Washington
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A Lifestyle Magazine
COMPLIMENTARY Volume 49 Issue 6
omen’s ournal
WHY TELEMEDICINE IS HOT NOW Why Rob Campbell is Vital to your Organization
BUSINESS
Why is Telemedicine Hot Now?
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elemedicine is a significant and rapidly growing component of health care in the United States. Over half of all U.S. hospitals now use some form of telemedicine. There are currently close to 1 million Americans currently using remote cardiac monitors and the Veterans Health Administration delivered over 1,000,000 remote consultations using telemedicine. Around the world, millions of patients use telemedicine to monitor their vital signs, remain healthy and out of hospitals and emergency rooms. Consumers and physicians download health and wellness applications for use on their cell phones. Telemedicine has made a big impact in rural areas where visits to doctors are difficult, and is expanding partly because broadband network coverage is improving, patients and doctors are more comfortable with telemedicine technologies, there is pressure for increasing cost savings, and a shift in paradigm that favors telemedicine. This new paradigm says that the patient’s total health status is now the focus, as evidenced by new policies issued by insurers, Medicare and state governments.
Quality healthcare is now viewed to be based on a longterm relationship between patient and physician, about both long term health efficiencies and acute issues. Remote encounters are usually more efficient and convenient for both patient and physician. Medicare and states are holding hospitals responsible for readmission rates, which requires the doctor and the patient to have an ongoing relationship, and telemedicine facilitates that relationship. Incentives play a big role, but better healthcare outcomes and better use of medical resources are key drivers. The VA medical system has made significant investments in its adoption of telemedicine, and today is considered to be one of the world leaders in telemedicine. The direct primary care movement (e.g, www.dpcare.org) advo2
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“Telemedicine has made a big impact in rural areas where visits to doctors are difficult, and is expanding partly because broadband network coverage is improving.”
cates are working to move primary care doctors from the pay-for-procedure compensation system to payments that are outcome-based. Direct primary care is growing very fast now as both plan sponsors and doctors come to believe that it offers major advantage in both quality of care and overall healthcare cost. Key factors for Growth: • Government support, funding will increase • Practice management systems will have telemedicine capabilities • Consumer demand will make telemedicine mainstream • Travel to the medical offices, regional medical centers and hospitals can be difficult, particularly if the patient is elderly, lives in a remote or rural areas, or have traumatic injuries • Reduction in hospital readmissions • Mitigation of distance, mobility and time constraints • Saves the patients, providers and payers money when compared with traditional approaches to providing care. Future of Telemedicine: The global telemedicine market is expected to grow from $11.6 billion in 2011 to $27.3 billion in 2016. 1. Source: BCC Research Worldwide revenue for Telemedicine devices and services is expected to reach $4.5 billion in 2018, up from $440.6 million in 2013 2. Source: IHS The number of patients using Telemedicine services will grow to 7 million in 2018, up from 350,000 in 2013. 3. Source: IHS Telemedicine could potentially deliver more than $6 billion a year in healthcare savings to U.S. companies.
BUSINESS 4. Source: Towers Watson Although many physicians may be hesitant to adopt telemedicine the evidence is clear telemedicine is not going away. Telemedicine companies that threaten the existing primary care infrastructure by competing with physicians are not favorable but, companies like Click It Clinic that work with physicians make telemedicine much more attractive to doctors. Click It Clinic works with independent physicians, ACOs, IPAs and large physician networks to integrate telemedicine into their practices and also provides on call coverage for physicians throughout the country. With the right app, the proper training and call coverage support, Click It Clinic is helping to put the future of healthcare back where it belongs, back in the hands of doctors. Privacy and Security Concerns: Telemedicine technologies can create, large volumes of electronic health information, and create some additional operational challenges for organizations in meeting their existing privacy and security obligations under HIPAA as well as any relevant state privacy laws. These organizations will definitely need to update their security risk analyses as well as modify and adapt their data privacy and security practices to respond to the specific risks and compliance challenges of using Telemedicine technologies. Consequently, existing policies and practices should be reviewed carefully, and will likely need to be modified or adapted to ensure effective and reliable verification and authentication of the identities of patients and providers involved in a Telemedicine encounter. In addition, Telemedicine interactions typically involve providers from multiple organizations. Organizations operating Telemedicine programs will need to address questions like shared responsibility for securing and managing the health information generated through a Telemedicine encounter – including responsibilities Privacy and Security considerations related to data breach notification and reporting—to confirm compliance with privacy and security requirements. Telemedicine transmissions also may be vulnerable to interference, signal errors or transmission outages that can result in interrupted communications and the alteration or loss of important clinical information which would potentially be a HIPAA violation. The additional risks of Telemedicine programs require a health care organization’s privacy and security professionals to participate from the start in the design and implementation of Telemedicine programs, and assume responsibility for actively monitoring operations. Telemedicine technology brings new privacy and security issues that could raise concerns about protection of privacy, confidentiality, and security of sensitive patient information.
They are: A lack of uniform confidentiality and privacy legislation at the state level in terms of the transfer of health information in telemedicine encounters. Telemedicine consultations can take place over state lines, the potential for confusion over which state’s standards should be employed could arise. A long-distance telemedicine consultation typically involves a clinician-patient session that can be videotaped (most are) in its entirety, and this record is maintained as part of the documentation of the consultation. As a result, practitioners have less discretion to remove sensitive items that they might otherwise not record. From the patient perspective, the patient may not be able to “see” who else is viewing the session along with the clinician on the other side of the long distance consultation. The use of telemedicine equipment usually adds additional personnel to the typical provider-patient encounter. For instance, a technical outsider, like an engineer, may be privy to the consultation. From a technical standpoint, there is a higher volume of data and complexity involved in the various communication mediums used during a typical telemedicine consultation. That could make securing the data more problematic. It is now more important and necessary to conduct regular HIPAA/HITECH Risk Assessments under the fast evolving telemedicine landscape. Conclusion: However, in this day of ever increasing data breaches, it is imperative that both physicians and patients insist that their telemedicine organization at least meets the minimum standards mandated by HIPPA Privacy and Security Rule. In addition to the importance of HIPPA compliant telemedicine providers, it is just as important that the organization’ s Telemedicine technology companies and business associates be HIPAA compliant. Privacy and Security concerns notwithstanding, Telemedicine enables outcome-based medicine: doctors can maintain the conversation with the patient in a manner that is far more efficient and effective than traditional encounters; they can serve more patients well. Patients can get attention faster and more conveniently when they need it. This is why telemedicine is likely to continue to boom in the years ahead.■ Robert Campbell, CEO of Med Cyber Security. Med Cyber-Security provides cost-effective, cyber security privacy and security consultations HIPAA covered organizations such as healthcare providers, business associates and telemedicine organizations. To learn more, contact Med Cyber-security for a free consultation. 301-266-2457, email: rc@medcybersecurity.com. December - January 2015
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Volume 49 issue 6
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omen’s ournal BUSINESS
02 - 09 HEALTH & WELLNESS/CAREER 10 - 21 22 - 28 COMMUNITY & ADS With over 32 years of experience, The Women’s Journal is a brand you can trust. It is a primary resource for women. Each edition is published bi-monthly and distributed free of charge. You can find a copy of the journal where savvy women shop. The journal also has subscribers that pay to have the journal delivered to their home or business.
PUBLISHER Butterfly Media Inc. DIRECTOR OF COMMUNITY RELATIONS Wendy Ward GRAPHIC DESIGNER Fina Florez 8181 Professional Place, Landover, MD 20785 To Advertise, please call 1-866-517-5049
Your Business Card could be here for $100 For more information, contact the Women’s Journal at 866-517-5049 4
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Safety Tips for Online Shopping this Holiday Season Online shopping is a great way to grab some deals for your holiday purchases AND avoid the crowds of shoppers at your local mall. Unfortunately, the increased internet traffic and potential for cyber attacks increase the threat of hacking and identity theft. Make sure your holiday shopping stays safe and secure with these helpful tips: Make sure your antivirus and malware protection software is up to date and that you have a firewall installed on your computer to block any unwanted intrusions. Update to the latest internet browser available for your system, such as Google Chrome, Mozilla Firefox or Internet Explorer. Browsers, as well as antivirus programs offer some type of verification of websites, making sure they are the original site and not a spoofed one. Update your passwords frequently. Use a combination of letters, numbers, and special characters to create a stronger password; longer passwords are also more secure. Don’t use common words or phrases, or words that could be easily guessed. Don’t click unknown links in your email. Most phishing attacks will try to scam shoppers with an email that presents some sort of incredible, can’t-be-beat-deal. If you’re skeptical of an offer or email, go directly to the retailer’s website to confirm the offer, and don’t click the email link. Don’t use public computers and unsecured wireless connections - shop at home if you can. Public networks, such as at libraries, cafes, airports or even work computers, could be compromised with malware. Hackers also have access to these networks, and could be tapping into them to get your personal information. Always do your online shopping from networks secured with a WEP or WPA password. Shop only on encrypted sites. Websites that begin with “https” are encrypted, rather than just “http.” The “s” means that the site allows for secure transactions. Save or print all payment confirmations. Printing these order confirmations allows you to have written history of your shopping expenditures. Check your account balance and transaction history frequently to make sure your purchases have gone through and that there is no unauthorized activity. If you identify an unauthorized transaction, contact your financial institution immediately. At Andrews Federal Credit Union, we have a site dedicated to protecting our members from being victims of potential fraud. Visit www.andrewsfcu.org to find out more information on how to protect yourself this holiday season, and all year long.
Andrews Federal Wants to be Your Financial Partner
Did you know you don’t have to be active or retired military to become a member of Andrews Federal Credit Union. In fact, if you live, work or worship in Washington, D.C., you are eligible to join today! View our entire list of eligibility requirements by visiting andrewsfcu.org/join. For more information, call 800.487.5500 or visit your nearest Andrews Federal branch location.
December - January 2015
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BUSINESS
By The American Academy of Estate Planning Attorneys Presented by SinclairProsser Law, LLC
Decisions, Decisions, Decisions
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s the year draws to an end and the New Year quickly approaches, now is the time to think about resolutions and look towards the future. One New Year’s resolution you should consider this year is to think very long term. Instead of just planning for how you can improve life in the upcoming year, the dawn of a new year is the perfect time to create a concrete plan to take care of your family after you are gone. Here are some statistics to think about: As many as 55% of adults in America have no will or estate plan in place. For minorities, the number is even higher. A full 68% of African American adults and 74% of adult Hispanics have no Will. Without a plan in place, the state (not you) gets to decide how your assets are going to be divided. You’ll have no say over who distributes your assets, or over what happens to your property. (You could also cost your heirs some money or leave your heirs fighting about who inherit what.) So, why don’t more people have a plan? Some don’t know how to create one, while others are hesitant to make the tough choices about how to distribute their assets among those they love. An estate planning attorney can help with the legal process of dividing your assets and can even offer advice on some of the decisions you’ll have to make when planning for life after your death. Creating Your Last Will & Testament There are lots of reasons why people need to create a comprehensive estate plan. While around 59% of people who plan for the future do so in order to avoid probate, limiting family chaos is the second most important reason people cite for engaging in estate planning. Protecting children’s inheritances is a prime goal for around 39% of estate
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planners, while just 34% of people are motivated by minimizing estate taxes. Whatever your reasons for sitting down with an estate planning attorney, some of the key decisions you’ll need to make include: • How to distribute assets: Only 27% of Boomers think about how much money they will leave to others. For millennial children, 31% of whom expect an inheritance averaging over $350,000, this lackadaisical attitude by mom and dad may come as a big shock. • Who will make decisions after your death or disability: You may need to name a Trustee, a personal representative or an executor of your estate as part of your estate plan. You may also want to create a durable power of attorney and designate someone to act as your agent if you remain alive but unable to manage your own affairs. Both of these issues can be really contentious. For example, as Reuters explains, disinheriting a child could lead to a lawsuit to have your plan overturned (especially if the assets in your estate are large enough to make a case worthwhile). At the same time, sometimes leaving your kids an equal amount is not going to be a fair choice either, especially if you have provided more for one of your children over the course of your life than for the others. One article on USA Today, for example, suggested that parents level the playing field at death if they paid more for one child’s education or if one child took care of them at old age. When it comes to naming a Trustee, a personal representative, or an executor, family fighting and chaos could also result if you are not clear on your wishes. Fortunately, an estate planning attorney can help you to overcome the challenges in creating an estate plan.
As you consider the future and set your New Year’s resolutions, put it on your list to talk to your lawyer about how you can create a comprehensive plan that will give you control over your assets and avoid fighting among your loved ones after you are gone. So, this New Year’s, make your resolution one you can keep: resolve to make important decisions now about life after your death.■ SinclairProsser Law, LLC focuses its practice on estate planning & administration, including the interaction of retirement plans & elder law. An established member of the American Academy of Estate Planning Attorneys & the National Academy of Elder Law Attorneys, Colleen Sinclair Prosser, Nicole Livingston, Jon J. Gasior & Victor A. Lembo offer years of knowledge & experience in matters associated with protecting estates & families from issues arising from death and disability.
January 2016 SEMINAR SCHEDULE Annapolis Tue., Jan. 12th @7:00 – 8:30 p.m. (Refreshments) Double Tree Hotel Annapolis 210 Holiday Court Pasadena Wed., Jan. 13th @ 10:00 – 11:30 a.m. (Continental Breakfast) The Reserve at Two Rivers 4105 Mountain Road MILLERSVILLE Thurs., Jan. 14th @ 7:00 – 8:30 p.m. (Refreshments) The Firemark Building 8684 Veterans Hwy., 4th floor EDGEWATER Fri., Jan. 15th @ 10:00 – 11:30 a.m. (Continental Breakfast) Historic London Town & Gardens Pavilion 839 Londontown Road Bowie Sat., Jan. 16th @ 10:00 – 11:30 a.m. (Continental Breakfast) Comfort Inn US 50, US 301 @ MD 3
For more info: 410-573-4818
By Eric McCamey
BUSINESS
Don’t Lose Your Shirt Over a
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Fixed-Price Contract!
s a contractor, bidding on a firm fixed-price (FFP) contract can be a great opportunity to earn attractive profit margins. But those higher potential margins also carry higher risks which should be understood and mitigated. By its very definition, an FFP contract has a price that is “fixed”. Regardless of how much time, effort, and money is expended to deliver, the price will never change (for the same scope of work). If costs can be managed well and risks controlled, there is usually a potential to earn higher than normal profit margins. However, if contractors approach an FFP contract like they would a general services time and materials contract (T&M) or cost plus contract, they are in trouble. Without an understanding of what it means to control cost and scope changes, the contractor can lose millions of dollars, triggering all kinds of unwanted attention inside and outside the corporation. Here is a short list of do’s and don’ts that will hopefully generate the right kinds of conversations the next time you bid on an FFP contract. DO understand the scope of work and acceptance/ exit criteria. Signing up for a scope of work that was not well understood or poorly defined can lead to heavy losses as you try to satisfy requirements that never were well-defined. For your company’s benefit and for the benefit of the client’s expectations, make sure that all work and acceptance criteria are clearly defined and articulated without vague or ambiguous terminology. DON’T allow “scope creep” or “gold plating”. What do we mean? Scope creep is when a client asks for small things that are beyond the existing
scope as defined and the contractor accepts many of these informal requests along the way, increasing costs beyond what was budgeted for. “Gold plating” is when a well-intentioned contractor team gives a level of quality or features that are within the scope of work, but at a cost that is well beyond what was budgeted. Both have the potential to erode or eliminate profit margins. DO plan the project with a great deal of detail BEFORE it is bid. If you aren’t able to outline the project and plan execution with reasonable confidence prior to bidding, then you most likely don’t need to be bidding on an FFP contract. These contracts should always be well-defined. Other contract types should be used when the scope is less well-defined. Estimates and planning for FFP projects should be done with a well-defined work breakdown structure (WBS), a logic-driven resource loaded schedule, and an analysis of future cash flows. You should know how “deep” your pockets need to be and the specific points when they will need to be their deepest. Always use a just-in-time (JIT) approach for large material buys that may drain resources before payments from milestones or deliverable completion is achieved. For guidance, email us for our presentation, “An Approach to Costing and Pricing Firm Fixed-Priced Contracts For Profitable Results.” DON’T bid an FFP project like you would a straight level of effort with no reserves built in. Every FFP project with a defined scope of work and firm acceptance criteria should have reserves established based on quantified risk. Elements of the WBS and scope of work should be examined for risk elements. These risks should be entered in a formal risk register that
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“If costs can be managed well and risks controlled, there is usually a potential to earn higher than normal profit margins.” quantifies risk based on the potential impact weighted by the probability of occurrence. These quantified risks should be added to the cost basis of the bid before applying profit or fee. DO Manage the contract against a tightly controlled cost, schedule, and technical baseline. Changes to the baseline should go through a formal change management process. Undocumented changes = loss of profit. Though it is not typical in most organizations, consider using a light version of earned value management (EVM) on FFP contracts to ensure that value is being generated for dollars spent and there are no financial surprises at the end of the contract.■ Eric McCamey, CEO Nymbus Corporation is a management consulting firm that accelerates growth for GovCon. We provide executive support services that assist government contractors in the analysis, implementation and monitoring of holistic systems that improve contract awards ratios, profitability and operational performance.
www.nymbuscorp.com 703.574.8181 December - January 2015
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Williams Premier Properties Angela Williams
Real Estate Professional 4200 Forbes Blvd Ste 121 Lanham, MD 20706 301-335-9141 / www.angelawilliamsre.com WilliamsPremierProperties@gmail.com Exit Elite Realty 301-277-Exit
To Advertise with us, contact the Women’s Journal at 866-517-5049
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Dr. Bruk Taeme of Advance Dental Care
Creates Beautiful Smiles that Last a Lifetime! Zoom Whitening
(Not valid with insurance)
Providing Orthodontics for Adults & Children
Doug Brooks 10903 Indian Head Hwy, Suite 305, Fort Washington, MD 20744
(301)292-8100
dougbrooks@allstate.com
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CAREER
Start a New Career Classes Starting in January
“I learned new tools that are helping me to run a better business. I now have a website, new management skills and important business tools.” “My business has increased by 80% because of the management training program at Flair under the direction of Ms. Smith.” -Aisha, Owner of Aisha’s Braids, Braiding Mgr. Program.
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“The staff at Flair Institute is super attentive and supportive. Because of the instruction I have received I am confident on how to apply all types of chemicals from colors to relaxers.” -Jessica, Senior Cosmetology student.■
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lair Beauty Institute is a bilingual training center under the leadership of Paula Granados with over 20 years of hands on client service and salon management experience. Drawing from her personal experience as a stylist, Paula knows firsthand what it takes to succeed in the beauty industry. Paula and her team are devoted to developing prepared and qualified beauty professionals in all areas of the beauty industry. The Flair team of instructors is committed to instructing, mentoring and developing students. Not only do the students receive textbook instruction but, they learn important industry protocol, laws and insights from seasoned professionals with several years of experience in their respective areas. The instruction amply prepares a student to pass their state board exam. The Salon Management programs gives professionals the tools to succeed as a business owner in the marketplace. The Recertification classes are taught in Spanish as well as English and meet the State Board requirements for all stylists from braiders to cosmetologist. Recertification became a requirement effective September 30, 2011 for all cosmetologists in Washington, D.C. Cosmetologists and Cosmetology Specialists must complete six (6) CEs by their next renewal date as well as Barbers must complete six (6) CEs by their next renewal date.
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Testimonials from the Students I am excited even though I have not completely mastered English-I passed my state board exams and mastered all categories 100%. Thanks to the step by step coaching from the Flair staff.” -Areli, recent cosmetology student
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3328 Georgia Ave NW, Washington, DC 20010
(202) 291-1909
Bilingual Recertification Program for Cosmetologist and Barbers Sunday and Monday training for required 6 hour continuing education credit for current cosmetologists and barber. Call to enroll Cursos Offresidos: Cosmetología, Administrador De Cosmetología, Instructor De Cosmetología,Trenzas, Manicura, Esthetics y Preparación Estatal.
Offering Accredited Bilingual Courses Cosmetology 1500 Hours, part time or full time Manager 500 Hours, part time 6 months Instructor 1000 Hours, part time 10 months New Program: Barbering 1500 Hours Braiding 100 Hours, part time 3 months Manicure 350 Hours, part time 5 months Esthetician 600 Hours, part time 7 months State Board Prep 100 Hours, part time 3 months Recertification for current cosmetologists Upon completion of 1500 hours of instruction students are ready for the State Board Exam.
Stories of Hope
“Practice Self-Care, but, Not Self-Diagnosis” Survivor, Daleesha Proctor
Daleesha was diagnosis with breast cancer at age 32. Though she felt an unusual lump, she thought it was just a cyst and did not seek immediate medical attention. This self-diagnosis she later realized was the wrong approach. Today Daleesha is happy to report she is in remission but, challenged by the chronic pain of Fibromyalgia. Daleesha does not allow health challenges past or present to keep her down. She credits God for her wonderful life and passion to enrich other womens’ lives through her Mary Kay business. Daleesha’s Mary Kay business gives her the flexibility to work from home, travel and pamper women. Daleesha is on a mission to let women know with opportunities like Mary Kay they can have big dreams. She advises women to put work into their business and set goals beyond life’s challenges. Daleesha is offering special services for survivors and their families as Christmas presents. Dates and times by appointment. Email Daleesha_proctor@yahoo.com The Victorious Dream Team Cadillac Unit of the Future Keita Powell Area honors all Breast Cancer survivors! Join the unit this month for a Christmas service project “Adopt a Grandparent” on December 20.■
pportunities O to Serve
The Pink Cadillac Mary Kay Unit of Dr. Brenda CarverTaylor is sponsoring a service project for the seniors of Marwood Apartments. For just $12 one senior will receive a “MK Satin Hand Cream Gift” set with am acknowledgment card. Delivery will be Sunday, December 20, 2015 at 3:00 pm. at the Marwood Senior Apartments 5605 S. Marwood Blvd. Upper Marlboro, MD 20772 Volunteers and sponsors: High school students, Business professionals and Families. Contact Dr. Belinda Carver Taylor at 301-672-4716
Support Resources The Rosemary Williams Mammoday Program Mammograms are being provided to women who are at least 40 years of age, low income, underinsured or uninsured. All women receive a clinical breast examination and mammogram at no cost. Women are also provided with educational materials. Contact: Kimberly Higginbotham at (202) 865-4655 or (202)865-5399 Howard University Cancer Center Find out how you can sponsor a story of hope related to overcoming homelessness, business recovery, domestic violence or a youth that is on the move. Email wendy.wjwomen@live.com December - January 2015
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No More Metal Braces
HEALTH & WELLNESS
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f you are looking for an alternative to metal braces, ClearCorrect is the clear and simple choice. ClearCorrect invisible braces are the clear and simple way to straighten your teeth so that you can show off your smile. No wires. No brackets. Just clear, convenient comfort – giving you every reason to smile. ClearCorrect is an easy and discreet solution to align and straighten a broad range of dental conditions for a stunning, healthy smile. The fact that it does this so well is remarkable; the fact that it does this with little to no effort is almost unbelievable. ClearCorrect is for both adults and teenagers – age is not a problem. Children who might not yet have all of their molars and even seniors with more complicated dental cases may be candidates for ClearCorrect, but should consult with their doctors first. With ClearCorrect, your dentist can straighten your teeth using a series of clear, custom, removable aligners. Each aligner moves your teeth just a little bit at a time until you eventually get straight teeth. And ClearCorrect is one of the clearest aligner systems available. The ClearCorrect aligners offer superior clarity, are virtually invisible and
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By Peter Merai, DDS, FAGD Comprehensive Dental Care, Inc.
unnoticeable, and their smooth surface finish withstands clouding from wear. Schedule an appointment with your dentist so you can have your teeth evaluated and talk about any problems or goals you have for your smile. Once your dentist establishes that ClearCorrect is the right treatment option for you, the dental staff will take impressions, photos, and sometimes X-rays of your teeth. ClearCorrect will then create 3-D models of your teeth. Following the instructions provided by your dentist, ClearCorrect then creates a treatment setup representing the desired position of your teeth at the end of treatment. At the same time, ClearCorrect also manufactures Phase Zero passive aligners designed to fit your teeth and get you accustomed to wearing aligners right away.■
No wires. No brackets. Just clear, convenient comfort – giving you every reason to smile.” If you would like to learn more about ClearCorrect, call your dental office to set up a consultation to see if ClearCorrect addresses your dental concerns and cosmetic goals.
Dr. Peter Merai & Michelle Merai, D.D.S. 6188 Oxon Hill Road., Suite 410, Oxon Hill, MD 20745 301-567-9844
Dr. Merai coupon offers (coupons cannot be combined)
1) CLEANING FOR $79.99 (not if insurance is used) 2) $600 OFF ON DENTURES (not if insurance is used)
HEALTH & WELLNESS
Having an Attitude of Gratitude
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By Janet Johnson, M.D.
eaching children to be grateful is what all parents want and can attain in surprisingly simple ways such as sending thank you notes to feeding pets. Children emulate the adults in their lives in every way. Be they parents, grandparents, aunts, uncles, siblings, or childcare providers. Make sure you use “thank you” and “please” when you talk to them. Insist that they use their words too. Remember, good manners and gratitude overlap. Here are several ways to help with teaching gratitude to your children: 1. Work gratitude into your daily conversation. Weave appreciation for mundane things into your everyday talk. When you reinforce an idea frequently, it’s more likely to stick. Pick an “I am thankful for …” part of the day to turn up the gratitude in your home. This can be done at dinnertime or at night time just before bed as part of a nightly routine. Teach children to be grateful for the creations around them, the seasons, the sunshine, the falling leaves and the rain. Children will quickly understand that there is beauty all around, and that it has come from something much bigger than we are. 2. Have kids help. Give your child a chore. By participating in simple household chores like feeding the dog or stacking dirty dishes on the counter, kids realize that all these things take effort. There is a better appreciation for the person who does the chore on a more regular basis. 3. Provide your family opportunities to serve. Figure out some way your child can actively participate in helping someone else. Even if it is to help cook a meal, bake a cake, or walk a pet for a sick person. Start by encouraging your children to serve other family members, and then help them find ways to actively serve others. Let them help as you serve others. They will learn by example. 4. Encourage generosity. Donate toys and clothes to less fortunate kids; it inspires them to go through their own closets and give something special to those in need, as well. 5. Insist on thank-you notes. If your child knows how to draw or write, let them write thank-you notes for gifts. For toddlers, the cards can be just scribbles with your own thank-you attached. As they grow, they can become drawings, then longer letters. Younger children can even dictate the letter while you write. Just the act
of saying out loud why they loved the gift will make them feel more grateful. • Practice saying no. Kids ask for toys, video games, and candy sometimes on an hourly basis. It’s difficult, if not impossible, to feel grateful when your every whim is granted. It is important for us to be reasonable and say “No”. We also have to be careful rewarding our children for everything. We want them to do good because it is the right thing to do, and not because they get something, like a new toy or money. • Teach your children to be grateful for adversity. When things are hard, or uncertain, or don’t go as planned, we need to teach our children to be grateful. To recognize the blessings that comes from hard things. We need to help children see what can be learned from our adversity, and how we can take what we learn into other situations to help others and ourselves. • Be patient. Don’t expect gratitude to develop overnight. This kind of work requires weeks, months, even years of reinforcement. Lead by example and mostly with love. The goal is to give them “grateful eyes”, so they begin to for see the need before they have to be told. With time and patience you will be rewarded with a child who has an attitude of gratitude.■ Loving Care Pediatrics: Dr. Johnson and Staff accepting new patients, birth to age 21
3311 Toledo Terrace Suite C-201, Hyattsville, Maryland 20782 Office: (301) 403-8808 / Fax: (301) 403-1341 December - January 2015
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HEALTH & WELLNESS
Submitted by Dr. Corder
youth suicide is
not inevitable:
We Can Help Prevent It
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uicide is the act of deliberately doing harm to oneself with the intention of dying, while understanding the permanence of death. Suicide exclude such acts by those not yet developmentally able to understand the concept of death like young children; developmentally disabled individuals; conditions in which one is in a confused state as in severe intoxication; or acts by those who are permanently cognitive-impaired such as individuals with dementia. Suicide by the Numbers Suicide is a public health concern nationally and internationally. In the US there are over 36,000 suicides annually. Suicide occurs across all ages, economic, social and ethnic boundaries. It is the third leading cause of death for 10-24year- olds, according to the National Center for the Prevention of Youth Suicide. Male youths die of suicide four times more frequently than female youths, although females are more likely to make more attempts. The majority of completed suicide were by firearms. For every completed suicide there are many more suicidal attempts. The National Youth Risk Behavior Survey found that among high school students, about a third had at-
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tempted, made plans for, or seriously considered attempting suicide in the previous year. Military Suicides Suicide has been in the headlines recently because of the alarming rate of suicides among returning troops, as depicted in the August 2012 Time Magazine cover story titled “One a Day�. In Maryland, of the 25 suicides reported in the military, all were under 25 years old. Common Causes Suicide is not a disease. It is a result of many risk factors. Over 90 percent of suicide victims suffer from a significant psychiatric disorder at the time of their death. The most common are mood disorders (disor-
ders involving depression) and substance abuse. These disorders are often undiagnosed and untreated, partly due to inadequate information about them, but also due in large part to the continued misunderstanding and stigma about mental illnesses. Studies have shown that only a third of all those who suffer from depression seek treatment. A depressive episode often affects the mood (persistent sadness). It also affects one’s usual physical or behavior patterns, and may result in fatigue, impaired sleep, or altered eating habits. However the effect on the thought pattern is the most devastating and accounts for suicidal thinking and attempts in severe cases. One often feels
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Suicide is a public health concern nationally and internationally.” inexplicably guilty, hopeless and helpless about situations, and in severe cases concludes they are a burden on others and better off dead. As depression worsens there are recurrent thoughts of death, developing into suicidal thoughts, which may ultimately result in suicidal attempt. Studies show that most people who attempt suicide do not want to die but are unable to see alternatives to their problems. Many initially resist the suicidal impulses with various mental convictions. However, with the severity of depression, even this resistance is not strong enough. Increased Risk Factors People with dependence on alcohol and other drugs, in addition to being depressed, are at greater risk for suicide. Suicide risk during depression may be higher amid heightened anxiety, impaired sleep, irritability and previous suicide attempts, no matter how minor it seemed. Firearms in the household increase the risk of suicide completion. Being isolated is also a risk factor for suicide when depressed. Some exhibit warning signs of suicidal intentions or even talk about it. There is a myth that talking about it means
HEALTH & WELLNESS the person is not serious. Some may become very withdrawn from those around them. In others there are no visible signs. It is therefore important to communicate openly with the young person who appears to be in persistent emotional distress to explore their thoughts. Ways to Prevent Suicide 1. Even though there is a genetic risk for depressive illnesses and it can occur without a specific triggers, it may also be triggered by overwhelming stress related to negative life events. Promotion of adequate coping skills to stressful events may prevent some depressive states. 2. Early recognition and treatment of depressive symptoms is key. In spite of the medical facts, there is still reluctance to seek mental health treatment, mainly due to stigma. Everyone can help erode stigma by dropping derogatory remarks about mental illnesses, often magnified in the media. Development of better attitudes toward mental illnesses will indeed improve the chances of early recognition. 3. Arm yourself with facts about depression. If you suspect your child may be exhibiting some symptoms, have an open discussion in a non-judgmental manner and seek medical help from a mental health clinician, psychiatrist or counselor. If a mental health professional is unavailable, see the family physician immediately. 4. If your child is diagnosed with or exhibiting some signs of depression, be alert to the risk factors of substance abuse, isolation, or visiting social media sites with focus on suicidality, and continue open dialogue. 5. Encourage their friends not to keep secrets about suicide intent but tell a parent or school guid-
ance counselor. Many people have talked about their intent prior to attempting suicide but have sworn friends to secrecy. 6. Remove all firearms from the house. 7. If there is a suspicion, attempt or expression of intent to harm one’s self, get your child to the emergency room right away or call 911. Many people who have had suicidal ideas or even made attempts in the past and have had treatments, go on to live emotionally successful lives.■ For more information about suicide prevention, contact: American Association of Suicidology @ www.suicidology.org 1-800-273-TALK (8255) Prevention of Teen Suicide www.sptsusa.org
Frederick Corder, MD FAAP Dr. Corder attended medical school at Howard University College of Medicine and graduated in 1977. He is board certified by the American Academy of Pediatrics. Dr. Corder was formally the Chief Health Officer for Prince George’s County and the medical Director of several health plans. Dr. Corder has been in Pediatric practice for over 35 years. Dr. Corder, his wife Dr. Marilyn Corder ad their daughter Adrienne Corder started the Corder Pounders Youth Fitness program and the Family Fitness Center. Bowie, MD • (301) 805-2229 Cheverly, MD • (301) 341-7494 Children’s Medical Center Washington, DC T: 202-291-0147 December - January 2015
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HEALTH & WELLNESS
IOL Implants: Lens Replacement and Cataract Surgery
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efore intraocular lenses (IOLs) were developed, people had to wear very thick eyeglasses or special contact lenses to be able to see after cataract surgery. Now, with cataract lens replacement, several types of IOL implants are available to help people enjoy improved vision. Discuss these options with Dr. Bovelle to determine the IOL that best suits your vision needs and lifestyle. Cataract lens replacement: How IOLs work Like your eye’s natural lens, an IOL focuses light that comes into your eye through the cornea and pupil onto the retina, the sensitive tissue at the back of the eye that relays images through the optic nerve to the brain. Most IOLs are made of a flexible, foldable material and are about one-third of the size of a dime. Like the lenses of prescription eyeglasses, your IOL will contain the appropriate prescription to give you the best vision possible. Read below to learn about how IOL types correct specific vision problems. Which lens option is right for you? Before surgery your eyes are measured to determine your IOL prescription, and you and Dr Bovelle. will compare options to decide which IOL type is best for you, depending in part on how you feel about wearing glasses for reading and near vision. • The type of IOL implanted will affect how you see when not wearing eyeglasses. Glasses may still be needed by some people for some activities. • If you have astigmatism, Dr. Bovelle will discuss toric IOLs and related treatment options with you. • In certain cases, cost may be a deciding factor for you if you have the option of selecting special premium lOLs that may reduce your need for glasses. •
Intraocular lens (IOL) types Monofocal lens This common IOL type has been used for several decades. • Monofocals are set to provide best corrected vision at near, intermediate or far distances. • Most people who choose monofocals have their IOLs set for distance vision and use reading glass16
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Submitted by Dr. Renee Bovelle
Like the lenses of prescription eyeglasses, your IOL will contain the appropriate prescription to give you the best vision possible.”
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es for near activities. On the other hand, a person whose IOLs were set to correct near vision would need glasses to see distant objects clearly. Some who choose monofocals decide to have the IOL for one eye set for distance vision, and the other set for near vision, a strategy called “monovision.” The brain adapts and synthesizes the information from both eyes to provide vision at intermediate distances. Often this reduces the need for reading glasses. People who regularly use computers, PDAs or other digital devices may find this especially useful. Individuals considering monovision may be able to try this technique with contact lenses first to see how well they can adapt to monovision. Those who require crisp, detailed vision may decide monovision is not for them. People with appropriate vision prescriptions may find that monovision allows them see well at most distances with little or no need for eyeglasses.
HEALTH & WELLNESS •
Presbyopia is a condition that affects everyone at some point after age 40, when the eye’s lens becomes less flexible and makes near vision more difficult, especially in low light. Since presbyopia makes it difficult to see near objects clearly, even people without cataracts need reading glasses or an equivalent form of vision correction.
Multifocal or accommodative lenses These newer IOL types reduce or eliminate the need for glasses or contact lenses. • In the multifocal type, a series of focal zones or rings is designed into the IOL. Depending on where incoming light focuses through the zones, the person may be able to see both near and distant objects clearly. • The design of the accommodative lens allows certain eye muscles to move the IOL forward and backward, changing the focus much as it would with a natural lens, allowing near and distance vision. • The ability to read and perform other tasks without glasses varies from person to person but is generally best when multifocal or accommodative IOLs are placed in both eyes. • It usually takes 6 to 12 weeks after surgery on the second eye for the brain to adapt and vision improvement to be complete with either of these IOL types. Considerations with multifocal or accommodative IOLs • For many people, these IOL types reduce but do not eliminate the need for glasses or contact lenses. For example, a person can read without glasses, but the words appear less clear than with glasses. • Each person’s success with these IOLs may depend on the size of his/her pupils and other eye health factors. People with astigmatism can ask Dr Bovelle about toric IOLs and related treatments. • Side effects such as glare or halos around lights, or decreased sharpness of vision (contrast sensitivity) may occur, especially at night or in dim light. Most people adapt to and are not bothered by these effects, but those who frequently drive at night or need to focus on close-up work may be more satisfied with monofocal IOLs. Toric IOL for astigmatism This is a monofocal IOL with astigmatism correction built into the lens. • Astigmatism: This eye condition distorts or blurs the ability to see both near and distant objects. With astigmatism the cornea (the clear front window of
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the eye) is not round and smooth (like a basketball), but instead is curved like a football. People with significant degrees of astigmatism are usually most satisfied with toric IOLs. People who want to reduce (or possibly eliminate) the need for eyeglasses may opt for an additional treatment called limbal relaxing incisions, which may be done at the same time as cataract surgery or separately. These small incisions allow the cornea’s shape to be rounder or more symmetrical.
Other important cataract lens replacement considerations • In some cases, after healing completely from the cataract lens surgery, some people may need further correction to achieve the best vision possible. Their ophthalmologist may recommend additional surgery to exchange an IOL for another type, implant an additional IOL, or make limbal relaxing incisions in the cornea. Other laser refractive surgery may be recommended in some cases. • People who have had refractive surgery such as LASIK need to be carefully evaluated before getting IOLs because the ability to calculate the correct IOL prescription may be affected by the previous refractive surgery. • People with Dry Eye need to be evaluated before cataract surgery. Untreated Dry Eye can affect the calculations needed to choose the specific IOL for you. So if you have Dry Eye please take your eye drops as directed.■ Article written by Kierstan Boyd, reviewed by Dr. Elena Jiménez and reprinted from:
Dr. Renee Bovelle
“Your Best Vision is Our Focus”
12200 Annapolis Rd., Suite 116, Glenn Dale, MD 20769 301-805-4664 www.EnvisionEyeAndLaser.com December - January 2015
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HEALTH & WELLNESS
The Effects of Genetics on Breast Cancer: An Update
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By Kashif Ali, M.D.
In the United States, breast cancer is the most common cancer among women of all races.�
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n the United States, breast cancer is the most common cancer among women of all races. Unfortunately, it is also the second leading cause of cancer death in this gender population. It is estimated that in 2012, About 227,000 new cases of invasive breast cancer and about 63,000 new cases of non-invasive breast cancer (an early form of breast cancer) were diagnosed in this country. This will lead to about 39,500 deaths from breast cancer. In their lifetime, about 1 in 8 (12%) women in the US will develop invasive breast cancer. This is a very chilling statistic, which makes early screening and detection only that much more important. Breast cancers that are discovered at earlier stages have a much higher change of cure and survival. Up to 10% of breast cancers are thought to be hereditary. These cancers are a result of genetic information passed from a parent to their offspring. Genetic information is passed through chromosomes. During conception, half of the chromosomes are obtained from the mother and half from the father. The genetic information in these chromosomes is encoded in DNA. This DNA contains the instructions for building proteins that make up your body and help with all its functions. Unfortunately, if there is an error, or mutation, in this DNA, that mutation will appear in all the cells produced by that particular DNA.
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Most inherited cases of breast cancer are associated with two abnormal mutations in the DNA: BReast CAncer gene one and BReast CAncer gene two, abbreviated BRCA1 and BRCA2. It is a fact that everyone has BRCA1 and BRCA2 genes, since the normal function of the BRCA genes is to repair cell damage and keep breast cells growing normally. This prevents us from developing cancer. But the problem is that when these genes contain abnormalities or mutations , the breast cancer risk increases, since this leads to irregularities with the normal repair mechanism in breast cancer tissue. Abnormal BRCA1 and BRCA2 genes may account for up to 10% of all breast cancers, or 1 out of every 10 cases. Women having these particular abnormal genes can have up to an 80% risk of being diagnosed with breast cancer during their lifetimes. Breast cancer in these women is more likely to occur at a younger age, be more aggressive with a higher chance of spreading, and occur in both breasts. Apart from breast cancer these women are also much more likely to develop cancer of the ovary (2nd most common after breast), pancreas, cervix, uterine, colon, stomach, gall bladder, bile duct, thyroid, and a type of skin cancer called melanoma. We all have 23 pairs of chromosomes, for a total of 46 chromosomes, half of which come from our mother and
HEALTH & WELLNESS the other half from our father. The BRCA1 and BRCA2 mutations are passed onto children in a autosomal dominant pattern. This means that even if one parent is carrying a mutation on even one of their 46 chromosomes, half of their children will be affected. The BRCA mutation is detected through a blood test collected at your doctor’s office or a lab. Possible women who qualify for BRCA mutation testing include those with a personal or family history of: • • • • • • • • • •
Breast cancer diagnosed at age 50 or younger Ovarian cancer at any age Two separate breast cancers in the same person, or two family members with breast cancers on the same side of the family Male breast cancer Triple negative type of Breast Cancer (meaning breast cancer carrying no receptors to target) Pancreatic cancer and a breast or ovarian cancer in the same person, or on the same side of the family Ashkenazi Jewish ancestry with breast, ovarian, or pancreatic cancers Two or more relatives with breast cancer, one under age 50 Three or more relatives with breast cancer at any age A previously identified BRCA mutation in any member of the family
Dr. Kashif Ali earned his MD degree from Ross University School of Medicine. He completed his residency in Internal Medicine at Seton Hall University in New Jersey. While at Seton Hall University, he became the Chief Resident and then went on to complete his training in Hematology and Oncology. During this training he was appointed Chief Fellow. Dr. Ali is presently board certified in Internal Medicine, Hematology and Oncology.
Women who carry a BRCA mutation tend to have breast cancers that are triple negative. Triple negative breast cancers are: Estrogen receptor-negative, Progesterone receptor-negative, and HER2/neu-negative. This means there is no receptor on the outside of the cancer cell to target during treatment. These cancers also tend to be more aggressive and have a high chance of metastasis (meaning spread to other parts of the body). To bring some positive light to this discussion, a recent study at the M. D. Anderson Cancer Center showed that triple-negative breast cancer patients with BRCA mutations experienced a significantly lower chance of the cancer coming back after completing treatment. Also a new class of drugs, called PARP inhibitors, have shown promise in BRCA mutations and/or triple negative breast cancers. Even women who were treated with and failed multiple prior chemotherapies responded favorably to these new agents. In conclusion, it is imperative that women at risk for carrying the deleterious BRCA mutations be identified prior to the development of a BRCA-associated cancer. In the event that this mutation is detected after the development of cancer, then she be treated with the most up-to-date, new, and robust treatments that oncologists have to offer at this time.■ December - January 2015
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-We have appointments available for Sports Physicals & School Physicals / Immunizations -Spanish and Amharic speaking staff -Most major insurances and Medicaid accepted -Same day appointments available -Prenatal consultations FREE -We do ear-piercings
aceptando nuevos pacientes Dr. Ndidi Agholor is a caring and dedicated pediatrician whose top priority is the well-being of her patients. She is committed to providing quality healthcare for all her patients from birth to age 21. Dr. Agholor has worked in the Maryland/DC area for over a decade. She graduated from Howard University College of Medicine and completed her pediatric residency at the University of Maryland Medical Center. She is board certified by the American Board of Pediatrics and is also a member of the American Academy of Pediatrics. Dr. Agholor enjoys caring for children of all ages, participating in community activities and promoting healthy lifestyle choices for her patients and their families. She has special interests in Newborn/Infant Care, Behavioral Disorders, Asthma Management, Nutrition, Adolescent/ Teenage Health, Preventative/Well Child Care. Healthcare for Infants, Children and Adolescents 7505 New Hampshire Ave, Suite 302, Takoma Park, MD 20912 Phone 301-434-8800 ●
Website: www.ped-care.org ● Email : pedcare4kids@gmail.com
Hours: Monday – Friday 8:30am-6:30pm and Saturday 9:00am-12noon (by appointment only)
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Burn 100 Calories in LESS than 30 Minutes
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By Vernise L. Burs PT, CSCI
et’s get up and be active! Plain and simple inactively contributes to weight gain and even obesity. Obesity is a risk factor for Type 2 diabetes, hypertension, arthritis, cancer, stroke, heart disease and even death. According to the Center for Disease Control and Prevention (CDC) in 2011, there was 128,932 stroke related deaths; 596,577 heart related deaths and 576,691 cancer related dates. Get to know your BMI. Body mass index (BMI) is a mathematical equation that is based upon your weight and height; it is used to determine your health status. A BMI of 18.5 to 24.9 is normal weight, 25 to 29.9 is over-weight, 30 to 34.9 is mild obesity, 35 to 39.9 is moderate obesity and 40 or greater is severe obesity. What is your BMI? We can minimize our risk for various medical conditions by getting up out of our seats to move! DID YOU KNOW 20 MINUTES OF BRISK WALKING BURNS 100 CALORIES AND 30 MINUTES BURNS 150 CALORIES? Below are 15 easy ways to burn 100 calories in less than 30 minutes! • Brisk walking: 20 minutes • Biking: 23 minutes casual cycling • Cardio dance class: 15 minutes • Elliptical: 8 minutes • Squats: Perform 20 repetitions
• March/Jog in place: 1 minute • Push-ups: 10 repetitions • Pilates: 24 minutes • Rowing machine: 13 minutes • Running stairs: 6 minutes • Swimming: 15 minutes moderate intensity • Walking stairs: 11 minutes • Water aerobics: 23 minutes • Yoga: 20 minutes • Zumba: 11 minutes Don’t Be A Statistic! GET UP AND MOVE. JUST MOVE! I challenge you to do 1 to 3 different exercises 3 or more times this week. JUST MOVE! I dare you. JUST MOVE! However, if you have mobility issues, physical limitations and previous sports injuries that are keeping you from being as active as you desire there are solutions. Make an appointment with our office for an evaluation. Most insurances are accepted, as well as Health Savings Plans.■
2530 N. Charles Street, Suite 102 Baltimore MD 21218 / (410)889-7872 December - January 2015
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Mixed Green salad with COMMUNITY
Ingredients Your Choice of Nutrient Rich Greens 1/2 Bunch of washed and shredded Kale 1 Apple chunk diced, 3 grapes sliced 1/2 pecan crushed, Sweet pepper, Onion Dressing Balsamic vinegar – 3 tbs. Dijon mustard – 1 tbs. Honey – 1 tbs. Olive oil – 6 tbs.
Preparation Mix everything together and add salad dressing. Yum!■
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Lacinato Kale
COMMUNITY
Lentil Stew Ingredients 2 cups of yellow or green lentil beans 1 can of tomato 1 medium onion 1 bell peppers (you may use organic salsa for the tomato, onion and bell pepper) 2 cups of butternut squash 1 cup of diced carrots 1/2 bunch of steamed collard greens 2 garlic cloves Add salt, pepper
Preparation 1. Mash butternut squash & black beans once soft boiled 2. Mix cooked lentils into squash and black bean sauce 3. Let stew for 15 min stir and add water as needed.â–
Learn to prepare healthy food that taste good. Take a Cooking Class ...It’s Fun! GoCooKVEGAN
301-887-7901
www.gocookvegan.com Register@gocookvegan.com www.facebook.com/gocookvegan December - January 2015
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Women’s Journal ? “The Women’s Journals have been the single most effective media for our demographic, females age 25-65. The Return on Investment is VERY, VERY high and I highly encourage you to try them.” Dr. Jonathan Calure, Maryland Vein Professionals “I am very pleased with the results. I got seven new clients the very first week. I felt famous in my community. The Women’s Journal helped me to realize my life long dream of owning a successful business.” Chef K. Blair, Cuisine Liberte We received a number of requests for travel from the Holiday edition of the Women’s Journal but we were overly excited to plan an entire 2016 family reunion from a reader. Yeah!!! Couldn’t be happier with our results each time we advertise in the Journal. Maleka Green, Green Family Travel “The test coverage on editorials is worth something above and beyond regular advertising.” P.J. Boatwright, V.P., Custom Projects for Fortune Group “I have gotten more response with the Women’s Journal than any other publication that I have ever advertised in.” Wayne Campbell, CRW Electric, Inc. 24
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As a Certified Holistic Health Coach, doing business with the Women’s Journal is great! I received a large corporation client, requesting paid wellness workshops to educate their employees, what a way to start the year off! Melanie Harris, Founder of Healthy By Choice, DC “A priceless educational vehicle to allow patients quality, objective information about our various procedures.” Andrejs V. Strauss, M.D., Dir. of Oncology, Beebe Medical Center “People show up with the coupon from the paper, and they are ready to buy. My editorial get’s a lot of attention and it works. I am happy.” Anita Hampton, Hair Fantasy “Outstanding readership and patient response to our articles.” Richard J. McCann, D.M.D., P.A. “The best customer response our company has ever had from advertising.” Joan Carrero, Director of Marketing, NASE Insurance “GHR received a new agent, a new sale at $600k and a potential buyer. I couldn’t be more pleased. Thank you.” Maleka Green, Owner of Green Home Realty
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