Issuu on Google+

February/March 2012

Free!

This publication is Consider it yours! Take it home!

8

#1 New Year’s Resolution = Weight Loss

Free!

Our gift to you... Take one for yourself and one for a friend!

8

6

Headaches

10

Infections and Immune Disorders

The staff of Flagler Family Medicine and Wellness

Objective • Informational • Educational

PRST STD US Postage Paid PI 101 St. Aug, FL


Go Red for Women!

Publisher/Editor Suzanne Egeln publisher@NEFLWomansJournals.com

Business Manager Anthony Egeln bizmgr@NEFLWomansJournals.com

Graphic Design Samantha Angeli samantha.angeli74@gmail.com

Photography Christine Cousart Christine@Cousartstudios.com

Email / Web info@neflwomansjournals.com www.NEFLWomansJournals.com P.O. Box 3655, Ponte Vedra Beach, FL 32004 Voice & Fax: 904-280-0788 U.S. Mail • Direct Drop Distributors • Subscription The St. Augustine Woman’s Journal is published bimonthly by Northeast Florida Woman’s Journals and is available free of charge, by display stands in approved private and public establishments and by authorized distributors only. Subscriptions are available.Trademark laws and U.S. copyright laws protect The St. Augustine Woman’s Journal. No part of this paper may be reproduced without the written permission of the publisher. The St. Augustine Woman’s Journal is not responsible for (1) any editorial comment (other than its own), (2) typographical errors from advertisements submitted as camera ready or (3) any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify The St. Augustine Woman’s Journal, its owners, publishers, and employees, against any and all liability, loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and proprietary rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper or its advertising copy. Publisher shall be under no liability for failure, for any reason, to insert an advertisement. Publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. Publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The St. Augustine Woman’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. Representations by The St. Augustine Woman’s Journal™, Copyright 2011.

F

Suzanne Egeln, Publisher and oldest daughter, Anna.

ebruary is the color red for many reasons. The most obvious of these is February 14th, when the true cupids celebrate love and romance on Valentine’s Day. This year “Go Red for Women”, sponsored by the American Heart Association, is celebrated during the entire month of February. Women are encouraged to become advocates for their own heart health by learning

more about heart disease and the symptoms that are associated with a heart attack. For women this is known as the “silent killer” because the signs of heart attack are often different for women than for men. An uncomfortable pressure in the chest for more that a few minutes and/or pain or discomfort in the arms, back, neck, jaw or stomach could merit a trip to the emergency room. Other signs include breaking out in a cold sweat, nausea or lightheadedness. While the most common symptom is chest pain or discomfort, women are more likely to experience shortness of breath, nausea and back or jaw pain. Change in diet, exercise and abstinence from smoking are the keys to making a good start in preventing heart attack or stroke. Check out this website to help you make the right choices, and to learn more about “Go Red for Women”: www.goredforwomen.org/registration.aspx Also, see page 4 in this issue to learn more about the relationship between stents and blood thinners, as presented by Dr. Lokhandwala of First Coast Cardiovascular Institute. This issue also “marches” us right into

spring. Springbreak and “stay-cations” immediately come into mind. Our city is one of the most visited communities in the world, so when making your plans for a weekend away I encourage you to look right in your own backyard: including seeing a show at the Limelight Theater or the St. Augustine Amphitheatre, visiting Anastasia State Park, spending an afternoon touring St. Augustine by trolley or boat, or enjoying a wonderful spa experience at Panache Salon and Spa. As always we invite you to enjoy the articles in the Woman’s Journal and to support our contributors. Feel free to share the magazine with your friends and family and to let our contributors know that you enjoyed their editorial. Also, we highly encourage you to call or email us recommending a friend, coworker or acquaintance for inclusion in our “Women in Profile” feature.

Volunteer Opportunity at Limelight Theatre of St. Augustine St. Augustine’s premier community theatre is seeking energetic, enthusiastic volunteer ushers to assist with main stage and children’s theatre productions. 825-1164

Consider becoming a contributor to the Woman’s Journal. The strength of the Woman’s Journal concept as a marketing tool is found in the editorial content written by our contributors. The Woman’s Journal does not sell traditional display advertising. Our contributors buy the opportunity to write an unbiased and informative editorial to educate women, helping them make informed decisions when purchasing a service or product. 75% of all purchases are made in some way by women. They either make the decision or direct their partner or family member in making the purchase. This is true in medical decisions, and in almost every buying decision made in our society today. The Woman’s Journal becomes a vital part of every community in which it is distributed, because we educate women, and they in turn educate their friends and family. As you can see this is a win-win situation. The community wins in becoming educated, and businesses and professional practices win because they become known as the authority in their particular specialization. This in turn increases the bottom line of the business or practice. The County Woman’s Journals have been in business for more than thirty years and are now in over 300 counties across the country. While each publication is individually owned and operated, each has followed the same basic format. Our magazine is objective, informative, educational, categorical, and targets women. It is published six times a year (bi-monthly), and is a free publication. If you would like to learn more about becoming a contributor to the Woman’s Journal, please contact us to schedule a short meeting. This will enable us to have a better understanding of the nature of your particular business or practice, and so that you may better understand what we have to offer as an educational marketing tool, invaluable even in a slow economy. If you have any questions, please call our business manager, Anthony Egeln, at (904) 652-6453.

W

Please clip and mail this completed form along with your check.

ant Home Delivery?

A one-year subscription (6 issues) via First Class Mail is only $24.

NAME

Check or money order payable to:

ADDRESS

Northeast Florida Woman’s Journals P.O. Box 3655, Ponte Vedra Beach, FL 32004 PHONE

ZIP CODE


4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 16. 17.

8.

Health & Medicine

in this Issue

Stents and blood thinners, understanding the important relationship

10.

Prevention and early detection are your best defenses against cancer

Headaches Got Back Pain? Will a Brace Work?

#1 New Year’s Resolution = Weight Loss

Discover the latest in varicose vein treatment -A Solution to Leg Pain Infections and Immune Disorders Cervical Cancer Screening

18.

35.

Drink Coffee, Burn Fat!

23.

Patients and Families Feel at Home at Community Hospice Inpatient Center

Business &Finance

30.

How Online Marketing is Like a Bad Breakup

37.

Little Tin Soldier and Doll – Joint Tenants

• Amy Smith • Nicole Nettles

36. 37. 38. Home & Garden 39. 40. 41.

Understanding How a Security System Impacts Your Safety and Your Budget 312 Self Storage, Inc.

What Does A Funeral Home Do For the Family of the Deceased?

• Kathleen Vande Berg • Shirley Barber

Laser Brick & Tile

Life Services

24.-25.

Community Education Offers New Opportunities

Back Them Up!!!

22.

The Beauty of Blame

Women in Profile

Together Anything’s Possible

Back in Black

Health & fitness

23.

St. Augustine Community Chorus

Eyebrow is the king of beauty

Have You Heard the Word “Lymphedema”?

Legal

Habitat for Humanity Hits Major Milestone

Fashion & Beauty

Sick? …there is no place like home!

22.

Memory Loss Affects the Entire Family ~ COA Can Help!

Fundraising

Flagler Hospital Earns National Accreditation for Knee and Hip Replacement Programs

19. 20.

Sound the Trumpet!

3,019 Grateful Patients In 2011! Wildflower Clinic

Flagler Hospital Receives Highest Nursing Credential With Prestigious Magnet® Recognition . . . Again

18.

27. 28. 30. 31. 32. 33. 34.

Community

42. 43. 44. 45. 46.

Car Service with Cheryl

Food & Entertainment Getting Positive Media Coverage in Northeast Florida

Treat Your Taste Buds at PJ’s Asia One Market A Classic Theatre Presents Comedy In New Venue The Coffee Connection

47. Back Cover 48.

The Quintessential Chocolate Shake

32.

Travel

Time to Start Thinking About that Getaway!

3

The all-new Honda CR-V


Health & Medicine

Stents and blood thinners, understanding the important relationship

W

patients, blockages can return within the stent as a result of the reaction of the blood vessel to the stent, requiring a repeat procedure. To decrease this, some stents are coated with drugs that reduce the chances of blockages coming back within in a stent. These are called drug coated (eluting) stents as opposed to the older “bare” (non-coated) metal stents.

By Dr. Lokhandwala

hat is a stent?

When a cardiac catheterization procedure identifies a severe blockage in the vessels supplying blood to the heart and in the appropriate clinical scenario, the blockage can be opened up with the same approach using a balloon and stent. A stent is a metal mesh that acts as a scaffold to keep the blockage open.

What are some reasons why a stent may be placed?

When someone has a heart attack where the blood flow in an artery is completely blocked off due to a clot, opening the artery with a balloon and stent, immediately, is a life-saving procedure. In other situations, stable blockages of >70% in severity may be opened up using a stent to help relieve chest pain resulting from decreased blood flow around the blockage, especially in cases where the chest pain does not respond to medicines.

What is a drug-coated stent?

After a stent is placed, in a minority of

February/March 2012

Endothelium- the inner lining of blood vessels

This a single layer of cells that lines the inner side of blood vessels, forming an interface between the blood and the blood vessel. This is the main reason why blood does not usually clot within the blood vessel and clots when it leaks out of the blood vessel.

Why is taking blood thinners so important after stent placement?

When a stent is placed it temporarily disrupts this protective lining. This lining eventually grows back and covers the stents therefore restoring the normal ability of the blood vessel

to prevent clots. However it takes a certain time to cover the inner side of the stent and this varies by the type of the stent. To prevent the blood from clotting within a stent during this time, blood thinners are absolutely essential. For “bare” or non-coated metal stents, this period is usually one month. Drug coated (eluting) stents, while having positive effects on preventing blockages from coming back within a stent in the future, also delay the growth of the endothelium within the stent. Therefore, in drug coated stents, the period of recommended therapy with two different blood thinners is at least one year. One should note that the above are minimum recommended periods. Depending on the patient’s initial condition prior to stent placement or for stents placed elsewhere in the body, a cardiovascular doctor may require much longer period of being on blood thinners.

What blood thinners are there and how long are they supposed to be taken?

Aspirin is an important blood thinner, which should be taken indefinitely in patients who have had a stent. During the initial period it is an important drug to prevent the blood from clotting within the stent, however when taken regularly by patients with a history of heart artery blockages, it decreases their lifetime chances of having heart attacks in other areas of the blood vessels as well. Clopidogrel (marketed as Plavix) and the newer

4

drug, Prasugrel (marketed as Effient), form another important group of blood thinners that supplement the effects of aspirin in preventing blood from clotting within a newly placed stent. These should be taken for the duration recommended by your cardiologist.

What are the risks of stopping blood thinners without consulting your cardiologist?

The blood can clot within a stent and cause a major heart attack which can be fatal. This can happen by missing even a few doses of the blood thinner medications. Therefore, never stop these medications before checking with your cardiologist. Sometimes, minor procedures can be done without having to stop these blood thinners. Also, if you know that you may not be able to take blood thinners for an extended period of time for any reason, you should notify your cardiologist, as they may then not choose to place a drug coated stent. Dr. Lokhandwala is a cardiologist with special interest in the treatment of heart disease via catheter based approach and in the comprehensive treatment of vascular disease in the legs, kidneys and neck arteries and veins. He has completed training in these specialties at the Cleveland Clinic, OH and Geisinger Clinic, PA. He lives in St. Augustine with his wife, Rehana and children. He is part of First Coast Cardiovascular Institute and sees patients at Flagler Hospital and an outpatient clinic in St Augustine. He can be reached by phone at 904-436-6420


Health & Medicine

Prevention and early detection are your best defenses against cancer daily routine. Prevention starts with making small lifestyle changes. Studies have shown diet and lifestyle habits affect our risk of getting cancer. Adhering to a healthy diet, maintaining a healthy weight, exercising regularly and eliminating bad habits (smoking and excessive drinking of alcohol) are very effective in reducing your risk of getting cancer.

H

Dr. Mohamed Alassas

goal?

ow can we achieve this

Cancer is the second most common cause of death in the United States and the leading cause worldwide. Although the risk of cancer is affected by multiple factors related to our genes and environment, about a third of cancer risk is related to simple habits in our

If cancer cannot be prevented, early detection is your best weapon in fighting cancer. Detecting cancer in the early stages greatly improves the chance of success. In addition, treating early stages of cancer is much less complicated and often times allows major surgeries or other treatment modalities to be avoided. A good example is melanoma, a common type of cancer with about 70,000

“About a third of cancer risk is related to simple habits in our daily routine. Prevention starts with making small lifestyle changes.� Lung cancer is the number one cause of cancer related deaths in both women and men. Cigarette smoking causes about 90 percent of lung cancers. A way to reduce the risk of lung cancer is to stop smoking. After lung cancer, two of the most common types of cancer are breast and colon cancers. Research has shown that obesity and a diet high in animal fat increases the risk of cancers including both breast and colon cancers. Regular exercise has shown to reduce the risk of these cancers as well.

new cases every year. Early detection is usually treated with local removal of the mole and surrounding area of skin. The success rate, in this case, is greater than 95 percent. Education regarding cancer types and their symptoms is the first step in achieving the goal of early detection. Cancer screening can be defined as looking for cancer before a person has any symptoms and can be a very effective method of early cancer diagnosis. A screening test could be physical examination, blood test, medical or imaging

5

procedures. Screening is specifically important in the common types of cancer. Breast and colon cancers have very effective and well developed methods of screening which can save lives. Knowing your family history of cancer is also important and may affect recommended screenings for you. Understanding the risk of cancer and how it relates to daily habits can help when making decisions in modifying your lifestyle. By leading a healthy lifestyle and adhering to screening guidelines, you can effectively reduce the risk of a cancer diagnosis. So the next time you think of cancer, think of how many things you can do towards prevention Dr. Mohamed Alassas, is a surgical oncologist with 21st Century Oncology. His general surgery residency was at Louisiana State University Health Sciences Center; his surgical oncology fellowship was at Roswell Park Cancer Institute in Buffalo, NY. He has been practicing at 21st Century Oncology of Jacksonville since 2010. 21st Century Oncology of Jacksonville is a comprehensive cancer center where every patient receives an individualized treatment plan designed to meet their specific needs; it offers medical, surgical and radiation oncology at one convenient location.


Health & Medicine

Headaches

H

By: Dr. Jyoti Patel, Pain Management Physician Physicians Pain Center

eadaches are one of the world’s most common pains, over 80% of people experience a headache at least once in their lives. Defined as a pain in the head or upper neck, it has many causes and treatment can sometimes be difficult. A specific diagnosis as to the type of headache helps to provide better and more effective treatment. Most headaches are easily controlled with conservative treatment, such as over the counter medications but there are some headaches that despite conservative treatment do not improve or continue to get worse or become more consistent; this is when specific medical treatment is usually sought.

without moving can cause a headache. Such activities include typing or other computer work, fine work with the hands, and using a microscope. Sleeping in a cold room or sleeping with the neck in an abnormal position may also trigger a tension headache. Other triggers of tension headaches include: Alcohol use, Caffeine, dental problems, eye strain, smoking, tiredness, stress and social problems. Tension headaches usually present with a dull, pressure-like sensation, a band-like feeling over the head, worse in the scalp, temples and back of the neck and shoulders. The pain may occur intermittently or be constant or even daily and the pain may get worse with fatigue, noise and light and cause difficulty in sleeping. Although they are not medically dangerous, chronic tension headaches can have a negative impact on the quality of life and work productivity. If a headache occurs two or more times a week for several months or longer, the condition is considered chronic. Chronic daily headaches can result from the under or over-treatment of a primary headache. For example, patients who take pain medi-

cation more than 3 days a week on a regular basis can develop rebound headaches. Treatment initially includes understanding headache triggers, keeping a diary, changes in lifestyle, over-the-counter pain medications. Narcotic pain relievers are sometimes prescribed. Remember that narcotic pain medications only relieve headache symptoms for a short period of time. After a while, they do not work as well or the help they provide does not last as long. Regular, overuse of pain medications can lead to rebound headaches. Other prescription treatments may provide longer relief that may include: • Muscle relaxants • Anti-depressants • Topical agents • Seizure medications • Anti-inflammatories • Injections • Combining drug treatment with relaxation or stress-management training, biofeedback, cognitive behavioral therapy, exercise or acupuncture may provide relief for chronic headaches. A new treatment, Botox, is becoming

popular as a treatment for chronic daily headaches, including chronic tension headaches that occur more than 14 days a month. Although research has shown that Botox can relieve headaches, no one really knows why. Certain headache types that respond to Botox include headaches that are described as vise-like, squeezing, crushing, muscular spasms. Side-effects of Botox can include swallowing, breathing problems, muscle weakness, double vision, loss of bladder control, hoarseness Botulinum toxin can relieve migrainetype headache, muscle tension headache, or chronic daily headache. Results can be dramatic. Patients who have suffered from chronic daily headaches for years have report being free of headaches for two to five months. As one can see, there are many different types of headaches and most headaches are nothing to worry about but if they are disrupting your life it is time to combat your headache. They may not be totally preventable but and your doctor can help you manage your headache.

There are three major categories of headaches: 1. Primary headache: include tension, migraine, and cluster headaches, as well as a variety of other less common types of headache. 2. secondary headaches : which are due to some type of structural problem 3. other headaches Tension headaches are the most common type of primary headache and will be discussed in this article. Tension Headaches A tension headache is a pain or discomfort in the head, scalp, or neck, usually associated with muscle tightness in these areas. Tension headaches occur when neck and scalp muscles become tense, or contracted. The muscle contractions can be a response to stress, depression, a head injury, or anxiety and are more common in women than men. Any activity that causes the head to be held in one position for a long time

February/March 2012

Dr. Jyoti Patel is board certified in Anesthesiology and Pain Management. She has been practicing medicine in the Jacksonville/St. Augustine area since 1991. Dr. Patel and her business partner, Dr. Elena Stanescu, opened their private practice, The Physicians Pain Center, in 2002 with offices in St. Augustine and Palatka. The Physicians Pain Center is a full service interventional pain management practice offering in-house procedures, EMG/NCV testing, and medication management for all types of acute and chronic pain. The goal at PPC is to reduce the patient’s pain and to provide the education necessary to understand his/her condition; enabling the patient to achieve the highest level of relief and allow for a return to a productive and fulfilling lifestyle.

6


Health & Medicine Got Back Pain? Will a Brace Work?

Y

By: Betty Carvajal, PhD., CEO

ou’re not alone if you suffer from lower back pain. Studies show that 80 percent of the world’s population will experience back pain at some point over the course of their lives. Bad habits, such as poor posture, overexertion, sitting incorrectly or hunching over a

options for lumbar braces ranging from generic, soft corsets to rigid custom fit orthosis. There are a number of Medicare and private insurance treatment benefits available to you that do not involve surgery. They include low back braces that provide traction between lower part of the rib cage and the upper part of the hip creating weight-bearing forces away from your lower back; and seat lifts that will ease you into your seat and help you up-gently and safely. Your doctor may prescribe one or more of these Medicare/insurance approved items to treat your particular symptoms. The majority of the braces are lightweight and offer a high degree of mobility. It can be discreetly worn under clothing allowing you to perform daily activities such as driving, walking and standing for long periods of time, and enabling those with an active lifestyle to work, enjoy sports and other leisure activities pain-free. These orthotic devices are designed with the progression of patient care in mind, the multiple orthotic system can be stepped down to a lighter back brace. Voted St. Augustine’s Best Medical Equipment Co.

Michele Artie desk or computer all day, can lead to back pain. Lumbar braces are frequently considered for patients suffering from acute and chronic low back pain, and in other situations. There are a variety of

1100 Plantation Island Dr. South, Suite 140 St. Augustine, FL 32080

Tel: (904) 461-9050 Fax: (904) 461-9060 www.poncehme.com ponceb@aol.com

Ponce Home Medical are friendly, caring and highly professional. Their knowledge of the products we needed were always clear and helpful. When visiting their facility you feel as if you are in a physician’s office, clean and well presented. Dr. Carvajal and the staff are second to none. Thank you for your caring and kindness. - Steve & Janice, St. Augustine, Florida I have worked in the same field as the employees of PHME. Having been a provider of services and now on the receiver side of services, I highly commend the staff of PHME on their clarity of communications, efficiency, and their personal devotion to the health and needs of their clients. Thank you PHME - Dee Recently I had the rewarding opportunity to deal with Betty, the owner and Art , her assistant at Ponce Home Medical Equipment( PHME). The fact that my wife became disabled and is unable to walk due to bone cancer made it necessary for her oncology doctor to recommend a electric scooter to give her mobility. We originally contacted a scooter company advertised on TV and also another local medical supply outfit. Our conversations with them were very unsatisfactory and we decided to look further. I spoke with another husband at The Cancer Center whose wife has a similar disability and he referred me to PHME. he informed me of the excellent service that they provided. I went to PHME , located over the bridge very near the hospital and The Cancer Center and very soon thereafter received a new GO-GO ELITE scooter . Art spent over an hour with us explaining safety, operation and assembly of the scooter. He also adjusted the scooter for safety and instructed my wife in operating procedures. The service was professional, courteous and speedy. My wife and I highly recommend PHME for your medical supply needs. Sincerely, The O’Malleys, Crescent Beach, St. Augustine, Fl.

7


Health & Medicine

#1 New Year’s Resolution = Weight Loss And add vegetables to make a fluffier, more satisfying omelet without having to up the number of eggs. 8. Avoid white foods. There is some scientific legitimacy to today’s lower-carb diets: Large amounts of simple carbohydrates from white flour and added sugar can wreak havoc on your blood sugar and lead to weight gain. While avoiding sugar, white rice, and white flour, you should eat plenty of whole grain breads and brown rice.

if you eat the same number of calories distributed this way, your body releases less insulin, which keeps blood sugar steady and helps control hunger. 4. Walk for 45 minutes a day.

Y

By Christopher J Zub, DO

ou know that most diets and quick weight-loss plans do not have long term results. You’re better off finding several simple things you can do on a daily basis — along with following the cardinal rules of eating more vegetables and less fat and getting more physical activity. Together, they should send the scale numbers in the right direction: down. Here are 10 tips to help you stick to your new year’s resolution: 1. After breakfast, make water your primary drink. At breakfast, go ahead and drink orange juice. But, throughout the rest of the day, focus on water instead of juice or soda. 2. Buy a pedometer, clip it to your belt, and aim for an extra 1,000 steps a day. On average,

sedentary individuals take only 2,000 to 3,000 steps a day. Adding an additional 2,000 steps will help you maintain your current weight; adding more than that will help you lose weight.

3. Eat five or six small meals or snacks a day instead of three large meals. Studies show that even

The reason we’re suggesting 45 minutes instead of the typical 30 is that a Duke University study found that while 30 minutes of daily walking is enough to prevent weight gain in most relatively sedentary people, exercise beyond 30 minutes results in weight and fat loss. Burning an additional 300 calories a day with three miles of brisk walking could help you lose 30 pounds in a year without even changing how much you’re eating.

9. Switch to ordinary coffee.

Fancy coffee drinks from trendy cof-

fee shops often pack several hundred calories, thanks to whole milk, whipped cream, sugar, and sugary syrups. A cup of regular coffee with skim milk has just a small fraction of those calories. And when brewed with good beans, it tastes just as great. 10. Eat slowly and calmly. Put your fork or spoon down between every bite. Sip water frequently. . Your brain lags your stomach by about 20 minutes when it comes to fullness signals. If you eat slowly enough, your brain will catch up to tell you that you are no longer in need of food.

5. Clean your closet of the “fat” clothes. Once you’ve reached your

target weight, throw out or give away every piece of clothing that doesn’t fit. The idea of having to buy a whole new wardrobe if you gain the weight back will serve as a strong incentive to maintain your new figure.

6. Downsize your dinner plates.

Studies find that the less food put in front of you, the less food you’ll eat. Conversely, the more food in front of you, the more you’ll eat — regardless of how hungry you are. So instead of using regular dinner plates that range these days from 10-14 inches , serve your main course on salad plates (about 7-9 inches wide). The same goes for liquids. Instead of 16-ounce glasses and oversized coffee mugs, return to the old days of 8-ounce glasses and 6-ounce coffee cups 7. Use vegetables to bulk up meals. You can eat twice as much pasta

salad loaded with veggies like broccoli, carrots, and tomatoes for the same calories as a pasta salad sporting just mayonnaise. Same goes for stir-fries.

A Brief History on Flagler Family Medicine. Flagler Family Medicine was established when Doctors Whitlock, Gunn and Clonch joined their solo practices in 1997. In 2001, Todd J. Batenhorst, MD joined their team after completing his residency. Shortly afterwards in 2002 Christopher J. Zub, DO joined the practice. Next, Flagler Family Medicine welcomed Frederick C. Dolgin, MD in 2004. Michael J. Look joined the practice with the opening of the East Palatka office in July of 2008. The most recent addition to the team was Carlos M Sanchez, MD when they opened the Shoppes at Murabella location in November of 2010. The practice continues to expand and bring on additional doctors and services in order to provide the highest quality care to patients in St John’s and the surrounding counties. Our continued growth allows us to better meet the growing healthcare needs of our patients and the community.

February/March 2012

8

www.flaglerfamilymedicine.com


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.

H

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

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

9

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

Infections and Immune Disorders your shoes at the end of the day. Never walk barefoot in public areas.

O

By José Concha, DPM

Coastal Foot & Ankle Wellness Center

ur bodies can be infected by bacteria, viruses, fungi and protozoa. Our immune systems work to combat these viruses. Essentially our immune system’s job is to keep the population numbers of these pathogens down to a minimal level to reduce the chance of infection in a given area of the human body. We are born with a very strong immune system but this tends to change as life goes on . As we reach our 30s and 40s our immune system becomes a bit weaker and we note that certain infectious related diseases begin to occur normally on human skin. In the lower extremity, we can see the following:

Athlete’s Foot Athlete’s Foot is a fungal condition. Athlete’s Foot appears on the skin as itchy, flaky, dry and even cracked skin. Occasionally, particularly between the toes, it can appear moist, red and odorous. Shoes create a warm, dark and moist environment that is ideal for fungal growth. It can be picked up on your feet from almost any public area such as dressing rooms, locker rooms, public showers and swimming pool areas. The best method of prevention is practicing good foot hygiene. This includes inspecting your feet daily- both in between your toes and on the bottom. Wash your feet with anti-fungal soap and water and dry well in between the toes. Wear a different pair of shoes each day. This allows a full 24 hours for the inside of the shoes to dry. Sprinkle anti-fungal powder inside

February/March 2012

Fungal Toenails Fungal toenails are nails that are thickened, discolored, crumbly, loose or deformed. Putting your feet in a warm, dark, moist climate in your shoe allow an overproduction of fungus. A weakened toenail may allow the fungus to enter into and under the nail. Many times this is caused by trauma to the toenail. However, it can be the sign of a more serious problem such as diabetes, arthritis, psoriasis or cancer. You should seek the opinion of your foot doctor to be sure. Again, practicing good foot hygiene is most important. Avoid leaving toenail polish on for longer than a few days. Blisters Blisters can be caused by bacteria, fungus or viruses. Blisters are painful, fluid filled lesions of the skin. The primary causes of blisters include poor-fitting or stiff shoes, wrinkled socks and excessive moisture. Foot deformities can also create pressure points on the feet and toes resulting in blisters. To prevent blisters, always try and keep your feet dry. Wear properly fitting shoes with moisture-wicking socks. If a blister is intact and smaller than a nickel, wash it with soap and water twice daily and apply an adhesive bandage for protection. Once the blister has popped, begin applying a topical antibiotic and an adhesive bandage. If your blister becomes red or painful, this may be the sign that it is becoming infected and you should seek medical treatment. Warts Warts are thick, calloused lesions that can be hard and flat on the bottom of the foot or raised elsewhere. A virus that invades the outer layer of the skin through small cuts or abrasions causes them. As the virus proliferates, the skin builds callous tissue around it creating the typically round, hard and painful lesion. Treat and Prevent Protect yourself and your immune system by eating right, getting regular exercise and taking nutritional supplements as needed. If skin conditions arise or persist, contact your local podiatrist who can help you treat and prevent future outbreaks of the conditions mentioned above.

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.

10


Health & Medicine

Cervical Cancer Screening • • • •

Immunosuppression (ie. HIV, leukemia) Low socioeconomic status Prolonged use of oral contraceptives History of vaginal or Vulvar (external genital) Cancer

What Cervical Cancer detection tests are available? By: Michele Rogero, CNM, ARNP Ancient City Midwives

A

ccording to the Centers for Disease Control (CDC) and the American College of Obstetricians and Gynecologists (ACOG), Cervical Cancer is the 3rd most common GYN cancer in developed countries. Cervical cancer is the easiest female cancer to prevent, with regular screening tests and follow-up.

What are the signs, symptoms and risk factors for cervical cancer?

Cervical cancer often has no signs or symptoms. Some indicators that may be present include, but are not limited to: • Abnormal vaginal bleeding, • Vaginal discharge • Bleeding after intercourse The majority of Cervical Cancers are caused by persistent high risk Human Papillomavirus (HPV) Infections. Some risk factors for HPV infections include: • Early onset of sexual activity • Multiple sexual partners • High-risk sexual partner(s) • History of sexually transmitted infections (STI) • Smoking • High number of pregnancies

There are two screening tests that can help prevent cervical cancer or detect it early. The Pap test (or Pap smear) was first developed in 1941 and looks for pre-cancer cell changes on the cervix that might become cervical cancer if they are not treated appropriately. The HPV test looks for the virus that can cause these cell changes. There are more than 150 different types of the HPV virus. Approximately 15 of those are high risk types. Seventy percent of all cervical cancers are caused by two of the high risk HPV infections. Gardasil is a vaccine that is active against some of the high risk HPV infections. The FDA has approved this immunization for girls and boys ages 9-26. During the Pap test, a plastic or metal instrument called a speculum is inserted into the vagina. This helps the healthcare provider examine the vagina and the cervix, and collect a few cells and mucous from the cervix and the area around it. The cells are then placed on a slide or in a bottle of liquid and sent to a laboratory. The laboratory will check to be sure that the cells are normal. If you are getting the HPV test in addition to the Pap test, the cells collected during the Pap test will be tested for HPV at the laboratory.

healthcare provider regarding the screening guidelines that are individually appropriate. Recently, Pap test screening guidelines have changed to the following recommendations: • Start at age 21 (regardless of age of first intercourse) • Age 21-29 (screen every 1-2 years depending on GYN history and prior Pap) • Age 30+ (screen every 1-3 years depending on GYN history and prior Pap) • Annual screening (immunocompromised, history of GYN cancer) • May stop screening at age 65-70 or with hysterectomy for benign disease

have an annual exam in order to receive refills on family planning and/or hormone replacement prescriptions.

If you are going to have a Pap test in the next two days, you should NOT • Douche (rinsing the vagina with water or another fluid) • Use a tampon • Have sex • Use a birth control foam, cream, or jelly • Use a medicine or cream in your vagina • Schedule your Pap test for a time when you are having your period

Physical examination that includes a breast exam, pelvic exam and STI screening, when indicated, are recommended yearly. If you have ever had an abnormal Pap test, consult with your healthcare provider concerning how often you will need a Pap test. You must

If you have a low income or do not have health insurance, you may be able to get a free or lowcost Pap test through the National Breast and Cervical Cancer Early Detection Program. To find out if you qualify, call 1-800-CDC-INFO.

How do I prepare for my pap test?

What are the screening guidelines?

It is important to consult with your

Ancient City Midwives was founded in 2008 by two local midwives with the vision of creating a medical practice that treats every patient with dignity and first-rate care. The nurses and office staff at Ancient City Midwives are highly-trained and exceptionally friendly. We understand that for many, visiting a healthcare provider can be a stressful experience. Our comfortable surroundings and compassionate medical professionals will ease your fears.

11


Health & Medicine

Flagler Hospital Receives Highest Nursing Credential With Prestigious Magnet® Recognition . . . Again

F

Recognition reinforces commitment to providing nursing excellence

lagler Hospital has again attained Magnet® recognition as part of the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program®. This voluntary credentialing program for hospitals recognizes excellence in nursing. This credential is the highest honor an organization can receive for professional nursing practice. “Magnet recognition is a tremendous honor and reflects our commitment to delivering the highest quality of care to this community,” said Flagler Hospital’s Chief Nursing Officer, Barbara Drummond-Huth. “To be the first hospital in Northeast Florida to earn Magnet recognition was a great accomplishment and an incredible source of pride for our staff. Now, our achievement to be granted Magnet status again serves as recognition for every member of the Flagler healthcare team who work together every day providing safe, quality, patientcentered care.” Magnet recognition has become the gold standard for nursing excellence. To achieve initial Magnet recognition, organizations must pass a rigorous and lengthy process that demands widespread participation from leadership and staff. The process begins with the submission of an electronic application, followed by written documentation demonstrating qualitative and quantitative evidence regarding patient care and outcomes. If scores from the written documentation fall within a range of excellence, an on-site visit will occur to thoroughly assess the applicant. After this rigorous on-site review process, the Commission on Magnet will review the completed appraisal report and vote to determine whether Magnet recognition

will be granted. An organization seeking to reapply for Magnet recognition must provide documented evidence of how Magnet concepts, performance, and quality were sustained and improved over the fouryear period since the hospital received its initial recognition.

About the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program® The Magnet Recognition Program® administered by the American Nurses Credentialing Center (ANCC), the largest and most prominent nurses credentialing organization in the world, recognizes healthcare organizations that provide the very best in nursing care and professionalism in nursing practice. The Magnet Recognition Program® serves as the gold standard for nursing excellence and provides consumers with the ultimate benchmark for measuring quality of care. For more information about the Magnet Recognition Program® and current statistics, visit www.nursecredentialing.org/magnet.

Magnet recognition has been shown to provide specific benefits to hospitals and their communities, such as • Higher patient satisfaction with nurse communication, availability of help, and receipt of discharge information • Lower risk of 30-day mortality and lower failure to rescue • Higher job satisfaction among nurses and • Lower nurse reports of intentions to leave position. “We’re a better institution today because of the Magnet recognition we achieved over four years ago,” said Joe Gordy, President & CEO. “It has raised the bar for patient care and inspired every member of our team to achieve excellence every day. It is this commitment to providing our community with high-quality care that helped us become a Magnet facility, and it’s why we continue to serve as a Magnet hospital today.” Being recognized as a Magnet facility for the second time is a great achievement for Flagler Hospital as it continues to proudly belong to the Magnet community—a select group of 378 healthcare organizations out of nearly 6,000 U.S. healthcare organizations.

About Flagler Hospital

Flagler Hospital is a 335 bed acute care hospital that is consistently recognized nationally for overall clinical excellence. HealthGrades has ranked Flagler Hospital among the top 5% of all hospitals in the nation for the past 7 consecutive years, most recently naming it one of America’s Best 50 Hospitals in 2011. Flagler has also earned accreditation from the Society of Chest Pain Centers, the Gold Seal of Approval™ from The Joint Commission for Primary Stroke Care Centers and Center of Excellence Designation for its Bariatric Surgery Center.

February/March 2012

12


Health & Medicine

F

Flagler Hospital Earns National Accreditation for Knee and Hip Replacement Programs

lagler Hospital has earned the Joint Commission’s Gold Seal of Approval for its comprehensive total knee and total hip joint replacement programs, by demonstrating compliance with the Joint Commission’s national standards for health care quality and safety in disease-specific care. The certification award recognizes Flagler Hospital’s dedication to continuous compliance with the Joint Commission’s state-of-the-art standards. The tremendous level of care offered through the orthopedic surgery program here at Flagler is commensurate with the best hospitals in the nation,” commented Flagler Hospital’s Chief of Orthopedic Surgery, James Grimes. “From our pre-education classes, to our expert surgical team, our orthopedic certified nurses on the floor and our specialized therapists, patients can expect to achieve the best possible clinical outcomes and also get back to the activities they enjoy as quickly as possible.” “Flagler Hospital underwent a rigorous on-site survey, where a team of Joint Commission expert surveyors evaluated the hospital for compliance with standards of care specific to the needs of patients and families, including infection prevention and control, leadership and medication management,” added Flagler Hospital Medical Staff President and orthopedic surgeon, Douglas Dew, MD, MBA. The Joint Commission’s Disease-Specific Care Certification program, launched in 2002, is designed to evaluate clinical programs across the continuum of care. Certification requirements address three core areas: compliance with consensus-based national standards; effective use of evidence based clinical practice guidelines to manage and optimize care and an organized approach to performance measurement and improvement activities. “In achieving Joint Commission certification, Flagler Hospital has demonstrated its commitment to the highest level of care for is patients receiving knee and hip joint replacements,” says Jean Tange, MS, RN, CPHQ, executive director, disease specific care certification for the Joint Commission. “Certification is a voluntary process and I commend Flagler for successfully undertaking this challenge to elevate its standard of care and instill confidence in the community it serves. “This latest certification from the Joint Commission supports our goal to continuously take our organization to the next level and enhance our culture of excellence,” stated Flagler Hospital CEO Joe Gordy.

Douglas Dew, MD, MBA, Orthopedic Surgeon; President, Flagler Hospital Medical Staff

Flagler Hospital’s interdisciplinary team includes Physicians, Orthopedic-Certified Nurses, Physical Therapists, Occupational Therapists and Social Workers

About Flagler Hospital

Flagler Hospital is a 335 bed acute care hospital that is consistently recognized nationally for overall clinical excellence. HealthGrades has ranked Flagler Hospital among the top 5% of all hospitals in the nation for the past 7 consecutive years, most recently naming it one of America’s Best 50 Hospitals in 2011. Flagler has also earned accreditation from the Society of Chest Pain Centers, the Gold Seal of Approval™ from The Joint Commission for Primary Stroke Care Centers and Center of Excellence Designation for its Bariatric Surgery Center.

13


Health & Medicine

Sick? …there is no place like home! independence and all within the confines of their own home. This editorial will define skilled home health care, some of the services offered and why is it beneficial.

can help share the knowledge and expertise of the more than 280 healthcare professionals across our continuum of care. In each issue we will address an area of interest to help consumers be even more informed about their health and wellness.”

Dr. Larry Lake is a licensed

psychotherapist and the CEO of BayView Healthcare, as well as its parent organization, the St. Johns Welfare Federation. Lake says “as a local non-profit healthcare provider, we are excited about how this FORUM

W

hat is “skilled home health care”? Home health care is skilled intermittent health care services provided by nurses, physical therapists, occupational therapists and speech language pathologists provided within the comfort of your own home with the goal to treat an illness or injury. Research has shown (medicare.gov) that skilled home health care is usually less expensive, more convenient and very effective in assisting you to recover from an unexpected illness or surgery. Since the 1920’s BayView Healthcare (known to many as the St. Johns Welfare Federation) has maintained a tradition and commitment to providing the

February/March 2012

Sandra Goode is the Patient Care Coordinator for BayView Home Health. She has a marketing and public relations degree from the University of Central Florida. She has worked in the home health industry for the past 10 years and sees home health as an innovative way to provide care. She is passionate about the benefit of skilled home health services, is an enthusiastic advocate for educating consumers about their health care options and sees home health as an integral piece in helping people retain their independence due to chronic illness or recovering from an acute health episode.

This FORUM focuses on skilled home health care. According to the National Association for Home Care and Hospice, approximately 12 million Americans receive home health care annually. Skilled home health care is a proven cost–effective service for people recovering from surgery, an acute health issue, a hospitalization or a decline in functional ability. Home health supplements care provided by family and friends, maintaining an individual’s

highest quality healthcare services and assistance to the citizens of St. Johns County and surrounding communities. The organization has expanded its healthcare programs over the years to provide a multi-level continuum of care that includes skilled in-patient short term rehabilitation and outpatient rehabilitation (BayView Rehab at the Samantha R. Wilson Care Center), two assisted living communities (Buckingham Smith and the Pavilion), emergency charitable assistance (BayView Charities), a seniors concierge service (BayView Neighbors) and BayView Home Health. Responding to the needs of the community, BayView Healthcare developed a skilled home health care division in 2006. Skilled home health care services are a vital part of our national healthcare

continuum. Skilled home health care also allows for a person to “age in place” and there is no place like the comfort of your own home. Treating an acute illness or a chronic disease~ Whether you are recovering from an illness or surgery, a rehabilitative stay, a hospitalization or have experienced a decline in your ability to do daily living activities such as bathing, grooming or dressing, skilled home health care is available for you. Home health care is ordered by your primary care physician. Our goal is to provide you with the highest quality of skilled care and services, under the direct guidance of your physician. Home health is dedicated to providing services to people who prefer to stay at home but whose health condition may

14

dictate they need a higher level of care that cannot be provided by their family and that would require the services of a nurse, physical, occupational or speech therapist. BayView Home Health offers specialized programs that licensed nursing and therapy clinicians have developed in order to better treat patients with chronic diseases at home. Some common chronic disease conditions covered under the Federal Medicare health insurance plan for skilled home health services include: lymphadema management, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), diabetes, wound management, chronic renal disease, coronary artery disease (CAD), chronic malaise/fatigue and chronic pain management. The professional clinicians that provide the needed skilled services in the home setting include: Registered Nurse (RN), Licensed Practical Nurse (LPN), Social Worker, Psychiatric Nurse, Physical Therapist (PT), Occupational Therapist (OT), and Speech Language Pathologist (SLP). Each of these home health professionals are specifically trained to take all measures to ensure that you or your loved one is able to remain at home rather than use residential, long-term, or institutional based nursing care. With an individualized plan of care specific to you and your needs, our qualified professionals are dedicated to helping you achieve your highest level of wellness, function and independence.


Health & Medicine care that allows you to enjoy the highest possible standard of treatment and services. With BayView’s continuum of care you can have a seamless transition from one level of service to another, for example going from an in-patient rehabilitation center back into the comfort of your own home.

Skilled Nursing: IV Therapy, medication management and education, wound care, pain management, disease management, patient education, psychiatric nursing, cardiac tele-health monitoring, clinical assessment and monitoring.

Physical Therapy: Working to restore mobility and strength through the use of exercise, neuromuscular re-education, orthotic or prosthetic training and other therapeutic modalities to restore range of motion, strength and conditioning, gait, balance and transfer training, pain and inflammation reduction, muscle strain and wound healing, lifestyle modification and safety education.

Occupational Therapy: Working to help you achieve or regain a higher level of personal independence with your activities of daily living, home and community reintegration, self-care management skills training, home modification recommendations and adaptive equipment instruction.

Speech Language Pathology: Use a variety of retraining and compensatory techniques designed to treat and manage swallowing, speech, language and cognitive disorders. Who is eligible? There are many different case scenarios that can qualify you for skilled home health care. Ask yourself some of the qualifying questions: • Does your current medical condition require a nurse, physical therapist, occupational therapist or speech therapist to work with you during your recovery? • Are you recovering from a surgery or a hospital stay? • Have you had a decline in your health status that requires skilled clinical care? • Is your current physical condition at a level where it is difficult for you to leave your home to receive medical care from an out-patient setting? Medicare is the primary regulator over skilled home health services. There are several requirements that must be met in order for patients to qualify for skilled home care. A physician must determine the patient is at a level where skilled home health services are needed. A patient must also be “home bound” while receiving skilled home health services and the prescribing physician must certify that the patient meets home bound criteria. A prescription must be written by your physician for skilled home health services.

We would be pleased to assist you or anyone you know who is in need of any Sandra Goode Patient Care Coordinator of the services provided BayView Home Health by BayView Healthcare. Please visit our website BayView Home Health works www.bayviewhealthcare.org closely with your physician and for further information or call family to coordinate a plan of (904) 829-3475.

Health & Wellness Forum

161 Marine Street, St. Augustine, FL (904) 829-3475 www.bayviewhealthcare.org

Q&A

Question: What does “home bound” mean? Answer: Given your current medical condition you do not have the physical ability to leave home often. When you do leave home it requires a considerable and taxing effort. Patients are allowed to leave home infrequently while receiving skilled home health services for things such as medical appointments and daily living necessities (grocery shopping and church). Question: What is the difference between home care and skilled home health services? Answer: The biggest difference is a higher level of care is deemed medically necessary by a physician for skilled home health services. Home Health provides skilled clinical care for a patient’s disease process or condition, while home care provides non-licensed personnel to assist with activities of daily living such as cooking, bathing and transportation. Question: Who pays for Skilled Home Health services? Answer: Home Health is generally paid for by Medicare, Medicaid, long-term care insurance or other private insurance plans. In the absence of insurance coverage, a patient may pay with private resources. Question: Where can I research information about Home Health agencies and my health care provider options? Answer: Medicare.gov is the official US Government site.

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 includes 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.

15


Health & Medicine

Have You Heard the Word “Lymphedema”? many more tips to keep your lifelong risk minimized. If you also had radiation treatments, the system has had a double blow. Here is a list of things to keep in mind.

I. Skin Care - Avoid trauma/injuryvand reduce infection risk

1. Keep extremity clean and dry and ap-

I

By: Susan Loosberg, CFM Owner, The Pink Door

f t you have had breast cancer surgery you likely have. However, hearing the word and knowing how it might affect you may not have crossed paths. Lymphedema is an accumulation of lymphatic fluid in the interstitial tissue that causes swelling, most often in the arm(s) and/or leg(s), and occasionally in other parts of the body. Lymphedema can develop when lymphatic vessels are missing or impaired (primary), or when lymph vessels are damaged or lymph nodes removed (secondary). When the impairment becomes so great that the lymphatic fluid exceeds the lymphatic transport capacity, an abnormal amount of protein-rich fluid collects in the tissues of the affected area. Left untreated, this stagnant, protein-rich fluid not only causes tissue channels to increase in size and number, but also reduces oxygen availability in the transport system, interferes with wound healing, and provides a culture medium for bacteria that can result in infection. In this article we will discuss lymphedema as it might affect the upper extremity as a result of a breast cancer diagnosis. If you had breast surgery with axillary dissection, you were likely told to ensure no needle pricks or blood pressure cuffs on the surgery side arm. That is a good start to managing the risk of developing lymphedema, but there are

ply moisturizer daily to prevent chaffing of skin. 2. Do not cut cuticles and be careful with razors to avoid nicks and skin irritation. 3. Protect exposed skin with sunscreen and insect repellent. 4. Wear gloves while doing activities that may cause skin injury (i.e., gardening, working with tools, using chemicals such as detergent). 5. If scratches/punctures to skin occur, wash with soap and water, apply antibiotics, and observe for signs of infection (i.e. redness). 6. If a rash, itching, redness, pain, increased skin temperature, fever or flu-like symptoms occur, contact your physician immediately.

II. Activity / Lifestyle 1. Gradually build up the duration and

intensity of any activity or exercise and take frequent rest periods during activity to allow for limb recovery. 2. Monitor the extremity during and after activity for any change in size, shape, tissue, texture, soreness, heaviness or firmness. 3. Maintain optimal weight.

III. Avoid limb constriction 1. If possible, avoid having blood pres-

sure taken on the at risk arm. 2. Wear loose fitting jewelry and clothing.

2. Wear a well-fitting compression garment for air travel (considered a significant preventive measure). V. Extremes of Temperature 1. Avoid exposure to extreme cold, which

can be associated with rebound swelling, or chapping of skin. 2. Avoid prolonged (>15 minutes) exposure to heat, particularly hot tubs and saunas (never above 102° F.). If you have a feeling of fullness, heaviness, aching in the breast/chest or arm, these are indicators of a possible case of lymphedema. Sometimes the feeling is fleeting and the fluctuation could be from activity or weather changes, but it does represent a struggling lymphatic system. Other signs to keep a look out for are skin feeling tight, decreased flexibility in the hand or wrist, difficulty fitting into clothing in one specific area, or ring/wristwatch/bracelet tightness. Being aware of any changes is crucial to attending to the symptoms before the lymphedema becomes a significant problem. If you think you might have lymphedema you should make every attempt to be evaluated by a Certified Lymphedema Therapist. This could well be a visit for peace of mind, but it also could lead to proper treatment and management of the condition by using their special training in Com-plete Decongestive Therapy. This is a four part therapy to help your body clear itself of metabolic waste and protect you from pathogens and toxins. The parts are Manual Lymph Drainage, compression, skin care and exercise. The therapist will use these steps in

Night Time Arm Sleeve

Bellisse Compressure Bra

the treatment plan and teach you how to self manage the condition. There are many specialized garments to help move the fluid and maintain circumferences in the arm. Some are for daytime wear, some are for nighttime wear. If the condition develops in the breast, chest or back, there is a very specialized garment to do that work. Also, with a breast cancer diagnosis there are a number ways to receive financial assistance for these garments. Be well-informed and your own advocate.

IV. Compression Garments 1. Should be well-fitting and support the

at risk limb with a compression garment for strenuous activity (i.e. weight lifting, prolonged standing, running).

306 Oak Street ◆ Palatka, FL 32177 (386) 328-9424 www.pinkdoor.org

Susan Loosberg 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.

February/March 2012

16


Health & Medicine

S

The Beauty of Blame

o you are thinking this article means I get to bring order to the world by judiciously assigning the pieces of blame where it rightly belongs? Well, yes and no. Yes, in that the piece we want to focus on is primarily you and, no, in that if you learn to use blame as source for personal growth, your life, insight and happiness will change dramatically – we promise! “Out beyond ideas of wrongdoing and rightdoing there is a field. I’ll meet you there.” Rumi (Choosing the Spirit vs. living in the EGO- Edging God Out) In this diagram, the thumb represents our spiritual antenna or connection to the infinite source of the universe which most of us define as God; the index finger points to another’s wrongdoing and, interestingly, when I point the finger at you, the other three fingers are pointing back at me and provide infinite wisdom as to the source of irritation within me that is desperately seeking to be healed.

Spiritual Antenna

Requesting Behavior Change in Another Looking Within: Am I Projecting It? A Deep Wound of My Own? My Relationship With God?

The index finger shows that I often must teach others how I will and will not be treated. Psychotherapists help clients manage their boundaries by using the healthy assertiveness technique called I Statements: “When you do this behavior (describe), I FEEL (describe). In future, I would appreciate if you could do this (insert behavior) instead. Thank you.” This way of managing others is effective because you are focusing on another’s behavior and not the character of the person. I Statements are very useful!

But the far more interesting, effective and simultaneous approach is to look at the conflict as an opportunity for personal insight and growth by simply looking within and asking yourself the following three questions: 1) “Am I the one who is really upset about something and this person’s behavior is primarily reflecting back to me how I feel about other things currently going on in my life?” 2) “Does this feeling inside me seem similar to a childhood or current wound that is seeking release?” 3) “Or, is this God’s way of showing me the state of my relationship with Him?” Sometimes you will get an answer and often you will not, but, the mere willingness to look within sets off a process allowing the conflict to dissipate or dissolve entirely in your subconscious. The more you practice, the deeper the peace you will experience. This approach to resolving conflict is transformational if you will accept personal accountability for what you are feeling and never blame another without looking at yourself first. Conflict is always a growth opportunity for both parties and, besides, you can always choose happiness no matter what is going on in your life! Amazingly, the following quotes are found in our daily readings of today, January 20th (2012), the day we write this article. Reflecting deeply on these should help you awaken to the Beauty of Blame as a means of increasing your daily experience of joy and happiness. If you need anything more than this or some additional help, we are only a phone call away:

Kathleen Abbott, Licensed Mental Health Counselor & Clinical Director

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

Now is the Victory. I am with you. I am delivering you. But look for deliverance not from circumstances alone, but deliverance from the self-ties that bind you to earth and hinder your entrance into that kingdom of service in which there is perfect freedom. All is well. You shall rise to newness of Life. You cannot fail to rise as you free yourself from the toils and sins and failures that bind you to earth. No past sins can enchain you. You look to Me and are saved. They are all forgiven. Conquer your faults with My Strength now, and nothing can prevent you from rising, nothing that is past. A. J. Russell – God Calling 2

The Moment. I will be quiet and experience the moment. When I accept that the day before me is a teacher, that it has within it as many of the deepest components of mystery, love and God as any moment of daily teaching or doctrine could contain, then to experience the moment is to experience the soul. It is not that the search is not fascinating or exciting or even enlivening, only that there are no answers – at least none based solely on intellectual belief systems. To see the answers in those systems is to simply rearrange the question and find a partial answer. The experience of soul is the acceptance of the moment in which both the question and the answer dissolve and become irrelevant. Tian Dayton – The Soul’s Companion

Are You Fresh For Everything? Being born again by the Spirit is an unmistakable work of God, as mysterious as the wind, and as surprising as God Himself. We don’t know where it begins – it is hidden in the depths of our soul. Being born again from above is an enduring, perpetual and eternal beginning. It provides a freshness all the time in thinking, talking and living – a continual surprise of the life of God… If you are dependent on something else as your source of freshness and strength, you will not realize when His power is gone. Being born of the spirit…gives us new vision and keeps us absolutely fresh for everything through the never ending supply of the life of God. Oswald Chambers – My Utmost for His Highest

ST. AUGUSTINE’S BEST COUNSELORS

17

Science & Spirituality for Mind & Body Kathleen Abbott, LMHC John “Jack” Jones, LMHC Betsy Zylkowski, LMT John N. Green, LMT Liggett M. Cato, CECP Mark J. Fitzpatrick, MA Interns & Associates COUNSELING SOLUTIONS FOR ANY AGE & ALL CONCERNS MASSAGE THERAPY WITH A SPIRITUAL-ENERGY APPROACH FAMILY MEDIATION & PARENTING COORDINATION

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 • www.TheLifeSourceGroup.com

248 Southpark Circle East • Saint Augustine, FL 32086


Health & Fitness Drink Coffee, Burn Fat!

Boresha has 3 pathways for burning fat from the body Thermogenesis Addressing the Obesity Gene Lipolysis

B-Skinny Latte Chocolate Raspberry

B-Skinny Coffee™

Made With Real Dutch Cocoa Dr. Ann de Wees Allen®, Renowned Clinical Researcher, took chocolate candy and turned it into a FAT-BURNING CHOCOLATE CANDY DRINK. Low Glycemic • Instant Thermogenic Café • Helps Control Appetite • Switch from fat storing to fat burning

CodeBreaker™

Boresha® Sweet Berry Meal Replacement Shake

Thermogenic Fat-Burning Coffee The First Low Glycemic Coffee Patent Ever Awarded • Switch from fat storing to fat burning • Patented Hunger Control • Low Glycemic Balanced Energy • Thermogenic Fat-Burning • Buffered Caffeine • Combats Stress-Related Eating

The first & only Lipolysis Formula that helps the body produce Nitric Oxide CODEBREAKER™ L-Arginine helps your cells to produce Nitric Oxide which supports energy, immune, circulatory, and vascular health When the body releases lipid, or fats, from its fat stores a process known as lipolysis occurs. Unlike Boresha’s other Thermogenic, Fat-Burning products, which work efficiently via DIT (Diet-Induced Thermogenesis), CODEBREAKER™ is completely different.

Fast-Easy-Instant • No Isoflavones • No Soy Proteins • No Maltodextrin • Only 60 Low Glycemic Calories per serving • 18 Key Vitamins & Minerals including Folic Acid • 100% Daily Value of Vitamin C • No High Glycemic Carbs or Sugars • Lactose-Intolerant Friendly

Nuvo Gene Tea®

Nuvo Gene Tea® is a patented, safe and efficacious product for weight management, fat-burning, hunger-control, and high energy levels. Nuvo Gene Tea® is the only non-drug product that addresses genetic risk-factors for obesity in humans. DIT Thermogenic Fat-Burning (Diet-Induced Thermogenesis), • Maximum Natural Energy • Hunger & Stress-Eating Control • Anti-Glucose Matrix • Beating the Obesity Gene

B-Sweet™

Natural Fruit Sweetener B-Sweet™ is the first and only Low Glycemic, natural, Non-Cephalic fruit sweetener ever developed. B-Sweet™does NOT contain High Glycemic Fruits or other High Glycemic Ingredients

These revolutionary products have changed my life! I have lost 2 dress sizes and normalized my blood sugar! Try these all natural products today and see what they will do for you!

February/March 2012

18


Life Services

What Does A Funeral Home Do For the Family of the Deceased?

Presented by: Linda Roy Licensed Funeral Director/ Embalmer Craig Funeral Home

W

hen a death occurs, there are certain criteria, mandated by law, which must be recognized and requirements fulfilled as a routine matter. Beyond this, the coordination of services and disposition choices are determined by the family. The staff of a funeral home will assist you and offer any guidance you may require in your time of need.

The following are services with which a Funeral Director will assist you:

• The transfer of the deceased from the place of death to the funeral home. • Professional care of the deceased, which may include sanitary washing, embalming, dressing, hair dressing, cosmetology, and casketing. • An arrangement conference with the family to plan specific details for the funeral. • Locating the deceased’s doctor to sign a death certificate; then filing this certificate at the local health department; obtaining the requested amount of certified death certificates for the family. • Obtaining all necessary permits and authorizations, as required.

• Preparing an obituary to be placed in any newspapers requested by the family. • Contacting local cemeteries or crematory, as required. • Care and arrangement of floral pieces, and delivery to the family’s residence after the funeral. • Arranging for Pallbearers and motor equipment, including limousines, as required. • Ordering special floral pieces at the family’s request. • Arranging for Cash Advances for cemetery expenses, clergy honorariums, music, funeral escorts, and custom acknowledgments. • Contacting Fraternal or Military organizations to take part in the ceremony. • Arranging for a personalized remembrance package, consisting of a guest register book, memorial folders, acknowledgments. • Assist with Social Security and Veteran benefits. • Filing of life insurance claims. • Alternative Services If a family chooses not to have a service with burial or entombment, a funeral home can offer cremation options, immediate burial plans, and anatomical donation.

Why Funerals Are Important • • • • • • •

Initiates the grieving process. Acknowledges the importance of a life that has been lived. Can be personalized to allow mourners to remember and honor their loved one in ways that are special and meaningful. Serves as a central gathering place for family and friends to give emotional and physical support to one another. Provides closure for the bereaved. Confirms the reality and finality of the death. Encourages mourners to face the pain of their loss and express their

• •

thoughts and feelings. Helps survivors to better cope with their grief and assist in enabling them to move on with their lives. Provides a context for expression of religious and other beliefs.

• Grief shared is grief diminished and grief denied is grief delayed. Consult your Funeral Director regarding ways to help make the funeral you are arranging more meaningful.

Linda Roy is a native of Milwaukee, Wisconsin and is a graduate of the University of South Carolina, where she received a BA in Business with a major in Marketing. She is married to Jason Roy and they have two sons, Christopher and Brian. After staying home with her children, Mrs. Roy returned to school in 2003 and earned an AS in Mortuary Science from FCCJ. Linda served her internship and has worked for Craig Funeral Home as a licensed Funeral Director and Embalmer for the past 5 years. “My goal after becoming a LFD was to work for an Independent/ family owned funeral home that offered the highest level of service and still believed that caring about the people they serve was an essential part of their business. Craig Funeral Home has been serving the families of St. Augustine and all of St. Johns County for the past 95 years with dignified and respectful funeral and cremation services. Always sensitive to the needs of the people of St. Augustine, they were the first funeral home in St. Johns County to own and operate their own cemetery, crematory and Cremation Society. Craig Memorial Park is the only local cemetery that offers traditional ground burial but also offers families the option of both public mausoleums and cremation niches. An expansion and beautification project is underway to serve the future needs of our county. Dedicated to a tradition of caring for everyone as if they where our own family, we will be stand ready to be of service to all who need our services any hour of any day”.

19


Life Services

Patients and Families Feel at Home at Community Hospice Inpatient Center

By Bea Murawski, RN Patient Care Administrator for Bailey Family Center for Caring of Community Hospice of Northeast Florida

S

t. Augustine resident Margarrett Hall was delighted when the Bailey Family Center for Caring of Community Hospice of Northeast Florida, the homelike inpatient facility located on the Flagler Hospital campus, opened in January last year. Margarrett took notice at that time mostly because she thought she might need the care for her daughter, Shari Hall Jordan.

For several months, Shari received in-home hospice care from Community Hospice. This holistic care includes nursing, hospice supplies and medication, as well as psychosocial and spiritual support for her and her family. As Shari’s illness progressed and she needed more intensive care, her mother relied on the resources at the Bailey Family Center. Shari was one of the first patients cared for at the new inpatient facility. “When Shari got to the point that I needed more help, I was relieved to know that the Bailey Center was available. Having experienced Community Hospice care at her home, I knew that the most caring, knowledgeable and understanding people would be by my side and be there for her in her final days,” Margarrett says. “They not only took care of my daughter beautifully while she was there, the staff took care of me, too—always being concerned about my welfare, always asking how I was doing.”

According to Margarrett, fate played a hand in Shari’s care. Months earlier, Margarrett had donated yarn to the St. Johns County Council on Aging’s Happy Hookers group, which crochets afghan coverlets for hospice patients and family members. As Margarrett spent time with Shari, sleeping in the recliner by her bedside, she was comforted by the afghan that had been crocheted with her donated yarn. “After Shari died, the staff washed and cleaned the afghan and gave it to me with their love,” she said.

“They not only took care of my daughter

beautifully while she was there, the staff took care of me, too—always being concerned about my welfare, always asking how I was doing.

February/March 2012

20

Established in 1979, Community Hospice of Northeast Florida serves residents of Baker, Clay, Duval, Nassau and St. Johns counties. Each day, 850 employees and 750 volunteers help 1,200 patients and their families live better with advanced illness. No one is ever denied care due to an inability to pay. To learn more about Community Hospice and the care provided in St. Augustine, including the Bailey Family Center for Caring, visit communityhospice.com, or call 904.824.3735.


Why

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

Kathleen Abbott, Managing Partner, MSW, LMHC The LifeSource Group

John R. Jones, Jr, Managing Partner, MBA, MA, LMHC The LifeSource Group

“Working with Anthony and The Woman’s Journal has been a tremendously rewarding experience for our clinical counseling practice. We are reaching individuals and families who may or may not have heard of us, but most importantly, by reading our articles, they grow far more comfortable with the counseling process and who we are as therapist. It’s as if we are already having our first session together, addressing expectations and uncertainties that are part of the deeply rewarding experience of psychotherapy. When the phone rings (and it does far more frequently now), our readers already feel a sense of knowing us and, we too, feel a special connection with them when they say they saw us in The Woman’s Journal. Finally, the publishing deadlines become a gift by forcing us to focus on the most important issues impacting individuals and families within our very special community. Thank you Woman’s Journal!” - John R. Jones and Kathleen Abbott – The LifeSource Group

“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 increas ed our business.” Yvette Schindler – The Present Moment Café “The Woman’s Journal has been a great asset to our community. I love sitting in doctor’s offices and watching people pick up the Journal and enjoy the articles. It has certainly spread the word about our mission at St. Gerard Campus. We have had the opportunity to touch people’s minds and hearts with the plight of pregnant teens and teen mothers who otherwise might not have had the opportunity to finish high school and make a better life for themselves and their children. Through the Woman’s Journals we have been able to share the success stories of our graduates. We thank the Woman’s Journal for bringing attention and awareness of issues facing women today.” Maria Gleason - St. Gerard Campus, Inc. “I would like to thank you both, Suzanne and Anthony, for the exceptional service and product that you have provided BayView Healthcare with since 2009. Your customer service over the years has been outstanding, your product excellent and your guidance unmeasurable. The Woman’s Journal has offered us an excellent vehicle to provide educational and informative health care information to members of our community. BayView Healthcare holds a strong belief in the importance of empowering healthcare consumers with education and knowledge. We know that being informed consumers reduces the stress of the unknown, can facilitate health-care decision-making and allows patients and families to be in the driver’s seat of their health, rehabilitation and their ultimately their future. BayView Healthcare is the leading multi-level continuum of heath care provider in St. Johns County and surrounding areas and the Woman’s Journal has been instrumental in helping us connect with members of our community at a new level. Not only have we been able to showcase our specialty programs, our clinicians, and explain every aspect of our continuum of care, but we have also been able to educate and give hope that help is out there. Each and every week, we speak with members of our community who have read about us in the Woman’s Journal. You have proven yourself to be very community-minded, very supportive of our organization and we are loyal contributors to your journal. Thank you. We appreciate you.” Anita Portman – BayView Healthcare “From professional offices to public libraries, and even the regional airport, my clients and future clients can find me in the St. Augustine Woman’s Journal. Great distribution and content.” J. Russell Collins – Rusty Law “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 Loosberg – The Pink Door “Thank you, Woman’s Journal for your many contributions to our community! Your paper is full of important information on issues that affect the quality of life for all of us who live in St. Johns County. I can’t tell you how many times someone has asked me for details about something they read in the COA column in your magazine...probably because the Woman’s Journal is one of only a very few publications that everyone I know reads from cover to cover...and because your distribution is awesome... this magazine is everywhere! People really do come up to me and say, “I read about you in the Woman’s Journal while I was at the library...or waiting at the doctor...or in my dentist’s office...!” Or better yet, “I know you...you’re in the Woman’s Journal!” You rock!” Susan Johnson – Council on Aging Being a contributor in The Woman’s Journal has benefited me and my company a great deal. It continually proves to be an excellent marketing tool for our services and goes “beyond local” to attract customers to our door. It’s an appealing, informative and popular publication that gets results. Betty Carvajal, PhD – Ponce Home Medical Equipment, Inc.


Business & Finance

How Online Marketing is Like a Bad Breakup left, so it’s going to be up to you to figure it out on your own. The exception to this rule, of course, is when your company messed up badly enough that it’s obvious to everyone why they took their business elsewhere. In those cases, learn from the experience, improve your customer service, and move on.

B

By Jay Owen Owner, Design Extensions

estselling books and blockbuster movies are continually filled with the theme of heartache. That’s because most of us have, at one point or another, known the terrible, sinking feeling that comes with losing someone we love. Of course, online marketers can feel the same way when they see their best customers slipping away. While you might not feel the same kind of depression over a missing account or decreased orders that you do when you lose a lover, either one can keep you up at night wondering what went wrong. And, believe it or not, there are some similarities, both in the way you are left and what you can do about it. Here are some bad breakup tips you can use to fix your online marketing plan: Don’t expect your departed customer to tell you what went wrong. You can ask all you want, but once a customer is gone, they aren’t likely to give you the real reasons they

February/March 2012

You can learn a lot from your customer’s next partner. If you really want to know why someone isn’t buying from you anymore, figure out who they are buying from now. What does that vendor offer that you don’t? Often, if you lose out on a big account, it isn’t that difficult to find out where it went. Or, if you’re noticing a trend of smaller orders dropping off, see if you can find out which of your competitors is benefiting the most. Either way, you’ll learn something about what they are offering that you can’t match. Sometimes it really is about the simple things. Differences in price, a more competitive product, a cleaner online reputation, or even better site layouts and navigation structures can all be obvious reasons that a customer might stop responding to your online marketing efforts. The answers are usually simpler than we think, so look for the big explanations first. Losing customers is tough, but the pain doesn’t last forever. Follow these tips, find out why your online business isn’t stacking up, and then use the knowledge to either win your buyers back or find new ones. And if you want even more powerful tools to bring in those new clients, or find the lost ones, Give us a call at Design Extensions. We’d love to help.

“While you might not feel the same kind of depression over a missing account or decreased orders that you do when you lose a lover, either one can keep you up at night wondering what went wrong.”

Jay started Design Extensions in St. Johns County 12 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 three sons (Hayden, Oliver, & Lincoln).

22


Legal

Little Tin Soldier and Doll – Joint Tenants

T

By J. Russell Collins, Attorney

here once was a Little Tin Soldier who fell in love with a Doll. The soldier had been injured in the war and had only one leg, but he was fit to give his heart to whom he loved. He had seen the doll wearing a dress decorated with golden spangles. Her arms were outstretched for she was a ballerina, and one of her legs was raised so high it was hidden in the folds of her dress. Since the tin soldier could not see the leg, he supposed that she, like himself, had only one leg, and that they would make a marvelous couple. He was so in love with her that he hopped over and asked her to live with him. Doll was indeed very beautiful and she loved beautiful things, like her dress with the golden spangles. She saw Little Tin Soldier as a handsome military pension, and immediately she said yes. So he bought her a fine dollhouse with a mortgage and put both their names on it, titled as “Little Tin Soldier and Doll, Joint Tenants with Rights of Survivorship.” This created a tenancy where if one should die, the other was the owner of the property and the claims of any heirs would not matter. The survivor was the owner. Little Tin Soldier started to live what he thought was happily ever after, but to his surprise, Doll had her eye set on

G.I. Joe…she had already maxed Little Tin Soldier’s credit cards. Little Tin Soldier kicked her out immediately. He broke their Joint Tenancy by writing a deed to himself for his undivided one-half interest. But he still loved Doll. Despite G.I. Joe and despite trashed credit, Little Tin Soldier could not stop loving her. He was consumed by the fiery flames of passion which melted his body into a little tin heart. Doll went to Little Tin Soldier’s funeral with her new beaux, G.I. Joe… and with the mistaken knowledge that she was the sole owner of the dollhouse that Little Tin Soldier had purchased. Doll was greatly surprised to learn about Little Tin Soldier, Junior—Little Tin Soldier’s heir—and that Little Tin Junior was now the owner—the right of survivorship had been broken without her knowledge or consent. Her fairytale had become a cautionary tale—as a Joint Tenant, Doll had only been “living with” the right of survivorship, but not married to it.

In Florida there are three basic co-tenancies to hold real estate title, and each of them have their own “unities.” • Tenancy in Common - The only unity is Unity of Possession. Each person in the co-tenancy had the right to possess the property. The parties can own the property in whatever percentages they want. Any party can sell their interest to anyone without notice to the other owners. • Joint Tenancy with Rights of Survivorship – There are four unities: 1. Unity of Possession (just like Tenancy in Common) 2. Unity of Time (the co-tenants must take title at the same time) 3. Unity of Title (they must take title on the same instrument) 4. Unity of Interest (each party has the same percentage interest as the others)

Any of the co-tenants can break the joint tenancy with rights of survivorship by conveying their interest to anyone else. • Tenancy by Entirety – This includes the unities of Joint Tenancy with Rights of Survivorship plus the Unity of Marriage, which subscribes to the legal fiction that husband and wife are one entity. As long

as the marriage is intact, neither can break the tenancy nor otherwise convey the property. However, upon the dissolution of the marriage, the property is automatically held as Tenancy in Common. So, when you take title, it might be wise to get out of fairytale land. Seek competent legal advice so your ever-afters wind up where you want them.

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.

23

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.


Photo by Christine Cousart www.cousartphotography.com

Women in Profile

Kathleen Vande Berg Director, St. Augustine Community Chorus “Music education has been my life’s passion. I am blessed to be involved in music in my retirement and as a conductor, I believe that I am still foremost an educator. The questions governing my rehearsal remain the same as when I was teaching: “How can I best communicate and teach the concepts in this music to my singers?” “What is the best way to impart the style and musicality involved to choir members of varying levels of training and ability?”

K

athleen (Kathy) Vande Berg received her Bachelor of Arts degree in organ performance, summa cum laude, from Central College in Pella, Iowa and a Master of Music, magna cum laude, from Georgia State University. She has served as an organist/choir director in Presbyterian and Episcopal Churches in New Jersey, Virginia, Georgia and New York, and Florida.

Shirley Barber St. Johns County Agriculture Center

S

hirley returned to her home state of Florida in 2004 after years of chasing career opportunities in other areas of the country. The fabulous weather, great beaches and warm residents made St. Augustine an easy choice. Shirley has been a Realtor’s assistant with Davidson Realty in St. Augustine for nearly six years and supports the Top Selling Realtor® Suzy Evans. Her flexible work schedule allows her to pursue her passion of creating beautiful gardens. Shirley is a volunteer Master Gardener with St. Johns County and a lifelong gardener with a focus on community service. She has designed and contributed to public gardens in Georgia, Texas, North Carolina and Florida. She designs the award-winning flower gardens at the St. Johns County Agriculture Center Arboretum and donates and installs thousands of plants in these gar-

February/March 2012

Her career as a music educator has been in elementary, middle and high school settings in Atlanta, GA and White Plains, NY. In this capacity, Kathy was extensively involved in professional organizations in a leadership capacity. Her Atlanta Jazz/Show Choir, PEACH was featured in national choral magazines and won superior ratings in jazz and show music at festivals throughout the southeast. In 1983, she was honored as the “Teacher of the Year” by Fulton County Schools, Atlanta, GA. For fifteen years, Kathy was the vocal coach/director of the annual spring musical at White Plains High School where they presented productions ranging from “The Wiz” to “Guys and Dolls”. Their production of “Into the Woods” was nominated for best show by the Helen Hayes Theater Educational Foundation in 2001. The school choir has been featured at the United Nations as well as county-wide commemorations of 9/11. Since moving to St. Augustine in 2003, Kathy has taught at Flagler College, been involved as a member and Director of the St. Augustine Community Chorus, an accompanist for First Coast Opera and is also the director of the St. Augustine Singers. In addition to taking ballet and tap classes at the Council on Aging, she also serves as an Honorary Member of the EMMA Concert Board, and active member of the boards of a number of local organizations First Coast Opera, Romanza, Cyprian Center for Expressive Arts, and the St. Augustine Community Chorus. Kathy’s husband, Jim, is a Presbyterian Church USA clergyman who retired as the Executive Presbyter (bishop) of Hudson River Presbytery. He was an adjunct professor at McCormick Theological Seminary in Chicago and serves as a consultant for the Board of World Missions for the Presbyterian Church USA. They have two daughters – Jocelyn and Kirsten.

dens each year grown from seed and cuttings at her home in World Golf Village. Shirley authored award applications for Master Gardeners’ projects, resulting in two first-place awards from the University of Florida and a Top 3 Award from the International Master Gardeners Conference. “My mission is to educate and to provide a venue for the community to enjoy the awesome beauty of nature, flowers and wildlife. The future of agriculture depends upon giving children exposure to the fascinating world of plants.” Shirley delivers her message through lectures on her favorite topic: “Beautiful Gardens Begin With the Seed.” The gardens at the St. Johns County Agriculture Center and Arboretum are free and open to the public daily. Take advantage of this peaceful setting to stroll through the gardens, watch butterflies and birds, have a picnic by the lake, and enjoy Shirley’s flowers.

24


Photo by Christine Cousart www.cousartphotography.com

Women in Profile

Amy Smith Practice Manager Coastal Foot & Ankle Wellness Center

A

my Smith was born and raised in southern Ohio. She moved to Florida thirteen years ago with her husband, Michael and their son, Jacob. After having decided to relocate to Florida, she and her family visited several cities throughout the state. Traveling north along A1A, it was when they came across the Bridge of Lions into historical, downtown St. Augustine, that Amy knew she’d found her home. Amy spent her first couple of years in St. Augustine as a stay-athome Mom, enjoying the beautiful Florida weather and the family outings to the beach or Treaty Park. As her son approached school age, Amy re-entered the workforce, with a strong desire to work in the medical field. She was hired to work in the offices

Nicole Nettles Owner Blue Water Jewelers

N

of Dr. Jose Concha, DPM and Dr. Richard Johnson, DPM. After a year and a half she was promoted to the position of Practice Manager and this year marks her 11th year with the doctors. In January 2010 she was excited to help them launch their own practice, Coastal Foot & Ankle Wellness Center, and be a part of establishing a podiatric practice unlike any other in this area. “I’ve always wanted to help people, to do something that could make the day a little brighter for someone else,” says Amy. “Working for Drs. Concha and Johnson has allowed me to do that. We’ve been able to create an environment where our patients are like family to us-- not just some random chart number. From the doctors to every other member of staff, patients know when they walk through these doors that we are here to help and that we genuinely care about them.” As part of Coastal’s community outreach, Amy has participated in collecting toys for Toys for Tots, non-perishable food for the St. Francis House and children’s books for the Betty Griffin House, as well as supporting causes like Tips for Kids (benefiting Big Brothers and Big Sisters) where the doctors donate their time annually as celebrity waiters. “I couldn’t imagine living or working anyplace else where I could be this happy.”

nity. St. Augustine Young Life, St. Augustine Junior Service League, St. Augustine Children’s Museum, American Cancer Society, and SAYS are some of the local charities Nicole enjoys being a part of. “One of the most rewarding things is to have the choice to freely give back to those in need. You truly reap what you sow and God has really blessed us.

icole grew up in the Jacksonville Beach area and met her husband Robert while going to college. Nicole and her husband Robert moved back to St. Augustine in 2005 were they really enjoy water sports and fishing. They are about to have their first baby in March and look forward to all the exciting things ahead. Nicole & her husband, Robert, opened Blue Water Jewelers in September 2006. Blue Water Jewelers strives to create and sell jewelry you will not find in other stores. There are 2 master jewelers on site for all repairs & custom design. Nicole is able to use her graphic arts degree by helping clients create their own custom design pieces and many times re-creating what they already have into a beautiful new piece of jewelry. Blue Water Jewelers is also passionate about giving back to the commu-

25


Community

Sound the Trumpet!

Then I heard the voice of the Lord saying, “Whom shall I send? Who will go for us?” “Here I am,” I said; “send me!”…………Isaiah 8

D

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

o you hear the call? Time is flying! How do we spend the hours of each day? Are we doing something to help others, maybe helping keep a roof over the heads of a poor family, supplying food, or just holding their hands in a time of great sorrow? The time you spend sharing yourself will bring a smile to your face and peace to your heart. Christmas this year at St. Gerard Campus was blessed! So many of you gave such generous and beautiful gifts, not only to make Christmas brighter for our young women, but many of you gave gifts to the little ones….our babies. What a joyful occasion, so many smiles and a few tears of happiness! To all the churches and organizations that helped…a heartfelt thank you. The telephones have been non-stop. We have eight mothers looking to place their babies in loving homes and for the first time in St. Gerard Campus history, we actually ran out of prospective parents. Problem solved…we had an adoption seminar for prospective parents and enrolled 10 new families. Our first adoption of the new year went without a hitch and a beautiful baby girl was born. After tons of paperwork, she was given to her new parents and the birthmother was able to get back on her feet and return to work, happily knowing her baby was going to a qualified, loving family. In the middle of all this, a little one was born prematurely to one of our dormi-

tory students. Rushed to Shands Hospital via ambulance in the middle of the night, this tiny 3 pounder is now 5 ½ lbs. and has been sent home, much to her mother’s delight. We help all the young pregnant women every day to overcome and address the obstacles that stand in their way. Now, in addition to all that, one of our little babies born in late December, was born with a heart problem and is in Wolfson Children’s Hospital on oxygen. Please pray for him. This little boy’s mother, our student, is also hospitalized with a medical disability causing her chronic pain. It has been advised she needs surgery again, but because of her son’s condition, she will not consider herself even for one moment. Her family is being evicted from their home as her own mother cannot work due because she is 5 months pregnant. This young girl is only 15 years old! We had eight new students enroll, students looking for jobs and students in labor. We have 5 newborns in the back of the classroom. How exciting! The new little ones need extra loving care, so as we keep the girls on task so they do not get behind in their schoolwork, we teach the young mothers care for their newborns also. Our teachers are putting in quite a bit of overtime! The school has been so busy that we had to add an extra van run. (By the way, we need drivers…HELP) And so, life goes on, bills need to be paid, school work continues and there are goals to be met. Is there a light at the end of the tunnel? I suppose what we needed was to know and understand that the work we do is in God’s hands. Some days it was hard to smile. I could see it and feel it in my team. How could I give them the encouragement they needed to know that what they were doing was “right”? Well, God is wondrous and just in the nick of time, he provided an answer. I was delightfully surprised to see one of last June’s graduates. She was stopping by to see if she could speak to our current students about St. Gerard, staying in school and what St. Gerard did for her. She attends college and is a

UPCOMING EVENTS

The Crosses Installation will take place on February 18th (rain date February 25th) at Prince of Peace Church in St. Augustine at 9am. Bring your family, friends and hammers as we “hammer” home the message about the destruction of lives through abortion. We will install 4,000 crosses to honor the innocent lives lost every day in America. Sign up by calling 829-5516. Students: Earn your Community Service Hours! Thank you to all that contributed to the Crosses Fund. We have been able to replace most of the damaged crosses thanks to the work donated by the young men of Our Lady of Hope. The Run for Life will begin this year in Homestead, Florida on February 18th and runners will finish the grueling 9-day journey, in St. Augustine on February 26th at the Big Cross near Prince of Peace Church. At 11:30 am, our Bishop Estevez will bless the runners when they arrive with The Knights of Columbus, in full regalia. The Run for Life raises funds for maternity homes throughout Florida, including St. Gerard Campus. The nine-day vigil is a novena of prayer for babies who are denied their right to be born. Their sacrifice provides hope and renewed commitment by bringing Christian people together in prayer and fellowship. At 12 noon, a celebration mass at Prince of Peace Church and a rose ceremony to remember each year of Roe vs. Wade will be held. Following the Mass, and in the runners’ honor, is a luncheon, sponsored by A1A Ale Works, at 1:30 pm at the Elks Lodge #829, located at 1420 Highway A1A South in St. Augustine. Tickets are adults $20.00/children under 12 $3.00. Purchase tickets by calling 829-5516. The 3rd Dart for Art will be held on March 10th at the Cultural Center at Our Lady Star of the Sea Church in Ponte Vedra. Tickets are $175 per person and $250 per couple. Tickets entitle you to “dart” for an original piece of artwork created by artists of local, regional, national and international acclaim. Each piece of artwork is valued at more than $1,000. This event, at the Cultural Center of Our Lady Star of the Sea Church in Ponte Vedra, begins at 6:30 pm. Come join the fun and be part of one of the most unique cultural events around! Gourmet cocktails and heavy hors d’oeurves will be served. For tickets and information please go to www.dartforart.net, or call 904-543-0213. Art donations are being accepted. If you know someone who might be interested in corporate sponsorship, please contact John Clegg at 904-273-6034.

recipient of a Bright Futures Scholarship and some grants to help her pay for college. She came as an inspiration! Coincidently, two other students showed up on the same day, to do exactly the same thing! One young lady is employed in a job she loves and the other just completed her courses from First Coast Technical and had graduated that day as a Medical Assistant. Well, inspire they did! Not only were our students excited to hear what they had to say, but the entire staff was inspired and recommitted to forge ahead tackling any hurdle put before them. Thank you God for answering my prayer! I am so thankful for my wonderful staff and their belief in our mission. It is amazing; we are only one month into the new year!!!

27

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

(904)829-5516

www.stgerardcampus.org


Community

Memory Loss Affects the Entire Family ~ COA Can Help! if it means neglecting the health and wellness needs of the caregiver. The Council on Aging is making every effort to ensure that caregivers in St. Johns County have access to professional advice and support. For example, caregiver support groups are scheduled at all three of the COA community centers on a regular basis and anyone who is providing care for a loved one is welcome to attend. The support groups are free of charge, provide an excellent source of information and encouragement and are scheduled as follows: by Susan Johnson, COA Communications Coordinator

T

he number of St. Johns County residents currently dealing with the challenges of Alzheimer’s Disease or other forms of memory loss or brain trauma now stands at almost 5,000. While this is a staggering statistic, the implications are even more sobering. What this means is that, for each of those 5,000 individuals, there are either loved ones or professional care team members serving as caregivers. Health care professionals agree that the job of caregiver is both rewarding and challenging. They also caution that it is almost impossible to provide optimum care for a loved one

Coastal Community Center 180 Marine St. 7 pm on the 2nd Wednesday of every month Call 209-3700 for details. River House 179 Marine St. 1:30 pm on the 3rd Thursday of every month Call 209-3700 for details. The Players Community Senior Center 175 Landrum Lane in Ponte Vedra 2:30 pm on the fourth Thursday of every month. Call 280-3233 for details. Please call Paulette Kozlowski at 209-3690 for more information on caregiver in-home training or caregiver support.

Susan Johnson is the Communications Coordinator for the Council on Aging, 180 Marine St. and the editor of gus! magazine, a publication of the COA and the St. Augustine Record. She can be reached by phone at (904) 209-3693 or by e-mail to sjohnson@stjohnscoa.com.

February/March 2012

In addition to caregiver training, the COA has designed and implemented Memory Enhancement Workshops, offered at neighborhood locations throughout St. Johns County. These workshops are ideal for individuals who are concerned about their memory loss and/or for those interested in learning techniques and exercises to help with all areas of brain function. Classes include the study of the brain and it’s function, mental exercises, guided meditation, chair aerobics ~ even aromatherapy and laughter therapy! Sound too fun to be effective? Consider this information on laughter, meditation and your brain! (Taken from helpguide.org)

meditation helps improve many different types of conditions, including depression, anxiety, chronic pain, diabetes, and high blood pressure. Meditation also can improve focus, concentration, creativity, and learning and reasoning skills. Meditation works its “magic” by changing the actual brain. Brain images show that regular meditators have more activity in the left prefrontal cortex, an area of the brain associated with feelings of joy and equanimity. Meditation also increases the thickness of the cerebral cortex and encourages more connections between brain cells—all of which increase mental sharpness and memory ability.

“It is almost impossible to provide optimum care for a loved one if it means neglecting the health and wellness needs of the caregiver.” The human brain has an astonishing ability to adapt and change—even into old age. This ability is known as neuroplasticity. With the right stimulation, your brain can form new neural pathways, alter existing connections, and adapt and react in ever-changing ways. Studies show that laughter involves multiple regions of the brain and that listening to jokes and working out punch lines activates areas of the brain that are vital to learning and creativity. Psychologist Daniel Goleman notes in his book Emotional Intelligence, “laughter…seems to help people think more broadly and associate more freely.”

Current locations for the Memory Enhancement Workshops are:

The stress-busting, brain-boosting benefits of meditation The scientific evidence for the mental health benefits of meditation continues to pile up. Studies show that

Contact Michele Sanchez at (904) 209-3647 for details on Memory Enhancement Workshops. And visit our website at www.coasjc.com.

28

The Coastal Community Center 180 Marine St.; St. Augustine, FL. Christ Episcopal Church 400 San Juan Drive; Ponte Vedra Beach Shores Methodist Church 724 Shores Blvd.; St. Augustine, FL.


Community

29


Community Photo by Darice Michelle Photography www.DariceMichelle.com

Habitat for Humanity Hits Major Milestone

By Sarah Groleau Resource Development Manager, Habitat for Humanity of St. Johns County

H

abitat for Humanity of St. Johns County is excited to celebrate a major milestone when it completes construction on its 100th home in early May 2012. Kemyatta Charles and her one year old son, Marvis, will be the recipients of this home. Kemyatta is a life-long resident of St. Johns County and has worked

for the St. Johns School District for 13 years. Construction on the home began in early January and will be sponsored by Citi. “I’m overjoyed to finally have a safe home of my own where I can raise my son,” said Charles. “Thank you Habitat and Citi for making this dream come true!” The St. Johns County Habitat affiliate began in 1993. The organization built one house a year for the first seven years using only volunteers. In 2002, the organization hired its first paid staff person and has grown to currently having eight paid staff members and building 10 homes a year. Additionally, the organization recently implemented a home renovation program in order to assist another 5-10 families in need each year. Thousands of volunteers help the organization annually building new homes, renovating existing homes, assisting in the administrative office, and serving on the Board of Directors, the Family Selection and Support Committees, and the Mortgage and Development Committees. Habitat for Humanity International also marked a major achievement on

“I’m overjoyed to finally have a safe home of my own where I can raise my son,” said Charles. “Thank you Habitat and Citi for making this dream come true!” October 3, 2011, World Habitat Day, when it dedicated its 500,000th house in Maai Mahiu, Kenya. To celebrate this miracle volunteers and homeowners joined Habitat for Humanity Kenya in its effort to complete this project. “It is a testament to the power of what God can do when people come together to build homes, communities and hope,” said Jonathan Reckford, CEO of Habitat for Humanity International. “I am so grateful to all of the volunteers, donors and advocates who share our vision of a world where everyone has a decent place to live.” These milestone homes represent the steady increase in Habitat for Humanity’s scale and scope to help more families in need of decent, affordable housing. In 2005, Habitat celebrated its 200,000th house globally. Six years later,

February/March 2012

30

the organization celebrated serving more than 500,000 families around the world through new, rehabilitated, repaired and improved homes, 100 of which are located right here in St. Johns County. Habitat for Humanity of St. Johns County is a nonprofit Christian housing organization that seeks to put God’s love into action by bringing people together to build homes, communities and hope. Since 1993, Habitat has served 100 families in our community by welcoming people of all races, religions and nationalities to construct, rehabilitate or preserve homes; by advocating for fair and just housing policies; and by providing training and access to resources to help families improve their shelter conditions. For more information on getting involved with Habitat for Humanity of St. Augustine/St. Johns County, call 904-826-3252 or go to www.habitatstjohns.org.


Community

I

Nell Seymour Toensmann Publicity Chair n December 2011, the St. Augustine

Community Chorus marked 64 years since the first Messiah Concert in 1948. Originally founded as the St. Augustine Choral Society by William Dixon, this tradition has continued over the years under the baton of various directors from the community - Wayne Joranlien, Sister Patricia Consier O.P., Dr. Janet Graham, Dr. Carl Peters II, Dr. Theodore K. Mathews and Kathleen Vande Berg. In the mid-1990’s Dr. Peters introduced the Pops and Masterworks Concerts to the Chorus’ annual concert series. The 2011–2012 Community Chorus season once again features three concerts. Old English Carols preceded the traditional “Messiah” last December at the Cathedral Basilica and plans are well underway for the two upcoming spring concerts. Closing the season at the Ancient City Baptist Church on May 20th at 3:30 PM will be the Masterworks concert. “Four Rebels With a Cause: composers whose works changed the way we think about music” is the focus of this season finale. Director, Dr. Theodore K. Matthews, has selected Giovanni Gabrielli, Richard Wagner, Igor Stravinsky, and Leonard Bernstein as the featured composers. Sandwiched between the two more serious presentations is the Pops Concert - “On Broadway” which will take place at the St. Augustine High School on Saturday, March 10th at 7:30PM and Sunday, March 11th at 3:00PM. Who

doesn’t love listening to or singing the wonderful songs from award-winning Broadway musicals of the 50’s - songs that we all know and love! The incomparable talents of the composers Rodgers and Hammerstein, Lerner and Lowe, and Frank Loesser created the wonderful musicals presented in this concert. “Planning concert programs is challenging, time consuming and fun”, confides Pops Director, Kathleen (Kathy) Vande Berg. She brings all of her professional skills in combining pop style and jazz in this production, based on the music of four Broadway shows. “On Broadway” opens with a song from the very FIRST Tony Award winning show for “Best Musical” - “Kiss Me Kate” in 1949. The first half features music from “South Pacific” (1950) and “The King and I” (1952). Highlights from “My Fair Lady” (1957) and “Guys and Dolls” (1951) conclude the program. This music showcases a decade of amazing Broadway productions. One of the best features of the St. Augustine Community Chorus is its diversity. The membership spans the ages of 15 to 90, a truly multi-generational experience. For example, Christopher Pritchard, a high school senior, will be the narrator and one of the soloists for the March concert. The young accompanist, Bryant Miano, graduated from the Douglas Anderson School of the Arts in 2005 and continues to be an active musician in the music community in Jacksonville. Joining the Community Chorus during each of the three concerts this season is the St. Augustine Children’s Chorus, under the direction of Kerry Fradley. They will entertain the audience with familiar songs from “South Pacific” and “The King and I” during the Pops Concert. Children between the ages of 8 and 14 interested in joining the chorus can contact the director at: 904-806-7781 or kfradley@comcast.net Director Vande Berg states “The St.

Augustine Community Chorus has given me the opportunity to once again be a music educator and to teach music I love from major classical works to jazz and Broadway. Sharing the joy of creating the best musical product possible with those of all ages who love to make music together is the best gift anyone could have.” A love of singing choral music and the willingness to attend rehearsals are the only requirements for membership in the

31

St. Augustine Community Chorus. For more information, contact Kathy Vande Berg at 904-808-1904 or visit the website: www.staugustinecommunitychorus.org. Nell Seymour Toensmann first joined the St. Augustine Community Chorus during the Pops Concert of 2010 and was elected to the Board in September 2011. She is also a member of the choir at St. Cyprian’s Episcopal Church.


Community

Together Anything’s Possible

I’ve seen it and I know it to be true! Together we can do anything. We’ve all seen it before. When people come together they accomplish much more than the sum of their efforts. Science calls that synergy; the working together of two or more people, organizations, or things, especially when the result is greater than the sum of their individual effects or capabilities. `So what does that have to do with horses and children? We asked that great question a year ago and it’s still relevant today.

years ago. Too many have suffered severe financial setbacks. Times are tough for all of us. But we are a resilient species and we will come back, we are coming back. Because of last year’s Birdies for Charity campaign sponsored by the TPC, we provided a record 2,788 therapy sessions to 646 of our residents. We saw children sit up, speak and take their first steps. We saw children graduate on time, we saw teenagers beat addictions and take responsibility and so much more. Chances are you know one or more of these participants. But our work is far from done and the waiting list for Equine Therapy continues to grow. If we’ve learned anything in 23 plus years of working with children, it’s this; first, most families with a disabled child have been suffering financially for a long time now, it comes with the territory. Second is that children will rise or fall to the level of our expectations. We see it every day, as children accomplish so much more than anyone ever thought simply because someone believed in them and provided an environment that allowed them a chance to succeed. That is what we do. We create an environment where children are allowed, taught and encouraged to succeed.

Wyatt in April 2011

Wyatt in January 2012

The economy is still tough. Many are still out of jobs, those that are working have tightened their belts more than most of would have thought possible just 3

It is truly exhilarating and humbling all at the same time. But, like everything else, it costs money. So please join us; Haven Horse Ranch,

T

Presented by Stacey Lehman

he PLAYERS Championship has a saying, “Together, anything’s possible”.

Bozard Ford, Sonny’s Bar-B-Q, PIP Printing, Janet Tillman State Farm, The Saint Augustine Independent Restaurant Association’s members which include Amici’s, Café Atlantico, Barnacle Bills, Cap’s On The Water, Coquina Beach Surf Club, Creekside Dinery, Bistro Culinary, Gypsy Cab, The Kingfish Grill, Old City House, The Purple Olive, The Raintree, The Reef, Salt Water Cowboys, South Beach Grill, Sunset Grill, The Tasting Room, and The PLAYERS Championship’s as we raise funds for Equine Assisted Therapy with

Birdies for Charity. Please make a pledge. You could win $5,000 or a stay at The Atlantis Hotel in the Bahamas, but either way, you can get in on the greatest prize of all: changing the life of a local child. Go to http:// www.havenhorseranch.org/birdies.html to make your pledge or for more information and other ways you can help our local children. I know times are tough, but together we can and will make a difference … we can do anything!

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

February/March 2012

32


Community

3,019 Grateful Patients In 2011! Wildflower Clinic

O

By Lynnette Horwath Executive Director

n a quiet residential street in West Augustine, a small clinic is busy making a difference in our community! Good Samaritan Health Centers, Inc. is a local non-profit organization, supporting the community through the Wildflower Clinic. The clinic provides free medical and dental care for low income, adult county residents who have no health insurance. This faithbased non-profit organization serves as a safety net for those most at-risk. Our efforts are modeled after the parable of the Good Samaritan and we seek daily to

demonstrate a Christ-like compassion for those who come through our door. The Medical Clinic sees nonemergency patients on a walk-in basis, first come, first served on Thursday evenings (5:30 p.m. to 8:00 p.m.) and on Saturday mornings (8:30 a.m. to 11:00 a.m.) Additionally, a women’s health clinic is run once monthly by appointment only. We are blessed to have Flagler Hospital doing our lab work and x-rays at no cost. Over a

“Every patient we treat is a success story for improved health outcomes in our county as well as a savings locally for our strained health care system.” dozen specialists’ offices will see our patients on referral at no charge, related to their next step of medical care.

Want to volunteer? We especially need physicians, dentists and nurse practitioners, but have other volunteer needs. Please contact Matthew Lemonds at mlemonds@goodsamstaug.org. The Dental Clinic provides cleanings, extractions, and fillings. We schedule ½ day dental clinics during business hours as volunteer dentists and hygienists are available. On Wednesday mornings a walk-in clinic sees those needing emergency treatment. Cleanings and fillings are by appointment only. A Healthy Lifestyles Program helps patients at risk for chronic diseases such as diabetes and high blood pressure, and addresses other health concerns such as obesity and smoking. This program is held during select dental clinics. What makes the Wildflower Clinic so unique? Volunteers! From the volunteer medical and dental professionals, to those who man the front office, clean the building, weed the

yard, or handle odd repair jobs, this is a major community volunteer endeavor! While the clinic has a modest annual operating budget which is around $200,000, over one half million dollars in donated volunteer service hours annually make this clinic an effective community resource. The Wildflower Clinic focuses on getting people out of pain. Our patients live daily on the edge of poverty, tough circumstances and often, hopelessness. They are genuinely grateful for our care! Every patient we treat is a success story for improved health outcomes in our county as well as a savings locally for our strained health care system.

I have been to Wildflower several times in this pregnancy and they have helped me so much. I have also signed up to volunteer and help out at the front desk. I just want to say thank you to everyone who has made this possible!” - Alex T.

Save the Date:

The 4th Annual Wildflower Clinic Ball Sunday May 6th • 6pm to 10pm Theme: Cinco de Mayo

33

“Wildflower clinic is an amazing place that welcomes you with open arms! I have never been treated better when visiting a healthcare facility. I am a homemaker and pregnant with my first child. I have experienced a lot of dental issues. My doctor said that the baby was taking my calcium, which is pretty common. I wasn’t able to afford a dental visit and learned about the clinic through a flyer at the St Johns County Main Library.

Elegant dinner buffet, live music, games, live auction Latin or cocktail attire (Contest for best costumes) For Sponsorship Opportunities, to donate an item to the Live Auction, or to request an invitation: Contact Lynnette Horwath at 829-5057 or lhorwath@goodsamstaug.org

Free care doesn’t come without a price. There are costs incurred to keep the doors open. We are extremely dependent on local community support. What could YOU do to make a difference? Please consider a generous donation. Checks may be made out to: Good Samaritan Health Centers, 268 Herbert Street, St. Augustine, FL 32084. For information on our Heart of Giving or our Business/Community Partners, (annual giving clubs with a donation of $250. or larger), please contact Lynnette Horwath at 8295057 or at lhorwath@goodsamstaug.org.


Community

Community Education Offers New Opportunities

T

he days are cooler and shorter now and the holidays are over. It’s a good time to learn something new, brush up on your workplace skills, or start that project you have always wanted to do. St. Johns County School District Community education courses provide opportunities to do all of these things in an informal, intimate, low pressure classroom setting. Community education teachers bring broad, practical experience in their vocational fields and in many cases, as educators, as well. The Spring session, which begins in February, features classes in Basic MS Office, MS Excel, painting and drawing, Hatha yoga, meditation, pottery, photography, acting for adults, ballroom dancing, sewing, American Sign Language, STEM for All Ages, beginning and intermediate Spanish language, guitar, and bluegrass string band. Most classes are appropriate for all ages, including young learners. Classes are being hosted at Mill Creek and R. B. Hunt Elementary, Gamble Rogers Middle, St. Johns Technical and Creekside High schools, and the Fullerwood Learning Center. The School District offers the classes as part of their commitment to lifelong learning in the community, with proceeds going to support extracurricular programs at the host schools. Classes will begin the first week of February and are in session for 6 to 9 weeks. Classes meet once a week for one or two hours. Prices range from $8-$10 per class hour. Visit the Community Education website at www.sjccommunityed.com for full class descriptions, prices, and registration or call 547-7565 or 547-7503 for information.

February/March 2012

Below is a list of classes and information. R. B. Hunt Elementary School Adult Acting 101

Linda Mignon

Tuesday Feb. 7-March 13 6-8 pm

$90

Hatha Yoga

Margina Gabriel

Wednesday, Feb. 8-March 14 6:30-7:30 pm

$80

Understanding & Using MS Office

Miriam Testasecca

Tuesday Feb. 7-March 13 6-8 pm

$96

Bluegrass String Band

Tommy Bledsoe

Wednesday, Feb. 8-March 14 6:30-7:30 pm

$72

Drawing and Painting for All Levels Cable Spence

Tuesday Feb. 7-March 13 6-8 pm One child can attend free with an adult

$96

Beginning Spanish for All Ages

Nazli Kayan

Tuesday Feb. 21- March 27 6-8 pm

$84

Photography Pro Tips and Techniques

Walter Coker

Monday Feb. 6-March 12 6:00-8:00 pm

$90

Sewing with a Twist

Barbara Scheidker

Monday Feb. 6-March 12 6:00-8:00 pm

$90

Acoustic Guitar: Alternate Tunings

Dean Allen Slickis

Wednesday, Feb. 8-March 14 6:30-7:30 pm

$55

American Sign Language

Tara Benyacko

Monday Feb. 6-March 12 6:00-8:00 pm

$84

Introduction to Meditation

Dean Allen Slickis

Monday Feb. 6-March 12 6:30-7:30 pm

$60

Conversational Spanish

Cecilia Feliciano

Tuesday Feb. 21-March 27 6:30-8:30 pm

$84

Still Life: Drawing and Painting

Joan Tasca

Wednesday, Feb. 8-March 14 6:00-8:30 pm

$120

Ballroom Dancing

Christine Granovski

Wednesday, Feb. 8-March 14 6:30-8:00 pm

$75

Mastering Microsoft Excel Linda Skinner

Thursday, Feb.2, Tues. Feb. 7, Thurs. Feb. 9, Thurs. Feb. 16 6:00-8:00 pm

$90

What is STEM, Anyway?

Tuesday Feb. 7-March 13 6-8 pm

$84

Tuesday Feb. 7-March 13 6-8:30 pm

$125

Mill Creek Elementary School

St. Johns Technical High School

Fullerwood Learning Center

Gamble Rogers Middle School

Creekside High School Building Pottery Skills

Brian Radaker

34

Christina Key


Fund Raising

35


Fashion & Beauty

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

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

E

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

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

By Fatemeh

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

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

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

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

Come visit me and get the eyebrows of your dreams!

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

February/March 2012

36


Fashion & Beauty

Back in Black

I

Nicole Nettles

difference in structure light is absorbed giving the appearance of being opaque similar to black onyx. Surprise, black diamonds are actually clear. They are so black they just appear opaque. No one really knows were black diamonds come from. Scientists believe they are from outerspace. They were first found in Brazil in the 1800’s. Black diamonds don’t occur in the usual places you find white diamonds or other colored diamonds. In fact, Scientists have placed their origin at nearly 4 billion years ago when a constant barrage of giant meteors battered the

Owner, Blue Water Jewelers

n the last couple of years Black Diamonds have really made their way to the front of the fashion world. Along with many other alternatives to the traditional white diamond engagement ring, the diamond is Back in Black! Black diamonds are a paradox. They are a real diamond, but they have the exact opposite characteristics from a traditional white diamond. Black diamonds absorb light rather than refract it. They have a complete different crystalline structure. The regular crystal structure of diamonds is what

causes a diamond to reflect light and color. White diamonds are faceted with “windows” to precisely allow light to come in and reflect out allowing the most “sparkle”. Black diamonds cannot be faceted in the same way as white diamonds and because of the the

Earth. There is still no clear answer, so the “birth” of black diamonds remains a mystery.

Along with many other alternatives to the traditional white diamond engagement ring, the diamond is Back in Black! Blue Water Jewelers has several beautiful pieces of jewelry showcasing black diamonds. Robert, owner of

Blue Water Family. Can’t wait to meet you. • Robert & Nicole, owners. Robert is a graduate horologist and trained Rolex repairman. 2nd generation jeweler who with Nicole decided to open Blue Water Jewelers in 2006. Robert travels to Antwerp, Belgium, Diamond Capital of the World, to hand select diamonds. • Jeff, GIA Graduate Gemologist, would love to help you with any appraisal. He has also traveled to Antwerp, Belgium and can help answer specific questions you may have about purchasing the diamond or gem of your dreams. • Christy, GIA Graduate Gemologist. Christy loves colored gemstones and is enthusiastic about jewelry and jewelry design. Christy is also trained in stringing pearls and gemstones necklaces. • David, artist and trained sales associate. Contemporary artist with a vivid imagination for custom design. “Saving the world, one diamond bracelet at a time!” • Katie, trained sales associate & GIA Diamond Graduate. Katie is wonderful at helping Bridal Clients and custom design. She will help you put your dreams into the perfect piece of jewelry. • Elizabeth, trained sales associate. Spent many years as a fine arts dealer and traveling. She loves her new home in St. Augustine. “I love using my fine art knowledge to create and sell wearable art.” • Amber, graphic artist. Her love for jewelry started early when she created her own pieces from alternate metals that many friends and family members wear today. Also enjoys helping Nicole create fun and engaging advertisements. • Blake, Stan & Max, experienced in repairs. Blue Water jewelers has 2 master jewelers and a trained watch repairman to help with any of your personal jewelry repairs. From ring sizing to custom design and hand carved waxes.

Blue Water Jewelers, will be traveling to Antwerp Belgium “The diamond Capital of the World” this April. There he will hand select diamonds for clients and his jewelry store. Along with beautiful “Ideal” cut white diamonds he will also see a large selection of “Fancy” colors and Natural Black Diamonds. When looking for a diamond each one is unique just like a snowflake. Blue Water Jewelers is privileged to help you find an exquisite diamond for your style and budget.

500 Anastasia Blvd St. Augustine, FL 32080 (904) 829-5855 store hours Monday - Friday: 10:00 am - 6:00 pm Saturday: 9:30 am - 5:00 pm Sunday: Closed Private Appointments: Call for Private After Hour Appointments

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

37


Fashion & Beauty

Back Them Up!!!

T

Christine Cousart

Owner, Cousart Studios & Go Fish Clothing & Jewelry

o back up or not to back up. Yes, it does take time but the alternative to not backing up your photos is not fun! It is so easy to let them sit on a memory card in your camera for weeks on end or perhaps you even get them downloaded onto your computer. Phew, they are safe...or are they? Unfortunately, these days you cannot rely on hard drives. I have heard too many stories of people losing photos because a hard drive just decided not to function. Most of my hard drives have lasted about five years and that is why I regularly back up my data to several different sources.

What are the options?

HARD DRIVE: You can get external hard drives that attach to your computer (which has its own built in hard drive). An external hard drive is great because you can unplug it and go. If there is an event where you need to exit your house (flood, fire or hurricane), you can simply unplug and take. DVD: Most computers will have a DVD drive where you can burn your data onto DVD. It is handy to have these but I do believe they are going to be a thing of the past before we know it.

ONLINE STORAGE: This is a great option. You can get free storage at many sites. For example Kodak.com or mpix. com will store photos if you sign into their site. You can order photos directly from these companies. Dropbox is another option that has free storage and you can share with family and friends. Nikon has a site called Mypicturetown that you can join for a small fee. You can sort, share and protect your large photo files. Picasa is another online option. There are also companies like Carbonite that will back up everything on your computer continually for a monthly fee. FLASH DRIVE: These are handy dandy little gadgets that you can carry around with you. They are convenient for taking a small file of photos to share or you can use them while you are on a vacation to back up what you are shooting. YOUR PHOTOGRAPHER: If you have a relationship with a professional photographer, make sure you ask them how long they back up the images from your shoot. I generally hold them indefinitely. I rarely press the delete button!!!! Photos are a wonderful thing and its worth preserving them. I once heard that “we will be the most photographed generation and the least recorded”. Hearing something like that really makes you think. I hope this information has helped you. If you have questions or need help protecting your photos, please feel free to email me at christine@cousartstudios.com.

Cousart Studios of Fine Art & Photography 320 Hightide Drive #101 Saint Augustine, FL 32080 www.cousartphotography.com 904.687.7700

Christine Cousart has lived in St. Augustine since 2004 and says that this is the closest to the life she had growing up in New Zealand where she was born and raised. She owns Go Fish Clothing & Jewelry downtown St. Augustine and Cousart Studios of Fine Art & Photography on Anastasia Island. She also runs the art program at St. John’s Academy Classical Christian School on Wildwood Drive. She has been married to her husband Kevin for over 25 years. They have two boys at home and a daughter who is a Flagler college graduate and now married. They are members of Good News Church and love being involved in the PAL football and lacrosse programs.

February/March 2012

“It is so easy to let them sit on a memory card in your camera for weeks on end or perhaps you even get them downloaded onto your computer. Phew, they are safe...or are they? Unfortunately, these days you cannot rely on hard drives.”

38


Home & Garden

Understanding How a Security System Impacts Your Safety and Your Budget “The average Burglary costs a home owner $1,725.00 in losses (according to a 2005 FBI study) while the average monitoring fees for a Basic Security System cost a home owner $20 per month.”

W

Presented by Sarah Oakley

hether you own or rent your home, it is important to know the benefits a Security System can provide you and your family. Many people do not fully understand how having a Monitored Alarm System directly affects the chance that their home will not be successfully burglarized. To the right you will find some statistics, provided by the FBI’s Uniform Crime Report and the National Burglar & Fire Association, which can provide proper insight on the value of a Monitored Security System. Modern Security Systems offer burglary, panic, and fire protection which immediately connect homeowners with the proper authorities and then dispatch police, rescue, or fire crews as needed. The actual cost of having a monitored security system is also subject to confusion and misunderstanding. Because a monitored security system comes with a monthly cost, and possibly a contract, many people see this as being an unnecessary expense. However, it is important to realize that the average Burglary costs a home owner $1,725.00 in losses (according to a 2005 FBI study) while the average monitoring fees for a Basic Security System cost a home owner $20 per month. In addition, most Insurance Companies offer up to 20% off annual policy premiums for customers who have a monitored security system. This 20% savings often

equals the cost of monitored systems. Today there is an increasing need for advanced professional security systems in the average home. Whether the threat stems from fire, flood, smoke, accident, carbon monoxide or home invasion, advanced monitoring systems help consumers maintain their health, happiness, and safety through numerous means. Installing an alarm system today could save lives tomorrow. With technology continuously changing, people are always looking for the newest and simplest security solutions for their homes to provide peace of mind. Our next article in the Woman’s Journal will explore the increasing demand for residential camera systems. Please feel free to call our office and speak with a representative from our company. We are happy to answer any questions you may have.

Testimonials Your service is excellent, has always been. Thank you all for your kindness. The central station response time is excellent and the operators are professional & friendly.

-Ms. Joy Adams of St. Augustine, FL. Customer of Village Key & Alarm, Inc. since 1999.

Superior service since making the switch to Village Key & Alarm. Talented technicians make maintaining our system a breeze.

Statistics • 9 out of 10 convicted burglars

• • • •

admitted that they would avoid stealing from a house with a monitored security system. In a year period, a home has a 25% chance of being burglarized. A home invasion occurs once every 15 seconds. Every 14 minutes someone dies in a home accident. A homeowner is disabled in an accident within their home every 4 seconds.

-Mr. David Stanevich with Memorial Presbyterian Church, St. Augustine, FL. Customer of Village Key & Alarm, Inc. since 2008.

Village Key & Alarm has continued to be a notch above the rest. I will never go with any other company.

-Dr. Rezwan Ashdji with St. Augustine Medical Clinic, St. Augustine, FL. Customer of Village Key & Alarm, Inc. since 2007.

Village Key & Alarm was established over 35 years ago with one simple goal: to efficiently provide people with reliable security solutions at an affordable price. In its third generation, the Oakley family has continued to give St. Johns County and its surrounding areas the experience and knowledge for you to comfortably entrust the safety of your families, homes, valuables, and businesses. We separate ourselves from the competition by offering customers complete security solutions and excelling in service after the sale. We are the area’s leading and largest all-inclusive security consultants and providers. We install, provide monitoring, and service an array of systems including Burglar, Fire, Elevator, Medical and Freezer systems. We also offer specialty locksmith services; safe installation and high security lock systems. Our goal is not to be the largest security company; instead we aim to provide peace of mind. We do this with a simple philosophy: minimize cost to our customers by efficiently utilizing the most advanced security solutions on the market. We invite you to call our office and speak with a representative who can give you a personalized quote and information on how you can relax under our network of security.

39


Home & Garden

312 Self Storage, Inc. 1725 Lakeside Ave | St. Augustine, FL. 32084 | (904) 808-1312 Hours Office Monday-Friday: 10:00 AM - 6:00 PM; Weekends : 10:00 AM - 4:00 PM Access 7 Days A Week: 6:00 AM - 9:00 PM

Publisher’s Note: We have a unit at 312 Storage and we couldn’t be more happy. The location is conveniently central to the eastern part of the county, and it is on very high ground. I wouldn’t worry a bit about losing goods to flooding if there should there be a bad tropical storm. On top of that, Ed and Jeremy provide excellent customer service!!

February/March 2012

SIZE

SQUARE FEET

DESCRIPTION

PRICE/MONTH

Outside

0

Outside Parking

$55.00

5x5

25

Non-Climate Controlled

$35.00

5x5

25

Climate Controlled

$43.00

5x10

50

Non-Climate Controlled

$47.00

5x10

50

Climate Controlled

$66.00

5x15

75

Non-Climate Controlled

$64.00

5x15

75

Climate Controlled

$100.00

10x10

100

Non-Climate Controlled

$74.00

10x10

100

Climate Controlled

$95.00

10x15

150

Non-Climate Controlled

$92.00

10x15

150

Climate Controlled

$152.00

10x20

200

Non-Climate Controlled

$120.00

10x20

200

Climate Controlled

$194.00

10x25

250

Climate Controlled

$237.00

15x20

300

Non-Climate Controlled

$155.00

10x30

300

Non-Climate Controlled

$165.00

15x20

300

Climate Controlled

$265.00

20x20

400

Non-Climate Controlled

$222.00

40


Home & Garden

CAR Service with Cheryl there is a sticker or plate that will tell you what PSI the tires should be at. Sometimes the front and rear tires have different PSI.

C

Presented by Cheryl Buck

oggin Honda of St Augustine is nationally ranked in in Customer Satisfaction, we offer a free hand wash and vac with every service, along with many amenities: free starbucks coffee, fresh pop popcorn while watching the latest released movies in our theater seating with surround sound. We service all makes and models of cars.

Q&A TIME WITH TODAY’S GAS PRICES HOW CAN I GET THE MOST MILEAGE PER GALLON OF GAS? Let’s take a look at some things we already know. Map out your route if you have several stops to make. Use your cruise control to drive at the recommend speed limit. 1. Did you know that if you replace your engine air filter when dirty this will help with the air flow for the engine? 2. The thing that most people over look is checking the tire pressure in PSI. You should check your PSI at least once a month. PSI stands for what? It stands for pounds per square inch when cold. If you open your driver side door on the door jam

Hint: if you cannot see it to read it, and you have a cell phone with a camera, take a picture and then you can enlarge the photo. If the vehicle is driven 2 or 3 miles before you check your tire pressures, remember that the tire pressure when checked will be slightly higher up to 4 psi, depending on outside temperature. HOW DO I KNOW WHEN MY TIRES NEED TO BE REPLACED? Well, unless you are married to, or have a friend, who is a technician you probably do not have a tire depth gauge. Do not fear you do have a tool that everyone has. Sometimes they are found on the floor of the vehicle, but if not you may be able to secure a loan from your child’s piggy bank – you may have to pay the loan back with interest. You will need a penny and a quarter. With the penny: put the coin into the groove of the tire going around so that Lincoln’s head is facing downward. If you cannot see the top of his head, you have at least 2/32nds of an inch of tread remaining. This is very important as this is the lowest level your tread can be legally in many states. Repeat the process in several places around the outside of the tire to check that it is wearing evenly. Repeat the process with the penny facing backwards and the Lincoln Memorial upside down. If you cannot see the top of the Memorial, you have at least 6/32 of inch of tread depth left. Repeat the process with a quarter: if you cannot see the top of Washington’s head, you have at least 4/32nds of an inch of tread depth left. Most new tires start out with 10/32nds of tread depth on them. I HAVE A NEW VEHICLE. HOW OFTEN SHOULD THE OIL BE CHANGED? Well, the manufacturers have kind of

made this fool-proof for everyone. On the new vehicle there is an oil life expectancy percentage. You will find this when you push in the trip button or “i” for information button. Your oil life starts out at 100%, and through different driving conditions this percentage will drop. When the percentage is at 15%, a light in the shape of a wrench will come on in the dash area by the speedometer. Now it is time to change the oil. At the dealership, we also put an oil change sticker on the windshield by the driver. This indicates 5,000 miles or 5 months, whichever comes first. WHY SHOULD I GO TO THE DEALER TO HAVE MY VEHICLE WORKED ON? This is a very good question! Some good reasons are: 1. The technicians are factory trained and certified to work on your vehicle. 2. Parts and labor have a warranty for 12 months, or 12,000miles, whichever comes first at any dealership for your brand of vehicle 3. The parts that are installed at the dealership are called OEM parts (again with the initials). This stands

for original equipment material. 4. The atmosphere is always welcoming and the service advisors and technicians are always eager to help you. 5. From the service director, to the service advisors, to the technicians, all are always kept informed from the factory about any information that will help them in keeping your vehicle performing in the top best performance. 6. The advisors always check to see if your vehicle has any open factory recalls that need to be performed on your vehicle. “The miracle is this – the more we share, the more we have” - Leonard Nimoy, American actor, director, and writer “Dr. Spock” If you have any questions that you would like to ask me, please email me at – cbuck@cogginauto.com, and your question might appear in the next Issue of the Woman’s Journal! ****for further information on fuel economy, you can visit the following government website: www.fueleconomy.gov. There are a lot of tips there, and also a fuel calculator.

Cheryl Buck has been with Coggin Honda of St. Augustine for 20 years. She is a Platinum Level lll service advisor with American Honda, and has been among the top 20 service advisors in Honda’s southeast region. She grew up in Boston and is an avid Red Sox and Patriots fan. Cheryl is active in supporting the community. Every year she, her husband and friends organize a golf tournament to raise money for a Christmas Party for the citizens of ARC and Green Acres.

41

2925 US 1 South, St. Augustine, FL, 32086 797-2688 | www.cogginhondastaugustine.com


Food & Entertainment

Getting Positive Media Coverage in Northeast Florida “Earned Media isn’t Free Media. I really hate it when people call it Free Media, because it isn’t actually Free. It’s Earned. You should ask yourself; do I have an event or issue that warrants coverage?”

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

M

y very first job out of college was for a small market television station in Fort Smith, Arkansas as a reporter and a weekend weathercaster. I was thrilled. I was 21 years old, and on Fathers Day weekend, my parents helped move me into a small apartment in what seemed like a very, very small town. Other than two years as a toddler in Panama City when my father was in the military completing his medical residency, I had never lived further south than attending college in Indianapolis. Having grown up watching Chicago television news, the third largest television market in the country, I realized from the very first night watching local Fort Smith TV that I had nowhere to go but up. I think my parents were questioning my sanity, and secretly hoping I would get the Broadcasting Bug out of my system shortly. Years later, The Bug still hasn’t left me, although I did detour slightly from it over my working career. Thankfully, I was fortunate enough to receive a job offer in Little Rock, the 50th largest television market in America, after just a few months in Fort Smith. Then I spent a few years on Capitol Hill in Washington as a Communications Director for a Senate Committee. My job every day was to convince the most powerful media outlets in America that my issues warranted coverage. I was a partner in

February/March 2012

a public affairs firm, and one of my jobs was to conduct media training sessions for clients. Some of them were book authors like Brad Meltzer, who wanted to promote his latest work. Some of them were clients whose companies were under scrutiny for questionable business practices. One of our clients once called from underneath his desk. He was hiding from a producer from one of the television newsmagazine shows! These days, part of my job is to find slots in our local programs to promote local events. I also interview someone from St Johns County almost every day on our local morning show. For the most part around here, it’s not that tough to get media coverage. Getting someone to cover an issue exactly as you hope is more challenging. Expanding beyond the borders of St Johns County to get press attention can also be a bit trickier. So here are a few words of advice: Make it Newsworthy. Here’s the headline from a press release I received from the Coast Guard: “Coast Guard urges boaters to be safe on Memorial Day weekend.” Are you kidding me? That’s the best you can come up with? I receive an average of 50 emails a day from someone wanting a interview. Come up with a great headline, and keep your information succinct. Just the facts. Earned Media isn’t Free Media. I really hate it when people call it Free Media, because it isn’t actually Free. It’s Earned. You should ask yourself; do I have an event or issue that warrants coverage? Reporters are not your friends. What they are is multi-tasking people under a daily deadline covering a multitude of topics and issues. Make their jobs easier. School Superintendent Dr. Joe Joyner appears on my morning show about once a quarter, and is smart enough to walk into every interview with a list of

topics. In one single morning in May, I interviewed people about paddle tennis, property tax exemptions and local scams for the military. Make it easy on us. Bring a SHORT one-page cheat sheet with who, what when, where and why, and a couple of interview questions. Be prepared to talk in sound bites – make your responses to questions as if you were talking to a sixth grader, and only had one minute to answer the question.

Have a complete list of media outlets and contacts via email – these should include news web sites, tabloids, and smaller media outlets surrounding St Johns County (ie Palatka and Palm Coast), in addition to the Jacksonville television stations. Snail mail is dead. For the most part, so are blast faxes. Send emails. Be careful doing interviews over the phone. You can have a tendency to say a lot more than your wanted to when you’re on the phone. Timing is everything. If you have negative news that has to be released, do it on Friday at 3pm. Finally, an exciting new program note: we’ve just launched Bargain Hunters Radio on Saturday from 11-noon on Newstalk 1240 WFOY. I hope you’ll tune in to and get some tremendous discounts on local attractions, hotels, restaurants, and more.

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

42


Food & Entertainment

Treat Your Taste Buds at PJ’s Asia One Market

E

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

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

Recipe:

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

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

43


Food & Entertainment

A Classic Theatre Presents Comedy In New Venue

A

By Anne Kraft

Classic Theatre (ACT) presents the second production of its 2011-2012 season with the Irish comedy, “Is Life Worth Living?” by Lennox Robinson. Following ACT’s season opening production of “The Year of Magical Thinking” by Joan Didion, this comedy is a delicious change of pace for St. Augustine audiences. “Is Life Worth Living?” was selected by A Classic Theatre to be part of the Romanza Celtic Music and Heritage Festival, which is scheduled for March 10-17, 2012 in St. Augustine. “Is Life Worth Living?” will be presented at a venue new to the A Classic Theatre company, The Pioneer Barn at Ft. Menendez located at 259 San Marco Ave., uptown St. Augustine (between Hildreth Drive and N. Park Avenue). Performances are on Thursday, Friday and Saturday, March 8, 9, 10 and 15, 16, 17 at 7:30pm and on Sunday, March 11 at 2pm. ACT President Jean Rahner said, “We are thrilled to have the opportunity to use this venue as it will make it so much more convenient and comfortable for our audiences to attend. There is plenty of free parking and the ticketing process will be handled by the venue.”

February/March 2012

This delightfully classic comedy premiered at Dublin’s Abbey Theatre in 1933 and then transferred to London and New York. The play is set in a small Irish seaside village having little to recommend itself save the summer months when it attracts people “seeking sea breezes and a holiday”. To remedy this situation, the local tourist committee decides to replace the usual summer comedy troupe with the De La Mare Repertory Company, which is dedicated to the serious classics of the theatre. A Variety review of the London premiere described the plot as follows: “Legit repertory troupe comes to a small village in Ireland and, after a week or so of Ibsen, Chekhov and Strindberg, the town is off its nut.” Perhaps “subdued mayhem” would describe the plot just as well! It is certainly an affectionate tribute to theatre! All tickets are $20 and may be purchased by calling Ft. Menendez at 904-824-8874 or stopping by the box office at 259 San Marco Avenue. Payment may be made by credit card, cash or check. For information about the venue go to the website at www.fortmenendez. com. For production information email: aclassictheatre@hotmail.com.

Arizona. She has an MFA (Acting and Directing) from the University of Florida and has over twenty years experience teaching, directing, and working with new plays as well as working in theater administration with the Invisible Theatre and the Arizona Theatre Company, the State Theatre of Arizona, in Tucson, Arizona. Deborah also directed last season’s ACT production of “My Friend Zelma: Marjorie Kinnan Rawlings on Trial” and previously taught Theater Management at Flagler College. A Classic Theatre, Inc. is a 501(c)(3) non-profit dedicated to presenting new, historic and classic plays for St. Johns County. The Board of Directors of A Classic Theatre are Jean Rahner, President and Founder; Anne Kraft, Vice President; Deborah Dickey, Secretary; and Anne Curtis, Treasurer. The Board members also function as the producers of the company’s productions and wear many hats in order to get the play “on the boards.”

Deborah Dickey

Deborah Dickey, the director of “Is Life Worth Living?” is the newest member of A Classic Theatre, Inc. Prior to moving to St. Augustine, Deborah was a member of the directing faculty at University of

44

Jean Rahner, Founder and Artistic Director of A Classic Theatre, Inc.

Artistic Director Jean Rahner extends an invitation to all who are interested in volunteer opportunities with A Classic Theatre to contact her at jtrahner@gmail.com.


Food & Entertainment

The Coffee Connection

H

appy new year everyone! Can you believe it has been four whole years since we started construction on City Coffee? Wow! We look forward to another joyful, warm and rewarding winter season. Thank you and welcome back to all our returning part-year resident customers - it is great to see you again this year. Because, even after four years in business, City Coffee is still a work in progress, we have several new changes to tell you about. Because determining how to best serve the needs of our customers is always a priority for us, a list was compiled of all of our customer’s favorite lunch specials and put into one menu board. Hopefully, this will expedite the ordering process

giving our customers more time to relax during their lunch hour. Remember, if you are in a hurry and have a large group, give a call in advance and we will have your table and lunch ready when you arrive. Finally, we have been able to add a convection oven to bake our own scones, muffins and cinnamon rolls. Our new baked goods are absolutely scrumptious and the perfect complement to a cup of our small batch roasted, organic coffee. Pot pies and quiches are in the R&D stage at the moment. Please feel free to let us know if there are any certain goodies you would like to see offered at City Coffee. We are so proud of our staff - everyone works hard to insure our customers get the highest quality of food and service possible. Our long time opener, Sara, is expecting a child soon so we wish her all the best and can’t wait to see her back at City Coffee, serving up specialty coffee drinks, after her maternity leave. You will see some new smiling faces and we appreciate your patience while we go through the hiring and training process. No matter what time of day, we are always happy and grateful to see you at City Coffee Company. Stop in today for a great latte!

Our new baked goods are absolutely scrumptious and the perfect complement to a cup of our small batch roasted, organic coffee

City Coffee Company • 1280-A N. Ponce de Leon Blvd. St. Augustine • 904-209-6810

45

Hours of operation: Monday - Friday 6 AM to 6 PM | Sat - Sun 7 AM to 6 PM


Food & Entertainment

Yvette Schindler, Executive Chef and Owner, Present Moment Cafe & Market

O “

ne of the many joys of this emerging culinary genre at The Present Moment Café is creating non-dairy great tasting milks in a matter of minutes. The recipe below uses almonds but one can use cashews, Brazil nuts, walnuts, macadamia nuts, hazel nuts, even hemp seeds. Soak the nuts 8-10 hours or simply overnight. In the morning, drain and rinse them well. This is done to make them even more digestible. The nuts have enzyme inhibitors to protect them and prevent them for sprouting until conditions are right for growth. Rainwater would do this in nature. By soaking the nuts the enzyme inhibitors are removed and the beneficial enzymes are released. In a high speed blender place: ◆1 cup of the soaked rinsed nuts ◆3 cups of water ◆1 T agave nectar (raw cactus sweetener) or 1 pitted date or sweetener of choice Optional: pinch of salt Optional: splash of vanilla Blend well. Strain mixture in a nut milk bag, paint strainer, or doubled cheesecloth over a bowl and voila: nut milk.

February/March 2012

◆ Keeps fresh in fridge for 3-4 days ◆ Can be used the same as dairy milk and protein, calcium and vitamins and because the nuts are raw, not roasted they contain living enzymes. To this milk you can add a variety of healthy ingredients: ◆Bananas (good to freeze when they begin to brown) ◆Strawberries, Pineapple, Chocolate powder (preferable unprocessed cacao) ◆Coconut milk, blueberries and mangoes.

We also make a great tasting creamy ice cream with cashews and coconut meat along with brownie sundaes and apple cobblers all made dairy free, gluten free and flavorful. I invite you to come visit our café, browse our market and try something delightful which just might make you feel young again.

“I was utterly intrigued by the food, service, and atmosphere.”

What our patron s say...

y... What our patrons sa

vorful, colorful, beautiWe loved the food-so fla for you! Staff were fully presented and good s easant, atmosphere wa very informative and pl the food so much I have eclectic and fun. I loved book to try adding ordered a raw food cook my diet. Recommended some of these dishes to d and they loved it too. to my sister and her frien st go! The fact is it raw If you love good food, ju unrelated to the fact it or vegan really is totally restuarant-it is just a is great food and a nice bonus!

Photo by Darice Michelle Photography www.DariceMichelle.com

Photography by Molly Jane Design

The Quintessential Chocolate Shake

From the momen t I walked into P resent Moments Cafe to the mom ent I left, I was ut terly intrigued by the food, servic e, and atmospher e. The owners an workers are all ve d ry kind and educ at ed ... if you have any questions, th ey’ll answer it w it h pl ea sure. They have a plethora of gluten-free, ve ga n, ve getarian food which is all orga nic. Even if you ar e no ne of those, you can definitely fi nd something th at yo u w ill love. The owners even teac h classes on how to im pr ove and create organic mea ls like theirs in yo ur ve ry own home! The place as a w hole is very eart hy an d co mfor ting. The menu attain s a level of great ve rs at il ity--if you’re looking for brea kfast, lunch, dinn er , a sn ack, or simply some coffee or te a. All in all, if I ev er m ak e it back to St. Augustine, I will most defini te ly pa y m any visits to Present Momen ts.

Present Moment Cafe & Market 226 West King Street | St Augustine, FL 32084

(904) 827-4499

thepresentmomentcafe.com

46


Travel

47



St. Augustine Woman's Journal - Feb/Mar 2012