way the weight was affecting my health. I decided to go through with the RNY Gastric Bypass and have not looked back since. I have lost 200 pounds since I had my surgery and fluctuate only 5-10 lbs here and there. Most importantly, I have been blessed with a beautiful healthy baby girl who just turned two. Without my weight loss, I probably would have never been able to have her.

Today, my health is at its very best ever... I feel more energetic, more confident & full of life. I’m more able to teach my daughter a healthier way of eating/living & that alone is worth it all in my eyes. Having my surgery was one of the best decisions I’ve ever made in my life and I would do it over again in a heartbeat.

Kay’s Story I struggled with weight issues since my first year in college, gaining and

eventually losing 60 pounds that year. Over the next 50 years, the struggle continued, with my weight reaching over 340 pounds at times. In 2010, after observing two friends post-op after a gastric by-pass for more than a year, I went to meet their surgeon. Dr. Marema and his staff made me feel so comfortable that I had the surgery in Dec.2010 and two weeks later was off on our annual Christmas cruise! Though not the “skinniest” person, I have maintained the same weight and I elected to begin a series of re-sculpturing procedures with Dr. Anh Vu at Flagler, because I spend so much time in my pool and in a swimsuit. Thanks to Dr. Marema and Dr.Vu, I can now live a “normal life”!

Learn More about Weight Loss Surgery at

About the Limelight Theatre Located at 11 Old Mission Avenue, the Limelight Theatre has been St. Augustine’s Community Theatre for more than 20 years. The Theatre has produced well over one hundred different shows in its history, from classics to new works, tragedies to musical comedies. The working Board of Directors, Advisory Board and Limelight Theatre Guild continue to improve and help the theatre to flourish. Attendance has continued to grow, and today the Theatre is widely respected as one of North Florida’s top cultural organizations. For more information, visit

About Flagler Hospital

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


Health & Medicine

Carotid Artery Disease: Symptoms, Diagnosis, Treatment and Prevention Advancing Treatment of Stroke and TIA



hat are the carotid arteries? The carotid arteries are the blood vessels that carry oxygen-rich blood away from the heart to the head and brain. Located on each side of the neck, these arteries can easily be felt pulsating by placing your fingers gently on either side of your windpipe. The carotid arteries are essential as they supply blood to the large front part of the brain. Another smaller set of arteries, the vertebral arteries, are located along the back of the neck adjacent to the spine, and supply blood to the back of the brain. What is carotid artery disease? Carotid artery disease is defined by the narrowing or blockage of this artery due to plaque build-up. The process that blocks these arteries is called atherosclerosis. The slow build-up of plaque is caused by high blood pressure, diabetes, tobacco use, high blood cholesterol, and other modifiable & non-modifiable risk factors. Over time, this narrowing may eventually become so severe that blockages decreases blood flow to the brain and may cause a stroke. A stroke can also

February/March 2014 August/September 2014

occur if a piece of plaque or a blood clot breaks off from the wall of the carotid artery and travels to the smaller arteries of the brain. Brain cells deprived of fresh blood for more than a few minutes will be damaged, a condition known as “ischemia,” or the brain cells may die, a condition known as “infarction.” When blood flow to the brain is blocked, the result is sometimes called “an ischemic event.” This could be a stroke, which is permanent loss of brain function, or a transient ischemic attack (or TIA), which implies a temporary alteration of brain function. Brain damage can be permanent if this event lasts for more than three to six hours. Stroke can also occur from causes other than carotid artery disease, for example, from heart disease (heart valve problems, heart failure, PFO or patent foramen ovale which is a hole in the heart or atrial fibrillation) or if bleeding occurs in brain tissue. Nevertheless,

Severe Internal Carotid Artery Disease

Carotid Stent Procedure With Emboloic Device And Stent carotid artery disease is one of the most common causes of stroke. According to the National Stroke Council, more than half of the strokes in the United States occur because of carotid artery disease. What are the symptoms of carotid artery disease? For many individuals, the first obvious sign often is a TIA or mini-stroke. Symptoms for a stroke or TIA are similar and may include blurring, dimming, or loss of vision; tingling around the mouth, difficulty with speech, the inability to normally move an arm or leg, the inability to feel (numbness) in a part of the body, and rarely, a sudden severe headache. The difference between a stroke and a TIA is that the symptoms of a TIA are not permanent and can last from a few minutes to 24 hours. A TIA is a very powerful warning sign; although the symptoms may resolve completely, the occurrence of a TIA offers an individual who is at risk of a permanent stroke an extra opportunity to take actions. However, a TIA should still be treated as a medical emergency How is carotid artery disease diagnosed? The diagnosis of carotid artery disease is usually based on the performance of an ultrasound study of the neck arteries. Alternatively, the artery can be visualized by a magnetic resonance angiogram (MRA), CTA scan angiography or standard angiogram.


How is carotid artery disease treated? Treatment for carotid artery disease normally consists of normalization of those risk factors that cause artery blockages, specific medications (usually antiplatelet medications, Cholesterol Medications), and sometimes requires either carotid artery angioplasty and or stent, or by a surgical procedure (CEA =carotid endarterectomy). Anyone with any degree of narrowing of a carotid artery, or with any history of stroke or TIA, should quit use of all tobacco products, control their high blood pressure, normalize their blood cholesterol and blood sugar by diet and medications, and exercise regularly. Your doctor may prescribe a daily antiplatelet medication, such as aspirin, Plavix, Aggrenox or warfarin to reduce clot formation. The choice of medications is best made by your own physician. Individuals with severe blockages

Traditional Carotid Surgery

Health & Medicine of the carotid artery (usually greater than 70 percent blockage) may be recommended CEA. During this procedure, the plaque from inside the artery wall will be surgically removed and the blood flow is restored to normal. CEA procedure can be performed through a small incision, and in some cases under regional anesthesia. Most patients can go home the morning after the surgery. Recovering from surgery is usually rapid and people can quickly resume their normal activities without any restrictions. CEA entails general anesthesia, albeit small but there will be a scar in the neck, and will still need to be hospitalized for a day. Risks associated with traditional surgery are the usual anesthesia type risks, mild increase in occurrence of heart attacks, hematoma in the neck, small risk for stroke or TIA, risk for paralysis of vocal cord or laryngeal nerve palsy, infection or cellulitis in the incision site, etc. A new “nonsurgical” endovascular treatment uses angioplasty and stents to open blocked carotid arteries. This procedure’s safety and efficacy has been tested in both high risk and standard risk patients, and is equivalent and non-inferior to traditional carotid artery surgery and does NOT involve general anesthesia, scar, or any risk to vocal cord paralysis or laryngeal nerve palsy. There are fewer heart attacks with stents in high and traditional (moderate) risk patients. The rest of the risks of

Embolic Protection Device Used in Carotid Stenting

bris or clots from traveling to the brain during the procedure and causing TIA or stroke. Drs. Ashchi and L. Thomas Van Crisco at First Coast Heart & Vascular Center, PA (FCHVC) have been involved in hundreds of carotid angioplasty and stent procedures. Over the years, Dr. Ashchi was the first cardiologist to perform the procedure at Memorial Hospital Jacksonville. He is responsible for bringing & serving as the principal investigator on all national carotid angioplasty stenting registry / trials at Memorial Hospital Jacksonville and Orange Park hospital. “Working as a team, we provide an extra level of expertise, discussing complicated cases with one another to achieve the best possible result for each patient. Along with our commitment to excellence comes a low incidence of complications–we have a rate of complications that is less than the national average”.

Stroke From a Diseased Carotid And Thrombus

this procedure are basically the same as traditional surgery. Carotid Stent procedure (CS) involves the placement of a small flexible tube into an artery from the groin. The catheter is then directed to the neck to reach the carotid artery blockage. A balloon pushes open the artery wall and a stent (a small metallic coil) is often left to keep the artery open. We have always used latest in equipment and technology including the embolic protection devices. Centers that do this procedure have been selected by rigorous process. First Coast Heart & Vascular Center physicians (Ashchi & Crisco) have a long history of performing CS procedure (1997) and have been among the leading physicians in many carotid clinical trials with excellent results. Each center must be CMS approved for this procedure. It must be realized that the number of procedures done by a physician matter in outcome. High volume centers, like Memorial Hospital Jacksonville, and

high volume operators will have the lowest complications. Prevention of Carotid Artery Disease Stay healthy through exercise and proper nutrition and take all medications as your doctor prescribes. If you have risk factors for carotid artery disease, you should talk with your healthcare professional. If you have any symptoms, see help immediately as minutes are critical to your health. Choosing A Doctor For A Stenting Procedure When a patient is a candidate for the carotid stenting procedure, there are certain criteria to consider. Patients needs to how many carotid stenting procedures a physician has performed and look for experienced doctors who have completed at least 100 procedures with low complication rates. A doctor should be knowledgeable and using all types of embolic protection devices. These devices are used to prevent de-

Post-Operative Patient Care First Coast Heart & Vascular Center willingly shares the most up-to-date scientific knowledge about cardiovascular topics with other physicians in the community through educational lectures and by permitting doctors from other practices to observe various surgical procedures. Being asked by another doctor for our help with a procedure or with their patient is a high compliment, and we are glad to assist. Follow-up care is an essential component of FCHV’s patient care. The practice offers accredited vascular technologists, along with an accredited vascular lab, to monitor patients for restenosis and progression of disease. At risk patients are urged to see their primary care doctors for yearly full exam including listening to the neck for carotid bruits (Bruit-noise made in part by a blocked or tortuous artery). This is a potentially life-saving step. Early detection of severe disease can allow us to address the condition before it causes TIA, stroke, or death.”

First Coast Heart & Vascular Center, PLLC



1000 Plantation Island Drive, Suite 9 St. Augustine, FL 32080 •

Health & Medicine

Obesity and Polycystic Ovary Syndrome (PCOS) Polycystic



(PCOS) happens when a woman’s Photo by Christine Cousart

ovaries or adrenal glands produce more male hormones (androgens) than normal. Women with PCOS have an increased risk for development of ovarian cysts. Women who are obese are at greater risk for polycystic ovary syndrome. Hormone imbalance from PCOS can interfere with normal ovulation. PCOS is the most common cause of female infertility.


Board Certified Family Medicine

• Abnormal peroids

women have normal periods, reduce for long-term health improvement. Other medicines can reduce hair health risks combined with appro-

• Excess hair growth on the face,

symptoms. Birth control pills help importance of lifestyle modification male hormone levels, and clear acne. Patient education with respect to

• Infertility • Pelvic pain

bout one third (33%) of

heart disease, and high blood pres- mizing the effects of PCOS. Treating sure. Medicines can help control the PCOS includes and recognizes the

Symptoms of PCOS include:

By Scott R. Michaels M.D.

“Treating PCOS includes and recognizes the importance of lifestyle modification for long-term health improvement. Patient education with respect to health risks combined with appropriate diagnostic testing and treatment can help women with PCOS enjoy a healthier life.”

chest, stomach, thumbs, or toes

the U.S. population and one fourth

• Baldness or thinning hair

(25%) of the population in the Unit-

• Acne, oily skin, or dandruff

ed Kingdom are obese.

• Patches of thickened dark brown

Obesity carries an increased

growth and control blood pressure priate diagnostic testing and treatand cholesterol. Weight loss and ex- ment can help women with PCOS ercise can be helpful steps in mini- enjoy a healthier life.

or black skin

risk of hypertension, dyslipidemia (cholesterol


The most distressing aspect of PCOS


for any given patient may change

(heart disease), osteoarthritis, and

over time, from facial hair and

some cancers.

blunted secondary female charac-




teristics as a teenager to infertility as Prevalence: Polycystic ovarian syn-

a young adult. Due to the increased

drome (PCOS) affects 4% to 12%

risk of diabetes and heart disease

of women of reproductive age.

no longer can irregular menses

The lack of well-defined diagnos-

and/or hirsutism be thought of as a

tic criteria makes identification of

benign condition.

this common disease confusing to

Women with PCOS are at higher

many clinicians.

risk of diabetes, metabolic syndrome,

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 2014 August/September 2014


Health & Medicine

Are You an Expectant or Nursing Mother?


By: Susan Detar, CFm Owner, The Pink Door

s you may already know, one of the earliest physical signs of pregnancy can be breast tenderness. At some point in your pregnancy (often but not always around the second month), breasts will start becoming larger as they prepare to nurse the new arrival. Some women experience this as a feeling of fullness rather than actual increase in size, and others are very aware of needing a larger cup size. Some women will continue to increase in cup size over the course of their pregnancy, and others find they have an increase during their first trimester, and not again until close to the end of their pregnancy. As your belly increases in size, your rib cage (band) measurement will also likely increase. Women who are petite or carrying high will often experience more increase in rib band than women who are taller or carrying low. Generally, most women increase one or two cup sizes and one or two rib band sizes over the course of their pregnancy. Then, for the first few days after giv-

ing birth, when you breastfeed, your baby receives colostrum. At around the third day, your milk will ‘come in’. At that point, you can experience an increase of one or two more cup sizes from your third trimester. Typically after about 6 weeks to a few months of nursing, these fluctuations settle down. You will have established your breastfeeding relationship and routine, and will usually decrease a few cup sizes. As well, around this point, your rib band size will begin to go back to your pre-pregnancy size. This is the size you will likely stay until you finish breastfeeding. That is, at about your pre-pregnancy rib band size, and up one cup size. The ideal time to size for a nursing bra is during the last few weeks of your pregnancy which will ensure a good prediction of your size once your milk comes in. It’s a great idea for a pregnant mom to go with a nursing bra when she begins to feel her prepregnancy bras are no longer working for her rather than a traditional bra, so she can get double duty out of it by also using it to nurse when she has her baby. Both during pregnancy and breastfeeding, a woman’s skin and nipples in particular can become extremely sensitive, even to the point of being sore. Moisture is a serious consideration: when breasts leak, it is important that the wetness does not stay next to the skin because this can result in irritation or infection. Using breast pads will absorb moisture and wick moisture away from the body so the nipple area remains dry. Both disposable and reusable pads are

available. While disposable may be cheaper, reusable pads are much softer and “green”. During your pregnancy you may also be experiencing abdominal straining, backache, hip separation, pubic symphysis and ankle and leg swelling. You might even feel that you have the sensation of “everything is going to fall out the bottom”. There are a number of supportive garments to alleviate any pain or discomfort you feel. By cradling the torso, these garments support strained muscles, encourage better posture and provide relief. Some women develop vulvar varicosities which are swollen veins in the pelvic area caused by the increased weight of the uterus. A supportive device

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.


with compressive properties will help keep the veins from swelling. This condition typically resolves after the birth of the baby. If you are interested in learning more about the benefits of nursing your baby, your local health department has a Lactation Peer Counselor on staff. Contact information: St. Johns County, (904) 825-5055 ext. 1110. Putnam County, (386) 326-3251.

Health & Medicine

The Difference Between Breast Augmentations and Breast Lifts


omen will often come in to the office for a consultation and not be certain whether they want a breast augmentation, a breast lift, or a combination of the two. An augmentation and a lift are very different operations with different goals. The two can be combined safely, but precautions must be made to optimize the appearance of the final result. • Landmark Anatomy: The areola is the colored or pigmented area surrounding the nipple. The inframammary fold is the gently curved line under the breast where the breast meets the chest wall. The pectoralis muscle is the muscle directly under the breast tissue and lies between the breast tissue and the ribcage. • The Perfect Breast Shape: Individuals may differ on what constitutes the perfect appearing breast, but the natural, healthy breast has a tearshaped appearance with an increasing breast volume from the clavicle to the nipple. The lower aspect of the breast has a full curve that meets the chest wall (the inframammary fold). The optimal nipple position is at the same height as the inframammary fold and centered on the breast mound and the nipple should be pointing directly toward the wall when standing. Issues Affecting Breast Size and Shape Hypomastia is a condition in which the breast gland has undeveloped in proportion to the woman’s overall stature. With these conditions, the breast shape is best

improved with breast augmentation. Breast atrophy is a condition where the breast gland has decreased in fullness, often after breast feeding. Breast fullness and firmness are both decreased. Breast ptosis, or drooping breasts is a condition in which the nipple position has moved to a position that is lower than the fold of the breast. In the most severe cases of breast ptosis, the nipple is pointing toward the floor. A breast lift, or mastopexy, changes the nipple position so the nipple is in line with the inframammary fold. A breast augmentation enhances the breast by increasing the volume of the breast mound on the chest. The nipple position is only minimally elevated with a breast augmentation and the size of the areola is unchanged or minimally enlarged. A saline or silicone filled implant is placed in the space either just under the breast (subglandular) or under the pectoralis muscle (submuscular). The incisions to place the implant can be either on the fold of the breast where the breast meets the chest (the inframammary fold or IMF incision), around the lower half of the pigmented portion of the breast that circles the nipple (areola or infra-areola incision) or in the armpit (axillary incision). • BreastLift: A breast lift, or mastopexy, decreases the size of the areola and moved the nipple to a more central position on the breast. A breast lift will not increase the volume of the breast.

WHAT IS THE DIFFERENCE BETWEEN A BREAST AUGMENTATION AND A BREAST LIFT? A BREAST AUGMENTATION INCREASES THE VOLUME OF THE BREAST MOUND. A BREAST LIFT REPOSITIONS THE NIPPLES AND DECREASES THE SIZE OF THE AREOLA. When to use a combination breast augmentation and breast lift? If a breast has lost volume AND the nipples are no longer pointing toward the wall and are instead pointing toward the floor- a combination breast augmentation and lift can be performed. Precautions in technique and limits on implant size are very important to optimize outcomes. BE CERTAIN TO SEEK A BOARD-CERTIFIED PLASTIC SURGEON WHO IS CERTIFIED BY THE AMERICAN BOARD OF PLASTIC SURGERY WHEN CONSIDERING BREAST ENHANCEMENT SURGERY OR ANY COSMETIC SURGERY PROCEDURES. SAFETY AND CONSISTENT RESULTS ARE OF UTMOST IMPORTANCE Questions to ask your plastic surgeon: 1. Are you a board certified plastic surgeon certified by the American Board of Plastic Surgery? (You should demand to see the certificate.) 2. How many of these procedures have you performed? 3. May I see photographs of patients on whom you have performed this procedure?

4. May I speak with any of your prior patients? 5. Do you have privileges to perform these procedures in a hospital? Patients should be very careful. There are very few laws and restrictions on doctors whom perform procedures in their offices. Hospitals demand that surgeons have been fully trained to perform procedures correctly and safely.

“Dr. Michael Duffy is a Plastic and Reconstructive Surgeon providing comprehensive aesthetic and reconstructive surgery services in Jacksonville, Florida and the surrounding areas of Ponte Vedra, North Florida and South Georgia. Dr. Duffy received his Plastics Reconstructive training at Mayo Clinic, Rochester, MN and is certified by the American Board of Surgery and American Board of Plastic Surgery. His plastic surgery treatments include breast augmentation, breast lift, breast reduction, liposuction, tummy tuck, facial rejuvenation, rhinoplasty, mommy makeovers and total body rejuvenations and more. Dr. Duffy also leads a team of experienced medical aesthetician specialists that offers a full range of services from medical spa treatments, advanced skin care and laser services at his Cosmetic & Reconstructive Surgery skin care center. Popular services includes Medical Spa Treatments, BOTOX®, Dysport®, Juvéderm®, Obagi and CLENZIderm M.D.™

February/March 2014 August/September 2014


Health & Medicine

Healing Broken Relationships


Kathleen Abbott, Licensed Mental Health Counselor & Clinical Director

magine for a moment that you are bending down planting flowers by your mailbox. It a crisp, and warm spring day, and you feel relaxed and satisfied to be making your home more beautiful. You see your spouse out of the corner of your eye, get in the car and back out of the driveway, obviously unaware of your presence, because you suddenly feel the dense impact of the car, knocking you over, forcing you to gaze upward in shock. You glance down the road to see your spouse pick up the cell phone, but you already know that this is not a call for help, so you begin to take care of yourself. Approximately 60-70% of marriages are either ended or seriously challenged due to an affair, many of which last more than two years. With the foundation of adultery being deception and the consideration of the individual’s needs over the needs of the marriage, it is not surprising that once the confrontation is made, it becomes more difficult to carry on. Once brought to the light, the choices of how to manage this crisis determine the outcome. If the unfaithful spouse shows a high degree of remorse and is willing to completely discontinue contact, the marriage has a chance to heal. But so often people are caught in the strong chemical reactions that the brain creates when there is something new or dangerous or forbidden. Many people mistake these feeling for love and think they have found their soul mate, when in reality it is more of an addiction, similar to that of cocaine.

At the LifeSource Group, we have a model of therapy that has been quite effective in helping couples recover from an affair. In our Dynamic Couples Counseling, where Kathleen Abbott and John Jones are both present with the couple, we are finding that more people are determined to save their marriage. If there is willingness to look at the root cause of the disconnect which allowed space for another person, a desire to forgive and create trust again, the couple can move towards a stronger position. This takes both courage and humility as well as a lot of support. We use the metaphor of the spouse being hit by the car because healing may take a long time and the commitment to walk each other through the healing is easier to comprehend if the wound were physical. For many, the pain of betrayal feels like the ultimate physical, emotional and spiritual pain. We see conflict as an opportunity for growth, with the goal being to not just get the couple back to where they were before, but to help them create a new relationship that is far more intimate and trusting, with a bond so strong, there is no room for another. “For two are better than one, for they can keep each other warm and when one falls down, the other can help them up.” The bottom lines is whether you are willing to accept your God-given power to confront conflict and fear with love, no matter the degree of pain. That is a choice wholly your own to make. We feel humbled and blessed to help show you how to make that choice.


“Kate” has a Masters Degree in Clinical Social Work from Florida State University and is a Licensed Mental Health Counselor. She has over 25 years of experience as a therapist and as a business leader. She coaches managers on best practices, is a regular speaker on creative and practical life strategies and believes “transformation begins with a renewing of the mind.” Her clinical expertise is broad with specialties in eating disorders, PTSD, women, couples, teens and faith-based counseling. She is also highly experienced in providing counseling and crisis intervention training to various organizations in our community. A former licensed foster care parent and mother of two daughters, she is able to equip others in managing life’s many changes and challenges.


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

“Jack” has an MBA from Columbia University, a Masters Degree in Counseling Psychology from the University of North Florida, is a Licensed Mental Health Counselor, a Clinical Hypnotherapist and a Certified Family Law Mediator. A former CPA with over 20 years of international business experience, he now specializes in working with teenage and adult substance abuse, family and couple discord, parental alienation syndrome, trauma, anxiety, depression, and schizophrenia. Practicing what he calls Cognitive Soul Therapy, dramatic results are sought using both science and spirituality. He is also familiar with the courtroom through his experiences as a Family Law Mediator, Guardian Ad Litem volunteer, licensed foster care parent, and adoptive father.

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 Fax: (904) 797-5681 •

248 Southpark Circle East • Saint Augustine, FL 32086

Health & Fitness

Harbour Island Tennis Centre Growth of Facility & Courts Adult & Youth Programs Clinic / Lessons / Cardio Tennis / Weekly Mixers/ Family Days Professional Tennis Instruction is available daily at Harbour Island Tennis Center. Members & Non‐ Members are welcome to participate in our programs. We have something for everyone from the beginner to the experienced tennis player. Call today to join in on the fun and learn this great game we call TENNIS!


Marie Turnbull, Owner

hings are building at Harbour Island. We have began construction on court number four ‐ with growth comes higher rates so join today and save on the initiation fees before they go up again.

Ivo Dentchev “Director of Tennis” What a great month for my family since arriving to the oldest city in the nation and one of the most beautiful clubs building in Florida. What really makes Harbour Island Tennis Centre so special is all of the wonderful members, that make everyone so welcomed and invite them to participate in everything as part of your family.

On a Tennis note: Improving the Doubles Game...Build on

August/September 2014

positioning and communication skills. Move together after the serve and return so the spaces between you and your partner are reduced. Two players up at the net represent a stronger and more aggressive formation than one up and one back. Being back with your partner (both players at the baseline) means that the other team


is very aggressive and you and your partner are trying to neutralize their aggressive play from the backcourt. Stay positive at all times. Compliment and encourage your partner even when the point is lost. Create a positive image and your doubles experiences will be very enjoyable and successful.

Life Services Photo by Christine Cousart www.cousartphotogra-

How Can Haven Hospice Help My Family? patients are able to engage in favorite activities, visit family and spend time with friends.


Cathy Johnston Haven Hospice Administrator

ntil we have a personal experience with hospice care, many of us are unfamiliar with the programs and services that can be provided when a loved one has a life-limiting illness. There are also many common misconceptions about hospice. Let’s explore some of these misconceptions and the facts about Haven Hospice services. Hospice is about death and giving up hope. At Haven, we believe that hospice is about living -- a better quality of life at the end of life. Haven Hospice programs and services are offered to patients and their families which address the physical, medical, emotional and spiritual challenges associated with life-limiting illness. Haven Hospice professionals provide expert pain and symptom management to promote and maximize the quality of life at the end of life. Some

Admission to hospice should only happen when the patient is within days of dying. • Patients and their families often tell Haven Hospice staff that they wished they had enrolled in hospice care earlier. Medicare defines a hospice patient as someone with a prognosis of six months or less and the state of Florida’s definition is 12 months or less. Haven Hospice patients and their families benefit from the support of an expert inter-disciplinary team of physicians, nurses, nursing aides, social workers, volunteers and chaplains. Timely access to the right care plan is important – to maximize the quality of life before the situation becomes critical. Hospice patients have to give up their family physician and their right to make health care decisions to enroll in hospice services. Haven Hospice professionals coordinate the patient’s care and medications with the patient’s physician and other healthcare providers. Haven Hospice works with patients and families to create a plan of care that will manage the distressing pain and symptoms of a patient’s illness and will coordinate that care with the patient’s existing healthcare team. All hospice patients go to a care center. Haven Hospice patients are cared for in their home or wherever they call home in North Florida: at their residence, in a skilled nursing facility or in a hospital. Haven Hospice provides routine home care, continuous care, inpatient care and respite care. If there is a need for short-term inpa-

tient care, Haven Hospice does offers care centers in Gainesville, Palatka, Chiefland, Lake City and Orange Park. In these homelike settings, family members are welcome 24-hours a day and encouraged to stay. Haven also welcomes visits from children and family pets. The care centers offer overnight, short-term respite care to provide a break to primary caregivers. Respite care is a welcome change of routine that is so essential in maintaining caregiver quality of life. There is only one hospice organization. There are multiple organizations that provide hospice services in the state of Florida. Some organizations are for-profit and others are non-profit. Some are accredited and others are not. Haven Hospice is a not-for-profit, community hospice organization which is accredited by ACHC (Accreditation Commission for Health Care). At Haven, no one is turned away regardless of their ability to pay. Choosing hospice services and a hospice care provider are both very important decisions. Spending time researching and understanding the differences between hospice organizations is important so that when this critical time does arrive, we are able to make informed decisions. Did you know that… • If you have Medicare or Medicaid, your hospice benefit is covered 100 percent. • Haven Hospice treats people with all types of life-limiting illness. • There is no age limit for obtaining hospice care. Haven Hospice patients range from newborns to over 100 years of age.


• •

Haven Hospice can care for patients and their families throughout 18 counties in North Florida. A family member or friend can initiate Haven Hospice services for a loved one.

Ask for Haven Hospice today and let us know how we can help you and your family. The referral is as simple as a phone call to 1.800.HOSPICE or you can visit and click on the Ask for Haven Hospice button. Camp Safe Haven Encouragement, Empowerment & Enlightenment Camp Safe Haven provides children, teens and families with fun and therapeutic activities to help them work through their feelings of grief. This program is a free, community service and is open to any child, teen or family who has lost a loved one. Family Camp Saturday, September 27, 9 a.m. - 4 p.m. Florida Sheriffs Youth Ranches, Inc. 1170 Youth Camp Lane, Pierson, FL Overnight Camp for Teens Friday, October 10, 6 p.m. until Sunday, October 12, 11 a.m. Camp Immokalee Road, Keystone Heights, FL To sign up or for more information, please call Vonceil Levine or Marissa McGehe at 800-HOSPICE (467-7423) or go to

Life Services

Photo by Christine Cousart

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


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.

August/September 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


August Weekly Menu

August 3 Beef and Veggie Kabobs over Rice/Corn on the Cob Chicken Squash and Zucchini Casserole/Garden Salad Healthy Choice Turkey Sausage Pilau w/ Brown Rice/Spinach Salad Baked Halibut/Herbed Brown Rice/Sauteed Squash August 10 Grilled Peppers and Sausage w/ Cheese Grits/Cornbread Pepper Steak over Rice/Lima Beans Healthy Choice Homemade Chicken Soup/Garden Salad/Wheat Roll Baked Tilapia over Br Rice/Steamed Asparagus August 17 BBQ Pork Sliders/Baked Potato Chips/Peach Tomato Salsa Spinach Stuffed Shells/Garden Salad/Roll Healthy Choice Parmesan Tilapia/Boiled Red Potatoes/St Broccolli Grilled Boneless Pork Chop/Applesauce/Sauerkraut August 24 Chicken Parmesan w Pasta/Green Beans Roast Beef w/ Carrots and Potatoes/Creamed Corn Healthy Choice Chicken and Rice/Baked Carrots/Wheat Roll Baked Swai w Spanish Flavor/Brown Rice/Sauteed Apples August 31 VACATION!!! No service see you Sept 7 Thank you for your business!!!

Business & Finance

Your Website: The Friendly Receptionist selling hair cuts, then the information for your hair products does not need to be as featured as the information about hair cuts. A better approach is to think like a customer and assume your website is your Friendly Receptionist. What information should she have readily available?


By Jay Owen Owner, Design Extensions

s the first point of contact for your customers, your business’ website should be like a friendly receptionist. Potential clients and customers visiting your site; see your site, as indicative of the type, quality, and style of work you do. Presenting a sloppy unfriendly website, with poorly thought out navigation, and missing or confusing information, is like having a receptionist that clients are afraid to approach, and who wouldn’t know the answer anyway. You wouldn’t hire an employee like that so stop letting your website turn customers away from your business instead of inviting them in. Knowledge The Friendly Receptionist would not be very good at her job if all she did was act super friendly, but not actually know anything. Similarly the best designed website is no good if the information isn’t easily accessible, concise, and above all pertinent. Many businesses, new to the internet, tend to want to include every tiny detail of their business online so as to reach every possible customer. It’s great if your Salon sells hair products, but if 90% of your business is made through

Warmth We all have experience with the other type of receptionist as well. The one who knows everything about everything, but is so cold, and unfriendly that you really try not to bother her and find out what you need on your own. That’s how some websites are. The information they have is great unfortunately it is just too “ugly” to access. The wonderful information that you need is hidden in such a cold unfriendly way, that you’d almost rather just find it elsewhere. This problem is just as serious as the lack of information on an otherwise “friendly” site. How can she help anyone if they don’t want to spend anytime with her, or are afraid to approach her? You Care The best websites have the information you need, in a “wrapper” that is friendly and easy to use. Why are these two things so important? It tells your customer’s, that you care about them. We want to feel like the people and businesses we interact with care about us and our satisfaction. We want those businesses to make us feel like they are working with us towards a common goal. Design Extensions is here to make sure that you feel cared about, by making sure that we adhere to the principles of the Friendly Receptionist when designing, and building your website. Simple, beautiful websites, with easy to navigate menus, easy to access information, presented in a friendly inviting way will keep clients coming back, and recommending you to their friends.

“Presenting a sloppy unfriendly website…. is like having a receptionist that clients are afraid to approach.”

Design Extensions was founded by Jay Owen in St. Johns County over 15 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.


Business & Finance

Are You Wearing Warm Pajamas and a Robe, or a Hospital Gown with a Split Down the Back?

aving recently been in the hospital, I was reminded that when a person in a gown walks towards you, everything looks fine. However… if you turn around and look at that same person from behind, you will see some gap’s in their coverage. Many patients end up wearing two gowns. One with the gap in the rear, and another reversed with the gap in the front, or completely cover themselves by bringing in pajama’s, a robe, and slippers. Insurance is like a hospital gown in that your policy may seem great, but when you take a look from a different perspective, you will see some areas which should be covered, but are sorely lacking. For this reason it is important to make sure you are dealing with an agent who has your best interest in mind, vs. just trying to make a sale. Let’s take a look at the choices you made when purchasing your policies. Does your homeowners’ policy cover you completely? Chances are no! Homeowner policies have a limit on the total liability they will pay out. Typically $100,000 to $300,000. If someone slips on your property you could be liable for much more than your policy covers. The answer is an umbrella policy which increases the liability part of you homeowners’ policy. Does you policy cover damages caused by flooding? NO homeowner’s policies never cover flood. Does your policy have limits inside your policy? It is very common for policies to only cover a portion of some of your belongings. One company’s limits are: $1000 on watercraft, including their trailers, furnishings, equipment and outboard engines or motors. $1000 on trailers not used with watercraft, $1000 for loss by theft of jewelry, watches, furs, Precious, and semiprecious stones, $2000 for loss by theft of

August/September 2014

firearms, $2500 for loss by theft of silverware, silver-plated ware, gold ware, goldplated ware and pewter ware, $1000 for loss to electronic apparatus etc. An agent who has your best interest in mind would have explained all these things, so you could make an informed choice. If you needed surgery would you seek out the best surgeon, or fly to Tijuana simply because there is a doctor who will do it cheaply. You would not gamble with your life or health. Neither should you with your insurance. Did your agent go over floods, home warranties, excess liability, mortgage protection, life, health, increased coverage for your jewelry, and many other items not covered at all, or for the full amount? Some poli-

cies do not pay for you to replace your belongings with new items, but instead you only get the depreciated value. You may have paid $900 for your TV but you will only get $75 because your policy only pays actual cash value.

Photo by Christine Cousart


(Does Your Insurance Leave a Gap in Coverage?)

AAA recommends you sit down with

a reputable agent who can explain all your coverage’s and policy options. AAA agents also suggest an annual review of all your policies. They are always available to review your coverage, even if you are not insured through them. It is a free option available to everyone, even people who are not AAA Members. Don’t expose yourself by only wearing a hospital gown!

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.


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.


It’s Time to Rock the Boat

Long-Time Cruise Fan, Anna Sullivan, Drops Anchor and Heads Deeper Inland to Experience Life on Shore.


Kelly Maguire Monroe, AAA Travel Professional

up of tea in hand. Coffee table hidden by a wallpapering of cruise brochures. James with his iPad. This is how many of my vacations start. Our cruise compulsion began while island hopping in Greece— after my dream of visiting was reignited on seeing Colin Firth in Mamma Mia—and was reaffirmed in the Caribbean, with the ease, security and ability to see more than one place. Of course cruising just makes sense in places like this. But, after four trips of cabarets and half-days on shore, James had lost his sea legs. He wanted to see more than ports and portholes. I called my faithful travel agent, and asked for ‘the ease of a cruise on land‘. She said ‘go guided’. On face value, our Trafalgar trip had all the ingredients that make a cruise vacation work. The transportation’s sorted. You have a Travel Director looking after you. And you see more than one place. But, scratch the surface, and things were different. Instead of seeing endless water as we traveled, we saw hidden

villages and real life. And we actually stayed in places like Paris and the French Riviera—and visited inland wine regions and smaller towns that just can’t fit a cruise ship’s agenda—like Carcassonne and Beaune. We didn’t just spend an afternoon in cities before returning to port; we saw them by night when they buzzed with locals. So we weren’t limited to a ship’s imitation Italian or faux French eateries. We tasted authentic dishes— in places they belong. Even the one-room-for-the-entire-cruise ease wasn’t lost. Our bags were dropped off and picked up from each hotel room—we’d barely have noticed being in a different hotel if we hadn’t been excited about staying somewhere new. But it’s not just the practicalities that differ. It’s my memories:

like those of eating homemade goats’ cheese as we chatted with Beatrice in her rustic Loire Valley farmhouse. And of tasting Pinot Noir in ancient wine cellars under Hospice de Beaune. And of meeting a Parisian who shared personal anecdotes at Paris landmarks. And of getting local tips from our Carcassonne guide, who knew where James and I could find real cassoulet without tourist prices for dinner that night. Getting to experience France properly, with views far from a porthole, meals far from a lido deck and experiences far from ports, I’m glad I cast off my cruise craving to get deeper inside Europe. Anna traveled on Trafalgar’s 14day Best of France trip from $3,599*.

EXPERIENCE IT TOO Trafalgar’s collection of worldwide At Leisure vacations is the ideal choice for cruisers, with a relaxed pace and

longer in each destination. You can even add a cruise with Cruise Connections— trips starting or ending in ports.

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.



Puss in Boots and the Double Cash Closing


By J. Russell Collins, Attorney

nce upon a time Puss in Boots owned three properties that he wanted to sell. Along came a Cash Prince who wanted real estate on which to build his kingdom. At the first property, Boots had bribed the squatters camping there to say they had just finished harvesting the finest grain in all the land. Sure enough, when Boots arrived with the Prince, that is what the squatters claimed, and the Prince wanted to buy the property. At the second property, there were so many squatters that the ground was trampled to mud. Once again Boots had bribed them, and they told the Prince they had just herded the finest thoroughbred horses in all the land and sold them to the best racing stables. And the Prince wanted to buy that property as well. The third property had a handsome castle where an Ogre lived (no squatters because the Ogre had a habit of eating them). “Oh he won’t be any trouble at all,” Boots told the Prince, “because I will get him to use his powers to turn himself in to a mouse. Then I will pounce on him and pop him into my mouth.” However, the Ogre had a terrible hangover that day and was in no mood for parlor tricks. Instead, he demanded to know what Boots and the Prince were up to, then was outraged to learn that Boots was

going to sell the properties to the Prince. The Ogre wanted to buy the castle and the two other properties for himself! He kicked open a treasure chest laden with loot and sure enough, the Ogre had plenty of cash to buy the three properties. Puss in Boots had already agreed to sell the properties to the Cash Prince, but in order to keep the Ogre happy, he also agreed to sell the Ogre all three properties (another cash closing). Neither buyer knew about the other. The next day Puss in Boots conveyed the three properties to the Prince at a closing at Title Company A. Before the deed was recorded at the courthouse, Boots then conveyed the same three properties to the Ogre at a closing at Title Company B. Then the cat skedaddled out of town to sidestep that indelicate matter of real estate fraud...and Title Company A recorded the Prince’s deed before Title Company B recorded the Ogre’s deed. Question: Who owns the three properties—the Ogre or the Prince?

Answer: The Ogre (if this fairytale is in Florida).

Florida is a Notice State, which means the person who takes the title last without notice of another’s claim wins. Notice can be Actual or Constructive (if the buyer knows about the transaction, he has Actual Notice; if the transaction has been recorded at the courthouse, then the buyer has Constructive Notice). The recording of a deed at the courthouse in public records is notice to all the world of the conveyance. If Buyer A (the Prince) had his deed recorded immediately, that would have given Buyer B (the Ogre) Constructive Notice of the conveyance, and Buyer B (Ogre) is deemed to know the Seller (Boots) was no longer owner of the property—that would have prevented fraud. Constructive Notice is the legal fiction that presumes that someone

knows something even if that person has no actual knowledge of it. This helps to prioritize claims under Florida’s Notice statutes. (It is not always a race to the courthouse in disputed real estate claims.) The moral of the story is: when you purchase real estate, even if it is a cash deal—ESPECIALLY IF IT IS A CASH DEAL—get competent legal advice so you can maintain the title insurance you have and not cause unforeseen problems. Risk is involved in real estate ownership, even in passing property from parent to child. Title insurance insures against the risk of a defect in a real estate title—not only the obvious risks, but also the hidden risks and the debatable claims that cost a lot of money to defend. Furthermore, competent legal counsel looking over your shoulder can help ensure you are getting the deal you think you are getting, whether you are dealing with distressed properties or a seemingly straightforward transaction.

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.


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.

August/September 2014


What to do if You’re in a Car Accident


By Patrick Canan, Canan Law

o matter how big or how small, no matter how mild or severe the damages or injuries, no matter who is at fault, a car accident can be a traumatic experience. Even the most minor collision can leave you shaken up, both physically and emotionally. You’re often in shock and just not thinking clearly. However,

if your accident involves anything other than minor property damage or minor injuries, then your actions immediately following an auto accident become particularly crucial. The following tips for what to do after an auto accident can help you protect your right to seek compensation. Immediately after the accident, protect yourself from further injury by staying out of the roadway. If your car is disabled and remains in a traffic lane, move out of the way of traffic to a safe location on the shoulder of the road. If anyone is injured and needs medical attention, call 911. Once you are safe and the authorities are on their way, begin gathering evidence to give to your personal injury lawyer. As long as it is safe to do so, you can help build a solid case by: • Taking pictures of the scene • Taking pictures of any vehicle and property damage caused by the accident • Getting contact information from other drivers and potential witnesses • Seeking medical care if you feel you are injured in any way

“Even the most minor collision can leave you shaken up, both physically and emotionally. You’re often in shock and just not thinking clearly. However, if your accident involves anything other than minor property damage or minor injuries, then your actions immediately following an auto accident become particularly crucial.” This information can give your attorney a head start in preparing your case for an insurance demand or trial, if necessary. If an auto accident causes physical injuries or property damage, responding police officers usually begin preparing reports while the participants and witnesses are still on the scene. When you are approached by the officer to explain your side of the story, be cooperative and respectful. Police officers are only human and their emotions and feelings are often evident in their reports. Be polite. Give the officer your driver’s license, registration and insurance information, but respectfully decline to discuss specifics about the accident until you speak to your attorney. At Canan Law, we encourage clients to be respectfully silent on matters of fault and to remember these rules:

• Do not admit fault to anyone • Do not share details about the accident on social media • Other than the minimum requirement, do not give details of the accident to your insurance company If you have any concern as to whether you may have suffered a physical injury as a result of the collision, see your doctor or chiropractor right away. Keep in mind that pain and soreness may not appear until a day or two after the accident. Remember, every driver is responsible for taking actions to prevent a car accident. Negligence resulting in a collision is grounds for a lawsuit. Whatever the circumstances of your accident, no matter what the damage or injuries, if you have any questions regarding your rights or responsibilities, you should always consult with an attorney.

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.


Women in Profile Haven Hospice Volunteer Coordinator Kathy Furney believes the office wouldn’t be the same without the joy Millie brings. “She is always spreading sunshine wherever she goes and singing while she is working,” said Kathy. “She goes above and beyond anything she is asked to do – she’s a keeper!” Kathy says Millie does so much that she has tried to convert her from volunteer to staff, but Millie insists on staying a volunteer. “She assists with our Health Information Management Department, keeps the office organized, sets up the weekly meetings and ensures the kitchen is ready for the day.” When deciding on the award winner, Kathy said it was easy because Millie is such a well-rounded volunteer. “I enjoy the office work and the recordkeeping,” said Millie who was a paralegal for many years. Millie started volunteering with Haven Hospice after admitting her husband to an assisted living facility in July 2009 and hearing about Haven from the admissions coordinator. Before he passed away, Millie’s daily routine was to volunteer at Haven and then go visit her husband. Two days before Christmas, Millie went to visit her husband who had been suffering from Alzheimer’s for many years. On this visit, he looked happier than she had seen him in a long time. “He looked at me and smiled— it was the same smile I saw when he first met me 56 years before,” said Millie. “It was the most precious moment and God’s gift to me,” she said. Being able to share that moment with the staff at Haven Hospice meant the world to her. “I love them for how much they have loved me,” she said. “They are my family.” Other Haven Hospice Volunteers Recognized in St. Augustine for Their Service in 2013: Sharon McIlhenny -- Patient and Caregiver Volunteer Diane Nelson -- Community Outreach Volunteer Diane Mahoney -- Administrative Volunteer

Millie Badea, Haven Hospice St. Augustine Volunteer of the Year


illie Badea wasn’t sure what was going to happen when Haven Hospice Administrator Cathy Johnston asked her to stay for the interdisciplinary group meeting. As Cathy began to read a letter from the State of Florida, it was the last thing Millie expected. “I was stunned!” said Millie.

Photo by Christine Cousart

Cathy presented Millie with a State of Florida Department of Elder Affairs certificate honoring her time as a volunteer. In addition to being honored by the state, Haven named Millie as the Volunteer of the Year for St. Augustine during its April Volunteer Appreciation Week luncheon. She has reached more than 5,000 volunteer hours during the past five years. “I’m appreciated for what I do,” said Millie. “I’m not obligated to do this, but I do it because I love what I’m doing and it makes me feel useful.”

Marylou Malvicini Thompson, Olde Carriage Realty


eet Marylou Malvicini Thompson ! Originally from New York, Marylou relocated to Saint Augustine in 2007. Craving the beach life and southern living, Marylou started volunteering her time with Saint Joseph’s Academy, and various animal shelters within Saint John’s county. Building a love for the land, she refocused her home, family, and multiple endeavors to Saint Augustine’s inspiring culture. “Living here reminds me of the characters of New York City… you get it all here-

August/September 2014

the artists, the quirks, the jerks! I love it… its like the eccentric parts New York, but here there is a beach!” She originally started her career in NYC at B. Altman and CO. focusing on home design and interiors. Her job took her all over Europe and Asia where most of her inspirations derive. One of her trips even included Iceland, where she traveled throughout the coast and interior parts of the beautiful mystical country. There she was inspired and developed an Icelandic Promotion for the company, developing wonderful colorful textiles, wools, and cultural artifacts. Over time she took her designs to the Far East, and had them made for B. Altman’s production. Her work was sold throughout the United States at all of their retail locations Her success in design evoked the prestige with designing showrooms throughout the country. Some of the major showrooms include, NYC, Chicago, San Francisco, Dallas, and Washington DC. “…From the paint on the walls, to the furniture, and accessories, my team and I created spaces that were fresh, contemporary, and always with a ‘WOW’ factor.” Now living in St. Augustine, Marylou got her real estate license and has been with Olde Carriage Realty since 2009. Branching out in the community her efforts have soared philanthropically with animal rights, various fundraisers, and most recently for BayView Healthcare’s silent auction at the Caribbean Calypso Event. It is her goal to combine a career in real estate, home design, and save all the animals in Saint John’s County! Marylou is married to Jordan Thompson and has four boys…along with a FEW rescued animals!!!


Women in Profile Photo by Christine Cousart

Carolyn Mudgett, Massage Therapy


arolyn is a native of Jacksonville and adopted her hometown of St. Augustine in 1996 after a corporate downsizing. In massage school, Carolyn found her niche and soon discovered that through service, and hard work, her life and massage practice flourished. Volunteering with the Chamber Ambassadors the experience helped to build her practice, it was not until her friend, Dr. Allen Deprey, asked her to come to a Rotary meeting that her life undeniably changed. “I’d heard of Rotary, but didn’t really know what I was getting into. Here I was, among this group of movers and shakers, with no big money to contribute, so I thought I’d better contribute by volunteering.” “Service Above Self ” is Rotary’s motto, and Carolyn found when it’s put into action volunteers can move mountains. Carolyn has been deeply involved with St. Augustine Sunrise Rotary since 1998 and has been an integral part of the Rhythm & Ribs Festival ever since. In 2013, the club raised and gave away $101,000 from the weekend event. She is now the Club’s President-elect, taking the helm of the club in July, but before that, the club rewarding her by sending her to the Rotary

Elsy Schneider, Owner, Girly-Girl Partea’ Inc.


orn in Mexico, but raised in San Diego since she was 3, Elsy Schneider moved to Florida in 2002. She currently resides in St. Augustine with her husband and son. Her husband has been in sales for Mercedes Benz for the past 4 years and her son is an 8th grader at Swiss Point Middle School where he plays football. As a family, they love to go camping and explore different parts of Florida. In their spare time, you can find them at the beach, football games, movie theater and amusement parks.

International Convention in Sydney, Australia. “Of course, I am absolutely over the moon about this!” Carolyn says. In addition to her busy private practice in massage therapy, which is 17 years strong, Carolyn organizes the Women’s Networking Luncheon which has met monthly at Le Pavillon for 25+ years. The group has recently expanded to include a morning meeting at City Coffee and a wine social at Tim’s Wine Market on a monthly basis. She is on the board of Pie in the Sky, which is in the process of launching the Farm to Family Mobile Farmers Market. “This is going to help a lot of hungry people who previously did not have adequate access to fresh, healthy foods.”! If that weren’t enough, you can find Carolyn running around St Augustine early on Saturday mornings with the St. Augustine Galloway running group. ( She took up running about 5 years ago, and became a group leader of this innovative and injury-free run/walk/run method. That morphed into the co-director position and now, she has become the director of the group. The running group features a “Getting Started” program for people of all ages and fitness abilities (children accepted with parents only) and a half/full marathon program. Programs begin in June and August. Utilizing this method, nearly anyone can run injury free.

Elsy is the owner of Girly-Girl Partea’ Inc., northeast Florida’s premier event planner specializing in children’s themed parties since 2008. When her son was young, she loved planning his birthday parties. As he grew up and became less interested in parties, she knew that passion would carry forward. Elsy loves providing a seamless experience for her clients including high-end, customized décor, catering, candy buffets and more. Girly-Girl Partea’ Inc. offers character visits and various themed parties specifically designed for kids age 3-16. She can also work her magic to create a fully customized theme to make a client’s vision come to life. This is the fourth year Elsy has taught Spanish in St. Johns County for Language Enrichment Exploration, a non-profit program that offers a second language taught after regular school hours. In addition, Elsy has always been involved with her son, volunteering at Hickory Creek Elementary and serving presently as a parent volunteer for his football team.


Women in Profile Photo by Christine Cousart

Barbara Jenkin, MA, CAP Private Practice Addictions Therapist


arbara has been working in substance abuse treatment for the past 25 years. She attended the University of Delaware for undergraduate work in education, and then went on to Virginia Tech for a Master’s degree in counseling. After raising her family, she pursued a growing interest in addiction recovery through 12 Step Programs and psychotherapy. Barbara’s passion is working with adults who were raised in alcoholic/ addicted families. There are certain significant traits which develop in these families which cause relationship problems in adulthood (Co-Dependency).

Barbara believes that such issues can be identified and corrected, and she has focused her work over the years on helping those who have sought assistance in these areas. Barbara was born in Richmond, VA and raised in the Delmarva area. After living and working in cities all across the U.S., she and her husband made a “great” decision to return to north Florida when approaching retirement. As boating and beaching are their favorite pastimes, they had always planned to live near the water. Barbara had lived in Jacksonville in the late 1980’s, where she started her counseling career, and made lasting friendships. Barbara always loved visiting historical St. Augustine. She now lives in South Ponte Vedra Beach and practices with The LifeSource Group in St. Augustine; where she conducts individual and group sessions. When Barbara isn’t seeing clients, she enjoys getting together with family and friends. She particularly likes to play canasta, exercise in a water aerobics class, and attend fairs, farmer markets, and local events. Barbara is looking forward to the St. Augustine 450th anniversary celebration, as her church, the Cathedral Basilica of St. Augustine, will be a center point of the festivities. She is planning to be very busy volunteering for this event.

Now find Now findususonon the web the webat:at:

August/September 2014



Make Every Day Independence Day!


by Susan Johnson, Communications Coordinator Council on Aging

uly 4th has come and gone but, like every holiday, finding ways to celebrate the spirit of the occasion should be something we practice on a daily basis. For example, one would hope that love and the concept of giving far beyond our means – spiritually speaking, of course - would not be limited to just one frenetic day in December. And, we might also hope that our capacity to be grateful and to ‘count our blessings’ would extend far beyond November’s designated day of thanks. Sometimes remembering to do this is easy. But sometimes it’s not. As teenagers, we struggled for independence from the rules and restrictions our parents set down for us; as adults we may have become frustrated with the constraints placed on us by so-

“But freedom is really about much more than our physical abilities. It’s about having control over as many of our life choices as possible and for as long as is possible.” ciety, institutions, employers or government entities like the IRS! And, as we approach older adulthood, we might be facing restrictions on our freedoms precipitated by medical conditions or by concerns our children might have about our abilities to live safely in a world that is often not prepared to accommodate an aging population. Geriatrician and gerontologist Dr. William Thomas, a trailblazer in the field of aging, once said that we begin

Susan Johnson is the Communications Coordinator for the Council on Aging, 180 Marine St., the host of “Look Who’s Talking with Susan Johnson” on 102.3 FM WFOY and the editor of gus! magazine, a publication of the COA, and the St. Augustine Record. She can be reached by phone at 904.377.7831 or by e-mail to

to grow old when we realize our own mortality and not necessarily when we reach a particular chronological number. But for most of us, the words “freedom” and “independence” take on new meanings once we reach the age of fifty or so. Because it’s around that age when many of us begin to experience physical changes that might slow us down some, make us more cautious or change our daily habits in a thousand other small but significant ways. And that’s when we start to wonder how long we will be able to retain our independence and our freedoms. What if we can’t drive? Or shop? Or cook? Or worse. But freedom is really about much more than our physical abilities. It’s about having control over as many of our life choices as possible and for as long as is possible. It’s about the freedom to decide what we’ll eat, what we’ll wear, where we’ll go and with whom we’ll interact. It’s about looking ahead in a realistic manner and taking responsibility for our futures before we get to them. How do we do this? By taking an objective look at where we are now; by consulting our health care providers about


the kinds of changes and challenges we can expect in the years to come; by researching our resources and our options (including visiting assisted living and nursing facilities) and by initiating detailed conversations with our friends, families and loved ones about how much participation they – and we – are willing to provide or to allow. In other words, we ensure our freedoms and our independence the same way we always have - by taking a pro- active role in preserving them. Difficult? Of course. Fun? Probably not. Protecting the ideas and values we cherish and hold most dear is never easy. But we can’t rely on others to safeguard them for us. So today, even though July 4th has come and gone, take a moment to think about your own independence, your own freedoms and your own choices. Then make a plan as to how you will preserve them. Because, easy or not, it’s your responsibility. No one else can do it for you. Please call the Council on Aging at (904) 2093700 for information on strategies, activities and classes that can keep YOU in charge!


Diane Machaby Director of Development of Home Again St. Johns

Photo by Christine Cousart

ome Again St. Johns has four major fundraisers in the next four months that they’re hoping the public will attend and provide volunteer support to. By attending these events, the community helps to further the mission of Home Again St. Johns. The first event is an Eco Fashion Show

Eco Fashion Show

August/September 2014

hosted by Panache Hair Salon and Spa. It is to be held Saturday, September 20th, from 8-10pm at Volkswagen of St. Augustine, the title sponsor of the event. “This is sure to be a very exciting event”, said Diane Machaby, Director of Development for Home Again St. Johns. “All of the model’s outfits are made of recycled materials and they will be fabulous!” Celebrity models include Mayor Joe Boles, Sheriff David Shoar, School Superintendent Joe Joyner, County Commissioner Rachel Bennett and others. Panache’s last Eco Fashion Show saw upwards of 900 in attendance. To view a video clip of that show, go to Volunteers are needed to help in various capacities at the fashion show. Please contact Ms. Machaby at (904) 881-1167, if you’d like to purchase tickets or volunteer. On Thursday, October 23rd, the St. Augustine/Ponte Vedra Visitor and Convention Bureau (VCB) will host the 2014 Flavors of Florida’s Historic Coast Top Chef Cook-Off from 6-9pm at the Renaissance World Golf Resort. Top chefs from

2013 Mayor’s Gala

Photo by Jackie Hird


Photo by Christine Cousart

Events and Volunteer Opportunities at Home Again

some of the most popular and prominent restaurants in St. Augustine and Ponte Vedra Beach will prepare their signature dishes to present to the attendees who will determine the Flavors Top Chef. Last year, over 450 guests enjoyed the chef ’s competition and the delicious samplings from participating restaurants on Florida’s Historic Coast, all the while helping raise funds for Home Again St. Johns. The nonprofit and the VCB are hoping the Top Chef Cook-Off will draw the maximum turnout of 700 attendees. Another exciting event benefitting Home Again will be the Old City Music Festival which will be held Friday, November 7th and Saturday, November 8th at the St. Augustine Flea Market. Volunteers will be manning the beverage tent in the VIP area for the concert again this year. Concert tickets and

parking are free for all volunteers. Joan Jett and The Blackhearts are headlining Saturday night with other bands being announced soon. And, once again, Home Again St. Johns will be the recipient of funds from the Mayor’s Holiday Lighting and Gala to be held Saturday, November 22nd. Volunteers are needed to assist in a variety of activities including coordinating the silent auction. This event is held in conjunction with the kicking off of the Nights of Lights in downtown St. Augustine and has been enthusiastically attended by over 250 guests in the past. Home Again St. Johns hopes the public will consider supporting their efforts by attending these events and/or volunteering with them. Encourage a friend or family member to support the organization and lend a hand, too!

The mission of Home Again St. Johns is to promote, foster and support a collaborative approach among social service and governmental agencies, community groups, faith-based organizations and dedicated private citizens for resolving issues related to homelessness in St. Johns County compassionately, effectively and efficiently. This support has resulted in regular coordination of homeless services, a daily meal served to 100 people each evening and identifying and acquiring the right place to house multiple agencies providing these much needed services. Home Again St. Johns is currently in the County’s Planning and Zoning review process to move forward with the building of the One Stop Center





August/September 2014



Education! Education!

A statement that is most important! By Caroline A. Wolff, Founder, St. Gerard Campus, St. Augustine

Did you finish high school? If not, come to St. Gerard Campus to complete your education and change your life and your baby’s life. At the June 2014 graduation service, our valedictorian spelled out the whole story of why you should complete your high school education. She said, “. . . look for us as nurses, teachers, lawyers, college students, insurance sales . . .” This has become true for so many of our former graduates. For example, I was recently walking down the hall at Flagler Hospital and heard someone call out “Ms. Carol?” As I turned around, behind me at the one of the nurse’s desks was a former student working at what looked to be a pretty impression job! She told me she (and her baby girl) graduated from St. Gerard Campus in 1996 and from then on her whole life changed. Her daughter graduated from Allen D. Nease High School and went on to college to achieve an associate’s degree. My former student thanked me for making it possible for her to have such a great influence on her “baby girl.” Another former student and dormitory resident graduated from Princeton University as a lawyer. I’m sure her family is as proud of her as we are! A recent visitor to St. Gerard Campus came to see her mother’s dormitory room at the time her mother was a student here. When I spoke to the mother on the phone, she told me she now ran a daycare facility and also raised foster children. Try to imagine how joyful this daughter felt about her mother’s success! Try to imagine how joyous the mother felt knowing her

daughter is entering Flagler College! If you are reading this, I’m going to suggest that, if you are between the ages of 13 and 18, pregnant, and have not completed your high school education, do not let this opportunity go. Come to the campus at 1405 U.S. #1 South, St. Augustine, (across from Target) and register for classes today. There is no other school in the USA like ours. St. Gerard is a fully accredited, private Christian high school. You can complete four years of high school in two years. As well as electives geared for expectant mothers and their babies (Health/Nutrition; Child Development, Life Management I & II), we also offer all classes required to graduate with a high school diploma. We have just added a science room. Come and see our state-of-the-art computer lab. Take a campus tour and view our highly ranked daycare facility. Our classroom is designed so that new mothers keep their babies in the classroom with them until the babies are two months old at which time they move into the daycare center. For students who need that little “extra” scholastic one-on-one incentive or special attention, we have tutors and mentors available. We actively participate in the Work Ready Youth Program sponsored by St.

Johns River State College. Out of a graduating class of 19 students this year, 9 of them completed the program. There are financial incentives along the duration of the program as well as job shadowing. This year students toured First Coast Technical Center and Flagler Hospital as part of their training. We have so many positive options to help young women succeed – to graduate with a high school diploma – to be attentive, loving and responsible mothers. Believe it or not, one of the most emotional parts of the graduating service is the “capping of the babies,” where a relative of the mother brings her baby up on stage to receive a tiny white “graduation” cap. We think each baby has gone through the academic process with his or her mother! Not a dry eye in the house! As proud as we are of our young ladies, and the thousands of other success stories told over the past 32 years, this could be your success story, too. Please consider enrolling in St. Gerard Campus’ 2014-2015 school year now. Don’t wait until you’re older and think your life has gone along without utilizing your talents and skills. That “little piece of paper” called your diploma could lead to another little piece of paper: your college degree. Yes, you can make a difference in


the entire community. It’s up to you. Are you ready to be successful? St. Gerard Campus is open Monday through Friday from 9:00 am to 4 pm. Call us for an appointment to receive an enrollment registration packet and take a tour of the entire campus. We invite you to drive up our brand new paved driveway off U.S. #1 South. Come see our new science room. Meet the staff and teachers. Call us at (904) 829-5516. Education! Education! For you . . .

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



Horace Mann and bring school supplies to classrooms is a s o o h C s r o n o “D anization g r o t fi o r p n o n public that connects rs in need e h c a te l o o h c s materials m o o r s s la c f o ces with and experien nors who individual do .” want to help


Shannon Millican Heritage Educators Insurance Co. A Horace Mann Exclusive Agent

ost business people aren’t expected to bring their own office supplies to work, yet on average teachers spend $40 per month on classroom supplies in order to teach our kids, according to DonorsChoose. org is a nonprofit organization that connects public school teachers in need of classroom materials and experiences with individual donors who want to help. Charles Best developed the website that became in 2000. At the time, he was teaching in a Bronx high school where teachers experienced first-hand the scarcity of learning materials in public schools. Best, then a social studies teacher, sensed that people would like to help, but were frustrated by a lack of influence over their donations. So, along with his students, he created a website that allowed individuals to connect directly with classrooms in need. Today, any public school teacher can

August/September 2014

post classroom project requests on www. Requests range from crayons for art class, to computers for individual learning, to incentive items for an achievement program. The site includes an e-school mall which connects teachers to traditional education vendors such as Lakesshore Learning and ABC School Supply. Specialty stores like Sporttime and Frey Scientific are also included. Once a project is live on the site, donors can browse requests and give any amount to the one that inspires them. Donors can give as little as $1 and get the same level of choice, transparency, and feedback that is traditionally reserved for someone who gives millions. They call this “citizen philanthropy.” Once a project reaches its funding goal, delivers the materials to the school. Donors then get a thank-you letter from the teacher and a cost report showing how each dollar was spent. The blog is filled with comments from grateful teachers. One new teacher writes: “I am thankful for an organization that provides

such support for teachers. As a first year teacher, the expenses are so great. I keep buying supplies for my classroom. This is my first time using this organization, but it was recommended by another teacher that has gotten great results. Thank you so much for your support.” Another posted: Even after having several projects funded, I am still amazed that complete strangers are so generous to me and my students. I am always recommending DonorsChoose to my colleagues! And, because so many donors have helped me, I have chipped in on some projects to help other teachers. It feels so great to get funded. I want more teachers to experience that!



Horace Mann, one of the nation’s leading insurers focusing on the needs of educators, is a national sponsor of Since 2000, Donors Choose has facilitated funding for over 750,000 classroom projects nationwide, with over $180,000 million in donations. Horace Mann has contributed over $3 Million, and locally my agency has contributed to 100 classroom projects, providing supplies for nearly 10,000 students in St Johns, Flagler and Putnam County Schools. On a local level, Horace Mann representative Shannon Millican is highly committed to the’s mission as well. “Our partnership empowers educators by making it possible for them to find the teaching tools they need, from vital basic supplies to cutting edge technology that can make learning exciting for students,” Millican said. “The resources educators can acquire through are only limited by their imagination.” Millican and her staff are available to show teachers how to post projects on and give them ideas for promoting those projects. She can be contacted at (904) 810-5636 or by email at


StAR Council Planning for the 6th Annual Bratini at Serenata Please visit to purchase tickets or for more information. This event normally sells out so please register online. Tickets are available. Bra sponsorships are capped at 15 and seating is limited to 150. Silent Auction donations are always welcomed. The event will be held from 6-9 pm on Thursday, September 25, 2014, at Serenata Beach Club in South Ponte Vedra. StAR is a group of professionals dedicated to promoting our community to individuals outside of the region. Collaborative community projects include the Paseo Pastel, Bratini and Dining with Dignity. For more information about the group visit the website at or contact Chris Rich for membership information 904-349-6163,


he StAR Council announces its entertaining gala, the 6th annual BRATINI, to be held on September 25, 2014 at Serenata Beach Club, from 6 to 9PM. Diane Vespucci, StAR member, is chairing the event as part of StAR Council’s philanthropic focus on the community. This event has been one of the most enjoyable, amusing fundraisers in St. Augustine and is guaranteed to pack the house! Proceeds benefit the StAR Council and ARTBREAKERS, a local nonprofit specializing in services for cancer patients. October is Breast Cancer Awareness month and the event kicks off the month, heightening

awareness for this and other forms of cancer. The annual event sports local community men modeling artistically designed and decorated bras while attendees bid on them. A generous silent auction is held during the event, which also boasts heavy hor’dourves and $5 martinis. StAR Council seeks sponsors and models who wish to participate. Sponsorship levels include signature sponsors at $500 or more; Bra sponsors at $150; Drink sponsors at $100; Program sponsors at $50. Admission for the event is $35. If you wish to become a sponsor or to model, please contact Diane Vespucci at 904-347-3957.




Junior Service League Plans Fun Fundraisers

lvis is in the building!!! The Junior Service League of St. Augustine is busy this year planning two very exciting events for the community. On Friday, Sept. 5 the Junior Service League presents a Texas Hold’em Poker Tournament and Cocktail Party at Treasury on the Plaza. Poker players will have an opportunity to play with professional dealers and there are great prizes for the winning participants. Blue Water Jewelers and the St. Augustine Distillery will be providing prizes for the champion table and prizes will be distributed for first, second and third place. Food will be provided by Gypsy Cab and Luli’s Cupcakes will have a wonderful selection of desserts. Tickets are $100 to play in the poker tournament and $40 for general admission (tickets are limited). General admission tickets include cocktails, hors d’oeuvres, a DJ and wonderful silent auction items. Beverages will be provided by Burkhardt Distributing Company and the St. Augustine Distillery. The Poker Tournament is just one of their major fundraisers this year. More information can be found on Their other fundraiser is their annual fall gala “Viva Las Vegas St. Augustine ” which will be held on Saturday, October 18th at the historic Lightner Museum. This event is a black tie affair and their primary fundraiser which helps facilitate their more than 75 years of community service to St. Johns County and St. Augustine. Plans are underway to make this year’s gala more spectacular than ever. Festivities will begin at 6:30 pm with cocktails on the third floor of the Lightner Museum. Following the cocktail hour guests will enjoy dinner, dancing, live entertainment and performances. Tickets are $135 per person and include a gourmet dinner and dessert buffets, open bar, silent and live auctions, charitable gambling and live music. Would you like to win a trip to Vegas??? A trip to Vegas will be raffled off at the annual gala “Viva Las Vegas St. Augustine”. The prize package will include a $1,500 travel stipend which can be used towards hotel, airfare and Vegas show tickets. The raffle is sponsored by Bozard Ford. Raffle tickets will be sold at the Poker Tournament and Annual Gala for $20 each. The winning ticket will be selected on Saturday, October 18

August/September 2014

(you do not need to be present to win). Proceeds from this year’s Poker Tournament and Annual Gala “Viva Las Vegas St. Augustine” will benefit the JSL’s numerous community service projects, including the Children’s Museum of St. Augustine/Tag!, Kid’s Bridge Family Visitation Center and the St. Augustine Lighthouse and Museum. The Junior Service League has also selected twelve candidates from the community who will be respresenting tweleve non-profits in St. Johns County ( a list of the candidates and their charities are listed below). Candidates will be raising funds for JSL as well as an awareness for their charity. The winning King and Queen candidates will receive a $5,000 donation check which will be given to their charities on October 18th. Corporate sponsorship packages can be purchased on behalf of a candidate and their charity. A portion of the Junior Service League’s proceeds will be donated to each candidate’s charity at the end of the year. If you have any questions about these two events or would like to be a corporate sponsor or support one of the candidates mentioned below, please contact Meridith Strout at meridithstrout@ To purchase tickets or to learn more about these upcoming events

please visit www.vivalasvegasstaugustine. com. You can also stay updated with these events on facebook at “JSL of St. Augustine Annual Gala”, King Candidates 1. Will Barlow supporting the American Cancer Society 2. Todd Batenhorst supporting Big Brothers Big Sisters 3. Brad Diver supporting Haven Hospice of St. Augustine 4. Ryan Ford supporting S.A.F.E. (Saving Animals From Euthanasia) 5. Michael Plott supporting NAMI (National Alliance on Mental Illness)


6. Bobby Thousand supporting the Wildflower Clinic Queen Candidates 1. Sway DiFeo supporting the St. Augustine Community Schoolof Performing Arts 2. Amanda Hopcraft supporting Guard ians of the Ribbon - St. Johns County 3. Maxine McChesney supporting the St. Francis House 4. Nicole Nettle supporting the Boys & Girls Club 5. Joni Collins Ricketts supporting EPIC Behavioral Health 6. Bridget Van Landingham supporting Early Learning Coalition of North Florida


Volunteers needed at St. Francis House


Judy Dembowski, Executive Director, St. Francis House

ake your volunteer hours count! Volunteers are needed at St. Francis House. St. Francis House serves the homeless and less-fortunate in our community by providing critical emergency services such as shelter, food and clothing for individuals and families. St. Francis is the only fulltime emergency shelter between Jacksonville and Daytona.

Anyone interested in volunteering should contact K. Lundquist at 904-829-8937 or

Helping to clean the Family Shelter

Volunteer opportunities are available serving and assisting in the kitchen, sorting and processing donations, assembling and distributing food boxes, laundry, answering phones and helping with light maintenance and yard work.

Sorting through donations


Making sandwiches in the dining hall

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


Miracles in Your Own Backyard! ing in their home and/or school environments for anywhere between six months to two years. Noticeable changes in physical strength and performance came within weeks of starting. Reading studies of how EAT is effective in treating children with disabilities is one thing, seeing before and after pictures and videos of children who have benefited is another thing, but watching one of your own patients go through the transformation that occurs with EAT is dumbfounding, for lack of a better word. Skills that I had been working on with some of these kids for years were emerging in a matter of months. It was fascinating!

accomplishment in a short period of time. I just received a new picture from one of our mom’s of her 3 year old daughter,


By Vicky Carregal, MSPT, EAT Haven Horse Ranch

t is hard to believe that a year has passed since starting our journey at Haven Horse Ranch. In June of last year I received an email about the Equine Assisted Therapy (EAT) course being offered at Haven Horse Ranch through the University of St. Augustine. Around that same time, one of my families had been asking if I knew anything about kids having therapy on horses. Since I didn’t, and the family was very interested in it, I decided that taking the course was a good idea. Completing the course, I was so impressed, I rallied my team of therapists and asked them to take it as well. They were all willing to jump into this boat with me and now we have a team of 2 Speech Therapists, 1 PT, 2 PTA’s, and 1 OT who are certified Equine Assisted Therapists. We had a handful of kids that we started treating out at the ranch in July of last year who ranged in age from 2 to 9 years old. These were kids that we’d been see-

Ana, standing up in their living room by herself. This may not sound like a big deal, but Ana has Down’s Syndrome and had never done this prior to starting at the ranch 2.5 months ago. These kinds of successes have become regular events with our kids at the ranch. Needless to say, it was a REALLY good idea to take the EAT certification course last June. It was an even better idea to partner with Ric Lehman, Executive Director at Haven Horse Ranch, to provide therapy at the ranch as we have been able to bring 47 kids out for therapy to date. If you would like to contact us for more information, please call the numbers listed below. Haven Horse Ranch is a WellCare insurance provider, and at Next Step we take most private insurances and Medicaid plans. Vicky Carregal, MSPT, Owner of Next Step Therapy, 904-315-8525 Haven Horse Ranch 904-813-5710

You may remember reading about little Allison in the January issue of the Women’s Journal who started EAT at 2.5 years old. She went from not being able to sit or move around by herself to sitting for more than 5 minutes at a time on the floor within 6 weeks without help. Allison can now be found crawling around her room decorating the floor with the contents of her sock drawer. She is walking with a gait trainer that she uses at school and at home, and I look forward to her walking into her next visit with the specialist who said she had a “dim” future and would never walk because she was so delayed. Won’t he be shocked! One of our speech therapists brought out a 2 year old boy who was diagnosed with Autism Spectrum Disorder (ASD). She had been treating him for 3-4 months prior to starting at the ranch and he spoke maybe 2-3 intelligible words. After 3-4 months of weekly speech therapy at the ranch he was speaking in 2-3 word sentences and verbally identifying the toys that he wanted to play with. For those of you not familiar with ASD, communication is one of their biggest challenges, so this was a BIG

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 or visit our website at

August/September 2014



should your business or practice become a contributor to the Woman’s Journal? “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 Susan Johnson, Communications Coordinator Council on Aging

the doctor...or in my dentist’s office...!” Or better yet, “I know’re in the Woman’s Journal!” You rock!” Susan Johnson – Council on Aging

“Being a contributor in The Woman’s Journal has benefited me and my company a great

“I cannot tell you the number of patients that have found their way to our office in re-

deal. It continually proves to be an excellent marketing tool for our services and goes “be-

sponse to their having seen our articles in the Woman’s Journal. From former patients

yond local” to attract customers to our door. It’s an appealing, informative and popular

who lost touch years ago who were delighted to see a familiar face again, to brand new

publication that gets results.”

patients who have never seen a podiatrist before, but who felt so encouraged by what

Betty Carvajal, PhD – Ponce Home Medical Equipment, Inc.

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

“The Woman’s Journal has been a great asset to our community. I love sitting in doctor’s of-

to be associated with the Woman’s Journal and so pleased with the increased business

fices and watching people pick up the Journal and enjoy the articles. It has certainly spread

we’ve experienced as a result!”

the word about our mission at St. Gerard Campus. We have had the opportunity to touch

Amy Smith – Practice Manager, Coastal Foot & Ankle Wellness Center

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 them-

“The Woman’s Journal has really helped me build business for the AAA Travel department

selves and their children. Through the Woman’s Journals we have been able to share the

in St. Augustine. I ‘ve been contributing articles for just about a year now and hardly a day

success stories of our graduates. We thank the Woman’s Journal for bringing attention and

goes by that someone doesn’t mention the fact that they have seen us in the SAWJ. I have

awareness of issues facing women today.”

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.”

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 distribu-

“Working with Anthony and The Woman’s Journal has been a tremendously rewarding ex-

tion and content.”

perience for our clinical counseling practice. We are reaching individuals and families who

J. Russell Collins – Rusty Law

may or may not have heard of us, but most importantly, by reading our articles, they grow

“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

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

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.


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!”

August/September 2014


Fashion & Beauty

The Benefits of Beauty


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

eauty is all around us- not just in art, museums, or luxury goods, but in a flower, music, old photographs, or the sound of falling rain. In our everyday lives we often push aside our need for beauty, thinking of it as too unobtainable or too hard of an effort. But beauty is a genuine human need that keeps us healthy and happy. We cannot live full and satisfying lives without beauty.-and we can change our existences completely by truly allowing beauty into our lives. Beauty has the power to guide us through periods of darkness or stress, to speed recovery, and to fill our lives with joy, serenity, and purpose. There are countless stories, case studies, clinical histories, scientific research, and anecdotes to show how different types of beauty complement and complete our lives in different ways. Beauty can increase our capacity for empathy and feeling of connection to the world, enhance our physical and mental health, put us more closely in touch with our emotions, and achieve a richer inner life. This is paraphrased from bestselling author, psychologist and philosopher Piero Ferrucci’s book, Beauty and the Soul. He also authored The Power of Kindness, What We May Be, Inevitable Grace, What our Children Teach Us and The Human Situation.

We, here at The LOOK are a professional team of Do-Gooders dedicated to the ethical, organic way to Beauty & Health. Diverse modalities: Licensed Clinical Social Worker, Cosmetologists, Estheticians and Licensed Massage Therapists, and a myriad of network contact referrals to change your outlook and your Lifestyle A More Beautiful Life! We have also did extensive and on-going research of Products and Practices. We can confidently introduce you to Fine products and practices at family prices. We found a seriously award-winning line out of the UK (where organic is held to a higher standard) called Neal’s Yard Remedy, founded by an apothecarist 30 years ago. They have expanded to essential organic,herbs, botanical beauty creams, lotions, oils , toners, vitamins, supplements ,essentials and books. It is our primary line. NYR has ingredients that are amazing! Distilled waters, essential oils, botanicals inc. herbs, flowers, grasses, aloe, organic butters and more good stuff. Even our other lines we got the best of the best, Farmaesthetics ( yup, from the farm) and Deep Sea Cosmetics(from the Dead Sea in Israel. O’right, Nature’s Sunshine and Organic Salon Systems; as our primary haircolor line and a blossoming facial care line. Look at their websites or our catalog and you will see why! There will be a link on our website soon. We are updating!

Services Shampoo/Style...$25 Shampoo/Cut/Style...Men,Women & Children $15-$40 Shampoo/Color/Style Full.. $50-$70 Root Retouch....$40-$60 Highlights/Lowlights...$40-$100+ Shampoo/Cut/Color/Style...$70-$110 Hair Extensions/Braids/Updos.....$45-$100 Lash & Brow Bar/Tint/Wax/Extensions..$20-$40 Waxing/Brow/Lip/Chin- Brazilian/Legs...$10/$15-$60/$120 Facials/Massage......$40/$60/$75/$90 Personal Coaching.....$25/$40

Our Staff: Shelby,Tammy,Karen, Kristin, Cyrus, Angel Cosmetologists,LCSW, Estheticians, Massage Therapists Meet Our New Stylist Shelby Scott



Salon Interior


il Salon Reta

Treatment Room

View from Sa



Sexy With Founder of Big ir Ha ur Yo Hair & Rock

With Kim Vo Celebrity Hairstylist

Fashion & Beauty

A Change of Pace


Christine Cousart

Owner, Cousart Studios & Go Fish Clothing & Jewelry

he last ten years have been a whirlwind for me. I have been swept away with running two businesses (Go Fish and Cousart Studios), managing a staff of ten, producing paintings, photographing for clients, traveling, volunteering and being a wife and mother! Suddenly things are changing...our franchise agreement with Go Fish Clothing & Jewelry has ended, our youngest child is now a young man entering his senior year soon to go to college and my art and photography business is venturing into new and exciting frontiers (ask me about our new SOCIAL MEDIA department). As I look back at the last few years and think about the times we have had, it is hard to remember some of the details. The things that I really remember the clearest are the times where we have taken photos. For some reason the clarity of the moment is pristine when there is a photographic record. Being a photographer, I am often not in the photos so I have been very

pleased with the times that I have had the thought to take my own advice and hire one of my favorite photographers to do a session with our family. One of the best photographers in the area is Ingrid Damiani and I have the good fortune of having her as a good friend as well as a fellow photographer. A recent session she did of our family was a multi-generation “Lifestyle Shoot”. She spent a couple of hours with us not only capturing posed shots but also our interactions with each other. I will treasure these forever - my mum and dad, our grandson, all of our children and even my youngest bro and his two boys found their way into a few! Have you thought about a session like this? It is well worth it! Ingrid’s website is:, check it out. As an entrepreneur, I understand that there are different styles and preferences. Its always good to see what photographer is the best fit for you! Ingrid Damiani

I hope these tips will help! Please feel free to contact me if you have questions or need help with photography!

Cousart Studios of Fine Art & Photography 320 Hightide Drive #101 Saint Augustine, FL 32080 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 | | 904.687.7700 | 320 Hightide Drive #101 | Saint Augustine, FL 32080

August/September 2014

“As I look back at the last few years and think about the times we have had, it is hard to remember some of the details. The things that I really remember the clearest are the times where we have taken photos. For some reason the clarity of the moment is pristine when there is a photographic record.”


Home & Garden

Why You Should Move to Saint Augustine


Cheryl Dziurzynski, Realtor®

aint Augustine, Florida is a city rich with history and depth, bringing tourists from all over the world to its doorstep. What many people do not realize is that it is a fantastic city to live in as well. From its beautiful yearlong weather to its 450 years of Spanish history, Saint Augustine has a little bit of everything to offer its residents. And here is why you should consider Saint Augustine your next hometown.

Weather For good reason, weather is typically at the top of most people’s list when moving to a new city or state. Other areas, such as the Pacific Northwest, are cloudy and rainy up to 226 days out of the year. In Saint Augustine, however, the typical day starts with a gorgeous sunrise, continues with a bright morning, breaks for a brief afternoon shower, and ends with a stunning sunset. Florida is known as the “Sunshine State” and Saint Augustine truly honors that with its steady stream of warm weather. 450 Years of History What makes Saint Augustine truly unique is its rich 450 years of history, incorporating not only the United States but also Spain, Britain, and France. The city itself

of community. The city and community organizations hold events downtown nearly every week. From the Easter Parade to the BBQ Festival, there are many events every year to enjoy. In addition, the city also puts on one of the best Fourth of July firework shows in the state every year. If you’re looking to volunteer at a nonprofit or join a community organization, there are many to choose from. Kiwanis, the Saint Augustine Historical Society, and even Rotary are all extremely active in area and always welcome new members.

Lanny Linn, Broker Associate

was founded in 1565 by the Spanish. They controlled Florida for nearly 240 years, disrupted only once by the British for 20 years. Eventually, in the early 1800s the United States gained possession of Florida and officially made it a state in 1845. Remnants of this history still exist today inside the city. Sites like the Castillo de San Marcos and the Gonzalez-Alvarez House are constant reminders that the city itself is much older than the country it is located in. Quality Education For families, education quality is one of the most important features when it comes to relocation. St. Johns County prides itself on its quality schools. This past year, twelve elementary schools, four middle schools, four high schools, and the district’s only K-8 school were “A” schools. These grades are calculated based on FCAT scores, graduation rates, college readiness, and performance in honors programs. Additionally, gives the majority of the schools in the district nearly perfect scores on its educational quality. Community Activity Saint Augustine also has a very large sense

“In Saint Augustine, there is something for everyone and it is no wonder that people have been visiting and moving here for nearly five centuries.”

Outside Fun The great thing about living in North Florida is that there is always something to do on the weekend. Nearly any day of the year you can go to one of the many white sandy beaches that Saint Augustine has to offer. Northeast Florida also has some of the best golf courses in the country, many of which are attached to livable communities with newly constructed homes. This area is home to the World Golf Hall of Fame and the World Golf Village Resort. Also part of daily life here in Saint Augustine is boating and fishing. Any day of the week the bay is littered with sails and makes for excellent scenery. Many residents fish regularly, not even waiting for the weekend. The city has many flawless fishing spots perfect for relaxation.


Lanny was the perfect professional Agent, always called me back and made the transaction flawless. I couldn’t of asked for a smoother transaction, Lanny went over and above the call of duty to see that everything ended on a perfect note. – Tanja Liebal Lanny is very professional, accommodated our schedule, handled our closing very smoothly, we would recommend him to others. - Mr. & Mrs. Edward DeLoach Lanny is courteous, helpful and most knowledgeable of the area. He is great and now is on our friends list. He handled our closing very efficiently. - Mr. & Mrs. Bishop

Dog Friendly Saint Augustine is also extremely dog friendly. Most of the beaches allow dogs, restaurants with outside seating will let you bring your dog, and dogs are always welcome when walking downtown through St. George Street. In Saint Augustine, there is something for everyone and it is no wonder that people have been visiting and moving here for nearly five centuries. Lanny Linn was one of Atlanta’s top producing real estate professionals. He brings to North Florida his 31 years of experience guiding and assisting people in the selling and purchasing of homes and condominiums. Lanny believes that whether your house is big or small, or whether you have a lot of money to spend or have a limited budget, you should get the same professional and competent assistance. 904-347-6975 • Cheryl grew up in Atlanta, Ga. and attended college at Georgia Southern University. After college she moved to Florida and spent 14 years in customer service and management. Since then she has moved her exceptional skills to Real Estate and community service. Cheryl is dedicated to her client satisfaction and brings her professional skills to all. 904-377-6986 •


Food & Entertainment

August/September 2014


Food & Entertainment

Treat Your Taste Buds at PJ’s Asia One Market In a sauce pan with oil on high heat, add garlic and onion sauté for 15 seconds. Then add curry paste and chicken. Sauté for about one minute. Add fish sauce, black pepper, and coconut milk. Sauté for another 1-2 minutes. Add vegetables and water, let cook about 10 minutes or until chicken and vegetables are tender. Finish by stirring in chili and kaffir lime


wide and eclectic array of Asian produced and inspired products welcomes shoppers to PJ’S Asia One Market. PJ’s is St. Augustine’s first and only dedicated Asian grocery featuring products from Thailand, Vietnam, the Philippines, China, Taiwan and Japan. Items range from spices, condiments, and sauces to a extensive variety of other dried, canned, refrigerated, and frozen goods. The rice and noodle section offers jasmine, sweet [sticky], red, brown, black, and Basmati rice while the noodles are available in a wide variety of ingredients, forms, flavors, and shapes, originating from various countries. Noodles come dried or refrigerated [fresh] and in family or individual serving packets. For the curry lover’s palate PJ’S offers ten styles of Thai curry paste in different size containers and all other necessary ingredients for curry based dishes. And for the sushi enthusiast(s) PJ’S stocks products for your next sushi get together including rice, vinegars, nori, pickled ginger, wasabi, soy sauce and a selection of the most popular ‘flash frozen’ sushi grade seafood. If you enjoy sushi often, try preparing at home—it’s not as difficult as it may seem. Praphaphan “PJ” Johnson is a native of Thailand, an FCTC culinary graduate, previously a chef and is available daily to assist, advise and encourage anyone interested in preparing Asian meals. In the near future PJ will offer cooking demonstrations/classes for individuals or groups. If you’re interested, please inquire during your visit.

leaves, Remove from heat, garnish with sweet Thai basil leaves. Serve with hot steamed jasmine rice. PJ’S is open 9am to 7pm Tuesday thru Sunday. Tel # [904] 429-7587, FAX [904] 429-7542 website:


I’ve become a regular shopper at PJ’s. I love how all the items on the shelves have English nametags, so I don’t have to guess what things are. It makes shopping so much easier. The store is clean and the aisles are wide. PJ is always so helpful. Last time I was in, she introduced me to these festive colored sushi wrappers that aren’t as scary as seaweed for newbie’s to the sushi world. - Rea Powers

Recipe: Red Curry with Chicken Makes 4 servings Ingredients: 1/2 lb chicken breast cut to bite size pieces 2 tbsps vegetable oil 2 tbsps red curry paste 1 cup coconut milk 1/2 cup water 2 tbsps fish sauce 2 cloves garlic chopped 1/4 cup sliced onion 1/4 cup sliced bamboo shoots 1/4 cup green bean cut to bite size pieces 1/4 cup quartered Thai or Chinese eggplant cut into thick slices 3 kaffir lime leaves 2 Thai chili quartered 5-10 sweet Thai basil leaves for garnish Preparation:

I love the green tea ice cream, and our children like the mango popsicles. My wife never leaves without an ice cold roasted coconut juice in her hand. We have found lots of new vegetables and snacks to try. PJ has taught us about noodles that you don’t have to cook. That’s great in the summer heat! - Bill Gaines


Food & Entertainment

August/September 2014


Food & Entertainment

If it Ain’t Broke, Don’t Fix it needed to give them a try. Needless to say, I was under whelmed. Oh, they didn’t taste bad. Bad had nothing to do with it. It was the taste that was lacking. Perhaps you’ve never had grits. If so, let me describe them for you. Did you ever work with papier-mâché when you were a kid? Did you ever eat any of the goop before you dipped the newspaper into it? Of course you did. We all did. Grits are a lot like that. Except grittier.


By: Warren Caterson, Author

Table for Two - Back for Seconds

very September I appear on stage at the Shrimp & Grits Festival in Jekyll Island, Georgia. And let me tell you, this is a wonderful event. Why? The location, on the grounds of the historic Jekyll Island Hotel, is magnificent. So is the staff and everyone who attends. Of course, the centerpiece culinarywise, is the Shrimp & Grits. Hundreds line up to savor this low country dish prepared by pros and amateurs alike as part of a grueling cooking competition. Heck, they even bring in a few ‘celebrities’ to judge the results (Yeah, that was me clad in the very non-South Georgian Caribbean shirt, baggy cotton beach pants, and Jimmy Buffett flip-flops). But here I must offer a caveat. I’m from New York. Born and raised just outside the city. Then my parents moved to Tampa Bay where I finished high school. I then attended college down near Miami before drifting back up to Tampa Bay to get married and start a family. Why am I telling you this? Because grits were about as common in my dietary regimen as ham hocks would be at the annual pot luck at the Beth Emeth Synagogue down on the Boston Post Road in Larchmont. When I finally moved to Chattanooga (the real south) in the late eighties, I had my first sampling of grits. As a cook and connoisseur of all things food, I felt I

So imagine throwing a couple of handfuls of sand into your papier-mâché goop before tasting it. Yeah. That about sums up grits. But wait! I hear the southerners chiming in: You need to add salt! (Evidently lots of salt.) And grated cheese! (Gobs of cheese.) And butter! (One stick or two?) That way, the lowly grits will rise in your culinary estimation. Of course, with a couple of tablespoons of salt, a cup or two of grated cheese and a stick of butter, even a carburetor would taste good. So I decided to stick with the oh-so-dependable (and tasty) home fries sautéed in onions and peppers for my breakfast. Or any other time when grits might be an option. Until I tried Shrimp & Grits. Now I’m a bona fide grits fan. Maybe it was the shrimp that did it. Who knows? But now I’m a fan. And here’s the interesting thing. There are not a lot of variations with this dish (as there are for chili, marinara sauce, beef stew, etc.) Why? Because it is good from the get-go. So if it ain’t broke, don’t fix it. But being a wise-ass chef, I had to try and “fix it”. So while I didn’t change the basics, I did make a few minor alterations. I cooked my shrimp with the grits then made a shrimp gravy to serve over the them. And according to the crowd who sampled it at the Festival, it was a winner. So go ahead and give this a shot, even if you’re from the Bronx. And if your lover tells you that they don’t eat grits, heck, tell ‘em it’s papier-mâché. They’ll love you for it.


COOK: 30 minutes

INGREDIENTS 3/4 pound large shrimp, peeled & de-veined 1 tablespoon olive or canola oil 1 clove garlic, crushed or minced pinch of cayenne pepper 3/4 teaspoon kosher salt (use less if your bacon is very salty) 1/2 teaspoon freshly ground pepper 2 slices bacon, chopped 1 small onion, finely chopped (about 1/2 cup)

1-1/2 cups water 1/2 cup heavy cream 1/2 teaspoon hot sauce, or to taste (Frank’s or Tabasco are fine) 1/2 cup quick grits (not instant) 4 ounces good extra-sharp cheddar cheese, grated (about 1 cup) 2 or 3 scallions, green part only, sliced for garnish

DIRECTIONS 1. Preheat oven to 375º. Toss the shrimp with the oil, garlic, cayenne pepper and 1/4 teaspoon salt and 1/8 teaspoon pepper in a small bowl. Refrigerate while preparing the grits. 2. Sauté the bacon in a 10-inch skillet over medium heat until crisp, about 8 - 10 minutes. Remove bacon with a slotted spoon and place on a paper towel-lined plate to drain. Add onions and sauté until soft and translucent. About 5 - 7 minutes. 3. Stir in the water, cream, hot sauce, 1/2 teaspoon salt and 1/8 teaspoon pepper and bring to a boil. Slowly stir in the grits, reduce the heat to low and cook, stirring often, until the grits are thick and creamy, about 5 - 8 minutes. 4. Remove from heat and stir in the grated cheese. Remove shrimp from the fridge and place on top of the grits in a circle, pressing on each one until they’re buried about halfway. Place in the oven and bake until shrimp are cooked through, about 5 - 8 minutes depending on the size of the shrimp. (Or you may add the shrimp to the skillet and cook over medium, stirring, until shrimp are pink and cooked through.) Ladle shrimp gravy (below) over all and sprinkle with chopped scallions and bacon bits.


PREP: 5 minutes COOK: 30 minutes INGREDIENTS 1 slice bacon, chopped 1/4 cup minced onion 1/2 cup diced red bell pepper 1/4 cup diced celery 1/2 pound large shrimp, coarsely chopped 1/2 teaspoon kosher salt

1/8 teaspoon freshly ground pepper pinch dried red pepper or to taste 1/2 cup shrimp, chicken, or vegetable broth 1/2 teaspoon browning sauce (Kitchen Bouquet is fine)


1. Sauté the bacon in a 10-inch skillet over medium heat until crisp and brown, about 8 - 10 minutes. Remove bacon with a slotted spoon and place on a paper towel-lined plate to drain. 2. Add the onion, red pepper and celery and sauté until tender, about 8 - 10 minutes. Add the shrimp and sauté until they turn pink and opaque, about 2 - 3 more minutes. 3. Remove shrimp and vegetables with a slotted spoon and reserve in a bowl. Add the broth and browning sauce to the skillet. Season with salt, pepper and dried red pepper. Bring to a boil then simmer for 1 - 2 minutes. Return the shrimp, vegetables and bacon to the sauce and heat for 1 more minute. Serve over shrimp & grits.


Chef Warren is the award-winning author of Table for Two - The Cookbook for Couples and Table for Two - Back for Seconds. You can purchase these items at your local bookstore, Amazon or get signed copies from 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