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Fall 2016

THE SUSSEX COUNTY TM

A Quarterly Educational Resource for the Women of Sussex County. James R. Gaul MD, FACS A Permanent Fix for Chronic Sinus Sufferers

Charles Curry, MD A New ERA In Lens Choice For Cataract Surgery

Page 3

Page 4

Amy Bixler, RPh. Area Healthcare Supervisor, Walgreen Co. Pages 20-21

Christine D. Hannaway, MD, Debra Palmer-Shepard, Terry Persolio, Julie Abel, Monica Smith and Kelly Yoder. Photo by Mike Baker at Nanticoke Health Services, Seaford, DE

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Publisher’s Note THE SUSSEX COUNTY WOMAN’S NEWSPAPER www.sussexcountywoman.com

P.O. Box 1267 Bethany Beach, Delaware 19930 email: scwnews@mchsi.com Call Us At: 1.800.993.3822 or 302.539.2612 Fax: 302.539.2722 Elizabeth Kapke Publisher

Denise Gallagher Associate Publisher

Barbara Steele

Our fall issue profiles the subject of Cancer and the survivorship of this terrible disease. With every industry feeling the strain, my colleagues in pubic relations, marketing, advertising, and design all admit to feeling the pinch from clients who think these services are the easiest to cut. After all, they have to pay their electric bill, but they don’t have to pay for marketing. Unfortunately, this way of thinking is all too common, and according to the experts, just the opposite is true. Customers are being more selective than ever when deciding where and how to spend their money. So it’s imperative that business owners are putting the message out about why they are the best, biggest, greenest, most affordable, most experienced, or whatever the niche in their industry. So take a tip from the experts, and think before you cut off the marketing lifeline. Hopefully, we’ll all soon see a change and will not need to make these tough decisions. Remember, when the going gets tough the tough get going. Be selective with your advertising dollars. Be sure to educate the public. Read what our contributors say about the Women’s newspaper and ENJOY THIS BEAUTIFUL FALL. Elizabeth Kapke, Publisher

Sales Manager

Golden Design, LLC

Graphic Design & Layout

The Women’s Journal is published quarterly and is available free of charge, by subscription, at display stands in approved private and public establishments and authorized distributors only. Trademark and U.S. Copyright laws protect The Women’s Journal. No part of this paper may be reproduced without the written permission of the publisher. The Women’s Journal is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or 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 Women’s Journal, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for liable, unfair trade names, patents copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper of its advertising copy.

Part Time Sales Help EASTERN SUSSEX COUNTY

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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 Women’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published quarterly.

Christine D. Hannaway, MD, Debra Palmer-Shepard, Terry Persolio, Julie Abel, Monica Smith and Kelly Yoder.

Representations by The Women’s Journal COPYRIGHT 1995™

READERSHIP 185,000 +

2 I Fall 2016

Photo Credit Mike Baker

See Profiles on pages 30 & 31.

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Wicomico & Worcester County

WOMEN’S JOURNAL Maxwell Perim and Ross Perim publishers

Barbara Steele sales director

1505 South Salisbury Boulevard Salisbury, Maryland 21801 302.740.2149 phone

worwicwomen.com website

stewartp@comcast.net email

The Women’s Journal is published quarterly and is available free of charge, by subscription, at display stands in approved private and public establishments and authorized distributors only. Trademark and U.S. Copyright laws protect The Women’s Journal. No part of this paper may be reproduced without the written permission of the publisher. The Women’s Journal is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or 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 Women’s Journal, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for liable, unfair trade names, patents copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper of its advertising copy.

Dear Readers, Thank you so, so much for picking up our very first issue of the Women’s Journal for Wicomico and Worcester County. Our edition of the Women’s Journal is part of a national organization with over 30 plus years of experience and over 370 papers in publication or optioned to be published across the country. The Women’s Journal is the LEADING women’s educational paper in the United States. Our publication is dedicated to the meaningful education of the women of Wicomico and Worcester County and their families. We do this by reaching out to local professionals, and challenging them to demonstrate their expertise and passion by writing insightful, objective, and thought provoking articles aimed to educate the public. Our goal is that the articles in the Women’s Journal will foster a stronger, healthier, and more informed community. If any of the articles you have read in these pages has enhanced your life, we would love to hear your story. But more importantly, please email, call, or Facebook the professionals who wrote the articles, and let them know as well! We hope that your summer has been blessed with moments of laughter and fun with your family and friends. Thank your for your readership. You can find copies of the Wicomico and Worcester County edition of the Women’s Journal in medical offices, legal centers, fitness facilities, car repair centers, coffee shops, hair and nail salons, spas, community centers, and other businesses in your community. If you would like us to distribute to your home, office, or facility please call 302.740.2149 or email us at tbd.

Maxwell Perim and Ross Perim Maxwell Perim and Ross Perim, Publishers

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CALL 302.740.2149 On the Cover

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 Women’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published quarterly. Representations by The Women’s Journal COPYRIGHT 1995™

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Fall 2016 I WORWICWOMEN.COM

Christine D. Hannaway, MD, Debra Palmer-Shepard, Terry Persolio, Julie Abel, Monica Smith and Kelly Yoder. Photograph by Mike Baker


Health & Medicine

A Permanent Fix for Chronic Sinus Sufferers

Angioplasty of the Sinuses

James R. Gaul MD, FACS

Innovative Office Procedure for Chronic Sinusitis Now Available in Salisbury!

Sinus disease, including recurrent infection requiring antibiotic along with chronic congestion, pressure and post nasal drip year round, is the most common health problem in the United States; affecting 1 in 5 patients per year. Most sinusitis patients suffer facial pain, pressure, headache, nasal discharge, constant post nasal drip with discolored mucous and fatigue. Sinusitis has significant effects on a patient’s quality of life according to quality of life studies. Overall, the chronic, recurrent sinusitis patient’s quality of life is WORSE than that of patients with chronic heart failure, chronic obstructive pulmonary disease and Parkinson’s disease. Historically, chronic sinusitis patients were limited to two treatment options: continued medical therapy, including antibiotics and topical nasal steroids, or conventional surgery such as Endoscopic Sinus Surgery (ESS). This all changed approximately 8 years ago with the introduction of an innovative technology called Balloon Sinuplasty. The Balloon Sinuplasty devices, originally designed developed, and commercialized by Acclarent, utilize a small, flexible balloon catheter that is placed through the nose into the blocked sinus passageway. The balloon is then inflated to gently restructure and open the sinus passageway, restoring the normal sinus drainage and function. Since the beginning of 2011 Balloon Sinuplasty has been offered as an in-office procedure without the need for general anesthesia. This innovative office procedure typically allows patients to return to normal activity within 48 hours. Acclarent’s Balloon Sinuplasty devices are safe and effective and have been used in more than 375,000 in-office procedures. Locally, Dr. James R. Gaul now offers Balloon Sinuplasty in their office as a possible alternative to radical sinus surgery in the operating room, which may include cutting and removal of bone and tissue, general anesthesia, and an extended recovery period. Dr. Gaul states, “This Balloon Sinuplasty: essentially angioplasty of the sinus, is a safe, very simple, patient friendly procedure that takes 30 to 45 minutes in the office under local anesthesia that has revolutionized the treatment

The County Woman’s Journal

of sinus disease. This is finally a procedure that resolves the facial pressure, headache, chronic congestion and postnasal drip that is seen in all chronic sinus infection patients. If you suffer from sinusitis and have either had a sinus infection for more than 12 weeks or if you experience 4 or more sinus infections each year, please contact Dr. James R. Gaul at (410) 742-1567 to schedule an appointment.

Step 1. A soft, flexible guidewire is inserted into the blocked sinus.

Step 2. The balloon is advanced over the guidewire and is inflated to gently expand the sinus opening.

Step 3. Fluid is sprayed into the infected sinus to flush out pus and mucus.

Step 4. The system is removed, leaving the sinus open.

Fall 2016 I 3


Health & Medicine

A New ERA In Lens Choice For Cataract Surgery educate. enrich. empower. health&medicine 40 years. Our surgeons here at Delaware

ďŹ nd that the number of patients with used to improve our odds of meeting the excellent (within 0.5 diopters of the goal) patients’ goals for visual function after Eye were among the ďŹ rst in Delaware to results improved by about 50%. surgery. pioneer modern small-incision, no-stitch In addition to the improvement in Traditionally, surgeons have relied surgery with foldable intraocular lens lens power selection, the if ORA provides on measurements made prior to surgery This took usclearly, from a time others areimplants. easily picked hitwhere and field ages 65 and 74. Early manageable disease up duringcataract a routine eyewas routinely a baseball better and detection of macular caught valuable early. information for dealing with by instruments measuring through the surgery an inpatient examination. improve their lacrosse degeneration allows your astigmatism. Astigmatism is a natural cataract of the patient to determine surgery requiring sandbags to immobilize game. If no signs best lens choice. doctor to council youofon kDiabetes: irregularity of the shape of the front While this method the head for several days postoperatively Let’s start with the or symptoms exist, I preventative measures Diabetic retinopathy of the eye that leads to a distortion of measurement has been effective and and a healing process that stretched over children. One out of recommend a routine eye and create awareness is responsible for 8% images both near and far without glasses accurate for a good portion of patients, several months, to a point of outpatient every four children has exam at the age of four, of vision changes that of legal blindness and correction. Traditional there is an inherent be aw toand measuring surgery typically lasting 10-20 minutes aoffered visual impairment. another before school need to the leading cause ofintraocular lenses patient‘s faceaddressed eye will be patients will be asked at the Delaware Eye to wash physician’s pre-op instructions. outcomes. used at the time of cataract surgery are through a cataract that candraped skew these with rapid results, showing their face and hands. Ittwo is not prepped and for surgery¡ new Patients are generally infeel any discomfort. closed-circuit television system Modern cataractCenter surgery Surgery ishas more efficient oftentimes When you consider starts, then every immediately. Research cases of blindness The anesthetist administers I.V. sedation and Patient comfort is an important goal at the necessary to disrobe for most and the eye. This During surgery, most patients to measurements, refrain eating Following surgery, patients in connected to theyears surgeon’s undergone a gentle revolution in the incapable correcting astigmatism, which must be very cant improvement in visual function that 80%onsigniďŹ of learning thereafter. has shown that a diet adultsofages 20-74. the eyefrom is anesthetized to guarantee patient surgery center. Certified anesthetists arestructed on procedures, but shoes precise will efficiency tofor more patient remain aware oftotheir surround- conďŹ ning the patient with signiďŹ cant ˜› Â?›’—”’—Â? ŠĞŽ›be –’Â?—’Â?‘Â? are moved our The recovery operating past decade. Today, leads cataract toWhen attain the best within aeach few daysmicroscope. of surgery. Weexperts have staff case. Our nurses are in comfort. the forresults. surgery arrives, is delivered through rich intime green leafy Each year 12,000 to lesskeeping inflammation, removed. Dentures, prosthetics, ings. They canoperating hear voices and Charles Curry,surgery MD comfort, before procedure. Howarea where, once again, their Uponmore arrival, patients is invasive than patients comfortable and safe during patients arevegetables, wheeled to the room. a less child’s eyes, it isamong Of course, asa we nocalculations smoking 24,000 people lose sight astigmatism to constant glasses wear, even ORA works by making the also been the leaders inwill the use of(except rapidprocedures. recovery and better visual and hearing aids forblood the music, butsigns don’t feel any dis their visit. Patient family members are invited to ever, heart and pressure vital will be monitored. check-in with our receptionist. many dental The There is no need (or patients to transfer to an- because of uncontrolled imperative that they start age, the chance for and taking vitamin after cataract surgery, for all distances. of lens power while in the operating premium intraocular lenses that enable outcomes. remain with the patient during surgical side ear) may remain in. comfort. their staymedications in pre- other in the ’•• operating room shouldstretcher. usually beOnce ŠÂ?’Ž—Â?Âœ ‹Ž ˜ěŽ›ŽÂ? “ž’ŒŽ At that time, the eye receptionnewest-generation offPatient withequipment a foundation disease increases. supplements tailored for blood sugar. Annual eye while Vital signs will be monitored and comfort is an Following surgery, patients are The ORA measures astigmatism room after the surgeon has removed the more glasses-independence for those with Cataract surgery is, by far, the most op and recovery. Familyand members with the vital signs will again˜›be monitored and the pataken. Allispatients make  ŠÂ?Ž›ǯ ist will review help themay, ˜ěŽ›ŽÂ? ŠÂ?of Â?‘Žclear Ž•Š Š›Ž  ¢Ž —ŒŽ inhibit Œ˜–Â?˜›Â?Š‹•Žǰ the operative dilated. Oncemust important goal at the surgery moved to our recovery area vision sopermission, they Routine eyeeye care the disease can exams are used to permitting detect two patient’s observe the procedure tient‘s face and eye will be prepped and draped in the operating room, cataract. This permits much more reliable signiďŹ cance astigmatism and for those frequently performed procedure by the patient complete theirpatient admis- is comfortably sure they understand theirwhere,aonce Surgerycenter. Center isCertified more ef- anesthetists familyagain, member mayvitals join the are their can concentrate instrumental in theforsettled, leaking blood vessels, through aon c1osed-circuit television surgery¡progression. By:ophthalmologist. Jay Taylor, M.D. measurement that will requires, typically, who desire less need forPatients glasses for near general This, course, physician’s pre-op instructions. sion paperwork. aresystem ꌒŽ—Â?ofŠ—Â? Â?Ž—Â?•Ž ˜— Â?‘Ž Ž¢Žǯcase. them. Post-op instructions are useful strategies for reducing astigmatism they may have a family member on staff for each Our nurses signs be monitored. Patients the material they to are detection, monitoringDuring surgery, most patients remain aware retinal swelling (macular connected the surgeon’s operating microThe anesthetist then invited to our pre-op ÂŽÄœÂŒÂ’ÂŽÂ—ÂŒÂ˘ •ŽŠÂ?Âœ Â?˜in –˜›Ž reviewed and hear copy given to join them. are experts keeping patients will offered juice ortime water. postoperatively in these patients: 1) only aadminiscouple of be extra minutes of vision activities. makes it imperative that the‘’œ surgeon scope. of their surroundings. They can voices and edema) learning, not wasting and treatment of many kGlaucoma: The and lipid mportance routine, ters I.V. sedation the eye areaexcited forpatients the administration of are ™ŠÂ?’Ž—Â? Œ˜–Â?˜›Â?Ç° •Žœœ ’—ĚŠ––Šthe patient forItause at home. Patients generally in- and comfortable and safe during their Once comfortable family specialized premium lens implants called while in the operating room. does not We are to, most recently, hones his or her of skills and utilizes the music, but don’t feel any discomfort. Upon arrival, will check-in with our energy struggling tonecessary seeare medications. ocular and systemic leading cause comprehensive eye tion, more structed to refrain eating or second visit. Patient family member may join are them. Post-op is anesthetized toFollowing guarantee anyAt rapid recovery and members Patients must be released into deposits in the retina – surgery, patients moved to receptionist. that time, the receptionist willfromrequire toric lenses can be chosen and any repositioning of the patient in be the ďŹ rst practice in Delaware to offer most advantageous technology to attain clearly. Some children’s diseases including: of blindness in the U.S. all of which are signs of accurately drinking midnight before a the area invited to remain the patient exams. Too often I instructions are and patient comfort. When time where, entering pre-op pa- after ‹ŽĴŽ› Â&#x;’œžŠ• ˜žÂ?ÂŒÂ˜Â–ÂŽÂœÇŻ the care of areviewed responsible adult. reviewwith andWhile help the patient complete their our recovery once again, their vitals David Robinson, M.D. positioned in the eye to maximize the midst of surgery because the ORA is ORA Wavefront Aberrometry to our repeatable and exceptional results at eye diseases, such as is found mostly in the damaged blood vessels. procedure. However, heart and during their stay in pre-op and copy given to the patient for use have seen Robinson, patientsM.D. Patient comfort is anadmission surgery arrives, patients will be asked to wash impor- tients PleasePatients do not plan signs will be monitored. will on bedrivoffered paperwork. Patients are then for invited By: David medications blood members may, recovery. Family atOnce home. Patients must bethat reamblyopia and infantile kMacular 40 crowd. It isGenerally, to over the operating microscope cataract patients to this mostpermanent common and,vision arguably, suffer juice water. comfortable a family mem- reduction of astigmatism, 2) standard lens to our pre-op forimprove the administration of any attached are wheeled to theoroperating theirarea face and hands. It their ispressure not results, tant goalmost at the surgery center. ing yourself home. With the experience of 16,000 surgical proceshould usually be taken. All with the patient’s permission, care of a responsileased into the glaucoma, need to be Degeneration: The characterized by high kCataracts: you ber may join them. Post-op instructions are re- implants necessary medications. While entering pre-op ŃŽŃŁŃ–Ń‘ ÇŻÇŻprocedure. loss that could have WithŃœŃ?Ń–Ń›Ń ŃœŃ›Ç° the surgical experience of 16,000 can be used,Ifbut supplemented is being used throughout the procedure. i.e. possibly reduce their need for glasses important Here room. There is no need for necessary to disrobe for most Ž›Â?’ęŽÂ? Š—ŽœÂ?‘ŽÂ?Â’ÂœÂ?Âœ Š›Ž ˜— patients will wear an eye patch dures, Delaware Eye Surgery Center combines patients must make sureviewed they and pressure observe the procedure through a to leading ble adult. Please doeye notfor plan on copy given to thethe patient usethe at live long enough you patients will be asked wash their face and cataract surgeries, Delaware Eye picked up as early as cause of in that been prevented if the patients to transfer to another procedures, but shoes will be ÂœÂ?Šě Â?˜› ŽŠŒ‘ ÂŒÂŠÂœÂŽÇŻ ž› —ž›œŽœ for a short time following with corneal incisions guided by the It doesprenot require ayourself second trip to Generally, the fortelevision some activities afterunderstand surgery. Each at Delaware Eyeeye Institute, of our the most modern surgery all technology and their physician’s c1osed-circuit system driving home. home. Patients must be the released intonerve. the care of will have cataracts. hands. It is not necessary toprosthetdisrobe forinmost Surgery Center combines the are experts possible to prevent problem had only been blindness the U.S. damages optic ÂœÂ?›ŽÂ?ÂŒÂ‘ÂŽÂ›ÇŻ —ŒŽ ’— Â?‘Ž ˜™Ž›ŠÂ?removed. Dentures, in keeping patients —ŒŽ ™ŠÂ?’Ž—Â?Âœ ‘ŠÂ&#x;ÂŽ he Delaware Eye Surtechnique with a warm and friendly atmosoperating suite for ™›˜ŒŽÂ?ž›Žǯ lens our cataract now has about surgeons are dedicated to doing just that. connected toof the surgeon’s patients willimplantation, wear anplan eye on patch a responsible adult. Please do not driv- ORA to help reduce astigmatism. These procedures, but surgeons shoes willop beinstructions. removed. Denmost modern eye surgery technoldetected earlier. Accurate permanent vision loss. is a result of the It is typically a slow, cataract is any phere. This combination promises patients an ing room vital signs will again comfortable and safemicroscope. durics, and hearing aids The (except recovered and receivedthe their gery Center combines anesthetist administers operating for a short time following pro- A ing yourself home. Generally, of patients strategies can reduce or eliminate a full consignment lens will wear two years of experience frequently usingfor because Our surgeons bring years of dedicated tures, prosthetics, and hearing aids (except ogy and technique with a warm spectacle prescriptions unparalleled surgical experience. Amblyopia, in particular, deterioration of certain progressive process that opacification or clouding be monitored and the patient’s ing their visit. Patient family for the surgical side ear) may post-op instructions, they the most modern I.V. sedation and the eye is cedure. Once patients have Upon arrival, patients will an eyeand patch for a short timeon following the pro- astigmatic glasses the surgical side ear) may remain in. Vital signs types and friendly atmosphere. Thisand have need after surgery. powers are kept in this exciting new tool in thewill surgical service learning their craft Modern cataract surgery hasmembers undergone a with are commonly aand isaremuch more difficult face and eyecedure. will be prepped invited to remain remain in.and Vital signs aresymptoms wheeled tohand their car and cells inbethe macula, has no until anesthetized guarantee patient check-in our At the recovered and recovered received their post- of the lens in the eye. eye surgery technology Once patients have and rewill bereceptionist. monitored operative eyeto dilated. combination promises patients an revolution in thea past decade. Today, cataract It is always important our surgical suite. For the patient and suite. This revolutionary system isthe the demonstrated commitment to openness simple solution for 40 comfort. When the time for surthat time, the receptionist will op instructions, they are wheeled and draped for surgery. with the patient during their monitored and the operative released. For most patients, the to treat after the age of which is portion of only 10% of the nerve Typically cataracts do to keep in technique with a warm and ceived their post-op instructions, they are Once the patient is comfortably settled, they unparalleled surgical experience. surgery is less invasive than many dental procegery arrives, patients are wheeled to their car and released. For somethings with chronic review and help the patient mind that no technology or surgical surgeon the process is seamless, while the ďŹ rst of its kind to gather information in to the newest technologies to improve our During in surgery, and recovery. Ž¢Ž Â?’•ŠÂ?ÂŽÂ?ÇŻ —ŒŽthe Â?‘Žjoin ™ŠÂ?’Ž—Â? Â’Âœ located experience at the center wheeled to patheir carentire and released. most pa- not pose a health risk may a family member them. friendly cataract atmosphere. This has stay in pre-op 6-9. Often a have detailed retina themost is functional andFor the Modern surgery dures. The newest-generation equipment offeredtheir admission paperto the operating room. There isthe notheir most patients the entire expericomplete headaches andpatients fatigue at members tients entire experience at the center takes but Patients are generally instructed tocataract refrain tients remain aware of Family may, with the Œ˜–Â?˜›Â?Š‹•¢ œŽĴ•ŽÂ?Ç° Â?‘Ž¢ –Š¢ only takes about 90 minutes. undergone a revolution 1n the procedure is perfect. The ORA Wavefront improved results are dramatic. Studies real time during the course of the surgical results. combination promises refraction for glasses back of the eye necessary patient has permanent can seriously impair at the Delaware Eye Surgery Center iswork. more Patients are then invited to need (or patients toatransfer to90 ence at the center takes about 90 about minutes. from eating or drinking after midnight before work and children doing past decade. cataract surroundings. They can hear patient’s permission, observe have a family member join For an appoinment otr more an unparalleled surgical expecan be found to improve for sharp vision. This vision loss. Treated your vision. Many Aberrometer is one more tool that looking at the results after use of the ORA procedure which helps guide the surgeon Technology has been especially kind efficient and Today, gentle on the eye. This efficiency another stretcher. Once in the minutes. or more information call our pre-op area for the adminisForbut andon’t appointment procedure. However, heart and blood pressure poorly in These surgery lessschool. invasive than voices and versus music, the procedure throughvision a the them. information call 302-645-2300. rience. leads toďŹ ismore patient comfort, less inflammaathe child’s so they disease affects 11% of predominately with eye people will struggle improves our results after cataract surgery. with traditional lens measurements in choice of lens power and type to be to the eld of ophthalmology over last operating room vital signs will tration of any necessary medicaFor an appointment or more 302-645-2300. medications should usually be taken. All pamany dental procedures. The better visual problems and many tion, more rapid recovery and see the board school Caucasians between drops; glaucoma is a very to enough light to again be monitored and the tions. While entering pre-op information call 302-645-2300. tients at must make sure they understand their Noget machine or surgeon can guarantee a newest-generation equipment read stop driving at patientand perfect glasses-free eyesight after night because of their surgery. Almost all patients, regardless cataracts. The visual of technologyprogressively used, will ďŹ nd they require symptoms glasses for near vision activities after worsen and are cataract surgery. Almost all patients sometimes accompanied willaďŹ shift nd their vision could be by indistance the glasses prescription. improved, at least slightly, by a mild pair of glasses for the distance after surgery. TheFortunately, ORA and othermany technologies we use ocular diseases are permit a larger at Delaware Eye Institute treatable and vision number of patients to function more loss can be prevented comfortably for more activities without if caught in a timely the use of spectacles. We are committed manner. We rely on to continued advances that facilitate our vision for so many continuedeye improvement these results. things, health isintoo The most endorsement I can important toringing overlook. Igive strongly recommend is to echo Dr. Robinson’s statement adding that “If I,aorcomprehensive, my family members, were dilated eye exam to I would insist having cataract surgery your regular health careSystem on my surgeon use the ORA regimen. intraoperativelyâ€?.

Routine eye exams Detect‌. Delaware EYE Eye Surgery Center Celebrates DELAWARE SURGERY CENTER OFFERS DELAWARE EYE SURGERY CENTER OFFERS HIGH CARE WITH COMFORT 15,000 Surgical Procedures HIGHTECH TECH CARE WITHPATIENTS PATIENT COMFORT

I

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18791 john j. williams hwy. rehoboth beach, de 19971

phone 302.645.2300 April/May 2011

4 I Fall 2016

232 mitchell street millsboro, de 19966

web D e l aw a r e E y e . c o m 2

Dr. Jay Taylor, at For more information The Delaware Eye about ORA technology, cataract surgery, Institute, has been premium and serving thelens eyeimplants, care needs of patients in center our ambulatory surgery Sussex County for 14 please visit years. To make an www.delawareye.com appointment call (302) 645-2300.

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Health & Medicine

See You at School

By: Glenn Courtney, A.B.O.C. Delaware Eye Optical

With September around the corner and kids preparing to return to school buying clothes, backpacks, paper and pens, parents should consider vision as part of this preparation. Eye exams are routine for many children whose visual problems were caught early and corrected with eyeglasses or contact lenses depending on their age. Early in children’s eyecare frames are designed with safety, comfort and durability in mind. Preschool, kindergarten and grade school ages often find frames that are colorful, flexible and in shapes that fit the typically narrow pupillary distances as well having pads for the bridge of noses that are less developed. Today’s children are more aware of style and brands they are exposed to at an early age such as Fisher Price, Adidas, LINDBERG Kids, Solo Bambini, Rec Specs, and dilli dalli to name a few. Even though parents are responsible for paying the bill and making sure their children receive proper medical care, in this case eyecare, it is very important for the child to be part of the frame selection process. This will go a long way toward the child wearing and taking care of their new eyewear and overall success of improving the child’s quality of life. The prescription is always the main consideration when choosing a child’s eyewear. When selecting frames the optician should be able to read the doctor’s prescription and have suggestions on frame styles that best fit the child but also lenses that provide safe, clear vision. Lenses, depending on the prescription, can be thicker either in the center (plus lenses) or the outer edge (minus lenses). Frame selection can cosmetically help children

The County Woman’s Journal

feel more comfortable in these cases. Frames with wider temples can hide some of the edge thickness on a minus prescription. Those with the plus lenses can benefit from having a frame where the pupil fits as close to the geometric center of the frame as possible. The lens with less decentration (moving optical center) creates less thickness and better peripheral vision. There are many lens materials in the market place and each have different aspects from safety, to cosmetic, weight, clarity or specific applications that can be added. For children polycarbonate has been the standard for many years due to its characteristics of light weight, absorbing UV, thinness and primarily safety. It is a very durable impact resistant material long prescribed for children which had its origin in industrial eyewear. Trivex or Phoenix (Hoya’s brand) are more recent materials that qualifies for children 18 and under, we feel is better than polycarbonate. The two materials have similar characteristics but Trivex or Phoenix is more scratch resistant and has a higher abbe value so vision is slightly better. Obviously safety is primary for children’s eyewear along with the prescription and fashion. Eyewear today can help them through the early years when development is so critical. Sports eyewear is critical for children involved in almost any sport. Polycarbonate and Trivex can provide impact resistance from balls or flying elbows on a basketball court for example. Liberty Optical provides an array of sport frames cushioned at the bridge and temples with wide sweeping lenses for great peripheral vision. This area of eyecare has grown and offers much more variety than in past years. Team colors, different shape designs and various temple concepts allow wearers to customize the sports eyewear depending on what they enjoy from biking, baseball, basketball, motorcycling, shooting, to fishing and many others with eyewear that have both safety and performance in mind. We begin fitting children with contact lenses around the age of 12 or 13 depending on the child’s personal habits and maturity. Parents are usually involved in the decision process for obvious reasons. Contact lenses require more discipline and responsibility on the

child’s part due to the health implications if directions are not followed. For those who are able to wear them successfully they offer an alternative and can help those whose prescriptions are burdensome due to the lens power. We offer many different alternatives from pre-school age all the way through college age for children looking for fashion or just function. Over the years

through technology both in lenses and frames providing children vision on a par with adults and their needs Obviously there are many areas within children’s eyecare I haven’t touched on. We would enjoy speaking with you about your child’s particular vision needs and the many alternatives available.

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Fall 2016 I 5


Health & Medicine

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6 I Fall 2016

Christopher J. Pellegrino, MD

Vincent J. Perrotta, MD

The County Woman’s Journal


Health & Medicine

What You Should Know About Oral Cancer

PRESENTED BY RICHARD J. MCCANN, D.M.D., P.A.

Detecting oral cancer early nearly double your chance of survival. Therefore, it is important that you now what factors put you at risk of developing the disease and what symptoms to watch for. Approximately 3 % of all cancers diagnosed in 2015 involved the mouth or the back of the throat. When certain types of skin cancers were excluded, these oral cancers accounted for most head and neck cancers.

RISK FACTORS

Some risk factors for developing oral cancer are beyond you control. Men tend to be at greater risk than women for oral cancer, which is diagnosed most often in adults between the ages of 55 and 64 years. However, you can control other risk factors. For example, some behaviors that may put at risk include: • using tobacco products; • drinking alcohol heavily (more that 4 drinks a day);

• using alcohol and tobacco products together (significantly increases the risk); • using betel quid (Paan); • eating a diet low in fruits and vegetables; • spending long periods in the sun which is associated with lip cancer.

WHAT CAN YOU DO?

Another risk factor on the rise is infection with human papilloma virus (HPV), which sexually transmitted. Specifically, HPV is linked to cancers classified as oropharyngeal. Oropharyngeal cancer involves tissues near the back of the mouth and throat, including the back and base of the tongue, and the tonsils. People who have HPV-related oropharyngeal cancer tend to be 4 to 10 years younger than people with oral cancers that are not related to HPV.

• Check your mouth and neck regularly for any of the above symptoms, and tell your dentist if you notice any of these or other changes; • Avoid using tobacco or drinking heavily; • Eat a healthy diet rich in fruits and vegetables; • Avoid spending extended periods in the sun and use sunscreen; • If you are sexually active, practice safe sex; • See your dentist-as part of your dental visit, he or she will examine your mouth and neck for signs of oral cancer.

ORAL CANCER SIGNS

Some signs you can watch for include: • a sore on lips or in the mouth that will not heal; • red or white patches in the mouth; • pain, tenderness, or numbness on the lips or in the mouth; • a lump, thickening, a rough spot, crusty area, or eroded area on the lips or in the mouth; • difficulty chewing, swallowing, speaking, or moving the jaw or tongue; • a change in the way your teeth fit together when you close your mouth; • a lump or growth in your throat or neck; • cough or sore throat that will not go away; • earache; • trouble swallowing; • hoarseness or other changes in your voice.

Self-examinations, healthy lifestyle choices, and regular dental visits can go a long way toward catching oral cancer early, making the disease easier to treat. Commit to taking these steps in your life:

Special Offer! Custom, take home whitening kits.

$125.00 Offer expires 11/31/16.

Richard J. McCann, D.M.D. 31413 Winterplace Parkway Salisbury, MD 21804

410-546-9940 rjmccanndmd.com The County Woman’s Journal

Fall 2016 I 7


Health & Medicine

Health & Medicine

“BROKEN HEART SYNDROME”

By R. Alberto Rosa, M.D., FACC

Dr. Ramon Alberto Rosa is a graduate of the University of Santo Domingo in his native Dominican Republic. He completed his post-graduate medical education at the University of Pennsylvania Graduate Hospital in Philadelphia with a residency in internal medicine (1991-1994), Chief Medical Resident (1994-1995), and cardiology fellowship (1995-1998). Dr. Rosa has practiced cardiology in Sussex County since July 1998. He has served as Medical Director of the Cardiac Catheterization Laboratory and as Chief of the Department of Cardiology at Beebe Medical Center in Lewes, DE. Dr. Rosa is trained in non-invasive cardiology, Nuclear Transesopageal Echocardiograms, as well as invasive diagnostic procedures and pacemaker implantations. Dr. Rosa is board certified by the American Boards of Internal Medicine and Cardiology. He is also a Certified Aviation Medical Examiner and is Board Certified in Nuclear Medicine.

Is a “broken heart” a true medical condition or is it just a figure of speech to describe someone’s emotional state after some great personal loss or stressful situation? It may come as a surprise to many people but the answer is both. This condition is also known as “stressinduced cardiomyopathy”, a rapid and severe heart muscle weakness, typically as a consequence of sudden emotional or physical stress: unexpected illness, injury or loss of a loved one. It can also be from a severe medical condition, surgery, an accident, intense fear, domestic violence, severe pain, financial loss, even public speaking or a surprise party.

The exact cause is unknown, but it is clear that most of the affected individuals are postmenopausal women between the ages of 58 and 75 years, in about 90 percent of cases. The symptoms are very similar to those of a heart attack, with chest pain or pressure and shortness of breath being the most frequent ones. It is not completely understood why this condition affects mainly women, but most investigators believe that after menopause the decline in estrogen levels renders patients more susceptible.

patients, the coronary vessels are open and the blood flow is usually normal. It is the “stunning” of the heart muscle cells by adrenaline and other hormones that creates the muscle weakness and this process is, for the most part reversible. Another interesting finding in this broken heart syndrome is that it does not tend to recur in the same patient. In other words, once somebody experiences this syndrome, even if other stressful events come along in their lives, the same phenomenon doesn’t tend to happen again. Learning to cope better with life stresses can prevent it in the first place.

It was first observed in Japanese women in the early 1990’s and the name of takotsubo cardiomyopathy was used originally. This name describes the characteristic appearance of the left ventricle (heart’s main pumping chamber) as seen in cardiac studies that resembles the traditional Japanese octopus trap. There is ample evidence to suggest that the massive release of certain hormones in the bloodstream, such as adrenaline and noradrenaline, as a natural response to stress, under certain conditions causes the heart muscle cells to stop working properly, especially in the lower part and the “tip” of the left ventricle.

The management of this medical condition is similar to the treatment of congestive heart failure with medications

such as diuretics, beta-blockers and ace-inhibitors as well as aspirin and in some cases blood thinners on a temporary basis. So yes, it is quite possible to have a “broken heart” literally, as a true medical illness that is brought about by a heightened physiological response to stress, especially in women. The good news is that in almost every case it is a temporary condition and full recovery is the expected outcome. There is no way to differentiate this situation from a heart attack, before hand. Therefore, it is very important to seek immediate medical attention for symptoms of sudden chest pain or pressure and shortness of breath. It might be the case that your heart doctor could tell you, in the end: “Just a broken heart, already on the mend”.

Stress-induced cardiomyopathy can be serious medical condition because it involves the sudden onset of congestive heart failure due to the heart muscle weakness, low blood pressure and potential shock or life threatening heart rhythm problems; it is, however, rarely a fatal illness. Furthermore, it is almost always reversible with most patients recovering completely within 2 to 4 weeks. The main differences between a heart attack and “broken heart syndrome” is that heart attacks occur as a consequence of blockages or blood clots in the coronary vessels (heart vessels that supply blood flow and oxygen/ nutrients) to the heart muscle cells that cause those cells to die or to suffer permanent damage. In the stress cardiomyopathy

8The I County Fall 2016Woman Newspaper

302-645-1233 • www.cvcde.com Offices in Lewes and Millville

9

Winter 2014/2015 The County Woman’s Journal


Health & Medicine

Our Beacon of Hope Attendees enjoy the companionship and support of their fellow members and Counselor. Delaware Hospice families are able to attend these events along with the community as space permits free of charge. As a trusted community partner in end of life education and support, Delaware Hospice strives to provide quality healthcare services to our community. To learn more about our 16-month Bereavement program, call 302-856-7717 or visit our website www.delawarehospice.org.

“... being a “beacon of hope” at Delaware Hospice, Midge has been able to help over 1,000 clients along their journey ...” For over 30 years, Midge DiNatale, BA, GC-C has been an advocate for mental health and the bereaved. It is her own personal experience and survival that is what led her to the path of Grief Counseling at Delaware Hospice. Midge started her path on Grief Counseling long before she knew it; when she suddenly became a single mother after the death of her husband. However it was not until after the loss of her 23 year old son to suicide that really started Midge on her counseling journey. Soon after the loss of her son and while living in Atlanta, Midge became involved in the American Foundation for Suicide Prevention (AFSP) and SPAN- GA. It is during this time that Midge had her revelation that she just understood grief, “I get grief.” She trained to become a Survivor’s of Suicide (SOS) group facilitator in Georgia. It was after doing this training that Midge decided to pursue Grief Counseling in order to help a larger group with their losses. From that time on, Midge wanted to be that person for others who they could lean on along their journey. “Working with the bereaved was what I was meant to do with my life,” comments Midge. Being a “beacon of hope” at Delaware Hospice, Midge has been able to help over 1,000 clients along their journey. There is no prescribed method of helping someone through their sorrow but with her personal and professional experience around death, Midge has become a resource for Sussex County. Midge has found her home with Delaware Hospice’s Bereavement Department. “I love what I do each day; there is nothing sad about helping someone with grief. Putting on workshops for individuals and working with nurses and case managers are always a great way to round out my day. I have learned so much from my clients and I hope that they have learned something from me.” Midge and the rest of the Delaware Hospice Bereavement Team offer over 20 different bereavement workshops and meetings throughout the month in a variety of locations across the county.

The County Woman’s Journal

My dad taught me to fly, to never fear tomorrow. So I will teach my son to soar and not to accept limitations. That’s why I chose Delaware Palliative. If you’re coping with a serious illness Delaware Palliative can help alleviate symptoms and stress. Even if you’re still receiving active, curative treatment. We help keep the focus where it needs to be- life lessons between a father and son. See how palliative care can improve quality of life at www.delawarepalliative.org or call 800-838-9800.

Fall 2016 I 9


Health & Medicine

educate. enrich. empower.

health&medicine

Relief For Overactive Bladder

Without Medications Or Surgery!

Tibial nerve stimulation helps women to reclaim active lives

A

bout half of all women experience stress incontinence -- losing urine when they cough, laugh, sneeze or exercise -- at some point in life. It’s a common problem in women of all ages, starting in their 20s. Many women tell us stress incontinence limits their ability to work out or enjoy an active social life.

problem, including medications and behavior changes that can help. One effective option is a nonsurgical treatment called tibial nerve stimulation. This option often works when medications and other treatments have not provided relief.

Many women suffer from overactive bladder, or OAB, in which they need to urinate frequently or have a sudden, urgent need to go to the bathroom.

Essentially, it’s an acupuncture needle inserted into the skin to stimulate the anterior tibial nerve on the outside part of the ankle. Most people say it hurts less than a bug bite.

In fact, about 40 percent of women in the United States have OAB, making more than eight trips to the bathroom during their waking hours and often getting up at night. There are several methods to treat the

How does tibial nerve stimulation work?

Typically, patients get weekly treatments for 30 minutes for 12 weeks. Some patients might require treatment twice a week—the schedule can vary based on how each individual responds.

Improvement in five weeks

Most women see improvement by the fifth week, as their OAB symptoms decline. For people who have been struggling with the discomfort and challenges of OAB, the change marks a big improvement in quality of life. Benefits of the treatment include using the bathroom less frequently especially in the middle of the night, getting a better night’s sleep and feeling more rested. In terms of urgency, patients say they have more time to get to the bathroom, which reduces their anxiety about leaking urine. Further, people who respond well to tibial nerve stimulation can be gradually weaned off of

You will meet highly skilled and caring physicians who are the only urogynecologists in Delaware who have completed fellowships and are board-certified in female pelvic medicine and reconstructive surgery.

Babak Vakili, M.D., is the director of the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Vakili completed his fellowship in female pelvic medicine and reconstructive surgery at the Louisiana State University Health Science Center.

Emily K. Saks, M.D., MSCE, is a urogynecologist with the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Saks completed her fellowship in female pelvic medicine and reconstructive surgery at the Hospital of the University of Pennsylvania.

Howard B. Goldstein, D.O., MPH, is a urogynecologist with the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Goldstein completed his fellowship in female pelvic medicine and reconstructive surgery at Cooper University Hospital in Camden, New Jersey.

10 I Fall 2016

Safe and effective

5

Medicare and most private insurance companies cover the cost. Many insurance companies require that patients try other treatment areas such as medication before tibial nerve stimulation.

Although many people aren’t familiar with it, tibial nerve stimulation is not an experimental treatment. We’ve been doing the procedure for six years, and it’s been around for more than 10 years, starting in Europe – and the success rate to cure or improve OAB is about 75 percent.

Our practice offers the procedure at our Christiana Hospital, Medical Arts Pavilion office and at Concord Health Center.

Even though it is effective, tibial nerve stimulation is not permanent. The positive impact lasts nine months to 18 months. Happily, the neurological system has a good memory, so the response is much quicker the second time around, likely in four weeks.

To learn more or make an appointment, call 800-693-CARE (2273).

Tibial nerve stimulation is providing welcome relief for many patients with OAB. A tiny needle once a week makes a huge impact on their daily lives.

Please mention you read about this treatment in The Women’s Journal.

Bladder problems shouldn’t keep you from the things you enjoy most in life.

Matthew Fagan, M.D., MS, is a urogynecologist with the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Fagan completed his fellowship in female pelvic medicine and reconstructive surgery at Greater Baltimore Medical Center/University of Maryland.

Christiana Hospital Medical Arts Pavilion 2 302-623-4055 4735 Ogletown-Stanton Road, Suite 1208, Newark, DE 19713 Smyrna Health & Wellness Center 302-623-4055 100 S. Main Street, Suite 215, Smyrna, DE 19977 Christiana Care Concord Health Center 610-361-1030 161 Wilmington-West Chester Pike, Chadds Ford, PA 19317 www.christianacare.org/urogynecology www.TheWomensJournal.com

medications they are taking for OAB - saving the money and avoiding the costs and side effects of medication.

Let us help you get back to what really matters.

800-693-CARE (2273)

Life. Healing. Caring. 16WHS13

christianacare.org/urogynecology

The County Woman’s Journal


Health & Medicine

What is Ultherapy? is a face and neck treatment that improves skin laxity in a meaningful way but completelynon–surgically.

Jowls

Michelle Parsons, MD

is a graduate of Jefferson Medical College, Philadelphia and received her residency training from the State University of New York in General Surgery, and Christiana Medical Center in Emergency Medicine. She also served as a Flight Surgeon in the Air Force. Dr. Parsons specializes in Bio-Identical Hormone Therapy and treatment of Thyroid disorders as well as Aesthetic Medicine and Laser Medicine. Here at ReNove Medical, Dr. Parsons offers Ultherapy, a state of the art medical procedure utilizing focused ultrasound energy to lift and tighten sagging skin. No scalpel or anesthesia is needed. Ultherapy is great for people who would like tightening and lifting of facial skin without have a surigcal facelift. The Ulthera sound energy passes right through the skin and targets the areas you want lifted. During a typical 30-60 minute Ultherapy treatment session, an ultrasound applicator is passed over each region of the face. The sound waves emitted deliver small, controlled amounts of energy into the deep layers of skin and soft tissue. The beauty of Ultherapy ‘uplifting ultrasound’ is that it

Ultherapy works great for sagging jowls, where the skin is fatty, heavy and drooping. Ultherapy is able to reduce this fatty heaviness, tapering the jaw line, for a more youthful look. Ultherapy can restore a more youthful shape to the face from a square to the inverted triangle.

Nasolabial Folds

Ultherapy also works well to minimize the drooping of excess skin that we get along each side of the nose, or lower cheeks. You may think that you need to fill in these areas with a filler, but the real problem may be that fat and loose skin is just falling down due to the effects of gravity. With ultherapy we can target this area and minimize the fattiness and tighten up that skin. Again this will restore the more youthful balance of the face with the center of gravity higher in the cheek areas.

Neck

Ultherapy can tighten up that loose skin underneath our necks as well. The area that Ultherapy works the best is that area just underneath the chin and extending into that curve of the neck. Ultherapy won’t duplicate the results of a surgical neck lift. But if you have somewhat loose and fatty skin in your upper neck, hanging just beneath your chin, Ultherapy can improve this area, and improve your profile.

Eyelids and Brow Lift

Michelle Parsons, MD ReNove Med Spa 416 Rehoboth Avenue Rehoboth, Delaware For appointments please call

302.227.1079

www.RenoveMedSpa.org

Renove.Rehoboth@gmail.com

The County Woman’s Journal

Perhaps one the most dramatic areas that Ultherapy can improve on without surgery is the eye area and creating a brow lift, helping to lift heavy drooping eyelids. Ultherapy can make the eyes appear more open,

more awake, rested and more youthful. This may be subtle change but this small difference can have a significant effect! Our clients really love this part of the Ultherapy results.

Before

Overall Ultherapy works wonders to taper, redefine your facial contours, while eliminating fatty, droopy areas, and lift and tightening skin around the eyes and underneath the chin, for a more youthful sculpted look. The stars in Hollywood do this treatment, and now you have access to this age defying procedure right here in Delaware at the beach. Dr. Parsons is pleased to bring this cutting edge highly sought after technology to you to help you look your best. If you think you may be candidate for Ultherapy, please give us a call to set up a complimentary consultation with Dr. Michelle Parsons. 302227-1079.

What Kind of Results Can I Expect from Ultherapy?

After just one treatment with no downtime, your skin will gradually shift back into a more youthful position. Improvements include a sleeker, more defined jawline and tighter skin on the neck under the chin. Sagging skin on the cheeks can be tightened and lifted, which in turn can

After

improve folds from the nose to mouth, folds from the mouth to jaw, and drooping corners of the mouth. Tightening of skin on the forehead can reduce the sagging skin on the eyelids and promote a more open, refreshed look in general. The results of Ultherapy are permanent, just as the results of a face-lift are permanent, 0f course, your skin will continue its natural aging process. While Ultherapy is not a replacement for surgery, it is an inviting alternative for those who are not ready for surgery but looking for meaningful results.

TESTIMONIAL One week after my Ultherapy Treatment, my husband, after being out of town for a couple of days asked me “what’s different about you,” he was staring at my face! Not having told him about my treatment I innocently said “what do you mean?” His response was “I am not sure but your face looks different.” I asked “different good or different bad?” He replied “different good, looks stretched.” I was surprised that the results were noticed that quickly. I found the treatment to be bearable, certainly wasn’t pain free, but tolerable. I was very happy when it was over! For the past 2 weeks following the treatment my face has been tender which is a reminder that the treatment is continuing to work! I would highly recommend it to all! K.M. – Ocean City, MD.

Fall 2016 I 11


Health & Medicine

NANTICOKE & 3-D MAMMOGRAPHY – Why it matters! If you are a woman 40 years or older, hopefully you are having an annual mammogram to screen for breast cancer. When detected early, the survival rate for breast cancer increases dramatically.

The following 5-year survival rates reported by the American Cancer Society (http://www. cancer.org/cancer/breastcancer/detailedguide/ breast-cancer-survival-by-stage) for the detection of breast cancer show why having an annual mammogram can be so important to a woman’s health. • Stage IV or Metastatic Cancer (spread to other parts of the body) – 22 percent • Stage III Cancer – 72 percent • Stage II Cancer – 93 percent • Stage 0 or I Cancer – nearly 100 percent Nanticoke Health Services in Seaford offers the latest in mammograms using Genius™ 3D MAMMOGRAPHY exams. But what is 3-D mammography? How is it different from traditional mammography? What is 3-D mammography? Approved by the FDA, 3-D mammography uses multiple images, or X-rays, to recreate a 3-D picture of the breast. Using these multiple images, a 3-D mammogram provides more detail than traditional mammography, which uses a single image. During the 3-D exam, an X-ray arm sweeps in a slight arc over the breast, taking multiple images. A computer then converts the images into a stack of thin layers, allowing the radiologist to review the breast tissue one layer at a time.

clearer picture of breast masses, making it easier to detect breast cancer, detect it earlier and reduce false positives. When using 2-D mammography, overlapping tissues is a leading reason why small breast cancers may be missed and normal tissue may appear abnormal, leading to unnecessary callbacks or repeated testing. A 3D mammogram can reduce the tissue overlap effect. The largest study to date on breast cancer screening using the Genius exam was published in the June, 2014 issue of the Journal of the American Medical Association (JAMA). Findings include: • A 41% increase in the detection of invasive breast cancers. • A 29% increase in the detection of all breast cancers. • A 15% decrease in women recalled for additional imaging. Who should have a 3-D Mammogram? Any woman who needs breast screening should consider 3-D mammography. In particular, women with dense breast tissue may benefit from 3-D technology because of the layered images that make it easier for doctors to catch breast cancer early. 3-D also helps catch more cancers and helps doctors see the cancer size much better. If you have a family history of breast cancer, regardless of your age, talk with your provider about having a mammogram. What are the risks associated with having a 3-D Mammogram? A 3-D mammogram releases the same amount of radiation as a traditional mammogram so there is no increased risk to a patient than a traditional mammogram.

Why 3-D mammography? There are several reasons why finding a provider that uses 3-D mammography is important. Because this technology uses multiple images, doctors have a

12 I Fall 2016

The County Woman’s Journal


!

Health & Medicine What can women expect? Women notice little difference between 3-D mammography and traditional screenings. The X-ray sweeps across the breast in an arch. It takes about four seconds to obtain an image, just a little bit longer than a digital mammogram. Nanticoke Health Services is committed to the fight against breast cancer. In offering the Genius

3-D Mammography exam, Nanticoke provides the latest and most effective imaging tool for breast cancer screening. “We are extremely pleased to offer 3D mammography at Nanticoke,” said Missy Babinski, Director of Radiology. “This latest technology allows for better, earlier breast cancer detection. The ultimate goal is to screen for breast

NATIONAL BREAST CANCER AWARENESS MONTH

BECAUSE YOUR HEALTH MATTERS!

OCTOBER 2016 Sunday

Tuesday

Wednesday

Thursday

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Saturday 1

GO PINK!

Begins at 7:00 pm Seaford Moose Lodge

Wear pink every Friday in October to raise awareness!

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PINK RIBBON BREAST CANCER AWARENESS WALK

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7:15 pm Meet Outside Cancer Care Center 9

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PINK RIBBON SURVIVOR’S TEA

Know the facts, and take charge of your own breast health!

Please join us at one or all of these events, and do your part to help increase awareness about the importance of breast health.

Friday 30 (September)

BASKET BINGO

If you need help getting a mammogram scheduled, call 302-629-6611 extension 3765

 All women should do regular self breast examinations.  Women over the age of 40 need to schedule regular mammograms.

Monday

For more information on any of these events, call 302-536-5386.

29 (September)

Nanticoke Health Services wants you to know that when it comes to breast health:  Early detection is important!

cancer with greater accuracy.” If you would like to schedule a 3D mammogram at Nanticoke, call 302-628-1507. For more information about this important breast health procedure, please contact our Mammography department at 302-629-6611 x 8630 or visit www.nanticoke.org/mammo.

1:00 pm Seaford Library 16

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Employee Activity

20

Committee

GO PINK! BAKE SALE

21

22 NATIONAL MAMMOGRAPHY DAY

October 21 Early Detection Saves Lives!

October 20

Remind those you love to schedule their mammogram.

Cafeteria Vending 23

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BLING THE BRA AWARDS 10:00 am Hallway Between Main Lobby & ER

Sweet Serenity Chocolates Fundraiser — Sweet Serenity Chocolates will be donating 10% of in store sales during the month of October to Nanticoke Health Services. For more information, call 302-628-8883 or visit the store at 1001 Norman Eskridge Highway, Seaford. www.sweetserenitychocolates.com Pizza King Fundraiser — Join Pizza King every Tuesday in October at their Seaford location (300 W. Stein Highway) and Pizza King will donate a portion of sales from these days to Nanticoke Cancer Care Center. For more information call 302-629-6003.

The County Woman’s Journal

Fall 2016 I 13


Women Supporting Women

Commemorating 25 Years of Service in 2016

Join us for a community event!

Our

The Most Trusted Breast Cancer Resource in Delaware

If you or someone you know is diagnosed with breast cancer, call us.

866-312-DBCC

Wilmington 302.778.1102

Dover 302.672.6435

Lewes 302.644.6844

www.debreastcancer.org

The Women’s Mobile Health Screening Van is coming to your neighborhood! Call 1-888-672-9647 to schedule your appointment.

For women 40 or older. Most insurances accepted. A prescription from a medical professional is required. If you are uninsured or underinsured you may be eligible for free or reduced cost mammograms through Screening for Life (Division of Public Health)

Delaware Breast Cancer Coalition, Inc. 165 Commerce Way, Suite #2 Dover, DE 19904

14 I Fall 2016

The County Woman’s Journal


Health & Medicine

Introduction Peninsula Skin Cancer Center (PSCC) was founded in 2008 in response to the long waits patients were experiencing in having suspicious skin lesions evaluated by a qualified specialist. Since then, serving the Eastern Shores of Maryland and Virginia and Southern Delaware, surgeons of PSCC have removed over 1,000 skin cancers. PSCC provides:

Timely Evaluation of Suspicious Skin Lesions PSCC will evaluate a patient’s suspicious skin lesion within two weeks of the initial phone call or referral.

Timely Removal of known Skin Cancer PSCC has the following goals for skin cancer removal: • Malignant Melanoma: removal within three weeks of diagnosis • Squamous Cell Carcinoma: removal within four weeks of diagnosis • Basal Cell Carcinoma: removal within six weeks of diagnosis

The Gold Standard

Board certified plastic surgeons perform the definitive surgery. Therefore, eventual scarring is minimized.

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Call now! 410.546.0464 or 302.663.0119 The County Woman’s Journal

Christopher J. Pellegrino, MD

Vincent J. Perrotta, MD

Fall 2016 I 15


Health & Medicine

Dental Implant Benefits

Dr Stewart Perim D.M.D., M.S.

The Benefits of Dental Implants for Tooth Replacement Your smile should last a lifetime. With dental implants from Peninsula Total Dental, it will. Replacing missing teeth is important: to your overall health and also to the health of your other teeth. When natural teeth are missing, you lose chewing ability, and unreplaced teeth can cause other teeth to be lost, tipped or crowded. Missing a tooth, or teeth, creates problem after problem after problem. Having missing teeth is embarrassing, and if left untreated, will only get worse. But you can look and feel better, regain your self-esteem, have a better quality of life, and simply smile more with dental implants from Dr. Stewart Perim at Peninsula Total Dental Center.

Replacement of lost teeth with dental implants has been used for treating patients with missing teeth for more than 50 years and is recognized as the standard of care for tooth replacement. You deserve to smile again, and you will with dental implants from Dental Associates. Get immediate results At Peninsula Total Dental Center, the problems with failing teeth or missing teeth can be replaced with new, beautiful implantsupported restorations. It’s not at all complicated. Our dental implant team will give you a lifelong solution for a lifelong smile. You will experience a dramatic improvement in chewing ability, teeth stability and overall comfort. What Are the Advantages of Dental Implants? There are many advantages to dental implants, including: • Improved appearance. Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent. • Improved speech. With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your

words. Dental implants allow you to speak without the worry that teeth might slip. Improved comfort. Because they become part of you, implants eliminate the discomfort of removable dentures. Easier eating. Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain. Improved self-esteem. Dental implants can give you back your smile and help you feel better about yourself. Improved oral health. Dental implants don’t require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene. Durability. Implants are very durable and

will last many years. With good care, many implants last a lifetime. • Convenience. Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place. Restore self-esteem and renew your self-confidence Being able to eat what you want, when you want, where you want. Being able to laugh and smile shamelessly. Being

pain-free and worry free. Regaining self-esteem, self-confidence and selfworth. Because dental implants look and feel like real teeth, you no longer have anything to be ashamed of. You can laugh and smile and feel good about who you are and how you look. Please call Peninsula Total Dental Center in Salisbury, Maryland (410-742-8686) to schedule a FREE consultation to answer any of your questions.

Call for an appointment today …. 410-742-8686 16 I Fall 2016

The County Woman’s Journal

Th


Health & Medicine

Our mission at Peninsula Total Dental Center Quality Dental Plan is to help you afford the dental care you and your family need, regardless of insurance coverage. No ongoing monthly premiums, no cap on services, no hidden fees and no extra charges. QDP offers local, high-quality dental care…at discount prices. QDP is a dental savings plan offered through your local dentist. When you join QDP at Peninsula Total Dental Center, you get access to exclusive savings on routine care, giving you peace of mind knowing your whole family’s dental needs are being taken care of – without breaking your budget.

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Fall 2016 I 17


Home Health Care

Protecting Seniors from Scammers

By Carolyn M. O’Neal CHEER Community Relations Director “I’m so glad my sister is flying in from California to help me convince Mom to let me handle her finances. Having her electricity shut off last month proved to me that she is no longer capable of taking care of her money. Last week I went to her house to help go through her paperwork. She gave me a bundle of “bills” and asked me to take them to the post office. When I got in the car, I went through the bundle and there were three envelopes to be sent to unfamiliar questionable addresses. Forgive me, but I opened them and was shocked when I saw twenty dollar bills inside each envelope. The money in one envelope was for a so-called “charity” that I never heard of; the money in another was to help feed “starving” children in Africa, but it was being mailed to Mexico; and the money in the other was to enter Mom in a million dollar sweepstake. Taking control of her finances is the only way I know to protect her from the telemarketers and all that junk mail that comes to her house.” Thousands of adult children have the same frustrating plight while trying to take care of their declining elderly loved ones. Senior citizens grew up when trusting and being trustworthy were normal behavior. Because of this, they are easy prey for unscrupulous people through various forms of fraud. Telemarketing and junk mail are the two most common avenues for conducting elderly scams. Telemarketers use 800 or 900 numbers. Toll-free numbers like 800, 877, 866, or 822 are long distance. Numbers such as 900 and 976 are caller paid long distance services that allow consumers and businesses to retrieve information over the telephone. Watch out for unfamiliar area codes.

18 I Fall 2016

Illegal telemarketing is big business that robs thousands of seniors daily. Telemarketing fraud is a crime and punishable by law. Illegal telemarketers do not care about the pain that they inflict on seniors. A call is generally a scam if the caller asks for a social security number, a credit card number, or a bank account number. These callers should be reported to the state attorney general’s office, a local consumer protection agency, and/or to the National Fraud Information Center. Junk mail can cause the same heartache. It is not uncommon for seniors to receive dozens of pieces of junk mail every day. It comes in the form of 1st class mail, 2nd class mail, 3rd class mail, and bulk mail. Bulk mail or 3rd class and 2nd class mail will not be returned to the sender so don’t bother trying. There is a postal form you can fill out to have bulk mail stopped, but it doesn’t always work. The predators seem to always find a way around it. If you order something from any of them, they do sell your name and address to others. “So what can I do? After balancing her check book, I learned that she has given over $9,000 to these scammers last year. No wonder her electric was cut off, she didn’t have the money to pay her bill. Mom lives only on her monthly Social Security check, how can I protect her from these thieves?” That is a difficult question to answer. Mom still possesses her basic right of making her own decisions, and most elderly parents are reluctant to turn over control of their finances to their children until it is too late. As responsible adults who care about our loved one’s welfare, we must remain diligent about keeping an eye on that decision making. Know the warning signs of your loved one being targeted by scammers: • Watch for unusual amounts of junk mail, particularly if it is asking for payment of some sort. • Be aware of frequent calls making offers for alleged valuable awards or asking for charitable donations. • Watch for evidence of many cheap items (costume jewelry, small

appliances, etc.) that had to be purchased to win something or receive a prize. • Watch for secretive or guarded behavior regarding telephone calls. • Notice if a private courier stops by the senior’s home to pick up something. • Observe whether the senior is having unexpected problems paying bills or buying food or other necessities. • Watch for the receipt of calls from someone or an organization stating they can help seniors recover money paid to telemarketers – for a fee. It will be a long, frustrating process to protect your loved one from scammers, but continue to help them. Stress the importance to them of reporting this crime. Help your loved one learn how to identify scams. Encourage them to hang up on telephone solicitations that seem too good to be true. Have a heart-to-heart,

calm discussion with your loved one about their finances and try to come to an agreement about the best way to handle them in the future. If all else fails, change your loved one’s telephone number. If possible, go through their mail before they get it and pull out all the junk mail. This situation requires daily scrutiny. But, be sure not to blame or accuse your loved one of being stupid or foolish. Swindlers take advantage of a person’s honesty. And, don’t threaten to take away the person’s financial and physical independence. This may only make them secretive and resentful. Most importantly, don’t give up! (Information for this article was obtained from the Alabama Cooperative Extension Service, “Encouraging Seniors to Say No to Telemarketing Fraud” and AgingCare.com. The scenario described is fictitious, but based on possible situations.)

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Call Today ~ 302-515-3040 www.cheerde.com The County Woman’s Journal


Health & Medicine

The Weight is Over: To Sleeve or Not to Sleeve? Thomas P. Barnett, M.D., F.A.C.S.

Dr. Barnett graduated from Princeton University in 1983 and obtained his medical degree from George Washington University in 1987. He completed his surgical training at Thomas Jefferson University affiliate Lankenau Hospital in Philadelphia in 1992. He served in the U.S. Air Force at Dover Air Force Base (DAFB) from 1992-1996 where he started the Laparoscopic/ Minimally Invasive & Ambulatory Surgery programs. Dr. Barnett was Chief of Surgery at DAFB Hospital in 1995 and 1996. He has continued to practice surgery in Dover, Delaware ever since being honorably discharged and he founded his private practice, Surgical Associates, P.A., in 1999. Dr. Barnett is Board Certified in Surgery and is a Fellow of the American College of Surgeons. He is also a member of the American Society for Metabolic Bariatric Surgery (ASMBS) and the Medical Society of Delaware. Dr. Barnett has special interests in weight loss surgery. He currently serves as the medical director of bariatric surgery at BayhealthMilford Memorial Hospital and the Delaware Surgery Center in Dover.

Weight loss surgery has evolved over the last 30 years. Laparoscopic Sleeve Gastrectomy (”Sleeve surgery”) or taking out a portion of the stomach (see diagram 1) has emerged as the most common weight loss procedure in America over the last couple of years. It is estimated that in 2017, 70-80% of the weight loss surgeries done in the US will be the sleeve gastrectomy. This surgery is done through a series of incisions, most of which are the diameter of a dime. The Sleeve surgery basically converts the stomach from football size to banana size. The decreased size of the stomach

causes a restriction feeling to the patient when they eat and therefore they will eat less. In addition, the surgery removes a part of the stomach that produces a hormone called ghrelin, which is secreted by the oxyntic cells of the fundus in response to fasting. Ghrelin stimulates appetite. The Sleeve decreases the amount of ghrelin produced and therefore patients are able to better control their hunger. Patients who have weight loss surgery have significant positive metabolic effects as well. Type 2 diabetes, high blood pressure, and sleep apnea improve and therefore decrease obesity related morbidity and mortality. Many patients will be able to decrease or completely get off medications for high blood pressure and diabetes. Back and knee pain also improve with weight loss. In a recent study from the Netherlands on 1000 patients undergoing sleeve surgery, they found on average, an excess weight loss of 86.6% in the first postoperative

year, 84.2% after two years, and 84.5% after 3 years. Pre-existent comorbidities appear to improve or even resolve after sleeve surgery. Resolution of type 2 diabetes occurs in 60-96% of the patients. Dr. Sandra Costa is not only a family physician, but a sleeve surgery patient of Dr. Barnett’s herself. She has lost 108 pounds since starting her “sleeve journey.” She had her surgery in November 2015 at Milford Memorial Hospital. “I consider that day my rebirthday. I was born obese at almost 12 pounds and put on weight every year until my sleeve journey began. I feel much better and more energetic.” Francis Fooks, another patient of Dr. Barnett’s, has gone from 318 to 183 pounds 10 months after her Sleeve surgery. “I was able to get off all my medications and get rid of my sleep apnea machine. This surgery has given me my life back! Dr. Barnett, Nicole Fisher ,PA-C, the team at Surgical

Associates, and Milford Hospital have been extremely supportive throughout my weight loss journey.” There are risks with all weight loss surgical procedures. These include, but are not limited to bleeding, infection, obstruction, leaks, and the need for reoperation. Death has occurred in rare cases. Fortunately, with the sleeve gastrectomy, safety profiles have been proven to be high with few serious complications. Sleeve surgery causes less nutritional deficiencies post-operatively compared to the gastric bypass. Complications after Sleeve surgery in the literature vary from 2.9 to 9.5% which appear to be lower than the complication rate after gastric bypass, varying between 4.6 and 20.5% in the literature. Free Information Seminars are offered the 4th Tuesday evening of each month from 6:00-7:00 PM at the Eden Hill Medical Center in Dover. No registration is required. Questions? Please call Dr. Barnett’s office at (302) 674-0600.

Eden Hill Medical Center 200 Banning Street, Suite 200 • Dover, DE 19904 302-674-0600 SURGICALASSOCIATESPA.COM

The County Woman’s Journal

Fall 2016 I 19


Health & Medicine

4 Mobile Lessons from Walgreens By Artemis Berry https://nrf.com/news/artemis-berry

In redesigning its app a year or so ago, Walgreens found the perfect prescription for success: simplicity, valuing the ecosystem and understanding the native capabilities of the mobile device. Deepika Pandey, GVP of digital marketing, product and innovation, and Ray Kim, senior manager of user experience for mobile, shared their journey at the Shop.org Digital Experience Workshop. Lesson One: Simplicity always wins. “It seems very simple, very basic,” Pandey said, “but it’s about taking friction out of the experience.” The first “killer” piece of functionality, for example, was refill by scan, which allows users to scan in a photo of a prescription bottle bar code. More from the Shop.org Digital Experience Workshop “We like to call this ‘refills in 17 seconds or less,’” she said. “As you can imagine, most people don’t think about refilling a prescription as something that’s enjoyable … but mobile actually showed us that you can change the way that a customer thinks about an experience.” The proof was in the pudding as Pandey shared her favorite feedback: “That was so much fun, I wish I had more prescriptions to fill.” Mobile added a gamification aspect to something that traditionally had been dry. Since then, the company has introduced refill by text, taking the process from 17 seconds to less than three. The user receives a text message, and only has to reply “refill.” Lesson Two: Mobile is the bridge between the digital and physical worlds. “When you are a retailer that has over 8,000 stores, this is really, really important,” Pandey said. Knowing that consumers were already using the company app while in-store,

20 I Fall 2016

Walgreens set out to enhance that experience. Using geolocation, the home screen now updates to elevate functionality that’s most relevant while onsite: loyalty information, relevant offers, store information, etc. As a result, app traffic has since increased “dramatically.” In addition, the company’s loyalty program — which rewards healthy choices — has grown to more than 85 million users; more than 130 million paperless coupons have been clipped. Walgreens has been a frontrunner in mobile payments, too. Lesson three: The ecosystem matters Walgreens launched an application programming interface program, starting with its photo experience. The company knew no one could do fulfillment better, but understood partners could improve other elements and experiences. The company has since integrated with more than 275 partners, and has expanded the practice through the Balance Rewards loyalty program, refills and other areas.

“... ‘Mobile actually showed us that you can change the way that a customer thinks about an experience.’ - Deepika Pandey, Walgreens ...”

Lesson four: Put resources into the team that drives customer experience. In addition, make sure CX has a seat at the table. Walgreens considers it the “golden triangle:” CX is on the same level as product and engineering. Making progress, seeing results “Mobile actually showed us that you can change the way that a customer thinks about an experience.” - Deepika Pandey, Walgreens Kim, meanwhile, spoke about the actual redesign process, of regularly posting the progress on a wall to receive stronger feedback and spark discussions, and taking a “highly iterative design approach.” The redesign, by an in-house team, resulted in an app that is cleaner, less cluttered, easier to use, anticipatory of intent, inviting and consistent with the feel of the recent flagship store design. It’s also slightly different for Android and iPhone users. “Another thing we talk about is designing across our digital touchpoints and across the ecosystem,” he said. “When we talk about the

were nearly four times more valuable than store-only customers. “When you bring mobile into that mix, it actually increases to six times more valuable,” Pandey said. “It really goes back to the fact that you’re designing your app and mobile experience for some of your best customers.”

importance of being consistent within the platform, the framework we like to use is that any feature that we release has to be relevant and connected to the brand … and connects digital to the in-store experience.” In considering the results, the company discovered that those who engage through the store and online

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Pneumonia vaccine

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Shingles vaccine

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Health & Medicine

Talk to Your Pharmacist BY ELIZABETH DATTOLI, PHARM.D WALGREENS PHARMACIST

Look at any stock photo of a pharmacist and she’ll probably be counting pills or filling a pill bottle. As a pharmacist, dispensing medications accurately and safely is as important as anything we do. But most people do not know how much more a pharmacist can do for you.

Good pharmacists will make themselves available to answer your questions and dispense advice as well as medicine. Here are a few ways a simple conversation with your pharmacist can make your life easier, your health better and your mind more at ease. And remember, a growing number of Walgreens pharmacies now have private consultation rooms so you can have that talk in private.

Interactions and Side-effects.

One pill can have multiple effects, depending on the patient. If you’re feeling an unexpected side-effect, such as a rash, nausea or depression, ask your pharmacist. There may be alternate medications, different

dosage levels, dietary changes or other solutions. Additionally, other medications you may be taking may interact in ways not anticipated. Your pharmacist can review with you your entire regimen of prescription and non-prescription drugs and identify possible problems. In consultation with your physician, we can find alternatives.

Control Costs. The drug you are

taking may have a less-expensive generic equivalent. Your pharmacist can find out. They can also talk to you about your insurance coverage, Medicare Part D and programs such as the Walgreens Prescription Savings Club.

and affordable way to get a flu shot or other immunizations. They can also get your blood pressure checked and do other screenings. Many pharmacists specialize in certain chronic diseases, such as diabetes, and can provide an advanced level of consultation.

And more. In addition to services

Seventy-five percent of Americans live within five miles of a Walgreens drugstore. That puts most people close to a much wider range of health care services than they may know. And your pharmacist will be happy to tell you all about them.

like these, you may be surprised by the widening range of services your community pharmacist now provides, some of them thanks to changes in laws governing the role of the pharmacist in health care. For example, pharmacists are an easy

Adherence. Non-adherence to medications is one of the most significant and costly barriers in treating illness in the U.S. today, estimated at approximately $300 billion per year. Non-adherence is a key contributor to repeat physician visits, hospitalizations and adverse patient outcomes. Your pharmacists can play a critical role in helping you or a loved one improve adherence through a number of programs and services available in store, online and through our mobile platforms. Some Walgreens services include in-pharmacy, phone and online chatbased pharmacist counseling for both Elizabeth Dattoli, Pharm.D. (Veith) was born and raised in Sussex County, Delaware. Elizabeth grew up in Bethany Beach with her seven siblings. She attended and is a graduate of the Indian River School District. After completing Indian River High School in 2000, Elizabeth received her Doctor of Pharmacy degree in 2006 from Rutgers, The State University of New Jersey, Ernest Mario School of Pharmacy, Elizabeth has worked for Walgreens Pharmacy in various roles for the past 10 years. She is currently the pharmacy manager of the Walgreens in Bethany Beach and specializes in immunizations, diabetic education and medication therapy management. She lives locally with her husband Jordan and daughter Giovanna.

The County Woman’s Journal

patients managing existing medication therapies and those new to therapy. Other services designed to improve medication adherence include online and mobile prescription management tools, automated prescription refill reminders, follow up calls and transition of care programs.

Come in and get your Vaccine at

TODAY!

Flu Shots

Hepatitis A & B Vaccine

Pneumonia vaccine

Blood Pressure Measuring

Shingles vaccine

Tdap Vaccine

Most Insurances accepted

prescription savings club 5-20% discount on all immunizations including flu and Tdap shots

$avings on ALL Generics, many Brand medications, and even Pet meds. Plus, earn 10% rebate on Walgreens-brand products & Photos. Comprehensive benefits for diabetics, including insulin, glucose monitors, test strips and supplies

Fall 2016 I 21


Health & Medicine

5 Alzheimer’s Disorders Dawn is a nurse with over 20 years experience in the medical field which includes EMT, and nursing experience in hospital, long term care, and senior living facilities. Dawn started in home care in 2012 and found joy in helping others live independently at home. She incorporated Caring Hearts Home Care, LLC in 2014 and was licensed by the state in 2015. She chose to write all her company’s policies and procedures herself to exceed federal and state regulations instead of buying a franchise because she felt that it gave her greater understanding of governing laws that are in place to protect clients and to have the freedom to run the company with regards to quality vs. quantity.

By Dawn Sbriglia, LPN,

Director of Caring Hearts Home Care, LLC

Memory Loss Memory loss is easily the most associated symptom of Alzheimer’s disease although it isn’t often how people think it is. Many are under the impression that with the onset of Alzheimer’s that the memory simply begins to fade, and while that is true in some cases, and in most over time, at the beginning, it is new information that is usually the type that suffers. Alzheimer’s changes usually first develop in the part of the brain that affects learning. Thus it is usually new learned information that can be difficult to retain while older, more ingrained memories are usually left more or less intact. However, it is important to note that with no cure for Alzheimer’s and the progressive nature of the disease, that in time; even older memories are likely to begin to fade. Decreased Activities A common symptom among people suffering from Alzheimer’s disease is a general decrease in all activities Many suffers of Alzheimer’s become lethargic and loose interest, exhibiting levels of depression and anxiety. While it might not be acknowledge by someone suffering from Alzheimer’s just having a person in their presence

can often make a big difference. One of the hallmark aspects of Alzheimer’s disease is the fact it not only affects the person behind the illness, but is also devastating to witness, and thus can be difficult for the family. However, it is near impossible to battle this disease alone. This is why it is so important to be aware of the signs and symptoms, so you can have a better idea of what to do if Alzheimer’s should rear itself in your life. Emotional Another area of the brain that is commonly affected by the onslaught of Alzheimer’s is the hippocampus, or the area of the brain that deals with emotions - more specifically emotional maturity. Again, this is often likened to childlike behavior, as a suffer from Alzheimer’s disease may often overreact to situations or on the inverse, might not fully grasp the severity of others. This disconnect directly impacts many other symptoms of the disease, from poor judgment and diction making skills, to trouble speaking and employment problems. It is also worth noting that a great deal of family members of people affected by Alzheimer’s report that their decline in emotional maturity is one of the hardest symptoms to bear witness to. That is because we normally think of these people in their prime; the peak of their lives, in which physically and mentally there was little they couldn’t accomplish, at least in our eyes. However, seeing them likes this, child like, stirs great feelings in many of us, often ones that are hard to deal with. It

is unnatural for many people to see that, especially in their parents or loved ones. Poor Judgment This sign of the presence of Alzheimer’s disease can be likened to regularly of exhibiting child-like behavior. Many report that their loved ones with Alzheimer’s often demonstrate a disregard for consequences, even referring to the behavior as brazen. Difficulty can be had in explaining instructions, especially as we know the ability to learn and retain new information often being unfortunately one of the first parts of the mind to be ravaged. Severity of these symptoms varies greatly on a patient by patient basis, but it is often exhibited in those who have suffered from the disease for a prolonged period of time - give the degenerative and progressive nature of the disease. The more severe the illness becomes, the likely grows that your loved will require 24-hour care. Losing Items Now, obviously this one is connected to several other symptoms on this list. Memory loss, and confusion mainly, but this one is especially important to the family of someone affected, as memory loss and confusion can often go months or years without be noticed - if they

ever are at all. By keeping eye out on your loved ones, especially the aging ones, you increase your chances of noticing a problem in its infancy - that is of course if you know what to look for. The best way to tell is to give your entrust your love ones with small, seemingly meaningless tasks. This can be anything from asking them to remember an item when you go to the store to holding onto a set of keys. The point is to keep just as much track of the item as you hope they would. That way, you can get an accurate picture as to where their mental faculties are. Alzheimer’s care is often as important as healthcare, particularly when it enables a person with Alzheimer’s disease to remain at home. We work with you to establish safe and more comfortable environments, trusting relationships and techniques to maximize independence for as long as possible for those with Alzheimer’s disease. Our specialized approach of encouragement and assistance helps family members cope with the challenges of Alzheimer’s disease. Contact us to learn more about our services, or to arrange for a free consultation. Reference: http://rmhealthy.com/10-signs-alzheimers

Testimonial We feel so very fortunate to have found this fabulous company. I feel so good knowing that my husband is receiving such wonderful care, whether I am gone for the day or when I have to make trips to Michigan to see my 98 year mother. The staff is amazing! DB

22 I Fall 2016

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Health & Wellness

provides professional caregivers to assist with things around the house and will help you remain independent and in your home or assisted living community, where you want to be.

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Call to arrange a client assessment interview: (410) 341-0600 A Licensed Residential Service Agency (RSA) through Maryland Department of Health and Mental Hygiene 22 I Fall 2016

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Health & Medicine

Know Where You’re Going … And Why! (It could save you money)

About Dr. Chao Dr. Philip Chao graduated Phi Beta Kappa from Yale University and was Scholar of the House. He continued his studies at the University of Rochester School of Medicine and Dentistry, receiving his medical degree in 1983. After a transitional internship year at the Mary Imogene Bassett Hospital in Cooperstown, NY, Dr. Chao did his residency in Radiology at Brooklyn’s SUNY Health Science Center (1984-1987), where he became Chief Resident. He stayed on to complete a fellowship in Neuroradiology (1987-1988). Dr. Chao has been interested in MRI technology since its very beginning – the first MRI scan took place in 1981 while he was pursuing his medical studies. The University of Pennsylvania, where Dr. Chao was both a Body MRI Fellow (19881990) and a Neuroradiology Fellow (1989-1990), was at the heart of the development of this technology and Dr. Chao was able to work with pioneers in MRI on the first GE Signa 1.5T (tesla) scanner. His advanced research and specializations complete, Dr. Chao left the University of Pennsylvania for a position as Director of MRI in Wilmington, DE – a position he held for 14 years. Dr. Chao eventually left that position to create the best MRI Center in Delaware which uses the very latest technology: 3T MRI. While 3T (tesla) scanners have been used for scanning research patients since 2002, these advanced, more powerful MRI scanners only became available for clinical use in 2004. Dr. Chao worked hard to bring 3T technology to Delaware and in February 2007, MRI Consultants, LLC began operating the first 3T scanner in the State. 3T is the newest horizon for MRI. By: Dr. Philip Chao Did you know you can save $400 to $600 on your next MRI study simply by choosing where your MRI study is done? If your MRI study is done at a hospital or clinic-based imaging center associated with a hospital, you may have to pay additional fees (co-pay or coinsurance). Certain insurance companies routinely charge these extra fees without mentioning them before a study is done— even if you have your study “authorized.” It can be several hundred dollars. Insurance companies do not charge this extra fee if you go to an independent facility—such as MRI Consultants. In these facilities, your MRI is billed as an Office Visit. In such instances, your co-pay can be significantly less. Just ask your insurance company. Quality is important. So few people (including doctors) realize how important it is to have your study done on newer 3T or multichannel 1.5 scanners instead of older scanners. The older scanners just don’t “see” as much! If your study is done on an old scanner with just 1 channel, you can be pretty certain subtle things will be missed. We recently found a tibial non union which was only 1mm in size! This can cause a great deal of pain. See image. The resolution on older scanners and low-field OPEN MRI is insufficient to detect such small fractures. It just can’t see it. Higher definition is extremely important. We recently scanned a patient for a possible superior orbital vein thrombosis. The ORBIT study we performed at 3T definitively showed this isolated finding. 3T high quality pictures are like HDTV (as compared to blurry old snowy cathode ray tube pictures). 3T is just better. And, despite what you may

The County Woman’s Journal

Fracture

Orbital Inflammation

have been told, 3T only costs more for the person who purchases the scanner! For the patient, the price is the same. Quality seems to be unimportant to insurance companies (and even to some doctors). For them, an MRI is an MRI. Your co-pay is the same regardless of quality. Read the NY Times article: “The Scan That Didn’t Scan.” The author did not seem to know that the ACR, which accredits MRI units, has different criteria for different scanners. Weaker MRI scanners are not required to “see” as much as stronger scanners. And, surprisingly, there is currently no minimum level required in order for your insurance company to pay. None. Even the weakest scanner can be “accredited.” You may have to have your study repeated on a stronger machine (frequently at your own cost), but the medical profession and insurance companies are largely unconcerned. Understanding your pictures is important. At our facility you get to discuss your images with the radiologist (upon request). I do not know if this is even possible at other facilities. At MRI Consultants, patient reports are frequently done within an hour— sometimes before leaving the office. Also, all patients leave our office with a

Paralabral Cysts

CD of their images. We offer a quality and speed of care which is not often given elsewhere. At MRI Consultants, we do studies other facilities will not (or cannot) do. We do indirect arthrogram studies which frequently show MORE than direct arthrograms. IV contrast is used to see if there is a tumor, infection or inflammation. At 3T, the fat saturation is better and we are able to do thinner “slices” (or sections), which allows us to see very small tears. Even a small tear in your shoulder can be very painful.

Finding such small tears is one of the great things about indirect arthrography. A recent patient of ours had two labral tears with two paralabral cysts. According to “the literature,” these paralabral cysts are rare, yet I see them even without contrast in many of my patients at 3T in the hip and shoulder. This just another example of why 3T quality is better. Most doctors and orthopedic surgeons do not know this. 3T MRI simply shows more. Seeing more can reduce the need for surgery or, at the very least, make it safer. Be smart. Be certain. Use 3T.

TWO LOCATIONS

BEST OPEN MRI

1 Centurian Drive, Suite 107 • Newark, Delaware

302-838-7800

MRI Consultants

17252-9 N. Village Main Blvd • Lewes, Delaware

302-827-4251 www.safecontrast.com

Fall 2016 I 23


Health & Medicine

7 Times You Should See an Energy Healer

Terri Pippin CMT, Reiki Master & Shaman, is founder of The Medicine Woman. Terri started her spiritual journey when educate. enrich. empower. health&medicine of healing in 1986 she was first introduced to It’s Fun Being Themeditation. New Kid She On has Thebeen Block… a Certified Massage Technician T since 1996. Her journey has included the development of Reiki skills, culminating in the achievements of the Master Reiki Level in 2007 and the development of The Medicine Woman 33800 Dreamweaver Lane several energy healing techniques. The Medicine Lewes, Delaware 19958 302-220-1146 Woman is trained in both Celtic and Native www.TerriPippinTheMedicineWoman.com American Shamanism and hasShamanic been a &shamanic Healing Workshops Energy Work healer since 1998. Massage

I enjoy reading what others in my field have to say. I recently read an article by Ruth Lera, meditation teacher, energy healer and creator of The Self Healing Academy. Although Energy Medicine is one if the oldest healing professions, it hasn’t been recognized as a valid method of healing for our bodies and minds by conventional medical practitioners. In recent years it has made a well deserved comeback. The tradition of laying of hands as a means of healing the physical and emotional woes goes back thousands of years, people are now finding that seeking out Energy Healers is a fantastic addition to conventional healthcare choices. If you are thinking of visiting an Energy Healer, here are some life circumstances that an energy healing session can help. 1. When we are feeling confused or foggy. We live busy lives and a lot of information travels through our energy field and chakras, sometimes energy doesn’t exit our system as efficient as it could, if we are in a transition or are healing pain it causes congestion in our energy field. Energy Healers have simple techniques for clearing our energy field that helps the mind to feel clear and focused. 2. After a recent crises or trauma. A car accident, breakup or the death of someone dear to us are challenging things we all go thru. The shock and pain of recent events not only effect our physical body, but our energetic system also. The sooner we see an Energy Healer and have the remnants of trauma cleared the less likely that pain will linger longer than necessary and create an environment for disease and illness. 3. After Surgery or a hospital stay. When we have surgery the surgeon doesn’t just cut into our physical body, but our energetic field as well. Energy Healers have techniques to seal up any damage caused in the energy field for a quicker and easier surgery. 4. When burdened with childhood Trauma. Much of our personal programming comes from events that happen to us from conception to 3 years of age, basically from things we can’t remember. The way our brain is wired is directly connected to events from this time. These memories live in the energetic system. Through loving and compassionate energy healing, we can change our present lives by healing our past. 5. In a life transition. Maybe you’re changing jobs, relationships or taking your life in a new direction. Just like we need to update our computer system we also need to do the same with our energy system. If we want to feel fresh, excited and ready to adapt to a new life transitions an energy healing session can help. 6. When we feel stuck. Sometimes we are stuck in a rut. Years go by and nothing changes. Everything feels dull. An energy session can be like spring cleaning for the body and mind helping us move ahead with our lives. 7. Anytime… This is the truth. It’s your life you don’t have to justify what you do. If you feel like some energetic assistance then go for it. After a session you will feel better than expected and happier for taking the time to take care of yourself why wait until you are sick or sad. Any time is a good time to get a little healing for our precious energy system.

24 I Fall 2016

By: Terri Pippin, The Medicine Woman

With all that is new going on we are also offering our tried and true services that are the backbone of The Medicine Woman. We will never leave our Holistic roots and The Medicine Woman will always offer Shamanic and Energy Healing services.

his is an exciting time for The Medicine Woman as we moved to our new location in Historic Lewes, De. Our doors are open and we are ready for business. This is a time for new beginnings, new friends, new services and new clients while also honoring and respecting old friends, old services and especially old clients.

We will keep on balancing and repairing your chakras and cleaning out and cleansing your Aura. We will do reflexology to help move the energy to promote healing in different areas of the body. Healing done on your mind, body and spirit, either at our new location or a distant healing when you can’t get to us. Our prices start at $50.00 a service.

We will be offering different types of massage that will increase flexibility, relieve muscle pain and body tension while relieving stress. Choose from Therapeutic Deep Tissue, Swedish and Prenatal massage. What will be coming in the future are Thai and Hot Stone. Our prices start at $50.00 a service.

As always, our Shamanic Healing is done on a very deep and very different level. Full Spectrum Healing is energy work done within Shamanic boundaries and with the power of the Medicine Wheel. A Soul Retrieval will help you recapture what was physically, emotionally and/or spiritually lost thru traumas in your life. Take that

The Medicine Woman is now offering fantastic therapies. Take that hour or two and let yourself drift away to your private sanctuary, where the person that needs and gets the attention is you. Our prices start at $80.00 a service.

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Past Life Journey so you can find out why you like or dislike certain people, places and things. Prices start at $125.00 a service.

We will also be doing The Shamanic Healing Circles and our Three Step Prosperity Workshop. There will also be a few new workshops added and meditation circles available. Just wanted to give you something to look forward to in the fall of 2012!!

Testimonials: “I have been a healer for 20 years as a Massage Therapist and an Herbologist. My dear friend gave me a gift certificate and told me Terri was very impressive. I went and was blown away with the work and the valuable information she provided. I have seen Terri for several treatments; just as my friends have had multiple sessions. Terri is truly gifted in all that she does. I hope after reading this, you call and make an appointment!” ~Sue M., Lewes, DE “Terri is an exceptionally gifted, spiritual and loving individual. I highly recommend Terri’s services to anyone who wishes to embark on the spiritual path, or to those who simply want to feel better about life.” ~Marty T.

The Medicine Woman Body Wraps and Scrubs

Mention this Newspaper and get 10% off any Service until 8/1/12

As Publisher of the Country Woman’s Newspapers, I can say it is the best deep tissue massage I have ever had. ~ Elizabeth K.

The Medicine Woman  

founded by Terri Pippin

Founded by Terri Pippin

Massage, Energy Work, Body Therapies & Shamanic Healing

33800 Dreamweaver Lane, Lewes, Delaware 19958

Massage, Energy Work, Shamanic Healing 302-645-8369 (w) 302-220-1146 (c)

medicinewoman6@verizon.net

        

TerriPippinTheMedicineWoman.com

June/July 2012

18

The County Woman Newspaper

Classes & Workshops

Plantations Clubhouse ~ 2nd Floor 18464 Plantations Blvd • Lewes, Delaware 19958 Second Location: The Medicine Woman At Heather’s Holistic Health 1169 Walker Road • Dover, De 19904

302-220-1146

teresapippin@gmail.com

TerriPippinTheMedicineWoman.com

Classes, Courses & Workshops Polarity Chakra Balance – 12 CEU Shamanic Core Class Energy Grid Healing Shamanic Healing Circles Introduction to Healing the Chakras. Prosperity Workshop Reiki Level 1 & 11 Archangels and Ascended Masters Please go on line at TerriPippinTheMedicineWoman.com for dates and tuition fee for all classes.

The County Woman’s Journal


Health & Medicine

CAN A LOW FAT DIET REALLY BE HIGH FAT DIET? First, let’s understand that there are 3 main groups of foods that provide us with energy: carbohydrates, protein, and fat. They are known as macronutrients. They provide us with the main substrates for our bodies to produce energy for all our daily activities, from just sitting down and thinking to strenuous exercise. For the majority of people, carbohydrates are the main fuel source for our bodies. Almost all carbohydrates eaten are eventually converted to a single simple molecule (monosaccharides: glucose, fructose, galactose) so they can enter the cells and be metabolized (go through a series of chemical reactions) to decide their final fate: produce energy, produce glycogen (storage form of carbohydrates), or be used to produce other substances such as ketones or cholesterol. All cells in the body can use glucose for energy production. An alternative fuel source is ketones, small molecules produced in the liver if carbohydrates are scarce or absent. In order to produce ketones, the body has to burn fat. Another important concept to understand is where fat in our fat cells come from. Carbohydrates and fats provide most of the dietary energy. Proteins do not really provide a significant source of energy, but are crucial for structural functions. Therefore, body weight and fat tissue size maintenance is primarily determined by the intake and utilization of carbohydrate and fat. The fat cell (adipocyte) can expand and shrink considerably, but once formed, their number cannot be reduced by dieting, only their size. The main source of fat to our fat cells comes from dietary fat. Therefore, it seems only logical to think that we

could lose weight by reducing the amount of fat we eat. Any excess carbohydrates we eat gets converted to fat in the liver through a process known as “de novo lipogenesis (DNL)”. However, the amount of fat produced from carbohydrates is insignificant in relation to the amount of fat we get from diet. However, carbohydrates have major indirect effects on fat metabolism and utilization. This becomes important when we chose a low fat diet, since for fat is usually replaced by carbohydrates, which will provide better flavor and texture, than replacing fat with protein. Higher carbohydrate intake can have the following metabolic effects: raise insulin levels, promote fat deposits in the liver (fatty liver), cause body inflammation, increase cravings, fluid and salt retention, brain resistance to Leptin (hormone that controls appetite, cravings, food reward/pleasure), elevate triglycerides, lower HDL (good cholesterol), shrinks LDL (making bad cholesterol more prone to stick to your arteries), and eventually can lead to food addiction. Probably the most significant effect is elevation of insulin levels. Insulin promotes storage of nutrients, but most importantly, it stimulates the metabolic pathways and enzymes necessary to store fat. At the level of the fat cell, it facilitates fat release from blood stream and entrance into the fat cell (stimulates an enzyme called lipoprotein lipase), stimulates conversion of free fatty acids to triglycerides (storage form of fat), and blocks fat burning, by blocking the ability of fat cells to breakdown fat (inhibits an enzyme called hormone sensitive lipase) and release it back to the blood stream to be used and burned somewhere else. At the level of the liver, insulin stimulates conversion of carbohydrates to fat (de novo lipogenesis) and cholesterol. It also blocks ability to produce ketones as an alternative source of fuel.

insulin resistance and therefore, higher insulin levels. - Make kidneys retain salt and water (that’s why we feel swollen after a starchy meal). - Make kidneys retain uric acid (lead to endothelial dysfunction with increased cardiovascular risk, gout, high blood pressure, etc) - Block action of Leptin in the brain, leading to higher appetite, cravings, abnormal food reward/pleasure, and potentially food addiction. - Stimulate cholesterol production. Therefore, a low fat, high carbohydrate diet can act as a high fat diet by inducing liver conversion of carbohydrates to fat, promoting fat storage through higher insulin levels, blocking ability to burn fat, and stimulating cholesterol synthesis. For all these reasons, a low fat diet, can really have worse effects than a high fat diet, if not designed carefully. It is very important that when you chose any dietary intervention for weight loss, you do it with the guidance and monitoring of a physician that specializes in weight loss. Dietary changes in macronutrients have to be designed to promote not only weight loss but also good health. Many times what we think is healthy might not be.

Losing weight is personal Because every body is unique

Call to schedule a personal consultation

302.856.4022

Healthy Outcomes provides you with a … • Physician-directed weight loss plan • Comprehensive assessment of your metabolism • Intervention plan tailored to your body and current medical conditions • Personalized plan to help you lose weight safely and give you an overall healthy outcome for life Dr. Fabricio Alarcon is Board Certified in Bariatric/Obesity Medicine having ranked in the nation’s top 10% for his bariatric medicine board exam.

Higher insulin levels also have the following effects: - Stimulate more body inflammation by stimulating conversion of Arachidonic acid to active inflammatory substances, which can then lead to Leptin resistance,

HOW TO ELIMINATE STUBBORN FAT (“MUFFIN TOP”, “LOVE HANDLES”, STUBBORN FAT IN INNER THIGHS, CHIN, ARMS)? For this problem, Healthy Outcomes offers i-Lipo noninvasive laser treatments. This is what our patients call “the miracle machine” Sometimes no matter how hard we diet or exercise, we cannot eliminate certain fat deposits. Stubborn areas include the abdomen, arms, thighs, and chin area. i-Lipo is a non-surgical alternative to liposuction. The iLipo system emits low-level laser energy, which makes the fat cells open pores and release the fat from inside them.

The County Woman’s Journal

The released fat is then transported around the body to tissues where it will be “burned off”. i-Lipo offers: • Non-Invasive fat reduction, body contouring, cellulite reduction • No pain, no needles, no down time • Safe and long lasting results • FDA approved therapy, clinically proven in multiple medical studies

Fall 2016 I 25


Health & Medicine

Increase Your Chance of Survival. Call 911. Minutes matter when you think that you could be having a heart attack or a stroke. Calling 911 at the first signs of a possible heart attack or stroke could save your life. It is the fastest way to get lifesaving treatment because it starts immediately.

WHEN YOU CALL 911, Emergency Medical Services (EMS) staff begins treatment. Beginning with the 911 dispatcher, the team works to identify and treat a heart attack or stroke. EMS teams are trained to revive those whose hearts have stopped. The EMS team communicates directly with the on-call hospital staff so they can start treatment before the ambulance reaches the hospital. Patients receive a rapid assessment of their potential life threatening condition.

Trust 911 and make the call at the first sign of a heart attack or stroke. Don’t hesitate or second guess yourself; just make the call. Smart911 is a free 9-1-1 service available in Sussex County. Seconds save lives. Sign up today! Learn more at www.smart911.com

The Sussex County

Women’s Journal

26 I Fall 2016

TM

The County Woman’s Journal


Health & Medicine

Chiropractors and Exercise Are Better than Drugs Says New Study Dr. Tracy Hudson Dr. Hudson is a ’95 Cape Henlopen High School graduate and continued her educational career at the University of North Carolina at Wilmington where she completed her Bachelor’s degree in Physical Education. While attending UNCW, Dr. Hudson suffered an injury playing softball and she sought treatment with a local chiropractor. After a few adjustments, Dr. Hudson was back on the field. Now being a true believer, she decided to further her education in the natural healing art. She attended Life University in Atlanta, GA for 3 years, and then transferred to Texas Chiropractic College in Houston. After graduating in 2004, she moved to Clearwater, FL, where she was in private practice for 8 years. During that time, she also became a Fellow of the International Academy of Medical Acupuncture. She has now moved back to her home town to share her love of chiropractic with our community.

Chronic pain is an exceedingly common condition impacting an estimated 76.5 million Americans, one-third of whom describe their pain as severe and “disabling”. Among them, many suffer from neck pain, which is the third most common type of pain according to the American Pain Foundation. It is estimated that 70 percent of people will experience neck pain at some point in their lives but research into effective treatments is surprisingly limited. If you visit a conventional physician for pain, there’s a very good chance you’ll leave with a prescription for a medication, as nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen (Tylenol) and even opioids (OxyContin, Vicodin, etc.) are the go-to treatment for pain in the modern medical world. However, there are better options than drugs for neck pain, not only in terms of pain relief, but also in helping to treat the underlying cause of the pain so that healing can truly occur.

New Study Shows Exercises and Chiropractic Care Beat Drugs for Neck Pain

According to a new study published in the Annals of Internal Medicine and funded by the National Institutes of Health, medication is not the best option for treating neck pain. After following 272 neck-pain patients for 12 weeks, those who used a chiropractor or exercise were more than twice as likely to be pain free compared to those who took medication. Specifically: • 32 percent who received chiropractic care became pain free • 30 percent of those who exercised became pain free • 13 percent of those treated with medication became pain free

Why Exercise is Essential if You Have Neck Pain Because exercise often leads to improved posture, range of motion and functionality of your body, it can help treat the underlying source of your pain as well as help prevent chronic neck pain from developing in the first place. Exercise helps prevent and relieve pain through a number of mechanisms including strengthening key supportive muscles and restoring flexibility. Not surprisingly, repetitive strain

Dr. Sheila Burek Henlopen Chiropractic Center is pleased to welcome Dr. Sheila Burek to our practice. Dr. Burek is a Buffalo, NY native, who received her Bachelors of Science degree in Biology at D’youville College. She then worked as a medical research assistant in Cardiology at the University Of Buffalo School Of Medicine. It was at that time that Dr. Burek suffered an injury at the gym, for which she sought chiropractic care. It was through this experience that Dr. Burek became interested in furthering her healthcare career in alternative medicine. She attended Palmer College of Chiropractic, graduating in 1995. After 18 years of private practice in Pennsylvania, working in a multi-disciplinary setting, including orthopedic surgeons and physiatrists, she relocated to our beautiful beach town.

injuries have become increasingly common as so many people spend most of their work days sitting in front of computers. Computer work is associated

surgery. Chiropractic physicians receive extensive training in the management of musculoskeletal disorders during their course of graduate healthcare training,

“... many suffer from neck pain, which is the third most common type of pain according to the American Pain Foundation ...” with neck pain specifically originating from the trapezius muscle, also referred to as trapezius myalgia, and many types of neck pain can be traced back to poor posture at work or during your commute. It’s a vicious cycle as poor sitting posture leads to neck pain and once neck pain develops, it can make your posture even worse. For instance, one study showed people with chronic neck pain demonstrate a reduced ability to maintain an upright posture when distracted. The same study further revealed, however, that after following a specific exercise program, people with neck pain had an improved ability to maintain a neutral cervical posture during prolonged sitting, which suggests it may help break the poor posture/neck pain cycle.

The Benefits of Chiropractic Care and Other Alternative Treatments for Neck Pain

Seeing a qualified chiropractor is another wise option if you suffer from chronic pain. The chiropractic philosophy places a strong emphasis on your body’s innate healing wisdom and far less reliance on Band-Aids like drugs and

which lasts from 4-6 years. Due to their comprehensive training in musculoskeletal management, numerous sources of evidence have shown that chiropractic management is much safer and often more effective than allopathic medical treatments, particularly for back and neck pain. In addition, researchers have also found that chiropractic adjustments affect our bodies on a deep cellular level. What that means is that chiropractic care may affect the basic physiological processes that influence oxidative stress and DNA repair, so in addition to addressing any immediate spinal misalignment that might cause pain, it can also address deeper dysfunction in your body. Overall, the important point to remember is that there are many other options for treating chronic pain than drugs. For instance, therapeutic massage has been found to offer clinically significant improvement in function and symptoms for those with neck pain. So you have options when it comes to dealing with your pain, and there is good reason to explore them before you opt for medicated relief.

TESTIMONIAL Dr. Tracy Hudson has been instrumental in solving my musculature and skeleton issues brought on by over activity. Dr. Hudson is patient, listens thoroughly, and gently and efficiently brings back to my normal, my ability to work and play as I see fit. Dr Hudson is an advocate of a healthy lifestyle and ensures me as her patient that I can live that life. - Betty Blue

The County Woman’s Journal

Fall 2016 I 27


Health & Medicine VIVLODEX® (meloxicam) capsules / Rx only

IMPORTANT PRODUCT INFORMATION

The information below does not take the place of talking with your healthcare professional. Only your healthcare professional knows the specifics of your condition and how VIVLODEX may fit into your overall therapy. Talk to your healthcare professional if you have any questions about VIVLODEX (pronounced viv’ loe dex). VIVLODEX is a prescription non-steroidal anti-inflammatory (NSAID) medicine used to manage osteoarthritis (OA) pain at low 5 mg and 10 mg doses. The most common side effects in people taking VIVLODEX are diarrhea, nausea and abdominal discomfort. Read the Medication Guide that comes with VIVLODEX before you start taking this drug and each time you get a refill. There may be new information. Medication Guide for Nonsteroidal Anti-inflammatory Drugs (NSAIDs) What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)? NSAIDs can cause serious side effects, including: • Increased risk of a heart attack or stroke that can lead to death. This risk may happen early in treatment and may increase with increasing doses of NSAIDs; with longer use of NSAIDs Do not take NSAIDs right before or after a heart surgery called a “coronary artery bypass graft (CABG)." Avoid taking NSAIDs after a recent heart attack, unless your healthcare provider tells you to. You may have an increased risk of another heart attack if you take NSAIDs after a recent heart attack. • Increased risk of bleeding, ulcers, and tears (perforation) of the esophagus (tube leading from the mouth to the stomach), stomach and intestines anytime during use; without warning symptoms; that may cause death • The risk of getting an ulcer or bleeding increases with past history of stomach ulcers, or stomach or intestinal bleeding with use of NSAIDs; taking medicines called “corticosteroids”, “anticoagulants”, “SSRIs”, or “SNRIs”; increasing doses of NSAIDs; longer use of NSAIDs; smoking; drinking alcohol; older age; poor health; advanced liver disease; bleeding problems NSAIDs should only be used exactly as prescribed; at the lowest dose possible for your treatment; for the shortest time needed What are NSAIDs? NSAIDs are used to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as different types of arthritis, menstrual cramps, and other types of short-term pain. Who should not take NSAIDs? Do not take NSAIDs if you have had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAIDs; right before or after heart bypass surgery. Before taking NSAIDs, tell your healthcare provider about all of your medical conditions, including if you have liver or kidney problems; have high blood pressure; have asthma; are pregnant or plan to become pregnant. Talk to your healthcare provider if you are considering taking NSAIDs during pregnancy. You should not take NSAIDs after 29 weeks of pregnancy. • are breastfeeding or plan to breast feed. Tell your healthcare provider about all of the medicines you take, including prescription or over-the-counter medicines, vitamins or herbal supplements. NSAIDs and some other medicines can interact with each other and cause serious side effects. Do not start taking any new medicine without talking to your healthcare provider first. What are the possible side effects of NSAIDs? NSAIDs can cause serious side effects, including: See “What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)?” • new or worse high blood pressure • heart failure • liver problems including liver failure • kidney problems including kidney failure • low red blood cells (anemia) • life-threatening skin reactions • life-threatening allergic reactions • Other side effects of NSAIDs include: stomach pain, constipation, diarrhea, gas, heartburn, nausea, vomiting, and dizziness. Get emergency help right away if you get any of the following symptoms: • shortness of breath or trouble breathing • slurred speech • chest pain • swelling of the face or throat • weakness in one part or side of your body Stop taking your NSAID and call your healthcare provider right away if you get any of the following symptoms: • nausea • vomit blood • more tired or weaker than usual • there is blood in your bowel movement or • diarrhea it is black and sticky like tar • itching • unusual weight gain • your skin or eyes look yellow • skin rash or blisters with fever • indigestion or stomach pain • swelling of the arms, legs, • flu-like symptoms hands and feet If you take too much of your NSAID, call your healthcare provider or get medical help right away. These are not all the possible side effects of NSAIDs. For more information, ask your healthcare provider or pharmacist about NSAIDs. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Other information about NSAIDs • Aspirin is an NSAID but it does not increase the chance of a heart attack. Aspirin can cause bleeding in the brain, stomach, and intestines. Aspirin can also cause ulcers in the stomach and intestines. • Some NSAIDs are sold in lower doses without a prescription (over-the-counter). Talk to your healthcare provider before using over-the-counter NSAIDs for more than 10 days. General information about the safe and effective use of NSAIDs Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use NSAIDs for a condition for which it was not prescribed. Do not give NSAIDs to other people, even if they have the same symptoms that you have. It may harm them. If you would like more information about NSAIDs, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about NSAIDs that is written for health professionals. Manufactured (under license from iCeutica Pty Ltd) for and Distributed by: Iroko Pharmaceuticals, LLC One Kew Place 150 Rouse Boulevard Philadelphia, PA 19112 For more information, go to www.iroko.com or call 1-877-757-0676.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

28 I Fall 2016

Issued or Revised: October 2015

The County Woman’s Journal


Health & Medicine Living with osteoarthritis pain?

LEARN ABOUT A LOW-DOSE TREATMENT OPTION “The US Food and Drug Administration (FDA) recommends that NSAIDs be used at the lowest possible dose and the shortest time needed for your treatment.” —Dr. Paul Doghramji Dr. Paul Doghramji

What is osteoarthritis (OA)? Characterized by joint pain, swelling, and stiffness, osteoarthritis is the most common form of arthritis, affecting approximately 27 million US adults. If you are living with osteoarthritis, it is important to stay informed about advances in treatment, while focusing on information you can trust. Here are some facts I offer my patients to help them manage their osteoarthritis pain: Nonsteroidal anti-inflammatory drugs (NSAIDs) NSAIDs are the most frequently used medicines to help manage pain and inflammation. NSAIDs are found in nearly 550 over-the-counter and prescription medicines, including aspirin, Aleve® (naproxen sodium), and Advil® (ibuprofen), to name a few. Other NSAIDs are only available as a prescription. The higher the dose, the higher the risk While NSAIDs can be effective, using them can also put you at risk for serious heart, stomach, and kidney problems. In fact, 16,500 people with rheumatic diseases (osteoarthritis and rheumatoid arthritis) are estimated to die each year due to NSAID-related gastrointestinal complications. The US Food and Drug Administration (FDA) recommends that NSAIDs be used at the lowest possible dose and the shortest time needed for your treatment.

A welcome innovation Using SoluMatrix Fine Particle TechnologyTM, Iroko Pharmaceuticals, LLC has developed NSAID products that can help manage pain at low doses. This technology: • Creates NSAID drug particles that are approximately 10 to 20 times smaller than their original size • Helps drugs dissolve quickly so they can be rapidly absorbed in the body The role of meloxicam and VIVLODEX® Meloxicam is an NSAID that is used to manage pain caused by osteoarthritis. VIVLODEX is a low-dose SoluMatrix® meloxicam for patients with osteoarthritis pain. VIVLODEX is FDA-approved at 5-mg and 10-mg doses to be taken once daily. Ask your doctor if you are taking the lowest effective NSAID dose. Then ask about VIVLODEX. To prepare for a talk with your doctor about osteoarthritis pain and its treatment, you can download a helpful discussion guide at www.LowDoseMatters.com. All trademarks are the property of their respective owners.

Important Safety Information All non-steroidal anti-inflammatory drugs (NSAIDs), like VIVLODEX, increase the risk of heart attack or stroke that can lead to death. This risk may happen early in treatment and may increase with increasing doses and longer use of NSAIDs. Avoid taking NSAIDs after a recent heart attack. Do not take VIVLODEX right before or after a heart surgery called a “coronary artery bypass graft (CABG).” NSAID medicines can cause ulcers, tears, and bleeding in the esophagus, stomach and intestines at any time during treatment. These events can happen without warning symptoms and may cause death. The risk of a person getting an ulcer or bleeding increases with: a past history of ulcers or bleeding in the stomach or intestines, increasing doses or longer use of NSAIDs, taking other medicines called “corticosteroids”, “anticoagulants”, “SSRIs”, or “SNRIs”, smoking, drinking alcohol, older age, and having poor health, liver disease or bleeding problems. Please see Important Product Information and Medication Guide on the following page. The ‘Swirl Design logo’ and SoluMatrix Technology™ are trademarks of iCeutica Pty Ltd., and are licensed to Iroko. SoluMatrix Fine Particle Technology™ is a trademark of iCeutica Inc., and the technology is licensed to Iroko for exclusive use in NSAIDs. SoluMatrix® is a registered trademark of iCeutica Pty Ltd., and is licensed to Iroko.

©2016 Iroko Pharmaceuticals, LLC VIV-0084 08/2016

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Printed in USA.

Fall 2016 I 29


Profiles Christine D. Hannaway, MD General Surgeon

Dr. Christine D. Hannaway is a General Surgeon practicing in Seaford, Delaware. In addition to a broad scope of general surgical care, Dr. Hannaway evaluates and treats a wide array of breast disease. This includes benign conditions such as breast pain and lumps as well as the diagnosis and surgical treatment of breast cancer. Dr. Hannaway works closely with Nanticoke Health Services’ mammography department and the Cancer Care Center as part of a multidisciplinary breast care team. She utilizes advanced techniques such as 3D mammography, MRI mammography and stereotactic biopsies to diagnose breast cancer, all of which are available at Nanticoke Memorial Hospital. Every aspect of each patient’s surgical breast care is managed by Dr. Hannaway, from breast biopsies to long-term follow-up. As a woman, Dr. Hannaway understands the anxiety and fear that every woman experiences when faced with the evaluation and treatment of her breast symptoms. Each patient is approached with a compassionate and thorough assessment and management of their breast disease. Her involvement with local support organizations allows Dr. Hannaway to provide her patients with additional education and resource referrals for understanding and coping with breast cancer. Women and men of all ages with breast symptoms are welcome to her practice. Dr. Hannaway obtained her medical degree at Eastern Virginia Medical School in Norfolk, Virginia. She completed her general surgery residency at INOVA Fairfax Hospital in Falls Church, Virginia. Dr. Hannaway is a Board Certified General Surgeon with the Nanticoke Physician Network and sees patients at Nanticoke Memorial Hospital and in her office at the Nanticoke Health Pavilion. She provides evaluation and operative treatment of breast disease, skin cancer, colon and anorectal disorders, gallbladder disease, and hernias. To schedule an appointment with Dr. Hannaway please call 302-990-3300.

Kelly Yoder

Radiologic Technologist and Mammographer R.T.(R)(M), Nanticoke Diagnostic Imaging

Kelly Yoder‘s desire to help people led her to choose a career in the medical profession. Upon graduating from college, she started working with Nanticoke Health Services as a Radiologic Technologist in July of 1992. In 1995, Kelly was asked if she would be interested in learning mammography and stereotactic breast biopsies. “I said yes without hesitation, and have been very pleased with my decision,” says Kelly. “I have seen quite the change over the past 24 years transitioning from analog to digital and now to 3D tomosynthesis.” “Although no one looks forward to getting their mammograms, they do enjoy talking to us,” explains Kelly. “With patients coming year after year, you get to know them on a personal level.” “When not doing mammograms, I am working alongside the surgeons performing stereotactic breast biopsies, which is something I thoroughly relish. I like the fact that I am with the patient every step of the way beginning with the mammogram, next the biopsy, and, if needed, surgery. It makes them feel more at ease when they see a familiar face. I have had patients say ’you saved my life’ and that does my heart good knowing I am making a difference.” “Some say I was meant to do this job or that this job was meant for me,” Kelly adds. “Breast cancer hits very close to home: When I was 8, my mother succumbed to breast cancer at the young age of 40. She was 38 when she was diagnosed and fought hard for those two years. Her sister, at age 67, was also diagnosed with breast cancer, but thankfully defeated it. With advancements in technology and treatment, the survivorship is much greater today than years ago.” When not at work, Kelly enjoys crabbing in the summer and snowmobiling in the winter with her husband, John. “Yes, I love snow! All year long I take pleasure in caring for the elderly, walking and baking. I am also quite the animal lover, especially for my dog, Noble.”

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Terry L. Persolio, R.T. (R)(M)(QM)(ARRT)

Senior Mammographer, Nanticoke Diagnostic Imaging

Terry Persolio, is the Senior Mammographer at Nanticoke Diagnostic Imaging in Seaford, Delaware. She constantly strives to make sure her department is offering the highest quality imaging possible for women in Sussex County. Terry began her rewarding twenty-seven-year career with Nanticoke Health Services in 1989 in the employed physicians’ network. Terry is a native of Sussex County, Delaware and a graduate of Indian River High School in Dagsboro. After completing high school, she earned her associate’s degree in radiologic technology in 1989 at Delaware Technical Community College. She earned her mammography certification in 1993 and obtained her quality management certification in 1999. Terry officially took over the Senior Mammographer position at Nanticoke in 2005. “In this position there are many challenges,” explains Terry. “Mammography is one of the mostly highly regulated departments in radiology. I face the challenges of accreditation by the American College of Radiology and yearly onsite inspections by the State of Delaware and the Food and Drug Administration/MQSA.” In Terry’s career, she has experienced three technology changes in mammography from analog, or film mammography, to digital mammography, and most recently to the 3D tomosynthesis. Her research and belief in the new 3D technology gave her the drive to help Nanticoke see the need to offer this high level of service to patients. Terry possesses a unique combination of strong supervisory and patient care skills. In addition, she believes in building a long-lasting and trusting relationship with patients. When Terry is not at work, she enjoys spending time with her husband, Steve, son, Mark, and daughters, Tia and Kiley. She also enjoys tanning on the beach, cruising on her boat and traveling to places such as Punta Cana, New Orleans and Las Vegas.

Julie Abel, MHA, CTR Director, Nanticoke Cancer Care Center

Julie Abel is the Director of the Nanticoke Cancer Care Center in Seaford, Delaware. As Director, she manages operations that continue to provide lower Sussex County with quality cancer care. She has a Master’s Degree in Healthcare Administration and has been working within the world of Oncology for over fifteen years. “The care of people who have been diagnosed with cancer is complex,” explains Julie. “I have been blessed to work with the dedicated physicians, nurses and support staff at three cancer centers and I find them to be a unique group of amazing, compassionate people.” Until June of 2015, Julie lived in the Lancaster area of Pennsylvania for nearly her entire life. She and her husband had wanted to move to Delaware. When the opportunity at Nanticoke presented itself last year, her ever patient husband, Patrick, and their two cats packed up, moved to Delaware and couldn’t be more pleased. When she is not at work, Julie and her husband enjoy outdoor activities on the Delmarva Peninsula including kayaking and spending time at the beach. She also enjoys photography, reading and attempting to paint. She has a son and daughter who still live in Pennsylvania, and twin grandchildren.

The County Woman’s Journal

Th


Profiles Debra Palmer-Shepard Hi, my name is Debra Palmer-Shepard. My life prior to the diagnosis of cancer was very fulfilling. I worked as a nurse practitioner for public health, enjoyed time with my husband and two sons’ ages 17 and 19, and I was involved in my church. Going for a long walk with a friend gave me strength and contentment. And, from time to time I would pick up my knitting needles and make a scarf. My journey with cancer started in midDecember 2013 when I noticed a small lump in my breast while doing a monthly breast exam. What followed was an ultrasound, mammogram, biopsy and the diagnosis of breast cancer on January 2, 2014. I needed surgery and then chemotherapy. I know I would not have made it through the treatment without the support of my family and friends. It meant a lot to me to be surrounded by many caring people. The cancer coalition offered me a mentor, who gave me support and knew what I was going through at the time. My faith was a big part of my recovery, through faith I had an inner strength to get through the treatments. I’m a two and a half years survivor of cancer. My hair grew back, my energy returned, I was able to return to work, and continue to enjoy my family and friends. I’m still knitting scarfs and enjoying long walks. Since becoming a survivor I have been able to be a mentor to someone else through the cancer coalition, someone who was just starting their journey.

Monica Smith

At 49 years old, my life as a wife, a mother of two and a self employed farmer totally changed. In February 2015, my yearly mammogram showed changes that looked concerning. I had a second mammogram and ultrasound, which also showed there were abnormal cells in my breast. Shortly after, biopsies confirmed that I had breast cancer. In March 2015, I had a lumpectomy and the pathology report showed the cancer had gone into my lymph nodes. Over the next several months, I underwent 16 rounds of chemotherapy followed by 30 radiation treatments. My doctors also suggested that I should have my ovaries and fallopian tubes removed as part of my treatment. My breast cancer journey has surely changed my life but more than anything I believe it has saved my life. Life changed for my family immediately. My husband and I had always worked side by side on our family grain & poultry farm, where we have no employees other than each other. Our son & daughter pitched in along with other family members & friends to help during my treatments. This life change was not easy for any of us. It was very difficult to maintain the farming chores that are necessary on a daily basis. I had always been very healthy, strong and an all around busy person. During my treatment that all changed. I’m happy to say that today, a year and a half later, I am back. Back to my life as a wife, a Mom and a farmer. I also trained and have been active as a peer mentor with the Delaware Breast Cancer Coalition. Feeling good, feeling healthy and feeling blessed.

October is the month when everyone “thinks pink”. Breast cancer is diagnosed every month. Not just October. One in eight women will eventually be diagnosed with breast cancer in her lifetime. Breast cancer is more than a pink ribbon. It is a mother, a grandmother, a sister, an aunt, or a friend. Breast cancer is about 100 times less common among men than among women. For men, the lifetime risk of getting breast cancer is about 1 in 1,000. Women Supporting Women has been helping Delmarva families affected by breast cancer since 1993 when three local women saw a need for a breast cancer support group. Originally meeting once a month in a hospital waiting room, the group grew to what is now the 501(c)3 nonprofit that helps hundreds of families a year. “With no national ties or funding, Women Supporting Women reaches out to the person just diagnosed with breast cancer before we even meet them.” Emily Rantz, PR & Marketing Director for WSW said, “We provide the surgeons in the area with informational tote bags filled with literature and information about breast cancer. They are given out to the survivor the day of their diagnosis. From there, it is up to them whether or not they would like us to contact them.” In addition to the Informational tote bags, WSW also provides chemotherapy and radiation bags which include some comfort items for someone going through those treatments. Handmade “Piglet Pillows” are given to someone having a single or bilateral mastectomy and are meant to go under the arm for comfort after surgery. Located on Belmont Ave, next to the Community Foundation of the Eastern Shore, they have an entire room filled with wigs all different colors, cuts and shapes. A woman undergoing chemotherapy can come to be fitted for the perfect wig. WSW relies on grants, donations and fundraisers to continue offering all of their services at no cost. If you or someone you know has been diagnosed with breast cancer, give them a call at 410-548-7880. “I have to admit, prior to speaking with Sue [WSW Mentor], I didn’t think much would be accomplished with the counseling session. I was absolutely incorrect in my thoughts. Sue’s knowledge and patience put me so at ease. I found it very comforting to speak openly and candidly with Sue. Almost as if we had been friends for years. With organizations such as WSW, I am most grateful.” - Kim Herbert “Women Supporting Women is a wonderful organization. Thank you for the literature and family support. My daughter was touched by the bag of goodies you put together for her. The lift chair was very much appreciated. It made my recovery so much easier. I lived in that chair for three weeks! Thank you for touching my life during this difficult journey.” - April Guard

The County Woman’s Journal

Fall 2016 I 31


Profiles Debra Palmer-Shepard Hi, my name is Debra Palmer-Shepard. My life prior to the diagnosis of cancer was very fulfilling. I worked as a nurse practitioner for public health, enjoyed time with my husband and two sons’ ages 17 and 19, and I was involved in my church. Going for a long walk with a friend gave me strength and contentment. And, from time to time I would pick up my knitting needles and make a scarf. My journey with cancer started in midDecember 2013 when I noticed a small lump in my breast while doing a monthly breast exam. What followed was an ultrasound, mammogram, biopsy and the diagnosis of breast cancer on January 2, 2014. I needed surgery and then chemotherapy. I know I would not have made it through the treatment without the support of my family and friends. It meant a lot to me to be surrounded by many caring people. The cancer coalition offered me a mentor, who gave me support and knew what I was going through at the time. My faith was a big part of my recovery, through faith I had an inner strength to get through the treatments. I’m a two and a half years survivor of cancer. My hair grew back, my energy returned, I was able to return to work, and continue to enjoy my family and friends. I’m still knitting scarfs and enjoying long walks. Since becoming a survivor I have been able to be a mentor to someone else through the cancer coalition, someone who was just starting their journey.

Monica Smith

At 49 years old, my life as a wife, a mother of two and a self employed farmer totally changed. In February 2015, my yearly mammogram showed changes that looked concerning. I had a second mammogram and ultrasound, which also showed there were abnormal cells in my breast. Shortly after, biopsies confirmed that I had breast cancer. In March 2015, I had a lumpectomy and the pathology report showed the cancer had gone into my lymph nodes. Over the next several months, I underwent 16 rounds of chemotherapy followed by 30 radiation treatments. My doctors also suggested that I should have my ovaries and fallopian tubes removed as part of my treatment. My breast cancer journey has surely changed my life but more than anything I believe it has saved my life. Life changed for my family immediately. My husband and I had always worked side by side on our family grain & poultry farm, where we have no employees other than each other. Our son & daughter pitched in along with other family members & friends to help during my treatments. This life change was not easy for any of us. It was very difficult to maintain the farming chores that are necessary on a daily basis. I had always been very healthy, strong and an all around busy person. During my treatment that all changed. I’m happy to say that today, a year and a half later, I am back. Back to my life as a wife, a Mom and a farmer. I also trained and have been active as a peer mentor with the Delaware Breast Cancer Coalition. Feeling good, feeling healthy and feeling blessed.

October is the month when everyone “thinks pink”. Breast cancer is diagnosed every month. Not just October. One in eight women will eventually be diagnosed with breast cancer in her lifetime. Breast cancer is more than a pink ribbon. It is a mother, a grandmother, a sister, an aunt, or a friend. Breast cancer is about 100 times less common among men than among women. For men, the lifetime risk of getting breast cancer is about 1 in 1,000. Women Supporting Women has been helping Delmarva families affected by breast cancer since 1993 when three local women saw a need for a breast cancer support group. Originally meeting once a month in a hospital waiting room, the group grew to what is now the 501(c)3 nonprofit that helps hundreds of families a year. “With no national ties or funding, Women Supporting Women reaches out to the person just diagnosed with breast cancer before we even meet them.” Emily Rantz, PR & Marketing Director for WSW said, “We provide the surgeons in the area with informational tote bags filled with literature and information about breast cancer. They are given out to the survivor the day of their diagnosis. From there, it is up to them whether or not they would like us to contact them.” In addition to the Informational tote bags, WSW also provides chemotherapy and radiation bags which include some comfort items for someone going through those treatments. Handmade “Piglet Pillows” are given to someone having a single or bilateral mastectomy and are meant to go under the arm for comfort after surgery. Located on Belmont Ave, next to the Community Foundation of the Eastern Shore, they have an entire room filled with wigs all different colors, cuts and shapes. A woman undergoing chemotherapy can come to be fitted for the perfect wig. WSW relies on grants, donations and fundraisers to continue offering all of their services at no cost. If you or someone you know has been diagnosed with breast cancer, give them a call at 410-548-7880. “I have to admit, prior to speaking with Sue [WSW Mentor], I didn’t think much would be accomplished with the counseling session. I was absolutely incorrect in my thoughts. Sue’s knowledge and patience put me so at ease. I found it very comforting to speak openly and candidly with Sue. Almost as if we had been friends for years. With organizations such as WSW, I am most grateful.” - Kim Herbert “Women Supporting Women is a wonderful organization. Thank you for the literature and family support. My daughter was touched by the bag of goodies you put together for her. The lift chair was very much appreciated. It made my recovery so much easier. I lived in that chair for three weeks! Thank you for touching my life during this difficult journey.” - April Guard

The County Woman’s Journal

Fall 2016 I 31


Health Health & Medicine Health & Medicine Medicine &

CoolSculpting Non-Surgical Fat Removal fat. This non-invasive procedure represents an alternative to surgical liposuction by using a novel cooling technology that permanently removes fat cells from treated areas.

Michelle Parsons, MD is a graduate of Jefferson Medical College, Philadelphia and received her residency training from the State University of New York in General Surgery, and Christiana Medical Center in Emergency Medicine. She also served as a Flight Surgeon in the Air Force. Dr. Parsons specializes in Bio-Identical Hormone Therapy and treatment of Thyroid disorders as well as Aesthetic Medicine and Laser Medicine. The biggest trend in cosmetic surgery for 2013 is the expansion of non-invasive body countouring technology, the best of which is CoolSculpting, which is now available at ReNove Medical in Rehoboth Beach. CoolSculpting is an FDA-approved, non-surgical device that uses precisely controlled cooling to destroy fat cells, thereby eliminating unwanted love handles, bra rolls, and stomach fat. Arms and legs can be treated as well. Unlike some other non-surgical technologies that release fat from fat cells, such as Vasershape and I-Lipo, Coolsculpting destroys the fat cells thereby eliminating treated fat permanently, as our body does not make new fat cells. Coolsculpting is a unique non-surgical treatment for removal of fat from localized pockets of excess

How does CoolSculpting Work? The technology behind CoolSculpting was developed by Harvard scientists who noted that fat was destroyed by cold under certain conditions. CoolSculpting is a result of their efforts to harness and refine this application of cold to selectively remove unwanted fat deposits in a safe manner. During a treatment, your unwanted fatty area will be pressed and chilled to a temperature 12 degrees above freezing. At this temperature the fat within fat cells crystallizes. When the fat within the cells crystallizes, it damages and kills the fat cell. Skin and other tissue is not damaged as the water in other cells is not crystallized, only fat. The body will then eliminate the killed fat cells over time. The best news is that we do not make new fat cells. Fat cells merely get bigger or smaller as they store more fat or lose fat. So in essence the fat removal from CoolSculpting is permanent. And we have seen instances of patients who if they gain weight, the weight will not return to the treated areas. What are the most common areas to be treated? Many people on a weight loss program continue to have stubborn hard to lose areas, no matter how much dieting, sit ups or weight they lose. Such stubborn areas are typically around the abdomen, the love handles and inner thighs. Once you are over forty, losing fat in these areas is extremely difficult. These are the areas that CoolSculpt can address. Basically if there is an area you can pinch several inches, that area can be treated and eliminated

by CoolSculpt. Most of our patients are interested in losing fatty areas in the upper and lower abdomen, the muffin top, waist, brat fat, back fat, love handles, and “mommy pooches.” We can also treat arms, thighs and saddle bags.

Are there any side effects from CoolSculpting? The side effects from a CoolSculpting treatment are minimal. It is possible Before to have bruising after the treatment, which resolves in a week. It is common to have numbness or decreased sensitivity in the treated area lasting 1 to 2 weeks. In some instances patients will develop a burning tingling sensation 5 days after the treatment which can be controlled with a Lidoderm patch. There are virtually no long term negative side effects. What does CoolSculpting feel like? Our treatment room is very comfortable where you will relax on a padded recliner. When the CoolSculpting is applied to the fatty area to be treated there is a sensation of pulling that feels slightly uncomfortable for the first 5 to 10 minutes. Gradually this sensation lessens to the point during the treatment any uncomfortable sensation is minimal. There seems to be a natural endorphin release during the treatment so patients are very relaxed during the treatment, which takes an hour. Some people have fallen asleep during the treatment! A typical treatment session lasts between 1 and 3 hours, depending on how many areas are treated. During the treatment, we have Netflix available so you can watch a movie or catch

After up on your favorite television program. Busy moms find this time to themselves a real treat! We also have Wi-Fi.

How quickly do people see results? After a CoolSculpting treatment, the fat cells are actually killed and will be eliminated by the body over time. Many report seeing changes in as little as 3 to 4 weeks. The full benefit will take as long as 60 to 90 days. How long to results last? Once the fat cells are frozen, killed and naturally eliminated by your body, the results are permanent. You can still gain weight in other areas if you over eat and don’t continue to try to remain fit. If you are interested in learning more about CoolSculpting and would like to see if you are a good candidate for this effective treatment to lose unwanted fatty areas, please call us today to set up an appointment to meet with Dr. Michelle Parsons at ReNove Medical, Health Rejuvenating Spa, in Rehoboth Beach, 302227-1079. We will be offering an introductory Special this season, so please inquire.

Michelle Parsons, MD ReNove Med Spa 416 Rehoboth Avenue Rehoboth, Delaware For appointments please call

302.227.1079

www.RenoveMedSpa.org

Renove.Rehoboth@gmail.com

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The Newspaper TheCounty County Woman Newspaper TheWoman County Woman’s Journal


Health & Medicine

La Red Health Center adds new Practitioners! La Red Health Center is thrilled to announce the hiring of two new practitioners, Ericka Daniel, Advanced Practice Registered Nurse and Patricia Walton, Family Nurse Practitioner - BC. We are just delighted to welcome these talented new practitioners to our LRHC family,” stated Mary Kay Rosolie, Director of Human Resources.

nursing, but thought I would need to speak Spanish and since I don’t speak a bit of Spanish, I was concerned. When I called about the job posting, I told them I speak “Dora-Level” Spanish as my kids used to watch Dora the Explorer and that was about the only Spanish I knew. It turns out that La Red serves people from all cultures and nationalities, and supports me via interpreters whenever necessary to effectively communicate with my Spanish speaking patients.”

Ericka Daniel, Advanced Practice Registered Nurse Ericka has significant experience treating patients in multiple settings including: long term care, ambulatory surgery, hospice and medical surgical nursing. Ericka joined La Red Health Center on March 21, 2016, and will work primarily out of the Georgetown office. Prior to joining La Red Health Center, Ericka served as Family Nurse Practitioner, Director Clinical Services for Connections Community Services Program in Georgetown, Delaware, where she provided primary and urgent care services to patients fifteen and older. Ericka also worked as a Staff Registered Nurse at the Bayhealth Medical Center in Milford, Delaware and was a member of the Delaware Technical and Community College Adjunct Faculty Terry Campus. Ericka received her Masters of Science in Nursing, Family Nurse Practitioner from Wilmington University in May 2015, a Bachelors of Science in Nursing in May 2011, and Associates of Science in Nursing in 1997 from Drexel University Philadelphia, Pennsylvania Ericka earned her family nurse practitioner credentials through the American Association of Nurse Practitioners in 2015. Ericka holds professional memberships with the following organizations: • American Association of Nurses • American Association of Nurse Practitioners According to Ericka, “It has been an honor to be welcomed into the La Red Health Center family. I consider it a privilege to care for such a diverse population of patients and I look forward to getting to know the patients and the community. La Red Health Center lined up with what I wanted to do. My main purpose is to help underserved populations. I wanted to work at La Red Health Center while I was completing my student

Patty Walton, Family Nurse Practitioner-BC La Red Health Center is delighted to announce that Patty Walton, FNP-BC has rejoined La Red Health Center on June 1, 2016 as a Family Nurse Practitioner. Patty has had significant experience as a Family Nurse Practitioner, Registered Nurse, Home Health Nurse and Labor and Delivery Nurse for various Sussex County Health Care organizations. Patty initially joined La Red Health Center in September of 2007 and worked as a Registered Nurse until March of 2011, providing direct patient care for primary care and obstetrical patients as well as interpreting services for medical practitioners. For the past five years, Patty has worked as a Family Nurse Practitioner at Lewes Medical and Surgical Associates, providing primary care services (assess, diagnose, prescribe and treat) for diverse patient populations aged 11 years and older. Patty received an MSN- Family Practice Nurse Practitioner from Wilmington University in December of 2010, a BSN from Salisbury University in December of 2005, an MA in Latin American and Caribbean Studies from Indiana University in December 1997, and a BA in Spanish from Washington College in May 1996 Patty is credentialed as an ANCC Family Practice NP, a Certified Medical Examiner by the National Registry of Medical Examiners, US Department of Transportation and a certified Medical Interpreter in Spanish. According to Patty, “Returning to La Red feels like coming back home to friends,

family and community!” Both Ericka and Patty come to La Red Health Center with a significant amount of experience in family practice medicine having served in various primary care settings during the course of their careers and I believe they will be a great addition to La Red Health Center and complement our existing staff, said Rosa Rivera, LRHC’s Chief Operating Officer. As a leading provider of medical, dental and mental health services in Sussex County, Delaware, LRHC has been recognized by the National Committee for Quality Assurance, (NCQA) as a Level III Patient-Centered Medical Home, (PCMH) at both its Georgetown and Seaford Sites and is currently seeking NCQA specialty recognition as a PCMH for its Prenatal and Behavioral Health programs, which are being integrated into the overall PCMH model. LRHC will also pursue NCQA recognition for the New Milford site that opened in 2015.

“We are deeply committed to providing the highest quality of health care and the addition of Ericka and Patty to our clinical staff will help us continue to provide the type of patient-centered care that our patients have become accustomed.” said Brian Olson, LRHC Chief Executive Officer. LRHC’s medical services are available to all individuals regardless of gender, age, race, ethnic origin, religion, language, sexual orientation, or ability to pay. LRHC offers a sliding fee scale based on income and family size for uninsured patients, and accepts the United Health Care Plan, Highmark Health Options, most commercial insurance plans, Medicare and Medicaid, and most plans available through the Delaware Marketplace. Patients can also receive assistance to fill out Medicaid applications, obtain free or discounted prescription drugs, and under certain circumstances obtain transportation assistance if it is available.

The days and hours of operation for La Red Health Center vary by site.

For more information visit our website at www.laredhealthcenter.org or call us at 302-855-1233.

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Fall 2016 I 33


Health & Medicine

Holistic Health and Wellness CLAUDIA ALESI, HTCP, CPC Healing Touch Certified Practitioner Certified Holistic Cancer Educator Certified Holistic Minister Practitioner

This year alone, more than 1 million Americans are expected to be diagnosed with cancer. In a report written by Bharat B. Aggarwal, Ph.D., a pioneering Biochemist of the M.D. Anderson Cancer Center, he states that only 5 – 10% of all cancer cases can be attributed to genetic defects; whereas the remaining 90 – 95% have their roots in the environment and lifestyle. Evidence indicates that of all cancer-related deaths, almost 25 – 30% are due to tobacco, 30 – 35% are linked to diet, approximately 15 – 20% are due to infections, and the remaining percentages are due to other factors; such as, radiation, stress, physical activity, environmental pollutants, etc. The lifestyle factors include cigarette smoking, diet (fried foods, red meat), alcohol, sun exposure, environmental pollutants, infections, stress, obesity, and physical inactivity. Scientific data tells us that a healthy diet and lifestyle choices can make a difference. These lifestyle factors include diet, exercise, stress management, environmental exposures and detoxification. The mission of BeatCancer.org is to help people by providing research based education on how to try to prevent, cope with, and beat cancer through diet, lifestyle and other immune-boosting approaches. Their primary emphasis is prevention, not just early detection. BeatCancer.org is a resource center, not a treatment center, and is a national not-for-profit, information, counseling and referral agency established in 1977. They raise funds for education, not research, and have provided one-on-one individualized coaching to nearly 30,000 cancer patients nationwide. As a Certified Holistic Cancer Educator/Counselor through BeatCancer. org and a Healing Touch Certified Practitioner, I support my client’s selfsufficiency and empowerment through customized and innovative sciencebased resources in preventive, holistic, integrative, complementary and alternative medicine. This includes individualized guidance and referrals to clients and caregivers to help enhance nutritional, psychological

and immune status, reduce suffering, minimize treatment side effects, improve quality of life, and increase the odds for long-term survival. For a diagnosed client, the program focuses on building up the body, and not just destroying the tumor. In addition to holistic cancer education, there are many other holistic approaches that can be very effective in managing treatments. One such approach is energy medicine such as Healing Touch. Many hospitals and cancer centers are now offering Healing Touch as an integrative or complementary treatment for cancer. The goal of Healing Touch is to restore balance and harmonies in the body’s energy system, placing the client in a position to self-heal. Healing Touch not only helps with improved immune response, less depression, and improved pain management, but for those going through chemotherapy and radiation, it is used to help manage the side effects of chemotherapy and radiation; which, includes fatigue, loss of appetite, pain, nausea, muscle stiffness, and lymphedema. Since cancer treatments harm healthy tissue in addition to killing cancer cells, it is believed that supportive Healing Touch sessions can help lessen the side effects, hasten recovery after surgery, and is a method to help improve the overall quality of life. Healing Touch is often cited by cancer clients as providing a sense of comfort that helps them to get through the difficult cancer regimen if they choose this route. A Patient Satisfaction Survey for cancer patients experiencing Healing Touch at the Cancer Wellness Center yielded the following results: the patient responses agreed or strongly agreed that Healing Touch improved relaxation (98%), improved sense of well-being (92%), decreased pain (85%), decreased side effects of cancer treatments (85%), improved sense of control (75%), and improved interpersonal relationships

“I highly recommend Claudia Alesi and Oasis Healing Center. I am a frequent client because I find her energy healing work to be both comforting and energizing. Claudia is a warm, caring, gentle, kind, and talented person. She is generous with her time and knowledge”. --C Services • Healing Touch, Reiki • Aromatherapy • Life Coaching Ionic Detox Cleanse • Massages Reflexology • Holistic Cancer Education If you would like a presentation about BeatCancer.org for your business or organization, or would like a one-on-one consultation, please call Claudia Alesi at 302-227-6260. Arbonne Beauty Products Independent Consultant

By appointment only. (302) 227-6260 415 Rehoboth Avenue Rehoboth Beach, DE 19971

www.OasisHealingCenter.net (63%). (Judy Brannon, RN, BSN). Healing Touch can also provide physical and emotional support for the caregiver. Providing physical and emotional support for a loved one can be rewarding; yet the responsibility can be exhausting. Caregivers who have more energy are better able to meet the needs of their loved ones. As a Certified Holistic Cancer

Educator and Healing Touch Certified Practitioner, it is my goal to empower you, the client; which begins with information and education. It is about taking care of yourself – your whole self, physically, emotionally, mentally and spiritually –and making the choices that you need in your journey so that you can live your life to the fullest.

Disclaimer: As a Certified Holistic Cancer Educator/Counselor, and a Healing Touch Certified Practitioner, I do not diagnose, or treat. They are also not a substitute for medical treatment by a licensed medical professional. The Center for Advancement in Cancer (BeatCancer.org) is an educational center, not a medical center, and the information provided is meant as a guide for educational purposes only. The resources mentioned are not intended to diagnose, treat, cure, or prevent any disease. The suggestions referenced as a Certified Holistic Cancer Educator through BeatCancer.org may be of value before, during or after a treatment, but their appropriateness for any given client depends on many individualized factors and should be considered in the context of a complete holistic program.

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The County Woman’s Journal


Health & Wellness

Ovarian Cancer...What All Women (and Those Who Love Them) Need to Know! Each year more than 21,000 new cases of ovarian cancer are diagnosed in the United States, resulting in over 15,500 deaths. It is the deadliest of the gynecologic cancers, affecting approximately 1 in 70 women. Because there is no reliable diagnostic screening, it often goes undetected or is misdiagnosed until it has advanced to the later stages. Less than 20% of cases are discovered in the early stage. Due to late diagnoses and a very high recurrence rate (70-90%), less than 50% of women make it to the 5 year milestone.

Ovarian cancer does not discriminate and can affect females of any age and ethnic background. It continues to be one of the most underfunded cancers and the lack of public awareness and education is of critical concern. Although the symptoms of ovarian cancer often are not intense in the early stages, they are NOT silent. Once thought to be a ‘silent disease’, research indicates that 95% of women DO have vague but persistent symptoms. These symptoms are not always useful for diagnosis since they may be indicative of other less serious conditions. If any of the following single or combination of symptoms persist for more than 2 weeks, consult your physician and insist that a manual exam and transvaginal ultrasound be performed. If any abnormalities are detected, a referral to a gynecologic oncologist may be in order. • Bloating • Pelvic or abdominal pain • Difficulty eating or feeling full quickly • Urinary symptoms (frequency or urgency) Other symptoms may include: • Extreme fatigue • Indigestion, heartburn, or upset stomach • Shortness of breath • Lower back and/or leg pain • Change in bowel habits (constipation, diarrhea) • Unexplained weight gain or loss • Menstrual irregularities (including post menopausal bleeding) • Pain during intercourse

A PAP Test does NOT detect ovarian cancer!

cancer survivor diagnosed in 2003, founded the Delaware Ovarian Cancer Foundation in 2009 as the only local premier all-volunteer non-profit ovarian cancer organization. She currently serves as President and is a recipient of the 2013 Governor’s Outstanding Volunteer Award. Previously she served as Delaware Chapter President of the National Ovarian Cancer Coalition. As one ovarian cancer survivor stated...”Dorianne’s passion has converted her personal illness of ovarian cancer into a healthy, vital, supportive and expanding volunteer organization promoting ‘Hope for the Present and a Cure for the Future”.

Did You Know… Even if your ovaries have been removed, it is possible to develop Primary Peritoneal Cancer (PPC), a rare form of cancer, which is closely related to ovarian cancer. The peritoneum is a thin sheet of tissue that protects and supports the abdominal organs. When certain cells transform into cancerous cells, the result is PPC. The cause is not known. Symptoms are more gastrointestinal in nature and may include: · abdominal bloating · changes in bowel habits · an early feeling of fullness after eating Nausea and vomiting may occur when bloating is severe. Medical evaluation and treatment is the same as for ovarian cancer and recurrences are common. There is no screening for PPC.

SAVE THE DATE 8th Teal Ribbon 5K to Fight Ovarian Cancer Sunday, May 7th, 2017 Wilmington Riverfront

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Dorianne Short, an ovarian

About the Delaware Ovarian Cancer Foundation (DOCF) The mission of the Delaware Ovarian Cancer Foundation is to increase awareness and education about ovarian cancer among women and healthcare professionals in Delaware and the surrounding vicinity. The Foundation is committed to research and provides support for women affected by ovarian cancer. DOCF is pleased to announce the Delaware Ovarian Cancer Foundation Research Initiative, supporting ovarian cancer research at the Helen F. Graham Cancer Center and Research Institute. DOCF holds 2 major fundraisers per year...the TEAL RIBBON 5K TO FIGHT OVARIAN CANCER, the first Sunday in May and the TEAL RIBBON LUNCHEON AND SILENT AUCTION, held in September, which is Ovarian Cancer Awareness Month. In September, look for teal bows in various locations in Delaware as we participate in Turn the Towns Teal, a national campaign to promote ovarian cancer awareness. Check your local salon for DOCF awareness items which are in many salons throughout Delaware as part of our Salon Awareness Program. For more information on other projects and activities as well as sponsorship and volunteer opportunities visit deovariancancer.org and our Face Book page.

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Health & Medicine

Say Goodbye to Hemorrhoids! New, Pain-Free Method Takes Only 30 to 60 seconds! It’s now easier than ever to stop living with the discomfort and irritation of hemorrhoids. The board-certified male and female gastroenterologists at Hunterdon Gastroenterology Associates (HGA) use a new, nonsurgical, virtually painless treatment to make hemorrhoids disappear — with an in-office procedure that takes only 30 to 60 seconds! Since this new method earned FDA approval, our gastroenterologists have used it to resolve hemorrhoids for more than 400 Hunterdon and Somerset County residents. Like them, you’ll benefit from: 3 Treatment same day as the exam 3 Covered by most insurance 3 No at-home prep

3 No pain meds needed… before, during or after 3 No hospital, surgery, sedation or anesthesia 3 No down time – immediate return to activities 3 Driving yourself home… or even back to work! This new procedure represents a dramatic improvement in speed, ease, comfort and overall patient experience in the relief of hemorrhoids. Specially trained and highly experienced in this procedure, our doctors treat you in the privacy, comfort and convenience of our offices in Flemington and Somerville. Don’t suffer needlessly with the misery of hemorrhoids. Call HGA today to speak to one of our nurses about how this fast, easy, pain-free and minimally invasive procedure can lead you to a hemorrhoid-free life.

Most Insurances Accepted

Call Now: 908-483-2053

Medical Experts in the Treatment of Digestive Diseases

www.HunterdonGastro.com

Hunterdon Gastroenterology Associates

HD_HGA_Hemorrhoids_HCW_10x12.indd 1

36 I Fall 2016

COLON CANCER PREVENTION & EARLY DETECTION PROGRAM

Flemington Office

Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206 / 207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

© HS 2015

Hunterdon Gastroenterology Associates

8/6/15 9:57 AM

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Health & Medicine

October/November 2016

Health & Medicine HCW ~ Page #

Richard J. Arrigo, DO, Gastroenterology Specialist

Prior to his Gastroenterology fellowship, Dr. Arrigo was in practice for 2 years (2011-2013) with the Liver Transplant program in Newark, NJ. There he managed patients with severe liver disease, Cirrhosis and all its complications. Through the outpatient clinic encounters, he experienced managing Fatty Liver disease, Hepatitis C, Hepatitis B, Alcohol related liver disease, auto-immune related liver conditions, and metabolic liver conditions such as hemochromatosis and drug-induced liver injury. Dr. Arrigo likes to think his approach is different from others. His bedside manner is very important to him. When taking a social history, he likes to know personal details about his patients so that he can see the big picture. Most importantly, he LISTENS. He truly wants to get an understanding of what his patients are telling him and he wants them to know that he is truly hearing them. He tries to explain things in a way they can understand. Dr. Arrigo hopes to give his patients an answer to their problem and perhaps a cure or a way to control their chronic medical condition so they can live a better quality of life. He hopes to give his patients confidence that they are in good hands. He loves spending his spare time with his wife, two young children and two dogs. During his down time he enjoys playing Ice and Roller hockey and gardening.

Bye Bye Hepatitis C, Hello Fatty Liver Disease! You may have recently seen many more television commercials for new medications for Hepatitis C virus. The CDC is now recommending that everyone born during 1945 through 1965, also known as baby boomers, get a blood test for Hepatitis C. Advances in modern medicine is and has resulted in significant changes to the most common causes of Liver related disease and Cirrhosis (scar tissue or fibrosis). As Hepatitis C will soon fade away in the coming years with a simple pill, the new threat is the epidemic of obesity in the United States and significant fatty liver disease. Nearly 78 million adults and 13 million children in the United States deal with health issues related to obesity. An entity in the medical field called the Metabolic Syndrome, is a cluster of common medical problems including Obesity, Type 2 Diabetes, elevated cholesterol and triglycerides, hypothyroidism and hypertension. This syndrome can result in significant fatty liver disease and liver injury.

What is NAFLD?

• Avoid heavy alcohol use. • Lower your cholesterol and triglycerides. • Control your blood pressure. • Manage your hypothyroid condition. • If you are diagnosed with NASH, control and manage the above tightly. • See a trained specialist with expertise in gastrointestinal and liver diseases as certain medications and anti-inflammatory agents are available.

If you have further questions or suspect you may have a gastrointestinal condition, call Hunterdon Gastroenterology Associates at 908.483.4000 to schedule an appointment.

Non-alcoholic fatty liver disease is the build up of extra fat in the liver cells that is not caused by alcohol. The liver may contain some fat, which is normal. However, if more then 5-10% of the liver weight is fat, then it is called a fatty liver (steatosis). Fatty liver disease is very common and may go undiagnosed for many years. An estimated 15 to 20% of all Americans have some degree of fatty liver disease, making it the most prevalent liver disease in this country. Some people develop NAFLD even if they do not have risk factors such as the metabolic syndrome, rapid weight loss and poor eating habits.

What is NASH?

Fat in the liver alone could become a worrisome condition and requires evaluation by a specialist in gastrointestinal and liver disease. Elevation of certain liver function tests with fatty liver may lead to significant inflammatory changes in the liver seen on a biopsy and this entity is called NASH (nonalcoholic steatohepatitis: fat plus inflammation). NASH is a concerning condition and is on the rise as a result of metabolic syndrome. NASH can lead to cirrhosis of liver. This may ultimately result a liver transplant and cirrhosis is a risk factor for liver cancer, which unfortunately is also on the rise.

How is NAFLD/NASH Diagnosed?

NAFLD is suspected initially if blood tests show elevation of specific liver enzymes. Other etiologies require investigation and need to be ruled out, however. There may be no symptoms at all. When symptoms occur they include fatigue, loss of appetite, weakness, nausea and abdominal pain, a dull achy sensation in the right upper quadrant of the abdomen. A simple abdominal or right upper quadrant ultrasound can be used to confirm diagnosis. CT scan and MRI abdominal imaging can also be performed. NASH is a histological diagnosis, which means it requires a liver biopsy to see inflammation of the hepatocytes (liver cells) with steatosis (fat) under the microscope. Some newer blood testing is also available and helpful. Advanced liver disease or cirrhosis from NASH may present with jaundice (yellowing of skin or eyes), new onset lower extremity edema or abdominal swelling (ascites) and even mental slowing or confusion.

What can you do to prevent and treat fatty liver disease?

Eating a healthy diet and exercising regularly can help prevent liver damage from starting and can even reverse changes of fatty liver once diagnosed. • Control your Diabetes and work closely with your primary physician or endocrinologist to lower your A1C level. • If you are overweight or obese, lose weight.

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Be proactive about your health and make your appointment to be screened today! 908-905-0303

We offer the full spectrum of care for your gastrointestinal needs! We offer office hours Monday through Friday in our Flemington office 7:30a-4:30p and Monday and Thursday evenings until 8:00p. We also offer office hours in our Somerville office on Monday and Thursdays 7:30a-4:30p and Wednesday 11:00a-7:00p. For your convenience we offer evening and weekend hours in our Endosurgery Center so you don’t have to lose time from work to be screened.

Call today (908) 905-0303. Kenneth DiGregorio, MD · Samuel Bae, MD · Gilbert Cardoso, DO Jason Matthews, MD Andrea E. Goldstein, MD · Maria A. Georgsson, MD · Cherag Daruwala, MD · Anik Patel, MD · Richard Arrigo, DO Somerville Office Flemington Office Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206/207 Flemington, NJ 08822

135 West End Avenue Somerville, NJ 08876

908-483-4000 www.HunterdonGastro.com

Fall 2016 I 37


Health & Medicine

Rehoboth Beach welcomes Twist Juice Bar The Rehoboth Beach shop also offers nutritionally blended smoothies, as well as acai bowls, wheat grass shots, raw vegan snacks, gluten free kale caesars, homemade granola and an organic wheat bread, banana and almond butter “sammich” for the kids. A variety of cleanse packages are also available, for the introductory, beginner, intermediate and advanced green juicer. “Whether you’re just getting started or you’re a rejuvenated-pro, we have a cleanse that is right for you,” she said. “And we are more than happy to answer any questions about how to get the most out each of them.” As Harrigan settles into her first summer season, she has no doubt that she made the right decision, to walk away from the corporate world and follow her heart. “I’m happy,” she said, smiling.

It took Julie Harrigan about three years to realize she chose the wrong career. She joined the corporate world after graduating from the University of Delaware, and realized it wasn’t for her. She used her savings to travel and examine her life, concluding that good, healthy food was something that always made her happy. She moved back to Delaware, landed a job at Stingray in Rehoboth Beach and fell in love with the area, the people and Mike Zygmonski, in particular. When Zygmonski, now the wine director and sommelier for SoDel Concepts, decided to move to New York for training, she followed. Harrigan got a job at one of New York’s most popular juice bars, acquiring vital knowledge of the industry and getting hooked on the green juice movement in the process. When the couple came home for good, things had changed. Harrigan finally knew what she wanted to do. She began making her own juices, selling the colorful concoctions at farmers markets and local eateries, all the while, building her business plan and scooping out ideal locations. She finally pulled the trigger, and opened her own shop — Twist Juice Bar — in Rehoboth Beach’s bustling First Street Station, located directly across from BodyShop Fitness Center. She modeled the space to resemble popular juice bars of New York, using a sleek, simple design featuring a custom-made wood counter, an array of leafy plants and fresh produce to add a few pops of color. Unique to Twist is cold-pressed juice. Harrigan claims the technique provides superior taste and health benefits in comparison to centrifugal juicers. “The juice never touches a blade so friction and oxidation never occur,” she said. “All the vitamins, minerals, and living enzymes remain intact, providing you with juice that is as nutritious and delicious as eating the fruit or vegetable itself.” Cold-pressed juices have no water or sugar added and have a shelf life of up to 5 days. Twist offers a variety of flavors with colorful names like, thai me up, the grass is always greener, and between the sheets, which is made with beet, carrot, apple, lemon, ginger, ginseng.

LOOKING TO MAKE A CHANGE, RE-ENERGIZE YOUR BODY, IMPROVE YOUR DIET, OR EVEN JUMP START WEIGHT-LOSS? TRY A CLEANSE!

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WHAT ARE THE BENEFITS OF A JUICE CLEANSE? • Increased Energy • Flushed out stored toxins (weight loss) • Cell Rejuvenation • Rebooted Immune System • Improved Digestion • Healing and nourishment of the body • Clear and glowing complexion

B A R

Cold Pressed Juice, Smoothies, Acai Bowls, Cleanses, Protein Shakes & Vegan Snacks OPEN DAILY 7am—3pm Wilmington Ave & First Street In the 1st Street Station Rehoboth Beach

302-212-2605

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38 I Fall 2016

PROOF O.K. BY: __________________________________________________

O.K. WITH CORRECTIONS BY:_________________________________________


Home & Garden

Up to $7,825 in UPGRADED Rebates for Delaware Homeowners By Regan Roberts Deck, CMI The Energize Delaware Program has upgraded its rebates again! Through the end of the year, there are now up to $7,825 in rebates available for energy efficiency improvements for your home. Rebates are available for property owners, including rental property owners, who complete an energy audit conducted by a program-approved auditor/contractor. That’s what we’re here for!

detailed information about Custom Mechanical, the people that make us great and the services we offer. Contact us anytime! Locally, 302-539-5177. Toll free, 800-233-5177. Or on the web, www.custommechanical.com.

Rebates begin with the audit and Energize Delaware will cover up to $300 of the audit costs. Once the audit is completed, we will provide a prioritized list of recommendations to make the building more efficient. Plus now it’s even easier to qualify for those rebates because upgrading your HVAC equipment is a stand-alone rebate! (No other improvements need to be made to qualify for this rebate.) Our certified BPI Building Analyst and Envelope Professional starts by looking at the house as a system, the audit will pinpoint specific areas of deficiencies in the envelope of the home. These will include air tightness of the home, insulation levels and quality of installation, duct leakage to outdoors, HVAC equipment efficiencies, moisture issues, crawl space issue and health and safety issues. Only by including all aspects of the home can a good action plan be developed and implemented. Custom Mechanical is your local Home Performance with Energy Star auditor and contractor headquartered in Sussex County. We can perform the initial audit as well as the recommended work and complete the rebate process for your rebates. The program is open to all Delaware residences, regardless of electricity supplier or how you heat your home. The recommended efficiency upgrades are common to all home types and is fuel neutral. Rebates are offered on a first come, first served basis and are subject to available funds. Having the audit and upgrades done now assures your rebates and you will begin to realize a more comfortable, healthy home and lower energy bills. You can start the process by calling us to schedule your home assessment or visit energizedelaware.org for more information on rebate qualifying energy upgrades. As always, at Custom Mechanical we are happy to answer any questions you may have. Contact us about any of your electrical, heating, cooling, carpentry, plumbing and home performance related issues - on the phone, in person, via e-mail … even on Facebook! Our Retail Store offers parts and supplies as well as answers to your product or pricing queries. Our Comfort Advisors are available for free estimates and information about financing and manufacturer rebates. Finally, our brand-new, redesigned for 2014 website offers more homeowner tips like these as well as specials, on-line scheduling and more

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Fall 2016 I 39


Home & Garden

Rehoboth Beach 19287 Coastal Hwy Rt1 302-226-5900 Store Hours: s: Monday-Saturday Monday Saturday 10am to 8pm, Sunday 11am to 6pm

3 Floors of Famous Name Brand Furniture!

40 I Fall 2016

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Home & Garden

Blinds, Shades and Child Safety……

Do you remember all the news stories, a couple years ago, concerning child safety and window coverings? The subject sticks out in my mind obviously because it is related to my work and because I have small children. The concern was mostly over mail order and or stock items that were bought off a shelf and installed, usually, by the homeowner. There were tragedies, huge recalls and lawsuits but fortunately the custom window covering trade was not really involved. I would say that the overall higher quality of product and the experienced sales and installation that comes with a custom retailer helped to keep the trade uninvolved however the custom window covering community definitely took notice and many positive changes have taken place. There is much more awareness about the subject compared to a couple of years ago and that in its self is very helpful but the industry has been very proactive in making their products more child safe as well. On the awareness side of things, it is good to note that there are many products out there that have been around for a long time like shutters and draperies that already are or can be made without child safety’s #1 enemy which is strings. Draperies, when set up to traverse by hand, present no problems for toddlers or even pets who like them because they can easily move the fabric aside to leave wet nose marks on the glass. Shutters are another great choice. They are naturally string free, simple to use, even for children, and are one of the best insulators against both heat and cold. With their timeless look and classic feel they a great child safe choice in window coverings. One way that the industry is changing to become more child safe is the introduction of cordless control into a wider variety of products. Cordless roller shades and cordless honeycomb shades have been around for a while but lately we are seeing the industry really improving and trying to mainstream the option. The string free lift systems are getting better and more reliable plus now we are seeing the option more and more on roman shades and wood and faux wood blinds which was mostly an unavailable option in years past on these popular window coverings. Window covering manufacturers are also making improvements on shades and blinds that do have strings with breakaway mechanisms that will separate when too much stress is applied and they have made it so that small children can’t get their heads between the back of the shade and the strings found there on roman style shades. These are two very important changes. Next time you have a window covering need, please give us a call and let us help you make choices that are safer for your children and pets while improving the look and efficiency of your home.

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Fall 2016 I 41


Home & Garden

Winter Storage!

42 I Fall 2016

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Home & Garden

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Fall 2016 I 43


Home & Garden

Keep the elements out– Enclose your screen porch! With the return of the fall/ winter season, you may be battening down the hatches of your screen porch. Many homeowners are familiar with the popular sunroom additions on the market today, and those who have purchased one enjoy the extra living space available for family gatherings or evening relaxation as well as high return on investment value. However did you know that existing screen porches can be enclosed as well? Fall is the right time to think about this project. Many of today’s homes have decks or are now often being built with screen porches as a standard feature. Exposed to the elements, decks and patios are often simply too hot or too cold to use much of the year. Screen porches offer shade and some bug protection; but, summer heat, dirt, rain, and winter cold with snow and ice again restrict comfortable usage to a short while out of the year. Studies and testimonials indicate that a sunroom addition, or conversion of an existing porch, is very likely to become the most enjoyed and well used room in the house. They offer protection from bugs, dirt, pollen and bad weather while preserving the outdoor feel of a deck or patio. Sunrooms maximize the seasons you can enjoy your back yard and your view and are today can be more sophisticated in terms of thermal efficiency and ultraviolet protection.

The building industry is strongly committed toward pre-fabricated, panelized, or modular enclosure systems. This is due to the many advantages of making the product indoors in a controlled environment, to close tolerances, using modern equipment and techniques. The jobsite work is greatly reduced for a quick installation to eliminate the stress and mess of a stick framed construction project at your home. While all factory made sunroom additions offer a degree of standardized quality control, there are so many variations of the old 60’s Florida room, that it must be extremely confusing to a homeowner to select the best product for your money. Inexpensive aluminum screen or glass enclosures may install quicker and have less maintenance than a stick built addition, but they conduct heat and cold, the finish can scratch or the kickpanels can dent easily. Better rooms with aluminum structure are now being built by many fabricators using vinyl clad insulated panels and powder coat finishes (like a car) for added durability. The best have thermally broken wall mullions, insulated foam core walls and can be purchased with insulated UV blocking glass. Over the past few decades, many products formerly made of wood or metal are now made of vinyl. Look at what happened to aluminum siding, cast iron drain pipes, and alls sorts of car parts,

and today you see vinyl everywhere. While there are some vinyl clad sunroom products on the market, they tend to be expensive with bulky frames since the vinyl is not structural and must have aluminum internal support. These rooms are similar to “stick building” and must be assembled from parts one piece at a time on site. This places the quality control in the hands of the installer and workmanship can vary. Some of the more popular vinyl clad systems available locally use window technology that dates back to the 80’s in which the frames of the windows and sashes are screwed together with corner gussets. These outdated window systems were used before welded frames became the norm and are still being used since it is a daunting task to totally retool their factories components and production systems. North America’s fastest growing sunroom and window company, Sunspace sunrooms of Toronto, Canada, has made it easy to select from their state COME SEE US AT OUR SHOWROOM of the art product line. Patio AT 16083 NEW ROAD AND SAVE Leisure Systems can offer residential Rooms hybrid enclosures with By aluminum and vinyl products. “Thanks for your You can chose a custom glass attention to detail” slider system, with screen, – Joseph R. Choose Our Custom Tailored Vinyl Dove Knoll or a folding horizontal glass or Glass Enclosures: enclosure with retractable Convert Your Screen Porch screen. Sunspace has a Build From The Ground Up Ron Simmons has helped superior 4-track vinyl-pane your neighbors improve their 3 Or 4 Season enclosure system, available as homes for the last 34 years a vertical pane, or horizontal Locally Owned and Operated SUMMER SPECIAL folding system. They also 00 offer a screen only room, UP TO $ Exp. and manufacture traditional ON SUNROOMS 8/25/14 aluminum or glass railings, patio covers and a new acrylic Lewes, DE • 302-644-6540 • TOLL FREE 866-644-6540 • www.patiosystems.com roof system. Open: Mon. - Fri. 9 - 5 • Saturday 10 - 4 • Sunday - By appointment only

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44 I Fall 2016

With many models to choose from, these projects are priced to offer so much more for your money than other brands, with three or four season designs. All systems are produced at Sunspace Modular Enclosures expanded 100,000 square foot facility, using state of the art equipment and production processes. As the exclusive Sunspace dealer in this area, we at Patio Systems are proud to offer this line of vinyl and aluminum sunrooms with great warranties and all factory panelized window-wall systems for quality control and quick installation. They can be built from the ground up, on an existing deck or installed into your existing porch. As a remodeling specialist for 36 years, Ron Simmons’ mission is to offer top quality products that can be quickly installed, at competitive prices. Free in-home consolation and estimates are without obligation or high pressure tactics. You may also visit our new showroom in Lewes to look at all the sunroom and window options. We also are one of the largest awning and related shade product dealers in the nation and display many of these products as well. Every year more and more folks like you are choosing our factory made sunrooms or patio awnings for their leisure-time enjoyment.

Testimonials “Thank you for the great job your crew did in installing our sunroom. Looks great!” - Nino & Cynthia B., Rehoboth “The awning is wonderful. Just what we wanted.” - John & Linda D., Lewes

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Home & Garden

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Part Time Sales Help Perfect For The Stay-At-Home Mom If you are not making $35,000 to $40,000 a year part time Then it is time to think of the Women’s Newspaper. We are looking for one part time sales person. We train for Sussex County.

Applicants have to have a great personality and work ethic! Work from your home and make your own hours.

Applicants must be bright, energetic, love to meet new people, and most of all, love our educational women’s newspaper with a passion!

CALL 1-800-993-3822 The County Woman’s Journal

Fall 2016 I 45


Home & Garden

46 I Fall 2016

The County Woman’s Journal


Home & Garden

Why Do I Need Gutter Protection? Gutters become useless when they are clogged with debris. They become unable to channel water properly into your drainage or rainwater collection system. The resulting buildup of water can then become a breeding ground for insects, overow into and damage your landscaping, or seep into your roof, siding, basement and foundation. A gutter protection system eliminates these issues by addressing the root cause: it keeps debris out of your gutters, ensuring that water only goes where it’s supposed to go. What beneďŹ ts can I expect from the Gutter Helmet gutter protection system? There are many beneďŹ ts to installing Gutter Helmet. Our gutter protection system: • keeps your gutters free of clogs; • ensures that dirt, leaves, needles and debris roll right off of Kevin Presto - Owner your roof and stay out of your gutters; • deters infestation by birds, animals and insects; • protects your home’s foundation and landscaping by directing rainwater away from your home; • protects against harmful mold, mildew and rot caused by water gathering in your gutters and seeping under your fascia and eaves; and • perhaps most importantly, keeps YOU off of that dangerous ladder!

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How long will Gutter Helmet last? How long before I have to replace the system? Gutter Helmet is engineered to last a lifetime. That’s why we call it The Permanent Solution and back it up with a Triple Lifetime Warranty. Our warranty is even transferable to the next owner of your home, so you can rest assured that you’ll never have to replace the system once it has been installed. • Avoid Removing Leaves

Gutter Helmet of Eastern Shore is a locally owned and operated company located in Salisbury Maryland and serves all of Delmarva. Gutter Helmet of Eastern Shore is owned and operated by Eastern Shore native Kevin Presto. Mr. Presto started installing gutters and Gutter Helmet almost 20 years ago and bought the local franchise in 2002. We are fully licensed and insured in Maryland, Delaware, and Virginia and we have an A+ rating with the Better Business Bureau with zero complaints. All Gutter Helmet work is performed by trained “CertiďŹ ed Installersâ€? employed by Gutter Helmet of Eastern Shore. We do not use untrained sub-contractors for Gutter Helmet installations. We use a no obligation, no high pressure sales approach with an in home presentation and demonstration. Gutter Helmet of Eastern Shore was recognized as the No. 2 Dealer nationwide in 2013 for market size, and awarded the Gold Award. All new Gutter Helmet installations come with a Lifetime Material and Performance Warranty.

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Fall 2016 I 47


Home & Garden Bill and Janis Nickerson

Bill and Janis Nickerson opened Tailored Living Serving Rehoboth Beach in early 2014. Janis is a Georgetown native. This move completes a commitment Bill made 20 years ago to retire to Sussex County. The Tailored Living franchise allows Bill to pursue two of his passions: woodworking and entrepreneurship. It has been an exciting second year completing many pantries, garages, home offices, Murphy beds, and closets in and around DelMarVa. Let us design a solution for you!

Über Pantry – A Timesaver for the Holidays! As summer comes to an end and the slower pace of the fall and winter settles in; before the holiday entertaining season arrives, it is a great time to consider organizing a key room in your home where you can save time and money – your pantry. Whether you have a large walk-in pantry, a small reach-in closet, or a cabinet pantry following some simple design principles can save you time and avoid wasted food that is lost in the deep dark corners. Hopefully this brief discussion gets your creative juices flowing. The pantry is a place where the adage “a place for everything and everything in its place” applies most emphatically. Whether preparing dinner for your family after a long day of work or getting ready to entertain guests, an organized pantry can simplify your life and make preparation more fun. Here are some simple ideas that can apply no matter your situation. Keep frequently used items front and center. The staples that form the backbone of your meals and are used every day should be kept where they are easily found and retrieved. Put them on shelves that are instantly visible. Use see-through containers. Simple plastic containers for cereals, pastas, and other bulk items make it easier to find and their regular shape make it easier to store. Use baskets or slide-out shelves to store pre-packaged snacks and other grab-and-go items. Label everything and include cooking instructions. This is one of the more clever ideas I’ve found. If you are running late and need to call ahead to get the rice started, having the cooking instructions on the container make it easy for the less-able cook at home to get dinner preparation started. Lighting. Consider adding task lighting in the pantry. A little bit can go a long way to making your search for that spice you need less frustrating. Lazy Susans and sliding shelves. Don’t let the corners of your pantry go to waste or things hide deep in the back of a shelf where they may never be seen again. Corner shelves are a great use of space, but items that find their way to the corner are very difficult to find and get.

GIVE YOURSELF THE

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Spice racks and alphabetize. There are some phenomenal spice racks available to mount on doors, in drawers, or on shelves. Lazy Susans come to the rescue again as well. Alphabetizing spices may seem silly until you are looking for the cumin but keep finding the cinnamon! Tailored Living Serving Rehoboth Beach works with you to design your pantry. We can provide just the shelves and accessories or a complete turn-key solution. We provide and install unmatched products and quality to make your dream a reality. We can help throughout your home – garages, closets, laundry, pantry, Murphy beds, and home offices. Call us today for a free in-home consultation! www.tailoredliving.com/RehobothBeach

48 I Fall 2016

I thank you. We love our more functional kitchen, especially the pantry and of course the closets... Violette C

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Mention The Sussex County Women’s Journal and Receive $100 OFF! The County Woman’s Journal


Home & Garden

TAKE THE WORRY OUT OF FINDING AN HONEST ROOFER The biggest obstacle to a successful roofing project is choosing the right contractor. If your roof is showing noticeable signs of wear and tear, you need to perform the necessary renovations or repairs before conditions get worse.

That doesn’t mean you should choose the first contractor that knocks on your door. Finding one that is trustworthy, honest, and professional may sound difficult – BUT IT’S NOT. G. Fedale Roofing and Siding has taken the worry out of finding an honest and reliable roofing contractor. G. Fedale Roofing & Siding is...

• fully licensed by our state to perform work • adequately insured for your protection • proving their reputation for providing quality service through the community • commited to ongoing professional training to ensure quality installations • 100% OSHA compliant to ensure the safety of our employees and customers • a 2015 Recipient of the Better Business Bureau Torch Award for Ethics

What People Say About G. Fedale on GuildQuality... “Very happy with the promptness, the speedy assessment, the workmanship and attention.” ★— Sylvia G. “Very trustworthy and knowledgeable. No need for another quote. You know you’re getting the best when you go with G. Fedale.” — Jason R. “The experience I had with G. Fedale was well above my expectations. My roof was completed in one day and installation is beautiful.” — Liz L.

Roofing • Siding • Gutters • Repairs • Masonry • Windows

CLEAN, CORRECT SERVICE...YOU CAN TRUST! SERVING DELAWARE: 302.440.3219

GFedaleRoof.com

The County Woman’s Journal

Fall 2016 I 49


Education Join Delaware Technical Community College’s Encore Program in Georgetown, DE. Geared toward individuals aged 50 plus, Encore is dedicated to serving the educational, cultural, and social interests of its members.

Encore Membership Benefits

Lifelong Learning • Enrichment • Engagement

Annual membership fee of $39 entitles you to these great perks! • Encore member-only classes covering a wide spectrum of interests including art, history, financial and retirement planning, fitness, and much more • FREE Fitness Center Membership • Your own Delaware Tech email address • Access to discounted educational software such as Microsoft Office • $10 discount on our great trips all over the mid-Atlantic • Discounted rates on non-Encore Personal Enrichment courses • FREE one-time admission to Treasures of the Sea Museum • FREE Monthly Lunch and Learn Seminars • FREE Encore Book Club

To register or for more information, call (302) 259-6330. Sampling of courses we’ll be offering in the upcoming semester: • Basic Computer Class • Sailing 101 • Cardio Step Class

• Gardening in Southern Delaware • Retirement Planning • Writing Memoirs

• Drawing: From Eye to Paper • Chocolate on the Delaware

www.dtcc.edu

SAVE THE DATE 5 TH A N N U A L

Social Media Conference February 16, 2017 Delaware Technical Community College Owens Campus • Georgetown, DE

www.go.dtcc.edu/socialmedia 50 I Fall 2016

The County Woman’s Journal


Business & Finance

Top 6 Ways VoIP Improves Small Businesses VoIP, Voice over Internet Protocol, has many benefits that can improve your small business. VoIP allows you to make telephone calls over the Internet instead of using a traditional landline. Since the service is a fraction of the cost of a traditional landline, VoIP is an ideal option for any small or growing business. According to DelmarvaVoIP®, a leader in providing VoIP and recently named 2016’s Top 10 VoIP Solution Provider, every single business needs a phone. Affordable, high quality phone service is particularly important for retail business owners who “typically operate in environments requiring time-sensitive purchasing needs, sales development and customer satisfaction.” VoIP is both cheaper and improves the customer experience. Here are six ways VoIP can improve your growing business.

software programs like remote conferencing, email and e-fax into your VoIP service. This allows users to access the Internet, email and other features through their phone. Moreover, VoIP allows you to set group your phones together so they all ring at the same time. If you’re out of the office for a meeting and someone calls your office phone, you can set it so your cell phone rings as well. This ensures you’ll never miss an important call from a supplier. 3. Call Attendant: Call attendant is probably one of the most valuable features that VoIP provides business owners—Callers will never get a busy signal again! Additionally, you can customize the experience for the customer with custom call flows and even have callers listen to your latest promotion while being transferred or on hold.

1. Cost: Cost savings is the most obvious benefit of switching to a voice over Internet Protocol service. It’s much cheaper than a traditional phone line. With a VoIP, you don’t have to pay long-distance fees. Also, you don’t need to buy expensive equipment or worry about maintaining a phone system. The whole VoIP system is integrated into the same network. After switching to a VoIP service, most businesses realize a savings of 40 percent on local calls. Fo a business, like retail, where profit margins are slim, these savings could make a huge difference for your business.

4. Transfer Calls: With a VoIP service, you can easily transfer calls from one phone to another. If you’re on an important call in your office but need to go to a meeting with a supplier, you can transfer the call from your office phone to your cell phone or even to another extension.

2. Software Integration: A VoIP service allows you to easily combine various

6. Wireless: VoIP services offer a completely wireless phone system.

5. Higher Quality: VoIP services offer higher quality phone calls than traditional telephone services. If you’re talking to a customer or supplier, the call quality will be outstanding ensuring you won’t have to worry about any interruptions or dropped calls.

For a small retail business, this an ideal solution. You won’t have to hide wires around your store or worry about where to plug-in your phones. This will provide a much cleaner, professional environment and make it easier for your employees to move around the store. VoIP offers a number of advantages any retail business would want to take advantage of. Since it’s cost-effective and offers a higher level of quality than any other phone service, switching to VoIP is an ideal choice for any small business.

Let us handle your technologies so you can get back to focusing on delivering exceptional customer service. At DelmarvaVoIP™, we understand the challenges that you face as a business owner. We’re here to help you get back to focusing on what’s most important. Let’s us worry about the rest.

Make the switch to VoIP and save up to 40% over traditional phone solutions. Get your FREE evaluation today!

(302)703-9717 www.delmarvavoip.com

Vi si t us online t oda y a t www.D e lmarv aVoI P .c om or C all ( 302) 703-9717

The County Woman’s Journal

Fall 2016 I 51


Business & Finance

Hours: 9am to 5pm • Monday thru Friday 103C 120th Street • Ocean City, Md 21842

2_SHCMM_MMP_DOM_VER_5.375x10_RRW.indd 1

52 I Fall 2016

Phone: 410.723.1292 • Fax: 410.723.1294 ocinfo@minutemanpress.com • www.mmpoc.com

1/25/10 12:46:05 PM

The County Woman’s Journal


Home & Garden

I S IT TIME TO MOVE YOUR OFFICE OUT OF YOUR S PARE ROOM?

5 GOOD REASONS IT MIGHT BE TIME !

Going from a home based office to a rental space is a big decision that causes angst among many business owners. The thought of increasing monthly operating expenses because of rent, utilities furniture, IT services and office equipment can be quite Lori L . Davis Excecutive Operations Manager LDAVIS STATOFFICESOLUTIONS.COM unsettling. However, here STAT International are 5 solid reasons why it is time to set up shop in a location other than your home. @

1 . Revenue Benefits- prospective clients may

regularly visit you prior to making a decision to purchase your product or services. There is a perception that a home based business is not as professional as a rented office. Moving to an office location can attract additional clients thus increasing your revenue. This revenue may, in fact, exceed the costs incurred as a result of renting an office which will allow your business to grow and thrive.

2

. Hiring Additional Staff- you may not be comfortable having an employee coming to work every day at your home. Besides the distractions of everyday life and the potential invasion of privacy both the employee and family members may feel at odds with the situation. Alternatively, it may also be challenging for to find the right employee when there seems to be a predisposition against home based businesses. Most employment agencies

and universities do not allow home based businesses to post employment positions on their job site.

3. Space Constraints- when your business

grows, that spare room you are using may be cause for inefficiency and disorganization. With the additional need for staff and or equipment, things get cramped and actually moving will allow for private work space and office functionality. In the interim, consider allowing employees to work virtually if possible until you can justify moving and the monthly expenses that go with it.

4

. Efficiency Improvement- noise, daily household chores, answering the door, family and pets can provide distractions that keep us from staying focused to the job at hand. An informal approach can be cause for procrastination and other bad habits experienced by entrepreneurs. Physically leaving your home to get to an office can help you be more effective and the office environment itself conveys a business mentality which fosters greater productivity.

5

. Interfacing with Others- working from home can be a lonely experience. Even though you may be dealing with clients and vendors remotely, it doesn’t allow for collaboration which can stifle the imagination and creativity. If making the big move to a traditional office is too much to handle at one time there are other options available that can be a stepping stone to leaving your home. Co-working spaces and shared offices can provide not only the office environment you crave it can allow for the use of other office amenities; i.e. copiers, printers, coffee, and internet while allowing for collaboration which

by Lori L. Davis

is a great support for both startups and established businesses.

Relocating your business from your spare room to an office will increase your overhead. However, there are several supported reasons as to making this challenging yet rewarding decision. Just make sure you know when it is the right time to do so.

testimonials

I love the flexibility that STAT International offers me and my clients … whether it is a meeting space for 15 people with the most current technical functionality required for today’s business meetings or the ability to accommodate any of my client’s needs. The staff at STAT is friendly and supportive of all my business requirements. - David R. Batman, Esquire Law Office of David R. Batman In April of 2013, 3E Marketing Solutions was a growing home-based business. One Friday afternoon a fellow business owner contacted us about a possible office share opportunity in downtown Wilmington. We arranged to see the office that afternoon. Once there, the STAT International team, customer service attitude, array of service options and location made an unexpected opportunity a “must have.” Although the space was too small for our businesses to share, 3E committed and moved into a small temporary office but in weeks moved into our suite on the 9th floor in early May. In December of 2015 we moved again, into our lovely, newly renovated suite of offices on the 10th floor! Moving to downtown Wilmington and becoming part of the STAT International community as been an incredible game changer for 3E Marketing Solutions. Richard Stat and his team offer so much more than just an ideal location and a wide array of services, they have a sincere dedication to the care of their clients. We highly recommend them! - Donna Duffy, CEO/Founder 3E Marketing Solutions

Offices & Suites • Traditional Office Support • Conference Rooms • Personalized Reception • The HUB(Co-Working Spaces) • Virtual Office Services

nd the world u o r a

n d e l a w a re o t g in 198 m l i 302.573.2528 w 01 0 r aro 0 e 7 n r e und the co 120 uit s 1 no et rth o e r t s range stat.international.com

The County Woman’s Journal

Fall 2016 I 53


Law

What to Do if Involved in a Motor Vehicle Collision Susan D’Alonzo Ament is a partner with Morris James LLP and has practiced for 33 years representing personal injury victims. Over the years, Mrs. Ament has found that some women don’t understand the crucial need to have adequate automobile insurance coverage in the event of a serious accident. Susan Ament educates women on these needs every day in her practice and in seminars that she presents throughout the year. By Susan D’Alonzo Ament, Esquire

Did you know in 2015, 24,066 traffic collisions occurred in Delaware resulting in 8,058 people injured and 133 fatalities? If you or a loved one is ever involved in this unfortunate circumstance, do you know what to do? The following is a list of steps you should follow to protect yourself or loved one involved in a motor vehicle collision: 1. Stop your Vehicle. Never drive away from the scene of a collision, even if it’s a minor collision. The vehicles should remain where they are unless they interfere with traffic. Turn your hazard lights on, set out cones or other warning devices if you have them; 2. Call 911 or the Police. Even if there are no serious injuries, call to report the collision. An officer will be sent to file necessary reports and exchange information as well as medical personnel for injuries; 3. Take Photos. Use your camera or phone to photograph the collision scene, damage to the vehicles and depict how the collision took place; 4. Retrieve Relevant Information. Record the names and contact information of the other drivers or witnesses, license

54 I Fall 2016

plate numbers, the make, model and colors of other vehicles, insurance information and the exact location of the incident; 5. File a Collision Report with the Police. In some circumstances the police will not come to the scene of a collision. If this happens, you should still contact the police to report the collision. A police report may help you make a claim with the insurance companies; 6. Contact your Insurance Company. Report the collision to your insurance company even if the collision was not your fault; 7. Do not give a Recorded Statement over the Telephone. Do not give a recorded statement

to the other driver’s insurance adjuster without an attorney present;

benefits and coverages before a collision. Never wait until after an incident to learn this information. For example, do you know if you have a deductible, rental car coverage or enough wage loss coverage?

8. Seek Medical Attention. Often injuries are not readily apparent in the hours or even days following a collision. Unless you are absolutely sure you were not injured, you should be examined by your family doctor or emergency medical professionals for injuries;

If you or a loved one suffers the unfortunate event of a motor vehicle collision or work related collision, the Personal Injury Group Attorneys at Morris James LLP will guide you through the process of obtaining the maximum compensation for your injuries to which you are entitled under the law. With five locations throughout the State of Delaware, we are available to serve you.

9. Keep a File. Keep a file with all of the relevant information regarding the collision in one location for easy reference; and 10. Know your Automobile Insurance Policy. The insurance process will be much easier if you know and understand your policy

Representing Individuals

Injured in Auto Accidents and at Work PERSONAL INJURY GROUP ATTORNEYS

“Your Quality of Life is Our Top Priority”

Francis J. “Pete” Jones, Jr.

Clayton E. Bunting

GEORGETOWN LOCATION 107 W. Market Street Georgetown, DE 19947 302.856.0015

Attorneys at All of Our Locations:

Free Consultation No Fees Unless We Win Day, Evening & Weekend Appointments Home and Hospital Visits

Susan D’Alonzo Ament

Steven L. Butler

Kevin G. Healy

Keith E. Donovan

Michael G. Owen

www.depersonalinjury.com

Other Locations to Serve You: Wilmington 803 N. Broom Street Wilmington, DE 19806 302.655.2599

Dover Newark Burton Road 29New N. State Street 16 Polly Drummond Hill Road 850 Dover, DE DE 19904 Dover, 19901 Newark, DE 19711 302.678.8815 302.368.4200

Se habla Español 302.651.3589

Rehoboth Beach 402 Rehoboth Avenue Rehoboth Beach, DE 19971 302.260.7290

VISIT OUR WEBSITE to request a complimentary copy of our book, Anatomy of a Personal Injury Claim

The County Woman’s Journal


R to all...

eather heavy coats, e the main drobe this mwear is ds of many because warmer physical eir doctor exercise over the fore, here Swim and en seven ut the year opportunity rtwear nths. educe the lections left s summer ntory is ent off. Our ow arriving ew months. ing time ng the th all the atterns. We le to offer one of the wimwear at wenty-three ting women o give our omfortable at perfect sive ng in.

it sums up why I love what I do and why I love my all my royal customers and truly appreciate each and everyone of them. I know Miss Carol won’t mind me sharing... Dear Donna, This note is extremely belated, but since this is the season for giving thanks I really wanted to write you. Thank you so much for the time you took with Susan and me back in the beginning oft the summer. Buying a bathing suit was almost impossible for both of us, and for the first time, you made it both productive and fun. Then you added alterations and door-to-door delivery, we couldn’t have asked for more. In addition to the service, it was so nice to have such a selection of suits. We have recommended your shop to a number of people from this area who vacation at the Delaware beaches. Thanks again for your help, Happy Thanksgiving! -Carol

Fashion

Our goal at Pineapple Princess is to make every customer feel the way Carol and her daughter did when they left our store that day. So, if you haven’t visited our store, pleas1it’ so and spread the word. With winter vacations upon us and summer just around the corner, come in a view all the beautiful swimwear and accessories pieces the industry has to offer. We carry over thirty different brands and

designers, from Tommy Bahama, Gottex, Betsy Johnson, Roxanne, Anne Cole, Tara Grinna , Kenneth Cole, Lucky Brand and many more. As you can see we carry a wide variety of lines to cater to a wide variety of age groups and personal styles. Please call us at 302-2278705 for more information and store hours.

decades tail, I never omen and e of making hem feel have always et us apart with the big es. Personal

Journal.com

71

The County Woman’s Journal

February/March 2011

Fall 2016 I 55


Automotive

56 I Fall 2016

The County Womanâ&#x20AC;&#x2122;s Journal


Automotive Automotive

Welcome Autumn!





Automotive

 

     If you are fortunate enough to live here    at the beach,       you probably agree that autumn is a great time of       year. The warm weather is still here, but the hassle of get        ting around is gone. The beaches ours 

to enjoy without the  are  crowds of the summer season. For us at the car wash

     itâ&#x20AC;&#x2122;s  the time of year when many 

of the year round residents com  

  start   ing back in to get their cars washed. a time we 

very much !



Itâ&#x20AC;&#x2122;s    look forward to.          !            

 This coming year we will  be celebrating our 10â&#x201E;˘ year in busi11th   

   ness. Itâ&#x20AC;&#x2122;s a milestone I am sure we would not have reached with    We " sincerely     out the support of the locals in the area. appreciate          all your support in the past and we will continue to work hard to       earn your patronage well into the future.         The economy has been tough# on just   about everyone in the last   couple of years and depending on who you  listen to, it seems $    

that tough times are still ahead. Most people are looking for       ways to save money on just about everything they purchase, %  &    !   including car wash services. This' situation prompted us to de   



  velop a website where our clients can print out coupons and

        learn about other money saving offers we have. Instead of wait now  ing for coupons in the mail~ you can find them online at "

 you       www.rehobothcarwash.com anytime need them. Please           take advantage this!    

 (  )     With the holidays fast approaching people are  surely     

starting  to think about gifts. Since we opened in 2002, the holiday season  has always been a popular time here at the car wash. 

All year       long, folks come in and redeem the gifts they   receive   for  Christ

 card  

 idea   mas. A gift card or prepaid discount is a fantastic for   

   those â&#x20AC;&#x153;hard to buy forâ&#x20AC;? people on your shopping list. Every      October, through the end  of the year we run a special on our *       receive  a discount cards. When you prepay for five washes you



    card worth seven washes  of your choice. Buy  five and get two   free. Itâ&#x20AC;&#x2122;s our most popular holiday gift by far. $     

    $  + Please note that our winter hours go  in effect with daylight sav    $   ings time. Monday through Saturday hours will be from )    

8:00 am until 5:00 pm and Sunday from until 4:00 pm, and as ,  8:00 -  always, weather depending.     *        ./0 0012+11 Thank you very much again and we wish you a happy and

By Chris Dispoto

healthy fall season!

Spring 2013

The County Woman Newspaper The County Womanâ&#x20AC;&#x2122;s Journal

55

50

The County Woman Newspaper

Fall 2013 Fall 2016 I 57


Dog Training

Train, Remembering Safety First, Management and How Vital it is to set your dog up for success Training your dog to ‘listen’, ‘respond’ and ‘perform’. Always keeping Safety First by Managing your dog/puppy will ‘Set your dog/puppy up for Success!’ in the Training of your dog/puppy. There are three rules a dog owner needs to remember while Training their dog. One: Safety First! If in doubt always use precaution in order ensure that your dog, other dogs and even the humans are safe from any ‘uh-ohs’ that could take place. Know your dog/ puppy. Know the trigger points by recognizing what will set your dog off and cause a serious behavior problem or a bad situation. When you know the trigger points you will recognize at best your dog’s body language where you will now be able to redirect your dog back to you. You are now able to keep him/her under Your control and out of an unwanted situation. Better yet, before your dog/puppy is able to respond to a situation ‘Set him/her up for success!’ keeping the environment positive. You now are able to keep your dog from reacting or even having to protect him/herself. Train yourself to recognize what the trigger points are, look like with your dog. Two: Management! Do understand that Management is OKAY! When you ‘manage’ your dog/puppy you are using the ‘tools’ needed to keep unwanted behaviors from arising. Now you

58 I Fall 2016

can reward the wanted, ‘Good’, behaviors. This simply means that you are putting your dog in a positive situation where your dog/puppy is unable to perform an unwanted behavior. Or worse cause your dog to ‘protect’ him/ herself. With the ‘management’ of your dog, you may need some, but not all, of the tools mentioned below. These tools can be crates, leashes, baby gates, kennels, Treats!, etc. These are not to be used to punish but help with the training and success of your dog/ puppy. By implementing the use of the tools you are ‘Setting your dog up for success!’ while training the ‘good’ responses to a situation. Three: ‘Set your dog/puppy up for SUCCESS!’ By keeping Safety First, implementing the Management tools you are ‘Setting your dog/puppy up for SUCCESS!’ All dogs and puppies earn the privilege to have more freedom inside and outside your home. Mark the good behavior with REWARD, REWARD, REWARD and Mark the ‘Bad’ with at least ‘Nope’, ‘No’, or ‘Eh’. Using the tools necessary will assure success with the Training of your dog/puppy! Train, Remembering Safety First, Management and How Vital it is to Set your Dog Up for SUCCESS.

Remember: Take a negative and turn it into a positive! Keeping the three rules in check gives your dog or puppy the chance to perform good, wanted, and rewarding behaviors. Wa-la! Success! All inquiries: Call K-10 Dog Training for more help! 302-236-2497.

g n i n i a r T -10 Dog

K

er

t t e B e n O e cause We’r

Be

Group or Private Lessons

Reserve Now

302.236.2497 info@K10training.com www.K10training.com

The County Woman’s Journal


Fabulous Food

Ocean View Seafood The Best Crabs At The Beach After 40 plus years in Bethany Beach, we have found the BEST STEAMED CRABS at the beach, and they are guarantee by Jennifer Wojcik, owner of Ocean View Seafood on Route 26 and a second guarantee by the Sussex County Woman’s Newspaper.

What makes her Steamed Crabs the best? They are hand selected

by Jennifer as to quality and size, and than she steams to order.

Combine the best shrimp salad and home made crab cakes of Mary Lou Mumford and a wide variety seafood selection (fresh everyday) is what makes Ocean View Seafood the best!!! Chef Larry Bland assures you have a “5 star”, one stop shop, as he prepares your meal in front of you. Planning on staying open throughout the holidays so book your parties platters ahead!!!

Jennifer knows fish after winning POOR GIRLS fishing tourament last year and winning Mid Atlantic 500 this year, she gets the best local fresh fish in this area.

Check Jennifer’s Facebook specials every day, especially her “ONE HOUR BEFORE CLOSING” SPECIAL.

Remember they are guaranteed!

302-537-7511 • oceanviewseafood.com 42A Atlantic Avenue, Rt 26, Ocean View, DE 19970

The County Woman’s Journal

Fall 2016 I 59


Fabulous Foods

Fabulous Foods

Traditional Fine Dining • Steaks, Crabcakes & Seafood • Full Bar • Childrens’ Menu • Lite Fare Menu • Catering • In-House Private Parties Perfect dining room for: • Rehearsal

Dinners • Birthday Celebrations • Family Reunions * Anniversaries • Wedding Receptions

Voted Best Fine Dining in Bethany

Call for Hours and Reservations 302.537.7500 • www.parkwaydana.com 114 Garfield Parkway, Bethany Beach, DE The County Woman Newspaper

60 I Fall 2016

55

SpringJournal 2013 The County Woman’s


Fabulous Foods

“ GIVE US ONE TRY, AND YOU WILL KEEP COMING BACK ” A conversation with Shawn Xiong of Confucius Chinese Restaurant

Confucius Chinese Restaurant was opened in the spring of 2004 in downtown Rehoboth Beach. Shawn Xiong, the owner, had previously owned a Chinese restaurant in Wilmington prior to relocating to the beach area. Since then, Confucius has been named the best Chinese restaurant in the Delaware Today magazine and favorably mentioned in various newspaper and magazines. We had a chance to talk with Shawn XIong and the following is the summary of our conversation. Q: Why do you call your restaurant “Confucius”? X: When I started Confucius, I wanted to offer a menu that most “generic” Chinese restaurants offer. Wherever you go, you probably will

find a Chinese eatery in every shopping center that offers pretty much the same items such as lo meins & chow meins. Our menu is more focused on items you don’t usually find in those places. So I decided that I will not name my place “ wok” or “great wall” or “palace”, yet I want people know it is Chinese. And everybody knows who Confucius is. Q: What made you decide to relocate to Rehoboth? X: When I had my previous restaurant in Wilmington, I was working 360 days a year, 12 hours a day. After I had my son, I decided that I wanted to spend more time with him, more time with his education. Coming to a resort town, it allows me to take some time away from work without feeling guilty about it. Q: What was your biggest challenge coming to Rehoboth? X: There were plenty of challenges

I have faced. The biggest of all was not knowing the market when I first opened. The other challenge was (and continues to be especially during the summer) to convince people that Chinese restaurant IS INDEED more than just Fried Rice and Eggrolls. There are more than 40000 Chinese eateries in this country (more than McDonalds’, Pizza Hut and all other fast food restaurant COMBINED). While this has made Chinese food popular in this country, it has made Chinese food a stereotype (think “$5.99 eat all you can eat,” “free deliveries” for example). I have to explain to people what we do, but once people give us a try, they keep coming back. Q: What are your most popular dishes? X: This is a hard question to answer. There are different popular dishes to different customers depending on their own personal taste. If you like spicy food, we offer dishes

such as Hot Pepper Chicken, Cumin Beef or Kung Pao Shrimp. If you like fish, Salmon with Black Bean Sauce, Steamed Halibut or Crispy Whole Black Sea Bass are all excellent choices. If you are a first time customer, we encourage you to tell our server or what you do or do not like, and we will offer the right recommendation for you. I believe every customer deserves special attention at my restaurant. If they order something they don’t quite like, they are welcome to send it back for exchange AT NO COST. I want customer to have a pleasant dining experience at my place. Q: What are your hours and Specials? X: Confucius is open 7 days a week. Call for hours and reservations.

CONFUCIUS CHINESE CUISINE 57 Wilmington Avenue • Rehoboth Beach, DE 19971 302.227.3848 • www.confuciusrb.com The County Woman’s Journal

Fall 2016 I 61


Fabulous Foods

“Quietly cooking slow food for over 40 years”

Open for the 2016 Season

“There is no love sincerer than the love of food.”

George Bernard Shaw

62 I Fall 2016

The County Woman’s Journal


Fabulous Foods

PRIVATE EVENTS With multiple private venues, both indoors and out, the Brick is a great choice for your next special occasion! We can accommodate parties of 15 - 85. With all inclusive packages starting at $18, we have options that fit any budget. When booking your event, you’ll work one on one with members of our management team to insure your celebration is perfect. With customizable menus, flexible floor plans, and varied beverage packages, your event will be as unique as you are. Let us take care of the work so you can enjoy your celebration!

THE FOOD Chef Mark Buchanan and his culinary team are planning and preparing for the Fall/Winter menu rollout on October 1st. “We always work to source our ingredients locally, so updating our menu to reflect the flavors of the season supports that initiative”, says Buchanan. “We’re also a Local on the Menu participating restaurant and we plan our menus to capitalize on the available bounty of fresh local produce and goods.” Brick Cobb Salad - The Brick Cobb includes Grilled Chicken, Bacon, Bleu Cheese Crumbles, and Hard Boiled Egg nestled in a bed of Romaine Lettuce and fresh Vegetables. Paired with your choice of dressing, this is a salad that eats like a meal!

SPECIAL BRICK EVENTS We’ve always got something interesting going on at the Brick! We schedule special events almost monthly, including Murder Mystery Dinners, Wine Pairing Dinners, and Beer Dinners. We also have some annual special events, including our Red Solo Cup Party, Wild Game Dinner, Breakfast with Santa, and Sip Sup & Shop - our afternoon Champagne Tea. Visit our website to find out what’s coming up!

18 THE CIRCLE, GEORGETOWN, DE 19947 RESTAURANT: 302.856.1836 INN: 302.855.5800 WWW.THEBRICKHOTEL.COM The County Woman’s Journal

Fried Green Tomato Tower - Crispy Fried Green Tomatoes layered with Goat Cheese and Jumbo Lump Crab, topped with a honey drizzle on a bed of greens.

TESTIMONIAL “Exceptional Food” While staying here had both lunch and dinner. Crab cakes were very good and plenty of back fin lump. Drinks were generous and well prepared. Soft-shell crabs for dinner were well prepared and great. 2 meals were all around exceptional with great service and a nice atmosphere. Would stop again.” “Great Fresh Food, Excellent Service” “Enjoyed a wonderful lunch of shrimp cheddar quiche with green salad. Service was excellent and the hotel was charming. Picked up the pamphlet about the restoration and future plans from the owners. Delightful!” “Old time feel with today’s taste”

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Community

Lighthouse Catering Experienced, Unique, Affordable What makes us unique? We customize our menus for each event to make you comfortable not just with the food choices, but pricing as well. Our goal is quite simple, to make you Paul happy!

Established 1982

H. Buchness Proprieter

854-2883 Cell 302 542-4086 302

20520 Sand Hill Rd., Georgetown

www.lighthousecateringde.com lighthousecatering@netzer.com email

SKILLED NURSING.

5-STAR QUALITY. Cadbury Senior Lifestyles, Lewes offers 5-star skilled nursing care and therapies on a 35 acre resort-like campus complete with trails, butterfly gardens and ponds with fountains. The on-site chef creates varied menus to suit your needs and spacious private rooms can be appointed to reflect your personal style. Our certified geriatric medical director ensures all care and activities meet our 5-star rating.

To learn more about our 5-Star Quality call 302.644.6389.

17028 Cadbury Circle, Lewes, DE 19958 • 302-644-6389 • www.cadbury.org

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Fabulous Foods

Fabulous Foods

G&E Supermarket and Hocker’s Super Center G & E Hardware 302-539-1448 We are a full service grocery supermarket featuring Fresh Cut Meats, USDA Choice and Certified Angus Beef, Full Service Delicatessen featuring Boars Head Brand, Fresh Seafood, Fresh Baked Goods Daily, Full Line of Gourmet Foods and Cheeses, Natural and Organic Foods, and Fresh Produce. We purchase locally grown produce when in season. Also, we offer a Hardware Store and Gas Pumps at both locations.

G&E Supermarket 30244 Cedar Neck Road Ocean View, DE 19970 302-539-9662 302-539-5255 Open 7am - 11pm Every Day

Hocker’s Super Center 34960 Atlantic Avenue Clarksville, DE 19970 302-537-1788 302-537-1877 Open 7am - 11pm Every Day

Visit us at www.hockersmarkets.com and subscribe to our weekly mailer Debit and all major credit cards accepted. ATM in stores

EARN FREE GAS WITH “GAS CASH REWARDS” G&ESupermarket Supermarket and Hocker’s Super Center have been family owned operated for 50 over 50 years. G&E and Hocker’s Super Center have been family owned and and operated for over years. GeraldGerald HockHocker, president of G&E and Hocker’s, purchased the business from his Uncle Jake in 1971. We are committed to providing er, president of G&E and Hocker’s, purchased the business from his Uncle Jake in 1971. We are committed to providour ing loyal customers with the highest level oflevel customer serviceservice and the quality of products. We have continued our loyal customers with the highest of customer andhighest the highest quality of products. We have con- to tinued to grow to meet the growing of our customers, we still amaintain a “Country-Store atmosphere.” grow to meet the growing demands ofdemands our customers, but we stillbut maintain “Country-Store atmosphere.” Our meats Ourare meats are unsurpassed!!! weekly specials---weekly Buys! unsurpassed!!! GreatGreat weekly specials---weekly BestBest Buys!

Be sure to stop in and try some of our f newly added smoked specialty meats.

#FTU2VBMJUZ.FBUT 'SFTIFTU1SPEVDF 1SPWJEJOHZPVSGBNJMZXJUIWBMVFBOETBWJOHTTJODF • store-made Sausage (Ital., Sweet Ital., Hot, Country, and G&E special Blend)

Our smoked meat facility makes store-made products that the National chain can not do, and never will do! Try the following products and see the difference. Once you try them you will be a customer forever!

FRESH. FRIENDLY. LOCAL. • store-made Hotdogs (100% Beef, 100% Pork, and 100% Pork with Jalapeno & cheese) • store-made Smoked Kielbasa • Hickory Smoked Pulled Pork • Hickory Smoked BBQ Ribs • Smoked Beef Brisket (when avail. or by special order) • Apple Smoked Pit Beef (when avail. or by special order) • Maple Cured Ham (sliced to order in the deli) • Brown Sugar Turkey Breast (sliced to order in the deli) • Maple Cured Bacon (sliced to order in the deli) All of our specialty meat items contain no fillers and are made with our unsurpassed meats!!!

Be sure to visit the Hocker’s Kwik Chef Restaurant, located behind G&E Supermarket for many of our specialty meat items on our menu....not to mention the largest ice cream cones you will ever see. Www.TheWomensJournal.com August/September 2012

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73 4437

April/May 2011 The County Woman Newspaper

Fall 2016 I 65


Community • Women Specializing In Training And Weapon Selection • Firearms Sales Smith & Wesson Certified Dealer • Ammunition & Accessories Sales • Shooting Range With Areas For Handgun, Rifle, Shotgun, Muzzleloader & Skeet Gun Rentals • Lessons & Training With Certified Instructors Who Have Over 35 Years Of Experience! • Carry Concealed Deadly Weapon Permit Classes

18140 County Seat Hwy • Georgetown, DE

302-856-6910 Hours: M-Sa 9:30am-5pm • Su 2-5pm 66 I Fall 2016

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Home & Garden

Do you or someone you know need help getting Organized? Do you live in CHAOS? “Can’t Have Anyone Over” Syndrome? I Love helping others, that is how Clutter Angels came to Life. I specialize in residential organizing. I have organized Offices and Storage Areas, Attics, Garages, Closets, Kitchens, Bedrooms, and Bathrooms, I do it all. • Getting rid of clutter, donating, hauling away • Organizing, packing and moving • Organizing for a yard sale

• Seniors that are downsizing Testimonial

Let Clutter Angels Clean Up your Chaos Free Estimates Bonded and Insured Ask About Senior and Veteran Discounts.

CLUTTER ANGELS

When we first met she listened to my issues about my home, and was totally helpful and did not judge me or my mess. She gave me a checklist of what she would accomplish at each visit; and advised me on how to best keep my home tidy in just 15 minutes a day, Jackie is working with me and not for me. She truly cares about her work and my family. That sense of pride and ownership in her work, makes all the difference. - Kim Nixon

“Let Clutter Angels Clean Up Your Chaos!”

Organizing • Cleaning • Errands • Odd Jobs • Great References Jackie Sarbu, Owner • Ocean Pines & Surrounding Areas • 410.422.4826

December 2nd- 4th, 2016

Friday-12:00pm-4:00pm Saturday & Sunday-10:00am-4:00pm Admission Free Delaware Hospice Center 100 Patriots Way, Milford 302-746-4666

Mistletoe & Martinis Reception Saturday, December 3rd 7:00pm-9:00pm

Heavy hors d’oeuvres, signature martini bar, complimentary wine and beer bar. Silent auction, raffles, and entertainment to get you ready for the holidays. Reservations only- $50 per person Purchase your tickets today at www.delawarehospice.org The County Woman’s Journal

Fall 2016 I 67


Women Supporting Women

Informational tote bags for:

15th Annual Walk for Awareness - Sat, October 8th Winterplace Park, Salisbury, MD $25 in advance, $30 at the gate Registration is at 8:30am, Walk begins at 10am

Autumn Wine Fest - Sat, October 15th & Sun, October 16th Pemberton Park, Salisbury, MD This is not a WSW event, but some fundraisers INSIDE will benefit WSW. One day tasting ticket : $35 Two day tasting ticket: $60 more info at: www.autumnwinefestival.org 2016 Hope Gala presents: “Mafia Murder Mystery” - Fri, November 11th Dove Pointe, Salisbury MD

  

Newly Diagnosed (includes significant other) Chemotherapy Radiation Recurrence Children

Education and awareness through:     

Conferences Guest Speakers Lending Library Monthly Newsletter Website

Mentoring 

Private and confidential mentoring

Community Outreach: 

Educational Material

Health Fairs

Guest Speakers

Organizational Partnerships

Public Events

Bras and Prostheses Lift Chair Loaner Program Wigs, hats & scarves Monthly support meetings led by a licensed facilitator

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Business Supporting Women

Ready to simplify your beauty routine? Consider permanent makeup. Subtle, natural results that are perfect for the beach lifestyle.

We specialize in Hair Stroke Eyebrows!

New Client Special • 1 Hour Massage $50 Vineyard Massage is offering a package of 3 at the reduced price of $180

Call for a FREE Consultation! 302-525-0822

a savings of $30.00

Vineyard Facials is offering a package of 3 at the reduced price of $195 a savings of $30.00

* actual client photos Eastern Shore Makeup 34548 Atlantic Avenue, Ocean View DE 19970 www.espmakeup.com

op h S Now TWO Our tions! Loca

Brand New Additional Location!

112 Market St., Bridgeville, DE • (302) 337-3137 Visit Original Antique Alley with over 50 Vendors and 100 booths at 18208 Sussex Highway, Bridgeville, DE 19933 www.antiquealleyde.com Both Locations Open Daily 9:AM - 6 PM

The County Woman’s Journal

Both offers valid through November.

Gift Certificates available

Located in Lewes Yoga Studio • 302.278.1006 17605 Nassau Commons Blvd. • Lewes, DE 19958

• Individual/Group Tours • Alpaca sales, Agisting (boarding) • Expanded Gift Shop alpaca yarns, clothing, accessories,

and children’s toys; Pacabella organic soaps and lotions; Novica jewelry

• Children’s Birthday Parties • Weddings

Please check website for hours or call for private reservations

28494 Fire Tower Road Laurel, DE 19956

302-236-7950

www.tacacoalpacasofdelaware.com

Owners: Blair & Kelley Boyce Blair’s cell 443-477-2220

Fall 2016 I 69


Community

®

Costume Parade · Dog Parade Beach Games · Trick or Treating Horse Shows on the Beach Live Musical Entertainment Fiddlers’ Festival · 5K Race & More! For Complete Schedule of Activities, Visit:

Beach -Fun.com

October 28 - 30, 2016 1ST ANNUAL

DELAWARE RESORTS 55+ EXPO

The 1st annual Delaware Resorts 55+ EXPO will be held at the Cape Henlopen High School Saturday and Sunday, October 22nd and 23rd The inaugural event is presented by Delaware Resorts Expos, the founder and sponsor of the successful Delaware Resorts Home Expo for two decades. Free to the public, the Expo is sponsored by Beebe Healthcare, Active Adults Realty, Clean Energy USA, Home Instead Senior Care, Nationwide Insurance, Pivot Physical Therapy, Procino-Wells & Woodland, LLC, Schell Brothers, the Cape Gazette, Sussex County Women’s Journal, and Comcast Spotlight. The 55+ Expo benefits Lewes/Rehoboth Meals on Wheels, the non-profit organization whose mission is to feed the homebound and to reduce the alternative of being in an senior institution. The Expo is the area’s premier showcase of health care facilities and agencies, home health care agencies, lifestyle coaches, physical fitness programs, 55+ communities, realtors, builders, mortgage, legal, insurance and home service home companies. Many of these companies will be giving away gifts and prizes to 55+ Expo visitors. The Delaware Resorts 55+ EXPO presents an excellent opportunity for area residents of all ages to become familiar with the many 55+ products services available in the Delaware Resorts region. Beebe Healthcare will be offering free screenings and flu shots. More than 80 exhibitors will be presenting their products and services, with many offering Expo specials and discounts. Prospective exhibitors should contact Kathy Benson at 302-236-0857 as soon as possible, as the Expo will be a sell-out. General information regarding the Expo may also be found at www.rehobothtoday.com/expo.

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Community

The County Womanâ&#x20AC;&#x2122;s Journal

Fall 2016 I 71


Community

Servicing businesses with 0-100 employees and the larger companies that support those local small businesses

www.dsbchamber.com • (302) 482-2120

C USTOMER R ELATIONSHIPS IN THE N EW E CONOMY •

1 Million Cups Presentations • • Panel Discussions • • Breakout Sessions •

OCTOBER 26, 2016 $30 General Public $25 Chamber Member Continental Breakfast & Networking Lunch Pre-registration Required Seating is Limited

7:15 a.m. - 1 p.m.

Carter Partnership Center • Delaware Technical Community College Owens Campus, Georgetown, Del. For information: (302)259-6085; e-mail: cgillan1@dtcc.edu

#SCTTC2016

Register online: www.sussexcountyconference.com

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Community

Unleash Your Potential With workshops to help you find a new career or job, classes to develop new skills, information on how to start a new business or grow your small business... whatever your passion, Delaware Libraries can help.

Get FREE resources online at

guides.lib.de.us/entrepreneur

Visit any Delaware Libraries Inspiration Space! delawarelibraries.org/is The County Womanâ&#x20AC;&#x2122;s Journal

ION

IS SP AC E

AT INSPIR

DelawareLibraries.org

es

brari i L e r a w Dela

Fall 2016 I 73


Photography

“Shasta Shutterbug” Has Arrived!

BY: MIKE BAKER I always like to do things with my photography just a little different or something more my way. My “Shasta Shutterbug” camper photo booth was an idea I saw online from California and Florida. My niece, Ashley, had sent a couple of pictures to me, and I started to research. It’s also something popular in Europe. Most of those are from the back of a VW bus or a similar style vehicle. I initially spotted this 1969 Shasta Compact Camper for sale about a year ago alongside a local road. Not knowing what I could do with it, I somewhat shelved the idea of buying it. After I had seen some ideas online, I knew I needed that “Shasta.” I was sure it was already sold. I took a 15-minute drive where I saw it previously. There it was still sitting there waiting for me. I immediately jumped on the idea. I purchased the camper and started looking at different ones all over the US. There are not many “camper photo booths” out there. I never realized how big photo booths are becoming. I shoot many weddings throughout the year and started noticing the appeal. I figured photo booths would be more of a short-term fad and dwindle away. Not true! They are getting more and more popular. So this was my winter project! So ideas started rolling through my mind. I had my daughter, Courtney, listen to my ideas. Not good. Seems like she had better ideas then I did. Most 21 year olds know more about what attracts the younger crowds. She’s the designer, I did the engineering and labor. My 21-year-old daughter knew what was “in” more than I did. She was attending UD while I worked on it and came home to check on it (and my work). I was blessed with a relatively warm fall and winter. One never knows what’s underneath until you start pulling it apart. I replaced some walls and floors from 47 years of weathering. Put new ceiling and wall coverings with a hardwood floor. It is decked out with a stereo system inside and outside, a photo booth and seating. Sorry no room for rest rooms. After Courtney placed it on Facebook, it was booked instantly the next day for 2 bookings. It was an instant hit at the 2016 Heart Ball in Dover. We also made a 2 day appearance at the Dover International Speedway on the recent race weekend. We have gotten many bookings already for weddings, gala events and other outdoor events. We also have the standard photo booth, but I think this one has gotten much attention. After all, this is the first one in the First State!

As the sign says in the camper...

GRAB A PROP – STRIKE A POSE!

74 I Fall 2016

MIKE BAKER C.M. BAKER PHOTOGRAPHY

The County Woman’s Journal


Business & Finance

Call or visit us today! www.HebronSavingsBank.com

Pictured from Left: Donna K. Defino, President & CEO, W. Trent Pusey, Senior Vice President & Chief Lending Officer Back Row: Melodie E. Carter, Robert E. Lore, Robert W. Freeman, Tim S. Boston Front Row: Tina M. Banks, Dawn J. Rayne, Henry E. Tilman, Ellen P. Vandegrift, Mark D. Sewell Picture location courtesy of: Hebron Train Depot

Mortgages safe and strong for over 100 years.

Installment

Home Equity

Flexible Loan Options

one of the largest and most experienced lending teams on the Eastern Shore.

Commercial Real Estate

Auto

… “Your Hometown Community Bank”. Salisbury Carroll St. (410)742-8526 Hebron (410)749-1185

Salisbury Mt. Hermon Rd. (410)546-8118 Sharptown (410)883-3121

Salisbury Quantico Sq. (410)543-9183 Vienna (410)376-3186

Salisbury Riverside Dr. (410)341-6670

Business Lines of Credit

Salisbury N. Salisbury Blvd. (410)548-2233 Fruitland (410)860-4884

Cambridge Cedar St. (410)228-9202 Princess Anne (410)651-1722

Cambridge Rt. 50 (410)228-2440 Crisfield (410)968-0500

All mortgage loans will be secured by a lien against your property. Not all applicants will be approved. Terms and conditions apply. Call for details. NMLS No. 410749

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Sussex County Women's Journal —Fall 2016  

SCW Fall 2016 Issue

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