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Prince George’s County

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A Lifestyle Magazine

COMPLIMENTARY Volume 58 Issue 3

omen s ournal Ways to Staying Youthful Stop Knee Pain Now Without Surgery

WojoTalk.com WojoTalk.com Great Summer Recipes to try!

ARTHRITIS & PAIN ASSOCIATES OF PG COUNTY COMPASSIONATE CARE FOR PATIENTS WITH VARIOUS RHEUMATOLOGIC CONDITIONS

From back left: Yevgeniy Sheyn, M.D., Jerome Schnapp, M.D., Jonathan Adelson, M.D., Donald Thomas Jr., M.D. Front row: Maria Chou, M.D., Maria Cuadra PA-C, Chikako Riester CRNP, Rukmini Konatalapalli, M.D.


Contents

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Health & Wellness Healthy Meals / Home Improvement Business

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By Donald Thomas, MD, FACP, FACR, CCD

HEALTH & WELLNESS

Know Your Numbers:

The Secret to Losing Weight & Getting Fit

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ost of us would like to become more healthy, lose fat, and gain muscle. After the age of 20, we naturally lose muscle mass. This causes our bodies to use less calories, and unless we try hard through diet and exercise, most of us naturally gain more fat and lose more muscle. Not only does this cause us distress in not looking our best, but it also increases our risk for medical problems such as heart attacks, strokes, and cancer. Most people use scales to monitor their weight, or include their height in order to calculate a measurement called their BMI (body mass index). Both of these methods of monitoring weight loss and health are misleading because they do not discriminate between muscle, fat, and water weight. When someone embarks upon an exercise and healthy eating regimen, they may not lose much weight on the scale, nor change their BMI very much, and yet could have significant decreases in fat and increases in muscle, both of which are the goals of weight loss and fitness programs. Better methods than the scales are needed in order to properly monitor fitness programs. Up until now, very few people have had access to accurate ways to monitor actual muscle and fat amounts in their bodies. Calipers that measure skin fold amounts and home scales that use electrical impedance to estimate body fat are both highly inaccurate. The most accurate way to measure body fat and body muscle mass is via a method called DEXA (dual energy x-ray absorpti-

“After the age of 20, we naturally lose muscle mass.” ometry). It is so accurate, that it is the preferred method of monitoring fat and muscle in medical research studies and is “the gold standard.” This method uses a tiny amount of x-rays that accurately measures the amount of fat and muscle in various parts of the body. The amount of radiation used is tiny, amounting to less than what a person is exposed to by our own environment every day. The entire scan only takes about 5 minutes to perform, and immediately gives a person their percentage of body fat, percentage of body muscle, how much muscle is located in each arm and leg (especially helpful information for athletes), as well as calculates the person’s basal metabolic rate. Knowing this information so accurately, a person can then embark upon an exercise and eating regimen to work on decreasing fat and increasing muscle. The test can then be repeated at intervals, such as every 3-6 months, to accurately inform the person about how their program is going, and where it may need improvements. DEXA to evaluate muscle and fat amounts of the body (also called body composition) is not just for research any more. We now have it available in Prince George’s County at “Total Body Composition of PG County”, a division of “Arthritis and Pain Associates.” It is affordable and practical. Help jump start your fitness regimen right and evaluate it as accurately as possible by using our DEXA machine. Call us today and ask for our current discounted rate. March-May rates: $50 each or 3 tests for $100—Mention you saw us in the Women’s Journal.■ Donald Thomas, MD, FACP, FACR, CCD President, Rheumatism Society District of Columbia Chair Emeritus, Medical and Scientific Advisory Council, Lupus Foundation of America DC/MD/VA Chapter Total Body Composition of PG County 301-345-5600 7300 Hanover Dr., Ste. 201, Greenbelt, MD 20770 April - May 2017

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HEALTH & WELLNESS

Knee

Pain

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Submitted by Dr. Donald Thomas, MD

he knee is the largest joint of the body. It is a complex area where the femur, the large upper bone of the leg, connects with the tibia, the lower leg bone. The patella (knee cap) slides in a groove on the front side of the femur. Each of the bony surfaces that touch each other, inside of the knee joint, are covered by a smooth firm surface called cartilage. This allows the knee to move effortlessly, allowing us the ability to walk, stand, and kneel. The bones themselves are attached to each other by strong ligaments on the outside of the knee, as well as the menisci or meniscus (types of ligaments) on the inside of the joint. Knee pain, is one of the most common problems in people as they become older. Although pain causes distress, it may also interfere with a person’s quality of life by keeping them from doing the activities that they enjoy. There are many different potential causes of knee pain, and they each have different forms of treatment in order to feel better. Determining the cause of knee pain is performed by a physician taking a good history, a physical examination, diagnostic tests x-rays, and blood tests. Doctors who are most experienced at diagnosing and treating knee problems are rheumatologists and orthopedic surgeons. Rheumatologists are doctors who specialize in treating joint and arthritis problems non-surgically. If surgery is needed, they send patients to orthopedic surgeons, but usually as a last resort. Here at Arthritis and Pain Associates of PG County, we have 6 board certified rheumatologists, as well as a nurse practitioner and a physician assistant who also specialize in rheumatology. Our doctors are regularly designated as being “Top Doctors” in the Washington DC area as well as nationally. We use the most up to date diagnostic and treatment methods in helping people who suffer from joint problems such as knee pain. For example, our doctors are able to perform a diagnostic ultrasound examination of the knee during the physical examination at the first visit. This allows us to be able to see the structures inside of the knee without even getting an x-ray. Often times, this is enough to figure out the cause of knee pain quickly and painlessly.

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“Knee pain, is one of the most common problems in people as they become older.” Once the cause of knee pain is identified, the doctor can prescribe the best therapy to treat the problem. Treatments can help the patient to feel better and resume their normal activities. One of the most common causes of knee pain is osteoarthritis. It is also called degenerative arthritis and degenerative joint disease. This is the most common type of arthritis, occurring in all of us as we get older. If medications and exercise are insufficient in relieving knee pain, our doctors are able to drain fluid out of the knee, and inject medications such as cortisone or hyaluronate to help relieve pain. These treatments are two of the safest that exist for knee pain. The medication is placed at the area needed inside the knee rather than taking pills, which can potentially cause problems in other parts of the body. Hyaluronate injections, a form of treatment that is also called viscosupplementation, are a very exciting and very safe treatment for osteoarthritis of the knee. Hyaluronate (also called hyaluronic acid) is naturally produced by normal cells that produce the lubricating fluid inside of the knee joint. Hyaluronate is the same substance that gives egg white its slick and slippery quality. You can easily imagine how this slippery substance would allow the structures of the knee to move seamlessly. In fact, the knee fluid is called “synovial” fluid, which partially comes from the Greek word “-ovi”, which means egg. This alludes to how the joint fluid is very similar to the consistency of egg white. Knee osteoarthritis causes the cells of the joint to stop making as much hyaluronate. This causes the normally thick fluid to become thin and watery, which then increases pain and stiffness in the knee.


HEALTH & WELLNESS Viscosupplmentation is a treatment where our doctors remove fluid from the knee and inject a hyaluronate medication back into the knee joint. Examples of hyaluronate include Supartz, Synvisc, Hyalgan, Euflexxa, GelSyn-3, and GelOne. The injected hyaluronate stimulates the cells of the knee to start producing more hyaluronate again, increasing the lubricating properties of the synovial fluid within the knee. These types of injections provide significant improvements in pain and stiffness in 75 - 80% of people who get the injections. When they work, they can be repeated every 6 months in order to provide ongoing pain relief. Our doctors use ultrasound to help drain fluid from the knee and do the injections. We strongly believe in providing maximum patient comfort by using freezing sprays and numbing medications to make the injections as comfortable as possible. In addition, the use of ultrasound during the procedure allows the doctors to see the needle during the injection, al-

lowing them to place it correctly in the knee without touching sensitive areas such as bone. If you have knee pain, you deserve to seek out and obtain the best medical care possible. Call our office and make an appointment with one of our outstanding, board certified rheumatologists today, and take that first step to a better quality of life in your future.â– Donald Thomas, MD, FACP, FACR, CCD President, Rheumatism Society District of Columbia Chair Emeritus, Medical and Scientific Advisory Council, Lupus Foundation of America DC/MD/VA Chapter Arthritis and Pain Associates of PG County 301-345-5600 7300 Hanover Dr., Ste. 201, Greenbelt, MD 20770 7350 Van Dusen Rd. Ste.320, Laurel, MD 20707 9131 Piscataway Rd. Ste. 310, Clinton, MD 20735

ARTHRITIS & PAIN ASSOCIATES OF PG COUNTY accepting new patients

From back left: Yevgeniy Sheyn, M.D., Jerome Schnapp, M.D., Jonathan Adelson, M.D., Donald Thomas Jr., M.D. Front row: Maria Chou, M.D., Maria Cuadra PA-C, Chikako Riester CRNP, Rukmini Konatalapalli, M.D. April - May 2017

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Natural Medicine Your Solution To Wellness By Veda Johnson, ND

What is Naturopathic Medicine? It is a form of medicine that focuses on the prevention of illness and treatments that stimulate the body’s ability to heal itself and create optimal health. Improved wellness is achieved with therapeutic methods and substances that balance centuries old natural remedies with frontline advances in medical science. I became a Naturopathic Doctor to aid in the body’s natural healing process by discovering the root cause instead of just treating symptoms. There are times when a cause cannot be found and the condition cannot be abated. However, the goal still remains the same and that is to bring about an increase in wellness, a decrease in symptoms, and/or the reversal of the condition. Did you know that many chronic illnesses can be reversed simply by a diet change? Simply implementing diet lifestyle changes can decrease blood sugar levels, decrease high blood pressure readings and stopped or minimized eczema. These are just a few examples:

What conditions can be treated with Naturopathic Medicine? Conditions/Chronic Illnesses such as (but not limited to): • • • • • •

Asthma Autoimmune Conditions Cancer Chronic Fatigue Diabetes II Digestive/Stomach conditions Eczema Female Hormonal Conditions

• • • • •

• • • • • • •

Food Allergies and Sensitivities Herpes High blood pressure High Cholesterol Insomnia Neuropathy Psoriasis

We see all facets of general family health from infancy to geriatric care. We accept Flex Spending and HSA plans. We also have our own in-house payment plan

Call and Schedule a Free 15 minute consultation and Get the Gift of Health 301-552-2621 DR. VEDA Johnson is a licensed Naturopathic Doctor with over 30 years of experience in various allied health professions. A graduate of the Southwest College of Naturopathic Medicine in Tempe, Arizona. A native Baltimorean that loves family, cooking and reading. As an avid Teacher/Learner she is an adjunct Professor of Genetics at the Notre Dame of Maryland University.

Office Hours Tuesday- Wednesday: 9:00 am –5:00 pm Thursdays: 9:00 am -7:00 pm Fridays: 8:30 am- 1:00 pm Saturday: By Appointment Only Closed Sundays & Mondays

9811 Greenbelt Road, Suite 20 Lanham, MD 20706 301-552-2621 Website: atnwellnesscenter.com

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For more information, contact the Women’s Journal at 866-517-5049 6

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By Alan Weiss, M.D.

HEALTH & WELLNESS

Staying Youthful,

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For as Long as Possible!

ife has a habit of getting in the way of our doing what it takes to stay healthy, youthful and vibrant for as long as we can. Work, family and children, unexpected life events and stressors, have a way of displacing our doing what we deep down know we can and should do to feel well and look well for was long as possible. I see patients all day long who want to lose weight and feel better. Most of the actions that will allow for this, such as regular exercise, eating a diet with minimal sugar and refined carbohydrates and trans fats, are clear to them. But somehow they keep putting these off but plan to get to them. And there are also people who are doing these things but can’t seem to lose weight and have the kind of energy they used to have and want to reclaim. And the truth is our bodies’ change, we change as we get older. But most of us can feel well, be pain-free (at least mostly) and have our bodies support us in living the life we want. Here is my approach: 1. I sit down with my patients, understand their medical history, their family history, and listen to them to get a sense of what their life is like, especially to understand the stressors on them, as well as what they enjoy doing, and how they spend their time. Then I address these as appropriate. 2. Then I get down to the nitty gritty and address the following issues: • Are they sleeping? Is there any evidence of a sleep disorder? If so I test for this and treat appropriately. • I do comprehensive blood work looking for nutritional deficiencies, hormonal deficiency or excess, and any other imbalances that can be revealed from blood saliva and urine testing. • Are there any underlying chronic infections? I see many people who are chronically fatigued who have Lyme disease, viral infections such as Epstein Barr Virus, chronic sinusitis, chronic issues with yeast, and even hidden parasites. • What is their diet like? Are they eating fast food, sugar and depleted carbs or are they eating nutrient rich foods, using high grade supplements, and avoiding excess caffeine, artificial sweeteners? I also look at food allergies and intolerances, and address histamine intolerance which can produce chronic hives and rashes. • I aggressively treat underlying thyroid problems, autoimmune disease, and testosterone deficiencies in men and other hormonal imbalances in women. These approaches can be life changing.

“Our bodies’ change, we change as we get older.”

• Finally I offer patients the opportunity to do a detoxification program which is a great way to rid the body of the toxins we accumulate, and reset our metabolism. While this approach requires thinking and personalization I have found it to be the only way to help each person regain their potential and feel well. It takes time as well as responsibility from both doctor and patient but it Works!

Dr.Weiss completed his undergraduate work at University of Virginia and is a graduate of McGill University Medical School; he completed his Internship at the University of Hawaii and Residency at St. Elizabeth’s Hospital in Boston. As head of Annapolis Integrative Medicine, Dr. Weiss specializes in preventative health, alternative approaches to wellness, and treating complex issues including CFS and Fibromyalgia. April - May 2017

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aaron’s hope, inc. My son Aaron who has autism inspired me to create Aaron’s Hope Inc. (AHI) a 501(c)( 3). I am motivated by the individuals with autism and intellectual disabilities that have touched my life during this journey. AHI has listened to the parents, caregivers, and siblings. “What happens to our loved ones as we transition?” As such we have developed community outreach programs and after school life skills classes to address the concern for safety, self-advocacy, and protection. Our Mission is to provide educational, social, recreational, and employment services to individuals with autism and intellectual disabilities in Prince George’s and Charles County, Maryland. At age 21, what happens to our youth with Autism and Intellectual disabilities? Many are home by themselves. Contact us for information and support. We need corporate and individual sponsors to help us continue our community outreach.

Janice Keys: jmkeys58@hotmail.com /(301) 502-0910, Mon-Fri 12pm-5pm Adriane McCann: aaronshope@live.com/ (301)-485-1278 or (202) 999-8756 Mon-Fri 10am-6pm

Full Service Pharmacy & Compounding Service Providing Fast & Friendly Prescription Service • Electronic RX from your doctor • Extended Supply • Diabetic Supplies • Compression Support • Specialty Compounds

(301)577-1212 Fax (301)577-1099 8313 Annapolis Rd New Carrollton, MD. 20784 M-F 9am-6pm Sat. 10am - 1pm

Website: www. thefamilychoicepharmacy.com Email: familychoicerx@verizon.net

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$25 invested in a youth will begin to provide safe options. $75 a week will provide social, emotional skills & programs. Contact us today to partner with a youth!


Regaining Confidence & Intimacy After Childbirth

HEALTH & WELLNESS

“Vaginal looseness is a common side effect of childbirth.”

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here’s no doubt that a woman’s life changes after having a baby, ushering a flood of emotions and deep love for her newborn. However, for some women, life after childbirth can also bring about difficult emotions, like increased insecurity around appearance and intimacy. Although the majority of women positively adapt to the physical changes their body experiences during pregnancy, they often do not retain the same level of self-confidence after childbirth. According to a recent study, more than 64 percent of new moms surveyed confessed their body image had worsened since becoming a mother. In addition to feeling self-conscious about weight gain and stretch marks, women also grapple with the functional changes that occur to their bodies after childbirth as the stretching that occurs to the vaginal wall and introitus (opening to the vagina) during childbirth often lasts well beyond delivery. According to a recent study, as many as 63 percent of women felt their vagina was looser since giving birth. Loss of tone and sensation is also common for women who gave birth naturally, rather than by cesarean section. Coupled with poor self-image, functional difficulties (such as dryness, itching and looseness) after birth can lead to women feeling self-conscious around their partners, making intimacy difficult. More than 8 in 10 women experience sexual problems in the first three months after their first delivery, and 62 percent of women surveyed attributed the negative changes in their sex life to post-partum vaginal looseness. And a year and a half after childbirth, 24 percent of women are still experiencing pain during sex. We also know that a woman’s body image correlates positively with both her and her husband’s marital satisfaction.So what can we do to solve the problem nobody wants to talk about? Advances in technology, beyond the surgical interventions of the past, have made it possible to remedy some of the func-

tional issues so many women face after giving birth, helping them rebuild self-esteem and regain intimacy with their partners, yet such solutions and interventions are not regularly discussed. Thankfully, there are several ways to relieve discomfort and gain confidence after giving birth: Address your discomfort: Vaginal looseness is a common side effect of childbirth. Clench and release exercises known as Kegels are a simple way to strengthen pelvic muscles, which may help with looseness. To address vaginal dryness, many women look to manufactured lubricants as a way to ease their discomfort. Talk to your doctor: Consider a simple, non-surgical procedure to help restore intimacy after having a child. There are non-invasive treatment options that exist. Spend time with your partner: Remember why you fell in love with your partner. Make time to get out of the house on a date night for dinner or a movie.Although intimacy and self-confidence are important parts of women’s overall happiness, many women struggle to achieve them after birth, as functional problems can last well beyond delivery. As these symptoms are common, women should feel comfortable seeking remedies which can help them rebuild their self-esteem. After all, happy moms are the best moms.■ Ellicott City: 9501 Old Annapolis Road, Ste. 305 Ellicott City, MD 21042 Laurel 8317 Cherry Lane, Laurel, MD 20707 Phone numbers: 443-380-0060 / 410-730-7722 Dr. Okasi April - May 2017

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HEALTH & WELLNESS

Submitted By Dr. Net Tesfayohannes

Georgetown Pain Management 7500 Greenway Center Dr., Suite #940, Greenbelt, MD 20770

Phone: (301) 718-1082 / Fax: (301) 718-1084 / www.gtpain.com April - May 2017

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Courtesy of EggLandsBest Recipes

Blueberry Banana Smoothie Ingredients: Prep time: 5 minutes/Serves: 1 • • • • • • • 12

1/3 cup Eggland’s Best 100% Liquid Egg Whites 2/3 cup unsweetened almond milk 1/2 cup plain Greek yogurt 1/4 cup blueberries I small to medium banana 1 tbsp chia seeds A handful of ice cubes wjwomen.com

PREPARATION: 1. Combine all ingredients in a blender in whichever order you choose. 2. Then blend until smooth. 3. Pour into a glass and enjoy! *depending on the power of your blender you may choose to add the ice once food ingredients are partially blended.*


benefits

The of Probiotics for Babies

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ith the increasing number of products in the marketplace containing probiotics, many new parents might be wondering if their babies could benefit from probiotics. To answer that question, it is important to understand the role of the body’s microbiota, the living organisms that inhabit the gastrointestinal tract. Humans have trillions of bacteria - good, bad, and neutral - living in their gastrointestinal systems. Research shows that in the same way harmful bacteria in the gastrointestinal system can attack the body, good bacteria, also known as probiotics, can help support it. This relationship leads to a balanced and well-functioning gastrointestinal system. For babies, ingesting probiotics may help support the developing digestive tract and immune system. Breastfed babies naturally get probiotics, as research has demonstrated that breastmilk contains probiotics. Mothers unable to breastfeed, or those who choose to offer formula, still have options to ensure their baby is building up adequate amounts of this good bacteria by feeding their baby an infant formula with probiotics. Gerber(R) Good Start(R) infant formula is the only formula line with probiotics available in all milk-based powders. While there are thousands of different probiotic strains, Gerber selected probiotics based on the available research and benefit for specific infant needs. For example, Gerber(R) Good Start(R) Gentle formula is a routine formula for healthy-term infants that uses Bifidobacterium lactis (B. lactis) because this probiotic has been shown

HEALTH & WELLNESS

to help support a healthy immune system and is similar to probiotics naturally found in breastmilk. Gerber(R) Good Start(R) Soothe formula is for babies experiencing colic, excessive crying and fussiness, so it features the probiotic Lactobacillus reuteri (L. reuteri). Studies using this probiotic have shown that it reduces the amount of time colicky infants may cry. Both L. reuteri and B. lactis are recognized as safe for use in infant formula by the U.S. Food and Drug Administration. Keep in mind, all infant formulas are carefully regulated by the FDA. Exclusive breastfeeding for the first six months of life offers the ideal nutrition for babies, but whatever leads parents to use infant formula, they now have an option that contains important good bacteria similar to those found in breastmilk.■ 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 April - May 2017

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HEALTH & WELLNESS

By Katina Byrd Miles, M.D.

Help, I’m Loosing My Hair

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ealthy and thick hair is our crown and glory. It is normal to lose 50-150 hairs per day. But when excessive shedding is noted, medical attention should be sought. According to the American Academy of Dermatology, approximately 80 million people experience androgenetic alopecia or male and female pattern baldness. is is the most common form of non-scarring alopecia and is genetic. Telogen effluvium is an acute form of hair loss usually triggered by an event. Triggers include hormonal changes as seen with birth control pills, post-partum, menopause, thyroid dysfunction, and severe stress. Other causes include medication, depression, anemia, poor nutrition, and major surgery. Alopecia areata is an autoimmune disorder where immune cells attack the hair follicles. The cause of this condition is unknown but has been associated with stress and may have a genetic component. Scarring alopecias include central centrifugal scarring alopecia, traction alopecia, discoid lupus, and lichen planopilaris. In this family of alopecia, an inciting factor results in inflammation that damages and/or destroys the hair follicles. Central centrifugal scarring alopecia and traction alopecia has been associated with tight styling practices such as weaves, corn-rolls, braids, and dreads. Discoid lupus and lichen planopilaris are autoimmune conditions of unknown etiology. Treatment for hair loss must incorporate a multifaceted approach. Blood work may be performed to determine if an underlying medical condition is the cause for the alopecia. A fungal culture may be obtained to determine if ringworm may be the culprit. FDA approved treatment for androgenetic alopecia is minoxidil for both men and women while Propecia is an approved treatment for men. Prescription strength minoxidil can be compounded in a special formulation to reduce inflammation. The most common over the counter 5% minoxidil preparation is Rogaine. When used once or twice a day for at least 4 months, dormant follicles may begin to produce hairs. Active follicles will produce thicker hairs. To maintain the benefits of minoxidil and Propecia, the medications must be used daily. The suggested treatment for telogen effluvium is observation as regrowth occurs in the majority of cases. Once the underlying medical condition has been addressed, the hair follicles cycle out of the resting phase into their growing phase. Other medical treatment options include the use of minoxidil, cortisone injections to the affected area, stress management, and adequate nutrition and sleep. The treatment for scarring alopecia is more difficult as inflammation under the skin eventually destroys the hair follicles. Early medical intervention is absolutely imperative for scarring alopecia. As once the follicles are gone, regenerative treatments

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will not be effective. The goal of treatment is to slow down and/ or halt the underlying inflammatory process so that additional follicles are not damaged. In the early stages of scarring alopecia, where the follicles have not been completely destroyed, then treatment can assist in pushing follicles into their growing phase. Cortisone injections and minoxidil are also used to treat those with mild to moderate involvement. It cannot be stressed enough that early intervention is crucial. In addition to medical therapy, promising cosmetic therapies are available for hair loss. These options include low level laser therapy, platelet rich plasma injections, and hair transplantation. Low level laser therapy 2-3 times a week increase blood flow to the scalp to support the follicle health. ere are few well-designed, double blind, randomized studies that support the effectiveness of this treatment. It appears to be more effective when used in combination with other treatment options such as minoxidil and hair transplantation. Platelet rich plasma injections also increase blood flow to the area and provide growth factors that aid in providing nutrients support to the follicles. Small studies have demonstrated that this treatment option is helpful in treating alopecia areata and androgenetic alopecia. Hair transplantation is an effective surgical approach that transfers healthy hair to deficit areas. With all treatments, hair restoration is a slow process. It takes 6 months to 1 year to see results. Unfortunately, no treatment option is a guarantee. In most cases, a combination of treatments may be utilized to obtain optimal results. If you notice increase shedding of your hair, seek medical attention by a board certified dermatologist to determine if there is an underlying medical condition and to develop an individualized treatment regimen. Early intervention is imperative. For a consultation with Dr. Katina Byrd Miles at Skin Oasis Dermatology, call 410-451-0500, to schedule an appointment. www.skinoasisderm.com.■


Submitted by Kashif Ali, M.D.

It’s Time to Talk About Advanced Prostate Cancer

HEALTH & WELLNESS About advanced prostate cancer Testosterone, which is the primary male hormone, fuels the growth of prostate cancer cells.2 However, even when a patient is receiving treatment to help lower testosterone levels, prostate cancer can continue to progress in several ways: Castration-resistant prostate cancer (CRPC) occurs when the disease continues to progress despite low levels of testosterone.3 Metastatic prostate cancer occurs when the cancer has traveled to other parts of the body, such as the bones, lymph nodes, bladder and rectum.4 When the cancer spreads outside the prostate, and progresses despite treatment, it is called metastatic CRPC.5 Several studies have estimated that, within five years of diagnosis, 10-20 percent of men with prostate cancer will develop CRPC.6 This may seem overwhelming, but fortunately there are ways to educate yourself to be prepared for possible progression and help make well-informed treatment decisions with a physician. How can a doctor diagnose advanced prostate cancer? Unlike some other types of cancers or diseases, men living with advanced prostate cancer may not experience symptoms.2 High levels of prostate-specific antigen (PSA) may indicate cancer or other prostate health issues.2 Other symptoms of advanced prostate cancer may include bone pain or problems urinating.7 If appropriate, a doctor may recommend additional tests such as MRI, CT, PET or bone scans to confirm if the cancer has spread.4 An advanced prostate cancer diagnosis - next steps Everyone’s experience with advanced prostate cancer is unique. There is no one-size-fits-all option, so it’s important that men discuss treatment and lifestyle priorities with their doctor who can help treat the cancer in a way that’s appropriate for him. Priorities can help the patient and his doctor have detailed conversations about what’s important to him in any future treatment.

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n estimated 161,000 men in the United States will be diagnosed with prostate cancer in 2017.1 According to the American Cancer Society, behind lung cancer and colorectal cancer, prostate cancer is the third leading cause of cancer death in men in the U.S.1 Glenn is living with advanced prostate cancer, which differs from earlier stage prostate cancer in that it may have spread from the prostate or has not responded to treatment.2 Because prostate cancer can sometimes spread, or get worse, it is important to focus awareness on the potential for disease progression and how to plan for it.

For more information about prostate cancer progression, including a doctor discussion guide, please visit KnowYourProstatePlan.com.

Dr. Kashif Ali earned his MD Degree from Ross University School of Medicine. He completed his residency in Internal Medicine at the 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. Dr. Ali is available to see patients in Hematology and Oncology. April - May 2017

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Prevent Gum Disease with Laser Dentistry By Dr. Brenda Howard, Cosmetic Dentistry

How are your gums? Are they red, swollen or bleeding? They should not be. They should be firm, tight, pink or brown if yours have melanin pigmentation and they should not bleed. If they are the former, they are diseased and you are in jeopardy of losing your teeth. The loss of teeth has many deleterious results. You are unable to chew your food well, which has a negative effect on digestion. Your jaw joint is not properly supported and you may develop pain in this area. Your facial muscles are no longer supported causing you to look much older than you should. And if this is not enough, there is now evidence linking periodontal (gum) disease to heart disease, low birth weight babies, diabetes and arthritis. So the unhealthy bacteria in your mouth, has an impact on your total health. If you are in need of an exam and consultation to discuss the state of your dental health, give our office a call for a complimentary consultation. We have advanced training in taking care of your teeth and gums and would love to offer our expertise.

Call Blissful Dental today 301-552-2662 Along with the usual dental treatments, we offer : Laser treatment for gum disease Implant replacement for missing teeth Sleep apnea care 9821 Greenbelt Rd #205, Lanham, MD 20706 16

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Breathing Matters:

The Importance of Understanding COPD “We too often take breathing for granted...”

HEALTH & WELLNESS

reathe in. Breathe out. Just take a moment to inhale and exhale. We too often take breathing for granted, but what if taking a breath was a challenge? If you’re someone living with Chronic Obstructive Pulmonary Disease (COPD), the third leading cause of death in the United States (US), or know someone living with this chronic respiratory disease, breathing challenges may impact how you live your life. As of 2010, there were more than 14 million people identified as having COPD in the US, and another estimated 12 million people who remain undiagnosed. In an effort to celebrate life and the important role that breathing plays within it, AstraZeneca has partnered with New York City-based filmmaker Erlendur Sveinsson to produce Ode to Breathing. Ode to Breathing is a documentary-style short film that strings together brief vignettes, providing a moving look at people doing an ordinary yet profound thing: breathing. It can be found online at www.odetobreathing.com. People living with COPD or their caregivers can consider the following tips when thinking about respiratory health. 1. Keep an eye on symptom changes. Early COPD detection can impact disease management, which makes it important to monitor for changes in your breathing and recognize symptoms such as shortness of breath while performing daily activities, chronic cough, fatigue and wheezing. 2. Remember, COPD in many cases is preventable. Risk factors to be aware of may include smoking tobacco (including second-hand or passive exposure); indoor air pollution (such as solid fuel used for cooking and heating); outdoor air pollution; occupational dusts and chemicals (vapors, irritants and fumes); and frequent lower respiratory infections during childhood. 3. Stay inspired and educated. Visit Ode to Breathing at www.odetobreathing.com and watch the inspirational video and access available helpful resources for COPD patients. One such resource is a free e-book that may help people with respiratory illnesses breathe easier with breathing exercises, tips for making day-to-day activities like chores easier, and ways to manage breathing challenges while at work or traveling. 4. Don’t be afraid to speak with your doctor. If you think you or a loved one may be experiencing COPD symptoms, speak to a healthcare provider to determine what options are available to help you breathe easier to help you enjoy life’s simple moments.■ April - May 2017

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HEALTH & WELLNESS

By Haddis T. Hagos, M.D.

Genicular Neurotomy,

a Novel Approach to the Management of Knee Pain

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nee pain is a common complaint among many patients. It is one of the most common reasons that patients seek medical attention from a physician (general practitioners, orthopedists, rheumatologists, and pain management specialists). The cause of knee pain arises from several factors. These include factors originating from inside the knee joint, those from around the joint, and that referred from nearby structures like the hip, femur bone and tibia and fibula bones. Some of the common causes of knee pain from inside the joint include arthritis, infection, fracture, tumor, chronic dislocation of the patella, joint instability, foreign body, patellofemoral syndrome, and hemarthrosis, which is blood formation in the joint. Causes of knee pain attributable to structures around the knee joint includes bursitis, tendonitis, joint instability, muscle strain, muscle sprain, infection around the joint which does not involve the joint space, and adhesive capsulitis (frozen joint). Knee pain can also be caused from systemic disease and some of the most common cases of these are rheumatoid arthritis, gout, Reiter’s syndrome, collagen vascular disease, among others. Though less common, knee pain can also be caused from other areas of the body. These include lumbar radiculopathy (commonly referred to as sciatica), lumbar spondylosis (degeneration in the spinal discs), fibromyalgia, myofascial pain syndrome, inguinal hernia, nerve entrapment, and pelvic tumors. Knee pain can be acute or chronic. When the pain is acute in the absence of trauma, it warrants seeking medical attention as some conditions associated with acute knee pain can cause serious damage to the joint, such as bleeding into the joint especially in patients on blood thinners. On the other hand, the prevalence of chronic knee pain has increased over the years. Osteoarthritis of the knee is a common disorder among older adults. Chronic osteoarthritis of the knee is often not effectively treated with our current pharmacological and interventional treatments. As an alternative to current treatment options, a new technology has been developed to effectively treat knee pain: Genicular Nerve Radiofrequency Ablation. Genicular Nerve Radiofrequency Ablation is a new cutting edge treatment currently used to treat osteoarthritis of the knee in patients who have not been effectively treated by current treatment management, those who want to delay surgery, and those who have had knee surgery and failed to have relief of their pain. The procedure is performed in two stages. These include a diagnostic Genicular Nerve block and the Genicular Nerve Ablation. The Genicular Nerve block is a test injection that consists of injecting a small amount of local anesthetic to the Genicular Nerves. If the patient has sufficient response to the test with significant pain relief, then this justifies going forward with the Genicular Nerve Ablation. The nerve radiofrequency ablation is the therapeutic treatment in which a specialized type of radio wave is applied to the nerves to effectively relieve the pain, provide long term relief and restore function to the patient. The radiofrequency ablation works by shocking the nerves that sup-

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plies pain to the knee and stop them from sending signal to the brain. While this is a neuro destructive procedure, the nerves do grow back. The same technology has been used for years in treatment of neck and back pain with excellent success. One of the advantage of this procedure is the fact that it is performed outside of the knee joint. This procedure is indicated for a number of conditions including osteoarthritis, degenerative joint disease, chronic knee pain, patients who have undergone total or partial knee surgery, patients who are not candidates for knee replacement, and those who want to avoid surgery totally. If you or someone you know suffers from any of the above conditions, contact our office to further discuss this treatment option. The doctors at the Pain Management Associates provide the option of sedation for our patients’ comfort.â–

Dr. Haddis Hagos is an interventional pain physician who has been in practice for over 20 years. He is board certified by the American Board of Anesthesiology in pain management. 7300 Hanover Drive, Ste. 204 Greenbelt, Maryland 20770 / 7500 Greenway Center Drive, Ste. 940 Greenbelt, Maryland 20770 Phone: (301) 220-2333


Your Business ad could be here For more information, contact the Women’s Journal at 866-517-5049

April - May 2017

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HEALTH & WELLNESS

Reorganize Your Kitchen to Encourage Healthy Eating Habits

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ore than half of Americans say they can judge how healthy a family’s lifestyle is by the contents of their refrigerator, and more than a quarter admit that they would eat healthier if they were better organized, according to a new national survey. They’re right to associate the state of their refrigerators with the healthfulness of their eating habits, says celebrity nutritionist and healthy cooking expert Keri Glassman. “Practicing ‘mindful eating’ can be hindered by a disorganized refrigerator and a cluttered kitchen,” says Glassman. “When you’re preparing and eating meals in an organized environment, you’re more likely to pay attention to what you’re eating and whether it really does nourish your body and mind.” And while Glassman says refrigerator organization is a first step in leading a healthier life, it’s sometimes easier said than done. In fact, independent consumer research of 1,000 adults, commissioned by kitchen appliance manufacturer LG Electronics shows that more than one-third of American families say fruits and vegetables are the hardest things to keep organized in the fridge. Glassman offers tips to get more organized in the kitchen for a healthier 2017: Take control of your refrigerator “Keeping healthy items in your refrigerator front and center can actually affect the nutrition value of what you’re preparing for your family,” Glassman says. “Today’s refrigerators are making this easier with advanced organization features, like fridges with the new LG InstaView feature that makes it simple to organize your food in a way that puts the most healthful choices in easy view and reach.” This feature, now available in more than a dozen models in a variety of sizes, styles, finishes and prices, has a tinted glass panel on the right door that illuminates with two quick knocks to allow users to see what’s inside without opening the door. “And

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when you see healthy choices right in front of you, you’re more likely to choose those first,” notes Glassman. Additionally, transferring packaged- or bulk-foods into clear glass containers can help keep the fridge looking fresh, and keep your foods fresher longer - which in turn, allows the enticing colors of fresh fruits and veggies to draw your attention. “A clean fridge with colorful fruits and veggies is key to healthy eating,” Glassman says. “My favorite weekend mornings are spent on color quests at the farmer’s market gathering at least seven different colored fruits and veggies. Not only does the fridge look gorgeous, it inspires fresh cooking and will improve your eating habits!” Declutter your kitchen Kitchen counters often become the repository for lots of clutter, from kitchen electronics and small appliances, to car keys and the mail. The clutter takes away valuable cooking space and can affect how healthfully you eat. “Keep a clear counter,” Glassman says. “Designate an area for keys and mail that is away from your cooking space. Don’t keep unhealthy snacks sitting out on the counter, where their high visibility will make them even more tempting.” After a meal, and especially after dinner, clear plates and clean up in the kitchen right away. Leaving chores for later will only draw you back into the kitchen, where you might be tempted to snack even though you’ve already satisfied your body’s nutritional needs. In fact, Glassman says, consider adopting a closed-kitchen policy after dinnertime. Close the door to the room, if you have one, and if your home has an open floor plan, avoid making unnecessary trips to the kitchen. “Organize your pantry and fridge with the motto, if you see it, you’ll use it,” Glassman says. “Rearrange so the healthiest choices are most visible, and the less healthy ones aren’t in easy sight.”■


Up to 89% of Breast Cancer is Caused by These Detox them out in 2017 By Jacquie Hart

Discover: • The cause of most hormonal cancers • Your exposure risk right now • 5 steps to get them out of your body • Two tools to monitor your progress Review Summary Extracts: Jan 2017 “Ms. Hart’s well-researched foundational facts are encouraging and at times eye-opening.” “This book is a must read for all woman and they don’t even know it yet” “Jacquie’s recommendations are based on sound medical doctor advice.” Available on Amazon and Barnes and Noble Email: bc2sleep@outlook.com / Facebook: www.facebook/proestrofree

Green Goodness Wake-Up INGREDIENTS 1 cup unsweetened almond milk 1/3 cup Eggland’s Best 100% Liquid Egg Whites 1.5 cups of baby spinach 1.5 cups of baby romaine 1/2 ripe medium banana 1 tbsp raw honey 1 tbsp black Chia seeds 2 tbsp shredded coconut 1 tsp cinnamon A handful of ice cubes PREPARATION 1. Combine all ingredients in a blender in whichever order you choose. 2. Then blend until smooth. 3. Pour into a glass and enjoy!■

Courtesy of EggLandsBest Recipes April - May 2017

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Healthy Meals COMMUNITY

Four-Cheese

Pasta Florentine

INGREDIENTS Prep time: 20 mins / Cook Time: 25 mins / Servings: 4

3 cups mostaccioli, uncooked 1 pkg. (10 oz.) frozen chopped spinach 4 oz. (1/2 of 8-oz. pkg.) PHILADELPHIA Cream Cheese, cubed 1 cup BREAKSTONE’S or KNUDSEN 2% Milkfat Low Fat Cottage Cheese 2 Eggland’s Best Eggs (large) 8 oz. Shredded Low-Moisture Part-Skim Mozzarella Cheese ¼ cup KRAFT Grated Parmesan Cheese

PREPARATION:

1. Heat oven to 375ºF. 2. Cook pasta as directed on package, omitting salt. Meanwhile, cook spinach as directed on package; drain well. Place in large bowl. Add cream cheese; stir until melted. Stir in cottage cheese and eggs. 3. Drain pasta. Add to spinach mixture with the mozzarella; mix lightly. 4. Spoon into 8- or 9-inch square baking dish; top with Parmesan. 5. Bake 25 min. or until heated through.■

Courtesy of EggLandsBest Recipes 22

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Healthy Meals

Courtesy of EggLandsBest Recipes

Shrimp and Spinach

Spirals

Ingredients: Prep time: 10 minutes Cook time: 10 minutes Serves: 24

4 tablespoons prepared pesto 4 spinach tortillas (8 inches), warmed 6 Eggland’s Best Eggs (large) 1/2 cup baby salad shrimp 2 tablespoons crumbled feta cheese 1 teaspoon lemon zest 1 tablespoon snipped chives 2 teaspoon olive oil

PREPARATION:

1. Spread the pesto over 1 side of each tortilla. 2. In a small bowl whisk together the eggs, shrimp, cheese, zest and chives. 3. Heat an 8 inch skillet over medium heat; add 1/2 teaspoon of the oil. Pour 1/4 of the egg mixture into the pan. Cook 1 minute or till set. 4. Turn and cook 1/2-1 minute more or till lightly browned. 5. Place the omelet on a tortilla; roll up tightly. Repeat 3 times. 6. Trim the ends of the tortillas then cut the roll-ups into 1 inch thick slices.â– April - May 2017

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home improvement COMMUNITY

Light

Solutions:

What to do when your house feels like a cave

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house with ample windows can win your heart with silent promises of sun-drenched rooms and warm breezes wafting through open windows. The truth, however, is that even a home with windows galore can have rooms that feel dark and cave like. Some of the most-loved aspects of modern design - open, expansive floor plans, wood flooring in darker tones, walls of windows - may leave portions of a room dazzled with sun and other parts dim and poorly lit. For example, a room with a wall full of picture windows will often lack windows on other walls. Near the windows, you’ll get plenty of sunlight and some glare, but the natural light might not make it to the far corners of the room - especially if it’s a large space like a great room. What’s more, interior spaces like powder rooms, laundry rooms, mudrooms and closets often have no windows at all, making them feel small and dark. No one wants rooms that look like caves - not even if your house has an actual “man cave” or “woman cave” in it! Fortunately, a few smart decorating tricks and some budget-friendly, high-impact enhancements can help brighten rooms and relieve that cavelike feeling. Sunlight solutions Of course, the sure-fire way to get more light into a room is to add more windows, but that’s not always a practical or cost-effective solution. Instead, look for alternative ways to bring more sunlight into a room.


home improvement Daylighting systems can bring sunlight from a rooftop down into a room, allowing natural light to illuminate dark spaces where light from windows can’t reach. For example, the Solatube Daylighting System captures daylight with a rooftop dome. A highly reflective tube funnels light inside the home, where a decorative fixture on the ceiling spills the natural light into dim areas. The tube fits between rafters, so there’s no need to cut through critical structures, do frame work or make repairs to sheetrock. An options light kit provides electric illumination on cloudy days or at night. The included integrated solar-powered nightlight provides gentle, low-level illumination at night, and qualifies the entire system, plus installation, for a 30 percent federal tax credit. With the tax credit, Solatubes start at less than $500 installed, making them a cost-effective option for any room in the house, and especially in master baths, powder rooms, mudrooms, hallways and laundry rooms. To learn more, visit Solatubedaylighting.com. Another option is to amplify the sunlight coming into the room. Strategically positioning mirrors can help reflect natural light to dark corners. What’s more, a large mirror mimics the feeling of a window, making rooms feel bigger and brighter. Window dressing Maximizing the amount of light that comes in through the windows you do have is easy. Keep curtains light and airy, and

use blinds or shades to control the amount of light coming from the window. Install curtain rods 2 feet wider than windows so that when curtains or drapes are open, they don’t block any of the window or the light coming through it. You can also “dress” walls to mimic the look of windows. For example, if you have a windowless powder room, adding a transom above the door can help the room feel bigger while borrowing light from adjacent rooms. The tactic of borrowing light can also work if you’re able to put a pass through between a closed off room and an adjacent one that has windows. Decorating tricks Finally, don’t overlook the power of decor in making a room feel bright and welcoming. Light-hued walls of white, cream or pale yellow or blue not only make a room feel bigger, they evoke the visual qualities of natural light. Large windowless rooms, like a basement play room, can benefit from large framed art. Select scenes that mimic the view you might get from a picture window, such as a seascape, mountain scene or city skyline. Filtered overhead light can also create the effect of a natural light source. For example, drape light-colored, opaque fabric above a bed, so that the cloth conceals the overhead light fixture. As the artificial light shines through the fabric, it will imitate the diffused look of natural light.■

April - May 2017

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BUSINESS

The lowdown on

Low Down Payment Mortgage

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ou would like to buy, but you can’t manage that 20 percent down payment. Does this sound familiar? The down payment is the biggest impediment to buying a home according to surveys, but in reality many individuals can qualify for a mortgage with as little as 3 percent down. It is important to compare loans and do the math. Consider your closing costs (the cash you need in-hand), the monthly mortgage payment, and if that payment will go down or up in a few years. Paying a few more dollars each month in the beginning can sometimes save borrowers money in the long term. For this exercise, we compare a $234,900 home purchase (the national median home price as of December 2016), with a 5 percent down payment and a 720 FICO score. And because calculators and loan terms vary, consider these costs as examples only. A mortgage professional can provide you with specific estimates.

Conventional loan with PMI A conventional loan is a traditional mortgage from a lender that is not insured by a government agency. With a 5 percent down payment, the borrower finances the remaining 95 percent over 30 years with a 4 percent interest rate. Private mortgage insurance (PMI) is required because of the low down payment and is $78 of the monthly bill, making the total monthly mortgage payment $1,143. Pros: A borrower can get a conventional loan with PMI with as little as 3 percent down. PMI can be cancelled once 20 percent equity in the home value is reached, which means your monthly bill decreases. Cons: For some borrowers, a 5 percent versus 3 percent down payment may be a better deal as costs may be lower. However, for many prospective homebuyers looking to lock in low interest rates, build equity and home appreciation faster, an option to get into a home with the lower down payment may be better. 26

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A combo loan (aka piggyback mortgage) A piggyback involves two separate loans simultaneously. In this scenario, the first “primary” mortgage covers 80 percent of the loan with a 30-year fixed interest rate of 4 percent; the second loan is for 15 percent with 10-year fixed interest rate of 5 percent; and the remaining 5 percent is the down payment. The total monthly mortgage payment would be $1,271. Pros: The borrower will not pay PMI. Cons: It may be a more expensive as the borrower will pay closing costs on two loans. And unlike PMI, the piggyback loan doesn’t cancel, but will be paid off over the term of the mortgage. The second loan often comes with higher interest rates too. FHA loans FHA loans are mortgages insured by the government through the Federal Housing Administration. The limits for FHA loans typically are lower than conventional mortgages. However, FHA mortgage insurance cannot be cancelled and must be paid for the life of the loan. FHA has other specific requirements, like the condition of the home. In this scenario, the mortgage is set at 95 percent of the home’s value with a 30 year fixed interest rate of 3.75 percent. The total monthly mortgage payment would be $1,199.08. Pros: A borrower can get a FHA loan with as little as 3.5 percent down and a FICO score as low as 600 may qualify. Cons: FHA mortgage insurance cannot be canceled, so your monthly bill won’t be reduced the way it is with a conventional loan with PMI. Also, FHA loans are subject to an upfront fee of 1.75 percent that is financed over the life of the loan. No matter what you choose, do the math and compare so you can make an informed decision. If the conventional option sounds appealing, LowDownPaymentFacts.com provides more information.■


BUSINESS

Caring for Our Military Veterans & Their Families

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am the very proud wife of Lt. Colonel (retired) Dewey R. Wiseman Sr. His 32 years of service to this great nation has given me a special sensitivity to all men and women who defend, protect and serve the United States of America. In my continued effort to assist our military families when death occurs, there are a few things I’d like to share with you; should the need arise to inter/inurn your soldier. In order to service military members and their families well, it is of paramount importance that you have, IN YOUR POSSESSION, the service member’s DD-214. This is the all-important, Certificate of Discharge/Service. It affords honorably discharged soldiers and their spouses the right to interment/ inurnment in a military cemetery without cost (small fee may apply for spouses). This vital document will most always be the determining factor in whether or not you have burial rights. There is a widely held belief that the funeral home is responsible for producing the DD-214. This is false information. While we are certainly more than happy to assist you in your search, it is solely the task of the family. I would advise all service members to locate this documentand keep it in a safe, quick to put your hands on, and easy-to-remember place. Additionally, prepare yourself for a delayed interment. This may not always be the case however; I currently have in my care a two-star general who passed in mid-May. Arlington National Cemetery is not able to inter him until this coming September. You may experience less wait time if you consider other area cemeteries. Most families will plan a funeral date and plan the burial at a later date if the dates are too far apart. Generally speaking, a military member who resides in Maryland will qualify for Crownsville (near Baltimore) or Maryland National Cemetery in Upper Marlboro, Maryland, better known as Cheltenham. A veteran who lives in Washington, DC will typically qualify for Quantico National Cemetery in Triangle, Virginia. Veterans in Virginia will typically be interred in Quantico, Culpepper, or Danville to name a few. You will likely be required to supply proof of residency in the form of a current utility bill with the veteran’s name on it—be prepared with that. In closing, I’d also like to share that contrary to popular belief the military rarely pays the FUNERAL expense of a veteran. There are cases in which they will however; according to Mr. Ritchie in the Veterans Affairs Department in N.E. Washington, DC, the criteria is very narrow and will almost always involve pre-existing circumstances orarrangements . I love our veterans, and it is may honor and privilege to serve you.■

“There is a widely held belief that the funeral home is responsible for producing the DD-214. This is false information.”

Wiseman Funeral Home, established in November 2008, is a full service funeral care provider, specializing in earth burials, cremations, memorial services, national and International shipping and receiving of human remains. The company is well versed in the practice of funeral pre-planning as well as funeral trust and Medicaid spend downs. We are available to you 24 hours a day, 7 days a week. We serve you professionally with utmost respect. 7531 Old Alexandria Ferry Road, Clinton, Maryland 301-899-2005 / michelle@wisemanfuneralhome.net

April - May 2017

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WJ Prince George's Vol 58/Issue 3  
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