Prince George’s County
A Lifestyle Magazine
COMPLIMENTARY Volume 57 Issue 2
omen s ournal
Sweet Valentine’s Recipes to try!
What Happens to autistic Youth at 21?
show your heart some love
Featuring Georgetown Pain Management & Medical Director
4 21 24
Health & Wellness
With over 32 years of experience, The Womenâ€™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.
Business Development Tara Pannell DIRECTOR OF COMMUNITY RELATIONS Wendy Ward GRAPHIC DESIGNER Fina Florez To Advertise, please email Info@wjwomen.com 2
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 February - March 2017
Valentine’s Cookies Ingredients: Prep time: 1 hour/Cook time: 30 minutes/Serves: 5 dozen 1 stick Butter 1 cup Sugar 1 large egg 1 teaspoon Milk 1/2 teaspoon Vanilla Extract 2 cups Flour 1 teaspoon Baking Powder Icing: 3 cups sifted Confectioner’s Sugar 1/4 cup Milk 1/2 teaspoon Vanilla Extract 4
1/8 teaspoon Salt A few drops of Red Food Coloring 1. 2. 3. 4. 5. 6. 7. 8.
PREPARATION: Preheat oven to 375 degrees F. Cream butter, sugar and vanilla together. Add egg and beat until light and fluffy. Stir in milk. Sift flour and baking powder and then mix with butter, sugar mixture. Blend well. Divide dough in half and chill in refrigerator for at least 1 hour. Roll dough on floured board to about 1/8 inch thickness. Cut with heart shaped cookie cutters of varying sizes. Bake on a cookie sheet for 8 –10 minutes. Cool completely. To make the icing, combine sugar, milk, vanilla and salt. Mix well. Add food coloring.■
Expert tips to help
Spark a Conversation About Women’s Health Issues
xercise, eating well and getting more sleep are all leading health goals for women. However, there are many health concerns that women overlook for numerous reasons. Some they feel aren’t a priority and others are simply too difficult to talk about. One commonly overlooked example is women’s sexual health, despite the fact that it’s an area that affects many aspects of a woman’s overall well-being. Research suggests the benefits of sexual wellness may extend beyond the bedroom. In fact, sexual health can affect self-esteem, body image, performance at work and interaction with peers and family. This is why it is extremely important for women to talk to their partners and health care providers if they are having any sexual concerns. If you are experiencing any issues with sexual problems, it can feel isolating, but you’re not alone. According to research published in the journal of Obstetricians and Gynecology, nearly 40 percent of women experience sexual troubles at some point in their lives. Furthermore, recent survey data shows that 48 percent of premenopausal women age 21-49 say their sex drive is lower now than in the past. Additionally, 93 percent of women believe that having low sexual desire can put a strain on their relationship according to a Harris Poll survey of 2,501 women conducted on behalf of the American Sexual Health Association (ASHA). If sexual problems are persistent and cause personal distress, it may be a medical condition called female sexual dysfunction (FSD). The most common type of FSD is low desire, or hypoactive sexual desire disorder (HSDD), which may impact as many as 4 million premenopausal women in the United States. Even though many women may have FSD, it is still underdiagnosed and undertreated, and talking about it can be difficult. To elevate the conversation and educate about FSD, ASHA has partnered with leading experts in women’s sexual health - with support from Valeant Pharmaceuticals North America LLC - to launch the Find My Spark educational program. You can visit www.findmyspark.com to learn more about FSD, take an interactive quiz to help identify potential common
HEALTH & WELLNESS
sexual troubles, review tips to open up a dialogue with your healthcare provider or therapist and more. Taking the leap and having that conversation about your sexual troubles is often the most difficult part. From there, you can move forward and determine a plan to improve intimacy and other potential troubles. Three smart tips for talking to your partner about sexual health concerns: • Choose the right time: Bumper-to-bumper traffic or at the diner where you may be interrupted aren’t the best places to talk FSD. You want to give both yourself and your partner enough time to hear and be heard without any distractions. So set a date and time. • Don’t rush the conversation: This isn’t a quick conversation. You’ll have a lot to say, as should your partner. Remember, the conversation might require a series of talks so both of you can communicate your thoughts clearly. • Seek outside help if necessary: You and your partner don’t have to do this alone. If you don’t feel comfortable talking about it one-on-one, therapy can help. A therapist can help create an environment where both you and your partner may feel more comfortable sharing feelings and coming up with solutions. Don’t suffer in silence. Make an appointment with your healthcare provider to talk about next steps so you can create a plan to address your sexual health.■ 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 February - March 2017
By Alan Weiss, M.D.
The Gastrointestinal Tract:
The Surprising Key to
HEALTH & WELLNESS
e live in a day where the medical system and physician training fosters viewing the human body as composed of seemingly unrelated parts. One doctor looks at one part while another looks at another part. What is very surprising is how connected the various parts of the body are. There is no better example of this then the profound effects that the gastrointestinal tract has on overall health. In many of my patients who have chronic illnesses I very commonly find that when they also have gastrointestinal symptoms, such as reflux, pain, or chronic diarrhea; it is only when their GI symptoms are treated and resolved that they begin to get better. The GI tract is not just a tube. We all know how critical the GI tract is for digestion and absorption of nutrients. People are often unaware that up to 80% of the body’s immune tissue that protects us from infections is located in the intestinal wall. As well there are ten times as many microorganisms (bacteria) in the intestines than there are cells in the human body. These bacteria are critical to achieving optimal health. The body uses these bacteria to produce Vitamin K, to optimize the immune system, and to produce hormones. Disruption in the healthy bacterial balance can often result in disease. Diseases that can result from bacterial gut imbalances include inflammatory bowel diseases, rheumatoid arthritis, and even cancer. I have patients who experienced significant reductions in mood disorders (depression and anxiety) after treating gut imbalances and eliminating foods they were sensitive to. Food intolerances and allergies are another topic of gut health that is underappreciated. Many very young children with colic, chronic ear and sinus problems and rashes often suffer from undiagnosed food allergies. The most common sources of food allergy is dairy and wheat, as well as allergy to a wheat protein called gluten which can result in Celiac Disease. The health effects of these food allergies can often extend beyond the GI tract. For instance, even in the absence of significant GI symptoms, Celiac disease can cause thyroid illness, osteoporosis, and neurological problems. Another example is a deficiency of stomach acid, which is critical for digestion. Most people know of acid reflux, but probably as common is a low level of stomach acid. This can result in chronic bloating, bacterial and yeast overgrowth, as well as poor absorption of food an nutrients, which can in turn result in osteoporosis, neurological issues, rashes, and muscular weakness. There are many more examples of the wide-ranging effects of GI problems such as histamine intolerance and leaky gut syndrome.
“GI tract is for digestion and absorption of nutrients.”
So where does one begin? It is important to bring to your physician’s attention any chronic symptoms you have and ask if they can be connected to other health issues. It is useful to do food allergy testing, cultures for infections, and measurement of stomach acid. Hunting for hidden bowel infections can often pay off handsomely in health benefits. Use of probiotics, which can restore normal bacterial balance, and prebiotics which can nourish and return to health the intestinal cells and membrane, can often make a big difference.■
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. February - March 2017
HEALTH & WELLNESS
Lose Your Glasses, On Purpose! “In order to see clearly, light must be focused on a single point on the retina. When this does not happen, we need glasses”
hy do we need glasses? In order to see clearly, light must be focused on a single point on the retina. When this does not happen, we need glasses to help focus the light properly. There are several types of vision that are corrected with glasses. Nearsightedness, which is called myopia, Farsightedness also called hyperopia, Astigmatism, and Presbyopia are all types of refractive error. People who are nearsighted or myopic can see up close. Things that are far away are blurry because the eye is too long and light is actually focused in the middle of the eye. People who are farsighted or hyperopic can see better in the distance because the eye is too short and light is focused behind the eye. Astigmatism occurs because light is focused on multiple points in the eye.
In order to read, the lens which is in the middle of the eye expands to focus light on the retina. As we get older, about the age of 45 years, the lens gets stiffer and less flexible. As the lens becomes less flexible, it gets harder to read because the light is focused behind the retina.
All of these problems can be treated so that a person can become less reliant on glasses. Myopia (nearsightedness), mild Hyperopia (Farsightedness) and Astigmatism can be treated with LASIK. With mono-vision LASIK, even presbyopia can be treated. LASIK stands for Laser Assisted Stromal In-situKeratomileusis. This means that a laser is used to reshape the cornea to make it better. Today, physicians utilize an “all laser” approach to performing LASIK surgery. This two-step process utilizes the Intralase® method of flap creation with Wave Front CustomVue treatment to deliver a very precise vision correction. With this advanced technology, our surgeons can identify and measure imperfections in an individual’s vision 25 times more precisely than standard methods used for glasses and contact lenses.
By using the latest state-of-the-art technologies such as Intralase® and VisxCustomVue lasers, the Envision Eye & Laser Center in Glenn Dale, Maryland can increase your chances of a successful laser eye surgery and make the procedure available to a large number of candidates who did not previously qualify for vision correction procedures. Our professionalism is appreciated by our patients who have benefited from the rewarding effects of laser eye surgery. Laser vision correction has been approved by the FDA for 20 years. The technology is so safe and excellent that our fine military approves it for its pilots, soldiers and even NASA astronaut candidates. Now is the time for you to enjoy an active life without glasses.■
Dr. Renee Bovelle “Your Best Vision is Our Focus”
12200 Annapolis Rd., Suite 116, Glenn Dale, MD 20769 301-805-4664 www.EnvisionEyeAndLaser.com
“Dark green vegetables like spinach and broccoli are among the most nutritious foods.”
HEALTH & WELLNESS
One thing can help children eat more vegetables at school
he U.S Department of Agriculture proposed a complete overhaul of school lunches subsidized by the federal government in 2012. These changes aimed to limit calories, reduce sodium and increase the consumption of vegetables and whole grains. Improved nutrition is a laudable goal, but the realities of science and nutrition may surprise most people. That’s because scientific studies show kids are more likely to eat their vegetables if they have adequate salt. Dark green vegetables like spinach and broccoli are among the most nutritious foods. However, they all contain very bitter phytochemicals that affect their taste. A research paper from the University of Pennsylvania examined the response of tasters to varying amounts of salt in a range of foods that were naturally bitter, including vegetables and other foods deemed to be healthy. Reducing the salt intake made these foods less appealing and adversely affected the tasters’ nutrient intake. In another study conducted at Ohio State University, cooked broccoli was fed to individuals from three different age groups: children, adults and senior citizens. The broccoli florets were prepared with different levels of salt. The results showed that even though participants were unaware as to which sample was which, salt significantly increased broccoli’s palatability. A University of Vermont study to measure food consumption in schools before and after the salt reduction mandate confirmed what school lunch officials feared: they witnessed most students putting fruits and vegetables into the trash instead of
their mouths. The study showed that although students were required to place more fruits and vegetables on their trays, they ate less of each. When students were involved in setting choices, several new student-approved recipes were added to the menu: barbecue chicken, buffalo chicken wraps, chicken salad wraps and peanut butter and jelly sandwiches - all savory comfort foods everyone enjoys. It was a stark reminder you cannot impose bland foods on individuals. And there is a reason for that - our bodies are telling us we need sufficient amounts of the essential nutrient, sodium. Public health policy that is not based on evidence cannot outdo our bodies built-in mechanisms demanding those nutrients.■ 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 February - March 2017
HEALTH & WELLNESS
Why Skin Rejuvenation?
By Katina Byrd Miles, M.D.
ur skin, especially the face and décolleté, is adversely affected by environmental elements every day of the year. Winter dehydrates the skin leaving it dull, dry, and rough. With springtime, comes allergies and itchy skin. Summer fun in the sun results in premature aging, oiliness, dark spots, and textural changes. Fall brings continued sun exposure and dryness due to the drop in the temperature. Skin rejuvenation starts with daily skin regimens consisting of medical grade skin care products that have been scientifically developed to nourish, protect, and hydrate, and correct the skin. An individualized skin care regimen starts with a pH balanced cleanser that will effectively yet gently remove impurities from the skin. A retinol helps to increase cell turnover promoting a bright, even, and clear complexion. Antioxidant serums with vitamin C and E protect the skin by providing nutrients that enhance skin resilience when exposed to the elements. A moisturizing sunscreen hydrates the skin while protecting against the formation of free radical damage caused by ultraviolet light exposure. To maximize the benefits of sunscreen, it must be applied daily, regardless of the season, weather, or skin complexion. With a comprehensive daily skin care regimen, the skin is protected against cumulative environmental insults. Skin rejuvenation can be enhanced with professional laser and chemical peel procedures working in conjunction with your daily skin care regimen. Not all treatments are created equal and care must be taken when determining the proper procedure that is safe for your skin. Aerolase Neo aesthetic laser is safe for all skin types yet powerful enough to produce results. PCA Skin chemical peel treatments have been scientifically blended to renew and nurture the skin while minimizing irritation. These specialized formulations can be used to treat even those with sensitive skin. The combination of laser and chemical peels improve skin texture, minimize dark spots caused by the
“Not all treatments are created equal and care must be taken when determining the proper procedure that is safe for your skin.” sun and inflammation, control acne, decrease fine line and wrinkles, brighten the complexion, and decrease skin laxity and pore size. It is not necessary for the skin to be exposed to relentless environmental toxins. Rejuvenation is attainable and essential. Daily medical grade skin care solutions, laser skin rejuvenation, and chemical peels provide an effective means to nourish, protect, hydrate, and correct. When the skin is healthy, beauty and confidence follows. To learn more about an individualized skin care and treatment regimen, please contact Skin Oasis Dermatology at 410-451-0500 for a consultation. Dr. Miles will evaluate your skin and develop a treatment regimen to enhance your natural beauty.■
By Kashif Ali, M.D.
HEALTH & WELLNESS
The Effects of Genetics on Breast Cancer: An Update
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) will be 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. 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 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 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.■ 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. February - March 2017
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: firstname.lastname@example.org /(301) 502-0910, Mon-Fri 12pm-5pm Adriane McCann: email@example.com/ (301)-485-1278 or (202) 999-8756 Mon-Fri 10am-6pm
$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!
East Pines RX Specialty Pharmacy
“The Pharmacist you know. The CARE you deserve.” - Compounding for • Dermatology • Pediatrics • Hormone Replacement therapy - Medical Equipment - Organic Vitamins & Supplements - Wound Care
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6003 66th Ave. Riverdale, MD. 20737 301-459-6211 / fax 301-459-6217 Epinespharmarcy@aol.com 12
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For more information, contact the Women’s Journal at 866-517-5049
Longer battery life gives patient with heart condition a new outlook on life
HEALTH & WELLNESS
y the time Emily H. turned 27, she had received her third life-saving heart device. While she was happy to be alive, she couldn’t help but question why the implantable cardioverter defibrillator (ICD) surgically inserted in her chest needed to be replaced with such frequency. At this rate, she would undergo three more surgeries and pay nearly $30,000 in out-of-pocket medical bills before she reached her 35th birthday. “I found out I had a hereditary heart condition just before entering my sophomore year of college,” she recalled. “I knew my life would never be the same after receiving my diagnosis, but I couldn’t have imagined the physical, emotional and financial toll that my dependency on a cardiac device would have on me and those who love me.” Emily was diagnosed with hypertrophic cardiomyopathy, or a thickened heart muscle, at the age of 19. The condition makes it more difficult for the heart to pump blood and could eventually cause sudden cardiac arrest. In order to prevent sudden death, Emily’s doctor implanted an ICD to continuously monitor her heart rhythm and deliver a life-saving shock, if necessary. Her first device battery lasted just five years. It was at that point Emily faced the reality that the batteries that power ICD devices do not last indefinitely. When her second device had to be replaced after only two years, she began to worry, wondering how many more devices she would need and how much money she would have to save for the next inevitable, yet unpredictable, replacement procedure. “With my condition, my savings account isn’t just dedicated for unexpected home repairs, a winter vacation or my children’s college funds,” Emily said. “I have to always be ready for future device replacement surgeries, and the weight of the financial burden that accompanies those surgeries is huge.”
“I found out I had a hereditary heart condition just before entering my sophomore year of college.”
Emily talked with her doctor when she was due for her third device and learned that medical device companies have been working to advance technology to extend the life of ICD batteries and lessen the burden on patients who need them. Now, at age 33, Emily has a Boston Scientific ICD that her doctor expects will last up to 11 years - nearly three times as long as the four-year average of her previous devices. “I’m so grateful for the improved battery technology that Boston Scientific offers because it’s truly impacting not just my life, but the lives of my husband and two small children,” Emily said. “I am optimistic about my future and glad my doctors have access to this device that gives me and my family peace of mind.” Potential questions to ask your doctor about ICD’s: • What device options do I have available to me and how do they differ from each other? • How long will the device battery last and how soon should I expect to undergo a replacement procedure? • What resources can I review to gather additional information about the procedure and/or recommended device?■ February - March 2017
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 Donâ€™t let your 2015 Ins. benefits expire. Utilized by the end of the year or you lose them. 9821 Greenbelt Rd #205, Lanham, MD 20706
HEALTH & WELLNESS
goodbyes better for both parent and child
s a parent, you’ve probably experienced the clinging, clutching and crying that often accompany a goodbye when your child returns to day care or preschool after a long holiday break. Separation can be difficult for both children and their parents. Remember, separation anxiety is perfectly normal and can start at any time during the first three years. The challenge of separation can vary greatly depending on your child’s age, developmental stage, temperament and environment. But there is relief. Child development experts agree families can learn how to ease separation anxiety and manage transitions by developing a predictable routine between the parent and/or caregiver and child - a consistent way to say goodbye. Saying goodbye helps your child You may be tempted to sneak out and avoid a scene, but that only tends to make your child more anxious. Creating a consistent and predictable routine will help ease separations that are painful for both of you. The repetition of a goodbye routine will help your child develop a sense of security and facilitate a smoother transition from your presence to your absence and back again. “Neuroscience has shown that the consistency and predictability will help your child learn to anticipate your return,” says Dr. Victoria Simms, child development specialist and president of the Simms/Mann Institute. “It’s very important for young children to have experiences that promote security. Consistent routines leave a positive imprint on the brain that will help set the stage for easier transitions during times of separation.” Tips for easing separation anxiety 1. Bring a familiar object from home. Children often find comfort in familiar objects such as a cuddly lovie, toy or blanket. These special items are called transitional objects. By introducing a transitional object early on your child will begin associating it with you and what you represent to them: warmth, comfort, security and most of all, love. 2. Create your own consistent goodbye routines and rituals. Creating a consistent and predictable goodbye routine is key to making transitions easier. Designate a special place
in your house where you can focus on each other for a few minutes before saying goodbye. Don’t forget to confidently give your child a hug and a kiss and be on your way. 3. Comfort yourself. When you’re comfortable and calm, your child will feel less anxious and more confident. Remember, thoughtful distress can help you and your child grow and spending the time to say goodbye will enable your child to manage the separation and help your child reconnect with you in a more positive way when you return. To further help parents and caregivers understand the importance of creating consistent and predictable routines, the Simms/Mann Institute recently launched the CuddleBright(TM) Experience, a product that incorporates all the elements needed to get your goodbye routine off to a strong start. By integrating the latest neuroscience research and years of child development theories, the CuddleBright(TM) Experience aims to connect and comfort both parents and children during times of separation. The product is specially designed for children ages 0-5 and their parents. It includes a cuddly lovie, a beautifully illustrated board book, “A Cuddle Before I Go,” and a special keepsake heart that will serve as a transitional object for the parent. These items work together to create a loving goodbye routine for both parent and child. In addition, the CuddleBright(TM) Experience includes a parenting guide focused on 18 child development topics that provide tips and strategies for navigating parenthood. For more information about the CuddleBright(TM) Experience visit www.cuddlebright.com.■ February - March 2017
HEALTH & WELLNESS
By Haddis T. Hagos, M.D.
a Novel Approach to the Management of Knee Pain
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, Reiterâ€™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-
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 patientsâ€™ 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
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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HEALTH & WELLNESS
How Being Informed and Taking Action Can Stop a Common Heart Condition
or some, simple activities that others often take for granted - like walking around the neighborhood or doing chores around the house - can make them feel tired or dizzy. They may feel their heart racing or like a hummingbird is flapping its wings in their chest. These symptoms may point to atrial fibrillation, or Afib. Affecting nearly 3 million Americans, Afib is the most common heart rhythm disorder, causing a quivering or irregular heartbeat. Without treatment, Afib can double the risk of heart-related deaths and increase the risk of stroke by five times. It is estimated to be responsible for more than 80,000 deaths each year, but it doesn’t need to be left untreated. While several effective options for treating Afib do exist, people frequently aren’t fully equipped to make informed health decisions. This gap between perceived knowledge and actual understanding of specific treatments is what many doctors specializing in heart rhythm disorders, including cardiologists and electrophysiologists, are trying to close. Treatment options The most appropriate treatment often depends on the type of Afib, how long someone has had the condition, severity of symptoms and the underlying cause. Generally, treatment goals include reducing the risk of complications including stroke and restoring a normal heart rhythm. One treatment option, which only half of surveyed Afib patients were familiar with, is known as cardiac/catheter ablation. This minimally-invasive therapy provides an alternative for those who don’t respond to, or can’t tolerate, drug therapy. Catheter ablation selectively targets areas of the heart causing heart rhythm irregularities. During the procedure, doctors insert a catheter through a small incision in the groin, where it is then guided to the heart through a blood vessel. Once it reaches the left upper chamber of the heart (atrium), radiofrequency energy is delivered to the heart wall to block faulty electrical impulses that can cause heart rhythm disorders. This type of treatment is helping doctors more accurately target areas of the heart. Now, with products like the THERMOCOOL SMARTTOUCH SF Catheter with contact force tech-
“Afib is a progressive disease, and over time, repeated incidents can lead to issues.” nology, electrophysiologists are able to precisely measure the amount and direction of force being applied to a delicate heart wall. These technological advances have led to improved results and shorter procedure times for patients, without compromising safety. A multicenter, prospective study of the THERMOCOOL SMARTTOUCH technology demonstrated a success rate of greater than 74 percent after a one-year follow-up. In the study, success was defined as freedom from abnormal heart rhythm for 12 months. Raising awareness Afib is a progressive disease, and over time, repeated incidents can lead to issues including irreversible heart rhythm abnormalities, blood clots, chronic fatigue, stroke and heart failure. For people with this condition, knowledge can quickly translate to better health. Oftentimes, simply the lack of information may prevent them from taking the first steps to a healthier life. Talk to a local doctor who specializes in heart rhythm disorders or visit www.GetSMARTAboutAfib.com to learn more about how to identify and manage this condition. The sooner you’re able to learn about available treatment options, the sooner you or your loved one can get back to leading a healthy, fulfilling life. As with any medical treatment, individual results may vary. Only a cardiologist or electrophysiologist can determine whether ablation is an appropriate course of treatment. There are potential risks including bleeding, swelling or bruising at the catheter insertion site, and infection. More serious complications are rare, which can include damage to the heart or blood vessels; blood clots (which may lead to stroke); heart attack; or death, are rare. These risks need to be discussed with your doctor, and recovery takes time.■
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February - March 2017
Why Total Body Care? Let’s start by answering what Total Body Care means to us. Our bodies work hard for us every day. We may not always realize it, but the fact of the matter is that hard work, day in and day out, can take its toll. It’s our responsibility to stop, check in and tune up. That pause, that momentary break of the daily grind is important, essential really. That pause is us practicing total body care… to make life even more livable. Why Massage Envy So why Total Body Care with Massage Envy? Because it’s our belief that the every day stuff doesn’t have to hurt, or take such a toll; it’s not something that we have to just deal with. Regular massage care does more than just provide temporary relief or momentary relaxation. And facial care isn’t just skin maintenance. They take care of our bodies in more ways than we sometimes realize, with proven, lasting effects. Treating your body well shouldn’t be a luxury. At least, we don’t think so, because the good life should actually feel that way. So think of us as your partner in managing the side effects of this wonderful thing we call living. 20
Whatever the reason, join us at Massage Envy and we’ll help you manage the side effects of this wonderful thing we call living. MassageEnvy.com
99 MASSAGE $ SESSION
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College Park:10260 Baltimore Ave. (Across from IKEA) / (301) 313-0555 Woodmore Center – 9300 Woodmore Centre Dr. (near Wegmans) / 301-364-3400 M-F 8a-10p | S 8a-6p | Su 10a-6p
Monte Cristo Puffed Pancake with Warm Huckleberry Drizzle INGREDIENTS Prep time: 10 mins / Cook Time: 20 mins / Servings: 4 Pancake: 3 tablespoons unsalted butter 3/4 cup all-purpose flour 1/2 teaspoon salt 3 Eggs (large) 1 cup milk 2 teaspoons honey mustard or sweet hot mustard 1/2 cup (3 ounces) grated Gruyere or Swiss cheese 1/2 cup diced Black Forest ham 1/2 cup diced smoked or roast turkey Huckleberry Drizzle: 3/4 cup wild huckleberry syrup (or blueberry) 1 cup huckleberries (or blueberries) powdered sugar, for dusting
PREPARATION: 1. Preheat oven to 450 degrees F. 2. Place butter in a 10-inch oven-proof skillet and place in the oven. 3. In a medium bowl, whisk together flour and salt. 4. In another bowl, whisk together eggs, milk and mustard. 5. Stir in cheese. 6. Create a well in the flour and add the egg mixture; mix well. 7. Remove hot skillet from oven when the butter begins to bubble. 8. Pour batter in skillet all at once. Sprinkle the ham and turkey evenly over the top and return the skillet to the oven. 9. Bake until golden brown and puffy, 12 to 15 minutes. 10. Meanwhile, for drizzle, combine syrup and huckleberries in small saucepan over medium-low heat. 11. Cook, stirring, until heated through, about 5 minutes. 12. To serve, sprinkle pancake with powdered sugar and generously spoon over the warm huckleberry drizzle.â– February - March 2017
Healthy Meals COMMUNITY
Salted Honey Raspberry Bread Pudding
INGREDIENTS Prep time: 10 mins / Cook Time: 35 mins / Servings: 6 3 Eggs (extra large) Butter flavored cooking spray 3 croissants 1 pint fresh raspberries Zest of one lemon 4 ounces cream cheese, softened 1/2 stick unsalted butter, melted 1/2 cup granulated sugar 1 teaspoon vanilla extract 3/4 cup half & half 3/4 teaspoon sea salt, divided 2 tablespoons honey
PREPARATION: 1. Preheat oven to 350 degrees F. Spray six ramekins with cooking spray and place them on a parchment lined sheet pan. 2. Cut the croissants into one inch pieces; arrange the pieces evenly into each of the six ramekins. 3. Place the raspberries equally into each ramekin. 4. Zest the lemon and sprinkle the zest evenly into each ramekin. 5. In a large bowl using a hand mixer, or the bowl of a stand mixer, combine Egglandâ€™s Best Eggs, cream cheese, melted butter, sugar, vanilla, half & half, and 1/4 teaspoon sea salt. 6. Mix on low just until combined and pour the mixture evenly into each dish. 7. Bake for 35 minutes, until risen and golden. 8. Drizzle the honey over the bread puddings and top with the remaining sea salt. Serve hot.â–
Fluffy French Toast Ingredients: Prep time: 15 minutes Cook time: 10 minutes Serves: 6 1 cup all-purpose flour 2 teaspoon baking powder 1 teaspoon sugar 1 teaspoon ground cinnamon 1 cup milk 2 Eggs (large) 1 teaspoon vanilla extract 12 slices Texas Toast Bread (thick sliced bread) PREPARATION: 1. In a bowl combine all the dry ingredients (flour, baking powder, cinnamon and sugar.) Stir together well.
2. In an 8Ă—8 square dish, whisk together the wet ingredients (milk, eggs and vanilla extract.) 3. Add dry ingredients to the wet ingredients and whisk together vigorously. Batter will be lumpy. 4. Heat a large nonstick skillet over medium-high heat. 5. Begin dipping bread slices into the batter. Dip one side of the bread, flip it over and dip the other. Let excess batter drip off then place coated bread immediately onto the pre-heated skillet. 6. Flip when browned and then brown the other side. About 4-5 minutes per side. 7. Sprinkle finished French toast with a dusting of powdered sugar and drizzle on fresh maple syrup.â– February - March 2017
The Surprising Way to Stretch
Your Retirement Savings
he temptation to start collecting monthly Social Security checks at age 62 is hard to resist, but claiming the benefit too early can have damaging consequences for your overall retirement funds. According to Kiplinger. com’s October list of “Financial Decisions You Will Regret in Retirement,” taking the money as soon as you are eligible at 62 is actually considered one of the worst mistakes you can make in your lifetime by many advisors. That’s because the longer you wait to claim benefits, the more money you are eligible to receive in your monthly check. The Social Security Administration says the increases from delaying your benefit can be large and explains that a worker would receive $750 a month if she starts her benefit at age 62, but $1,000 a month at her full retirement age of 66. Or, if she delays until age 70, she would receive $1,320 a month. There are obvious advantages to waiting until age 70 to claim Social Security, but for individuals who can’t or don’t want to continue working that long, it might not be so easy to defer the monthly cash benefit. Certified financial planners Neil Krishnaswamy and Tom Davison say older adults do have options for filling the financial gap until they are eligible for their maximum benefit at age 70. Both experts outlined strategies that incorporate housing wealth early on in retirement instead of using home equity as a last resort option, which has been the conventional wisdom until recently. This can be achieved by either selling the home and downsizing or, if you plan on staying in your current home for many years, using a reverse mortgage to convert part of the home’s value into a liquid asset. Setting up a reverse mortgage with a term payout that lasts eight years is one idea to consider in this scenario. The loan proceeds can help bridge a homeowner’s finances by replacing all or a portion of the income Social Security would have provided during the interim. A reverse mortgage can also make sense for affluent retirees in high tax brackets seeking to maximize their Social Security benefit. Davison, a wealth manager and researcher in Columbus, Ohio, wrote a 2014 case study, “Delay Social Security: Funding
the Income Gap with a Reverse Mortgage” that showed how using a reverse mortgage line of credit to bridge the gap can dramatically improve a retirement financial plan. Instead of spending down an IRA or other investments where withdrawals are taxed, withdrawals from the line of credit, which are not taxable income, can be used to pay expenses. This allows the investment portfolio to grow until the first required minimum distribution at age 70, the same year the retiree can claim the maximum Social Security benefit. Davison emphasized the long-term benefits of the reverse mortgage line of credit if the borrower is able to put money towards voluntarily repaying it over time. The reverse mortgage line of credit will grow at a reliable rate and can be used to support spending later in life when fewer borrowing options are available. A reverse mortgage is a loan that enables homeowners that are generally 62 or older to use part of their homes’ equity to obtain cash proceeds that can be used in many ways, without giving up ownership of the house. Borrowers may choose to draw their funds as a lump sum, as a monthly term or tenure payment, or they may choose to create a line of credit that can be drawn upon on an as-needed basis; borrowers may also choose a combination of a monthly payment and a line of credit. The loan does not have to be repaid until the last surviving borrower or remaining eligible non-borrowing spouse passes away or permanently leaves the home, or fails to meet loan obligations that include paying property taxes and insurance, and keeping the home maintained. There is no penalty for repaying all or some of the loan early, and as Davison stresses, repaying the line of credit when expenses are low will enable it to grow and make funds available later on when you need it.■ About Our Firm Our firm is dedicated to providing you with quality estate planning resources, so you can become familiar with all of the existing options. When you visit or call our office, we want you to feel comfortable discussing such an important issue concerning both you and your family. We want to arm you with the information you need to make an informed decision about your family’s future. 410.573.4818/301.970.8080.
Sisters Serving Together
By Michelle Reese-Wiseman & Marline Reese-Gamble
ello, and thank you once again for all the emails and phone calls. I’m so humbled by your positive responses. Well, taking a look back at all the articles I’ve shared with you, I noticed that I’ve told you several times about how important it is to pre-plan for your funeral arrangements and burial. So I will not beat that horse this time. However, what I’d like to share with you is just as important. It’s the Spiritual Care Program offered at Wiseman Funeral Home. Many family members have a hard time coping with the loss of a loved one. I call it “The Empty Space Syndrome”. Wiseman Funeral Home offers assistance free of charge to those who we have served. Please allow me to introduce to you, my sister and a powerful minister of God, Rev. Marline Reese-Gamble. Marline Reese-Gamble, a chaplain at Wiseman Funeral Home and a funeral officiant, Rev. Gamble passionately supports the integrity, mission, vision and values of Wiseman Funeral Home. She provides pastoral care, spiritual comfort and bereavement support to grieving families. She has a profound ability to respect different lifestyles, cultures and beliefs, as well as people with no faith tradition. When someone dies, grief can be very difficult for family and friends. Rev. Gamble provides competent and compassionate spiritual care and emotional support. With a loving and considerate presence, Rev. Gamble specializes in helping clients recognize and utilize inner strengths when struggling through the bereavement process. The focus involves developing appropriate coping mechanisms. Some clients desire prayer, attentive listening and assistance in reconciling spiritual beliefs or answers to end-of-life questions. Rev. Gamble is always prepared to provide the highest quality spiritual care. The Wiseman Funeral Home Team understands that chaplaincy, in the spirit of excellence, involves empathy, compassion, and enhanced skill in dealing with the spiritual dynamics of loss and death. When clients desire prayer or religious support, Rev. Gamble complies with unique and personalized ministry consistent with the diverse needs of each grieving family. Rev. Gamble is a certified grief facilitator and ordained minister. Her values: caring, compassion, honesty, excellence and integrity. Her motto “This ministry is a rich and rewarding experience.” Rev. Gamble is dedicated and devoted to serving Prince George’s County residents with nurturing spiritual support. This journey has taken her into jails, hospitals, hospice centers, nursing homes and halfway houses. She’s helping individuals to find hope, comfort and purpose during difficult life circumstances. This passion compels and drives her and has taken her on a path of countless hours ministering to inmates. Rev. Gamble motivates inmates to examine their issues, make wise choices, and es-
tablish positive/realistic goals for personal development and growth. When making rounds at various hospitals and hospice centers, God reveals the spiritual needs of each patient. Rev. Gamble is anointed to administer spiritual care with compassion and empathy. She is helping patients manage fears, control anxieties and seek divine comfort and strength during difficult circumstances. Also, Rev. Gamble is committed to investing in the spiritual lives of people through sound biblical teaching, preaching, comforting prayers and spiritual coaching. This ministry serves the community with integrity. Her other ministerial services include officiating weddings and pre-marital workshops. Rev. Gamble is devoted to helping couples build a solid foundation for enriched and lasting marital relations. These workshops include the following sessions: Good Communication, Intimacy / Passion, Money Management, Biblical Foundations of Marriage and Experiencing the Power of Oneness. In spiritual excellence and integrity, Rev. Gamble is teaching people how to live victoriously by applying God’s Word (biblical principles) to their lives. Rev. Gamble passionately studied theology, completed seminary and holds a Master of Ministry/Divinity degree from Freedom Bible College and Seminary. She’s committed to helping individuals achieve spiritual and emotional wholeness. Clients are encouraged to explore thoughts, emotions, actions, and circumstances to enhance spiritual growth and inner healing. Rev. Gamble may be contacted via email at: email@example.com We love our community. We are committed to excellence. We are sisters serving you together.■ 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 / firstname.lastname@example.org Marline.email@example.com February - March 2017
For the Love of Our Youth The Richards Group Foundation is a 501c3 non-profit organization established to provide scholarships, events, & resources to youth designed to teach them entrepreneurship and to provide them critical life skills. The Foundation will empower youth to see beyond the limits of their circumstances and dream bigger by allowing them to see and be exposed to various cultural and educational experiences. Ultimately, The Richards Group Foundation will inspire the youth to live life powerfully and free of limits.
For more information contact us at www.therichardsgroupfoundation.org Stan@stanrichardsonline.com 26
Stan Richards Author, Speaker, Mentor, Entreprenuer
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