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Winter 2016/2017

THE SUSSEX COUNTY TM

A Quarterly Educational Resource for the Women of Sussex County. Babak Vakili, M.D.

Steve Rose

What Is A Urogynecologist & When Should I Seek Help From One?

Nanticoke Health Services - Serving the Community for 65 Years and Growing!

Page 12

Pages 14-15

Dr. Philip Chao A 3T-MRI is Advantageous for Your Test Page 24

Leslie Brown, Ford Waggoner, Melodie Carter, Dr. Fabricio Alarcon, Dr. Ileana Smith, Craig Clarke, see pages 33-34 Photo taken by Mike Baker at Delaware Tech, Georgetown

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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

The holidays and winter are upon us and I would like to take this opportunity to wish all of our Contributors, advertisers and our loyal readers, a spectacular holiday season and a very healthy and prosperous 2017 New Year. In our publication we strive to have our readership enjoy articles that are informative, objective and educational. The Woman’s newspaper is “dedicated to education” and we do not have any political or controversial issues included. We always edit each edition with this in mind. 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 experience, or whatever the niche in their industry. So take a tip from the experts, and think before you cut off the marketing lifeline. Hope, we’ll all soon see a change and will not need to make these tough decisions at all. Remember; be selective with your marketing dollars. To our readers, we hope you enjoy and find beneficial this and all future issues of the Women’s newspaper. Elizabeth Kapke, Publisher

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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.

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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. Representations by The Women’s Journal COPYRIGHT 1995™

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2 I Winter 2016/2017

Leslie Brown, Ford Waggoner, Melodie Carter, Dr. Fabricio Alarcon, Dr. Ileana Smith, Craig Clarke, see pages 33-34 Photo taken by Mike Baker at Delaware Tech, Georgetown

The County Woman’s Journal


Health & Medicine

Reduce Fat Without Surgery in 25 Minutes ...No Downtime

Peninsula Plastic Surgery is now offering SculpSure, a breakthrough non-invasive body contouring system for the reduction of stubborn fat in problem areas such as the abdomen or love handles, helping patients achieve a slimmer appearance without surgery or downtime – in just 25 minutes. FDA cleared and clinically tested on over 100 patients, SculpSure is a safe and effective light-based treatment that precisely targets fat cells under the skin, especially the stubborn fat that seems resistant to diet and exercise. SculpSure can permanently destroy up to 24%1 of treated fat in a 25-minute procedure. Over time, these damaged fat cells are naturally absorbed and removed from the body, with results seen in as quickly as six weeks and optimal results typically seen at 12 weeks. Since there is no recovery time with SculpSure, patients can return to normal activities immediately. SculpSure is also comfortable and welltolerated, with most patients feeling nothing more than a warming sensation. In fact, the procedure yielded over a 90% patient satisfaction rate in multi-site trials.2 Even with diet and exercise, most men and women have stubborn fat they can’t get rid of. Over 85% of women and 72% percent of men in the United States are unhappy with their physical appearance, with 69% of women and 52% men indicating the appearance of their stomach is a source of anxiety.3 So it’s not surprising that non-surgical fat reduction procedures are one of the fastest-growing categories in the aesthetics market, with a 42% increase in procedures performed from 2013 to 2014.4 “To be able to achieve this level of body sculpting without surgery or

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recovery time is a real game changer for the category,” states board certified plastic surgeon Dr. Vincent Perrotta. “SculpSure can help patients of all skin types achieve the results they are looking for with a non-invasive treatment that fits into their busy lifestyles.” “SculpSure is a whole new approach to non-invasive body contouring,” says Dr. Christopher Pellegrino, board certified plastic surgeon. “What makes SculpSure particularly exciting is that the device is hands free, which gives the physician much more control and allows us to customize treatments to each patient’s desired results.” SculpSure is a convenient and comfortable procedure for any body or skin type. The doctors can target specific trouble spots with SculpSure’s multi-applicator system that allows customization in one 25minute treatment, less than half the time of fat freezing procedures. Patients can now receive treatment on their lunch hour and return to work right after, since no recovery time is required. If you are interested in scheduling a SculpSure treatment and/or would like to receive more information about SculpSure, please call Peninsula Plastic Surgery’s Salisbury office at 410.546.0464 or Millsboro office at 302.663.0119 or visit PenPlasticSurgery.com. Mention this article to receive 20% off your first treatment.

Dr. Vincent Perrotta

Dr. Christopher Pellegrino

1 Single treatment with an average in fat volume as measured by MRI; Clinical and Histological Evaluations of a 1060nm Laser Device for Non-Invasive Fat Reduction, 3 American Society for Aesthetic Plastic Surgery John W. Decorato, MD., F A C S. Rafael Sierra, Ph.D., Bo Chen, Ph.D., Westford, MA, 2014 3 TODAY/AOL ‘Ideal to Real’ Body Image Survey Results.” AOL.com. 1 Feb. 2014. (www.aol.com/article/2014/02/24/loveyourselfie/20836450/) 4 American Society for Aesthetic Plastic Surgery

Winter 2016/2017 I 3


Health & Medicine

Blues Effect

By: Glenn Courtney, A.B.O.C. Delaware Eye Optical Blue light is all around us. I have spoken about this before, but blue light has become such a hot topic, I thought I’d bring it back up. Grotthuss-Draper law states “Radiation produces photochemical action only through absorption of its energy by the substance affected”. How is this applicable to this article? Today we are surrounded through modern day machines, tools and everyday life by blue light. The digital world we live in today has made us part of an experiment whether we like it or not. The blue light emitted from LED bulbs, I Pads, Galaxy phones, the sun, and computer screens just to mention a few has a very short wave length and so produces a higher amount of energy. HEVBL or High Energy Visible Blue Light studies indicate overtime exposure could cause serious long term damage to your eyes. How many hours do you spend in front of the digital screen? Have you felt ocular discomfort, trouble sleeping, trouble focusing at times. These are some of the of the results that might be related to consistent long term exposure to blue light. Studies show that 60% of people spend 6 hours a day in front of a digital device. With LED bulbs, and digital devices all emitting blue light research has begun to find links to circadian rhythms or the body’s natural sleep patterns. Lens manufactures are aware of this and research has led to ways of protecting yourself from this exposure. Lens materials and coatings are available in most prescriptions to aid in the blocking varying amounts of HEVBL. Coatings such as Recharge or Rhythm block up to 10% of blue light passing through the lenses with its multi layer anti re ective coating. he

4 I Winter 2016/2017

exposure for all ages can vary. Teenagers for instance between the ages of 12 to 17 access the internet on cell phones, tablets or other mobile devices at some point in the day. Forty-three percent of adults are at a job that requires prolonged exposure to a computer or tablet. Elderly who are post cataract patients have a risk of AMD or Advanced Macular Degeneration and find the polari ed blue blocking lenses very comfortable to wear as well as providing advanced UV and blue light blocking capabilities. Computer users for extended periods of time either at work of leisure ould benefit by blocking BL by wearing an indoor BlueTech lens or multi-layer blue light reducing coatings. These lens materials have a yellow or amber tint so their use might be limited for that task but offer higher level of HEV blocking capabilities. Recent Lens material developments are virtually clear and provide substantial reduction capabilities. he anti re ective coatings such as hythm or Recharge block a lower percentage of the blue light but cut cumulative effects over a life time considerably. Using a mobile phone or tablets prior to sleep can interrupt your sleep patterns or circadian rhythm which over time due to a lack of needed sleep can lead to poor health. Perhaps a pair of eyeglasses on the nightstand to reduce blue light would be beneficial either in prescription or non. Whether you purchase Blue Tech type lenses or add the coatings to your lenses the long term effects will be reduced and your risk of potential harmful effects diminished. Various amounts of blue light are needed to promote good health, treats jaundice in the blood of newborns, stimulates alertness, can help treat acne, kills bad bacteria, supports your liver, and help treat or prevent periodontal disease. The coatings and or the lens material (BlueTech) does allow a percentage of HEVBL to pass through but as I mentioned earlier “how much is a benefit vs. ho much is harmful and where is it being absorbed within the eye or around the eyes. This spectrum of light can be filtered at various levels and thus helping to protect your sight over a lifetime of exposure, reducing exposure to HEVBL seems wise at this time as we participate in this “experiment”. Let us know if we can help reduce your exposure.

BLUE LIGHT

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anthisexperiment? Present ad and receive $15.00 Off On any Bluelight blocking material or coating.

By combining HOYA Sync Phoenix lenses and Recharge AR Treatment, you have the ideal optical formulation for today’s child with a digital lifestyle.

Dover Location Rehoboth Location 625 S. DuPont Hwy 18791 John J. Williams Hwy Dover, DE. 19901 Rehoboth, DE. 19971 Phn: 302-678-3200 Phn: 302-645-1800 Fax: 302-678-5914 Fax: 302-644-0242

Millsboro Location 232 Mitchell Street Millsboro, DE. 19966 Phn: 302-934-6620 Fax: 302-934-7386

www.hoyavision.com ©2013 HOYA Corporation. All Rights Reserved. HOYA and Sync are registered trademarks of HOYA Corporation.

The County Woman’s Journal


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 ith used to improve our odds of meeting the excellent (within 0.5 diopters of the goal) patients’ goals for visual function after ye ere among the ďŹ rst in ela are 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 afaceto measuring surgery typically lasting 10-20 minutes aoffered visual impairment. another before school need to be addressed the leading cause ofintraocular lenses patient‘s and 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 ith 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 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 ela are 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 ill ďŹ nd they require symptoms glasses for near vision activities after worsen and are cataract surgery. Almost all patients sometimes accompanied nd their vision could be byillaďŹ shift 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

T

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

phone 302.645.2300 April/May 2011

The County Woman’s Journal

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.

Www.TheWomensJournal.com

Winter 2016/2017 I 5


Health & Medicine

Invisalig n O ffers The M odern M iracle O f Invisib le B races Invisalign is a wonderful new treatment that straightens teeth with no metal, no pain and no visible braces. This article takes a look at how it works to help you decide if it’s right for you.

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

I

f you’re one of the millions of Americans who is troubled by having a less-than-perfect smile, Invisalign is for you. This is quickly become the number one method for teeth straightening, and it can boast lots of happy people who are no longer afraid to show the world their smiles. Let’s take a look at what it is and how it works to get you the smile you’ve always wanted.

about a year but it depends on ho much straightening needs to be done. By using sophisticated computer imaging dentists can construct the perfect aligner system for your teeth and guarantee the results you re looking for. f you ve ever orn metal braces you kno that it requires dentist visits every eeks here they tighten the metal in a painful ay. nvisalign is much easier.

WHY IS INVISALIGN SO MUCH BETTER THAN METAL BRACES?

nother reason this treatment is so popular is the pain factor. raditional braces hurt hen the dentist ad usts them. hen you go every t o eeks to get your aligners straightened there is no pain at all. t s ust a matter of your dentist taking out the old trays and putting in the ne . ou on t even cringe nd of course everybody loves the treatment because it orks to get the results you ant. he computer imaging can sho you e actly ho your smile ill look hen the hole thing s done.

LET’S GET THE BALL ROLLING! Start by talking to Dr. McCann. e ll decide if you re an ideal candidate or not most folks are . e is specially trained to provide this service to his patients. e ill ans er all your questions you may have. nvisalign also has developed this ne app that can give you even more information app. consultationinvisalign.com/ dentist.

he main benefit of nvisalign is that the braces are invisible. ne of the reasons lots of people hesitate before fi ing WHAT’S INVISALIGN AND their teeth is that it causes social embarrassment to have a mouth HOW DOES IT WORK? full of metal. orrecting your Invisalign is a whole system teeth is something most people do designed to fi your teeth and hen they re kids or adolescents your teeth only. t is a series so you don t ant to sho the of trays that are designed to orld. his treatment is nearly straighten your teeth little by little. invisible you d have to be pretty hese trays are called aligners close to see that somebody s and they are changed every t o earing them eeks. he entire process takes

Richard J . M cCann, D . M . D . 3 1 4 1 3 W interplace P arkway Salisb ury, M D 2 1 8 0 4

4 1 0 -5 4 6 -9 9 4 0 rjmccanndmd.com 6 I Winter 2016/2017

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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.

Office Locations: Salisbury, Maryland 410.546.0464 Millsboro, Delaware 302.663.0119

If you or your loved one has a suspicious skin lesion, don’t wait.

Call now! 410.546.0464 or 302.663.0119 Christopher J. Pellegrino, MD

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Vincent J. Perrotta, MD

Winter 2016/2017 I 7


Health & Medicine

Dental Implant Services at Peninsula Total Dental Care

Dr Stewart Perim D.M.D., M.S. Dental implants are the most reliable, realistic tooth replacement option on the market today. Our Salisbury, MD dental office offers a variety of implants including Allon-4, implant-secured dentures and partials, magnetic options, and minimally invasive options. No matter what your situation, we can help you get the dental implant solution you need. Talk to Dr. Perim and our staff about which of these options might work best for you.

Traditional Single Dental Implants Traditional single implants are used to replace just one natural

tooth that is missing. We do this by inserting a small titanium prosthetic tooth root into your gum and allowing it to fuse to your existing jawbone structure. Once this has happened, we will load the implant with your new replacement crown. This crown will be designed to your specification and ill blend in naturally with your remaining teeth.

All-on-4 Dental Implants All-on-4 implants are designed to replace an entire arch of teeth. If you are missing all of your natural teeth, this may be a solution for you. We use four

strategically placed dental implants to support an entire denture, restoring your smile to its former function and beauty.

Mini Dental Implants Mini implants are implants with a smaller diameter. This smaller size allows them to be more easily placed and heal faster. They are more affordable than traditional implants! o ever they are not designed to be as strong or last as long as normally sized dental implants. Talk to Dr. Perim about which option is best for you.

The 5 Top Benefits of Dental Implants 1. They are strong. Dental implants restore almost 100 percent of your natural chewing power. While traditional removable dentures do restore much of your functionality, they do not offer the strength required to eat all of your favorite foods. With dental implants, a juicy steak or a crisp apple is not a problem! 2. They are long-lasting. Dental implants are designed to last decades. If you want a reliable, permanent solution to

your missing teeth, dental implants are for you. 3. They are realistic. We design all of our replacement teeth to appear as natural as possible. Our goal is to create such realisticlooking teeth that no one will be able to tell that they are false! 4. They promote good oral health. Living ithout teeth can pose many oral health issues including jawbone deterioration, shifting teeth, and more. emovable dentures solve only some of these issues. To ensure that you stay as healthy as possible, consider dental implants. . hey ill improve your self confidence and change your life. With dental implants, you will look your best and feel great about yourself! With the improved confidence they offer, you will be able to eat, laugh, and live your life ithout worry. Simply put, dental

implants will increase your overall quality of life. Schedule Your Free Consultation If you would like to know more about our dental implant services, please contact Peninsula Total Dental Care in Salisbury, MD to schedule an appointment. We offer free consultations to any patient seeking dental implant information. Call us at 410-742-8686!! We will be happy to help you find a date and time that works well with your personal schedule.

Don’t hesitate to contact our team. Let us help you get the quality replacement teeth you deserve! We can’t wait to hear from you!

Call for an appointment today …. 410-742-8686 8 I Winter 2016/2017

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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.

IT’S NOT INSURANCE, IT’S BETTER

It’s dentistry made easy. No more worrying about copays, deductibles or unexpected out of pocket expenses. QDP is a dental savings plan available at participating dental offices that makes quality dentistry more affordable for individuals and families. • No Waiting Period. Immediate Treatment. • Quality Care For Adults And Children • No Benefit Limitations

QUOTES FROM THE NEWS

• “Now, there’s a new plan to help people without insurance get regular check-ups. It’s called the Quality Dental Plan.” – NBC News

IN THE NEWS

See what dentists and industry experts have to say about Quality Dental Plan.

Can’t Afford Dental Care? We have the answer with Our Quality Dental Plan We Provide “Affordable” Dentistr y for Your Whole Family!

Pricing only $299 per year

Benefits per year 2 Exams Per Yr. 2 Cleanings Per Yr. 1 Panoramic X-ray 15% OFF All Dental Procedures PLUS No Deductibles or Claim Forms No Waiting Periods No Treatment Exclusions

Primary Member

is only $ 299 per yr.

Don’t Put Off Your Dental Care any Longer

call Peninsula Total Dental Care Center For More Information 410-742-8686

Each Additional Family Member is only $ 199 per yr. $715 Va l ue

Monthly Premiums,NO NOHidden Hidden Fees ... NONO Monthly Premiums, ... Just JustQualit QualityyDental DentalCare! Care! The County Woman’s Journal

Winter 2016/2017 I 9


Health & Medicine

Exercise and Cardiovascular Disease It is a well known and recognized fact that physical activity plays an important role in keeping us healthy. This is of particular importance when it comes to cardiovascular disease prevention and recovery. Studies have shown that 12 % of all mortalities are related to inadequate physical activity. Sedentary life style doubles the risk for coronary events. he benefits of regular e ercise have been consistently demonstrated regardless of age, gender or ethnicity. One factor appears to be constant he duration of e ercise appears to be more beneficial than the intensity of it. It has been shown that as little as one hour per week of physical activity has significant health benefits hen compared to no activity at all. mong the health benefits of regular physical activity are: Reduction of all cause mortality, particularly from cardiac causes, better blood pressure control, reduction of the risk of developing diabetes or better

R. Alberto Rosa, M.D., FACC

control in diabetics, reduction of triglycerides and increase in HDL (good cholesterol), aside from improving your overall well being and energy levels, mental sharpness and alertness. In addition, better bowel and sleep habits have been demonstrated as well. No one particular e ercise recipe will work for everybody. Individual preferences, abilities and availability of physical activity opportunities varied. The important thing is to find hat e can do or en oy doing and sticking with it. Walking, ogging running biking s imming yard work, weight lifting, or playing your favorite sport, all have shown to be beneficial.

No activity is risk free. ercise can lead to muscle and oints in uries cardiac arrhythmias, rarely sudden death or heart attacks. It is always advisable to consult with health care provider before engaging on a regular e ercise program if you have been sedentary for a while or have any chronic health problem such as heart or lung disease or physical limitations due to a neurologic or orthopedic issue.

The simple fact is, one sure way of living longer and healthier is to become active and to remain physically active as matter of lifestyle. This “mantra” should be part of our upbringing from home and early school education. The role women can play on this as mothers, daughters, sisters and wives can not be underestimated. Let’s keep on moving!

How much physical activity is necessary to see the health effects? Most professional societies recommend 30 min of regular e ercise five to seven days per week, as a general rule. Again, less than that is definitely better than no e ercise at all.

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 (19941995), 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. s s ce t e t e e c B s of Internal Medicine and Cardiology. He is also a et e t e c l E e sB et e ucle e c e

10 I Winter 2016/2017

“... It is a well known and recognized fact that physical activity plays an important role in keeping us healthy ...”

Kenneth Sunnergren, MD, Alberto Rosa, MD, Dr. El Sabbagh, Rob Myers, MD, Heather Raff, MD, Barry Denenberg, MD.

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

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Health & Medicine

6 Tips You May Find Helpful As a community partner in end-of-life, Delaware Hospice wants to reach out to those who are grieving the loss of a loved one. There is no right or wrong way to grieve. While grief is very personal, there are many common experiences that accompany the death of a loved one. Delaware Hospice offers an opportunity to support those who are grieving by breaking the isolation. Grief should not be a taboo subject. Don’t hesitate to reach out to someone who has experienced the loss of a loved one. They are aching for you to tell them its okay to grieve and share in their journey.

Grandma’s Laugh

ere are tips you may find helpful hen trying to deal ith loss and grief • Give yourself the time to let grief run its course: The grieving process is personal to you and thus should go at your own speed. There isn’t a deadline set to feel a certain way. Remember, grief is not a one-time event, but a process and goes through cycles. on t put yourself on a timetable to be finished grieving. n reality the grieving process may not end, but it will get easier over time. • Seek help outside of family and friends: Grief can feel very lonely, even when you have loved ones around. Often sharing your sorrow with others who have experienced similar losses, who are not your family, can help. • Continue to have a support system: Keep friends and family close, spending some time alone is fine but long period of isolation may not be. llo loved ones and friends to share in your sorrow or simply be there when you cry. • Keep your life moving: There is comfort in routine, activities with friends and every day life. Do as much of this as you feel comfortable doing. When you are ready, consider trying a ne activity. t can be a positive step for ard in this ne chapter in your life. ou may also ant to consider attending social events. f you feel like leaving early, you don’t have to give a reason, do what feels right for you and others will understand. • Allow yourself to be happy and let humor into your world: t s okay to allo yourself to enjoy moments of happiness. Don’t feel like you need to be sad all of the time. You can allow moments of happiness and even laughter and still grieve your loved one. Laughter truly can be helpful in the healing process and is a healing and healthy release. • Realize that what you may see as a “setback,” is natural and is okay: Grief is a journey, even when you may feel you have begun to heal and re-engage in life, there will be times when your loss still hits you hard. Holidays, birthdays, or special dates can be difficult. eeing a photo of your loved one hearing stories about them or visiting a place that was special to them can trigger grief to resurface. Don’t be too hard on yourself hen this happens or let these emotions frustrate you. t s natural to still have grief resurface in these situations. Being compassionate with yourself is important. No matter where you are in your grief journey, it is also important to know you are not alone. Delaware Hospice has both adult and children bereavement counselors available throughout the state. We’re here to help individuals and families navigate through grief in a way that is focused on coping and healing. Delaware Hospice also offers a variety of workshops and meetings to our families and community as space permits free of charge. s 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 Bereavement program, call 302478-5707 or visit our website www.delawarehospice.org.

The County Woman’s Journal

We may not be nationally recognized for laughs with Grandma, but Rose thinks we are. We’re the best at keeping Grandmas from going back to the hospital,* so she can be at home to give out hugs. When coping with serious illness we can help reduce symptoms and stress to make every day about living more fully. We can even prevent trips to the hospital that can mean more tests and more stress. We’re there 24-7 when you need us. So with our help, Grandma can be at home to give out the hugs. Call us for a quality of care that improves the quality of living at (800) 838-9800. Visit us at www.delawarehospice.org *Delaware Hospice has the lowest hospital readmission rates of any hospice in Delaware. (CMS Claims Data 2010-2014)

Winter 2016/2017 I 11


Health & Medicine

What Is A Urogynecologist & When Should I Seek Help From One? Y ou may have heard of urologists, doctors who treat disorders of the urinary tract or gynecologists, doctors who focus on the female reproductive system. But what is urogynecology? A urogynecologist is a doctor who completes an obstetrics and gynecology residency and a fellowship in female pelvic medicine and reconstructive surgery. The fellowship consists of three years of additional training focusing on advanced treatment options, including both surgical and non-surgical therapies used to treat problems with the pelvic floor. The medical term “pelvic floor” refers to the organs and systems in a woman’s pelvis. These structures include the bladder, uterus, vagina, and rectum as well as the surrounding muscles, tissues and nerves. Many of these organs are connected and are located in a very close area; problems with

one organ or system often create problems with the others. Approximately one-third of women experience pelvic floor problems and can benefit from a urogynecologist’s care.

The comprehensive training described prepares a urogynecologist to become an expert in treating a broad range of problems, such as pelvic organ prolapse, which occurs when the bladder, bowels or uterus drop through the vagina. Symptoms include urinary incontinence or leakage when you cough, exercise, have sex or move around.

Together we can help improve your quality of life.

Anatomical (body) changes which may occur after having a baby is one of the most common reasons women become incontinent or have other problems with organs in the pelvic area. Our training in obstetrics gives us tremendous insights and understanding about

how a woman’s body changes after childbirth. Combining this understanding with our comprehensive fellowship training gives us the unique ability to treat problems that may affect the systems and organs within the pelvic floor, even years after giving birth.

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.

Some women will find relief through surgery. Surgical options can include same-day, minimallyinvasive procedures that women recover from quickly with little or no down time.

Although most of these complications are not life threatening, they often have a negative impact on a woman’s quality of life. Many patients tell us they hesitate to spend long periods of time away from home. Some have given up exercise and other activities they once enjoyed.

At the Christiana Care Center for Urogynecology and Pelvic Surgery, you will meet four highly skilled and caring physicians dedicated to get you back to feeling yourself and empower you to live your life to the fullest.

In the overwhelming majority of

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

Let us help you get back to what really matters.

Christiana Hospital Medical Arts Pavilion 2 302-623-4055 4735 Ogletown-Stanton Road, Suite 1208, Newark, DE 19713

12 I Winter 2016/2017

Dedicated in providing the expert care you deserve.

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.

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

Women can benefit from a variety of non-surgical treatment options, such as medications, physical therapy and/or changes in diet or daily habits.

Another common problem is the need to go to the bathroom often, when infection is ruled out the likely cause is known as overactive bladder. Urogynecologists also treat patients with fecal incontinence – an inability to control bowel movements.

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.

cases, a urogynecologist can help. It doesn’t matter how old you are or how long you have been putting up with these problems.

800-693-CARE (2273)

Life. Healing. Caring. 16WHS13

christianacare.org/urogynecology

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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. ou may think that you need to fill in these areas ith 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

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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.

Winter 2016/2017 I 13


Health & Medicine

Nanticoke Health Services –

Serving the Community for 65 Years and Growing! MESSAGE FROM STEVEN ROSE, RN, MN, PRESIDENT/CEO OF NANTICOKE HEALTH SERVICES

On November 11, we will celebrate the 65th anniversary of the dedication of Nanticoke Memorial Hospital. On January 28, 2017 we will celebrate the 65th Anniversary of the first patient admitted to Nanticoke. As we look back, I cannot help but stand in awe of all what has been accomplished – together. The continuous transformation is no less than phenomenal. From the inception of Nanticoke Memorial Hospital, born of and nurtured by the community, to the strong Nanticoke Health Services of today, there is much for which we are grateful. At the center of our gratitude is our community. Since I came to Nanticoke in 2009, the support of our providers, our leaders, our team, our volunteers and OUR COMMUNITY has been overwhelming. Time and time again, you, our friends and neighbors, have stepped up to help ensure we all have access to the best healthcare possible, right here in Seaford. Today Nanticoke Health Services includes Nanticoke Memorial Hospital, a nationally recognized community hospital, and the Nanticoke Physician Network. The Nanticoke Physician Network includes over 50 providers providing primary, urgent, and specialty care services. Combined with our independent practitioners, Nanticoke Health Services boasts over 160 health care providers with active or community affiliate privileges together providing care in over different specialties. I also want to highlight Nanticoke’s national recognitions. The Centers for Medicare and Medicaid Services (CMS) has again rated Nanticoke Memorial ospital as a tar hospital for patient e perience the only hospital on elmarva and one of only t o hospitals in ela are. Nanticoke has also received a rade for atient afety from he Leapfrog roup a national organi ation that revie s clinical quality measures. To complete the “triple threat” Nanticoke has again been named a Most Wired Hospital for 2016 by American Hospital Association and Hospitals & Health Networks. This recognition is given to healthcare organizations leading the way in health information technology. The Nanticoke Physician Network is recognized at the highest level as a Patient Centered Medical Home. his means they have met specific requirements for patient care coordination and the integration of health information as a regular part of helping continually improve patient care. While there are many other accreditations and recognitions received through the very hard work of Nanticoke’s outstanding team, these few show the breadth and depth of the attention to safety, quality and compassion I witness every day from our team. s re ect on my station as the resident and of Nanticoke ealth Services, I could not be more proud of the organization, the team that works tirelessly to care for our community, our leaders who work with such passion, and our volunteers ho lend their e pertise. lso high on the list is my pride in our community for hich e e ist and from hich e e ist. ith a humble heart I thank you for continuing to stand with Nanticoke Health Services as we work together for a healthier tomorrow.

14 I Winter 2016/2017

The County Woman’s Journal


Health & Medicine

Our History 1945 - Seaford Lions Club donates $1,000 to

Recent Changes at Nanticoke: • Opened three Nanticoke Health Pavilion Georgetown and Laurel locations, all housing Immediate Care, Primary Care, Lab and X-ray services. • Opened additional outpatient lab location in Bridgeville. • Renovated the Day Surgery unit, the main lobby, and the Emergency Department • Completed conversion to all private patient rooms, rovi in ate roo s on all in atient oors • Opened the Nanticoke Health Pavilion Seaford with the a ition of a e ical office b il in at the ears Campus location. • Purchase of new diagnostic technology like 3D Mammography. • Expansion of the Nanticoke Physician Network to include additional providers in areas such as Endocrinology, Medical Oncology, Gastroenterology, Orthopedic Surgery and Pulmonary Care.

Upcoming Things You Can Expect Soon from Nanticoke:

conduct a needs survey for a new hospital is Seaford. 1947 - Survey results are shared with the public and fundraising begins; Land is purchased. 1950 - Groundbreaking for Nanticoke Memorial Hospital in July; Construction begins in August. 1951 - Dedication of Nanticoke Memorial Hospital on November 11. 1952 - Nanticoke Memorial Hospital, with 33 beds and additional roo for babies a its its first atient on an ary th at 8:00 am. On January 29th the Emergency Room sees its first atient 1953 - Nanticoke Memorial Hospital treated 1,817 patients while the Emergency Department had 1,288 patient visits. 1957 - The Anna M. Brown Memorial Wing opened increasing the hospital to 75-beds. 1962 - Renovations completed adding 29 beds in the new J. Leland Fox Wing. 1975 - Opened new 8-bed Coronary Intensive Care Unit with the latest in heart monitoring equipment named in honor of Richard S. Tobin. 1983 antico e s o erni ation ro ect was co lete an included the construction of a three-story patient tower housing an expanded emergency room and outpatient services on the first oor an secon an thir oors hol in 30 beds each. 1991 wo a itional oors a e to antico e s atient tower ife are at o an o ens 2001 - Planning and construction for the new Cancer Care Center. Today Nanticoke Memorial Hospital cares for over 5,200 inpatients, over 38,200 emergency patients and nearly 100,000 outpatients each year. The providers in the antico e hysician etwor saw over office visits during Fiscal Year 2016. Thanks to our community, Nanticoke Health Services is Always Caring – Always Here!

• Completion of renovations to the Front St. building across from Gateway Park to house administrative services for the both the hospital and the physician network. • Construction of a new Central Decision Unit for observation patients. • Replacement of all the hospital elevators. • Conversion of the Nanticoke Physician Network EMR to Cerner Ambulatory. This conversion will mean patients of Nanticoke Memorial Hospital and Nanticoke Physician Network will have one medical record with patient portal instead of the two portals used today. • Continued and increased participation in Health Information Exchanges (HIEs) like the DHIN and CommonWell, making patient health information more portable, allowing for better care across the state. • Renovations expanding the infusion services in the ancer are enter a in se of the secon oor

The County Woman’s Journal

Winter 2016/2017 I 15


Health & Medicine

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

16 I Winter 2016/2017

The County Woman’s Journal


Health & Medicine

Health & & Medicine Medicine Health

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

Spring 2013 The County Woman’s Journal Spring 2014

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The Woman Newspaper TheCounty County Woman Newspaper Winter 2016/2017 I 17


Health & Medicine

Relaxing at the Dental Office Peninsula Total Dental Care, Salisbury, MD members are elcome to stay ith you and hold your hand or talk with you. These options allow you to stay comfortable and calm by focusing your attention on something other than hat s going on in your mouth.

Sedation Options

Dr Stewart Perim D.M.D., M.S. If you suffer from dental fear or anxiety, you are not alone. Many patients ho visit our office regularly are just like you. Our dental team offers a fe different comfort options to help you feel at ease while you are in our care.

Dental sedation is one of the most effective comfort options e offer. Our two different levels of sedation nitrous o ide and oral conscious sedation can be used to help you feel completely comfortable regardless of the comple ity of the procedure. Nitrous also kno n as laughing gas is used to create a lightly sedated feeling hile oral conscious sedation can help you feel sleepy and completely rela ed during an appointment. egardless of your situation, we want to ensure that you feel at ease throughout your treatment. Our dental sedation options allow us to do just that.

Longer Appointments

ur team offers longer appointment times to help you better feel comfortable going at your o n pace. t our office e ill never rush you. hese longer appointment times mean that you have the opportunity to a take a break as you feel necessary during an appointment to help you feel more at ease.

Private Operatories

ur facility has private operatories so that your dental care stays bet een you and our team. We want to make sure you are comfortable ith us and the work we do.

Entertainment During the Procedure We offer a variety of entertainment options to partake in while we work. ust sit back close your eyes and rela as you listen to some music in the headphones we provide. Family

18 I Winter 2016/2017

Make An Appointment

f you are ready to schedule an appointment with a dental team who cares about your comfort every step of the way, please contact Peninsula Total Dental Care directly at 410742-8686. e can help you find a date and time for your appointment that fits the needs of your personal schedule. e are dedicated to helping our patients get the high quality comfortable care they deserve. e can t ait to meet you and your family!

Why People Fear Dentists 1. A bad dental experience as a child Many people with dental phobia have held these fears since they were children, dating back to an unpleasant episode they had with a dentist in the past. It’s easy to see why someone would be loath to return to the dentist after an experience like this. They have a fear that those traumatic events will happen again. No one likes to get hurt, and many people choose to avoid having to go to the dentist altogether rather than to face those fears. 2. Pre-existing anxiety disorder For many people, an anxiety disorder that’s not even dental related may be causing their dental phobia. They may feel anxious about anything unknown.

b e v o g m

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3. Lack of control Some people feel vulnerable when they are sitting in the dentist chair. They don’t like lying back and not being able to see what is going on around them. They worry about the unknown when they do not have complete control of a situation. 4. Bad teeth l e t l c ec e sel ul ll prophecy. People who are scared of the dentist may be fearful of going because they worry they have cavities that will need to be drilled. But if they do not go to the dentist and get their teeth cleaned, the chances of them having other dental complications increases.This fear ensures t t e u l ll es t t t e e t st t e may need serious treatment, which may upset them. 5. Biological mechanisms A norwegian researcher has determined that patients have a deep desire to protect their open air passages (such as mouths and noses). This is an evolutionary instinct: our ancestors who protected their mouths and noses were more likely to remain alive.

The County Woman’s Journal

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Health & Medicine

A Smile Makeover for Veterans The American Legion was chartered by Congress in 1919. The Legion evolved from a group of war-weary veterans of World War I into one of the most in uential nonprofit groups in the United States. Today, membership stands at over 2.4 million with 14,000 posts worldwide. It is the nation’s largest wartime veteran’s service organization, committed to mentoring youth and sponsorship of wholesome programs in our communities, advocating patriotism and honor, promoting strong national security, and continued devotion to our fellow service members and veterans. Over the years, the Legion has in uenced considerable social change in America, won hundreds of benefits for veterans and produced

many important programs for children and youth. Today, the Legion is the chartering agency for more than 1,700 Scouting units (Boy Scouts of America) made up of approximately 64,000 youths. . To date, more than $11million has been awarded to youth organizations and projects. The Legions efforts in 1921 resulted in the creation of the U.S. Veterans Bureau, a forerunner of the Veterans Administration. In 1946, the Legion gave a struggling organization called the American Heart Association a $50,000 grant and inaugurated nationwide prevention and treatment of rheumatic heart disease. The American Legion’s success depends entirely on active membership, participation and volunteerism. The organization

belongs to the people it serves and the communities in which it thrives. Peninsula Total Dental Care and Apex Dental Lab are eager to honor our veterans and contribute to their dental health and well-being. Due to budget reductions, there is only a one time course of treatment within 90 days of separation. The dental specialists at Peninsula Total dental Care are dedicated to providing advanced dentistry to the Delaware – Maryland – Virginia Eastern Shore. A smile makeover removes infection, creates mental, social, and emotional improvements provides greater confidence higher self-esteem and greater acceptance in social situations. he health benefits of a smile makeover are plentiful. WBOC recently did a story on one of the Veterans who had a “Smile

Makeover for Veterans”. Abner Snell, who volunteers as a driver for NABVets, has a super smile ! http://www.wboc.com/ story/33508946/program-offerssmile-makeovers-for-delmarvaveterans If you are a dentist, or hygienist who would like to take part in a Smile Makeover for Veterans, please call Dr. Stewart Perim (410) 742-8686. If you are a veteran who would like to seek dental treatment, please contact Barbara at American Legion Post 64, Salisbury, MD. (Contributions to Smile Makeover for Veterans can be given to Post 64).

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The County Woman’s Journal

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Winter 2016/2017 I 19


Home Health Care

D irect Care W orkers A re Y our P artners for Safety By Carolyn M. O’Neal CHEER Community Relations Director The Direct Care Worker has the ability to notice changes in their customers. These observations are vital to the care of the customer. Observation of a customer is a continuous process. It means more than just careful watching. It includes listening to the customer, talking to him/her, and asking questions. Direct Care Workers are alert of any unusual things when they are with a customer. Changes in the customer’s condition or appearance are most important. This partnership between Direct Care Workers and their customers can be life-saving. With the winter months upon us and extreme changes in weather possible, this partnership is more important than ever. Weather conditions on the Delmarva Peninsula are always uncertain. Things can change without much warning. Hurricanes and nor’easters are constant threats to Sussex County’s residents. Most county residents can take care of themselves during these weather emergencies, but senior citizens may need a helping hand. CHEER’s Direct Care Workers can provide that help. CHEER’

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1. Identify those individuals who may be at higher risk if: a. Living in lo lying areas prone to ooding and may not be able to evacuate without assistance. b. Require electricity to maintain life support systems such as oxygen. 2. Are mobility or cognitively impaired to the extent that they would require outside assistance a. To safely maintain themselves in their homes for a period of 1 – 2 days. b. Would need specialized assistance if they were required to evacuate their home area.

• • • •

contact s Nutrition rogram to make sure the customer receives a non-perishable emergency box of staple food items.); Fill several water jugs (at least one gallon for each person) and store them in a safe place; ave fresh batteries and ashlight s available Keep cell phone batteries charged; and Monitor local weather reports for updates on weather and road closures as the storm approaches.

CHEER’s administrative personnel continuously monitors weather conditions as they progress and plans accordingly. Sussex County has been spared for many years from disaster associated with weather events traveling north up the Atlantic coast. However, that could change with the next pending weather situation. All Sussex County residents should be ready for any emergency. If you need someone to help keep a continuous eye on your loved one, call s ersonal ssistance ervices program at . t is better to be safe than sorry.

CHEER SENIOR CARE “CHEER Senior Care helps me live the way I want to live.”

hen these emergencies occur notifies mergency reparedness personnel of any customers that may need their help. Many times in the past first responders have checked on customers to make sure they had heat during a snow storm or electricity during a nor’easter. If seniors want to stay in their homes during a weather event, CHEER’s Direct Care Workers can help them prepare for it in advance. The Direct Care Worker can: • Bring in or secure any outside items that may blow in high winds; • Check medications and make sure there is an adequate supply to last through the event; • urchase a day supply of foods that may be kept and prepared without electricity in the event that there are power outages, including pet food if appropriate (Or, if the customer is also a recipient of CHEER’s Meals on Wheels program, the Direct Care Worker can

20 I Winter 2016/2017

Personal Care • Housekeeping • Companionship Respite Care • Meals On Wheels • Transportation Grocery MiniMini-Mart • 7 Senior Activity Centers Fitness Centers • Adult Day Program Available

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 . 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 .

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

The County Woman’s Journal

Winter 2016/2017 I 21


Health & Medicine

Hudson Health Services, Inc.

As a family, living with a loved one who has a Substance-Use Disorder can be stressful. Symptoms of the Disease of Addiction, which outwardly manifest into behaviors such as lying, stealing, isolating, and sometimes a complete disconnection from the family unit, can be very traumatic for everyone involved. Family members often find themselves feeling the need to “take sides.” While a mother feels she is supporting her child, who is using drugs and/or alcohol, by providing a safe home, money, a car, a cell phone, and sometimes even buying drugs to prevent withdrawal, a father may get angry at what he perceives to be enabling and a lack of firm parenting. his divide in the family will serve to only allow the Addiction to take the reins of this family and the addict will be the navigator. When it comes to supporting a loved one who is facing some really tough decisions regarding their drug and alcohol use, it is wise to form a united front and offer suggestions to help guide him or her to a safe place to begin the ourney into recovery. here are treatment options very close to home. Hudson Health Services, a private, non profit nestled right in the heart of Salisbury, Maryland, has been providing treatment for SubstanceUse Disorders since 1980. Hudson is licensed by the State of Maryland and is ccredited by he oint Commission – an accrediting body with exceptional, state-of-the-art standards focusing on patient care

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and organizational functions that are essential to providing high-quality care. Hudson Health is contracted with many different insurance plans, including Maryland and Delaware Medicaid. Hudson Health Services offers a full continuum of care including Inpatient reatment artial ospitali ation Supportive Housing, and is set to open utpatient reatment in alisbury in the near future. With its unique blend of clinical and recovery support services, Hudson Health is paving the way to a new normal when it comes to offering addiction treatment. On its beautiful, wooded, lakefront campus in Salisbury, Hudson Health ervices uses herapeutic rumming – an evidence-based technique shown to increase self-disclosure, promote emotional awareness, empathy, and development of community. Each person participating in a therapeutic drumming group has a very individualized takeaway, however; the consensus is always the same – unity. While this may seem like an unimportant concept in an addiction treatment setting, feeling a sense of belonging is the foundation of a person’s comfort level, which translates into an openness to treatment. Another tool Hudson Health Services is using to engage and retain it s patients are eer ecovery Specialists – individuals with lived experience in addiction recovery that offer support and guidance to those just beginning the recovery journey. By sharing their experiences and offering

helpful suggestions the eers are able to relate to patients in a way that professional counselors cannot. Hudson Health Services’ Supportive Housing program spans two states, with housing in both Salisbury, Maryland and Georgetown, Delaware. hese structured home environments are for individuals who require more support during early recovery. esidents in the housing program have an opportunity to develop job readiness skills, secure employment, and establish connections in the recovery support community. While residents have many freedoms of independent living, Hudson Health

provides accountability coaching with house rules related to, for example, evening curfews and random urine drug screens. While living with a loved one in active addiction can be stressful, finding the right treatment provider doesn’t have to be. Hudson Health Services prides itself, not only on its exceptional treatment model, but also on it’s welcoming and compassionate staff – who show up every day, to change a life. For more information about Hudson Health Services, please visit www. Hudson-Health.org or call 410-2199000.

Providing the TOOLS OF RECOVERY for Substance Use Disorders Since 1980

Services Include: M atrix M odel • Psycho S ocial Assessment Detoxification • Intensive Inpatient Treatment • Partial Hospitalization Supportive Housing • Group Counseling • Individual Counseling Family Counseling • Psycho-Education • Relapse Prevention Vocational Counseling • 12-Step

Hudson Health Services, Inc. 1-888-288-9086 I www.Hudson-Health.org

The County Woman’s Journal


Health & Medicine

A Permanent Fix for Chronic Sinus Sufferers

Angioplasty of the Sinuses nno t e

James R. Gaul MD, FACS 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 commerciali ed by cclarent utili e a small e ible balloon catheter that is placed through the nose into the blocked sinus passageway. he balloon is then in ated 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 ithout the need for general anesthesia. his innovative office procedure typically allo s 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 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 revolutioni ed the treatment

The County Woman’s Journal

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of sinus disease. his 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.

Winter 2016/2017 I 23


Health & Medicine

A T MRI

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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 Neuroradiols ee te este tec l s ce ts e e t e st sc t l ce 1981 while he was pursuing his medical studies. The University of Pennsylvania, where Dr. Chao was both a Body MRI Fellow (1988-1990) and a Neuroradiology Fellow (1989-1990), was at the heart of the development of this technology and Dr. Chao was le t t ee s t e st E tesl sc e s ce ese c s ec l t s c lete le t t e e st e s l st s ect l t E st e el e s 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 e e t t e st sc e t e t te s t e e est

By: Dr. Philip Chao

MRI Consultants installed T MRI ’ W

MR T MRI

I frequently wish more doctors and patients would take a few moments to call and ask about 3T-MRI and how it can help you—perhaps even save your life! I see examples every day of why 3T-MRI or a well-equipped 1.5T-MRI is important. The average patient or doctor, however, may be completely unaware of the difference quality imaging can make. As we’ve said elsewhere, not all MRI scanners were created equal! Some machines do provide better, more detailed images than others. Part of this is the scanner, itself. Part of this is the personnel operating the machine. And, part of this is the experience of the radiologist reading your study. For instance, if a patient moves during the study, an MRI scanner equipped with a software called BLADE can ELIMINATE motion artifacts. Without this, the patient’s movement causes the images to be blurred and can render them useless. Many fail to understand that an MRI specialist can get information from even so-called “routine” studies where other doctors fail. Yesterday, we saw two patients that only we could have done. he first as a lb patient

24 I Winter 2016/2017

ho did not fit in any here else. They’d tried. More than once. In addition to the patient’s weight, the patient was unable to remain still for the study. Using BLADE, we were able to find a pituitary tumor t o small strokes and polyposis of the maxillary sinus. The second patient was a nice gentleman who simply could not hold still due to mild claustrophobia. Again, using BLADE we were able to obtain diagnostic images. There is another advantage to choosing a 3T-MRI for your test. A stronger magnet requires less time to produce quality images. It is remarkable. In the patient, mentioned above, who could not hold still, using a 3T scanner allowed us to produce quality images in record time. One series took only seconds. he series took minutes. hese same sequences at . take to minutes. Not only can the extra power of 3T be used to generate images more quickly, the extra magnet strength can produce images with higher resolution and higher contrast resolution. Think of digital cameras. The greater the number of mega-pixels; the higher the resolution. Now replace the term “mega-pixel” with “Tesla” (here referred to as “T”). MRI scanners range in po er from . to . . . is considered Industry Standard in most hospitals). If your well-being might be determined be getting a good look at what might be wrong, getting a good image might be key. We recently saw a patient who had three brain MRI studies done somewhere else. None showed why she was still having

vertigo after several head concussions. ur channel scanner channels are a bit like “mega-pixels” only technically, it’s more like a good antenna) picked up the hemorrhage in the brainstem that was causing the vertigo. ne other benefit of relates to the detection of breast cancer. 3T-MRI is better at detecting breast cancer. n fact it is sensitive. I welcome you to look this up on the internet. It is better for brain tumor imaging. It is better for imaging more lesions . t is better for all musculoskeletal imaging. n the spine it can often find smaller lesions in the cord or on the nerve roots. This is important as small herniations can hurt as much as larger ones and, if a good study isn’t done, you might not find out hy you are in pain. I wanted to talk about brain imaging in dementia. Something called quantitative MR imaging can

help detect many forms of dementia. It costs an extra $85. A company called NEUROQUANT uses a special brain atlas and compares your study to norms for your age. They can tell you if your brain is atrophied in various areas of your brain. This is extremely useful because in Parkinson disease, Alzheimer disease, fronto temporal atrophy and Lewy Body dementia you see atrophy long before you get symptoms. If your MRI facility does not offer NEUROQUANT, you might be losing very important information. It is also useful in following MS. More information can be found at http://www.cortechslabs.com/ neuroquant/msa/ Your choice of facility— the quality of the magnet, and the experience of the staff and radiologist—is crucial to betting quality care. Keep in mind, your insurance pays the same price for a good MRI as they do for a bad MRI. The choice is yours.

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

The County Woman’s Journal


We will keep on balancing and repairing your chakras and cleaning out and cleansing your ra. 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.

new clients while also honoring and respecting old friends, old services and especially old clients. We will be offering different types of massage that will increase flexibility, relieve m scle 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.

circles available. Just wanted to give you something to look forward to in the fall of 2012!!

The Medicine Woman 33800 Dreamweaver Lane Lewes, Delaware 19958 302-220-1146 www.TerriPippinTheMedicineWoman.com Shamanic Healing & Workshops Energy Work Massage Body Wraps and Scrubs

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.

Health & Medicine

Illumination Therapy Removing Toxins and Imprints In The Aura 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 edicine Wheel. So l Retrieval will help you recapture what was physically, emotionally and/or spiritually lost thru traumas in your life. Take that

The edicine 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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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.

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have the same toxic personality traits. When an imprint is activated we gravitate We all possess an Aura that to people or situations that will allow us to relive the circumstances of the surrounds our physical body. original wounding in an attempt to heal it. Just above your skin, streams of The Medicine people of the Amazon talk about curses that befall families and g l Medicine en light hi Woman e an   ! ! ! ! ! ! ! The that are transmitted from one generation to the next. Some of the imprints that thru the acupuncture founded by meridians. Terri Pippin are transmitted between generations are negative family misfortune, physical         et een the in an e ane conditions abusive behavior and also addictions. e often end up fighting the same battles and following the same paths that our fathers and mothers did. Massage, Energy Work, Body Therapies  f the a i l c ent that                     & Shamanic Healing The Shaman is interested in draining the toxic emotional energy f e int hi l l f light                                   n an i int an then e a ing the i int it elf One a t 33800 Dreamweaver Lane, Lewes, Delaware  19958 a This vital force is a sea of living achieve this is thru Illumination Therapy. Illumination Thearpy educate. enrich. em p o w er. energy as indispensable                         health&medicine 302-645-8369 (w) to achie e healing in th ee a (c) our health as302-220-1146 the oxygen and n the l ge an e it a he ing t the all f a cha a medicinewoman6@verizon.net nutrients carried by the blood 2. It combusts the toxic energies around malignant physical and By: Terri Pippin, ast ife o rney so yo can find With all that is new going Testimonials: The Medicine Woman out why you like or dislike certain “I on we arestream. also offering our have been a healer for 20 years emotional imprints.         TerriPippinTheMedicineWoman.com

It’s Fun Being The New Kid On The Block…

tried and true services that are the bac bone of The edicine Woman. We will never leave our Holistic roots and The edicine Woman will always offer Shamanic and Energy Healing services.

people, places and things.

Prices

as a Massage Therapist and an

start at $125.00 a service. It scoursMyclean thegave imprints in the Aura. dear friend When the Aura becomes toxic as a result 3. Herbologist. T me a gift certificate and told me The County Woman Newspaper 18 We will also be doing The Terri was very impressive. I went of environmental or emotional pollutants, the chakras become clogged. They Shamanic Healing Circles and our and was blown away with the Step Prosperity Workshop. Illumination Therapy brings about healing at the source, at the blueprint build up residues and begin to spin sluggishly, so weThree do not have energy, work and the valuable information There will also be a few new of our Ibeing. these imprints are erased, one can change negative she provided. have seenWhen Terri meditation lever making us irritated or depressed. Eventually they seizeworkshops up andadded our and immune for several treatments; just as circles available. Just wanted We will keep on balancing emotions and behaviors and the power of the immune system is unleashed so my friends have had multiple system breaks down. Makingand yourepairing succumb to disease to even be in danger to give you something to look your chakras and and sessions. Terri ishealing truly giftedisinaccelerated. Locating these imprints in the Aura and forward to in the fall of 2012!! cleaning out and cleansing your that physical of dying. all that she does. I hope after ra. We will do reflexology to reading them this, you call and make help move the energy to promote We will be offering different erasing helps the Body, Mind and Spirit return to health. Medicine Woman Our Aura is continually informed by both areas the positive andThe negative incidents healing in different of the types of massage that will an appointment!” 33800 Dreamweaver Lane body. Healing done on your increase flexibility, relieve m scle ~Sue M., Lewes, DE wepain experience during our lives. Unsolved psychological and spiritual traumas mind, body and spirit, either at and body tension while Lewes, Delaware 19958 new location or aAura. distant These imprints are formed relievingengraved stress. Choose from become like scratchour marks in our “Terri is an exceptionally gifted, 302-220-1146 Therapeutic Deep Tissue, Swedish healing when you can’t get to spiritual and loving individual. I us. Our prices start attrauma $50.00 a are not www.TerriPippinand Prenatal massage.emotions What will that when the negative accompany healed. For Past highly recommend Terri’s services service. be coming in the future are Thai TheMedicineWoman.com to anyone who wishes to embark Lives these marks are known as Karma. The imprint is the Shamanic source, the chakra ll inati n he a and Hot Stone. Our prices start Healing & on the spiritual path, or to those As always, our Shamanic at $50.00 a service. who simply want to feel better Removal from the Aura. the pipeline and the nervous system distribution only way to Toxic Energy and Imprint Workshops Healing isthe done on a very deep network. The about life.” ~Marty T. and very different level. Full The edicine Woman is now Energy Work erase an imprint is thru the chakra that is compromised. This one hour service is life changing. Spectrum Healing is energy offering fantastic therapies. Massage work done within Shamanic Take that hour or two and let Scrubs $90.00 These imprints can containboundaries instructions that predispose Body us toWraps repeatand certain As Publisher of the Country and with the power yourself drift away to your private Woman’s Newspapers, I can say it of the edicine Wheel. So l sanctuary, person that can events fromwhere thethe past. They orchestrate our meeting love partners who all Mention this Newspaper is the best deep tissue massage I Retrieval will help you recapture

his is an exciting time for The June/Julyedicine 2012Woman 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.

A New Service

needs and gets the attention is you. Our prices start at $80.00 a service.

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!

!

!

!

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

have ever had.

The Medicine Woman

what was physically, emotionally and/or spiritually lost thru traumas in your life. Take that

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Founded by Terri Pippin

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Massage, Energy Work,

The Medicine Woman   Healing Shamanic founded by Terri Pippin

Classes & Workshops

Massage, Energy Work, Body Therapies & Shamanic Healing

235 Rehoboth Avenue, Rehoboth Beach, Delaware 19971

33800 Dreamweaver Lane, Lewes, Delaware 19958

                      

302-220-1146

302-645-8369 (w) 302-220-1146 (c)

medicinewoman6@verizon.net         

June/July 2012

The County Woman’s Journal

teresapippin@gmail.com

TerriPippinTheMedicineWoman.com

~ Elizabeth K.

Terri Pippin CMT, Reiki Master & Shaman, is founder of The Medicine Woman. Terri started her spiritual journey of healing in 1986 when she was first introduced to meditation. She has been a Certified Massage Technician 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 several energy healing techniques. The Medicine Woman is trained in both Celtic and Native American Shamanism and has been a shamanic healer since 1998.

TerriPippinTheMedicineWoman.com The County Woman Newspaper 18

Winter 2016/2017 I 25


Health & Medicine

Losing weight is personal Because every body is unique

At ealthy tco es we s eciali e in non s r ical wei ht loss ach atient eets in a one on one settin with a oar ertifie ei ht oss hysician as well as a ei ht oss cator We offer: Customized diet and nutrition plans • Metabolic and hormonal testing B E Fat burning injections • Appetite suppressants Genetic testing • Maintenance programs • Laser liposuction (i-lipo) r center has all the necessary tools to rovi e atients with a co intervention a in o r s ccess rate over 5

lete wei ht loss

i-lipo (NON-SURGICAL FAT REDUCTION) Do you have a muffin top, love handles or stubborn areas that you cannot eliminate no matter how hard you diet or exercise? For this problem, Healthy Outcomes offers i-lipo, a laser alternative to liposuction. This is what we call “the miracle machine.” The i-lipo system emits low-level laser energy, which makes the fat cells open pores and release the fat which is then transported around the body where it will be burned off. You can treat any area from you neck to your calves in just 20 minutes.

No pain ~ No downtime ~ No surgery Cellulite reduction ~ Tighten skin ~ Reduce Fat INSTANT RESULTS

Healthy Outcomes now introducing genetic testing! What is genetic testing? ei ht can be in ence by any enes he way we eat the way o r bo y rocess foo etabolis an o r res ltin health are all relate to o r enetics enetic testin hel s i entify best way to se ietary an e ercise chan es for s ccessf l wei ht loss ealthy wei ht A testin is a co rehensive test ai e at assistin hysicians in treatin obese an overwei ht atients t tests for a variety of enetic ar ers that have been fo n to in ence iet etabolis eatin behaviors an e ercise relate traits as well as wei ht relate health con itions an e ications enetic testin also rovi es an insi ht on how an in ivi al s iet ay i act his or her ris for isease his allows s to a e a stron er i act on atient health by ersonali in iet an e ercise reco en ations for better wei ht loss an overall health nowin s ecific enetic re is osition for wei ht ain loss will also allow s re ce the ris of re ainin wei ht after wei ht loss

Call for a consult...most insurances accepted

Fabricio Alarcon, MD, FACP Board ertified in besity edicine ennifer orelli eight Loss irector

26 I Winter 2016/2017

2 Lee Avenue, Georgetown, DE 19947 I 302.856.4022 I www.healthy-outcomes.com

The County Woman’s Journal


Health & Medicine en o et a s ot, o can el li esavin vaccine to a c ild in need.1 ic

accine is Ri

rovide a

t or o

3-Strain rotects you from most common u strains. eant for nyone months older. 4-Strain rotects you from common u strains plus an additional strain. eant for nyone months older. Immune-Boosting esigned to deliver a stronger immune response. eant for hose older. Preservative-Free oesn t contain any traces of thimerosal mercury. eant for regnant omen those allergic to mercury.

Come in and get your Vaccine at

sk your pharmacist if the u shot is right for you especially if you have any egg allergies or past allergic reactions to the in uen a vaccine or have ever had uillain Barr yndrome B . When Should You Get the Vaccine? s soon as the u shot becomes available full immune response to the u takes about t o eeks to develop so getting the u shot early ill protect you before the peak of u season. or every immuni ation administered algreens ill make a donation of . from to the nited Nations oundation up to a ma imum donation of per term. or more information go to algreens.com eta hot https . algreens.com pharmacy immuni ation pharmacy immuni ation shot at life. sp . accines sub ect to availability. tate age and health related restrictions may apply.

1

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

The County Woman’s Journal

TODAY!

$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

Winter 2016/2017 I 27


Health & Medicine

Rethinking Our Approach To Pain It’s time to change the way we approach pain. The services of doctors of chiropractic, along with other non-drug forms of pain management, can be an important part of the solution to the opioid epidemic gripping the United States. While medication may be necessary for some patients, there are cases—particularly those involving chronic pain—where a more conservative approach may alleviate pain and even lessen or eliminate the need for prescription painkillers.

A Problem of Epidemic Proportions Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of tens of thousands of people in the United States. According to the Centers for Disease Control and Prevention (CDC), as many as

one in four patients who receive prescription opioids long term for non-cancer pain in primary care settings struggles with addiction. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids. Deaths involving opioids have quadrupled since 1999; in 2014 alone, more than 14,000 people died from overdoses involving the drugs. That same year, another 2 million people abused or were dependent on opioids. Beyond the risks of addiction and overdose, prescription drugs that numb pain may convince a patient that a musculoskeletal condition is less severe than it is or that it has healed. This misunderstanding can lead to overexertion and a delay in the healing process…or even permanent injury. The problem of prescription drug overuse and abuse reaches

beyond the general population. New research suggests that the rising prevalence of chronic pain and opioid use by U.S. combat military personnel is cause for serious concern. The study, published online as a research letter in JAMA Internal Medicine, is accompanied by an editorial recommending that the goal should be nothing short of a “cultural transformation” in how pain is managed. Rising Recognition of the Value of Non-Drug Approaches to Pain There is a growing body of research that validates the effectiveness of chiropractic services, leading many respected health care organizations to recommend chiropractic and its drug-free approach to pain relief. The Journal of the American Medical Association, in a 2013 patient page on low-back pain, suggested patients consider chiropractic treatment before

resorting to surgery. In 2015, the Joint Commission, the organization that accredits more than 20,000 health care systems in the U.S. (including every major hospital), recognized the value of non-drug approaches by adding chiropractic to its pain management standard. Most recently, in March 2016, the CDC, in response to the opioid epidemic, released guidelines for prescribing opioids that also promote non-pharmacologic alternatives for the treatment of chronic pain. hi actic fi t We encourage patients and health care providers to first e haust conservative forms of pain management, when appropriate, before moving onto riskier, potentially addictive treatments such as opioids. www.acatoday.org

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.

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.

28 I Winter 2016/2017

TESTIMONIAL I tried chiropractic many years ago for vertigo and was so impressed with the immediate relief I received after only one visit. Now as an avid senior golfer, I see Dr.Tracy on a regular basis to keep me pain free. Her approach to chiropractic is both professional and personal and I would recommend her care to everyone. - Daisey H.

The County Woman’s Journal


Health & Medicine

“Now I Lay Me Down To Sleep” By Cindy Nigro Ph.D.

I

nsomnia is becoming an epidemic in our society. As with everything, there are pluses and minuses to the advancements we’ve made; for instance, electric light. It’s wonderful that we’re no longer dependent on the sun as our sole source of light. We can have light anytime, anywhere we want it! On the flip side of this, we now feel compelled to work more (because we can), in a 24 hour society. So, in addition the stress this adds, we’re also now subjected to more blue light during times that nature did not intend. Blue light suppresses the hormone, melatonin, which is necessary to induce sleep. And so it goes! Unfortunately, the world we presently live in does not lend itself well to our getting a good night’s sleep. But, it is the world we have, and for the most part, enjoy! So, given our situation, what are we to do? A sleeping pill may be effective at addressing your sleep problems in the short-term, however, often times, they can lead to a number of side effects such as daytime drowsiness and next day impairment. If you’re thinking sleeping pills, you may be headed in the wrong direction. Cognitive Behavioral Therapy for Insomnia, or CBT-I, is a drug free treatment, and is now the first treatment of choice. The inability to sleep well, not related to physical issues, or serious psychological disorders, is what’s called Primary Insomnia. CBT-I addresses the cognitions and behaviors that might stand in the way of your getting to sleep, staying asleep, or both. It is a wellresearched, standardized treatment program with a specific protocol that must be followed. It’s not easy, but the payoff is that you could have vast improvement in as little as six to eight weeks!

The County Woman’s Journal

What is required is that you begin by keeping a “Sleep Diary” to evaluate your sleep habits. It would include such things as the time you go to bed, time you to go to sleep, number of awakenings, etc.

to occur. If there is a problem at any junction, insomnia occurs. Everyone has their own individual genetic preprogramming, and their own experiences and psyche that also play a role.

After your particular issues have been identified, detailed instructions about “Sleep Hygiene” would be discussed, and you would need to follow through with necessary changes. For some individuals, this solves the problem, although that is not common.

If you are experiencing insomnia, Delaware Sleep Disorders Centers has a team of professionals that provide a variety of diagnostic and treatment tools to evaluate and correct a number of sleep disorders. CBT-I is one of the many solutions we offer.

The next step involves what is called “Stimulus Control”. Going to bed and getting out of bed at certain times are examples of this. The more time you spend awake in bed, the more you associate your bed with wakefulness, and not sleep.

About the author: Cynthia Nigro, Ph.D., Clinical Psychologist is now working at Delaware Sleep Disorder Centers after many years of being in private practice. She originally trained at the Center for Cognitive Therapy at the University of Pennsylvania, but after becoming fascinated

by the connection between the mind and the body, she began extensive training in all modalities of Biofeedback. Presently she combines these therapies to optimize treatment for those with sleep disorders. Delaware Sleep Disorder Centers, LLC, is staffed and equipped to evaluate and treat most sleep-related disorders. Diagnosis and treatment for many disorders may begin after just one night. When performing a sleep study, our technologists work closely with our medical director – (a physician who is board certified in Sleep Medicine, Pulmonary Medicine or Neurology) – to identify and confirm sleep disorders, measure their severity and recommend multiple treatment options.

If you’re still not sleeping, you then move to “Sleep Restriction”. This is the most diffic lt step and best done on a weekend or some other time you can tolerate a few days of being fatigued or experience daytime drowsiness. This involves limiting the amount of time you are allowed to sleep. The good news is that it doesn’t take many nights of this for it to work! During all these steps, negative cognitions associated with sleep and other stressors are discussed and reassessed. Obsessing about problems when you’re supposed to be sleeping will only make them worse. While healthy sleep is important, not everyone needs eight hours, and even if you do, a few bad nights are not a disaster. Finally, there are many different relaxation techniques that are useful not just for sleep, but for other stressful life situations. Everyone should be aware of one that works for them. Knowing how to calm yourself has been proven to be of benefit for overall good health. While sleep may seem passive, your body is very active during sleep, and legions of bodily processes are taking place that need to work in sync for sleep

Locations:

Sandhill Medical 118 Sandhill Drive Suite 201 Middletown, DE 19709 701 Foulk Rd. Suite 1G Wilmington, DE 19803 Connor Building @ Springside Plaza 300 Biddle Ave Suite 102 Newark, DE 19702 Medical Arts Bldg., Beebe Health Campus 18947 John J. Williams Highway Suite 213 Rehoboth Beach, DE 19971 20930 North DuPont Boulevard Suite 202 Georgetown, DE 19947

www.DelSleep.com

Winter 2016/2017 I 29


Health & Medicine

A Patient’s Story! LRHC Employee Rosario Alvardo-Saenz, Patient Kiara Gibbs and Dr. Seema Tayal

In early 2016, La Red Health Center (LRHC) received a $15,000 grant from the Fund for Women through the Delaware Community Foundation. The grant was to help expand women’s health services in northern Sussex County in order to better serve the residents of Milford, Lincoln, Slaughter Beach, Ellendale, Milton and the surrounding areas and fill a health care void here the women’s health care provider supply has been very limited and women’s health care needs abundant. Prior to the grant funding, this area suffered from a void in women’s healthcare services and very limited options for healthcare providers. Kiara Gibbs, who graduated from Milford High School, is extremely grateful that LRHC has expanded women’s services in the Milford area. Ms. Gibbs, who was 18 at the time, contacted LRHC for a breast examination when she discovered a lump in her breast. “This was a very serious issue for me as I have a very strong history of breast cancer in my family,” Ms. Gibbs said. “I called my family physician who could not see me for three weeks. Everywhere I called told me there would be a delay in getting me in to see a doctor. Because of my family history, I wanted to see someone as soon as I could. Someone told me to call La Red and they were able to schedule an appointment for me that same day.” While performing a breast exam, Dr. Tayal and her Medical Assistant, Rosario Alvardo-Saenz found two masses and Ms. Gibbs was immediately sent for a breast ultrasound hich confirmed the

two masses. This led to a biopsy which confirmed that the masses ere benign a great relief to Ms. Gibbs. “They were so nice and so helpful,” Ms. Gibbs said. “I had results very quickly and, though I need to be followed up with ultrasounds on a regular basis, it was such a relief to know that it wasn’t cancer so quickly. I am now a permanent patient at La Red.” Northern Sussex County has been identified by the federal government as a Medically Underserved Area. The government has also designated it as an area that has a health, dental and mental health professional shortage. This underscored the need for accessible, quality healthcare services. LRHC is the only ambulatory care, sliding fee safety net provider serving Sussex County. Ms. Gibbs said that she is very thankful that La Red Health Center opened its newest location in Milford, which is now available to provide her, the residents of Milford, and residents in the surrounding areas with increased access to women’s health care services. “Not only did they get me in quickly and diagnose my issue, they were so nice,” Ms. Gibbs said. “The doctor helped me understand what was happening. It was as if she was more of a motherly figure to me than ust a doctor. he as calm and soothing during what was an extremely serious health issue for me. She never made me feel like my concerns were silly or unfounded, even when the tests showed I didn’t have cancer. They made me feel comfortable and they helped me so quickly. I highly recommend them to anyone who needs healthcare.”

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, both of which are being integrated into the overall PCMH model. LRHC will also be pursuing NCQA recognition for the Milford site in 2016. 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 Medicare and Medicaid, most commercial insurance plans, 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. LRHC is now accepting new Medicaid patients. For more information or to make an appointment call 302-855-1233 or visit us at www. laredhealthcenter.org.

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.

30 I Winter 2016/2017

The County Woman’s Journal


Health & Medicine

What Can You Expect During a Healing Touch Session? CLAUDIA ALESI, HTCP, CPC ealing ch e tifie actiti ne e tifie li tic ance cat e tifie li tic ini te actiti ne Reiki Master/Teacher e tifie ife ach

H ealing Touch is a g entle ene fie t e a t at faci itates a ee sense of ca an e a ation as e as o e a an s ecific es onses fo ea in of t e o in an s i it o n e stan ea in o c o st t in of o o e ten in e on o s in ea in o c a ances t e fie of energ y emanating from your o in o e to e ce st ess an ease ain s a ealing ouch ertified ractitioner I use the 10 step Healing Touch Sequence that was taught in the Healing Touch ractice curriculum. y goal is to restore balance and harmony in your energy system thereby placing you in a position to self heal. uring your first visit ill conduct a personali ed questionnaire e plain ealing ouch and go over any questions that you have. or each subsequent session e ill do follo up assessments to ensure you are getting the results you need. ill conduct a pre treatment energetic assessment to assess your energy centers chakras and the energy field surrounding your body and find areas of imbalance. ogether e ill discuss mutual goals and hat you hope to gain from the session. our treatment goals may be stress management the promotion of rela ation reducing pain reducing an iety strengthening the immune system creating a sense of ell being reducing the effects of trauma and chronic pain preparing for or recovering from surgery support during chemotherapy radiation deepening your spiritual connection or supporting the dying process.

Ne t ill begin the intervention part of the ealing ouch treatment based on your history your healing intentions and your preferences. his part of the session is done in a serene and peaceful environment ith soothing music to help facilitate the relaxation response which supports healing physically emotionally mentally and spiritually. uring the session you ill remain fully clothed hile lying do n on a treatment table. ven though typically provide ealing ouch sessions in my office ealing ouch can be done in the home hospitals nursing homes and hospice. epending on your preference and permission ill use my hands to clear and balance your biofield as needed using either off the body touch near the body but no touch at all or a light gentle touch hich is still over various areas of the body. t the end of the session e ill conduct a post treatment energetic assessment and evaluation based on both of our e periences. ill ask for your feedback and any sensations or e periences you had during the session. any clients typically e perience a rene ed sense of balance. ome feel lighter more energi ed or more focused at the end of the session hile others feel sleepy and rela ed and have a sense of calm and clarity. ome common responses that hear after a session is that they feel balanced at peace cleansed grounded light and hopeful again. ome clients feel this ay right after the session hile others may not until a day or after ards. ccasionally you may e perience an acceleration of the healing cycle and your symptoms may actually intensify for a short time. ometimes you may feel nothing at all. ome clients have emotional releases such as tears. his is your body s natural healing

i

eco en a ia esi an Oasis ea in ente a a f e ent c ient eca se fin e ene ea in o to e ot co fo tin an ene i in a ia is a a ca in ent e in an ta ente e son e is ene o s it e ti e an no e e Services • Healing Touch, Reiki • Aromatherapy • Life Coaching Ionic Detox Cleanse • Massages Re ex l g • 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.

a

oint ent on 4 1 5 Rehob oth A venue e o ot eac

Oasis ea in

response. here is no right or rong ay to e perience ealing ouch. ogether e ill dra up a plan of care so that you ill continue to heal and to empo er yourself. e ill talk about a plan that ill help you and that you ill en oy. his may include ournaling alking on the beach learning meditation or yoga. he plan is individuali ed for each

ente net

client. fter receiving a series of ealing ouch sessions if you are in agreement ill teach you ho to apply some basic ealing ouch methods on yourself. he number of sessions is dependent upon your needs.

Healing Touch can have profound effects on our health. I believe that we all hold the key to self-healing.

isclaimer s a ertified olistic ancer ducator ounselor and a ealing ouch ertified ractitioner do not diagnose or treat. hey are also not a substitute for medical treatment by a licensed medical professional. he enter for dvancement in ancer Beat ancer.org is an educational center not a medical center and the information provided is meant as a guide for educational purposes only. he resources mentioned are not intended to diagnose treat cure or prevent any disease. he suggestions referenced as a ertified olistic ancer ducator through Beat ancer.org may be of value before during or after a treatment but their appropriateness for any given client depends on many individuali ed factors and should be considered in the conte t of a complete holistic program.

The County Woman’s Journal

Winter 2016/2017 I 31


Profiles Dr. Ileana Smith Leaves a Legacy of Learning and Collaboration at Delaware Tech A lifetime of learning is about to enter another phase for Dr. Ileana Smith, as she retires from Delaware Technical Community College at the end of 2016 after 37 years. She will retire from Delaware Tech as campus director, a position she has held since Jan. 1, 2004. Her journey from instructor to campus director is an inspirational one. mith and her family ed from Cuba on a small boat when she was 11. Growing up she watched her father restart his medical career in the United States, learning English and passing the medical boards after having been a prominent doctor in Cuba. “I fell in love with education because of my life’s journey,” Smith said. “I saw that my dad brought something that was not in a suitcase or a closet; it was something inside of it. It was his education.” mith spent five years as a high school math teacher before leaving to become a stay-at-home mother. Her mentor, Bill Davis, was the math department chairperson at Delaware Tech and insisted she begin teaching developmental math. “I started by teaching one class,” Smith said. “Then one grew to two and I began to fall in love with helping the developmental students and the challenges and barriers they were trying to overcome.” She stayed at Delaware Tech due to the friendly environment and the encouragement of custodian Chris Thompson, who told her she belonged at the campus because “it is a good place, and you’re a good person.” Once she became a permanent member of the Owens Campus faculty, Smith realized she could help implement certain initiatives. In 1985 she presented an idea that would eventually become the current Academic Challenge program. And in 1993 she used her doctoral dissertation on collaboration to create the Sussex County Today and Tomorrow Conference. All of those ideas eventually pulled Smith away from teaching and into administration. “I loved teaching and it was the hardest decision ever to leave it,” Smith said. “I needed a lot of convincing to move from that to roles where I wouldn’t be in the classroom. “But the College has invested in me, and I’ve had the joy of starting many new things while the College was growing and developing.” During her tenure at the Owens Campus, Smith has been the assistant campus director, assistant to the campus director, dean of higher education, assistant dean of development, and was the Collegewide coordinator for marketing and public relations and coordinator for articulation. She was also the first coordinator for cademic hallenge. When she became campus director, Smith leaned heavily on her belief in collaboration by creating numerous partnerships within the community and helped the College strengthen relationships across the state. She said she viewed her role as a convener, to bring quality education to students,

32 I Winter 2016/2017

to assist alumni ith finding obs and to help local businesses ith ob creation and ob fulfillment. mith al ays took those obligations and responsibilities very seriously. t as a firm belief that in order for things to be sustainable over time you have to be able to do it with others,” she said. “If you can do it in a collaborative way and bring people together, then you are sharing resources and you can do so much more.” Much of her time as campus director was spent getting to know students, business owners, and faculty members. Smith wanted to know as many students as she possibly could, and wanted to hear each one’s story about why they enrolled at Delaware Tech and what their future goals were. She regularly held Dining with the Director meetings where she would talk to students over breakfast or dinner, answer their questions, and get their input on anything related to the campus. She also made sure to involve students in the annual Donor Appreciation and Legacy Society Luncheon and Scholarship Luncheon, which allowed donors and supporters of the campus to meet the students they were helping. In addition, she took time to develop the employees of the Owens Campus, helping them grow as individuals and providing them opportunities to learn, lead, and realize their full potential. “In a way I got to be the College in that role and invest in our people,” Smith said. The Owens Campus also grew in a variety of ways during Smith’s tenure as campus director. Most notably the annual Starry, Starry Night Gala fundraiser evolved into the destination event in Sussex County that raised nearly $400,000 in 2016. The campus has expanded with Energy House, a new science wing on the Jason Technology Center, a new continuing education commercial kitchen lab in the Carter Partnership Center, and two buildings at the Sussex County Airport to house the Aviation Maintenance Technology program. There were also a variety of new academic programs started during her tenure, including food safety, information security, aviation maintenance, renewable energy solar, energy management, and diagnostic medical sonography. Retirement will allow Smith more time to be a daughter, wife, mother, and grandmother. She is especially ready to be around her grandchildren more often. “Maybe the old teacher can be part of their growth and development,” Smith said. “I look forward to the excitement of seeing things anew through their eyes.” As for the campus and college communities that she is leaving, Smith has no doubt that ela are ech ill be fine ithout her. “I think the College will continue to soar because it’s true to its mission and there’s a tremendous need for the work we do,” Smith said. “The College will continue to evolve and what it looks like will be determined by the needs of the community. But the core of what we do will never change.” Dr. Smith with Dr. G. Timothy Kavel, former Vice President and Campus Director, and Sue Saliba at the annual Starry, Starry Night Gala in 2003.

The County Woman’s Journal

Th


Profiles

Leslie Brown

Ford Waggoner

Melodie Carter

President and CEO Hudson Health Services

Ford Waggoner has been a marketing professional for his entire career. Beginning with an 18 year stint at Colgate-Palmolive where he learned and honed his marketing skills, he later worked for Chesapeake Utilities as a Marketing Manager, and eventually transitioned into his current job as Director of Marketing and Maryland Public Affairs with Easter Seals Delaware & Maryland’s Eastern Shore where he recently completed 15 years of service. Along the way, Ford earned his BS and MBA degrees at Salisbury University. Working for Easter Seals has been the most rewarding job he has ever held, and the reason for that is Easter eals status as a non profit organi ation dedicated to a mission of helping people with disabilities attain greater independence through its many disability services. He states that while it was fun connecting people to the world’s best-selling brand of toothpaste, it has been enormously and personally rewarding seeing his marketing programs connect people directly with disability services that are life changing and ongoing. Ford’s other interests over the years have included being active in his church and in his Rotary club. In addition he often plays golf on his days off, and very recently attained his first hole in one yards . e and his wife Leslie have been married 39 years and reside in Salisbury. They are blessed to be the parents of two great children and three grandchildren. Ford looks forward to his next transition in a few years from a full time Easter Seals employee to an engaged Easter Seals volunteer.

Melodie Carter is Vice President of Business Development and Marketing at Hebron Savings Bank. She has proudly represented the bank with her impeccable customer service and dedicated community involvement for 43 years he is currently serving as a board member for the Salisbury Area Chamber of Commerce, the Life Crisis Center, Women Supporting Women, the Wicomico County Fair, and the Wicomico Farm and Home Show. She can be found many nights and weekends working and supporting fundraisers for organi ations that are near and dear to her. The Salvation Army, the Wellness Community of Delmarva, March of Dimes and the Community Foundation are just a fe of these organi ations that benefit from her positivity and sel ess desire to serve our community. She was presented the prestigious award of Humanitarian of the Year in 2012 by the Salisbury Area Chamber of Commerce for her efforts. Melodie’s dedication to her hometown of Hebron and desire to support small businesses in our community have fueled her long time, successful career at Hebron Savings Bank. She visits many customers on a regular basis assisting them with everything from loan applications to business plans to online banking. Hebron Savings Bank customers recogni ed elodie s personal service voting her the inner of etropolitan aga ine s Best Banker Award in 2009. She recently utili ed her long time banking e perience to serve as a udge for the almer Gillis Entrepreneur Award presented by Maryland Capital Enterprises. Melodie resides in Hebron, MD and enjoys spending time with her 2 Sons and 5 grandchildren. When she is not working or volunteering, she enjoys planning fun events and traveling with her friends and family.

Leslie Brown is the President and CEO of udson ealth ervices a non profit inpatient, Substance Abuse Treatment Center in Salisbury, Maryland, that also operates five sober living residences the au and Corinthian houses in Georgetown, DE and the Walnut, Chestnut, and Broad Street houses in Salisbury. Leslie constantly strives to maintain the quality of services offered at Hudson Health, which has earned the organi ation he oint ommission s old Seal of Approval” for the past 11 years. Leslie is a native of Montgomery County, Maryland who relocated to the Eastern Shore in 2003. She received a Bachelor’s Degree in Accounting from the University of Maryland and orked for many years in a financial capacity for other non profits. t as her personal experience with the devastation that alcohol addiction causes within families that lead her to ork in the field of addiction treatment. n this field there are many challenges e plains Bro n. lmost every day we hear about people dying as a result of the Disease of Addiction. When they ask for help and get into treatment, we get to see transformation right before our eyes. It’s what gives us the motivation to keep going, even on the hardest days.” Leslie credits her highly-skilled staff, her leadership team, and her supportive Board of Directors for the successes Hudson Health Services has celebrated over the years. The organi ation has future plans to e pand their services to offer Outpatient Treatment in Salisbury. For more information about Hudson Health Services, please visit www. Hudson-Health.org.

The County Woman’s Journal

Winter 2016/2017 I 33


Profiles

Dr. Fabricio Alarcon Dr. Fabricio Alarcon completed his medical school at Cayetano Heredia Peruvian University, where he graduated in the top 10% of his class. He completed his Internal Medicine training at The Cleveland Clinic Foundation in Cleveland, Ohio in 1998. He received the award of “Best Senior Resident of the Year” in 1997. He was subsequently elected Chief Medical Resident and served as such from 1998 to 1999. Dr. Alarcon has been a diplomat of the American Board of Internal Medicine since 1998. He was subsequently honored as a Fellow of the American College of Physicians. Dr. Alarcon moved to Delaware in 1999, where he started his primary care practice. In r. larcon became board certified in Obesity Medicine by the American Board of Obesity Medicine, and he scored in the top 10% in the nation in his Obesity Medicine Board exam. He is the founder and owner of Atlantic Family Physicians, a primary care practice. He has dedicated his career to address serious problems that affect our community, such as obesity, inadequate access to medical care, and drug addiction. This is re ected in other positions he holds. e is the founder and owner of Healthy Outcomes Medical Weight Loss Center; he is the Medical Director of La Red Health Center (a ederally ualified ealth enter a arded as level 3 Patient Centered Medical Home); and he is also the Medical Director of Addiction Medical Solutions. His hobbies include tennis, soccer, traveling, and spending quality time with family and friends.

34 I Winter 2016/2017

Craig Clarke Director of Pharmacy and Retail Operations, Delaware

Craig Clarke joined Walgreens in 1992 as a management trainee in Connecticut. During his tenure, he has held various leadership positions, including store manager in Connecticut, and district manager in Ohio, Missouri and Delaware. In 2015, he was promoted to Director of Pharmacy and Retail Operations for the Delaware area (74 stores). As the director for pharmacy and retail operations, Craig is responsible for operationalizing and executing area strategies to integrate all Walgreens businesses offering products and services within the area, including retail self-service, retail pharmacy, clinics, specialty pharmacy, and other business units as appropriate. In nearly 24 years, Craig has demonstrated the qualities and vision that has made him an effective leader, with a strong emphasis on communication and team member engagement. He has being very active in the community, currently serving as a board member of ADA Delaware, Delaware Junior Achievement, Delaware HIV Consortium, and also as a board member of Delaware Food Industry Council. Craig earned a Bachelor of Science degree in Business Administration from Southern Connecticut State University in Connecticut.

Mike Baker Mike Baker is the founder of C.M.Baker Photography with over 25 years experience. His photography ventures have been quite diverse. hroughout the year you may find him shooting a wedding, a Quinceañera, in the pits of a NASCAR race at Dover Downs and now at front stage at the ire y estival or ying over doing aerials. Giving back to the community has always been an important part of it all. Mike was awarded “Volunteer of the Year” from CDCC (Central De Chamber of Comm.) in 2005, ”Volunteer of the Year” from Kent County Tourism 2010,”Chairman’s Outstanding Partnership Award from CDCC in 2010 along with “Business Person of the Year” from CDCC in 2008. Since ike has been the official photographer for the KC Heart Ball and for the “Go Red” in Kent County since it’s onset. Some of the past and present organizations have been: MD Kidney Foundation, De Breast Cancer Coalition, Various De Fire Companies, Bayhealth Foundation, Beebe Hospital, Dover Air Force Base, Autism DE, Relay for Life, MS Bike to the Bay and the Amish Bike Tour , to name a few.

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Health & Medicine

ADHD: Not Just A Childhood Disorder often far outweighs any negative connotations some might have with an ADHD diagnosis. Better still, the diagnosis brings awareness and with it the ability to take action to improve symptoms by coming up with a treatment plan that works.

Treatment Options

By Liz Brown, Be Well Life Coaching

M

any think ADHD or ADD as it is commonly known is just a childhood disorder. In reality, 70% of childhood sufferers continue to have symptoms as adults. ADHD is an often misunderstood neurobehavioral disorder affecting approximately 11% of school aged children and 8% of all adults.

There Are Two Types of ADHD: Inattentive or Hyperactive/Impulsive. A person can have one type or a combination of both. Classic symptoms are a combination of restlessness, distractibility, impulsiveness, forgetfulness, procrastination, losing track of time and possessions, diffic lty planning, clutter, troubled relationships, trouble concentrating, sleep disturbances and at times hyperfocus. Teen and adult symptoms are generally different from symptoms in children. In adults, hyperactivity may feel more like restlessness. It can result in excessive talking or racing thoughts. Impulsiveness can result in spending too much, eating too much, interrupting others or blurting out words without thinking.

While numerous medications exist which are used to help lessen symptoms of ADHD, research shows that medication alone will not work fully, as many of the symptoms noted here are actually life skills – and these skills can be better-improved through other means. Studies have found that an integrative treatment approach that includes non-medication based treatments works best for long-term management. Integrative treatments include ADHD coaching, therapy, accommodations at school or home, proper nutrition, sleep ma nagement, stress management, neurofeedback and aerobic exercise in addition to several other options.

Coaching Support For ADHD An ADHD coach is a life coach who specializes in helping with the unique challenges of ADHD. The purpose of coaching is to facilitate lasting change by helping the individual to gain self-awareness and learn new skills to reach personal goals. For instance, a coach can: help an individual develop systems for managing and organizing time

and belongings; design strategies to manage and even control impulsive behaviors and thereby improve relationships; identify an individual’s unique strengths which they can then use to mitigate weaknesses; help a person overcome the procrastination and the overwhelm that often occurs in ADHD. In all cases, a coach provides support, and helpful feedback, as the plan unfolds and progress is made. In addition, an ADHD coach can specifically help identify exec tive function challenges that are hindering success. We help you apply strategies to your challenges so you can reach your goals.

Combining Wellness And ADHD Coaching Sleep, proper nutrition, aerobic exercise and stress management are all critical factors in managing and thriving with ADHD. Creating a plan which incorporates all of these components of wellness will help improve attention and memory, reduce impulsivity and hyperactivity, and help the mind relax. Evidence shows that mindfulness can help with management of many symptoms incl ding racing mind, diffic lty in relationships, and even the low selfesteem that results from years of struggle. A wellness coach can help identify obstacles in these areas and help develop workable solutions with the client.

Testimonials: “Individuals with ADHD often feel shame and embarrassment in their ability to ‘get it together’, which means having a coach with a compassionate attitude is crucial; Liz has that attitude as well as a deep knowledge base of ADHD treatment strategies.” ~ L.S. Wilmington “Liz helped bring awareness to the various ways my ADHD symptoms ere in encing m life o t at can continue to use my newfound skills and strategies in all areas of life.” ~ S. H. Newark Credentials: Liz Brown is an ICF Professional ertified ife ellne and Coach. Her mission is to help clients identify their personal and professional dreams, goals and visions and support them every step of the way to sustained success.

Wondering whether coaching is for you? You can determine that. To learn more or to schedule a complimentary one-hour session, please call me at 302.584.5521 or email lizbrowncoaching@ gmail.com

Adult Diagnosis Many people are undiagnosed until adulthood even though their symptoms have been a lifelong challenge. Sadly, these adults may have been unfairly labeled as children as lazy, impulsive, stupid, messy, or unmotivated. Fortunately, over the past decade increased overall awareness of the disorder has helped more adults get a proper diagnosis. Adults receiving an ADHD diagnosis are often relieved to have revealed to them at last the cause of their attention, memory, impulsiveness or organi ation deficits. This relief

The County Woman’s Journal

Winter 2016/2017 I 37


Elizabeth Duncan, MD, MBA-HZ Health & Medicine Otolaryngology, Board Certified Health Policy Administration Full Service Ear, Nose and Throat Allergy, Hearing, Balance Services Swallowing, Voice Disorders, Head & Neck Cancer reduce onset of depression in the By Elizabeth Duncan, MD, MBA-HC Tinnitus or Ringing in the Ears Testimonial elderly by p to fifty percent, while “My mother and I came to Dr. This problem, ringing or Sinusof andDuncan’s Ear Disease; n today’s active and youngleading to anApnea; improved feeling practice for help with a buzzing or hissing in one or Reflux-Sleep medical disorder of her ears. We Iself-image thinking society, many people’s well-being. both ears, brings people to the Tinnitus Maskers knew she also had hearing does not include wearing otolaryngologist s office even Medical Skin Care; State-the-Art Safety diffic lty and was nable to hearing aids. Notwithstanding more frequently than a complaint and Advanced understand conversations even Simply, if youHearing do not hearAids a that hearing-assistive devices of decreased hearing. For the

Live Longer-Live Better Through Better Hearing have become nearly invisible and technologically advanced with multi-channel programming and smart phone compatibility; there are numerous reasons that normal hearing is extremely important, even crucial, to overall health and well-being.

otolaryngologist, tinnitus is an important problem. What medications are being taken? What is the history of noise exposure? What is the degree of accompanying hearing loss and is it in one ear or both? If it is in both ears in the presence of, especially high frequency hearing loss, it suggests where on the hearing nerve degenerative changes have occurred—the pitch of the tinnitus matches to the location on the nerve where these changes have occurred. After taking a history and ordering and evaluating the appropriate testing, the otolaryngologist may recommend hearing aids to mask the tinnitus. Once the patient can hear at normal loudness, the tinnitus fades. The otolaryngologist also has other suggestions for moderating tinnitus.

hand or a smile and simply sit in silence. The person who greeted him may simply think he is being unfriendly and turn away. That older person lost the stimulation and reinforcement of touch, voice, and visual acceptance in no more than a moment.

How many times have you or your loved one caught yourself hollering to make yourself heard? Frustrating, isn’t it? Most times, it leads to either harsh words or eventually to just not talking to each other. This deprives both parties of meaningful conversation and interaction. Think of walking through the halls of a retirement home—with staff yelling at residents because “they can’t hear” them. Nobody wins. Remember when your aunt or uncle smiled and nodded at whatever was said to them because they couldn’t hear? The interplay of increasing social isolation, the neurologic implication of lack of auditory stimulation resulting in loss of ability to understand the spoken word, socalled word discrimination loss leading to the need to turn one’s TV to maximum volume setting and the anxiety and depression that can result from a wordless environment brings us full circle to the more pervasive problems of Alzheimer’s, dementia, and mental health issues. Simple management of hearing loss by increasing acuity with hearing amplification can

siren, you cannot react to it. If you cannot hear someone giving a lo d verbal warning or a fire alarm, valuable time can be lost when seeking safety. Most warnings tend to be presented in a high pitch or frequency, and that is the most common type of hearing loss. Not being able to hear such warnings puts us at risk. Better hearing leads to increased safety.

with the hearing aids she had purchased a while ago. Not only did Dr. Duncan handle her problems with compassion and expertise, but she gave us great hope she would be able to understand and comprehend again with more suitable aids. She had a trial period and with a new set of aids and my Mom, who had been told nothing more could be done to help her, is hearing much better, is happier and delighted with all the help provided by this facility. And we purchased 2 hearing aids for less than the one she had before. Also, my mom is 90 years old and has poor eyesight, poor dexterity, and not much patience. And you were able to take ALL of that into consideration and fit her in exactly what would work for her. We cannot say enough good things about Dr. Duncan for helping my Mom to hear better when we were told this was not possible. Thank you so much!” - Dr. Sandra Naumann, Forensic Psychologist, Phila., PA.

How Does Hearing Wellness Increase Delays in Memory Loss/Dementia Decline Normal hearing enables us to be in contact with auditory stimuli created by environmental sounds and social cues. If the brain is not being stimulated by Alzheimer’s & Dementia or words, critical pathways for social behavior deteriorate. The onset of sounds It has been demonstrated that correcting hearing loss can both auditory deprivation begins. Unaided The ears often exhibit word recognition scores importance of the reduce the risk for Alzheimer’s and dementia and increase the life span below that of those patients with otolaryngologist-patient hearing enhancement. Hearing sensitivity relationship in the field of balance and quality of life of those who and hearing health cannot be have it. This is because normal decreases, along with mental acuity. As people age, basic cognitive skills -overstated. Any person who hearing enables the individual thinks he/she has hearing loss, to be in contact with all auditory working memory, the ability to pay attention to a speaker in a noisy environment, ringing in the ears or tinnitus, stimuli in the environment, along balance problems, ear drainage, with the otheror social cuesability that the to process information quickly -- begin to decline and this is linked to recent history of concussion accompany it. If the brain is not or chemotherapy or suspects being stimulated by sound and accelerated brain tissue loss. Hearing loss may be caused by a multitude of an infection should see an words, critical pathways for social evaluate, behavior deteriorate. For instance, medical reasons and should always beotolaryngologist checkedwho outwillby a physician who specializes diagnose, and treat the problem if a hard-of-hearing older person Social Isolation & Hearing comprehensively. cannot hear someone greeting disorders. in hearing him, he may miss an outstretched Deprivation Delaware Otolarygology Consultants, LLC 17316 Coastal Hwy Lewes, DE 19958 Balance & Increased Fall Risk 302-644-2232 Although there are many conditions that affect the hearing and balance nerve, which an otolaryngologist can diagnose and treat, simple age-related hearing loss can contribute to a three-fold increase in the risk of falling. Falls among the elderly and those with balance and mobility problems are a leading cause of fatal injuries and hospitalization. People who cannot hear well often concentrate so hard on trying to hear that they do not pay attention to their surroundings and risk tripping while walking or being struck by another vehicle while driving. Proper hearing amplification which normali es hearing enables the person to localize sounds and decipher where they are originating.

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Health & Medicine

After 8,926,282,242 Cookies, Santa Finally Got Serious About His Heartburn Dr. Samuel Bae

Dr. Bae is a oard-certified specialist in gastroenterology/hepatology who received his medical degree from the State University of ew ork Health Science Center in Brooklyn, . Dr. Bae has een with Hunterdon astroenterology Associates since 2 after an impressive career in ew ork City, speciali ing in the prevention, diagnosis and treatment of cancer at emorial Sloan ettering Cancer Center. Because of my advanced training in cancer diagnosis and treatment, take care of most of our cancer patients in our practice. Cancer is always challenging, ut here at Hunterdon astroenterology Associates, our focus is on prevention as much as possi le. Being proactive whether it means getting a regular colonoscopy, making positive changes to your diet or losing weight is the est thing you can do for your health. en oy talking with patients, teaching them a out their condition and e plaining the rationale of why and how we treat a particular condition. like to think that when a patient leaves my office, they have a solid understanding not only of what they should do, ut also H they should do it. n my e perience, this e tra time and attention helps my patients e more involved in their care and recovery and more motivated to do what they need to do to get etter.

Is it Heartburn or Reflux Disease? Anyone can get heartburn or gastrointestinal re u at one time or another. he symptom is an uncomfortable burning sensation in the chest usually after a large meal. he contents of the stomach including the strong acid that is naturally made there regurgitates up into the food tube or esophagus. his sensation usually eases ith time or ith simple over the counter antacids. o ever in some individuals this re u is frequent or severe enough to have a significant impact on quality of life or cause actual damage to the esophagus. hen this occurs heartburn becomes more than a minor inconvenience and can be a ma or health risk. astro sophageal e u isease or is a common problem. tudies have sho n that every day million merican adults suffer from heartburn. affects people of every race age and socioeconomic class. here does seem to be a significant increase after the age of but anyone even ne born infants can suffer from the condition. any people recogni e that they have heartburn but they sometimes dismiss the problem or ust continue to suffer. hey do not reali e that simple lifestyle and dietary changes can dramatically improve their condition. Ne er medicines and procedures are constantly being developed that not only help the symptoms but can be potentially lifesaving. hile heartburn is by far the most common symptom can present in many ays ithout causing any heartburn at all. ome of the more uncommon symptoms include a sore throat a sour taste on the tongue chest pain that can feel like a heart attack asthma and even sinus problems.

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s acid continually re u es up the lining of the esophagus can be eaten a ay causing severe erosions and even ulcers. his not only causes pain but also can result in bleeding. s the esophagus tries to heal there may be the formation of scar tissue and the esophagus can tighten up to cause a stricture or narro ing. f food gets stuck on the scar you can even start choking. But the most feared and deadly complication of long standing re u is the development of pre cancerous and cancerous tissue. hen the cells of the esophagus are irritated long enough they can change. This is known as Barrett’s esophagus. eople ith Barrett s esophagus are times more likely to develop esophageal cancer than the general population. he good ne s is if you catch this change early enough screening strategies are available that can prevent cancer. he only ay to detect Barrett s esophagus before it becomes a cancer is by performing a medical procedure called an endoscopy and taking tissue samples of any suspicious looking tissue. f you have re u that is not easily controlled or if your symptoms are harming your quality of life a trip to the doctor and a simple discussion about your symptoms can result in a dramatic improvement in ho you feel. ften times basic modifications in your lifestyle and diet are all that is needed. here are no very effective medications that can not only help your symptoms but also can fully restore and heal any damage your esophagus may have incurred due to prolonged acid e posure. f your symptoms persist despite lifestyle and dietary changes or if your medications do not ork then a referral to a gastroenterology specialist may be

appropriate. f you are over years old or have any problems ith food getting stuck or caught in your chest after s allo ing or if you vomit up blood or are losing right you cannot e plain then having an endoscopy ill be necessary. t unterdon astroenterology

ssociates e are e perts in the diagnosis and management of re u . here is no need to suffer anymore. lease call us today to discuss your options for acid re u and . e are here to help. (908) 483-2053 and schedule your appointment today.

After 8,926,282,242 Cookies, Santa Finally Got Serious About His Heartburn (…and so should you). His last stop was Hunterdon Gastroenterology Associates, where the doctors were able to diagnose Santa, stop his chronic use of antacids, and send him back to the North Pole to start preparing for next year’s holiday season. If you suffer from chronic heartburn, you should know that antacids only treat your symptoms, not their cause. With an accurate diagnosis, Hunterdon Gastroenterology Associates (HGA) can treat the problem as its source – and help you avoid a more serious disease. Do you have any of these symptoms?  Chronic Heartburn  A sour taste in the mouth  Voice Changes  Chest pain  Heartburn that disturbs your sleep  A burning sensation in your esophagus  Hoarseness  Dry coughing You may have GERD (gastroesophageal reflux disease) This chronic acid reflux is the result of stomach acids flowing back up into your esophagus (the muscular tube that runs between your throat and stomach). If left undiagnosed, GERD can lead to the precancerous condition known as Barrett’s Esophagus – or worse, to esophageal cancer.

Make an appointment today!

908-483-2053

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908-483-2053 www.HunterdonGastro.com

Winter 2016/2017 I 39


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Law

‘Tis The Season For Safe Driving 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

The next few months can bring with them some of the most challenging driving conditions in Delaware. Whether you are traveling locally or planning a trip to visit friends or family out of state this holiday season, it’s important to take some extra precautions when driving during the holiday season as well as into the winter months. To best avoid unpleasant situations, follow these safety suggestions: Perform routine maintenance. One of the easiest ways to avoid car mishaps is to drive a safe vehicle. Check and rotate your tires, get a tune-up and have your oil changed regularly, at least every six months. Keeping up with these tasks ensures that your vehicle will be in top driving condition for Delaware’s often-treacherous winter weather. Prepare for inclement weather. Due to the unpredictability of the East Coast weather conditions, it’s always a good idea to keep an emergency kit in your vehicle. Emergency kits include items that can help signal others in times of distress, make minor repairs, or help keep you protected from excessive temperatures while stalled. These kits can be purchased for as little as $30.00 or you can make your own. Some items that you might want to include are blankets, water, road ares and tools. or more ideas on hat to include in your vehicle emergency kit, speak to your auto insurance agent or visit www. redcross.org.

A little extra vigilance and a lot of common sense go far in keeping everyone safe during the holiday season and throughout the winter. If we all take these simple protective measures e can significantly reduce the number of serious accidents that occur on our state’s roads and highways. Sadly, every day in our law practice, we see victims seriously injured in automobile accidents due to another person’s negligence or reckless driving. Be sure to follow these guidelines to protect yourself and others during one of the most wonderful times of the year.

WHAT TO DO IF 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. urn your ha ard 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 ill be sent to file necessary reports and exchange information, and will call for medical personnel if needed for injuries;

3. Take Photos. Use your camera or phone to photograph the collision scene to document 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 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. Should this happen, 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;

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; 9. Keep a File. eep a file ith 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 benefits and coverages before a collision. Never wait until after an incident to learn this information. or e ample do you know if you have a deductible, rental car coverage or enough wage loss coverage? 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 six locations throughout the State of Delaware, we are available to serve you.

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 302.217.3390

Attorneys at All of Our Locations:

Free Consultation No Fees Unless We Win

Drive defensively. Just as the old adage goes, sometimes the best offense is a good defense. When driving, be on the lookout for erratic drivers, slippery roads, snowdrifts and other unusual conditions. Never drive at speeds that would prevent you from taking necessary corrective actions, particularly in the evening hen ha ards are more difficult to see.

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Day, Evening & Weekend Appointments Home and Hospital Visits

Susan D’Alonzo Ament

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 302.433.6780

Dover Newark New Burton Road 850 New Burton Road 16 Polly Drummond Hill Road 850 Dover, DEDE 19904 Dover, 19904 Newark, DE 19711 302.213.3071 302.318.8486

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

Winter 2016/2017 I 41


Education

Return to college, boost your career You may have decided you need to add a credential to your resume, or you might be thinking that a college degree could boost your career. The research would back you up. Statistics show that earnings consistently increase with the level of education. On average, workers over 25 years old with bachelor’s degrees earn an astonishing 70% more than their counterparts with high school diplomas. Presidential initiatives underscore the importance of higher education for individuals to succeed and compete. As emphasized in White House statements on education, “Earning a post-secondary degree or credential is no longer just a pathway to opportunity for a talented few; rather, it is a prerequisite for the growing jobs of the new economy.” For many individuals, completing a college degree they may have started earlier in life is an option well worth pursuing, and education researchers project dramatic growth in the number of individuals enrolling in college after the age of 25. n addition people are turning to certificate programs to boost their earnings, add competencies to their professional toolboxes and improve their career prospects. Professional development certificate programs also provide an e cellent ay to earn a credential or retool for a job change. ertificates are non degree programs that offer practical, concentrated study in a particular professional area. They take a relatively short time to complete, generally between four months and a year. ertificates are a homegro n merican invention and are expanding rapidly in response to a wide range of educational and labor market demands,” reported researchers at Georgetown niversity. ma or finding of their study is that the postsecondary certificate has become a cost effective tool for increasing educational attainment and gainful employment in the U.S. But if it’s been a while since you were in school, you may be wondering if college is still right for you. Some prospective returning students feel unsure whether they could be successful in collegelevel coursework after being away from a classroom environment for a while. But time and again, once they’ve started, returning college students report finding a rene ed commitment for success. “In college this time around, I’m focused and I’m here to earn my degree,” said one returning student. “I found that

42 I Winter 2016/2017

my studying techniques and time management skills were much improved from when I was a younger student,” reported another. Most colleges and universities have a continuing education department that will help returning students choose a program or degree that fits ith their educational goals and help guide them through enrollment or registration processes. For those considering a return to college, whether for a degree or certificate program the niversity of

Delaware ACCESS Center provides free academic advisement. Advisors can help identify career and educational goals, develop educational plans, implement decisions, and build learning skills. To learn more about continuing education programs at the University of Delaware, visit www.pcs.udel.edu. To make an appointment with an ACCESS adviser, call 302-831-8843, write to access-advise@udel.edu or visit www.pcs.udel.edu/ access.

Project Management Certificate Classes offered in Dover!

www.pcs.udel.edu/project 1-866-820-0238 (toll-free) continuing-ed@udel.edu

WO120016

The County Woman’s Journal


Business

Why Every Growing Business Needs a Website. Whether it’s a local company or a national chain, virtually every establishment has its own website these days. It’s especially important for small business owners to have one, as they don’t always have the same resources as larger businesses to get the word out to potential customers. With an already long list of things to do, it may be tempting to skip the website and focus on other advertising venues. However, having a strong professional online presence is vital to the success of any establishment. Not convinced? Here are a few reasons why every

Explore DelmarvaVoIP Business Web Packages! Get your business online for as low as $99/mo.

small business needs a website: 1. Saves Money. A lot of small business owners believe they can’t afford to have a professional website made. Truth is, they can’t afford not to do it. With all-inclusive website packages from DelmarvaVoIP, businesses can get a stunning website, hosting, and email starting at $99/month! 2. Saves Time. It takes time to provide all the information consumers need to know about the business. Using the phone, printed materials, emails, and other options really cuts into that time. Keeping the website updated with commonly requested information such as store hours, prices, and location is a huge time saver. Now the business owner can focus his attention on other things. 3. Accessibility. Websites are available 24 hours a day to everyone with an Internet connection. It’s a convenient way for both potential and regular customers to review services and products when the store itself is closed. Given how busy people are today, having that convenience is frequently an important selling point. 4. Credibility. Consumers almost always turn to the Internet to seek out the services and products they need. Having a website will give a business more credibility. If one can’t be found, customers will instead turn to competitors with an online presence. A generic website is a good start, but hiring someone to give it a professional makeover will improve the company’s image and help web searchers feel confident in their choice. It’s especially helpful to those who work from home, since there is no storefront available for promotion. 5. Keep Customers Informed. It’s much easier, quicker, and cheaper to update a website with new information about services and products than it is to update printed material. It’s an effective way to get the word out about special promotions, new items, and upcoming events. Printed brochures and catalogues become outdated while a website stays relevant

The County Woman’s Journal

6. Access a Wider Market. Regardless of what businesses offer, websites give them alternate selling locations. Rather than being confined to a local market, services and products can now be advertised and accessed on a global scale. This opens the doors to an extremely large potential customer base. 7. Advertising Medium. A website is the perfect place for a business to showcase its work, no matter what its niche may be. Having an image gallery or online portfolio and product testimonials or reviews proves to the world the quality of the work and can help convince consumers to make a purchase. 8. Improved Customer Service. Besides serving as a worldwide advertisement, a website is the perfect outlet for business owners who would like to share free tips and advice with their customers without incurring any additional costs. For example, accountants might offer various financial management tips, and an organic food shop can give recipes related to their products. FAQ pages, newsletters, and business blogs are also great ways to give customers a little something extra while encouraging them to keep coming back.

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Winter 2016/2017 I 43


Business

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

www.dsbchamber.com • (302) 482-2120

Hours: 9am to 5pm • Monday thru Friday 103C 120th Street • Ocean City, Md 21842 4_SHCMM_IMP_DOM_VER_5.375x10_PG.indd 1 2_SHCMM_MMP_DOM_VER_5.375x10_1DB.indd 1

44 I Winter 2016/2017

Phone: 410.723.1292 • Fax: 410.723.1294 ocinfo@minutemanpress.com • www.mmpoc.com 1/25/10 5:15:36 PMPM 2/1/10 5:25:19

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Business

L ig htho us e C ater ing 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 P r o p r ieter

854-2883 Cell 302 542-4086 302

20520 Sand Hill Rd., Georgetown

w w w .lig htho us ecater ing de.co m lig htho us ecater ing @ netz er .co m email

ASSISTED LIVING.

INSPIRING LOCATION. The Tides Assisted Living at Cadbury offers all the benefits of a Continuing Care Retirement Community with supportive assistance when you need it. Take advantage of the full campus calendar of activities from the indoor heated pool to a choice of dining from casual to fine dining. Yet have the confidence in knowing that your changing needs will be attended to with the dignity and respect you expect from a Quaker guided not-forprofit community. Imagine all of this on beautifully landscaped 40 acre campus complete with walking trails and gardens only minutes to the beaches of Coastal Delaware. To learn more call 302.644-7996.

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

The County Woman’s Journal

Winter 2016/2017 I 45


Business Supporting Women

Eyebrows thinning? Eyesight dimming? Start the New Year with new eyebrows! We specialize in the Hair Stroke method for subtle, natural results.

WINTER SPECIAL

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

$50 OFF

* Just Mention this Ad! 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

Both offers valid through November.

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

Individual/Group Tours • Birthday Parties

Gift shop featuring alpaca clothing/accessories for men, women, and children; large selection of alpaca yarns, organic soaps and body lotion, Lang stationery products, greeting cards, large selection of Stonewall Kitchen products, and more!

Brand New Additional Location!

28494 Fire Tower Road Laurel, DE 19956

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

46 I Winter 2016/2017

302-236-7950

Hours: Sat. & Sun. and by appointment

www.tacacoalpacasofdelaware.com

Blair: 443-477-2220 Kelley: 302-236-7950

The County Woman’s Journal


Community 2nd Annual

HELP US CELEBRATE!

1917-2017

Tuesday, February 7, 2017 5:30 - 9:00 PM Laurel Fire House ~ Laurel, Delaware

For More Information: Laurel Chamber of Commerce

SAVE THE DATE

100TH ANNIVERSARY

Trap Pond State Park

Email: info@laurelchamber.com

april 7 & 8, 2017

Laurel Chamber of Commerce

Phone: (302) 875-9319 www.laurelchamber.com

1917 - 2017

Laurel, Delaware

DelawareLibraries.org

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Family Friendly Event ~ No Jeep Required Sponsored by the Laurel Chamber of Commerce www.jeeppartyatthepond.com / 302-875-9319

IS Winter 2016/2017 I 47


Business

Hebron Savings Bank is an independent community bank on Delmarva with 13 branch locations and over 130 employees. While providing a friendly, hometown banking atmosphere since 1910 has been our mission, we also strive to be an outstanding corporate citizen, taking pride in our service to the community where our customers and employees live and work.

Member FDIC

Many of our officers sit on boards of various non-profit organizations, such as Habitat for Humanity, The Life Crisis Center, and Women Supporting Women. In addition, local chapters of Rotary, Soroptimist, Chambers of Commerce, and Lions are proudly attended by Hebron Savings Bank representatives. Fundraising, decision making, and organization of local events are all important initiatives among these supporters. Teams made up of Hebron Savings Bank employees have become pivotal in support of local community events such as the Relay for Life (Supporting the American Cancer Society) and the Alzheimer’s Association walks. Fundraising for these events takes place throughout the year with fun activities such as paint nights, candy sales, and coin collections. Dozens of employees have recently represented Hebron Savings Bank, walking and participating in team activities, placing us within the top 5 of earning teams in both the Relay and Alzheimer’s events! Beginning soon, as with each Christmas season, financial support and volunteer hours are contributed by Hebron Savings Bank to many causes that are near and dear to our community. Over 200 hours are manned by employees of HSB in support of the Salvation Army’s Red Kettle Campaign, ringing the iconic red bell. Aid from Bless our Children, Halo, and the Joseph House are also essential to the Delmarva Community especially during the Holidays. Collections for these charities from our employees and customers have provided coats to the homeless, food to the hungry, and toys to underprivileged children. The directors, officers and employees of Hebron Savings Bank are privileged to be able to “give back” to Delmarva, and hope to continue to be an outstanding member of our community, as well as meeting the financial needs of our customers for years to come!

48 I Winter 2016/2017

The County Woman’s Journal


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. figured photo booths ould 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 alls and oors from years of eathering. ut ne ceiling and all coverings ith a hard ood oor. t is decked out ith 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. fter all this is the first one in the First State!

As the sign says in the camper...

GRAB A PROP – STRIKE A POSE!

The County Woman’s Journal

MIKE BAKER C.M. BAKER PHOTOGRAPHY

Winter 2016/2017 I 49


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 50 I Winter 2016/2017

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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

The County Woman’s Journal

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.

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Winter 2016/2017 I 51


Fashion

H

New Vacation and Winter Collections

Hope everyone had a fantastic summer as we here at the Pineapple Princess Swimwear did! With the winter months fast approaching, it is time for women to start planning their Caribbean vacations to escape the empower. cold educate. enrich. weather headed our way and apparently it’s forecasted to be a doozy. So think warm and sunshine and visit the wimwear ot or he Pineapple Princess for all your winter getaway attire and service is huge, especially when swimwear needs. you are dealing with such the sensitive issue as a women’s We carry a wide variety of sizes ranging from XSbody being exposed to the general XXL (4-24) and specialized cup sizing A-G in one population, not fully clothed. This Thanksgiving I had received pieces, tankinis and two piece bikinis in name brands past a card in the mail. I would like to share it with you all because such as Tommy Bahamas, Sea Folly, Sea Waves, it sums up why I love what I do Sunsets, Swim Systems, Betsey Johnson, and why I love my all my royal and truly appreciate William Rast, Becca, Maxine, Penbrooke and customers each and everyone of them. I know Miss Carol won’t mind me so many more. Match any swimsuit with sharing... a beautiful coverup and/or dress for the Dear Donna, HAPPY NEW around YEAR toin all... perfect beach day or cruising This note is extremely belated, but since this is the season for ith such all the cold weather a resort town in brands as Dream surrounding us, heavy coats, giving thanks I really wanted to write you. Thank you so much for Dance, JValdi, Tommy Bahama, scarves and gloves are Dotti the main the time you took with Susan and in our wardrobe this and many more.essentials We will even doll me back in the beginning oft the time of year. Still, swimwear is summer. Buying a bathing suit was very much onfor the a minds of many you up with accessories special almost impossible for both of us, women, whether it is because and for t e fir t time o made it evening out and about or justto to of the trip planned warmer both productive and fun. Then you weather down south, physical lounge aroundtherapy the beach. ourdoctor added alterations and door-to-door ordered Let by their delivery, we couldn’t have asked for or maybe for a hand water exercise staff help to personally select more. In addition to the service, it class to stay in shape over the s im ear to winter givemonths. that perfect fihere t to was so nice to have such a selection Therefore, of suits. We have recommended Pineapple Princess Swim and any woman’s at shape. your shop to a number of people Resortwear we are open seven from this area who vacation at the days a week throughout the year or the fifth year no e have Delaware beaches. Thanks again to provide women an opportunity swim and demand resortwear our for your help, Happy Thanksgiving! brought backtobyfindpopular -Carol during the winter months. Alison Sheri and Elena Wang winter During this time we reduce the of all of our collections left collections ofprices sweaters, leggings over from the previous summer season. clothing All 2010 inventory is and blouses. These pieces now seventy five percent off. r are exquisite for women who aren’t 2011 collections are now arriving throughout the next few months. in the market for a new swimsuit yet It is always an exciting time for as we start filling the this just want to jazz ups their wardrobe Pineapple Princess with all the holiday season. new fresh color and patterns. We take pride in being able to offer All 2016 summer gals ofapparel any age orand size one of the largest selections of swimwear swimwear is now at 30% off and will at the beach. With over twenty-three continue to increaseyears as the winter fitting months of experience women in swimwear, we try to give our approach. Winter items will go on sale customer a friendly, comfortable atmosphereas to find thatWe perfect closer to the holiday shopping well. suit among the extensive selections that we bring in. are open 7 days a week 10am-5pm SundaysThursdays and 10am-7pm Fridays and Saturdays. ver the two pl s decades I have spent in retail, I never Come visit the Pineapple galsthat and les all have a tire of working with women and on the challenge of making blessed rest of 2016 and holidaytaking season!

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resort wear

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r goal at ineapple rincess 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.

each and everyone of them feel good in a swimsuit. I have always felt that is what has set us apart from the competition with the big retail department stores. Personal

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Automotive Automotive H O L I DAY G I F T C E RT I F I C AT E S AT R E H O B O T H C A R WA S H

HOLIDAY GIFT CERTIFICATES AT REHOBOTH CAR WASH Chris Dispoto Owner/Operator

Chris The Dispoto Owner/Operator holidays are certainly a

busy time of year for most peo-

The certainly busy ple.holidays The Carare Wash is no aexception. For for some reason, time of year most people.people The Car likeistheir cars clean the reaWash no exception. Forforsome holidays. Whether theyclean are for son, people like their cars traveling or hosting guests or the holidays. Whether they are travjust spending them quietly at eling or hosting guests or just spendhome there is a surge around ingthe them quietly at home there is a holiday season to get surge around the holiday season to get cleaned up. cleaned up. Holiday gifts we offer also

cause quite a stir from now through the year. Holiday giftsthe we end offerof also cause quite Our discount cards, gift a stir from now through the endcards of the and gift certificates have beyear. Our discount cards, gift cards come very popular stocking and gift certificates have become very stuffers over the years. They popular stocking stuffers over are a great idea for that hardthe years. They a great for that to buy forare person oridea anyone hard to buy person or through anyone who who has for a car. Now holidays we havethe special hasthe a car. Now through holidays offers on a couple different gift we have special offers on a couple options. When you pre-pay for different gift options. When you prefive washes, you receive a dispay for five washes, you receive a count card good for seven discount card good for seven washes. That’s up to washes. a That’s up tosavings! a $46.00Ifsavings! If you $44.00 you purpurchase a $50.00 forfor somechase a $50.00gift giftcard card someone, youareceive a gift cerone, you receive gift certificate for tificate for a Whole Enchilada an Ultimate Full Service Wash PackWash Package. That’sYou a can age. That’s a $22.00 value! $22.00 value! You can give the give the gift certificate, or even better, gift certificate, or even better, useuse it yourself!! it yourself!! The Car Wash is now on The Car Wash schedule. is now on We our are winter our winter schedule. We Monday are openthrough from Monopen from Saturday from 8:00 a.m. day through Saturday from 8:00 a.m. through 5 p.m. on Sunday through 5 p.m. and and on Sunday from from 8:00 a.m. through 4 p.m., 8:00 a.m. through 4 p.m., as always as always weather depending.

weather depending.

I would like extend our warmest wishes to I would like extend our warmest wisheveryone for the holiday es to everyone for the holiday season. Weseeing lookyou forward Weseason. look forward soon! seeing you soon! If you have any questions at all,

If you have any questions at all, please please give us a call at 227-6177. We give a callonatthe 227-6177.We are loareus located Route One Service cated on the Route One Service Road at Rehoboth Ave. Hours ofRoad opat eration Rehoboth Ave. Hours of operation are Monday-Saturday from 8are6 and MondayFriday from Hours 8- 5 and from 8-5 on Sunday. are always weather permitting. from 8-4 on Saturday and Sunday. Hours are always weather permitting.

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Winter 2014/2015 Winter 2016/2017 I 53


Automotive

From Our Family to Yours We wish you a safe and happy holiday season. Thank you so much for your continued patronage. We look forward to providing the service you deserve in 2017! We Want You To Be TOTALLY SATISFIED! ASE C

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1-Year / 12,000 - Mile Warranties

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Business

Women Publishing Entrepreneurs Wanted Pamela J. Rizzo

that

Thirteen years ago I had never even heard of the Women’s Journal, and today I can honestly say the omen s ournal most definitely changed my life. I had always made good money with my different business ventures, but the Women’s Journal has given me the freedom to control my o n financial life and also have the freedom to en oy my family. took a concept and gave it my own touch, and with hard work and consistently following the concept as trained in have built an e tremely successful paper.

Robin Coppinger I have been the owner of the Bucks County omen s ournal for years. t has been a pleasure to be part of the National omen s ournal family. I have enjoyed publishing the paper, and have had a re arding and successful career. I also appreciate the continued help and support I have received from both Bob Kapke and other o ners over the years. look for ard to orking ith Bob for many years to come.

Celeste Kline Purchasing the Women’s Journal has been the best decision have ever made. Not only giving me financial freedom but allo ing me to make my o n schedule and my o n business decisions. only ish had done it sooner.

Lynn K. Wolf With the experience of publishing nine different ounty oman publications can confidently inform you that this is one of the most exciting, rewarding, and successful business ventures for omen entrepreneurs in any part of the nation. originally born and raised in Minnesota and I have lived on the West Coast and the East Coast and many states in bet een. ome of my past careers include being a National nsurance ccount ecutive etail perations anager ertified Ne ersey eacher and eacher of the ear but of these, I have being a County Woman Publisher to be the most gratifying on many levels. guarantee that you ill meet many incredible business o ners and community leaders. our publication ill be the critical component in helping to launch a ne business and or successfully gro n an e isting business. he personal re ards are endless.

Dorri C. Scott Becoming a Publisher has been a dream come true for me. l ays a riter am an educator and continue teaching as a college rofessor. Every two months, I “Give birth and deliver a new child my maga ines in counties. love hat do and am gro ing. he opportunity has been lucrative - though the learning curve has been keen, the support from Bob apke has been priceless. Passionate about what I do, over the past 18 months I have met, connected and helped so many people. he po erful resource is one that highly recommend if you ant to ork hard stay focused and make money too. ave the heart and work ethic to do something for both you and others? I highly recommend that you take the step and join a phenomenal group of publisher/owners who are happy going to ork every day. o it and don t look back

Lea Southwick Linda Hunsicker Publishing three Women’s Journals is very re arding and fits ith my high energy lifestyle. It allows me to be my own boss, be creative and ork ith the public. ecently opened the inger Lakes oman and it has been very ell received. Now, I can go to my vacation home in upstate NY, make money and be respected and recognized as a local business woman with a great educational publication.

I was new to publishing but the training provided as e cellent fun ost importantly as given a clear, step by step system to follow that ensured my success. he beauty of the oman s ournal is that it is rewarding for everyone; the publisher, the contributing advertisers the readers. No onder its been around so long am very happy ith my decision to become a publisher

Change Your Life in 2017! Call 1-800-993-3822 www.sussexcountywoman.com • www.TheCountyWoman.com • www.The WomensJournal.com

The County Woman’s Journal

Winter 2016/2017 I 55


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!

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Fabulous Foods

The County Woman’s Journal

Winter 2016/2017 I 57


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 hinese 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 kno ing the market hen 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 almon ith Black Bean Sauce, Steamed Halibut or Crispy Whole Black Sea Bass are all e cellent choices. f 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 58 I Winter 2016/2017

The County Woman’s Journal


FabulousFabulous Foods 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 TheCounty County Woman Newspaper The Woman’s Journal

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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. hen booking your event, you’ll work one on one with members of our management team to insure your celebration is perfect. ith customi able menus e ible oor 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 The Brick Hotel Restaurant and Tavern serves classic American cuisine with a modern twist. The culinary team at The Brick excels at presenting quality food with simple, yet elegant preparations that highlight the natural avors of each dish. he ne offerings on the all inter menu capitali e on the avors of the season with the introduction (or return) of richer and heartier dishes, like our Seafood Stew and Chicken Marsala. Petite Filet “Surf and Turfed” with a Broiled Lobster Tail - Guests just got a lot more options with their Petite Filet! Enjoy this prime piece of beef alone, with a ribbon of Garlic Herb Hollandaise Sauce, or “Surf and Turf” it with Jumbo Lump Crab (Oscar), a Jumbo Lump Crab Cake, or a Broiled Lobster ail. erved ith t o sides this is a meal fit for a King (or Queen)!

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 hat s coming up

18 THE CIRCLE, GEORGETOWN, DE 19947 RESTAURANT: 302.856.1836 INN: 302.855.5800 WWW.THEBRICKHOTEL.COM 60 I Winter 2016/2017

Crab Imperial Melt - This new lunch offering is comprised of house made Jumbo Lump Crab Imperial piled on toasted French Bread, topped with melted Sharp Cheddar and served with fries or a salad.

TESTIMONIAL “Exceptional Food” While staying here had both lunch and dinner. Crab cakes were very good and plenty of back fin lump. rinks ere generous and ell 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”

The County Woman’s Journal


Fabulous Foods

CALVERT’S SANCTUARY AND TINKER HALL 4 In the Historic Section

THE BRICK’S HISTORY Originally known during the Civil War era as The Union Hotel, the existing structure was built in 1836 by Joshua S. Layton and Caleb B. Sipple, builders of the Sussex County Courthouse across the Circle, and it actually replaced a frame Public House that stood on the site. Brick structures like this one were very rare prior to the 19th century and, in fact, less than a dozen remain in the State of Delaware! Our building is one of the few early commercial buildings remaining in Southern Delaware, and the brick used was actually made from a kiln near eorgeto n. he first innkeeper as a gentleman by the name of Burton . Bak er, and history tells us that he was personally responsible for making the Brick Hotel one of the most popular hostelries on the Delmarva Peninsula. It was a favorite lounging spot for staunch supporters of the Union. The Brick Hotel operated as a hotel for over 100 years. During various periods of time, however, it also served other purposes. For a few years soon after it was built, it housed the county court house while a new building was being erected; following that, the post office as housed in the building from . n the s the property as sold to and significantly remodeled by the ilmington rust ompany a bank ing industry that continued to service our community until the mid s. he property was sold to the State of Delaware so that they could replace the structure with a new court house. Word of the destruction of the building, however, put the Georgetown community into action. The efforts of a group of town citizens committed to preserve this piece of Georgetown history with their “Save the Brick otel campaign resulted in the tate finding an alternative site and selling the property to the H. P Layton Partnership. Long story short, Ed and I became owners of the property and our major restoration project returned the building to its original use as an inn and restaurant, complete with a quaint tavern! Since this is a National Historic Registry property, we had an obligation to preserve the historical elements of the building, including staircases, mantelpieces, original window and door trim and more. As you visit with us, please feel free to stroll into the lobby and throughout the first oor to en oy all the history surround ing you ur nd rd oors are restricted to nn uests or escorted tours.)

Each of our guest rooms boasts its own personality so that every stay with us can be unique! Period furnishings have been tastefully intertwined with the latest technology - at screen televisions and secure ifi - to create a comforta le home away from home. A continental breakfast, welcome snacks and drink basket, 24 hour coffee and tea service, and nightly wine pairings are offered to guests with our compliments. Room amenities include heated towel racks, spa grade toiletry products, hair dryers, therapeutic mattresses, makeup mirrors, downalternative duvets, Egyptian Cotton bathrobes, and much more!

Lynn & Ed Lester, Proprietors

TESTIMONIALS “Unique experiences” All experiences were different and better than my last 100 overnight stays at other hotels throughout the country. Every employee of the Brick, including the owner, is friendly and willing to help. Yes, I have experienced that before but seemed a little better here. Every room is different but very accommodating, quaint, and comfortable. From the free snacks and drinks in your room to the unique room and the setting for the complimentary continental breakfast to the checkout process and the old fashioned door key, it was a fun adventure....and this was during a critical business trip for me. I highly recommend the Brick as well as its great restaurant. Excellent place to stay! From our walking into The Brick Hotel and meeting Kelly at the front desk, I just knew things were going right. A plus was an elevator to second oor not too bad ust alking up one ight of stairs to rd oor. oom was spotless, with a basket of goodies on the table. Room was cozy and tastefully furnished. All of the staff we met were friendly. Had dinner in the restaurant and it was delicious, and prices were good. Am making plans to return.

The County Woman’s Journal

THE VINES AND THE LAZY DAISY In Garden’s Way, each room has a balcony!

Winter 2016/2017 I 61


Home & Garden

Did you know … By Regan Roberts Deck, CMI … That you should replace the smoke alarms in your home every 10 years? That’s right. According to the National Fire Protection Association (NFPA), smoke alarms that are properly installed, maintained and replaced in a timely manner play a vital role in reducing fire deaths and injuries.

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.

Ideally, your home would have an interconnected smoke alarm in every sleeping room and outside each sleeping area. That means, when one sounds, they all sound. Alarms come with a test button that you should press at least once a month to ensure proper operation. If your home has an attached garage or fuel-burning appliances, you should add carbon monoxide (CO) detectors to your safety checklist as well. Often called the invisible killer, carbon monoxide is an invisible, odorless, colorless gas created when fuels (such as gasoline, wood, coal, natural gas, propane, oil, and methane) burn incompletely. If released into your home can cause headaches and nausea often mistaken for u like symptoms) at low levels and, at high levels, can result in memory loss and even death. The effects of CO exposure can vary greatly from person to person depending on age, overall health and the concentration and length of exposure. Sources of carbon monoxide production in your home include kerosene and gas space heaters; furnaces, gas water heaters, wood stoves, and fireplaces gas stoves generators and other gasoline po ered equipment automobile exhaust from attached garages; and tobacco smoke. If the CO alarm sounds, immediately move to a fresh air location outdoors or by an open window or door. Make sure everyone inside the home is accounted for. Call for help from a fresh air location and stay there until emergency personnel. If you need to warm a vehicle, remove it from the garage immediately after starting it. Do not run a vehicle or other fueled engine or motor indoors, even if garage doors are open. Make sure the exhaust pipe of a running vehicle is not covered with snow. Finally, during and after a snowstorm, make sure vents for the dryer, furnace stove and fireplace are clear of sno build up. 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 ell as ans ers to your product or pricing queries. ur omfort dvisors 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 detailed information about Custom Mechanical, the

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Home & Garden

Murphy Beds: A Great Addition at the Beach! Many of us remember the I Love Lucy episode where Lucy gets trapped in a Murphy bed! Those days are long gone with modern Murphy bed designs but the advantages of the wall bed remain. Being at the beach, we all get a lot of company but real estate is expensive. We need a way to dual-purpose our rooms ithout sacrificing comfort for our guests or styling for our décor. The Murphy Wall Bed offered by Tailored Living Serving Rehoboth Beach offers a great solution. We custom design the bed in twin, double, or queen size with side storage and decorative panels to enhance your room. We also offer a library style that hides the bed with sliding bookshelves and lighting for reading and accent. Avoid the discomfort for your guests of foldout couches hile en oying the benefits of reclaiming the guest room in your home. A Murphy bed instead of a standard queen bed will save 30 square feet of oor space hen the bed is closed se that found space for a home office play room craft room whatever you like by calling your Tailored Living Organizational Specialist to design a Murphy bed for your home.

A custom Murphy bed installed in Bethany Beach! 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 of 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!

WHAT ARE YOUR GOALS FOR 2017? Work Smarter? Take up a new hobby? Get your kids ready faster?

WE CAN GET YOU ORGANIZED!

Mention that you saw us in The Sussex County Woman and receive a

$100 discount!

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Winter 2016/2017 I 63


Home & Garden

Hard toCover ...

eciding on hich treatment to cover a normal indo ith can be difficult enough but sometimes you run into an opening that requires a little more effort. liding glass rench doors can be troublesome arches eyebro s over indo s along ith ovals circles octagons triangles rhombuses and trape oids are all out there and may be letting in too much sun hat long skinny indo ne t to your front door that e call a sidelight can also thro a monkey rench into the orks. Besides letting in natural light and providing you ith a look to see ho is at the door it can also sometimes let passersby have a clear look right into your home. hrough the years e have installed many different types of shades and blinds onto these openings but the best thing e have ever done for this as to start putting shutters on them. lantation shutters are the most versatile ans er to these issues because they really are the only covering that has a treatment for everything mentioned. or sliders there are both bypass style and bi fold style hich no have the ability to be folded over to lie against the all ne t to the slider instead of perpendicular to the all as in the past. his greatly reduces the pro ection into the room hile at the same time letting you completely open up the glass to the light and the vie beyond it. t is an improvement over the bypass because hile the bypass doesn t invade into the room hen opened it does al ays have at least one panel s idth covering the glass. or rench doors e can design a shutter that fits right over the glass. e attach the frame to the door and can even design the frame around the door handle for that stunning custom look. he panel can s ing completely open so that you may clean the glass and for those instances hen you need ma imum light but most of the time you ill ust operate the louvers for light control and privacy. his covering is also very functional for a door as the entire covering is attached so that there is noth ing to s ing a ay from the glass as it moves. t s a good choice for a door that ill be used often.

rches eyebro s and other specialty shapes such as ovals and triangles are another chance for shutters to standout. lmost al ays in this category a template is required. t doesn t get much more customi ed than that and it sho s. hat you end up ith is a gorgeous and unique piece that as made ust for that opening. e get the best reac tions from our customers on those obs. hey often didn t even think that it could be done. ften homeo ners struggle ith hether to let the difficult dictate the basic or to let the basic dictate the difficult and the best ay to deal ith this is to be armed ith the facts. hat s here e come in. e can let you kno hat is available for your situation and help you figure out hich ay you ant to go about it. very situation is different and for instance other than shutters there are around a do en other ays to cover a sliding glass door. t can be over helming to many but ith a little guidance the ans ers start to sho themselves so that you may consider the hole ob instead of ust part of it and hether you are going to do it all at once or in stages a unified look even ith different types of coverings can be accomplished. e ould love the opportunity to ork ith you to achieve that. ou can call in to be contacted by one of our consultants ho ill come to your home ith tons of samples from the best brands. hey can measure and price right on the spot to complete an order and get started that day or ust leave you a little more educated ith more to think about and decisions to be made. ither ay our consults are free of charge. nother ay to start is to ust stop by our sho room here you can see and operate today s popular coverings. e are located on the left ust . miles est of t. on Le es eorgeto n y.

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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 rain ater collection system. he resulting buildup of ater can then become a breeding ground for insects over o 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. hat enefit can ex ect f the tte el et g tte tecti n te here are many beneďŹ ts to installing utter elmet. ur 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 off of that dangerous ladder

Let Us Clean Your Gutters For The Last Time

THE PERMANENT SOLUTION TO CLOGGED GUTTERS!

l ng ill tte el et la t l ng ef e ha e t e lace the te utter elmet is engineered to last a lifetime. hat s hy e call it he ermanent olution and back it up ith a riple Lifetime arranty. ur arranty 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 utter Helmet work is performed y trained Certified nstallers employed y 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.

& Cleaning Pine Needles Ever Again! • Installs over existing

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gutters • Fast, On-Time, CertiďŹ ed Staff • Lifetime Warranty (Transferable) • Financing Available

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The County Woman’s Journal

Winter 2016/2017 I 65


Home & Garden

66 I Winter 2016/2017

The County Woman’s Journal


Home & Garden

Dee’s Cleaning Service 100% Satisfaction Guaranteed for 35 Years! Licensed, Insured & Bonded

FREE House Cleaning

Construction Cleaning

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Save 20% on 2 or more cleanings Call for Quote Today!

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• Residential • Commercial • Weekly, Bi-Monthly & Monthly • Windows • Vinyl Tile • After Construction

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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

Winter 2016/2017 I 67


Home & Garden

Winter Storage!

68 I Winter 2016/2017

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

Winter 2016/2017 I 69


Business

CHANGE YOUR LIFE IN “2017” LICENSES Available in Your County Women Publishing Entrepreneurs Wanted

Join 371 other counties that are publishing or have an option to publish in the United States and be

YOUR OWN BOSS

We are looking for a few bright, energetic, creative women and men to publish our newspapers

IN YOUR COUNTY, IN YOUR STATE IN YOUR OWN BUSINESS! Join the fastest growing educational Woman’s Newspaper syndicate in the United States.

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MINIMAL INVESTMENT REQUIRED!

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With maximum returns be your own boss, set your own hours, and make your life mean more!

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If you are interested in developing with us in 2017 in your STATE, in your COUNTY call, references provided. www.TheCountyWoman.com Join the #1 Woman’s Educational Newspaper in America!

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TOTAL TRAINING PROVIDED

1-800-993-3822

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The County Woman’s Journal


Health & Medicine

Five Minutes (or Less) for Health Dawn is a nurse with over 2 years e perience in the medical field which includes T, and nursing e perience 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.

which can cause disease. Reapply as directed in the instructions

By Dawn Sbriglia, LPN, Director of Caring Hearts Home Care, LLC One Minute or Less for Health Wash hands to lower the risk of spreading germs and getting sick. It’s best to wash hands with soap and clean running water for 20 seconds. Prevent poisonings. Follow instructions, and keep potentially harmful products out of the reach of children. Make sure all family members know when to call poison control (800-222-1222). Read food labels. See how much fat, sugar, and other ingredients are in the product. Note what the serving size is to make sure you don’t eat more calories than you think you’re getting. Protect your skin. Wear sunscreen, seek shade, and cover up to help lower your risk for sunburn and skin cancer. Wear insect repellent with DEET or Picaridin to protect against mosquito and tick bites,

Buckle up. Make sure everyone is properly restrained in safety seats or safety belts. Placing children in age and size-appropriate restraint systems lowers the risk of serious and fatal injuries by more than half. Protect your hearing. Use hearing protectors, such as ear plugs and ear muffs, when you can’t lower noise to a safe level. Five Minutes or Less for Health Eat healthy. Just take an extra minute to make better food choices. Eat more fruits and vegetables, less saturated fat, and healthy grab-andgo snacks. CS207442 Learn the signs for developmental problems. Do a skin and body check. Check your skin and body regularly for changes in appearance or function. f you find or e perience anything suspicious, see your health care provider. Make an appointment. Whether you need a check-up or vaccination, don’t put it off any longer. Make the appointment now.

Be active. Adults should get 30 minutes and children should get 60 minutes of moderate intensity physical activity most, preferably all, days of the week. If you can’t do the total amount at once, do it in shorter, more frequent intervals throughout the day. Know the signs and symptoms for heart attack and stroke. If you or someone you know is having a heart attack or stroke, call 911 immediately. With timely treatment, a person’s chance of surviving a heart attack is increased, and the risk of death and disability from stroke can be lowered. Ask questions. Don’t risk injury or other problems because something is confusing. Get help. With more knowledge, you can make better decisions about your health and safety. Take a quiz. Find out if you and your family are at risk for certain diseases or conditions at www.cdc. gov/ family/quiz. Discuss concerns

with your health care provider and family. Taking steps early can help prevent certain health problems or complications. Keep foods safe. Refrigerate leftovers promptly. Bacteria can grow quickly at room temperature, so refrigerate leftover foods if they are not going to be eaten within four hours. More Than Five Minutes and Worth It Prevent Falls Check for hazards around the home to prevent falls. Each year, thousands of older Americans fall at home. Falls are often due to hazards that are easy to fi . Be prepared. Practice drills at home to make sure everyone knows what to do in case of an emergency. Have an escape plan, and practice it. Reference: http://www.cdc.gov/family/ minutes/index.htm#caregiving

Test smoke alarms. Every month, check your smoke alarms to ensure they work properly.

Testimonial “You put my faith back in home care. Thank you for your wonderful staff.” - Gina S.

The County Woman’s Journal

Winter 2016/2017 I 71


Overeating, poor diet & sitting too long in his sleigh led to…

Santa’s Little Secret: HEMORRHOIDS Hunterdon Gastroenterology Associates got Santa the help he needed without surgery or time away for his workshop. (We can do the same for you.) HGA’s non-surgical virtually painless procedure removes hemorrhoids in less than a minute… with no pre-treatment, pain medication or recovery time required. It’s the most comfortable and effective hemorrhoid removal option available- and it takes 60 seconds!

A better way for Santa and YOU to get relief:      

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30 Seconds-1 Minute

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We offer evening and weekend appointments. 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

908-483-2053 www.HunterdonGastro.com

Sussex County Woman—Winter 2016  
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